Hospital Setting Essays (Examples)

Reducing Falls on the Surgical Step Down Unit
Introduction
The problem of falls in acute care hospitals is one that continues to persist in spite of the existing literature available on this topic (Zhao et al., 2018). Hester, Tsai, Rettiganti and Mitchell (2016) note that inpatient falls account for the largest number of reported incidents in hospitals. One reason for the problem is that hospitals fail to implement proper and effective preventive strategies based on best practices (Melin, 2018). The purpose of this paper is to provide guidance on reducing the number of falls on the surgical step down unit by implementing evidence based fall precautions, effective communication, and education of the patient/family. The research question guiding this research paper is: What are the preventive strategies that can be put in place to reduce falls in a surgical step down unit? To answer that question, a literature review was conducted…

References
Fu, A.S., Gao, K.L., Tung, A.K., Tsang, W.W. & Kwan, M.M. (2015). Effectiveness of exergaming training in reducing risk and incidence of falls in frail older adults with a history of falls. Archives of physical medicine and rehabilitation, 96(12), 2096-2102.
Growdon, M. E., Shorr, R. I., & Inouye, S. K. (2017). The tension between promoting mobility and preventing falls in the hospital. JAMA Internal Medicine, 177(6), 759-760.
Hester, A. L., Tsai, P. F., Rettiganti, M., & Mitchell, A. (2016). Predicting injurious falls in the hospital setting: Implications for practice. American Journal of Nursing, 116, 24-31.
Khalifa, M. (2019, July). Improving Patient Safety by Reducing Falls in Hospitals Among the Elderly: A Review of Successful Strategies. In ICIMTH (pp. 340-343).
King, B., Pecanac, K., Krupp, A., Liebzeit, D., & Mahoney, J. (2018). Impact of fall prevention on nurses and care of fall risk patients. The Gerontologist, 58(2), 331-340.
Lim, J., Cho, J.J., Kim, J., Kim, Y. & Yoon, B. (2017). Design of virtual reality training program for prevention of falling in the elderly: A pilot study on complex versus balance exercises. European Journal of Integrative Medicine, 15, 64-67.
Melin, C. M. (2018). Reducing falls in the inpatient hospital setting. International journal of evidence-based healthcare, 16(1), 25-31.
Titler, M. G., Conlon, P. C., Reynolds, M. A., Ripley, R., Tsodikov, A., Wilson, D. S., & Montie, M. (2016). The effect of translating research into practice intervention to promote use of evidence-based fall prevention interventions in hospitalized adults: A prospective pre-post implementation study in the U.S. Applied Nursing Research, 31, 52- 59. doi:10.1016/j.apnr.2015.12.004

Since they have experience, they would serve as a great source and wealth of information for her as well as a sounding board when she is frustrated about certain aspects of the job. There will also be greater opportunities to meet, converse with and work with people from a variety of backgrounds.

The new cardiologist would also fare well by working in a clinic right after training. The pace of a clinic may sometimes be slower than that of a hospital and the patients treated there are usually not in a state of emergency. This does not diminish the importance of any cardiologist choosing to work in a medical clinic over a hospital. This slower pace may give the new cardiologist ample time to get acclimated to the procedures that she will be performing. It will also give her a longer time to perfect her surgery skills. Because clinics are…

The clinical trial team includes doctors, nurses, social workers, data entry technicians and other health care professionals (NWHRC 2005). They review a participant's health history and current medical intakes before the trial begins. They impart adequate information and instructions about the clinical trial, monitor each participant in the conduct of the trial and may contact the participant after the conduct of the trial.

Clinical trials or researches may also be open-label, placebo-controlled, double-blinded or randomized. They consist of four phases. Phase I establishes the maximum safe dosage; Phase II, its effectiveness; Phase III, its use on a broad population; and Phase IV, post-FDA insights on the effects of its long-term use (NWHRC).

From 1999 to 2000 alone, the Food and Drug Administration approved 73 new medications (NWHRC 2005). These included drugs for HIV, cancer, heart attack and Alzheimer's disease. As of 2000, Medicare covers many of the costs involved in…

Bibliography

Billings, P.R. (2002). Should reproductive cloning be made available to people who want their own biologic chidren - pro and con. 2 pages. International Medical News Group: Gale Group

Deneen, S. (2001). Designer people. 9 pages. E: the Environmental Magazine: Earth Action Network, Inc.

Frankel, S., et al. (2000). The limits to demand for health care. 10 pages. British Medical Journal: British Medical Association

Hollander, D. (2005). Abortion support slipping. 2 pages. Perspectives on Sexual and Reproductive Health: the Allen Guttmacher Institute

Setting Policies and Procedures

In every organization the Human esource Manager plays a very critical role.as the Human esource Manager there are several things that I will be expected to do. This paper will look at some of the tasks that are set before me.

The influence of the Joint Commission on basic functions of the HM

The Joint Commission is a non-profit organization in the United States that is charged with the duty of the accreditation of both healthcare organizations and programs within the United States. The main mission of the organization is to improve the healthcare of the public. They also collaborate with other stakeholders through the evaluation of health care organizations and strive to inspire them into excelling in the provision of effective and safe care which is of high quality and value. The joint commission has had a significant impact on the basic functions of HM.…

References

Anderson, A.(2011). What Are Behavior-Based Measures by Performance Review? Retrieved August 10, 2013 from http://www.ehow.com/info_8588256_behavior-based-measures-performance-review.html

Authenticity Consulting, LLC. (2010). How to Address Employee Performance Problems.Retrieved August 10, 2013 from  http://managementhelp.org/employeeperformance/problems.htm 

Rotan, B.L.(2012).Guide to Designing Benefit packages for cooperatives. Retrieved August 10, 2013 from http://www.rurdev.usda.gov/rbs/pub/sr36.pdf

e believe that the best care is the delivery of care that exceeds all expectation and that is encircled by compassion." (Baptist Healing Trust, 1)

In terms of besting these challenges, the healing hospital must work to protect the morale of its personnel against the pressures that are inherent with the occupation. This means ensuring that personnel are giving the proper opportunities to rest, that facilities are adequately staffed and that the necessary resources are availed so that personnel can perform to the fullest of their abilities. This denotes that the healing hospital's capacity to meet its ambitions will be highly contingent upon its dexterity at managing the needs of healthcare workers just as it will be contingent upon its management of the patient needs.

Scriptural Support:

The Gospels of Mark and Luke are particularly rich in allusion to the power which Jesus possessed to heal the sick. Here, the…

Works Cited:

Baptist Healing Trust. (2010). The Compassionate Care Initiative. Baptist Healing Trust.org.

Chapman, E. (2003). Radical Loving Care: Building the Healing Hospital in America. Baptist Healing Hospital.

New International Version (NIV). (2010). Passage Lookup. Bible Gateway.

Clinical isk Management

Hospitals are one of the top listed high-risk places of work. Just like any high-risk workplaces, Clinical isk Management (CM) procedures are formulated to enable hospitals in identifying, containing, as well as manage work related risks such as injuries, which are bound within the facilities. Implementation of element contained in risk management procedures in any hospital setting should be effected in order to ensure for the safety of both patients and workers accommodated in the facility.

isk Management

isk management is highly prioritized in most high-risk organizations. Technological advances have been realized in modern medicine progressively resulting to more complex care and treatment processes. Despite the positive result of leveraging care opportunities, such advancements may result in adversities that might in turn affect patients and staff working in hospital environments. Since it is far from possible to eradicate such risks completely, clinical risk management procedures are there…

References

Elizabeth, A. H and Betty, J.H. (1976). The American Journal of Nursing, Vol. 76, No. 6, pp. 924 -- 927: Lippincott Williams and Wilkins Publishers.

Stanbury, M. S and Anderson, H.A. (2000). Guidelines; Minimum and Comprehensive State-Based Activities in Occupational Safety and Health: DHHS (NIOSH) publication No. 95 -- 107.

Stanbury, M.J. And Goldoft, M. Use of OSHA Inspection Data for Fatal Occupational Injury Surveillance in New Jersey. Am J. Public Health 1990; 80: 200-202.

Tepper, A. (2000). Surveillance of Occupational Illnesses, Injuries, and Hazards in New Jersey. NJDOH.

JGH Profile

Privacy

The author of this report is asked to profile and otherwise answer questions regarding Canadian company JGH. A description of the services and structure will be offered and then the author will speak of the management theories and practices that the company engages in. How obvious and transparent these practices are will be discussed and whether or not it would be prudent and wise of JGH to continue that strategy. The climate of the organization will be summarized and critiqued as well as the diversity orientation of the firm. While JGH certainly has room for improvement, they are indeed doing many things quite well and they are certainly moving in the right direction.

