The theoretical framework is used as a basis for many modern research studies. It provides structure and theoretical backing for a study and allows tying in facts and theories gathered from supporting sources and literature into a cohesive system (Green, 2014). Although not explicitly stated in every research, most of them are based on one theoretical framework or another. This paper is dedicated to overviewing and describing the guiding propositions of Levin’s Conservation theory and explaining how it is used in current ongoing research.
Overview and Guiding Proposals of Levine’s Conservation Theory
Myra Estrin Levine is regarded as one of the most famous nurses of her lifetime. Although it was never her intention to create an official nursing theory, the results of her work are widely used in modern medical research practices. Her model, known as Levine Conservation Model, is focused on promoting adaptation and maintaining the wholeness of a patient’s wellbeing using conservational methods. These goals are accomplished through practices that promote conservation of energy, structure, social constructs, and personal drives and desires.
Levine’s conservation theory is built on meta paradigms first introduced by Florence Nightingale, who expanded on them in her works. These meta paradigms are the environment, patient, health, and nursing. These holistic concepts are congruent with the idea of wholeness, which Levine’s conservation model is seeking to preserve (“The four metaparadigms,” 2013). The differences show when we look at the key concepts proposed by Levine.
Her theoretical frameworks are based on four principles of conservation. These principles are:
- The principle of conservation of energy.
- The principle of conservation of structural integrity.
- The principle of conservation of personal integrity.
- The principle of conservation of social integrity.
The first principle reflects the input and output of energy in a patient. This principle is fundamental for all medical programs aimed at healing the patient through introducing an organized regimen of rest, healing procedures, and physical and mental activities (“Four conservation principles,” 2016).
The principle of structural integrity relates to performing actions that promote healing and maintaining the patient’s mind, soul, and body at a healthy level. These measures promote healing in case the patient is not feeling well, and promote prophylactic measures should the patient feel fine, to prevent possible disease (“Levine’s four conservation principles,” 2012).
The third principle recognizes the patient as a person, whose life, rights, thoughts, dreams, and desires have inherent value and must be respected at all times. This principle is largely related to Nightingale’s Person metaparadigm, and it is there to safeguard the patients and their rights (“Myra Estrin Levine,” 2016).
Lastly, the fourth principle recognizes the patient as a social creature that exists within social constructs. The purpose of this principle is to facilitate the patient’s activities as part of a group, a family, and the society, to facilitate the patient’s mental and emotional health, and prevent possible deterioration (“Myra Levine’s conservation theory,” 2009).
Application of Levine’s Theory to My Study
The scope of my research is the benefits of using pulsed electromagnetic therapy to alleviate pain in diabetic neuropathy patients as an alternative to the application of strong and potentially harmful painkillers (“Pulsed EMF,” 2015). In my study, I used Myra Levine’s conservational theory as a framework to base my study. It provides a unique perspective on the subject of the research, as I am viewing it through the prism of all four principles of conservation.
From the perspective of the conservation of energy, the application of pulsed electromagnetic therapy will be extremely beneficial to a patient’s regimen of rest and activity. Many drugs used in diabetic neuropathy induce dizziness and have many unwanted side effects, which could interfere with a patient’s activities, forcing him or her to base her activities around these inhibitions. Pulsed electromagnetic therapy has no known side effects that would interfere with a patient’s daily schedule.
The impact of PEMF on a patient’s structural integrity is much greater. Drug treatment has to deal with the constant threat of polypharmacy and balance out negative reactions between many drugs used at the same time. PEMF has no side effects to speak of, thus having no negative impact on the structural integrity of an organism.
The third principle of Levine’s theory applies to any research performed in the medical field. It outlines the boundaries of the research and ensures the rights of all patients who would undergo PEMF therapy, should the concept prove applicable in modern medicine. This principle touches their rights to be consciously aware of the procedure and be able to refuse it, should they so desire.
