1) Chaplains face challenges in providing spiritual care within modern healthcare systems as hospitals prioritize financial concerns over holistic patient care.
2) The author details their experience as a chaplain over 25 years, navigating institutional expectations while advocating for patients.
3) Professional chaplaincy requires extensive education and clinical training to competently handle complex medical, ethical and emotional issues, yet the role remains undervalued and misunderstood.
The author discusses their personal nursing philosophy which is characterized by providing compassionate care to patients. They believe nursing is a caring profession that involves both medical skills and respecting human dignity. The author emphasizes showing empathy to help understand patients' conditions and make them feel comfortable. They also discuss the roles of nurses as supporters, educators, supervisors, and leaders. The author's philosophy is based on the four metaparadigms of nursing, person, environment, and health. They believe nursing provides holistic care for the physical, social, mental, and spiritual needs of the whole person. A positive nursing philosophy gives direction and satisfaction to nursing practice.
This document outlines a nursing student's philosophy of nursing. Some key points:
1) The student believes caring for patients holistically - not just physically but also emotionally and spiritually - is important.
2) The student's core values of happiness, family, and honesty will guide how they care for patients and advocate for their needs.
3) Human Becoming Theory influences the student to see patients as more than just their illness and help them through life changes.
4) While still exploring their own faith, the student finds biblical principles like treating others with kindness can still guide their practice.
This document is a philosophy of nursing paper written by Steven Appelhof. It discusses nursing as involving problem solving, ethics, personal connections and caring for patients seeking help. Nursing requires a mix of didactic theory, experience, and personal problem-solving skills. Nurses have direct patient care and personal connections. The paper discusses the importance of viewing patients holistically and maintaining their quality of life through safe and effective care. It also discusses the level of interaction nurses have with patients and how they are considered one of the most trusted providers. The author discusses how their personal experiences and family history led them to pursue nursing and how they aim to provide the best quality of life for their patients.
The document discusses the purpose and values of Covenant Care Pediatrics. It states their purpose is to "inspire lifelong health, hope, and wellbeing for children, families, and communities." It describes their core values as putting patients first, striving for excellence, showing caring and compassion, serving others, and acting with integrity. The document aims to define Covenant Care Pediatrics' identity and culture as a team committed to this mission and values.
The nurse has seen many changes in nursing since starting in 1974. In the past, doctors led care and nurses followed orders without question. Patients had little say and were not fully informed. The nurse now sees their role as advocating for patients and facilitating their autonomy and decision making. The nurse believes Jean Watson's Theory of Human Caring fits their philosophy, seeing people as more than their illness and considering psychological/social factors. The nurse aims to care for the whole person within their communities and values putting patients first over schedules.
Nine characteristics of good-quality care in district nursing taken from interviews with patients, carers and staff.
We hope this framework and these slides will be a useful resource for you – please feel free to use them in your work, in documents and presentations.
Caritas in Action (launch): How Caring Science Informs and Inspires the Nursi...Kaiser Permanente
Kaiser Permanente, Northern California - Patient Care Services developed a Caritas in Action campaign to encourage caregivers to reflect authentic expressions of Jean Watson's Caring Science in their daily practice and within their medical center.
This document is a paper written by Joseph Di Genova for a nursing leadership class at California Baptist University. It discusses key aspects of becoming a nurse, including subscribing to a nursing philosophy, the goals and values of nursing as a profession, comprehensive patient care, and humanbecoming theory. It also covers the author's views on nursing, leadership, and how nursing school has helped them grow. The conclusion reiterates the author's passion for nursing and gratitude for their education.
The author discusses their personal nursing philosophy which is characterized by providing compassionate care to patients. They believe nursing is a caring profession that involves both medical skills and respecting human dignity. The author emphasizes showing empathy to help understand patients' conditions and make them feel comfortable. They also discuss the roles of nurses as supporters, educators, supervisors, and leaders. The author's philosophy is based on the four metaparadigms of nursing, person, environment, and health. They believe nursing provides holistic care for the physical, social, mental, and spiritual needs of the whole person. A positive nursing philosophy gives direction and satisfaction to nursing practice.
This document outlines a nursing student's philosophy of nursing. Some key points:
1) The student believes caring for patients holistically - not just physically but also emotionally and spiritually - is important.
2) The student's core values of happiness, family, and honesty will guide how they care for patients and advocate for their needs.
3) Human Becoming Theory influences the student to see patients as more than just their illness and help them through life changes.
4) While still exploring their own faith, the student finds biblical principles like treating others with kindness can still guide their practice.
This document is a philosophy of nursing paper written by Steven Appelhof. It discusses nursing as involving problem solving, ethics, personal connections and caring for patients seeking help. Nursing requires a mix of didactic theory, experience, and personal problem-solving skills. Nurses have direct patient care and personal connections. The paper discusses the importance of viewing patients holistically and maintaining their quality of life through safe and effective care. It also discusses the level of interaction nurses have with patients and how they are considered one of the most trusted providers. The author discusses how their personal experiences and family history led them to pursue nursing and how they aim to provide the best quality of life for their patients.
The document discusses the purpose and values of Covenant Care Pediatrics. It states their purpose is to "inspire lifelong health, hope, and wellbeing for children, families, and communities." It describes their core values as putting patients first, striving for excellence, showing caring and compassion, serving others, and acting with integrity. The document aims to define Covenant Care Pediatrics' identity and culture as a team committed to this mission and values.
The nurse has seen many changes in nursing since starting in 1974. In the past, doctors led care and nurses followed orders without question. Patients had little say and were not fully informed. The nurse now sees their role as advocating for patients and facilitating their autonomy and decision making. The nurse believes Jean Watson's Theory of Human Caring fits their philosophy, seeing people as more than their illness and considering psychological/social factors. The nurse aims to care for the whole person within their communities and values putting patients first over schedules.
