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Health care workers are not immune to psychosocial problems and often may face distinctive obstacles in dealing with them. Self-care among physicians, nurses, and other health care workers is not included as a part of their training but it is an issue that often comes up in the course of their daily routines or in their professional practice. The stresses of professional practice, shift work, and personal life can be quite demanding and in cases where the individual neglects or fails to notice the warning signs of depression can lead to tragic consequences. According to most available data there is an increased vulnerability for depression and suicide in health care workers, particularly physicians and nurses. Depression is a particular concern in the health care industry given that health care workers, especially physicians and nurses, are directly responsible for the well-being of their patients who are often forced to depend on…
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Glazer, Greer. "Overview and summary: The doctor of nursing practice: Need for more dialogue." Online Journal of Issues in Nursing 10 (3) (2005): 10-13. Web 17 March 2011.
healthcare industry in the U.S., in particular the crisis in retaining healthcare workers. The paper will also discuss what can be done to retain these healthcare workers.
It is a well-known fact that the average age of healthcare workers in the U.S. is 40-45 years old, meaning that there are few new recruits coming to the profession (www.americanworkvisa.org).This, coupled with that fact that there is great job dissatisfaction amongst healthcare workers, means that retaining staff is also difficult: the lack of new recruits, and the difficulty of retaining staff means that there is, therefore, a shortage of healthcare professionals in the U.S. healthcare industry.
The shortage of healthcare workers is huge: there are 115,000 immediate job vacancies in this field, and it is expected that the industry will grow by 25.5% between 2000-2010, thus adding 1.3 million new jobs (www.doleta.gov).This is particularly frightening in terms of the future health prospects…
Hilton, L. (2002). Healthcare Worker Study Reveals Alarmingly Low Levels of Commitment, Job Satisfaction.
A www.healthcarehub.com. Accessed 3rd October 2003. www.ache.org www.aft.org/publications.html www.chausa.org www.doleta.gov www.healthcarepersonnel.org www.mnwfc.org/lmi/trends/jun01/heal3.html
This paper is a systematic review that discusses the consequences of the current COVID-19 pandemic scenario on healthcare workers' mental health outcomes. The sources from which the articles used in this paper were systematically researched are PubMed, Lilacs, and BVS. The search for articles occurred between January to October of the year 2020. In searching the electronic databases, the following keywords were employed to create a search strategy: nervousness or social anxiety or anxieties, depressive or depression or emotional depression, mental or mental hygiene or hygiene, social or anxiety, mental and COVID-19 or Coronavirus, social or social anxieties or anxiety and depressions or depressive symptoms or depressive symptom or symptom, emotional or depressions, emotional or emotional depressions, and health. The systematic review findings showed that exposure to COVID-19 increased the incidence rate of symptoms of mental conditions such as anxiety and depression. The conclusion drawn from the review's findings…
Chong, M. Y., Wang, W. C., Hsieh, W. C., Lee, C. Y., Chiu, N. M., Yeh, W. C., ... & Chen, C. L. (2004). Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. The British Journal of Psychiatry, 185(2), 127-133.
Gao, J., Zheng, P., Jia, Y., Chen, H., Mao, Y., Chen, S., ... & Dai, J. (2020). Mental health problems and social media exposure during COVID-19 outbreak. PloS one, 15(4), e0231924.
Huang, Y., & Zhao, N. (2020). Mental health burden for the public affected by the COVID-19 outbreak in China: Who will be the high-risk group?. Psychology, Health & Medicine, 1-12.
Khanal, P., Devkota, N., Dahal, M., Paudel, K., & Joshi, D. (2020). Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal. Globalization and health, 16(1), 1-12.
Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., ... & Tan, H. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA network open, 3(3), e203976-e203976.
Lee, S. M., Kang, W. S., Cho, A. R., Kim, T., & Park, J. K. (2018). Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Comprehensive Psychiatry, 87, 123-127.
Li, S., Wang, Y., Xue, J., Zhao, N., & Zhu, T. (2020). The impact of COVID-19 epidemic declaration on psychological consequences: a study on active Weibo users. International journal of environmental research and public health, 17(6), 2032.
Lima, C. K. T., de Medeiros Carvalho, P. M., Lima, I. D. A. S., de Oliveira Nunes, J. V. A., Saraiva, J. S., de Souza, R. I., ... & Neto, M. L. R. (2020). The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease). Psychiatry research, 112915.
Many of them who have worked for 20 years as nurses have gone up the managerial or corporate ladder. More and more nurses have chosen more paper work and less patient care by becoming supervisors, administrators and nursing directors and then retire or else proceed to another career if they are not yet retiring (enjamin).
Compounding the problem of shortage were a lack of surgical educational content and clinical experiences for nursing students, demands for professional nurses in ambulatory care surgical settings, and the difficulty itself of attracting and maintaining per-operative nurses (eyea, 2002). Managed care also required by more intense or complex illnesses and, thus, increased workloads and greater responsibility of nurses (enjamin, 2000). The situation correspondingly raised their level of "burn out." Hospital downsizing, managed care and an emphasis on outpatient services made the medical environment less dependent on nurses and more on facilities (enjamin).
Benjamin, G.C. (2000). The nursing shortage in crisis in health care. Physician Executive: American College of Physician Executives. Retrieved from http://findarticles.com/p/articles/mi_m0843/is_5_26/ai_102340218
Beyea, S.C. (2002). AORN's response to the nursing shortage in perspective settings.
AORN Journal: Association of Operating Room Nurses, Inc. Retrieved from http://findarticles.com/p/articles/mi_mOFSL/is_2_76/ai_90749847
Brown, G. (2003). Nursing is critically ill: why? What can be done to help alleviate the nursing shortage. Minority Nurse Newsletter: Tucker Publications, Inc. Retrieved
When firing or releasing employees it is very important to remember the humanity of the situation and present an honorable and distinguished front when relaying this information to subordinates and those soon to be fired. In this example, nearly 20% of the staff will be informed of their termination at this meeting. To accomplish this meeting in the best way possible it is wise to understand the entirety of the situation.
In any meeting it is important to build rapport with the audience and seek to communicate at their current level of emotional and intellectual understanding. In this case, the situation will no doubt be awkward and many emotions may be running high due to this stress. It is of the utmost importance and highest priority to uphold the dignity of those being fired and demonstrate care and respect. Bad feelings are sure to come about, so it…
The penalties for being out of compliance when OSHA comes knocking should be enough to motivate any healthcare facility to devise a plan to make sure that they are in compliance with OSHA's regulations. The startling thing is that it took an initiative like NEP to wake these facilities up and get them thinking about being compliant. Since they deal with people and their well being on an everyday basis, these are things that they should have been doing all along and not just because there is an increased probability of getting into trouble by OSHA.
Harris, S. (2012). OSHA in Health Care: Out of Sight & Out of Mind? etreived from http://ohsonline.com/articles/2012/04/01/osha-in-health-care.aspx
Healthcare workers. (2012). etrieved from http://www.cdc.gov/niosh/topics/healthcare/
New OSHA inspection initiative focuses on healthcare. (2011). etrieved from http://www.puresafety.com/public/workingwell/?p=1209#.UAa4aFJ6EM
Occupational Safety and Health Administration ("OSHA") Targets Nursing and esidential
Care Facilities. (2012). etrieved from http://www.hancocklaw.com/p/OSHA_Newsletter_212_May_H1768037.PDF
Prepare Your Facility…
Harris, S. (2012). OSHA in Health Care: Out of Sight & Out of Mind? Retreived from http://ohsonline.com/articles/2012/04/01/osha-in-health-care.aspx
Healthcare workers. (2012). Retrieved from http://www.cdc.gov/niosh/topics/healthcare/
New OSHA inspection initiative focuses on healthcare. (2011). Retrieved from http://www.puresafety.com/public/workingwell/?p=1209#.UAa4aFJ6REM
Occupational Safety and Health Administration ("OSHA") Targets Nursing and Residential
ecause unions retain the exclusive right to negotiate on behalf of its members, the individual worker may have little recourse to easily address incompetent leadership.
The Disadvantages of Unionized Labor for Healthcare Employers:
The primary disadvantages of unionized labor for healthcare employers correspond to the relative loss of control over issues and workplace elements commonly transferred to workers (through their unions), which accounts for the traditional resistance with which many employers responded to unionization attempts. On the one hand, unionized workforces are able to secure better pay and benefits from employers than would have been available to workers without union representation; likewise, employers must cede control over many aspects of operational and personnel decisions traditionally within administrative control.
On the other hand, particularly in light of the beneficial effect that unionized nursing has had on the quality of patient care and reduction in patient mortality, it is difficult to conceive…
Daft, R. (2005) Management (7th ed.) Mason: Thomson South Western.
