Term paper for biomedical ethics PHIL 150 Example | Topics and Well Written Essays - 1000 words

For biomedical ethics PHIL 150 - Term Paper Example In the first part of each article I will be explaining the arguments and the conclusions of their version of Euthanasia. In the second part of this paper I will also look at the philosophical foundation of the Euthanasia from both articles and analyze how the perspectives guide the articles to their conclusions of Euthanasia. With many variations of definitions depending on the legality and morality of a particular region, the simple definition of euthanasia is that it refers to the practice of deliberately terminating a life in order to alleviate pain and suffering (DeGrazia et al 41). This intentional ending of life can be with the consent of the patient or even without the consent of the patient in some cases. The termination of life from the patient will mostly be done by the doctor or a physician. There has always been a rift and arguments on whether euthanasia is morally correct. This has been debated between the moral doctrines by the doctors and also by the philosophers who believe that nobody should have the capability of terminating another person’s life even if the person is ailing and the patient has no chances of getting better, they believe this is ethically wrong (DeGrazia et al 23). Different perspectives have been put forward to argue on the different aspects of euthanasia. Two in stances that come into focus in my case are the arguments by Callahan â€Å"Killing and Allowing to Die† and also an article by Miller et al. â€Å"Regulating Physician-Assisted Death†. In the case of Callahan he argues that there is quite a legitimate dissimilarity between killing and allowing to die. He goes ahead and defends the distinction by analyzing three perspectives overlapping each other in this case; metaphysical, moral and medical perspectives. Under the metaphysical perspectives Callahan explains that the external world is distinct from the self and has its own

