Test and development of Fixed-Unfixed Cost Accounting Model (FUCAM) in a Hospital Setting

Test and development of Fixed-Unfixed Cost Accounting Model (FUCAM) in a Hospital Setting

Published in: Int. J. of Advances in Nur. Management. 2019; 7(1): 31-34.

Abstract:

The upward escalation of the morbidity rate in India has led to an increased demand for hospital services. At the same time, the hospital management rises the health care cost substantially in India to harvest at the right time. Similarly, the hospitals doubled the patient care charges, as the admission in the hospitals become a nightmare for the people. Here, the paper attempts to understand the difference between the actual cost spent by the hospital and a bill produced to a patient for a normal vaginal delivery through cost accounting model. With a combined prospective and retrospective approach, the author has done cost accounting for a normal vaginal delivery using a fixed-unfixed cost accounting framework. Using the convenience sampling technique, 30 records were audited and 8 normal deliveries were observed. The tool was developed by the investigator, which consists of the demographic data and observation checklist of consumables including drugs, equipment, furniture, and fittings. The maternal records were audited retrospectively to find out the average number of drugs and related consumables used per patient. The concept of this cost accounting is to estimate the cost of services to patients directly and indirectly, which helps in making decisions regarding financial statements and estimate the profit/ loss of the organization. Hopefully, a study of the existing system process in the hospital can lead to the effective logical planning process for the management in the future.

Keywords: Costing, cost accounting, normal delivery, activity-based costing and costing hospital procedure.

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Why have I been touched badly? A 22 years follow-up research study on factors influencing child sex abuse and solutions to stop it.

Why have I been touched badly? A 22 years follow-up research study on factors influencing child sex abuse and solutions to stop it.

Published in: Asian J. Nursing Education and Research. 2019; 9(1):09-16

Abstract

The technology and democracy have helped us to forward the world fastly, without giving an ultimate solution to many social problems which makes the lives nightmare. Among these, the incidence of child sex abuse has become an unresolved issue and is increasing dramatically nowadays. The author has conducted a 22-years prospective and inquisitive search to explore the factors influencing the sex abuse from offender’s and victim/target’s point of view and to find a solution to eradicate this crime towards children. The researcher has selected a personalized cum case study qualitative approach to explore the factors and solution, introduced the paper with a title of ‘Why have I been touched badly’? and masked the title of the study, statement of the problem, research questions, inclusion and exclusion criteria purposefully to ensure confidentiality, anonymity and trust of the participants at cent percent as it is a highly sensitive issue in the society. The researcher has used triangulation method to evolve results bias-free. The researcher has used diary notes, discussions, observations and case studies. It is seen that there are 11 factors contributing to infant sex abuse, 9 & 6 factors for preschooler and schooler sex abuse respectively. The current research identified 6 phases of child sex abuse; observation phase, introduction phase, Samaritan phase, isolation phase, execution phase and termination phase. The existing body of literature regarding this issue is very limited. The researcher decided to discuss the evolved facts with reported cases of child sex abuse and studied on ‘how could it have been prevented?’ The researcher randomly picked five recent reported cases by media with the detailed explanation of the situational factors except the case study VI, which the researcher has purposefully selected this incident to justify the suggested solution to eradicate the child sex abuse in the society. The researcher concludes the paper with a request for revising POCSO act based on the results of the study, thus hopefully be able to stop the child sex abuse forever.

Keywords: Child sex abuse, Pocso act, bad touch, sex offenders, sex abuse victims, a solution to sex abuse

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Lived experience of disaster victims of South Indian floods 2015: To develop a Concatenated Disaster Crisis model using phenomenographical framework analysis

Lived experience of disaster victims of South Indian floods 2015: To develop a Concatenated Disaster Crisis model using phenomenographical  framework analysis

Published in: Indian Journal of continuing nursing education, 2018, 19(2), 44-53.

Abstract:

The 2015 South Indian floods resulted from heavy rain fall in November-December 2015. The South Indian states of Tamil Nadu, particularly Chennai and Andhra Pradesh were badly affected. The aim of the study was to investigate the lived experience of disaster victims of South Indian floods; developing a Concatenated Disaster Crisis model using phenomenographical framework analysis. A qualitative design with phenomenographic approach was used. This study focuses on investigating ‘how do people experience towards the natural phenomenon?’. The results are emerged from three phases of data collection after flooding: within 4 days, 4 months and 3 months subsequently with a total number of 22 samples. The steps followed are familiarization, compilation, condensation, preliminary grouping, preliminary comparison of categories, naming the categories and final outcome space. The results of the study are presented as categories of description and outcome space. Categories of description are typically expressed in the form of 10 categories named as ‘phases’ and description as ‘views’. Ten categories emerged: Disaster ‘expected, but not expected’, pseudo relief ‘save only life’, indolent ‘disaster victims’, reluctant ‘not willing to go back to reality’, empty nest ‘lost everything’, horn bill ‘look at help’, saturation ‘saturated with donated materials’, life initiation ‘start a life from zero point’, recovery ‘disaster becomes a nightmare’ and normal life phase ‘disaster becomes an anecdote’. The Concatenated Disaster Crisis model facilitates the nurses to identify the chain of experiences of victims with variations therein, plan the allocation of resources carefully and provide what the victims are in need. 

