1000 results for “Ethics In Healthcare”.
(Evangelium Vitae, encyclical letter on the value and the inviolability of Human Life)
What the Pope was referring to was the debate over the ethics of stem cell research, and cloning and to other related issues that deal with experimenting with human embryos and fetuses. In fact, today, embryos can be created in a Petri dish, through in vitro fertilization, and these embryos are used for stem cell extraction and research. It is the use of these embryos that the Church objects vociferously to, because the Church feels that human life is not being allowed to reach its full potential through these methods. However, stem cells can be extracted from the umbilical cord of the mother soon after the child is born, or even from adults, and there is no objection to this, because there is no perceived loss of life. The fear in legalizing such research is that abortion…
References
Health, Doctors face Ethical Dilemmas" Retrieved at http://news.bbc.co.uk/1/hi/health/127010.stm . Accessed 29 August, 2005
Helping Hospitals address Hospital Dilemmas" (July 26, 2002) A New Guide from the United Hospital Fund. Retrieved at http://www.uhfnyc.org/press_release3159/press_release_show.htm?doc_id=117072Accessed 29 August, 2005
McCloskey, Patrick. "Is Stem Cell Research Moral?" Retrieved at http://www.americancatholic.org/News/StemCell/ask_stemcell.asp . Accessed 29 August, 2005
Paul, John II. "Evangelium Vitae, encyclical letter on the value and the inviolability of Human Life" Retrieved at http://www.newadvent.org/library/docs_jp02ev.htm . Accessed 29 August, 2005
The tragedy is that, often those who wish most for the blessing of children are deprived of this privilege for whatever reason. An even greater charity is that, when the long-awaited life finally does arrive, it is damaged so badly that medical science can do very little but alleviate its suffering to some extent. The question is whether such a child should be kept alive, and whether the quality of such a life makes the effort worthwhile.
It is important here to remember that there are various points-of-view from which to see the issue. The mother for example will instinctively wish to keep her child alive for as long as possible. In certain cases, it could be possible to help a child enjoy what he or she has of life. Indeed, many parents having been through such experiences profess that their children brought them blessings and a sense of thankfulness…
Heal Sometimes
What personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice?
The personal values that contribute to my worldview and philosophy of nursing include: the ability to empathize with patients / their families, solving the needs of stakeholders and creating a positive atmosphere for everyone. Cultural values are based upon working with people and numerous demographics. In this case, I can use these experiences to easily relate to them and understand what they stand for. The spiritual values is focusing on my abilities to help the individual feel a sense of empowerment. This is taking place using encouragement and enabling them to see how their issues is a chance to look at their lives differently. (Merry, 2012)
Each one of these areas work together, to form the basic concepts I utilize as a part of…
References
Merry, A. (2012). Safety and Ethics in Healthcare. Burlington, VT: Ashgate.
Pera, S. (2005). Ethics in Healthcare. New York, NY: Taylor and Francis.
acism and Ethics in Healthcare
The United States achieved significant advances in the second half of the 20th century to reduce the prevalence and impact of racism on minorities, after failing to address it adequately in the hundred years in between the formal emancipation of the African slaves in 1865 and the Civil ights Act of 1964 (Edwards, Wattenberg, & Lineberry, 2009). During that time, systemic racism was evident throughout American society and business, and it even extended to medical research in ways that also fundamentally conflicted with the Hippocratic Oath, such as in the infamous Tuskegee Experiments (Beauchamp & Childress, 2009; Goldfield, Abbot, Argersinger, et al., 2005). Today, it is inconceivable that American medical researchers could use human beings for experiments in which they were deliberately left without treatment or actually infected with diseases for research purposes. Nevertheless, racism is still evident in American health care, albeit more subtly,…
References
Beauchamp, T.L., and Childress, J.F. (2009). Principles of Biomedical Ethics 6th
Edition. Oxford University Press: UK.
Edwards, G., Wattenberg, M., and Lineberry, R. (2009). Government in America: People,
Politics, and Policy. New York, NY: Longman.
Organizational esponsibilityand Current Healthcare Issues
Organizational esponsibility and Current Health Care Issues
Case epresentation
Michel Boileau, chief clinical officer for St. Charles Health System said that a hospital in Bend Oregon administered incorrect medication to a patient, Loretta Macpherson, 65, and she passed away shortly following the administration of a paralyzing agent usually made use of during a surgery instead of anti-seizure medication. The doctor said that the patient's breathing stopped and brain damage and cardiac arrest followed. Investigation done looked at the entire process of medication: from the process of making orders of the drugs from the manufacturers, the mixing at the pharmacy, packaging and labeling and how the nurses get it and the administration to the patient. Weaknesses or gaps in the process were looked into to note the possibility of human error. Doctors had determined that the patient required phosphenyton, an intravenous anti-seizure medication, but rocuromin was…
References
Anderson, P. & Townsend, T. (2010). Medication errors: Don't let them happen to you. American Nurse Today, Volume 5, Number 3, p 23-27
Beauchamp, T.L. & Childress, J.F. (2001).Principles of Biomedical Ethics. 5 thed. New York, NY: Oxford University Press.
CBS, (December 4, 2014). Hospital medication error kills patient in Oregon. Retrieved on July 11, 2015 from http://www.cbsnews.com/news/oregon-hospital-medication-error-kills-patient/
Guillod, O. (2013). Medical error disclosure and patient safety: legal aspects. Journal of Public Health Research, 2(3), 182-185. doi:10.4081/jphr.2013.e31
Ethics and Ethical esponsibilities in HealthCare
Beyond Cultural Competence: Critical Consciousness, Social Justice, and Multicultural Education
Kumagai, Arno K. MD; Lypson, Monica L. MD
Our world has become a global village, meaning that we live and work amongst people of diverse nationalities, races, religious inclinations, etc. In that regard, therefore, clinicians ought to be trained on how to effectively address not only the disparities in healthcare but also the needs of a society that is becoming more diverse each passing day. The article whose title I give above seeks to accomplish two key goals; that is, in addition to discussing the cultural competency notion, the authors of the article also:
propose that educating physicians skilled at addressing the healthcare needs of a diverse society involves not the fulfillment of a competency as some sort of educational nirvana, but the development of an orientation -- a critical consciousness -- which places…
References
Kumagai, A.K. & Lypson, M.L. (2009). Beyond Cultural Competence: Critical Consciousness, Social Justice, and Multicultural Education. Academic Medicine, 84(6), 782-787.
Paasche-Orlow, M. (2004). The Ethics of Cultural Competence. Academic Medicine, 71(4), 347-350.
Healthcare is one of the most important arenas for applied ethics and social justice. The concept of universal healthcare can be considered from a number of different ethical standpoints including consequential and deontological perspectives (Daniels 1). An ethical consequentialist approach could focus on the net gains to the society from offering universal healthcare coverage to all persons, or the net gains of improved overall quality of life in a more equitable society. Deontological ethics stress the importance of equal access as a fundamental human right.
Because the medical profession as a whole is comprised of individual doctors, each doctor or healthcare worker is required to perform pro bono service at some point during their career in order to promote the value of social justice in medicine. As Daniels points out, there is no way to ensure one hundred percent health equity, given that sociological factors impact health outcomes (1). A…
References
Unfortunately for Kate, a private faith-based healthcare institution in the United States generally has a legal right to refuse access to abortion based on the principle of conscientious objection (Levin, 2016; Fiala & Arthur, 2017). Conscientious objection refers to the health care provider (or in this case, the insurance provider’s) ability to refuse to take action based on religious principles or beliefs. In this case, and in all similar cases, the legal right to refuse treatment should be separated from Kate’s rights as a patient.
Ultimately, Kate’s rights to ethical treatment, medical justice, and autonomy far outweigh the hospital’s right to conscientious objection. The only compromise that can possibly be reached in this case would be for the institution to refer Kate to a nearby institution that could perform the procedure. If, however, no such institution existed then Kate must be able to access the abortion services through her primary…
References
Assuming all those issues are addressed, mandatory HPV vaccination may be a good idea for all children and the option should be made available to adults and funded, at least in part, by government funds and profit limitations on vaccine sales. EFEENCES
Allen, Terry, J. Merck's Murky Dealings: HPV Vaccine Lobby Backfires; Corpwatch (March 7, 2008). etrieved March 26, 2008, from Corpwatch: Holding Corporations Accountable website, at http://www.corpwatch.org/article.php?id=14401
Pharmaceutical News (March 5, 2008) Safety of Merck's HPV Vaccine Gardasil 'Lost' in Debate. etrieved March 26, 2008, from News-Medical.net…
REFERENCES
Allen, Terry, J. Merck's Murky Dealings: HPV Vaccine Lobby Backfires; Corpwatch (March 7, 2008). Retrieved March 26, 2008, from Corpwatch: Holding Corporations Accountable website, at http://www.corpwatch.org/article.php?id=14401
Pharmaceutical News (March 5, 2008) Safety of Merck's HPV Vaccine Gardasil 'Lost' in Debate. Retrieved March 26, 2008, from News-Medical.net website, at http://www.news-medical.net/?id=22415 .