Comparison of Nursing Stress in Public and Private Hospitals

Comparison of Nursing Stress in Public and Private Hospitals Introduction The profession of nursing is considered one of the most stressful professions in the world. Nursing is by nature a stressful occupation. Continuous and long-term stress can result in physical, psychological, and behavioral problems in nurses. Therefore these professionals have been researched time and again. To cope with these problems several coping styles are deployed by the nurse which help them deal with the everyday stressors of their life. It has been found via research that using certain unhealthy coping styles may result in a number of mental health problems (Srinivasan Samuel, 2014). Nursing is the kind of job in which professionals have to deal with immense workload which can result in a lot of health problems, both physical and psychological. . not only that, the patients that come to hospitals themselves accompany a host of problems with them such as the stress of being ill, being frightful and apprehensive about their future and often they are very bitter and sometimes even indignant. Nurses have to deal with all of this and have to maintain a sense of composure at the same time. Sometimes the nurses have to perform the role of doctors and deal with the attendants and patients which mean they have to take the insults that were meant for the doctors and wasn’t initially a part of their job requirement. Some patients and attendants can even be physically abusive at times; this can result in even more stress for the nurses. It is often seen that at times the patients are way too demanding and expect more than what their job entails, when those expectation s are not met the patients can be aggressive and they tend to show their aggression in a both verbal and physical way. These stressors expose nurses to a host of problems, depression, anxiety and insomnia being a few of them (Srinivasan Samuel, 2014). There is an extreme scarcity of nurses in both the government and private hospitals in Pakistan which makes them a valuable asset, one that must not be taken for granted. This scarcity in the number of nurses is mainly due to the discrepancy between their workload and their pay scales which make them leave their homeland and migrate to countries that give them roper compensation for their work. The work-life issues threatening retention of nurses is of serious concern for health administrators. This shortage of nursing professionals in Pakistan was researched by the Joint Learning Initiative Report in 2004 and the World Health Report in 2006 and found Pakistan to be among those 57 nations that have the most significant lack of human resource (Hamid, Malik, Kamran Ramzan, 2013). There is no shortage of nursing schools and colleges in the country, there are roughly 109 nursing institutions and 44000 nurses on record in Pakistan but the lack of nurses are still a grave problem. There are insufficient nurses in comparison to the people that need medical attention. A country that has limited nursing professionals will have dire effects on its health care systems despite having sound technological facilities. This dearth in the amount of nursing staff is not just a matter for developing countries like Pakistan but also for the countries in the developed world. There are a host of reasons behind this deficiency in the amount of nursing staff, some of them being poor working conditions, low pay and poor job satisfaction. Among the factors that have contributed to the immense shortage of nurses in Pakistan are the increase in workload, lack of any admiration or reward such as monetary incentives and inflexible nursing management (Hamid, Malik, Kamran Ramzan, 2013). Therefore, there is a dire need to research this major work force of Pakistan that has been neglected and often taken for granted. This study was planned to examine occupational stressors that the nurses face, coping strategies they deploy to deal with those stressors, and mental health problems they have as a result of those stressors. The aims of the research were to find out the differences among stressors of private and government hospital nurses. The objectives of this study were to find out the differences in the coping styles in nurses of government and private hospitals. The other objective was to find out whether faulty coping styles lead to mental health problems. Literature Review Sahraian, Davidi, Bazrafshan Javadpour conducted a study in 2013 to find out the different kinds of occupational stressors faced by nurses across several wards, nurses working in surgical, internal and psychiatric wards were interviewed in teaching hospitals of Iran. In this cross-sectional study, 180 nurses were selected who worked in surgical, internal and psychiatric wards of 4 teaching hospitals. The results of the study indicated that nurses of surgical and internal wards showed significantly higher level of occupational as compared to the nurses working in psychiatric wards. It was ascertained through the results obtained that job stressors of nurses differ across different wards in the hospitals. There are several sources of stress, the environment in which one works being one of the biggest stressors. The significance of management of occupational stress is acknowledged, it effects the production of work, and it is also found to be linked with the worker’s physical and mental health. This particular research sought to assess the basis and effects of work-related stress on the capability, output, and competence of nurses. Several factors of the job have been linked to stress for e.g., excess of work, feelings of powerlessness, lack of clarity about their role as a nurse and disagreements at work. Stagnancy in the expansion of career, fear of joblessness, feelings of being underestimated and ambiguity in the chances of growth and promotion are some of the other stressors that were observed. This research revealed that stress negatively effects work effectiveness, de-motivates the performance, and instills the feelings of detachment towards the organization and its worke rs (Moustaka Constantinidis, 2010). Nursing is an extremely stressful job by nature and nurses use several coping strategies to deal with the stressors of their job. The aim of this study was to examine the major sources and consequences of job stress and coping mechanism amongst nurses in public health services. The research was both qualitative and quantitative in nature. It was concluded through this research that the nature of the work itself was the biggest stressor for nurses. The work itself included the setting of the work place, the monotony of work and the over burden of work. Some other stressors that were identified were the insensitive and unprofessional nature of the superiors, lack of acknowledgement and work place clashes. It was also found out that increased social support of friends, family and colleagues worked as a positive coping strategy against the effects of the occupational stressors. The participants relied on a number of other coping mechanisms to battle with the effects of the job (Beh Loo, 2012). Significance of the study This research can highlight the occupational stressors of nurses, the mental health problems they get as a consequence of not being able to cope with those work related stressors. This will show a different side of these professionals that people often fail to see and take their services for granted. Rationale of the study As mentioned above there hasn’t been any research done on this population and even though this job is among the toughest jobs in the world, it’s not given much regard in our part of the world. This study will not only highlight the stressors that nurses face but will also serve as a stepping stone for further researches. Research Questions What is the difference between the stressors of nurses of private and government hospitals? What is the difference in the coping styles of nurses of private and government hospitals? What is the difference in the mental health problems of nurses of private and government hospitals? Working in which ward is the most stressful for the nurses of both government and private hospitals? Which shift is the cause of most stress for the nurses of both government and private hospitals? Do faulty coping styles lead to mental health problems? Hypotheses It is hypothesized that there will be no significant difference between the job stressors of private and government hospitals. It is hypothesized that there will be no significant difference between the coping styles of private and government hospitals. It is hypothesized that there will be no significant difference between the mental health problems of private and government hospitals. It is hypothesized that positive coping behaviors would be associated negatively with mental health problems in nurses, and negative coping behaviors would be associated positively with mental health problems in nurses. It is hypothesized that higher the level of job stressors, higher the degree of mental health problems in nurses. Method Research Design A cross-sectional research design will be used for this study. It will be a comparative study as it aims to find difference between job stressors, coping styles and mental health problems of nurses of private and government hospitals. Therefore a Correlational study design will be used. This design tests for statistical relationship between two variables which are nurses of private and government hospitals. Setting Data will be collected from nurses of private and government hospitals. Phase I. Exploring the Phenomenology During the first phase the phenomenon of occupational stressors of the nurses will be explored. A total number of 50 nurses will be interviewed, 25 from government hospitals and 25 from private hospitals. Before beginning the interviews permission from the head nurse or the department of the nurses will be taken. The nurses will then be interviewed individually and will be asked about the stressors they face on a daily basis. Open ended questions will be asked so as to elicit more comprehensive and detailed responses from the nurses. Phase II. Pilot Study The second phase is the trial phase which will determine the feasibility of the research and will also determine the reliability and responsiveness of the items of the scale that is developed. Main Study In order to test the hypotheses the main study will be conducted. Participants This study will be conducted in government and private hospitals. The participants in this study will be a sample of 300 nurses, 150 from private hospitals and 150 from government hospitals. Measures Demographic data includes age, marital status, qualification, family system, no. of children, years of experience and the kind of institution. Scales: occupational stress scale, cope scale and general health questionnaire. The occupational stress scale is an indigenous scale which was developed according to the norms of our culture. The cope scale was also an indigenous scale which was adapted to find out the different coping styles of nurses in Pakistan. GHQ-12 was used to assess the mental health problems of the nurses, it is a psychometric tool often used to evaluate psychological distress, depression and anxiety. Procedure In order to collect data, the department of clinical Psychology University of Management and Technology Lahore will issue a letter which will explain the purpose of the research and data collection from different institutions. This letter will be presented to the nurses’ department at different government and private hospitals in order to obtain permission to collect data. Later the participants’ consent will be taken and the aim of the research will be explained to the participants. Ethical considerations will be considered and after the completion of data collection, results will be analyzed. Analysis of Results Once the data is collected, it will be analyzed by using SPSS 16.00 software program in order to test the hypotheses.