Questions Answered

JGH stands for Jewish General Hospital, a research hospital based on Montreal, Quebec, Canada. They are a McGill University teaching hospital and their website is tailored to the mixed language disposition of…

References

Brimmer, K. (2012, August 30). Hospitals recognized for promoting overall diversity.

Healthcare Finance News. Retrieved March 30, 2014, from  http://www.healthcarefinancenews.com/news/hospitals-recognized-promoting -overall-diversity

Hopkins. (2014, March 30). Diversity and Inclusion at Johns Hopkins. Diversity and Inclusion at Johns Hopkins. Retrieved March 30, 2014, from  http://www.hopkinsmedicine.org/diversity/ 

JGH. (2014, March 30). Jewish General Hospital - Hopital general juif. Jewish General Hospital - Hopital general juif. Retrieved March 30, 2014, from  http://www.jgh.ca/en/home

Piney Woods Hospital

Satisfaction is the pivotal problem for Piney Woods Hospital to address. Satisfaction across all stakeholders has a substantive impact on the other key challenges the hospital is facing. When customers are satisfied with the service and care they receive at hospital, they let others in the community know about it. When hospital employees are satisfied, they provide superior hospital services. When physicians are satisfied, they provide excellent medical care. It is an obvious and intractable cycle. Further, levels of satisfaction are indicators of other symptoms or successes regarding the operations of the hospital and its relationship to the community. This paper will focus on the challenges of increasing patient and employee satisfaction within the Emergency Department at Piney Woods Hospital.

The health care industry has in common with other service industries the pivotal importance of employee engagement on the customer-facing -- or patient-facing, as the case may…

References

Atkins, P.M., Marshall, B.S., and Javalgi, R.G. (1996), Happy employees lead to loyal patients, Journal of Health Care Marketing, 16, 4, 14-23.

Brown, C.L. (2002), A theory of the process of creating power in relationships, Nursing Administration Quarterly, 26, 2, 15-33.

Cunningham, P. (2011, May11). Nonurgent use of hospital emergency departments. Center for Studying Health System Change (HSC) [BEFORE THE U.S. SENATE Health, Education, Labor and Pensions Committee Subcommittee on Primary Health and Aging Hearing on ?Diverting Non-urgent Emergency Room Use: Can It Provide Better Care and Lower Costs?]. Retrieved  http://hschange.org/CONTENT/1204/1204.pdf 

Electronic Health Records Overview (2006, April). National Institutes of Health National Center for Research Resources.

Memorial Hospital," the hospital is privately owned and contains 600 beds for patients. It also offers a wide range of services like X-ray facilities, an intensive care unit, a cardiac care unit, an emegency room, a complete laboratory, and a psychiatric ward. The hospital has great services however, these services are offered in other healthcare facities and hospitals in the surrounding area. In order to prevent additional costs, the hospital avoided hiring specialists and providing specialized services as these additional services and medical practioners were costly. In order to provide quality of care, the hospital places an emphasis on personal attention provided by a ursing staff to each and every, singlel patient. Patient-oriented care is there way of attracting new patients and thus have been used as the subject matter for their ads on television and in newspapers. Janice is instructed to discover a way to measure quality of care…

References

Buyukozkan, G., Cifcci, G., & Guleryuz, S. (2011). Strategic analysis of healthcare service quality using fuzzy AHP methodology. Expert Systems With Applications, 38(8), 9407-9424.

Dixon-Woods, M., McNicol, S., & Martin, G. (2012). Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature. BMJ Quality & Safety, 1.

Hasnain-Wynia, R., Baker, D., Nerenz, D., Feinglass, J., Beal, A., & Landrum, M. et al. (2007). Disparities in health care are driven by where minority patients seek care: examination of the hospital quality alliance measures. Archives Of Internal Medicine, 167(12), 1233 -- 1239.

Jha, A., Orav, E., Li, Z., & Epstein, A. (2007). The inverse relationship between mortality rates and performance in the Hospital Quality Alliance measures. Health Affairs, 26(4), 1104 -- 1110.

Memorial Hospital

Discuss some ways that a hospital might measure quality.

There are many ways that a hospital can measure quality. To some extent, the quality as rated by the end user is one of the critical success factors. However, as the case mentions, this may not tell the full story. It is possible for clients to be satisfied with the care they received even though they did not receive adequate care. Therefore the metrics to measure quality must obviously be multifaceted. Patient perceptions should be a key component, but other considerations such as industry averages and industry metrics should be considered.

hat are the potential costs of quality for Memorial Hospital? How could the value of a human life be included?

It is difficult to associate a financial value to the cost of a human life. Some estimates can put the value in the millions while others place the…

Works Cited

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 

Malik, S. (2007, May 2). Creating Departmental Dashboards. Retrieved from Dashboard Insight: http://www.dashboardinsight.com/articles/digital-dashboards/building-dashboards/departmental-dashboards.aspx

Nursing Proposal -- Evidence-Based

The utilization of call lights particularly in hospital settings has recently been put under study as a function of various aspects of nursing including shortages, rounds and analyses of patient outcomes. The proper scheduling of nursing rounds may be essential to enhance the capability of nurses to tackle common or ordinary patient issues relative to more dire needs that have to be regarded as the primary/main target for the use of call lights by patients. Besides patients' general well-being and safety while hospitalized, nursing employees are also concerned with how satisfied the patients are. On a rather fundamental level, hospital settings that enable patients to experience peace of mind allow them to heal quicker than those that do not; these patients are highly likely to relay less stressful communications to those around them, and have a higher possibility of clearer perspectives that allow them to distinguish…

References

American Nurses Association (ANA). (2006). Assuring patient safety: The employer's role in promoting healthy nursing work hours for registered nurses in all roles and settings. Retrieved from  http://nursingworld.org/MainMenuCategories/ThePracticeofNursing/workplaceNurse 

(AACN). The American Association of Critical-Care Nurses (2001, March 3). Mandatory Overtime. Retrieved from  http://www.aacn.org/WD/Practice/Content/PublicPolicy/mandatoryovertime.pcms?menu=Practie 

Bae, S. (2010).Mandatory overtime regulations and nurse overtime. Policy, Politics, & Nursing Practice, 11(2), 99-107.

Bae, S-H. (2013). Presence of nurse mandatory overtime regulations and nurse and patient outcomes. Nursing Economics, 31(2), 59-68. Retrieved from  http://www.medscape.com/viewarticle/806796

Many women have today started to complain about their bitter experiences, and this has led to the creation of a birthing room at the hospital. The room is made to look more like a warm and cozy room at home, rather than a cold medically equipped room at a hospital. Since birthing is a warm and beautiful experience, most women do feel that they must be provided with an atmosphere conducive to give birth in. A birthing room therefore, would be equipped with articles like rocking chairs, cozy seats, warm lighting, a variety of different kinds of stools, and railings, all of which would allow a woman to try out different birthing positions, and finally choose the one that suited her the best.

All the equipment in a birthing room must be designed to accommodate the entire team of medical personnel attending to the woman, and also accommodate her family…

References

Brenner, David. (2003) "I think there's a terrorist in my soup: how to survive personal and word problems" Andrews McMeel Publishing.

Bruess, Clint E; Greenberg, Jerrold S. (2004) "Sexuality Education, Theory and Practice" Jones and Bartlett Publishers

Choudhri, Nihara K. (2005) "Parent Savvy, Straight Answers to your family's financial"

Nolo.

Legal Aspects of Health Care Administration

One of the platforms upon which the law enforcement agencies and the healthcare providers interact on frequent occasions is the treatment and handling of the patients who might have been injured outside the hospital and brought in for treatment, or even sustained the injuries from within the hospital altogether in the process of general medical care, surgery or drug administration. There are OSHA regulations that guide the reporting, recording and handling of such events within the hospital settings.

The following are the injuries that hospitals are required to formally report to the local law enforcement authorities or the police department for the city within which the treatment took place (UNC School of Governance, 2011). If there are patients brought into the hospital with wounds and injuries resulting from apparent gunshots or any other type of discharge from a firearm, then these must be reported…

References

UNC School of Governance, (2011). Reporting Patient Injuries to Law Enforcement: It's Not Just Gunshot Wounds.  http://canons.sog.unc.edu/?p=5792 

U.S. Department of Labor, (2014). OSHA Forms for Recording Work Related Injuries and Illnesses. https://www.osha.gov/recordkeeping/new-osha300form1-1-04.pdf

Happy on the Job: Is Employment Satisfaction among Saudi Nurses necessary for working Suitably in the Professional Settings and Improved Quality of Healthcare.

