Baptism Essay Research Paper Nick HillReligion4700A Sacred free essay sample

Baptism Essay, Research Paper Nick Hill Religion 4/7/00 A Sacred Bath, Baptism For 100s of old ages baptism has been a big portion of many different faiths. Although throughout history, and throughout many faiths, the pattern might hold differed, but the significance and the symbolism has remained comparatively the same. The word baptism came from the Grecian noun baptiona, significance, ? the dipping or washing. ? Less normally used, baptiomo? s, stemmed from the verb baptw, significance, ? to dunk or immerse. ? This act of rinsing or submergence started with the Greeks and was subsequently practiced by other faiths. Religions such as those in the Pagan universe, the Attis and Mathra cults, the Arians, the Babylonians, Egyptian cults, the cult of Cybele, the Mithraic cult, and Christian faiths practiced what can be refereed to as the sacred bath, the enlightenment, or the metempsychosis. Many of the pre-Christian faiths understood cleansing and confirmation in a charming sense, instead than in a moral, or religious sense. As baptism evolved through the centuries, it went through many alterations and through many different readings of how baptism should take topographic point and when in a life-time the baptism should take topographic point. One thing remains the same though, baptism is a sacred act and has been practiced throughout clip. Baptism received its beginning in the Grecian universe. That idea of immorality associated with baptism was what created this pattern. We have proof of baptism through records of old. Harmonizing to the Cretan funeral tablets, baptism was associated with the spring of Mnemasyne ( memory ) ( Eliade 59 ) . A bath in the sanctuary of Traphomias procured for the novice a blessed immorality even while in the universe. Besides in the Grecian universe there was a bath in the sea in which the induction? s rites of the great Eleusinian enigmas began was merely a physical purification, and it was accompanied by the forfeit of a piggy ( Eliade 59 ) . The Grecian universe practiced this rite of submergence and forfeit as a manner of going immortal and Gods like, and as a consequence, other faiths in many topographic points followed. Different topographic points produced different pattern and besides put some different tradition. In Babylon, harmonizing to the Tablets of Maklu, H2O was of import in the cult of Enki, Godhead of Eridu. In Egypt, the ( Book of Going Forth by Day ( 17 ) ) contains a treatise on the baptism of the newborn to cleanse them of drosss or defects in the uterus. Besides in Egypt there was an thought of regeneration through H2O and some other groups Egypt practiced baptism through the soakage of 1s self from the blood of a bull. In the country around the Nile, the Nile? s cold H2O was thought to hold regenerative powers, used to baptise the dead in a ritual based on the Osiris myth. Baptism of the dead can besides be found in the Mandaeans and a similar rite on the Orphic Tablets. In Israel and in the country around Jordan the baptism ritual took form through submergence into H2O. As location and belief held tradition and religious rites, different groups arose, and baptismal traditions began to take form. From the Grecian patterns of baptism followings of the goddess Cotyto, became known baptai, ( ? the baptized 1s? ) . Besides following Grecian period came the Pagan universe and their traditions. The Pagan universe used the Waterss of the Ganges in India, the Euphrates in Babylonia, and the Nile in Egypt for their sacred baths. This group, besides know as the Hellenistic enigma cult, believed that godly H2O possessed a existent power of transmutation. The genostic with baptism? knows why he has come into being while others don? Ts know why or whence they are born? ( Corpus Hermeticum 1:4.4 ) . Other Egyptian cults besides saw the thought of regeneration through H2O. The bath of the cult of Isie was most probably intended to stand for symbolically the novice? s decease to the life of this universe. . In the Attis, and Mithra cults, and besides in the Cult of Cybele, a baptism in the signifier of a blood bath from a bull was practiced. In this pattern they believed that they received a new birth in Eternity ( renatus in acternum ) . In the Pagan universe there was a double consequence that was given to these baths. One was a cleaning from ritual and moral drosss that could be washed off. The 2nd is the bestowment of immorality and addition of critical strength. With the Thorak, baths were for the reclamation of assorted sorts of ritual drosss. This ritual would take topographic point after person was cured of Hansens disease, if person contracted personal dirtiness, or after touching a cadaver. Within Judaism, the general usage of rinsing and the simple purification bath was called proselyte baptism. This type of baptism was given for the Gentile converts. There were three parts to this rite. First the convert was to be circumcised, following was bap tism, and the last portion was forfeit. Baptism came seven yearss following the Circumcision, and the baptism took topographic point in a mode of nudity in a pool of blooming H2O. They believed that when the convert arose, he would be a true boy of Israel. After the baptism, the freshly inducted Israelite was allowed to the forfeits in the Temple. Through Circumcision and baptism, a non-Jew became a fully fledged Israelite. This baptism developed under the influence of Hellel and stressed the importance of a new birth. As John the Baptist came onto the scene and was baptized in the Jordan River, he made a clear separation from the official patterns of old. This event was a mark of godly forgiveness alternatively of the fusion with the Israelite community. Following John in his ways was the Mandaeans. They besides baptized in the Jordan River but the baptism was followed by a sacred repast where a approval was given to bread and H2O assorted with vino. This substance was look upon as the