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Historic view on welfare
Essay on history of welfare
Essay on history of welfare
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The Working Poor in America The concept of the "working poor" has gained prominence in the post-welfare reform era. As welfare rolls shrunk, the focus shifted from the dependent poor to the working poor. It was obvious that without substantial outside support, even families with full-time low-wage workers were still earning less than the official poverty line. And while American society purports that anyone can prosper if they work hard enough, it became apparent that with inadequate opportunity or bad luck, a growing number of families could not attain the American dream, or even break the cycle of poverty. The new challenge for American social policy is to help the working poor lift themselves out of poverty. That's why progressives who supported ending welfare as we know it have set a new goal -- the government should "make work pay" so that no one who works full time is poor. After substantial decreases in the 1990s, poverty rates stopped their decline in 2000 and have actually started to again creep upward. The great conundrum of how one simultaneously alleviates the multiple causes of poverty has become a central obstacle to poverty reduction. Into this debate comes author David Shipler, a former New York Times Pulitzer Prize winner, with an aptly titled look at the state of poverty in America today, The Working Poor. Shipler's book is more anecdotal and descriptive than analytical and prescriptive. Yet it is a valuable portrait of poverty in America, just as Michael Harrington's landmark book, The Other America, was in 1962. While he does not offer many concrete solutions, Shipler provides readers with an intimate glimpse of the plight of the working poor, whose lives are in sharp contrast to the images of excess w... ... middle of paper ... ... funding and direction, including those of local government and philanthropy, are critical to tailoring programs to the specific needs of local communities, and should be leveraged through federal funding. The final ingredient is responsibility, both personal and collective. Individuals must be empowered to improve their own lives, and the community must support the effort rather than look the other way, or looking past the working poor, who can so easily blend into the background. Shipler concludes the book with these thoughts: "Workers at the edge of poverty are essential to America's prosperity, but their well-being is not treated as an integral part of the whole. Instead, the forgotten wage a daily struggle to keep themselves from falling over the cliff. It is time to be ashamed." No, it is time to move past the ideology and make work pay for all Americans.
David K. Shipler in his essay At the Edge of Poverty talks about the forgotten America. He tries to make the readers feel how hard is to live at the edge of poverty in America. Shipler states “Poverty, then, does not lend itself to easy definition” (252). He lays emphasis on the fact that there is no single universal definition of poverty. In fact poverty is a widespread concept with different dimensions; every person, country or culture has its own definition for poverty and its own definition of a comfortable life.
Why should we be the ones to pay for someone to sit around at home? The answer is one simple word, welfare. There are many reasons why people mooch on welfare, rather than going out and working. The only jobs these people are qualified for are minimum wage jobs. As Barbara Ehrenreich, author of Nickel and Dimed, worked at minimum wage paying jobs and reported the hardships that people had to go through on a day-to-day basis. A critic responded by saying, “This is simply the case of an academic who is forced to get a real job…” Ehrenriech’s reasoning for joining the working-class is to report why people who mite be on welfare, continue to stay on welfare. Her reports show there are many hardships that go along with minimum waged jobs, in the areas of drug abuse, fatigue, the idea of invisibility, education and the American Dream.
In The Working Poor: Invisible in America, David K. Shipler tells the story of a handful of people he has interviewed and followed through their struggles with poverty over the course of six years. David Shipler is an accomplished writer and consultant on social issues. His knowledge, experience, and extensive field work is authoritative and trustworthy. Shipler describes a vicious cycle of low paying jobs, health issues, abuse, addiction, and other factors that all combine to create a mountain of adversity that is virtually impossible to overcome. The American dream and promise of prosperity through hard work fails to deliver to the 35 million people in America who make up the working poor. Since there is neither one problem nor one solution to poverty, Shipler connects all of the issues together to show how they escalate each other. Poor children are abused, drugs and gangs run rampant in the poor neighborhoods, low wage dead end jobs, immigrants are exploited, high interest loans and credit cards entice people in times of crisis and unhealthy diets and lack of health care cause a multitude of problems. The only way that we can begin to see positive change is through a community approach joining the poverty stricken individuals, community, businesses, and government to band together to make a commitment to improve all areas that need help.
