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Author: Kelly Wright Publisher: ISBN: Category : Electronic dissertations Languages : en Pages : 148
Book Description
The Omnibus Reconciliation Act of 1987 (OBRA), brought much needed regulation to the nursing home industry. Since enacting OBRA, nursing homes have demonstrated some improved outcomes yet 25-years of evidence indicates that the OBRA legislation has not systemically improved the standard of care received by residents. Furthermore, the federal agency responsible for monitoring nursing home compliance, the Center for Medicare and Medicaid Services (CMS), has sponsored a number of subsequent quality initiatives but has been unable to affect sustained improvement, even in those deemed the nation's worst facilities. Heralded as the most comprehensive legislation since OBRA for improving nursing home care, the Affordable Care Act (ACA) contains provisions designed specifically to address failings in the existing quality compliance mechanisms. While the ACA mandates have the appearance of offering solutions to endemic quality problems, so too have previous, and ultimately unsuccessful initiatives, suggesting that in those efforts, causal weakness were not addressed. Given the pressing need to improve nursing home quality, it is essential to pinpoint and remediate the elements that have contributed to the history of regulatory failure. Through an examination of the regulatory culture of the industry and the application of root cause analysis tools, this study explores the systems that have fostered the industry's less than optimal status quo, identifying pervasive, contributing factors in the failed implementation and oversight of nursing home quality initiatives since OBRA. Based on the findings from the analysis, this paper establishes that challenges and barriers regarding compliance with ACA nursing home quality requirements will continue to arise until the underlying root causes are addressed in a meaningful manner. Keywords: Nursing Home Administration, regulation, quality, compliance, root cause analysis
Author: Kelly Wright Publisher: ISBN: Category : Electronic dissertations Languages : en Pages : 148
Book Description
The Omnibus Reconciliation Act of 1987 (OBRA), brought much needed regulation to the nursing home industry. Since enacting OBRA, nursing homes have demonstrated some improved outcomes yet 25-years of evidence indicates that the OBRA legislation has not systemically improved the standard of care received by residents. Furthermore, the federal agency responsible for monitoring nursing home compliance, the Center for Medicare and Medicaid Services (CMS), has sponsored a number of subsequent quality initiatives but has been unable to affect sustained improvement, even in those deemed the nation's worst facilities. Heralded as the most comprehensive legislation since OBRA for improving nursing home care, the Affordable Care Act (ACA) contains provisions designed specifically to address failings in the existing quality compliance mechanisms. While the ACA mandates have the appearance of offering solutions to endemic quality problems, so too have previous, and ultimately unsuccessful initiatives, suggesting that in those efforts, causal weakness were not addressed. Given the pressing need to improve nursing home quality, it is essential to pinpoint and remediate the elements that have contributed to the history of regulatory failure. Through an examination of the regulatory culture of the industry and the application of root cause analysis tools, this study explores the systems that have fostered the industry's less than optimal status quo, identifying pervasive, contributing factors in the failed implementation and oversight of nursing home quality initiatives since OBRA. Based on the findings from the analysis, this paper establishes that challenges and barriers regarding compliance with ACA nursing home quality requirements will continue to arise until the underlying root causes are addressed in a meaningful manner. Keywords: Nursing Home Administration, regulation, quality, compliance, root cause analysis
Author: Kathleen Davis Publisher: Routledge ISBN: 1317642228 Category : Language Arts & Disciplines Languages : en Pages : 127
Book Description
Deconstruction and Translation explains ways in which many practical and theoretical problems of translation can be rethought in the light of insights from the French philosopher Jacques Derrida. If there is no one origin, no transcendent meaning, and thus no stable source text, we can no longer talk of translation as meaning transfer or as passive reproduction. Kathleen Davis instead refers to the translator's freedom and individual responsibility. Her survey of this complex field begins from an analysis of the proper name as a model for the problem of signification and explains revised concepts of limits, singularity, generality, definitions of text, writing, iterability, meaning and intention. The implications for translation theory are then elaborated, complicating the desire for translatability and incorporating sharp critique of linguistic and communicative approaches to translation. The practical import of this approach is shown in analyses of the ways Derrida has been translated into English. In all, the text offers orientation and guidance through some of the most conceptually demanding and rewarding fields of contemporary translation theory.
