scholarly journals Developing the Resilience Framework for Nursing and Healthcare

2021 ◽  
Vol 8 ◽  
pp. 233339362110054
Author(s):  
Janice M. Morse ◽  
Jacqueline Kent-Marvick ◽  
Lisa A. Barry ◽  
Jennifer Harvey ◽  
Esther Narkie Okang ◽  
...  

Despite four decades of resilience research, resilience remains a poor fit for practice as a scientific construct. Using the literature, we explored the concepts attributed to the development of resilience, identifying those that mitigate symptoms of distress caused by adversity and facilitate coping in seven classes of illness: transplants, cancer, mental illness, episodic illness, chronic and painful illness, unexpected events, and illness within a dyadic relationship. We identified protective, compensatory, and challenge-related coping-concept strategies that healthcare workers and patients use during the adversity experience. Healthcare-worker assessment and selection of appropriate coping concepts enable the individual to control their distress, resulting in attainment of equanimity and the state of resilience, permitting the resilient individual to work toward recovery, recalibration, and readjustment. We inductively developed and linked these conceptual components into a dynamic framework, The Resilience Framework for Nursing and Healthcare, making it widely applicable for healthcare across a variety of patients.

2015 ◽  
pp. 72-84
Author(s):  
Stefan Dudra

Government policy towards the election and activity of Metropolitan Macarius (Oksijuk) In post-war Poland, the state authorities aimed at taking control of the religious life of the individual Churches and religious organizations. Surveillance efforts were made to maintain, among others, by appropriate selection of the superior of the Church and diocesan bishops. The election of Macarius (Oksijuk), Archbishop of the Russian Orthodox Church for the position of Metropolitan in July 1951 years should be understood in this context. The hierarch was also to give a guarantee of loyalty, implement his policy in line with the vision of communist authorities and ensure close cooperation with the Patriarchate of Moscow. Unrealized demands of the state authorities (emerging Russification trends, the lack of wider support in missionary activity among the Greek Catholics) contributed to undertake a process of dismissing Macarius from managing the Orthodox Church. Polityka władz państwowych wobec wyboru i działalności metropolity Makarego, zwierzchnika Polskiego Autokefalicznego Kościoła PrawosławnegoPowojenna polityka państwa wobec Polskiego Autokefalicznego Kościoła Prawosławnego zmierzała do ograniczenia jego roli tylko do zadań religijnych, jednocześnie przy objęciu pozostałej działalności całkowitą kontrolą. Nadzór starano się utrzymywać m.in. poprzez odpowiedni dobór zwierzchnika Kościoła. Jednym z elementów polityki był wybór na stanowisko metropolity w 1951 roku Makarego (Oksijuka), arcybiskupa Rosyjskiego Kościoła Prawosławnego. Po odsunięciu w 1948 roku od zarządzania Kościołem metropolity Dionizego władze wyznaniowe dążyły do obsadzenia tronu metropolitalnego przez hierarchę, który miałby realizować politykę kościelną zgodną z linią polityczną władz. Pomimo zrealizowania założonych celów metropolita Makary okazał się hierarchą, który nie spełnił oczekiwań władz (m.in. w zakresie polityki wobec grekokatolików), co wpłynęło na podjęcie decyzji o usunięciu go z zajmowanego stanowiska.


2018 ◽  
Vol 64 (6) ◽  
pp. 589-596 ◽  
Author(s):  
BS Chavan ◽  
Subhash Das ◽  
Rohit Garg ◽  
Sonia Puri ◽  
Aravind BA Banavaram

Background: Mental illness results in a plethora of distressing issues, has tremendous socio-economic impact and causes socio-occupational dysfunction in the individual as well as the caregivers. There is a felt need to explore the disability caused by mental illness and the associated socio-economic impact at the population level in a developing nation like India. Aims: To elucidate the disability and socio-economic impact associated with mental illness at the individual and household levels for the state of Punjab in India. Method: This was a multisite cross-sectional study carried out during 2015–2016 (as a part of the National Mental Health Survey of India) in three districts and one urban metro area of Punjab. The sample was selected using multi-stage, stratified, random cluster sampling technique, with random selection based on Probability Proportionate to Size (PPS) at different stages. A validated set of questions was used to assess the socio-economic impact of mental illness and the Sheehan Disability Scale was used to document self-perceived disability among individuals with mental morbidity. Median (IQR) and proportions were used to summarize quantitative and qualitative data, respectively Results: Subjects with any mental morbidity reported disability of varying severities across different domains of life; family life was affected the most (70.1%). One in every six persons reported that their mental illness interfered with their daily activities to a large extent. Economic burden was high and a typical family would spend about INR 1500/month (US$23) towards the treatment of its member with mental morbidity. Family members had to forego their work for at least 7 days in 3 months to take care of their relative with mental illness. Conclusion: Mental illness causes disability in the individual and has tremendous socio-economic impact on the family, incapacitating a family’s productivity to a large extent and thus affecting the society.


