Saturday, January 25, 2020
Relationship Between Christianity and Slavery in America Essay
African-American Religion It can be assumed that Christianity shaped slave culture in several ways such as developing a common bond among slaves. At the some time, it could also be argued that slavery altered Christianity in various ways including the formation of Methodist and Baptist denominations. However, these were not the only manners in which both cultures had an effect on each other. Black converts dramatically increased the number of Christians in the New World. The ideas instilled in slaves by Christianity gave some slaves thoughts of rebellion and influenced African-American music and dance. Not to mention the church was a major supporter of the proslavery argument which conveyed slavery as a positive thing during the antebellum period of the United States. During the seventeenth and eighteenth centuries the majority of slave brought to the new world were young men who were mostly not especially religious. Very few Africans had previously obtained Christian beliefs prior to being shipped from Africa to the New World. The majority of slaves were, in fact, followers of...
Friday, January 17, 2020
Explain How Important the Nurse Patient Relationship Essay
Peplau (1952) observed the nurse as a fundamental tool for change whilst explaining how powerful the nurse-patient relationship is. The nurse approaches the relationship with understanding and experience obtained personally through their lives but also through their training and work. Generally, it is considered the more training and work experience a nurse has, the more therapeutically effective they are likely to be but this is not always the case. Stuart and Sudeen (1997). There are many influences on the relationship that can both obstruct or benefit the nurse-patient relationship. Having a supportive, open, non-judgmental nature aids effective patient-nurse interactions which are important to reduce patientââ¬â¢s vulnerability and distress. Being there for patients reflects not only a positive, welcoming attitude of the nurse, but shows commitment, respect and value to the patient. Presence is defined as physical and psychological being so a nurse ââ¬Ëbeingââ¬â¢ with a patient is essential for the purpose of meeting the patientââ¬â¢s health care needs. A nurse must take time to listen and understand the patients experience without being non judgmental, and to deliver the care needs of the patient. A central aim of building a relationship includes initiating supportive interpersonal communication in order to understand perceptions and needs of others. Reynolds and Scott (1999)This assignment will explain how aspects of the nurse-patient relationship are necessary for the provision of patient-focused care within any branch of nursing. The nurse patient relationship depends on the attitude and personality of the nurse. As a mental health nurse student, forming a positive, trusting relationship firstly involves the process of relaying information and paying attention to non-verbal cues such as body language and eye contact. Both the NICE guidance and the NHS Constitution () stress the importance of good communication between healthcare professionals and patients. Non verbal messages transfer both positive and negative signals. From the patients point of view, positive signals can express that the nurse is approachable, trusting and has an interest to care and communicate appropriately with their needs. This is indicated via listening without judging and responding whilst understanding to help create therapeutic relationships. Even without the patient being vocal or asking for anything, the art of the nurse profession is noticing when something is wrong and delivering good practice based on respect and dignity. Both nurses and patients may adapt non verbal negative cues such as bad posture, facial expression, or space boundaries which indicate at first impression vulnerability or distress. Using body language plays an important role in building rapport with patients as some body postures may not facilitate certain patients. Evaluating body language is also part of the nurse accessing the patient, whilst considering their future clinical relationship as it involves data collection, both physically and psychologically that may be useful in assessment, diagnosis, treatment and care plans. every interaction whether verbal or non verbal between the nurse and patient is placed within the overall context of a relationship. Throughout the course of a student nurses training, social interactions are part of learning to become a skilled nurse. As such, nursing is a social activity and nurses need to be socially competent. They must be skilled in the art of interpersonal communication and human relationship building. Professional codes of practice dictate that nurses are capable of relating therapeutically with patients as more than passive recipients of care. Relationships between patient and nurses humanise healthcare because they are part of the vehicles of which nurses respond to patientââ¬â¢s subjective experience through building rapour and knowing exactly what the patientââ¬â¢s needs are. As well as the strong relationships with patients, nurses express concern, care and commitment The profession of nursing is both an art and a science. While nursing Practice links the art and science of nursing, nursing education focuses on The scientific behavioural outcomes of learning content knowledge and nursing Skills. As Communication with patients is a primary responsibility for a nurse, it is imperative nurses can communicate with different patients hat require different approaches to communications. Depending on a patientââ¬â¢s age, personality, culture,, current medical condition, and other factors, nurses often find their normal methods of communication are ineffective. In these situations, and for patients health needs, knowing a variety of communication techniques is invaluable. Cultural background, race, and ethnicity play an important role in a patientââ¬â¢s life. Not only do these