Emotional Intelligence Ei And Burnout Among Nurses Psychology Essay

Emotional Intelligence Ei And Burnout Among Nurses Psychology Essay This study examined the relationship between emotional intelligence and burnout among nurses working in private hospitals in Malaysia. Theoretical literatures related to this relationship are presented in the first part of this chapter. The existing literatures on the topics were examined and key pieces were brought together to establish a foundation for this study. While for the second part of this chapter, it discusses about the theoretical framework of this study and finally, the research hypotheses are developed based on the theoretical foundations and empirical evidences from the existing literatures. 2.2 Burnout The term burnout has its roots in the medical and nursing disciplines. It was first defined by a psychiatrist, named Herbert Freudenberger in 1974. The theory of burnout was developed through his clinical experience by exploring the turmoil that people experience every day. According to Maslach and Jackson (1981a), burnout occurs in the helping professions, such as nursing due to the chronic stress associated with doing work that involves people. Basically burnout occurs as feelings of emotional exhaustion, negative feelings, and attitudes within the job and the increase of negative self-concept. The earliest use of the burnout term in nursing literature was found in the articles published by Seymour Shubin in 1978. Shubin described burnout as hazardous to nursing and all other helping professions. The study of burnout, although not exclusive to nursing, continues to be an important occupational issue for the nursing profession. 2.2.1 Definition of Burnout There are many definitions of burnout, however most definitions share a view of burnout as a state of fatigue and emotional exhaustion, as a result of emotional depletion and loss of motivation. The term burnout that was first coined by Freudenberger in 1974 refers to wearing out from the pressures of work. It was used to describe the experience of employees in professions that needs high degree of people contract. Freudenberger in 1975 further defined burnout as wearing out, failing, becoming exhausted, and it occurs when excessive demands on energy, strength or resources are made. Cherniss (1980) was among the first to describe burnout within human service field who defined burnout as a process that leads to an individuals attitudes and behaviors change in negative ways in response to work stress. On the other hand, Maslach (1982) who had extensively researched about burnout has provided the most commonly accepted definition of burnout as a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment that can occur among individuals who do peoples work of some kind. Maslach identified three related themes: (1) painful emotional experiences often resulted in clinical practitioners feeling emotionally exhausted and drained; (2) as a result, they developed negative and cynical attitudes towards their clients; and (3) personal competence suffered resulting in feelings of failure about their ability to work in the healthcare profession. These three themes were summarized as emotional exhaustion, depersonalization, and reduced personal ac complishment and later operationalized to measure burnout using the Maslach Burnout Inventory (MBI) (Maslach, Jackson Leiter, 1996). Garrosa, Moreno-Jimenez, Liang and Gonzalez (2008) indicated that burnout is a specific form of chronic and occupational stress in the professional social services. According to Westman and Eden (1996), studies have shown a strong relationship between work stress and burnout in many occupations. Especially, burnout has been repeatedly linked to job stress in the human service field due to the frequent and intense interactions with clients (Cordes Doughery, 1993; Lee Ashforth, 1996). Additionally, studies have also shown that nurses who experience occupational stress experience greater burnout (Stechmiller Yarandi, 1993). Thus, burnout is related to stress whereby burnout is a reaction to stress. Prolonged and unrelieved work stress often leads to burnout which results in negative attitudes towards work. Freudenberger (1975) postulated that burnout involves physical and behavioral symptoms. Behavioral consequences of burnout include decreased interaction with care recipients, ineff ective absenteeism, and high levels of job turnover (Maslach, 1982; Maslach Leiter, 1997). 2.2.2 Models of Burnout The burnout literature provides several models of burnout. This section describes three models constructed in the early eighties which proceed from the simplest to the most complex model. 2.2.2.1 Cherniss transaction model of burnout Cherniss (1980) was a significant figure of the first wave of burnout researchers and offered a burnout model that articulated transactional imbalance between the personal resources of the giver and the demands of the recipient or situation. Cherniss described burnout as a transactional stress process that involves three stages. The first stage is stress whereby demands placed exceed individual resources for coping. The second stage is strain, the initial emotional response to stress which usually includes feelings of anxiety, tension, fatigue, and exhaustion. Finally, defensive coping occurs which leads to changes in attitudes and behaviors such as the tendency of burnout individuals to treat clients in depersonalized way. Two years later, Cherniss modified his model and elaborated on the model that the causes of stress can either be internal or external demands. Additionally, the limited resources contributing to stress can also be external (e.g. availability of time, work space, a nd equipment) or internal (e.g. skills, knowledge, energy, and personality). In summary, Cherniss theorized that burnout is a coping response in a transactional process that begins with excessive and prolonged exposure to job stress. The uncontrollable stress causes strain in the individual which influences the coping process. If the stress is prolonged or becomes more intense, it will deplete the coping resources of an individual and force the individual to withdraw psychologically. 