Wednesday, October 30, 2019

Literacy assignment Essay Example | Topics and Well Written Essays - 250 words

Literacy assignment - Essay Example Poverty is seen to be strongly connected with academic achievement in America. This paper will examine the effect of socio-economic status on academic achievement and literacy. Studies prove that the most important period for kids to build up foundational capabilities on which all succeeding development builds is the first 5 years of life. The most remarkable advancement in linguistic and cognitive achievements is developed during this period. (Diener and Wright, 2003) Emotional, communal, dictatorial and ethical dimensions are also entangled with these early developmental years. These all are significant areas that will necessitate focused attention to build up correctly. Children of poor families are more prone to have troubles in gaining literacy than children of middle or upper class families. Sadly, America possesses extremely high rates of upbringing poverty. In addition, it becomes nearly impossible for the poor families to come out of poverty after they get stuck in it. (Prue tt and Jackson, 2006) Several studies have shown strong association between family poverty and young individuals’ literacy, health and conducts. Income of family strongly affects children’s aptitude and attainment and leaves an impact on their long-standing emotional outcomes. Hence the connection between family earnings and a child’s academic outcomes is much more multifaceted than other factors.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   References Diener, M.

Monday, October 28, 2019

What were British objectives in the Paris Peace talks Essay Example for Free

What were British objectives in the Paris Peace talks Essay In January 1919, having recognised that the signed armistice of November 1918 marked only a temporary ceasefire with the Central Powers, the Allied leaders convened in Paris to negotiate the various peace treaties with their defeated counterparts. The conference which unfolded bore witness to an intense debate revolving around both a clash of interest and ideology and ultimately resulted in a compromise which satisfied none of its creators. Regardless of whether Britain acted either as a mediator between America and France or was the French’s main opponent, Britain certainly entered discussions with overarching concerns for the need for both a durable peace and to accommodate wartime treaty commitments as well as recognising the need to both reorder the world map and to construct a new diplomatic system. To its own ends, however, maintenance of the Empire’s unity, holdings and interests were the principal focus of British concern in the conference. Due to Britain’s position as one of the three leading Allied powers it was able to obtain, in circumstances of divergent national interests, much of what it set out to achieve. It must however be noted that in some quarters, in particular relating to the settlement of Eastern Europe and the Treaty of Versailles, Britain was not entirely satisfied. Throughout the conference, Britain had several objectives which tied into those of both America and France, however for all countries involved there was certainly a desperate need for durable peace and to deal with mattes such as the removal of the Royal Naval blockade of Germany and the issue of the presence of Allied troops in the Rhineland. By the end of the World War One, Britain had been able to maintain its relatively strong position and still stood with an unequalled empire and ranked as the world’s richest power. Yet Joseph Chamberlain’s coined phrase, lamenting Britain’s prospects to no more than a, ‘weary titan staggering under the orb of its own weight’, did bring as much reality with it as it did gloom. The war had resulted in an eleven fold increase in National Debt, a surge in taxation levels and a huge overall reduction in Britain’s GDP. It was therefore certainly apparent that Britain’s own strategic position would be at the forefront of British minds throughout the conference. Ultimately Britain, like the rest of the victorious Allied countries, desired a long-lasting peace which would result in preventing any major future European wars and as such required the outcome of neutering any lingering German threat. The agreement that therefore arose was no more than an imposed peace, or Diktat, and ensured both that Germany would be unable to mount a serious challenge in the coming years whilst at the same time satisfying British and French public opinion which had called for the total destruction of Germany. For Britain itself, it was imperative that Europe stabilised because the fortunes of Britain were essentially placed in the hands of the European economy. The restoration of Germany, Britain’s largest trading partner prior to the war, as an economic power would have had the chain effect of both stabilising Europe and the world’s economy, which was vital for a prosperous Britain. Furthermore, and especially for Lloyd George who was fighting an election battle, it was certainly Britain’s objective to satisfy the general public. With around one million casualties, Britain had practically lost and entire generation whilst at the same time Britain was also in the uncomfortable position of having most to lose from a future war. Indeed with the advent of new military technology, in particular from U-boats, Britain would have been likely to have suffered greatly from another war and as such the need for a lasting peace was colossal from a British perspective. In actuality Britain did achieve much of its desire for a durable peace. Peace settlements with Germany, Austria, Bulgaria, Turkey and Hungary ensured that much of the sanctions that Britain wished to impose were realised whilst at the same time, to some extent at least, the level of stability that Britain desired in Eastern Europe was achieved. Moreover, British public opinion was also largely satisfied by the Treaty of Versailles. The extent to which it did make Germany suffer was widely accepted throughout Britain, with only minor criticism coming from those, such as Keynes, who believed it to be too harsh. Yet, and in particular from hindsight, there were some issues which would almost certainly oppose Britain’s ambition for a lasting peace. Most appreciable there was widespread discontent throughout Germany over the nature of the treaty. Derided as a ‘blank cheque’, the treaty imposed, under Article 231, that Germany accept full responsibility for the war and this lead to much outrage throughout Germany, with much of the population longing for the opportunity for revenge. Moreover throughout the rest of Europe there was also much resentment. Bulgaria, Turkey and Hungary were all left feeling aggrieved by the outcome of their respective treaties whilst in particular the reduction of Austria’s population to eight million and the prevention of a future Anschluss resulted in much bitterness. It was clear that the defeated Central Powers had much to feel aggrieved about and this certainly reduced the prospect of a durable peace. Events boiled to a head in the Chanak crisis and the resulting outcome indicated both that the imposed treaties were neither as strong as intended and also negotiable, for Britain this meant that their ambition for a stable Europe would never be completely realised. Lloyd George certainly reflected this in his Fontainbleu memorandum, in which he stated that if Germany was ‘unjustly treated’ it would ‘find means of exacting retribution’. Moreover, Britain also recognised the need to accommodate wartime treaty commitments and to fulfil promises which had been made to countries, such as Italy, Greece and Romania, throughout the war. These issues extended back to the Treaty of London in 1915 where for example Italy has been persuaded to join the Allies, with the incentive of territorial gains of the Trentino and Tyrol as far as Brenner, Trieste and Istria along with full ownership of Albanian Valona and Britain was eager to ensure that all countries involved within the war would not be left aggrieved with the outcome of the conference. For Britain it was important to ensure that the European economy recovered quickly and as such it was a necessity that there was stability throughout Europe. Moreover for the status quo to be maintained it was vital that Britain sustained its wartime allies. As such Britain’s involvement in the League of Nations and the punitive nature of the Treaty of Versailles did much to maintain its relationship with America and France respectively. Whilst more generally, with the exception of the relationship with Japan which was forgone for the sake of relations with America, Britain maintained its relationship with Australia, New Zealand, Greece, Turkey and Italy and therefore was reasonably successful in its attempts to ensure the relative survival of the status quo and its wartime allies. Linked to Britain’s desire for a durable peace came its ambition to guarantee its security.