Nine characteristics of good-quality care in district nursing taken from interviews with patients, carers and staff.
We hope this framework and these slides will be a useful resource for you – please feel free to use them in your work, in documents and presentations.
Caritas in Action (launch): How Caring Science Informs and Inspires the Nursi...Kaiser Permanente
Kaiser Permanente, Northern California - Patient Care Services developed a Caritas in Action campaign to encourage caregivers to reflect authentic expressions of Jean Watson's Caring Science in their daily practice and within their medical center.
This document is a paper written by Joseph Di Genova for a nursing leadership class at California Baptist University. It discusses key aspects of becoming a nurse, including subscribing to a nursing philosophy, the goals and values of nursing as a profession, comprehensive patient care, and humanbecoming theory. It also covers the author's views on nursing, leadership, and how nursing school has helped them grow. The conclusion reiterates the author's passion for nursing and gratitude for their education.
The author outlines their philosophy of nursing in three parts: who/what is calling them to nursing, why they feel called to nursing, and how they respond to the call. They see God and the Bible as the ultimate call to nursing, citing a passage about loving God and others. This changed their view of nursing from helping people for themselves to loving people as God loves. The need for nursing care is great due to suffering in the world, and nurses continue God's work of healing and compassion as Jesus did. In responding to the call, nurses must balance personal values with caring for others using skills, compassion, and morality as outlined in nursing codes of ethics. The author strives to achieve excellence in nursing while learning from mistakes
The document provides an overview of the history and development of nursing as a profession. It begins with definitions of nursing from ICN and ANA. It then discusses important dates and people in the history of nursing, including Florence Nightingale establishing the first nursing school. The document also summarizes nursing code of ethics from ICN and ANA and key concepts like autonomy, accountability, assertiveness and visibility in nursing.
The document is a nursing student's philosophy paper. It discusses the student's passion for nursing, especially in critical care settings. The student's philosophy is to treat others with kindness and compassion. The paper also examines several nursing theories that influence the student's approach, such as humanbecoming theory, advocating for patient-centered care. The student believes their calling is to serve as the hands and feet of God by caring for patients holistically through difficult times.
Providence Sacred Heart Medical Center and Deaconess Medical Center are two hospitals in Spokane, Washington. While they have different founding dates, missions, and ownership structures, they both provide extensive healthcare services to the region. They offer similar programs and services like trauma care, medical clinics, and air ambulance transport. Their goals are aligned through a shared focus on caring for patients and their communities. Both hospitals work to continually improve healthcare through innovation, education, and complying with regulatory standards.
The document outlines the author's personal nursing philosophy, which is based on their experience serving in the U.S. Marine Corps. The author discusses how their military experience taught them valuable traits like mastering their craft, integrity, initiative, leadership, and accomplishing missions. They view the hospital as the new battlefield and view caring for ill patients as fighting for those who cannot care for themselves. The author's philosophy is also aligned with nursing theorists Hildegard Peplau and her emphasis on the nurse-patient relationship, as well as Virginia Henderson and her focus on increasing patient independence. The author's goals are to begin their nursing career and obtain a BSN and eventually pursue a doctorate in nursing to become a CRNA so
Nova Health Patient-Centric Culture Code Kristine Rice
The Nova Health patient-centric culture code is the convergence of our patients’ needs and our staffs’ deep-rooted desire to help care for our patients and each other.
Palliative Care Advance Care Planning A Collaborative ApproachSheldon Lewin
The document discusses the roles of various healthcare professionals in palliative care and advance care planning. It outlines 5 components of advance care planning including patient options, prognosis, pain management, patient/family treatment decisions, and spiritual needs assessment. It then describes the specific roles of social workers, nurses, chaplains, and case managers which include assessing psychosocial needs, providing education and support, facilitating advance care planning discussions, and coordinating referrals to home health or hospice.
Julie Kenney developed her personal philosophy of nursing based on her clinical experience, personal growth, and the theories of esteemed nursing theorists like Jean Watson and Imogene King. She believes that caring is the most important factor in nursing and influences other ideals like knowledge and skills. Watson's Philosophy and Science of Caring supports her view that caring creates positive effects and fosters trust and hope. King's Theory of Goal Attainment emphasizes the importance of communication, goal setting, and working towards goals, which allows patients to improve their health while building rapport. Kenney thrives in environments that promote respect, dedication, community, and integrity, as exemplified by her recent clinical experience at Tucson Medical Center.
Kayla Bigbee outlines her nursing philosophy in this paper. She defines nursing as a holistic profession focused on meeting patients' physical, emotional, spiritual and mental needs. Biblical principles like demonstrating God's love through compassionate care influence her approach. The humanbecoming theory teaches her to see patients as experts and establish trust. Her experiences in nursing school and with patients in clinicals have shaped her identity as a caring nurse committed to critical care. She has become more confident, motivated and passionate about nursing through overcoming struggles in her program.
This document provides a summary of the author's nursing philosophy. It discusses that nursing aims to glorify God by caring for patients as images of God and working towards their health and community. The author believes in caring for patients' physical, emotional and spiritual needs through compassionate presence and hope. While patients have autonomy, health is ultimately determined by God. The author aims to learn from patients and be the best nurse possible while acknowledging their humanness.
This document discusses the author's personal nursing philosophy which focuses on providing comfort to patients. The philosophy is informed by Kolcaba's Comfort Theory, which defines comfort as occurring through relief, ease, or transcendence in physical, psychospiritual, environmental, and sociocultural contexts. The author believes in being honest with patients while still providing comfort, and advocating for patients who cannot speak for themselves. Kolcaba's theory fits with the philosophy by allowing the author to address patient needs in holistic ways.