Nevins, J., Commager, H. (1992) a Pocket History of the United States.
New York: Pocket Books
Seago, J., Ash, M. (2002)
Technology is one of the main drivers of change in healthcare, and it is up to healthcare organizations to join the rest of the world in adopting new technologies to run their industry better. In most industries, something like electronic record keeping has been done for decades and nobody was wringing their hands about it. It is absurd that this is even an issue for healthcare companies. The best thing is to stop talking about this as if it is an "issue" or a "challenge," and just get it done. If you were to design the health care system from scratch, of course everything would be electronic. The development and adoption of these technologies will improve the quality of healthcare immensely, so the only real question is not how will this challenge affect healthcare, but how quickly can healthcare get its act together and join the 21st century.…
Kumbroch, D. (2014). Affordable Care Act creates big demand locally for healthcare workers. WHNT. Retrieved November 17, 2014 from http://whnt.com/2014/09/17/aca-creates-big-demand-for-healthcare-workers/
Wister, A. (2009). The aging of the baby boomer generation: Catastrophe or catalyst for improvement? Health Innovation Forum. Retrieved November 17, 2014 from http://www.healthinnovationforum.org/article/the-aging-of-the-baby-boomer-generation-catastrophe-or-catalyst/
Hispanic Community and Healthcare
This paper is an examination of how the Hispanic community experiences healthcare. The data from a number of articles related to the subject form the basis for the conclusions reached in the analysis.
One study looked at whether Hispanic-specific training should be included for healthcare worker training. It was found that there is a serious lack of training that is currently implemented regardless the community examined. Healthcare workers were unaware of social conventions that were normal among their Hispanic clients which limited the effectiveness of the healthcare treatment given. Because women were unable to discuss personal problems with male healthcare workers and males had similar issues with females, it was difficult for the various agencies to be truly effective. The recommendation, of course, was to include a training curriculum that included cultural training.
Another issue that Hispanic individuals faced is that they were underrepresented in…
S. Department of Health and Human Services, 2011). Furthermore, subpart C explains the privileges and the protections of confidentiality that is attached to the patient's record along with much exception (U.S. Department of Health and Human Services, 2011).
The penalty for anyone who breaks confidentiality is imperative. In "November, 23, 2009" was increased to $11,000 (U.S. Department of Health and Human Services, 2011). This goes for anyone in the medical field or has access to this information. A person has to follow HIPAA precisely or face a huge fine. If one thought of this ahead of time, whether or not they own a business, then no issues would arise legally. However, sometimes this does occur, especially for those who want to harm another person, yet in the medical field the goal is not to do this to any individual, regardless, otherwise he or she could face losing their license in…
U.S. Department of Health and Human Services Civil Rights. (2011). Your health information privacy rights. Retrieved May 3, 2011, from U.S. Department of Health and Human
Services Civil Rights:
U.S. Department of Health and Human Services. (2011). Health information privacy. Retrieved May 3, 2011, from U.S. Department of Health and Human Services:
The SG2 report (2010, p. 9) also mentions academic medical centers (AMCs), which will have enter into affiliation agreements in order to comply with the reformed care laws. This will furthermore mean more integrated physician networks and it integration, as mentioned above.
Two further important factors are mentioned by Moyers (2010). She notes that the inclusive nature of health care definitions for occupational therapists is a significant step forward in terms of recognizing the profession as a legitimate health care service. Occupational therapy, for example, is specifically included in the "Innovations in the Health Care Workforce" section of the new legislation. This is significant, because occupational therapists will now be eligible for state workforce grants, slots on the national commission on workforce, and other similar privileges enjoyed by other health care providers.
Other items, excluded from the bill, is the second item the author mentions. She notes that one of…
Davis, P.A., Hahn, J., Morgan, P.C., Stone, J., and Tilson, S. (2010, Apr. 23). Medicare Provisions in the Patient Protection. Retrieved from: http://www.nasuad.org/documentation/aca/CRS%20Reports/April%2023%20-%20Medicare.pdf
Moyers, P. (2010, Mar. 25). What Health Care Reform Means to Occupational Therapy.
Retrieved from: http://otconnections.aota.org/blogs/moyers/archive/2010/03/25/what-healthcare-reform-means-to-occupational-therapy.aspx
Sg2 Special Report: (2010, May). The Impact of Health Reform
Healthcare Case Study Schuylkill County, PA
County Overview - Schuylkill County, Pennsylvania is located in the heart of the anthracite Coal region of Pennsylvania where the Schuylkill iver originates. Pottsville is the county seat, and the county showed a population of just under 150,000 as of 2010 with a density of 190 persons per square mile. The total area of the county is 782 square miles, almost all land, less than 1/2 a per cent water. The county's history, likely due to large coal deposits, focused on the railroad and industrialization (Schuylkill Chamber of Commerce, 2011).
The county experienced the high point of its population during the 1920s and 1930s, and has been losing people ever since, most between 1950 and 1970, with about a 1-2% population loss since the turn of the century. This is likely due to the lack of appropriate jobs and opportunities within the county. Schuylkill…
County Health Statistics - Healthcare 2010. (2009, March). Retrieved from Pennsylvania Department of Health: http://www.portal.state.pa.us/portal/server.pt-in_hi_groupoperator_1=or&in_hi_req_objtype=18&in_hi_req_objtype=17&in_hi_req_objtype=512&in_hi_req_objtype=514&in_hi_req_objtype=43&in_hi_req_objtype=1&in_hi_req_apps=7&in_hi_req_page=10&in_ra_topoperator=or&
Comprehensive Plan. (2010, March). Retrieved from City of Pottsville, PA: http://www.city.pottsville.pa.us/html/cp1.htm
Election Statistics. (2010, June). Retrieved from Pennsylvania Department of State: http://www.dos.state.pa.us/portal/server.pt/community/running_for_office/12704
Schuylkill County. (2010, June). Retrieved from Sperling's Best Places USA: http://www.bestplaces.net/economy/county/pennsylvania/schuylkill
Here second question that is raised for the author is that till now and for the future, many healthcare architectures have been designed that increase the availability of the patient records, not only on the national but on an international scale as well. The author in the study has only focused on the national or local availability of the patient records.
Content of the article is strong and there are a number of important facts given in the article in relation to the importance of healthcare indexing systems. The healthcare indexing systems being used in U.S., UK and Australia have been mentioned as an example. The two models of the indexing architecture given by the author in the beginning have been linked by the author with the examples. The loopholes that can be noticed in these cases are the absence of any privacy and security concerns that may be an…
Liu, V., Caelli, W., Smith, J., May, L., Lee, H.M., Ng, H.Z., Foo, H.J., and Li, W. (2010). A Secure Architecture for Australia's Index-Based E-health Environment. Proc. 4th Australasian Workshop on Health Informatics and Knowledge Management (HIKM 2010), Brisbane, Australia, p. 7-16.
the Allied health care staffing agency is a staffing agency that focuses on the niche of the nursing jobs within the healthcare industry in Chicago
The Allied healthcare staffing agency works to recruit registered nurses belonging to all medical Specialties, Practical Nurses that are licensed also called LPNs, Nursing Assistants that are certified also called CNAs and Specialists from the allied health sciences. These professionals would be hired both from the area of the metro city as well as the suburbs and placed within the hospitals, the neighborhood medical centers, Adult care facilities, clinics, and rehabilitation centers.
The mission of the Allied Healthcare Staffing Agency is to provide the best opportunities of employment both to its collaborators which are the local healthcare organizations as well as serving the entire nursing community to provide amply amount of job opportunities to choose from in a time when the turnover of…
Bureau, U.C. (2000). Census 2000 Demographic Profile Highlights:. chicago illinois, fact sheet .
commerce, U. d. (2010). bear facts, state illinois. bureau of economic analysis .
directory, a. h. (2010). free stats & national stats. Retrieved september 7, 2011, from american hospital directory: www.ahd.com
Lindberg, R.C. (1991). To Serve and Collect: Chicago Politics and Police Corruption from the Lager Beer Riot to the Summerdale Scandal. chicago: praeger publications.
Healthcare Quality Management
PDCA Modeling in Healthcare
Psychiatric emergencies in medical settings may be particularly challenging since the staff does not encounter them frequently and may not have experience dealing with behavioral crisis intervention. The purpose of this exercise is to help staff improve understanding and coping with nonmedical emergencies that occur in medical settings using the PDCA cycle.