2.2.2.2 Edelwich and Brodsky: Five stages of burnout Edelwich and Brodsky (1980) suggested five stages of burnout: (1) enthusiasm; (2) stagnation; (3) frustration; (4) apathy; and (5) intervention. At the first stage, employees have great enthusiasm for their new jobs. They do not know much about their job and have unrealistic expectations about outcomes of their effort. Therefore, when the outcome is not as expected, they become disillusioned. During the period of stagnation at stage two, realities of the job become evident. The job is no longer satisfying as it first appeared. Employees are now more concerned with meeting personal needs, working hours, and career development. The third stage is called the period of frustration. Employees begin to question their job effectiveness and the value of their job. The limits imposed by bureaucracy frustrate the individuals and they become dissatisfied with the job situation. At this stage, employees begin to develop emotional, physical, and behavioral problems. Proceed to stage four; employees frustration turns to apathy because individuals feel trapped. On one hand, they feel frustrated by the job situation but on the other hand, they need the salary. The emotional and physical responses of individuals become worse whereby they would avoid clients whenever possible. The final stage is intervention. Nevertheless, it cannot be determined whether this stage would occur in an organization or the individual who is experiencing burnout would recognize their psychological state as undesirable. In summary, Edelwich and Brodsky viewed burnout as an evolutionary process that begins with idealistic enthusiasm and commitment. Subsequently, the loss of idealism, vigor, and purpose are triggered largely by work conditions (Edelwich Brodsky, 1980). 2.2.2.3 Maslach: Burnout caused by social interaction Maslach, a social psychologist, who became a stellar figure in the emerging research of burnout, has provided the conceptual definition that begun the second wave of research. Maslach (1982) described burnout as a three-dimensional syndrome characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. Another specific contribution Maslach made was the theoretical emphasis on the relational causes of burnout which linked to the social roots of emotional expenditure (Leiter Maslach, 1988; Maslach Leiter, 1997). Maslach (1982) saw that emotional overload and subsequent emotional exhaustion are the heart of the burnout syndrome. Thus, the first response to a stressful interaction with other people is emotional exhaustion. As people become emotionally depleted, they cope by cutting back on their involvement with others. This detached response which called depersonalization is the second aspect of burnout and leads to various negative attitudes and behaviors. At this stage, individuals who experience burnout feel more emotional distress and guilt about how they have treated those that they are trying to help. Finally, the feeling of reduced personal accomplishment which is the third aspect of burnout appears. At this point, the individuals feel inadequate about their ability to treat or help others. They tend to believe that they have failed professionally and chosen the wrong profession. A major contribution by Maslach was the development of the Maslach Burnout Inventory (MBI). Maslach and Jackson (1981a, 1981b) developed the MBI, which was one of the first reliable instruments for valid measurement of burnout. MBI is still the most widely-used measure of burnout in current research. MBI assesses psychological burnout and has three different versions, which include one general survey, one for human service professionals, and one for educators. The most commonly used measure of burnout is the Maslach Burnout Inventory-Human Services Survey or MBI-HSS (Maslach, Jackson Leiter, 1996) which was developed to measure occupational burnout among people working in the field of human services. 2.2.3 Burnout and Nursing Employees in general experience burnout on the job, especially those in jobs with high contact with people. Nevertheless, nurses are considered at high risk of work-related stress and particularly susceptible to burnout among the different healthcare providers (Keane, Ducette Alder, 1985; Kilpatrick, 1989; Schaefer Moos, 1993; Schaufeli Janczur, 1994; Duquette, Kerouac Sandhu Beaudet, 1994; Farrington, 1995; Decker, 1997; Marsh, Beard Adams, 1999; Koivula, Paunonen Laippala, 2000; Taormina Law, 2000; Shimizu, Mizoue, Kubota, Mishima Nagata, 2003; Jenkins Elliott, 2004; Piko, 2006). This is also proven by the fact that burnout in nursing has received world-wide attention (Demerouti, Bakker, Nechreiner Schaufeli, 2000). Several studies have identified nurse burnout rates are as high as 40-50% (Hapell, Martin