Thursday, January 23, 2020

Arguing Whether or not Clerical Celibacy Should be Maintained :: Argumentative Persuasive Essays

Arguing Whether or not Clerical Celibacy Should be Maintained "Like his two older brothers, Mark Vincent Serrano became an altar boy at St. Joseph's Church in Mendham, New Jersey. Invited to visit the parish priest in the rectory, he became--from the time he was 9 to the time he was 16-- a victim of serial molestation: groping, sodomy, oral sex, and forced masturbation," (Press). One New Jersey priest convicted of molestation, said that "his vow of celibacy made no mention of abstaining from sex,"(Saharko). In order to determine the value of celibacy in the Roman Catholic Church, the exact meaning of celibacy must be understood. Celibacy, as defined by 21st Century Webster's Family Encyclopedia, is "voluntary abstinence from marriage and sexual intercourse." The state of celibacy is exalted above that of marriage in the Church based upon 1 Corinthians 7:32-35, which states, " He that is unmarried careth for the things that belong to the Lord, how he may please the Lord: But he that is married careth for the things that are of the world, how he may please his wife. . . . And this I speak. . . that ye may attend upon the Lord without distraction." That's a wonderful ideal, but 1 Corinthians 7:9 says, "But if they cannot contain, let them marry: for it is better to marry than to burn ( with passion)." While it's true that if men don't want to abstain from sex they could just stay out of the priesthood, the number of priests has declined so much that it probably would be better to just allow the priesthood to marry. "[B]y requiring celibacy as a conditon of ordination. . . the Church forces itself to select from a much too limited pool,"(Press). By revoking the policy of mandatory celibacy,and thereby opening clerical positions to married men, the church could possibly dramatically increase the declining priesthod numbers. It's not just the lack of a sex life that drives men from the priesthood; some just can't handle the extreme loneliness. Rather that suffer alone they just leave, so that they can have worldly things: a wife, children, a family all their own. Dan Rodricks, a columnist for the Baltimore Sun states in his column, "...Leaving the priesthood quote." Advocates of celibacy worry that if priests marry, the congregation will be majorly neglected. However, that point is easily refuted because of the available examples of the leaders of uncelibate churches.

