Physician Assistant Essays (Examples)

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Motivation to Become a Physician

Words: 307 Length: 1 Pages Document Type: Essay Paper #: 4338214

Currently, I am working as a surgical technologist in two hospitals in Arkansas - Arkansas Children Hospital and the VA Hospital. I do surgical scrub on various cases of all surgical services, general, orthopedics, vascular, ENT, neurology, urology, and burns. To update and enhance my skills, I attended different medical training courses.

Since my youth, I had been in the scene of medicine. At the age of seventeen I was diagnosed with diabetes. Hence, in y sophomore years in college, I did a presentation on diabetes where I provided information on the symptoms, complications, and how to cope with diabetes. During my Junior year, I had family members that were diagnosed with breast cancer, glaucoma, heart attacks and thyroid problems.

Such experiences are my motivations in becoming a Physician Assistant. The feeling that I get from providing medical services is unfathomable and cannot be measured by anything.… [Read More]

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Jerry Mccall Dr Williams Office Assistant Licensed

Words: 1180 Length: 3 Pages Document Type: Essay Paper #: 90709200

Jerry McCall Dr. Williams Office Assistant

Licensed Practical Nurses and Medical Assistants: Legal and Ethical Implications

According to recent reports from the U.S. Bureau of Labor Statistics, medical assistants and licensed practical nurses (LPN) are two of the fastest growing jobs in the country (Bureau of Labor Statistics, 2010). In an effort to save costs, the demand for these professionals is increasing in both in-hospital and outpatient settings. The licenses and registrations, however, remain unstandardized; while LPNs are required to receive a license, some medical assistants receive a one or two-year degree and still others are only trained on the job. The responsibilities and restrictions of the profession are likewise only loosely regulated and vary between states. This has both ethical and legal implications for patient care. The following case scenario illustrates these ramifications and discusses the appropriate course of action for medical assistants working in a clinical setting.

The…… [Read More]

References:

Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Medical Assistants, on the Internet at http://www.bls.gov/oco/ocos164.htm (visited October 17, 2011).

Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Licensed Practical and Licensed Vocational Nurses, on the Internet at http://www.bls.gov/oco/ocos102.htm (visited October 17, 2011).

Couch, C., Minchella, K., Walker, R., Watson N. Occupational Analysis of the CMA (AAMA). (2008). American Association of Medical Assistants, 2007-2008. Available from http://www.aama-ntl.org/resources/library/OA.pdf.

Ferrell, C.W., Aspy, C.B., Mold, J.W. (2006). Management of Prescription Refills in Primary Care: An Oklahoma Physicians Resource/Research Network (OKPRN) Study. Journal of the American Board of Family Medicine, 19, 1, 31-38.
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Medical Assistant and Intravenous Therapy

Words: 644 Length: 2 Pages Document Type: Essay Paper #: 83037995

Intravenous Therapy or IV

Fluids are introduced intravenously into the body in order to replace supply and electrolytes (Pearson 2010). These are large amounts of fluid, electrolytes or nutrients administered to a patient who needs them and cannot take them orally. Medication is also administered intravenously by a physician or by a nurse. The physician informs the nurse on the type, amount, and the rate of the solution to be injected. The nurse is responsible for carrying out the physician's exact instruction to start the therapy and other responsibilities attached to the instruction. State laws specify which health care professionals can start an IV and administer it. Some States allow medical assistants with advanced training and physician supervision to start an IV. Medical assistants, however, should be aware of the risks as they are not trained to push IV medications. Although they become acquainted with IV therapy, it is not…… [Read More]

BIBLIOGRAPHY

BLS. Medical Assistants. Bureau of Labor Statistics: U.S. Department of Labor, 2009.