X is a 41-year-old male admitted to a medical unit with a diagnosis of possible stroke. The patient is ambulatory, 5'10," and 350 lbs. Mr. X presented to the emergency department the day before after apparently losing consciousness at home. The initial CAT scan of his head was negative. It is suspected that Mr. X may be an IV drug user since his urine toxicology screening came back positive for opiates. The medical staff thinks that Mr. X had a seizure prior to admission, but he has shown no abnormal signs…
Bennet, L., & Slavin, L. (2009, April 3). What Every Health Care Manager Needs to Know. Retrieved from Continous Quality Improvement: http://www.cwru.edu/med/epidbio/mphp439/CQI.htm
i Six Sigma. (N.d.). Focus - PDCA. Retrieved from I Six Sigma: http://www.isixsigma.com/dictionary/focus-pdca/
Pestka, E., Hatterberg, D., Larson, L., Zwygart, L., Cox, A., & Cox, D. (2012). Enhancing Safety in Behavioral Emergency Situations. Medsurg Nursing, 335-341.
Stated to be barriers in the current environment and responsible for the reporting that is inadequate in relation to medical errors are:
Lack of a common understanding about errors among health care professionals
Physicians generally think of errors as individual that resulted from patient morbidity or mortality.
Physicians report errors in medical records that have in turn been ignored by researchers.
Interestingly errors in medication occur in almost 1 of every 5 doses provided to patients in hospitals. It was stated by Kaushal, et al., (2001) that "the rate of medication errors per 100 admission was 55 in pediatric inpatients. Using their figure, we estimated that the sensitivity of using a keyword search on explicit error reports to detect medication errors in inpatients is about 0.7%. They also reported the 37.4% of medication errors were caused by wrong dose or frequency, which is not far away from our result of…
Discussion Paper on Adverse Event and Error Reporting In Healthcare: Institute for Safe Medication Practices Jan 24, 2000
Patient Safety/Medical Errors Online at the Premiere Inc. page located at: http://www.premierinc.com/all/safety/resources/patient_safety/downloads/patient_safety_policy_position_2001.doc
Medstat / Shortell, S. Assessing the Impact of Continuous Quality Improvement on Clinical Practice: What It Will Take to Accelerate Progress.
Health Policy Monitor (2001) A Publication of the Council of State Governments Vol. 6, No. 1 Winter/Spring 2001 PO18-0101
But due to the ineffective allocation of resources, while money was spent on his care when his blood sugar was 'out of control,' and when he began to develop blindness and other symptoms of uncontrolled diabetes, he did not receive the consistent but relatively low-care necessary to reduce the causes of his inability to manage his condition. Conclusion Healthcare operates within the market system, and is subject to opportunity costs like any other good or service. However, overall the healthcare system does not operate upon the principles of efficiency, often due to the bureaucracy of the healthcare system and its methods of reimbursement and prioritizing acute over primary care.
Gawande, Atul. (2009, June 1). The cost conundrum: What a Texas town can teach us about health care. The New Yorker. etrieved February 2, 2011 at http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande#ixzz1CpZ4jbV
Gawande, Atul. (2011, January 24). The hot spotters. The New Yorker. etrieved February…
Gawande, Atul. (2009, June 1). The cost conundrum: What a Texas town can teach us about health care. The New Yorker. Retrieved February 2, 2011 at http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande#ixzz1CpZ4jbVR
Gawande, Atul. (2011, January 24). The hot spotters. The New Yorker. Retrieved February 2,
2011 at http://www.newyorker.com/magazine/bios/atul_gawande/search?contributorName=atul%20gawande
Gibson, Jennifer, Douglas K. Martin, & Peter a Singer (2004). Setting priorities in health
Health Care & Faith Diversity
It is quite obvious how different religions hold different philosophical views on various aspects and even when it comes to healing. Each religion highly upholds their spiritual values hence the need for health practitioners to be cautious while handling varied clientele whether they hold the same religious sentiments or not. In this research we will major on the views held by the Sikh, Buddhist and Judaist religions in comparison to the Christian belief on healing.
The Sikh hold the belief that when one is sick it is the will of God and that He is merciful to heal; however one has to consider medical treatment in order to get well. During illness: Sikh patients engage in prayers to seek God for help, seek to obtain peace by remembering Gods name, recite sacred hymns (Gurbani) which are words from the holy scriptures (Guru Granth…
Dharma Haven, (2005).Tools for Healing Relaxing and Awakening. Retrieved March 30,
2012 from http://www.dharma-haven.org/tibetan/healing.htm
Manitoba, (2006). Core Competencies for Spiritual health care Practitioners. Retrieved March 30, 2012 from http://ahpcc.org.uk/pdf/compaudittool.pdf
Marinell & James (2009). Jewish Views of Illness and Healing. Retrieved March 30, 2012
Other ways to celebrate achievements would be to send thank-you cards, congratulatory notes, make phone calls, and send emails.
4. Being able to set challenging goals - people often strive to achieve what is expected of them, but if they are presented with a set of challenging goals they will work even harder to accomplish them.
5. Being able to provide the necessary tools to succeed - no team will stay motivated if they do not have the necessary tools that are required to do their job. This includes: equipment, internal support, inventory, marketing materials, and training among other things.
6. Performance management - teams expect their leader to manage individuals who do not perform up to standard. Many managers often ignore these situations because they are afraid to deal with them. They hope instead that the situation will resolve itself. This is never the case; bad situations that are…
5 Little-Known Giant Health Care Issues Facing the United States. (2007). Retrieved November
11, 2009, from Nursing Online Education Database Web site:
Francis, Margaret. (2007). Effective Management. Retrieved November 11, 2009, from Changing
Healthcare can be a stressful occupation. When providers encounter individuals who are experiencing problems with their health, it is only natural these patients may be brusque and harried, especially if they feel that they or their loved ones are not getting the attention they need and deserve. It is very easy to take out patient frustrations on nurses. Also nurses may find themselves struggling with long, back-to-back shifts because of inadequate staffing. Nurses must learn to work with one another to make such situations bearable, even when they feel unappreciated. Of course, the patients make it all worth the struggle in the end, but it is very easy to forget this unless nurses work together.
Collaborating with physicians is also essential. Patients must never perceive the workers taking care of their health as in an adversarial position. Although sometimes the different views of different forms of medical practice can be…
As standard procedure warranted in this case, her obstetrician injected her with varicella zoster specific immunoglobulin. The injection did occur too late, but this is a special case warranting attention and was a prophylactic to protect the baby. A few days later the N developed chickenpox anyway. The reasons why the vaccine did not take could have been the fact that the N had already been exposed, and the situation is referred to as "breakthrough varicella," (National Centre for Immunisation, 2009, p. 3). Breakthrough varicella is a mild form of the infection, and yet is still contagious. Varicella vaccine should not be given to the baby until it is twelve months of age, but it may not be necessary at all due to the potential in vitro exposure to the varicella zoster virus. Infants "should receive no specific treatment or vaccination after exposure to Varicella zoster virus (VZV) but…
Centers for Disease Control and Prevention (2014). Preventing varicella in health care settings. Retrieved online: http://www.cdc.gov/chickenpox/hcp/healthcare-setting.html
Cheprasov, A. (2014). The spread of disease. Retrieved online: http://education-portal.com/academy/lesson/the-spread-of-disease-endemic-epidemic-pandemic.html#lesson
Children, Youth, and Women's Health Service (n.d.). Chickenpox. Retrieved online: http://www.health.wa.gov.au/docreg/Education/Diseases/Communicable/Virus/HP8873_chickenpox.pdf
"Descriptive Epidemiology," (2014). Retrieved online: http://www.med.uottawa.ca/SIM/data/Epidemiology_rates_e.htm
Careful planning is vital due to the first 9 lessons listed here, that BI solutions: must probably be purchased by multiple providers; requires company it specialists who are well-versed in up-to-date BI solutions; are expensive; are time-consuming; take meaningful intra-company education; require the work of a consequential number of company personnel; should involve only necessary outsourcing with an eye toward educating personnel; require anticipation of change and willingness to adjust; can substantially increase productivity while reducing costs.
The Marchfield Clinic and Exclusive Resorts cases offer a number of Business Intelligence lessons, ten of which are discussed in this paper. Even without considerable it education and experience, the researcher learns that: businesses must often use Business Intelligence products from more than one company; a company's internal Information Technology specialists must know the state of the art; implementation of the Business Intelligence solutions is expensive; implementation can be quite time-consuming…
Electrosmart Ltd. (2013). Barriers to Business Intelligence. Retrieved May 6, 2013 from thebusinessintelligenceguide.com Web site: http://thebusinessintelligenceguide.com/bi_strategy/Barriers_To_BI.php
Imhoff, C. (2005, September 13). Business Intelligence project pitfalls. Retrieved May 6, 2013 from www.b-eye-network.com Web site: http://www.b-eye-network.com/view/1519
Konitzer, K., & Cummens, M. (2011, July 11). Case study - using analytics to improve patient outcomes and billing accuracy at Marshfield Clinic. Retrieved May 6, 2013 from tdwi.org Web site: http://tdwi.org/articles/2011/07/11/case-study-using-analytics-to-improve-patient-outcomes-and-billing-accuracy-at-marshfield-clinic.aspx
Mantfeld, F. (2010, March 22). Top 10 reasons by Business Intelligence projects fail. Retrieved May 6, 2013 from www.seemoredata.com Web site: http://www.seemoredata.com/en/entry.php?12-Top-10-reasons-why-Business-Intelligence-Projects-fail
The topic on "Social Marketing in Healthcare" advances how social marketing tool predominantly used in marketing consumer items can be effectively applied in the healthcare field. In addition, the development of social marketing research is an effective means by which information can be collected from consumers. This adds weight on this subject. In today's age, all activities are caught up in the information technology web. This is possible through the creation of systems of collecting, analyzing, and sharing information. This opportunity is now available to the healthcare workers because they can conduct consumer research through social marketing avenues. The information collected will then be used to develop efficient healthcare programs for consumers (Aras, 2011).