My personal philosophy on nursing. Every nurse views the profession as something different based on their own personal philosophies, so I'm glad I can share this!
1. The document discusses the author's roles as a nurse, educator, daughter, mother, and friend, and how each role helps shape who she is and influences the others.
2. Nursing and teaching are callings that require passion and caring for others. The author's life experiences outside of her professional roles enhance her nursing knowledge and allow her to see patients through a caring lens.
3. The author believes in continually learning and improving her practice through formal education, reading, and learning from her students in a reciprocal relationship.
The document discusses the author Cynthia Lee's philosophy of nursing, which emphasizes compassion, honesty, and respect. She believes these qualities are necessary to provide excellent patient care and treat each person as an individual rather than just a diagnosis. Compassion involves empathizing with patients and considering their physical, social, and mental wellbeing. Honesty builds trust between nurses and patients. Respect means treating patients with dignity, involving them in their care, and understanding their culture and beliefs. With these qualities, nurses can create an environment that optimizes patient health.
This document is the author's nursing philosophy paper. It discusses the author's views on caring, definitions of nursing, assumptions in nursing practice, and principles for practice. The key points are:
1) The author's views on caring have evolved to incorporate treating patients with honesty, building relationships, and remembering what it is like to be a patient.
2) The author agrees with the American Nursing Association and Sentara hospital definitions of nursing which emphasize health promotion, building relationships, evidence-based practice, and patient education.
3) The author discusses assumptions around caring for culturally diverse patients, the role of community in health, and relationships with other healthcare professionals.
4) The author's principles focus
The document summarizes an ACPE conference on staff chaplain career advancement. It discusses:
1) Two facilitators for the conference on staff chaplain leadership and growth.
2) Models of staff chaplain roles from various healthcare organizations, including opportunities for specialization, management, and fellowship programs.
3) Challenges for staff chaplain career progression and a proposal to form a task force to further discuss models and next steps.
This document outlines the author's personal philosophy and vision for nursing. It discusses the core values that form the basis of the author's approach, which include quality and safety, respect, advocacy, empowerment, and open communication. The focus of the vision is unconditional patient-centered care tailored to individual needs. The philosophy of caring is also discussed, with an emphasis on quality, safety, cultural sensitivity, respecting patient rights and needs, and developing empathetic relationships through open communication.
This philosophy paper discusses the author's views on nursing after completing her nursing program. She begins by defining nursing as caring for patients' health and well-being through physical and mental interventions based on evidence. As a new nurse, she plans to observe experienced nurses and build her skills and confidence through a nursing residency program. The author was influenced by the Humanbecoming Theory taught in her program, which views health holistically from the patient's perspective. Biblically, she believes nurses should treat all patients with compassion regardless of personal views. While still developing her skills, she aims to become an approachable leader who improves patient care through relationship-building and developing her staff. The nursing program helped her grow professionally and personally by improving
The document outlines the Theory of Nursing as Caring, which presents a model for transforming nursing practice. Some key points of the theory are:
- It is based on 6 major assumptions including that all persons are caring by virtue of their humanness and personhood is enhanced through caring relationships.
- Central concepts are caring, authentic presence, and viewing the person as whole and complete. The focus of nursing is nurturing persons' caring.
- In the nursing situation, the nurse attends to calls for caring from the patient through caring responses to enhance their personhood. This includes offering a direct invitation to understand what matters most to the patient.
- Through authentic presence and intentionality, the nurse comes to know
Un navegador web permite a los usuarios acceder e interactuar con información en internet. Un servidor web almacena esta información y la entrega a los navegadores web a pedido. Mientras que los navegadores web son utilizados por los usuarios finales para ver páginas web, los servidores web almacenan las páginas y otros archivos en un servidor y los envían a los navegadores web cuando se solicitan.
This document discusses text processing and wrapper classes in Java. It covers wrapper classes for primitive data types like int and double. Character testing and conversion using the Character class is described. Methods of the String and StringBuilder classes for string manipulation are outlined, including searching, extracting substrings, and modifying strings. The StringTokenizer class is introduced for tokenizing strings into tokens based on delimiters.
The author outlines their philosophy of nursing in three parts: who/what is calling them to nursing, why they feel called to nursing, and how they respond to the call. They see God and the Bible as the ultimate call to nursing, citing a passage about loving God and others. This changed their view of nursing from helping people for themselves to loving people as God loves. The need for nursing care is great due to suffering in the world, and nurses continue God's work of healing and compassion as Jesus did. In responding to the call, nurses must balance personal values with caring for others using skills, compassion, and morality as outlined in nursing codes of ethics. The author strives to achieve excellence in nursing while learning from mistakes
The document provides an overview of the history and development of nursing as a profession. It begins with definitions of nursing from ICN and ANA. It then discusses important dates and people in the history of nursing, including Florence Nightingale establishing the first nursing school. The document also summarizes nursing code of ethics from ICN and ANA and key concepts like autonomy, accountability, assertiveness and visibility in nursing.
The document is a nursing student's philosophy paper. It discusses the student's passion for nursing, especially in critical care settings. The student's philosophy is to treat others with kindness and compassion. The paper also examines several nursing theories that influence the student's approach, such as humanbecoming theory, advocating for patient-centered care. The student believes their calling is to serve as the hands and feet of God by caring for patients holistically through difficult times.
Providence Sacred Heart Medical Center and Deaconess Medical Center are two hospitals in Spokane, Washington. While they have different founding dates, missions, and ownership structures, they both provide extensive healthcare services to the region. They offer similar programs and services like trauma care, medical clinics, and air ambulance transport. Their goals are aligned through a shared focus on caring for patients and their communities. Both hospitals work to continually improve healthcare through innovation, education, and complying with regulatory standards.
