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Nursing Malpractice Essays (Examples)

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Malpractice Cases Are Not Filed Against Physicians
Words: 565 Length: 2 Pages Document Type: Essay Paper #: 89466188
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Malpractice cases are not filed against physicians alone, there can be occasions during regular patient care that a nurse might come under attack for failure to follow standards of care and this can result in a malpractice case. The six elements on malpractice as are follows:

Duty:

This refers to the relationship that the nurse has with the patient or in other words, it needs to be established that the nurse has the duty to provide care as the patient demanded. "Duty is the obligation of due care owed by one person to another as appropriate for the circumstances and as may be dictated by the law." (Sharpe, p. 18) The plaintiff must establish that the defendant had a legal obligation to provide expected care.

Foreseeability:

This refers to the link that is expected to exist between nurse's actions and the injury caused. In other words, the results of nurse's…

References:

Sharpe, Charles. Nursing malpractice: Liability and risk management. Greenwood publishing group. 1999

Nursing Definitions Autonomy in the Nursing Profession
Words: 3242 Length: 10 Pages Document Type: Term Paper Paper #: 47314806
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Nursing Definitions

Autonomy

Autonomy in the nursing profession states the importance of the client's role in making decisions that reflect advocacy for the client (Wade, 1999, p.310). Ultimately, this includes taking care of the patient physically as well as mentally and emotionally, developing a relationship with the patient that is beneficial to his care and actively advocating for the patient's rights and care. This type of autonomy, it is important to note, is not the same as individual or work autonomy, yet it must be considered that empowerment in nursing autonomy will inevitably lead to better professional and personal autonomy and should also lead to increased job satisfaction (Wade, 1999, p.310).

Typical definitions of autonomy would include the idea of complete independence for the person making the decisions. However, in the case of the nursing profession, the client's needs and desires must be heavily weighed and, in fact, become central…

References Cited

Wade, G.H. (1999). Professional nurse autonomy: Concept analysis and application to nursing education. Journal of Advanced Nursing, 30(2), 310-8.

Gaylord, N. & Grace, P. (1995). Nursing advocacy: An ethic of practice. Nursing Ethics, 2(1),

11-18.

White, L. (2004). Foundations of nursing: Second edition. Clifton Park, NY: Delmar Learning.

Nurse-Patient Relations the Main Focus of This
Words: 2161 Length: 7 Pages Document Type: Essay Paper #: 77240679
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Nurse-Patient Relations

The main focus of this essay is going to concern the nurse-patient relationship idea, and why it is important. This was chosen because the researcher desired to achieve a better accepting of how a helpful nurse-patient relationship can be advanced and even from different theorists who have discovered this idea. In this essay, the researcher sets out to demonstrate what they have learnt regarding the nurse-patient relation concept and how this connection can utilized in the clinical practice setting. T The nurse patient connection, according to a study done by Press Gamey Associates Inc., creates the quality of the care experience and generates an influential influence on patient gratification. Nurses will a lot of their time with patients. Patients see nurses' relations with people among the care team and make their own conclusions about the hospital founded on what they are observing. Furthermore, nurses' approaches toward their vocation,…

Works Cited

Berdes, C. & . (2001). Race relations and caregiving relationships: A qualitative examination of perspectives from residents and nurses aides in three nursing homes. Research on Aging, 23(1), 109-126.

Biering, P. (2002). Caring for the involuntarily hospitalized adolescent: The issue of power in the nurse-patient relationship. Journal of Child and Adolescent Psychiatric Nursing, 16(2), 65-74.

Heijkenskjold, K.B. (2010). The patients dignity from the nurses perspective. Nursing Ethics, 6(3), 313-24.

LaSala, C.A.-B. (2007). The role of the clinical nurse specialist in promoting evidence-based practice and effecting positive patient outcomes. The Journal of Continuing Education in Nursing, 38(6), 262-70.

Nursing Pus Bodily Fluids and
Words: 993 Length: 3 Pages Document Type: Term Paper Paper #: 90930668
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Nursing means working one on one with individuals who may be bogged down will all manner of physical or mental pain and suffering or who may even be on the brink of death. Because nurses work so closely with the most delicate matters of human existence: pain, suffering, and death, ours is a difficult job.

Nursing is but one of many healthcare professions and involves unique and specific work. For instance, nurses work directly with the patient by touch and voice. Nurses listen to people's complaints and address them immediately; we massage, we empty bed pans, we bandage bruises and poke people with needles and stick tubes down their throats. Not everyone wants to deal so intimately with patients but would rather remain in the lab. Nurses usually have more direct contact with patients than doctors do, for instance. Nurses must possess a full understanding of the profession and what…

Works Cited

Bolton, Zoe. "Is nursing a profession in crisis?" Daily Mail. 12 May 2004. Online at  http://www.dailymail.co.uk/pages/live/articles/health/healthmain.html?in_article_id=302561&in_page_id=1774 .

Virginia Avernal Henderson." Nurses.info. http://www.nurses.info/nursing_theory_person_henderson_virginia_.htm.

Nursing Law and Ethics Name
Words: 1913 Length: 6 Pages Document Type: Term Paper Paper #: 92225100
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The death of a child is significant and in this case avoidable and a plaintiff has the right to seek compensatory damages as is allowed by law.

Case Study 1 Part B

At the end of the night shift, Nurse Brown took a verbal handover and then noticed the observation chart had not been filled in. To assist her friend, Nurse Harvey, whom she knew had a busy night, filled in the observation chart and fluid balance chart for the hours from 0200-0600 hrs.

Overcome by the events of the last 24 hrs, Nurse Harvey and Nurse Brown go to the local tavern for a few drinks before Nurse Harvey goes on duty. They discussed Mr. Spencer and his son. John, a friend of Mr. Spencer, overheard the conversation and joined them. He was also upset by the events of the day and was most keen to discuss the accident…

References

Hall, J. (1960). General Principles of Criminal Law (2nd ed.). Indianapolis: Bobbs-Merrill.

Markesinis, B.S., & Deakin, S.F. (1999). Tort Law (4th ed.). Oxford: Clarendon Press.

ANCI Competency Standards for the Enrolled Nurse at http://www.anmc.org.au/docs/Publications/Competency%20standards%20EN.pdf

Scope of Nursing Practice Decision Making Framework, 2006 at  http://www.nursingboardtas.org.au/nbtonline.nsf/attachment/SoPDMFFinal/$File/Scope%20of%20Nursing%20Practice%20Decision%20Making%20Framework.pdf

Nursing in the Media Not
Words: 2210 Length: 7 Pages Document Type: Term Paper Paper #: 54993298
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The author quotes Gary Zukav as emphasizing that if a nurse perceives herself as powerless and her image as negative, the idea can sink to the subconscious level and realize itself. She will be drawn to those who will reinforce the idea. Practitioner Pauline Robitaille's stresses impact each nurse has on others. Her influence on people she comes in contact at the peri-operative setting cannot be overstated. She found the published feedbacks of registered nurses in nursing journals as very positive while others were very negative. Those who gave positive feedbacks described the efforts of preceptors to teach and support them. Thus the intended learning flowed smoothly. However, other nurses reported the negative, punitive and critical behavior of their preceptors. The nurses described the difficulty of working with these preceptors. Hence, the nurses did not benefit from their experience with the preceptors.

Ulmer emphasizes that those in the profession must…

Bibliography

Gonzales, L. (2005). A mission for the center for nursing advocacy. 3 pages. Nevada RN Foundation: Nevada Nurses Association

Nursing BC (2002). How to create community media coverage for nursing. 2 pages. Registered Nurses Association of British Columbia: ProQuest Information and Learning Company

Ulmer, B.C. (2000). The image of nursing. 4 pages. AORN Journal: Association of Operating Room Nurses, Inc.

Willging, P (2005). it's time to take the politics out of nursing home quality. 5 pages. Nursing Homes: Medquest Communications, LLC

Nurse of the Future the Developed Worlds
Words: 580 Length: 2 Pages Document Type: Essay Paper #: 41314676
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Nurse of the Future

The developed worlds are becoming older. America's population is approaching retirement age due in large part to the baby boomer generation. Those individuals born between 1946 and 1964 will be eligible for more social security and retirement benefits as time passes. As such, pharmaceutical companies, health services, and the medical industry at large will benefit from this influx of older individuals. As competition for new patents, facilities, drugs and more becomes more intense, companies will undoubtedly require more personnel to handle the subsequent demand. Those companies that can continually innovate and provide products, services and personnel that are demanded will eventually prosper as our population ages. The nursing profession is no different in this regard. They continually push the existing boundaries of science to provide better products and services to society. How they accomplish this task however is very distinct to each type of facility. Fundamental…

Nursing Evidence-Based Practice Is a
Words: 3435 Length: 12 Pages Document Type: Research Proposal Paper #: 43567787
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Third, lack of attention to evidence-based practice can lead to inconsistent delivery of care services.

