Business Proposal Essay Example | Topics and Well Written Essays - 1000 words - 2

Business Proposal - Essay Example The aim is to provide coffee services. Coffitoff will start its online business from England mainly London and then at later stage expand its market to other parts of the UK. London is the business hub of the UK and it is there where the product will be tested. The business will be started as a sole proprietor and if need arises it will go public to attain funds. The coffee beans are exported from other countries. This increases the cost of the coffee in the UK as compared to the American or Asian countries (Casenotes, 2004). Coffee is not easily affordable in the UK. The global recession that took place in 2008 has made consumers very careful of how they spend their money. Coffee is regarded by many as a product of surplus need rather than an immediate one. People in the UK can go without drinking it (Ireland, 2009). Consumers look to save every penny in these harsh economic times. As newer coffee machines are coming into the market it is becoming easier for people to purchase and keep these machines in their home. It is cheaper to make coffee at home rather than ordering online (Hashemi, 2002). The target market for Coffitoff comprises of business professionals who find it hard to stop by a coffee shop for a cup of coffee. Recent research shows that 60% of all business executives would like to have a cup of coffee at least once a day in London (Richardson, 2014). Out of the 60% only about 18% of the professionals make it to the coffee shops. This means that 42% of the people are deprived of this need as they do not have time for coffee. Coffitoff will look to cater this segment of people (Richardson, 2014). 1. Rivalry: Online business is still very new and is growing. At the moment, there are over a dozen online coffee shops in the UK. Brand identification is very important to maintain the rivalry and market position between coffee shops (Pride, 2008). 2. Threat of substitutes: The threat of

Corporate governance Essay Example | Topics and Well Written Essays - 3000 words - 2

Corporate governance - Essay Example ts relation to growth and development of companies and also the scandals that arise where good governance is eliminated and the ways in which these scandals can be eliminated in businesses through proper regulation and legal control. Corporate governance in UK dates back to the growing anxiety in 2002 where corporate scandals had started being experienced in the US. UK set up the Smith committee and the Higgs committee to investigate these failures and the reports were evident of the latent manegiarialism in companies. This raised concerns on integrity of the managerial system of companies. It was argued that high-quality corporate governance was supposed to reduce costs and improve good working conditions of the workers. It was caught up in a scandal in 2008 in which there was an asset scandal which led to loss of value of the bank’s shares. It had a win- win situation where traders who won were rewarded hand those who lost their money to the bank. This was a short term performance that led to the loss of the value. They could have used a much longer term performance. It has been up with a number of controversies e.g. that of environmental pollution particularly in African countries. In 1990 protesters were against the company’s environmental record because of the possible pollution that was caused by the proposed disposal of Brent spar. This was a platform in the North Sea. Shell reversed the decision despite the massive support it received from the United Kingdom government. It maintained that the sinking of the platform would also have done better for the environment than the revised decision. Shell had also another scandal in 2004 of overstatement of oil reserves. This resulted to the loss of confidence of investors and stakeholders for the group. The financial services authority fined them 17million Euros. This also saw the departure of Phillip Warts. In Africa, it has led to environmental issues some of which are very extreme. Many pipes are much

Prevention Suicide People Mental Health Health And Social Care Essay

Prevention Suicide People Mental Health Health And Social Care Essay Suicide is defined as the process involving one ending his/her own life. There are various types of suicide which can make it rather difficult to help define the term. Traditional suicide is referred to those individuals who plan or act upon self-destructive thoughts and feelings whilst under immense stress. Assisted suicide is another term where a physician may help a terminally ill person to die, avoiding an imminent, inevitable and potentially painful decline. The World Health Organisation (WHO) defines mental health as a state of well-being in which the individual realises his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her own community (Organization, http://www.who.int/mediacentre/factsheets/fs220/en/, 2010). The rate of suicide in the UK is continuing to fall where figures reached their lowest in 2007 for both men and women. Suicide rates in 2008 were slightly higher than those seen