The last concept provides an interesting perspective that will be covered in my research. PEMF therapy does not require large machines or constant supervision. There are many subtle methods of using PEMF to combat and mitigate pain, thus helping the patient to return to normal social life sooner, sometimes even while still undergoing treatment.
Theoretical frameworks are important in researching the medical field. Levine’s Conservation framework offers a broad and unique perspective on the concept of using PEMF to fight pain in diabetic neuropathy patients. All four tenets of that theoretical framework find application in my current project, which means that it is a suitable theoretical framework to rely upon.
Green, H. E. (2014). Use of theoretical and conceptual frameworks in qualitative research. Nurse Researcher, 21(6), 34-38.
Four conservation principles. (2016).
Myra Estrin Levine – conservation model. (2016). Web.
Pulsed EMF (electromagnetic field) therapy for chronic pain. (2015). Web.
Language Death Process Causes And Factors
Language is one of the important tools and communication methods that human beings deserve to embrace over the past decade and still do. In the modern society, different strategies to promote the language creativity and active interactions have been a success. As much as people tend to cope with different values and cultural practices in the background of the language, it is difficult to understand how the evaluation of the characteristics can be fed without any trigger. This study will focus on the causes of death of a language, where the process begins, how it is carried out backing up the prove using the book that has an illustration of how individual language speakers are coerced into giving up their language. The study will also discuss on the factor that is lost when a language dies, describing the answer using a book and finally choose the two illustrations when discussing the examples given by Harrison, on how ‘each language has its own window on the world.’
Causes of Death of a Language
Miscommunication and lack of mutual understanding may lead to the death of a language, as there are no channels to convey a message from a certain source. Provision of the various equipment meant to express a certain language have been an effective way to trigger its rise, though this has been in vain since as long as the communication links are cut, the language naturally dies.
The cultural values of people in a certain community would depend on the beliefs based on the language and total tolerance for these factors. These values may interfere with the communication channel through the illustrations given using direction. Language is a critic that seeks to identify differentiation and provide factors that will promote its existence. If some environmental elements are a hindrance within this context, the aim is dead, and the outcome is a negative communication causing language barrier. The death of language consists of the individual’s perceptions towards the same approach.
The beginning of the process of death of a language
Individuals with the abilities to illustrate proper grounds that will ascertain the channel of information and communication embrace the actions based on the causes of death of a language, and the effects of the transformation efforts. Every process in the context of literature has a beginning that catalyzes the rest of the program. In the death of a language, the focus is based on the mutual understanding and communication skills issued through a certain ground, using a particular audience who need to address the issues. The process is manipulated by anxiety and the feelings of disclosure and pessimism that promote criticism based on the manner it is evaluated, and the ways through which the structures have an impact on the rest of the process. Identifying the resources from the language content might affect the fading of the factor due to the quality of information used; for a wrong audience in a wrong format and period.
The individual language speakers are triggered by the commonalities within a setup to express their language facts using the opportunities surrounding the platform. Manipulating some status or circumstances such as misinterpretations of words or sentences, may provide an opportunity for the speakers to give up on their language. Proper decision-making that might be an issue in the event of promoting growth and development of a language may influence the actual reality for the same input.
Lost factors when a language dies
The main point from the language connections and the proper evaluation of the resources are the content of the information. When this factor dies, the language used is as good as dead. The communication background and the outcome may affect the audience, and the individuals would feel manipulated, leading to the denial and declarations to suing the language that a community seemed comfortable in. Accurate and critical thinking through the approach on awareness and feedback may affect the progression of a language. The effects of proper decisions made are drawn from the polite feedback giving, and it is upon individuals to provide outstanding ground based on the same platform.
Another element that is lost during the process is trust and confidence from individuals who opted for a particular language that never worked. Depending on the reliability of issues that affect the language of a certain group, having an important factor channeled at producing the same decision will depend on how the information issued is convincing, and the strategies used for the outcome of the same content, as considered and emulated by the abundance. Confidence in a language will be possible through the right quality of information from the same language, promoting an outcome that will eliminate negative thinking through a firm’s decision-making process (Nicholas 55). Constant communication and information development within a certain language depends on the frequent efforts to channel the same communication. Focusing on the accurate choice of words and ensuring that their arrangements are formal and attract the attention of the users, will depend on the feedback from the same individuals.