Wednesday, January 15, 2020

Professional nursing boundaries Essay

Nurses known as a caregiver and provide close relationship not only between patient and the hospital but also for other healthcare profession such as doctors and assistant medical officer and also between communities. Their services are very important and therefore they performing â€Å"heart† in the medical and healthcare service provision in Malaysia. Due to the rapidly changing in Malaysia healthcare environment, the nurses are required to provide care through their extended roles and provide services rendered by other healthcare professional in order to complement the health service to the population. Therefore, Malaysian nurses have become aware for legal and ethical issues that have impacted on their practise and recognised the importance of practice that have legal and ethical principle thus promoting competency and decision making. In Malaysia itself, most of the major population still choose to get treatment from government. It is because government hospital provides good quality service in healthcare, provide an advances technologies, provide skilled staff, sophisticated equipment beside the cheapest service that they get. In the healthcare service nowadays, professional boundaries are important issues and have been a quite popular topic. Basically, if we search an internet pertaining to professional boundaries we always often get the result are mainly about interactions between nurses and patient or client. According to College of Registered Nurse of British Columbia (no date), urged that within the nurse and client relationship, the client relationship are often vulnerable because the nurse has influenced, access to information, and specialized knowledge and skill. If the nurse does not use her judgement carefully they tend to misused their power. 2(wrds count 263) Like other health care service, nurses can cause harm to patient if they do not full fill their needs. To provide a safest care to patient, nurses must know the concepts of professional boundaries. This boundary also defined as a professional relationship are sharing or gave other profession or nurse their work based on cooperation and team work among them. ‘Professional boundaries in nursing are defined as limits which protect the space between  the professional’s power and the client’s vulnerability’ stated by (Nursing & Midwifery Board of Australia, 2010 p1). However, also quoted by Nursing and Midwifery Council (no date, p1) ‘that boundaries in nursing also define as the limits of behaviour which allow a nurse or midwife to have a professional relationship with a person in their care’. Within this assignment I intend to explore the problem encountered in both relationship and professional boundaries between the perioperative nurse and the general anaesthesia nurse (GA nurse). This assignments objective are also to gain knowledge and experience between the Ga nurse and perioperative nurse. I am a trained staff nurse currently work as a general anaesthetic nurse for almost 10 years in the tertiary hospital situated in Kota Kinabalu. I have my post basic in advance diploma of anaesthesia after I finish my 1 year course in anaesthesia field. I noticed that there is a boundary in my workplace between the perioperative nurse and the general anaesthesia nurses, the boundaries are mainly traditional boundaries. But even though the work task is different but the main purpose is for patient safety and quality of work. Basically perioperative nurse are working in the operating theatre.Their roles are to assist surgeon in various surgical procedure, and also helping patient comfortable before surgery. Scope of perioperative work also widening by helping patient after and post operatively. This nurse helps the smoothness of the surgical procedure. A scrub nurse and circulating nurse is specially trained nurse who work with surgeon in the operating room. Most of our scrub nurse and circulating nurse are very experienced, skilful nurses and most of them already had their advance diploma in perioperative nursing. In my workplace I identified a traditional blurred boundaries pertaining to my practice area. The blurred boundaries are identified in some operating room setting between the circulating nurse and general anaesthesia nurse. In my workplace the general anaesthesia nurse will be allocate in each of operating room setting. The general anaesthesia nurse will assists the anaesthesia doctor during the induction of anaesthesia, giving medication, setting intravenous line, anchoring endotracheal tube also to keep patient calm and safe before the induction of anaesthesia. Normally, the GA nurse  tends to have an advance training in anaesthesia such as certificate in anaesthesia where we will get after 1 year attend post basic in anaesthesia. In Malaysia, we had to have the certificate before we can work in the operating theatre as a GA nurse. As quoted by Lukosius et al (2004, p523), ‘to be a good nurse in practice, the organization must have legislation and protected titles for clinical nurse specialist, nurse midwives, and nurse anaesthetist, so they can work according to their standard practice’. Working in the operating room is about team work among the various types of healthcare such as nurses, assistant medical officer, surgeon, anaesthetic doctor and also hospital attendance. Each of them plays their roles in the operating theatre by providing service direct and indirectly. This team work among the health care services are the strength of all organizations but the boundaries within this working area a still been taking care and are respected. Blurred boundaries that I identified happen in my workplace are due to some problem such as shortage of staff and because of an ineffective inter-professional working. The Ga nurse and the perioperative nurse have tried to worked together and share task based on common practice or skill, but the job description are still remain unclear. Both of them are still not understands about their placing parameters. Because of the unclear job description and not understanding the role ambiguity is created and misunderstanding can arise. As quoted by Rushmer et al (2005,p.80) said, ‘when the limits (boundaries) of sharing are ignored, nothing is clear and certainty is lost, the ability of