Monday, January 27, 2020

Importance Of Professionalism In Healthcare Nursing Essay

Importance Of Professionalism In Healthcare Nursing Essay Nowadays, the word professionalism is a popular issue at the leading edge of entire healthcare professions especially in the field of physiotherapy. It is presently one of the primary areas of interest as physiotherapy progresses to Vision 2020. Vision 2020 is the American Physical Therapy Associations (APTA) established target for the future in 2020. Healthcare providers will be doctoral-level qualified, recognized by different healthcare specialists as well as patients, and will have maximum absolute access in each and every circumstances within their scope of practice in that year (APTA, 2011). Professionalism can be ascertained in several different ways and from various perspectives. According to the Dictionary of Occupational Titles, professionalism is defined as a proficiency of a clear and specific body of knowledge and contribution to that body of knowledge with an adherence to a distinct code of ethics which controls behavior via rigorous healthcare training (Dictionary of O ccupational Titles, 1991). The 7 main core values of professionalism in physiotherapy stated by the American Physical Therapy Association (APTA) are accountability, altruism, compassion/caring, excellence, integrity, professional duty and social responsibility as well (Swisher and Page, 2005). The relationship between healthcare professionals and patient is intended to be therapeutic in nature as the patient has a need for technical services from healthcare professionals and the healthcare professionals are the technical experts who are qualified to help the patient. The ability for healthcare professionals to maintain the level of professionalism is very important because this will give assurance to the patients that the healthcare professionals are in good hands. A healthcare professional should be able to supply a measure of support and the security of knowing what one is supposed to do (Brechin, Brown Eby, pp 149). A healthcare professional has to find ways of handling various situations which enable them to continue to provide health care. The patient who feels that the healthcare professional has been professional is comforted and assured is beneficial for the healthcare professional to gather sufficient information and the active participation of the patient. For example, making a wise decision and speaking firmly will give a good impression on the patient and their family members. It is also important that the medical professionals should use the language that can be easily understood as jargons may work perfectly well with professionals but not patients, thus creating confusion, incorrect cases and dissatisfaction in patient. Hence, professionalism can bring trust and confidence between the healthcare professionals and the patient. According to Miller-Keane Encyclopaedia Dictionary, the ethical norms, values, and principles that guide a profession and the ethics of decisions made within the profession are meant by professional ethics. Based on code of ethics adopted by American Physical Therapy Association (APTA), healthcare providers should be accountable in making professional judgments. This is well elaborated when a healthcare provider is thorough with professional standards, practicing up-to-date evidence-based practices, equipped with good practitioner experiences, performing within his level of expertise, valuing patients feelings, in demonstrating independent and objective judgments when clients participating fully in all practical settings together with good communication amongst interdisciplinary and multidisciplinary healthcare team. Legal and professional obligations should be fulfilled by healthcare providers. They should adhere themselves to applicable local, state, and federal laws and regulations. Those include having prior culpability in supervising assistants and supporting personnel, protecting clients personal information, providing notices upon termination of provider relationships to appropriate authority, and encourage colleagues in physical and psychological aspects when they hesitate to ask for assistance in professional practices. (Code of Ethics, 2010) It is mentioned in code of ethics that, healthcare providers shall enhance their expertise through professional behaviours. They should achieve and maintain professional competence in taking responsibilities for their professional development based on critical self-assessment and reflections especially on current changes of physiotherapy practices, education, healthcare delivery, and technology. They should evaluate applicability of updated evidence-based practices in pre, during, and post practice. They should cultivate lifelong learning and professional development. In professional ethical practice, healthcare providers should promote organizational behaviours that benefits patients and society. They should support autonomous and accountable professional judgments, not accepting gifts and other considerations that might influence a judgment, always being alert of documentation and coding for practice accuracy to avoid any complications, and prevent one from fulfilling professional obligations. The major attribute of professionalism is self-improvement. Research is one of the importance ways to improve themselves. This is because research is able to gain and widen the knowledge of the healthcare professional such as the latest interventions. Knowledge is essential for reasoning and decision making which are central to professional practice (Higg, Jones, 2000, p.24). Knowledge empowers the healthcare professional, increase their self-confidence, sense of mission and hope which is able to manage the untreatable illness (Blumenthal, 2011, pp.254-255). According to the Paul B (2005), knowledge, skills, and behaviour need to be achieved via self-improvement in order to improve the quality of care towards the patient. These ensure the better interaction between the healthcare professional and patients especially to avoid any misunderstandings. Self- awareness is a continuous process of noticing and exploring aspects of one self such as the psychosocial, physical and behavioural aspect with the intention of developing personal and interpersonal understanding (Burnard,2001,p.68). It is a very important skill and it has the ability to influence the healthcare professional. Self- awareness is significant as when they have a better understanding of themselves; they are able to make changes and hence strengthen every aspect of the healthcare professionals. This is a way to achieve the patient-centered care practice. In addition, the self-awareness is required from the healthcare professionals so to enable them to attune to patients and their experiences, concerns and interpretations of their illness. Thus, a close therapeutic relationship can be developed and sustained (Higg, Jones, 2000, p.30). Other than that, decision making for a healthcare professional is very important as there are many other alternative treatments, and as a healthcare provider, we need to choose the right treatment that has the highest probability of giving an effective treatment to the patients. Decision-making is a process of reducing any uncertainty and doubt to allow a healthcare provider to choose the best choice among them (Robert Harris, 2009). Decision-making could be influenced by several factors. These include: clinicians goals, psychosocial skills, based of knowledge and expertise, values and beliefs, strategies for problem solving and procedural skills. Patients characters influence the decision-making too. This closely associated with patients goals, values and beliefs, physical, education, psychosocial, and cultural factors and as well as environment factors such as clinical practice environment, overall resources, time, level of financial support and level of social support (OSullivan.B.S.,Schmitz.J.T., 2007,pg 3). Framework for a patient management is crucial for decision-making, as it assists to provide successful manifestation on healthcare provider plans. With a good planning ahead, an effective and efficient work could be carried out. Clear settings of aims and objectives, priorities, planning and evaluating work are those important aspects of management (Ewles.L.,Simnett.I., 2003, pg149). Effective treatment on the other hand plays important roles in the practice setting. The treatment given must be appropriate to the need of the patient and the members of the healthcare team (OSullivan.B.S.,Schmitz.J.T., 2007,pg 4). Evidence-based practice is also being emphasized upon decision making. A successful treatment can be accomplished with the evidence-based medical practice. Data collection and analyzing on qualitative or quantitative questionnaire are done as a form of evidence-based practice. Evidence-based clinical practices protect healthcare providers from discrimination and no research-b ased illegitimacy. Constant reflections and practitioners experiences provide a guideline for the healthcare professional in enhancement of service care through evidence-based clinical practices. (Ewles.L.,Simnett.I., 2003, pg 129). In a nutshell, a high standard of professionalism will benefit both healthcare providers as well as patients in the long run and it allows healthcare providers to experience a development in self-confidence together with reliability from patients, co-workers as well as most of appreciation from others (Gage, 2007). Professionalism is a fulfillment for all patients, no matter young or old. It also behooves healthcare providers to serve in a proficient manner at all times because it creates a positive effect on every single individuals involved in any circumstances. In other words, professionalism denominate the entire healthcare practices in aspects like communication and decision making by implementing the value itself onto the healthcare providers. Thus, it is essential for healthcare provider to be versatile and not to underestimate any one aspect of professionalism. (1399 words)

