Adaptation Of The Tell Tale Heart - 1014 Words

Chamber Theatre performed â€Å"The Tell-Tale Heart† with great talent, finesse, and emotion. Edgar Allen Poe was a remarkable author with a tragic life story that allowed him to delve into the darkest concepts of literature. We believe that everyone who was involved with the production of the plays presented them tactfully. However, we chose to examine the production of â€Å"The Tell-Tale Heart† because the adaptation of the story on stage was exquisite. The setting of the play helped to develop the mood. First of all, the abundance of props brought the story to live successfully. For example, the bed and door created the forgotten, quiet feeling in the old mans room. Next, the floorboards were lifted up so it actually looked like the†¦show more content†¦For example, he swayed his hand to and fro while one lantern was centered on him, creating a shadow on the wall. When the narrator was executing his â€Å"ingenious† plan for murder, he slowly entered the room, crouching down for what seemed like an eternity, and opened the lantern to shine light on his victim, showing his vulture-eye, therefore giving the narrator the motivation to kill him and giving the audience an uneasy feeling. The narrators body language showed tension as he was anticipating the right moment to kill the old man and as he was lightly conversing with the police officer. During the majority of the play, the narrator would laggardly ascend and d escend the stairs which captured his increasing uneasiness. The actors true skill in portraying his character was most perceptible as he carried out the murder of the old man. He kills and dismembers him happily, clearly showing the audience that the character is in an unhealthy mental state. Additionally, the narrator continually explains to the audience that he is not insane and attempts to prove it by explaining his master plan of murdering and hiding the old man. However, the more the narrator explains to us how sane he believes himself to be, the more we believe he is not. To represent a change in setting, the narrator opens an imaginary door and paces up and down the stairs. To show time progressing, the narratorShow MoreRelatedEdgar Allan Poe s The Cask Of Amontillado1401 Words   |  6 Pagesfather disliked him. These events caused Poe to have a particular style of writing and in each of these a reader is able to see similarities between the characters, theme, setting, and Poe’s use of symbolism. In ‘The Cask of Amontillado’, ‘The Tell-Tale Heart’ and ‘The Fall of the House of Usher’ a reader can make these connections and see how Edgar Allan Poe put his feelings into words. Every story has its characters. In Poe’s stories the characters have similar states of mind. In ‘The Cask of Amontillado’Read MoreThe Cask Of Amontillado, By Edgar Allan Poe1375 Words   |  6 Pagesfather disliked him. These events caused Poe to have a particular style of writing and in each of these a reader is able to see similarities between the characters, theme, setting, and Poe’s use of symbolism. In ‘The Cask of Amontillado’, ‘The Tell-Tale Heart’ and ‘The Fall of the House of Usher’ a reader can make these connections and see how Edgar Allan Poe put his feelings into words. Every story has its characters. In Poe’s stories the characters have similar states of mind. In ‘The Cask ofRead MoreAnalysis Of â€Å"The Little Mermaid† By Hans Christian Andersen.1361 Words   |  6 PagesAnalysis of â€Å"The Little Mermaid† by Hans Christian Andersen â€Å"The Little Mermaid† by Hans Christian Andersen is one of the worlds most cherished fairy tales. 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Quality Nursing Care Free Essays

string(108) " education and health promotion, creative thinking and reflection as elements of high quality patient care\." NURSING EXAMPLE A Summary of Proposed Research Program for Master of Philosophy Title: The Delivery of Quality Nursing Care: A Grounded Theory Study of the Nurses’ Perspective Abstract The purpose of this study is to explore and describe the delivery of quality nursing care from the perspective of practising nurses working in the acute public hospital setting of Western Australia (WA). The study will examine the actions and interactions attributed to quality, and factors identified as enhancing or inhibiting the delivery of quality nursing care. A grounded theory approach is proposed. We will write a custom essay sample on Quality Nursing Care or any similar topic only for you Order Now The sample for the study will be drawn from nurses working in an acute public hospital located in Perth, WA. Data will be collected using semi-structured interviews and some observation. It is estimated that approximately 10-15 interviews will be performed. Theoretical sampling will guide the selection of participants. The significance of this