The document outlines the author's personal nursing philosophy, which is based on their experience serving in the U.S. Marine Corps. The author discusses how their military experience taught them valuable traits like mastering their craft, integrity, initiative, leadership, and accomplishing missions. They view the hospital as the new battlefield and view caring for ill patients as fighting for those who cannot care for themselves. The author's philosophy is also aligned with nursing theorists Hildegard Peplau and her emphasis on the nurse-patient relationship, as well as Virginia Henderson and her focus on increasing patient independence. The author's goals are to begin their nursing career and obtain a BSN and eventually pursue a doctorate in nursing to become a CRNA so
Nova Health Patient-Centric Culture Code Kristine Rice
The Nova Health patient-centric culture code is the convergence of our patients’ needs and our staffs’ deep-rooted desire to help care for our patients and each other.
Palliative Care Advance Care Planning A Collaborative ApproachSheldon Lewin
The document discusses the roles of various healthcare professionals in palliative care and advance care planning. It outlines 5 components of advance care planning including patient options, prognosis, pain management, patient/family treatment decisions, and spiritual needs assessment. It then describes the specific roles of social workers, nurses, chaplains, and case managers which include assessing psychosocial needs, providing education and support, facilitating advance care planning discussions, and coordinating referrals to home health or hospice.
Julie Kenney developed her personal philosophy of nursing based on her clinical experience, personal growth, and the theories of esteemed nursing theorists like Jean Watson and Imogene King. She believes that caring is the most important factor in nursing and influences other ideals like knowledge and skills. Watson's Philosophy and Science of Caring supports her view that caring creates positive effects and fosters trust and hope. King's Theory of Goal Attainment emphasizes the importance of communication, goal setting, and working towards goals, which allows patients to improve their health while building rapport. Kenney thrives in environments that promote respect, dedication, community, and integrity, as exemplified by her recent clinical experience at Tucson Medical Center.
Kayla Bigbee outlines her nursing philosophy in this paper. She defines nursing as a holistic profession focused on meeting patients' physical, emotional, spiritual and mental needs. Biblical principles like demonstrating God's love through compassionate care influence her approach. The humanbecoming theory teaches her to see patients as experts and establish trust. Her experiences in nursing school and with patients in clinicals have shaped her identity as a caring nurse committed to critical care. She has become more confident, motivated and passionate about nursing through overcoming struggles in her program.
This document provides a summary of the author's nursing philosophy. It discusses that nursing aims to glorify God by caring for patients as images of God and working towards their health and community. The author believes in caring for patients' physical, emotional and spiritual needs through compassionate presence and hope. While patients have autonomy, health is ultimately determined by God. The author aims to learn from patients and be the best nurse possible while acknowledging their humanness.
This document discusses the author's personal nursing philosophy which focuses on providing comfort to patients. The philosophy is informed by Kolcaba's Comfort Theory, which defines comfort as occurring through relief, ease, or transcendence in physical, psychospiritual, environmental, and sociocultural contexts. The author believes in being honest with patients while still providing comfort, and advocating for patients who cannot speak for themselves. Kolcaba's theory fits with the philosophy by allowing the author to address patient needs in holistic ways.
My personal philosophy on nursing. Every nurse views the profession as something different based on their own personal philosophies, so I'm glad I can share this!
1. The document discusses the author's roles as a nurse, educator, daughter, mother, and friend, and how each role helps shape who she is and influences the others.
2. Nursing and teaching are callings that require passion and caring for others. The author's life experiences outside of her professional roles enhance her nursing knowledge and allow her to see patients through a caring lens.
3. The author believes in continually learning and improving her practice through formal education, reading, and learning from her students in a reciprocal relationship.
The document discusses the author Cynthia Lee's philosophy of nursing, which emphasizes compassion, honesty, and respect. She believes these qualities are necessary to provide excellent patient care and treat each person as an individual rather than just a diagnosis. Compassion involves empathizing with patients and considering their physical, social, and mental wellbeing. Honesty builds trust between nurses and patients. Respect means treating patients with dignity, involving them in their care, and understanding their culture and beliefs. With these qualities, nurses can create an environment that optimizes patient health.
This document is the author's nursing philosophy paper. It discusses the author's views on caring, definitions of nursing, assumptions in nursing practice, and principles for practice. The key points are:
1) The author's views on caring have evolved to incorporate treating patients with honesty, building relationships, and remembering what it is like to be a patient.
2) The author agrees with the American Nursing Association and Sentara hospital definitions of nursing which emphasize health promotion, building relationships, evidence-based practice, and patient education.
3) The author discusses assumptions around caring for culturally diverse patients, the role of community in health, and relationships with other healthcare professionals.
4) The author's principles focus
The document summarizes an ACPE conference on staff chaplain career advancement. It discusses:
1) Two facilitators for the conference on staff chaplain leadership and growth.
2) Models of staff chaplain roles from various healthcare organizations, including opportunities for specialization, management, and fellowship programs.
3) Challenges for staff chaplain career progression and a proposal to form a task force to further discuss models and next steps.
This document outlines the author's personal philosophy and vision for nursing. It discusses the core values that form the basis of the author's approach, which include quality and safety, respect, advocacy, empowerment, and open communication. The focus of the vision is unconditional patient-centered care tailored to individual needs. The philosophy of caring is also discussed, with an emphasis on quality, safety, cultural sensitivity, respecting patient rights and needs, and developing empathetic relationships through open communication.