Sunday, January 19, 2020

Daniel Deronda Essay -- Essays Papers

Daniel Deronda Daniel Deronda, the final novel published by George Eliot, was also her most controversial. Most of Eliot’s prior novels dealt largely with provincial English life but in her final novel Eliot introduced a storyline for which she was both praised and disparaged. The novel deals not only with the coming of age of Gwendolyn Harleth, a young English woman, but also with Daniel Deronda’s discovery of his Jewish identity. Through characters like Mirah and Mordecai Cohen, Eliot depicts Jewish cultural identity in the Victorian period. Reaction to Daniel Deronda exposes the deeply embedded anti-semitism of the period. The story follows the tow main characters over the course of several years as they struggle with their own self discovery. The novel’s primary female character, Gwendolyn, is an essentially aloof figure that resists any genuine emotional connection. She enters into a union with Grandcourt in hopes of advancing herself socially but the resulting marriage is disastrous. Deronda, after saving young Mirah from suicide, is drawn into a Judaic community. Deronda eventually discovers his Jewish heritage and marries Mirah. The two move to Palestine in hopes of helping to establish a Jewish homeland there. Eliot was not ignorant of the risks she ran in writing a novel that placed a minority culture at its center. In a letter to Harriet Beecher Stowe Eliot described her aims in writing Daniel Deronda this way: There is nothing I should care more to do, if it Were possible than to rouse the imagination of Men and women to a vision of human claims in Those races of their fellow men who diff... ... a November 1876 letter to John Blackwood: This is what I wanted to do- to widen the English vision a little in that direction and let in a little conscience and refinement. I expected to excite more resistance of feeling than I have seen the signs of, but I did what I chose to do- not so well as I should have like to do it, but as well as I could.(qtd. in Haight, 304) Works Cited Ashton, Rosemary. George Eliot; A Life. New York: Penguin, 1996. Cave,Terence. Introduction. Daniel Deronda. By George Eliot. London: Penguin,1995. ix-xxxiii. Haight, Gordon. Ed. The George Eliot Letters Volume VI. London:Yale Univ.Press, 1955. Karl, Frederick R. George Eliot; Voice of a Century. New York: Norton & Co., 1995.