research will be to increase understanding of this complex phenomenon and contribute to efforts aimed at improving and maintaining quality nursing care within the current context of the WA health care system. A substantive theory explaining the process of quality care, focussing on the nurses’ perspective, in an acute public hospital setting, will be developed. Implications for practice will be discussed and directions for further research in this area will be provided. Objectives The purpose of this study is to explore and describe the delivery of quality nursing care from the perspective of practising nurses, working in the acute public hospital setting of WA. The study will examine the actions and interactions attributed to quality, and factors identified as enhancing or inhibiting the delivery of quality nursing care. The objectives guiding this proposed study are: 1. To explore and describe nurses’ perceptions of the meaning of quality nursing care. 2. To describe nurses’ experiences in the delivery of nursing care given to patients in hospital and to compare these with their expectations of quality nursing care. 3. To explore factors identified by nurses as enhancing and as inhibiting quality nursing care. 4. To develop a substantive theory which explains the process used to deliver quality nursing care in an acute public hospital setting, as perceived by nurses. Background The provision of quality patient care is a priority in all health care institutions (Erith-Toth Spencer, 1991). Formal definitions of what constitutes quality are numerous (Ambler Peters, 1991), as are the approaches used to assess the quality of patient care (Harvey, 1991; MacGuire, 1991). Although much has been written about the phenomenon of quality care, significant variations exist in its interpretation and use, â€Å"unaware or undeterred by the conceptual confusion, quality care continues to be assured, controlled, evaluated and managed in the Health Service today† (Attree, 1993, p. 55). Furthermore, definitions and assessment of quality have rarely considered the reality faced by nurses on a daily basis, in the practice and delivery of quality care. Quality nursing care has been studied from various perspectives using different methods. Much of the research reported in the literature has been quantitative in nature and undertaken in countries other than Australia, par ticularly North America. Some studies have focussed on the measurement of quality nursing care (Gilloran, McGlew, McKee, Robertson Wight, 1993; MacGuire, 1991; Pearson, Durant Punton, 1989; Kitson, 1985), or the meaning of quality nursing care from either the nurses’ perspective (Janhonen, 1993; Forchuk ; Kirkpatrick, 1991; Whelan, 1988; Jenkins, 1988) or the patients’ perspective (Irurita, 1993; Erith-Toth Spencer, 1991; Deeny McCrea, 1991; Rempusheski, Chamberlain, Picard, Ruzanski Collier, 1988). Other studies have compared the perceptions of quality nursing care from the perspective of nurses and patients (Norman, Redfern, Tomalin Oliver, 1992; Yonge, 1989; Varholak, 1989; Board, 1988). Of the studies that have explored nurses’ perceptions of quality care, two included some elements of the delivery of nursing care (Forchuk ; Kirkpatrick, 1991; Jenkins, 1988). Those studies differ from this proposed study in context, as both were carried out in North America and used health settings other than acute public hospitals. Forchuk ; Kirkpatrick (1991) used survey methods in their study of quality care in a psychiatric facility where nurses indicated that the nursing care they 2 delivered was â€Å"†¦ the best possible under unfavourable conditions† (p8). Barriers to quality nursing care were identified as â€Å"heavy workload and staffing issues† (p8). However, the results of this study are limited by use of a convenience sample and administration of a questionnaire for which reliability and validity were not demonstrated. Jenkins studied quality nursing care in a small hospital in the United States and used a similar design to that proposed for this study. Using the grounded theory method, the characteristics of quality nursing care from the nurses’ perspective were found to be â€Å"technical care, adequate time, assessment, observation, teaching, communication, and individualised care†. Some enhancing and inhibiting factors were identified, as well as positive and negative outcomes in the status of the patients. This proposed study is justified in that although the methodology is similar, the study by Jenkins was undertaken in a small hospital, whilst this study will be undertaken in a large acute public hospital. Furthermore, the cultural aspects of this proposed study are different. Another study of quality nursing care was carried out within the context of an acute public hospital setting in WA (Irurita, 1993). This study used grounded theory to