Retrieved on February 23, 2012 from http://www.bls.gov/oco/ocos164.htm

Keir, Lucile et al. Medical Assisting 5th edition, Thomson Delmar Learning: Thomson

Corporation, 2006. Retrieved on February 22, 2012 from http://www.delmarlearning.com/companions/content/0766841464/curriclum/KeirSetUpdate.pdf
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My Motivation Towards Becoming a PA Personal Statement

Words: 680 Length: 2 Pages Document Type: Essay Paper #: 42255672

Physician Assistant Program Narrative

Personal Statement: My Motivation towards Becoming a PA

We all have dreams and aspirations. As a young child, my dream was to become a chef. When asked why I wanted to become a chef, my answer was always consistent; "I wanted to delight people by preparing them delicious dishes." As I grew up, I became more informed and my view of the world became clearer -- and it was then that I realized that deep inside, I wanted to end up in a profession that impacted positively on the lives of others. A profession that brought delight to those I interacted with. Then, something happened that completely convinced me that I would most comfortably serve in any of the helping professions. A couple of months after my 10th birthday, my younger brother got bitten by a dog in his face -- right below his left eye.…… [Read More]

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Certified Nursing Assistants Are an Important Part

Words: 413 Length: 1 Pages Document Type: Essay Paper #: 76586250

Certified nursing assistants are an important part of health care settings today. Certified nursing assistants and professional health care settings experience challenges and barriers in their day-to-day experiences. They are challenges that certified nursing assistants must go through during their training or during their career, so that they may learn and experience different situations and how to deal with those situations.

I experienced a barrier at one point when I saw blood and could not handle the situation. One day, I was placed responsible for a certain patient, along with another certified nursing assistant. We would take care of her at certain times of the day. During an evening shift, the patient was going to have some blood work done and the registered nurse on duty came in to take her blood. The other certified nursing assistant and I were asked to observe the situation that was about to occur.…… [Read More]

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Personal Digital Assistants in Healthcare

Words: 3529 Length: 12 Pages Document Type: Essay Paper #: 14745011

Personal Digital Assistants in Healthcare

Current Applications and Future Trends in the Use of Personal Digital Assistants in Healthcare

Today, healthcare practitioners enjoy a wide range of digital equipment that can help them provide more efficient healthcare services, including laptop computers, cellular telephones and personal digital assistants, or PDAs. These devices have been used in various ways by clinicians to improve their ability to deliver more timely and accurate diagnoses and treatments, and it is clear that the use of these devices will continue to increase in the future. The purpose of this study is to provide a current snapshot of how personal digital assistants are being used in various healthcare settings, including military and government tertiary facilities and the use of PDAs on the battlefield in times of war, but with a specific focus on how PDAs are being used in nongovernmental healthcare facilities today. To this end, a…… [Read More]

References

Blow, F.C., Barry, K.L., Walton, M.A. et al. (2006). The efficacy of two brief intervention strategies among injured, at-risk drinkers in the emergency department: Impact of tailored messaging and brief advice. Journal of Studies on Alcohol, 67(4), 568.

Cieslak, D.M., & Van Winkle, M. (2004). Carry your office in the palm of your hand; a pocket-size device is your computer when you're on the road. Journal of Accountancy, 198(2), 52.

Corbett, M.L. (1996, January). Choosing the perfect PDA: Personal digital assistants help busy professionals. Black Enterprise, 26(6), 34.

Greisler, D.S., & Jackson, J.R. (2000). The changing nature of physician power: Understanding physician power and its future. Journal of Power and Ethics, 1(4), 260.
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Surpass Website Development Creation Maintenance and More

Words: 1556 Length: 6 Pages Document Type: Essay Paper #: 86512347

AAPA, NJPAS, and NJSSPA are professional bodies representing the Physician Assistants. AAPA is a nation wide body which claims to be the sole national level organization, which is representing the Physician Assistants in the United States and is working for the benefit of PAs in all specialty areas. This organization mainly provides support to the Physician Assistants in employment matters and other professional issues. AAPA stands for "American Academy of Physicians Assistants. On the other hand, NJPAS and NJSSPA are New Jersey-based organizations representing the PAs in the New Jersey region. NJPAS is basically a student organization, which provides educational and professional support to PA students while NJSSPA is a professional body of Physician Assistant practitioners operating at the state level.