in 2007 where 5,706 suicides were recorded however in 2009 there was a slight decrease were 5,675 suicides were recorded in the UK (Statistics O. f., Suicide rates in the United Kingdom, 2011). Although suicide rates are seen as rather low when compared to the early years such as the period between 1990- 2000, there is still a major concern in the number of suicides committed each year. The prevalence of suicide in the UK is still rather high and remains a major concern due to the number of people going to hospital after having attempted suicide. The rate of men committing suicide is estimated to be about three quarters of the men in the UK, where men aged 25-34 are at highest risk of suicide, followed by men aged 35-44. Suicide is considered as the second most frequent cause of death within men aged between 15-44, after accidental death (NHS Choices , 2009). Suicide and young people is also common within people aged 15-24, where accidental death is generally the cause of death followed by suicide. Figures state about 7-14% of young people will self-harm at one point in their life (NHS Choices , 2009). Suicide is major problem when it comes to the elderly because figures in 2006 showed that 217 people aged 80 or over took their own lives which equated to 5.2% of overall deaths from suicides (NHS Choices , 2009). Comparing the suicide rates in 2008 between men and women, there were 17.7 suicides per 100,000 population in men and 5.4 per 100,000 in women, thus showing men were three times more likely to commit suicide than women (Statistics O. f., Suicide rates in the United Kingdom, 2010). Statistics are currently as they stand where women are less likely to commit suicide than men, as women are more likely to report symptoms of common mental health problems instead of men therefore they receive appropriate treatment be it drugs and/or therapy (Statistics N. , 2003). Possible risk factors for suicide: A previous attempt at suicide Possible exposure to suicidal behaviour of others (friends, family or media figures) Family history of suicide Family history of substance abuse Substance abuse Incarceration Violence within the household (physical or sexual) Family history of mental disorder Depression or other mental disorders When dealing with suicide many individuals who have lost a loved one sometimes wonder if they could have possibly prevented it or some individuals may even blame themselves for the main cause of suicide in others. Therefore this self blaming may lead to behavioural changes which could represent itself as a decrease in the persons ability to express emotions. Those who experience grieving go through a series of emotions which could render them rather emotionally unstable, those who do experience these emotions sometimes become fixated upon the fact that they may be involved in the death in some manner thus feeling suicide may be the only option to make up for what they believe is all their fault. Observing suicide rates and the possible risk factors behind suicide, research has shown that majority of people who do commit suicide or attempt to commit suicide actually do have a mental illness where the common cause is depression. Following depression, 10-15% of people affected by bipolar disorder will commit suicide followed by 4% of people with schizophrenia committing suicide soon after their illness begins (NHS Choices , 2009). The most common types of mental health problems currently in the UK are: (Organization, mhGAP Intervention Guide, 2010) Anxiety Mood disorders Eating disorders Psychotic disorders Impulse control and addiction disorders Mental illness has shown to play a crucial role and is possibly the main precipitating factor in preventing suicides. Research studies (stated earlier) have shown to form a relationship between suicide rates and mental disorders which leads to suggest that if the appropriate help and support is provided to those with mental illnesses then possible there could be a decline or prevention in the number of suicides seen each year. Depression is the leading cause of suicide in people with mental health problems thus people in this mind of frame are usually of low mood and may occasionally have thoughts of suicide. Therefore if we treat the mental disorder then it can stand to reason that thoughts of suicide may also disappear. Preventing suicide isnt simple and people who do experience episodes of depression or reoccurring thoughts of suicide should be dealt with efficiently and as soon as possible to prevent harm to them but also to others. It is important to emphasise that people are reminded that help is always available wherever and whenever they need it and many health care professional such as GPs or Pharmacists are there at their disposal. Although GPs and Pharmacists are qualified health care professionals they still may not be fully competent in providing advice in situations involving people with mental health disorders. Practitioners that are unsure whether an individual actually is mentally ill and may also be suicidal can still play a part by providing help and support and referring them to more qualified personal for diagnosis. Suicide prevention