Evidence-based practice relates to almost every aspect of health care at every stage of a client's relationship with the institution. For example, evidence-based practice informs the types of questions asked during the diagnostic procedures and might even impact the diagnosis itself (Bennett & Bennett, 2000). Evidence-based practice impacts the methods by which infections are prevented (Cantrell, 2009). Evidence-based practices impact the extent to which nurses are empowered to make sound, safe, and effective decisions (Scott & Pollock 2008). Evidence-based practice has the potential to transform the structure of a health care organization like MMH. This is because evidence-based practice changes the hierarchical structure in the organization due to the increased responsibility of nurses for conducting their own research. Alternatively, evidence-based practice can be an extension of organizational change. Health care organizations reducing the hierarchical nature…

References

Artinian, B.M., West, K.S., & Conger, M.M. (2011). The Artinian Intersystem Model. New York: Springer.

Bennett, S. & Bennett, J. (2000). The process of evidence-based practice in occupational therapy: Informing clinical decisions. Australian Occupational Therapy Journal (2000), 47, 171-180.

Burns, N. & Grove, S.K. (2009). The Practice of Nursing Research. St. Louis, MO: Saunders.

Cantrell, S. (2009). Performing under pressure: Caring for decubitus ulcers. Healthcare Purchasing News. Aug 2009.

Legal Nurse Consultant Business Plan
Words: 5420 Length: 20 Pages Document Type: Term Paper Paper #: 24690003
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(Chizek, 2003)

The ole legal nurse consultant may provide service in a number of roles, including but not limited to:

Consulting expert

Testifying expert

Facility-based investigator

Trainer and in-service presenter

Peer reviewer

Quality improvement, risk management, claims management

Liability insurance marketer and clinical resource" (Chizek, 2003)

As standards of care constantly change, medical and nursing staff must keep informed of current standard to develop and/or modify policies and procedures, which must be maintained and secured indefinitely. In the event the facility is sued, these will be used to establish the current standard during the time of the questionable occurrence. Policies and procedures also provide the legal nurse consultant with the foundation for facility documentation to be judged for compliance. (Chizek, 2003)

The minimum length of time the modified policies and procedures should be kept is the time frame of the statute of limitations in the individual jurisdiction. In most jurisdictions,…

References

 http://www.questia.com/PM.qst?a=o&d=5001243047 

Brown, M.R. (1999, February). America's Most Wanted J-O-B-S. Black Enterprise, 29, 109.

Chizek, Mardy. "Can you use a legal nurse consultant? These specially trained and experienced nurses can be frontline protectors against liability suits. (Feature Article)." Nursing Homes, February 1, 2003.

Clark, Scott a.. "Keys on developing the best laid business plans," the Journal Record, April 12, 1999.

Nurse Educators Today
Words: 1134 Length: 4 Pages Document Type: Essay Paper #: 72480811
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Educational Standards

There are a number of common criticisms of educational standards. The first is the concern that predetermined set standards for education creates a 'teach to the test' mentality vs. truly educating students to be creative problem solvers. Another concern is that of equity in education: namely students with different learning styles, learning challenges, or socio-economic obstacles are unfairly penalized by the format of standardized tests (What do critics of standards have to say, 2004, Educational Broadcasting Corporation).

But most educators would agree that there must be standards in some form -- in other words, that every unit taught must have an objective for student learning and that students must have goals throughout the educational process. The concern is having standards imposed upon a classroom in a manner that is not truly appropriate for the students' needs and is not conducive to process-based learning. Ultimately, learning is a process,…

Reference

Mentoring: A boon to nurses, the nursing profession and patients. (2013). RWJF. Retrieved

from:  http://www.rwjf.org/en/about-rwjf/newsroom/newsroom-content/2013/01/mentoring--a-boon-to-nurses--the-nursing-profession  -- and-patient.html

Nurse Is What I Love
Words: 627 Length: 2 Pages Document Type: Essay Paper #: 52861270
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It is not the patients themselves that get impacted but the families of these patients as well. There is a certain connection that nurses make with the families of loved ones admitted in hospitals since these nurses are the one the ones in frequent care of their loved ones.

Just the other day, as I was unloading some shopping from my car, a woman from across the road came up to me and asked me if I was a nurse to whom I replied that I was. She expressed that she had recognized me and that I was the nurse who had taken care of her husband at a time when he was admitted at the hospital. She was grateful that I was very caring and showed such compassion that she would always remember. These kind words from patients that are grateful and their family members are just a sample…

Nursing Risks and How to Mange Them
Words: 1010 Length: 3 Pages Document Type: Essay Paper #: 42947455
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high turnover of nursing personnel. The three main risks associated with this issue are 1) poor quality care, 2) unhealthy work environments, and 3) negative financial performance.

The first risk -- poor quality care -- is the result of a high turnover of nurses, which can lead to inadequate staffing. When there are two few nurses on any given shift, patients receive less care and attention because the nurses on shift are stretched in too many directions at once. Patients are required to wait longer, especially in the E, which can be problematic for patients requiring immediate care. Such is what happened to Edith odriguez at King-Drew hospital in L.A: she died in the E lobby waiting area because of insufficient attention given her by an over-stretched staff (AP, 2007).

The risk management solution to this first issue is to develop a temporary pool of nurses who can work on…

References

AP. (2007). Woman dies in ER lobby as 911 refuses to help. NBCNews. Retrieved from  http://www.nbcnews.com/id/19207050/ns/health-health_care/t/woman-dies-er-lobby-refuses-help/#.V0XO57grLIU 

Den, H., Deanne, N., & Belschak, F. D. (2012). When Does Transformational Leadership Enhance Employee Proactive Behavior? The Role of Autonomy and Role Breadth Self-Efficacy. Journal of Applied Psychology, 97(1), 194-202.

Geiger-Brown, J. (2010). Is it time to pull the plug on 12-hour shifts? Part 1. The evidence. Journal of Nursing Administration, 40(3): 100-102.

Ihan, M., et al. (2006). Long working hours increase the risk of sharp and needlestick injury in nurses: the need for new policy implication. Journal of Advanced Nursing, 56(5): 563-568.

How to Address Failures in Nurse Communication
Words: 1636 Length: 5 Pages Document Type: Research Proposal Paper #: 59784969
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Nurse Communication

Communication is one of the most important aspects of nursing, as the case study of the student and the instructor indicates. The student nurse failed to communicate to the instructor the patient's abnormal oxygen saturation reading -- a reading that could have had very serious consequences for the patient. An entire week going by before this information is relayed to another nurse is highly unacceptable, considering how much emphasis is placed upon preventing medical errors from occurring (Cimiotti, Aiken, Sloane, Wu, 2012). Thus, it is imperative that student nurses appreciate the ramifications of failures in communication -- ramifications that could be potentially fatal for patients and, by extension, legally adverse for the health care facility. Stressing the crucial importance of nurse to nurse communication is vital to the well-being both of the health care organization and the well-being of the patient.

Importance of Nurse to Nurse Communication

The…

References

Cimiotti, J., Aiken, L., Sloane, D., Wu, E. (2012). Nurse staffing, burnout, and health care -- associated infection. American Journal of Infection Control, 40(6): 486-490.

Dall'Ora, C., Griffiths, P., Ball, J. (2016). 12-hour shifts: burnout or job satisfaction?

Nursing Times, 112(12/13): 1-2.

Dall'Ora, C., Griffiths, P., Ball, J., Simon, M., Aiken, L. (2015). Association of 12 h shifts and nurses' job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries. BMJ Open, 5(9): e008331.

Employment Agreement

Nurse Practitioner Employment Contract

EMPLOYMENT CONTRACT AGREEMENT BETWEEN THE FOLLOWING PARTIES:

The following party shall here in be referred to as "Corporation"

GROUP HEALTH CORPORATE,

The following party shall here in be referred to as "EMPLOYEE" or "NP"

MINNIE DAVIS ARNP,

TERMS OF EMPLOYMENT

DURATION

The contract duration is for two years with an option for renewal for five (5) years thereafter.

COMPENSATION

Salary:

The contracted position will be paid at a salary rate of $95,000 per year with a cost of living of 5% every 2 years. The pay is not based on performance.

The contract will be renewed the sixth month after review of the employee's performance.

Paychecks will be issued monthly.

TERMINATION

The termination of this contract may be made under the following conditions.

Violation of State or Federal Law

Breach of the Contract by either Party

Performance of the NP

Desire to Leave the…

Interview Nurse Interviewing a Registered
Words: 1685 Length: 6 Pages Document Type: Term Paper Paper #: 40652095
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There is an increased incidence of worry and concern over malpractice claims which increasingly award patients higher amounts of money for patient's winning cases. Unfortunately this has led to many nurses practicing defensive care rather than preventive and supportive care (Guevara & Mendias, 2002: 350). In some cases this may lead to overly conservative treatment of a patient's condition.

Discrepancies in job titles and assignments as well as responsibilities exist (Guevara & Mendias, 2002). Increasingly management responsibilities are delegated to nurses which increases their administrative burden and the potential for malpractice claims when patients receive care from less experienced staff or unqualified staff because of staffing shortages (Guevara & Mendias, 2002).

Strict reimbursement mechanisms, a decreased staff, health service restraints that are brought upon by economic factors and new organizational structures as well as a changing dynamic in the public have all influenced the nursing field" (Guevara & Mendias, 2002:350).…

Reference:

Guevara, Edilma B. & Mendias, Elnora P. "A comparative analysis of the changes in nursing practice related to health sector reform in five countries of the Americas." Pan American Journal of Public Health (2002): 12 (5), 350-355. 20, October 2004, from  http://www.scielosp.org/pdf/rpsp/v12n5/14093.pdf

Analyzing Patient Injuries and Malpractice
Words: 2089 Length: 6 Pages Document Type: Term Paper Paper #: 56761963
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clinical cases and examine malpractice perspectives.

