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Creativity generic sildalis 120 mg with mastercard erectile dysfunction quad mix, mystical experiences purchase sildalis 120mg mastercard erectile dysfunction questionnaire, tran- the findings in a way that is consistent with Rogers’ scendence, sleeping-beyond-waking experiences, notions of unpredictability, integrality, and nonlin- time experience, and paranormal experiences as earity. Emerging interpretive evaluation methods, they relate to human health and well-being are also such as Guba and Lincoln’s (1989) Fourth of interest in this science. Feelings and experiences Generation Evaluation, offer an alternative means are a manifestation of human/environmental field for testing for differences in the change process patterning and are a manifestation of the whole within and/or between groups more consistent (Rogers, 1970); thus, feelings and experiences rele- with the Science of Unitary Human Beings. Discrete stages of theory development, designs that generate particularistic biophysical phenomena are usually descriptive and explanatory knowledge are relevant not an appropriate focus for inquiry because to the Science of Unitary Human Beings. New concepts with power have been found with anxiety, chronic that describe unitary phenomena may be devel- pain, personal distress, and hopelessness (Caroselli oped through research. For example, the metaphor (Butcher, 2002b), caring (Smith, 1999), and energy “I feel at one with the universe” reflects a high de- (Leddy, 2003; Todaro-Franceschi, 1999) are exam- gree of awareness of integrality; “I feel like a worn- ples of concepts that have been reconceptualizied in out shoe” reflects a more restricted perception of one’s potential (Johnston, 1994; Watson et al. Future research may focus on developing an Researchers need to ensure that concepts understanding of how human field image changes and measurement tools used in the inquiry in a variety of health-related situations or how are defined and conceptualized within a human field image changes in mutual process with unitary perspective. Diversity is inherent in the evolution of the a way congruent with Rogers’ principles and postu- human/environmental mutual field process. Researchers need to ensure that concepts and evolution of the human energy field is character- measurement tools used in the inquiry are defined ized by the creation of more diverse patterns re- and conceptualized within a unitary perspective. Two major concepts— lected patterning modalities designed to foster har- “my motor is running” and “my field expansion”— mony and well-being (Hastings-Tolsma, 1992; are rated using a semantic differential technique Watson et al. Examples of indicators of higher veloped within and unitary science perspective that human field motion include feeling imaginative, vi- may be used in a wide variety of research studies sionary, transcendent, strong, sharp, bright, and ac- and in combination with other Rogerian measure- tive. Indicators of relative low human field motion ments include: include feeling dull, weak, dragging, dark, prag- matic, and passive. The tool has been widely used in • Assessment of Dream Experience Scale, which numerous Rogerian studies. Together, the researcher and Carboni (1992), which is a creative qualitative the participants develop a shared understanding measure designed to capture the changing con- and awareness of the human/environmental field figurations of energy field pattern of the healing patterns manifested in diverse multiple configura- human/environmental field relationship. Carboni encouraged to use methods developed specific to (1995b) also developed special criteria of trustwor- the Science of Unitary Human Beings. Three meth- thiness to ensure the scientific rigor of the findings ods have been developed: Rogerian Process of conveyed in the form of a Pandimensional Unitary Inquiry, the Unitary Field Pattern Portrait Research Process Report. Each method a way of creatively measuring manifestations of was derived from Rogers’ unitary ontology and par- field patterning emerging during coparticipation of ticipatory epistemology and is congruent with the the researcher and participant’s process of change. The method’s purpose is to investigate the Unitary Process of Inquiry and was derived directly dynamic enfolding-unfolding of the human from the criteria of Rogerian inquiry. Rogerian symphonic pattern manifestations emerging from Process of Inquiry transcends both matter-centered the pandimensional human/environmental field methodologies espoused by empiricists and mutual process as a means to enhance the under- thought-bound methodologies espoused by phe- standing of a significant phenomenon associated nomenologists and critical theorists (Carboni, with human betterment and well-being. Rather, this process of inquiry is evolution- eight essential aspects in the method, as described centered and focuses on changing configurations of here. Each aspect is described The flow of the inquiry starts with a summation here in relation to the essential processses. Initial engagement is a passionate search for a re- purpose and researcher’s understanding of search question of central interest to under- Rogerian science. Next, the researcher focuses on standing unitary phenomena associated with becoming familiar with the participants and the human betterment and well-being. A priori nursing science identifies the Science of field perspectives are identified through observa- Unitary Human Beings as the researcher’s per- tions and discussions with participants and spective. It guides all processes of the research processed through mutual exploration and discov- method, including the interpretation of findings.