The development of the website "NJPAS.com" will be beneficial for both the Physician Assistant students and the working students. This website will serve as a platform for sharing the…… [Read More]

References

The American Academy of Physician Assistants: from the World Wide Web:

www.aapa.org

New Jersey Physician Assistant Students: from the World Wide Web:

www.njpas.com
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Concerns on Healthcare Delivery

Words: 1485 Length: 5 Pages Document Type: Essay Paper #: 8778723

Medical Care Services

The current delivery of health care services represents one of the most important subjects for discussion both in the Obama Administration as well as the Republican one and the Administrations that preceded the Bush one. Regardless of political color, it must be pointed out that the health care system in the United States does not only depend on the ideological orientation, but also on the people and their own beliefs in terms of human action and interaction. It is a clear fact that "Ten years ago, the U.S. healthcare system was declared "broken," and it has not improved. Fixes promised by managed care have not materialized. Premiums are rising. Hassles for patients and physicians abound. Nearly 45 million Americans are uninsured." (Garson, 2000)

One of the most severe problems facing the health care system in the United States is the discussion that is being held between those…… [Read More]

References

Garson, Arthur. "Current Perspective. The U.S. Healthcare System 2010. Problems, Principles, and Potential Solutions" 2000. Available at http://circ.ahajournals.org/content/101/16/2015.full#sec-7

ImpediMed. "Pre-emptive vs. Reactive Models of Care: Pre-emptive Care Model Prospectively Managing Lymphedema in Breast Cancer Patients" 2012. Available at http://www.impedimed.com/knowledge-center/health-insurance-providers/pre-emptive-versus-reactive-models-of-care.htm

Yale School of Medicine. "The PA Profession." 2013. Available at  http://medicine.yale.edu/pa/profession/index.aspx
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Independent Role of Nurse Practitioners

Words: 1140 Length: 3 Pages Document Type: Essay Paper #: 82032570

Nurse Practitioners Should Work Independently of Physicians

One of the problems facing health care is the inadequate number of primary-care physicians, more so among the rural population. There are fears that shortages will only get worse as a rising number of patients look for care Under Affordable Care Act. Besides the provision of advanced nursing care, nurses have licenses to offer clinical care, including the ordering of X-rays and lab work, and are particularly helpful in helping patients having chronic conditions like high blood pressure and diabetes cope (Holmes, 2013).

Nearly one third of states now permit nurse practitioners to practice in the absence of physician supervision. Nursing groups as well as health-care interests are however lobbying that nurses be granted the same level of autonomy in all states as in the other states that do not require physician supervision. Some interest group, while still appreciating the efforts put forth…… [Read More]

Bibliography

Dueker, M.J., A.K. Jacox, D.E. Kalist, and S.J. Spurr. The Practice Boundaries and Advanced Practice Nurses: An Economic and Legal Analysis. Journal of Regulatory Economics, 27, 2005, 309-29.

Holmes, L. (2013, June 13). Should Nurse Practitioners be able to treat patients without Physician Oversight. Retrieved from The Wall Street Journal: http://www.wsj.com/articles/SB10001424127887324715704578480911396098592

John, P. (2009, January 10). The rise and impact of nurse practitioners and physician assistants on their own and cross-occupation incomes. Retrieved from FPO: http://www.freepatentsonline.com/article/Contemporary-Economic-Policy/211959183.html

Page, L. (2014, October 29). Physicians, NPs and PAs: Where's all this going? Retrieved from Medscape Multispeciality: http://www.medscape.com/features/content/6006318
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Graduate Sociology Communauty Development University

Words: 429 Length: 2 Pages Document Type: Essay Paper #: 49327497

graduate Sociology ( Communauty development ) University Lome, Togo West Africa, french speeking country Now serving a class Aviation Boxwain Equipment Navy My plan crossrate (change rate- change job) corpsman I gain experience school Physician assistant I 38 years .