can be carried out through many procedures such as using drugs (antidepressants) or talking therapies (counselling or cognitive behavioural therapy). Those who are described as having a mental disorder, have the hidden burden of stigma and discrimination often faced by those with mental disorders. The term mental illness can be rather misleading as although these problems can arise from biological or medical contributions they can also result from a series of complex interactions of biological, psychological or social factors. Also many illnesses experienced by individuals may differ slightly from normal categories used to describe mental illnesses therefore sometimes a true diagnosis cannot be determined or may be misleading. Furthermore, when diagnosing people as having a mental health problem there is no universal agreed cut off point between normal behaviour and that which is associated with mental illness. Therefore if it is hard to diagnose people with a mental illness then it does also make it rather difficult to prevent suicides from occurring aswell (foundation, 2010). Mental illness can lead to improper thoughts such as suicide as many individuals may feel its not worth living if they have to go through feelings which make their quality of life rather unsatisfactory. Measures which can be taken to help fight such thoughts and help cope with feelings of sadness, loneliness or just general low self of esteem can involve: Focusing on certain things which help shift your mind from negative thoughts such as socialising with people who you generally have fun with, spoiling yourself with new cloths/food, or doing deep breathing exercises. Stimulating the mind and body through performing light exercises, going for a walk outside of the house to get some fresh air and to get a change of atmosphere, planning the day to ensure productivity and try to maintain your usual sleeping pattern. Avoid depressants such as alcohol or illegal drugs which may feel beneficial at first but long term effects can cause depression and sometimes anxiety, furthermore you may make decisions that you normally would regard as dangerous/pointless. Socialising to stay connected to the world can help prevent feelings of entrapment, also talking to people about any feelings you may be experiencing can help and spending time with friends to fight against loneliness. Focusing on positive things in your life rather than regretting what could or should have been. Go to support/self-help groups and share similar experiences with people in the same situation as yourself and see how they manage their day. Comparing the likelihood of who is more likely to develop mental health problems, it was reported that women receive more treatment for mental health problems than men, however studies determined this was mainly due to women being more likely to report their symptoms rather than suffer in silence which many men tend do. Depression is also thought to play a vital role in the development of suicide, where 1 in 4 women will require treatment for depression, whereas only 1 in 10 men will require treatment. Diagnosing depression in men and women is somewhat a difficult process and can sometimes be under diagnosed because they may present to their GP with different symptoms or possibly due to social or biological factors, thus possibly showing men more likely to become diagnosed with depression. A common mental health problem that also occurs more in women than men is anxiety, obsessive compulsive disorder and increased chances of developing phobias. On the other hand, men are more likely to develop an alcohol or drug addiction compared to women. It is also thought that mental health problems may be greater in minority ethnic groups than in the white population; however they are less likely to be diagnosed by the GP. Although it is not clear to what extent mental health care and primary care providers can prevent suicide in those individuals who die due to their mental health problem(s) it is believed they can play a significant role in the prevention. Also for those who do make contact with mental health care providers, majority of these people are adults thus suggesting the youth segment may need to be targeted more to ensure everything was done to prevent their death. When we look at prevention techniques to minimise or even deplete the frequency of suicides committed by those individuals who are not thinking clearly or those with mental health problems, we firstly think what can be done to reduce the chances of this person committing suicide, and then hopefully aiming to remove all thoughts about suicide and what he or she hopes to achieve by carrying out this act. Mental health professionals as stated early can play a crucial role in preventing suicide through the means of providing support and help whenever the person may require it, be it day or night. The term health professional is rather a vague term which can be used to describe a broad range of qualified group of individuals each trained in their specific field to offer their unique services to ensure the can do their role in the prevention of suicide. Many people with mental health