Ethical Dilemma In The Social Work Case Study - 786 Words

The social work profession is rooted in a set of core values and principles which are applied as standards in determining ethical judgements. This paper will explore an ethical dilemma and how utilizing the ethical decision making model can offer different resolutions. Joseph (1983) discussed how this ethical model â€Å"suggests a structure and a systematic process for inquiry into ethical issues that emerge in clinical practice and its organizational contexts.† Dilemma in Context Practice Setting The dilemma transpired in an outpatient community mental health center in a rural area of the state that accepted both children and adults for services. In this area, all mental health facilities prescribe psychiatric medications due to physician†¦show more content†¦Maria further explained that she recently moved back to this area as she felt she was a burdened to her children and disrupted their marriages. During the consultation, Maria signed releases of information (ROI) for one child and her current and past physician; additionally we set up for a psychiatric evaluation for medication services per Maria’s request. Over the succeeding month, our agency conducted several home visits where concerns were noted over lack of food within the home, complaints by Maria that her medication had been stolen, etc. After staffing the case, the team decision was to contact Adult Protective Services (APS) for an evaluation. After the initial evaluation, APS reported they would c ontinue to monitor the case, but the agency was not prepared to assume the case. During the psychiatric evaluation, there was a review of current medication from Maria’s primary care physician (PCP). The psychiatric provider expressed concern over the quantity of pain medication prescribed to Maria. Maria explained she experiences joint discomfort and utilizes the medication for mobility reasons. Our agency offered alternative pain management options, Maria declined. The psychiatric provider prescribed medication to assist with anxiety, but refused to prescribe Xanax which is what Maria had originally been given by her PCP and explained the reasoning behind the denial. Maria acknowledged understanding and accepted the other medication.Show MoreRelatedSocial Psychology And Multiculturalism1644 Words   |  7 Pagesidentifications. For example, social psychology and multiculturalism work together to create the social change people aspire to. However, social psychology, according to Jahoda (2016), cannot explain the link between the social behavior and the s ocial norms of the society and culture. Hence, social psychology could be a challenge when a person tries other cultures. Furthermore, there are ethical-related issues with theories of psychology that aim at creating positive social change wrapped by multiculturalismRead MoreSocial Psychology And Multiculturalism1714 Words   |  7 Pagesidentifications. For example, social psychology and multiculturalism work together to create the social change people aspire to. However, social psychology, according to Jahoda (2016), cannot explain the link between the social behavior and the social norms of the society and culture. Hence, social psychology could be a challenge when a person tries other cultures. Furthermore, there are ethical-related issues with theories of psychology that aim at creating positive social change wrapped by multiculturalismRead MoreThe Ethics And Social Welfare1568 Words   |  7 PagesThe Case: Banks (2006) claims that dilemmas occur when individuals encounter two equally unwelcoming alternatives for a choice, potentially involving a conflict of moral values. The assumption is both judgements can be affirmed; it constitutes situations in which individuals need to make choices given different equally compelling moral options. However, rarely are ethical choices simple; most decisions are restricted and invokes internal conflict as dilemmas highlight the differences and those conflictsRead MoreCase Analysis : Megan s Law1592 Words   |  7 PagesCase Study 7.11 Megan’s Law Ethical Problem Definition When prisoners who committed violent or sexual crimes are let out of prison there must be a decision made as to whether the prisoners’ status should be disclosed to the community or not (Rothman, 2011). The social worker in this case has an ethical responsibility to the clients’ well-being as well as to as to the welfare of society. The social worker needs to make a decision that will have the least amount of harm caused to the individual andRead MoreEthical Issues Of A Profession Of Interest1694 Words   |  7 PagesThis report focuses on ethical issues in relation to a profession of interest. The profession of interest chosen for this report is counselling. This was done through sourcing of relevant