Personal statement

I am currently serving in the United States Navy. However, my ultimate career goal is to become a physician or a physician's assistant when I leave the service. A desire to help others has been the driving force in my life path and education. My passion for service is one of the reasons I joined the military in the first place, combined with the experiences in leadership it offered me. I will continue to serve the public even after I retire through my professional work in healthcare. My long-term goal is to become a health care Foreign Service specialist, merging my knowledge of foreign cultures and healthcare delivery…… [Read More]

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Reason for Choosing Nursing as a Career

Words: 838 Length: 2 Pages Document Type: Essay Paper #: 79705697

Nursing

Personal Statement

Choosing Nursing

My life has centered upon answering a central question. This question has been a in my mind since I was 10 years old. At that age, my first image of medicine was largely influenced by the doctors and nurses who were always helping my grandfather battle a rare form of brain cancer. His illness was a life changing experience for me, as, at that age, I watched his condition gradually deteriorate over a period of three months, and I detested I could do nothing to help. This thought, however painful then, has motivated my entire life, and has led to my choosing of nursing as a profession,

Though some did not approve of this particular career path, I never gave up my dreams. For this reason, I began studying and volunteering so as to combine education in theory with education in practice. Giving back to…… [Read More]

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Advancing in My Life Is Important to Me

Words: 1039 Length: 3 Pages Document Type: Essay Paper #: 98373374

total I have 13 years in the nursing field. Throughout that combined time I have worked in nursing homes / assisted living facilities, home health, as well as in a hospital setting. During the time that I worked in the hospital I worked in a program called share the care. This entailed me working throughout the entire hospital as a nursing assistant, which gave me experience in various areas, i.e. The emergency room, intensive care, pediatrics, oncology and etc. By being apart of this program it has afforded me the opportunity to do what I truly love, be a part of the whole process of nursing sick patients back to health. This has always been a passion of mine.

A Nurse practitioner is a nurse who has completed a graduate nursing degree and training in providing preventive and medical health care to individuals and families in association with a physician.…… [Read More]

References

Greensboro AHEC Kids (2005). Nurse practitioner. Retrieved 09/23/05, from www.aheckids.com/nurprac.htm

U.S Department of Labor (2004-2005). Physicians Assistant. Occupational Outlook Handbook,, . Retrieved 09/23/05, from http://stats.bls.gov/oco/ocos081.htm
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Role of an Advanced Practice

Words: 3411 Length: 10 Pages Document Type: Essay Paper #: 42231364

In other words, physicians authorize the nurse practitioner to prescribe certain medications -- perhaps not all but those medications that are most often required by patients -- without getting approval from a physician. It saves time and is primarily designed to make the patient more comfortable, not just to hand additional authority to the nurse practitioner.

Is prescriptive authority appropriate? This question, according to Patricia Berry, a faculty member at the University of Utah, is raised often because there is in the healthcare industry a "…misapprehension about pain and addiction" (Lebo, p. 1). There are "myths about pain and pain management," Berry is quoted saying. Healthcare professionals get "…addiction, physical dependence and tolerance all mixed up," Berry continues. There are "erroneous beliefs about opioids and addiction, side effects, respiratory depression, those kinds of things," Berry explains (Lebo, p. 1).

In twenty-nine states physician collaboration is a "requirement," Lebo explains on…… [Read More]

Works Cited

Christianson, Martin. (2011). Advancing nursing practice: redefining the theoretical and practical integration of knowledge. Journal of Clinical Nursing, Vol. 20, 873-881.

Fagerstrom, L., and Glasberg. a-L. (2011). The first evaluation of the advanced practice

Nurse role in Finland -- the perspective of nurse leaders. Journal of Nursing Management,

Vol. 19, 925-932.
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Complexities of Modern Medicine Have

Words: 951 Length: 3 Pages Document Type: Essay Paper #: 10274930



3. The current emphasis on wellness as the overall goal of health care has placed considerable pressure on the health care educational system (Kreitzer, 2009). The wellness emphasis has caused the health care educational system to focus its attention on treating the entire patient and to provide the patient with the maximum amount of choice, quality, convenience, and personal care while maintaining affordability. This means that medical schools must begin to train more physicians interested in performing primary care services and to direct these physicians to areas of the country that have been traditionally poorly served. In order to develop an overall system where preventive medicine is practiced so that more serious medical difficulties can be avoided a solid network of primary care providers is necessary. Ideally, these providers would be in the form of licensed physicians but a system that utilizes a hybrid mixture of physicians, physician assistants, and…… [Read More]

References

Cullen, T.J. (1997). The National Health Service Corps: Rural physician service and retention. Journal American Board Family Practice, 272-279.