Two illustrations by Harrison
Harrison believed in the language introduction, productivity, creativity and the factors that may lead to its absence. One illustration that Harrison puts forth is the Karaim language that is spoken in Lithuania. This language, as illustrated by Harrison, it became obsolete with time, losing its status as the common language spoken in this part of the world. As such, for with it vanished “an accretion of many centuries of human thinking about time, seasons, sea creatures, reindeer, flowers, mathematics, landscapes, myths, music, infinity, and the everyday” (Nicholas 55). The death of a language, as depicted by Harrison, covers on an emphasized quote on how each language has its own window on the world.
This means that the content of a particular language is deterministic of its futuristic characteristics, which speculate the period the language might survive as it is on its own, and the other factors will depend on the response from the users. Another illustration depicted by Harrison is the Munda people otherwise the ‘leaf-cup people’ from India. To this end, Harrison states that “the loss of a language is like dropping a bomb on a museum” (Nicholas 59). Nevertheless, accurate decision-making may trigger the growth as well, depending on the region the language is used, and some forms of emulation from the background to the conclusion of the history. Constant from the language will determine the other department of a language and its exploration within the societal setup.
Having a common understanding based on the factors of growth, development, content and social skills within a communication channel will ascertain the ways in which a language is known. The death of a language depends on the users and their environment. Philosophical approach towards discussion of emotions and events that are expressed from a certain angle of the language efforts will protect the reputation of a language, depending on the ways the users redefine and identify it. Self-motivation and critical thinking are some factors to be determined when discussing on the benefits of proper communication as well as self-image and body language as the user settles at the language.
Nicholas, Evans. Dying words: Endangered languages and what they have to tell us. New York: Random, 2011. Print.
Miami Gardens: Community Needs Assessment
The selected community for this assessment is Miami Gardens. This city has a population of over one hundred thousand people. The community is found in the northern part of Miami-Dade (Mills & Arch, 2016). The city started to grow in the early 1960s. This occurred when more people from different minority groups began to earn better incomes. More people began to settle in the region during the same period. Miami Gardens was incorporated recently in 2013.
Many analysts describe Miami Gardens as a suburban region. The current population is around 130,000 (Mills & Arch, 2016).
Physical Environmental Considerations
Miami Gardens is a neighborhood in Miami-Dade, Florida. The suburban city acquired its name from a street in the county. This is the Miami Gardens Drive (Mills & Arch, 2016).
Miami Gardens is characterized by a number of features such as the Biscayne Canal. There are both natural and manmade water bodies.
This city has a fine climate. For example, past studies indicate that the city gets enough rainfall annually (Mills & Arch, 2016). The city does not encounter snowfalls. The region experiences distinctive seasons every year.
Miami Gardens is known to obtain its name from Miami Gardens Road. The community’s estimated area is around 20 square miles (Allender, Rector, & Warner, 2013). It lies between NW 47th and NW 57th Avenue. It also borders 151 Street on the south. It stretches to 2nd Avenue on the east (Mills & Arch, 2016).
The city has been supported by the county in order to develop its environment. The city has reliable water and sanitation systems. Clean water is available for drinking and domestic use. The community has effective mechanisms to collect and dispose wastes. Animal vectors have been observed to affect the integrity of the surrounding environment. However, increased economic and agricultural practices have led to pollution. The index of the air quality stands at 55 percent. The air in Miami Gardens is usually odorless. Allender et al. (2013) place particulate matter at around 66 percent.
The city is chiefly an industrial community. People purchase fresh vegetables from different convenient stores. A good example is Walgreens. People eat fresh fruits and raw vegetables. Florida is prone to various calamities such as floods and hurricanes (Staub, 2016). Fortunately, emergency responses and health services are desirable. The city has designed effective programs to deal with disasters.