Saturday, October 26, 2019

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Thursday, October 24, 2019

Avoiding Ethical Impropriety:

AVOIDING ETHICAL IMPROPRIETY: PROBLEMS OF DUAL ROLE RELATIONSHIPS INTRODUCTION While the primary role of a therapist is to provide counseling services, therapists often assume further professional roles related to their special knowledge and training. For example, they may be consultants, expert witnesses, supervisors, authors, or teachers. As private persons, therapists also assume nonprofessional roles. They may be parents, football coaches, consumers, members of the PTA, friends, sexual partners, and countless other things.In their diverse professional and private capacities therapists can contribute much to the overall happiness of the communities in which they live and work. When a professional assumes at least one additional professional or personal role with respect to the same clients, the relationship thus formed is termed a dual or multiple role relationship. For example, a teacher may also be the supervisor of one of his students/interns, or a counselor may also be a custo mer of a client/proprietor. Dual role relationships may occur simultaneously or consecutively (NASW, 1997, 1. 6. c). For example, a therapist has a consecutive dual role relationship when she counsels a former sexual partner or a former student. While not all dual role relationships are unethical (have potential to cause significant harm to client or other), sometimes the blending of the counseling role with certain personal roles or with certain other professional roles can generate serious moral problems. Throughout this paper this learner will consider intricacies of problematic dual role relationships. The environment this learner will focus on is schools and universities.Two case studies will be presented, one exploring some key issues of sexual relations with clients, the other exploring some key issues of non-sexual dual role relationships. This learner will also apply the ACA code of ethics throughout this paper. Four sets of standards regarding ethical management of dual ro le relationships will be adduced. DUAL ROLE RELATIONSHIPS INVOLVING CONFLICTS OF INTEREST Dual role relationships are morally problematic when they involve the therapist in a conflict of interest. According to Davis and Stark â€Å"a erson has a conflict of interest if he is in a relationship with one or more others requiring the exercise of judgment in the others' behalf but has a special interest tending to interfere with the proper exercise of judgment in that relationship. † For example, a therapist's ability to counsel a client may be adversely affected if the counselor is also the client's business partner. Insofar as a dual role relationship impairs the therapist's ability to make judgments promotive of client welfare, the therapist has a moral responsibility to avoid such a relationship or to take appropriate steps to safeguard client welfare.One possible manner of dealing with a dual role relationship involving a conflict of interest is to inform the client that the conflict exists. In this way, clients are treated as autonomous agents with the power to go elsewhere if and when they so choose. However, while such an approach will accord with candor and consideration for client autonomy, it may not alone resolve the moral problem. The potential for client harm may still persist in cases in which the client elects to stick with the relationship. Non-maleficence–â€Å"first do no harm†Ã¢â‚¬â€œ should then take priority.A further approach aiming at mitigating potential for client harm is to make full disclosure to the client and seek consultation and supervision in dealing with the conflict (Corey & Herlihy, 1997). According to Corey and Herlihy (1997), while this approach may be more â€Å"challenging† than avoiding dual role relationships altogether, â€Å"a willingness to grapple with the ethical complexities of day-to-day practice is a hallmark of professionalism. † However, the client's ability to â€Å"grapple † with the situation must also be taken into account.In situations where the therapist seeks consultation and supervision to deal with a conflict of interest, candor requires that the therapist inform the client of such. Although different clients may respond differently to disclosure of this information, it should be considered what implications this arrangement may have from the client's perspective. If the therapist cannot trust himself (without supervision) to act in concert with client welfare, will this adversely effect the client's ability to trust the therapist in this or other situations?The mere existence of the dual role relationship may itself present an obstacle for the client. For example, in a relationship in which the client barters for counseling services, the client may feel compelled to treat the therapist in a manner that exceeds ordinary customer expectations. The client's perception may then be more important than the reality. Even if the therapist succee ds in maintaining independence of judgment through consultation and supervision, this may not matter if the client does not perceive the situation this way or if the client is otherwise unable to maintain objectivity.In some situations, dual role relationships may be unavoidable. For example, in a rural locality in which there is only one practicing therapist and one bank, the therapist's loan officer may also be the therapist's client. In situations where avoiding the dual role is not possible or not feasible, the therapist should then take precautions such as informed consent, consultation, supervision, and documentation to guard against impaired judgment and client exploitation (ACA, 1995, A. 6. a).Viewed in this light, therapists practicing under conditions where unavoidable dual role relationships are likely (for example, in small rural towns), have additional warrant for making and keeping in contact with other competent professionals willing to provide consultation or supervi sion upon request. Morally problematic dual role relationships may be sexual or non-sexual in nature. Sexual dual role relationships include ones in which therapists engage in sexual relations with current clients or with former clients.Non-sexual dual role relationships include (but are not limited to) ones in which the therapist is also the client's supervisor, business partner or associate, friend, employee, relative, or teacher. While these relationships are often avoidable, their problematic nature may go unnoticed. For example, in an effort to help a friend in need, a therapist may, with all good intentions, overlook potential for client harm. Professional and legal standards governing sexual relationships with current clients consistently forbid such relationships. Legal sanctions may include license revocation, civil suits, and criminal prosecution (Anderson, 1996).According to The American Counseling Association Code of Ethics, â€Å"counselors do not have any type of sexu al intimacies with clients and do not counsel persons with whom they have had a sexual relationship† (A. 7. a). The National Association of Social Workers Code of Ethics justifies its own prohibition against providing clinical services to former sexual partners on the grounds that such conduct â€Å"has the potential to be harmful to the individual and is likely to make it difficult for the social worker and individual to maintain appropriate professional boundaries† (NASW, 1997, 1. 9. d) The potential harm resulting from sexual activities with clients has been documented. For example, citing the research of Kenneth S. Pope (1988), Herlihy and Corey (1997) have noted that harm may resemble that akin to victims of rape, battery, child abuse, and post traumatic stress. These effects include â€Å"ambivalence, guilt, emptiness and isolation, identity/boundary/role confusion, sexual confusion, impaired ability to trust, emotional liability, suppressed rage, cognitive dysfu nction, and increased suicidal risk† (p. 4). The prohibition against sexual activities with current clients has also been extended to students and supervisees. For example, according to the American Psychological Association Ethical Standards, â€Å"psychologists do not engage in sexual relationships with students or supervisees in training over whom the psychologist has evaluative or direct authority, because such relationships are so likely to impair judgment or be exploitative (1. 19. b).There is, however, less consensus on the question of sex with former clients. Although some states unconditionally regard sex with former clients as sexual misconduct, other state statutes as well as codes of ethics make exceptions. For example, Standard 4. 07 of the American Psychological Association Ethical Standards asserts the following: a. Psychologists do not engage in sexual intimacies with a former therapy patient or client for at least two years after cessation or termination of p rofessional services. . Because sexual intimacies with a former therapy patient or client are so frequently harmful to the patient or client, and because such intimacies undermine public confidence in the psychology profession and thereby deter the public's use of needed services, psychologists do not engage in sexual intimacies with former therapy patients and clients even after a two-year interval except in the most unusual circumstances.The psychologist who engages in such activities after the two years following cessation or termination of treatment bears the burden of demonstrating that there has been no exploitation, in light of all relevant factors, including (1) the amount of time that has passed since therapy terminated, (2) the nature and duration of therapy, (3) the circumstances of termination, (4) the patient's or client's personal history, (5) the patient's or client's current mental status, (6) the ikelihood of adverse impact on the patient or client and others, and ( 7) any statements or actions made by the therapist during the course of therapy suggesting or inviting the possibility of a post-termination sexual or romantic relationship with the patient or client. The American Counseling Association has recently adopted a similar rule stipulating a minimum two year waiting period, and requiring counselors to â€Å"thoroughly examine and document that such relations did not have an exploitative nature† based upon similar criteria as those set forth in the above rule (ACA, Code, A. . b). The American Association of Marriage and Family Counselors has also adopted a two year waiting period (AAMFT, 1991, 1. 