substance of the Godhead being. When being baptized, they saw that the white garment would typify pureness and cleanliness. While this transition from the Judaic manner of baptism took topographic point, the Eixesaites abolished fire as the patriarchal forfeit and substituted for it a baptism by H2O, which remits wickedness and brings the neophytes into a new faith ( Eliade 61 ) . They, in flowering H2O, after supplications to the Earth, air, oil, and salt, besides were seen as a method of physical healing. At about this clip in the changing of baptismal pattern came the early Christian Church. Leading the manner was John the Baptist, the Disciples, and subsequently the Apostles. When John baptized Jesus, a whole new kingdom of baptism arose. As the bible Tells, the adherents were subsequently given the mission of baptising in the name of the Trinitarian religion. As a consequence of this the Apostles deemed it necessary of an interior transition to concentrate on the new belief that one might hold chosen. The Apostle Paul was foremost to specify the theological and symbolic significance of what he recognized as Christian baptism. In ( Romans 6: 3-4 ) the connection of the neophyte? s ritual submergence into H2O was to be related to Christ? s decease and metempsychosis to a new and religious life through his Resurrection. Through submergence, the truster was able to take part in a new being ( Col. 2:12 ) . In ( Titus 3:5 ) it says, ? A bath of regeneration and reclamation was a gift. ? It besides says, ? the baptismal H2O is at one time the H2O of decease in which the old, iniquitous adult male is immersed and the H2O of life from which he immerges renewed. ? Through this baptism, the Christian which emerges is like a small kid ( I Pt. 2:2 ) . Then and today, baptismal patterns are founded on the commandment of Jesus himself to his adherents ( Mathew 28:19 ) In the first century church, baptisms would be held on Easter dark or on Pentecost, and was limited to bishops, the caputs of the community. Besides with the Neophytes, they waited until decease because they were afraid that the full effects of interior transition would be excessively much to manage. In the ulterior church, baptism was recognized as the Godhead visible radiation to take part in ageless life while still on Earth ( Eliade 61 ) . Surrounding the Christian religion, around the fourth century, Anonoeans, ( Arianism ) began to reject the ternary submergence. Because of this rejection, and dissension with the baptismal expression spelled out in the Bibles, and the Catholic baptism, the Arian people were required to be rebaptized. They besides believed that those outside their faith could non baptise their people, merely those of the faith could baptise within that faith. The Catholics and some theologians had different positions on patterns of baptism. In the Dictionary of Religion, the Catholic position was spelled out straight. The Catholic position which was of a rite which works, which confers a character on the receiver, and which is valid even if administered in hersy or shism. An infant baptism would go the norm with divinity of original wickedness around the 11th or 12th century, displacing the common pattern of detaining baptism until 1s decease bed ( Bowker, 125 ) . Later in the sixteenth century, such reformists such as Luther, Zwingli, Calvin, and Anabaptists modified that divinity. Luther said, ? baptism with justification by religion entirely, baptism as a promise of godly grace of so which a individual? s wickednesss are no longer imputed to him or her. ? Zwingli saw baptism, ? merely as the admittance into the Christian Community. ? Calvin proclaimed, ? merely in consequence for the chosen, who have faith. ? Anabaptists responded, ? a response of religion on the portion of the person to the Gospel, rejecting baby baptism. ? These different sentiments differed from that of the Catholic Church, and baptism still remained taken in many different ways, merely like the period before John the Baptist and Jesus.

Unified Modeling Language (UML)

Introduction Modeling means designing of software before coding. It is not easy to visualize software before developing it. Therefore, a visual model such as UML makes it simple to understand, by visualizing it from multiple dimensions. This paper discusses the various functions of UML, and why it was developed. It will conclude by discussing its impact on modeling.Advertising We will write a custom research paper sample on Unified Modeling Language (UML) specifically for you for only $16.05 $11/page Learn More Functions of UML UML is a third generation object oriented programming language created, and managed by the Object Management Group from 1997 (Erickson, 2008) It produces standard visual models for software applications and system architectures. UML was used to analyze future application requirements with solutions that met them, using customized diagrams. It shaped models that provided design solutions that were to be delivered by software system s (Deitel Deitel, 2008). To ensure that the system went through technical analysis process for satisfactory development, a model had to be formulated. Properly modeled systems helped in minimizing loss of information and misinterpretation in communicating the decisions taken during development. Team members developing a system would have a better understanding on how to go about the implementation process if an appropriate and, user definable model was created for that system. Why UML was developed Different companies initially defined their requirements in languages that were totally unfamiliar to software vendors hence the need to produce a unified language that would simplify modeling and make it understandable by all vendors. UML is a communication tool which gets key information of what the code should do. It is an architectural tool which makes obstacles to be seen from high levels. Software that are poorly documented or not documented at all can make a company lose command o f what the software