Reproductive Health Nursing | Reflection

Reproductive Health Nursing ReflectionOne of the meaning(a) domains of nursing commission is to counsel the nodes to promote their tumefyness and well- be. counselor crowd forbidden be d maven for different purposes including mortalal hygiene antenatal c be, and Family intend. Counseling rough family planning is a challenging skill which is learnt by nurses during their provision stream and later on they use their skill as one of the essential parts of their job to ensure that lymph glands reproductive health is maintained.During my reproductive health community rotation, I came a tail with a 33 year old female, having 3 children and was living with her preserve and in laws. I started my interview by greeting her and her family members and started doing family assessment by asking her rough health status of the family members. During the interview, I came to know that the madam has one son and two daughters with the fracture of hardly one year. pay capable-bodied to such(prenominal) little space between the children, the mother was non able to breast feed her children in an appropriate right smart. As I travel promote during the interview and tried to explore the reason of least gap between her children. She explained this phenomenon by saying that however she used the contaceptive pills and injections to space her upcomimg gestation still the exercising was not appropriate and she could not continue the pills and injections fall out-of-pocket to side effects. Due to this interrupted usage of short call contarceptive manners, she terminate up with a preganncy without an appropriate gap. Moreover, subalternd on literature it has been ground that shor term methods like condoms, injections and pills atomic fig 18 prone to failure during typical usage and due to incorrect usage (Kost, Singh, Vaughan, Trussell, Bankole, 2008), while failure of huge term methods like depot supplys or intrauterine devices is less and these met hods be safe, with a few(prenominal) side-effects and deliver with high continuation rate (Searle, 2014). on that point are five-fold reasons for method failure including incorrect or inconsistent usage or uncertain effectiveness of the chosen method (Trussell Portman, 2013). When I asked her future plans about the usage of family planning methods, she was found to be rattling willing and challenging for using appropriate methods for planning her next pregnancy with an appropriate gap. However, I got confused for a moment and became hesitant about discussion on such sensitive topic with my client but I advise her to use male method (condom) and she said her save had been using this method but it was likewise not that much effective. As she said this sentence, my level of confidence went down and I got diverted from the actual topic of absorb and started asking her about other health capers. In this way, the interview with client ended and I recognized that I was unable to help my client. afterwards(prenominal) coming back from this community rotation, on one hand, I was glad to found a accommodating client who helped me to complete the assessment ricochet and on the other hand, I was dissatisfied as I wasnt able to ease my client to square up her c at one timern. Although, I was sure about family planning methods that might had helped my client but my commission skills were not up to mark, wherefore I could not help my client to conk out appreciation for her problems. Furtherto a greater extent, I could not prove to be a helpful person for her family as I could not address the ineluctably of the family despite discriminating that the client was supposed to be counseled for family planning in an appropriate way. Although, the apprehension of holistic appeal for a client is comprehensible from theoretical formula but sometimes it commences difficult to apply the same concept in real life. This meeting with my client helped me to refle ct on my limitations to assess the ask and counsel the family in an appropriate way.When I reflected , I identified some(prenominal) reasons of inappropriate guidance. The important and fore well-nigh reason was that it was my first experience therefore I wasnt enough confident about the appropriate way of counseling particularly for such sensitive topics like Family Planning. In increase to this, I also found that before counseling the clients on such sensitive topics, one regard to have appropriate skills and mastery which were scatty in me during the time of interview. I also realized that I had counsel mother to use a family planning method which was not essentially counseling rather a suggestion which was not enough to develop insight in my client about her problem. Secondly, I was not aware about different casefuls of family planning methods, therefore I could not coax my client to use the methods which were suitable for her as I had not knowing much about family pl anning and nor I have visited either family planning center at that point in time. Moreover, universe a scholarly person I was not comfortable to discuss such issues with my client which was related to reproductive and sexual health.In addition to this, I should have create inviolable rapport with my client that would have definitely functioned me to resolve the concern of my client. Apart from this, I should have allowed my client to deal with her feelings and yield her own informed choices. This could have been support by in-depth assessment of my client regarding the use of short term methods like pills, condoms and injections. This could have helped me to do a root cause analysis of method failure and which in expel would have helped me to come up with suitable solutions for her. I could have interpreted support from my theory class content regarding family planning before check over time with the client in the community.Moreover, I should have involved the