Ethics in a Long-Term Healthcare Business
Ethics in the health care industry spans a wide spectrum of activities and most of the obligations are cast by law on the professionals and the second by the common practice and morals of the profession. Both are important to the progress of the institution and also the health care industry. Compliance of statutes is of primary importance.
Compliance
There are many rules and statutes that must be complied with by all organizations and one such recent legislation is the hospital information access system. The HIPAA rules apply to all personnel in the system and extend to laboratory technicians, and lawyers and insurers. The culpability comes if the information was disclosed to a third party who did not have an association with the entity -- the clinic and was permitted to access the information. In such cases where the physician discloses information to another…
References
Andre, Claire; Velasquez, Manuel. (2013) "Aged-Based Health Care Rationing" Retrieved 8
June, 2013 from http://www.scu.edu/ethics/publications/iie/v3n3/age.html
Chaikind, Hinda R. (2004) "The Health Insurance Portability and Accountability ACT
(Hipaa): Overview and Analyses" Nova Publishers.
Ethics in Health Care
The medical industry is filled with professionals who must be competent in many aspects of interaction in order to be successful and allow for patients to heal themselves in a positive manner. Professionalism is noted by a certain ethical attitude that must permeate the environment if the efforts of these people are to be successful. The ethical approach within the medical industry is extremely important due to the nature of the job and the reliance that normal everyday people have on the professionals within this industry to make wise choices based on the best interests of the individual.
The four major ethical principles of autonomy, non-malfeasance, beneficence and justice are ideals that may be rightly or wrongly applied to a patients healing process within the health care industry. The purpose of this essay is to describe the ethical issue of patient non-compliance with treatment using these…
References
Coy, J.A. (1989). Autonomy-based informed consent: ethical implications for patient noncompliance. Physical Therapy, 69(10), 826-833.
Habermann, B., Broome, M., Pryor, E.R., & Ziner, K.W. (2010). Research coordinators experiences with scientific misconduct and research integrity. Nursing research, 59(1), 51.
Sciberras, N. et al. (2013). The Ethical and Practical Challenges of Patient Noncompliance in Orthopedic Surgery. Journal of Bone and Joint Surgery, 2013 May.
Healthcare esources
Allocating Healthcare esources
Allocation of Healthcare esources
It may seem that the resources that a healthcare organization has at its disposal is contained in a very small list, but for proper allocation of total resources every possible thing has to be considered. esources refers not only to the money that a business has on hand, but the people, buildings, land, recruitment of people, retention and finances. An organization is the sum of all of its parts and must operate within the framework of those resources. How those resources are allocated is an important function of the control of the organization also. This essay will discuss the resource acquisition and allocation processes in a healthcare organization with specific emphasis regarding those processes in allocating financial, operating, capital, human, recruitment, and retention resources.
esource Acquisition and Allocation
In one aspect a healthcare organization is no different from any other organization…
References
Kroger, A. (2003). "Ethics in healthcare organizations." Healthcare Management, 27(3),
21-25.
Longest, B.B., & Darr, K. (2008). Controlling and allocating resources. In, Managing
health services organizations and systems (pp. 433-470). Baltimore, MD: Health
Health and Legislative Issues
All Americans have the desire of having a healthcare system which is capable of delivering world-class security together with financial security. The system in place should always be accessible and one that impacts the economy positively. Successful healthcare reforms will lead to a maximization of the choices available for consumers put a restrain to the ever increasing medical care costs and make healthcare accessible to more and more Americans. There are a number of organizations that have consistently urged the president and congress on building on the existing systems which strengths in order to achieve health reform solutions that are workable in a bipartisan manner. However, there are some healthcare legislative issues that come up and have effects on various stakeholders such as legislators, consumers and other healthcare professionals. This paper will look at one of the current health legislative issues, who is affected most by…
References
Mears, B.(2012). Health care's big four issues: What the justices are tackling. Retrieved March 12, 2014 from http://www.cnn.com/2012/06/17/politics/health-care-issues/
ANA.(2010). Nursing Beyond Borders: Access to Health Care for Documented and Undocumented Immigrants Living in the U.S. Retrieved March 12, 2014 from http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/Positions-and-Resolutions/Issue-Briefs/Access-to-care-for-immigrants.pdf
Goodman, J., (2012). The Impact of the Patient Protection and Affordable Care Act on Job Creators and the Economy. Retrieved March 12, 2014 from http://www.independent.org/issues/article.asp?id=3385
American College of Emergency Physicians, (2013). The Ethics of Health Care Reform: Issues in Emergency - Medicine - An Information Paper. Retrieved March 12, 2014 from http://www.acep.org/Content.aspx?id=80871
Conclusion
Prejudice and ethical/leadership issues with healthcare are nothing new but the fight to keep those standards and ethics on an even keel and prevent racism, bigotry and predudice of any sort including based on class, money, political ideology, nationalism, and so forth should be stomped out and eviscerated whenever it can be. People are people and should treated with dignity and respect regardless of their race, gender, beliefs and so forth. Even convicted murderers and rapists should not be treated disdain due to their actions because doing otherwise lowers the ethics and standards of the healthcare community that can and should still apply at all times.
eferences
Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),
143-146.
Cobaugh, D., Angner, E., Kiefe, C., ay, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences…
References
Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),
143-146.
Cobaugh, D., Angner, E., Kiefe, C., Ray, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences on ability to afford prescription medications.
Health Care ight or Privilege
Health Care ight Privilege
Whether health care is a right or a privilege is one of the most intensely debated social questions of the modern era, but phrasing it in this binary way of one or the other masks a deeper problem that is far more complex. The specific issue at hand is the rationing of scarce medical resources. If there were unlimited resources where everyone could achieve the maximum health all the time, we would not have to ask the question, but this is clearly not the case. Glannon argues this requires a theory of "distributive justice" (2005, p. 144), and outlines the four main theories that have emerged from the modern discussion, which are Utilitarian / consequentialist, Libertarian, Communitarian and Egalitarian.
Utilitarian, consequentialist theory is often invoked toward a solution of who deserves health care when there is not enough for everyone, and…
References
Brownstein, B. (1980). Pareto optimality, external benefits and public goods: a subjectivist approach. The Journal of Libertarian Studies, IV (1), 93-106. Retrieved from mises.org/journals/jls/4_1/4_1_6.pdf
Gensler, H. (1998). Ethics: a contemporary introduction. New York: Routledge.
Glannon, W. (2005). Biomedical ethics. New York: Oxford University Press.
Hare, R. (1963). Freedom and reason. London: Oxford University Press.
Healthcare
Integrity is a major issue for healthcare organizations because there are many avenues for fraud, and for people to demonstrate a lack of ethics. The problem is that the temptation is sometimes too great and despite the fact that there are laws in place to guard against these practices unethical behavior takes place anyway. The government, which supplies a lot of the money which goes for treatments through Medicare and Medicaid, has structured certain laws to make sure that the practices of healthcare organizations are ethical, but billions of dollars in fines are still doled out every year. The big drug companies complain of arcane and hard to decipher legalese, but the fact is that although they realize the issue and the penalty they continue to subvert the law. This paper looks at qui tam statutes and cases, Medicare and Medicaid admissions criteria, installing a corporate integrity program, and…
References
American Speech-Language-Hearing Association (ASLHA). (2010). Summary of self- referral and anti-kickback regulations. Retrieved from http://www.asha.org/practice/reimbursement/medicare/regulations_sum.htm
Hanford, J.T. (2001). Regulation of the healthcare professions. Ethics & Medicine, 17(3), 188-190.
Louthian Law Firm. (2012). Healthcare fraud qui tam whistleblower protection lawsuits.
Mattie, A. & Ben-Chitrit, R. (2009) The federal False Claims Act and qui tam actions: What every healthcare manager should know. Journal of Legal, Ethical and Regulatory Issues, 12(2), 49-65.
However, they contradict themselves trough supporting one's right to commit physician-assisted suicide, since this would virtually mean that the individual who is no longer willing to live is not provided with health care meant to prevent him or her from dying (Epstein, 1999, p. 1).
Among those opposed to the fact that health care is becoming increasingly better are those who are in their twenties and are obliged to work hard in order to pay for their own medical insurance and for that of the underprivileged (Bonner, 2010).
Contemporary health care is basically provided by groups forced to pay taxes in order for others to benefit out of the process. The fact that health care is a privilege and not a right was made obvious ever since the 1954 foundation of the Department of Health, Education, and elfare. The name contained the term welfare with the intention of highlighting how…
Works cited:
Bloche, M.G. ed., The Privatization of Health Care Reform: Legal and Regulatory Perspectives (New York: Oxford University Press, 2003)
Epstein, R.A. Mortal Peril: Our Inalienable Right to Health Care? (Cambridge, MA: Perseus Books, 1999)
Heirich, M. Rethinking Health Care: Innovation and Change in America (Boulder, CO: Westview Press, 1998)
Sanders, B. (2009). Retrieved from the Huffington Post Website: http://www.huffingtonpost.com/rep-bernie-sanders/health-care-is-a-right-no_b_212770.html
Health Care Situation: Medical Error Due to Doctors' Bad Handwriting
Identify a health care news situation that affects a health care organization such as a hospital, clinic or insurance company.