Pinikahana, 2003; Vahey, Aiken, Sloane, Clarke Vargas, 2004). Nurses are particularly susceptible to the development of burnout, mainly because of the nature and the em otional demands of their profession. Nurses experience considerable stress in their job because they have long working hours, a wide range of tasks, interpersonal conflict with patients and their families, doctors, and other co-workers, exposure to death and dying, and noise pollution (Schmitz, Neuman Opperman, 2000; Maslach, Schaufeli Leiter, 2001; Shimizu et al., 2003). Studies have also confirmed that stressful circumstances for hospital nurses are escalating (Foxall, Zimmerman, Standley Bene, 1990; Healey McKay, 2000; Koivula et al., 2000). Basically, nurses are subjected to many demands in the workplace which include physical demands as well as the psychological/emotional demands. The physical demands are related to the physical energy required to perform the daily duties of nursing such as transferring patients in and out of bed and lifting patients onto a bed. On the other hand, psychological/emotional demands are related to the emotional energy required to care for patients with chronic illness (Van Servelle n Leake, 1993). Therefore, nurses who feel overloaded perceive a lack of meaningful connection with the patients. 2.3 Emotional Intelligence (EI) Emotional intelligence (EI) is complementary to cognitive abilities (IQ) (Devrim, Nadi, Mahmut, Mustafa Mustafa Kemal, 2005). Goleman (1995) stated that EI is significant to success. Goleman further explained the difference between people with high IQs who experience difficulties in their personal and professional lives and people with moderate IQs who are very successful in all their endeavours. Emotions are separated from that of the rational mind by having independent views and a mind of their own (Freshwater Stickley, 2004). Therefore, one has two minds, a rational mind that thinks and an emotional mind that feels. In conclusion, both the rational mind and emotional mind, store memories and influence our responses, actions, and choices. Furthermore, EI such as academic intelligence can be learned and developed with age (Mayer, Caruso Salovey, 2000). Research has shown that people with high EI understand their own and others feelings, know how to manage themselves, deal successfully with others, and respond effectively to work demands (Dulewicz Higgs, 2003; Goleman, 2005). Cooper (1997) stated that people with high levels of EI experience more career success, build stronger personal relationships, lead more effectively, and enjoy better health than those with low EI. Hence, developing EI competencies in existing employees or finding individuals who posses these skills will enhance the organizations bottom line (Goleman, 1998a, 1998b) and ensure long-term success for the company. 2.3.1 Background and Definition of Emotional Intelligence (EI) The idea of EI has its roots in the social intelligences. EI was first proposed by Thorndike in 1921, who noted that it was of value in human interactions and relationships. Gardners (1983) multiple intelligence theory later also contributed to the theory of EI through the identification of intrapersonal and interpersonal intelligences. Interpersonal intelligence comprised of the ability to understand others and to co-operate with them, whereas intrapersonal intelligence comprised of the ability to be self-aware, to recognize ones own feelings, and to use this to operate successfully in life. However, the term EI was not brought into mainstream psychology until 1990s (Mayer, DiPaolo Salovey, 1990; Salovey Mayer, 1990). Hence, EI is a new construct since the first peer-reviewed article that was published in 1990 (Salovey Mayer, 1990). The concept is also described as a new theory which is still in the initial stage of development and testing (Ashkanasy, Hartel Daus, 2002; Cherniss , Extein, Goleman Weissberg, 2006). As a result, definition of EI varies. Salovey and Mayer (1990) first coined the term of EI and defined EI as the ability to monitor ones own and others feelings and emotions, to discriminate among them, and to use this information to guide ones thinking and actions. Mayer et al. (2000) further defined EI as an ability to recognize the meanings of emotions and their relationships, and reason and problem-solve on the basis of them. EI is involved in the capacity to perceive emotions, assimilate emotions related feelings, understand the information of those emotions, and manage them. However, the concept of EI was popularized by Goleman (1995) through his book Emotional Intelligence, which became the best-selling book for business and education leaders. Goleman (1998a) identified EI as the capacity for recognizing our own feelings and those of others, for motivating ourselves, and for managing emotions well in ourselves and in our relationships. In addition, Bar-On (2005) defined EI as a cross-section of interrelated emotio nal and social competencies, skills, and facilitators that determine how effectively we understand and express ourselves, understand others and relate with them, and cope with daily demands. In conclusion, recognizing feelings and controlling emotions are described as the core competencies of EI. Individuals who are emotionally intelligent can understand one another and each others views to overcome conflict and avoid damaging the relationship. Therefore, EI is about sensing what others are feelings and handling relationships effectively (Dulewicz Higgs, 2000). Previous research also addressed the relationship between EI and work outcome variables such as stress perceptions in the workplace (Bar-On, Brown, Kirkcaldy Thome, 2000; Nikolaou Tsaousis, 2002), job satisfaction (Wong Law, 2002), job commitment (Nikolaou Tsaousis, 2002), leader effectiveness (Higgs Aitken, 2003), and performance (Lam Kirby, 2002; Van Rooy Viswesvaran, 2004; Lopes, Grewal, Kadis, Gall Salovey, 2006). 