husband dur ing the counseling because pregnancy planning is not entire responsibility of adult female herself but it is the joint responsibility of husband and wife. The support from partner is very important for adapting any contraceptive method. Quality of couples relationship and inter-spousal communication and its effect on contraceptive use has also been supported by literature (Akanbi,et al., 2011). Moreover spousal communication has been identified as a good predictor of contraceptive use and fertility preferences (Link, 2011).Secondly, the social occasion of expert counselor of family planning would have become an excellent approach and I should have taken some ideas or skills from my reproductive health faculty before visiting the client herself. Besides this, integrated counseling frame roleplays of family planning such as GATHER or REDA frame full treatment could have apply practically in the community (The Acquire Project, 2008).These frameworks guide the health care providers t o explore the problems of client systematically without breeching their confidentiality. Moreover, it also helps clients to make informed choices for themselves after having the in-depth cognition about the suitable family planning methods. Due to my insufficient knowledge and experience, I could not apply these frameworks practically. Moreover, I shouldve done a bemock exercise of counseling by taking help from my faculty who must have helped me by providing a platform for mock before press release to community.For future, I would filter to do the in depth assessment of the need of a client by involving spouse as well. Moreover, I would testify to hold up the expert opinion regarding family planning counseling by combine different approaches of family planning counseling. This would enhance my knowledge about family planning counseling skills. Additionally, I would try to discuss such sensitive issues with the client by having enough knowledge about the family planning meth ods. I would also try to build a strong rapport with the client in roam to discuss the issues related to sexual and reproductive health very openly and freely.In conclusion, I was very much satisfied because I was able to reflect on the substantial eventidet and also identified my limitations. This whole reflection and critical thinking helped me to develop future plan which would assist me in future to counsel the women regarding family planning methods in an appropriate way. adept elbow grease Types and dearth in Ma temporalsia locutionSkilled Labour Types and Shortage in Ma recumbsia ConstructionThe skilled parturiency in the social organisation application generally refers to those who were being apt within a long period and they have brought some specialized technical industry skills in advancing the spin projects. Normally the works requiring the wear upon who has high degree of manual of arms skill. The labour apprise be considered as a skilled labour if they a re able to fulfill the requirement.Types of Skilled Labour jibe to the Construction Industry Skill Standards, CIDB (1998), there are many types of skilled labour. The pursual types areConcretorP terminationererBar BenderCarpenterTilerBricklayerScalffolder unsettled crane street girlTower Crane slatternEarthwork Plant OperatorConcretorA concretor builds the concrete structures parts such as columns, beams, floors and walls. The concrete can be combine by hand or in concrete mixer or utilize ready-mixed concrete. The duties shall admit the followingIdentify materials for concrete mixture shoot concrete into formworkMix concretePlace and compact concrete finish curing of concretePlastererThe duties of a plasterer at level 1 are to apply one come up of diverse kinds of plaster to walls as a finishes. The other duties complicate the followingApply cement plaster to compressed wallApply cement render finish coat to now wallsApply cement plaster to internal and external anglesAp ply finish coat to internal and external anglesAt level 2, they are necessary to apply a protective and enhancive covering of plaster or render to the surfaces of building. The other duties include the followingPrepare overhead surfaces of daubingFixing wire mesh to exterior surfaces before plastering lay down plaster cornice and mouldingsPlastering to overhead surfacesApply granolithic or textured finishBar BenderAfter cut and bend the accompaniment bars then bar benders are try to fix them into the forms of concrete. They also have to combine the bars together with wires or fasteners or by welding. After that, place the bars in forms and fixes them in dumbfound of reinforces concrete with wire mesh. The others duties include the followingPrepare tools and materialsFabrication of steel entrap steel bars and wire meshCarpenterThe works include cutting, notching, boring, sinking, pelleting, fitting, trimming, mitreing, halving, morticing, tenoning, dovetailing, scarfing and wedg ing and for all ends, splayed edges, short lengths and temporary supports. The others duties include the followingPrefabricated the forms and fixes them into the right position bound out the correct position for fixing the formsPrepare any temporary support for the formsDismantle the formsTilerA tiler at level 1 has to place tiles to surface walls and floors according to specified designs which may include the butt against of applying plaster coat and cement mortar layer. The tiles shall be laid in rows and tapped them into place. Next, align the rows of tiles by using the spirit level. He also requires lying paving stones, bricks, and wood pig outs. The others duties include the followingApply finish coat to floor renderingApply screed to receive tilePrepare straight backing surface for wall tilingSet out and lay tiles on walls and floorsPerform rendering and apply backing surface to lay the floor tilesSet out and lay paving on baseDuring level 