A critical analysis of the concept 'care' in the practice and discourse of nursing

This research sought to answer the question: " What meanings has the nursing profession given to the concept 'caring'"? This was achieved by means of a three-fold approach: interpretive phenomenology combined with linguistic analysis [Wittgenstein's as interpreted by Bowden], and, a conceptual philosophical framework. Narratives, from registered nurses working in hospices and oncology/haematology units, were obtained and analyzed through juxtaposing them with selected theorists, and each other, to construct 'family resemblances' and 'layers of understanding'. Their meanings, obtained by requesting them to draw on memories of being cared-for or caring, resulted in descriptive understandings of their use of the concept 'care'; and, to a relational ethic enabling the construal of a normative ethic: one allegedly embedded in the practice and experience of these practitioners. The findings show it is not possible to give a simple definition to explain the concept 'caring'. The meanings, contained in the collected narratives, reveal strong 'family resemblances' in their usage of the term, verifying the Wittgensteinian observation: that no single meaning, no singular essence captures every cultural, individualized use of the term. The findings pointed to these 'meanings' being 'private' but not in the sense of being 'false'. Within the research one becomes aware that the term 'care' is not an ethical notion. To be ethical care is dependent upon context and responsible attitudes and actions. The discourses comprise the personal 'passion', an ethical ideal, held by most respondents; but, their ideal was not always the caring they were enabled to give. Institutionalized care whether hospice or not fell below the ideal because of socio-economic constraints and concerns. The original thesis question was from O'Malley: "[W]hether in encounter man himself makes his own meaning or is made by the meaning made of and for him ...". This research led to the assertion that the reality of the practice setting shapes the 'public' meaning of caring these practitioners act upon, but, they shape their own 'private' meanings and implement it on a micro level. It is at the macro-level of care/caring that there should also be concern. Although not true of all respondents, a possible reason for this less-than-ideal-type caring is the possibility that in institutions there are nurses who for some reason(s) fail to 'grow' - to develop in a fully integrated way that includes the freedom to exercise one's spirituality and to become morally caring not merely on a micro [one-to-one] basis but on a macro level [whole unit basis]

Multiple Sclerosis: A Disorder of Altered T-Cell Homeostasis

Uncertainty exists as to whether similar or different mechanisms contribute to the pathogenesis of different subtypes of multiple sclerosis (MS). Detailed analysis of naive T cell homeostasis shows that patients with relapsing-remitting MS (RRMS) and with primary progressive MS (PPMS) have early-onset thymic involution that causes reduced thymic output. The reduced thymic output leads to secondary peripheral homeostatic alterations in naïve CD4 T-cells, which closely mimic T-cell alterations observed in an experimental animal model of diabetes mellitus. Homeostatic T-cell receptor (TCR) signalling and proliferation of naïve T cells are induced by self-peptides. Consequently, the findings of increased TCR signalling of naïve CD4 T-cells, without increased proliferation, in PPMS, and the increased homeostatic proliferation of naïve CD4 T-cells in RRMS favour the development of autoimmunity. Thus, it seems highly likely that peripheral T-cell alterations secondary to a thymic abnormality contribute to the pathogenesis of both MS subtypes

Ordinary rickets, with special reference to its symptoms, aetiology and treatment

Rickets being such a common disease to which young children of many countries are prono, and the variety of tissues it affects, make it a subject of great importance and interest. The causation of the condition, even at the present time, is still a problem that is not apparently clearly solved, as so many authorities on the subject hold widely different opinions. Recent experiments seem to show that lack of sufficient exercise is an important factor in experimental rickets in animals. And this is of great interest in view of the generally accepted doctrine that rickets is duo to dietetic and hygienic errors

College and Career Ready: What’s the Library Got to Do With It?

College and Career Ready, Career Clusters, and Career Pathways are buzz words often heard but not always understood. These terms will be discussed as information about the collaborative activities between Emporia High School (EHS) and Flint Hills Technical College (FHTC) is shared. One responsibility of Emporia High School guidance counselors is to assist students in exploring and choosing career pathway courses. To support the counselors, the librarians at both institutions have created resources and activities that engage students in career exploration. The FHTC librarian created a LibGuide that includes online handbooks, reports, and crosswalks from FHTC programs to the six career fields and sixteen career clusters. Resources and activities created by the EHS librarian for the career fair, which helped students explore their learning styles and career interests, will be discussed. Although the activities are specific to these institutions they can be generalized for other settings