Background Info

Concerns over mounting healthcare expenses have resulted in increased inquiry into medical practices. With the rise of malpractice risk and medical liability to unprecedented levels, the field of medical law has influenced defensive medical practice as healthcare providers endeavor towards liability risk mitigation (Nahed, et.al, 2012).

Elements Needed to Prove Malpractice

Medical malpractice is associated with four fundamental elements, all of which have to be present for forming the base for any claim. For any case of medical malpractice to succeed, an attorney is required to prove all four aspects, which are: duty, causation, damages, and breach (What are the Elements of a Medical Malpractice Claim? n.d.). The first element -- Duty -- implies that health care professionals owe their patients the duty to take reasonable and appropriate action; i.e., the practitioner is accountable for delivering some form of treatment or care…

References

Florida Healthcare Law (n.d.). - A Florida Medical Malpractice Blog - Shoulder Dystocia Erbs Palsy. What are the Elements of a Medical Malpractice Claim? -- Florida Healthcare Law - A Florida Medical Malpractice Blog - Shoulder Dystocia Erbs Palsy. Retrieved March 8, 2016, from  http://floridahealthcarelaw.com/what-are-the-elements-of-a-medical-malpractice-claim/ 

Kurreck, & Twersky. (2012). Home -- AHRQ Patient Safety Network. Residual Anesthesia: Tepid Burn -- AHRQ Patient Safety Network. Retrieved March 8, 2016, from  http://psnet.ahrq.gov/webmm/case/276 

Nahed, B., Babu, M., & Smith, T. (2012, June 22). Malpractice Liability and Defensive Medicine: A National Survey of Neurosurgeons. Retrieved March 7, 2016, from  http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0039237 

Saltzman, J. (2008, January 29). Medical Malpractice Attorneys Lubin & Meyer -- Boston, MA, NH, RI. Family Sues in Operating Room Fall - Wrongful Death Lawsuit. Retrieved March 8, 2016, from  http://www.lubinandmeyer.com/news/or_fall.html

Achieving Nursing Course Goals
Words: 1449 Length: 4 Pages Document Type: Essay Paper #: 35478554
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Achieving Course Goals

After review of the topics we shall be covering, relations between my nursing practice and course material became noticeable. The course topic that I felt related most to my current practice is, "grammar and punctuation" for the following reasons. Nurses must be precise and effective when documenting which makes grammar and punctuation an essential skill to understand and perfect. The purpose of documentation is to promote effective communications, ensure quality patient care, and meet professional legal standards. Documentation is a vital component in the healthcare delivery system and is essential in communicating amongst other professionals. It is the way healthcare providers can be assure of continuity and quality care being provided to patients.

Proper documentation accommodates the need of patients and protects the nurse by providing an audit trail in a court of law. Inadequate documentation can lead to any claim in regard to a supposed act…

References

Curtin, L. (2014, September). Documentation: You've got a lot to lose. American Nurse Today, 7(9), 64.

de Ruiter, H. P. & Demma, J. M. (2011, January 1). Nursing: The skill and art of being in a society of multitasking. Creative Nursing, 17(1), 25-27.

Fox, B. I. & Andrus, M. (2011, March). Selecting a clinical intervention documentation system for an academic setting. American Journal of Pharmaceutical Education, 75(2), 37-39.

Green, D. (2014, January/February). New ICD-10 coding: Documentation to provide better care, support more accurate billing. American Nurse, 46(1), 4.

Benner S Theory and the Concept of Nurse Competence
Words: 2762 Length: 8 Pages Document Type: Paper #: 72718375
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Benner's Novice To Expert Theory

and Application to Modern Nursing

Nurse competence is an important concept in today's nursing practice since it is directly linked to patient outcomes. The link between this concept and patient outcomes is also attributed to how nurse competence is related to integrating nursing knowledge into practice. This paper provides a concept analysis of the concept of nurse competence in relation to Benner's Novice to Expert Theory. The main goal of the article is to examine the relevance and application of this theory to modern nursing with regards to the concept of nurse competence. This discussion includes how the theory contributes to nursing knowledge, analysis of the concept of nurse competence, analysis of the concept's attributes, and application of the concept.

Keywords: nurse competence, concept, analysis, Benner's Novice to Expert Theory, nursing practice, professionals, professional growth and development.

Concept Analysis: Benner's Novice to Expert Theory and…

References

Benner, P. (1984). From novice to expert: excellence and power in clinical nursing practice. Menlo Park, CA: Addison-Wesley.

Carlson, L., & Contrades, S. (1989, April 28). Nursing Student Novice to Expert -- Benner's Research Applied to Education. Journal of Nursing Education, 188-190.

Garside, J.R. & Nhemachena, J.Z.Z. (2013, May). A Concept Analysis of Competence and its Transition in Nursing. Nurse Education Today, 33(5), 541-545.

Marble, S. G. (2009, June 13). Five-Step Model of Professional Excellence. Clinical Journal of Oncology Nursing, 3, 310-315.

Business Plan for Legal Nurse
Words: 1974 Length: 7 Pages Document Type: Business Plan Paper #: 92414386
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This is further based on the following assumptions:

1. The company will charge $150 per hour for each client.

2. The company expects to spend at least 80 hours a year with each client.

3. The company expect to see at least 30 clients per year, which will generate a revenue of $150 x 30 x 80 = $360,000. For the purpose of this computation, this will be regarded as the selling price.

4. The company expects its yearly fixed costs to be $526,000. This fixed cost consists of the cost of staff remuneration, utility bills and advertising.

5. The company expects its variable costs to be about $344,000 a year, comprising of the cost of equipment servicing and maintenance, legal costs, and so on.

Given the above assumption, the company's yearly break-even point can be computed as follows:

The implication of the above computation is that LNS must service…

References

Graham J.R., Smart S.B., & Megginson W.L. (2010): Corporate Finance -- Linking

Theory to What Companies Do. Mason, OH: South-Western Cengage Learning.

Hubbard R.G., O'Brien a.P. (2009): Macroeconomics. Upper Saddle River, NJ: Prentice-

Hall

Nhs Change Analysis of Nurse-Led
Words: 3444 Length: 11 Pages Document Type: Case Study Paper #: 89643059
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The variability in problems faced by the King Edward Hospital NHS Trust during the period in question, instigated a multi-level response in knowledge sharing and inclusion on practice. Kotter's theory relies upon such a method, where strategies are an exercise multi-tiered obligation.

As Kotter points out, the transformation model may not be suitable for organizations that are in pursuit of prompt change, and the series of responsibilities which result from consortium relationships may apply to one or all organizations within the scope of his definition of institutional cultures: 1) Developing Social Construct; 2) Oriented Social Construct; 3) and Pluralistic Social Construct types. Evidence-based practice in healthcare is compatible with Kotter's proposition. Process methodology including the '8-Steps' process in three (3) phases -- 1) Creating Climate for Change, 2) Engaging and Enabling the Organisation, and 3) Implementing and Sustaining the Change -- is illustrated in Figure 1.

Figure 1

Figure 1:…

References

Abidi, S.S., 2001. Knowledge management in healthcare: towards 'knowledge-driven' decision-support services. International Journal of Medical Informatics, 63 (1-2), pp. 5-18.

Abidi, .S.S. et al., 2009. Knowledge sharing for pediatric pain management via a Web 2.0 framework. Studies in Health Technology and Informatics, 150, pp. 287-91.

Abidi, S.S. et al., 2004. Knowledge management in pediatric pain: mapping online expert discussions to medical literature. Studies in Health Technology and Informatics, 107 (Pt 1), pp. 3-7.

Austin, M.J., 2008. Knowledge management: implications for human service organizations. Journal of Evidence-Based Social Work, 5 (1-2), pp. 361-89.

Privacy Violations and Malpractice at the Okc VA Medical Center
Words: 2020 Length: 5 Pages Document Type: Essay Paper #: 89366269
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Department of Veterans Affairs Medical Center, Oklahoma City, Oklahoma

Today, the Department of Veterans Affairs (VA) operates the nation's largest healthcare system through the Veterans Health Administration (VHA), including 152 medical centers (VAMCs), 800 community-based outpatient clinics and numerous state-based domiciliaries and nursing home care units (About VA, 2016). As the second-largest cabinet agency in the federal government, the VA's budget exceeds the State Department, USAID, and the whole of the intelligence community combined) with more than $60 billion budgeted for VHA healthcare (Carter, 2016). One of the VHA's largest medical centers that provides tertiary healthcare services to eligible veteran patients is the Oklahoma City VA Medical Center (OKC VAMC) in Oklahoma City, Oklahoma. Like several other VAMCs, the OKC VAMC has recently been implicated in a system-wide scandal concerning inordinately lengthy patient waiting times and misdiagnoses which may have contributed to the deaths of some veteran patients and jeopardized…

References

About the Oklahoma City VA Medical Center. (2016). Oklahoma City VA Medical Center. Retrieved from  http://www.oklahoma.va.gov/about/ .