12). Without stipulating a time period, the recent Code of Ethics of the National Association of Social Workers has provided that social workers should not engage in sexual activities or sexual conduct with former clients because of the potential for harm to the client. The latter also adds that if social workers act contrary to this prohib ition or claim exceptional circumstances, then social workers, not their clients, â€Å"assume the full burden of demonstrating that the former client has not been exploited, coerced, or manipulated, intentionally or unintentionally† (NASW, 1997, 1. 09. c). From a rule utilitarian perspective, a rule unconditionally forbidding sex with former clients may be warranted. First, as the above APA rule suggests, the circumstances of excusable sexual relationships with former clients are â€Å"most unusual. Second, therapists contemplating sexual relations with former clients may find it difficult to objectively examine and document that such relationships are not exploitative. Their â€Å"utilitarian calculations† may be biased. Third, insofar as sexual intimacies with former clients are frequently harmful to clients and tend to undermine public confidence in the profession and its services, permitting such relations risks a high measure of disutility. Accordingly, if thera pists avoided sexual relationships with former clients without exception, then they would probably maximize overall happiness in the long run.On the other hand, given discretionary standards such as those of the APA and ACA, it is important that therapists exercise such discretion wisely. The following case study is intended to shed light on confronting conflicts of interest when sexual interests become an issue. CASE 1 Sexual Dual Role Relationships: A Case of Mutual Sexual Attachment Crystal first met Dr. Walker, a thirty-eight-year-old psychologist, when she came to him for marital problems. Crystal, an attractive, twenty-five-year-old women, had been married to her husband, Chris, for two years when she entered therapy.Chris was a wealthy corporate CEO and at the time the couple met, Crystal was a fashion model working between jobs as a waiter in a popular nightclub. When the two were married, Chris insisted that Bethany give up her career goals and stay at home. Crystal coopera ted with Chris, resigning from her job and severing all ties with her modeling agency. During the first few weeks of her marriage, after returning from a week-long honeymoon in Europe, she felt reasonably contented. However, as the weeks went on, she began to experience increasing dissatisfaction with her new life, which she subsequently described as â€Å"totally empty†.Although she was frequently visited by friends, she still felt very much alone. Chris was often away on business and the couple's relationship began to â€Å"feel strained† when the two were together. While they had previously enjoyed an active sex life, the couple gradually became sexually estranged. Crystal thought that their relationship might improve if she resumed her modeling career, but when Crystal tried to discuss the matter with Chris, he refused to listen to her, stating â€Å"I will not suffer the humiliation of having any wife of mine parading about like a piece of meat. When she suggeste d that they go to marriage counseling, Chris refused, saying that there was nothing that the two couldn't resolve on their own. However, a close friend convinced Crystal to seek counseling, even though her husband would not agree to come along. The friend recommended Dr. Walker. In therapy with Dr. Walker, Crystal often expressed a desire to leave her husband but also expressed fears of â€Å"being by herself† and of not â€Å"making it on her own† without guidance from her husband.On the one hand, she complained of boredom, loneliness, and desperation; on the other, she expressed reluctance to give up what she now had to return to the precariousness of her former existence. It was a lot â€Å"easier and less risky,† she said, â€Å"just to stay right where I am. † Dr. Walker knew from personal experience how difficult it could be to stand up to the fear of making changes in one's life without any guarantees. Having been through a divorce (three years ago ) with a woman whom he had been married to for thirteen years, Dr.Walker felt a personal bond with Crystal. He too had struggled with similar issues and felt the force of inertia as he mustered up enough inner strength to leave a wife whom he had lived unhappily with for over a decade. Hence, when Crystal began to make romantic overtures toward him (telling him that she found him extremely attractive, that she was falling in love with him, and asking him if he felt the same about her), Dr. Walker found himself in a more perplexing situation. In response to Crystal's query about his feelings toward her, Dr.Walker responded by stating query about his feelings toward her, Dr. Walker responded by stating â€Å"I think you are a very attractive woman but as your therapist it would be inappropriate and definitely not in your best interest if I were to become personally involved with you. † Although he considered Crystal's overtures to be a result of transference, he began to questi on the appropriateness of counseling a women who awakened so much of his own personal turmoil, and he worried about the possibility of his own countertransference. Dr.Walker was indeed also sexually attracted to Crystal. While he was aware of other occasions in which he was sexually attracted to female clients whom he managed to successfully counsel, Dr. Walker felt less confident in the present case. Crystal had at this juncture been in therapy for six months. Although he believed that she had made significant progress in this period, he also believed that it would be in her best interest if she were referred to another therapist. He therefore decided to terminate therapy and to refer her. Dr.Walker explained to Crystal that he had personal problems of his own that made it inappropriate for him to continue as her therapist, and that it was in her best interest if she accepted his referral. Notwithstanding Crystal's repeated pleas to know more, Dr. Walker refused to comment on what exactly those personal problems were except to emphasize that they were his, not her, problems. Crystal declined the referral and, in tears, left his office, neither seeking nor receiving therapy from anyone else again. Dr. Walker did not himself seek professional counseling for his personal problems. However. s a result of his experience with Crystal, he did subsequently avoid practicing marriage counseling, especially with young, attractive female clients. About two years after ending their professional relationship, Dr. Walker met Crystal while shopping at a supermarket and they began to talk. Crystal explained that she had divorced Chris a year ago and that she was presently trying to get back into fashion modeling but was finding it difficult to make headway. The two exchanged phone numbers. A week later Dr. Walker called Crystal and asked her out on a date. They subsequently began a sexual relationship.As we have seen, the primary purpose of a therapist is to promote the welfa re of the client. In the present case, Dr. Walker's decision to terminate Crystal's counseling was a rational response to the problem of how best to fulfill this primary counseling mission. Dr. Walker was aware that his personal emotions were potentially harmful to Crystal's continued therapeutic advancement. In particular, he was aware that his sexual attraction for this client coupled with his apparently unresolved feelings about his former marriage and divorce provided a climate for countertransference. In this regard, Dr.Walker's decision to terminate was in concert with the Principle of Loyalty insofar as his personal conflict prevented him from maintaining independence of judgment in the provision of treatment. As provided by APA Standard 1. 13c, a therapist who becomes aware of a personal problem that has potential for interfering with the provision of professional services should take â€Å"appropriate measures,† which may include terminating therapy. In making a refe rral upon termination, Dr. Walker further sought to safeguard client welfare. There was, of course, the risk that Crystal might refuse Dr.Walker's referral and never again seek counseling, a possibility that did in fact come to pass. Dr. Walker was accordingly confronted with the problem of deciding which option–referral versus continued therapy–ran the greatest chance of minimizing harm and maximizing welfare for this client. In making this â€Å"utilitarian† determination, Dr. Walker could not, however, mechanically and dispassionately calculate the risks of each available option. On the one hand, he had to try to transcend his own subjective feelings in order to rationally assess the situation.Yet, on the other hand, he had to stay in touch with those very same feelings which he sought to transcend in the process of deciding. Were the emotions he was now experiencing more of an impediment to successful counseling than previous experiences he had when he chose not to refer? Was the present case really different than the previous ones? To answer these questions, Dr. Walker could not merely be an â€Å"impartial† and â€Å"objective† observer applying a rational standard as Kantian ethics. Nevertheless, while he had to live his feelings in order to adequately represent them, he also had to attain some measure of â€Å"rational† distance from them.According to Martin (1997) such â€Å"professional distance† can be defined as a reasonable response in pursuing professional values by avoiding inappropriate personal involvements while maintaining a sense of personal engagement and responsibility. Under-distancing is the undesirable interference of personal values with professional standards. Over-distancing is the equally undesirable loss of personal involvement, whether in the form of denying one's responsibility for one's actions or in the form of lacking desirable forms of caring about clients and community.How ca n a professional determine whether client engagement avoids the above extremes and is therefore â€Å"proper†? Such determination, according to Martin (1997), constitutes an â€Å"Aristotelian mean† between these extremes. As such it must rest with perception and sound judgment enlightened by experience. As a general rule, this mean appears to be reached in therapy when the therapist gets as close to the client's situation as possible without losing her ability to rationally assess it, for it is at this point that the therapist's powers of empathetic caring and understanding are at their highest rational level.The point at which a therapist has attained this mean and has therefore stretched her rational capacities to their limits appears to be relative to both