documents related to the profession. The potential ethical dilemma (case study) that would be discussed looks at the confidentiality that exists between a counsellor and client. Ethical approaches that were recognized when making decisions in the text would be highlighte d. Introduction Profession of interest CounsellingRead MoreEssay about SM0381 Hong Kong Student Seminar Five B1175 Words   |  5 Pagesstories that have ethical dimensions. Discuss in teams the same case study that was introduced in Seminar One. Preserve these notes for comparison with their analysis of the same ethical dilemma at the beginning of the module. Take personal journal notes of their revised impressions and feelings about the case. Preparation for Seminar NB: Make sure that you attend the seminar with a print out of the Seminar Brief and The Case Study. We want you to re-analyse the ethical dilemma case. This will includeRead MoreEssay on The Moral and Ethical Dilemmas of Anthropology1249 Words   |  5 Pageshave considerable moral and ethical standards by which their work must be conducted in order to preserve the accuracy and the posterity of the information gathered during the study and also to the persons or cultures of which they study. These two important parts of anthropology – the research and those being researched – can be conflicting. The Code of Ethics of the American Anthropological Association presents itself as a body of guidelines for discussing these ethical and moral conflicts. This allowsRead MoreThe Ethics Of The Code Of Ethics927 Words   |  4 Pagesbusiness and social agencies work within the ethical code that reflect their professional view and role in a society. Most decision making is human services are made based on their own specific ethics (Brody Nair, 2014). Ethics are not simply expe ctations of leadership, but an essence of leadership because leaders have a responsibility to produce something good or harm, or make a social change (Manning, 2003). However, government and business agencies are often in ethical dilemmas, and it couldRead MoreUnderstanding Ethics Of Social Work1432 Words   |  6 PagesEthics in Social Work Brandy Whatley Troy University April 15, 2016 Abstract As a professional practitioner in the field of social work a great practice is to develop a foundation structured around the ethical standard set by the National Association of Social Workers. Dilemmas can arise, creating issues that could have a massive effect on clients, families, clinicians, communities, and the organization involved. In order to find a solution to the issue(s) models of ethical reasoningRead More1.1.Objective Evaluation Of All Available Options. According1626 Words   |  7 Pagesbears testimony to the fact that time and again large-scale disasters happened due to the lack of ethical standards of some leaders or the other. We come to know from his research that there are two approaches to handle ‘ethical dilemma’: 1) before deciding on the course of action, assess the practical consequences likely to follow and 2) whatever be the likely consequences, do what you consider ethical. The first school of thought argues that if there is no harm, there is no foul. The second claims

Important Astronomers

Employment at Will A Deeper Look into the Copious...

It is human nature to look out for one’s individual self-interests. This vested interest is what minimizes unjust treatment by other parties and ensures success. Leverage is priceless when presented with an unfair employment scenario. In the case of an employer and employee relationship, too much power on either side can quickly become detrimental. Balancing this power is no easy task and holds no single solution. In this essay, I will propose that the contract at will, or employment at will, is one viable solution that can legitimately benefit both the employer and the employee. My view on this issue is one that is often the minority, as there has been a significant amount of criticism over the contract at will. In a society that†¦show more content†¦from 1937 provided the first recognized exception to at will contracts. In this case, the court ruled that employers can hire and fire their employees at will, whether that be for good cause or for no cause, but not for an illegal cause. Essentially, employers could use at will contracts so long as it did not infringe upon employees’ protected rights (National Labor). Laws and doctrines such as Title VII of the Civil Rights Act of 1964, the Americans with Disabilities Act, and the Age Discrimination in Employment Act are all still applicable under at will contracts (Estlund). Just because an employee is employed at will does not mean they cannot bring a claim of unlawful termination or punishment under any of these statutes. For this reason, I see no substance to the argument that