Alice Walker :: essays research papers

†¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Alice Walker was born on February 9, 1944 in Eatonton, Georgia. She was born into a poor sharecropper family, and the last of eight children. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  At the age of 8 she was accidentally shot in the eye by her brother and was blinded on one eye until she the age of 14 when she got an operation and regained some of her sight. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  This experience made her very secluded and reserved. She thought a lot about suicide but found comfort in writing. She became an observer rather than a participator in everyday life. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Alice Walker herself has said: â€Å"I believe it is from this period – from my solitary, lonely position, the position of an outcast – that I began really to se people and things, really to notice relationships and to learn to be patient enough to care about how they turned out...† †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  She was one out of only six black students at the Sarah Lawrence College in New York where she received her Bachelor of Arts degree in 1965. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  AW has had some problems of her own; she was very depressed after an abortion in senior year at college. She slept with a razor under her pillow for three nights as she wanted to commit suicide. Instead she turned to writing and in a week she wrote the story â€Å"To Hell with Dying†. She only stopped writing to eat and sleep. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  AW always turned to writing when she was depressed, in these periods she got the greatest inspiration to her stories. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  AW and her ex-husband Melvyn Leventhal were the first legally married interracial couple to live in the state of Missisippi (married in 1967, divorced in 1976). They had a daughter, Rebecca. She later remarried fellow editor Robert Allen. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  AW was active in the Civil Rights Movement of the 1960’s. She has spoken for the women’s movement, the anti-apartheid movement, for the anti-nuclear movement and against female genital mutilation. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  AW calls herself â€Å"a womanist â€Å", her term for a black feminist. She is one of the female Afro-American writers founding the concept â€Å"New Black Renaissance† . Style †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  AW’s work is deeply rooted in oral tradition; in the passing on of stories from generation to generation in the language of the people. To AW the language had a great importance. She uses the â€Å"Slave language†, which by others is seen as â€Å"not correct language†, but this is because of the effect she wants the reader to understand. Alice Walker :: essays research papers †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Alice Walker was born on February 9, 1944 in Eatonton, Georgia. She was born into a poor sharecropper family, and the last of eight children. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  At the age of 8 she was accidentally shot in the eye by her brother and was blinded on one eye until she the age of 14 when she got an operation and regained some of her sight. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  This experience made her very secluded and reserved. She thought a lot about suicide but found comfort in writing. She became an observer rather than a participator in everyday life. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Alice Walker herself has said: â€Å"I believe it is from this period – from my solitary, lonely position, the position of an outcast – that I began really to se people and things, really to notice relationships and to learn to be patient enough to care about how they turned out...† †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  She was one out of only six black students at the Sarah Lawrence College in New York where she received her Bachelor of Arts degree in 1965. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  AW has had some problems of her own; she was very depressed after an abortion in senior year at college. She slept with a razor under her pillow for three nights as she wanted to commit suicide. Instead she turned to writing and in a week she wrote the story â€Å"To Hell with Dying†. She only stopped writing to eat and sleep. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  AW always turned to writing when she was depressed, in these periods she got the greatest inspiration to her stories. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  AW and her ex-husband Melvyn Leventhal were the first legally married interracial couple to live in the state of Missisippi (married in 1967, divorced in 1976). They had a daughter, Rebecca. She later remarried fellow editor Robert Allen. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  AW was active in the Civil Rights Movement of the 1960’s. She has spoken for the women’s movement, the anti-apartheid movement, for the anti-nuclear movement and against female genital mutilation. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  AW calls herself â€Å"a womanist â€Å", her term for a black feminist. She is one of the female Afro-American writers founding the concept â€Å"New Black Renaissance† . Style †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  AW’s work is deeply rooted in oral tradition; in the passing on of stories from generation to generation in the language of the people. To AW the language had a great importance. She uses the â€Å"Slave language†, which by others is seen as â€Å"not correct language†, but this is because of the effect she wants the reader to understand.