About VA. (2016). Department of Veterans Affairs. Retrieved from  http://www.va.gov  / about_va/vahistory.asp.

Breen, K. J. & Plueckhahn, V. D. (2002). Ethics, law, and medical practice. St. Leonards, NSW: Allen & Unwin.

Carter, P. (2016). How to fix the VA. Slate. Retrieved from  http://www.slate.com/blogs  / the_works/2016/03/25/slate_s_infinite_scroll_implementation_explained.html.

Breach of Duty and Financial Injury of the Patient
Words: 1241 Length: 4 Pages Document Type: Essay Paper #: 14924259
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Malpractice in Patient Care

Nurse A is assigned to Mr. Jones and is tasked with ensuring that the patient is protected at all times. The patient cannot do certain things that will assure him a protected and assured health process. The nurse provides every necessary help and support so that Mr. Jones can recover as expected. Presently, the nurse has been doing well on the shift. Additionally, the nurse should ensure that the patient has received equitable medical service. In the case presented, the nurse is doing well since he is at the touching distance between him and the patient. The nurse should offer an immediate observation on the health situation of the patient throughout the nursing process, which is throughout the night shift. The nurse has the duty to ascertain the feelings and changes within the patient to be accurate on what is happening and what is likely to…

Nurses and the Quality of Care
Words: 720 Length: 2 Pages Document Type: Case Study Paper #: 31606065
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Nursing Scenario

Over the last 25 years, the delivery of healthcare services is consistently changing. This is from consumers demanding better avenues for receiving them. That is focused decreasing costs and enhancing quality. These problems are directly linked with issues inside a practicum environment. In these situations, nurses are forced to perform a variety of administrative tasks during their shift and are overwhelmed. This means that they do not have the resources or support to improve quality and enhance treatment options. The result is that errors are increasing and more patients are having complications from these issues. Unless some type of drastic action is taken, there is a chance the facility will become involved in medical malpractice litigation and can lose cliental. (Odell, 2009)

Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care.

Nursing sensitive indicators…

References

Jones, R. (2007). Nursing Leadership and Management. Philadelphia, PA: FA Davis

Kelly, P. (2013). Essentials of Nursing Leadership. New York, NY: Cengage.

Odell, M. (2009). Nurse's Role in Detecting Deterioration in Ward Patients. Journal of Advanced Nursing, 65 (10), 1992 -- 2006.

Watson, J. (2011). Human Caring Science. Sudbury, MA: Jones and Bartlett.

Important Elements of a Healthcare Organization's Strategic Plan
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Nursing: Management and Leaderships

Every good healthcare institution has a strategic plan of goals and methods for reaching those goals. Because it is a business, a healthcare institution has some goals and methods that can be found in other kinds of businesses. Because it is a provider of special services, a healthcare institution has special goals and methods that are unique to healthcare. At a minimum, a healthcare institution's strategic plan has goals and methods regarding patient safety, data management and informatics, internal and external marketing, and hazard preparedness. Goals and methods in these categories can help a healthcare institution start with and constantly improve its strategy for business and healthcare success.

Body: Strategic Plan of an Institution

An institution's strategic plan is a carefully developed description of its long-term goals and its plan of action for reaching those goals. Major institutions in all walks of life develop strategic plans…

Works Cited

Boden, T.W. (2012). Marketing as a worldview. Journal of Medical Practice Management, 28(3), 192-4.

Gordon, L. (2014). Seeing informatics in action. Journal of AHIMA, 85(2), 23.

Harrison, J.P. (2010). Essentials of strategic planning in healthcare. Chicago, IL: Health Administration Press.

Levi, J., Lieberman, D., & Lang, A. (2013). Preparedness must permiate health care: Yet still has a long way to go. Health Progress, 94(6), 52-6.

Managing and Identifying Barriers
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Managing Barriers

Barriers encountered in the Capstone project revolved around the idea that the staff felt it was not there job to read rhythm strips, and did not make the time to get off the floor for any continuing education. Good leadership can help eliminate these kinds of problems, as the problems have to be addressed from the standpoint of people who will insist that everyone does his or her job and makes the time to get involved with things like continuing education. As can be seen, there are generally a number of barriers that are encountered when trying to implement a change in practice. Even if that change will resolve a problem or address a concern, many people are still going to be resistant to it. The main barriers can include resistance to change from staff, lack of leadership, lack of resources (both financial and fiscal), environment, communication, and…

References

American Nurses Association. (2001). Code of ethics for nurses with interpretive statements (Publication no. CEN21 10M 08/03). Washington, DC: Author.

Finkelman, A., & Kenner, C. (2010). Professional nursing concepts. Boston, MA: Jones and Bartlett.

Funk, S.G., Tornquist, E., & Champagne, M.T. (1991). BARRIERS: The barriers to research utilizations scale. Applied Nursing Research, 4, 39-45.

Pexton, C. (2005). Overcoming the barriers to change in the healthcare system. Retrieved from  http://healthcare.isixsigma.com/library/content/c050413a.asp

Hospital Policies Do They Always Apply in Emergency Situations
Words: 1006 Length: 3 Pages Document Type: Essay Paper #: 72713379
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School Nurse Conflict Mission

Mary Jackson did exactly what a professional RN should do -- she tended to the injured children that were her responsibility. It happened that her efforts spilled over into a hospital emergency room, which technically she did not have the legal right to practice in. But still, she acted according to the values that she was trained in and moreover, as a professional healthcare employee of a school, she knew these children and her instincts were to boldly provide triage and other emergency procedures to help the children. In addition, Mary is not just an RN, she is a Nurse Practitioner specializing in pediatrics, and her skills and training are well beyond those of an RN. Hence, she deserves respect and she deserves the benefit of the doubt when she acts in behalf of the children she is contractually and morally obliged to protect and care…

Works Cited

Klein, C.A. (2006). Nursing Responsibilities in a Disaster. The Nurse Practitioner, 31(11), 56.

Northrop, C.E. (1990). How Good Samaritan Laws Do Protect You. Nursing90, 20(2), 50-51.

Riverbend City: School Nurse Conflict Mission. Washington Allston Elementary School.

National Healthcare Crisis The Implications
Words: 2851 Length: 10 Pages Document Type: Research Proposal Paper #: 47477441
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Personal Response

There does not appear to be a "chicken little" quality involved in the resources reviewed; indeed, the statistics cited make it abundantly clear that the healthcare profession is in big trouble today and things are going to get worse before they get better in the future. Indeed, the authors of the resources reviewed did not pull any punches in their portrayal of the impact that the current and impending nursing shortage is going to have on the profession and on the quality of healthcare services in the future. Furthermore, it was apparent from the review that the implications of a growing shortage for the nursing profession itself were severe, but none of the authors emphasized just how difficult it is to be a nurse today.

Notwithstanding the popular perception of professional nurses in clean scrubs delivering timely medical care, the harsh reality of the situation is that nurses…

Disclosure of Physician Information
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physician reports cards fair and balanced? Take a position on this issue and explain your view. Provide at least two examples from references that support your position.

According to my opinion the answer is fair and balance at some point and unfair and unbalanced at the same time because the online sites having option rate your doctors receives very few reactions and they are mostly responded by unhappy patients who are unhappy with something. The reason behind their unhappiness is they did not get what they wanted. On the other side, few happy patients visit these sites and talk about it but unhappy patients often visit these sites. For Example: 10 happy patients rated the doctors and all are good ratings so it would be not wise to select that particular doctor on the basis of few ratings. It is fair and balances in other aspect as well that patients…

References

Fielding, J. & Sutherland, C. (1999). Community health report cards:: Results of a national survey, American journal of preventive, retrieved May 30, 2011 from  http://linkinghub.elsevier.com/retrieve/pii/S0749379799000331 

Frank, E. & Brevan, J. (2000). Physician disclosure of healthy personal behaviors improves credibility and ability to motivate., Archives of family medicine, retrieved May 30, 2011 from  http://www.ncbi.nlm.nih.gov/pubmed/10728118 

Hall, M. & Kidd, E. (2000). Disclosure of physician incentives: do practices satisfy purposes?, Health Affairs, retreifved May 30, 2011 from  http://content.healthaffairs.org/content/19/4/156.short 

Steve, F. (2010). Three Reasons Physicians (and Patients) Can Be Thankful for Online Doctor Ratings, retrieved May 30, 2011 from  http://www.businesswire.com/news/home/20101116005303/en/Reasons-Physicians-Patients-Thankful-Online-Doctor-Ratings

Rights and Responsibilities for a Member of
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Rights and Responsibilities for a Member of the Nursing Union in Minnesota recent MSNBC Health article on the state of the nation's health noted that despite the nation's joblessness crisis, nursing remains woefully understaffed as a profession across the nation. The current shortage of a few hundred thousand RNs could reach a staggering 750,000 by 2020, given the aging population and rate of retirement in the 'Baby Boom' generation. The danger of this scenario, of a rapidly aging population and a rapidly retiring nursing profession, is highlighted by a recent lawsuit waged against the esley Hospital in Kansas in July of 2000. There, a jury awarded a $2.7 million malpractice settlement to the family of a woman who almost died due to chronic nursing understaffing at the hospital. Thus, the nursing shortage has costs for both hospitals as well as patients that could prove disastrous. (Johnson, 2004) shortage of nurses…

