The Essense of Nursing According to Imogene M. King

What is the essence of nursing? This is the question that Imogene M. King posed when she created a conceptual frame of reference for nursing. â€Å"King’s conceptual system included twelve concepts that were identified from her analysis of nursing literature – self, body image, role perception, communication, interaction, transaction, growth and development, power authority, organization, and decision making† (King, 1981). The concepts of self, perception, communication, interaction, transaction, role and decision making were selected to represent how individuals and groups in the health care system interact to achieve goals. This transaction model developed to represent the process whereby individuals interact to set goals that result in goal attainment† (King, 1981). The theory of goal attainment, developed by Imogene M. King, is based on the â€Å"assumption that human beings are the focus of nursing†¦. the goal of nursing is health: its promotion, maintenance, and/or restoration; the care of the sick or injured; and the care of the dying† (Khowaga, 2006). King's model consists of three interacting systems: personal, interpersonal, and social. The three interacting relationships involve the individual, nurse-client interaction and nursing. Nurse-client interactions are thought to be individual perceptions which influence the process of goal attainment. Nursing’s goal is to assist the individual and the communities achieve, preserve, and reclaim health. The theory emphasizes the importance of knowledge and information that the nurse and the client both bring to the relationship, working together to achieve goals. Imogene M. King’s conceptual framework is best described as a holistic view of the complexity in nursing and multiple health care systems. King stated, â€Å"This framework differs from other conceptual schema in that it is concerned not with fragmenting human beings and the environment but with human transactions in different types of environments† (King, 1995). The theory of goal attainment is in practice each time the nurse and patient interact throughout the course of treatment. King’s conceptual system has three systems that interact with each other. The first one being â€Å"The Personal Systems†, which is composed of the perception of self, growth and development, body image, space and time. The concepts within the personal system and fundamental in understanding human beings are perception, self, body image, growth and development, time, and space (King, 1981). King viewed perception as the most important variable because perception influences behavior. King stated that, individuals grow and develop through the life span; experiences with changes in structure and function of their bodies over time influence their perceptions of self. The second system is the â€Å"Interpersonal Systems†, which involves the interaction of a person, communication skills, role and stress. Interpersonal systems involve individuals interacting with one another. King refers to two individuals interacting as dyads, three individuals as triads, and four or more individuals as small or large groups (King, 1981). The concepts associated with interpersonal systems are interaction, transaction, communication, role and stress. The interactions and transactions that occur between the nurse and the client, or the dyad, represent an example of an interpersonal system. Communication between the nurse and the client can be classified as verbal or nonverbal. The third one is â€Å"The Social Systems†. This engages the process where a person is able to make decisions. The status of an individual is measured as well as authority. Social systems provide a framework for social interaction and relationships, and establish rules of behavior and courses of action (King, 1981). Examples of social systems include the family, the school, and the church. It is within these organizations that individual's beliefs, attitudes, values and customs are formed. The concepts that King identified as relating to social systems are organization, authority, power, status, and decision-making. These three systems interact with each other to make one mega system. This one system views the client as he/she relates to the environment. As a professional nurse, an assessment is needed of the client involved. It is necessary to have an initial baseline of how the client see himself/herself in relation to whatever the problem is. The nurse must make sure that the client(s) is ready to participate in his or her own health regime. Any concerns or misconceptions must be addressed. The nurse-client relationship must therapeutic. High levels of stress impede the client from having proper decisions technique. This theory of goal attainment can measure the outcomes of any client’s care. At the same it would also measure the nursing interventions implemented. King’s goal attainment brings two strangers to get the nurse whose offering the client help, and the client whose needs the help together for the purpose of reaching health. This theory can be used at any patient interview. Once the medical problem is presented a nurse can assess the client’s perception. Any fears or stressors can be addressed. The goal attainment theory develops good communication skills.