Author(s):  
Susan Weissman

This chapter analyses R. Judah the Pious's selection of ghost tales that pertain to the individual's status in the afterlife. It contrasts elements of his tales with rabbinic notions of the afterlife and compares them with those found in tales that circulated in the Germano-Christian environment. In both language and content, the Pietist tales of Sefer ḥasidim that describe the state of the individual in the hereafter contain elements that parallel those found in the early medieval visionary literature, as well as in the high medieval exempla collections. Popular motifs, such as vivid descriptions of corporeal torture by demonic agents, figure prominently in both Sefer ḥasidim and contemporary literary sources and artistic representations. Other shared characteristics include the principle of talio and the disproportion between sin and punishment. The problem of corporeality — already apparent in the areas of the dangerous dead and the attire of the dead — surfaces yet again both in Sefer ḥasidim and in the Christian exempla collections.


2017 ◽  
Vol 114 (48) ◽  
pp. 12833-12838 ◽  
Author(s):  
D. Richard Cameron ◽  
David C. Marvin ◽  
Jonathan M. Remucal ◽  
Michelle C. Passero

Modeling efforts focused on future greenhouse gas (GHG) emissions from energy and other sectors in California have shown varying capacities to meet the emissions reduction targets established by the state. These efforts have not included potential reductions from changes in ecosystem management, restoration, and conservation. We examine the scale of contributions from selected activities in natural and agricultural lands and assess the degree to which these actions could help the state achieve its 2030 and 2050 climate mitigation goals under alternative implementation scenarios. By 2030, an Ambitious implementation scenario could contribute as much as 147 MMTCO2e or 17.4% of the cumulative reductions needed to meet the state’s 2030 goal, greater than the individual projected contributions of four other economic sectors, including those from the industrial and agricultural sectors. On an annual basis, the Ambitious scenario could result in reductions as high as 17.9 MMTCO2e⋅y−1 or 13.4% of the state’s 2030 reduction goal. Most reductions come from changes in forest management (61% of 2050 projected cumulative reductions under the Ambitious scenario), followed by reforestation (14%), avoided conversion (11%), compost amendments to grasslands (9%), and wetland and grassland restoration (5%). Implementation of a range of land-based emissions reduction activities can materially contribute to one of the most ambitious mitigation targets globally. This study provides a flexible, dynamic framework for estimating the reductions achievable through land conservation, ecological restoration, and changes in management regimes.


2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Zvi Howard Abramson

Background and Methods. Vaccination of all healthcare workers is widely recommended by health authorities and medical institutions and support for mandatory vaccination is increasing. This paper presents the relevant literature and examines the evidence for patient benefit from healthcare worker vaccination. Articles identified by Medline searches and citation lists were inspected for internal and external validity. Emphasis was put on RCTs. The literature on self-protection from vaccination is also presented. Results. Published research shows that personal benefit from vaccinating healthy nonelderly adults is small and there is no evidence that it is any different for HCWs. The studies aiming to prove the widespread belief that healthcare worker vaccination decreases patient morbidity and mortality are heavily flawed and the recommendations for vaccination biased. No reliable published evidence shows that healthcare workers' vaccination has substantial benefit for their patients—not in reducing patient morbidity or mortality and not even in increasing patient vaccination rates. Conclusion. The arguments for uniform healthcare worker influenza vaccination are not supported by existing literature. The decision whether to get vaccinated should, except possibly in extreme situations, be that of the individual healthcare worker, without legal, institutional, or peer coercion.


2010 ◽  
Vol 8 (5) ◽  
pp. 39 ◽  
Author(s):  
Andrew Branum, BA, BS, MS (Student) ◽  
J. Eric Dietz, PhD, PE ◽  
David R. Black, PhD, MPH

In 2008, 68 counties in the State of Indiana participated in functional exercises funded by the Indiana State Department of Health to evaluate local pandemic preparation and response. As a part of the exercise tasks, counties were asked to develop an Incident Command (IC) structure for the county as well as qualified personnel who would fill each position. By examining the individual structures, it was discovered that at the local level, no clear type of personnel was being used. This study will display the results of the findings by uniquely categorizing the local level IC personnel structure used in these exercises into three study-defined types: normal command, specialized command, and unified command. By looking at the various effectiveness aspects of each type of personnel structure, this study will provide consideration, with possible strengths and weaknesses, for effective IC use based upon selection of IC personnel. The results will allow localities to better modify their command to adjust to a pandemic emergency.