This philosophy paper discusses the author's views on nursing after completing her nursing program. She begins by defining nursing as caring for patients' health and well-being through physical and mental interventions based on evidence. As a new nurse, she plans to observe experienced nurses and build her skills and confidence through a nursing residency program. The author was influenced by the Humanbecoming Theory taught in her program, which views health holistically from the patient's perspective. Biblically, she believes nurses should treat all patients with compassion regardless of personal views. While still developing her skills, she aims to become an approachable leader who improves patient care through relationship-building and developing her staff. The nursing program helped her grow professionally and personally by improving
The document outlines the Theory of Nursing as Caring, which presents a model for transforming nursing practice. Some key points of the theory are:
- It is based on 6 major assumptions including that all persons are caring by virtue of their humanness and personhood is enhanced through caring relationships.
- Central concepts are caring, authentic presence, and viewing the person as whole and complete. The focus of nursing is nurturing persons' caring.
- In the nursing situation, the nurse attends to calls for caring from the patient through caring responses to enhance their personhood. This includes offering a direct invitation to understand what matters most to the patient.
- Through authentic presence and intentionality, the nurse comes to know
Un navegador web permite a los usuarios acceder e interactuar con información en internet. Un servidor web almacena esta información y la entrega a los navegadores web a pedido. Mientras que los navegadores web son utilizados por los usuarios finales para ver páginas web, los servidores web almacenan las páginas y otros archivos en un servidor y los envían a los navegadores web cuando se solicitan.
This document discusses text processing and wrapper classes in Java. It covers wrapper classes for primitive data types like int and double. Character testing and conversion using the Character class is described. Methods of the String and StringBuilder classes for string manipulation are outlined, including searching, extracting substrings, and modifying strings. The StringTokenizer class is introduced for tokenizing strings into tokens based on delimiters.
The document discusses the benefits of meditation for reducing stress and anxiety. Regular meditation practice can help calm the mind and body by lowering heart rate and blood pressure. Making meditation a part of a daily routine, even if just 10-15 minutes per day, can offer improvements to mood, focus, and overall feelings of well-being over time.
This document provides information on 8 tile product types with product codes SGB-001 through SGB-008. Each tile listing includes the product size, installed exposure, coverage area, sheets per square meter, weight, and packing details. Additional sections provide a color chart, descriptions of accessories, roof structures, and installation instructions. Contact information is provided to reach Allen for more details.
This document provides a template for conducting a risk assessment for film production activities. It includes examples of potential hazards to consider for different scenes, who may be harmed, what property could be damaged, existing risk controls, risk assessment levels, and further actions needed. A risk assessment chart is also included to define the risk assessment levels from extreme to low based on the likelihood and consequences of each hazard.
Martika Hall wrote an article on December 1st, 2015 about flying through Heathrow Terminal 2 with Star Alliance. Terminal 2 at Heathrow Airport is used by many Star Alliance member airlines. The article provides details about the terminal and what travelers can expect when flying through it on a Star Alliance carrier.
Warren Frehse article - Geelong Advertiser 8 Nov 08Warren Frehse
This document provides advice on how to survive being made redundant from a job. It outlines 9 key steps to take including not taking the redundancy personally, understanding the emotional rollercoaster, using the time to better know yourself, getting support from others, ensuring your finances are in order, targeting the right employers, bouncing back from rejections, negotiating job offers effectively, and beginning new roles with enthusiasm.
The document discusses the "Efruzhu Cancer Carcinogenesis Theory" which proposes that cancer development is problematic and chaotic, affecting intracellular nuclear and nuclear membrane structures, cytoplasmic organelles, metabolic functions, cell membranes and their dynamics. All of these cellular components and processes are problematic according to the theory.
JLL’s Naveen Jaggi shares at the ICSC Caribbean Conference why investors looking for a long-term strategy may want to look towards Puerto Rico, despite dire media reports claiming that the country’s debt situation is spiraling out of control.
With more than 36 percent of the nation’s debt not actually guaranteed and instead tied to tax collection, which pales in comparison to Greece (five times higher) and the European Union (roughly 50 percent higher), the island nation only has a 69 percent debt-to-GDP ratio, which is significantly less than several troubled European nations, including Italy (131 percent) and Portugal (133 percent).
For more information, please contact Andy Carlson (Andy.Carlson@am.jll.com).
Este documento es una factura de la compañía de telecomunicaciones CNT EP. Detalla los servicios y cargos por un plan de telefonía contratado por Alvaro Daniel Zúñiga Cacierro del 23 de julio al 22 de agosto de 2015. La factura debe pagarse antes del 22 de septiembre para evitar la suspensión del servicio. El total a pagar es de 226.81 dólares.
Jasmin Jenkins embarked on a 12-month journey of personal and professional mastery in new media journalism. She took courses each month to strengthen her skills in areas like leadership, communication, research, law, and multimedia. Her goals were to understand her strengths and weaknesses, gain expertise in digital media, and become a skilled storyteller. Through tactics like reading books, contacting industry professionals, and researching masters in the field, Jenkins enhanced her abilities and explored innovative approaches. Upon completing her final project, Jenkins had achieved her aim of rounding out her skills for a successful career in evolving media environments.
The Nobel Prize is awarded annually for achievements in physics, chemistry, physiology or medicine, literature, and peace. The prizes were first awarded in 1901 in accordance with Alfred Nobel's will. The 1901 prizes in physiology or medicine were awarded to Emil von Behring for his work on diphtheria antitoxin and Paul Ehrlich for his work on immunity and chemotherapy. Subsequent prizes have been awarded for major advances in understanding the immune system, including discoveries of monoclonal antibodies, the major histocompatibility complex, immune tolerance, and the roles of dendritic cells and innate immunity.
Milestone Selling is a leadership tool for B2B growth.
Our customers motivate sales people by adding instant gratification to long sales cycles.
Sales people find reporting fun, they no longer base their forecasts on luck and they seal more deals.