Works Cited

Johnson, Linda. (March 29, 2004) "Shortage of nurses putting patients at risk: Unions push for limits on patient loads in hospitals." Associated Press.  http://www.msnbc.msn.com/id/4587667/ 

Minnesota Board Of Nursing. (May 17, 2004) "Twin Cities Registered Nurses Ratify Contracts." Retrieved on June 6, 2004 at SIC&SEC={E7A71FCF-7F9B-4BE9 88C4-85784F18A4A9}

Minnesota Board Of Nursing. (June 2004) "Who needs a Minnesota Nursing License?" Retrieved on June 6, 2004 at  http://www.state.mn.us/cgibin/portal/mn/jsp/content.do-rc_layout=bottom&subchannel=536882455&programid=5  6898714&sc3=null&sc2=null&id=-536882404&agency=NursingBoard

Minnesota Statutes. (2003) 148.171  http://www.revisor.leg.state.mn.us/stats/148/171.html

Chang Proposal - Milestone 4 Type Text
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Chang Proposal - Milestone #4

[Type text] [Type text] [Type text]

N 451- Capstone Project Milestone #4: Design for Change Proposal

Christopher D'Ambrose

N 451 Capstone Course

Quality of patient care is a paramount concern of healthcare professionals. When nurses experience interruptions while they are working, the quality of care patients receive can be negatively impacted. Interruptions have been shown to disrupt working memory, disrupt on-duty focus, induce frustration and stress, contribute to accidents, and lead to patient care errors (Bennet, et al., 2010). Interruptions that occur when nurses administer medication to patients are a particular concern. The incidence of interruptions is higher than might be surmised; according to Day (2010), 19.8% of all procedures did not have any disruptions or clinical errors. Biron, et al. (2009) reviewed 14 observational studies of nurses providing patient care, in which they found that 6.7 interruptions occurred each hour during mediation administration. This…

References

Bennett, J. (2006). Effects of interruptions to nurses during medication administration.

Nursing Management (Harrow), 16(9), 22-3.

PMID: 20222227 [PubMed - indexed for MEDLINE]

Biron, A., Lavoie-Tremblay, N., and Loiselle, C.G. (2009). Characteristics of work interruptions during medication administration. Journal of Nursing Scholarship, 41(4), 330-336. doi: 10.1111/j.1547-5069.20009.01300.x

Anesthesia in Rural American
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competition increasing in every field including nursing, it is not desirable for any professional nurse to just be content with a bachelor's degree in Nursing. It should be noted here that as the subspecialties and subfields are evolving with betterment and improvement in the field of nursing and healthcare, the responsibility of the nurses is being further increased with respect to their professional competence. After my attaining my bachelor's degree in nursing, I would now like to go on to become a Certified egistered Nurse Anesthetics, for which I would like to explore the universities that are offering this program. As a part of this paper, I would include some of the top universities where I plan to apply and get in to complete my degree as a certified nurse anesthetic. However, there are some aspects that I need to consider before applying to these universities, pertaining to the cost…

References

Aana.com,. (2014). Become a CRNA. Retrieved 9 August 2014, from  http://www.aana.com/ceandeducation/becomeacrna/pages/default.aspx 

Bankert, M. (1989) Watchful Care; A History of America's Nurse Anesthetists. New York: The Continuum Publishing Company, p. 107-123, 137-139.

Garde, J.F. (1996). The Nurse Anesthesia Profession, A Past, Present, and Future Perscpective. Nursing Clinics of North America, Vol 31, Number 3, p. 570-571.

Should Nurses Have to Have a B A
Words: 1332 Length: 4 Pages Document Type: Term Paper Paper #: 42409687
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Political Analysis of Establishing the Baccalaureate Degree as Minimum equirement for Nursing

Establishing the baccalaureate degree as minimum requirement for nursing

Identifying and analyzing the problem

The challenges of the modern healthcare environment have grown increasingly complex and diversified. The skills required for a competent nurse have grown and expanded with changes in technology; also, cost-cutting by many major healthcare institutions have shifted duties once solely confined to physicians onto the shoulders of nurses. Given the additional roles and responsibilities assumed by nurses, there have been increasing demands that nurses have at least a baccalaureate degree as minimum requirement for entering the nursing profession. At present 39% of all nurses have degrees from four-year colleges (Perez-Pena 2012:2).

Outlining and analyzing proposed solutions

Despite the nursing shortage, many hospitals have begun to demand that nurses now have a B.A., causing many seasoned nurses to have to return to school. "That shift…

References

Ingeno, L. (2013). Who will teach nursing? Inside Higher Ed. Retrieved from:

 http://www.insidehighered.com/news/2013/07/22/nursing-schools-face-faculty-shortages 

Maitland, R. (2013). Schools adapt to nursing faculty shortage with creativity. Chronicle of Higher Education. Retrieved from:  http://www.chron.com/jobs/article/Schools-adapt-to-nursing-faculty-shortage-with-3949965.php 

Perez-Pena, R. (2012). More stringent requirements send nurses back to school. The New York

Hiring and Retention Strategy of Nurses
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Recruitment, Hiring, And Retention of Acute Care Nurses

The strategy needed for hiring recruiting nurses in acute care units

Personnel management constitutes of selection and recruitment. Recruitment is an arduous process of selecting and hiring the appropriate candidate. Recruitment is a part of human resource planning. The aim of the recruitment here is to hire the best qualitative acute care nurses to produce maximum productivity. The process of recruitment and selection is to hire the best available nurses from the available pool. The right candidate will be an amalgamation of creativity, attitude, work experience and education. There are three stages of recruitment:

Outlining the requirements: It consists of designing job descriptions, job requirements and kind of person wanted

Bring best candidates: This can be achieved in so many ways, explain later.

The proper and suitable candidate will be picked up from the applicants. Recruitment is an ongoing process:

Promotions

Departing…

Education for Nurses How Does
Words: 3584 Length: 12 Pages Document Type: Research Proposal Paper #: 8879328
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egardless of how one defines productivity, it is clear that one cannot be productive at work if one is not at work.

Human resources

Of course, not all professional development is geared at reducing the impact of work-related stressors, but the reality is that that successful professional development should help relieve stress. In fact, professional development is considered a key element of establishing a healthy nursing work environment. According to the Florida Center for Nursing, professional development is one of the twelve essential elements of a healthy work environment. (Florida Center for Nursing, 2006). Obviously, a company's human resources department determines its policies regarding continuing education, including whether a company will offer in-office opportunities for continuing education, whether a company will pay for professional development, and whether nurses will be given time off in order to pursue continuing education. Therefore, it is important to understand the role of human resources…

References

Allen, M., Allison, M., and Stevens, S. (2006, April). Mapping the literature of nursing education. Journal of the Medical Library Association, 94(2 Suppl), E122-E127. Retrieved September 3, 2008, from Pub Med Central database.

Bowman, M. (1986). Nursing management and education. Dover: Croom Helm.

Ellis, J.R., and Hartley, C.L. (2004). Nursing in today's world: trends, issues, and management, 8ed. Hagerstown, MD: Lippincott Williams & Wilkins.

Fabre, J. (2005). Smart Nursing. New York: Sheridan Press.

Atul Gawande
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Surgeon's Notes on an Imperfect Science

According to author and surgeon Atul Gawande, the practice of medicine, despite its veneer of scientific objectivity, is often based more in art and subjective impressions than science. In his book A Surgeon's Notes on an Imperfect Science (which is part memoir and part philosophical rumination on the state of modern medicine), Gawande examines various types of medical errors and misreadings in his own career and others. Intentionally or not, the effect upon the reader is often unsettling, and although Gawande makes suggestions for how to improve the practice of medicine, he implies that mistakes are unavoidable because patients and doctors are human. Even statistics elude the unpredictability of medicine. "In psychology, there's something called the broken-leg problem. A statistical formula may be highly successful in predicting whether or not a person will go to a movie in the next week. But someone who…

Work Cited

Gawande, Atul. Complications: A Surgeon's Notes on an Imperfect Science. New York:

Metropolitan Books, 2002.

Analyzing Health Policy Letter
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Health Policy Letter

The health policy being proposed

Medicines are primarily used to avert chronic ailments, infectious viruses and alleviate pain. If used incorrectly and without necessary instructions, medicines can instigate harmful outcomes in a human body.

Errors with medicine use are prone to occur at work, hospital, pharmacy and even home. Pediatric patients are often prone to experience iatrogenic injury due to underlying medication errors. Nurses are tasked with enhancing and alleviating patients from pain as opposed to contributing to it. Medication errors greatly contribute to increasing health-related risks to patients. The issue has become a global concern due to escalating medical costs, protracted hospital stays and mortality rise in rates. Averting medical errors is a key responsibility of both hospitals and governments. In order to curb medication errors, strategies implemented have ranged from using information technology, critical incident analysis and concentrated input from medical professionals (Simpson, Lynch, Grant,…

References

Ballard, K. A. (2003). Patient Safety: A Shared Responsibility. Online Journal of Issues in Nursing, 8(3).