factors play a part treatment and diagnoses, but also in their state of mind and emotional approach to nursing care which could cause problems with the nurse-patient relationship.. Understanding differences socially such as family life, and cultural habits, physical differences, and other defining attributes helps nurses understand how best to help their patients. Sensitivity and knowledge cultural diversity makes in building a healthy nurse-patient relationship. The age of a patient also has a significant impact on the nurse-patient relationship. Children and the elderly require different treatment options and approaches to the relationship than middle-aged adults. Other family members are routinely involved to varying degrees, and heavily influendepending on the age of the patient. For example, the relationship between a nurse and a patient who suffers from dementia will greatly rely on the relationship between nurse and family members to gain information to contribute towards holistic care. Not only will the care of a patient vary with their age, but so does their ability to communicate and participate in decision-making, which also affects the nurse-patient relationship. By its very nature, the nurse-patient relationship demonstrates a difference of power. The nurse is viewed to have a more extensive knowledge base in terms of care and treatment options and so the patient must rely on their nurse to advice and guide them through the best treatment options for their needs whether mental or physical. This is why it is essential to be naturally compassionate, empathetic, approachable, trustworthy, emotionally strong, caring, and motivated towards treatment and recovery. As well as having particular personal skills, the nurse should involve the patient, whilst giving choices in everyday care in a holistic way. Holism is defined within nursing to consider the physical, emotional, social, economic, and spiritual needs of patients, their response to their illnesses, and the effect of illness on patientsââ¬â¢ abilities to meet self-care needs Mosby (2001). For example, it is a nurses duty to discuss and provide information about treatment, therefore it is important for patient participation at all times, allowing the patient, choice, respect, dignity and involving them in their care plan taking into consideration their social pattern which could include daily routine, mobility and diet. pirituality and fulfilment are also important factor of the nurse patient relationship as this includes important areas such as respect/knowledge for religion, hobbies, belongingness and self expression.. if these core factors are engaged and attained successfully, the relationship is trusting, informative and also beneficial to not only a patient mental but physical health.. If the nurse-patient relationship shows no rapport or the nurse has failed to interact without using a holistic approach, then the patient may rebel to accepting treatment which could lead to a lengthened time for recovery causing further distress. it is important to understand patients may be feeling venerable and so nurses should never assume control and feelings of the patient as this does not promote the correct therapeutic trusting relationship, it promotes empowerment and discomfort. As a mental health nurse student, situations like this have been observed and this type of practice and lack of intervention with patients can easily arise causing much psychological distress and an uncooperative relationship for future treatment. Having previous experiences with a particular patient group, (even though all patients are unique and individual) can also contribute effectively towards the care and goals a nurse aims to achieve collaboratively with their patient and other health care professionals. Being focused on patients whilst offering professional judgement and care through personal experiences indicate the nurse is not only professional about her role but also empathetic towards her patients. Caring is a vital human interaction. In nursing, caring articulates how the nurse delivers the skills and knowledge of the professional interactions between the nurse and the patient. Being both empathic and sympathetic will reduce the patientââ¬â¢s distress and resolve difficulties as the relationship is based on a helping relationship engaging in mutual endeavours. A nurse who has built a good relationship with a patient by informing and allowing them to make choices will also to be in a strong position to have a non-judgemental conversation with them, whilst applying good clinical judgement that is in the best interest of the patient based on the relationship that has been formed. Given the close, personal nature involved in the role of a nurse,, it is easy to let professional boundaries blur. Nurses today are encouraged to take a more human, holistic approach to patient care. That increased sensitivity and attention to the emotional side of a patientââ¬â¢s treatment can easily lead to a loss of the professional distance nurses must maintain. Learning to balance care and compassion, while maintaining a professional distance is a difficult task to master, even for experienced nurses. However, it is imperative that nurses find and maintain that balance. Government regulations, malpractice insurance and disciplinary measures ensure that nurses who routinely cross the line and inappropriately blur professional boundaries no longer practice. Nursing Practice Standards state is it normal for a patient to feel gratitude towards a nurse who has helped them through a difficult medical treatment. However, there are standards nurses must follow when giving and receiving gifts, or other instances that may blur the line between personal and professional involvement. In small communities or in cases where a nurse cares for close friends or family, it is even harder to maintain professional standards. However, there are rules and standards for every profession, including nursing. There are ethical codes of conduct and actions for which all nurses are held accountable, no matter the patient.