situation and individual therapist and May not always be attainable. Thus, while Dr. Walker has successfully treated clients to whom he was sexually attracted, at least some therapists might not be able to succes sfully work with such clients and had best refer them. On the other hand, Dr. Walker was not sanguine about his ability to work with Crystal without under-distancing himself. In deciding whether or not to refer, Dr.Walker needed to remain personally engaged yet detached enough to make a rational judgment about what would best promote his client's welfare. Paradoxically, he had to attain proper distance in order to decide whether, in counseling Crystal, he would be able to maintain proper distance. Martin (1997) claims that maintaining such distance within a professional relationship serves at least three important functions. First, it can help professionals to efficiently cope with difficult situations by keeping them from becoming emotionally overwhelmed.Second, proper distance can help in promoting a professional's respect for clients' autonomy. Third, it can help a professional to maintain objectivity. Insofar as loss of professional distance militates against these three functio ns, serious potential for loss of proper professional distance in counseling Crystal would have afforded Dr. Walker sufficient reason for termination. In the first place, loss of professional distance, in particular under-distancing himself from Crystal, could have destroyed his ability to cope with Crystal’s crisis by resulting in countertransference. In such an instance, Dr.Walker’s inability to keep personal interests separate from those of client could well have clouded and distorted his professional judgment regarding client welfare and thereby preempted the provision of competent counseling services. With loss of proper professional distance, Dr. Walker would accordingly have also suffered loss of objectivity, that is†critical detachment, impartiality, the absence of distorting biases and blinders† (Martin (1997). Had Dr. Walker allowed his personal interests and emotions to seep into the professional relationship, his perception would have been biase d and as such not objective.For example, in overidentifying with Crystal’s plight as an extension of his own negative marital experience, he would no longer have been impartial. He would have had blinders on, interpreting Crystal’s circumstances in terms of his own values and interests, seeking resolution not of Crystal's crisis but of his own. In Dr. Walker’s case, loss of proper professional distance could also have affected client autonomy by impairing his powers of empathy. We have seen that empathy can be an important autonomy facilitating virtue.This virtue, however, entails proper professional distance by requiring a therapist to feel as if he were in the client’s subjective world â€Å"without ever losing the `as if’ quality. † Dr. Walker’s failure to keep his own subjectivity separate from that of his client would have precluded the possibility of his â€Å"accurately sensing the feelings and meanings being experienced by th e client,† for these experiences would have been filtered through Dr. Walker’s own veil of self-interest and personal emotions. As a result Dr.Walker would not have been able to competently help his client accurately clarify the feelings and meanings she was sensing. It is, however, through such increased self-understanding that Crystal could reasonably hope to gain greater control over her own behavior and life circumstances. Given serious potential for loss of proper professional distance, any attempt by Dr. Walker to continue counseling Crystal might therefore have been carried out behind a veil of self-interest and misguided ideas, impeding client progress toward greater autonomy and well-being, countering the primary counseling mission.Under such conditions, Crystal's own state of dependency would have rendered her vulnerable to the exploitation and manipulation that easily arises when a counselor does not clearly separate personal welfare, interests, or needs from that of the client. Dr. Walker's decision to terminate was accordingly in concert with his moral responsibility not to apply the power and authority of his professional role in a manner that might exploit client dependency and vulnerability.In keeping with the Principle of Vulnerability, the heightened vulnerability of this client due to the therapist's diminished capacity for objectivity provided an occasion for exercising special care in guarding against infliction of client harm. This additional moral responsibility to take â€Å"special care† was discharged by Dr. Walker when, in consideration of his personal conflict, he decided to terminate. From a Kantian perspective, the rationale for termination is also apparent. As Crystal's therapist, Dr. Walker's role was to facilitate her increased personal autonomy.However, by continuing therapy instead of terminating, he risked treating her as a â€Å"mere means† to the satisfaction of his own confused interests and des ires rather than treating her as an autonomous agent. Dr. Walker’s motive for terminating Crystal's therapy, namely to safeguard her welfare, could also consistently be willed to be a universal law inasmuch as such a law would be consistent with and supportive of the primary counseling mission. It is noteworthy, however, that not all motives for termination could meet this Kantian standard. For example, had Dr.Walker terminated Crystal's therapy for the express purpose of beginning a sexual relationship with her, such a motive would not have been â€Å"universalizable. † This is because, if therapists consistently and universally sacrificed their clients' welfare whenever it suited their personal interests or needs, clients would not trust their therapists and therefore counseling would not effectively work. Furthermore, to consent to a universal law of such betrayal would be to consent to being treated as a â€Å"mere means† rather than as an autonomous agent, which no rational person would do.It is thus apparent why the ACA now requires therapists who intend to have sexual relationships with former clients to ascertain that they did not terminate therapy as part of a plan to initiate a sexual relationship with the client (ACA, 1995, A. 7. b). More generally the ACA also provides that counselors should â€Å"avoid actions that seek to meet their personal needs at the expense of clients† (ACA, 1995, A. 5. a). It might, however, be suggested that no violation of client autonomy occurs when a client consents to termination of therapy for purposes of beginning a sexual relationship.After all, it might be said, is this not to respect the client's will rather than to engage in any form of betrayal? Thus, supposing that Crystal were willing to discontinue therapy for purposes of pursuing sex with Dr. Walker, would Dr. Walker not have respected her autonomy (self-determination) by obliging her? Crystal's attraction to Dr. Walker was a case of transference, carrying out a sexual relationship with her would have been to exploit and manipulate her dependency, not to foster her autonomy.Given Crystal's vulnerable state of mind, it is far from clear, however, that her consent could have been considered â€Å"free† and â€Å"uncoerced†. In the least, given Dr. Walker's own impaired capacity for objectivity, and the potential to cause serious client harm, such conduct would have been a blatant violation of Dr. Walker's moral responsibility to safeguard the welfare of a vulnerable client. In terminating the counseling relationship, should Dr. Walker have told Crystal why he was terminating her therapy? It is arguable that in not fully informing Crystal of the grounds of termination, Dr.Walker had failed to act in a manner befitting a candid and congruent therapist. In support of the Principle of Candor, the APA provides that â€Å"psychologists make reasonable efforts to answer patients' questions and to avoid apparent misunderstandings about therapy†(APA, 1992, 4. 01. d). In further support, the ACA provides that â€Å"whenever counseling is initiated, and throughout the counseling process as necessary, counselors inform clients of the purposes, goals, techniques, procedures, limitations, potential risks and benefits of services to be performed, and other pertinent information† (ACA, 1995, A. . a). In still further support, the ACA provides that in terminating counseling, counselors should aim at â€Å"securing agreement when possible† (A. 11. c). Unfortunately, Crystal was not afforded the opportunity to provide informed consent to termination in a much as she was denied information material to termination, and which any client in similar circumstances would reasonably want to know. Thereby, she was not treated as an â€Å"end in herself,† that is, as a self-determining agent. Additionally, Dr.Walker left Crystal in a state of frustration and bewilderment. Wa s she to blame for Dr. Walker's decision to terminate despite his insistence that it was due to â€Å"his problem†? Since Dr. Walker had already admitted that he found Crystal to be attractive, was termination a result of his feelings toward her? Did he really love her? On the other hand, was he just offended by her having â€Å"come on† to him? In refusing to disclose his grounds for termination, Dr. Walker failed to achieve adequate closure to therapy, and Crystal was simply left â€Å"hanging. † While Dr.Walker did previously state that he found Crystal to be â€Å"a very attractive woman,† this had been at Crystal's own prompting. As such, this statement of his could well have been construed by Crystal as merely an attempt to appease her. As far as Dr. Walker did not follow through with an explicit, candid disclosure as pertinent to termination, therapy ended on an inauthentic note. In failing to â€Å"own† his own feelings, Dr. Walker missed a final and hence important opportunity to model congruence and so to encourage Crystal to take similar responsibility for her own future life decisions.What, then, might Dr. Walker have said to Crystal in response to her request for further information about why he was terminating and referring her? The truth as presented along the following lines would probably have been sufficient: â€Å"I have not completely worked through my own divorce, which, coupled with my own sexual attraction for you, has made it difficult for me to remain professionally objective and to provide you with the competent counseling services to which you are entitled.In cases like this, it is my professional responsibility to refer you to someone who will afford you such services. † In making disclosure along these lines, Dr. Walker would have responded in a manner befitting a candid and congruent therapist, and accordingly in such a manner consistent with the primary counseling mission. Dr. Walker's ex perience with Crystal appropriately alerted him to the possibility that his own â€Å"unfinished business† surrounding his divorce justified refraining from accepting clients whose profiles were similar to Crystal's.In this regard, in concert with the Principle of Loyalty, the APA (1992) provides that psychologists â€Å"refrain from undertaking an activity when they know or should know that their personal problems are likely to lead to harm to patent, client . . . or other person to whom they may owe a professional or scientific obligation† (1. 