explore quality nursing care from the patients’ perspective. Patients described different levels of care and suggested that high quality nursing care could not be expected due to intervening conditions such as lack of time, high patient turnover, competing demands on the nurse, lack of consistency and continuity in nurses assigned to their care, ageism, shortage of staff, lack of co-ordination on ward, and communication problems between doctornurse- patients. These findings raise questions requiring further exploration, including the nurses’ perspective. A number of factors may determine the quality of care delivered by nurses to patients. A review of the literature by Fitzpatrick, While, and Roberts (1992) identified nursing competence, use of research, communication skills, care management and organisation of workload, provision of health education and health promotion, creative thinking and reflection as elements of high quality patient care. You read "Quality Nursing Care" in category "Papers" A number of research studies have equated the quality of nursing with the ability of the nurse to exhibit caring behaviours towards their patients. Some of these studies have explored the behaviours identified by nurses (From, 1992; Clarke Wheeler, 1992; Mangold, 1991; Chipman, 1991; Schaefer Lucke, 1990; Morrison, 1990; Forrest, 1989; Larson, 1986), while others the behaviours identified by patients (Fosbinder, 1991; Cronin Harrison, 1988; Brown, 1986; Rieman, 1986; Larson, 1984). Some of the research has compared the views of nurses and patients (Appleton, 1993; Smit Spoelstra, 1991; Lapsley, 1989; Larson, 1987; Mayer, 1986). Whereas caring has been described as an important component of quality nursing care, exploratory research is lacking in the study of factors which may influence the nurses’ ability to exhibit caring behaviours under varying conditions, and what additional factors may be involved in the delivery of quality nursing care. There is evidence in the literature to suggest that although nurses may be capable of providing quality care and know what constitutes quality care, their performance in practice may be affected by factors such as decreased numbers and the resulting reduction in available time, which can prevent the delivery of quality nursing care (Forchuk ; Kirkpatrick, 1991; Hendrickson, Doddato ; Kovner, 1990). A recent survey of 2,488 Australian nurses (Millis ; Tattam, 1994) found that budgetary cuts and management restructuring were having a negative impact on nurses’ work environment. Increased workload, reduced standards of care (particularly in the public sector), and a lack of improvement in patient care were also said to be apparent. In WA, hundreds of nurses protested at a rally organised by the Australian Nursing Federation to express concerns about the effects of economic cutbacks in the WA health environment. Specifically, the dismantling of the WA Nurses’ Career Structure and the reduction of nursing positions were said to be having a negative effect on the delivery of quality nursing care (Bartley, 1994). Nursing staff in the hospital environment of WA are currently challenged to maintain and improve the quality of care in the face of changing work patterns and moves to promote earlier discharge of hospitalised patients resulting from increasing economic restrictions (Health Observer, 1994). The indication that problems exist in the delivery of quality nursing care in WA warrants closer examination, to discover how nurses deliver quality care and factors which nurses perceive to affect the delivery of quality nursing care in the resent context of acute public hospitals in WA. Increasingly it is recognised that gaps exist between theory and practice (Chine ; Jacobs, 1987; Riley ; Oermann, 1992), an understanding may exist among nurses as to what constitutes quality nursing care, but what actually occurs in practice, under varying conditions, may differ from the recognised standard. Documentation of strategies used by nurses to maintain quality when conditions are adverse are 3 bsent in the literature, as is information indicating what circumstances are favourable to quality care provision and what constitutes the highest quality of nursing care. The suggestion that the delivery of quality nursing care within the public hospital context of WA may be subject to variation and be influenced by different conditions requires further investigation. As stated earlier in this proposal, some research has been performed in other countries on this phenomenon, but few studies have explored quality nursing care from the perspective of practising nurses. The use of the grounded theory method to research the phenomenon of quality nursing care allows exploration in terms of the current time, place and culture and can give new insights into a topic central to the practice of nursing (Chenitz ; Swanson, 1986). Furthermore, the gap between theory and practice may be reduced by a substantive theory developed in this way. Significance The significance of this research will be to increase our understanding of this complex phenomenon and contribute to efforts aimed at improving and maintaining quality nursing care, within the context of the WA health care system. A substantive theory explaining the process of quality nursing care, focussing on the nurses’ perspective, in an acute public hospital setting will be developed. Implications for practice will be discussed and directions for further research in this area will be provided. Research Method A qualitative research method is proposed for this study, using the grounded theory approach (Glaser Strauss, 1967). This method, which has its roots in Symbolic Interactionism, will reveal the reality of the quality ursing for nurses by interpreting data using a systematic set of procedures to develop a theory of the phenomenon, grounded in the findings (Strauss Corbin, 1990). Sample Selection The sample for the study will be drawn from nurses working in one area of an acute public hospital located in Perth, WA. Initially, a purposive sampling technique will be used to select nurses for interview. Only Registered Nurses with a minimum of six months post registration nursing experience (of w hich at least three must have been worked in the study area) will be approached. Participants will need to be able to reflect on and be willing to share detailed experiential information about the phenomenon. Volunteers will be sought initially at staff meetings and a contact number will be left on the notice board in each of the ward areas. Further participants will be approached using a theoretical sampling technique where initial analysis of data guides the researcher to subsequent specific data sources (Glaser Strauss, 1967). When this technique is used, sampling continues until ‘theoretical saturation’ occurs. This is recognised by the establishment and denseness of identified categories as well as an absence of new concepts in the data (Strauss Corbin, 1990). It is estimated that approximately 10-15 participants will be selected for interview, the final number being determined by theoretical saturation. Procedure Data will be collected from nurses through tape-recorded interviews guided by questions reflecting the objectives of the study (Appendix A). A semi-structured interviews technique will be used where, â€Å"use of the interview guide is not rigidly adhered to by the interviewer† (Chenitz Swanson, 1986, p. 67). In this technique the researcher explores different aspects of the topic in detail using probes such as how, what, where and when. Interviews will take place in mutually agreeable private venues where the risk of interruptions is perceived to be minimal. Basic demographic information will be gathered from participants before the interview commences (Appendix B). The primary source of data will be the transcribed interviews, however, published literature and some observation will be used as additional data sources. The observations will be performed by the researcher (who is regularly assigned to clinical areas) and recorded by field notes. The main objective of these observations will be to verify data obtained by interview. Furthermore, additional aspects may be noted to be included in subsequent interviews. Data Analysis The constant comparative method of data analysis will be used, whereby data are simultaneously collected, coded and analysed, in a way that allows the creativity necessary for the generation of a theory (Glaser Strauss, 1967). Interviews will be transcribed verbatim on a word processor and organised for 4 analysis using the Ethnograph computer software (Seidel, 1988). This package numbers each line of the interview transcript and allows for segments of the interview to be coded and selected as required. Firstly, interview transcripts will be coded line by line, sentence by sentence, by a process of ‘open coding’, to identify and label common themes and categories by asking questions about the content (Strauss Corbin, 1990). This will be done by extensively reading the data and listening to the tapes. Categories and subcategories will be developed from this, abbreviated and ‘mapped’ onto the numbered interview transcript through the Ethnograph. Coded segments from the interviews will be accessed from the computer for ‘Axial Coding’. This involves putting the data back together again in new ways by making connections between the coded categories and subcategories. ‘Memos’ and ‘diagrams’ will be used throughout the process of analysis. ‘Selective coding’ in which the core category is identified, relationships validated and sub-categories expanded, will take place before a ‘conditional matrix’ is constructed and a