Intitute of Medicine. (2001). Crossing the Quality Chasm: A new Health System for the 21st Century. Washington, D.C.: National Academy Press.

Kreitzer, M.J. (2009). Health Professions Education and Integrative Health Care. Washington, D.C.: Institute of Medicine Integrative Medicine and the Health of the Public.

Krystal Knight, e. a. (2010). Health Centers' Contributions to Training Tomorrow's Physicians. Washington, D.C.: Division of Public Policy and Research National Association of Community Health Centers, Inc.
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School Clinics Affects on Students

Words: 3382 Length: 8 Pages Document Type: Essay Paper #: 58532109

Utilization of the data and collection of the data should be one of the main aims of the policy makers. The data can be used by the policymakers in order to develop the policies and implement these in order to make sure that improvement can be ensured (Basch, 2011, p. 9).

3. One of the main roles that can be played by the policy makers includes reviewing the policies that have already been designed for the schools. How these previous policies have played roles in an improvement of academics of the children, their environments and their health are important parts of the review by the policymakers. It is important that funding is collected for the issues that affect health and academics of children.

4. The policymakers should make sure that the importance of school-based health clinics that can play roles in looking after the needs of the students.

Great levels…… [Read More]

References

Basch, C. (2011). Executive Summary: Healthier Students Are Better Learners. Journal of School Health 81, pp. 4-107.

Bruzzese, J., Sheares, B.J., Vincent, E.J., Du, Y., Sadeghi, H., Levison, M.J., Mellins, B.R., and Evans, D. (2011). Effects of a School-based Intervention for Urban Adolescents with Asthma: A Controlled Trial. Am. J. Respir. Crit. Care Med. April 15, 2011 183, pp. 998-1006.

Gall, G., Pagano, M.E., Desmond, S., Perrin, J.M., and Murphy, J.M. (2000). Utility of Psychosocial Screening at a School-based Health Center. Journal of School Health 70, pages 292 -- 298.

Geierstanger, P.S., Amaral, G., Mansour, M., and Walters, R.S. (2004). School-Based Health Centers and Academic Performance: Research, Challenges, and Recommendations. Journal of School Health 74, pages 347 -- 352.
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New Breast Cancer Screening Guidelines

Words: 2607 Length: 8 Pages Document Type: Essay Paper #: 97455247



Dr. Robb-Nicholson's data best supports the scenario that more incidents of breast cancer will be discovered due to the reduced number of screenings that the new guidelines suggest. According to the numbers she gives, the mortality rate for breast cancer decreases every year and this decrease can be attributed to the previous screening guidelines. She writes that the USPSTF has based the new guidelines on statistics rather than clinical data and the message that they are conveying to the public is that the number of deaths that regular screenings at beginning at the age of forty is too small to keep the guidelines as they were previously. (6)

The best approach would be to keep the guidelines the way they were before the change. There was not enough clinical data to support the change in guidelines. Also, because the mortality rate for breast cancer has steadily declined with women following…… [Read More]

References Cited

1. Cancer Weekly. Concerned Federal Screening Mammography Guidelines to Limit Access for Younger Women. Susan G. Komen for the Cure. 2010: 1665.

2. Earthtimes.org. Stick with Older Mammography Recommendations. Stanford Experts Say. March 3, 2010 (Press Release from Stanford Hospital & Clinics).