Saturday, January 11, 2020

Patents and Intellectual Property Essay

                    A patent is a set of rights given exclusively to an individual or firm by an independent nation to the inventor or discoverer for a given duration in exchange for detailed information on the details of the inventions or discovery (Foray 28). These set of rights are exclusive to the inventors thus acknowledging their contribution and get financial benefits. Inventions that can be patented are new products, processes of manufacturing, improvements to an existing product or process, new chemical compounds or compositions, or processes relating of an existing manufacturing process (Perelman n.p.). This form of intellectual property encourages the economic and technological development by rewarding intellectual creativity.                  Patents laws are set up to ensure that the owner of intellectual property benefits from his or her invention. The law gives the owner freedom of choice to do what they require with the invention as long as it does not conflict with other existing laws. The inventor can sell the patent at any market price they believe is commensurable, they can license the patent to others for use and in the process collect royalties from the users which increases their financial stability (Gold 135). Patent laws also offers a sense of protection to the inventors for the stipulated time usually twenty years and this approach usually is a disadvantage to the competitors in the same line of work. These laws also prohibit dealing with patented goods without permission from the patent holder and this ensures that pirating of patented goods or services is a prosecutable case whereby one can be sentenced to jail or heavily fined (Perelman n.p.).                Patents are a crucial part for advancements in science based professions such as medicine, biotechnology, computers and even drug chemistry. These advancements have born great fruits which have all been aimed at improving the life of mankind. In this paper, the strengths and weaknesses of patent laws and foreign investment, trade, innovation, public health, generic resources and traditional knowledge will be discussed. Patent laws have improved the life of investors greatly, this has led to greater determinations in patenting other products, and in the process, greater, and discoveries that are more useful have been made.                  Strong patent laws are a major attraction to foreign investors who are assured of the protection of their goods or services. They are thus confident about imitations of their product, which has lead to an increased net demand of their products leading to higher marginal profits. The intellectual laws act as an attraction and assurance to foreign investors as their business is enabled a fair play ground to compete with existing indigenous firms (Smarzynska 41). Strong patent laws also offer a location attraction to foreign investors opting for areas with enhanced patent laws. This has lead to further development and improvement of economies of such areas as compared to areas whose laws are not well established. Stronger intellectual property rights can be a deterrent to new foreign investors since existing firms may have already established large market bases which may not be easy to break through. With this kind of market, monopolistic ventures may mushro om to the disadvantage of consumers since they may overprice their commodities due to lack of competitors.                  Patent laws create ownership advantages conferring ownership advantages to firms serving the foreign markets (Cooter, & Ulen 124). Through the provision of legal redress against any violations, markets are expanded and increase in both multilateral and bilateral trade is enhanced. Patent laws increase bilateral exchange to foreign markets by reducing the costs associated with preventing loss of knowledge assets. Such costs consist of foregone revenues resulting from reduced bilateral exchange and or expenses incurred to make knowledge assets difficult to imitate especially when the destination country has strong imitative abilities.                     Strong intellectual property laws can increase market power and even though strong laws enhance ownership advantage, this enhanced ownership can increase or decrease bilateral exchange. The market power concept holds that strong rights reduce bilateral exchange by ensuring a temporary monopoly over the protected knowledge. This market power is attributed to the patent holder, whether domestic or foreign. Firms that secure strong patent protection in foreign markets can exercise their market power by restricting quantity and increasing the unit price of bilateral exchange to that market (Fink and Primo 26).                  According to Forays (13), strong patent laws provide incentives for people and firms to invest in research.Where there exists strong patent laws, inventors and innovators are energized since any benefits accrued from the new knowledge benefits them solely. With weak patent laws a free market economy fails to induce an optimal investment in research, development and innovation, since investors would not be able to recoup the full benefit from their investment. Patent laws also give strong ownership advantages to firms in developed countries, which encourage them to transfer their technology to developing countries through market channels at a cost. Strong patent laws may also be a disadvantage since they may lead to increased market power which results in high cost of technology transfer. In cases where there exist weak patent laws, this provides a loophole for technology transfer in non-market channels which would greatly disadvantage the innovators.                   