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" (2007, p. 284) Smith asks if "the desire to eliminate health disparities by rooting out the social disease underlying them inspire nursing to find itself again?" (2007, p. 284) Smith also asks if health disparities, being despicable and laden with shame can somehow, through the response of nursing, actually "serve a higher purpose" through "reawakening the caring" aspect of nursing? (2007, p. 284) Indeed, it is held by Smith that nursing "the premier profession for caring" may have very well "become contaminated...infected by a selfishness that is gaining ground, credence and sanction" within the society of today. (Smith, 2007) Smith holds that selfishness is a disease that "...in a mild form" results in a "loss of social capital and community engagement in the United States." (2007, p. 284) Smith notes that the work of Krugman (2002) states very candidly that "we live in the new Gilded Age where 13,000 richest families have almost as much income as the 20 million poorest households." (Smith, 2007, p. 285) Krugman additionally relates that data are "deliberately reported in dubious ways to conceal the reality. Shapiro (1987) is noted by Smith has having stated: "We now confront a moment in history when our unifying moral and political commitments are deteriorating and when our obsession with expanding individual freedoms outruns our concerns for their appropriate use." (2007, p. 285) Smith writes that irony exists in the knowledge that "health disparities appear to have crept up higher on the national agenda whereas the principle of 'mutuality' has been slipping down in the national conscience." (2007, p. 285) Smith relates that Duman (2002) provided a definition...
285) Smith states that it is quite true that what she has to relate "is likely not palatable or popular" however, there can be no progress made by nursing through maintaining a state of denial. Smith states the knowledge that she intends to convey concerning nursing are concerned with: (1) caring in nursing; (2) the underlying nature of health disparities; and (3) what nurses can do to bring caring to the forefront in both restoring the promise of the profession and fighting health disparities. (Smith, 2007, p. 285)
V. NURSING'S LOSS of CAPACITY for CARING
Smith (2007) states that when reflecting back over the 40 years spent in the nursing profession that what she views both "distresses and angers" her in that the nursing profession has become "so preoccupied with its own internal issues, its desire for improved status and nursing is the health profession best suited for leadership in reducing disparities." (p. 286)as nursing has made progress along status lines simultaneously, nursing has become "alienated from the needs of other oppressed groups." (Smith, 2007, p. 286) in fact, achievement in nursing of a higher status and a higher level of affluence has resulted in nursing becoming more akin to the oppressors trapped in a web of "our own desires." (Smith, 2007, p. 286)
Health Information Technology The development of patient management systems continues to revolutionize the field of healthcare, specifically in the areas of treatment plans, content and records management systems, and predictive analytics. These areas are all making healthcare information and knowledge management a critical success factor in creating effective healthcare information systems globally (Epstein, Fiscella, Lesser, Stange, 2010). Implicit in the areas of records management and predictive analytics is also the need
Health Care Delivery in the U.S. ERRATIC AND SLOW BUT SURE Health Care Delivery in the United States The timeline of the U.S. health care system stretches from the 1847 when the Massachusetts Health Insurance Company of Boston first offered sickness insurance (Niles, 2006; Blumberg & Davidson, 2012). A French mutual aid society in 1853 designed a prepaid hospital care plan in San Francisco, California. It was the progenitor of modern-day's health maintenance
what drives/motivates providers. In a nutshell, these authors assert that any healthcare system built on market principles is doomed to eventual crisis as payers (meaning patients by and large, whether directly or through government taxation) attempt to receive adequate care while reducing the flow of dollars to providers while providers attempt to increase the flow of dollars for the same or lower levels of care (Harrington & Estes, 2008).
Healthcare in the United States: Where We Have Been, Where We Are Going The current healthcare crisis in America is not one that happened over night. It is one that has been building for more than a quarter century. There was a time in America when healthcare was a stellar institution: research, cures, technological advances, and treatments. The focus of healthcare was maintaining and improving the quality of life. Then, during
(Rennie; Fontanarosa, 2006) Apart from financial reasons, millions are not bale to access healthcare due to a lot of barriers inclusive of geography, racial differences and immigrant status. The people who do not have access to required care, that might comprise incapability to get primary care chronic care, specialist care, or emergency care stand at risk for severe health consequences. As per a recent report, absence of health insurance was
Policy of choice: Patient Safety The provision of healthcare services is a complex responsibility that the professionals in healthcare risk management must never take lightly. Hospital regulations and accreditation standards make the safety requires complex and inevitable (PSQH, 2014). With formal procedures and policies, it is possible to promote and encourage compliance with regulation and high safety standards in the workplace. These policies also make quality healthcare and patient safety easier