Psychology Journal Article Summary Essay Example | Topics and Well Written Essays - 500 words - 1

Psychology Journal Article Summary - Essay Example They facilitated the research by getting 88 clients or respondents (66 women and 22 men) who are seeking counseling services from the US. They were given questionnaires wherein respondents are expected to give their answers. Out of their answers, the data collected will provide sufficient information regarding clients’ expectation to counseling in connection to factors like, personal commitment, facilitative conditions, counselor expertise, and nurturance. The result shows the relation between the four stages of change (pre-contemplation, contemplation, action, and maintenance) to the clients’ four expectation factors (personal commitment, facilitative conditions, counselor expertise, and nurturance.) The implication is that stage of change and expectations of clients are vital factors to assess whether the client is ready to engage in therapeutic process or not. Knowing the client’s expectations is favorable to the counselor and will be much helpful for him in order to make anticipations of any future or potential problems and difficulties that he might encounter during counseling. By then he will be able to find out where he is going to situate himself in dealing with different clients and at the end categorize, whether who of his clients would need corresponding counseling strategies. The procedural analysis applied by the university is really designed to help both those who seek for counseling and the counselors themselves. Their intention is to provide sufficient information that will be helpful in handling counseling clients. This article will educate those who are looking for an effective approach in the field of counseling. The responsibility of the counselor is to maintain a continuous communication with the people, and interaction with them will start an atmosphere that the clients will adapt. The therapeutic process is such a tough job and an overall understanding of the approaches that will be applied is