substantive theory developed (Strauss Corbin, 1990). Reliability and Validity A number of strategies will be employed throughout this study to ensure that he data collection and interpretation accurately reflects the phenomenon. Guba (1981) and LeCompte and Goetz (1982) discuss a number of ways in which reliability and validity issues of qualitative research can be addressed. This study has been designed to incorporate measures to address these issues as follows: †¢ To avoid bias in the data collection and analysis, the researcher (who possesses current personal experience of nursing in a hospital setting) will raise awareness of own preconceptions and bias to the topic by being interviewed by another researcher, using the proposed interview guide. The researcher will avoid imposing these preconceptions on the data collection and analysis. Furthermore, interview transcripts will be reviewed by an independent person to detect the presence of any such bias. A personal diary will also be kept. †¢ Interviews will be transcribed verbatim and transcripts will be checked for accuracy by listening to the tape recording. †¢ The process of data collection and analysis will be clearly described. †¢ During the coding of the data, other researchers will be asked to separately code segments of the transcripts to confirm the categories identified by the researcher. Once the description of the phenomenon is complete, a sample of participants will be approached and asked to validate the description by reading it and seeing if it makes sense in terms of their own experience. Ethical Issues The proposed research will be submitted through the Human Research Ethical Committee at Curtin University of Technology. The study has already been approved for implementation by the Nursing Research and Ethical Review Committee at Sir Charles Gairdner Hospital. Each participant will be informed of the purpose of the study. Participants’ personal contribution together with their human rights will be explained and the opportunity to ask questions about the study will be provided. Once the participant is satisfied with the requirements of the study, a consent form will be signed. The consent outlines the purpose of the study, its voluntary nature, the right to withdraw at any time without penalty, as well as providing an assurance that all information provided will be treated in a non-identifiable, confidential manner (Appendix C). The consent form will be signed by the participant and the researcher, and a copy will be kept by each. Participants will be identified on the interview transcript by a numerical number. The identity of the participants will be known only to the researcher who will keep names and workplace details in a secure place, separate to the transcripts (this information will be required if further contact is necessary). In keeping with the requirements of the University, the transcribed interviews and field notes will be kept for a period of five years. Facilities and Resources The majority of expenses related to this project have already been funded by the Nursing Division of Sir Charles Gairdner Hospital. Additional expenses are estimated as follows: Photocopying and paper 5 reams @ $8 $440 5 Inter-Library Loans $200 Audio tapes 5 tapes @ $3 $15 Batteries 6 batteries @ $1 $6 Travel $100 Micro cassette recorder $400 Total: $1 161 Data Storage Data collected will be qualitative in nature and will be stored on a computer while analyses using Ethnograph computer software are completed. The data files will be maintained for five years after which they will be destroyed. Timeline June-August Year 1 Proposal submitted to University Ethics Committee August Year 1-January Year 2 Data collection and analysis February-June Year 2 Writing of final report 6 References Ambler Peters, D. (1991). Measuring quality: Inspection of opportunity. Holistic Nurse Practitioner, 5(3), 1-7. Appleton, C. (1993). The art of nursing: The experience of patients and nurses. Journal of Advanced Nursing, 18, 892-899. Attree, M. (1993). An analysis of the concept â€Å"quality† as it relates to contemporary nursing care. International Journal of Nursing Studies, 30(4), 355-369. Bartley, J. (1994). Hundreds of nurses protest parliament rally huge success. Australian Nursing Federation Newsletter, 10(4), 1-4. Board, R. F. J. (1988). The relationship of expertise to views of quality of nursing care for hospitalized prenatal women. Unpublished PhD Thesis, University of Michigan. (From Combined International Nursing and Allied Health Literature, 1994, Abstract No. 1990114296) Brown, L. (1986). The experience of care: patient perspectives. Topics in Clinical Nursing, July, 56-62, Chenitz, C. , ; Swanson, C. (1986). From practice to grounded theory: Qualitative research in nursing. Menlo Park, CA: Addison-Wesley. Chinn, P. L. , ; Jacobs, M. K. (1987). Theory