operates, thus making modeling a vital tool in software development. UML was created to be used in modeling of software intensive systems by use of diagrammatic models making it easy to introduce more objects to an existing project. Its visual models provided the ability to convey large amounts of complex information in ways that were easy to understand (Mammar,   Laleau, 2006). Requirement gathering stage also required this kind of language where used case diagrams show users what to do as well as what the system needs to do for them. They were also suited as basis for testing applications and forming user guides.Advertising Looking for research paper on communications media? Let's see if we can help you! Get your first paper with 15% OFF Learn More Impact of UML on modeling It led to more accurate systems with better performance than older systems. Being object oriented, it led to web development which wasn’t previously on the minds of p rogrammers. Systems that were developed without modeling mostly deviated from their requirements. Increasing model coverage would help reduce incorrect implementation of systems. UML went further to reduce the defect density in software systems compared to those developed without modeling. The right decisions can now be made earlier in the development process and re-usable code identified therefore producing a system with the highest efficiency, and low development costs. Re-work in development lifecycle has been eliminated since that whole system can be viewed before implementation starts (Booch, Rumbaugh, Jacobson, 2005). New members can find it very easy to integrate into the development team through the visual assistance offered by the easy to understand UML diagrams. The efficient documentation of the system also makes it easy for internal and external stakeholders to share. In the case where incremental software development model is employed, UMLs allow the developer to first fulfill areas that are urgently required for the project to work while still developing other additional extensions hence maximizing reusability. Different parts of the same complex model can be independently implemented by different groups if the UML models are user-definable. Conclusion For system requirements to be easily understood by implementation groups, it’s important to employ UMLs since they simplify the system, and make reusability and maintainability simpler. References Booch, G., Rumbaugh, J., Jacobson, I. (2005). The unified modeling language user guide (2nd ed.). MA: Addison-Wesley. Deitel, P.J., Deitel, H.M. (2008). C++ how to program (6th ed.). Upper Saddle River, NJ: Pearson Prentice Hall. Erickson, J. (2008). A decade and more of UML: An overview of UML semantic and structural issues and UML field use. Journal of Database Management Vol. 19(3), p. I-VII. Retrieved from ProQuest Database.Advertising We will write a custom research paper sample on Uni fied Modeling Language (UML) specifically for you for only $16.05 $11/page Learn More Mammar,  A., Laleau, R. (2006). UB2SQL:  A  tool for building  database  applications using  UML  and B formal method.  Journal of Database Management, Vol. 17(4), 70-89. This research paper on Unified Modeling Language (UML) was written and submitted by user Ge0rg1a to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Sample Essay on Work Achievements

Sample Essay on Work AchievementsIf you are hired as a private attorney for the plaintiff in a lawsuit, and you have a need to write a sample essay on work accomplishments, this article will help you out. We will first look at how the word accomplishments is used in a regular work context. We will then look at how it is used in a lawsuit context.Accomplishments are normally used in reference to any thing that you do well or did not do so well. So, if you are an employee, you might be asked how much you are paid. You might be asked, 'How much do you make?' These are all instances where an attorney might use the word accomplishments.Now, we are going to focus on how the word accomplishments is used in a lawsuit context. This might seem like an odd place to look for achievements, but because of the adversarial environment that lawsuits can put you in, you want to focus on achievements that relate to your particular lawsuit. Here is where you might be asked, 'What was the most difficult aspect of your case?'Some examples of accomplishments that would fit these situations include but are not limited to, writing briefs, drafting pleadings, presenting legal arguments, researching cases, gathering evidence, and just about every other aspect of a case. Keep in mind that your accomplishments in a lawsuit should be those that related to your specific lawsuit.If you really want to get into the nitty gritty of writing a sample essay on work accomplishments, you might want to look at an attorney who has not yet had a case go to trial. These are usually less formal. You might be able to get away with a shorter sample essay on work accomplishments if you talk to a person that actually has some experience in this type of litigation. You can be able to help him or her write a well-written sample essay on work accomplishments.After writing the sample essay on work accomplishments, you will want to discuss it with the attorney. In addition to working on the sample essay on work ac complishments, you might want to focus on the number of your particular litigation. This could help you increase your credibility in a deposition prior to it going to trial.You might also want to look at how many days you spent on a case when talking about your word accomplishments. As we have discussed, accomplishments can be pretty subjective, so if you can get a sense of how much time you spent on a particular case, you can easily claim you were overcharged or undercharged for your time.Remember, there is no set template for writing a sample essay on work accomplishments. However, it is a good idea to know exactly what words or phrases are going to be used in a particular situation.