2.3.2 Theories of Emotional Intelligence (EI) Many theories have been proposed since the emergence of the concept of EI in 1990s. Nevertheless, three theories have gained acceptance among scholars and practitioners (Dulewicz, Higgs Slaski, 2003). These three major theoretical constructs each focused on understanding the roles of skills, traits, and abilities in EI (Emmerling Goleman, 2003). EI has been defined as an ability (Salovey Mayer, 1990), a set of traits and abilities (Bar-On, 2005) or a combination of skills and personal competencies (Goleman, 1995). The ability model is based on an individuals ability to use emotions as part of the reasoning process (Mayer et al., 2000). Mayer et al. asserted that EI depends on the ability to process emotional information and to use core abilities related to emotions. Bar-On (2005) conceptualized EI as a set of personality traits and abilities that predict emotional and social adaption within environments. Bar-On also affirmed that EI is teachable and learnable. According to Goleman (1995), EI is a set of learned skills and competencies and this conceptualization is most widely accepted outside academia. Golemans ideas have contributed to the development of leadership models that outline skills and competencies related to emotionally competent leadership (Emmerling Goleman, 2003). Apart from that, the literature has evolved into two main categories of EI models: (1) ability model; and (2) mixed models (Feyerherm Rice, 2002). The Salovey and Mayer theory is considered as an ability model of EI, while the Bar-On and Goleman theories are considered as mixed models of EI (Mayer et al., 2000). Basically, the ability model encapsulates EI as a skill and the mixed models go beyond ability by including additional personality characteristics that lead to certain behaviors. 2.3.2.1 Ability Model The ability model of EI is the Salovey and Mayer (1990) model which officially launched the field of EI. Salovey and Mayer viewed EI as an ability that exists, interacts, and complements an individuals cognitive capabilities. Ability theory promotes the relationship between cognition and emotions based on mental abilities (Mayer, Salovey Caruso, 2004). Salovey and Mayer conceptualized EI as a set of interrelated skills composed of four branches of abilities, which include: (1) perception and expression of emotions; (2) using emotions to facilitate thought; (3) understanding and analyzing emotions; and (4) managing emotions (Mayer et al., 2004). The four branches can be described as follows: (1) the perceiving emotions branch relates to the ability to detect emotions in oneself and in others; (2) the using emotions branch relates to the ability to use emotions in cognitive activities such as problem solving; (3) the understanding emotions branch relates to the ability to comprehend t he complexity of emotional languages and emotional relationships; and (4) the managing emotions branch relates to the ability for one to regulate emotions in oneself and in others. The ability model of EI is different from other theories because the model is the only one which utilizes an instrument designed to measure ability (Dulewicz et al., 2003). This model operationalizes EI using ability-based measures: the Mayer-Salovey-Caruso Emotional Intelligence Test (MECEIT) (Mayer, Salovey Caruso, 2002) and its predecessor, the Multifactor Emotional Intelligence Scale (MEIS) (Salovey Mayer, 1990). The ability tests measure how well people perform tasks and solve emotional problems, as opposed to other EI scales which rely on the individuals subjective assessment of his or her perceived emotional skills. However, ability tests are expensive and require more resources to administer and score. MSCEIT instrument is difficult to score and lacks workplace applicability (Brackett, Rivers, Shiffman, Lerner Salovey, 2006). Consequently, self-report assessment outnumbers ability tests are more widely used in the mixed models. 2.3.2.2 Mixed Models EI mixed theories highlight the emotional and social functioning of individuals (Goleman, 2005; Bar-On, 2006). Therefore, Bar-On categorized his model of EI as a key of emotional-social intelligence (ESI). Bar-On (2005) asserted five key competencies are associated with ESI, whereby the five domains of these mixed models are: (1) intrapersonal capacity (the ability to be aware and understand ones own emotions and to express ones feelings and ideas); (2) interpersonal skills (the ability to be aware, understand, and appreciate others feelings as well as to build and maintain effective and satisfying relationships with others); (3) adaptability (the ability to adapt to various situations by effectively managing personal, social, and environmental changes by employing various skills such as problem solving, reality testing, and flexibility); (4) stress management strategies (the ability to manage emotions and to use those emotions to stay motivated and persistent); and (5) motivational and general mood factors (the ability to be optimistic, to enjoy oneself and others, and to