I have identified the following health care news situation as the topic of my paper: "Poor Handwriting of Doctors and its implied risks for the Patient, Hospital and Medical Malpractice Insurance." Poor handwriting of physicians resulting in poor legibility of entries into patients' medical records carries very dramatic risks for all above-mentioned interest bearers. It can result in severe health danger for the patient and - in extreme situations - even cause a patient's death. Doctors' bad penmanship has long been seen a problem within organized medicine and the patient safety movement. Three American Medical Association (AMA) policies dating back to 1992, urge doctors to "improve the legibility of handwritten orders for medications" and review all orders for accuracy and…
References
Berwick, Donald M. & Winickoff, David E. (1996). The truth about doctors' handwriting: a prospective study. BMJ Vol. 313 (21-28 December 1996). 1657-1658. www.bmj.com/content/313/7072/1657.full, accessed 21 August 2011.
Bruner, Anne & Kasdan, Morton.L. Handwriting Errors: Harmful, Wasteful and Preventable.
1-4. www.kyma.org/uploads/file/.../Harmful_wasteful_and_preventable.pdfSimilar, accessed 22 August 2011.
Gallant, Al. (22 November 2009). For a secure electronic health record implementation, user authentication is key. 1-2). searchhealthit.techtarget.com/.../User-authentication-is-critical-for-pl.., accessed 24 August 2011.
Each of these was included in the initial Senate bill, but was struck from the final Senate version. Despite the victories, the group isn't ready to pledge support for health reform bills. The AMA will not endorse any legislation unless Congress gets rid of the mandated payment cuts of more than $200 billion over 10 years in the government's Medicare program for the elderly. The cuts are part of Congressional action that was passed in 1997 in order to cut costs in the Medicare program, but have never gone into effect. There are also several hospitals, insurers, pharmaceutical manufacturers and advocacy groups that are withholding final support. Most of these groups have pledged support to health care reform in principle while working privately through lobbyists to protect their industries (Eaton and Pell, 2010).
Healthcare lobbyists range from very large companies and corporations to very small groups who are all looking…
References
BREAKING: Health care lobby invests in reform summit. (2010). Retrieved March 1, 2010, from Citizens for Responsibility and Ethics in Washington Web site:
http://www.citizensforethics.org/node/44211
Eaton, Joe and Pell, M.B. (2010). Lobbyists Swarm Capitol to Influence Health Reform.
Retrieved March 1, 2010, from the Center for Public Integrity Web site:
In their move from a completely government-paid and -- operated healthcare system to a fees-based approach, the Chinese have greatly improved the efficiency, availability, and efficacy of their healthcare system (Wan & Wan 2010). This suggests that a combination of perspectives, rather than the market or single-payer perspectives that form so many healthcare systems, is most effective.
There are also, of course, healthcare systems that have developed in the same period as those mentioned above, but with far more negative results. The South African healthcare system, though effective in combating certain specific conditions, has many of the same failings as the United States' system, only on to a far more apparent degree. A lack of organization and responsiveness, exacerbated by an attempt to exert highly politicized and highly centralized control over healthcare provision, has plagued South African efforts to combat AIDS and many other problems the country -- and the…
References
Offredy, M. (2008). "The health of a nation: perspectives from Cuba's national health system." Quality in primary care 16(4), pp. 269-77
Sewankambo, N. & Katamba, A. (2009). "Health systems in Africa: learning from South Africa." The lancet 374(9694), pp. 957-9.
Squires, A. (2009). "U.S. Healthcare reform: A comparative book review." Nursing ethics 16(5), pp. 673-5.
Wan, Y. & Wan, Y. (2010). "Achievement of equity and universal access in China's health service: A commentary on the historical reform perspective from the UK National Health Service." Global public health 5(1), pp. 15-27.
The experiences of seniors within the healthcare delivery system will alter how all Americans view healthcare. The healthcare delivery systems and overall organizational structure in the United States has been slow to adjust but that rest of the world is currently in flux that will migrate into our system. Technological advances in communication have made telehealth and telemedicine vialbel solutions to our outdated healthcare industry orgainzational structre. While these types of advances are only in their infancy, "...there seemed to be broad acceptance that telehealth and telemedicine had provided positive benefits to the worlds healthcare delivery system." (Telehealth Applications) Our technoloically challenged seniors have actually discovered the trend within the healthcare system and telehealth and telemedicine seems to be an advance that will find worldwide support so we as a nation will be reqquired to jump on the bandwagon.
In conclusion, this article review focused on new Healthcare Delivery Systems…
References
Farnsworth, Chris. "The Truth About Fraud" Washington Monthly 01 May 1997.
Joshua-Amadi, Mabel. "Recommendations: A Study in Motivation: Recruitment and Retention in the NHS" Nursing Management. February (2003).
Soloye, Daniel J. "Privacy and Power: Computer Databases and Metaphors for Information Privacy" Stanford Law Review July (2001).
Telehealth Applications. (2004) "Current Telehealth Applications" Retrieved October 26, 2004, at http://www.startegis.com/epic/internet/inict-tic.nsf/PrintableE/it07545e.html
Healthcare Legislative Bill
The expanded and improved Medicare for all Acts
The Expanded and mproved Medicare for All Act was introduced to the House of Representatives in 2009 and seeks to lobby for the implementation of a common single-payer health care system throughout the United States o0f America. The bill if enacted would require that all medical care costs be paid for automatically by the government instead of private insurances for the same. The move will significantly alter the role of private insurance companies as merely offering supplemental coverage especially when the kind of medical care sought is not all that essential (McCormick, 2009).
With the Expanded and mproved Medicare for All Bill, the country's national system will be paid for through taxes and the monies that will replace the regular insurance premiums. Proponents of the bill argue that by eliminating the need for private insurance companies in the national…
Institute of Medicine of the National Academies of Science, (2010), Insuring America's Health: Principles and Recommendations
The American Journal of Medical Practices, (2011), The Impact of single-payer Medicare
Program, New York
While it may not be just to hold an organization liable, absolutely, for every instance of employee negligence, there is a rationale for imposing such liability in many cases. For example, many types of industries entail potential danger to others that are inherent to the industry.
Individual workers are not likely to be capable of compensating victims of their negligence, but the employer benefits and profits financially by engaging in the particular industry. Therefore, the employer should not necessarily escape liability for compensating all harm caused by their activities, regardless of fault in particular instances.
10.A nurse is responsible for making an inquiry if there is uncertainty about the accuracy of a physician's medication order in a patient's record. Explain the process a nurse should use to evaluate whether or not to make an inquiry into the accuracy of the physician's medication order.
Like other highly trained professionals, experienced nurses…
References
Abrams, N., Buckner, M.D. (1989) Medical Ethics: A Clinical Textbook and Reference for the Health Care Professionals. Cambridge, MA: MIT Press
Caplan, a.L., Engelhardt, H.T., McCartney, J.J. Eds. (1981) Concepts of Health and Disease: Interdisciplinary Perspectives. Reading, MA: Addison-Wesley
Starr, P. (1984) the Social Transformation of American Medicine.
New York: Basic Books
Health Care -- Strategic Planning and Marketing
Strategic planning and marketing often wed customer-oriented issues with broader issues of public health, morality and survival in a highly competitive market. Consequently, a key issue set forth by the American Hospital Association and an issue of strategic planning/marketing are often two sides of the same coin. This work addresses the customer-oriented issues of Diversity and Emergency Planning that are mirrored in two key issues advanced by the AHA. These two issues are articulated in the first part of this work and answered in the second part of this work.
Customer-Oriented Strategic Plan
Diversity
American society is increasingly ethnically diverse due to immigration, relocation, birth rates and other factors. Consequently, a 250-bed community hospital must hone its sensitivity to resulting changes in community health needs. n addition, there is a high level of competition among hospitals that requires sensitive, targeted marketing to attract…
Issues or Opportunities
Eliminating Racial and Ethnic Disparities
As the American Hospital Association states, "Addressing disparities is no longer just about morality, ethics and social justice: It is essential for performance excellence and improved community health" (American Hospital Association, 2012). A multi-faceted approach to discerning, accommodating and marketing for diversity would certainly include the thoughtful collection and examination of diversity data to define target ethnic markets and specific steps tailored to those markets, as described in Noonan's and Savolaine's article. Studying obstetrical discharge data for ethnicity and outright asking physicians for specific information about the ethnicity of their patients is a sensible approach to determining the community's ethnic composition. In addition, the hospital zip code's CNI data for "five factors long known to contribute to health need - income, culture/language, education, housing status, and insurance coverage" (Anonymous, 2011) should be defined and collected. After that data is collected, it should be studied to define the community's major ethnic target groups. After determining the target groups, the hospital's services should be marketed directly
Health Care Access Ethical Dilemma
Access to health care services is not equitable in the United States. The 15% of Americans without health insurance coverage find it extremely difficult to access health care services (Trotochaud, 2006). This is an injustice that should be addressed. Patients going to rural health care facilities face myriad challenges that are occasioned by stigmatization. Stigmatization of illnesses that patients grapple with occasions ethical conflicts. In the process, patients' right to privacy and confidentiality are often violated. There are practical guidelines that can be used to minimize ethical conflicts. It is imperative that confidentiality and trust be made paramount under circumstances where healthcare professionals deal with patients with stigmatizing illnesses.