Author: Jonathan D. Culler Publisher: Psychology Press ISBN: 9780415247092 Category : Literary Criticism Languages : en Pages : 476
Book Description
It could be argued that deconstruction has to a considerable extent been formed by critical accounts of it. This collection reprints a cross section of these important works, charting the ways in which deconstruction is conceptualized and demonstrating the impact it has had on a wide range of traditions. The essential pieces in this set include writings by Jacques Derrida, Jonathan Culler, Paul de Man, Barbara Johnson, and a wide range of key thinkers in areas as diverse as psychoanalysis, law, gender studies, and architecture. The major themes covered include: * Vol. 1: Part I: "What is Deconstruction?"Part II: "Philosophy"* Vol. 2: Part III: "Literary Criticism"Part IV: "Feminism and Queer Theory"* Vol. 3: Part V: "Psychoanalysis"Part VI: "Religion/Theology"Part VII: "Architecture"* Vol. 4: Part VIII: "Politics"Part IX: "Ethics"
Author: Pinar Ilkkaracan Publisher: Routledge ISBN: 1317153707 Category : Social Science Languages : en Pages : 230
Book Description
Exploring the contemporary dynamics of sexuality in the Middle East, this volume offers an in-depth and unique insight into this much contested and debated issue. It focuses on the role of sexuality in political and social struggles and the politicization of sexuality and gender in the region. Contributors illustrate the complexity of discourses, debates and issues, focusing in particular on the situation in Iran, Iraq, Jordan, Lebanon, Pakistan, Palestine and Turkey, and explain how they cannot be reduced to a single underlying factor such as religion, or a simple binary opposition between the religious right and feminists. Contributors include renowned academicians, researchers, psychologists, historians, human rights and women's rights advocates and political scientists, from different countries and backgrounds, offering a balanced and contemporary perspective on this important issue, as well as highlighting the implication of these debates in larger socio-political contexts.
Author: Philippe Van Haute Publisher: Taylor & Francis ISBN: 1315312247 Category : Literary Collections Languages : en Pages : 133
Book Description
Deconstructing Normativity? brings together a unique collection of chapters in which an international selection of contributors reflect on the fundamental and often very radical ideas present in Freud’s original 1905 edition of the Three Essays on the Theory of Sexuality. The book has three aims: the contextualization of the text, the reconstruction of its central ideas and the further philosophical reflection of the contemporary relevance and critical potential of the 1905 edition. The authors challenge mainstream interpretations of the Three Essays, generally based on readings of the final 1924 edition of the text, and of the development of Freudian thought: including, most importantly, the centrality of the Oedipus complex and the developmental approach relative to a tendency towards heteronormativity. Deconstructing Normativity? makes an important contribution in rethinking Freudian psychoanalysis and reopening the discussion on its central paradigms, and in so doing it connects with queer and gender theories and philosophical approaches. This book will be essential reading for psychoanalysts in practice and training, as well as academics and students of psychoanalysis, philosophical anthropology, continental philosophy, sex, gender and sexualities.
Author: Angela J. Herrington Publisher: Wm. B. Eerdmans Publishing ISBN: 1467466670 Category : Religion Languages : en Pages : 188
Book Description
How to heal religious trauma by releasing harmful beliefs Have you experienced #ChurchHurt? Are you frustrated by judgmental church people supporting oppressive systems? Do you have doubts about the faith tradition you were raised in but are afraid of losing your community? Angela J. Herrington has been there. And with over a decade of experience as a life coach, she can teach you how to begin healing religious trauma through deconstruction. Lively and empathetic, Angela will gently guide you through deconstructing your faith. This concise and actionable handbook will • give you permission to trust yourself, • show you how to seek new perspectives and information, • teach you how to embrace vulnerable exploration and self-compassion, and • help you release unhealthy beliefs that are harming you and marginalized persons. Deconstructing your long-held beliefs can be isolating and overwhelming. But you don’t have to do it alone. Begin your healing journey with Deconstructing Your Faith without Losing Yourself.
Author: Thomas D.C. Bennett Publisher: Routledge ISBN: 1351674501 Category : Law Languages : en Pages : 304
Book Description
In 2004, a judgment from the highest court in the UK gave birth to a new era of privacy law. That case, brought by the supermodel Naomi Campbell against Mirror Group Newspapers, is today rightly regarded as a turning point for the protection of individuals’ privacy. The case is seen as the turning point in the development of English privacy law, and has also had major implications for the law elsewhere, including in Australia, New Zealand, Ireland, and Canada. The manner in which the common law’s privacy protections have developed since, and the direction in which they might develop still further, are the subject of this book. This collection, written by leading scholars in the privacy field from the UK and beyond, considers the legacy of Campbell’s case. The contributors address the Campbell legacy from a range of legal perspectives and discuss broader themes of power, metaphor, consistency, and technological change. This book was originally published as a special issue of the Journal of Media Law.