My Hypothesis is that Boys in Year 10 are better at estimating lengths of straight lines than Boys in Year 7 Essay Example

My Hypothesis is that Boys in Year 10 are better at estimating lengths of straight lines than Boys in Year 7 Essay Example My Hypothesis is that Boys in Year 10 are better at estimating lengths of straight lines than Boys in Year 7 Essay My Hypothesis is that Boys in Year 10 are better at estimating lengths of straight lines than Boys in Year 7 Essay Essay Topic: Thesis My Hypothesis is that Boys in Year 10 are better at estimating lengths of straight lines than Boys in Year 7. The factors that influence the accuracy of estimation are children in Year 10 are more mature than children in Year 7. On average Children in Year 10 are more intelligent than children in Year 7. This probably would be because Year 10 students have studied subjects into further depth than children in Year 7. METHOD To verify this I will do a sample of the boys in our school. To do this I will find the total number of children in our school and sort it out according to Y10s and Year 7s. I will find out this information by going to the school office and finding out the figures. Out of this population, I will do a stratified sampling of 60 children. To do a stratified sampling of 60 children in the whole school, I will find the proportion of boys in Year 10 and Year 7. STRATIFIED SAMPLING In a stratified sample, the population is first divided into categories and the number of members in each category is determined. The sample is then made up of these categories in the same proportions as they are in the population. Random sampling chooses the required numbers in each category. In a random sample, every member of the population has an equal chance of being chosen. To obtain a sample of 60 students stratified according to Year 10 and Year 7; I will have to calculate the number of boys from Year 10 and Year 7, which must be represented in the sample. A Sample of Students Year Boys Boys 10 110 33 7 89 27 TOTAL 199 60 Altogether there are 1013 (one thousand and thirteen) students in our school. To work out the proportion of boys in Year 10 and Year 7, First of all I found out how boys were in Year 10 and Year 7. I added these together to get 199(one hundred and ninety-nine). Then I got the number of boys in each year and divided it by the total (199) and then multiplied it by 60(sixty). I rounded this answer to a whole number. This is because it would be an easier number to work with and you cannot round people to decimal places or significant figures. In my survey, I went to the school office and I got all of the boys names in Year 10 and Year 7 on two separate pieces of paper. By each name was a number. To find out which boys from Year 10, I had to ask to estimate the length of the straight line, I put all the boys names in Year 10 in a hat and picked the amount of boys needed to estimate the length. I did the same with the Year 7 boys. I already knew how many boys I needed to ask from each year because I had already done a stratified sample and worked out the numbers needed. Example 1: In Year 10 there are 110 boys. . Example 2: In Year 7 there are 89 boys . Now I have collected all the information, it is time to do my Survey. I will draw an accurately measured line and ask the proportion of boys in Year 10 and Year 7 to estimate the length of the line. I found out the proportion of the boys in Year 10 and Year 7 by doing a stratified sample. My next step is to do a pilot study. I will ask about five boys in Year 7 and Year 10 to ensure my coursework is done to a high-quality standard and my question does not seem to force an answer out of them. From the pilot study I will also be able to tell if my survey is grammatically correct. When I say this, I mean if the spelling, punctuation, and grammar are all correct. SPECIFICATIONS FOR MY SURVEY Paper with survey must be held approximately the same distance from each participant so that everyone sees the survey as well as each other. If the survey is held closer, it may give the student a better idea of the lines length. Weather conditions must be similar if it is cloudy, there is less light for the contestant to see the paper with and they are not given as good a view as if it were a sunny day. Survey must be done during school hours so that most of the subjects are in a similar frame of mind. No items of measurement should be nearby, so that the subject has nothing to compare the line/angle to. 60 people must take part in the survey All participants must be asked whether they are able to see the diagrams clearly. Exactly the same words must be used when explaining about the survey The participant must spend no more than two minutes (after pilot study The student may not communicate with anyone else who is able to view the paper or who has done the survey. PILOT STUDY I performed my pilot study and I found out that my survey was done to a good standard was understandable and got to the point. The boys I tested it on commented that it was set out well and did not need altering. One thing they all asked me was, Did I get it Right or How much was I off by. This made me think for a while and in the end I concluded that I should a Deviation and a Percentage Error column in my results table.

Week Two Assessing the Goal of Sports Products, Inc Essay

Week Two Assessing the Goal of Sports Products, Inc - Essay Example For any organization the main aim should be maximization of the shareholder’s wealth, not just profit maximization of the organization. The shareholders can benefit in two ways; either by receiving dividend or by the internal growth of the company. From last 20 years the company hasn’t paid any cash dividend, so they can only be benefited by rise in stock price. At present the company’s shock price is going down although the company is making a good profit. This clearly indicates that the main goal of company is to just maximize profit as much as possible, because this directly affects the pay of managers. But on the same time company is losing its reputation in market which is evidenced by the declining stock price. Hence the management of Sports Products Inc. should change their present goal of profit maximization and should pay more emphasis on the shareholders’ benefits which can be only achieved if the stock price increases. As a company receives all its resources from the society, hence they also have some responsibility toward the betterment of the society. They should take care that any of their activity should not degrade the environment. At present the stock prices are doing down even when the financial report indicates a continuous rise in profits. This clearly indicates that there is some problem in the management. At present the management is emphasizing merely on profit maximization. Basically there are two ways for profit maximization- either increase the revenue or decrease the expenditure. The company is following the second one. They are trying to reduce their expenditure at all possible ways. Even they overlook the pollution norms for reducing cost. They dump their waste products directly into the adjacent stream. This not only pollutes the surrounding environment but it lead to highly hazardous diseases by polluting

Preferential Trade Agreement and Third World Economies Research Proposal

Preferential Trade Agreement and Third World Economies - Research Proposal Example Scope and uniqueness of study from existing research From the research questions posed above, it would be noted that the study will have a central theme of economic growth among third world economies. To achieve this, three major premises or variables shall be investigated as part of the scope of the study. These premises and the theme that together form the scope of the study have been demonstrated in the diagram below. What makes the research questions and the scope of the study unique is that it takes a spiral and holistic approach to the theme of economic growth in 3rd world economies. By spiral, reference is being made to the fact that the eventual goal of economic growth will be approached from a systematic order where one thing must lead to the other in order to bring the needed change. By holistic also, reference is being made to the fact that the research will not only look at what needs to be done but what needs to be avoided. By this, all forms of unfair trade agreements that have only taken advantage of third world economies will be exposed. The rationale for such a spiral and holistic approach is that Martin, Marchetti and Lim (2007) criticised existing approaches to economic growth in third world economies as being haphazard and lacking systematic plan that recognises barriers that must be overcome before growth can be achieved. Bridging gaps in literature The proposed study will be conducted in a manner that departs from existing literature so as to make the topic different from others.