Innovative Techniques in the Sound and the Fury Essay Example

Innovative Techniques in the Sound and the Fury Essay Example Innovative Techniques in the Sound and the Fury Essay Innovative Techniques in the Sound and the Fury Essay Essay Topic: The Sound and the Fury In The Sound and the Fury The Sound and the Fury has been seen as an example par excellence of modernist American fiction (Cohen). Its publication represented a watershed in American literature as it introduced several modernist techniques among which: the destruction of chronological order, the division of the perspectives, the increased number of narrators, the free association technique, the stream of consciousness. I have selected three fragments from the first three sections of the novel in order to highlight some of these new literary devices. Each fragment represents the responding narrator point of view about the event that marked the beginning of the decline of the Compton family-cicadas flagrantly loss. The first fragment comes from the section April 7th, 1928 where gradually we find out about the Compton tragedy. The narrator- Benny a youngest son of the family, also a thirty-three year man afflicted by Idiocy-has no concept of time or morality. Thus in his narration the present and the past fuse in indiscernible ways making the comprehension of the plot difficult to follow. Beings memories are blending with the present happenings or amalgamate with each other. The events re narrated in the present tense which renders whatever claim of chronology futile. He says that he could hear the fire and the roof and then he could could hear Caddy walking fast (Faulkner) in this way the clear shift from one memory to another is obscure. This is another innovative technique Faulkner used creating an apparent continuity on the surface of the narration by repenting certain phrases from one scene to another, a sort of harmony in chaos. Beside the fragmentation of the traditional linear time, the author resort to another modernist device In order to capture the readers attention: he doesnt fully epics the events, he only alludes at them, we are only witnessing the characters reaction to them. For example, Benny, despite his idiocy, can sense that something bad has happened as soon as Caddy comes home, walking fast: We could hear Caddy walking fast. Father and Mother looked at the door. Caddy passed it, walking fast. She didnt look. She walked fast. (Faulkner) However we cannot tell what that thing is, we are left to imagine it, to conjecture it. We are only seeing Pennys and Cicadas reaction to it: Her eyes flew at me, and away. I began to cry. It went loud and I got up. Caddy came in and stood with her back to the wall, looking at me. Went toward her, crying, and she shrank against the wall and I saw her yes and I cried louder and pulled at her dress. She put her hands out but I pulled at her dress. Her eyes ran. W e were in the hall. Caddy was still looking at me. Her hand was against her mount Ana I saw near eyes Ana I cereal. Faulkner) I en event AT cays loss AT flagrantly is never narrated, this omission only adding to the increased ambiguity of the novel. Despite the fact that it is not conspicuously delineated all major characters relate o it some way or another, for it has a crucial role in the development of the plot. It also appears in the second section of the novel June 2nd, 1910 narrated by Question the eldest brother. He goes to Harvard to complete his education but being deeply marked by the promiscuity and consequent fall of his sister, commit suicide. In this section we get a glimpse of the story from his perspective. Even though the present- day of this section is almost eighteen years prior to the present-day of Pennys section, it nevertheless follows roughly the chronological development of the novel, for while any of Beings recollections are of their early childhood, most of Questions flashbacks record their adolescence, particularly Caddy dawning sexuality and its consequences on the family name and honor. Contrary to Benny, Question is aware of time and can differentiate between present and past, between memories and present events. However he too, seems obsessed with the past and frequently lasses into reminiscing anterior events. The flashbacks hurl Question in complicated abstract thinking about honor, motivation, sin, guilt, to conceptualize ideals. Faulkner uses the stream of consciousness technique in order o depict Question point of view, thoughts, or sensory feelings. The associative processes, the leaps in syntax, the omission of punctuation- all modernist literary devices- turn Questions narration into a true challenge for the reader,as the coherence and cohesion of the text are discarded. For example in a single block of text a past conversation with Caddy is intertwined with the recollection of the circumstances of her loss of virginity and with the outer events of present time: Sold the pasture His white shirt was motionless in the fork, in the flickering shade. The wheels were spidery. Beneath the sag of the buggy the hooves neatly rapid like the motions off lady doing embroidery, diminishing without progress like a figure on a treadmill being drawn rapidly offstage. Sold the pasture Father will be dead in a year they say if he doesnt stop drinking and he wont stop he can stop since I since last summer and then theyll send Benny to Jackson I can cry I can even cry one minute she was standing in the door the next minute he was pulling at her dress and bellowing his voice hammered back and forth between the walls in waves and she shrinking against the wall getting smaller and mailer[ ] (Faulkner). Question still feels pride in his familys noble and glorious past but also recognizes that today that past is crumbling away. Confronted with his father cynicism and nihilism who advice him not to take so serious Caddy pregnancy, and who also implies that his horror is due only to his own virginity, a useless concept invented by men; and with Caddy sexual promiscuity- a blatant violation of the ideal of femininity found in his Southern code of honor- he escapes time in the only way he can that is by drowning himself. In his perspective, death is the only way o redeem the sin which his sister had committed, but as he cannot carry out the suicidal pact with Caddy, he does it all by himself. In the end he is an idealist, cast in an decrepit and crumbling world, willing to die for his ideas. I en Tanta part AT ten KICK April ton BIBB Is narrated Dye Jason ten toner Trotter AT the Compton family. Unlike his brothers, Jason is much more focused on the present, offering fewer flashbacks and less abstract thoughts. The section has the closest form of a traditional novel, as the story is narrated in a more or less chronological order ND the characters ideas and thoughts are far less complicated than those in the first two section of the novel. This is only Faulkner way to allude at his characters psychology: if Question is concerned with highbrow ideals and concepts, Jason is more pragmatic and down-to-earth. His narrative doesnt include endless remembrance of the past. He takes into consideration previous circumstances only if they have an effect on present time. Still he is unable to escape his family legacy, as he is the only sane male member of the Compton family, he has to take the paper of the head of the family. From this position he tyrannically compensate for the suffering of his childhood by persecution of his young niece, Caddies daughter, Question, by petty thievery, by deception practiced against his weak mother (Scott), by meanest torment toward his negro employees. In a bitter tone and devious way he recollects the past which shaped his present: the sale of the pasture in order to pay for Question tuition at Harvard who killed himself, the loss of the Job as a bankers at Herbert bank, Cicadas husband who retracted the offer when he found out about Cicadas promiscuity: Well, Jason likes work. I says no I never had university advantages because at Harvard they teach you how to go for a swim at night without knowing how to swim Then when she sent Question home for me to feed too I says I guess thats right too, instead of me having to go way up north for a Job they sent the Job down here to (Faulkner) From this section we can see that Jason holds Caddy responsible for the family and his own downfall. In his opinion her first mistake was the thing which triggered the whole series of tragedies that befallen them and that eventually led to the disastrous end of the Compton lineage. Even though the three different perspective stand apart they are only three distinct lights shed on one and the same event, three different focal points. Pennys perspective can be considerate as objective as he does not give any interpretation or Judgment upon the things unfolding before his eyes. On the contrary Questions and Seasons perspectives are Judgmental, subjective. So which of them is the right one? We could ask. The answer is none and all. But this is exactly what the author is trying to do : to show a multi-faceted truth. To exemplify the modernist criterion which asserted the death of one absolute truth.