A typical example of confidentiality, overlapping relationships and lack of willingness to seek care can be attested to in a situation where a woman working at a local store finds out that her partner is HIV-positive…
References
Trotochaud, K. (2006). Ethical Issues and Access to Healthcare. Journal of Infusion Nursing,
29(3), 165-170.
Tummala, A. & Roberts, L.W., (2009). Ethics Conflicts in Rural Communities: Stigma and Illness. Hanover, NH: University Press of New England.
Healthcare Access
The health of any single person is the most important and most limiting factor about that person's ability to complete physical tasks and live a useful and purposeful life. Healthcare is a term that is widely used but never discussed in how it can best be accessed. The purpose of this essay is to identify and describe a useful plan that helps solve the dilemma of people acquiring a proper and useful source of healthcare. The ethical component of the situation will also be introduced to help demonstrate how practical this plan can be.
To many, healthcare is often associated with doctors, nurses, hospitals, drugs and surgery. It seems that more people are sick or are diseased with some sort of affliction than ever before. Tanner (2008) made the point that "a closer look shows that nearly all health care systems worldwide are wrestling with problems of rising…
References
Cohen, J. (2008). Does Preventive Care Save Money? The New England Journal Of Medicine, 14 Feb 2008. Retrieved from http://www.nejm.org/doi/full/10.1056/NEJMp0708558
Lowes, C. (2011). Reviewing Medical Ethics. Philosophy International Journal Of Health, 12 June 2012.
Tanner, M. (2008). The Grass is Not Always Greener: A Look at National Health Care Systems Around the World. CATO Institute, 18 Mar 2008. Retrieved from http://www.cato.org/publications/policy-analysis/grass-is-not-always-greener-look - national-health-care-systems-around-world
Universal healthcare is the only saving formula for this nation, which is doomed in a health care crisis of unprecedented proportions. There is a urgent need to transform healthcare from its present state of commercialism towards the humanitarian approach which guarantees 'healthcare for all' independent of their social or financial circumstances. A shared and collective responsibility of healthcare management is the only viable formula for America. It is high time we learn from Canada, UK and other European nations and restructure the current broken state of our healthcare. The successful passing of the USNHC act (H.R. 676) is the only way for America to wake up from its healthcare nightmare. Will the powerful insurance industry hold its ground yet again and resist this awakening leaving all the citizens doomed? This is an important question for all the citizens of our country.
ibliography
1) Science Daily, 'American Values lamed for U.S.…
Bibliography
1) Science Daily, 'American Values Blamed for U.S. Healthcare Crisis',
Accessed May 11, 2009, Available at, http://www.sciencedaily.com/releases/2008/12/081204160558.htm
2) Laura K. Altom, BS, MSIII and Larry R. Churchill, PhD, Ann Geddes Stahlman
'Pay, Pride, and Public Purpose: Why America's Doctors Should Support
Contracts with doctors often contain a clause which doesn't allow the doctors to discuss
Health care 7 with their patients financial incentives to deny treatment or about treatments not covered by the plan (Glazer, 1996). This has caused many consumers, especially those with chronic illnesses, to form organizations with the American Medical Association and physician specialty groups to promote legislation forbidding "gag rules" (Glazer, 1996). One group, Citizen Action, has 3 million members and "has been lobbying in state legislatures for laws that would require plans to disclose how they pay their doctors; give patients the right to choose specialists outside the plan; and provide appeals for patients who get turned down for expensive treatments" (Glazer, 1996).
The doctor-patient relationship is also affected if a patient must switch to a new doctor under managed care. Having a longterm relationship with a primary doctor is important because he or she is…
Works Cited
Bennett Clark, Jane (1996, July). What you should ask your HMO.
Kiplinger's Personal Finance Magazine. pp. 92-93.
Glazer, Sarah (1996, April 12). Managed Care. CQ Researcher, 6,
Koop, C. Everett (1996, Fall). Manage with care. Time. pp. 69.
Healthcare Finance
The relationship between the doctor and a possible patient is established when the physician asks the person for the first time as how he could be of possible help. This direct and simple enquiry is the beginning of the trust of the patient that has to be put in the physician for any treatment to proceed. The patient is in need of help at that time, and has to trust the professional for getting the help and the patients want to do it. They need a person to take care of them during their period of suffering from illness. This relationship between the patient and the physician in the financial sphere also involves the same amount of reliance, confidence and trust, as otherwise, not treatment can be undertaken. This makes it essential that the physicians clearly mention to the patients when there is any conflict of interest in…
References
"Changes in Health Care Financing and Organization: Deriving Best Practice Models for the U.S. Health Care Safety Net: A Cross-State Meta Analysis of Finance, Organization and Outcomes" Retrieved from http://64.233.179.104/search?q=cache:h3F83ojarhYJ:depts.washington.edu/eprc/areas/proposalnarrative%2520web.pdf+Changes+in+Health+Care+Financing+and+Organization+& ; hl=en Accessed on 7 June, 2005
'Health Administration Press" (March/April 2003) Journal of Health Care Management.
Volume 48, Number 2. Retrieved from http://64.233.179.104/search?q=cache:p36ZB3H0T4AJ:www.ache.org/pubs/jhm482.cfm+healthcare+finance+relationship+centered& ; hl=en Accessed on 7 June, 2005
"The Core Program: Trust and the Patient -- Professional Relationship" (September, 2000) The
Futile medical care is the ongoing provision of medical treatment or care to a patient who does not show any hope of recovery. It is either that his condition is not curable and therefore the treatment that he is receiving is of no benefit. The common examples of these are that a surgeon is performing a surgery on a patient with terminal cancer. Patients who have terminal cancer have gotten the cancer spread all throughout their body. It is only until time that their organs will go into failure and they will pass away. Another example is of keeping brain dead people on life support for other reasons. As it would be expected, this is quite a sensitive area and it would involve arguments with the patient's relatives and friends.
It is understandable that the loved ones do want to do anything they can to keep the patient in front…
References
Appel, J. (2009). What's So Wrong with "Death Panels"?. [online] Retrieved from: http://www.huffingtonpost.com/jacob-m-appel/whats-so-wrong-with-death_b_366804.html [Accessed: 26 Jul 2013].
Doyle, D. (2010). WebmedCentral.com:: Baby K. A Landmark Case In Futile Medical Care. [online] Retrieved from: http://www.webmedcentral.com/article_view/969 [Accessed: 26 Jul 2013].
Gardent, P. And Reeves, S. (2009). Ethics Conflicts in Rural Communities: Allocation of Scarce Resources. [e-book] Lebanon, NH: University Press of New England. http://geiselmed.dartmouth.edu/cfm/resources/ethics/chapter-09.pdf [Accessed: 26th July, 2013].
Pomerance, J., Morrison, A., Williams, R. And Schifrin, B. (1989). Anencephalic infants: life expectancy and organ donation.. Journal of perinatology, 9 (1), pp. 33-37.
Healthcare Study
Defined as the philosophical study of right and wrong action, Ethics is a predominant subject of concern in nursing (Michael Dahnke, 2006). Being presented with various situations, the ethical and cultural problems are a serious concern faced by the nursing and healthcare staff which needs to be catered to day in and out. There is no time tested methodology that can be applied here, since the every patient is different, with a different background history, therefore the ethical and cultural implications of each decision would also vary.
Importance of Ethical Theory to Nursing
Defining what is right and wrong is a very subjective approach and even that can change from scenario to scenario. Therefore it is important to have some form of umbrella under which the functioning of nurses takes place. It is under this rationale that the importance of ethical theory emerges in front of us.
In…
Works Cited
DuAnne Foster Edwards, R.M. (1999, Feburary). The Synergy Model: Linking Patient Needs to Nurse Competencies. Retrieved September 30th, 2011, from American Association of Critical Care Nurses: http://www.aacn.org:88/wd/certifications/content/synpract2.pcms?pid=1&menu=
Green, D.B. (2001, July). Medical Ethics. Retrieved September 30th, 2011, from Priory.com: http://priory.com/ethics.htm
Michael Dahnke, H.D. (2006). Defining Ethics and Applying the Theories. In P.M. Vicki D. Lachman, Applied Ethics in Nursing (p. 3). New York: Springer.
Samar Noureddine RN, M. (2001). Development of the ethical dimension in nursing theory. International Journal of Nursing Practice, 2-7.
Many of the chapters relate to medical research as well as medical procedures, with the informed consent issue in particular affecting both human beings involved in medical research and those facing a medical crisis and wanting to now what their treatment will entail.
Throughout, the authors present ways of thinking about these ethical issues and also encourage medical personnel to consider these matters and to have a means for making decisions in mind at all times and to follow certain procedures in analyzing a situation and making a determination as to what behavior is acceptable and what is not. Some of the issues discussed are more controversial than others, with abortion being perhaps the most controversial and so the most in need of an ethical structure to decide between competing interests. The death and dying issue is another with two clear positions polarizing the argument and with a range of…
Works Cited
Garrett, Thomas M., Harold W. Baillie, and Rosellen M. Garrett.