at will contracts provide no protection for the employee. There are even more employee protections outside of the employment laws I just mentioned. Several judicial and statutory exceptions to employment at will have been created to protect against wrongful punishment or discharge. The three main exceptions include the public policy exception, the implied contract exception, and the covenant of good f aith exception. The public policy exception essentially says that an employee will have a wrong discharge claim if that discharge clearly violates public policy or mandates. For example, an employer could not terminate an employee for serving jury duty or for filing a workersShow MoreRelatedThe Cane Toad : An Invasive Species Problem1561 Words   |  7 Pagesenvironment. This can add jobs to the economy as well as keeping things healthy for our planet (Williams). Population control is also a key factor to keeping this planet nourished. The matter of fact is that the population we currently have is too copious for our planet. A large population means a larger depletion of resources because everyone needs to eat and everybody uses energy, fossil fuels, during daily tasks since a green infrastructure is not yet set up in many areas of the world. There shouldRead MoreThe Field Of Health Economics1808 Words   |  8 Pagesbusiness, but it plays an especially large role at hospitals, where the stakes are especially high as far as employee job performance is concerned (human lives). There is a copious amount of literature that can be found on hospital structure, thus highlighting its utter importance in the medical field. It is important to take a look at the main â€Å"organizational forms† (as termed by Harvard Applied Economics Professor David Cutler) that hospitals fall under (Cutler). For-profit and not-for-profit areRead MoreGp Essay Mainpoints24643 Words   |  99 Pages(compared to citizen journalism) – content quality †¢ Citizen journalist â€Å"on-the ground† reports vs. professional whose sole purpose is to uncover each and every piece of information related to the news article they are writing †¢ Wider and deeper coverage †¢ Connections to a wider spectrum of professionals ( greater insight into issue at hand †¢ E.g. 2008 U.S. Presidential Elections (bloggers provide personal opinions about who was likely to win but New York Times invited experts toRead MoreCase Study148348 Words   |  594 Pagesto different topics as discussed above. The mixture and sequencing of lectures, seminars, case studies, group work, etc. These are largely determined by the circumstances for which the programme is designed as outlined in Section 3. It is useful to look at some typical ways in which this mix can be planned: †¢ Case study/applied material only courses, where the text is used as pre-reading and/or follow-up. This approach is not very common on open access courses but can be very useful in an in-companyRead MoreOcd - Symptoms, Causes, Treatment131367 Words   |  526 PagesClearly, family members are caught in a difficult dilemma. Regardless of whether they refuse to be drawn into the patient’s rituals or whether they accommodate to the rituals, they end up feeling the ill eff ects of living with OCD. Education and Employment Status At one time it was thought that individuals with OCD have higher intelligence and attain a higher level of education than individuals with other psychiatric disorders (e.g., Black, 1974). However, more recent empirical research indicates

The Iroquois - 1136 Words

The Iroquois Vonda Matthews Cultural Anthropology July 7, 2013 Instructor: Rebekah Zinser Kinship is the cornerstone for how people within a society relate to others and race lineages. Many societies trace their lineage through the father, which is called patrilineal, or through the mother which is called matrilineal. The Iroquois nation traced their kinship through the matrilineal decent lines. Kinship directly relates to how family groups think, act and live along side each other. The culture of the Iroquois can also be compared to how many American families relate to one another as well. Iroquois Lineage The Iroquois nation traced their lineage through the female sex; this is called the matrilineal line. Women of the†¦show more content†¦Often times there are couples that get married but have chosen not to stay with one another because of a difference in opinion, this is called divorce. Iroquois and divorce Often time’s couples marry only to find out that they have a difference of opinion or one spouse has caused serious marital strain on the other. Since the Iroquois couples lived matrilineally, this makes it easier for the woman to dissolve the marriage, keep her children and continue to live at home with her family. â€Å"If a woman no longer desired to be married to her husband, all she had to do was pack up her husband’s belongings and leave them on the steps of the longhouse. When he came home, the husband would find them, realize his wife had terminated the marriage, and return to his home village and his own patrilineage.