maintain positive feelings) (Bar-On et al., 2000). The Emotional Quotient Inventory (EQ-i), a self-report measure is considered as the most widely used measure of ESI (Bar-On, 2005). The EQ-i analyzes the concept of emotional and social functioning by measuring a persons ability to deal with daily demands and pressures. People who are taking EQ-i answer questions based on five competencies: (1) intrapersonal skills such as emotional self-awareness, self-regard, self-actualization, or independence; (2) interpersonal skills such as interpersonal relationships, empathy, and social responsibility; (3) adaptability, including problem solving, flexibility, and reality testing; (4) stress management, including tolerance and impulse control; and (5) general mood of optimism and happiness. Goleman developed his mixed models theory of EI by building on the work of Salovey and Mayer, in addition to other researchers in the field (Emmerling Goleman, 2003). Basically, Golemans model of EI can be grouped into personal competencies and social competencies that affect personal success in the workplace. Goleman (2005) stated that a personal competence is the ability to keep self-awareness and manage ones behaviors while a social competence is the ability to understand the behaviors of others and manage relationships effectively. These competencies are described in detail as: (1) self-awareness (knowing ones internal states, preferences, resources, and intuitions); (2) self-management (managing ones internal states, impulses, and resources); (3) motivation (emotional tendencies that facilitate reaching goals); empathy (awareness of others feelings, needs, and concerns); and (4) social skills (adeptness at inducing desirable responses in others) (Goleman, 1998a). Based on the emotional competencies identified by Goleman (1998a), the Emotional Competence Inventory (ECI) was designed to assess EI. ECI is a 360-degree scale which gathers self, subordinate, peer, and supervisory ratings on social and emotional competencies of individuals in organizations. Subsequently, Boyatzis (2007) designed Emotional Social Competency Instrument (ESCI), a multi-rater assessment in real organizational contexts which comprised of four emotional and social competencies, which include: (1) self-awareness; (2) self-management; (3) social awareness; and (4) relationship management. In general, EI mixed models stress performance based on behavioral competencies and personality traits suitable for a wide range of work contexts, job roles, and job levels (Petrides, Furnham Martin, 2004; Goleman, 2005; Boyatzis, 2007). The mixed models are also comprised of other measurement instruments. For examples, measures such as the Schutte Self-Report Emotional Intelligence Test (SSEIT) (Schutte, Malouff, Hall, Haggerty, Cooper, Golden Dornheim, 1998), and Wong and Laws (2002) leadership-focused measure of EI. Many studies in the literature utilize self-report measures of EI based on mixed models perspective that incorporates both disposition and ability (Chan, 2006). According to MacCann, Matthews, Zeidner and Roberts (2003), mixed models scales vastly outnumber ability tests at the stage of EI development, meaning that EI is more commonly assessed as a disposition, rather than as an ability. Additionally, self-report or peer-report measures require less amount of time to complete and are most cost-effective than the ability based measure. 2.3.3 Emotional Intelligence (EI) and Nursing There is a large body of knowledge related to EI exists outside nursing whereas EI theory and research within nursing is scarce and a more recent phenomenon (Akerjordet Severinsson, 2007; Smith, Profetto-McGrath Cummings, 2009). Smith et al. (2009) conducted a literature review related to EI and nursing during 1995 to 2007. Smith et al. found only 21 theoretical and 9 empirical articles related to the subject and concluded that although the body of theoretical literature in nursing is growing, scientific research about EI and nursing is just beginning. Apart from that, researches that link EI and nursing are mostly correlation designs using small sample sizes. Akerjordet and Severinsson (2007) asserted that EI has significant implications for nurses quality of work in healthcare. Therefore some qualitative studies have been carried out to explore the concepts and ideas of EI in nursing (Akerjordet Severinsson, 2004; Freshwater Stickley, 2004; Kooker, Shoultz Codier, 2007; Hurley Rankin, 2008). Akerjordet and Severinsson (2004) used qualitative interviews to gain insight into mental health nurses emotional experiences in practice and sought to understand the connection between nurses articulations of emotions in practice and EI concepts. Four main themes emerged from the study, which include: (1) relationship with the patient; (2) the substance of supervision; (3) motivation; and (4) responsibility which are related to different aspects of EI. For instance, relationship with the patient which was a central research finding is linked to EI through the ability to interpret and communicate emotional information. Akerjordet and Severinsson concluded that EI implies important personal and interpersonal skills in nurses therapeutic use of self, critical reflection, and stimulates the search for a deeper understanding of professional nursing identity. In another study, Kooker et al. (2007) used the conceptual framework of EI to analyze nurses stories about their professional practices. The stories reflected evidence of