The key Points
The key points in the article include the need for health workers to use social marketing tools in conducting consumer research prior to developing and implementing healthcare programs. In this case, the article…
Aras R.Y. (2011). Social Marketing in Healthcare. Australasian Medical Journal, vol. 4(8): 418
Leslie, a. (2004). The Rising Cost of Health Care, Strategic and Societal. HR Magazine, vol.
Strategic human resource management:
Applications in a healthcare organization
It has been said that one of the great ironies of healthcare is that despite the fact it is an industry where the 'human' dimension is so important, the H department is often one of the most-overlooked aspects of healthcare organizations. "There is arguably no other labor-intensive industry that is so reliant upon a highly skilled, highly educated, high-cost, and high-in-demand workforce that literally makes life-or-death decisions every day. And yet, in many hospitals and health systems H remains an afterthought in the C-suite" (Commins 2013:1). However, the need for change is constant, and many organizations are finding they must 'adapt or die,' given the new realities they are facing. "by the federal healthcare law, the inevitable and growing shortages of skilled healthcare professionals, and the newfound and measurable importance of patient satisfaction scores for reimbursements will prompt…
Commins, J. (2013). Ready or not healthcare HR is going strategic. Health Leaders Media.
Retrieved from: http://www.healthleadersmedia.com/content/HR-266470/Ready-or-Not-Healthcare-HR-is-Going-Strategic
Kabene, S. (et al. 2006). The importance of human resources management in health care: A
global context. Human Resources Health, 4: 20. Retrieved from:
health care for the disabled. The writer explores the health care stages that are available for the disabled in every stage of life. The writer uses published works from various sources to illustrate and underscore the need for solid health care access for all disabled individuals in the nation. There were six sources used to complete this paper.
"Different stages of available health care for people with disabilities"
The issue of health care has been a hot topic of debate in this country for many years. Health care costs are skyrocketing, available services are dwindling and the public is screaming with outrage and demand for improvements to the entire health care system. While those who can speak for themselves are having no trouble voicing their upset about the current state of the nation's health care system, there is a population that cannot always speak up. The disabled in this country…
HEALTH CARE DECISIONS FOR THOSE WHO CANNOT CARE FOR:DIANE COLEMAN THEMSELVES. Congressional Testimony; 4/19/2005
Congressional Testimony. 04-19-2005
LONG-TERM HEALTH CARE:MARK R. MEINERS
Congressional Testimony; 4/19/2005
Education in Healthcare:
The health care system has been characterized with several issues in the recent past including increased costs, poor patient outcomes, shortage in the number of health workers across every category, and under-utilization of health workers. While lack of access to care and increased demand for health care choices are also major issues in this sector, workforce issues will continue to have tremendous impacts on health care delivery. According to the findings of a recent report, dysfunction in private and public health workforce policy and infrastructure contributes to vulnerabilities for health workers and puts the health of the nation at risk (Kreitzer, Kligler & Meeker, 2009). In addition, the current health care system consist inequities and misrepresentations that have continued to affect health workforce.
Health workforce is mainly influenced by the current system of healthcare education, which is characterized with certain challenges. The modern education in healthcare deters…
Kreitzer, M.J., Kligler, B. & Meeker, W.C. (2009, February). Health Professions Education and Integrative Health Care. Retrieved from Institute of Medicine of the National Academies website: http://www.iom.edu/~/media/Files/Activity%20Files/Quality/IntegrativeMed/Health%20Professions%20Education%20and%20Integrative%20HealthCare.pdf
Morganti, N. (2013, September 13). What Does it Take to Ready a Healthcare Workforce for Transformation to a Patient Centered Team-based Care Model? Retrieved from Health IT website: http://www.healthit.gov/buzz-blog/meaningful-use/ready-healthcare-workforce-transformation-patient-centered-teambased-care-model/
For these reasons, too, all stakeholders must be on the same page, so for instance Markson's group had to wait for consensus from a certain department before building the software but this consensus resulted in a much safer, more standardized process.
3. Unique challenges that face this company. Are they different from challenges in other environments?
Challenges to this company might have been unique in that their IT system was homegrown and customized for their particular hospital environment. In this way, they had challenges that other companies may not have had, such as having to know when to halt implementation and which software packages to install.
On the other hand, even though they employed a vender for only a short time, they did not run the risks of security and infiltration in database that another company may have had. Possibly, too, devotion of their team may be ascribed to the…
Bostrup, T. (n.d.). Introduction to Relational Databases - Part 1: Theoretical Foundation. 15 seconds. Retrieved on 7/17/2011from: http://www.15seconds.com/issue/020522.htm
Human Resources planning and strategy will be 'key' in enabling the organization to deal with pandemic situations. This leads to another primary challenge that the health care industry faces which is the shortage of nursing staff in today's health care organizations and institutions. Nursing staff in the healthcare industry re under great stresses on staffing due to an inadequate supply of individuals pursuing their nursing degree with an."..unprecedented demand for nursing services" however, colleges and universities as well as health care institutions have failed to develop effective workforce supply. The work of leich and Hewlett (2004) entitled: "Dissipating the Perfect Storm - Responses from Nursing and the Health Care Industry to Protect the Public's Health" published by the Journal of Issues in Nursing states: "In spite of the progress in nurse recruitment, the prognosis for balancing supply with demand is still precarious, at best. Sadly, AACN (2003a) reports that more…
Bleich, Michael R. And Hewlett, Peggy O. (2004) Dissipating the Perfect Storm - Reponses to Nursing and the Health Care Industry to Protect the Public's Health. Online Journal of Issues in Nursing. Vol. 9 No.2, May 2004. Online available at http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume92004/No2May04/DissipatingthePerfectStorm.aspx
Bureau of Labor Statistics, U.S. Department of Labor, Career Guide to Industries, 2008-09 Edition, Health Care, on the Internet at http://www.bls.gov/oco/cg/cgs035.htm (visited March 11, 2008).
Business Continuity Planning for the Global Healthcare Industry (2007) International Federal of Pharmaceutical Manufacturers and Associations. Jan 2007 IFPMA.
healthcare has been moving from a total "organic" model to a more holistic viewpoint of the patient and their individual needs. Healthcare professionals have come to realize that within any organization, nothing is ever in isolation. Research has shown us many things that can be improved using the holistic and multi-cultural models, as well as the direction(s) we are suggesting with our new program. Clearly, the empirical research shows us that there are many modifiers that can create illness, modify illness patterns, contribute to healing, and act in a preventative manner (Adler, 1994). This is particularly true when dealing with chronic diseases like AIDS. Specialized AIDS units within a modern healthcare facility offer a team of experts who are familiar with the various permutations of the disease and who have greater responsibility and autonomy within the nursing staff. This should, in theory, increase both objective and subjective outcomes for the…
Adler, N., et.al. (1994), "Health Psychology: Why do Some People Get Sick and Some
Stay Well?," Annual Review of Psychology, 45. http://arjournals.annualreviews.org/oi/abs/10.1146/annurev.ps.45.020194.001305
Aiken, L., Sloan, D. (1997). Effects of Specialization and Client Differentiation on the Status of Nurses: The Case of AIDS. Journal of Health and Social Behavior. 38 (3): 203-22.
Chow, M.k, et al. (2010). The benefits of using a mixed methods approach -- quantitative with qualitative -- to identify client satisfaction and unmet needs in an HIV healthcare centre. AIDS Care. 22-94): 491-98.
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.
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…
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.
Strategic Healthcare Management
How is the strategic planning process for a healthcare organization different from that of other service industries?