It can be related to feelings of hopelessness and lack of meaning, anxiety, decreased ability to concentrate, irritability, insomnia, emotional numbing, lack of empathy, and escapist activities (such a self-medicating with drugs and alcohol). This is in direct opposition to the idea that nurses would be responsive to an insightful of their clients needs. Dennis Portnoy wrote “Compassion fatigue was often triggered by patient care situations in which nurses believed that their actions would “not make a difference” or “never seemed to be enough”. He further elaborated in the article Burnout and compassion Fatigue that nurses who experienced this syndrome also did so because of systemic issues such as; overtime worked, high patient acuity, high patient census, heavy patient assignments, high acuity, overtime and extra workdays, personal issues, lack of energy and lack of experience (Portnoy, 2011). These issues, interfere with the nurses' ability to identify with the patient and to tune in to important issues and obscure symptoms. Once consideration is that nurses can use Orlando’s theory to identify and address their own needs and respond with the same level of consideration to their own needs in order to prevent a burn out
This particular concept of Compassion Fatigue can be a very vague abstract phenomenon because defining what the signs and symptoms of Compassion Fatigue are, is very obscure and fuzzy. Nurses do not always or often report that they are suffering from Compassion Fatigue and may associate the symptoms with employment burn out or unrelated health concerns. It is important for nurses to become knowledgeable about Compassion Fatigue symptoms and intervention strategies and to develop a personal plan of care so as to achieve a healthy work life balance. Equally as important is that healthcare systems invest in creating healthy work environments that prevent Compassion Fatigue and address the needs of the nurses who are suffering from Compassion Fatigue ("Compassion Fatigue: A Nurse’s Primer," 2001.) While the concept of Compassion Fatigue, Burn Out and Compassion Satisfaction has been analyzed by authors Mooney et al, this is only a small portion of understanding Compassion Fatigue in the Oncology Unit and what steps to take to combat or prevent Compassion Fatigue in new nurses on the unit. Author Melonie McEwen reflects that expert practice and enhanced education lead advanced practice nurses to recognize commonalities in phenomena that suggest the need for inquiry (MCEWEN, 2018, p. 50). Compassion Fatigue is not a new concept or idea but developing the whys and hows of the prevalence of Compassion Fatigue should be investigated as well as more effective interventions so that the nurse does not jeopardize patient safety or job
This accurately displays the need for compassionate nursing without the consequences of burnout. Nurses ultimately become burnt out because they give selflessly and expect nothing in return. Nurses often give so much; they forget to take time for themselves.
Compassion fatigue is a complex form of secondary traumatic stress often experienced by nurses and other health care professionals due to their stressful work environment. Compassion fatigue is extreme exhaustion that penetrates all aspects of one’s wellbeing, including the physical, emotional, psychological and spiritual aspects of life (Murphy-Ende, 2012). Dealing with children who are both chronically ill or in palliative care is known to be extremely stressful. Not only are nurses faced with dealing with the physical symptoms of their patients, they also must attend to their fragile emotional state and be of assistance to their anxious family members. Oncologic diagnoses can put a child and their family into turmoil. Since the nurse is the first, and most constant point of contact, they are often the ones who become responsible for ensuring well-being of the entire family throughout the ...
...nate in their work and genuinely care for their patients, but to do this they must set professional and personal boundaries and be aware of the effect pain; trauma and death may have on their lives. According to Bush (2009), nurses must learn forgiveness and love themselves to prevent and overcome compassion fatigue. “Nurses should treat themselves with the empathy and compassion that they give others” (Bush, 2009, p. 27). Nurses should take time to nurture themselves by maintaining a healthy lifestyle and diet. They should also continue to participate in activities that they enjoy, get plenty of rest, and have a sense of self-awareness throughout their career. Additional resources are available to any caregiver to educate themselves on compassion fatigue at The Compassion Fatigue Awareness Project’s web site at http://www.compassionfatigue.org/index.html.
Many researchers have examined compassion fatigue in regards to individuals who work closely with children in child welfare. As more research has developed there have been several prominent themes that have emerged. Compassion satisfaction, a stable support network, compassion fatigue measurement scales, self care, and trainings have been found to support foster parents and promote strengths that reduce the risk of compassion fatigue and burnout. These themes have allowed professionals and foster parents alike become more effective in their carer roles.
The nursing profession has often been dubbed as the backbone of the healthcare system because nurses are first in line when it comes to the patient’s medical care. Hence, nursing quality is one of the major factors that affects the well-being of the patient. Nurses and other healthcare professionals are expected to possess the characteristics of caring and empathy towards their patients. However, when there is too much care for patients and too little for one’s self, a negative effect to the overall health of the caregiver may develop. Additionally, nursing work is seen to be strenuous and challenging due to its need for specialization, complexity, and requirement to handle emergency situations (Benoliel et al., 1990; Su, 1993). Nurses, in effect, may feel overworked, underappreciated, frustrated and emotionally exhausted. These stressors that healthcare providers undergo are described by different terms including compassion fatigue, caregiver burnout and other related issues. In this paper, the nature of compassion fatigue and caregiver burnout are first defined and discussed. The symptoms as well as the coping strategies for these phenomena are then explained.