Health Care Ethics: Principles and Problems. Upper Saddle River, New Jersey: Prentice-Hall, 2001.
Health Care -- Ethical Issues in Evaluation Research
Ben is a professor and Alyssa is his graduate student in health sciences. Ben is the program chair for a conference with publications that are "refereed" or reviewed by an expert board of editors before publication. The conference has a policy that accepted papers must be presented by their authors but Ben does not mention this policy to Alyssa. He suggests that Alyssa submit a paper to the conference and that he will present it because the conference is being held abroad and he cannot support her trip to the conference. Alyssa writes the paper entirely with her own research while funded by an external fellowship, and submits it with herself as the sole author. She gives several drafts to Ben, who does not comment on any of them. Alyssa's paper is accepted by the conference, she is then advised of their…
Works Cited
American Evaluation Association. (1994, revisions through 2004). American Evaluation Association guiding principles for evaluators. Retrieved on December 15, 2012 from www.eval.org Web site: http://www.eval.org/Publications/GuidingPrinciples.asp
Kass, N.E. (2001, November). An ethics framework for public health. Retrieved on December 15, 2012 from search.proquest.com Web site: http://search.proquest.com/docview/215114044/13B0743D48B182F5BD9/1?accountid=28844
Public Health Leadership Society. (2002). Principles of the ethical practice of public health, version 2.2. Retrieved on December 15, 2012 from www.apha.org Web site: http://www.apha.org/NR/rdonlyres/1CED3CEA-287E-4185-9CBD-BD405FC60856/0/ethicsbrochure.pdf
Thomas, J. (2004). Skills for the ethical practice of public health. Retrieved on December 15, 2012 from phls.org Web site: http://phls.org/CMSuploads/Skills-for-the-Ethical-Practice-of-Public-Health-68547.pdf
The article states, "The enormous human and economic costs associated with occupational stress suggest that initiatives designed to prevent and/or reduce employee stress should be high on the agenda of workplace health promotion (HP) programs" (Noblet, LaMontagne, 2006, p. 346).
Along with the article's assertion that reducing employee stress should be beneficial to both the individual and the company, the article also documents the many problems that can occur due to stress in the workplace. The article espouses, "For employees, chronic exposure to stressful situations such as work overload, poor supervisory support and low input into decision-making have been cross-sectionally and prospectively linked to a range of debilitating health outcomes, including depression, anxiety, emotional exhaustion, immune deficiency disorders and cardiovascular disease" (Noblet, p. 347). Many of these illnesses are debilitating and can be long-term which adds to the company's cost due to employee absence(s) directly affecting the company's bottom line.…
Works Cited
Aldana, S.G., Merrill, R.M., Price, K., Hardy, a. And Hager, R. (2005) Financial impact of a comprehensive multisite workplace health promotion program, Preventive Medicine, 40, 131-137.
Downey, a.M., Sharp, D.J., (2007) Why do managers allocate resources to workplace health promotion programmes in countries with national health coverage?, Health Promotion International, Vol. 22, No. 2, pp. 102-111
Musich, S.A., Adams, L. And Edington, D.W. (2000) Effectiveness of health promotion programs in moderating medical costs in the U.S.A., Health Promotion International, 15, 5-15
Ozminkowski, R., Ling, D., Goetzel, R., Bruno, J., Rutter, K., Isaac, F. et al. (2002) Long-term impact of Johnson & Johnson's health & wellness program on health care utilization and expenditures. Journal of Occupational and Environmental Medicine, 44, 21-29.
1993). Within medical settings in particular, physicians and supervisors are often too over-burdened with their myriad formal responsibilities to take note of minor irregularities in protocols and procedures. Because coworkers are often in the best possible situation to notice inadequacies, it is important for all levels of employees to be equally involved in the overall CQI process.
Optimal implementation of an effective CQI process also requires a culture of openness to suggestion and confidentiality with respect to reporting more serious issues such as those that result from negligence or willful misconduct on the part of co-workers.
11. The textbook states that "an organization's most vital component in costly resource is its staff." With this being the case, the human resource function plays a very important role. Should the human resource function be part of the senior management team?
In terms of policy implementation and organizational philosophy, the human resources function…
References
Horine, P.D., Pohiala, E.D., Luecke, R.W. (1993) Healthcare Financial Managers and CQI: Implementing Continuous Quality Improvement; Healthcare Financial Management.
Humphry, D. (1991) Final Exit: The Practicalities of Self-Deliverance and Assisted Suicide for the Dying. Secaucus: Carol Publishing
Russell-Walling, E. (2005) Fifty Management Ideas You Really Need to Know. London: Quercus
While freedom of religion absolutely guarantees the right to refrain from choosing to submit to stem cell-based treatment, the same freedoms and the concept of separation of church and state absolutely preclude religious beliefs about when life "begins" (or about anything else) from dictating laws that affect other people who may not share those particular beliefs (Dershowitz, 2002).
Beneficence and Non-malfeasance
Certainly, both the concept of beneficence and non-malfeasance absolutely prohibit the use of fetal stem cells from any fetus that is sufficiently developed to be considered a "person" as well as from any fetus that is sufficiently developed to sense pain. Medical authorities may debate where the exact point is where "personhood" first becomes an issue, but in principle, that characterization must be a function of objective criteria and never subjective beliefs of laypeople, especially based in religion (Dershowitz, 2002).
Both beneficence and the duty to avoid malfeasance prohibit…
References
Dershowitz, a. (2002). Shouting Fire: Civil Liberties in a Turbulent Age. New York:
Little Brown & Co.
Levine, C. (2008). Taking Sides: Clashing Views on Bioethical Issues. Dubuque, Iowa:
McGraw Hill.
..above all - its situation." (Ibid)
II. Leadership Strategy for Transition or Change
Watkins proposes 'Five Fundamental Propositions' in his work and the first is which that the "root causes of transition failure always lie in a pernicious interaction between the situation, with its opportunities and pitfalls, and the individuals with his or her strengths and vulnerabilities." Or otherwise stated no superheroes exist and the leadership is not a complete failure but the combination of the two determine the direction of the organization. The second proposition is that "there are systematic methods that leaders can employ to both lessen the likelihood of failure and reach the breakeven point faster." (2003) There are however proven and reliable methods that leaders must use to ensure success or at least minimize possibilities leading to failure. Third Watkins proposes that "overriding goal in a transition is to build momentum by creating virtuous cycles that…
Bibliography
Watkins, Michael (2003) The First 90 Days: Critical Success Strategies for New Leaders at all Levels. Harvard Business School Publishing 2003. Team Lib ISBNB: 1591391105.
Healthcare Leadership and Strategy in the Clinical Audit Unit for Healthcare
Health Care
More area is dealt by Human esource Management than people originally thought of. Some may explain it as the exchanges between boss and worker in the time period between which a worker is employed, until they are eliminated. It is true human resources management starts even before this, with the strategies that are formed by the institution, and the laws that govern workplace institutions. Human esource Management is the procedure of working with people so that they and their organizations attain full potential even when change accelerates the necessity to get new talents, take up new tasks, and develop new relationships, as per an article by L. Dobb abd P. Dick of 1993. (Blessinger, Human esource Management)
Human esource Management is projected as that part of management, which deals with plans, decisions, issues, ethics, process, routines, work, performance and system associated with the management of people as workers…
References
Blessinger, Kelly. Human Resource Management. Available from http://www.libsci.sc.edu/bob/class/clis724/SpecialLibrariesHandbook/hr_management.html . Accessed 2 February 2003]
De Silva, Sriyan. Human Resource Management As A Strategy: The Changing Focus of Industrial Relations and Human Resource Management. Available at http://www.ilo.org/public/english/dialogue/actemp/papers/1998/asiawksh.htm [Accessed 2 February 2003]
De Silva, Sriyan. Human Resource Management in Achieving Management Objectives: The Changing Focus of Industrial Relations and Human Resource Management. Paper presented at the ILO Workshop on Employers Organizations in Asia-Pacific in the Twenty-First Century Turin, Italy, 5-13 May 1997. Bureau for Employers' Activities International Labor Office Geneva April, 1997 Available at http://www.ilo.org/public/english/dialogue/actemp/papers/1998/srsirhrm.htm#C5-3 . Accessed 2 February 2003]
Guide to Managing Human Resources: Chapter 14: Team Building" Available from http://hrweb.berkeley.edu/guide/teams.htm [Accessed 2 February 2003]
They also reject the argument that public support for transplantation will endure something bad if it becomes known that donated organs are being used for alcoholics.