Richard Nixons Rocky Road to Presidency essays

Richard Nixon's Rocky Road to Presidency essays Richard Milhous Nixon, America's thirty-seventh president, was the second of five sons of Frances Anthony and Hannah Milhous Nixon. He was born in 1913 in Yorba Linda, California ("Richard Milhous Nixon"). The name, Nixon, means "he wins" or "he faileth not" (Ambrose 12). Hannah was a member of the Society of Friends, better known as Quakers. Nixon's father was a Methodist but converted to Quakerism and became deeply committed when he was married (Ambrose 18). Frank taught Sunday school and at the age of five Nixon attended regularly, at the age of six or seven he participated in discussions and expressed his opinions (Hoyt 28). He was not a boy who enjoyed pranks but was very mature even when he was five or six years old and interested in things way beyond the usual grasp of a boy his age (Mazo 19). Nixon was hard-working and labeled a "helper" at home, but because he particularly hated washing dishes, he would pull down the window shade in the kitchen in case some outsider saw h im doing "women's work" (Mazo and Hess 37). Nixon would love to sit and read to his mother and just be around her. His father frightened him, but he never doubted his love and protection (Hoyt 30). Religion, family, and school were the center of Nixon's life. He attended a church where he learned tolerance, and not to show emotions or express his feelings physically (Mazo 18). Throughout his adult life, he would bottle up his emotions and sometimes even appear cold to his wife Patricia Ryan whom he married in 1940 ("Richard Milhous Nixon"). Some would say Nixon's "public indifference toward Pat bordered on cruelty [and he] almost brutally ignored her as she trotted along behind him" (Ambrose 585). The inability to trust anyone became one of Nixon's principal personality traits and later on he would comment on it in his speeches: "in my job [he was then Vice President] you can't enjoy the luxury of intimate personal relationships. You can't confide absolute...