† (Nowak, B. amp; Laird, P. 2010 chapter 4.5 Divorce) In the American culture it is more difficult to obtain a divorce. Americans and divorce Americans divorce for the same reasons the Iroquois divorced for however, in the American culture it is harder to divorce. Many times couples divorce because of infidelity of one or both of the spouses, or from irreconcilable differences. In order to obtain a divorce in America many states require the couple to attend counseling to see if they can fix their marriage. Sometimes this is successful and the couple will stay together and often times it is not possible for the couple to stay together so they will then obtain a divorceShow MoreRelatedThe Iroquois Creation Myth1190 Words   |  5 Pagescame to be before the Europeans entered North America. Creation myths vary among all cultures; however, they all have one thing in common; heaven and earth. One of the most popular creation myths was the Iroquois creation myth. The Iroquois or Haudenosaunee meaning â€Å"People of the Longhouse† (Iroquois Indian Museum, n.d.) consists of six Indian nations that in clude the Mohawk, Oneida, Onondaga, Cayuga, Seneca, and Tuscarora tribes. In the beginning, there was a belief that before the creation of earthRead MoreThe Iroquois Confederacy1731 Words   |  7 PagesThe five nations Mohawk, Oneida, Onondaga, Cayuga, and Seneca, fought with another often. Two leaders named the Peacemaker and Hayonhwatha thought that there had to be a better way. They came up with the plan of peace. The Iroquois Confederacy was that the five nations’ sitting in council would come together and agree on things that affected everyone. Small affairs would be handled within the tribe. If someone attacked one tribe, then they would be attacking everyone. The reason the confederacy workedRead MoreEssay about The Iroquois 964 Words   |  4 PagesThe Iroquois Native Americans were the first people to live in America before any other man came. It is believed that the Native Americans came from Asia way back during the Ice Age through a land bridge of the Bering Strait. When the Europeans first set foot on America, there were about 10 million Native AmericansRead MoreThe Iroquois Confederacy1198 Words   |  5 Pages1). The reason for the construction of the Iroquois confederacy, or the league of the Iroquois, (Haudenosaunee) was the impeding factor of disunity between the tribes. Hienwatha, a Mohawk Iroquois, lived in Ontario and observed the disunity between the Iroquois tribes. In an attempt to unify the nations, he approached rival tribes and argued the benefits of unification. Initially, his idea is shut down by the elders of each tribe. The changing climate that started to occur, however, increased confrontationsRead More Iroquois Essay1998 Words   |  8 Pageswe please so long as it does no harm. The Iroquois Federation preamble d escribes the purpose of the government set up by the government in their statements the emphasis is placed on perfect peace for the welfare of the people. Their focus was fighting for, the liberty of the people. Among the Indian nations whose ancient seats were within the limits of our republic, the Iroquois have long continued to occupy the most conspicuous position. The Iroquois flourished in independence, and capable ofRead MoreThe Native American Iroquois Communities Essay1619 Words   |  7 Pagesactivities. Most of the students in the classroom are visual learners. Therefore, organizers, timelines, and artistic activities benefit their learning the best. The purpose of this unit is for students to learn about the complexity of the Native American Iroquois communities. Students will learn about the interactions of Native Americans within their communities, other tribes, and the European colonists. This is important for students to learn because Native Americans were the first inhabitants of the regionRead More Iroquois Culture Essay854 Words   |  4 PagesIroquois Culture In order to fully understand and appreciate a culture different from one’s own, one must first have a grasp on ethnocentrism and how it can change thoughts and viewpoints. Ethnocentrism is a term used when someone is judging a culture’s ethics or way of life based upon his or her own belief structure or cultural values. Granted, being ethnocentric is not necessarily something to be ashamed of; everyone does it as a part of human nature. What one must realize, however, isRead MoreThe Iroquois: People of the Longhouse1757 Words   |  8 PagesAssignment The Iroquois: People of the Longhouse Prepared for: Victor Gulewitsch TA: Cecibel Rodriguez ANTH*1150*02 