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It is based on the realization that electrons and all mater- ial particles exhibit wavelike properties order 120mg sildalis otc erectile dysfunction houston. This allows the well defined order 120 mg sildalis free shipping impotence from alcohol, parameter free, mathematics of wave motions to be applied to electrons, atomic and molecular structure. Moving the cursor along the energy trajectory causes the structure of butane on the right to assume the corresponding conformation. Operators are math- ematical methods of converting one function into another function in order to find a solution or solutions of the original function. For example, differentiation is an operator that transforms an equation representing a function into its first derivative. Schrodinger equations for atoms and molecules use the the sum of the potential and kinetic energies of the electrons and nuclei in a structure as the basis of a description of the three dimensional arangements of electrons about the nucleus. Equations are normally obtained using the Born–Oppenheimer approximation, which considers the nucleus to be stationary with respect to the electrons. This approximation means that one need not consider the kinetic energy of the nuclei in a molecule, which considerably simplifies the calculations. The fact that a structure will only possess energy levels with certain specific values is a direct consequence of spectroscopic observations. The precise mathematical form of E C for the Schrodinger equation will depend on the complexity of the structure being modelled. Its operator H will contain individual terms for all the possible electron–electron, electron–nucleus and nucleus–nucleus interactions between the electrons and nuclei in the struc- ture needed to determine the energies of the components of that structure. Consider, for example, the structure of the hydrogen molecule with its four particles, namely two electrons at positions r1 and r2 and two nuclei at positions R1 and R2. The more electrons and nuclei there are in the structure the more complex H becomes and as a direct result the greater the computing time required to obtain solutions of the equation. Conse- quently, in practice it is not economic to obtain solutions for structures consist- ing of more than about 50 atoms. It is not possible to obtain a direct solution of a Schrodinger equation for a structure containing more than two particles. Solutions are normally obtained by simplifying H by using the Hartree–Fock approximation. This approxima- tion uses the concept of an effective field V to represent the interactions of an electron with all the other electrons in the structure. For example, the Hartree– Fock approximation converts the Hamiltonian operator (5. The use of the Hartree–Fock approxima- tion reduces computer time and reduces the cost without losing too much in the way of accuracy. These methods use experimentally determined data to sim- plify many of the atomic orbitals, which in turn simplifies the Schrodinger equation for the structure. Solving the Schrodinger equation uses a mathemat- ical method, which is initially based on guessing a solution for each electrons molecular orbital. The computer tests the accuracy of this trial solution and based on its findings modifies the trial solution to produce a new solution. The accuracy of this new solution is tested and a further solution is proposed by the computer. This process is repeated until the testing the solution gives answers within acceptable limits. In molecular modelling the solutions obtained by the use of these methods describe the molecular orbitals of each electron in the molecule. The solutions are normally in the form of sets of equations, which may be interpretated in terms of the probability of finding an electron at specific points in the structure.

Any single nursing situation sion of caring nurturance to sustain and enhance has the potential to illuminate the depth and com- the “other” as he or she lives caring and grows in plexity of nursing knowledge 120mg sildalis amex erectile dysfunction treatment options natural. Nursing re- are best communicated through aesthetic media to sponses to calls for caring evolve as nurses clarify preserve the lived meaning of the situation and the their understandings of calls through presence and openness of the situation as text order sildalis 120 mg fast delivery erectile dysfunction and diabetes treatment. Sensitivity and skill in creating unique and effective ways of communicating caring are devel- His eyes meet mine, oped through intention, experience, study, and Unable to speak, reflection in a broad range of human situations. It is the loving relation into which nurse Our bond is made, Unspoken thoughts, But understood, The caring between is the source and I care for him! Collins (1993) and nursed enter and cocreate by living the inten- Each encounter—each nursing experience— tion to care. In Collins’s reflections, ing between, unidirectional activity or reciprocal he shares a story of practice that illuminates the exchange can occur, but nursing in its fullest sense opportunity to live and grow in caring. It is in the context of the caring be- In the nursing situation that inspired this poem, tween that personhood is enhanced, each express- the nurse and nursed live caring uniquely. This al- particular experience of nursing and linked to a lows him to see past the “anger-filled” room and to general conception of nursing. By living caring moment to moment, hope emerges and fear My hands are moist, subsides. Through this experience, both nurse and My heart is quick, nursed live and grow in their understanding and My nerves are taut, expressions of caring. He’s in the next room, In the first stanza, the nurse prepares to enter the I care for him. Perhaps he It’s anger-filled, has heard a report that the person he is about to en- The air seems thick, counter is a “difficult patient,” and this is a part of I’m with him now, his awareness; however, his nursing intention to I care for him. In the second stanza, the nurse Time goes slowly by, enters the room, experiences the challenge that his As our fears subside, intention to nurse has presented, and responds to I can sense his calm, the call for authentic presence and caring:“I’m with He softens now, him now/I care for him. The nurse listens intently and the College of Nursing at Florida Atlantic recognizes the unadorned honesty that sounds University, where both authors were among the fac- angry