Recommendations for Philippines Health Services

Recommendations for Philippines Health Services QUESTION: How do we improve quality of health services in the Philippines as a whole? What efforts have been taken and what are the challenges. ANSWER: In developing countries like Philippines, quality of health services has been an issue. Though the Philippine government provide projects on how to improve quality of care, still there are people who encountered problems on how to seek medical attention and treatment. It is said that the deficiencies in quality of care represent neither the failure of professional compassion nor necessarily a lack of resources. They result from gaps in knowledge, inappropriate applications of available technology, or the inability of organizations to change (Berwick 1989). These are just some examples of factors affecting the quality services that needs to be given attention. Local health care systems may have failed to align practitioner incentives and objectives, to measure clinical practice, or to link quality improvement to better health outcomes. Improving clinical practice and quality of care should take place over months and not years so as to achieve economic growth, educational advancement o r new technology (Improving Quality of Care in Developing Countries by John W. Peabody, Mario M. Taguiwalo, David A. Robalino and Julio Frenk). Health systems provide health actions or activities in order to improve or maintain health. The government has set some policies and programs that will help Filipino people but it is not implemented well. In December 2011, by an article from the USAID/Philippines, United States Agency International Development (USAID) has conducted a pilot demonstration of citizen participation in health governance from June 2009 to August 2010. Through improvements in health governance at the facility level, the goal was to demonstrate increase in the utilized MCH services. Health Systems 20/20 supported the establishment of facility-based governance committees that focus on improving quality of health services: Quality Assurance Partnership Committees (QAPCs) located at the three sites in Mindanao. The Quality Assurance Partnership Committees (QAPCs) is a governance mechanism that brings together local leaders and government officials, health service providers, civil society, and community representatives to address issues related to access, availability, and quality of maternal and child health related services in local facilities. The QAPC was envisioned to provide oversight and problem solving actions to improve maternal and child health services in the three pilot facilities. Through a grant from Health Systems 20/20, the Gerry Roxas Foundation (GRF), a local NGO, facilitated the introduction, organization, and functioning of QAPCs in the three demonstration sites, with enthusiastic support from elected officials, health facility managers, and loca l officials. The three sites were:. the Rural Health Unit in the municipality of Lopez Jaena, the City Health Office in Oroquieta City, and the Provincial Hospital in Compostela Valley. Aside from giving the civil society a voice in health service delivery and quality, at the same time, it can increase the accountability of local officials and providers to their communities for services delivered. From an end-of-project assessment field visit conducted in July 2010, the following findings emerged: Anecdotal evidence suggested that community participation via the QAPCs contributed to client-focused and responsive MCH service delivery, expanded outreach from the facility to MCH service users, and increased MCH service utilization. The QAPCs strengthened the linkage between facilities and service users by sensitizing communities regarding MCH issues, and mobilizing community members to utilize available services. The major governance outcome at the facility level was increased responsiveness to community needs and preferences. A related secondary outcome was some increase in accountability to clients. Beyond governance at the facility level, the QAPC experience demonstrated the importance of decentralized local government to the effective functioning and sustainability of a co-governance innovation that brings together citizens and public-sector health providers. The integration of the QAPC pilot with the Philippines Department of Health’s existing quality assurance program, the Service Delivery Excellence in Health (SDexH) initiative, was critical to the success of the demonstration project. SDexH provides an accepted framework that connects quality clinical standards and accreditation to a definition of quality that incorporates client perceptions and community input. The potential for institutionalization of the QAPCs was enhanced by the ownership of the concept by local government officials. In all three cases, local chief executives issued Executive Orders giving official recognition to the QAPCs, and were strongly supportive of the committees. Two of the three QAPCs received a commitment from local governments to provide ongoing financial support to cover expenses for community members to participate in the committees. In the Compostela Valley Provincial Hospital, the director included the QAPC as an activity the Wellness Center, which assures the committee ongoing support and a venue. The demonstration project team drafted aQAPC process guidefor use by other local governments in the Philippines that are interested in replicating the committees for health facilities in their jurisdictions (www.healthsystems2020.org/section/where_we_work/philippines ). Access to the health care system is required to obtain the care that maintains or improves health,but simple access is not enough and it is said to be applied skillfully. Quality is comprising of the following elements to achieve it, namely structure, process and the outcomes. Structural measures are the easiest to obtain and most commonly used in studies of quality in developing countries. Many evaluations have revealed shortages in medical staff, medications and other important supplies and facilities, but material measures of structure are not causally related to better health outcomes (Donabedian 1980). Process, by contrast, can be measured with every visit to a provider. In addition, evidence-based clinical studies have steadily revealed which process measures lead to better outcomes. This combination of ubiquity, measurability,and linkage to health outcomes makes the measurement of process the preferred way to assess quality. Another project of the government is the committment to the United Nation millennium declaration that translated into a roadmap a set of goals that targets reduction of poverty, hunger and ill health (www.doh.gov.ph/node/1076.html) . In the light of this government commitment, the Department of Health is faced with a challenge to champion the cause of women and children towards achieving MDGs 4 (reduce child mortality), 5 (improve maternal health) and 6 (combat HIV/AIDS, malaria and other diseases). Pregnancy and child birth are among the leading causes of death, disease and disability in women of reproductive age in developing countries. The Philippine government commitment to the MDGs is, among others, a commitment to work towards the reduction of maternal mortality ratios by three-quarters and under-five mortality by two-thirds by 2015 at all cost. Confronted with the challenge of MDG 5 and the multi-faceted challenges of high maternal mortality ratio, increasing neonatal deaths particularly on the first week after birth, unmet need for reproductive health services and weak maternal care delivery system, in addition to identifying the technical interventions to address these problems, the DOH with support from the World Bank decided to focus on making pregnancy and childbirth safer and sought to change fundamental societal dynamics that influence decision making on matters related to pregnancy and childbirth while it tries to bring quality emergency obstetrics and newborn care to facilities nearest to homes. http://www.doh.gov.ph/content/national-safe-motherhood-program.html . This moves ensures that those most in need of quality health care by competent doctors, nurses and midwives have easy access to such care. The Department of Health has set the national objectives for 2011-2016 with overall goal that is to improved access to quality hospitals and health facilities by all Filipinos, especially the poor (www.doh.gov.ph). Their strategic objectives have improved, enhanced, ensured and these are the following : 1: Access to quality health facilities and services, especially those commonly used by the poor; 2: Quality of inpatient and outpatient care; 3: Availability of essential drugs and medicines in all levels of government health facilities; 4: Access to specialized services in sib-national health facilities; 5: Governance,sustainability and fiscal autonomy of government hospital; 6: and the client responsiveness of health facilities. For the government to achieve the objectives,they do a targeted health facility program that shall leverage funds for improved facility capacity to adequately manage the most common causes of mortality and morbidity, including trauma; setting provision of fi nancial mechanisms drawing form public-private partnerships to support the immediate repair, rehabilitation and construction of selected priority health facilities; making fiscal autonomy and income retention schemes for government hospitals and health facilities; unifying and streamlining DOH licensure and Phil Health accreditation for hospitals and health facilities and regional clustering and referral networks of health facilities based on their catchment areas to address the current fragmentation of health services in some regions within the Philippines. (Improving Access to Quality Hospitals and Health Services, www.doh.gov.ph/sites/default/files/6%20Chapter4.pdf ) Though it has not 100% achieved, the government with the help of many institutions, banks, and support from other countries, can be reached with the efforts of the people who are responsible for the implementation and monitoring of these activities. I believe that thru these efforts, Philippines will have an improved health services in the near future. REFERENCES: John W. Peabody, Mario M. Taguiwalo, David A. Robalino and Julio Frenk, Improving Quality of Care in DevelopingCountrie, (http://www.hivqualus.org/sites/default/files/Improving%20the%20quality%20of%20care%20in%20developing%20countries_Peabody.pdf ) http://www.healthsystem2020.org Women’s Health and Safe Motherhood Project,( www.gov.ph./node/1076.html ) Improving Access to Quality Hospitals and Health Services , http://www.doh.gov.ph/sites/default/files/6%20Chapter4.pdf http://www.scribd.com/doc/45621892/The-Aquino-Health-Agenda-Achieving-Universal-Health-Care-for-All-Filipinos http://www.doh.gov.ph/node/583.html http://www.wpro.who.int/health_services/service_delivery_profile_philippines.pdf