The pediatric oncology unit has become a heavily studied area for those interested in prevention of compassion fatigue, burnout, and identification of those character traits that offer increased resilience. Nurses are expected to maintain professionalism and appropriate work-life balance but this may become a difficult task on a unit where children have a chronic, intensive, and potentially life-ending condition. Nurses become close to the patient and their family and when death occurs they too may feel a great sense of intense grief and loss. The acknowledgment of this grief and the promotion of adequate self-care habits, work-life divisions, and the ability to recognize when help may be needed are amongst the most important means in prevention of burnout and compassion fatigue. In addition to utilization of positive coping skills by the nurse a responsibility by the organization is also necessary to prevent staff burnout and turnover. The organization is responsible for acknowledgement of a loss on the unit. Presentation of prompt and anonymous counseling services to everyone on the unit following a death and regularly on high-risk units is just one of the many ways an organization can continue to decrease the loss of good nurses to compassion fatigue and
Burnout in critical care nursing has been a longstanding, serious yet under recognized issue that has recently been magnified due to the nursing shortage. The key components of burnout include emotional exhaustion, depersonalization or detachment, and lack of personal accomplishment. These factors are closely interwoven and create a snowball effect which results in burnout. Emotional exhaustion stems from the stress placed on critical care nurses. Stress from patient acuity, heavy workload and responsibility, limited autonomy, ethical dilemmas, inadequate staffing ratios, and caring for patient’s families all contribute to emotional exhaustion (Epp, 2012, p. 26). In turn, emotional exhaustion triggers depersonalization which is a way for critical care nurses to cope. Finally, lack of personal accomplishment is achieved when the nurse cannot meet their inherent high standards and are unsupported by their colleagues and superiors (Epp, 2012, p. 28). To prevent and remedy burnout, Epp’s (2012) article suggests that nurse managers play an integral role by regulating staffing levels and encouraging interdisciplinary collaboration. In addition, they can foster a supportive work environment by participating in daily reports, establishing relationships with staff nurses to identify individual signs of stress, and instituting educational workshops. Critical care nurses are also encouraged to play an active role in combatting burnout by advocating for themselves and for their colleagues to institute personal measures such as rest, delegation, and stress management (Epp, 2012, p.
Compassion fatigue and caregiver burnout may be thought of as the same, however, compassion fatigue is treatable, and the onset may come on without warning. Whereas with caregiver burnout the nurse just simply does not have anything left to give. This study contends that oncology, pediatric and general medicine nurses experience the highest level of compassion fatigue. In addition, it points out nurses that have a higher emotional intelligence score and stress management skills reported a decrease in compassion fatigue. Furthermore, asserts that younger nurses experience higher levels of compassion fatigue than do seasoned nurses and women experience higher levels than do men. This article appears in Journal of Nursing Scholarship and is intended for nurses, student nurses and managers.
The focus of every health care professional is the patient and the goal is to return the patient to optimum health where the patient can be independent. When the patient’s safety is being compromised it’s everyone’s job to fix the problem and make sure that it doesn’t happen again. However, there’s a dark side to nursing. The nurse is one of the few health care workers that have the most daily contact with the patient. The nurse plays a very important role in the patients care from teaching to simply being a listener while withholding any judgement. When the nurse to patient ratio isn’t balanced, it causes nurse burnout. Nurse burnout is when the nurse becomes “physically, emotionally, and mentally exhausted” (Michigan, S. S. (n.d.). News.
Compassion fatigue is the combination of physical, emotional, and spiritual depletion associated with caring for patients in significant emotional pain and physical distress (Anewalt, 2009; Figley, 1995). It is something that can happen to any nurse being overwhelmed in one or more areas of life and/or work. There are multiple ways a nurse can cope with compassion fatigue, and the article gives two great case studies. The first is of the reactive nurse who ultimately runs away from her issues but never truly fixes why she had the fatigue at all. The second is of a proactive nurse who used the resources provided to pull out of the fatigue and ended up in a better position because of it. Some keys points are made about what compassion fatigue is truly made of and how to set it apart from burnout. The key is to look at the symptoms to assist in differentiating compassion fatigue from burnout which were explained in detail in a table in the article. Once it is proven the issue is compassion fatigue interventions can occur to help pull the nurse out of that slump. This includes things available to the nurse such as Employee Assistance Programs which have many classes offered for both work and home life. Another idea is to create a comfortable, relaxing environment in a designated place on the nursing unit (Lombardo, 2011). Also having new nurse support groups within the new nurse graduate programs in hospitals to give them a chance to reflect along the way is useful. Compassion fatigue, as stated in the article, needs to be studied in its entirety and the specific characteristics and experiences need to be identified as well as what personal qualities and traits might provide protection (Lombardo, 2011).