It is often said that there is no good time to become ill -- however, from the health care provider's point-of-view, an unplanned rise in community ailments is an unfortunate unplanned excess cost to the organization as well as an unfortunate blow to a number of individual's states of health. This is why strategic planning of health care costs for organizations must evaluate the appropriateness, necessity, and quality of the prescribed services on a retrospective basis, as well as on a prospective or concurrent basis. ((ProPAC, 1996)
In contrast to other service industries, it can be more difficult for healthcare organizations to plan for seasonal rises and lows in demands placed upon the institutions and its works. True, flu and allergy season brings certain predictable demands for flu shots and…
CDC. (14 Nov 2005) "Patient Screening Form: Who should and who should not get a flu shot?" Retrieved 12 May 2005 at http://www.cdc.gov/flu/professionals/flugallery/shortageflyers.htm
CDC (20 Jan 2005) "Updated Infection Control Measures for the Prevention and Control of Influenza in Health-Care Facilities Retrieved 12 May 2005 at http://www.cdc.gov/flu/professionals/infectioncontrol/healthcarefacilities.htm
Medicare Payment Advisory Commission. (March 1998) "Report to the Congress: Medicare Payment Policy."
Prospective Payment Assessment Commission (ProPAC). (June 1995) Medicare and the American Health Care System. Report to the Congress, Washington, DC: Prospective Payment Assessment Commission.
2.) Based upon your personal, non-professional experiences, briefly discuss 2 or 3 applications of it which have enhanced or hindered your financial or medical well being. It and cyber-commerce/e-commerce do not exist devoid of context; thus please help define and shape this context.
The advent of computerized billing and medical coding has undoubtedly streamlined the process of managing a hospital's income and expenditures, but this aspect of healthcare it has been known to create unanticipated disadvantages as well. Although it is true that "the management of healthcare organizations can be improved through the intelligent use of information ... (and) this requires systematic planning and management of information resources to develop information systems that support patient care, administrative operations, and strategic management" (Citation pg. 21), there are a number of caveats that still apply. In my own non-professional experience, I have encountered confusion, frustration, and ineptitude on the part of healthcare…
In some respects, the challenges faced by leaders in health care organizations do not vary from those faced by leaders in other organizations. The balance between patient outcomes, the disparate groups of subject matter experts and the challenges presented by operating in a highly regulated and litigious industry, in addition to the life-and-death consequences of the organization's work highlight the need for unique leadership in health care. Resources are finite and fleeting, crises are manifold and constraints are many. The health care leader must have an acute sense of how to bring all of these different resources together -- this means having in-depth knowledge but also a feel for how all the pieces come together and how different changes will affect the organization's outcomes.
Leading people is a far different challenge compared with managing resources, because attention must be paid to the needs of the workforce. Yet, because the workforce…
Annison, a. (1998). Trust matters: New directions in health care leadership. France: Artech House.
Plsek, P. & Wilson, T. (2001). Complexity, leadership and management in health care organizations. British Medical Journal. Vol. 323 (7315) 746-749.
Porter-O'Grady, T. & Malloch, K. (2007). Quantum leadership: A resource for health care innovation. Sudbury, MA: Jones and Barlett Publishers
Treasure, T. (2001). Redefining leadership in health care. British Medical Journal. Vol. 323 (7324) 1263.
Third Party Patient
The Doctrine of Apparent Agency
June, a 34-year-old divorced woman diagnosed with severe anorexia, is hospitalized. Her doctors feel she may need to be placed on a feeding tube soon to save her life. Initially June agreed to the feeding tube. However, in the evening (before the tube has been placed), she became combative, disoriented, and refused to have the feeding tube placed. Her mother and father insisted that the feeding tube be inserted despite her refusal to allow it. Her ex-husband wishes to uphold June's decision. The hospital administrators seek risk management for legal counsel.
Explain how the Patient Bill of ights applies to this situation.
The Patient Bill of ights articulates U.S. federal law on the doctor-patient relationship, and is consistent with laws on informed consent where licensed professional practice respective to patient well being is in order. Confidentiality of patient record is perhaps…
Bullough, B. ed. The Law and the expanding nursing role. New York, NY: Appleton-Century-Crofts, 1980.
Callahan, Joan, ed. Ethical Issues in Profesional Life. Oxford: Oxford University Press, 1988.
Patient Bill of Rights (2010). NIH. Retrieved from: http://www.cc.nih.gov/participate/patientinfo/legal/bill_of_rights.shtml
How is shared decision-making different from informed consent? (2010) American Cancer Society. Retrieved from: http://www.cancer.org/Treatment/FindingandPayingforTreatment/UnderstandingFinancialandLegalMatters/InformedConsent/informed-consent-shared-decision-making
Planned change in the eldercare advocacy organization
In the coming years, many countries will experience a dramatic shift in healthcare infrastructure due to an expanding elderly population size. However, the changes may vary across countries depending on many factors such as the kind of social welfare available in each country, the political environment which determine policies, the level of healthcare available and individual expectations in each country. Due to this wide variance, the innovations within this space will also vary greatly. What this means to the healthcare manager is that managing innovations becomes very hard (Shlutz, Andre & Sjovold, 2015 p 42). This also impacts on performance management which is fast gaining popularity in the public sector as a means to improve on accountability. Unfortunately, it has been cumbered by a series of challenges in its implementation; this is in spite of the frameworks developed over the last couple of…
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…
Federal Bureau of Prisons
While most people seem to agree that prisoners should have access to basic healthcare while incarcerated, there is tremendous variation about what type of healthcare constitutes basic care. The reality is that many prison inmates receive a better quality of healthcare than non-incarcerated working-class individuals, but many inmates also suffer consequences because of significant medical neglect. For the federal prison system, the Federal Bureau of Prisons (BOP) is the agency given broad oversight over healthcare in prison. In fact, the BOP is in charge of all aspects of inmate care for all inmates in the federal prison system.
The BOP is part of the Department of Justice (DOJ). It was established in 1930 to regulate the federal prison system. The BOP's job is not limited to healthcare. Instead, it has responsibility for the entire federal prison system, which "currently includes 114 prisons, 6 regional offices, 2…
U.S. Department of Justice, Office of the Inspector General Audit Division. (2008). The
Federal Bureau of Prison's Efforts to Manage Inmate Health Care. Retrieved April 29,
2013 from the Justice.gov website: http://www.justice.gov/oig/reports/BOP/a0808/final.pdf
Wallechinsky, D. (2012). Federal Bureau of Prisons. Retrieved May 1, 2013 from Allgov.com website: http://www.allgov.com/departments/department-of-justice/federal-bureau-of-prisons-bop?agencyid=7204
The healthcare industry has widely adopted IT solutions in the development and maintenance of information systems for this sector. These information system applications will go a long way in boosting medical care goals by reducing costs significantly, increasing efficiency in the process and achieving a zero error. With this, client satisfaction will be realized. At the core of this is the electronic medical records (EHR) which is representative of all the health information of an individual that is available in a database and can be shared across healthcare service providers (Rouse, 2016). Also integral to this system are two components; mobile health (mHealth) and telehealth (telemedicine). Though the two are interconnected, they have a slight difference. Telehealth includes home monitoring of health conditions through desktops, laptops and other online material (Terry, 2016), while mobile health is restricted to mobile devices.
Considering the impact of electronic medical records (EHR), it is…
As David Logan mentions in the 2009 TED talk called “Tribal Leadership,” most people are in what he called Level Three Tribes: functioning at a high level of personal and professional performance but lacking the broader visions that can unite people and change the world. Reflecting on Logan’s message, I have become more aware of the ways I remain stuck at either Level Two or Level Three throughout my life but am passionate about moving up and into Level Four and hopefully, Level Five. The tribes I belong to are many, including more than one at the professional level. For example, I am a member of several different professional organizations, am a team leader in a healthcare institution as well as in class, and am also a member of an extended group of healthcare workers and patient advocates in the community. In my personal life, I am also a member…
Healthcare Management -- Discussion Questions
Communication strategies are very important when it comes to promoting the practice of healthcare delivery and ensuring that customer service is offered at the highest level. If a person does not communicate well it can harm him or her both personally and professionally. However, that is still a rather isolated issue that is generally considered to be self-limiting in nature. With companies, and especially with healthcare companies, the issue of poor communication is much larger and more significant. As a healthcare worker, a person has to be able to communicate information to patients, families, and other healthcare workers (Nutbeam, 2000). When a person is a manager in a healthcare setting, though, there is much more pressure to make sure that everyone gets the information they need in a timely manner and that the communication preferences as addressed in such a way that each and every…
Arora, V.M., Manjarrez, E., Dressler, D.D., Basaviah, P., Halasyamani, L., & Kripalani, S. (2009). Hospitalist handoffs: A systematic review and task force recommendations. Journal of Hospital Medicine, 4(7): 433- 440. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3575739/
Mercuri, R.T. (2004). The HIPAA-potamus in health care data security. Security Watch. Communications of the ACM, 47(7): 25-28. Retrieved from http://www.notable-software.com/Papers/HIPAA.pdf
Moskop, J.C., Marco, C.A., Larkin, G.L., Geiderman, J.M., & Derse, A.R. (2005). From Hippocrates to HIPAA: Privacy and confidentiality in emergency medicine -- Part I: Conceptual, moral, and legal foundations. Annals of Emergency Medicine, 45(1): 53-59. Retrieved from https://www3.acep.org/assets/0/16/898/904/2196/2280/C798499F-59F2-42A3-A23A-A575767D4234.pdf
Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3): 259-267. Retrieved from http://heapro.oxfordjournals.org/content/15/3/259.long
Hand-held devices and portable digital assistants (PDAs) are being integrated into the health care setting in the United States. It is important to understand which devices are being used, how they are being used, what they are being used for, and why. Understanding the role that hand-held devices and other portable electronics play in health care can help to inform organizational policy, and help health care administrators better implement electronic medical records.