Terminating the Patient-Provider Relationship Essay Example for Free

Terminating the Patient-Provider Relationship Essay Introduction Problem Overview With the advent of 21st century medical technology, health care procedures, ethical and legal considerations and scopes of practice among health care providers have become greatly complex. According to Servellen (1997), one of the most confronting issues of the modern provider-patient relationship is the often misunderstanding of accountability, responsibility and liability of care measures towards the patient (p.334). Legal considerations of providing care and duty of obligation of the provider towards the patients start when the health care professional enters into a relationship with a patient. However, the agreement of care relationship does not only require role of the provider. According to Scott, Ed and Scott (2005), compliance of the patient throughout the care procedures rendered by the provider is another significant component of caring process (p.162). In fact, providers include initial assessments on patient’s level of compliance prior to the start of care process, and more importantly, health professionals inform the patient about the written policy imposing the responsibility of the patient to comply with the process of health care interventions. As considered by American Academy of Nurses, if the patient becomes noncompliant or initiates actions violating professional rights of provider or the patient’s rights, the provider possesses the benefit of terminating the working relationships as considered by the appropriate grounds (Scott, Ed and Scott, 2005 p.162). On the other hand, if the provider terminates the relationship, such professional decision now confronts the issue on breaching the pledged role of devoted care and legal duty of service. Termination of patient-provider relationships is confronted by question whether or not conflicts between the professional role of the provider and the legal duty to provide care (Servellen, 1997 p.334). The current implementations of patient care disengagement largely depend on the institutional policy. According to Scott, Ed and Scott (2005), â€Å"termination of the provider-patient relationship is justified when the patient makes a knowing, voluntary election to end the relationship, either unilaterally or jointly with the provider† (p.162). Upon signing the consent of care, both participants of the care process obtain their own roles in the entire procedure of care. Mason (2004) emphasizes that the professional relationship with the patient can just be terminated due to personal or other inappropriate grounds (p.307). Termination of care is only considered ethical and appropriate when (1) the patient has already reached the maximum benefit of the procedure as supported by clinician’s judgment, or (2) when the patient has already achieved cure from the procedure. However, termination of patient-care relationship on the ground of patient non-compliance imposes a conflict issue between duty of care and patient’s participatory role in the process of care delivery. As supported by Servellen (1997), the provider’s duties to the patient, involving a breach of duty, relates to the standards of practice for all health care professionals (p.334). According to Mason (2004), termination of patient care may result to a legal accusation of abandonment, which â€Å"is the discontinuation of an established patient-provider relationship† (p.307). According to AMA, a non-compliant patient is considered as a â€Å"difficult patient† and candidate for the reconsideration of patient-provider termination of care. However, termination of care must follow appropriate procedures without interfering the continuity of patient care. Terminating the patient care somehow conflicts with the element of maintaining the continuity of care. As explained by Carter, Levetown and Foley 2004), noncompliant patients under reconsideration of patient-care termination still possess the rights of continuous care until another health care reliever has been reassigned (p.120). Moscow (2004) points out that terminating patient care without proper reliever of care is automatically considered a liability against the established patient-provider relationship contract (p.120). According to Servellen (1997), despite the protective and patient-focused approaches of the provider, inevitable times wherein a provider is confronted with situations (e.g. DNR requests can sometimes impede to patient’s right of autonomy, etc.) that can possibly or actually impinge patient’s rights can still occur (p.335). According to American Hospital Association (AHA), the four basic consumer rights state that the (1) patient has the right to safety, (2) right to be informed, (3) right to choose, and (4) right to be heard (Servellen, 1997 p.335). Considering these components as part of the reconsiderations in the ethical discussion of patient-provider care termination, it is indeed inappropriate to terminate the relationship set prior to the start of the process. As mentioned by AMA, provision of care towards non-compliant patients is still under the governance of the elements of (1) health care provider’s duty to provide continuous care, (2) fulfilling the expectations of care for the patient, and (3) carrying out the obligations of care (Mason, 2004 p.307). Terminating the care relationship set during the formal contract establishment between the provider and patient is automatically considered a breach in the legal nature of such relationship. Such action is a considerable ground for the legal liability of abandonment. Despite the issue on termination of care, there are still possible grounds wherein a health care’s refusal to care can be considered appropriate. According to Servellen (1997), provider’s may terminate or refuse care process when (1) the procedure caries physical risks to either the provider or the patient, (2) rendered care violates patient’s rights to autonomy and self-determinations, and (3) religious or moral issues followed by either of the two parties (p.335).   According to Carter, Levetown and Foley (2004), the actual patient-provider relationship is founded on trust and relationship, and not merely on legal holds or set contracts (p.120). Considering this as a form of assertion to the later supporting principles of patient-provider relationship termination, the issue on role fidelity arises as another essential consideration aside from autonomy and the contractual-based patient-provider relationship. Carter, Levetown and Foley (2004) emphasize the value of adhering to the moral and professional role of the nurse, and not solely limiting the care provision on to the patient’s level of compliance (p.120). Guided by the principle of â€Å"patient’s best interest† and fidelity, Mezey and Berkman (2000) support the idea pointing out on the idealistic elements of nursing practice wherein professionals should consider their importance in administering care under holistic and universal perspective regardless of potentially solvable conflicts (p.502). Despite of the relationship established after the setting of contact, the provider needs to consider the nature of non-equalitarian partnership and not the coequal partnership; rather, leading, establishment of rapport and serving the best interests to as the patient as the care provider must all be considered.   