13. a). Dr. Walker failed to have worked through his own marital issues affected his ability to provide competent counseling services, Dr. Walker also had a professional responsibility to obtain competent counseling for himself.Thus, in concert with the Principle of Non-Maleficence, the ACA provides that â€Å"counselors refrain from offering or accepting professional services when their physical, mental or emotional problems are likely to harm a client or others. They are alert to the signs of impairment, seek assistance for problems, and, if necessary, limit, suspend, or terminate their professional responsibilities†(ACA, 1995, C. 2. g). In the present case neither Dr. Walker nor Crystal sought therapy for their personal problems after their professional relationship ceased.It was under these circumstances, about two years later, that Dr. Walker and Crystal began a sexual relationship. It was therefore quite possible that Crystal's sexual attraction and willingness to begin a sexual relationship with Dr. Walker was a result of the same transference problem that led Dr. Walker to terminate therapy in the first place. Similarly, it is also quite possible that Dr. Walker's own sexual attraction and willingness to begin a sexual relationship with Crystal were themselves an actualization of his previously perceived tendency to countertransfer.If so, then the possibility for client manipulation and har m which existed in therapy could be hypothesized to continue to exist in the personal relationship. Furthermore, since in his personal relationship with Crystal Dr. Walker was no longer expected to maintain professional distance or to be objective, the potential for even greater client manipulation and harm could be hypothesized to exist. In keeping with the Principle of Non-Maleficence, Dr. Walker had a professional responsibility to avoid harming others, which clearly included former clients.Dr. Walker entry into a personal relationship with Crystal placed her at significant risk of harm–and arguably at even greater risk than in their previous professional relationship–Dr. Walker had a professional responsibility to avoid such a relationship with Crystal. In addition, since this potential for harm may be traced to the exercise of power and authority established in the therapeutic context, Dr. Walker may be viewed as having used his professional powers and authorities in a manner inconsistent with Crystal's welfare.Furthermore, a rule of â€Å"once a client, always a client† would seem to derive force from the implausibility of supposing that a client's welfare matters only within the professional context but subsequently becomes expendable as soon as therapy is (formally) ended. Further, given that professional safeguards were no longer expected in the personal relationship, all knowledge previously acquired in the therapeutic context was no longer insulated from personal use. Thus, by virtue of his personal relation with Crystal, Dr.Walker was no longer expected to remain objective and professionally distanced, yet he was still privy to information previously protected by such professional responsibilities. Given the emotional dynamics of personal relationships, the potential for misuse of such knowledge will have accordingly increased. For example, in the throws of an emotionally heated disagreement, Dr. Walker might allow his percepti on to be colored by his intimate knowledge of Crystal's former marriage. This could in turn affect the manner of his own verbal, behavioral and emotional responses to Crystal.Insofar as knowledge acquired under a bond of professional confidentiality, is subsequently used for personal purposes, the Principle of Discretion will also be breached. As the APA (1992) states, â€Å"Psychologists discuss confidential information obtained in clinical or consulting relationships †¦ only for appropriate professional and scientific purposes†¦ † (5. 03. b); and it is clear use of private client information for personal, self-interested reasons falls outside the purview of such legitimate purposes. It is possible. of course, that Dr. Walker could manage to keep such private information out of his personal life.Nevertheless, therapists are human beings who have emotions and do not always perform at their best. Therefore, expecting therapists to avoid at all times being influenced by prior clinical knowledge of a person with whom they are intimately relating may be asking too much of the most well-adjusted. In Dr. Walker's case, however, there were already reasons for supposing that he had unresolved problems that would make such expectations all the more unrealistic. Furthermore, maintaining such a stature is tantamount to expecting the therapist to fulfill his professional esponsibilities within the context of a personal relationship. Role expectations between professional and personal relationships, are however, notoriously inconsistent. Thus, in personal relationships, â€Å"there is an expectation that the needs of both parties will be met in a more or less reciprocal manner. It is difficult to consistently put the consumer's needs first if one is also invested in meeting one's own needs. † And, accordingly, â€Å"as the incompatibility of expectations increases between roles, so will the potential for misunderstanding and harm† (Kitchener, 1988).On analysis, it is therefore clear that, in starting a sexual relation with a former client, Dr. Walker acted contrary to the primary counseling mission by taking substantial, unwarranted risks. Even though Dr. Walker waited two years before starting a sexual relation as some standards (for example, APA and ACA) require, there were strong reasons militating against starting the relationship. Furthermore, had Dr. Walker attempted to document that this relationship did not have an exploitative basis, it is questionable that Dr. Walker himself would have been in a situation to objectively assess the matter.Under the circumstances, it would have been more fitting had he called in a consultant to help him to decide the matter (ACA, 1995, C. 2. e). Such unbiased ethics assessment would probably have been more reliable than Dr. Walker's own determination. It is evident that a two year waiting period is not itself a reliable index of warranted sexual relations with former clients. As the APA has suggested, warrant for sexual relations with former clients is â€Å"most unusual. † Had Dr. Walker seen Crystal on a single occasion without having established an ongoing professional relation with her, such warrant would have been arguable.Here, however, there is still danger of the appearance of conflict of interest–or even worse, of exploitation of clients. A profession cannot afford to have its image tarnished. A therapist concerned for the welfare of prospective clients cannot afford to neglect professional image. A professional known to have had sex with former clients–no matter how well the relation might have been documented–does nothing to promote an image of a trustworthy and virtuous therapist in the public eye. Finally, legal requirements need not always be in harmony with professional standards.While some causes may sometimes be morally compelling enough to override obedience to law, it is unlikely that violation of a state stat ute in order to engage in a sexual relation with a former client would qualify. If sexual relations with former clients were legally regarded as sexual misconduct in the state in which Dr. Walker practiced, there would have been further reason, an overriding and compelling reason, for his not engaging in such a relation with Crystal. In the absence of such a state statute, there would also have been a compelling case against it.ETHICAL STANDARDS FOR ADDRESSING DUAL ROLE RELATIONSHIPS The following rules of dual role relationships may be gathered from the case study. While they are not intended to be exhaustive of all such possible rules, they are intended to supplement ones provided under Principles of Loyalty and Non-Maleficence. General Rules Regarding Dual Role Relationships: GR 1 In considering whether a dual role relationship is morally problematic and should be avoided or terminated therapists considers the potential for loss of the client's independence of judgment as well as that of their own.GR 2 Therapists consider the adverse effects that pursuing certain types of dual role relationships (for instance, sexual relations with former clients) might have on the public image of their profession, and avoid apparent conflicts of interest as well as actual ones. GR 3 Therapists avoid any dual role relationship in which a serious potential for misappropriation of confidential information exists (for instance, the use of such information for malicious or self-serving purposes).GR 4 Therapists who have institutional affiliations (for instance, teach at colleges or universities or work in agencies) avoid provision of therapy to other employees with whom they have or are likely to have working relations. GR 5 Therapists establish and maintain contact with other qualified professionals available to render competent, independent ethics consultation or supervision in case conflicts of interest make the therapists' own judgment questionable.GR's 1 through 4 are base d upon the premise that therapists should take reasonable measures to avoid all dual role relationships for which there exists serious potential for loss of independence of judgment–the client's as well as the therapist's–and conflicts of interest–apparent and actual. The aforementioned rules provide some key considerations for avoiding such relationships. When therapists cannot feasibly avoid a conflict of interest, then they should fully inform the affected clients about the conflict, and, with the clients' consent, seek consultation and/or supervision from other qualified professionals (ACA, 1995, A. . a). GR 5 has been advanced in support of the latter premise. In satisfying GR 5, therapists who work in agencies should establish and maintain contact with other competent professionals who practice outside