Governments can affect tourism development in a number of different ways and at three scales, national, regional and local

At a National scale the government sets a very broad agenda for tourism, they define primary goals for development and identify polices with broad strategies for their implementation. The main aim at this level is to encourage economic development, especially in LEDC's as both local and international tourism can be very profitable. National tourism plans designate tourism development regions to help redistribute wealth, to create employment and to channel development into zones that have the appropriate attractions and infrastructure. This broad planning and concentration on economic development is very clear in the case study of Ireland. IN 1993 1. 25 million people visited Northern Ireland and 10,000 were directly employed in the tourism industry. In Ireland there were about 3. 5 million visitors and over 90,000 people were employed in tourism. Then in December 1994 the British and Irish governments announced national tourism plans to market Ireland as a whole rather than two separate areas. In 1995 i6. 8 million tourism incentive attracted 92,000 more visitors to the area, which in turn generated a further i4 million in international aid. This should help Ireland to develop economically and should create 30,000 new jobs. Such promotion has increased the confidence of private investors e. g. Hilton International built a i17 million luxury hotel along the lagan river in Belfast, as part of a i130 million investment scheme. At a regional scale the government has a much greater influence on specific tourism development issues. There is usually a greater level of concern over potential environmental impacts of tourism development, so therefore the government may constrain tourism development rather than totally encouraging it to protect the environment. Also a more detailed consideration of the type and location of visitor attractions, together with supporting services such as accommodation are considered. Regional plans often provide strategies aimed at the concentration or dispersal of visitors, the planning of tourist information services, the designation of tourist routes and strategic placement of key attractions. Therefore the government may encourage a new, up and coming regional attraction or they may attempt to discourage use such as in the region of North Devon, where for example Braunton burrows is being discouraged from tourists, as it is a very fragile area. This is done by restricting use to the car parks, placing ministry of defence signs and promoting the area of Saunton Sands, which will draw tourists out of the fragile location. Another example is the south west of England where the tourist boards of England and Wales (although they have no legally enforceable status) provide important frameworks for co-ordinating private and public sector development of tourism. They have to manage problems such as congestion and poor accessibility. Local scale planning policies are focused on the physical organisation of tourism resources and facilities (accommodation, local, transport, catering and local attractions), the control of physical development (such as hotel construction) and management of visitors. These are mostly short-term plans and mostly deal with preventing or reducing conflicts in tourism and encouraging its development. The management of tourism is vital to the continued success of the industry. The main aim of tourism is to be sustainable, because all tourism developments have the potential to damage the environment, the social structure or the economic stability of an area. The environment is particularly easy to damage if the carrying capacity of a tourist attraction is exceeded. This will lead to a series of problems, which will decrease the quality of the attraction and therefore discourage visitors from coming, which will then destroy the industry. So management is particularly important with environmental attractions with the main aim of keeping the number of people below the carrying capacity. An example of this kind of management is Watersmeet in North Devon. Here there is careful management to prevent lots of visitors from coming to the location. There is a very limited car park, which requires a fee based on the length of time stayed. The lodge of Watersmeet is located away from the road and is not easily accessible to wheelchairs, elderly or buggies due to narrow steep paths and bridges. It is also deliberately badly signposted so that is difficult to find unless you specifically look for it. There are also no signs to encourage strolls along the footpaths to the surrounding villages to preserve the paths and bridges. The culture and heritage of a location can also be damaged by tourism. Clovelly best illustrates this, as it is a ‘honey pot' attraction in North Devon. This village was very popular with tourists and because of its size was overrun by the increase in numbers. This could have lead to the construction of new buildings such as hotels and restraints that weren't in fitting with the existing culture and may have even replaced existing traditional shops. To prevent this kind of social damage the area is managed to restrict visitors and is closed to all traffic. Development is also restricted in Clovelly to preserve the culture and traditional crafts of the area. All over North Devon there is a delicate culture that many tourists come to experience. To protect this especially in the National Park areas, it is managed so that any conflicts always favour the solutions that protect the environment, culture and heritage of the location. Surprisingly tourism can also damage the economic stability of an area, which at first sight is not thought of, as tourism is a profitable industry. It requires a vast quantity of investment to set up a tourist attraction and then unless the project is carefully managed the attraction will loose money and either the owners or the local area will have to pay back the loan, upsetting the economy. Tourism also requires a lot of extra money to maintain the attractions, which can be wasted unless it is carefully managed and spent wisely. If the money is wasted and doesn't properly restore the facility then it will loose business and the tourism industry will suffer. Another problem with tourism is that the jobs it provides for the local economy are seasonal and not full time. This doesn't help put money into the local economy as many of the residents require more permanent jobs and so seek employment elsewhere. The jobs provided are also often given to outsiders who then take their profits out of the location, not aiding the economy. Management, especially in the National Park and Heritage Coast of North Devon, ensures that those who profit from tourism are either from the immediate area, or are people who will use the money to help maintain or further tourist development. This includes large companies such as the National Trust who plough profits back into the economy, this keeps the tourist industry afloat while also creating a stable economy. A big problem for the tourist industry is the infrastructure of the location and whether it can deal with the high numbers of visitors or not. It has to be carefully managed so that the tourists can get to the facilities and enjoy their stay without damaging the environment, or the cultural heritage of the attraction. For example tourists need roads and accommodation to enjoy their trip, yet if this involves buildings a huge bypass then this will damage the environment and decrease the environmental quality of the area, this may lead to a decrease in visitors and a decline in the industry. Also a new hotel complex may be built for tourists yet this may replace a traditional shop or craft centre, which was originally a tourist attraction, so management is very important. Overall it is clear to see that unless a tourist area is carefully managed then it will be damaged which will mean les people visit the area and so the tourist industry will fail.