When it comes to Saudi Arabia, nursing plays a major role in any health care system. Many evidences support the quality of nursing care and patient outcome. Patient interact with nurses more than any other health profession. Improved level of job satisfaction among Saudi nurses will be significant in the delivery of quality healthcare to the patients. Variable such as appropriate wages, effective facilities, healthy environment, professionalism, suitable working hours, and successful management will improve the level of job satisfaction among Saudi nurses. The correlation between impaired job satisfaction levels of nurses will affect their performance in the clinical settings, which will certainly result in the poor quality of healthcare. Thus, job satisfaction among Saudi nurses is necessary for working appropriately in the professional settings and improved…

References

Ahsan, N., Abdullah, Z., Fie, D. G., & Alam, S. S. (2009). A study of job stress on job satisfaction among university staff in Malaysia: Empirical study. European journal of social sciences, 8(1), 121-131. Retrieved from ejournal.narotama.ac.id/files/A%20study%20of%20Job%20stress%20on%20Job%20Satisfaction%20among%20University.pdf

Al Juhani, A. M., & Kishk, N. A. (2006). Job satisfaction among primary health care physicians and nurses in Al-Madinah Al-Munawwarah. J Egypt Public Health Assoc, 81(3-4), 165-180. Retrieved from http://www.epha.eg.net/pdf/n3-4-2006/2-Nahla%20keshk-Job%20Satisfaction.pdf

Castle, N. G., Degenholtz, H., & Rosen, J. (2006). Determinants of staff job satisfaction of caregivers in two nursing homes in Pennsylvania. BMC Health Services Research, 6(1), 60. Retrieved from  http://www.biomedcentral.com/1472-6963/6/60/ 

Cimino, J. J. (2011). High-quality, standard, controlled healthcare terminologies come of age. Methods of information in medicine, 50(2), 101. Retrieved from  

Mock Code Blue taff Assessment

A hospital-based code team should consist of the following medical professionals:

Emergency Department Physician - a board certified emergency physician oversees the code blue process.

Team Coordinator - A registered nurse from the Cardiovascular Medical Intensive Care Unit (CVICU) acts as Team Coordinator. This person is certified in advanced cardiac life support (ACL), and is responsible for the patient's care during a code blue.

Recorder - The recorder is an ACL certified registered nurse from the Cardiovascular Care Center (CVCC). This team member monitors the patient throughout the process and documents the time and details of each action taken.

Medication Nurse - The medication nurse comes from the Neuro Intensive Care Unit and is also ACL certified. This individual establishes an IV and administers medications necessary to restore a patient's vital functions.

Other Professionals - In addition to the core team described above, a pharmacist,…

Sources:

AHA Guideline Update. 2005. American Hospital Association. 2005. 8 Jan 2012.

URL: http://www.rwjuhems.org/G2005%20Code%20Blue%20Update%

20 narrated%201%20handout.pdf

SafeWise. 2007. Code Blue Sample Procedures. SafeWise Consulting, LLC.

hospital community group with high incidence of diabetes and low literacy presents to the teaching efforts of a hospital nurse.

Description of the selected adult learner, learning topic and related hospital circumstances

I am a registered clinical nurse in St. Vincent's hospital. We are a medium-sized hospital located in a highly diverse part of the town. We have a sizeable domestic and Spanish inpatient population with diabetes, including people with long-standing diabetes related complications and co-morbidities requiring inpatient expertise. Today, that population seems to be increasing. Almost 80% of all our adult patients lack literacy referring to the ability to read and write as well as knowledge about the topic of diabetes literacy. It is not only the printed word that challenges these patients with inadequate literacy; writing, speaking, listening numeracy, and conceptual knowledge is often impaired as well. About 2/3 of these illiterate patients are Latinos and the majority…

References

Davis, E. (2000). A quality improvement project in diabetes patient education during hospitalization. 1-6. Diabetes Spectrum Volume 13 Number 4, 2000,-Page 234.

Accessed 3 October 2011.

journal.diabetes.org/diabetesspectrum/00v13n4/page228.aspCached - Similar

You +1'd this publicly. Undo Heisler, M. & Bouknight, R.R. & Hayward, R.A. & Smith, D.M. & Kerr, E.R. (2002). The relative importance of physician communication, participatory decision making and patient understanding in diabetes self-management. 242-252.

hospital is that it does not any longer believe in the promises that it made when the founders set up the hospital. The second problem is due to the large differences that exist among the members of the Board and as a result the CEO is not finding it possible to control these differences. The third problem can be viewed as an extension of the same lack of control by the CEO over the lower levels employees of the organization. In normal circumstances these employees are expected to report to the CEO, but here the employees could be seen acting according to their interests. In continuation of this is the lack of setting up rules under which these employees should be operating.

This is also the responsibility of the CEO, but it is clear that this has not been done. This leads back to the third problem that if these…

REFERENCES

Baldwin, Fred. (May/June, 2001) "Emergency Room Drama: Be Prepared before a Crisis

Happens" Retrieved from  http://www.icepts.com/pennmed/25-147.htm 

Accessed on 12 July, 2005

Donoghue, Richard J. (December, 1990) "Evaluation of hospitals as entities able to continue as

setting with a focus on one specific EMS unit that will participate in the CDP training program. This setting was selected because it offered a snapshot collection of data that could be valuable based on the outcome of the training provided by the CDP program. The researcher will conduct pre and post-interviews with the members of the EMS unit as they start and complete the program. One of the benefits of this style of approach is that it allows for the gathering of qualitative and quantitative data.

A mixed research study design provides the researcher with hard, numerical data on feelings, thoughts, beliefs and perceptions. The organization benefits from this type of study because the organization can analyze through numerical data how its members actually perceive the training they receive. The data can help discover whether the training is effective or needs to be improved upon.

esearch Topic

This thesis…

References

ATLAS.ti Retrieved  http://www.atlasti.com/ .

Milley, J.E. (1979). An Investigation of case study as

Ethical Issues. Be sure that your paper includes an assessment of how you will deal with potential ethical issues that might arise in your study.

Palena Neale, P., Thapa, S., and Boyce, C. (2006, May). Monitoring and Evaluation -- 1

Balanced Scorecard for a Hospital System by Pink, G. H, McKillip, E.G., Preyra, C., Montgomery, C., and Baker, G.R. This article shows setting targets, benchmarks, and standards is not limited to educational settings, and workers and service providers in all other sectors are subject to their own accountability mechanisms.

Reflective Review

Business and industry first introduced the idea of setting targets for accountability purposes in the Total Quality Management (TQM) era twenty-five years ago, and with the rising cost of health care today, they become even more important to viable health care providers and the general public. This article illustrates how to create a balanced scorecard for hospital systems, and discusses why these scorecards are so important to modern health care organizations. One of the most important things to take into account when creating a scorecard for hospitals is to note they are extremely intricate organizations, and so, performance cannot…

Works Cited

Pink, G. H, McKillip, E.G., Preyra, C., Montgomery, C., and Baker, G.R.. "Creating a Balanced Scorecard for a Hospital System." Journal of Health Care Finance. Spring 2001, pp. 1-12.

Purpose and Overview

Nurse consultation involves the application of change management principles and visionary leadership to the improvement of healthcare organizations. Guided by evidence-based practice and ethical principles of the healthcare profession, nurse consultation is a process involving multilateral communications, quantitative assessments, goal-setting, and strategic change management. Advance practice nurses can collaborate with nurse leaders to identify problems, analyze those problems and their root causes, and identify meaningful and feasible methods of achieving desired changes and measurable outcomes.

The purpose of this consultation is to work with nurse leaders, administrators, and executives to help the local healthcare organization better meet their goals and improve patient satisfaction. Nurse consultation requires the use of multiple, rigorous empirical methods. The data collection processed used in this case include both qualitative methods like interviews and focus groups, as well as quantitative data gathered from HCAHPS scores, patient metrics, and patient surveys. Although the current…

Nurse burnout is a common occurrence. This can exacerbate an ongoing problem that is seen in hospitals, nosocomial infections. Nosocomial infections remain prevalent for patients with extended hospital stays like those in intensive care units. An infection that starts roughly 48 hours after admission, those in intensive care units (ICUs) experience a continued rate of infection leading to increase length of stay, mortality, and morbidity. The number of patients that develop a nosocomial infection are from 7 to 10% internationally (Dasgupta, Das, Hazra, & Chawan, 2015). As such, hospitals have decided to classify nosocomial infection sites based on clinical and biological criteria.

esearch has led to the discovery of several bacterial strains that involve the formation of nosocomial or hospital acquired infections. "The agents that are usually involved in hospital-acquired infections include Streptococcus spp., Acinetobacter spp., enterococci, Pseudomonas aeruginosa, coagulase-negative staphylococci, Staphylococcus aureus, Bacillus cereus, Legionella and Enterobacteriaceae family members,…

References

CDC. (n.d.). HAI Data and Statistics. Retrieved from  https://www.cdc.gov/hai/surveillance/ 

Cheng, C., Bartram, T., Karimi, L., & Leggat, S. (2016). Transformational leadership and social identity as predictors of team climate, perceived quality of care, burnout and turnover intention among nurses. Personnel Review, 45(6), 1200-1216. doi:10.1108/pr-05-2015-0118

Cimiotti, J. P., Aiken, L. H., Sloane, D. M., & Wu, E. S. (2012). Nurse staffing, burnout, and health care -- associated infection. American Journal of Infection Control, 40(6), 486-490. doi:10.1016/j.ajic.2012.02.029

Dasgupta, S., Das, S., Hazra, A., & Chawan, N. (2015). Nosocomial infections in the intensive care unit: Incidence, risk factors, outcome and associated pathogens in a public tertiary teaching hospital of Eastern India. Indian Journal of Critical Care Medicine, 19(1), 14. doi:10.4103/0972-5229.148633

Hospitals

Health care in the United States has evolved through governmental and private answers to historical trends, starting with the first days of the United States. Often arising as responses to serious gaps in health care, these remedies traditionally build on each other and have resulted in a uniquely American health care system. The trickle of Baby Boomers into "the elderly" is now posing new challenges for both governmental and private providers, which must be met by new responses and a newly adapted health care system.