EI competencies that could provide fresh insights into ways to keep nurses engaged in practice and to improve nurses retention and patient/client outcomes. The domains and competencies of EI identified across the stories include social awareness, the most common one, followed by social management, self-awareness, and lastly self-management which was represented less frequently than the other domains. In summary, EI concept is increasingly recognized and is making an appearance in nursing journals (Cadman Brewer, 2001; Evans Allen, 2002; Freshman Rubino, 2002). The literature revealed EI is important and relevant to nursing from both an empirical and a theoretical perspective. EI influences emotions within quality of care and stress management, thus influence employees retention, quality of patient care, and patient outcomes. Therefore, further research that investigates potential uses for EI theories, skills, and competencies related to nursing practice and patient care is warranted within the healthcare environment (Akerjordet Severinsson, 2007; Smith et al., 2009). 2.4 Relationship between Emotional Intelligence (EI) and Burnout Emotional Intelligence (EI) expressed in the ability to recognize, understand, control, and utilize emotions may have impact on the perceived job stress and the consequences of experienced stress. Many empirical studies have shown that the relationship exists between EI and burnout syndrome (Reilly, 1994; Duran Extremera, 2004; Gerits, Derksen, Verbruggen Katzko, 2005; Chan, 2006; Duran, Extremera, Rey, Fernandez-Berrocal Montalban, 2006; Benson, Truskett Findlay, 2007; Rimmer, Bedwell, Bay, Drachman, Torey, Foster Caruso, 2009; Brackett, Palomera, Mojsa-Kaja, Reyes Salovey, 2010). These studies also proved that there is a negative correlation between EI and burnout syndrome. For instance, Reilly (1994) in a study of hospital nurses identified that nurses who scored higher on EI experienced fewer symptoms of burnout. Apart from that, other empirical studies have shown that the components of EI are correlated with the components of burnout (Mendes, 2002; Farmer, 2004; Palser, 2004; Potter, 2006; Froese, 2009). Farmer (2004) conducted a study to examine the relationship between EI and burnout using a sample of 169 newly graduated nursing students in practice. The results showed significant correlations which included a negative relationship between using emotions to facilitate thinking and depersonalization (DP) (r = -.240, p Palser (2004) investigated EI and burnout among ministerial workers. The researcher utilized bivariate analysis and produced two significant correlations. Firstly, an inverse relationship between emotional exhaustion (EE) and using emotions to facilitate thinking was presented among the 101 pastors sampled (r = -.25, p < .05). Secondly, a positive relationship was identified between personal accomplishment (PA) and understanding emotions (r = .21, p < .05). In another study, Froese (2009) examined whether the four abilities of EI predicted the components of burnout among 57 professional caregivers after accounting for the contribution of caregiver's demographic characteristics, which were licensure level, age, and ethnici

Owl- Foolish or Wise

Ullu (owl) – Foolish or Wise? Today in ITPN class, a very interesting debate started but due to lack of time and due to some over excited people (mostly psychology stream kids, they speak so much! Are all psychology people gifted with feature like â€Å"I think after I speak,†? it’s so annoying) who have to speak on everything! The debate somehow could not finish properly. So, the house was divided on if â€Å"Ullu† was wise or foolish. Owl, who wakes up at night and sleeps during the day, is considered to be the poster boy of wisdom and smartness.In Hindu mythology owl has been bestowed with the honor of being the vehicle of goddess Saraswati. Now Saraswati is supposed to be the goddess of knowledge and music. So if we interpret it correctly, owl can be seen as the vehicle of knowledge, which I assume, is a very respectable thing to be. But then why does â€Å"ullu da patha† which means son of an owl is taken as an insult? So when someone is callin g you â€Å"ullu da patha† isn’t he indirectly calling you something truly respectable?But actual meaning of â€Å"ullu da patha† isn’t son of an owl, but when someone calls you â€Å"ullu da patha† what he’s trying to say is â€Å"I can’t abuse you properly right now†, and by properly I mean reaching mothers and sisters. That’s the reason it’s taken as an insult because we know the hidden meaning. We often hear people calling us â€Å"ullu† whenever we do something foolish. But what is that foolish thing which our poor owl does that people keep associating our foolish acts with his? Is it his gaze? Or his nocturnal sleeping habits? But what’s so wrong about sleeping in the daytime?If everyone is sleeping at night that does not mean our poor owl has to copy them. I think it somehow shows how our society sees things, if someone is not doing what majority is doing, he is labeled as stupid. Why are ever ybody expected to do same things? Walk the same path to success. Isn’t this stupid? (Doing things without thinking and follow what others do) Ask any science student today who is studying in school that what he wants to do after school? Answer would be the same, â€Å"I want to become an engineer and then do an MBA! Thank God, I am not running in this horse race. I guess, not everybody was so ignorant and somebody somehow