3. Hoppel, Ann M. To screen, and when to screen: the mammography age divide. Clinician Reviews. 2009: 19.12.

4. Journal of the American Academy of Physicians Assistants. USP-STF: no routine mammography for women younger than 50 years. 2010; 23.2, p.66.
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Nurse Practitioner R N From R N

Words: 3164 Length: 10 Pages Document Type: Essay Paper #: 61840213

115). It seems many nurses or RN who prepare for the role of nurse practitioner are not fully informed of the demands that may be placed on them in their new role. This in turn may lead to job dissatisfaction later down the line and ultimately limit ones ability to succeed in their chosen field. Presently there is not enough research provided to provide conclusive evidence one way or another as to the extent to which problems or gaps in teaching may influence one's decision to move from one career to the next.

More information could be collected in the form of self-report surveys as mentioned previous that would assess whether nurses felt they were prepared educationally to take on the challenges of the role they currently held or aspired to (Evans, n.d.; Dumas, Villeneuve, & Chevrier, 2000). There are others however, that believe that in some cases the RN…… [Read More]

References

Blossom, Y.J., Ying-Chen, Y., & Wen-Hung, L. (2007). The influence of job characteristics on job outcomes of pharmacists in hospital, clinic, and community pharmacies. Journal of Medical Systems, 31(3): 224-29.

Buppert, C. (1999). Nurse Practitioner's business practice & legal guide. New York:

Aspen Publishers, Inc.

Dumas, L., Villeneuve, J. & Chevrier, J. (2000). A tool to evaluate how to learn from experience in clinical settings. Journal of Nursing Education, 39:6, 251-57.
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System Analysis of T-System Because of Its

Words: 3124 Length: 10 Pages Document Type: Essay Paper #: 5881106

System Analysis of T-SYSTEM

Because of its ability to improve the quality and delivery of health care services, the Electronic Health Record is becoming a necessity in almost every healthcare organization. The purpose of this paper is to explain the impact of having an electronic health record system in an emergency department. The current computerized system used at Suny Downstate Hospital in Brooklyn is called T-SYSTEM, and has been in operation since 2007. Documentation prior to its implementation was achieved through handwritten notes on various forms as well as through dictation by doctors. Suny Downstate Hospital had to update its system in order to meet state standards and quality core measures. The transition from paper to electronic documentation is major; while it assures many advantages, it also faces many challenges. As the author of this paper, I will be using my workplace as the unit (ED) project observed. I will…… [Read More]

Reference List

B., C. (2012, November 19). Personal interview.

B., G. (2012, December 2). Personal interview.

E., G. (2012, November 19). Personal interview.

Fraser, C. (2012, November 19). Personal interview.
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Steps to Consider When Making a Healthcare Legislation

Words: 1626 Length: 5 Pages Document Type: Essay Paper #: 59119409

Policy-Bill on Protecting Access to Primary Care Act

Objective and anticipated outcome of the proposed legislation or regulation

On August 2, 2013, Congresswoman Suzanne Bonamici (D-OR) introduced the Protecting Access to Primary Care Act (H.R. 2986). The primary objective of the proposed legislation was to improve access to primary care for individuals enrolled in Medicaid. The anticipated outcome is that the bill will improve reimbursement rates for nurse practitioners, physician assistants, and other primary health care providers. The proposed legislation will make a small but significant change to the Affordable Care Act (ACA), which will motivate primary care providers to serve Medicaid patients (Brooks et al., 2015). With the current nursing shortage, it is anticipated that the Act will attract at least one million extra nursing professionals in the field. It is obvious that the country needs more primary care providers to meet the needs of the increasing population (Ricketts,…… [Read More]

References

Brooks, C. J. M., Barnes, H., & Altares, S. D. (2015). Federal Polices Influence Access to Primary Care and Nurse Practitioner Workforce. The Journal for Nurse Practitioners, 11, 5, 526-530.

Davis, K., Abrams, M., & Stremikis, K. (2011). How the Affordable Care Act will strengthen the Nation's Primary Care Foundation. Journal of General Internal Medicine, 26, 10, 1201-3.

O'Malley, A. S. (2013). After-Hours Access to Primary Care Practices Linked with Lower Emergency Department Use and Less Unmet Medical Need. Health Affairs (Project Hope), 32, 1, 175-83.