their agencies and are therefore more likely to provide independent, nonbiased consultation or supervision. Therapists who practice in isolated rural areas have an especially compelling interest in establishing and maintaining such contacts.As is true with respect to other rules, the present ones are intended to help in guiding therapists' decisions regarding dual role relationships, but are not intended as a substitute for careful ethical reflection. For instance, while avoidance of apparent conflicts of interest is important for maintaining professional image, GR 2 must be applied with regard for the welfare, interests, and needs of particular clients. For example, a therapist might justly tolerate public appearance of a conflict of interest in order to prevent serious harm to an identifiable client while such involvement purely for personal gain would be unacceptable.GR 1 underscores that morally problematic dual role relationships can arise not only when the therapist encounters a conflict of interest but also when the client's independence of judgment is impaired. Since either case can result in ineffective or self-defeating thera py, a therapist may have compelling reason for avoiding or terminating a dual role relationship even when it is only the client's judgment that is adversely affected. The use of the term â€Å"qualified professional† in GR 5 refers to another competent therapist as well as to a competent professional in a related area such as a professional ethicist.The term â€Å"working relations† in GR 4 means direct employee relations arising out of the cooperative performance of specific job-related tasks. Such tasks include secretarial, administrative, custodial, maintenance, committee, and departmental functions. Working relations must involve direct contact, which means exchange of information by face-to-face contact or other channels such as e-mail, phone or interoffice memo. In general, the more frequent and intimate the job-related ontact between therapist and client, the greater the potential for loss of independence of judgment by both parties. Thus, an occasional interoff ice memo may not be as risky as on-going face-to-face contact. The term â€Å"working relation† does not apply simply because two individuals have the same employer. In a very large institution such as a state university, it is possible that two employees have no working relation, but this is less likely to be true in smaller institutions such as counseling agencies.Rules Regarding Sexual Relations with Former Clients: SF 1 Therapists do not engage in sexual relations with current clients and generally avoid sexual relations with former clients. In rare cases in which therapists are considering the warrant for sexual relations with former clients (for instance, in cases where no ongoing therapeutic relationship has been established), they consult with other competent, impartial professionals in documenting the non-exploitative nature of the considered relations.SF 2 Therapists recognize that their former clients like current clients can still be vulnerable to sexual manipulat ion, and therefore avoid taking undue sexual advantage of these individuals Therapists do not assume that their former clients' agreement to enter into sexual relations with them constitutes freely given consent. SF 3 If the state in which a therapist practices regards all sexual relations with former clients as sexual misconduct, then therapists do not engage in any such relations even where warrant for the relation might otherwise exist.In SF 2, the term â€Å"undue sexual advantage† refers to the exploitation of any client weakness related to the prior therapist-client relationship, for example, an unresolved client transference issue, persistent client dependency on the therapist, or the therapist's position of power and authority over the client. Insofar as such client weaknesses may persist after therapy has been terminated, the burden of proof resides with the therapist to show that the client's consent to a sexual relation with the therapist is not a result of such fa ctors but rather constitutes the client's autonomous, uncoerced consent (NASW, 1997, 1. 9. c). In the rare cases in which this can be shown, SF 1 requires that documentation include the favorable outcome of consultation with at least one other independent, competent professional (as defined above) in addition to such documentation specified in other pertinent standards addressed in this chapter (APA, 1992, 4. 07; ACA, 1995, A. 7. b). While a virtuous therapist would ordinarily have regard for law, we have noted that some causes such as prevention of serious harm to a client may sometimes militate against compliance with law.Rule SF 3, however, is intended to make clear that satisfaction of the therapist's sexual interests– even when coupled with that of the former client–does not warrant or mitigate the legal transgression. Rules Regarding Sexual Attraction to Clients: AC 1 Therapists are not disqualified from counseling clients to whom they are sexually attracted so l ong as they are able to provide these clients with competent, professional services.However, if they have or, in the course of therapy, develop sexual attractions for clients which impair or are likely to impair the therapists' independence of judgment, then they terminate therapy and make appropriate referrals. AC 2 Therapists do not accept as clients individuals from certain populations (for instance, certain gender and age categories) for whom sexual feelings are likely to impair independence of judgment. In such cases therapists take appropriate steps to overcome their personal problems, such as seeking therapy for themselves, before taking on such individuals as clients.AC 3 In cases where therapists terminate therapy due to mutual sexual attraction, therapists inform clients as to the nature of termination, and do not misrepresent or mislead clients as to the cause of termination. .AC 1 assumes that sexual attraction for at least some clients is frequent occurrence and is not in itself a reason for terminating therapy. AC 1 affords therapists the autonomy to decide whether such attraction is of such a quality as to impair professional judgment. Therapists' sexual attractions for clients may however sometimes be related to therapists' own â€Å"unfinished business. In such cases AC 2 recognizing the need to address such personal problems therapeutically before counseling groups of clients to whom the sexual attraction may be generalized. AC 3 is supported by both Principles of Honesty and Candor in requiring therapists with sexual attractions for clients to avoid deception in informing these clients of the grounds for termination. Rules Regarding Therapy with Students: TS 1 Therapists do not engage in therapy with current students or those with whom current students have intimate relationships.Consistent with client welfare, therapists may engage in therapy with former students. TS 2 while therapists may not solicit students for referrals, they may accep t unsolicited referrals from students. TS 3 If, during the course of therapy, therapists' clients also become their students, therapists take reasonable steps to terminate the ensuing dual role relationships, including terminating therapy and providing appropriate referrals. Therapists inform their clients of all significant risks related to maintaining such dual role relationships and, consistent with client welfare, decline to remain in both roles.Therapists support and encourage their clients' own informed, autonomous choices in resolving the conflict. TS 4 Therapists who ascertain that prospective clients are likely to become their students decline to accept such individuals as clients. As part of their clients' informed consent to therapy, therapists who teach inform potential students (clients whose profiles suggest that they might become students) of a professional responsibility not to engage in therapy with their students. In TS 1, the term â€Å"intimate relationshipsâ₠¬  includes family members such as parents, step parents, grandparents, and siblings.The term also includes significant others such as boyfriends or girlfriends, fiancees, and sexual partners. While an individual may not have a close relationship with all family members, the probability that the family bond will implicate the student is substantial enough to justify a strict rule against counseling family members of students. Although TS 2 permits therapists to accept as clients the unsolicited referrals from students, it is noteworthy that, in concert with TS 1, such permissible, unsolicited referrals do not include individuals with whom students have intimate relationships.TS 3 provides that therapists should take â€Å"reasonable measures† to terminate non-elective dual role relationships with students. In the context of therapy this means measures which are consistent with client welfare, and which accordingly promote client trust and autonomy. The rule provides that cli ents be afforded maximal autonomy in deciding how the dual role relationship will be resolved; for example, whether the student-teacher relationship will be preserved and the therapist-client relationship erminated, or conversely. TS 4 recognizes the utility of taking preventative measures to increase the likelihood that a non-elective dual role relationship with students is avoided before it is established by the student. It also conforms with the Principle of Candor in making clear, from the start, the Therapist's professional responsibility not to counsel students. In this way, the therapist's move to discontinue such a relationship (should one later be established) comes as no surprise to the client.REFERENCES American Association for Marriage and Family Therapy (1991). Code of ethics. Washington, DC: AAMFT American Association of University Professors (1990). Statement on professional ethics. AAUP Policy Documents and Reports, 75-76. American Counseling Association (1995). Code of ethics. Alexandria, VA: ACA. American Psychological Association (1992). Standards of ethics. Washington, DC: APA. Anderson, B. S. (1996). The counselor and the law. 4th Ed. Alexandria, VA: ACA. Davis, M. & A. Stark (in press).Conflict of interest and the professions. New York: Oxford University Press. Herlihy, B. & G. Corey (1997). Boundary issues in counseling: Multiple roles and responsibilities. Alexandria, VA: ACA. Kitchener, K. S. (1988). Dual role relationships: What makes them so problematic? Journal of counseling and development, 67, 217-221. Martin, M. W. (1997). Professional distance. International journal of applied philosophy. 12(1). National Association of Social Workers (1997). Code of ethics. Washington, DC: NASW.