History of use
The first documented PDA was the Newton MessagePad, issued by Apple in 1993. It was described as being "revolutionary" (Wiggins, 2004, p. 5). Palm, Inc. developed the next big handheld device: the Palm Pilot, in 1996. By the late 1990s, PDAs were equipped for Internet access, and memory capacity and other features improved with each product release. Microsoft also entered the portable electronic devices marketplace in the 1990s. The devices were not yet being…
Alerndar, H. & Ersoy, C. (2010). Wireless sensor networks for healthcare. Computer Networks 54(15): 2688-2710.
Fornell, D. (2008). PDAs bring hand-held solutions to healthcare. Acuity Care Technology. Retrieved online: http://www.soti.net/PDF/PDAsBringHandHeldSolutionsToHealthcare_Article.pdf
Garritty, C. & El Emam, K. (2006). Who's using PDAs? Journal of Medical Internet Research 8(2).
Huang, V.W. (n.d.). PDAs in medicine. Power Point Presentation Retrieved online: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&ved=0CF4QFjAB&url=http%3A%2F%2Fwww.cs.princeton.edu%2Fcourses%2Farchive%2Fspr02%2Fcs495%2Fpda.ppt&ei=xxqAUsq_NtTFqQG25IHwAQ&usg=AFQjCNE4Wf4YrX7slTbcdYJwxujV3rwgog&sig2=Uee9rvdDYwY0uYM33n1ZBg&bvm=bv.56146854,d.aWM
Would you describe yourself as a spiritual person, a religious person, or neither?
I would not describe myself as a spiritual person, but I am open-minded. I do not typically talk about my religion or my beliefs. I respect other people's beliefs. Some people call me agnostic, but I don't care for labels. I did not come from a religious family.
Do your spiritual beliefs and practices reflect that of your family, background, or community, or are your beliefs different from those of your loved ones?
My spiritual beliefs are similar to those of my friends and family members because I do not know many people who are overtly religious.
Do you pray or meditate? How often, and how do these practices fit into your life?
I have learned how to meditate, but I do not necessarily consider this a spiritual practice. I meditate to calm my mind…
The Joint Commission (2008). Spiritual assessment. Retrieved online: http://www.jointcommission.org/mobile/standards_information/jcfaqdetails.aspx?StandardsFAQId=290&StandardsFAQChapterId=29
Saguil, A. & Phelps, K. (2012). The spiritual assessment. American Family Physician 86(6): 546-550
Healthcare Contact Workers
Controversy of Healthcare Contract Workers
enefits of Hiring Contract Workers for Healthcare
Drawbacks of Hiring Contract Workers
Lack of Loyalty and Motivation
Healthcare Contract Workers
Controversy Surrounding Healthcare Contract Workers
This paper is designed to analyze the role of healthcare contract workers. This paper discusses the reasons of being hired by different companies. The advantages that a company has by appointing temporary employees are also highlighted. As every aspect has two sides, therefore disadvantages are also discussed. There are many controversies that temporary employees have to face while working in any company. Companies believe that there resources might be wasted if they invested more in temporary employees hence they have to survive on their own. They face reliability issues and permanent employees do not trust them a lot. This paper gives an overall analysis on the difficulties…
Dawe, T. (n.d.). What are the Disadvantages of Hiring Temporary Workers?
Erickson, T. (2012, September 7). Harvard Business Review. The Rise of the New Contract Worker.
Hutton, S. (2011, July 25). Advantages of Hiring Contract Employees. Solutions to controlling Employee Costs in Unpredictable Economic Times.
Schaefer, P. (2005). Business Know- how. The Pros and Cons of Hiring Temporary Employees.
Healthcare Service Delivery
Interpersonal communication in delivery of health communication
Interpersonal communication is the form of communication that exists between two people and it is the type of communication that is deemed universal in many measures. Interpersonal communication involves the daily exchange which could be informal or formal in nature depending on the purpose and surrounding, it can take the form of facial expression, sounds, gestures, written words, spoken words and postures (MBA Knowledge base, 2011).
Interpersonal communication, involves dissemination and reception of objective message or information between two or more people/groups with an aim of getting the desired effect on the receiving individual or groups (Ally & Bacon, 1999). Some professional however contend that for a communication to qualify to be considered interpersonal communication then the two parties involved must be at close proximity and must be familiar with each other or share something in common. The health sector…
Ally & Bacon, 1999. Interpersonal Communication: Definition of Interpersonal Communication.
Retrieved March 30, 2014 from http://www.abacon.com/commstudies/interpersonal/indefinition.html
Education Resources Information Center, (2008). International Journal of Language & Communication Disorders. Retrieved March 30, 2014 from http://www.eric.ed.gov/ERICWebPortal/search/detailmini.jsp?_nfpb=true&_&ERICExtSearch_SearchValue_0=EJ818590&ERICExtSearch_SearchType_0=no&accno=EJ818590
Health Promotion at EACH, (2014). Planning: Needs assessment: what issue should your program address? Retrieved March 30, 2014 from http://www.each.com.au/health-promotion/health-promotion-at-each/what-is-health-promotion/planning/
Healthcare in Canada: To Privatize or Not to Privatize
To Privatize or not to Privatize: Healthcare in Canada
Canada prides itself in one of the most generous healthcare systems in the world. Canadians do not have to rely on their employers for health insurance or to pay out-of-pocket for their medical procedures as the greater part of their healthcare bill is footed by the government. This has had the effect of making the country a rather healthy nation; however, its health comes at a cost. Canada currently spends over 9% of its GDP on healthcare -- the highest amount in the developed world. This proportion can be expected to rise over the coming years as the Baby Boomer population ages. Privatization has been proposed as a possible way of reducing the government's expenditure on healthcare. This text assesses the potential costs and benefits of healthcare privatization.
Open letter to the…
Commission on the Future of Healthcare in Canada. (2002). Sustainability of Canada's Healthcare System. Commission on the Future of Healthcare in Canada. Retrieved December 14, 2015 from http://www.cfhi-fcass.ca/sf-docs/default-source/romonow-commission-english/Discussion_Paper_Sustainability_of_Canada_s_healthcare_system.pdf?sfvrsn=0
Howard, W. J. (2011). Missing Links: the Effects of Healthcare Privatization on Women in Manitoba and Saskatchewan. Prairie Women's Health Center of Excellence. Retrieved December 14, 2015 from http://www.pwhce.ca/pdf/ml.pdf
Wilson, DF. (2000). Privatization of the Canadian Healthcare System: Not Yet and Hopefully Never. University of Alberta, Edmonton. Retrieved December 14, 2015 from https://www.uow.edu.au/~bmartin/dissent/documents/health/privat_canada.html
Healthcare/Statistics/Human esources Leadership
Human esource Management in Healthcare
The article taken into consideration in this assignment is Home Care: The Fastest Growing Low-Wage Industry by Candace Howes. In accordance to Howes (2015), essentially all the growth and development in the Long-standing Services and Supports industry is encompassed in home and community-based services that are progressively being more subjugated by the fast-growing for-profit home care agency industry where charters are making considerable and noticeable progress (Howes, 2015). In contradiction of nurses' aides in hospitals and nursing homes, who are undertaking, in fact, similar jobs, home care workers employed by these agencies and by public entities are not covered under the FLSA (Fair Labor Standards Act). In turn, this makes it prohibitive for them to link with unions and repudiating them the right to minimum wage and overtime protection (Howes, 2015).
I agree that home-care health nurse aides ought to be eligible…
Casto, R. (2015). Why Are Statistics Important in the Health Care Field? Livestrong. Retrieved 11 January, 2016 from: http://www.livestrong.com/article/186334-why-are-statistics-important-in-the-health-care-field/
Curtis, E. A., de Vries, J., & Sheerin, F. K. (2011). Developing leadership in nursing: exploring core factors. British Journal of Nursing, 20(5), 306.