War between the Confederation and the Union Movie Review

War between the Confederation and the Union - Movie Review Example The documentary also tries to build a personal account of the life of Robert E. Lee, the main hero and center point of the documentary by detailing his personal life, emotions, travails, and changes that the country faced during the war. The documentary starts with the personal life of Robert E. Lee and shows his upbringing in the initial period. It showcases the different events that shaped his early life and perception, his devotion to becoming a soldier, his pursuit of excellence and striving to be the best. It documents the early life and the Mexican war that established him as a dashing soldier. It also takes us through the period of secession and his refusal to take up the leadership of the Union forces during it. He served as a senior military advisor to President Jefferson Davis. It shows the seven-day wars, the wars of Chancellorsville and Gettysburg. Overall, this documentary tries to paint a picture of the war from the perspective of Robert E. Lee. The letters from him to his children were also documented. The Overland campaign of General Grant is also mentioned, along with the change in fortunes of the Confederate military. This led to an overall change in the position of the army in the Confederate states. It also led to the surrender of the Confederate army. This war of secession is a recurrent theme in the documentary. In fact, this theme is used to develop the storyline of the documentary. It also shows the genesis of the main character, Robert E. Lee over this period. This is one of the fundamental aspects of this character. He undergoes a lot of transitions, from being the main military advisor to becoming the main man behind the rebellion. The documentary in many ways also tried to reflect the realities of the America of the 1900s, from the themes of slavery to the lifestyle in America. It bears testimony to the theme of slavery, and the other aspects of American life that became a part of its evolution into the current day Unites States. SCO PE OF THE DOCUMENTARY The documentary follows a pattern wherein it juxtaposes the war of Confederate and the Union States with the life of Robert E. Lee. It follows all the events in the life of Lee, starting from the early years to the growth in the army and the overall genesis into an astute general. In many ways, there are certain themes that are recurrent in the documentary. These are the themes of slavery, the themes of the political situation of the country and the other associated factors. The documentary maintains a narrative wherein a lot of importance has been put on the costumes. The costumes are very authentic and depict to the life and times in the 1900s. There is a lot of inherent color and hue in the dressing of the main characters.

Business and Management Research methods Assignment

Business and Management Research methods - Assignment Example The purpose of this essay is to review and summarize the article, and to include some definitions and preferably challenging research questions in the field. Likewise, the discourse would comply with the requirement of critically reviewing the paper by evaluating its weaknesses and strengths. Finally, suggested ways and opportunities for improving the paper would be presented after a comprehensive analytical and critical reflection is undertaken, as required. Summary of Relevant Details The authors recognized the increasing number of literatures written on the subject of online shopping and acknowledged three clearly defined purposes, to wit: (1) to identify and review current available research studies on online shopping related to media factors influencing buyer behavior and to pinpoint critical dimensions that emerge from these studies; (2) to evaluate and compare the key dimensions on online shopping behavior vis-a-vis traditional shopping channel behavior; and (3) to suggest fut ure thrusts for research on online shopping using the information gathered. ... The four key dimensions were discussed after the tabular presentation of summarized online literatures. The informativeness dimension was defined as an online category of consumer behavior that focuses on elements of â€Å"information relevancy, information accuracy, information comprehensiveness, and information interactivity† (Shen, et.al, 2006, 6). Each distinct variable was explained using various literatures on the subject. The manner by which information comprehensiveness, for instance, was proffered initially indicate that â€Å"information comprehensiveness is a measure of the amount of information furnished by the channel. Consumers expect a certain level of information, and when the information provided by the Web approaches this level, information comprehensiveness is enhanced† (ibid.). The theoretical framework used to explain customer service dimension presented two distinct studies conducted by Wolfinbarger and Gilly (2003) and Zeithaml, Parasuraman and Ma lhotra (2002) which identified customer service in terms of scales or levels. Wolfinbarger and Gilly (2003) clearly distinguished variables of reliability/fulfillment, as contrasted to security/privacy, as essential factors to ensure the effective delivery of products and services parallel to according satisfaction. The difference in presentation of data from the research study written by Zeithaml, Parasuraman and Malhotra (2002) falls into the manner by which security and privacy were treated as separate concepts of customer service. The delivery of products is another element taken into account under this dimension. The convenience dimension was presented by the authors by citing it as