A guide for conducting high school curriculum workshops

Call number: LD2668 .R4 1963 H13

Health Seeking Behaviour by Cape-Townians: A mini-research by first year student nurses at a College for Nursing in Cape Town

The author was asked by a student nurse to use South African examples when teaching, as the textbooks were either American or English, and they wanted sociology that applied to their own environment. In the next year of teaching the prescribed objectives concerning "Health Seeking Behaviour", it was suggested that the students question the populace, and find out for themselves how South Africans behaved when they thought they were ill. By doing this it was hoped that it would also give deeper insights into the meaning people attributed to illness/sickness

The story so far: an in situ pairing of chemical oceanography and physiology

Climate change is a pressing environmental concern, and understanding how abiotic variation contributes to population dynamics and persistence may ultimately predict the fates of species. Ocean acidification negatively impacts a range of species, including those using calcium carbonate for shell formation such as shellfish, which are important as ecosystem engineers and for food security. While much is known about carbonate chemistry and impacts of ocean acidification on the U.S. Pacific coast, there is limited regional information in British Columbia (BC), especially in socio-economically important coastal zones for aquaculture and migrating fisheries populations. Laboratory experimentation mimicking future climate scenarios provide valuable information on biological impacts under controlled conditions, but do not take into account the natural environmental fluctuations of coastal environments that may influence population persistence. This research program combines lower trophic level monitoring (plankton analysis), physiological responses (functional genomics of commercial bivalves) and high speed near real-time oceanographic monitoring at a field site in the northern Salish Sea, to provide information on system variability and its biological impacts on coastal ecosystems. Site abiotic variability will be discussed in the context of pre-industrial to current condition effects on species. Shellfish gene expression data will focus on population plasticity or microevolutionary adaptation to seasonal, optimal and sub-optimal calcium carbonate conditions over the short and long-term

Sentential negation of abstract and concrete conceptual categories: a brain decoding multivariate pattern analysis study

We rarely use abstract and concrete concepts in isolation but rather embedded within a linguistic context. To examine the modulatory impact of the linguistic context on conceptual processing, we isolated the case of sentential negation polarity, in which an interaction occurs between the syntactic operator not and conceptual information in the negation's scope. Previous studies suggested that sentential negation of concrete action-related concepts modulates activation in the fronto-parieto-temporal action representation network. In this functional magnetic resonance imaging study, we examined the influence of negation on a wider spectrum of meanings, by factorially manipulating sentence polarity (affirmative, negative) and fine-grained abstract (mental state, emotion, mathematics) and concrete (related to mouth, hand, leg actions) conceptual categories. We adopted a multivariate pattern analysis approach, and tested the accuracy of a machine learning classifier in discriminating brain activation patterns associated to the factorial manipulation. Searchlight analysis was used to localize the discriminating patterns. Overall, the neural processing of affirmative and negative sentences with either an abstract or concrete content could be accurately predicted by means of multivariate classification. We suggest that sentential negation polarity modulates brain activation in distributed representational semantic networks, through the functional mediation of syntactic and cognitive control systems

Modeling Incoherent Discourse in Non-Affective Psychosis

Background: Computational linguistic methodology allows quantification of speech abnormalities in non-affective psychosis. For this patient group, incoherent speech has long been described as a symptom of formal thought disorder. Our study is an interdisciplinary attempt at developing a model of incoherence in non-affective psychosis, informed by computational linguistic methodology as well as psychiatric research, which both conceptualize incoherence as associative loosening. The primary aim of this pilot study was methodological: to validate the model against clinical data and reduce bias in automated coherence analysis. Methods: Speech samples were obtained from patients with a diagnosis of schizophrenia or schizoaffective disorder, who were divided into two groups of n = 20 subjects each, based on different clinical ratings of positive formal thought disorder, and n = 20 healthy control subjects. Results: Coherence metrics that were automatically derived from interview transcripts significantly predicted clinical ratings of thought disorder. Significant results from multinomial regression analysis revealed that group membership (controls vs. patients with vs. without formal thought disorder) could be predicted based on automated coherence analysis when bias was considered. Further improvement of the regression model was reached by including variables that psychiatric research has shown to inform clinical diagnostics of positive formal thought disorder. Conclusions: Automated coherence analysis may capture different features of incoherent speech than clinical ratings of formal thought disorder. Models of incoherence in non-affective psychosis should include automatically derived coherence metrics as well as lexical and syntactic features that influence the comprehensibility of speech