Prepared By: Ellen Griffin Student ID: 0726506 Date: March 17, 2011 The Iroquois: People of the Longhouse Introduction The Iroquois are considered a branch of North American Indians, also known as Haudenosaunee or the â€Å"People of the Longhouse†. The Iroquois have greatly contributed to society through initiating the Iroquois confederacy also called the Iroquois League formed inRead More The Contributions of the Iroquois Essay876 Words   |  4 PagesThe Contributions of the Iroquois The Native American Indian tribe called the Iroquois contributed greatly toward America. They have many stories about the world, and how things came to be the way they are. They have one story about the creation of the world. They use oral traditional elements in this story which is represented by nature. They also use a romantic aspect, which is represented by God’s and the super natural. In the beginning there were two worlds. The lower world, and theRead MoreThe, An Iroquois, Primary Source907 Words   |  4 PagesSteven Hermosillo Professor Perry History 143 13 March 2016 Canassatego, an Iroquois, Primary Source According to Canassatego, â€Å"We know our lands are now become more valuable: the white people think we do not know their value; but we are sensible that the land is everlasting, and the few goods we receive for it are soon worn out and gone.† Canassatego is talking about the land surveyors trying to purchase the Native American land for cheap. Canassatego also notes that â€Å"Your people daily settle on

Wise Blood by Flannery O’Connor Free Essays

Introduction to Wise Blood by Flannery O’Connor by Karen L. Enz Though a short novel, Wise Blood is a dense and complicated one with various levels of meaning. Many readers are confused and shocked by the novel as there is a distinct lack of likeable characters and there is much violence. We will write a custom essay sample on Wise Blood by Flannery O’Connor or any similar topic only for you Order Now A key element in understanding the novel’s construction and meaning is to understand the literary influences on Flannery O’Connor. Flannery O’Connor was deeply influenced by Roman Catholicism that informed her own religious sensibility which echoed in her literary voice. Her religious views envisioned a deeply flawed world that could only be redeemed by the intercession of grace. Her Southern origins brought that vision into high relief with her use of casts of grotesque characters who were often involved in violent incidents. She subjected her characters to microscopic evaluation of their religious and existential obsessions. To lighten its dark tone, Flannery O’Connor utilized her masterful satiric wit to increase the spectrum of the colors in her literary canvass. A second influence was O’Connor’s intense exposure to the predominant literary style, New Criticism, which was at its apex during the middle of the twentieth century. New Criticism was a complicated formulaic style that often utilized dense symbolism, paradox, irony, tension and ambiguous meaning, all hallmarks of O’Connor’s writing. New Criticism also professed that a work was to have a high degree of unity and self-containment. If we see Wise Blood through both O’Connor’s religious sensibility and its permeation in New Criticism, the structure and meaning of the novel fall more easily into place. Haze Motes, (note the symbolism of his name hazy vision and mote in the eye) is a the epitome of the religiously obsessed individual. The more he professes unbelief, the more unsure and shortsighted he becomes. The ultimate paradox occurs in his blinding, when he finally realizes his need for redemption. The text is rife with symbolism, much of it religious. The sky is permeated with clouds that look like a simplified God’s beards and curls, roadside pigs that are symbols of the devil, a shrunken man who was a symbol a false idol, an old Essex which was symbolic of a search for meaning and homecoming, and glasses that obscure vision. Some critics see the novel as a condemnation of modernity in its cult of shallow self-absorption and nihilistic pursuits. Haze is so focused on his pursuit of unbelief that he fails to see anything around him, including the needs of Enoch (who is driven by instinct â€Å"wise blood†) and Sabbath. A satiric note is sounded in Chapter 7, which can serve as a microcosm of the novel, when Sabbath receives a letter from Mary Brittle (note the symbolic nature of the name) who advises Sabbath â€Å" Perhaps you ought to re-examine your religious values to see if they meet your needs in Life. A religious experience can be a beautiful addition to living if you put it a proper perspective and do not let it warp you. Read some books on Ethical Culture. † Sabbath, though she is trying to seduce Haze, can be seen as a Christ figure in that mentions â€Å"I can save you, I got a church in my heart where Jesus is king. † Haze is unconvinced and he drives off leaving behind a blinding white cloud that turns into a bird with long wings that disappears in the opposite direction. Wise Blood is a complicated and multi-faceted novel that is not for the faint of heart. For those who can plumb the novel’s meaning, it can challenge and inform. How to cite Wise Blood by Flannery O’Connor, Essay examples