The issue of housing is taken seriously in Miami Gardens. The community is characterized by both private and public houses. There are rented houses in this neighborhood. Such houses meet the needs of the people. Around 60 percent of the inhabitants live in rentals (Staub, 2016). The needs of elderly and disabled persons are addressed using proper housing systems. Shelters for homeless persons offer adequate or emergency housing. Frail elders get proper housing in Miami Gardens.
Miami Gardens is a suburban city that has attracted many manufacturing firms. These companies are known to offer employment opportunities to more people. The leading companies include Allied General Industries, Miller, and Disitron Satellite Group (Mills & Arch, 2016). There are several banking, insurance, and transport firms in Miami Gardens. These firms dictate the occupations and careers of many dwellers.
The People of the Community
The census of 2011 indicated that the community had a total number of 109,600 people. This translates to a population density of 5,870 people per square mile. The rate of population growth in Miami Gardens stands at 17 percent (Staub, 2016).
The issue of mobility has not been covered adequately in this society. The level of mobility is low in the community (Mills & Arch, 2016). The city’s population is projected to increase in the near future. The average family is observed to have 4 members (Allender et al., 2013). Nuclear families are common in this society.
The community is characterized by all age groups. These include the elderly, adults, young adults, children, and infants. Most of the people are aged between 14 and 40 years. The percentage of this age bracket is 37. Individuals between 1 and 14 years amount to 14 percent (Mills & Arch, 2016). The aging population is also high in Miami Gardens. The population appears to be fairly composed.
Majority of the people are African Americans (slightly above 76 percent). Eighteen percentage of the population is white. The other common races include Native Americans and Latinos. The latest census indicated that the city’s birthrate was 1.1/100 persons. Crude death has been recorded at 0.5 percent. The members of the community are affected by health challenges such as neonatal deaths. The affected children die within the first month. Studies have placed infant mortality rate at 0.5 percent (Staub, 2016). Deaths resulting from maternal conditions stand at 0.7 percent. The community members face health challenges such as cancer, diabetes, and obesity. These diseases have led to increased premature deaths in the community.
The history of a given community dictates the health outcomes of its people. Several historical events have been recorded in Miami Gardens. The outstanding event is the Civil Rights Movement that took place several decades ago. Some natural disasters such as typhoons and hurricanes have occurred in the past (Staub, 2016). Such events have been observed to affect the psychological wellness of many residents.
Many inhabitants engage in a wide range of activities such as business to lead better lives. Informal and formal communication practices are embraced by more people (Gougeon, Johnson, & Morse, 2017). For instance, official communication is used by those who have formal jobs. The rate of suicide is quite in Miami Gardens. For instance, over thirty people commit suicide in every population of 100,000 (Staub, 2016). This social problem is addressed using appropriate health promotion practices. The levels of suicide are attributable to the increasing level of discrimination, unemployment, and lack of health services.
Many workers in Miami Gardens earn an annual salary of around 47,000 USD. The common careers embraced by many people include banking, teaching, and care delivery. Unemployment stands at 6/100 people (Staub, 2016). The elderly population has been on the rise. Around 16 percent of the people are retirees. The percentage of those living below the poverty level is 13. Over 60 percent of the population is believed to be literate.
Majority of the people are literate. Most of these people are Catholics. A small percentage (less than 1) is believed to be Muslims. Half of the community’s population is married. However, divorce rate remains extremely high at 13 percent (Staub, 2016). The widely used language is English.
Leadership and Governance
Miami Gardens is led by a City Council constituted of seven individuals. The council has a manager, a clerk, and a lawyer to support various functions. The community is governed by a major. Oliver G. Gilbert has been the city’s major. He is currently serving his second term. The offices are found Miami Gardens City. People can get services from the headquarters from 8 am to 4 pm. The mayor and the manager offer adequate leadership to support the welfare of the city (Staub, 2016). The served people are free to visit the manager every working day.