As supported by Shamus and Stern (2003), patient-provider relationship imposes a duty of unauthorized disclosure of contract care process without appropriate grounds (p.74). The 1996 Health Insurance Portability and Accountability Act (HIPAA) indeed protect the patients from such decisions brought by health care providers. However, compliance and sets of patient’s participatory obligations throughout the procedure count significantly on the entire health care delivery process (Shamus and Stern, 2003 p.74). Insurance of care does not only direct the obligations and tasks towards the provider but also from the patient. According to Earp, French and Gilkey (2007), patient-provider relationship is expected to work as an enhancing strategy for patient’s trust towards their health care provider. Furthermore, such relationship supports a therapeutic alliance and patient care processes involving high levels of trusts, rapport and patient satisfaction (p.195). By this principle, patients are indeed subjected to participate and cooperate in the process of health care delivery. However, in case the patient declines to participate, health care providers must not immediately terminate the procedure since they are no coequals of the patients and resistance towards care measures are sometimes inevitable. According to Rothestein, Brody and McCullough et al. (2001), health care providers must continuously administer care and interventions necessary for the well-being of the patient despite of the non-compliant behavior (p.620). In case the patient becomes notoriously incompliant to either selective or general procedures scheduled for administration, AMA suggests a series of assessment for the noncompliant behavior without involving one’s professional role outside the scope of care provision (Mason, 2004 p.307). Furthermore, the patient’s decision to not comply entirely depends on himself or herself; although, it is an important protocol consideration to check institutional policy for the proper consent documentation of such patient’s behavior. Most public institutions implement waiver signing when the patient refuses to take medications for example. According to Earp, French and Gilkey (2007), this is done for the purpose of formality and protection from possible accusations of abandonment or care quality infringements (p.195). On the other hand, when provider-patient relationship is not anymore pursuing its beneficial state or health care alliance status, AMA suggests the termination of health care management. As supported by Rubenfield and Scheffer (2006), the duty of the provider in relation to the physician-patient relationship includes (1) fulfilling the patient’s expected care, (2) carrying out the health care roles of the provider towards the patient, and (3) delivering care guided by the principles of fidelity and nonmalificence (p.96). If the provider has been determined to satisfy all these criteria, the duty to treat or provide care to the patient is indeed not violated. However, if the patient pursues his or her state of noncompliance despite of the standards of care being administered and the potential of further causing harm to one’s self, terminating the set provider-patient relationship is indeed justified. Nonetheless, as supported by the AMA Code of Ethics in 1998 Doc #1, p.5, â€Å"physicians cannot withdraw from a case without giving notice to the patient, the relatives, or responsible friends sufficiently long in advance of withdrawal to permit another medical attendant to be secured† (cited at Rothestein, Brody and McCullough et al., 2001 p.621). The health care provider is still tasked to service the patient until the reliever of care becomes available. Meanwhile, despite the legal recognitions in terminating the provider-patient relationship, the question still lies if whether or not the provider breaches his or her professional role as the higher component of the alliance considering the noncompliant state of the patient. Statement of the Problem The participation of both parties in the patient-provider relationship is an important consideration to the entire success of the health care delivery process. Once the provider accepts the task pf providing care to the patient, it is lawfully and professionally understood that the provider agrees to setup a transactional bond with the patient. According to AMA code of ethics, the setting of contract between the provider and the patient includes participatory roles from the two parties, and compliance to the higher participant of the alliance, the health care provider, must take the lead of health care management (Rothestein, Brody and McCullough et al., 2001 p.621). Added by Earp, French and Gilkey (2007), â€Å"patient-provider relationship is even ideally characterized by high levels of provider informativeness, interpersonal sensitivity and partnership building† (p.189). However, in some instances, patient may pose as the incompliant participant of the body system, which can greatly compromise the delivery of care as well as the role function of the provider. As emphasized by Servellen (1997), if the patient manifests a noncompliant behavior towards the care being provided by the assigned health care professional, the code of ethics should rather consider the termination of the bonded agreement than forcing the two participants to maintain their relationship since this can actually be detrimental to both patient’s health and provider’s role (p.336). Hence, termination of patient-provider relationship in relation to patient’s incompliant behavior can be possibly done via appropriate process of separation mandated by the institutional policies. It is important however to consider the validation of the provider’s claims followed by the written acknowledgement signed by the patient. After establishing an agreement of termination, the provider is expected to maintain the level of care being provided to the patient until the endorsement of the patient’s care to the assigned reliever. AMA has imposed significant abandonment liabilities once the provider terminates the established relationship without properly engaging to the set institutional policies. According to Rothestein, Brody and McCullough et al. (2001), terminating the established relationship between the provider and the patient without properly notifying, validating and documenting the said action will immediately resort to legal liabilities (p.621). Termination of patient-provider relationship must be laid down to the patient for