and nursing. The C. V. Mosby Company, USA. Chipman, Y. (1991). Caring: Its meaning and place in the practice of nursing. Journal of Nursing Education, 30(4), 171-175. Clarke, J. B. , ; Wheeler, S. J. (1992). A view of the phenomenon of caring in nursing practice. Journal of Advanced Nursing, 17, 1283-1290. Cronin, S. N. , ; Harrison, B. (1988). Importance of nurse caring behaviours as perceived by patients after myocardial infarction. Heart and Lung, 17(4), 374-380. Deeny, P. , ; McCrea, H. (1991). Stoma care: the patient’s perspective. Journal of Advanced Nursing, 16, 39-46. Erith-Toth, P. , Spencer, M. (1991). A survey of patient perception of quality care. Journal of Enterostomal Therapy Nursing, 18, 122-125. Fitzpatrick, J. M. , While, A. E. , Roberts, J. D. (1992). The role of the nurse in high quality patient care: a review of the literature. Journal of Advanced Nursing, 17, 1210-1219. Forchuk, C. , Kirkpatrick, H. (1991). Nurses’ perception of quality of care. Canadian Journal of Nursing Administration, September/October, 7-16. Forrest, D. (1989). The experience of caring. Journal of Advanced Nursing, 14, 815-823. Fosbinder, D. M. (1991). Nursing care through the eyes of the patient. DNSc Thesis, University of San Diego (From Combined International Nursing and Allied Health Literature, 1994, Abstract No. 1992143848). From, M. A. (1992). The development of a caring nursing student. Abstract from Book of Abstracts, International State of the Science Congress, Washington DC, August, 208. Gilloran, A. J. , McGlew, T. , McKee, K. , Robertson, A. , ; Wight, D. (1993). Measuring the quality of care in psychogeriatric wards. Journal of Advanced Nursing, 18, 269-275. Glaser, B. , ; Strauss, A. (1967). The discovery of grounded theory. Chicago: Aldine. Guba, E. S. 1981). Criteria for assessing the trustworthiness of naturalistic inquiries. Educational Communication and Technology Journal, 29, 75-92. Harvey, G. (1991). An evaluation of approaches to assessing the quality of nursing care using (predetermined) quality assurance tools. Journal of Advanced Nursing, 16, 277-286. Health Observer (1994). Silver Chain promotes early discharge. May, 18. Hendrickson, G. and Doddato, T. M. (1989). Setting priorities during the shortage. Nursing Outlook, 37(6), 280-284. Hendrickson, G. , Doddato, T. M. , ; Kovuer, C. T. (1990). How do nurses use their time? Journal of Nursing Administration, 20(3), 31-37. Irurita, V. (1993). From person to patient: Nursing care from the patient’s perspective. Unpublished report, Department of Nursing Research, Sir Charles Gairdner Hospital, Perth, WA. Janhonen, S. (1993). Finnish nurse instructors’ view of the core of nursing. International Journal of Nursing Studies, 30(2), 157-169. Jenkins, J. B. (1988). Quality in patient care as perceived by nursing care providers. Unpublished PhD Thesis, University of Texas at Austin. (From Combined International Nursing and Allied Health Literature, 1994, Abstract No. 112616) Kitson, A. L. (1986). Indicators of quality in nursing care – an alternative approach. Journal of Advanced Nursing, 11, 133-144. 7 Larson, P. J. (1984). Important nurse caring behaviours perceived by patients with cancer. Oncology Nurses Forum, 11(6), 46-50. Larson, P. J. (1986). Cancer nurses’ perceptions of caring. Cancer Nursing, 9(2), 86-91 Larson, P. J. (1987). Comparison of cancer patients’ and professional nurses’ perceptions of important nurse caring behaviours. Heart and Lung, 16(2), 187-193. Lapsley, J. (1989). The caring nurse: Patient dimensions perceptions and expectations. Unpublished project, Perth, WA. Le Compte, M. D. , Goetz, J. P. (1982). Problems of reliability and validity in ethnographic research. Review of Educational Research, 52(1), 31-60. MacGuire, J. M. (1991). Quality care assessed: using the Senior Monitor index in three wards for the elderly before and after a change in primary nursing. Journal of Advanced Nursing, 16, 511-520. Mangold, A. M. (1991). Senior nursing students’ and professional nurses’ perceptions of effective caring behaviours: A comparative study. Journal of Nursing Education, 30(3), 134-9. Mayer, D. K. (1986). Cancer patients’ and families perceptions of nursing caring behaviours. Topics in Clinical Nursing, 8(2), 63-69. Millis, G. , Tattum, A. (1994). ANJ readership survey. The Australian Nursing Journal, 1(6), 14-16. Morrison, P. (1990). The caring attitude in nursing practice: a repertory grid study of trained nurses’ perceptions. Nurse Education Today, 11, 3-12. Norman, I. J. , Redfern, S. J. , Tomalin, D. A. , Oliver, S. (1992). Developing Flanagann’s critical incident technique to elicit indicators of high and low quality nursing care from patients and their nurses. Journal of Advanced Nursing, 17, 590-600. Pearson, A. , Durant, I. , Punton, S. 1989). Determining quality in a unit where nursing is the primary intervention. Journal of Advanced Nursing, 14, 269-273. Rempusheski, V. F. , Chamberlain, S. L. , Picard, H. B. , Ruzanski, J. , Collier, M. (1988). Expected and received care: patient perceptions. Nursing Administrative Quarterly, 12(3), 42-50. Rieman, D. J. (1986). Noncaring and caring in the clinical setting: patients’ de criptions. Topics in Clinical Nursing, 8(2), 30-36. Riley, D. , Oermann, M. (1992). Clinical teaching in nursing education (2nd edition). National League for Nursing: New York. Schaefer, K. M. Lucke, K. T. (1990). Caring – the work of the Clinical Nurse Specialist. Clinical Nurse Specialist, 4(2), 87-92. Seidal, J. V. (1988). The Ethnograph version 3. 