39 research outputs found
Relations of Freedom: Developing an Account of Karl Marx\u27s Concept of Freedom
No full textIn this thesis I develop an account of Marx\u27s concept of freedom through its relation to other key concepts in Marx\u27s work. First, I distinguish Marx\u27s understanding of freedom from historical liberal conceptions of freedom, or liberty, and show that Marx has a concrete understanding of freedom. This leads to a close analysis of Marx\u27s concept of freedom primarily through two texts, the Economic and Philosophic Manuscripts of 1844, and the later Grundrisse. Although in both dimensions of the problem I utilize the relation of the concept of freedom \u27 to the concepts of alienation -- which gives aspects of freedom through its obverse relation to freedom, and human essence --which underlies both concepts but is given through them as well, the problem is developed differently in each due the orientation of each text. I give further aspects of Marx\u27s understanding of freedom through an analysis of Marx\u27s account of capitalism and exchange value. After having developed an account of Marx\u27s concept of freedom, I explore avenues for developing a viable Marxism and the grounds of possibility for the realization of freedom
The prevention of deep vein thrombosis through leg exercises: In postoperative patients, how does the action of performing leg exercises compared to staying immobile prevent the formation of deep vein thrombosis?
No full textDeep Vein Thrombosis is when a thrombus (clot) forms, usually in the iliac or femoral veins. There are three factors – Virchow's Triad –that contribute to the formation of venous thrombosis (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2014). According to research, when postoperative patients perform lower extremity exercises, venous stasis is averted and deep vein thrombosis prevented (Wang, Chen, Ye, Shi, & Zhang, 2016). Performing each exercise 5 times every 2 hours is an inexpensive and noninvasive form of deep vein thrombosis prophylaxis in a hospital setting (Lewis et al., 2014). Conclusion: deep vein thrombosis is a serious complication that can occur to post operative patients (Lewis et al., 2014). Leg exercises in post operative patients have been shown to successfully prevent thrombus formation by increasing venous flow rate (Sochart & Hardinge, 1999). Performing each exercise five times every two hours is manageable for patients in post operative recovery (Lewis et al., 2014). As nurses, teaching these exercises to patients is a simple way to have them become engaged members in their care plan. It is an individual activity that requires simple teaching preoperatively and postoperatively (Lewis et al., 2014). This form of intervention is not only beneficial to the patient, but is cost effective for our healthcare system, due to the fact it requires no equipment (Sochart & Hardinge, 1999).Not peer reviewedStudent Research Day Poster (2018
Learning outcomes, learning support and cohort cohesion on a virtual field trip : an analysis of student and staff perceptions
No full textAcknowledgements We acknowledge the input of the students and staff who took part in the virtual field trip and contributed to the research by completing the surveys. The virtual field trip academic staff were Clare Bond, Rob Butler, Malcolm Hole, Colin North, Adrian Hartley, and Ian Alsop, who were involved in discussions on learning outcomes, course design, and delivery modes. The non-author PhD student demonstrators were Tom Theurer, Bartosz Kurjanski, and Sophie Berhendsen, who provided feedback on small group sessions.Peer reviewe
"That's how we do it...we treat them all the same": an exploration of the experiences of patients, lay carers and health and social care staff of the care received by older people with dementia in acute hospital settings.