Buppert, C. (2011, December 27). What Are the Consequences of Violating Medication Policies? Retrieved from WebMD:  http://www.medscape.com/viewarticle/755655 

Cheragi, M. A., Manoocheri, H., Mohammadnejad, E., & Ehsani, S. R. (2013). Types and causes of medication errors from nurse's viewpoint. Iran J Nurs Midwifery Res, 228-231.

Hughes, R. G., & Blegen., M. A. (2008). Medication Administration Safety. In R. Hughes (Ed.), Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD):: Agency for Healthcare Research and Quality (U.S.).

The Pros and Cons of Caps in Punitive Damage Suits
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Legal esearch and Application

Should there be caps on legal awards against organizations or practitioners? What are the pros and cons of limiting civil monetary awards?

There are a number of tort reforms that are being promoted among the fifty states regarding caps on punitive damages. The purpose of these caps is to ensure that "defendants will be held liable for no more than their fair share of responsibility for a plaintiff's injuries" and putting the rest of damages sought by plaintiffs on the "collateral sources such as health insurance" (Cohen, 2006, p. 1). Such reform would reduce the treatment provider's risk of being completely ruined by a plaintiff's lawsuit and provide that some of the risk of malpractice be assumed by other agencies connected to health care provision. This would be a pro-for defendants (health care providers) but a con for patient plaintiffs who would be required to seek…

References

Cohen, H. (2006). Medical Malpractice Liability Reform: Legal Issues and Fifty-State

Survey of Caps on Punitive Damages and Noneconomic Damages. CRS Report for Congress: 1-20. Retrieved from http://royce.house.gov/uploadedfiles/medical%20malpractice.pdf

Guidebook for Tennessee Nonprofits. (2016). Attorney General's Office. Retrieved from  http://attorneygeneral.tn.gov/nonprofit/nonprofitguidebook.pdf 

Svorny, S. (2011). Could mandatory caps on medical malpractice damages harm consumers? Policy Analysis, Cato Institute, 685: 1-28.

Post Surgery Measures
Words: 1732 Length: 5 Pages Document Type: Case Study Paper #: 60748866
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Tonsil Problems

Surgery is a traumatic and often dangerous event. While tonsillectomies are somewhat common in the history of surgical procedures, it is necessary to investigate the problems of Amy as listed in the case study following a post operative procedure in which her tonsils were removed. In order to determine the patient's pathophysiology it is necessary to identify the problematic or typical physiological processes that are occurring with the patient.

The first step in discussing this problem should identify any problems or situations that are out of the normal set of circumstances for a tonsillectomy. Most of these types of surgeries are simple and require little to no healing time and prescriptions to finish the process. Here in Amy's case however, there seems to be a definite problem. The main problems deals with the patient's mental state and her fear of not healing. This fear has no doubt complicated…

References

Audit, N.P.T., & van der Meulen, J. (2004). Tonsillectomy technique as a risk factor for postoperative haemorrhage. The Lancet, 364(9435), 697-702.

Aukburg, S.J., Ketikidis, P.H., Kitz, D.S., Mavrides, T.G., & Matschinsky, B.B. (1989, November). Automation of physiologic data presentation and alarms in the post anesthesia care unit. In Proceedings of the Annual Symposium on Computer Application in Medical Care (p. 580). American Medical Informatics Association.

Berry, J.G., Blaine, K., Rogers, J., McBride, S., Schor, E., Birmingham, J., ... & Feudtner, C. (2014). A framework of pediatric hospital discharge care informed by legislation, research, and practice. JAMA pediatrics, 168(10), 955-962.

Brar, M.S. (2009). Airway management in a bleeding adult following tonsillectomy: a case report. AANA J, 77(6), 428-430.

Clinic Project Budget a One
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00

Other Expenses

Rent

14,400

$1,500/month

Non-Capital Equipment

2,500

Marketing & Advertising

6,000

Duplicating & Xerox

Temp LPN

3,375

$225/day (15 days/year)

Medical Supplies

22,500

Variable

$6/GYN visit, excl. IUD cost

Pharmac

11,250

Variable

$3/GYN visit

Office Supplies

Linen

9,375

Variable

$2.50/GYN visit

Pages

$50/month

DEA

Professional Fees, re. NP

Postage

1,650

Disposal of Infectious Waste

$300/month

Tele Long Distance

$50/month

Cellular Telephone

$75/month

Physician Coverage

18,000

$1,500/month

Malpractice Insurance

8,500

Property Insurance

Total

$102,550.00

Total Expenses (IUD exempt)

$329,660.00

IUD Placement

38,500

$350 per IUD inserted

Total Expenses

$368,160.00

Income

GYN

462,500

Colposcopy

38,500

IUD Placement

22,000

IUD Supply Charge

55,000

Total

$578,000.00

Budget Narrative

Salaries & Benefits

While the NP will be on salary, the LPN, Receptionist and Billing Clerk time will be paid at the 1.0FTE hourly rate. Benefits are projected to be 23% of staff salaries. Overtime for the LPN and Receptionist is projected to be…

Hospital Industry and
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health care IT strategy

Hospitals form one element of the health care industry, proving medical care for patients. There are three main types of hospitals in the U.S. -- for profit, non-profit and government. While many hospitals operate independently, some are part of larger groups. But overall, they are diffuse. The annual revenues for the hospital business around estimated to be around $1 trillion (IBIS World, 2015). There are an estimated 5.5 million people working in hospitals, mainly in nursing, administration and doctors. There are approximately 2900 hospital businesses in the U.S. (IBIS World, 2015).

The largest hospital operators in the U.S. are Community Health Systems, based in Tennessee, which runs 188 hospitals, and Hospital Corporation of America, which is also based in Tennessee and which has 166 hospitals (Marshall, 2015). The 10th-largest chain, however, only has 8 hospitals, so outside of the major groups the hospital business is fairly…

References

IBIS World (2015). Hospitals in the U.S. IBIS World. Retrieved October 9, 2015 from  http://www.ibisworld.com/industry/default.aspx?indid=1587 

Gamble, M. (2014) 15 largest non-profit health systems. Becker's Hospital Review Retrieved October 9, 2015 from  http://www.beckershospitalreview.com/lists/30-largest-nonprofit-health-systems-2014.html 

Marshall, E. (2015). 10 largest for-profit hospital systems in 2015. Becker's Hospital Review. Retrieved October 9, 2015 from  http://www.beckershospitalreview.com/lists/10-largest-for-profit-hospital-systems-2015.html 

Hillestad, R., Bigelow, J., Bower, A., Girosi, F., Meili, R., Scoville, R. & Taylor, R. (2005). Can electronic medical records transform health care? Potential health benefits, savings and costs. Health Affairs. Vol. 24 (5) 1103-1117.

Why the VA Should Be Privatized
Words: 3579 Length: 13 Pages Document Type: Essay Paper #: 56621203
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cabinet-level agency in the U.S. government termed "Agency X" herein is the largest healthcare provider in the nation. With a multi-billion dollar budget, virtually universal support from the American public and a national network of healthcare facilities, Agency X should be well situated to achieve its mission to "care for him who shall have borne the battle, and for his widow, and his orphan." Unfortunately, on far too many occasions, Agency X has failed to deliver the high quality health care services the nation's veterans deserve and hundreds if not thousands have died as a result. In order to gain a better understanding of these failures, this paper reviews the relevant literature to provide an analysis of the ethical and social issues faced by Agency X and its administrators, followed by a summary of the research and important findings concerning ethics and social justice at this organization in the conclusion.…

References

About VA. (2016). Department of Veterans Affairs. Retrieved from  http://www.va.gov  / about_va/vahistory.asp.

Black's law dictionary. (1991). St. Paul, MN: West Publishing Company.

Borghini, A. (2016). Consequentialism. About Education. Retrieved from http://philosophy. about.com/od/Philosophical-Theories-Ideas/a/What-Is-Beauty.htm.

Corey, G., Corey, M, & Haynes, R. (1998). Student workbook for ethics in action. Pacific Grove, CA: Brooks/Cole.

Incentives Increase the Quality of
Words: 11168 Length: 41 Pages Document Type: Term Paper Paper #: 71622257
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In this way, any concerns that could come up and be problematic will be avoided and the information contained in the study can be accepted as being reliable, valid, and unique.

As has been mentioned, limitations are too often overlooked in studies, and it is often impossible to find all of the limitations that are contained in a study and spell them out for all to see. However, that does not mean that the limitations that are noticed should be overlooked. As long as they are legitimate, the more limitations that are discussed in the research the more significant the research will be found to be, since any weaknesses that it might have will be noted and dealt with. It is for this reason that this particular section will detail the limitations that this study faces.

The main limitation of this study, other than the biases of the researcher, is…

Bibliography

Armour, B.S., Pitts, M.M., Maclean, R., Cangialose, C., Kishel, M., Imai, H. & Etchason, J. (2001). The effect of explicit financial incentives on physician behavior. Archives in Internal Medicine, 161, 1261-1266.

Berwick, M. (1996). Payment by capitation and the quality of care. JAMA, 335, 1127-1230.

Campbell, S.M., Koland, M.O. & Buetow, S.A. (2004). Defining quality of care. Social Science and Medicine, 51, 1611-25.