collaboration to prepare realistically for their work together is gone where one of the parties ends up doing all the work, or all the unpleasant parts of the work’. Miers et al (2009) revealed, that the nurses are key to the success of inter-professional team. The effective of inter-professional also mentioned in the NMC code of conduct (2008), where the competencies that set by a mentor able to maintained professional boundaries and coordinate learning in an working environment and in an inter-professional working. Because shortage of staff especially nurses, some of the general anaesthesia  nurse are need to cover more than one operating room at the same time. When GA nurse are needed in the other operating room, the circulating nurse who worked in that particular operating room will had to act as a GA nurse. At the other hand GA nurse also can act as a circulating nurse when the job is compromised. As stated in NMC code of conduct (no date), ‘a nurse had to have advance skilled as well as increased knowledge’. Even though the circulating nurse does not have experience and skill as a GA nurse, it is they responsibilities to learn and gain knowledge and skill as a GA nurse. In Malaysia Nursing code of conduct (1998.p2), quoted ‘that nurses are responsibilities and accountability for her owns nursing judgement and action. When delegating work, the nurse remain accountable for the work done and appropriate supervision and support and guidance to be given to her’. The circulating nurse needs to be supervised and teach by the senior nurse who had the experienced or qualified as a GA nurse before she act and helped as a GA nurse. Also quotes by Nursing and Midwifery council (no date), ‘nurses must always be aware of their limits and ability and role boundaries, acknowledge their professional limitation and make accountable for their decision making and ability to work in a safe and effective manner’. This is reflected in the following paragraph of the Code of Conduct (2008), which states that ‘the nurse must have the knowledge and skill for safe and effective practice when working without direct supervision, recognise and work within limit, keep knowledge up to date and take part in learning and practice that maintain and develop your performance and competencies’. Although the nurses considering working in the position not related to their job, they have to fulfilled their task even though their do not have required registerable in that possess. For example although a registered nurse may work in operating theatre as a GA nurse or circulating nurse, they must not necessary to have a post basic course and qualified anaesthesia course. The environment also influenced the role of professional boundaries in my workplace. The nurses who work in operating theatre are abiding by nursing policies and regulations. In the operating theatre we also have our standard of practice called standard operating procedure where all the  nurses will follow the standard of practice procedure while performing their job. According to Brown (1998), Read (1999), Hamric (2000), Styles & Lewis (2000) cited in Lukosius et al (2004, p522), quotes’ that environment influence the development boundary in nursing roles, including work environment, policies and procedure, scope of practice, work schedule and work practice can influence the new roles in nursing practice’. Creating boundaries is a good way to keep professional relationship among the GA nurse and the perioperative nurse. The professional relationships are based on trust, respect, meeting the need of client and the appropriate use of power. According to National Council of State Boards of Nursing (no date) quotes, ‘that the power of a nurses comes from his/her professional position’. According to Retzklf (2012), when nurses show respect to each other, professional task, patient safety and nurse feeling of being part of the team are improved. However study has done by Lowe et al (2013), he suggest that once other staff fam iliar with the task given and their role, they are more comfortable working with other colleagues. Convesly, when nurse do not acknowledge of each other, competence or disregard their suggestion , unhealthy competitive attitudes can develop, colleagues can began to mistrust each other and the nurses can lose their interest in the nursing profession. Most nurses are aware of of blurring boundaries in professional practice but they still need to touch other professional discipline with permission and with clear instruction due to the role uncertainty and role ambiguity. As quotes by Alberta Association of registered nurse (2005, p.3),‘that a registered nurse in any role can ensure that professional boundaries are respected by applying the following guideline to their nursing practice as appropriate for their role’. This happen in my workplace where the perioperative nurse and the Ga nurse will work according to our nursing practice standards. Health providers can choose to change or develop new disciplinary boundaries after identified new areas of work according to their interest of work such as an advance practitioners nurse in anaesthesia or as a clinical nurse to gain more knowledge and skill in their own field. According to Chang et al (2011,p3), that the advance practice nurse position is a result of changing healthcare  needs and positive effects from this new roles have been widely document, improve patient out came and increased patient satisfaction. But in Malaysia there are still challenges in developing and implementing of advance practice nurse role. I hope there will be implement in the future. However, according to Witz (1992) cited in Nancarrow et al (2005) revealed his theory working in workforce in four direction; diversification, specialization, horizontal substitution and vertical substitution allow any healthcare provider to change their disciplinary boundaries and identified a new areas of work. Boundaries are important in successful professional project. It is good to have boundaries among health care workers but it is has to be in the positive way and within limits. Boundaries are also important for staff well-being , staff can develop wider expertise, gain knowledge of the new role and skills, contribute actively to new development, provide cross over and for effective client service.