problems who think suicide is the only way they will be free from what they may be going through, can be treated not only through the means of supplying various drugs to manage their condition but also by using techniques which provide support to those who may need it the most. There are many mental health professionals which can provide their services to help those which are not in the correct state of mind by making sure to identify the most suitable plan of action which will be of benefit to the patient, which could entail recommending patients to other mental health professionals (such as a GP recommending a patient to see psychotherapist) to ensure their needs are fully met and overall to ensure the most beneficial therapy or treatment has been considered. Mental health professionals: (care, 2010) General Practitioners Psychiatrists Clinical psychologists Nurses in psychiatric hospitals Community psychiatric nurses Keyworkers Occupational therapists (OTs) Social workers Support workers Community support workers Psychotherapists Counsellors Befrienders Carrying out a history of past suicide attempts is one of the most accurate predictors of possible future risk attempts.  It has been estimated that about 10-15% of people who make contact with a healthcare service due to a first suicide attempt eventually die by suicide, the risk being greatest during the first year after an attempt. The White Paper  The Health of the Nation (1992) outlined the health strategy for England, and recognised mental health as one of the five main areas in which targets were set for ensuring improvements in peoples health. The aims/targets focused on decreasing the total rate of suicide by at about 15% by 2000 and declining suicides of people with severe mental disorders by at least 33%. Those people, who have previously attempted to commit suicide, are mainly at risk as they are more likely to repeat their actions until they are successful. Furthermore a good indicator could be those who have a history of suicide attempts within the family. Suicidal thoughts do play any important part in depression and those individuals who have symptoms of depression are therefore more likely to be at risk, in particular if they express a sense of despair about the future or see no point in life. Research studies have shown good indication that both people with mental illnesses and some people with medical disorders, for example heart disease and cancer, are associated with an increased risk of suicide. Functional mental disorders such as depression and bipolar disorders are associated with the highest risk overall; substance misuse and organic disorders are associated with a lesser degree of risk. On average, people with reoccurring depression have a 15-20% increased risk of suicide; people living with schizophrenia have a 10-15% increased risk. These figures may be rough estimates but, as many who die by suicide may have been experiencing undiagnosed depressive illness. The most common mental illnesses which cause suicide are depression and schizophrenia where in depression the mental health foundation estimates that about 70% of suicides are due to those in a depressive state (Foundation, 1997). Depression is known to result in suicidal thoughts and indeed suicidal ideation is an important element in the diagnosis of depression. There is link made where the risk of committing suicide does increase with deeper the depression. However suicidal rates do increase when a individual comes out of a depressive state and energy levels and motivation become greater. Schizophrenia was the also one of the most leading causes of death a study which was shown by the World Health Organization (WHO). Depression is generally the main factor leading to suicide in schizophrenia; however it is the hopelessness about ones future that actually leads to suicide. Therefore certain strategies to help prevent suicides in people with mental health problems can involve: (Health D. o., 2002) Using a Care Programme Approach for those who have severe mental illnesses and a history of self-harm Have local arrangements for information sharing between criminal justice agencies Carry out follow-up sessions within a week of discharge for people with severe mental illnesses or a known history of self-harm Use of atypical antipsychotic medication to be made available for all patients with severe mental illness who are non-compliant with typical drugs due to side effects Promotion of access to services for people in crisis and their families Adequate staff training in the management of risk, every three years Prompt access to services for people in crisis and their families Strategies for dual diagnosis entailing management of substance misuse services Specialised care plans specifying actions to take if a patient is non-compliant or fails to attend Assertive outreach teams to prevent loss of contact with vulnerable and high-risk patients The prevention of suicide in patients with mental health problems is not an easy task, as we have seen there is no single route to achieving these targets for reducing deaths by suicide, since the factors associated with suicide are many and varied.