Patents are important to pharmaceutical firms as they help in appropriating the benefits to the innovators. Moreover, products and the development process are protected from imitators in order to avoid replication of same drug. The process of drug development is quite costly averaging at about 1billion US dollars for the actual discovery, development and regulation approval. However, patenting novel drugs is essential and only beneficial in developed countries where many firms may want to set up drug manufacturing firms. According to Vernon (14), the expensive process of research and development is usually compensated by profits, which arise from patent protection. Patent laws in drug development are quite complicated since while patenting new drug protects the producers from unscrupulous firms may also increase the cost of the drugs thus making them unaffordable to needy people.                     The process of patenting innovations in public health may be long and tiresome which may discourage innovations. However due to emergence of tropical diseases in the developing world patenting may act as an incentive for continued research in both drug development and innovations of new procedures for their early diagnosis and treatment. All this will lead to improved health care for patients especially in developing countries where cost of drugs is beyond the reach of the majority who are struggling. Patent laws encourage the development of medicinal compounds or products. These conditions being rare are not economically viable for the pharmaceutical firms since the profits margins are so minimal thus little research is channeled towards them. However, through patenting, firms that delve into this kind of research because they are protected exclusively thus giving them the sole ownership rights to manufacture and distribute them at a given cost (Gol d 131-132). This enables them to make profits.                   Weak patent laws in the health sector have been associated by rise of firms, which exploit the whole process of drug development. Drug imitators can benefit from innovators’ free approval and produce duplicate drugs at a much lower cost relative to the real cost of discovering and developing the new product. Patenting the genetic resources and traditional knowledge ensures that people who participated in the development of the new information are acknowledged for the work they have done. To scholars being acknowledged builds confidence in them and is a motivator for them to work even harder. By them being acknowledged, it shows that they become authorities in their specific fields, which further leads to production of more accurate and high quality new knowledge. Patent laws regarding information are in conflict with human rights since plant information should be made public for the benefit of all. It is not easy to relate patent laws and human ri ghts since it exist in different perspectives on the same depending on the contributors (Gold 186). As such, information to the knowledge should be easily accessible at minimal cost affordable to all.                   In production of pharmaceuticals, patents laws restricted patent term to 20 years, this was disadvantageous to people who developed drugs for infrequent illness because sales of the drugs could not give adequate returns within the period. It was until 1984 that the congress amended the drug act by coming up with orphan drugs act that extended the period of patents to 25 years in order to allow developers to pay-back the cost of development and get profits (Gold 132). In addition, patent restricted use of available drugs for research of new drugs development. This presented a challenge to development of new and generic drugs until when the congress amended the patent laws to allow use of drugs for research purposes. Conclusion                   Patent laws have more strength compared to the weaknesses depending on the issue of involved in discussion. Through patenting, the innovators and inventors are not only recognized as the owner of the emerging products but they also have various benefits such as financial gains to payback on the capital invested. However, the patent are only limited to 20 years, which in some cases is disadvantageous to products with weak marketing such as orphan drugs. However, government intervention has seen developers reap high profits for their ideas, and products over a given period. The weakness of patent is limitation on research where they restrict third party from using the original product or idea to develop new product thus slowing research and improvements of the existing ones. Hence, caution is necessary to ensure that patenting does not give rise to monopolies, which would discourage competition at the expense of the consumers. References Cooter, Robert and Ulen, Thomas. â€Å"Intellectual Property† in Law and Economics 5th ed. Toronto: Pearson, 2008. Fink, Carsten. and C.A. Primo Braga. ‘How Stronger Protection of Intellectual Property Rights Affects International Trade Flows’. In C. Fink and E. Mansfield (eds) Intellectual Property and Development: Lessons from Recent Economic Research. New York: World Bank/Oxford University Press. (2004). Print. Foray, Dominique. Technology Transfer in the TRIPS Age: The Need for New Types of Partnerships between the Least Developed and Most Advanced Economies. Geneva international Centre for Trade and Sustainable Development (2009). Gold, Richard E. Patents and Human Rights: A Heterodox Analysis. Journal of Law,Medicines and Ethics, 41(1) (2013):185-198. Perelman, Michael. â€Å"In Patents We Trust: How the U.S. Government Learned to Stop Worrying about Monopoly and Love Intellectual Property.† MR Zine (2005). Smarzynska Javorcik, B. ‘The Composition of Foreign Direct Investment and Protection of Intellectual Property Rights: Evidence from Transition Economies’. Journal of European Economic Review 48(1) (2004): 39–62. Vernon, J.A. ‘Examining the Link between Price Regulation and Pharmaceutical Research and Development Investment’. Journal of Health Economics 14(1) (2005): 1–16. Source document