Public facilities are observed to deliver quality education to members of the community. There are public elementary learning institutions such as Norwood, Bunche Park, and Skyway. The major middle schools include North Dade and Parkway (Staub, 2016). The leading universities include Saint Thomas and Florida Memorial University. There are also private colleges that offer quality education. Miami-Dade Public Library System serves members of this community.
People in need of specialized services are supported using adequate care delivery processes. These are offered by different hospitals and education departments. Adults with special needs are supported by such facilities. Adults and children with disabilities receive adequate care or education (Mills & Arch, 2016). Various departments offer quality education to people with disabilities. The blind and the deaf are served by a number of institutions in the city (Burns & Firn, 2017). Such individuals are supported by different policies and programs implemented by the leaders.
Road transport is common in Miami Gardens. The city has several companies that offer adequate transportation services to the people. Such corporations include Sawgrass Express and Metrobus (Staub, 2016). Gougeon et al. (2017) indicate that most of the people in different working positions have their own cars.
Many people in the community embrace the best health and dietary practices. Some people do not have access to quality food materials. There are cinema halls and leisure parks in the community (Mills & Arch, 2016). These are using for leisure and different sporting activities. People are encouraged to engage in a wide range of sporting activities. Safe driving is taken seriously in Miami Gardens.
Health System Considerations
Miami Gardens has several clinics that provide vaccination, dental care, pregnancy tests, and prenatal services. There are specific health centers that offer most of these medical services. The leading institutions include Jackson North Medical Center and Chen Medical Center (Burns & Firn, 2017). The institutions offer personalized services in accordance with the needs of the patients.
Many people do not have access to insurance or medical cover due to their economic positions. Pharmacies and drug stores encourage some people to overuse the services. Financing can either be private or public (Hass, Moloney, & Chambliss, 2017). Medicaid and Medicare services are also available to support the healthcare sector.
This community is observed to have an increasing number of young people affected by alcoholism. Individuals affected by alcoholism use other drugs such as marijuana. Consequently, they find it hard to pursue their objectives. The healthcare delivery services available in Miami-Dade do not appear to present adequate opportunities to these patients. This problem should, therefore, be addressed immediately to ensure every affected person realizes his or her potential (Murphy, Hart, & Moore, 2016).
This community can benefit from an evidence-based plan aimed at addressing the problem of drug abuse and alcoholism. The strategy will entail the implementation of a powerful teaching program. The campaign will be characterized by teaching sessions and public meetings. Young people will be encouraged to attend in order to understand how alcoholism has become a critical concern in the community (Murphy et al., 2016). Television ads and billboards will be employed to ensure more patients in Miami are informed about the problem. Parents and relatives of individuals affected by the vice will understand how to diagnose and treat various forms of addiction.
Allender, J., Rector, C., & Warner, K. (2013). Community & public health nursing: Promoting the public’s health (8th ed.). New York, NY: Wolters Kluwer Health.
Burns, T., & Firn, M. (2017). Outreach in community mental health care: A manual for practitioners (2nd ed.). Oxford, UK: Oxford University Press.
Gougeon, L., Johnson, J., & Morse, H. (2017). Interprofessional collaboration in health care teams for the maintenance of community-dwelling seniors’ health and well-being in Canada: A systematic review of trials. Journal of Interprofessional Education & Practice, 7, 29-37. Web.
Hass, A. Y., Moloney, C., & Chambliss, W. J. (2017). Criminology: Connecting theory, research and practice (2nd ed.). New York, NY: Taylor & Francis.
Mills, E., & Arch, J. P. (2016). Gardens of Miami. Miami, FL: Steven Brooke Studios.
Murphy, D. A., Hart, A., & Moore, D. (2016). Shouting and providing: Forms of exchange in the drinking accounts of young Australians. Drug and Alcohol Review, 36(4), 442-448. Web.
Staub, J. (2016). Private gardens of South Florida. Layton, UT: Gibbs Smith.