Reduce, Reuse, Recycle: Television Resources Essay -- Conservation

Americans are doing whatever they can to go green, and not the color. The â€Å"green† movement is about people making small lifestyle changes that could help the environment. Recently the economy has been bad enough that the housing market in a state of crisis; therefore, home owners with a need of change are resorting to remodeling and construction in their existing homes instead of moving. In order to save money on products for their home and be compliant with a green lifestyle, people are making decisions and buying products that are more resourceful and less wasteful. The green movement has people educating themselves about how they can better their environment. People with a greener conscious are buying the more eco-friendly products, choosing products that are or will be recycled. This green home movement is coming to consumers from news sources or word of mouth instead of being pressed by the media, such as home media networks that are viewed as the authorities on this matter, to create an effective attitude about environmentalism. In fact, most viewers are immediately hooked by the showing of demolition of furniture and cabinets that could easily be donated to a family in need instead of being hauled away to the dump. Home media networks, such as Home and Garden Television (HGTV) and Do It Yourself (DIY) Network, have the responsibility to portray and educate their viewers about recycling options for household goods that are not easily disposable. People concerned about their home should also worry about the environment; a short walk and neighbors can see the rising depths of nearby landfills. The problem lays in our landfills that poison the soil, water, and air. While this is no surprise to ecological news, the statistics a... ...h Premier. Web. 21 Apr. 2012. Intini, John. "The Treasure In Other's Trash." Maclean's 118.20 (2005): 32-N.PAG. Academic Search Premier. Web. 17 Apr. 2012. Kulpinski, Dan. "Human Footprint: Where Does All the Stuff Go?" Trash Talk. National Geographic. Web. 21 Apr. 2012. . Lee, E. Bun. "Environmental Attitudes And Information Sources Among African American College Students." Journal Of Environmental Education 40.1 (2008): 29-42. GreenFILE. Web. 19 Apr. 2012. Shanahan, James, Michael Morgan, and Mads Stenbjerre. "Green Or Brown? Television And The Cultivation Of Environmental Concern." Journal Of Broadcasting & Electronic Media 41.3 (1997): 305. Academic Search Premier. Web. 20 Apr. 2012. "Unfinised-Finished Basment." Rehab Addict. Do It Yourself Network. DIY, 26 May 2012. Television.

Concept Comparison and Analysis across Theories Essay

The nursing profession has made some remarkable accomplishment during the 20th and 21st centuries, which has led to the recognition of nursing as an academic discipline. The move toward a theory- based practice has shifted the focus from the vocational view of nursing to a more meaningful and organized profession. As such, the knowledge and practice of nursing is embedded and guided by the theoretical framework of the profession. Theories also give direction and purpose to the nursing profession, and they are developed to improve nursing care and education, and to provide a basis for practice. A theory is an idea recommended to explain a phenomenon, interprets observation, defines relationships, and project outcome (Parker & Smith, 2010). The theories of nursing can be categorize in three areas: (a) grand nursing theories, which gives abroad perspective to the goals and structure of nursing not meant to be easily grasp or tested, (b) middle range theories, contains fewer concept, and relationships are more applicable to nursing practice (c) practice level theories, which has more direct impact on nursing practice than more abstract theories. Mid-range theories are both easily understood and applicable to the daily practice of nursing. For the purposes of this assignment, the core concepts of two middle range contemporary nursing theories will be highlighted and the concept definitions analyzed. One theory will be discussed along with its application to nursing practice, the theory’s concept statement, metaparadigms, philosophies, and conceptual model. Finally, nursing resources, and nursing knowledge from theorists are included in this paper to show the contributions to nursing science. Core Concept A concept is a word or ideas that provide a mental image to promote communication about a phenomenon and can be either empirical or abstract experience (Walker & Avant 2011). Core concepts are the fundamental building blocks in the development of theories, as such; theorists employ core concepts in the process of theory advancement (George, 2011). The metaparadigm of nursing is composed of four main concepts they are; person, health, environment, and nursing (George, 2011). The core concepts of the two contemporary nursing theories selected are Leininger’s culture care theory, and Kolcaba’s comfort theory. These theories are considered middle range theories because they are more understandable and easier to apply to day-to-day nursing practice and may be used to suggest an intervention. Conversely, the grand theory is more extensive and provides a framework for organizing ideas (Smith & Liehr, 2008). Although health care has experienced numerous changes