Friday, January 3, 2020

The Impact Of Eigenvalues On The Electron Phonon Coupling...

IMPACT OF EIGENVALUES ON THE ELECTRON-PHONON COUPLING STRENGTH OF INDIUM AND ITS BINARY ALLOYS S. K. Chakrabarti Department of Physics Tribhuvan University, MMAM Campus, Biratnagar, Nepal ABSTRACT Indium is a trivalent metal. Though chemically not so reactive, it often forms complexes within its binary alloys. In this theoretical work we have studied the impact of eigenvalues on the electron-phonon coupling strength of indium. We have also dealt with the same for two binary alloys of it viz. indium-magnesium and indium-zinc. First of all we have computed the non-local screened form factor for each of them. For this purpose initially the orthogonalised plane wave parameter is considered as unity. Thereafter Vashishta-Singwi form of exchange and correlation are employed. For indium the Clementi eigenvalues being not available, the experimental energy values have been taken besides the Herman-Skillman core energy eigenvalues. Our results are quite satisfactory for the metal. For the alloys our results lie within the range of values as obtained by other researchers. Our computation reveals that the superconducting state parameter can be reasonably reproduced by Harrison’s f irst principle pseudopotential technique along with McMillan’s formalism provided a proper choice of the core energy eigenvalues is made. Key words: Superconducting state parameter, Orthogonalised plane wave parameter, Core energy eigenvalue, Non-local screened form factor, Harrison’s first principle