0 [computer program]. Corvallis, O. R. Qualis Research Associates. Smit, J. Spoelstra, S. (1991). Do patients and nurses agree? Caring Magazine, October, 34-36. Strauss, A. , Corbin, J. (1990). Basics of qualitative research. Graounded theory procedures and techniques. Sage: California. Varholak, D. M. (1989). Experiencing quality nursing care in a long term setting: A patient-nurse perspective. Unpublished manuscript. Columbia University Teachers College. Whelan, J. (1988). Ward sisters’ management styles and their effects on nurses’ perceptions of quality care. Journal of Advanced Nursing, 13, 125-138. Yonge, O. J. ( 1989). Nurses ‘ and patients’ ‘ perceptions of constant care in an acute care psychiatric facility: A descriptive qualitative study. Unpublished PhD Thesis, University of Alberta, Canada. 8 APPENDIX A Interview Guide What does quality nursing care mean to you? How does one ensure that quality nursing care is given? Give examples, in your experience, where you think high quality nursing care was given. Describe an incident). What are some of the most important aspects to consider in the delivery of quality nursing care? Can these be prioritised? What factors (if any) prevent you from achieving the delivery of quality nursing care to your patients (or patients generally)? What factors enable or help in the delivery of quality nursing care? Give examples of where improvements in nursing care delivery could have been made. How would you rate the quality of care given to patients in your area of work? 9 APPENDIX B Demographic Information 1. Length of time employed at this hospital:_____________ 2. Length of time employed as a nurse:_____________ 3. Length of time employed on present ward:___________ 4. Level: New graduate______ Level 1_____ Level 2______ 5. Part-time______ Full-time______ 6. Initial nursing education: Hospital_________ College/University__________ 7. Year completed__________ 8. Post basic educational achievements: ____________________________________________________ ____________________________________________________ 9. Current studies: ____________________________________________________ ____________________________________________________ 10. Male_______ Female________ 11. Age_________ How to cite Quality Nursing Care, Papers

Helping Others Rewards You Essay Example For Students

Helping Others Rewards You Essay Helping Others Rewards You Essay As a citizen of the United States I feel it is my duty to serve my community. I know that sometimes people dont realize it, but when you help someone you are in a way helping yourself. All the good that you may do unto others will always reflect upon you. No one knows when or how they are going to need the help of someone. When I was ten years old, I began to help an elderly lady with her groceries. Every Saturday I would help her carry the groceries home. She would always want to pay me, but I always refused to accept it. It was no trouble for me, I really enjoyed helping her. The main reason was that she reminded me of my grandmother who resides in the Dominican Republic. I wouldnt want my grandmother lifting heavy groceries, and I dont think people should accept money for such help. Many years have passed, and I still make time to help the lady whenever I can. When you do something for someone else, it feels good. I often think about myself when I become old. Will I have someone there to help me? Will I have the strength to do things for myself? I know that for as long as I can, I will always help other people. No matter what happens in my life, I will always have the memories of helping another human being who needed my assistance. In my heart, I feel I did the right thing. I feel that my experience combined with my college education will prepare me to meet my responsibilities to myself and my community because I am always going to be a there to help anyone who needs it. I will offer my assistance to anyone who may need it. The smiles you get after helping someone are rewarding and makes me feel really good about myself. Still, to this day I have not accepted a single cent from the elderly lady I help with groceries, and I dont plan on starting. .