recognition and prevention of legal accusation of abandonment. Despite the valid points and supporting rationales in terminating the patient-provider relationship, the issue still lies questioning the appropriateness of termination in relation to the ideal practice of role fidelity and duty of care. Due to this very reason, we have proposed a descriptive and non-experimental study analyzing the legal, ethical and moral nature of terminating the set patient-provider relationship. The objectives of the study proposed are as follows: To determine the ethical stand point of terminating patient-provider relationship in relation to the ideal principles of (a) duty of care and (b) role fidelity To determine the perceptions of the patients on the potential effects of terminating patient-provider relationship towards the level of trust and health care satisfaction Scopes and Limitations Due to the continuously evolving policies of health care system, changes in the patient-provider relationship have also evolved progressively. Despite the idealistic principles of fidelity and duty of care, health care providers still encounter inevitable instances wherein the client becomes non-compliant towards selective or general interventions implemented as part of the care process. According to Servellen (1997), instead compromising the care delivered to these patients, code of ethics have now reconsidered the procedure-based termination of patient-provider relationship to prevent the delivery of reluctant or incompetent care management due to patient’s incompliance (p.327). However, Carter, Levetown and Foley (2004) and Mezey and Berkman (2000) assert that terminating patient-provider relationship violate the principles of duty of care and role fidelity since it is always the task of the provider to carry-out the needs of the patient as guided by the principle of â€Å"patient’s best-interests† regardless of the patient’s response to health care. In this proposed study, the primary goal is to determine whether or not the ideal principles of health care (role fidelity and duty of care) are breached once the provider terminates the established relationship with the patient. At the end of the study, the following questions must be answered: What are the supported grounds for terminating patient-provider relations approved by AMA and AAN? Cite the legal, ethical and moral comparisons between the two policies. Does the health care provider breach the established relationship once he/she requested for termination due to incompliant behavior? Significance of the Study Despite the defined institutional policies supporting the process of termination, the issue on breached principles of health care still remains questionable. Federal health care organizations, such as AMA and AAN, have clarified the issue and process involving the termination of patient-provider relationship on the grounds of non-compliance and failure to adhere to the provider’s instructions. According to Servellen (1997), during the times of the HIV epidemic, termination of care is considered professionally inappropriate; hence, care provided towards these HIV patients became detrimental to the patient’s health due to the reluctance and exaggerated care measures implemented by these providers (p.327). The issue involving the termination of such established relationship covers both ethical and legal principles (e.g. role fidelity, duty of care, etc.) governing the pledged role of the provider and the assigned participatory role (e.g. patient’s rights, patient’s task of compliance, etc.) of the patient. Clarifying the care issues on the termination of patient-provider relationship is significant due to the following reasons: By understanding the limitations and defined grounds of terminating the patient-provider relationships, the study can aid in identifying the relationships of ethical principles that shall answer the confronting issue of patient-provider relationship By understanding the legal and ethical considerations on patient-provider relationship termination, the study can help in defining policy proposals on the proper procedures for implementing the termination of patient-provider relationship   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The conceptual framework of the study illustrates the proposed program of implementation addressing the issue on termination of patient-provider relationship. The conceptual framework is based from the primary goal of the study – to determine the standpoint of the termination of patient-provider relationship. By determining the subjective responses from two types of samples, patients and nurses (selected â€Å"provider† population), the procedure should be able to reveal the ethical justifications and oppositions on the subject of terminating patient-provider relationship due to noncompliance. After determining the collation of responses, the procedure analyzes the data in order to obtain significant relationships pertaining to the issue on breaching the principles of role fidelity and duty of care upon termination of such care contracts. Program Proposal f.1. Research Design   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The study proposes a non-experimental and descriptively designed survey methodology as the program for analyzing the issue on termination of patient-provider relationship. Using the perception-based methodology, the study explores the different insights of the two parties involved – patients and nurses/ providers – in the issue targeted by the study. The proposed program utilizes open-ended questions depicting the different possible perspectives of the samples – approval, opposition, suggestive– towards the issue imposed. The design of the study relates to the patterns illustrated on the conceptual framework. The emphasis of the survey questions is derived from the primary goal of the study – to determine if whether or not the termination of patient-provider breaches the concept of role fidelity and duty of care.   