2003 ◽  
Vol 8 (1) ◽  
pp. 28-33
Author(s):  
Yolanda García Rodríguez

In Spain doctoral studies underwent a major legal reform in 1998. The new legislation has brought together the criteria, norms, rules, and study certificates in universities throughout the country, both public and private. A brief description is presented here of the planning and structuring of doctoral programs, which have two clearly differentiated periods: teaching and research. At the end of the 2-year teaching program, the individual and personal phase of preparing one's doctoral thesis commences. However, despite efforts by the state to regulate these studies and to achieve greater efficiency, critical judgment is in order as to whether the envisioned aims are being achieved, namely, that students successfully complete their doctoral studies. After this analysis, we make proposals for the future aimed mainly at the individual period during which the thesis is written, a critical phase in obtaining the doctor's degree. Not enough attention has been given to this in the existing legislation.


2018 ◽  
Author(s):  
N.I. Ryakhovskaya ◽  
T.P. Sherstyukova ◽  
M.L. Gamolina

Рассмотрены агроклиматические условия Камчатского края и лимитирующие факторы, сдерживающие рост урожайности картофеля. Приведены характеристики новых сортов картофеля селекции Камчатского НИИСХ созданных в соответствии с приоритетными для региона направлениями селекции, включенных в Государственный реестр селекционных достижений РФ и охраняемых патентами.Agroclimatic conditions of the Kamchatka Krai and limiting factors that restrain the growth of potato yield are considered. The characteristics of new varieties of potatoes of the selection of the Kamchatsky RIA are created in accordance with the priority for the region selection areas included in the State Register of Selection Achievements of the Russian Federation and protected by patents.


2020 ◽  
Vol 6 (3) ◽  
pp. 199-203
Author(s):  
Nodira Musayeva ◽  

It is no secret that one of the features of today's global infomakon is manipulative information, which carries a large part of the General information complex that negatively affects public consciousness, the unity of the individual, society and the state. The main feature of modern journalism is that it completely rejects open propaganda and uses hidden methods of influencing the mind. Many news agencies have moved from direct ideological pressure on the recipient to theuse of hidden mechanisms of thought formation.


2020 ◽  
Vol 1 (10(79)) ◽  
pp. 12-18
Author(s):  
G. Bubyreva

The existing legislation determines the education as "an integral and focused process of teaching and upbringing, which represents a socially important value and shall be implemented so as to meet the interests of the individual, the family, the society and the state". However, even in this part, the meaning of the notion ‘socially significant benefit is not specified and allows for a wide range of interpretation [2]. Yet the more inconcrete is the answer to the question – "who and how should determine the interests of the individual, the family and even the state?" The national doctrine of education in the Russian Federation, which determined the goals of teaching and upbringing, the ways to attain them by means of the state policy regulating the field of education, the target achievements of the development of the educational system for the period up to 2025, approved by the Decree of the Government of the Russian Federation of October 4, 2000 #751, was abrogated by the Decree of the Government of the Russian Federation of March 29, 2014 #245 [7]. The new doctrine has not been developed so far. The RAE Academician A.B. Khutorsky believes that the absence of the national doctrine of education presents a threat to national security and a violation of the right of citizens to quality education. Accordingly, the teacher has to solve the problem of achieving the harmony of interests of the individual, the family, the society and the government on their own, which, however, judging by the officially published results, is the task that exceeds the abilities of the participants of the educational process.  The particular concern about the results of the patriotic upbringing served as a basis for the legislative initiative of the RF President V. V. Putin, who introduced the project of an amendment to the Law of RF "About Education of the Russian Federation" to the State Duma in 2020, regarding the quality of patriotic upbringing [3]. Patriotism, considered by the President of RF V. V. Putin as the only possible idea to unite the nation is "THE FEELING OF LOVE OF THE MOTHERLAND" and the readiness for every sacrifice and heroic deed for the sake of the interests of your Motherland. However, the practicing educators experience shortfalls in efficient methodologies of patriotic upbringing, which should let them bring up citizens, loving their Motherland more than themselves. The article is dedicated to solution to this problem based on the Value-sense paradigm of upbringing educational dynasty of the Kurbatovs [15].


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