and demanding but is a personal expression ulty group revising the caring-based curriculum. The nurse responds with steadfast presence us recognized the potential and even the necessity and caring, communicated in his way of being and of continuing to develop and structure ideas and of doing. The caring ingredient of hope is drawn themes toward a comprehensive expression of the forth as the man softens and the nurse takes notice. The point of departure was the ac- ops, and personhood is enhanced as dreams and as- ceptance that caring is the end, rather than the pirations for growing in caring are realized: “His means, of nursing, and that caring is the intention eyes meet mine... This stanza, the nursing situation is completed in linear work led to the statement of focus of nursing as time. But each one, nurse and nursed, goes forward, “nurturing persons living caring and growing in newly affirmed and celebrated as caring person, and caring. The clarified focus and the idea of the nurs- In Collins’s poem, the power of the basic assump- ing situation are the key themes that draw forth the tion that all persons are caring by virtue of their meaning of the assumptions underlying the theory humanness enabled the nurse to find the courage to and permit the practical understanding of nursing live his intentions. As critique of and complete in the moment permits the nurse to the theory and study of nursing situations pro- accept conflicting feelings and to be open to the gressed, the notion of nursing being primarily con- nursed as a person, not merely as an entity with a cerned with health was seen as limiting, and we diagnosis and superficially or normatively under- now understand nursing to be concerned with stood behavior. Person- human mode of being was incorporated into the hood, a way of living grounded in caring that can most basic assumption of the theory. We view be enhanced in relationship with caring other, Paterson and Zderad’s (1988) existential phenome- comes through in that the nurse is successfully liv- nological theory of humanistic nursing as the his- ing his commitment to caring in the face of diffi- torical antecedent of nursing as caring.

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Fire in the Crucible: The Alchemy of Creative • Ideational fluency: naming things that belong to a Genius buy sildalis 120mg without a prescription erectile dysfunction doctor exam. Understanding Creativity: The Interplay of Bi- ological sildalis 120mg low cost erectile dysfunction disorder, Psychological, and Social Factors. San Francis- • Associational fluency:writing synonyms for a specified co: Jossey-Bass, 1998. In addition, it may • Alternate uses: listing as many uses as possible for a be impossible for any test to measure certain personal given object traits that are necessary for success in creative endeav- ors, such as initiative, self-confidence, tolerance of ambi- • Plot titles: writing titles for short-story plots guity, motivation, and perseverance. Tests also tend to • Consequences: listing consequences for a hypothetical create an anxiety-producing situation that may distort the event (“What if no one needed to sleep? Growing Up Creative: Nurturing a Lifetime of Cre- sketches of recognizable items ativity. Divergent thinking tests are generally evaluated based on the number and variety of answers provided; the originality of the answers; and the amount of detail they contain (a characteristic referred to as elaboration). Crisis intervention A number of creativity tests currently in use include sec- tions that measure divergent thinking. Rather than ways of thinking, some creativity tests evaluate attitudes, behavior, creative perception,orcre- The term crisis intervention can refer to several dif- ative activity. Some creativity tests specifically address ferent therapeutic approaches, which are applied in a va- the problem of assessing creativity in minority popula- riety of situations. The common denominator among tions, who are at a disadvantage in tests that place a these interventions, however, is their brief duration and strong emphasis on verbal and semantic ability. The Eby their focus on improving acute psychological distur- Gifted Behavior Index reflects the growing view of cre- bances rather than curing long-standing mental disor- ativity as specific to different domains. Some common examples of crisis intervention in- six talent fields: verbal, social/leadership, visual/spatial, clude suicide prevention telephone hotlines, hospital- math/science problem-solving, mechanical/technical, based crisis intervention, and community-based disaster and musical. Two psy- chiatrists in particular heavily influenced our approach to Creativity tests have been found reliable in the sense crisis intervention with their crisis theory. Erich Linde- that one person’s scores tend to remain similar across a mann and Gerald Caplan believed that, when people are variety of tests. However, their validity has been ques- in a state of crisis, they are anxious, open to help, and tioned in terms of their ability to predict the true creative motivated to change. In one study, there was programs is therefore the belief that providing support little correlation between the scores of both elementary and guidance to people in crisis will avert prolonged and secondary students on divergent thinking tests and mental health problems. Creativity tests have Crisis or suicide hotlines offer immediate support to also been criticized for unclear instructions, lack of suit- individuals in acute distress. Further, some centers rope indicates that this type of counseling often has no will arrange referrals to clinicians. If a volunteer feels a It is possible that having people focus on the upsetting caller is at immediate risk, however, confidentiality will event emphasizes the victimization that has already be broken and a mental health worker will be called taken place, rather than people’s innate abilities to over- upon to intervene. Some researchers fear that the people who call that a particular psychological intervention may be intu- may not be those at highest risk. A further problem is that there appears to be significant discrepancies in the Further Reading training of telephone operators at these hotlines. When treatment is administered, however, it is usually in Critical period the form of psychotropic drugs with follow-up outpatient A specified time span, also referred to as the opti- therapy scheduled upon release.

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