Wednesday, October 23, 2019

Increase Crime Among Youth Essay

1. This is to confirm that we have allotted flat no. D4 / E 5 admeasuring 920 Sq. ft.(built up area) on the Survey No.49 A / 7 constructed by us to shri PARAG VIJAY MODI for a total consideration of Rs.12,00,000/-(Rupee Twelve Lac Only)Under an agreement for sale dated 20 /12/2012. 2. We confirm that we have obtained necessary permission / approvals sanction for construction of said building from all the concerned competent authorities and the same are in force. The construction of the building as well as of the flat is in accordance with the approved plans. We assure that the said flat as well as the said building and the legal appurtenances there to be not subject to any encumbrances, charge or liability or any kind whatsoever and that the entire property is free from encumbrances and marketable. We have a clear, legal and marketable title to the said property and part thereof. 3. Shri. PARAG VIJAY MODI has/ have paid the total cost of Rs. 5,90,000/-(Rupees Five Lac Ninety thousand Only). 4. Possession of the said Unit/Gala/Shop/ Premises / Flat will be given to Shri. PARAG VIJAY MODI . 5. We have hereby confirm that we have NO OBJECTION to your giving finance to Shri. PARAG VIJAY MODI his & her mortgaging the said Flat to your Bank by way of security for repayment of such finance. Notwithstanding anything to the contrary contained in the said agreement. We hereby register the Bank’s charge in our books in respect of the said Flat. AND Shri PARAG VIJAY MODI will not be permitted to transfer, assign, sell off or in any other way/ manner deal with the said Flat prejudicial to the interest of the Bank, without the prior written consent of your bank. 6. We undertake to form a Co-operative Society of the Flat holders of the aforesaid building under the Maharashtra Co-operative Societies Act.1960 within two years from the due hereof. We also agree to inform and given proper notice to the Co. operative Society as and when formed, about the said flat being so mortgaged to your Bank. 7. We are aware that relying on what is stared herein above, you have agreed to give the finance to Shri. PARAG VIJAY MODI P.S. Your are requested to issue your pay order in favour of sarasvat Bank c/a No CAPUB /11 M/s Gagangiri Construction. Instruction: If No.5 is not applicable then cancel the same and renumber the remaining paragraph.

Tuesday, October 22, 2019

buy custom Nursing Informatics Tools essay

buy custom Nursing Informatics Tools essay Though not very new, nursing informatics is growing at a very first rate due to the new developments in technology each and ever day. The advances in technology is radically altering approaches used by nurses diagnosing, treating, caring for and managing patients. Cleveland Clinic Nursing Institute (2010) consequently defines nursing informatics as an area of expertise integrating nursing science, information science and computer science in managing data, information and knowledge in practice of nursing. For this reason, the field of nursing informatics is concerned with the resources, devices, and techniques needed to optimize, acquirement, storage, retrieval, and use of information in nursing. Tools for nursing informatics are not only limited to computers. Nonetheless they encompass formal nursing terminologies, communication and information systems and nursing guidelines. Currently there are many trends in healthcare that make use of nursing informatics tools. One of such is collaborative computing that makes use of internet to carry out research online. This has in turn encouraged productivity in the field as very many individuals all over the globe are allowed to share information and ideas instantaneously (Clinic Nursing Institute, 2010). This could also be accomplished on community of practice, telenursing networks, E-health networks, and virtual social networks. There are also a number of electronic devices, some hand held, that are used to collect the needed data, store the information and also some are used for data analysis. Very many decisions in health care support system now rely on tools for nursing informatics. Turley (1996) asserts that to allow accurate and standard exchange of data/information content between providers and system, there is use of medical vocabularies that are controlled. There are also other standards like the ISO used to regulate the nursing practice. Buy custom Nursing Informatics Tools essay

Monday, October 21, 2019

Tata Motors Essays

Tata Motors Essays Tata Motors Paper Tata Motors Paper Tata Motors were inspired to build the Tata Nano by seeing a father driving his families around with scooter. From the text, Tata was speaking at the unveiling ceremony at the 9th Auto Expo in New Delhi, He states that â€Å"I observed families riding on two-wheelers, the father driving the scooter, his young kid standing in front of him, his wife seat behind him holding a little baby. It led me to wonder whether one could conceive of a safe, affordable, all-weather form of transport for such a family† he knew that he could come up with something and help them. There was a need of inexpensive car in India because the consuming of cars in India was half of the population and the rest are motorcycles and scooters so he wanted to replace them to Tata Nano. According to the text, â€Å"the car is aimed at keeping the families of India’s growing middle class from having to travel with as many as four people on a scooter†. Tata Motors did a research on the customer by studying and trying to understand them. Understanding the customer’s values and what they need was the key concept to Tata and how the Nano car will be built and function. The engineers worked to do more with less. Tata has could cut down the price by asking his engineers and suppliers to redesign the many components to cut costs. For example, speedometer was placed the center of the dashboard over the air events, not behind the steering wheel, which the dashboard can be built with fewer parts. Tata and his engineer did their best to cut costs and meet the target of $2,500 for the price of the car. I think low price means poor quality because the main purpose of producing Tata Nano is to attract the middle class who couldn’t afford expensive car which lead cost-cutting ideas such as, eliminate actuators in the headlights, the levelers that adjust the angle of the beam depending on how the car was loaded. Nano is much lighter than comparable models because they reduce the amount of steel in the car including the use of aluminum engine and the use of lightweight steel as possible. Tata motors had originally planned to manufacture Nano in Singur, West Bengal, India. However, the problem arose immediately after the purchased of the land from West Bengal government. Because the government did not actually own the land, but acquired it from local farmers by imposing the force of eminent domain. The protests hinged upon allegations that Tata forced farmers from their land and handed out payments that were a portion of the land’s value. The dispute went to the peak, over thirty thousand activities and farmers were overwhelmed in Singur, West Bengal state, to march against the plant. The highway leading to Singur was blocked and Tata Motors was force to evacuate employees from the plant site. Employees failed to show up to work after a threats from protestors. Finally, Tata Motors was putting detailed plan together for the relocation of the plant and machinery, but ended up in Tata’s existing factory in Pantnagar in Uttarakhand. The important features of the Indian economic environment were land, because most was issued for agriculture. Local farmers living related to land. Therefore, doing business in India has to consider about the land and local farmers.