Purpose Of Education Essays - Education Theory,

Purpose Of Education The purpose of our modern education: The delicate tools necessary for our intellectual workshop are achieved by schooling. I suspect that our best tools are realized rather automatically, but if there is to be outside influence, then, best it is done early, as the human mind matures all too rapidly. Children are not consumed with anxiety to learn anything; least of all has it ever crossed their minds that they must learn English. How shall we teach it to them, when the few of us who have begun to know what it is know it to be a issue of accommodations, a thing with which order, method, and all that the developing mind first apprehends and rests upon have nothing to do with a single word. A kind of miraculous flowering of man's still unconscious wisdom, preserved to us as a compensation for our many blunderings, as a reward for our patience in confusion and our fundamental faith in life. Education might be defined as a social process by which, skills and beliefs, attitudes and ideas of the previous generations are passed to the new generation; it is a process, which is necessary for the maintenance, achievement and development of man in society. Gerstner States, "in the public schools we have clung tenaciously to the ideas and techniques of earlier decades and even previous centuries," proving that each generation depends on the preceding generation. This definition assumes a biological view of society, one that grows and evolves with each new generation depending on the growth of previous generations. We all come into this world uniform, and, from the start, we are obliged to turn to others; and while we need a lot of help when we are young, nature has compensated by building into the young a susceptibility to learning. So, no matter what one's view is of what an educational system should be, most will agree, best to start in while young. What is the first lesson to be? What each individual needs to know is the difference between what is naturally right and what is naturally wrong. The second lesson to be learned, is, that the individual is better off doing what is naturally right. How does one teach morals? This is an old dilemma, the teaching of virtue. It is a dilemma largely because virtue is immeasurable. Virtue is instilled likely by repeated actions, a process of trial and error, beginning at the mother's knee and to be continued by all those with whom the child has close connections, and this would certainly include the child's teachers. It takes a "good" teacher, one full of great skills and a glow for presentation of the subject; it is particularly difficult when the subject is morals or virtue. We, adult and child alike, find ourselves in a vast market where the "Culture Standardizers" provide an immediate and sensual gratification to all comers. The question before us is, what is the importance of education? One goal, as Spring states in his book American Education, is to produce reasonable citizens, ones that "commonly hold a political creed or else society is doomed to political strife or chaos" Education should be the essential method of building humane, free, and democratic societies. The aims of education are many: the transmission of knowledge; training for occupations, careers, and democratic citizenship; and the encouragement of moral growth. Dewey states, "the subject matter of education consists of bodies of information and of skills that have been worked out in the past; therefore, the chief business of the school is to transmit them to the next generation." Among its vital purposes should also be an attempt to develop the capacity for critical intelligence in both the individual and the community. Unfortunately, the schools today are being increasingly replaced by the mass media as the primary institutions of public information and education. Although the electronic media provide unparalleled opportunities for extending cultural enrichment and enjoyment, there has been a serious misdirection of their purposes. In some societies, the media serve as the vehicle of propaganda and indoctrination. In democratic society television, radio, films, and mass publishing too often cater to the lowest common denominator and have become dull wastelands. We need to believe that television directors and producers have an obligation to remedy the balance and revise their programming. The essential answer to any question usually comes out of its definition. Considering the definition set out at the first of this section, then, we might say that essentially that education is a socialization process. Is this