Wednesday, January 8, 2020
Occupational Health And Safety In Indian Construction Industry - Free Essay Example
Sample details Pages: 7 Words: 2200 Downloads: 3 Date added: 2017/06/26 Category Statistics Essay Did you like this example? The main aim of the research is to study the impact of occupational health and safety in construction industry. It will also aim at identifying the attitude of construction organisations as well as employees towards occupational health and safety in India. To support the research, survey questionnaire and a telephone interview was conducted. It helped it achieving objectives of the research. The construction industry is a very dangerous industry. The performance of the industry in occupational health and safety is very poor. The standard of occupational health and safety is even worse in developing countries. In Indian construction industry OHS has never been given prime importance. Even though in India construction industry is significantly booming, there are no proper initiatives undertaken by the government to implement OHS rules and regulations. There are several initiatives taken by Government of India but they are still in their initial stages and need to be enforced. Donââ¬â¢t waste time! Our writers will create an original "Occupational Health And Safety In Indian Construction Industry" essay for you Create order The employers are concerned about completion of project rather than focussing on improving OHS of their employees. The industry has larger number of small and medium size firms and very few numbers of larger firms. Smaller firms lack resources to comply with proper OHS procedures. The workers are not provided with proper training and information about occupational health and safety hazards. Lack of awareness on OHS, sub-contracting system, use of traditional methods in construction, lack of proper personal protective equipments, low wages and labour-driven industry are some of the important factors that have their impact on occupational health and safety in Indian construction. CHAPTER I Introduction and background study 1.0 Introduction The construction industry in developing as well as developed countries is one of the most significant industries in relation to the contribution to the GDP (Rantanen et al., 2004). Also it is having a significant impact on the health and safety of the people working in it. According to Haupt as cited in Rowlinson (2004), the construction industry has a poor record in relation to the health and safety of its worker. It is a known fact that workplace accidents are linked basically with unsafe behaviour. There is a positive correlation between safety climate on construction sites and workers safe behaviour. The attitudes of workers on construction sites toward health and safety are widely influenced by their perception towards risk, health and safety rules and procedures; management (Mohamed and Ali, 2005). According to Larcher and Sohail (1999), occupational health and safety is a highly important area of concern in developing countries where Acts related to safety rarely exist with we ak regulatory authorities that finds it difficult to implement it effectively. Also awareness towards occupational hazards is not at all or rarely perceived. The other factors that affect occupational health and safety in developing countries are lack of statutory regulations and legislations to protect workers in construction sector, standards maintained in corporate and government systems are low, inadequate infrastructure and high labour intensity (Mohamed and Ali, 2005). Every year hundreds of accidents take place on construction sites resulting in severe injuries or even deaths. It is matter of concern that the same type of work related deaths, injuries and illnesses occur in the construction industries all over the world. The working life of construction workers is curtailed by several years due to the exposure to occupational health and safety hazards. The process of construction involves many hazardous activities such as working at height, manual handling, exposure to hazardous materials, frame erection, lifting operations, scaffolding, demolition works and groundworks. Falls and manual handlings are the important risks associated with injuries and long term disability in the construction industry (Gillen et al.1997). 1.1 Background study According to study conducted by Holmes et al., (1999), that the occupational health and safety risks are mainly related to the nature of work, low standard of individual work practices, lack of knowledge, work pressure due to cost and time constraints. Rechenthin (2004) stated that, for a construction company to be consistently profitable, all its project must complete on time and within budget. But at the same time due to the nature of the high risk works undertaken by the construction companies results in high accident rates. Eakins (1992) stated that international research confirms that as compared to larger construction firms, smaller firms are poor in the implementation of occupational health and safety programmes. Henceforth, the rate of occupational