Giltinane, C. L. (2013). Leadership styles and theories. Nursing Standard,27(41), 35-39.
Howes, C. (2015). Home Care: The Fastest Growing Low-Wage Industry. New Labor Forum 2015, Vol. 24(2) 98-10.
It has been highly publicized that the healthcare industry in general is quickly evolving on many different levels that include technological progress, administrative efficiencies, as well as the regulatory and political environment. One of the considerations that should be on the forefront of a series of reforms should be how to create value and improve quality in what could be considered an incredibly dynamic healthcare industry. Many of the competencies that are involved in adapting to the new environment are largely multidisciplinary and include some of the best practices from strategic management, financial management, project management, and human resources as well as several others fields. For example, many of technologies have offered new levels of treatment that were previously thought unimaginable. However, at the same time, there are massive levels of inequality present in the system and there are many individuals who are still basically excluded from receiving…
Dash, P., & Meredith, D. (2010, November). When and how provider competition can improve health care delivery. Retrieved from McKinsey: http://www.mckinsey.com/insights/health_systems_and_services/when_and_how_provider_competition_can_improve_health_care_delivery
Jones, T. (2015). A Descriptive Analysis of Implicit Rationing of Nursing Care: Frequency and Patterns in Texas. Nursing Economics, 144-154.
Papastavrou, E., Andreou, P., & Vryonides, S. (2014). The hidden ethical element of nursing care rationing. Nursing Ethics, 583-593.
Papastavrou, E., Panayiota, A., Hartini, T., & Anastasios, M. (2014). Linking patient satisfaction with nursing care: the case of care rationing - a correlational study. BCM Nursing, 13-26.
"Studies of the relationship between managed care penetration in the health care market and expenditures for Medicare fee-for-service enrollees have demonstrated the existence of these types of spill over effects" (Bundorf et al., 2004).
Managed care organizations generate these types of spillover effects by increasing competition in the health care market, altering the arrangement of the health care delivery system, and altering physician practice patterns. Studies have found that higher levels of managed care infiltration are linked with lower rates of hospital cost inflation and lower physician fees are consistent with competitive effects. "Other studies demonstrate the impact of managed care on delivery system structure including hospital capacity, hospital admission patterns, the size and composition of the physician workforce and the adoption and use of medical equipment and technologies. More recent evidence has linked market-level managed care activity to the process, but not the outcomes of care" (Bundorf et al.,…
Altman, D.E. And L. Levin. (2005). The Sad History of Health Care Cost Containment as
Told by One Client. Health Affairs, 24(1).
Bodenheimer, T. (2005). High and rising health care costs. part 1: Seeking an explanation.
Annals of Internal Medicine, 142(10), 847-54.
The reason why, is because this is a sign that the quality of care that is being provided in declining. What normally happens is staff members, will often become frustrated with: health care environments that are inefficient and where management has an attitude of indifference. This is problematic, because it can spread through the organization like cancer by: eating away at the fundamentals that made the facility great.
Once this occurs, it will have an impact on: the costs, efficiency and profitability of the hospital. This is the point that this could undermine the reputation of facility and it could have an impact on the brand. When this takes place, it is a sign that many hospitals are falling into a downward spiral of: declining quality of care and increasing costs. At which point, it only becomes a matter of time until: some kind of major restructuring must occur or…
Ableson, R. (2010). Employers Push Costs for Health Care on Workers. New York Times. Retrieved from: http://www.nytimes.com/2010/09/03/business/03insure.html
Palfry, C. (2004). Effective Health Care Management. Malden, MA: Blackwell.
Shortell, S. (2006). Health Care Management. New York, NY: Thomason.
Healthcare spending by the New York State persistently surpasses its earnings. That difference continues to be expanding and is also anticipated to broaden unless of course there happen to be severe, continuous modifications in spending budget actions. Lieutenant Governor ichard avitch, in "A 5-Year Strategy to Deal with the State of New York's Spending budget Deficit" released during March 2010, approximated this structural disproportion within the state's spending budget to become no less than $13 billion. The structural inequality isn't simply the consequence of the economic downturn that started during 2007, and a commonly strengthening economic climate is not going to get rid of it.
To help the State of New York in providing the solutions and dedication to quality that its residents rely on, structural modifications are needed. The aim of this paper is actually to summarize one particular realignment - solving an outright inequity involving the state as…
California Public Employees' Retirement System, "Facts at a Glance: Health," September 2010, http://www.calpers.ca.gov/eip-docs/about/facts/health.pdf .
Citizens Budget Commission, Out of Balance: A Comparison of Public and Private Employee Health Benefits in New York City, December 2009, http://www.cbcny.org/sites/default/files/REPORT_Survey_12162009.pdf .
City of New York Office of Labor Relations, "New York City Summary Program Description, Health Benefit Program," 2010, http://www.nyc.gov/html/olr/downloads/pdf/healthb/full_spd.pdf.
Government Finance Officers Association, "Recommended Practices, Health Care Cost Containment 2004," http://www.gfoa.org/downloads/corbaHealthCareCostContainment.pdf .
(Wolf, 2008) When you put all of these different elements together, it means that denying health care services to undocumented workers and their families will cause their underlying levels of health to slowly deteriorate. If something serious does occur, these people will more than likely be forced to fend for themselves.
Conducting research in these two areas would be beneficial in influencing health care policy / outcome by: highlighting the overall human cost of the problem on the industry and society. Where, the act of denying them access to health care and the lingering effects could be considered a human rights issue. As a result, the research that would be conducted would be beneficial, in highlighting the overall harsh conditions that these families are forced to endure. Once you present the situation in this light, this will shift the debate from one of a cost issue to being about: basic…
Health Care for Undocumented Immigrants. (2008). Medical News Today. Retrieved from: http://www.medicalnewstoday.com/articles/56809.php
Aparico, A. (2004). Costs of Care and Lack of Health Insurance. Immigrants, Welfare Reform and Poverty Policy. (pp. 73 -- 77). Westport, CT: Praeger.
Wolf, R. (2008). Rising Health Care Costs. USA Today. Retrieved from: http://www.usatoday.com/news/washington/2008-01-21-immigrant-healthcare_N.htm
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…
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
" (Arnold & Reeves, 2009). ith medical services price at the present time, illness or some kind of complicated to medical services may take people deprived of health insurance years to reimburse for bills that are medical. Furthermore, I believe that individuals who lost their jobs also are uninsured for the reason that their employer gave health insurance is no longer paying for them. I understand that based on the statistic; there are "way too many around 1 million workers that have lost their health reporting in the first three months of 2009. I think that helping people buy health insurance coverage with low-cost with offering the health plans options for the uninsured is the healthcare reform that is really needed now. In this way, individuals that are without health insurance will be able to afford paying their medical insurance to uphold their well-being.
In conclusion, with the increasing rapidly…
Arnold, P.J., & Reeves, T.C. (2009). International Trade and Health Policy: Implications of the GATS for U.S. Healthcare Reform. Journal of Business Ethics, 63(4), 34.
Belcon, M.C., Ahmed, N.U., Younis, M.Z., & Bongyu, M. (40-74.). ANALYSIS of NATIONAL HEALTHCARE SYSTEMS: SEARCHING for a MODEL for DEVELOPING COUNTRIES - TRINIDAD and TOBAGO as a TEST CASE. Public Administration and Management, 14(2), 10-14.
Bolduc, C.R. (2008). The impact of healthcare reform on HMO administrators. Hospital & Health Services Administration, 17(9), 23-45.
Reiboldt, M. (2010). The Industry Responds to the Passing of Healthcare Reform. The Journal of Medical Practice Management, 18(6), 327-328.
Polls examining public support of the bill and specifically the public healthcare option vary significantly. ith regard to physicians, the New England Journal of Medicine surveyed over six thousand medical doctors and found there was a majority in favor of federally provided public healthcare insurance (Keyhani & Federman). Other polls have suggested an opposition to the public option (Marmor).
The public option would provide an affordable alternative to the current private health insurance options and would provide impetus for competition and positive change. hether "America's Affordable Health Choices Act of 2009" will be passed is currently uncertain. hat is certain is that the healthcare and health insurance system is currently not sufficient to provide healthcare support for nearly 48 million uninsured Americans. Alterations need to be made to increase access and affordability for those individuals who desire health insurance.
The healthcare and health insurance system in the United States…
Harrington, Charlene, Carroll L. Estes, and Cassandra Crawford. Health policy. Jones & Bartlett Publishers, 2004.
Keyhani, Salomeh, and Alex Federman. "Doctors on Coverage -- Physicians' Views on a New Public Insurance Option and Medicare Expansion." N. Engl J. Med 361.14 (2009): e24.
Kotlikoff, Laurence J. The healthcare fix. MIT Press, 2007.