realized that how wise our poor owl could be. I don’t know what was that person thinking when s/he made owl the vehicle of Saraswati and put our owl in the league of wise. I think what makes him wise, is the fact that he has the wisdom of the night. He knows what others don’t and he knows what other’s hide. He knows the secrets of the night. His uninterrupted gaze, his 360 degree vision, sees what lies in the dark, what happens in the underbelly.Maybe people had started calling him stupid, to hide their shame, they thought that by calli ng him stupid they would make him untrustworthy and nobody will trust his words. But they forgot that our poor owl needs to sleep too, he won’t tell their secrets to anybody because when the whole world daydreaming, our poor owl is actually dreaming in his sleep. So, if next time, someone calls you â€Å"ullu da patha,† don’t feel bad and think about the hidden meaning. Rather think about the respect that man is giving you unknowingly! -Shikhar Goel

Birth Control Around the World - Free Essay Example

Sample details Pages: 4 Words: 1213 Downloads: 3 Date added: 2019/07/03 Category Society Essay Level High school Topics: Birth Control Essay Did you like this example? For over some decades now, birth control has been put into the world. Many people still wonder today if its safe, are the effects on your body worth it and does it really prevent pregnancy. The womens right revolution played a big part in developing safe methods over the years for women who choose to use birth control today. During a time where pregnancy avoidance and contraception wasnt really common, its interesting to think about how accessible it is in todays time. When birth control was first approved in the 1960s, The Supreme Court only gave married couples the right to use birth control. Evidently, it was protected in the constitution as a right to privacy. Not only until 1972, did the Supreme Court legalized birth control for all citizens of this country. As time goes by, an accelerated expansion in availability, different methods and improvements on birth control became available. Don’t waste time! Our writers will create an original "Birth Control Around the World" essay for you Create order Woman must have her freedom, the fundamental freedom of choosing whether or not she will be a mother and how many children she will have. Regardless of what mans attitude may be, that problem is hers † and before it can be his, it is hers alone. She goes through the vale of death alone, each time a babe is born. As it is the right neither of man nor the state to coerce her into this ordeal, so it is her right to decide whether she will endure it. From ages reproductive ages of 15 to 44, there are 61 million women in the U.S. About 70% of those women are at risk of having unintended pregnancy, that is sexually active and do not actually want to conceive. 72% women use non-permanent methods such as the pill, patch, implant, injectable, vagina ring and etc. The pill and female sterilization have been the two most commonly used methods since 1982. In 2001, the hormonal patch was introduced. The birth control patch is a beige patch that sticks to your skin and helps prevent future pregnancies. The patch is applied to your skin once a week for three weeks straight. The patches normally cost $0-$80 per box. The price to get this kind of birth control really depends on the location and medical insurance coverage you may have. The patch prevents pregnancy by releasing hormones. These hormones are chemicals that control different parts of the body by helping women today to prevent future pregnancy. The patch can be applied on the skin of your outer arm, stomach, back or butt. The patch is known to be easy and safe to use. Its very low maintenance and pain free. Its also very convenient since you can apply it to yourself and dont really need to schedule a doctors appointment. The patch helps with acne, headaches, menstrual cramps, ectopic pregnancy and more. Birth control which has been criticized as negative and destructive, is real ly the greatest and most truly eugenic method, and its adoption as part of the program of Eugenics would immediately give a concrete and realistic power to that science as the most constructive and necessary of the means to racial health. Even though a lot of birth control has great benefits they also have lots of side effects. Some of the main side effects of the birth control patch is vomiting and nausea, tender breasts, bleeding between periods, sore legs, trouble breathing, bad headaches, yellowing of the eyes and even serious chest pain. The patch is 99% effective against pregnancy. In 2006 the Nexplanon was invented. Nexplanon is another form of birth control but totally different from the patch. The Nexplanon is a radiopaque rod that is inserted into skin of your upper arm. The small plastic rod that is inserted contains hormone etonogestrel that is released over time over the course of up to three years. Nexplanon creates an environment in which it is harder for sperm to reach the uterus and for a fertilized egg to be implanting into the uterine wall. Even though Nexplanon are plastic, they contain a small amount of barium sulfate which enables them to even be seen by x-ray. Just like any other birth control, they help with many problems but also have those big side effects that a lot of women would rather not go through. Taking Nexplanon can increase your risk of developing blood clots, having a stroke or heart attack