over the past decades, the basic principle of nursing, caring for the sick, has not changed. With the addition of evidence-based care as a result of nursing research and extensive research by nursing theorists there are additional components to nursing that nurses have to know and understand to provide excellent care. Unfamiliarity with someone else’s culture can lead to feelings of fear and insecurity due to differences in belief, values and practices (Leininger (1991). These theorists view the patient as a whole and believe care should be administered from a holistic approach. Concept Analysis Leininger is the innovator of the transcultural nursing movement in research, education, and practice. The overarching concept of this theory (culture) – based discipline is intended to serve individuals, communities, establishments, and societies. In the 1950s, while working in a child guidance home with troubled children and their parents, she observed repeated patterns of behavior in children that seemed to have a cultural basis. She identified these repeated patterns as the missing link in nursing understands of knowledge and culture care that is required to support compliance, wellness, and healing. As a result of this experience, she pursued further education in human behaviors that led to the development of her transcultural nursing theory (George, 2011). Leininger (1991) defines Transcultural nursing as â€Å"the comparative study of cultures to understand  similarities (culture universal) and difference (culture-specific) across human groups† With this defini tion as the foundation for her work, Leininger focused her practice on cultural care values, practices, and beliefs of individuals or groups of different cultures. The goal of her theory is to provide nursing care that promotes health or well-being to help people faced with illness or death, in a culturally meaningful way (Leininger, 1995). Transcultural nursing is established on the basis that people of different cultures not only define ways in which they perceive and experience care, but how they relate these perceptions, and experiences to their general health (George, 2011 ). Kolcaba worked as the head nurse on an Alzheimer patient care unit; she observed that patients were nonparticipants in some of their daily living activities. This observation led to her development of the Comfort Care Therapy. Kolcaba’s comfort theory gives nurses the tools required to identify the comfort needs of patients and families and ways to meet those needs. Comfort, she opined, is the purposeful action taken to address ones physiological, cultural, social, financial, spiritual, environmental and physical needs. Accordingly, if the patient needs time to voice concerns and questions, it is imperative that the nurse listens attentively and offers culturally appropriate encouragement and reassurance (Kolcaba, 2003). The ideas of other nursing theorists (Orlando, Henderson, Patterson, and Zderdad) were employed to explain the three different types of comfort needs: (1)ease-the state of calm and contentment, (2) relief-the state of having specific comfort need met and transcendence, and (3) transcendence- that state in which one can rise above problems and pain( Parker & Smith, 2010). Because comfort is a primal human need, it must be experienced in a holistic manner, and nurses who practice comfort care in their daily routine are innovative, effective, and satisfying to themselves and their patients. The contexts in which comfort need exist are physical, psycho-spiritual, socio-cultural, and environmental. Nurses are responsible for ensuring that patients are comfortable and safe because meeting the comfort needs of patients and their families leads to increased satisfaction, dedication and commitment to the organization (Kolcaba, 2003). Transcultural and Comfort theories focus on different aspec ts of patient care; however, commonalities exist between the theories. Concept Comparison In comparing and analyzing the concept definitions among the two theories it is important to note that Leininger’s goal of nursing care is to provide care consistent with the patients’ cultural values, practices, and beliefs. Nurses are often unaware of the cultural issues surrounding a patient’s health and need for care which results in a lack of sensitivity towards the patient. According to Leininger (1995), cultural proficiency begins with the examination of personal values, biases, prejudices, and beliefs of the caregiver. Leininger’s theory was created to establish cultural competence among nurses and other caregivers because it is important to have contact and communication with people of other cultures, thus creating awareness. One important factor of nursing care is the engagement with individuals of different cultures by asking questions prior to providing care. The failure to include culture into patient care increases the possibility of mistrust by patient and resentment from the health care provider. Comfort and trust strengthen when nurses ‘consider cultural preferences during patient care (Andrews & Boyle, 1999). Contrariwise, Kolcaba’s comfort theory is viewed from a holistic approach. The four areas of the human experience are addressed are the physical, which includes all physiological scopes, the psycho-spiritual, which is self-awareness, the