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The plaintiff, however, has a burden of proof prior to any other technical issues. In addition, because of the nature of the allegation, and the fact that normal members of a jury or judge cannot be expected to understand complext medical terms and procedures, expert witnesses are typically called -- usually for both sides (Uribe, 1999).
In the United States, there have been several cases that have set international precedence on what constitutes "expertise." One cannot be qualified just because of a diploma, and the expert witness must also be qualified for reliability and relevance. There are two models that attempt to do just this: 1) the Gatekeeper Model which requires a hearing with the Judge prior to the trial in which the Court considers the expert's testimony as being reliable and relevant; whether a theory is tested, peer reviewed, is there a known potential error rate, and is the…… [Read More]
Healthcare (Nursing) Malpractice and Negligence:
According to findings by the National Practitioner Data Bank, many nurses are increasingly being involved in malpractice and negligence lawsuits (Croke, 2003). These charges against nurses are likely to occur from any failure to act or an action that may lead to patient injury. In most cases, malpractice and negligence is associated with an accidental failure to comply with a standard of clinical practice. As a result of the accidental failures to act, there is likelihood of the occurrence of a malpractice lawsuit. The charge of negligence or malpractice is complicated to defend in a lawsuit is because of the concepts of standard of care and duty of care (Avery, 2009). Most healthcare professionals in the nursing field are usually haunted by the dreams of threat of lawsuit for malpractice or negligence.
Negligence in the nursing field is described as the failure to…… [Read More]
This wrong doing is in violation of the ethical obligation of nurses to advocate on behalf patients in order to ensure their well-being. If a patient is injured due to this kind of mistreatment, the hospital is liable, and the nurse may receive discipline, possibly suspension. However, the plaintiff (the patient) may also choose to file a law suit against the individual nurse as well (Giordano, 2003).
Another example would be if a surgical nurse noticed during routine charting procedures that a patient about to go into surgery on their left knee was supposed be receiving their surgery on their right knee. To avoid medical error and a subsequent malpractice suit, the nurse could verify with other nurses and the surgeon that the patient would be receiving the appropriate surgery.
Giordano, K. (2003). Examining nursing malpractice: a defense attorney's perspective - legal counsel. Critical…… [Read More]
Responsibilities of Nurses to Patients
Why is it important
The role of nurses has a direct implication on the patients. For example, nurses observe and provide direct care to the patients. The physicians give orders and thus are the role of the nurses to implement (Aiken et al., 2014). Often, the work of the physicians is not complete without the help of the nurses. The nurses are responsible for changing clothes and giving the medications to patients. Often, the patients are unable to do basic tasks, and therefore the roles of nurses become very important. Nurses keep medical records for the patients and therefore give medications to the patients in time and monitor their progress.
Another important role of the nurse is assessing the response of the patients to medications. Keep the records for the progress of patients is an invaluable practice. The records help the nurses to monitor how…… [Read More]
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:
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.
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…… [Read More]
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…… [Read More]
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,…… [Read More]
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…… [Read More]
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…… [Read More]
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…… [Read More]
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…… [Read More]
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…… [Read More]
The ole legal nurse consultant may provide service in a number of roles, including but not limited to:
Trainer and in-service presenter
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,…… [Read More]
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,…… [Read More]
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…… [Read More]
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…… [Read More]
Nursing Education Assessment Project
Coursework early in a nursing education program covers a broad range of topics and extensive amount of details must be committed to memory. Assessments that are directly tied to coursework are primarily formative assessments, which demonstrate the ongoing learning over the period of the course. Formative assessments generally take the form of quizzes and clinical demonstrations of a particular knowledge set recently covered in during a class or classes. ummative assessments are generally used at the end of a course to assess the overall learning that has taken place during the course; summative assessments include final exams or tests, practicum demonstrations, and capstone projects.
The focus of this assessment project is a formative criterion-referenced test of general, fundamental nursing education knowledge. The items used in the test are included in Appendix A -- Nursing Education -- Fundamental Concepts. Twelve individuals were approached to take the exam…… [Read More]
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…… [Read More]
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
The contract duration is for two years with an option for renewal for five (5) years thereafter.
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.
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…… [Read More]
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).…… [Read More]
clinical cases and examine malpractice perspectives.
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…… [Read More]
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…… [Read More]
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…… [Read More]
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…… [Read More]
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:…… [Read More]
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…… [Read More]
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…… [Read More]
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…… [Read More]
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…… [Read More]
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…… [Read More]
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…… [Read More]
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…… [Read More]
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…… [Read More]
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…… [Read More]
Chang Proposal - Milestone #4
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N 451- Capstone Project Milestone #4: Design for Change Proposal
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…… [Read More]
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…… [Read More]
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…… [Read More]
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:
Departing…… [Read More]
egardless of how one defines productivity, it is clear that one cannot be productive at work if one is not at work.
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…… [Read More]
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…… [Read More]
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,…… [Read More]
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…… [Read More]
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…… [Read More]
Marketing & Advertising
Duplicating & Xerox
$225/day (15 days/year)
$6/GYN visit, excl. IUD cost
Professional Fees, re. NP
Disposal of Infectious Waste
Tele Long Distance
Total Expenses (IUD exempt)
$350 per IUD inserted
IUD Supply Charge
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…… [Read More]
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…… [Read More]
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.…… [Read More]
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…… [Read More]
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…… [Read More]
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…… [Read More]
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…… [Read More]
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…… [Read More]
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…… [Read More]
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
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…… [Read More]
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
THE INSURANCE INDUSTRY
TORT REFORM IN AMERICA
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
Appendix A THE UNITED KINGDOM
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…… [Read More]
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…… [Read More]
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…… [Read More]
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 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…… [Read More]
One of the key reasons that was found to be a factor in readmissions is that insurance companies continue to push for shorter hospital stays. They have reduced the number of days that they will pay for certain conditions. This was found to be a key factor in releasing patients early, when they might have benefited from a longer hospital stay (Bueno, oss, & Wang et al., 2010; Capelastegui, A,, Espana, P., & Quintana, J. et al., 2008), This factor will have to be considered as a potential barrier to the study. It may be that insurance companies and Medicaid/Medicare reimbursements are a factor in early release of patients rather than hospital practices.
Factors that were identified in other studies of hospital 30-day readmissions included the presence of deep vein thrombosis and pulmonary embolism (Spencer, Gore, & Lessard et al., 2008). Severity scores such as those for community-acquired pneumonia were…… [Read More]
patient satisfaction with the care provided by nursing staff and physicians, as well as how satisfaction can be improved through better communication among physicians and nurses, and with their patients. It will, in particular, deal with a nursing student's own clinical experience with patients and their perception of healthcare provider-patient communication. In addition, the paper will examine the student's project which considered the strategy of updating white boards in patient rooms regularly for better communication.
Ten medical surgical ward patients were interviewed during rounds by a student, who rated patient satisfaction and tried to discover some common theme. While patients expressed satisfaction with how nursing staff delivered care, they felt physicians didn't keep them informed. A number of patients were visited by two or more doctors. However, there was no communication between doctors, leading to issues such as a patient being marked "not ready for surgery" by the cardiologist, owing…… [Read More]
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…… [Read More]