Discuss the government's role in responding to historical trends that impact the delivery of hospital care and how this has added to the expansion of hospitals in the United States.

Commencing with the very existence of our Republic, the United States government has taken a leading role in dealing with historical trends, significantly impacting delivery of hospital care and expansion of hospitals in this…

Works Cited

Barton, P.L. (2010). Understanding the U.S. health services system, 4th ed. Chicago, IL: Health Administration Press.

Hays Companies. (n.d.). Inpatient vs. outpatient care. Retrieved April 22, 2012 from contnt.mybenergy.com Web site: http://content.mybenergy.com/ContentTemplates/WellnessTemplate.aspx?view=user&userid=101412&link=799

Setness, P.A. (2002, June 20). The looming crisis in geriatric care: As baby boomeers age, healthcare policy fallout seems inevitable. Retrieved April 22, 2012 from ERMS.tourolib.org Web sit: https://erms.tourolib.org/url/http://proquest.umi.com/pqdweb?did=129196051&sid=4&Fmt=3&clientId=14844&RQT=309&VName=PQD

U.S. Department of Health and Human Services. (2012). Timeline of the Affordable Care Act. Retrieved April 22, 2012 from Healthcare.gov Web site:  http://www.healthcare.gov/law/timeline/index.html

Hospital Culture

Constituents of Complex Environments in Health/Social Care

USA's National Academies have, for numerous years, been conducting systemic researches into the nation's healthcare cost and quality (Building a Better Delivery System, 2005). Plainly, considerable improvements are required in healthcare delivery. Many assert that these may be attained through competition of a value-based nature among healthcare delivery organizations. One must, of course, remember that the American system of healthcare didn't achieve its present state overnight. The nation's National Academies as well as other parties have conducted several studies and arrived at the conclusion that a key issue facing the U.S. healthcare delivery system is: it isn't a system, in truth (ouse, 2008). This paper will address two issues: 1) how conventional systems differ from CAS (complex adaptive systems) (e.g. healthcare); and 2) the differences' implications on health delivery system planning and management.

The U.S. healthcare system would be faced with…

References

(2005). Building a Better Delivery System. Available:  http://www.nationalacademies.org/onpi/030909643X.pdf . Last accessed 12 Feb 2016.

Chichester SR, Mann GB, Wilder RS, Neal E. (2002). Incorporation of evidence-based principles in baccalaureate and nonbaccaluareate degree dental hygiene programs. Journal of Dental Hygiene, 76(1), 60-66.

Dayaratna. (2013). Competitive Markets in Health Care: The Next Revolution. Available:  http://www.heritage.org/research/reports/2013/08/competitive-markets-in-health-care-the-next-revolution . Last accessed 12 Feb 2016.

Devol, Bedroussian, Charuworn, Chatterjee, Kyu Kim, Kim, and Klowden. (2007). An Unhealthy America: The Economic Burden of Chronic Disease -- Charting a New Course to Save Lives and Increase Productivity and Economic Growth. Available:  http://www.milkeninstitute.org/publications/view/321 . Last accessed 12 Feb 2016.

Rachel and Choo Hospital

Choo Choo's Liability

The fact that Rachel was initially discharged from the emergency department following examination by a physician with nothing more than a prescription for pain medication when she was in fact suffering form a very serious blood infection could definitely leave Choo Hospital exposed to litigation. There are several key elements of this case, as briefly as it has been described, that lead to this potential exposure to liability and tortuous action. First, the emergency room physician is expected to provide a certain level of care in his diagnosis, and if it was reasonable to foresee a more serious underlying problem of the general pain the patient presented with, the physician (and by extension the hospital) could be liable for failing to make proper recommendations and determinations. Second, then, a determination must be made as to whether or not the blood infection that was…

CIO Interview -- Lakewood Hospital

How were you trained or and how did you decide upon your career?

I received my formal technical training in the Midwest. I hold a Bachelor of Science in Computer Engineering from Loyola University in Chicago, and completed a Master of Science in Information Systems from Michigan State University several years later. I have held many positions over the years, moving from helpdesk service internships during my college career to IT Director level positions by the time I enrolled in graduate school.

It has been an interesting ride -- I have seen the evolution of technology over the past decade and still find it exciting. My interest and passion for technology has always been there and I landed within the healthcare space and have found that it suits me well. Not just in terms of the types of technology, but also in terms of the…

Reference

Janicic, R., Lecic-Cvetkovic, D., Filipovic, V., Vukasinovic, Z., & Jovanovic, V. (2011). Patients' satisfaction as key point in healthcare services. Healthmed, 5(6), 1701-1709.

budget template that is being produced for Shatin Hospital, which is a rehabilitation hospital. This hospital is run by the Hospital Authority, which is the main health care provider in the country. The proposal is basically highlighting the issue of labor and increase stress on the hospital administration staff. The project proposal is therefore to reform one pair of the geriatric and the medical wards into a nurse led ward.

Justifications for change

The current hospital that I am working in is located in Shatin, Hong Kong where the aging population and the lack of hospital beds are creating a lot of strain on the delivery of health care . There is a crucial shortage of labor and the nurses and the doctors are being overworked to quite an extent.

Need for Service

The need for service is present because the rehabilitation hospital that is present works in sync with…

References

Arias, E., Curtin, L.R., Wei, R. & Anderson, R.N. (2008). Us decennial life tables for 1999 -- 2001, United States life tables. National Vital Statistics Reports, 57 (1).

Catangui, E.J. & Slark, J. (2012). Nurse-led ward rounds: a valuable contribution to acute stroke care.British Journal Of Nursing, 21 (13), p. 801.

Census and Statistics Department. (2009). Thematic household survey report. 41. [report] Honk Kong: Census and Statistics Department.

Cohen, J. & Deliens, L. (2012). A public health perspective on end of life care. Oxford: Oxford University Press.

496).

Evidence-based practice indicates the universal need for the implementation of better maternal and newborn infant care, especially with regard to breastfeeding support and encouragement. This is evidenced by countless research works that both report the optimized goals of better rates of exclusive breastfeeding among infants 0-6 months and the evidence of current trends and practices (AAP, 2010; Scanlon et. al, 2007; Naylor, 2010; Grummer-Strawn & Shealy 2009). These researchers, reviewers an experts base their observations on a need that is well documented in the literature, i.e. both the current state of breastfeeding support in maternity settings and clinical short- and long-term health related outcomes associated with breastfeeding and lack of breastfeeding. The literature associated with this need is demonstrative of many issues regarding breastfeeding and support that the best overall scenario for maternal and infant health is exclusive breastfeeding of infants till six months of age with supplements or…

Resources needed for the implementation of the Baby Friendly Hospital designation are relatively limited, due in large part to the extensive work the Brookdale Hospital has recently done to begin to implement better breastfeeding and maternal practices, as noted at the close of the Problem statement section of this work. The hospital must implement additional changes, file the proper application for assessment and designation and prove and justify implementation of the 10 steps associated with the designation over a period of five years. The resources needed for this process will include participation by existing staff including nurses, nurse managers and the hiring of a certified lactation specialist. The most costly of all the implementation strategies will be hiring of a certified lactation specialist, other costs will be further detailed in the budget section of this work and will include administrative, office supplies, additional signage and support training of nursing and support staff.