There is an extensive reluctance to consider people with alcoholic cirrhosis for liver transplantation. The authors of this article do a good job of presenting both sides of the argument about whether alcoholics should be eligible for liver transplants. They present both a moral argument and a medical argument and compare and contrast both sides before drawing their conclusion. They illustrate the screening and selection process for liver transplant contenders in a concise manner. At the end the authors dissect the objection to the moral argument and the medical argument of not allowing alcoholics to receive liver transplants. They reply to both of these objections with the reasons as to why alcoholics should be allowed to receive transplants. In the end they conclude that…
References
Cohen C & Benjamin M. (1991). Alcoholics and liver transplantation. The Ethics and Social
Impact Committee of the Transplant and Health Policy Center. Journal of American
Medical Association. 265, pp. 1299-1301
GBMC Healthcare Hospital. The main issue relates to privacy and confidentiality issues considered essential components of fostering trust between healthcare consumers and providers. The issue arose the GBMC hospital did not strictly follow the rules of privacy and confidentiality. Because of its lack of complete control on the privacy issues, many pieces of private information of patients were stolen and compromised.
Although GBMC hospital has been committed for 75 years to ensuring patient healthcare information is used to fulfill appropriate needs as provided by consent or law, but with the advent of the electronic health record and the transfer of an individual's health information through electronic media, including the Internet, the need for privacy and confidentiality protection takes on new meanings and challenges for the GBMC.
As medical science and technology continue to mature, and new data is being created that, when accessed, could be used to discriminate against an…
References
Courtney S. Campbell, The Crumbling Foundations of Medical Ethics, Theoretical Medicine and Bioethics, Volume 19, Issue 2, April 1998, Pages 143-152
Roberto, M. And Flynn, E.P., Issues in Medical Ethics, Medicine, Health Care and Philosophy, Volume 1, Issue 2, 1997, Pages 188-189
Healthcare: Clinical Integration
Item Page
What is clinical integration
History of clinical integration
Goals of clinical integration
Importance of clinical integration
Health reform
New payment models
IT advancement
Barriers to clinical integration
Legal barriers
Lack of practitioner alignment
Lack of interoperability
How to achieve success in clinical integration
Incentive alignment
Knowledge alignment
Behavioral alignment
The future of health care systems
Physician acquisitions vs. clinical integration
HIEs -- solution to clinical integration?
Policy makers are beginning to appreciate the fact that only systemic change can effectively change, for the better, the manner of health care delivery in the U.S.; and that anything less would only alter the system's edges - with little or no substantial effect on cost-control, innovation-promotion, effectiveness of reward incentive schemes, coordination and coverage (AHA, 2010). Clinical integration has been found to be crucial to the change needed for the achievement of the aforementioned goals (AHA, 2010). Despite…
References
AHA. Clinical Integration -- the Key to Real Reform. Trend Watch. Retrieved from [HIDDEN]
Athena Health. (2014). History of the Clinical Integration Model. Athena Health. Retrieved from https://www.athenahealth.com/knowledge-hub/clinical-integration/clinical-integration-model.php
eHealth Initiative. (2012). The Rise of the Private Health Information Exchange and Changing Role of Public Exchanges. eHealth Initiative. Retrieved from [HIDDEN]
Fridsma, D. (2013). Interoperability Vs Health Information Exchange: Setting the Record Straight. Health IT Buzz. Retrieved from http://www.healthit.gov/buzz-blog/meaningful-use/interoperability-health-information-exchange-setting-record-straight/
Diversity of Aging Population -- Innovative Healthcare
Over the past several decades there has been an avalanche of research and scholarly narratives focusing on the aging of millions of Americans -- among them the "baby boomers" that were born between 1946 and 1964 -- including their numbers and their health vis-a-vis the impact on the sometimes struggling healthcare system. But there has been a dearth of research on how American healthcare services will respond -- and is currently responding -- to an increasingly diverse older population when it comes to racial, cultural and ethnic identities. This paper points to the numerous issues and challenges that not only face an increasingly diverse older American population when it comes to healthcare, but also the challenges that the healthcare system itself faces as these Americans move into the twilight of their lives.
hat should be the Vision and Mission of Healthcare Professionals in…
Works Cited
Administration on Aging. (2010). A Statistical Profile of Black Older Americans Aged 65+.
Retrieved April 2, 2014, from http://www.aoa.gov .
Bookman, A. (2008). Innovative models of aging in place: Transforming our communities for an aging population. Community, Work & Family, 11(4), 419-438.
Centers for Disease Control and Prevention. (2007). The State of Aging and Health in America
Healthcare Administration Mission Viejo Executive Summary
Over the last several years, the healthcare delivery environment has been continually evolving. This is because consumers are demanding efficient ways for receiving a variety of services. That is focused on reducing costs and enhancing quality. The result is that the entire system is continually changing to keep up with them. In the case of Golden Age Hospital (GAH), they are reaching a crossroads with rising number of seniors locally and nationally. This is in response to the rising demographic and many local facilities feeling overwhelmed. The new location can be utilized as an integrated business model that will achieve these larger objectives. In the long-term, this will make them more competitive and able to respond to changes in the way industry is operating. Those who are able to do this will see their employee turnover rates decrease and they can enhance the care…
References
Community Profile. (2014). City of Aliso Viejo. Retrieved from: http://www.cityofalisoviejo.com/wp-content/uploads/ApdxC_Community_Profile.pdf
Mission Viejo, California. (2015). U.S. Census. Retrieved from: http://quickfacts.census.gov/qfd/states/06/0648256.html
Rising Demand for Long-Term Care. (2014). CBO. Retrieved from: http://www.cbo.gov/publication/44363
Cuellara, A. (2006). Strategic integration of hospitals and physicians. Journal of Health Economics, 25 (1), 1-28.
health care in the United States has been the source of heated debate for a number of years. Although the publicity surrounding the issue has been considerable and made to look like it is a recent problem facing the nation, the problem, in reality, has been on the horizon for nearly a century. During President Woodrow Wilson's administration, efforts were unsuccessfully made to pass national legislation regarding the delivery of health care in the United States and the issue has appeared periodically on the national agenda ever since (Lepore, 2009). Finally, on March 23, 2010, among massive controversy, the Affordable Care Act, through the massive efforts of the Obama administration, became law.
Despite the passing of the Affordable Care Act, health care in the United States remains dismal for a large percentage of American citizens. Although there were a number of significant provisions in the Act that took effect nearly…
References
Anderson, R.M. (2001). Improving Access to Care in America. Los Angeles: University of California.
Boehm, G. (2005). Debunking Medical Malpractice Myths: Unraveling the False Premises behind Tort Reform. Yale Journal of Health Policy Law & Ethics, 357-369.
Lepore, J. (2009, December 7). Preexisting Condition. The New Yorker .
Shi, L. (2003). Delivering Health Care in America: A Systems Approach (3rd Edition). Burlington, VT: Jones & Bartlett Publishers.
Ethical Analysis of Healthcare Rationing
The topic of health care rationing has been the subject of debate in the U.S. The last few years as government expenditures on health care have far exceeded budgeted levels. Central to the concern is the ethical issue over whether it is better if fewer Americans profit with a greater amount of health resource allocation or if the majority benefit to a lesser degree for an equity in health care benefits. In the essay, "We've Got To Ration Health Care," (author unknown) the position is taken that America would fare better to follow the course of health care action seen in other western countries, where it is considered better to ration medical procedures to the extent that a system provides "the highest possible level of basic health care that can be delivered to all the people." With the growing concern over health care rationing, and…
Bibliography
Cook, D & M. Giacomini. 1999. "The Sound of Silence: Rationing Resources for Critically Ill
Patients." Critical Care. 3: R1-R3.
Devettere, RJ. 1993, Feb. "Clinical Ethics and Happiness." Journal of Medical Philosophy.
Devettere, RJ. 2000. Practical Decision Making in Health Care Ethics: Cases and Concepts, 2nd ed. Washington, DC: Georgetown University Press.
These needs are only beginning to be addressed in Canada and while there do not appear to be many well-established initiatives there is a growing recognition of the need for such if Canada's healthcare sector is to gain and retain the necessary workers to deliver optimal healthcare in Canada.
ibliography
Polls & Research (2006) Health Care, Environment Top Issues in Canada. 1 Nov 2006. AngusReid Global Monitor. Online available at: http://www.angus-reid.com/polls/view/13653
ack, Chris (2008) Current and Emerging Trends: Occupational Health and Safety in the C Healthcare Sector. 19 Sept 2008. Prepared for the OHSAH Stakeholder Meeting. Online available at: http://www.ohsah.bc.ca/media/240-OHS-Current-and-Emerging-Trends-full.pdf
Canadian Institute for Health Information, Workforce Trends of Registered Nurses in Canada, 2006 (Ottawa: CIHI, 2007).
Canadian Nursing Advisory Committee, Full-time Equivalents and Financial Costs Associated with Absenteeism, Overtime, and Involuntary Part-time Employment in the Nursing Profession, February 15, 2002.
Canadian Health Services Research Foundation, What's Ailing our Nurses? A…
Bibliography
Polls & Research (2006) Health Care, Environment Top Issues in Canada. 1 Nov 2006. AngusReid Global Monitor. Online available at: http://www.angus-reid.com/polls/view/13653
Back, Chris (2008) Current and Emerging Trends: Occupational Health and Safety in the BC Healthcare Sector. 19 Sept 2008. Prepared for the OHSAH Stakeholder Meeting. Online available at: http://www.ohsah.bc.ca/media/240-OHS-Current-and-Emerging-Trends-full.pdf
Canadian Institute for Health Information, Workforce Trends of Registered Nurses in Canada, 2006 (Ottawa: CIHI, 2007).