Mapa Conceptual datos información sistema programaAR Marotta
El documento describe los conceptos clave de un sistema de información, incluyendo datos, información, programas y software. Los datos representan información que puede procesarse y almacenarse para convertirse en conocimiento útil. Los programas son conjuntos de instrucciones que permiten que las computadoras realicen tareas específicas. Juntos, los datos, la información, los programas y el software forman los sistemas de información que son cruciales para las organizaciones modernas.
This document discusses the Care Makers program, which was created after the 2012 Olympics and Paralympics to continue promoting compassionate care in the UK healthcare system. It introduces two Care Makers, Joan Pons Laplana and Rose North, and outlines the role of Care Makers as champions of the six "Cs" (care, compassion, courage, communication, commitment, and courage). It provides testimonials from Care Makers about the impact of the program and opportunities it has provided, such as speaking at conferences, promoting compassionate values as a student, and integrating the six Cs into the nursing curriculum. The document reports that in the first 12 months, Care Makers documented over 400 examples of putting the six Cs into
The document outlines the author's nursing philosophy which is based on caring for people through compassion, honesty, and respect. The philosophy discusses the four main concepts in nursing: person/human being as the recipient of care; environment as the place where nurse-patient interaction occurs; health as a state of well-being physically, emotionally, psychologically and spiritually; and nursing as providing autonomous and collaborative care. The author believes nursing involves gaining knowledge, being understanding of patients, and creating a comfortable care environment to help patients achieve wellness.
The author discusses their personal nursing philosophy which has evolved to incorporate a holistic view of patients. The author believes nursing should consider a patient's spiritual, socio-cultural, and physical needs to set appropriate health goals. The author has also learned the importance of teamwork and decision making in the nursing process. Their vision is to provide holistic and respectful care for all patients as unique individuals.
Haidee G. Curiba outlines her nursing philosophy which focuses on holistic, compassionate care for patients and their families. She believes in lifelong learning to improve her skills and knowledge as a nurse. As a nurse in the delivery room, she builds trust with patients and supports them physically and emotionally during childbirth. Her philosophy is guided by the four meta-paradigms of nursing: person, environment, health, and nursing. She aims to provide high quality, whole-person care that considers patients' lives and communities.
The document discusses the experience of a student nurse serving as the charge nurse for a clinical day. It was very different than just caring for assigned patients as it involved responsibility for all patients and students on the floor. As charge nurse, familiarization with most patients and being available to assist was required. It also required patience, knowledge of everything happening in the unit, rounding in each room, and helping students learn. Effectively communicating with the team was important as the charge nurse.
HEALTH AND NURSING SERCICE ADMINISTRATION.pptxjummaiwennie1
Nursing has evolved significantly from 60 years ago and will continue to change in the next 60 years. Nursing developed from apprenticeship to a unique profession based on its own body of knowledge gained through research. Contemporary nursing fulfills 8 criteria of a profession: it provides essential services; utilizes a specialized body of knowledge; involves intellectual activities and accountability; requires university education; allows relative independence and autonomy; is motivated by altruism; follows a code of ethics; and has organizations that support high standards. A hospital nursing department recognizes its role is to provide high-quality, cost-effective care by promoting health, maintaining an educational environment, and allowing career development while respecting all individuals.
This document provides an overview of nursing at CHI Memorial hospital in 2014. It discusses that 2014 was another great year for nursing with a focus on providing safe, reliable patient care. It highlights that CHI Memorial met many quality goals and continues to improve in other areas. The document introduces the nursing leadership team and describes the nursing strategic plan's focus on people, stewardship/growth, community, and quality. It also provides examples of new knowledge, innovations, and nursing research from 2014.
The document provides an overview of nursing professionalism including its definition, factors that enhance it, and accountability within the profession. It discusses Florence Nightingale's contributions to establishing nursing as a profession and modernizing healthcare. It also summarizes the results of a survey given to nurses at a hospital which asked them to identify characteristics of professionalism. The top responses included knowledge, competence, integrity, and appearance.
The document discusses the importance of communication skills in nursing. It states that communication allows nurses to understand patients' needs, provide appropriate care, and ensure safe nursing practices. It also discusses the nurse's responsibility to communicate effectively with other medical professionals by providing detailed patient information and diagnoses. The document emphasizes that good communication is essential for nurses to do their jobs well and achieve the best health outcomes for patients. It cites sources saying communication is a critical component of safe and reliable nursing.
What do nurse leaders need to know working with Indigenous communitiesgriehl
This document provides information for nurse leaders working with Indigenous communities. It discusses the importance of recognizing different worldviews and Indigenous leadership structures. It also outlines principles for being an effective ally, including recognizing one's own privilege, focusing on action over identity, and allowing Indigenous communities to decide who is an ally. The document emphasizes collaboration, communication, respect, and being community-guided in one's work.
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What do nurse leaders need to know working with Indigenous communities
Essay-LeNae Pastoral Care Sept 2015
1. Challenges for chaplains in modern healthcare
I have beeninthe pastoral care realmsince 1990. I am definedasa chaplain.Istruggle withthe
definitionof true spirituality,mostlybecause there are somanythingssurroundingthe givingof pure
pastoral care that conflictwithmyabilitytogive itthe wayI wishI could. Employedchaplainsmust
operate withinthe confinesof the Institutionsexpectations.Theymustsupportthe hospital,physicians,
staff,familyandmostimportantly,the patient.
First,I am a championforthe patient.All thingsrelatedtohonesty,dignity,qualityof life andin
honoringa patients’wishesevenwhenIdon’tagree withthose wishes.
I findmynurse colleaguestobe amazingandkind-hearted,quietbrillianthumanbeings;peoplewhofor
the most part understoodyoungthattheyneededacareer;a wayto make a livingandbecause of their
personal drive,understoodthatsoonerwasbetterthanlater.Ittookme muchlongerto understand
whatcourse I wasdestinedto take.Ilivedina mouse maze forsome twelve yearstryingtofindmyway
out.