2, the tasks of a tiler will be to a greater extent complicated. The tiler has to set more complex mosaic panels on walls, prepare and sets marble satiates, installs and repairs the parquet take aback and applies terrazzo finish to floors. The others duties include the followingSet out and lay tiles to soffitSet out and lay parquet and polyvinyl chloride tilesSet out and lay pestle in-situ terrazzoFix tiles to a curved wallSpreading and levelling of mortar mixCutting and trimming unitsPerform polishing and grindingBricklayerA bricklayer is responsible to lay bricks and blocks (except stones) by using various kinds of bonds in mark to form the walls, partitions, arches and other structures at level 1. The others duties include the followingWorksite preparationConstruct opening of brick wallConstruct concrete masonry structuresConstruct link and isolated pierThey also work for more complex decorative structures at level 2 which may include repair to lively brickwork. The others duties include the followingConstr uct brick stepsConstruct glass block panelConstruct curved wallConstruct hollow block reinforced wall and columnConstruct complex archScaffolderA general scaffolder performs his basic skills and techniques for level 1. A scaffolder is to erect and dismantle various types of metal scaffold such as platforms, upright and horizontal members. The others duties include the followingSelection and inspection of equipmentsErection and dismantling of scaffold nourishment of scaffoldA tube and coupler scaffolder at level 2 is to erects and dismantle metal theatrical production which also include the followingCantilevered and spurred scaffoldsCantilevered hold out loading platformsMast climbersAdditional remarksThis standard applies to every metal tube scaffolding not exceeding 40 m in height and prefabricated scaffolding not exceeding 15 m in height.A headmaster Engineers verification is requiring for the design and construction of scaffolding beyond those heights.Competency as general Sc affolder is an additional requirement in order to comply with these standardsMobile Crane OperatorA mobile extend operator operates crane mounted on wheel or tracks which can be set under his own control. The others duties include the followingPre- useable check pip operational checkMaintain the operation and maintenance of craneTower Crane OperatorAs a tower crane operator needs to operate the crane that consists of a turning metal tower which moves on rails and equips at the top with a mobile or pertinacious jib. Normally the crane is supported the hoisting equipment. The others duties include the followingPre-operational checkPost operational checkOperation and maintenance of the craneEarthwork Plant OperatorAn earthwork plant operator has to carry out the power driven railcar mounted on wheels or crawler tracks equipped with all the movable shovel, grad bucket and etc. This machine is used during the excavation and act of the earth, rock, and sand. The others duties include the followingPre-operational check on machineryEnsure the operation of the equipmentFactors that caused the Labour Shortage ProblemIntroductionThe problem of labour dearth has being existed since 1970s. According to the Master Builders Association Malaysia (MBAM), with the implementation of 9th Malaysia Plan (9MP) and the letters of life has been awarded to get projects under way, Malaysian construction industry has began to surface problem of labour shortage. We must pay more attention on the overserious impacts that caused by this problems and appropriate actions must be taken at once in order to solve this problem effectively.FactorsThere are some(prenominal) factors that influence to the poor troth of labour in construction industry. The strong growth of the economy, poor project, lack of training system, large number of contrary labour were contribute to the shortage of labour in construction industry. Those factors are being listed below and adopted from the MBAM repor t, previous newspaper and the articles.Working Conditions and surroundMost of the labours in the construction industry are worked in rise time, and sometimes the on the job(p) hours are more than 40 hours in a week. In 2008, there are about 18% of labour have worked 45 hours or more per week. They have to work until midnight if there are under special condition. They have no rest day in weekends or even public holiday. The construction labour usually does not get paid if they are unable to work due to the inclement weather.There are less people willing to participate in the construction works because of the working purlieu and the condition. According to MBAM report, the working environment for the skilled labour in the construction industry can be considered as not good enough. For instance, the location of the construction site is mobile and many of the buildings are just use for temporary purpose. So, they have to oft move their dwelling place once the construction project has been completed. Therefore, the environment of the site is getting the severe air pollution and it will attain our health. In addition, some of the construction site is located at undeveloped area that lack of basic amenities. Other than that, majority of labour are work direct expose to the sun in the construction site. There are not so many people that capable work under this environment. wretched Welfare in Construction IndustryPoor eudaimonia is one of the factors that caused problem of labour shortage. This problem will clear when there are irresponsible contractors omitted to take out welfare such as SOCSO or EPF. Basically, welfare shall provide to the labour in unanimity with the requirements. For example, contractors should provide comfortable temporary accommodations for the labour who works at outstation, but the contractors never fulfil their obligations and thus provide them a dirty and diminished place.Most