sociocultural, which includes the family, interpersonal relationships, traditions, rituals, and religious practices and the environment( Kolcaba, 2003). Cultural sensitivities are important to patients and families, and they are allowing for significant moments to remember a nurse. Nurses also reflect on these moments which give them feelings of satisfaction. Nurses can show small, non-technical acts of comfort for example a back massage, holding a dying patients hand, washing hair, sitting with an anxious patient and holding a crying child for a parent. Each of these gestures is an example of holistic comfort measures that will have a positive impact on a patient’s total comfort (Kolcaba, 2003). Like patients, nurses have comfort need which includes a safe and clean work environment, continuity of care, flexible schedules, and resources for educational improvement. Kolcaba’s comfort model allows nurses to be a part of the decision making process and in-turn provide feedback and support for staff. These comfort measures for nurses provide a strong nursing department and which teamwork and professional goals are fostered  (Kolcaba, 2003). The core of these two theories is care, which is the unifying feature of the nursing profession. Concept Statement, Metaparadigms, Philosophies The selected theory is Leininger’s culture care theory. Leininger is one of the first transcultural, global, nursing consultant and is the founder of transcultural nursing, the transcultural nursing society, and the journal of transcultural nursing. Culture influences every aspect of human life and defines health, illness, and the search from relief from diseases (George, 2011). Culture can be applied to all aspects of health care both in inpatient and outpatient settings. Because of the culturally diverse population in the United States and other first world countries, it is of vital importance that culture care is a part of the curriculum for nursing and other health science related field. Due to health concepts related to cultural groups, people may not choose modern day medical treatment and cures; therefore it is important to educate the communities about culture care. This theory may be best applied to nursing practice by first educating nursing students to develop an understanding, appreciation, and respect for the diversity and individuality of patients’ values, beliefs, and culture regarding illness, treatment and outcome. Extensive training in hospitals and outpatient settings for all nurses, and health care providers is of vital importance. Concept Statement Culturally consistent nursing care is meaningful and appropriate to the cultural beliefs, values and traditions of patients for their health and comfort. Nurses should perform a culture care assessment on admission to determine the scope of care for the patient while in hospital (Leininger, 1995). Metaparadigms Health is a state of living to sustain and help the individual perform their daily care in a culturally beneficial way (Leininger (1995). The environment is defined as â€Å"the totality of geophysical situation† (p. 10). She describes nursing as a learned, humanistic and scientific discipline focused on human care activities. Leininger, however, does not define the concept of person; he states the person is not culturally suitable in many cultures. The  philosophy of nursing is founded on the scope of practice for the profession, and the values individuals hold as basic to their belief in nursing theory (Fitzpatrick & Whall, 2005). Leininger’s philosophy is that there are similarities and differences in culture, which should be explores in relation to ones values, beliefs, and traditions. Resources A website has been dedicated to the housing of vast amount of information on Leininger’s theory. This site contains valuable information on culture theory and transcultural nursing. Additionally, Leininger’s work, research, and publications are all featured on the website. Leininger is a member of Sigma Theta Tau International (STTI), an honor society for nursing, was founded in 1922; it is the second largest of its kind in the United States. The mission of this organization is â€Å"to support the learning, knowledge, and professional development of nurses committed to making a difference in health care worldwide†. Conclusion The conceptual and theoretical models used in nursing provide information on ways to improve practice, develop curriculum and identify goals of nursing practice. The area of nursing theory is experiencing continued growth as theorists continue to create new knowledge that is impacting, positively, the nursing profession. Nurses can no longer afford to provide care as usual but must use new knowledge, skills, and insights to provide nursing care that is culturally relevant and sensitive to the needs of patients. As the complexity and acuity of patients continue to rise, it is notable that a community of practice is established that utilizes strategies that promote the transcultural and comfort needs of both nursing staff and patients. Twenty-first century nursing practice demands that nurses identify and meet the comfort and cultural needs of all patients, family and community. Further, nurses must develop the knowledge and skills that will enable them to provide acceptable care and t o identify available resources for the patient.