Essay --

In the 1800s, American workers had tough working conditions until the workers decided to take a stand. Before factories were developed, the workers worked on small farms which were not as miserable as working in factories. American workers wanted protection and safety in the factories. There were men, women, and even children working in these dangerous factories. American workers felt taking advantaged of so they took a stand and formed labor unions. A labor union is an organization of workers that wants to fight for their protection and rights. In 1834, the first national labor organization is formed. The National Trade Union is the first national labor union that was open for all crafts. The ones who formed the National Trade Union were the journeymen. The journeymen wanted to limit the harsh working conditions. They wanted to higher wages, lower hours, and reduce struggle from unskilled workers. These reasons or ideas to help the unskilled workers are what led to the National Trade Union. By 1837, the panic and depression destroyed the first national union, but it did last for a few years. After the Civil War, there were more strong local unions formed. The strong local unions helped their members by providing for them in bad times. It also â€Å"became the means for expressing workers’ demands to employers.† The demands from the workers are shorter workdays; raise wages, and improving the working conditions. There are also national unions that re-emerged back at this time. In 1866, the National Labor Union was formed again, but by a different group of people. Labor activists from Baltimore decided to resurface this national labor organization that represented 60,000 members. The National Labor Union once again failed because of de... ... the workers, but as more form and come and out in the society the workers started to have fear. They rather have individuals than powerful employees. The workers main fear was â€Å"if they had to pay higher wages and meet the others demands of unions, their costs would go up and they would be less competitive in the marketplace.† So, the employees decided to shut down unions. Employers set up some rules to stop unions which were to ban the union meetings and have no one go to them anymore, to get rid of the union organizers or in other words fire them, to prevent new employees from joining a union or even participate in any more strikes, so they had to sign a â€Å"yellow dog† as a promise, and to refuse the collective bargaining and refuse to see unions as their workers’ legitimate representatives. The employees wanted an end to the unions and that’s what they fought for.

James Baldwin vs George Orwell Essay

Both James Baldwin and George Orwell are interested in understanding language as a political instrument. In his essay â€Å"If Black Isn’t a Language, Than Tell Me What Is†, James Baldwin attempts to legitimize Black English as a unique language. He argues that Black English is a valid language because of the role it plays in the lives of Black Americans. It serves as a means for blacks to control their own circumstances, define themselves, and obtain power. Baldwin justifies Black English by applying George Orwell’s argument that language is a political instrument means and proof of power to the Black experience. Baldwin argues, validates and makes language authentic. Both George Orwell and James Baldwin express their opinion that language is directly related to who a person is. They also both state that language is a political instrument and that it is filled with word play. In â€Å"Politics and the English Language† George Orwell states that political writings are characterized by vagueness and incompetence. People rely on metaphors that have lost their meaning and are only used because the writer cannot create his own phrases. Authors no longer think of a concrete object and choose words to describe it. Orwell believed the best fix for the English language was for everyone to be aware of ready-made words and phrases, and instead use simpler words to get your meaning across to the reader. In Orwell’s opinion language is an instrument that reflects culture and evolves as culture declines, while in Baldwin’s view language emerges to fit a socialtal need. It is the connection or â€Å"disconnection† within people.