of the people will take care what are the welfare t hey can get from the company. Once they cant get any defense from the company, they are not willing to join the construction industry.Government insurance insurance in restricted the number of foreign labourMoreover, regimen policy in restricted the numbers of foreign labour join into construction industry is also one of the factors that caused the labour shortage problem happen. According to the Human Resources Minister Datuk Dr Fong Chan Onn said in Star Newspaper on 19 July 2000, the Malaysia planned to reduce the number of foreign labour drastically over the coming next few years.As a government policy that accordance with Berita Harian government policy on 29 February 2000, legate apex Minister, Datuk Seri Abdullah Ahmad Badawi, it stated that one company not allowed hiring foreign labour which more than one third of their total number of company rung and each labour will not require to work more than eight years in Malaysia.So far according to The sunniness on 1st July 1999, Prof. Datuk Abdul Rahman Abdullah, chief executive of Construction Industry schooling Board (CIDB), there are not much Malaysian are interested to join in construction industry and almost 75% labours are come from other countries.Further to this, according to Deputy Prime Minister Tan Sri Muhyiddin Yassin on 20th May 2010, Malaysia will chivy the levy on foreign workers in 2011, after having deferred the implementation last year.He said that the quantum of increase would vary based on the specific sectors which employ the foreign workers. After that, the policy is to reduce our dependency on foreign workers and this will be done in stages in the long run.According to the 2006/2007 Economic Report released on September 2006, Malaysia aims to reduce the number of foreign workers in the country from 1.84 million to 1.5 million by 2010. It is envisaged that by that time, just 200,000 foreign workers will remains in the construction industry. and so through this government po licy, Malaysias construction industry will have a big problem on this labour shortage.Sources Ministry of Home Affairs Malaysia, in-person correspondence. Department of Immigration, Pusat Bandar Damansara, Kota Kinabalu Kuching the Deaprtment of Labour Sarawak (letter from the department to writer dated 14 macintosh 2005)Economy of MalaysiaThe economical that Malaysia has seen for last decade is one of the leading causes of the worker shortage. The economic always play an important role in the need for labour. There are many construction activities will be carried out during the peak period of economy, therefore the need for the labour is relatively become higher.On the contrary, the problem of labour shortage will occur when the economic downturn because the construction works will be delayed and suspend where the client is not capable to complete the progress payments. The labour cannot get the daily income which fixed by the client. Thus many of them will migrate to the othe r countries where necessary the construction labour work at their construction industry.Furthermore, while the economic is recovered, we may also face the problem in recruiting the workforce in construction industry since majority of them are already adapted their new working environment in other countries. scrimpy training systemIn Malaysia, the professional basic training is being deficiency. According to the 2005 Labour Shortage Action Plan, it became evident that the labour shortage problem is multilateral and has consequence from a wide range of interconnect factors. In addition, the reading and the training system that introduced by construction industry are not flexible to meet the changes of the progress of construction works at once. There is no opportunity for the unskilked labour being trained so that only the skilled labours are capable to carry out the more complicated works during construction works.According to the research information, it reveals that only 45% of c onstruction companies involve acquire and development training after all the major decisions have been made or during the final stages of the project. A further 9% do not involve in learning and development training at all. Other 27% of companies involve learning and developments training at the inception planning stages and in a further 19% of are introduced it at the initial implementation stage.Young Generations unintentional to take part in construction industryThe poor image of construction industry can be defined into 3D syndrome connect to the industry. There are dirty, dangerous and difficult. In respect on this 3D syndrome, local youth would rather be unemployed despite working in the construction industry.The construction industry was considered dirty and it is unsatisfactory because most of the construction site is located at the undeveloped area and ordinarily lack of basic amenities or public services. Most of the facilities which located at the construction site do not have well practices and also not comply under the requirements of governing construction activities. In Malaysia, there are minor issues those accidents on construction site. It is not only involve labour, but also cause badly injured and even death to the general public. All of this accident has results on poor participation of labour in construction industry.In certain circumstances, the construction activities can be very complicated due to the differentiation in type of the project as well as the surrounding project environment. bulk of youths are difficult to perform well during construction works. Moreover, it has the difficulties in maintaining the cooperative between the staff and the project team members. The youngsters with high level of educations are prefer to work under a good working condition such as office work rather than to work at site that always exposed to the sun.