Barriers to Change

Barriers to change must begin with a clear understanding and elimination of the kinds of hospital practices that are shown in evidence-based research to be particularly contraindicative of early, long-duration and successful breastfeeding including the; use of artificial nipples (pacifiers), bottles, and even nipple shields in mainly healthy newborns (McKechnie & Eglash, 2010) supplementation that is unneeded for natal nutrition, limitations in the practice of rooming in (infant stays with mother as much as possible over the first 24 hours after birth to ensure on demand nursing opportunities), limitations in skin to skin contact of infant with both mother and father, and other institutionally practiced barriers are not only common but traditionally accepted as standards of practice in most hospitals and birthing centers ("Breastfeeding-related maternity practices…" 2008 ). The Baby-Friendly Hospital Designation, and all the steps to prepare and implement it will go far to demonstrate change in hospitals including but not limited to Brookdale Hospital in NYC.

Barriers to change, that are specific to Brookdale hospital have been briefly developed in the problem statement of this work and demonstrate mostly institutional practices that are not only accepted but supported by the hospital and L&D and neonatal staff. Rooming in, where the newborn infant spends as much time as possible with the mother during the first 24-48 hours of life, leaving the bedside of the mother only when absolutely necessary is essential to change. The existence of a highly staffed and large newborn nursery, where infants spend a good deal of time and receive a great deal of care from staff rather than the mother is one of the first institutional issues that needs to change. This reduction of reliance on the newborn nursery may offset some of the costs of implementing change, as stricter rooming in policies and practices would indicate the need for fewer staff resources in the newborn nursery. Skin-to-skin contact of mother to infant should begin at the moment of birth, as is indicated by the hospital's new policies and procedures for breastfeeding support. Newborns should be given screening tests in the presence of the mother, and if at all possible while the mother is holding and/or nursing the child during skin to skin contact. Breastfeeding education should be continuous, beginning in prenatal clinics, extending throughout the hospital stay and supported and supplemented by follow up care with a certified lactation specialist and/or nursing staff that has taken CEC courses in breastfeeding support, and the number class offerings per week should be increased to every other day to support the usual uncomplicated discharge of mother and baby at 48-72 hours post delivery and the course for mothers should be a condition for discharge. L&D and nursery nurses should continue to be encouraged to take the available course with a first year goal of 100% completion. Lastly, cultural barriers to breastfeeding in the patient population should be mitigated with culturally sensitive training and breastfeeding support, long-term breastfeeding follow up and a sensitive but essential reiteration of the many benefits of breastfeeding for both child and mother, reiteration, for those who qualify, of the benefits of the Women Infant Children program which supports breastfeeding mothers with additional food and benefits for the mother not just by supplying formula or food for the infant after birth.

Role of Nurse Executive

Therefore, a basis is formed on which to reduce the inappropriate admissions after the correct rates are determined (estuccia, Shwartz, Ash, and Payne, 1996).

The connection between hospitalization rates and the inappropriateness of the admissions cannot be confirmed. A study of adults revealed that there was no link between the rates of hospitalization and the inappropriateness of the admission while a similar study conducted with no age limits produced contrary results. Three procedures of coronary angiography, upper gastrointestinal endoscopy, and carotid endarterectomy were used in another study to find out the relationship between the varying admission rates and their appropriateness (estuccia, Shwartz, Ash, and Payne, 1996).

It was revealed that there was more inappropriateness in high-use areas. When this study was repeated for a small area, the outcomes were quite different. This showed that inappropriateness cannot be used as a basis to find out the cause for the differing hospitalization…

References

Apolone G., Fellin G., Tampieri a., et al. (1997). Appropriateness of hospital use: Report from an Italian study. European Journal of Public Health Vol. 7, 1997 No. 1

Campbell J. (2001). Inappropriate admissions: thoughts of patients and referring doctors. JR Soc Med 2001;94:628-631.

Chopard P., Perneger T.V., Gaspoz J.M., Lovis C., et al. (1998). Predictors of inappropriate hospital days in a department of internal medicine. International Journal of Epidemiology 1998:27.513-519

Chopard P., Gaspoz J.M., Lovis C., et al. (1998). Predictors of inappropriate hospital days in a department of internal medicine. International Journal of Epidemiology, Volume 27, Number 3, June 1998, pp. 513-519(7).

This is exactly where the problem usually starts.

There are a number of reports published which revealed that even the physicians are not so keen into attending more seminars and trainings to learn the new systems (Ball, 1992). Physicians are expectedly always busy. They sometimes work from hospital to hospital. They are always on call hence they really find it hard to squeeze in their thigh schedule the time for further training and semi-are regarding the system. At some point in time, physicians will also worry about their income that will be affected if they will get a time off just to attend the training.

In the same manner, most of the administrators, who will manage the new systems for the hospitals, also show signs of hesitance regarding the training. It must be noted that the being considered as a 'wired hospital' the institution must have uniform data standards (Aspden…

Works Cited

Aspden, P., J.M. Corrigan, J. Wolcott, and S.M. Erickson. 2003. Patient Safety: Achieving a New Standard for Care. Washington, DC: National Academies Press.

Ball, M. 1992. "Computer-Based Patient Records: The Push Gains Momentum." Health Informatics 9 (1): 36-38.

Bates, D.W., J.M. Teich, J. Lee, D. Seger, G.J. Kuperman, N. Ma'Luf, D. Boyle, and L. Leape. 1999. "The Impact of Computerized Physician Order Entry on Medication Error Prevention." Journal of the American Medical Informatics Association 6 (4): 313-21.

Benefits of it to Medical Profession  http://www.cica.org.uk/bre-cica_survey/ranking_of_it_benefits.htm . September 25, 2006

Managing Quality in Practice Settings: Six Sigma at Floyd Medical Center

By examining an organization's approach to establishing, measuring, and evaluating performance and outcomes, it is possible to develop a firmer grasp on how the quality control process functions in practice. To this end, this paper provides a review of the literature concerning quality management practices at Floyd Medical Center in ome, Georgia, followed by a summary of the research and important findings concerning these issues in the conclusion.

Meaning of "managing quality" and what it means at Floyd Medical Center

Managing quality at Floyd Medical Center is the responsibility of all staff members and the hospital's stated goal in this regard is to "provide excellent care while ensuring the comfort, privacy and safety of our patients and visitors"; the medical center adds that its healthcare teams are "dedicated to continually improving your experience by providing quality health care that…

References

Cohen, J. (2008, May). CHAP and the Department of Veterans Affairs. Nursing and Health Care

Perspectives, 21(3), 151.

Gowen, C.R., Stock, G.N. & McFadden, K.L. (2008). Simultaneous implementation of Six

Sigma and knowledge management in hospitals. International Journal of Production

U.S. technology in Thai hospitals will have a positive, negative or neutral effect on the mortality rate of patients in Thailand. U.S. hospitals currently offer patients some of the most modern and complex technology available. Patients whether at private or public facilities are very often afforded modern urgent care that reduces the likelihood of mortality from common and less common illness. The mortality ratio, or comparison of patients admitted vs. discharged in most U.S. hospitals is close to or less than 1.00 (Comaro, 2003).

In Thailand hospitals, modern technology used in community hospitals is somewhat limited and typically consists of the use of X-ay technology and ultrasound for imaging and diagnosis (Dionson, 2003). Many community hospitals currently lack the advanced technology available in U.S. hospitals that has been proven to save lives. There are several private institutions within Thailand however, that do offer more advanced technology.

However, Thai hospitals historically…

References

Alreck, P.L., & Settle, R.B. (1995). The survey research handbook." Chicago, Irwin.

Abbot. (2003) Abbot Laboratories Systems and Tests. Retrieved November 13, 2003,  http://www.abbottdiagnostics.com/systems_tests/syscat.cfm?syscat_id=3&path=1 

Andrews, Charles G. (2003). Comparative Analysis of Management. Retrieved November 16, 2003, at  http://www.coe.unt.edu/allen/Dissertation-Example/CharlieAndrewsdissertation.pdf 

Boyer, K.K., Olson, J.R., Calantone, R.J., & Jackson, E.C. (2002). Print vs. electronic surveys: A comparison of two data collection methodologies. Journal of Operations Management, 20 (4), 357-373.