Some of the finestphysiciansare myprivilege toknow andassociate with.There are nosuperiority
issues;we workside byside toachieve acommongoal.As theycome to know whatpastoral care is all
about,we developamutual trust and deal withdifficultmedical conditionsthatpatientsandtheir
familiesface;doctorscaringforthe medical andchaplainscaringforthe soul.Sometimesourpaths
merge ina delicate dance byhelpingpatientsandfamiliestounderstandfutile treatmentsorwhenitis
time to move tocomfortcare. Theytrust me to discussadvance directivesindetail,eachexperience
beingone of teachingsothe patientcan make educateddecisions.
I became involvedinthe care of stillbornbabieswhenIwitnessedalackof trainingof staff to deal with
these complex emotional andlossissuesbutalsoincaringforthe tinybabiesthemselves.The major
issue surroundedkeepingabodydignifiedtogive parentstime tosayhellototheirchildbefore saying
goodbye.A standardof care beganto emerge amonghospitalstoraise the bar withrespecttothese
situations.Asismystandard (withthe help,trustandsupport of the Women’scenterdirectorsatmy
twohospitals) Idevelopedapremierprogramforsuchlossesbyeducationthrough RSTBereavement,
PLIDA and local funeral homes.Patientsstillgohome withbrokenhearts,butmostcommentthatthey
couldnot have walkedthroughthe experience withoutthe gentleguidance,experience,counselingand
emotional supportthatwasofferedbythe chaplain.
A fine priestbythe name of FatherHenry Piacatelli helpedtodevelopProfessional Pastoral Care training
inthe sixtiesandseventies.He presentedasgruff,especially duringthe nightatthe bedside of apatient,
but latercommentedthatwhenhe haddone hispriestlyduties,itwashispleasure tohandthe family
overto myself,andhe indicatedthattrust.Hiseffortsshouldhave snow balledintoathriving
community of spiritual caregiverscarryingonthe emotional supportprevalentinthe churchowned
hospitalsthroughoutthe country.
2. Unfortunatelyashiftoccurred.Hospitalsencounteredfinancial constraintsdue toregulationsand
insurance demands.The churchessoldoff the hospitalstocorporations.Whatusedtobe a concerted
efforttoprovide a full spectrum of patientcare thatincludedemotional andspiritual healing evolved
intostrictlymedical treatment. Some hospitalsthathadmanagerswhowere familiarwiththe needfor
spiritualityinhealingcontinuedthispractice anddevelopedthrivingpastoral care programs.These
evolvedintohighlyproficientclinical pastoral trainingprogramsthroughthisorganizationknownasthe
AssociationforClinical PastoralCare.A certificationmovementgrew intothe AssociationforPastoral
Care.
Today,chaplainsstruggle tomaintainpresence inhospitals. Hospitalsare requiredtoofferspiritual care
serviceshowevermaychoose tohave thiscare providedbynurses,physicians,social workers,
volunteersandsome providethe servicesof paidchaplains;the onlyonesqualifiedandtrainedforthat
purpose. CMSand Medicare require spiritual care tobe providedforhospice patients.Theystopshortof
givinganyprofessionalrequirementsforsuchcare and counseling. Hospiceswhoare untrainedinturn
hire untrainedclergy,returnedmissionariesorfamilytoserve the spiritual needsof theirflock.There
are often noprovisionstoprovide forthe diversespiritual andcultural concernspatientsface withinthe
wallsof hospitals either.
Nursingschools suchat the Universityof Utah have takenoverthe complex grief issuesencountered
whena lovedone dies.Social workstudentsvolunteertime toconductgrief support groups while
learningfromthe participants.Theyhave little experience withthe actual deathprocessandsometimes
horrificeventssurroundingdeathorinwalkingthe familiesthroughthiscrisis.Theirownexperiences
are whattheybringto the table.There isno invitationtochaplains,(whowalkthe familythroughthe
lossat the hospital) toparticipate infacilitatingthesegroupsandvalidatingthe lossexperience. Myself
and a handful of chaplainshave soughtprofessionaltrainingtoconductstructuredgrief supportgroups
throughthe AmericanCancerSocietyinSan Antonio,Texasknownas‘Life AfterLoss’. Manyof those
personsattendingthese groupshave alsobeenservedbyourchaplainsduringtheirhourof need.
ParticularlyinUtah,good andecumenical pastoral caregiversare the onesministeringquietlytoa
grievingwidow orfamily.Theirrole isoftenmisunderstoodbypractitioners,patientfamiliesand
administrators.Because chaplainsare considerednon-income producingdepartmentswithinthe
hospital, theirvalue remainsunrecognizedwhiletheyvirtuallycare forpatientsineveryincome-
producingdepartment.
The chaplainisoftenthe firstpersonto recognize ordetectanissue with the care of the patientand
solve the problemlongbeforedischarge. Theydevelopatrustingrelationshipwiththe familyinthe
EmergencyDepartmentandcarry that presence throughthe entire admission.Hospitalsthatactually
budgetforpastoral care servicesexpect24hour coverage everyday.Chaplainsare compensatedfairly
for that coverage butare oftenshortstaffedinan alreadystressful andemotional role.Noone physician
or nurse isrequiredtorespondtoeach crisis,deathor stillbirthinthe facilitysuchasthe chaplain.This
day andnightcoverage leadstoburn-outand highturnover.Notrainingcanprepare a professional
enoughforeverycrisisthatis encountered. Imaginesendinginanadvocate whohashad eighthoursto
a full weekendof trainingwhoisexpectedtohelpfamiliesthroughcrisis;yetthishappenhundredsof
3. timesinhospitalsandhospiceseveryday. Thishappensbecause the skillsof the chaplainare
unrecognizedandundervalued.