History of Alwar Essay

The state of Alwar is located in the northeast part of Rajasthan. It is considered the oldest kingdom in Rajasthan. The history of Alwar is steeped into mythology and folklore. In ancient India it was a part of the Matsya Kingdom, which the Kauravas embarked on the cattle-rustling mission, which resulted in the famous war of Kurukshetra with the Pandavas. The history of Alwar dates back to 1500 BC when it was formed a part of the Matsya territory of Viratnagar. The region of Viratnagar also included Karauli, Bharatpur and Dholpur. Hence the very foundations of the district are rooted in the Hindu epic, Mahabharata. With a history that is 3500 years old the district of Alwar still stands tall as a popular tourist destination in Rajasthan. The name Matsya Desh simply means the `land of the fish`. It is in this place that the Pandavas spent the 13th year of exile. The local people of this land helped the Pandavas in their battle against Kauravas. During the medieval era Alwar rose to prominence. Because of its strategic location the state was a source of interest to the Mughals, Marathas, the Jats of Bharatpur, Nikumbha and Kachhawaha Rajputs and the British. All of these groups have ruled Alwar. As a result the cultural influences of Alwar are quite varied. The first to occupy the throne of Alwar was the Nikumbhas. They had also built a fort. The ruins of this fort are still visible within the district. As far as the Mughals are concerned they made Alwar their base and from here they had fought many crucial battles against Ranthambore. After the Mughals it was the turn of the Jats to rule this district. Finally Alwar received political stability in the hands of Thakur Pratap Singh belonging to the Kachhawaha Rajputs from Jaipur. Even with an average economic condition this ruling class was able to gift the district with splendid palaces and led a life in utmost luxury. However, such squandering nature resulted in the downfall of the Kachhawaha Rajputs. This disgruntled the masses. However, it cannot be denied that it was Pratap Singh who rescued Alwar from a political instability. He became an ally of the British and he was awarded the title of Maharaja by the British. In the year 1771 Alwar became the youngest Rajput Kingdom. After Maharaja Pratap Singh Bakhtawar Singh succeeded to the throne of Alwar. As historical evidence his chhatri is to be found in the city of Alwar. Raja Banai Singh is another commendable name in the history of Rajasthan. He ruled Alwar from 1815 to 1857 AD. He was a great lover of art and contributed significantly in the beautification of Alwar. However the greatest name in its history has to be Maharaja Jai Singh. the succeeded to the throne in the year 1902 AD. He ruled for 30 years and is well known for his sophisticated lifestyle†¦.He was deposed by the British.