The collated responses obtained from the survey are compared to the ethics analysis condu cted in the literary reviews. f.2. Samples and Sampling Technique Used   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The study aims to achieve the total target population of 100 patients and 100 nurses proportionately divided into two different sample hospital locales. Using a simple random sampling method, selection of patient respondents is guided by the following criteria: (1) 18 and above, (2) patients must be admitted within the hospital premises for at least two days, and (3) must be conscious and coherent. On the other hand, sampling criteria among nurses are as follows: (1) must be licensed professional, (2) must be employed and working within the hospital premises, (3) must have at least 2 years of nursing experience from the surveyed hospital locale or other institution. f.2. Data Gathering Procedure   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Data gathering procedures shall be composed of two different methodologies: (a) ethics analysis conducted in the literary reviews and (2) survey methodology implemented on two groups of samples. Ethics analysis from the literature reviews comprise of the different ideas answering the ethical disputes on termination of patient-provider relationship. In the process of ethics analysis, the principles of role fidelity and duty of care involved in the issue are the emphasis of the analysis. The main objective of this procedure is to answer the ethical standpoints of the issue based on whether the termination violates the principles of role fidelity and duty of care. On the other hand, the second methodology deals with the perceptions answering the issue on breached principles of role fidelity and duty of care through the termination of patient-provider relationship. After gathering the results of the two data sources, the integration of data is conducted aiming to answer the primary goal of then proposed study. f.3. Instrumentation   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Survey questionnaires are the primary instrument used for the gathering of data and responses from the qualified samples. The questions used have been derived from three categories inclined to the different possible responses of the respondents. Categories used include (1) approval, (2) opposition, and (3) suggestive. Using open ended-questions according to the four categories, the respondent must select their preferred side among the four categories. Approval selection depicts their positive response over the termination of patient-provider relationship, opposition is the reverse,   and suggestive implicates the possible changes they want. The results of the survey are collated for the purpose of analysis and implications of data. f.4. Program Implementations   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In the process of implementing the proposed program for evaluation and assessment of the issue, methodologies shall comprise (a) ethics analysis via records review and (b) the qualitatively designed survey of the chosen sample population. Implementation process shall begin with the gathering of records and reviews on issues and bioethical discussions on termination of patient-provider relationship. In the process of analyzing the obtained data, the study shall document (a) the ethical principles associated to the termination issue, (b) the conflicting ethical principles, and (c) the violated ethical principles upon implementation of the issue. After gathering these three components, the data shall be analyzed drawing appropriate implications from the documentation acquired. With the acquired results from ethics analysis, we shall now relate these to the two principles – role fidelity and duty of care that are hypothetically breache d upon terminating patient-provider relationship.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   After the application of the second procedure, the survey methodology shall now begin its pilot study with a smaller sample population of at least 10 qualified respondents from the chosen research locales. During the process of pilot testing, the research processes involving the survey questions, respondent interaction, collation of data, analysis and interpretation of data shall be tested for validation and revision in case necessary. After the pilot study, the actual survey procedure shall commence targeting a population of 100 qualified respondents from each of the two hospitals chosen. Furthermore, 100 target samples from each institution shall be divided into two comprising of 50 qualified nurses and another 50 qualified patient respondents. The total sample population shall therefore be 200 qualified respondents.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   After gathering the survey results using open-ended questions and simple random sampling technique, the results shall be collated according to the three categories of the questions used -(1) approval, (2) opposition, and (3) suggestive. The results shall be analyzed according to the data obtained from the records review. Implications associated to the ethical issue proposed (termination of patient-provider relationship) shall be drawn from the results of the interview. With the implications and analysis of the survey results, the next procedure integrates the study results from the records review and survey results to draw the general relationship between the perceptive study and theoretical ethical discussion on the issue proposed. Finally, the results drawn from the integration should answer the primary goal of the study.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   1.5. PICO Analysis Table 1: P.I.C.O Analysis Population The main subjects concerning the research topic are the patients and associated providers, such as nurses and physicians. Program implementations involve similar sample groups as well (patients and nurses). Intervention Ethics analysis on patient-provider relationship utilizes the general overview of nursing and clinical care procedures (e.g. medication administration, wound care, etc.). On the other hand, the program implementation utilizes two interventions, specifically (a) Survey with corresponding questionnaires and (b) records analysis. Comparison Variable comparisons involve (a) patient perception versus (b) nurses perception on whether or not termination of patient-provider relationship violates the principles of duty to care and role fidelity. Outcomes Expected results of the study differentiate among the two parties involved. Nurses perceive the termination an ethical consideration under the basis of noncompliance and breach in the contract of relationship set prior to care delivery. Meanwhile, patients perceive the termination as an ethical breach since the tasks of the nurses must always comply with the duty to care and role fidelity. Conclusion In summary of this research proposal, we aim to determine the ethical standpoint of terminating patient-provider relationship on the grounds of patient incompliance despite the set agreement and principles governing the role of the health care provider. Since termination of patient-provider relationship has already been acknowledged by federal organizations (e.g. AMA, AAN, etc.), we determine if such termination of accounts on the basis of patient’s incompliance breaches the ethical principles of role fidelity and duty of care. In order to strengthen the ethics analysis of the issue, we have incorporated a descriptively designed survey method to obtain the perceptive response of both patients and nurses towards the imposed issue. After collating the results of the survey, the next step is to integrate the results obtained from the records review and from the survey conducted. References Carter, B. S., Levetown, M., Foley, K. M. (2004). 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