Author: Jesse Yaw Publisher: Austin Macauley Publishers ISBN: 1398430196 Category : Biography & Autobiography Languages : en Pages : 128
Book Description
Playing his clarinet inside one of London’s most exclusive members’ clubs reminded him of the privilege the elites can enjoy, but also the illusive duality of his identity, as the echo of his clanging Ashanti beads around his wrist, the scent of shea butter and sandalwood oil immersed upon his mahogany brown skin, reminded him of his true African identity. Jesse Yaw takes us through his journey as a young black man, exploring the racial constructs of relationships and modern society. With its destructive perceptions of class, race, truth, and equality, coloured by the trajectory of historical discrimination, and prejudiced western norms that have been embraced by the global community, Jesse seeks to explore the psychological impact that assimilation to westernised ideologies of beauty, governance, education, economy, law, class, and politics has on humanity. And what that consequently means for his self-determination. He acknowledges that, for too long, negative perceptions have cast a dark shadow upon black lives and subdued black potential. For these destructive perceptions to be removed from the eyes, lips, minds, and hearts of the global village, the re-education of the human mind is central. Jesse deconstructs the subconscious voice of the human mind, and establishes the unaltered truth of who we really are.
Author: Norma Jones Publisher: Rowman & Littlefield ISBN: 1442250070 Category : Performing Arts Languages : en Pages : 269
Book Description
Despite the increasing number and variety of older characters appearing in film, television, comics, and other popular culture, much of the understanding of these figures has been limited to outdated stereotypes of aging. These include depictions of frailty, resistance to modern life, and mortality. More importantly, these stereotypes influence the daily lives of aging adults, as well as how younger generations perceive and interact with older individuals. In light of our graying population and the growing diversity of portrayals of older characters in popular culture, it is important to examine how we understand aging. In Aging Heroes: Growing Old in Popular Culture, Norma Jones and Bob Batchelor present a collection of essays that address the increasing presence of characters that simultaneously manifest and challenge the accepted stereotypes of aging. The contributors to this volume explore representations in television programs, comic books, theater, and other forms of media. The chapters include examinations of aging male and female actors who take on leading roles in such movies as Gran Torino, Grudge Match, Escape Plan, Space Cowboys, Taken,and The Big Lebowski as well as TheExpendables, Red,and X-Men franchises. Other chapters address perceptions of masculinity, sexuality, gender, and race as manifested by such cultural icons as Superman, Wonder Woman, Danny Trejo, Helen Mirren, Betty White, Liberace, and Tyler Perry’s Madea. With multi-disciplinary and accessible essays that encompass the expanding spectrum of aging and related stereotypes, this book offers a broader range of new ways to understand, perceive, and think about aging. Aging Heroes will be of interest to scholars of film, television, gender studies, women’s studies, sociology, aging studies, and media studies, as well as to general readers.
Author: Ole Jacob Madsen Publisher: Springer Nature ISBN: 3030725553 Category : Psychology Languages : en Pages : 300
Book Description
In this book, Professor Ole Jacob Madsen analyses the implications of Scandinavia's current concern for the mental health problems of adolescents, said to be struggling in the face of increasing demands for achievement and success. It critically examines our understanding of this so-called “achievement generation”, questioning whether today’s youth are really worse off than previous generations and how we have come to believe that this is so. The author’s wide-ranging investigation draws on a large body of research, as well as considering socio-political, historical and regional factors that might be affecting the resilience and mental health among young people. It also provides original psycholinguistic studies of popular media concepts associated with these issues including: “the achievement generation”, “pathological perfection” and “the good girl syndrome”. Deconstructing Scandinavia’s “Achievement Generation” presents an engaging contribution to key debates around therapeutic culture and society in the 21st century. It will appeal to students and scholars of critical and social psychology, sociology, anthropology, philosophy; as well as to those working in education, social work and mental health.
Author: Kelly Wright
Author: Kelly Wright
Author: Kathleen Davis
Author: Jonathan D. Culler
Author: Pinar Ilkkaracan
Author: Philippe Van Haute
Author: Angela J. Herrington
Author: Thomas D.C. Bennett
Author: Jesse Yaw
Author: Norma Jones
Author: Ole Jacob Madsen