A Haunted House Essay

â€Å"A Haunted House† by Virginia Woolf, is a short story that tells the experience of a young couple, living in a house with a ghostly couple. The story begins with a â€Å"ghostly couple† looking for their treasure, in the house they previously lived in while alive. While alive, the ghosts lived in the house more than a century before the current residents. The woman died first, this is when the man left her and the house, he â€Å"went North, went East, saw the stars turned in the Southern sky. † Later when the man died, he returned to join the woman ghost at the house they occupied while together. Fearing, that the new couple may have found their treasure, the ghosts go from â€Å"room to room they went, hand in hand, lifting here, opening there. Opening windows, whispering not to wake us, the ghostly seek their joy. † The narrator, being aware that there are ghosts in the house, never feared being harmed. In the end, the author reveals that the buried treasure is â€Å"the light in the heart,† referring to all the different places in and around the house, where they had expressed their love to each other. The female ghosts says, â€Å"Here, sleeping; in the garden reading; laughing, rolling apples in the loft. Here we left our treasure. † It had never been missing. The major characters are the â€Å"Ghost† couple and the minor are the living couple; the ghosts are both dynamic characters. Through the entire story, the ghosts go from frantically searching for their treasure, even believing that the current residence may have found it. To realizing, what they were searching for was there the whole time. Therefore, changing the thought that they had lost their treasures, when truly their â€Å"treasure†, which was the love and joy they shared in the house was never lost and remained in the house all this time. As for the living couple, I believe they are both static characters. Their opinion of the ghosts or house never changes through the entire story. The conflict in this story is internal. As the ghosts search frantically going room to room. They realize, that the treasure they are looking for is not an actual tangible item, but â€Å"the light in the heart,† which is the love they held in their hearts and the memories they had in the house. The setting for this short story takes place in a centuries old two story house with a garden. The house sits on a tree-lined avenue close to a farm. With the description of â€Å"all the leaves were green in the glass†, you might think the season is most likely spring or summer. Therefore, I believe the setting to be general. The story is written from the first person point of view, through the perspective of the narrator who’s the new resident in the house. She lives in the house with her husband and she tells the reader about the ghost’s conversations and activities. Using first person point of view in this case builds suspense as the reader follows the narrator through this living â€Å"haunted† house. Woolf uses irony, stream of consciousness, and repetition to explain what is happening. By using stream of consciousness, she is able to tell the lives of the characters by revealing the associations and thoughts they have. For example, â€Å"Here we slept,† â€Å"Upstairs†, â€Å"In the garden†. These quotes let the readers know all the different places they shared their joy and love. The first use of irony is clearly in the title, â€Å"A Haunted House. † This haunting is unlike the stereotypical kind we might expect that produces a sense of fear and/or dread. The living couple had no fear of these ghosts in their house. The irony is the total opposite. Throughout the story, the author shows the reader the love and great memories the ghost couple shared in the â€Å"haunted house†. Virginia Woolf uses the repetition of the words â€Å"here† and â€Å"it† to describe the â€Å"treasure† and where it may be. The reader is informed that the ghost are trying to look for something, it’s not until the end of the story that the reader is informed what â€Å"It† was. With the use of streaming consciousness, irony, and repetition Virginia Woolf was able to portray the meaning of â€Å"A Haunted House. † That the joy and love shared between the ghost couple is the treasure of life and love. The theme of the story is man vs love. The central idea is that love is everlasting and conquers all. Even after death, the love and joy remains hidden within us all, if you know where to look.