Tuesday, January 7, 2020

Realism And Its Impact On The Mind Independent Existence...

Traditionally, realism is associated with any position that endorses belief in the reality of something. Thus, one might be a realist about one s perceptions of tables and chairs (sense datum realism), about tables and chairs themselves (external world realism), or about mathematical entities such as numbers and sets (mathematical realism), and so forth. Scientific realism is a realism about whatever is depicted by our best scientific theories—from this point forward, ‘realism’ here denotes scientific realism. But what, more precisely, is that? In order to be evident as to what scientific realism amounts to and to distinguish it from some important antirealist alternatives, it is useful to understand it in terms of three dimensions: a metaphysical dimension,a semantic dimension, and an epistemological dimension. Metaphysically, realism is committed to the mind-independent existence of the world investigated by the sciences. This idea is best clarified in contrast with positions that deny it. For instance, it is denied by any position that falls under the traditional heading of ‘idealism’, including some forms of phenomenology-according to which there is no world external to and thus independent of the mind. This sort of idealism, though historically important, is rarely encountered in contemporary philosophy of science, however. Semantically, realism is committed to a literal analysis of scientific claims about the world. In common parlance, realists take theoreticalShow MoreRelatedRealism And Its Impact On The Mind Independent Existence Of The World917 Words   |  4 PagesTraditionally, realism generally is associated with any position that endorses belief in the reality of something. 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It implies that social phenomena and the categories that we use in every day discourse have an existence that is independent or separate from the actors (Bryman, Bell, 2007). Positivists are often criticised for ignoring the difference between the natural and social world by failing to understand the ‘meaning’ that are brought to social life as they are merelyRead MoreTheories That Support Innovativ eness Of Manufacturing Firms And An Empirical Review Essay2020 Words   |  9 PagesSimilarly, Ulusoy (2008) showed the relationship between partnerships and innovation efforts of the firms in Turk where it was found that Turkish firms had high-collaboration ties with other companies in particular but the existing partnerships had a weak impact on innovation performance. 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Thus, one might be a realist about one s perceptions of tables and chairs (sense datum realism), or about tables and chairs themselves (external world realism), or about mathematical entities such as numbers and sets (mathematical realism), and so forth. Scientific realism is a realism about whatever is described by our best scientific theories—from this point forward, ‘realism’ here denotes scientific realism. But what, more precisely, is that? In order to be evident as to what realism, in the context of the sciences, amounts to and to distinguish it from some important antirealist alternatives, it is useful to understand it in terms of three dimensions: a metaphysical (or ontological) dimension; a semantic dimension; and an epistemological dimension. Metaphysically, realism is committed to the mind-independent existence of the world investigated by the sciences. This idea is best clarified in contrast with positions that deny it. For instance, it is denied by any position that falls under the traditional heading of ‘idealism’, including some forms of phenomenology, according to which there is no world external to and thus independent of the mind. This sort of idealism, though historically important, is rarely encountered in contemporary philosophy of science, however. Semantically, realism is committed to a literal interpretation of scientific claims aboutShow MoreRelatedRealism And Its Impact On The Mind Independent Existence Of The World935 Words   |  4 PagesTraditionally, realism is associated with any position that endorses belief in the reality of something. Thus, one might be a realist about one s perceptions of tables and chairs (sense datum realism), about tables and chairs themselves (external world realism), or about mathematical entities such as numbers and sets (mathematical realism), and so forth. Scientific realism is a realism about whatever is depicted by our best scientific theories—from this point forward, ‘realism’ here denotes scientificRead MoreIntellectual Progress Of Mankind By Martin Luther King Jr.1610 Words   |  7 Pagesphilosophy progressive? is scarcely ever raised. Then again, philosophy, similar to science, is a mission for truth, and it too requires that we check our speculations against what we see in the outer world, or the inner one. Philosophy: Idealism To have the greatest philosophy that has had the greatest impact and has contributed to the intellectual progress of mankind one would have to realize where philosophy has begun. It all started with the ancient philosophy of idealism. This philosophy is saidRead MoreChomsky s Argument For The Existence Of A Mind Independent Reality2022 Words   |  9 Pagesvia Russell’s argument for the existence of a mind independent reality, followed by a critique of Russell’s stance by way of an updated version of Leibnizian Mathematical Rationalism, which will disprove Russell’s attempt at furnishing an objective mind independent reality through an empiricist epistemology. Russell’s argument for the existence of a mind independent reality is an attempt by Russell to justify the theory that material objects exist independently of mind. Russell argues in favor of aRead MoreAnalyzing Platos Theory of Existence2089 Words   |  8 Pagesï » ¿Platos Theory of Existence Introduction Plato (429-347 B.C.E) was a Greek philosopher and a mathematician. He is one of the prominent and powerful authors in philosophys history, and a scholar of Socrates. 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On the other hand, Gann (2016) considered adoption readiness’ which provided innovators with information to choose market segments and indicated opportunities to influenced adoption environments issues through the caseRead MoreBranches of Philosophy8343 Words   |  34 PagesBranches of philosophy The following branches are the main areas of study: †¢ Metaphysics investigates the nature of being and the world. Traditional branches are cosmology and ontology. †¢ Epistemology is concerned with the nature and scope of knowledge, and whether knowledge is possible. Among its central concerns has been the challenge posed by skepticism and the relationships between truth, belief, and justification. †¢ Ethics, or moral philosophy, is concerned with questions of how