injury is inversely proportional with the size of the organisation, i.e. smaller firm having higher injury frequency rates (McVitte et al. 1997). As per Lingard and Rowlinson (2005), the construction industry consists of several SMEs and small amount of large firms. These small and medium size firms lack professional occupational health and safety advisors in staff. They also lack knowledge and resources required to implement occupational health and safety management activities for example: training, performing risk assessments, routine inspections and audits. Moreover the expense due to involvement of expensive occupational health and safety advice and services may be considered as unnecessary. Due to high competitive construction industry with cost cutting pressures, the priorities related to occupational health and safety is likely to be low with small size construction firms. According to Rantanen et al., (2004), nearly 2.4 billion people in the developing countries have to bear employment conditions, that dont even meet the basic occupational health and safety standards. Furthermore due to lack of work safety, excessive amount of work pressures, exposure to occupational physical, biological and chemical environment results to occupational diseases and injuries to an extent of 1.2 million fatalities per year. 1.2 Rationale for Research This research studies the attitude of organisations in India, a developing country towards occupational health and safety. As per report of The Economic Times as cited in (Shenoy et al., 2000), size of the Indian construction industry is more than USD 25 billion. Due to large investment made in roads, railways, nuclear and other infrastructure areas, the construction sector of India is witnessing a high growth. After agriculture sector, construction sector is the largest employer in India, with more than 18 million people employed in it. In spite of all these advancement, the construction sector is still dependant largely on labour intensive operations as they are easily available at low cost. Also occupational health and safety of people working in construction are not given due attention by the organisations (Shenoy et al., 2005). According to a report published by Construction Industry Development Council (CIDC) India (2010), safety in the construction industry is a matter of conc ern all over the world. With an unorganised workforce, issues related to construction safety become the most vulnerable segment in India. With 18 million people employed in the construction sector within India, the issues related to safety are considerably important. The industry is highly labour intensive with a large amount of workers exposed to the risks of occupational health and workplace safety problems. In construction industry the fatal accidents rate is comparatively four to five times higher than the manufacturing sector. In India 165 per 1,000 workers get injured while working on construction sites. Further the report states that the workers are exposed to several hazardous substances having the potential to cause serious occupational health diseases such as asbestosis, silicosis, poisoning etc. According to International Labour Organisation (2005), the rate of accident among industrial workers is highest with 4 per 1000 and the major contributor for this is the construction industry. International Labour Organisation (2005) report also estimated the number of deaths in India due to accidents at work as 40,000 in 2001 and 2,62,000 dying from work related diseases. Thus if construction is held responsible for one sixth of the total, then the death of the Indian construction workers can be estimated up to 60,000 each year. According to Damodaran (2006) à ¢Ã¢â ¬ÃÅ"safety in construction is in the bottom of list of priorities of builders, contractors and engineers. While the monetary loss heads the list, loss of man-hours and material progress are equally irreparable when scaffolding fails, a roof collapses or a fatal accident takes place at site of work, the human life is irreplaceable. The construction companies in India have experienced that when a worker loses his life due to an accident on the site, there is a sudden downturn in the morale of the working force. It affects the spirit of working and the progress of work. It is only after some accidents takes place, the company begins to take safeguards. As labour is very cheap and unorganised, having little or no knowledge of their rights, the companies find it convenient as well as profitable using manpower rather than machineries. Though getting a job in the construction industry helps poor labours to get out of poverty, due to presence of high occupational health and safety risk it can drive them back into insolvency. 1.3 Research aim and objectives 1.3.1 Aim of the research The aim of this research is to study the impact of occupational health and safety in construction industry, whilst exploring the attitude of organisations and employees toward occupational health and safety in Indian construction industry. 