also. As a young adult I have experienced the effects and benefits of birth control. I decided to try the Nexplanon as my first option. When it was first inserted into my body, I didnt have any sign effects right in the beginning but as a year started to go on, I did see side effects that was common with the implant. Side effects are very serious and can very much hurt your body more than help it sometimes. A lot of women these days dont know how bad birth control is for the body, but most women take the birth control because they may not want kids at that moment in their life. You know that many women true personalities change from the effects of birth control. Some women remember themselves as happy, energized, loving. The effects taken onto the female human body now makes them emotional, crazy, exhausted, and even angry. Even when birth control doesnt have any effect on the body while taking it, it can definitely hurt the body later. Lots of women who may have been on birth control for a while can experience the long-term effects that birth control can take on your body. The long term affect definitely depends on the age, the medical history and which type of birth control that they may choose to use. Did you know that birth control plays a big roll into infertility and why women today cant have kids? Infertility is when you have trouble getting pregnant or staying pregnant. Fertility problems can actually happen in both men and women. Most people get diagnosed with infertility after not getting pregnant after a year or more of trying or if you have multiple miscarriages. Many people become excited to tell their family and friends that they are now about to bring another human into this world, to only tell them later that theyve lost their baby. Many parents even wonder why. Wonder what they make have done to cause the life of their baby and etc. When it comes to birth control today in 2018, it is now 50/50. Birth control is good and bad. It helps prevent pregnancy, but it also causes long term harm on your body. Its a win and a lost. The choice is yours at the end of the day whether your willing to take the risk. Sometimes women have no effects, still have good healthy children and even healthy themselves. Exercising eating right, taking care of yourself can also really help with staying healthy and fit along the birth control and pregnancy stage in women lives today. Its long past time we started focusing on the solutions that actually keep women healthy, instead of using basic aspects of womens health as a tool of. Being a healthy woman isnt about getting on a scale or measuring your waistline. We need to start focusing on what matters-on how we feel, and how we feel about ourselves.

A Comparison of Bless Me Ultima and The House on Mango...

Exploring Syncretism in Bless Me Ultima and The House on Mango Street Syncretism is the fine line between Christianity and Native American Religions because it is the ambivalent, simultaneous attraction of choice and identification to the influences of two or more religious belief systems. Syncretism is most common among minority groups such as Hispanics. The definition applied to their unique position of culture is brought about by the Native American and Spanish ancestry. Ambivalence is shown even by the word Hispanic, which is an umbrella term. The novels, Rudolfo Anayas Bless Me Ultima(1972) and Sandra Cisneros The House on Mango Street(1984) explore syncretism and how it enhances and exemplifies the issue of†¦show more content†¦She represents the Native American minority culture and Christianity as a curandera. She is a Native American spiritual healer who is derived from Rudolfo Anayas own experience, of a woman who was said to have powers to cure sickness(Hispanic Biography 42). The syncretism of Ultimas Christ like abilities are given in two illustrations. Ultimas Christ like nature is displayed through her abilities, or powers as a curandera to perform miracles. Ultimas powers are shown in the text as being good; although, it is confusing to say whether her powers are coming from Christianity, or witchcraft? To illustrate the issue of this comparison to Christ, Antonios mother recalls Ultimas powers saying, I have seen her work miracles. She learned from the flying man from Las Pasturas(Anaya 85). The incongruity of this statement to that of Christianity is clear cut. According to the Dictionary of Hispanic Biography, Anaya acquired the myth and superstitions from his family who lived in Pastura about a women like Ultima, who could heal (42). From Anayas experience, syncretism of miracles and elements of superstition in folk Catholicism is apparently true. However, the only one to perform miracles in Christianity is Christ. To further illustrate the comparison of Ultima to Christ is the aura of power Ultimas character seems to possess, and to which she gains respect as a healer. The instance in the text whereShow MoreRelatedLiterary Criticism : The Free Encyclopedia 7351 Words   |  30 Pages(1967)[34] A Wizard of Earthsea, by Ursula K. Le Guin (1968)[35] I Know Why the Caged Bird Sings, by Maya Angelou (1969) Bless Me, Ultima, by Rudolfo Anaya (1972) The World According to Garp, by John Irving (1978) The Discovery of Slowness, by Sten Nadolny (1983) Bright Lights, Big City, by Jay McInerney (1984)[36] Ender s Game, by Orson Scott Card (1985)[34] The Cider House Rules, by John Irving (1985) Oranges Are Not the Only Fruit, by Jeanette Winterson (1985)[37] Norwegian Wood, by Haruki Murakami