Promoting Clinical Excellence

Question: Discuss aboout the Promoting Clinical Excellence. Answer: Purpose and search strategy for literature search Health care professional have the duty to effectively deliver quality patient outcome. They are required to promote patient safety and quality through a culture of safety, evidence based practice and clinical judgment (Longtin et al. 2010, pp. 53-62). However, this process of safety is compromised due to fatigue and burnout in the job. To complete explore the issue of burnout in health care, relevant literature on the topic was searched from Google Scholar, Cinahl, MedLine, PsychINFO and Cochrane Library. The key search term included burnout, stress in health care and burnout and patient safety. Only those article were included which was published within the year of 2007 to 2017. The literature search revealed that the prevalence of burnout and psychological distress is a major issue for nurse and health care. The report explains in detail the role of health professionals and other health care team in promoting safety of patients and delivering quality care. As the main focus is on level of fatigue or burn out as an indicator of patient safety, the report discusses the experience of patients related to high burn out issues in health care staffs. Secondly, through relevant literature, it describes the risk assessment procedure and surveillance in relation to the level of burnout in nurses and the role nurses play in improving the care experience. Role of health service and health care team in improving patient safety and quality of care Health care service is a system of care where skilled clinicians and inter-professional health care team work together to improve well-being of patients and assist them in recovery and independence. The main priority of delivering care is to promote optimal level of well-being in client (Carayon et al., 2014). They have the responsibility to develop a culture of safety to improve the provisions of patient safety and deliver high quality care. Safety culture is dependent on performance and attitude of clinicians and nurses in care such as their attitude of maximizing well-being of patients and avoiding errors as far as possible. It is also dependent on organizational factors such as providing adequate training skills to health care professionals from time to time to update them with current development in medical science and intervention (Weaver et al. 2013). Safety culture can also be personified by the shared values, beliefs and implementation of appropriate procedure related to pat ient safety. Such beliefs and norms have an impact on the attitudes of clinicians and staffs related to patient safety and enhances their motivation to engage in safe behaviors in daily practice (Morello et al. 2013). With the rise in demand of health care service and increase in complexity of the illness, many issues are faced by clinicians in the safe delivery of care. Often too many task at hand leads to errors when nurses or clinicians fail to give adequate time to patients. However, lack of adequate staffs and heavy workload creates fatigue and burnout among patients. Work stress not only contributes to high turnover rate and absenteeism, it also affects the quality of care. This causes risk to patient safety too (Leiter 2015, pp.223-227). In such situation, use of electronic medical record (EHR) has also been encouraged by health care service to enhance patient safety and quality of care. (Middleton et al. 2013) has reported that EHR provides health providers with access to complete and accurate information of patients and it maximizes the ability to diagnose disease and improve patient outcome at a fast pace. It also stores all the informations gathered by a primary care providers and clini cians dealing with the patient in emergency department can easility identify life threatening allergies or other complication in patients. With this detail, the emergency staff can work to adjust and treatment process appropriate and avoid medical errors. In some care, EHR also identifies safety problems or health issues within the system to mitigate serious consequence to patients during health care delivery (Slight et al. 2015). Hence, along with a patient safety culture, meaningful of electronic health record also provides health care team to better engage safe and quality health