Lord of the Flies Essay

In society there are leaders for examples Presidents and Prime Ministers. These leaders need to have certain characteristics, which include respect, maintaining order, and to protect the people. When these leaders start to ignore their responsibilities the society starts to get uncontrollable and mistakes will happen. For an example when leaders ignore protection and safety their actions undermine the groups ability to function, also when leaders ignore respect their actions undermine the groups ability to function. All of this happens in the story written by William Golding Lord of the Flies. All in all when leaders ignore their responsibilities their actions undermine the groups ability to function. To begin, when leaders ignore respect their actions undermine the groups ability to function. When Ralph gets assigned Chief by a vote he makes the rules where some of Jacks choir boys will go hunting and some watch the fire so it does not go out. When Ralph and Jack got into a fight about how Jack does not help out the group with their hunting, and how they are just wasting time because they barely catch a pig or any food for the group he disrespects them: â€Å"Boys armed with sticks.† (Golding,127) This shows that Ralph does not really care for them and their skills that they seem to have according to Jack. After Ralph had said this Jack left the group and asked anybody who wanted to join him could do so if they wanted to. After Jack left with his group him and Ralph are always fighting now but one occasion it gets a little out of hand: â€Å"You’re a beast and a swine you bloody, bloody thief!† (Golding,177) After Ralph said this it made Jack furious he stole Piggys glasses for fire for themselves instead of asking for it he just took it. After this was said Jack also killed Piggy. Ralph being leader and ignoring respect undermines the groups ability to function. As leader, Jack also fails to respect people and keep peace. Jack disobeys Ralphs orders to have to choir boys watch the fire because Jack feels that they need the men to hunt and not get rescued. When the fire went out it could of saved them in that time frame as a symbol of help but he decides to disrespect Ralph and not listen to his orders: â€Å"We had to have them in the hunt.† (Golding,69) After Ralph confronted Jack about the fire going out he refused that he was wrong although he knew he disobeyed Ralphs orders, which in the end could of resulted in getting rescued by the boat that drove by. Now Jack in his own group decided that they need to attack Ralphs camp and steal Piggys specs so they can have fire instead of just asking him: â€Å"Ralph remember what we came for. The fire. My specs.† (Golding,161) Jack invaded Ralphs camp here to steal Piggys glasses to have fire. As Jack said that he came for fire and that the specs were his, although the specs are Piggys. Piggy even asked Jack to give back his glasses but he refused and killed Piggy. Jack is just disrespecting Piggy and Ralph here not listening to them at all. Jack refusal to have respect undermines the groups ability to function. Both boys, clearly fail in their responsibility to have respect. Ralph being voted leader should have respect for others and enforce it instead of ignoring it, having thee problems caused the group to fall apart. Jack on the other intentionally disrespected everybody in the group to get what he wanted . In both cases, however, when leaders ignore respect, their actions undermine the groups ability to function. To begin, when leaders ignore protection and safety their actions undermine ability to function. Ralph being the leader of the group tries to keep it safe for everyone to live so he decides that they need to make shelters for the group. Ralph is trying to make the shelters for everyone but no one will help him except Simon because he failed to maintain order from everyone: â€Å"But you like it!†¦You want to hunt! While I-† (Golding,125) Ralph is clearly upset here with Jack of how he wont help them make the shelters while they go out and hunt for pigs. Ralph not being able to control the group early on had failed him now, since no one will listen to him they have a lack of safety due to them not have shelters for them sleep in. Also at camp the boys have to sleep in the dark one night when the fire burned out: â€Å"We cant get any more wood Ralph not in the dark not at night† (Golding, 125) As shown here there is a lack of protection due to not having the fire at night because it resembles hope. That night they had no hope they had fear. The fear of darkness was scaring the littluns and some others to go in the forest to get wood to keep the fire burning. Jack also fails in his responsibility to keep it safe and protected. During the storm when everybody was dancing, Simon was walking to all the boys and Jack thought he was the beast and went to attack him: â€Å"Kill the beast! Cut his throat! Spill his blood! Do him in!† (Golding,141) Jack is not having safety for the group because he is getting them to kill a human who they think is the beast which is not. After they killed Simon they realised how small the beast was and the found out that it was Simon. Jack saying â€Å"Kill the beast! Cut his throat! Spill his blood! Do him in!† got the group all hyped up and not paying attention who or what the beast was and they just acted and attacked it. After Jack killed Piggy and killed the conch, he attacked Ralph and saying he is the new chief: â€Å"See? See? There isn’t a tribe anymore! The conch is gone†¦ Im Chief† (Golding, 181) Jack is furious here just after he killed Piggy he threatened Ralph that he would do the same. Jack is totally ignoring safety and protection is actually doing the complete opposite ignoring it a killing other people in his tribe. When Jack ignored his responsibility to maintain protection and safety it undermines the groups ability to function. Both boys, clearly fail in keeping the island safe and protected. Ralph tried to protect the group but since he joked around when he was first chief no one took him serious when he needed them to help. Jack totally ignored safety and did the opposite he tortured people, and also killed people. In both cases, however, when leaders ignore their responsibilities to maintain safety and protection it undermines the groups ability to function. In conclusion, when leaders ignore their responsibilities their actions undermine the groups ability to function. When leaders ignore protection and safety their actions undermine the groups ability to function, also when leaders ignore respect their actions undermine the groups ability to function. If all of this happened in our life, we would all become epic fails, just like how everyone did in this book.