Devettere, R.J. (2000). Practical decision making in healthcare ethics: Cases and concepts. Washington DC: Georgetown University Press.

Crime Journal Second Person in
Words: 639 Length: 2 Pages Document Type: Research Paper Paper #: 79897419
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Most of these products have not been scientifically tested. Yet consumers continue to waste their money on such products rather than go to the gym. hus, there is a fascinating sociological aspect of this crime story.

o conform to the prevailing social standards of beauty, women like the victims in this case are willing to go to extreme lengths. he story therefore raises difficult questions related to victims' roles in crime. Criminologists should still question what is essentially a controversial slant in cases like these: victims sometimes do play important roles in enabling crimes to take place. hankfully, the victims in this case survived but they are no doubt scarred emotionally and physically by the experience. We cannot blame the victims entirely, but must acknowledge the importance of personal responsibility in cases such as these. o use a possibly inappropriate analogy, a person who leaves their laptop alone in the…

To conform to the prevailing social standards of beauty, women like the victims in this case are willing to go to extreme lengths. The story therefore raises difficult questions related to victims' roles in crime. Criminologists should still question what is essentially a controversial slant in cases like these: victims sometimes do play important roles in enabling crimes to take place. Thankfully, the victims in this case survived but they are no doubt scarred emotionally and physically by the experience. We cannot blame the victims entirely, but must acknowledge the importance of personal responsibility in cases such as these. To use a possibly inappropriate analogy, a person who leaves their laptop alone in the school library can only blame herself or himself if the machine is stolen.

Another issue at play is that of medical malpractice. In this story, neither of the suspects appears to have been licensed physicians at any time. They were both posing as doctors to scam consumers into receiving butt implants. However, had the two suspects been licensed physicians, the story would have been appreciably different. The main difference would be the violation of professional codes of ethics. Doctors who knowingly scam their patients are committing a crime far more severe than scam artists pretending to be doctors. This is mainly because patients imbue doctors with their trust; doctors who are licensed to practice medicine are responsible for the health and well being of their patients. Scam artists are expected to commit crimes such as the one in question in this case.

Ovalle, D. (2011). "Second person in 'toxic tush' case posts $5,000 bond." November 24, 2011. Retrieved online: http://www.miamiherald.com/2011/11/24/2517469/second-person-in-toxic-tush-case.html#ixzz1eriaMVIa

Med Challenges in Medical Delivery
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A chain of communication needs to be established for future cases.

More concrete recommendations for the organization include a clear system for assigning and determining a physician-in-charge for every admitted patient at all times, such that there is never a situation where emergency care is being directed through a cell phone, where there is not a clear hierarchy during medical response, and where there is clear accountability after the fact. Even simply signing at the top of a chart or on a room board can become an assignation of responsibility, and a simply rule that a physician must remain in the building until their patients have been signed over to someone else would ensure that care decisions are being made with immediacy and accountability in the future. More extensive training programs and requirements regarding proficiency testing should also be put into place for special types of cases before units are…

References

Bosk, C. (2003). Forgive and Remember: Managing Medical Failure. Chicago: University

of Chicago Press.

Gawande, a. (2008). Better: A Surgeon's Notes on Performance. New York:

Metropolitan Books.

Obsesses Over Achieving the Perfect Look There
Words: 641 Length: 2 Pages Document Type: Term Paper Paper #: 98783792
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obsesses over achieving the perfect look. There are some who have been blessed with great bodies and great looks. Then there are some who doesn't have great figures or great looks. However this is all an illusion. Most of the people with perfect looks aren't natural. They employ the services of cosmetic surgeons to transform their looks. Everybody wants to join the rat race. Nobody wants to be left behind. Women spend billions of dollars on fashion accessories, beauty products, surgical procedures, etc. every year. We have the media to blame for showcasing women with perfect body features and perfect looks. This leads women to believe that they don't have a perfect body. They tend to spend a lot of money to transform their looks. They invest a lot of money in Cosmetic surgery so that they can improve their "imperfect" body features.

People have gone to extreme measures in…

Third Mandibular Molar Extraction Complications
Words: 6395 Length: 20 Pages Document Type: Term Paper Paper #: 77461076
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It was noted that factors affecting the removal of third molars vary from country to country depending on the stakeholders (Esposito, 2005).

In this section, we discussed the origins of third molars, as well as the different types of impaction that can occur. The effects of the type of impaction were found to be a factor in the ease if removal and the complications that may occur. Understanding types of impactions and the affect that they can have on the potential for complications is an important step in preventing complications before and after surgery. The following section will discuss the surgical procedures for removal of mandibular impactions.

Surgical Extraction of Impacted Mandibular Third Molars

Surgical extraction of third molars is performed for a number of reasons. They are sometimes performed to prevent surgery in older patients, although this reasoning is questionable (Valiati, Ibrahim, & Poli, et al., 2009). It can…

References

Al-Asfour, a. (2009). Postoperative Infection After Surgical Removal of Impacted Mandibular

Third Molars: An Analysis of 110 Consecutive Procedures. Med Princ Pract 18:48-52.

Bernard, G. & Mintz, V. (2003), Evidence-based means of avoiding Lingual Nerve Injury

following Mandibular Third Molar Extractions. Brazilian Journal of Oral Science. 2 (5):

Historical Advances Made in Tooth Extraction
Words: 1841 Length: 6 Pages Document Type: Essay Paper #: 44237307
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History Of Tooth Extraction From the 5th Century

a paper history tooth extraction Greeks ( 5th century) till .

The process if removing teeth from their dental sockets is referred to as tooth extraction (Vignoletti et al.). There are many reasons for extractions, but the most common reason is removal when teeth become unrestorable because of tooth decay, dental trauma, or periodontal disease. People result to tooth extraction when the mentioned conditions are accompanied with toothache. Tooth extraction might occur when teeth are crowded. This would create space for the rest of the teeth to grow or be straightened. Tooth was extraction was not only conducted when the person's tooth was painful, but it was also done as a pain reliever for other diseases. Currently, tooth extraction is straight forward, and is mostly done when a person is awake using only local anesthetic, which eliminates pain sensations. Tooth extractions are…

References

Clement, Milton A. "Dental Forceps." Google Patents, 2011. Print.

DiVito, E, OA Peters, and G. Olivi. "Effectiveness of the Erbium: Yag Laser and New Design Radial and Stripped Tips in Removing the Smear Layer after Root Canal Instrumentation." Lasers in medical science 27.2 (2012): 273-80. Print.

Klein, C, and CG Lorber. "[Historical Development of Surgical Wisdom Tooth Extraction]." Fortschritte der Kiefer-und Gesichts-Chirurgie 40 (1994): 113-16. Print.

Philippe, Julien. "Pierre Fauchard the "Inventor" of Orthodontics." Journal of Dentofacial Anomalies and Orthodontics 14.01 (2011): 104. Print.

How Government Influence Sunnydale
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Role of Government in Healthcare/How Government Influence Sunnydale

Similarities between Monopoly, Perfect Competition and Oligopoly

Importance of Government Involvement with Health Care Entities at the Local, State, and Federal Levels

Structure, Conduct, and Performance Paradigm As It Relates o Health Care

Implications of the Sherman Antitrust Act on Sunnydale Care

Overview of the Structure and Operation of Medicare and Medicaid

Services hat Each Cover

Coverage Establishment

Funding Differences

Benefits and challenges of government involvement at Sunnydale Care

Similarities between Monopoly, Perfect Competition and Oligopoly

Monopoly and perfect competition

Both perfect competition firms and monopolies face similar production and cost factors. Both also are in the business of maximizing profit. Both have the potential of earning super-profits but in the long-term they would only achieve normal profits (Boundless, 2015).

Perfect Competition and Oligopoly

In both these is more than one firm in the market competing with the others and no single…

Tang N.I., Eisenberg J.M., & Meyer, G.S. (2004). The roles of government in improving health care quality and safety. National Center for Biotechnology Information. USA: U.S. National Library of Medicine. Retrieved on 23rd September, 2015 from  http://www.ncbi.nlm.nih.gov/pubmed/14738036 

U.S. Advisory Commission on Intergovernmental Relations. (1994). Local Government Responsibilities in Health Care. U.S. Washington: Advisory Commission on Intergovernmental Relations.

West Group. (2015). Anti-Trust Law Web Page. The New York Technology. Retrieved on 23rd September, 2015 from  http://googleweblight.com/?lite_url=http://iris.nyit.edu/~shartman/mba0101/manufacture.doc

Fault An Alternative to the Current Tort-Based
Words: 30263 Length: 110 Pages Document Type: Thesis Paper #: 86754711
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Fault: An Alternative to the Current Tort-Based System in England and Wales

The United Kingdom

statistics regarding claims

THE NATIONAL HEALTH SYSTEM

OBSTACLES TO DUE PROCESS

THE CASE FOR REFORM

THE REGULATORY ENVIRONMENT

THE RISING COST OF LITIGATION

LORD WOOLF'S REFORMS

MORE COST CONTROLS

THE UNITED STATES

PAUL'S PULLOUT

THE INSURANCE INDUSTRY

TORT REFORM IN AMERICA

FLEEING PHYSICIANS

STATISTICS FOR ERROR, INJURY AND DEATH

THE CALL FOR REFORM IN 2003: A FAMILIAR REFRAIN

THE UNITED STATES SITUATION, IN SUMMARY

NEW ZEALAND CASE STUDIES

THE SWEDISH SCHEME

COMPARISON: WHICH SYSTEM IS BETTER?