No full text... we treat them all the same' This study aimed to explore the experiences of patients, lay carers and health
and social care staff of care received by older people with dementia in the acute hospital setting. In view of the ageing population, an increasing prevalence of dementia and the emerging dignity agenda this is a particularly topical subject. Four elements are included in this thesis: a literature review, a research study, a practice development project and an integrative review. A literature review sets
person-focused research in the context of dementia research as a whole. It also identifies ways in which studies have been conducted in an ethical and meaningful manner. An ethnographic approach was used in the research study to collect data through observation, conversations and interviews. Findings portray a bleak picture of the
care of this vulnerable group. Patients demonstrated, through words and actions, how difficult they found the experience. Lack of communication was an issue as
was the obvious distress caused by delivery of personal care. Lay carers were relatively uncritical although this may have been due, in part, to the recruitment process. Staff generally appeared to have good intention. Most stated that they had received little or no preparation or education in dementia care. Many staff functioned almost entirely within thebed and body'framework. They frequently
avoided communication with patients. Staff worked in a deeply embedded habitus, in which they appeared not to really think about what they were doing. They demonstrated a lack of empathy with patients. The concept that staff were working in a 'switched off mode and lacked empathy
called for a practice development project that engaged them on both cognitive and emotional levels. A practice development project based on the philosophies of confluent education and situated learning was implemented. Initial evaluation has demonstrated some tangible changes in practice. An integrative review draws these elements together into a coherent whole. Potential contributions to the body of knowledge are acknowledged, as are limitations of the work. This study has shown that people with dementia, even those at an advanced stage and with superimposed physical illness, can be engaged in research that is both ethical and meaningful. It has shown that
improvements in practice are possible. They need to be underpinned by a belief in the personhood of staff as well as patients. Areas for further research and practice development in this vital subject have been identified
Implementation of a violence risk screening tool in the emergency department
No full textPurpose: To determine whether the STAMP violence risk screening tool in could reduce the number of code grey (combative/violent patient) calls in an emergency department and to evaluate the STAMP screening tool. Methodology: Retrospective and prospective chart review was performed on behavioral health patients over 18 years who were evaluated in the emergency department for a mental health evaluation.
Results: Pre-implementation there were 187 patients totaling 3,471 patient hours with a total of 56 code grey calls. Post-implementation there were 172 patients totaling 2,670 patient hours with a total 40 code grey calls. Using the negative binomial regression, p=0.725, showing no statistically significant reduction in code grey calls post implementation of the screening tool. Post implementation had a total of 172 patients of those 113 were in the low risk category of which 3 had code grey calls, moderate risk category had 21 patients of which 6 had code grey calls, high risk category had 22 patients of which 18 had code grey calls. Using the Goodman Kruskal gamma statistic, the p value of < 0.001 means there is a statistically significant relationship between STAMP category and whether a code grey occurs; the higher the STAMP category, the more likely at least one code grey will occur.
Implications for Practice: A violence screening tool is needed in nursing assessment to evaluate the potential for a patient to become violent. The project results found that the STAMP violence risk screening tool can help nursing staff anticipate the occurrence of a code grey. To reduce the number of violent incidences, further investigation is needed to study the effectiveness of techniques used to deescalate agitated patients.D.N.P.Includes bibliographical reference
Wandering words: Tracing changes in words used by teacher tweeters over time
No full textPublic school teachers in the United States are often constrained in terms of their ability to express their moral views on issues that affect their schools, classrooms, students, and teaching practices, but are able to express their ideas, concerns, and frustrations as private citizens using social media. Previously we developed the Tweet Capture and Clustering System (TCCS) in order to explore how teachers use Twitter, looking at word usage among a group of teacher tweeters, and attempting to find clusters of teachers who have similar patterns of word usage in their tweets. In the work reported here, we look at teacher tweeters across the 12 months of 2016, seeking to understand how the clusters and the words used in these clusters vary from month to month. In this initial look at the dynamics of the system, we see some evidence of word usage changing across the 12-month period. This initial work suggests that extending TCCS to have temporal topic tracing as a core capability will be a meaningful addition to of the system. Copyright held by the author(s)
