The Sociology of 'The Politics of Jurisprudence'

This chapter examines the relationship within Jurisprudence between the Sociology and Philosophy of Law, in light of Roger Cotterrell's call for these two to approaches to engage more with each other. It takes the example of Cotterrell's own Jurisprudence book, 'The Politics of Jurisprudence' and uses systems theory to explore the possibilities of achieving this closer relationship.This chapter examines the relationship within Jurisprudence between the Sociology and Philosophy of Law, in light of Roger Cotterrell's call for these two to approaches to engage more with each other. It takes the example of Cotterrell's own Jurisprudence book, 'The Politics of Jurisprudence' and uses systems theory to explore the possibilities of achieving this closer relationship.book Chapte

Brassiere wearing and breast cancer risk: A systematic review and meta-analysis

published_or_final_versio

A Hospice Dilemma Commentary

Hospice has undergone a metamorphosis sense it\u27s coming to the United States in the late 1970\u27s. This is an opinion on the ethics of the dynamic changes that are occurring

The Lived Experience of Afghan Women Refugees in Three Metropolitan Areas of the Southeastern US: A Phenomenological Study

The global refugee crisis has reached epic proportions. Statistics from the United Nations High Commissioner for Refugees (UNHCR, 2016) reported that in 2015 a record 65.3 million people worldwide, or 39,976 people per day, were displaced, either within their native countries or as asylees and refugees. Afghanistan, from 1980-2014, was the country with the largest number of outgoing refugees and it now ranks third in the world. At the opposite end of the continuum the United States remains the primary host country for refugees, asylees, and resettled refugees from all countries, including Afghanistan. The refugee experience is fraught with challenges from life in the native country to the decision to leave to the resettlement process in the US. The author has had a longstanding interest in Afghanistan and the Afghan refugees. Understanding the lived experience of the women refugees is important for nurses and other healthcare professionals who will eventually care for the women. This study used a phenomenological approach to make sense of and find meaning in this experience. The study also used the intersectionality feminist theory to explore ways in which the Afghan women refugees may be marginalized in the US. The women have demonstrated resilience and strength in coping with this traumatic life event and their stories deserve to be heard

State of Knowledge: Post-abortion Outcomes

A critical analysis of research regarding post-abortion outcomes is presented. The studies reviewed include those following the U.S. legalization of abortion in 1973 and other countries where abortion is legal. Research is examined from the view point of only minimal negative outcomes are experienced and that significant negative outcomes are experienced by women following and elective abortion an elective abortion are discussed

Experiences of Women Who Seek Recovery Assistance Following an Elective Abortion: A Grounded Theory Approach

This study, using grounded theory method, was conducted to describe the basic social processes experienced by 17 women who recognized the need for recovery and sought recovery assistance following an elective abortion. Nursing research in the area of women’s experiences seeking post-abortion recovery assistance is warranted because to date abortion is reported to be the second most common surgery performed in the United States. The study was conducted in the southern and west coast regions of the United States. Utilizing a grounded theory chronological approach, interview data was analyzed in three main stages: Life Before Abortion, Life After Abortion and Life With Recovery. The basic social processes that explained the experience of these post-abortive women were: searching for love and acceptance, understanding the need for help, seeking help, accepting God’s forgiveness, forgiving self/others and life-long recovery. Based on the findings of this study and the literature seven conclusion are presented

Enhancing Depression Care Outcomes in Primary Care Patients through Secure E-mail Structured Follow-Up Monitoring by Mental Health Nurse Practitioner

Improving Antidepressant Medication Follow-Up Management Sophia Lawrence, MSN, RN, PMHNP-BC Doctor of Nursing Practice Student Faculty Chair: Kathy James, DNSc, APRN, FAAN Clinical Mentor: Henry Kane, MD, Psychiatrist Purpose: The purpose of this evidence-based practice project is to integrate a structured follow-up management protocol for patients prescribed antidepressant in primary care and improve HEDIS antidepressant medication management scores. Background: Depression is a highly prevalent condition affecting 14 million adults in the United States annually. Antidepressant is an effective treatment. However adherence to antidepressant medication remains a significant problem and treatments have failed to improve in primary care. Methods and evaluation: Using the Plan-Do-Study-Act method of quality improvement, the standardized was implemented and integrated into practice. Using the project facility’s past HEDIS Antidepressant medication management data as a baseline, data collection points include pre and post intervention to determine project impact on the HEDIS scores. Outcomes: Data collected demonstrated a 10% increase in HEDIS antidepressant scores for the continuation phase and a 4% increase for the acute phase of treatment. Conclusions: Organized follow-up care management for patients prescribed antidepressants in primary care that employed the use of a structured protocol delivered by secure e-mail has the potential to improve adherence to treatment, make a profound impact on HEDIS measurements, and patient outcome

Ethical Issues Surrounding Weight Bias and Stigma in Healthcare

With the recognition of obesity as a global epidemic (World Health Organization [WHO], 2012), there has been increased interest in the study of weight bias and stigmatization (Ashmore, Friedman, Reichmann, & Musante, 2008; Puhl, Schwartz, & Brownell, 2005). Weight bias is a highly prevalent form of discrimination, perhaps as common as racial bias (Shkolnikova, 2008). Occurring in a wide variety of settings, weight bias may produce adverse effects in social relationships, education, employment, and health care (Durso & Latner, 2008), with the result that obese or overweight persons are socially marginalized and stigmatized

A user-centred approach to developing bWell, a mobile app for arm and shoulder exercises after breast cancer treatment

Purpose: The study aim was to develop a mobile application (app) supported by user preferences to optimise self-management of arm and shoulder exercises for upper-limb dysfunction (ULD) after breast cancer treatment. Methods: Focus groups with breast cancer patients were held to identify user needs and requirements. Behaviour change techniques were explored by researchers and discussed during the focus groups. Concepts for content were identified by thematic analysis. A rapid review was conducted to inform the exercise programme. Preliminary testing was carried out to obtain user feedback from breast cancer patients who used the app for 8 weeks post-surgery. Results: Breast cancer patients’ experiences with ULD and exercise advice and routines varied widely. They identified and prioritised several app features: tailored information, video demonstrations of the exercises, push notifications, and tracking and progress features. An evidence-based programme was developed with a physiotherapist with progressive exercises for passive and active mobilisation, stretching and strengthening. The exercise demonstration videos were filmed with a breast cancer patient. Early user testing demonstrated ease of use, and clear and motivating app content. Conclusions: bWell, a novel app for arm and shoulder exercises was developed by breast cancer patients, health care professionals and academics. Further research is warranted to confirm its clinical effectiveness. Implications for Cancer Survivors: Mobile health has great potential to provide patients with information specific to their needs. bWell is a promising way to support breast cancer patients with exercise routines after treatment and may improve future self-management of clinical care