Uncertainty in illness is a middle range nursing theory that explains how the patient copes with and processes uncertainty when faced with the challenges of acute or chronic illnesses. The uncertainty in illness theory explains how the patient’s cognitively react when experiencing illness and a relationship on how it will affect their overall well-being. The theory explains that you can view uncertainty as an opportunity or as a danger. Nurses can provide support and implement intervention to aid the patients in coping the quality of a patient is improved. Uncertainty in the theory is described as either a negative or positive state.
In the play ‘A Doll’s House’ by Henrik Ibsen, the role of macaroons play a major role as they represent Nora’s dishonest behavior towards Torvald. Nora is completely a different person in front of Torvald; however, she tries to shield things that she does which Torvald doesn’t like. In reality, their marriage seems to be falling apart as she is not happy being with her husband as he tells her not to have macaroons, as the macaroons will damage her teeth and destroy her beauty. The macaroons present image of Nora’s longing to be liberated. She wants to have her own personality and will to live a life where no one stops her from doing what she gets pleasure from.
Nurses often face ethical dilemmas and moral distress throughout various levels of direct and indirect patient care. According to Moon and Kim (2015), patients often die in the intensive care unit, and ethical conflicts frequently occur due to a variety of factors, such as verbal abuse, poor communication between health care providers, and increased incidences of end-of-life issues. I think this is a very important subject to think about, especially when these conflicts can significantly impact job satisfaction, burnout, and ultimately threaten the quality of care for patients. Furthermore, a qualitative study conducted by Henrich et al. (2017) shows that healthcare providers often experience negative emotional repercussions from moral distress in the ICU, and patient care is frequently perceived as being negatively affected.
Operational definitions: Critical care nursing is defined as the field of nursing with an attention on the most extreme care of the unstable or critically ill patients following extensive surgery, injury and/or life-threatening diseases. (Australia 's Future Health Workforce - Nurses, 2014) Implications: The consistency in the reactions to moral distress experience among participants is remarkable and informative to those working in critical care units and for decision makers. Moral distress as defined by Leggett, 2013 is a state of the psychological disequilibrium that, ones experience when they know the right ethical decision to make but they cannot make it due to institutional constraints (Leggett, 2013). Additionally, Weinzimmer, et al, 2014 characterized moral distress as a phenomenon in which a healthcare professional perceives an ethically preferable or morally right course of action to take, yet internal or external constraints make it nearly impossible to pursue that course. (Weinzimmer, et al, 2014) Health Status: as defined in medical dictionary; A generic term for the health (good or poor) of a person, group or population in a particular area, especially when compared to other areas or with national data, which level of health of an individual person, a group or a population as assessed by that
She believes nursing is needed when stressors or weakened coping methods can make the persons attempts of ineffective coping mechanisms. Th main goal of nursing
(Abdulla, Al-Qahtani, & Al-Kuwari, 2011). One study revealed that burnout syndrome is common among critical care nurses, because they work with more critical and traumatic patients burnout syndrome is not only affect the nurse but extend to their quality of care that delivered for their patient. (Moss, Good, Gozal, Kleinpell, & Sessler., 2016). Organizational and environment factors such as excessive workload, staffing shortage, lack of empowerment lead to burnout which compromise nurse’s ability to provide high quality care. ( McHugh, Kutney, Cimiotti, Sloane, & Aiken., 2011).
Although they were married, Joe and Janie never had a strikingly obvious intimate relationship. Joe was a bad husband. Joe treated Janie bad because of how beautiful she was. After the shop was built Joe made Janie work in there just so he could look at her, even though she hated it. And again later in the story Joe made Janie feel bad about her looks by making her wear something to conceal her hair while she was in the store.
(2017) mentions the effects of nursing burnouts on the patients. When nurses suffer from these burnouts, it does not only affect themselves and their family, but it follows them to their working environment. It is affecting their coworkers and the patients. This leads to poor quality of care for the patients, increase patient falls, medication errors, increase in hospital acquired infections, and other factors that affect patient care (Gómez-Urquiza, et al.,
Ed never wanted his son to take blame for Judy leaving. For instance, Judy explains, “ ‘I was not a very good mother, Christopher. Maybe if things had been different, maybe if you'd been different, I might have been better at it.’ (156)” This example shows that Judy, in her letter, said she wasn’t a very good mother, but she mentioned that it was christopher's fault that she wasn’t a good mother. She said that if Christopher was different, she would’ve been a better mother. That is very cruel to say to Christopher.
She doesn’t look the same, she doesn’t sound the same, she doesn’t even seem the same like the same person to me!’ I stared at the window at the Bakers’. ‘She’s...she is just different.’’ (p.187) Bryce thinks Juli is the one changing, but his grandfather proves him wrong. Even though Juli has changed her opinion about Bryce, Bryce is actually the one who’s changed his whole perspective of the world. He shows that all he had to do was open his eyes to see the real Juli. The end of the book’s tone is forgiveness because Bryce is finally realizing how mean he was to Juli.
No one spoke. Those who had wet their pants seemed relieved to clean up the little puddles they had made(75). This event changed Sookan because it showed her how the japanses really treated the Koreans not just the adults but the kids also and how Narita sensei made them feel ashamed that they had to clean up their puddles of pee cause they were not allowed to go to the bathroom.The last example is when the Japanese soldiers took the sock girls and the machines. " sit with us and be quite. Yeh soldiers are taking the machines and loading them to be made into more weapons."