care practice. Patient experience related to indicator High level of burnout has been directly associated with increase in patients dissatisfaction with care. A study with nurse working for longer hours revealed high level of burnout among nurses and patients dissatisfaction with care increased in such situation. Nurses are at risk of burnout when they have to work overtime along with longer shifts. Rotating shifts between day and night increases the risk of fatigue and burnout in nurses. This is highly associated with nurses intention to leave the job and poor nursing performance (Caadas-De la et al. 2015). For an individual nurse, burn out leads to demotivation, emotional exhaustion and poor performance in staffs. Apart from job dissatisfaction and high nursing turnover rate, burnout is also significantly increasing the patients dissatisfaction with care. This is because shift timing of nurses and patients outcome have interrelation. Burnout becomes a threat to patient safety when depersonalization among nurses leads to poor engagement with patients. There is more chances of detachment from work which further lead to the development of negative attitude towards patients. All this factors result in patient dissatisfaction with health care service. The literature study showed that increase in patient dissatisfaction was high when larger number of nurses worked more than 13 hours (Stimpfel et al. 2012, pp.2501-2509). Hence, this evidence suggest that patients are less satisfied with care due to burnout issues in nurses. High-level of burnout was also associated with more incidence of medical error which posed risk to safety of patient. One study suggested that burnout was associated with lower patient safety grade and increase in therapeutic errors (Hall et al. 2016). Another study gave the indication that burnout among nurses has an impact on patient safety and proportion of patient adverse events. The cross-sectional survey with nurses regarding the work environment quality of care, job outcomes and patient adverse events showed that exhaustion along with depersonalization is an important predictor of nursing performance, quality of care and patient outcomes. To avoid creating situations that unnecessary exposes patients to quality and safety related issues, it is necessary to improve the work environment of nurses and reduce their burden in task (Van Bogaert et al., 2014). Risk assessment, surveillance in improving care in relation to the indicator To address the problem of burnout and its risk to patient safety, there is a need to think of strategies to mitigate the issue in clinical practice. The first step is to assess the level of burnout This can be done by means of tools like Maslach Burnout Inventory (MBI) and the Copenhagen Burnout Inventory (CBI). MBI is a psychological assessment tool used to predict burnout and the validity of the instrument is proved by various research. It uses three scales to measure burnout, which includes emotional exhaustion, depersonalization and personal accomplishment The reliability and validity of the tool is well-established (Poghosyan et al. 2014). All these three elements are indicators of burnout. Emotional exhaustion measures the level of emotional exhaustion due to work, depersonalization measures impersonal response towards work responsibilities and personal accomplishment determines the feeling of competence in work. Burnout is defined by high score in all the subscales of the inve ntory. This tool is widely used in research studies to evaluate level of burnout in health care staffs and take adequate steps to address burnout issues (Bria et al. 2014). CBI is the a new tool for measuring burnout which uses three scales which is the personal, work and client related burnout (Demerouti et al. 2010, p.209). Based on the score on each areas, the issue can be addressed by increasing motivation in staffs by providing flexible work timing, giving regular breaks and providing them staffs power to engage in decision making. This will motivate staffs to seriously engage in their care priorities and establish therapeutic relationship with patients. Apart from risk assessment regarding the prevalence of burnout issues in nurse, several surveillance and monitoring procedure has been implemented in health care setting to reduce burnout and improve the quality of care. One of the strategies that have been adapted in high intensity setting is building resilience of nurse to reduce burnout among nurses. This is based on creating a healthy work environment and improving resilience of nurses. This goes in parallel with improving retention rates and reducing nursing turnover rate (McGowan and Murray 2016). Similar strategy was tested in a research study in which nurses working in high intensity units of hospitals were assessed