Marmor, T. "The Obama Administration's Options for Health Care Cost Control: Hope vs. Reality." 7 Apr 2009. 1 Nov 2009 .
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 the early 1980s, managed care became an entity between the physician, the patient, and the healthcare provider of hospital services. It began subtly, but has, today, become one of the most aggressive and successful business ventures of our time; and it has been the unmaking of a once stellar and progressive American institution.
Managed care is a "distinctly American" product (Birenbaum, 1997). It was legislation introduced by the Nixon Administration with the intent to regulate healthcare and to maintain…
Bernstein, A.B., Hing, E., Moss, A.J., Allen, K., Siller, A., and Tiggle, R. (2003). Health Care in America: Trends in Utilization. Hyattsville, MD: National Center for Health Statistics.
Birenbaum, A. (2002). Wounded Profession: American Medicine Enters the Age of Managed Care. Westport, CT: Praeger.
Birenbaum, A. (1997). Managed Care: Made in America. Westport, CT: Praeger.
Committee on Health Care Access and Economics Task Force on Mental Health (2009). Improving Mental Health Services in Primary Care: Reducing Administrative and Financial Barriers to Access and Collaboration. The Official Journal of the American Academy of Pediatrics, March, 30, 2009, pp. 1248-1251.
(Health Insurance Coverage, 2009). This is just a little higher than what was reported in the state of Pennsylvania over the last two-year period, which was at 25% (Krawczeniuk, 2009). "The number of uninsured rose 2.2 million between 2005 and 2006 and has increased by almost 8 million people since 2000" (Health Insurance Coverage, 2009).
Most Americans are provided with health insurance coverage through their employers. But in today's society employment is no longer a guarantee of health insurance coverage. "As America continues to move from a manufacturing-based economy to a service economy, and employee working patterns continue to evolve, health insurance coverage has become less stable. The service sector tends to offer less access to health insurance than the manufacturing sector does. Further, an increasing reliance on part-time and contract workers who are not eligible for coverage means fewer workers have access to employer-sponsored health insurance" (Health Insurance Coverage,…
Descriptive Statistics. (2006). Retrieved May 5, 2009, from Research Methods Knowledge Base
Web site: http://www.socialresearchmethods.net/kb/statdesc.php
Health Insurance Coverage. (2009). Retrieved May 5, 2009, from National Coalition on Healthcare Web site: http://www.nchc.org/facts/coverage.shtml
Krawczeniuk, Borys. (2009, March 26). Study Finds Health Care Gaps. Times-Tribune, The
Day treatment programs can provide services at less cost because the patient goes home at night after being treated during the day, which often is used for rehabilitating chronically ill patients (Sharfstein, Stoline, & Koran, 1995, p. 249). The mere fact of having more choice benefits some patients by giving them more say in their care.
Patient-focused care involves a method for containing in-patient costs for hospitals and for improving quality by "restructuring services so that more of them take place on nursing units rather than in specialized units in other hospital locations, and by cross-training staff on the nursing units so that they can do several 'jobs' for the same small group of patients rather then one 'job' for a large number of patients" (Kovner, 1995, p. 186). Kovner notes a number of barriers to this type of care. One reason has been that hospitals have not had to…
Doctors Say Managed Care Strains Patient Relationships (1997, June 9). Westchester County Business Journal 36(23), p. 24.
Kovner, a.R. (1995). Hospitals. In Jonas's Health Care Delivery in the United States, a.R. Kovner (ed.), pp. 162-193. New York: springer Publishing.
Moore, G.T. (1991,
April 24). Let's provide primary care to all uninsured Americans ? now! JAMA, pp. 2108-2109.
S. healthcare structure do not include the unobserved disparities. This may sound very rudimentary, even silly to point out, but in by understanding that the numbers are actually worse than they appear, and that the rising costs of healthcare services re associated with both what we see and can't see, it is easier to understand how costs rise so quickly.
It is also a sobering fact that what we cannot observe is still out there, existing beyond the scope of the government and social programs designed to help people overcome obstacles to access to healthcare and health insurance. The ethnic group that is most unobserved within the bounds of many of the studies and statistics related to the disparities in the U.S. healthcare industry is non-Mexican Latinos (Bustamante, et. al., 2009). This group represents a major portion of the U.S. population that currently lacks access to healthcare. In understanding this…
Bodenheimer, T., Chen, E., and Bennett, H.D. (2009). "Reorganizing Care:
Confronting The Growing Burden Of Chronic Disease: Can The U.S. Health Care Workforce Do The Job?" Health Affairs. Vol. 28, No. 1. Pp. 164-174.
Braveman, P.A., Cubbin, C., Egerter, S., Williams, D.R., and Pamuk, E. (2010).
"Socioeconomic Disparities in Health in the United States: What the Patterns Tell Us." American Journal of Public Health. Vol. 100, No. 1. Pp. 186-196.
Health Care Reform Federal Deficit
The American Health Care Crisis and the Federal Deficit
The United States spends more than any other country on medical care. In 2006, U.S. health care spending was $2.1 trillion, or 16% of our gross domestic product. At the same time, more than 45 million Americans lack health insurance and our health outcomes (life expectancy, infant mortality, and mortality amenable to health care) are mediocre compared with other rich democracies. We spend too much for what we get.
Nothing is new about these sobering realities. The Nixon administration first declared a health care cost crisis in 1969. Four decades later, the United States still has not adopted systemwide cost controls because the politics of health care make it extraordinarily difficult to control costs. I explain below why this is so (Marmor, et al., 2009).
The starting point for understanding the politics of cost control is…
1. Eakin, Douglas and Michael Ramlet. (2010) "Health Care Reform is Likely to Widen Budget Deficits -- Not Reduce Them." Health Affairs, 29, no.6:1136-1141. Eakin and Ramlet examine the underpinnings of the Congressional Budget Office's projection that enacting the Patient Protection and Affordable Care Act will decrease deficits, and conclude that it is built on a shaky foundation of omitted costs, premiums shifted from other entitlements, and politically dubious spending cuts and revenue increases. A more comprehensive and realistic projection suggests that the new reform law will raise the deficit by more than $500 billion during the first ten years and by nearly $1.5 trillion in the following decade. This is an excellent article with regards to my article, written by two policy commentators at the forefront of their field. This article shows expertise in medical economics and offers compelling, clear arguments for the increase in the federal deficit due to the massive spending on entitlements as a result of passing the Patient Protection and Affordable Care Act. They project deficits, opposing the Congressional Budget Office, through their insightful analysis.
2. Marmor, Theodore, Jonathan Oberlander, and Joseph White. (2009) "The Obama Administration's Options for Health Care Cost Control: Hope vs. Reality." Ann Intern Med. 150:485-489. Controlling the costs of medical care has long been an elusive goal in U.S. health policy. This article examines the options for health care cost control under the Obama administration. The authors argue that the administration's approach to health reform offers some potential for cost control but also embraces many strategies that are not likely to be successful. Lessons the United States can learn from other countries' experiences in constraining medical care spending are then explored. This article offers evidence for the lack of cost containment in the Obama administrations' plans for health reform. It gives a good analysis of the international scene in health care as well.
3. Collins, Sara, Michelle M. Doty, Karen Davis, Cathy Schoen, Alyssa L. Holmgren, and Alice Ho. (2004) "The Affordability Crisis in Health Care." Commonwealth Fund Biennial Health Insurance Survey. Published in 2004, The Commonwealth Fund Biennial Health Insurance Survey, conducted from September 2003 -- January 2004, presents new and timely information on where the American public stands on solutions to reform the health care system. The survey finds widespread support for federal efforts to extend health insurance to more people, as well as a widely held belief that the financing of health care should continue to be a shared responsibility among individuals, employers, and the government. The survey also uncovered potential reasons for such strong support for health care reform. Among the insured and the uninsured alike, there is concern that health care security in the United States is eroding. People are experiencing reductions in insurance coverage that are threatening their financial security.
4. Etheridge, Lynn (1984) "An Aging Society and the Federal Deficit." The Milbank Memorial Fund Quarterly. Health and Society, 521-543. This article serves as early warning sign of the deficit battles to come. It argues that the conflict between the growing needs of an aging society and a federal budget which cannot afford its current commitments has become one of the nation's most difficult government policy dilemmas. Assistance for the elderly through Social Security, Medicare, and other programs-is already the federal government's largest fiscal responsibility. In 1985 these programs will require nearly half of all domestic program spending an estimated $256 billion. The future costs of these commitments will rise rapidly well into the next century, accounting-with national defense and interest costs-for virtually all of the spending increases in the projected $200 to $300 billion deficits. Etheridge asserts that the decisions about the nation's assistance to the elderly -- and about reaffirmation, reform, and/or retrenchment of these commitments-will thus be central to the coming budget debates.
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…
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