True Profession Article Example | Topics and Well Written Essays - 750 words

True Profession - Article Example However, today’s business environment is considered to be dynamic and challenging, as the success of a business depends on the amount of trust they gain from their customers and stake holders. This has provided opportunities for well-known business schools to introduce new academic course integrating management code of ethics that would help in aligning management with other well-known professions such as lawyers, doctors, engineers and teachers. Considering the above stated scenario, it is also believed that the integration of the code of ethics in the MBA course will serve as competitive advantages for the students in the business market. It is also believed that having the world first Certified Business Professional (CBP) will allow the academic institution to stay ahead from other in-state MBA programs over other universities (Khurana & Nohria, â€Å"It’s Time to Make Management a True Profession†; Nohria, â€Å"A Hippocratic Oath for Management†). Wit h reference to the stated scenario it can be viewed that the dean of ODU’s College of Business and Public Administration (CBPA) is planning to implement oath at the Hippocratic Oath for Managers at this year’s graduation and initiating the new CBP program next year. In this regard, the plan of implementation of the management code can be considered as an effective approach. In this rapid changing environment it has been viewed that organization who succeed in gaining trust of the people sustains in the growing competitive market whereas organization who only focus on gaining profit dissolve within a short span of time. In this aspect implementing managerial code of conduct in the MBA would not only help in establishing a modern management approach but would also help in establishing a modern approach in the business world. It would not only provide numerous opportunities but would also change the way business operates today. The student oath is component of more preval ent initiative to turn management into profession similar to those of medical doctors and lawyers. The Hippocratic Oath promotes the notion of sustainable development. Additionally, it would also help in expanding the knowledge of the student as it would explore new field of studies and also help in understanding the business world deeply. Additionally introducing the process of Hippocratic Oath for manager in academic institutions would also help in producing loyal managers and would also motivate them to implement their skills and knowledge effectively for establishing the organization goal efficiently and through effective utilization of the organization resources (Khurana & Nohria, â€Å"It’s Time to Make Management a True Profession†; Nohria, â€Å"A Hippocratic Oath for Management†).The process of taking oath is viewed to provide a normative framework that helps in shaping the identity of a personnel and their responsibility towards the society specificall y for the people associated with their organization. In this world of shrinking public trust for business managers by the general public, introducing of ethical code would help in establishing a sense of trust and believe amid the stake holders resulting in more efficient functionality of the organization as people would feel secured to invest more in the organization. (ISFP, â€Å"

Book Reports for Rabbi School Research Paper Example | Topics and Well Written Essays - 500 words

Book Reports for Rabbi School - Research Paper Example need for humans to be conversant with the conditions that face humanity; thus, devise strategies that will allow for the attainment of self-awareness and spiritual restoration in human beings (Buber, 2002). The book also gives details on various forms of rungs of life that eventually seek to arouse humans towards leading a righteous life. The work of Buber (2002) gives the lesson that human life needs to be driven by aims of existence. The author is keen to explain that humans needs to make sure that they realize the meaning of their times on earth. True life, therefore, involves the humans being devoted to their life in God if they have to understand what is required of their future life. I also learn that devotion to God is not complete on its own. One must love God’s creation, love their fellow beings, and it is through this deviation that one can be of great importance to their fellow men (Buber, 2002). True life is, therefore, not baseless, but includes the virtue of justice, righteousness, love and even devotion to the life’s wants. I also learnt that one ought to desist from activities that may led to evil and guilt, but make as much effort as possible to overcome the evils of life. Awareness of sin is also crucial to good life, since it helps humans overcome the challenges that they may encounte r in life (Buber, 2002). With contemporary rabbis being faced with lots of challenges, the book has major on me as a Modern Rabbi. First, I have learnt and decided not to mix the good and the bad. I choose to go with goodness since this virtue goes a long way towards attaining holiness. It is through doing good that purity, religious fervor and righteousness is achieved (Buber, 2002). As a modern rabbi, humility goes a long way. I believe that I am a servant and that I am in no way greater than others simply because I am a rabbi. In contrast, this work has led to service to God with humility and steadfastness that it required. The book has also seen to my great