FIRST: UNDERLYING DIFFERENCES

TALKING TORT: AMERICAN PECULIARITIES

AMERICANS CONSIDER NO-FAULT

BRITAIN CONSIDERS NO-FAULT

CONCLUSION

Works Cited

Appendix A THE UNITED KINGDOM

INTRODUCTION

At issue is the economic effectiveness of tort law in the common law legal system of England and Wales, as applied to medical and clinical negligence and malpractice cases. In response to economic concerns and a continual…

United States Has the Most
Words: 6833 Length: 20 Pages Document Type: Literature Review Paper #: 34903730
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al., 2010).

Nursing and the E

The Emergency oom is often one of the most visible parts of healthcare for political debate. It is also one of the most difficult environments for a modern nurse. It is interesting that one of the founders of modern nursing had emergency experience prior to developing her overall theories. Nightingale also looked at negatives and positives that are the conditions, which could help make people recover and reach their actual potential, as also noted by Maslow hierarchy of needs. She did not look or speak directly of the disease per se, but rather, looked at air, clean water, environment, and sanitation. She published her book in1860 with the title a "Notes on Nursing: What it Is and What it Is Not," connecting human beings and quality of human life, and comparing the stagnant sewage she saw in Scutari, as well as in London. She…

References

Americans at Risk. (March 2009). Families USA. Retrieved from:

 http://www.familiesusa.org/assets/pdfs/americans-at-risk.pdf 

Patient Perceptions in the Emergency Department: Physicians, Physician Assistants,

Nurse Practitioners. (30 August 2010). Retrieved from:  http://idiopathicmedicine.wordpress.com/2010/08/30/patient-perceptions-in-the-emergency-department-physicians-physician-assistants-nurse-practitioners/

Computerized Hospital Management Systems the Paper Is
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Computerized Hospital Management Systems

The paper is about the benefits and costs of a computerized hospital management system from a nurse's perspective. The author is placed in the position of a nurse of a small 100 bed-community hospital who is the only nurse in a team of doctors to participate in the hospital management's decision on whether to buy such management system. In answering six specific questions related to the benefits and economic costs of computerized hospital management systems, the paper shows -- among others - that improved health care and increase in personnel and work efficiency will well outweigh the financial burden imposed on the hospital when buying two specific managements systems: ELECTA and Microsoft Dynamics GP. In addition, the paper outlines the security standards of data and patient confidentiality, including the need for data storage integrity and data backup and recovery and how the Health Insurance Portability and…

References

Berczuk, C. June 2008. The Lean Hospital. 1-5. The Hospitalist, June 2008. 1-5. Accessed 16 March 2012.

Cached - Similar

Dugas, M. & Eckholt, M. & and Bunzemeier, H. (2008). Benchmarking of hospital information systems: Monitoring of discharge letters and scheduling can reveal heterogeneities and time trends. 1-6. BMC Medical Informatics and Decision Making 2008, 8:15 doi:10.1186/1472-6947-8-15. Accessed 16 March 2012.

Systems Theory Discuss Relationship Systems Theory Healthcare
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Systems Theory

Discuss relationship systems theory healthcare deliver U.S. - What current concepts healthcare explained helped a system theory approach? - What system theory? - How researchers (Ludwig von Bertalanffy Everett M.

Systems theory and diffusion of innovation theory

Systems theory

Systems theory was not specifically designed to cope with the challenges of the U.S. healthcare system, although it has been frequently applied to some of its issues. Systems theory was originally coined by the scientist Ludwig von Bertalanffy to sum up his idea that the 'whole' of systems -- both biological and otherwise -- were larger than the sum of their parts. According to von Bertalanffy, "in the past, science tried to explain observable phenomena by reducing them to an interplay of elementary units investigable independently of each other, conceptions appear in contemporary science that are concerned with what is somewhat vaguely termed 'wholeness', i.e. problems of organization, phenomena…

Resources

Diffusion of innovation theory. (2013). University of Twente. Retrieved:

 http://www.utwente.nl/cw/theorieenoverzicht/Theory%20clusters/Communication%20and%20Information%20Technology/Diffusion_of_Innovations_Theory.doc/ 

This website contains excerpts from E.M. Rogers' work on diffusion of innovation theory, along with a helpful graphical representation of how the information is disseminated.

Kaminski, J. (Spring 2011).Diffusion of innovation theory. Canadian Journal of Nursing.

Reducing Operational Costs Focus on Labor Expenses Burn Care Unit
Words: 3944 Length: 14 Pages Document Type: Essay Paper #: 39188905
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Burn-Care Unit: Reducing Operational Costs- Focus on Labor Expenses

1.0. Executive Summary

To remain relevant in the long-term, the Burn-Care Unit ought to adopt either of these two strategies, or combine both in a hybrid mix: reduce costs or boost the current level of revenues while keeping the current cost levels constant. The most viable strategy for an organization of this nature would be to rein in costs via the adoption of an effective cost minimization strategy or approach. It is important to note, from the onset, that being a reputable burn-care facility at the national level, there is need for the Burn-Care Unit to maintain the integrity of its processes as well as its operational efficiency, even as it seeks to minimize costs. For this reason, the relevance of embracing the most viable course of action towards the minimization of operational costs cannot be overstated. Reducing operational expenses, and…

Blink and What Happens in Rapid Cognition
Words: 1430 Length: 4 Pages Document Type: Essay Paper #: 40832672
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Blink and What Happens in apid Cognition

Gladwell's Blink (2006) is about rapid cognition. The book describes the thinking that happens in a blink of an eye, or what is called the thinking before the thinking. A person's mind is able to make rapid, important, and hopefully good decisions about people and situations. Many people call this "going with your gut," because it feels like using instinct instead of actual thought. In reality, though, it is still part of the thought process that every person must consider. It can be especially helpful when working with others in a situation where one has to make quick decisions with limited information. The first two seconds, when a person comes up with their original insight, is the basis for Blink. Gladwell (2006) goes into detail about what he believes is both perfectly rational and deeply mysterious when it comes to how people think…

References

Gilje, F.L. (2004). Hospitality: A call for dialogue. Invest in Yourself. Nursing Forum, 39(4), pp. 36-39.

Gladwell, M. (2006). Blink. New York, NY: Hachette Book Group USA.

Arises Due to the Fact of How
Words: 1052 Length: 3 Pages Document Type: Essay Paper #: 18772830
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arises due to the fact of how the primary perpetrator obtained the use of the motor vehicle involved throughout the fact pattern is any possible liability imposed upon the young man's parents. The young man involved took the car apparently without the permission of his parents and, therefore, unless it can be demonstrated that the parents had reason to believe that their child might drive the car without permission there is little likelihood that vicarious liability can be attached to the parents (Glannon, 2010). Any torts that occur once the child takes the vehicle without the permission of the parents will attach to the child and not to either of his parents.

The next possible torts arise as the young man arrives at his girlfriend's house. At this point, the young man has committed essentially two intentional torts (Vandeveide, 1990). First, he has intentionally assaulted his girlfriend's father by attempting…

References

Glannon, J.W. (2010). The Law of Torts: Examples and Explanations (4th Edition). New York: Aspen Publishers.

Landes, W.M. (1981). An Economic Theory of Intentional Torts. International Review of Law and Economics, 127-164.

Vandeveide, K.J. (1990). A History of Prima Facie Tort: The Origins of a General Theory of Intentional Tort. Hofstra Law Review, 447-478.

Tort Liability

Assist Suicide
Words: 1329 Length: 4 Pages Document Type: Case Study Paper #: 89754699
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Ethical, Legal, And Business Considerations in Hospitals

The nursing staff employed at the Cancer Center of a suburban hospital is having a continual deterioration of their morale. Many of their patients, more so as of late than usual, are being diagnosed with terminal cancer. This is causing the nurse's morale to be lowered through their lack of interest in their job, frustration, and dissatisfaction. One patient in particular is frustrating staff member Nancy Nurse. Mrs. Jones, a thirty-year-old single mother has been diagnosed with a terminal cancer that is rapidly decreasing her health. Nancy Nurse states that the next time Mrs. Jones arrives for treatment, she is going to give her more narcotic than usual, risking Mrs. Jones' life. Before Nancy Nurse completes giving Mrs. Jones the narcotic, she should deeply consider the ethical, legal, and business consequences of such decision for herself, Mrs. Jones, and the Cancer Center.

Identify…

References

Cancer.org. (2010). Patient's bill of rights. Retrieved November 23, 2010 from  http://www.cancer.org/treatment/findingandpayingfortreatment/understandingfinancialandlegalmatters/patients-bill-of-rights .

Javich, Dr. D.G. (2009, June 1). 5 steps to deal with difficult employees. Retrieved November 24,

2010 from  http://www.entrepreneur.com/humanresources/employeemanagementcolumnistdavidjavitch/article201950.html 

Showalter, J.S. (2004). The law of healthcare administration. Chicago, IL: Health