regarding burnout, moral distress and resilience through 6 survey tools. This revealed that moral distress was a major predictor of burnout and nurses who have greater resilience achieves higher score in personal accomplishment. These nurses were confident about their competence level in the job. Spiritual weel be ing reduce emotional exhaustion whereas the physical well-being lead to personal accomplishments. Hence, development of strategies to reduce nurses vulnerability to emotional exhaustion will help in addressing issue of burnout and promoting patient safety and quality of care (Rushton et al. 2015). Role of nurse in improving care experience Nurse can enhance the value of health care delivery by means of effective communication with patients and engaging patients in decision-making process. Effective communication is a key attribute to enhance patients satisfaction with care and provide them best care experience in hospital setting. Having adequate skill for patient-centered care is essential to fully partner with patients in decision making and yield positive health outcome. It helps to overcome cultural barrier to care delivery and manage conflict in nursing practice (Campinha-Bacote 2011). In relation to the issue of burnout experienced by nurses, they can work to overcome this issue by means of self-evaluation and coping strategies. Reduced professional efficacy is seen due to inefficiency in work and lack of success in professional roles. This is the cause of burnout and creates the condition for occupational hazard among nurses. Core self-evaluation is emerging as a positive concept to modify personal and increase self-efficacy and self-esteem of nurses in practice. Self-evaluation practices promotes goal setting, commitment and engagement in the job responsibilities. This can be done bv evaluating job performance and identify the personal reasons for non-accomplishment in the job. A nurse who engages in self-evaluation practices is likely to more competent and confident about their skills than those who do not practice it (Li et al. 2014). Apart from it, coping styles of nurse also determines their skill to manage job pressure and prevent feeling of depersonalization in practice. Different individuals may have different coping styles, which varies according to cultural, personal and psychological factors (Howlet et al. 2015). Nurses can improve their performance either by active coping or passive coping. Active coping strategy is to modify the nature of stressor instead of just thinking about it, whereas passive coping strategy is to engage in alcohl use or withdrawal from the pressure to address stressful events. However, passive coping is not the solution because it causes more risk to nurses both in terms of personal and professional context (Monter et al. 2014). Hence, use of active coping style is recommended for nurses to mitigate the negative impact of stressors and develop the skill to react to difficult situations. This will be an effective step to prevent burnout and improve nursing performance. Implication and recommendation to improve practice Nursing performance can be enhanced by building their resilience skill to manage stress in the job. This will help them to cope with job pressure and handle complex clinical situation and workload. Debriefing sessions can also be helpful for nurse to learn the ways to avoid burnout and judiciously handle complex clinical task. Apart from organizational role in providing flexibility in task, personal effort by nurse is also necessary to engage in critical reflection and idea areas of improvement. Based on this clinical judgment, future practice can be improved by means of utilizing best evidence in clinical practice. Reference Bria, M., Spnu, F., B?ban, A. and Dumitra?cu, D.L., 2014. Maslach burnout inventorygeneral survey: factorial validity and invariance among Romanian healthcare professionals.Burnout Research,1(3), pp.103-111. Campinha-Bacote, J., 2011. Delivering patient-centered care in the midst of a cultural conflict: The role of cultural competence.The Online Journal of Issues in Nursing,16(2). Caadas-De la Fuente, G.A., Vargas, C., San Luis, C., Garca, I., Caadas, G.R. and Emilia, I., 2015. Risk factors and prevalence of burnout syndrome in the nursing profession.International journal of nursing studies,52(1), pp.240-249. Carayon, P., Wetterneck, T.B., Rivera-Rodriguez, A.J., Hundt, A.S., Hoonakker, P., Holden, R. and Gurses, A.P., 2014. Human factors systems approach to healthcare quality and patient safety.Applied ergonomics,45(1), pp.14-25. Demerouti, E., Mostert, K. and Bakker, A.B., 2010. Burnout and work engagement: a thorough investigation of the independency of both constructs.Journal of occupational health psychology,15(3), p.209. 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