Canadian Nursing Advisory Committee, Full-time Equivalents and Financial Costs Associated with Absenteeism, Overtime, and Involuntary Part-time Employment in the Nursing Profession, February 15, 2002.
eferences
Aaron, H.J. 1994. Thinking About Medical Costs. Health Affairs, 13, 5 (winter): 8-13 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.
Acs, G. And John S. 1995. Trends in Out-of-Pocket Spending on Health Care, 1980-1992. Monthly Labor eview, 35-45 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.
Cote, J. And Latham, C. (2003). Exchanges between Healthcare Providers and Insurers: A Case Study. Journal of Managerial Issues. 15, 2.
Health, United States. (2003). Chartbook on trends in the health of Americans. HHS, Centers for Disease Control and Prevention (CDC). National Center for Health Statistics in Lesnik, J. (2006). Community Health Centers: Health Care as it Could Be. Journal of Law and Health. 19, 1..…
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Aaron, H.J. 1994. Thinking About Medical Costs. Health Affairs, 13, 5 (winter): 8-13 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.
Acs, G. And John S. 1995. Trends in Out-of-Pocket Spending on Health Care, 1980-1992. Monthly Labor Review, 35-45 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.
Cote, J. And Latham, C. (2003). Exchanges between Healthcare Providers and Insurers: A Case Study. Journal of Managerial Issues. 15, 2.
Health, United States. (2003). Chartbook on trends in the health of Americans. HHS, Centers for Disease Control and Prevention (CDC). National Center for Health Statistics in Lesnik, J. (2006). Community Health Centers: Health Care as it Could Be. Journal of Law and Health. 19, 1..
Ethics in Health Care
The role of ethics within the medical profession is extremely important and it is extremely necessary to abide by a high standard of ethical behavior while working in this industry. The trust that patients and people place within the medical profession dictates this high level of ethical behavior. The purpose of this essay is to examine the influence of individual ethics on decision making the health care industry using the ACHE self-assessment test as a guide to highlight key issues regarding this approach.
The ACHE self-assessment provided some, but not much guidance on the way medical professionals should conduct their business. Many of the questions were quite superficial and did not really hit at the true ethical issues that are present within the medical field. For me, ethics cannot be standardized to the extent where there are automatic responses to challenging situations. ather, the ethical approach…
References
American College of Healthcare Executives. Ethics Self-Assessment.
healthcare practices and history of nursing in the Jewish culture.
There are several healthcare practices within the Jewish culture. According to the rabbinic lore, no aging process existed until the time that Abraham was born. No disease also existed until the time when Jacob came to existence.
The connections of Jews to the healing process at patients as well as physician level is noted to be ancient with a deep root in history and theology (MyJewishLearning.com, 2011).In most religions, the idea of medical treatment was largely an anathema. In most traditional religions, disease, deformity and accident were regarded as parts of God's creation that those of human beings. Anything to do with medical treatment was largely considered to be a process of meddling with the Creator's (God's) work and will. Judaism however, views the concept of medical treatment in appositive light. It views medical treatment as an obligation on the…
References
Gesundheit, B., Hada, E (2005).Maimonides (1138-1204): Rabbi, Physician and Philosopher*. IMAJ 2005;7:547-553
Illievitz, AB (1935).Maimonides the Physician. Can Med Assoc J. 1935 April; 32(4): 440-442.
Leininger MM (1997) Overview and Reflection of the Theory of Culture Care and the Ethnonursing Method. Journal of Transcultural Nursing, 8:2, 32.52.
Leininger MM (1991) Culture Care Diversity and Universality: A Theory of Nursing. National League for Nursing Press, New York.
healthcare as an institution is, of course, the need to care for the sick and the injured. However, in the contemporary model of healthcare, effective communication during a crisis is not only important, but also vital. Communication by healthcare professionals takes the concern and worry out of the situation; offers a quicker resolution, makes better control of information possible, earns the trust of the public and individual families; and keeps the flow of information consistent and accurate, thus averting potential external problems. Based on my current experience in the nursing field, I realize that to advance my professional goals, as well as contribute soundly to the profession, I must expand my educational experience and am therefore seeking entrance into the Doctor of Nursing Practice (DNP) in Psychiatric Mental Health Nursing.
I believe I am well-qualified and motivated to undergo this program. Currently, I am a master's prepared Neonatal Nurse Practitioner…
oman Clings to Hope of Having Dead Fiancee's Baby
Today medical science is capable of things only imagined in the past. One of these possibilities stems from the technique of Invitro fertilization and cryobiology. It is now possible to freeze a man's sperm and impregnate a woman with it at some future time. This practice raises many ethical issues as far as the legal professions are concerned, primarily informed consent, ownership of the sperm and many other issues. However, it also raises issues for the medical profession as well. Now it is possible, but the primary question remains, should we? This research will examine the role of the nurse in relation to her ethical obligations and the moral issues imposed upon her concerning this tricky moral issue.
Recently a court case surface where a woman wants to have he fiancee's sperm inseminated into her in order to get pregnant with…
Works Cited
ANCI. National Competency standards of the Registered Nurse. Domain: Professional and Ethical Practice. June, 2002. http://www.anci.org.au/codeofethics.htm . Accessed March,
Artificial Conception Act 1985 - Section 3 (1-3). http://www.austlii.edu.au/au/legis/act/consol_act/aca1985203/s3.html#procedure
Accessed March, 2003.
Davies, Julie-Ann. Sandy Plans to Win Her Race Against Life. The Age Newspaper. May 27,
Quality of Care: Healthcare eform
Health care reform legislation is expected to reduce health care spending by $590 billion over 10 years and lower premiums by nearly $2,000 per family by slowing the annual growth rate in national health expenditures. Discuss how this savings will be accomplished and what potential sacrifices in health care delivery may be experienced. Is the figure of $590 billion when calculated over a ten-year period really a significant savings?
The Affordable Care Act (ACA) was designed to make healthcare more accessible to a wider array of Americans and also more equitable in its method of delivery. Some of its provisions included requiring all adults (with some hardship exemptions) to have healthcare or pay a penalty. The hope was that expanding the risk pool of young, healthy insured who might otherwise forgo coverage would support the costs of some of the other provisions of the bill,…
References
Carroll, A. (2014). Why increasing access to healthcare does not save money. The New York
Times. Retrieved from:
Keefe, C. (2014). I'm an Obama supporter. But Obamacare has hurt my family. The Washington
strategic plan II
Environmental Analysis
An environmental analysis is an important component, and indeed a prerequisite, to the strategic plan. It stands to reason that you cannot set a course for the future without knowing the route you will take, and you cannot know the route until you have the lay of the land. The environmental analysis is "a process in which you look at the outside factors that can have an impact on your business" (Arthur, 2014). The strategic plan depends on the information you gather about the trends in and nature of the external environment, so it is incredibly important that the environmental analysis is taken seriously. There are a number of different tools that have been developed in the management literature that can assist with creating an effective environmental analysis, including the SWOT Analysis, the PESTLE analysis, the Five Forces analysis and the value chain analysis (Downey,…
References
Arthur, L. (2014). The implications of environmental analysis on strategic plan. Houston Chronicle. Retrieved November 10, 2014 from http://smallbusiness.chron.com/implications-environmental-analysis-strategic-plan-35303.html
Downey, J. (2007). Strategic analysis tools. CIMA. Retrieved November 10, 2014 from http://www.cimaglobal.com/Documents/ImportedDocuments/cid_tg_strategic_analysis_tools_nov07.pdf.pdf
WiseGeek. (2014). What is the role of environmental analysis in strategic management? WiseGeek. Retrieved November 10, 2014 from http://www.wisegeek.com/what-is-the-role-of-environmental-analysis-in-strategic-management.htm
A largely insular community since their initial settlement in the United States, the Amish community presents unique challenges for healthcare workers. The Amish eschew modern technology, including many of the tools and techniques used in modern medicine. In fact, the Amish community also forbids higher education (Adams & Leverland, 1986). Misconceptions and misunderstandings about the Amish further complicate healthcare decisions and relationships between healthcare providers and Amish patients. For example, it is commonly assumed that the Amish “lack the preventive practices of immunizations and prenatal care,” (Adams & Leverland, 1986, p. 58). While the rates of immunizations are relatively low among the Amish, the Amish church does not forbid immunization (Adams & Leverland, 1986). The Amish also have a keen interest in disease prevention, health education, and lifestyle choices that prevent health problems (Talpos, 2016). Although Amish attitudes towards health, wellness, and the healthcare system may be at odds with…
Quality and Safety Education for Nurses
Patient safety
The issue of patient safety has been a concern to medics and the stakeholders in the health care system over many years. This has been propelled by constant emergence of life threatening injures to people visiting or working within the healthcare facilities s well as construction of buildings and entrances that do not meet the required standards of hospitals. This largely informs the basis of this paper to find out where the wrongs are and how these can be rectified to provide a good environment for patients.