Bite your tongue
No full textBACKGROUND 'Bite Your Tongue', published by award winning feminist publisher Spinifex Press is set in 1970s Queensland. This novel-cum-memoir contributes to Australia's literary culture by offering through its structural and figurative modes a site -specific piece focused on a significant historical period. Similar to critically acclaimed Janette Turner Hospital's work, this fictionalised mother-daughter memoir is preoccupied with "secrets that refuse to remain buried".CONTRIBUTION The focus of this work is on silence, shame and finding voice, and how the body operates and survives as the language of this process. Complex and self-reflexive, it is a book about books and the body, language and writing the self. The work's literary contribution has been recognised widely: "idiosyncratic and original" (Gail Jones, author); "a remarkable feat: [it]...moves pretty-well-effortlessly between the directly auto-biographical and the lyricism of good fiction" (Clare Strahan, Overland); "[it] lends its voice to a tradition of Queensland women's writing in a growing cacophony of many tongues" (Jessica Gildersleeve, Queensland Review); a "must read": "Part fable, part fact, it illustrates Rendle-Short's literary prowess." "Here is no Babel. Here is a fantastical tongue-atorium." (Dominique Hecq, Text Journal review).SIGNIFICANCE The work's value is attested to by: invitations to speak at literary conferences and events including Prairie Lights Iowa City (USA), Reaching the World Bangkok, Reality Bites Festival, Lighthouse Lit Festival; the Australian Book Review referred to it as one of the "best books for 2011"; reviewed extensively both nationally and internationally in highly esteemed publications and media outlets such as Queensland Review (Cambridge), Cultural Studies Review, Life Matters and Books and Arts Daily (ABC Radio National), The Weekend Australian, The Lit Show (Iowa), The Age, and The Courier Mail. Shortlisted for the national 2012 Colin Roderick Literary Award
The Chester Cycle in Context, 1555–1575: Religion, Drama, and the Impact of Change
No full textThis review considers The Chester Cycle in Context, 1555-1575: Religion, Drama, and the Impact of Change
Adaptive pacing, cognitive behaviour therapy, graded exercise, and specialist medical care for chronic fatigue syndrome: a cost-effectiveness analysis.
No full textBACKGROUND: The PACE trial compared the effectiveness of adding adaptive pacing therapy (APT), cognitive behaviour therapy (CBT), or graded exercise therapy (GET), to specialist medical care (SMC) for patients with chronic fatigue syndrome. This paper reports the relative cost-effectiveness of these treatments in terms of quality adjusted life years (QALYs) and improvements in fatigue and physical function. METHODS: Resource use was measured and costs calculated. Healthcare and societal costs (healthcare plus lost production and unpaid informal care) were combined with QALYs gained, and changes in fatigue and disability; incremental cost-effectiveness ratios (ICERs) were computed. RESULTS: SMC patients had significantly lower healthcare costs than those receiving APT, CBT and GET. If society is willing to value a QALY at £30,000 there is a 62.7% likelihood that CBT is the most cost-effective therapy, a 26.8% likelihood that GET is most cost effective, 2.6% that APT is most cost-effective and 7.9% that SMC alone is most cost-effective. Compared to SMC alone, the incremental healthcare cost per QALY was £18,374 for CBT, £23,615 for GET and £55,235 for APT. From a societal perspective CBT has a 59.5% likelihood of being the most cost-effective, GET 34.8%, APT 0.2% and SMC alone 5.5%. CBT and GET dominated SMC, while APT had a cost per QALY of £127,047. ICERs using reductions in fatigue and disability as outcomes largely mirrored these findings. CONCLUSIONS: Comparing the four treatments using a health care perspective, CBT had the greatest probability of being the most cost-effective followed by GET. APT had a lower probability of being the most cost-effective option than SMC alone. The relative cost-effectiveness was even greater from a societal perspective as additional cost savings due to reduced need for informal care were likely
Different Dialects - a World Conversation on Work Integrated learning
No full textLisa Ward (University of Huddersfield) and Ron Laird (University of Ulster) will provide conference with an insight to selected themes from recent Work Integrated Learning conferences and symposia. Their dialogue will enable delegates to hear of developments and practice from around the world of co-operative education. Their observations should enable all delegates to evaluate aspects of their own practice within a wider international context and lead to improvement