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Human senses- Identification of six senses in the human

Six human senses

I would like to share my immense happiness on the publication of research "Identification of sixth sense" and getting attention in other countries too. 

Aristotle (390 BCE-350 BCE), the Greek philosopher has viewed that human has five senses-vision, smell, hearing, taste, and touch. In our current research project (2014-2018), we were able to draw that human has six senses. 

(How to cite this article: Jobin, P., Siva, R., Sudha, R., & Hema, V.H. (2018). Intersensory Perception Model: Integrating the sixth sense in providing Nursing care. Manipal Journal of Nursing and Health Sciences, 4(1), 8-17.)

The paper defines the sense or sensing is an ability of a human being for identifying and interpreting the stimulus from the external environment through five sensory organs includes eye, nose, ear, tongue, and skin with six senses such as vision, smell, hearing, taste, touch, and auto-thermoception. 

The sensing is categorized into three:

On sight sensing

It is an ability of a human being to see and interpret the surrounding environment in the visible light through the sensory organ called eyes and the response of the nervous system is known as ophthalmoception.

Abut sensing

The word 'abut' is the Anglo-Latin origin, which means 'touch'. It is an ability of the human being to identify and interpret the surrounding environment by making physical contact through sensory organs such as skin and tongue. The response of the nervous system through tongue is called as gustaoception (taste- for example, ability to interpret taste with the contact between tongue and food) and through the skin with the contact of items is called as thermoception (temperature- for instance, ability to differentiate the high and low temperature with the contact between skin and thermal conductor), nociception (pain - for instance, ability to respond to pain with the contact between skin and needle) and mechanoreception (vibration- for example, ability to identify the vibration with the contact between skin and vibrating material).

Remote sensing

Remote sensing is an ability of the human being to acquire and interpret the surrounding environment without making physical contact and out of sight through sensory organs such as ear, nose, and skin. The response of the nervous system through ear is known as audioception (hearing- for instance, the ability of the human ears to acquire the sound waves from the surrounding) and through nose is olfacception (smell- for instance, ability of the human nose to acquire the smell of the particles from the surrounding). The body is covered with skin, which is normally sensitive to heat and cold. The ability of the skin to identify the level of room temperature in the surrounding environment without touching called auto-thermoception.

The figure explains the three modalities of sensing and highlights five sensory organs and six senses.

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Inter-sensory perception model: Integrating the sixth sense in providing nursing care

Inter-sensory perception model: Integrating the sixth sense in providing nursing care

Published in: Manipal Journal of Nursing and Health Sciences, 4(1), 8-17.
Abstract

Introduction: In 21st century, nursing profession is enriched with many theories. However, there exists a wide gap between knowledge and implementation of nursing care. 

Aim: The paper explains causes of this gap and addresses a solution using a conceptual model titled “Intersensory perception in nursing care ‘under empirical concept’ open your  sixth sense in addition to five traditional senses.” 

Methods: A qualitative case study design was used for testing the conceptual model. 

Results: The paper classifies the different modalities of sensing, adds one more nontraditional sense (auto thermoception) to five traditional senses and depicts how general sensory perception can be upgraded to inter-sensory perception among nurses through nursing education process, which is pictured as nursing foundry lab model. It also explains that how nurses can identify homeostatic imbalance among human beings using intersensory perception and help the patient to retain homeostasis. Further, a comparative analysis is done with Florence Nightingale’s environmental theory and criterion based critique model is used to evaluate the role of inter-sensory perception in nursing care. 

Conclusion: Hopefully, these concepts pave the way to implement an effective nursing care using inter-sensory perception and reduce unintentional torts by overcoming ‘numbness’ of senses.

Key words: Conceptual model, inter-sensory perception, nursing theory, sensing, sixth sense

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Fight the Fear: Using Prevention of Child Sexual Abuse Model (PCSA Model),2015

Fight the Fear: Using Prevention of Child Sexual Abuse Model (PCSA Model),2015

(Published in International Journal of Comprehensive Nursing)

Abstract

As the child sexual abuse is wide spread public threat, it is high time to take action to stop the sexual predators. Here, the author attempts to develop and utilize a Prevention of Child Sexual Abuse Model (PCSA Model), 2015 to address the issue focusing on levels of prevention. The Prevention of Child Sexual Abuse Model (PCSA Model) is a conceptual model, focuses on problem solving domain by using a cross sectional flow chart. The PCSA model divides into three swim lanes named 3As- Assess, Action and Awareness. It helps the health care providers in identifying the victim, refer them for care, protect them, follow up and giving awareness with the multidisciplinary approach through the levels of

primary, secondary and tertiary prevention, to fight the fear of children.

Key words: child neglect, child sexual abuse, conceptual framework, conceptual model, fear of children, prevention model. 

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