Patient safety
The patient safety is as important as the rescue of the life of a patient when he walks into the hospital to seek medical attention. The nurses and doctors are hence required to adhere to the call of the Nursing and Midwifery Council of "Nurses and nursing staff manage risk, are vigilant about…
References
Florence L., et.al., (2008). Hallmarks of Unsafe Practice: What Preceptors Know. Retrieved April 18, 2014 from http://www.nursingcenter.com/lnc/CEArticle?an=00124645-200811000-00001&Journal_ID=54029&Issue_ID=830968
Kreimer S. (2014). 10 Best Practices for Patient Safety. Retrieved April 18, 2014 from http://www.nursezone.com/nursing-news-events/more-news/10-Best-Practices-for-Patient-Safety_33666.aspx
Royal College of Nursing, (2014). Patient Safety and Human factors. Retrieved April 18, 2014 from http://www.rcn.org.uk/development/practice/patient_safety
Work Group
The proposed work group should have intimate knowledge of the issue and the different human resources policies impacted by the problem. This issue is connected to a variety of workplace departments, including human resource policies (in terms of employee expectations and quality of life); IT policies (how the Internet is managed and system security); and legal issues (employee rights). epresentatives from all of these different departments should be present on the team. Ideally, their personalities should also work well together.
Although the work team is made up of diverse components, it should also have a clear sense of its mission and goals. Defining that central mission is an essential part of the first steps of "forming" a team. The team should also have a strict deadline to ensure that it meets its objectives with minimal waste of time and energy and understand the connections between their areas of…
Reference
How U.S. corporations raise capital. (2014). U.S. Department of State. Retrieved from:
http://economics.about.com/od/smallbigbusiness/a/corp_capital.htm
" ((Patton, 1990).
The data analysis procedure is therefore one which emphasizes participation and observation. As the author states,"As a Convict Criminologist (an ex-prisoner who has academic training), I had the opportunity to analyze prison culture from the perspectives of participant and observer." (Murphy 2005)
It is also important to note that the author as an academic and trained criminologist would be capable of selecting and synthesizing the data available.
9. Strengths and limitations
One of the limitations of this qualitative study is a common limitation that is endemic to many qualities studies; namely that there is always the possibility of subjective and individual bias in both the selection and the interpretation of the data. "The presence of an observer is likely to introduce a distortion of the natural scene which the researcher must be aware of, and work to minimize. (Hoepfl 1997)
However this can also be seen for…
References
Eisner, E.W. (1991). The enlightened eye: Qualitative inquiry and the enhancement of educational practice. New York, NY: Macmillan Publishing Company.
Lofland, J., & Lofland, L.H. (1984). Analyzing social settings. Belmont, CA:
Wadsworth Publishing Company, Inc. Retrieved 29 September, 2006, at http://scholar.lib.vt.edu/ejournals/JTE/v9n1/hoepfl.html
Glaser, B.G., & Strauss, a.L. (1967). The discovery of grounded theory.
Walker and Clark propose active use of clinical supervision through facilitation, rather than directive approaches and discuss ten cues of seemingly insignificant acts that may lead to problems, such as gift-giving, sale of goods, self-disclosure on the part of the counselor, touching and sex. Interventions are made by risk managers when these cues are detected (1999, p. 1435-1439). Perhaps this is the solution, but problems will still occur, as long as counselors behave in an unprofessional manner.
American Mental Health Counseling Association. Code of Ethics. (2000). etrieved February 12, 2007 at http://www.amhca.org/code/.
Sampson, J.P., Jr. And Jill a. Lumsden, J.A. (2000). Ethical Issues in the Design and Use of Internet-Based Career Assessment, Tallahassee: Florida State University.
Barak, a. (2003) Ethical and Professional Issues in Career Assessment on the Internet. Journal of Career Assessment, Vol. 11, No. 1, Haifa Israel: SAGE Publications.
Cottone, .. And Claus, .E. (2000). Ethical decision-making models:…
Roberts, L.W., Battaglia, J. And Epstein, R.S. (Apr 1999). Frontier ethics: mental health care needs and ethical dilemmas in rural communities. Psychiatric Services 50. American Psychiatric Association.
Stadler, H.A. (1986). Making hard choices: Clarifying controversial ethical issues. Counseling & Human Development, 19, 1-10.
Walker, R. And Clark, J.J. (Nov 1999). Heading off boundary problems: clinical supervision as risk management. Psychiatric Services 50. American Psychiatric Association.
Poverty and Community Mental Health
Based on the supplemental reading for this week found in the resource folder, we can agree that poverty is a solid predictor of multiple challenges found in the field of mental health. In your own words (support your response by citing your sources) express your understanding of poverty and how it influences Community Mental Health at large (your response should meet the criteria found on the discussion board rubric). Please do not respond by using bullet points, utilize complete sentences to respond to this question.
Despite spending close to three trillion dollars a year on healthcare, significantly more than any other country in total or per capita, the United States does exactly maintain a healthy population (comparatively speaking) (Lavizzo-Mourey, 2015). Although there have been many proposed and attempted reforms to the system, and there have been many different ideas about how to make the system…
References
Best, M. (2006). Ethics in Health Services Management. Quality Management in Healthcare, 311.
Jones, T. (2015). A Descriptive Analysis of Implicit Rationing of Nursing Care: Frequency and Patterns in Texas. Nursing Economics, 144-154.
Lavizzo-Mourey, R. (2015). Why We Need to Build a Culture of Health in the United States. Academic Medicine, 846-848.
Savage, C., Lindsell, C., Gillespie, G., Lee, R., & Corbin, A. (2008). Blackwell Publishing Ltd. Improving health status of homeless patients at a nurse-managed clinic in the Midwest USA. Health and Social Care in the Community, 469-475.
healthcare services, many people could encounter some form of discrimination on the basis of their race, gender, or even sexual orientation. Discrimination in healthcare may seem like it is not something that is a major issue. However, it absolutely does come up in many situations, states and environments. hether based on gender, religion, race or sexuality, discrimination happens at overt or implied levels all of the time. In other situations, there are huge disparities in healthcare outcomes from one group to another and many experts say that this can only come from systemic or sporadic instance of racism from the healthcare sphere, from society in general or a combination of the two. hile most people get very good care, there are situations where the healthcare and/or government sectors fall short. It is important to note that although people are not always aware of this; there are various laws that seek…
Works Cited
Cornell Law School. (n.d.). 11 U.S. Code Section 507 - Priorities. Retrieved from www.law.cornell.edu: https://www.law.cornell.edu/uscode/text/11/507
Cornell Law School. (n.d.). 18 U.S. Code Section 152 - Concealment of assets; false oaths and claims; bribery. Retrieved from www.law.cornell.edu: https://www.law.cornell.edu/uscode/text/18/152
lawschoolcasebriefs.net. (2002). Access Now, Inc. v. Southwest Airlines Co. Retrieved from www.lawschoolcasebriefs.net: http://www.lawschoolcasebriefs.net/2013/12/access-now-inc-v-southwest-airlines-co.html
State of California. (n.d.). California Corporations Code. Retrieved from www.leginfo.ca.gov: http://www.leginfo.ca.gov/.html/corp_table_of_contents.html
Healthcare
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health care in the United States has been the source of heated debate for a number of years. Although the publicity surrounding the issue has been considerable and made…
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eferences Aaron, H.J. 1994. Thinking About Medical Costs. Health Affairs, 13, 5 (winter): 8-13 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden…
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healthcare as an institution is, of course, the need to care for the sick and the injured. However, in the contemporary model of healthcare, effective communication during a crisis…
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oman Clings to Hope of Having Dead Fiancee's Baby Today medical science is capable of things only imagined in the past. One of these possibilities stems from the technique…
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Quality of Care: Healthcare eform Health care reform legislation is expected to reduce health care spending by $590 billion over 10 years and lower premiums by nearly $2,000 per…
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strategic plan II Environmental Analysis An environmental analysis is an important component, and indeed a prerequisite, to the strategic plan. It stands to reason that you cannot set a…
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A largely insular community since their initial settlement in the United States, the Amish community presents unique challenges for healthcare workers. The Amish eschew modern technology, including many of…
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Quality and Safety Education for Nurses Patient safety The issue of patient safety has been a concern to medics and the stakeholders in the health care system over many…
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Work Group The proposed work group should have intimate knowledge of the issue and the different human resources policies impacted by the problem. This issue is connected to a…
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" ((Patton, 1990). The data analysis procedure is therefore one which emphasizes participation and observation. As the author states,"As a Convict Criminologist (an ex-prisoner who has academic training), I…
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Walker and Clark propose active use of clinical supervision through facilitation, rather than directive approaches and discuss ten cues of seemingly insignificant acts that may lead to problems, such…
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Poverty and Community Mental Health Based on the supplemental reading for this week found in the resource folder, we can agree that poverty is a solid predictor of multiple…
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healthcare services, many people could encounter some form of discrimination on the basis of their race, gender, or even sexual orientation. Discrimination in healthcare may seem like it is…
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