Arn Palm Hospital

The Arnold Palmer Hospital website pronounces the statement that the hospital employs the "most advanced technology, coupled with compassion and dedication" and that has made the hospital "one of the most trusted names in children's healthcare worldwide" (Arnold Palmer Hospital for Children, 2011). Complementing access to the most advanced technology with compassion and dedication sounds good on the company website, but maintaining a 100% patient satisfaction level takes more than just those three items; a couple of other considerations might also include a strong management level of quality of service as well as a process and supply chain that is conducive to excellent patient care. One recent article espouses the opinion that many hospitals and medical clinics are undergoing transformations that will change the face of healthcare in the United States and that many of the innovations being implemented are "being done with patients and the quality…

Works Cited

Arnold Palmer Hospital for Children; (2011) Welcome, accessed on September 19, 2011 at  http://orlandohealth.com/arnoldpalmerhospital/index.aspx 

Carpenter, D.; (2011) Transforming health care, H & HN: Hospitals and Health Networks, Vol. 85, Issue 5, pp. 46 -- 50

Fallon, A.; Gurr, S.; Hannah-Jones, M.; Bauer, J.D.; (2008) Use of the acute care hospital foodservice patient satisfaction questionnaire to monitor trends in patient satisfaction with foodservice at an acute care private hospital, Nutrition and Dietetics, Vol. 65, Issue 1, pp. 41-46

The RN really became a part of the educational team, tailoring her assistance to the child to the classroom environment. In fact, because much of the education seemed tailored towards teaching the students basic life-skills information, such as the weather, the nurse was able to really interact with the child's education.

The best part of the experience was observing the inherent joy in children. From an outsider's perspective, the children in this school had very few reasons to express joy or feel happiness. Almost all of them had significant physical challenges in addition to mental retardation. None of these children has a childhood even approximating normalcy. However, many of the children seemed happy. In fact, it was seeing the joy that a small action could bring to these children was very uplifting. In fact, one particular child seemed especially joyful. Because of privacy concerns, I was not able to access…

Southmead Integrated Community Hospital Project Proposal Outline for Procurement

Procurement Plan for Hospital Development

Work towards a lean strategy of development, where there is not an excess inventory and goods are procured as needed as much as possible.

This will increase the strategic sourcing, while avoiding transactional sourcing mistakes (Phillips, 2013).

Patient care can not be sacrificed (Pan American Health Organization, 2006).

It is crucial that all strategies for procurement think of the patients first. This will ultimately mean focusing on procurement for the departments first opening and then working on the ones that will be opening later in 2015.

Keep excellent records of data and spending

With new guidelines and regulations on hospital spending and procurement, it is crucial to keep pristine records for accounting and acceptance purposes (Department of Health, 2013).

Four Procurement Issues Faced by Procurement Managers in the NHS

A. Inefficiencies of the North Bristol NHS…

References

Pan American Health Organization, 2006, A Practical Guide for Procurement Planning and Management of Strategic Public Health Supplies, All Type Assessoria Editorial LTDA. Web.  http://apps.who.int/medicinedocs/documents/s19024en/s19024en.pdf 

Phillips, Abigail, 2013, Tips for Developing a Lean Procurement Function, Healthcare Global. Web,  http://www.healthcareglobal.com/global_hospitals/tips-for-developing-a-lean-efficient-hospital-procurement-function 

Department of Health, 2013, Better Procurement, Better Value, Better Care: A Procurement Development Programme for the NHS, NHS England. Web,  https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/226835/procurement_development_programme_for_NHS.pdf

The article “Developing financial benchmarks for critical access hospitals” by Pink et al. (2009) established and made use of benchmarks for five indicators distributed to all critical access hospitals. One item of significance that I gained from the article encompasses the challenges experienced in the development of benchmarks. To begin with, benchmarking can be delineated as an incessant methodical practice of examining the products, services and work procedures of organization that are acknowledged as signifying best practices for the main aim of improving the organization. Imperatively, this is deemed to be a fundamental element of several organizational performance systems of measurement. In actual fact, benchmarking is also beneficial in ascertaining best in class performance, which offers an approach for setting aggressive targets for enhancement, and acknowledges prospective tactics on the enhancement of performance (Pink et al., 2006).

From the article, there were two key challenges that were faced in benchmarking.…

However, this at least provides patients with an introduction to the therapy, and they can weigh the costs of the treatment against the improvement in their health. Some may find certain types of CAM, such as yoga, available within their health clubs or other affordable settings.

3. How might technology help you meet your goal?

A number of major research hospitals, such as New York-Presbyterian Hospital at Columbia University, now offer CAM within the hospital environment. The hospital offers nutritional, exercise, and wellness counseling. Patients can learn about breathing techniques and the use of herbs to combat symptoms. By conducting research on CAM within the framework of a hospital, the institution can make sure that the therapies are undertaken in a safe and supervised manner. More and more people are turning to CAM as a way to cope with illness and may do so whether their hospital formally encourages them…

References

Parker-Pope, Tara. (2002, July 23). Doctors study the heath benefits of yoga. The Wall Street

Journal. Retrieved March 29, 2011 at http://www.hvk.org/articles/0702/212.html

Varney, Sarah. (2011, March 28). Alexander Technique: A balm for back pain?

NPR. Retrieved March 29, 2011 at  http://www.npr.org/2011/03/28/134861319/alexander-technique-a-balm-for-back-pain

nursing theory practice setting.

Provide an overview of the theory

Myra Estrin Levine is known as the most important Nursing theorist for developing "The Conservation Model." Levine got a diploma in 1944 and obtained her B.S in 1949 and finished M.S.N in 1962 from Wayne State College. She acted as a specialist to healthcare facilities and colleges of nursing. Furthermore, she offered a teaching format for the medical or surgical sector of nursing and developed "The 4 Conservation Fundamentals." "She clearly connected wellness to the procedure of conservation design and viewed wellness as one of its necessary elements" (Levine, 1991).

The 3 significant ideas of the Conservation Model are 1) wholeness, 2) adaption, and 3) conservation. "Whole, wellness, hale all are sourced from the Anglo-Saxon word hal" (Levine, 1973, p. 11). Myra Levine formulated her take of wholeness as an open system, which meant checking out the components of the…

References

Alligood, Martha Raile (2010). Nursing theory: Utilization and application. Toronto: Mosby Elsevier.

Chinn, P.L., & Kramer, M.K. (2011). Integrated knowledge development in nursing (8th ed.). St. Louis: Mosby.

Current Nursing (2010). Levine's four conservation principles. Retrieved from  http://currentnursing.com/nursing_theory/Levin_four_conservation_principles.html .

Levine, M.E. (1973). Introduction to Clinical Nursing (2nd Ed.). Philadelphia F.A. Davis.

Purpose and Overview

Nurse consultation involves the application of change management principles and visionary leadership to the improvement of healthcare organizations. Guided by evidence-based practice and ethical principles of the healthcare profession, nurse consultation is a process involving multilateral communications, quantitative assessments, goal setting, and strategic change management. Advance practice nurses can collaborate with nurse leaders to identify problems, analyze those problems and their root causes, and identify meaningful and feasible methods of achieving desired changes and measurable outcomes.
The purpose of this consultation is to work with nurse leaders, administrators, and executives to help the local healthcare organization better meet their goals and improve patient satisfaction. Nurse consultation requires the use of multiple, rigorous empirical methods. The data collection processed used in this case include both qualitative methods like interviews and focus groups, as well as quantitative data gathered from HCAHPS scores, patient metrics, and patient surveys. Although the…

Ineffective Communication Between Shifts in Acute Care Settings

Significant

A recent statistics of the adverse effects arisen from ineffective communication between shifts in acute care setting range from 2.6% to 7.6%, however, Okoniewska, et al. (2015) believes that the adverse effects on in-patients can be between 19% and 23%. (Classen, esar, Griffin. et al. 2011).

The Study aims to discuss the adverse effective arisen from ineffective communication between shifts within acute care settings.

Consequences of not solving the problem

Without implementing the strategies that can enhance effective communication between shifts in an acute healthcare setting, the issue can lead to mortality, readmission, and post-hospital adverse effects. Moreover, poor communication between shifts can lead to medication problems resulting to therapeutic errors. (Okoniewska, et al. 2015). Moreover, lack of intervention to address the problem can lead to medical errors, which can lead to patients' harms. Communication failure has also been identified as…

Reference

Aebersold, M., Averhart, V., Keenan, G., Kocan, M. J., Lundy, F., Tschannen, D. (2011). Implications of Nurse-Physician Relations: Report of a Successful Intervention. Nursing Economics. 29 (3):127-135.

Almost, J., Wolff, A., Mildon, B., Price, S., Godfrey, C., Robinson, S., . . . Mercado-Mallari, S. (2015). Positive and negative behaviors in workplace relationships: a scoping review protocol. BMJ Open, 5(2). doi:10.1136/bmjopen-2015-007685

Carlson, E. A. (2012). Improving Patient Safety Through Improved Communication and Teamwork. Orthopaedic Nursing, 31(3), 190-192.

Classen, D.C., Resar, R, Griffin. F, et al. (2011). "Global trigger tool" shows that adverse events in hospitals may be ten times greater than previously measured. Health Aff (Millwood). 30(4):581 -- 589.