Sunday, October 20, 2019

Voiced vs. Voiceless Consonants

Voiced vs. Voiceless Consonants Phoneticists (who study the sound of the human voice) divide consonants into two types: voiced and voiceless. Voiced consonants require the use of the vocal cords to produce their signature sounds; voiceless consonants do not. Both types use the breath, lips, teeth, and upper palate to further modify speech. This guide presents the differences between voiced and voiceless consonants and gives you some tips for using them. ThoughtCo / Jaime Knoth Voiced Consonants Your vocal cords, which are actually mucous membranes, stretch across the larynx at the back of the throat. By tightening and relaxing as you speak, the vocal cords modulate the flow of breath expelled from the lungs. An easy way to determine whether a consonant is voiced or not is to place a finger on your throat. As you pronounce a letter, feel the vibration of your vocal cords. If you feel a vibration the consonant is a voiced one. These are the voiced consonants: B, D, G, J, L, M, N, Ng, R, Sz, Th  (as in the word then), V, W, Y, and Z. But if consonants are only single letters, what are Ng, Sz, and Th? Theyre common sounds that are produced by blending the two consonants phonetically. Here are some examples of words that include voiced consonants: traveledglovesshellsstartedchangedwheelsliveddreamsexchangedglobesphoneslistenedorganized Voiceless Consonants Voiceless consonants do not use the vocal cords to produce their hard, percussive sounds. Instead, theyre slack, allowing air to flow freely from the lungs to the mouth, where the tongue, teeth, and lips engage to modulate the sound. These are the voiceless consonants: Ch, F, K, P, S, Sh, T, and Th  (as in thing). Common words using them include: washedcoatswatchedbooksseatsdroppedcarts Vowels Vowel sounds (A, E, I, O, U) and diphthongs  (combinations of two vowel sounds) are all voiced. That also includes the letter Y when pronounced like a long E. Examples: city, pity, gritty. Changing Voice When consonants are put in groups, they can change the vocal quality of the consonant that follows. A great example is the past simple form of regular verbs. You can recognize these verbs because they end in ed. However, the consonant sound of this ending can change from voiced to voiceless, depending on the consonant or vowel that precedes it. In almost all cases, the E is silent. Here are the rules: If the ed is preceded by a voiceless consonant such as K, it should be pronounced as a voiceless T. Examples: parked, barked, markedIf the ed is preceded by a voiced consonant sound such as B or V, it should be pronounced as a voiced D. Examples: robbed, thrived, shovedIf the ed is preceded by a vowel sound, it should be pronounced as a voiced D  because vowels are always voiced. Examples: freed, fried, liedException: If the ed is preceded by T, it should be pronounced a voiced id sound. In this case, the e is pronounced. Examples: dotted, rotted, plotted This pattern can also be found with plural forms. If the consonant preceding the S is voiced, the S will be pronounced phonetically as a Z. Examples: chairs, machines, bags If the consonant preceding the S is voiceless, then the S also will be pronounced as a voiceless consonant. Examples: bats, parks, pipes. Connected Speech When speaking in sentences, the ending consonant sounds can change based on the following words. This is often referred to as connected speech. Here is an example of a change from a voiced B in the word club to a voiceless P because of the voiced T in to of the following word: We went to the club to meet some friends. Here is an example of a change from a voiced D past simple verb changed to voiceless T: We played tennis yesterday afternoon.

Saturday, October 19, 2019

The components of HRM's success Essay Example | Topics and Well Written Essays - 2500 words

The components of HRM's success - Essay Example Despite Guest’s hesitancy in concluding that HRM contributes to organisational performance, other scholars provided an empirical link between HRM strategies, policies and practices and certain aspects of individual and organisational performance (Liu et al., 2007; Nohria, Groysberg and Lee, 2008; Huselid, 1995: 635; Wall and Wood, 2005: 430; Pfeffer; and Pfeffer and Veiga 1999). This paper aims to determine HRM issues and to offer some solutions. After reviewing several studies, including opposing ones, HRM systems, policies, and practices are believed to drive company performance through shaping recruitment, selection, and retention strategies that develop engaged and creative employee, who can serve as one of the company’s sustainable competitive advantages. The role of human resource systems in strategic recruitment cannot be undermined (Liu et al., 2007). Recruitment should not be dismissed as something that can easily be outsourced to other parties because recruitm ent strategy should meet existing HR strategy goals. Walker, Bernerth and Tocher (2009) studied job seekers’ organisational attitudes at different phases of the recruitment process by evaluating the interactions among the variables of job seekers’ procedural justice anticipations, procedural justice perceptions and preliminary screening feedback quality. After using two phases of data collection that included 392 participants in phase 1 and 351 in phase 2, findings showed that participants who were engaged in the recruitment process with high procedural justice expectations were more affected by initial screening feedback quality than those with low justice expectations (Walker et al., 2009: 5). Procedural justice perceptions throughout the preliminary screening affected their organisational attitudes (Walker et al., 2009: 5). These authors concluded that how firms recruit candidates can affect the quality of perceptions regarding the organisation (Walker et al., 2009: 6). Rehman (2012) affirmed the same findings for his empirical work on the recruitment efforts of public sector organisations in Pakistan. He discovered that organisations with poor promotion and governance systems tend to recruit fewer competent applicants and tend to have higher turnover rates. Managers must be clear in explaining what they expect from their employees and what employees can expect from the organisation, in terms of rewards, culture and other organisational and managerial factors. HRM managers who carefully carve the right organisational image and job expectations for its employees during the recruitment process can hire high-performing employees than those who do not care on the image and expectations they provide to applicants. HRM affects individual performance through its recruitment strategies because they influence individual decisions through organisational factors, which when affirmed through hiring, can result to employee job satisfaction and retention. H an and Han (2009) explored the relationship between hiring perceptions and retention and found a correlation between the two. Another studies emphasised that in recruiting the right people, job experience, skills, and personality are critical. Newman and Lyon (2009)

Friday, October 18, 2019

Team Building Exercise Research Paper Example | Topics and Well Written Essays - 500 words

Team Building Exercise - Research Paper Example Hence, conflict resolution is one of the most fundamental pre-requisite of team building. This paper aims at discussing an exercise that can help promote team building and resolve inter-personal conflicts in an organizational setup. Improving communication among the members enables the members to settle their issues, remove their differences and work in peace and mutual harmony. Therefore, the exercise discussed in this paper achieves conflict resolution and team building by way of improvement of communication. Back-to-back drawing: One of the most suitable ways to promote team building is indulging the team members in such exercises which they can enjoy and which can also provide the managers about object clues regarding the problem areas. One such exercise is back-to-back drawing. The following section demonstrates how this exercise can be conducted. How to conduct this exercise: For conducting this exercise, the group needs to be divided into individual pairs. Partners for each pair should be chosen at random. There should not be any preliminary planning nor should the individuals be allowed to choose the partners for themselves. The two members of each pair are supposed to face opposite each other and sit on the floor with their backs touching each other. In every pair, one of the members needs to be provided with a picture of any shape and the other member facing the other side should be provided with a pad and a pencil.