Dissertation Creation - The UK's original provider of custom dissertations and dissertation help...

Free Dissertations - Nursing Dissertations

(prochaska J O Et Al. 1994) this Model Of The Stages-of-change Closely ...

(Prochaska J O et al. 1994)

This model of the stages-of-change closely matches modifications in attitude and behaviour with the tools that are used by the individual when trying to alter his or her behaviour. Prochaska identified 10 tools that are cognitive-affective or behavioural activities which are relevant to these considerations. The cognitive-affective tools (including consciousness-raising, dramatic relief, self-re-evaluation) are used during precontemplation and contemplation. Behavioural tools however, are typically used in the action and maintenance stages. Using the right tool for each stage is important. Many of these changes are equally applicable to the psychopathology of the perpetrator who also appears to move through the same phases. The authors suggest that they tend to be more impulsive however, and the time spent in each stage may be very short indeed. In the light of our examination here, we should note that we can find no study that has examined the victim's perception of the healthcare professional's management of the situation with reference to the particular stage of the transition that they are in. Intuitively it would seem likely that the strategies that may be appropriate when the victim is in the contemplative stage are likely to have a different degree of effectiveness when employed in the action stage.

The authors reflect on the fact that there are a great many factors that may well be relevant in any one individual victim's process of abuse management. This is the one area where the victim of domestic violence has a degree of control as to just how they respond to abusive behaviour. It therefore appears to be very important, from the viewpoint of effective management, that the healthcare professional involved maximises any degree of positive resolve with an empathetic exploration of the relevant issues as far as they are perceived by the patient themselves.

The role of the midwife is, in part, that of Health Promotion facilitator. (Hewison, A. 2004). The midwife has traditionally taken an active role in areas such as teenage pregnancy, smoking cessation, drug awareness. (Ramsey J et al. 2002)Perhaps we should now consider adding to that list domestic violence as well. We note that the term, and indeed the concept, of Health Promotion, should be synonymous with work that encourages healthy behaviour in the widest possible sense of the word and is therefore complimentary to the more traditional concepts of the healthcare professionals managing disease and ill health. The paper by Beldon (A et al. 2005) considers this issue from the health promotion viewpoint.

Please note: The above dissertation snippet was written by a student and then submitted to us to display and help others. Thanks to all the students who have submitted their work to us.