Diabetes Management

Early Detection and Management of Diabetic Neuropathy in a Clinical and Homecare Setting

The objective of this study is to examine early detection and management of diabetic neuropathy in a clinical and homecare setting and specifically through examination of articles published after 2002. The information from each source will be summarized listing the strengths and weaknesses of each article in separate paragraphs. As well, this work will utilize table or graphs to present the findings.

O'eilly, Caryl Ann (2005) Managing the Care of Patients with Diabetes in the Home Care Setting, Diabetes Spectrum, July 2005. Vol. 18. No. 3. etrieved from: http://spectrum.diabetesjournals.org/content/18/3/162.full

The work of O'eilly (2005) reports that more patients than ever before are released earlier from hospitals and rehabilitation center and that those with diabetes are included in this trend. Diabetes is reported to be ranked second following congestive heart failure as the primary diagnosis at…

References

Zieger, Anne (2009) Studies Offer Mixed Grades for Remote Diabetes Care. 6 July 2009 Retrieved from FierceHealthIT at:  http://www.fiercehealthit.com/story/studies-offer-mixed-grades-remote-diabetes-care/2009-07-06 

O'Reilly, Caryl Ann (2005) Managing the Care of Patients with Diabetes in the Home Care Setting, Diabetes Spectrum, July 2005. Vol. 18. No. 3. Retrieved from:  http://spectrum.diabetesjournals.org/content/18/3/162.full 

McLaughlin, Sue (2005) From Research to Practice/Diabetes Care in Special Settings: Meeting the Challenges: Diabetes Care in Special Settings Diabetes Spectrum July 2005 18:143-145. Retrieved from:  http://www.vnsny.org/research/projects/1_implemetation.html

Strategy to Improve the Performance of Jacobi Hospital / Implementation Plan for Jacobi Hospital

Potential Short- and Long-Term Financial Impact of HCAHPS Scores on Jacobi Hospital

Solid finances in the current period as well as progress and viability are seen as some of the objectives of most organizations. It is in the best interests of patients to have good management in hospitals as indicated by the relationship between hospital performance and management scores. The HCAHPS scores may not seem to have an effect on the hospital in the short-term and mid-term. However, in the long run, negative effects may be felt in terms of bad image and loss of customers. Where the scores are low time after time, patients may look for other hospitals, which are clean, well maintained and the patients are treated well. This would impact the hospital's finances negatively, in the long-term. HCAHPS, therefore, affect both short-term…

References

Arnwine, D. L. (2002). "Effective governance: the roles and responsibilities of board members. "Proceedings (Baylor University. Medical Center), 15(1), 19-22.

Caramanica, L. (2004). "Shared Governance: Hartford Hospital's Experience." "Online Journal of Issues in Nursing. 9(1), Manuscript 2. Available on www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume92004/No1Jan04/HartfordHospitalsExperience.aspxaspx

Murphy, M. (2015).HCAHPS: The True Impact of Patient Satisfaction. Medical Scribe Journal.Retrieved from  http://scribeamerica.com/blog/hcahps-true-impact-patient-satisfaction  / on 16th November, 2015.

Orginski Law. (2012). New York Hospitals Score Low on Safety Survey. The Law Office of Gerald Oginski, LLC. Retrieved from  http://www.oginski-law.com/news/new-york-hospitals-score-low-on-safety-survey-20120307.cfm

While these critiques are certainly valid, and the authors clearly demonstrate, as stated in the abstract, that more research may be required, their approach also underlines the weaknesses of a literature review-based article to make a healthcare proposal. Another problem with the use of literature reviews is that it can be difficult to present the results in a meaningful fashion in a chart or graph, to demonstrate the researcher's findings. The format of a literature review -- drawing upon the statistical evidence of a wide range of studies and examining general trends, patterns, and weaknesses -- often means it is comparing apples to oranges, as every study has a slightly different format. The article has a deconstructive purpose, but offers nothing constructive to suggest in the policy's place.

But more disturbingly, there are serious repercussions if the author's ideas are taken seriously, given the problems that could ensue with overcrowding…

Reference

Bain, Christopher a.; Peter G. Taylor, Geoff McDonnell & Andrew Georgiou. (2010, January

4). "Myths of ideal hospital occupancy." MJA. 192.1: 42-43.

Retrieved March 9, 2011 at  http://www.mja.com.au/public/issues/192_01_040110/bai10628_fm.pdf

.. we have goggles that mimic sight deficits. We use ear plugs, and ways to mimic the tactile changes elderly patients go through. We'll immobilize people, to show what it would be like if they had a stroke, and then ask them to do tasks. It makes them more sensitive to seniors' needs."

In Great ritain, nursing care follows a holistic approach to guiding the aging patient through the hospital stay and into 'step down', cottage hospitals, and community recovery centers. Through an empathetic and geriatric skill set, the geriatric nurse can thereby decrease her ultimate workload while maintaining a higher quality of life for the hospitalized patient.

Summary

Aging is no respecter of persons, countries, or races.

We all age. As a graying generation of millions of 'baby boomers' approach the golden years, medical care must shift much of its focus to the particular needs of this group.

Unlike…

Bibliography

"1999-2008, a 10-year Action Plan for Services for Older Persons," (1998), Eastern Health Board.

Bernard, M. & Phillips, J. (2000), "The Challenge of Ageing in Tomorrow's Britain," Ageing and Society, vol. 20, pp.33-54.

Dickinson E. (1996). "Long-term care of older people," BMJ, vol 312, no. 7035, pp.862-863.

"Fact Files - Ageing in Ireland, National Council on Ageing and Older People," (1997).

Termination Summary

Upon termination from the hospital ward, the patient smiled. Her demeanor was much calmer and more serene than when she was admitted, which was under severe stress. Therefore, I noticed many behavioral changes in both the patient and in me during the course of her stay. For example, when the woman first entered the hospital, she was completely tense. She had trouble sleeping and did not know how to communicate her needs to the nurses without becoming upset. She also had trouble eating during the initial phase of her treatment. However, during the course of treatment she grew to trust me and the doctors and she became more relaxed. Her memory remains severely impaired, but she seems more present and aware of her surroundings. Before her discharge the patient was eating regularly, sleeping better, and was more outgoing and talkative. The behavioral changes she exhibited were therefore positive…

Cultural Diversity in Rural Settings for Nurses

On a continuum of cultural awareness to cultural relativity, how do you view yourself and your interactions with others?

As a nurse practitioner, it is easy to see the patient simply as a patient, as a sick person needing treatment, rather than a well person who perceives his or her body as only temporarily ill, but sees his or her person as permanently a part of a family and culture outside of the hospital. As Small and Dennis (2003) counsel, the increase in immigration has resulted in greater diversity of both patients and practitioners within the United States, rather than in traditional urban locations. Thus Small and Dennis remind the nurse that it is not simply enough to treat the patient, but the patient must also understand his or her illness in culturally comprehensible terms. A nurse must be able to communicate to…

Works Cited

Dennis, Betty Pierce & Ernestine B. Small. (Jan-Feb, 2003) "Incorporating cultural diversity in nursing care: an action plan" The ABNF Journal.

"New Position Statement Originated by: Council on Cultural Diversity in Nursing Practice, Congress of Nursing." (1996) Adopted by: ANA Board of Directors.

The hospital should always defer to the patient and family that has an advanced directive in place, and if the patient cannot speak for themselves but has an advanced directive, then a proxy must make the decision. The only case where the hospital should be allowed to make the decision on futile care is in the absence of a proxy, in the absence of an advanced directive, and only if it is in the best interest of the patient.

In this psychological-based model, the healthcare professional and hospital is put in the position of negotiating with the family and/or patient. Burns and Truog (2007) state that in these situations the healthcare professional should always follow the wishes of the patient's family in futile care efforts (Burns & Truog, 2007). However, that view places a burden on the healthcare professional to compromise medical principles when that professional deems the care to…

References

Burns, J., & Truog, R. (2007). Futility: A Concept in Evolution. Chest, 1987-1993.

Forde, R. (1998). Who is to define the futility of treatment -- the patient or the physician? Tidsskr nor Laegeforen (Norwegian), 2652-2654.

Jonson, a., Seigler, M., & Winslade, W. (2002). Clinical Ethics 5th ed. New York, NY: McGraw-Hill.

Lachman, V. (2009). Ethical Challenges in Health Care: Developing Your Moral Compass. New York, NY: Springer Publishing.

As well as expanding patient's abilities to obtain primary care, virtually, telemedicine can enable patients in isolated locations to see specialists. When rural patients are connected to a hospital network such as the Grinnell egional Medical Center, they are able to access high-quality physicians through some of the more advanced healthcare technology available, although this is not always possible in a local healthcare system with fewer physicians and less access to high-level technology. Technology can still enable patients in a variety of settings to keep track of vital signs such as heart rate, blood pressure, and blood sugar, and to alert their physician immediately if their readings are abnormal.

