Patient- Centered Framework Article Example | Topics and Well Written Essays - 1000 words

Patient- Centered Framework - Article Example The aspects that governed patient autonomy are varied and studies have investigated them. Freedom which has been specified as positive and negative, paternalism, patient’s dignity, integrity of actions by nurses and partial paternalism are subjects that have been investigated by researchers. The influence of issues on the ethical practices of the nursing profession and the difficulties experienced has been evaluated. The problem of getting informed consent from the patients has been one issue of significance and faced everyday by the nurse. The problem of medical paternalism was another issue which disturbed the atmosphere of caring. This paper explores the qualitative content of four studies and compares them critically so as to highlight the issues involved in the ethical administration of caring for all types of patients ranging from home care through nursing home care, hospital care and care for post-operative patients, medical patients and elderly patients. The first arti cle has been focused upon and the others are taken for comparison for highlighting the concept of autonomy and how it influenced nursing care in a patient –centered framework. Moser et al (2007) reviewed 1236 studies involving patient autonomy and how nurses supported it and selected 6 of them: 2 on homecare, 1 on nursing-home care and 3 on hospital care. The researchers had found that patient autonomy consisted of two types of freedom: negative and positive (Moser et al, 2007). Negative freedom had allowed the patient freedom of action without an outsider’s interference. Positive freedom had indicated that freedom was attained through one’s convictions and individuality. Theories that had supported negative freedom focused on self- care and self-governance. Those that had supported positive freedom focused on caring, identification, communication and achievement of goals. The patient autonomy had been studied in home care, nursing home care and in hospital sett ings. A mixed approach with both negative and positive freedom was appreciated by patients (Moser et al, 2007). Nurses could not follow a single model for all actions in patient autonomy because actions varied according to the situation. They had to derive knowledge for interaction through previous experience. Nurses had been described as professional care-givers for chronically ill people. The shared care model was one which required patients to participate in the management of their condition. Patient autonomy had an ethical perspective. Nurses guided the patient to practice autonomy by helping them to make their own decisions (Moser et al, 2007). For autonomy with positive freedom, the nurses collaborated actively with the patients. Positive freedom required social relationships for practicing autonomy. A patient with less autonomy tended to be bullied by interfering persons. For a patient to be autonomous, he had to be at liberty to make choices. Nurses were able to provide inte rventions only if consent was secured. Orem’s self-care theory indicated that nurses needed to help the patient to resume his autonomy by self-care principles. Four phases of caring had been identified: caring about, taking care of, care giving and care receiving (Moser et al, 2007). The moral qualities of attentiveness, responsibility, competence and responsiveness had been associated with them. The relationship between the patient and nurse flourished using these moral qualities so that appropriate choices were made as

Strategic Plan for Abercrombie & Fitch Case Study

Strategic Plan for Abercrombie & Fitch - Case Study Example It is evidently clear from the discussion that Abercrombie & Fitch (A&F) operates under three offshoot brands namely Gilly Hicks, Hollister Company and Abercrombie Kids. The mission of the company is to develop innovative and high-quality merchandise that has the ability to satisfy customers and style them appropriately. They also aim at discovering new styles so that they can distinguish themselves from the competitors. The sales of personal care and apparel through the stores are extremely competitive as there are numerous participants in the retail industry. However, the company has diversified its products by innovating new trends in clothing and has adopted the changing demands of the consumers better than their competitors. It has developed and maintained a strong brand image in the United States by marketing its products to the different parts of the diversified demographic markets. A&F undertakes aggressive promotional activities without harming the inspirational nature of th e brand equity. The sales objective of the company is to create string direct-to-consumer sales channels so as to facilitate growth. A&F believes in increasing sales by innovating and creating new casual wears are preferred by the younger generation. Though the changing taste and preferences of the individuals have affected the company sales to a great extent, the company has tried its best to meet the demand of the market. A&F positions itself as a premium brand, which focuses on its styles. Its main objective is centered on revenue and growth, which is achieved through sales. The brand name enables the company to grow and create endless opportunities for growth. It also employs the most talented youths around the globe. It permits higher profit margins and encounters lesser risk for entering into new business concepts. It encourages innovation and ensures profitability through it. A&F prides in creating classic, casual and â€Å"All-American lifestyle brand of clothing†. Th e company employs a proactive approach in order to combat the challenges. The customers praise our brand as it not only gives them comfort but also satisfy them by fulfilling their demands.