PublicPerception leadspeopletoassume thatchaplainsare volunteers. Due tothe religious
environmentinthe state of Utah and the fact that much of the publicisunfamiliarwiththe following
terms;chaplain,pastoral caregiverand spiritual caregiver,peopleassume chaplainsmustnotbe of their
faithalthoughmanyare.Those whoare opento the servicesof the chaplainare pleasantlysurprisedat
the amountof support,advocacyand compassionthe chaplainprovides.Educatingthe publicisan
ongoingprocessof acceptance throughexperience. Trainedchaplainsbecome expertsatthe spiritual
needsof personsfrommultiplefaithsandcultures.Theyare taughttocare for everyone regardlessof
theirfaithpreferences.Untrainedspiritual caregiversfall seriouslyshortof sucheducationandlower
the standard of expectations inspiritual care.Thiscreatesalack of trust and leadstoseriousmistakes
withvulnerablepatientsandtheirfamilies.
The complex issuesencounteredbyachaplaininthe hospital couldneverbe professionallyand
efficientlyhandledbysomeone withnomedical terminology orpastoral training.Professionalchaplains
are educatedatthe Master’s level andbeyondwithanadditional internshipof 1600 hoursinClinical
Pastoral Education.Noone personshouldrefertothemselvesasa chaplainwithoutthe professional
trainingrequired.Thisleadstoa lessthanprofessionalopinionof chaplainswhensomeone withno
professionaltrainingtakesthistitle.The misconceptionbegsme toaskthe question;“Whendidyou
hearof a volunteersocial worker?”Chaplainsmustbe responsible toafaithgroupbut are educatedto
be ecumenical andserve all faithsof personswithinthe hospital. If theyoffersuperiorpastoral care,
theycan supporta patientor familywithoutreligiousaffiliationbecomingabarriertospiritual support.
The future of pastoral care serviceswithinthe healthcare facilitiesisfragile,asbudgetaryconstraints
continue toforce hospitalstocut costs.The coststo the lossof spiritual supportare significant.A recent
surveymentionsthat 69% of patientsdesire spiritual supportwhile inthe hospital.Sadly,one chaplainis
typicallyassignedtoupto two hundredpatients,anumberthat is fourtimesthe recommendednumber
suggestedbythe Associationof Pastoral Care.Thismeansthatunlesspatientsrequestachaplain
specifically,the oddsare againstreceivingavisitduringtheirstay.Chaplainsmusttriage theirdaywith
the most urgentcasestakingpriority.The average chaplainmayonlysee tenpatientseachdayif there
are no ongoingcrisesordeaths.A chaplaincan expecttentotwentyfourdeathsinmonths’time andan
average of three to fourstillbirthsdependingonthe acuityof the patientpopulationandthe time of
year.
Nursesare increasinglyexpectedtoprovide emotional supporttofamiliesandpatientswhoare acutely
ill.Theyare not preparedtofill thisrole andoftenrequire the servicesof the chaplainwhentheirfirst
fewpatientsare facingendof life andpassaway.Nursesare taught the intricate detailsof medication
administrationandclinicalpatientcare.Theyoftenfeel ill preparedtosortout complex rolesandissues
that become a barrierto honoringpatientwishes.Theyare grateful tohandthese familiesovertothe
pastoral caregiversforvalidationand supportwhile theycare forthe patient.Toexpectthemtosolve
familyissuesisbeyondtheirscope of practice. Byofferinglisteningsupport,chaplainscansee thatall
familymembersfeel heardandhave achance to expresstheirwishes. Withtheirtraining,theycanalso
4. discoverthe boundariesinwhichfamilysystemsoperatethatpreventthemfromhonoringapatients
expressedwishes.
It ismy sincere desire tohelpthose involvedinmedical financial budgetingandforthose governmental
officialsinvolvedinpolicyregardingqualitypatientcare tounderstandthe trainingandrole of
professionalchaplains.Specifically,the professional requirementsfor those providingspiritualand
emotional care tothe most vulnerablemembersof oursocietyandpatientpopulation are myarea of
concern.Pastoral care isa necessityandhasbeendownthroughthe centuries.Itwasthe spiritual
caregivers,laypersonsandnunswhofirstcaredfor the sickand infirm.Onlymodernmedicine has
distancedthe spirituality fromthe healingprocess.
I wouldlike tosee higherrequirementsandlicensingforthose individualsseekingthe title of ‘Chaplain’
as a professional role.Because the educational andprofessional requirementsare vague itmakesit
unclearto administratorswhatvalue thisrole carriesinaprofessionalinstitution. Clearly,thosepersons
practicingspiritual care whodonot meetthese guidelinesshouldbe clearlygiventhe titleof volunteer
or spiritual care layperson.
At present,afamilyhasrequestedtomeetwithme inmakingdecisionsfortheir85year oldmother
whohas expressedherdesire todiscontinue aggressive measures.Withtheirexperience andtrustinthe
chaplainduringthishospital stay,theyhave askedthe chaplaintohelpthemsortthroughtheirissuesas
a familythatare creatingthe barrierto hearingherwishes.These are notskillsthatacouple of unitsof
pastoral care trainingcan develop,itwouldbe like expectingastudentnurse toautomaticallyknow how
to insertandplace a chest tube.Ittakesmaster’slevel education,fourunitsof qualitypastoral care and
the opportunitytopractice such skillsinasupervisedinternshipprogram.Additional experience ina
hospital isimperative.Thisleadsthe familytounderstandthat the hospital does care aboutthemand
theirlovedone.Theyfeelcared-forthemselvesandreturntothat institutionbecause of that
professionalsupport.
LeNae Peavey-Onstad
2015