While some surgeons have even performed procedures through virtual consults, certain aspects of medicine remain challenging to provide rural patients, such as physical rehabilitative services, which may require the patient to travel to receive the full benefit of the services. Patients…

References

Campbell, James D. (2001, May). Introducing telemedicine technology to rural physicians and settings. Journal of Family Practice. Retrieved January 27, 2011 at  http://findarticles.com/p/articles/mi_m0689/is_5_50/ai_75244766/ 

Spath, Patrice. (2011). Community Continuum of Care planning.

Brown-Spath & Associates. Retrieved January 27, 2011 at  http://www.brownspath.com/original_articles/cccplan.htm

Tylenol Scandal 1982

How did the hospital or facility respond?

Johnson & Johnson made a decision that would set a new standard for crisis involving product tampering (Hogue (2001), p. 1). Once the connection was made between the Tylenol capsules and the reported deaths, public announcements were made warning people about the consumption of the product. Johnson & Johnson was faced with the dilemma of the best way to deal with the problem without destroying the reputation of the company and its most profitable product (The Tylenol Crisis, 1982 (2008), p. 1). Johnson & Johnson chairman, James urke, reacted to the negative media coverage by forming a seven-member strategy team. The team's strategy guidance from urke was first, "How do we protect the people?" And second "How do we save this product?" (Crisis Communication Strategies, p. 2). The company's first reaction was to immediately alert consumers across the nation, via…

Bibliography

Crisis Communication Strategies. 1-7.

www.ou.edu/deptcomm/dodjcc/.../Johnson%20&%20Johnson.htmCached - Similar-

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Hogue, J. (2001). Johnson & Johnson's Tylenol Scare. 1-2

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

Write a summary of this interview. Do not submit a transcript of the interview.

5. Using the information from your reading, this interview and any journal articles that you find, discuss the impact that public policies have on the roles and responsibilities of clinical mental health counselors working in diverse communities. Be sure to discuss the roles and responsibilities of counselors providing services to clients of diverse ages, backgrounds, and exceptional abilities, including strategies for differentiated interventions. (How do counselors ensure that interventions "fit" for diverse clients?)

6. Discuss how the policies of professional, governmental, and accrediting organizations have impacted the practice of this counselor.

. Share your impressions of the information that the counselor shared, anything that you found particularly interesting, surprising, or that you expected to hear. Discuss the impact that the interview had on your beliefs, expectations, and goals related to becoming a clinical mental health counselor…

7. Share your impressions of the information that the counselor shared, anything that you found particularly interesting, surprising, or that you expected to hear. Discuss the impact that the interview had on your beliefs, expectations, and goals related to becoming a clinical mental health counselor working in this setting.

Summary of the interview

The ability of a clinical mental health counselor to work with a socially and culturally diverse population (e.g race, gender, ethnicity, sexual orientation, economic status) is noted by the American Mental Health Association (AMHA, 2011) to be an important quality of all professional clinical mental health counselors. The work of Patterson (1996) indicated that multicultural counseling is important in order for the inadequacies of the mental health services targeting the minority groups to be eliminated. Such inadequacies include the lack of bilingual counselors, discrimination, and the lack of counselors who are members of the minority groups as well as prejudice in counselors. In this paper we discuss the impact that public policies have on the roles and responsibilities of clinical mental health counselors working in diverse

Campus Violence for K-12 Setting and accurate before referencing the material.

What measurable outcome do you choose to explain? In other words, what is the dependent variable that you will study?

The number of students in the K-12 setting that have experienced campus violence first-hand from other students to the severity of requiring some form of medical attention is the dependent variable I will study.

How would you measure the outcome?

The school nurse and administrators would be vital in measuring this outcome, as they would be able to keep track of any students sent to the nurse for medical attention or sent to the hospital from school due to injury from other students. This study would be best performed over a length of time so that records can be kept, as opposed to attempting to recall from memory or correlate student records to gather past information.

Identify a measurable…

Critical Thinking Case Study

Faith Community Hospital is a not-for-profit health care services organization that is currently facing a situation, which may compel it to resort to stringent cost cutting measures just to break even, and that too providing the average reimbursement rate does not change. Financial problems, however, are just one of the several problems that Faith Community Hospital must resolve in order for the organization to maintain and further build its reputation as a quality health care services provider. In brief, some of the other critical issues that the hospital needs to address are the conflict between the organization's spiritual heritage and values and the ethics of the medical profession; non-compliance with government, managed care, and insurance regulations; and non-adherence to hospital operational policies. Indeed, it is evident from the preceding list of issues that Faith Community Hospital has an organizational management problem on its hands, which needs…

Nursing Problem: Shortage of Nurses in Healthcare

Nursing Shortage

The researcher works at Phoebe Memorial Hospital, where there is an extreme nursing shortage. Without an adequate amount of nurses, patient care and safety may turn out to be compromised, while nurses themselves may be stunned, upset, and dissatisfied. At the researcher's workplace, high patient-to-nurse ratios has been displaying that there is a lot of frustration and job burnout, which is linked to higher yield. At Phoebe, there is an inadequately staffed nursing force which has been discovered to play a negative part in patient results. In difference, studies have confirmed that hospitals like Phoebe Memorial Hospital with low nurse turnover are the ones that have the lowest rates of risk-adjusted death and severity-adjusted span of stay.

There is no very exact way of describing the concept of nursing shortage at the Phoebe Memorial Hospital Phoebe, but a report of this…

References

NURSING PROBLEM: SHORTAGE OF NURSES

HR Managerial - Interview Questions

Mike K

NYC Health & Hospitals

Mike K. is a Russian immigrant and is the current head of HR at NYC Health & Hospitals (HHC) under the title of Chief of Staff of human capital. He has over 15 years' experience with this organization as he began his first entry level position in 2000. He first came to the country as a student and he attended City University of New York and was first hired by HHC in 2000 as a HR recruiter for the organization.

The HR Director role is responsible for maintain the human resources for the nation's largest public health care delivery system that includes a network of forty thousand employees in different hospitals, treatment centers, and related organizations that provide treatment to over 1.4 million people annually. The mission of the HHC is to:

Our promise to New Yorkers: Empower every…

Works Cited

Edwards, M. (2009). HR, perceived organisational support and organisational identification: an analysis after organisational formation. Human Resource Management Journal, The International Journal of Human Resource Management.

EEOC. (2009). Laws Enforced by EEOC. Retrieved from US Equal Employment Opportunity Commission: https://www.eeoc.gov/laws/statutes/

HHC. (2017). About NYC Health & Hospitals. Retrieved from About NYC Health & Hospitals:  http://www.nychealthandhospitals.org/about-nyc-health-hospitals/ 

Karstadt, L. (2012). Human resources for health care: a global issue? British Journal of Nursing, 1178-1178.

Instrument Measures Nurse Practice

In a hospital or any medical care setting, nurses make up the majority of the environment, and are the backbone of facilitating patient care between physicians. However, between meeting the demands of the patients and following through doctors' orders, the roles nurses play are a high-stressed one, which influences on his or her overall well-being. The purpose of this paper is to display the findings from a study led by Pisanti (2008) regarding the relationship between nurses and their abilities to cope with environmental demands with the use of the Occupational Coping Self-Efficacy for Nurses (OCSE-N) Scale.

In order to gain a better understanding about the investigation, it is significant to comprehend about the foundation on which the study was based on, which is the Lazarus cognitive-medication theory of stress and Bandura's social cognitive theory. The former is about certain cognitive appraisals regarding one's work provokes…

The caregiver role includes those activities that assist the client physically, mentally, and emotionally, while still preserving the client's dignity. In order for a nurse to be an effective caregiver, the patient must be treated in a holistic manner. Patient advocacy is another role that the modern nurse assumes when providing quality care. Advocacy is the active support of an important cause, supporting others, or speaking on behalf of those who cannot speak for themselves (Kozier, Erb and Blais, 1997).

For the Ns to be more satisfied then, we need a new paradigm or process that is more inclusive, more active between management and staff, and provides more lines of open communication between the groups. Taking into account that the Ns job is hectic, hospital schedules are always frenzied, and there always seems to be a shortage of people, it will take considerable commitment and effort from management to sort…

REFERENCES

Memorial Herman - About Us. (2010, January). Retrieved October 2010, from Memorial Herman Hospital:  http://www.memorialhermann.org/ 

Allen and Wilburn. (2002). Linking Customer and Employee Satisfaction. Milwaukee, WI: American Society for Quality Press.

Bowen, B. (2000). Recognizing and Rewarding Employees. New York: McGraw-Hill.

Corrigan, Greiner and Erickson. (2003). Fostering Rapid Advances in Health Care: Learning From System Demonstrations. Washington, DC: National Academies Press.