1.3.2 Objectives The above mentioned aim will be achieved with the help of the following objectives: 1. To explore the issues impacting health and safety with the focus on occupational health and safety in the construction industry. 2. To investigate occupational health and safety hazards and its impact in construction industry 3. To investigate the implementation of occupational health and safety in the Indian construction industry whilst; Exploring the attitude of employees and construction organisations toward occupational health and safety in India. Investigating the impact of existing occupational health and safety rules and regulations on the Indian construction industry. 1.4 Research methodology Figure 1.1 Details of research methodology The adopted research methodology will be divided into primary and secondary research. In primary research, questionnaires survey and a telephone will be conducted. This will help in understanding and identifying the perception of the management and the employees toward occupational health and safety in Indian construction industry. In secondary research, literature review will be carried out in order to understand the factors affecting occupational health and safety such organisational culture, climate and government policies. It will also help in identifying different occupational health and safety hazards and its effect on construction projects. 1.4.1 Primary research Primary research such as questionnaires survey and telephone interview will help in achieving the main objectives of the research. Data will be collected from clients, contractors, managers, site engineers and supervisors who play an important role in the construction industry. The data collected through the telephone interview will help in supporting the findings from survey questionnaire. 1.4.2 Secondary research Secondary research will be carried out through literature review. The data will be collected through electronic databases, journals, websites, magazines, books and conference papers. These data will help in identifying the issues and factors influencing occupational health and safety in the construction industry. 1.5 Limitations of the research The most significant limitation to this research is the time constraint. Due to limited availability of time, the research cannot be conducted in depth. Provided more time, it could be possible to visit India and collect more data available on occupational health and safety in the Indian construction industry. As the research is carried out from United Kingdom, the collection of secondary data is limited to the information available on websites. Limited research has been carried out in India related to occupational health and safety in the construction industry. As such, there is less availability of data to support this research. The other constraints can be that some companies may not be reluctant in providing the right information. During telephone interview there may be possibilities that the interviewee give diplomatic or misleading answers. Also the size of the company can influence the answers of the interviewee. Also the answers provided by the respondents may be influenced by the size and location of the company. 1.6 Structure of dissertation The dissertation will be divided into various chapters. Chapter 2, 3 and 4 will be part of literature review. An overview of the chapters included in this research thesis is as shown below. Chapter 1 à ¢Ã¢â ¬Ã¢â¬Å" Background study and rationale for research This chapter will provide an overall of overview of the research. It will consist of background study, aim and objectives and also the rationale for the research. It will also give an overview of the research methodology to be conducted in order achieve the desired aim and objectives. Chapter 2 à ¢Ã¢â ¬Ã¢â¬Å" Factors affecting health and safety on construction sites This chapter narrates the factors influencing health and safety on construction such as sub-contracting systems, organisations structure, size, location, personnel and incentive factors. Chapter 3 à ¢Ã¢â ¬Ã¢â¬Å" Introduction to OHS and detail description of OHS hazards This chapter will provide detail description of occupational health and safety including safety culture, human behaviours and different OHS hazards. Chapter 4 à ¢Ã¢â ¬Ã¢â¬Å" OHS in the Indian construction industry This chapter will investigate the current scenario of OHS in the Indian construction industry. It will also explore the government rules and regulations related to OHS and their influence on the construction industry. Chapter 5 à ¢Ã¢â ¬Ã¢â¬Å" Research methodology This chapter will provide a brief outline of the different research methods available and the adopted research methodology. Chapter 6 à ¢Ã¢â ¬Ã¢â¬Å" Analysis and interpretation of the survey This chapter will include analysis of data collected through questionnaires survey and the telephone interview with help of charts, figures and tables. Chapter 7 à ¢Ã¢â ¬Ã¢â¬Å" Conclusion and recommendations This chapter will include the summary of the research findings as well as recommendations related to the research.
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