Ricketts, T. C. (2013). How the Affordable Care Act Will Affect Access To Health Care in North Carolina. North Carolina Medical Journal, 74, 4.)
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Use of Advanced Nurses to Improve Healthcare Access

Words: 3619 Length: 10 Pages Document Type: Essay Paper #: 43233063

Healthcare Innovation

Healthcare is one of those industries and fields of work where the promotion of innovation and change management is key. It is also one of those fields where managing that change through tried-and-true practices such as evidence-based practice and so forth is a must. One change that is changing nursing a lot, especially when it comes to the advanced levels of nurses, is the flattening of the hierarchy that typically exists when it comes to what nurses are allowed to do, what they are expected to do and what they must do. Whether it be the aging of the population, the shortage of some types of doctors (or doctors in general) or general access to quality care for patients in general, there is often a distinct reason for the need and thus the prior mentioned need for innovation and proper change management in the nursing field is necessary…… [Read More]

References

Bassett, E. (2010). Doctors face cash flow problems with Medicare. Fort Worth Business

Press, 22(47), 29.

Delgado, C., & Mitchell, M. M. (2016). A Survey of Current Valued Academic Leadership

Qualities in Nursing. Nursing Education Perspectives, 37(1), 10-15. doi:10.5480/14-1496
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Analyzing the Strategic Planning

Words: 4804 Length: 15 Pages Document Type: Essay Paper #: 46611744

Strategic Planning May Successfully Aid the Patient-Centered Medical Home Model's Implementation and Value to Our Health Care System

How Using Strategic Planning May Successfully Aid the Patient-Centered Medical Home Model's Implementation and Value to Our Health Care System

In 1967, the AAP (American Academy of Pediatrics) introduced the concept of Medical Homes. These homes were at first assigned for obtaining children's medical records. Several decades later in 2002, the Academy expanded its policy statement on the concept, making it more comprehensive, accessible, compassionate and culturally-effective. The new policy also changed the focus of medical home from the child to the family. The ACP (American College of Physicians) and the AAFP (American Academy of Family Physicians) have also developed their own patient-care models which they refer to as "advanced medical home" and "medical home," respectively (PCPCC, 2007).

Many health care experts agree that the basic components of medical home definition include…… [Read More]

References

AHIMA. (2013). Assessing and Improving EHR Data Quality. Journal of AHIMA, 84(2), 48-53.

AHIMA Board of Directors. (2011). New View of HIM: Introducing the Core Model. American Health Information Management Association.

AHRQ. (n.d.). Defining the PCMH. Retrieved March 11, 2016, from Agency for Healthcare Research and Quality: https://pcmh.ahrq.gov/page/defining-pcmh

Alexander, J. A., Paustian, M., Wise, C. G., Green, L. A., Fetters, M. D., Mason, M., & Reda, D. K. (2013). Assessment and Measurement of Patient-Centered Medical Home Implementation: The BCBSM Experience. Annals of Family Medicine, 11(1), S74-S81.
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Horizontal Violence the Victorian and Other Healthcare

Words: 1352 Length: 4 Pages Document Type: Essay Paper #: 23075663

Horizontal Violence

The Victorian and Other Healthcare Facilities still have issues with horizontal violence in their work environments where many of these incidents occur, however, their facility feels, according to the Contemporary Nurse web site, that the main reason that there is so much animosity in the Victorian health center is because of the constant aggression that these nurses receive from dementia patients which causes some of these nurses to be more anxious, uptight, restless, and more likely to say something to offend other nursing staff especially the younger, less experienced, new graduates that have just joined the healthcare team. The Victorian chairman addressed in a letter he had wrote to the Minister for Health to politely ask him to think about his opinion on the report that the Victorian's Taskforce hostile working environment even though he shares his own beliefs and facts, noted in the "Victorian Taskforce on Violence…… [Read More]

References

Morand, M. (2005, November). Victorian task force on violence in nursing. Retrieved from http://www.health.vic.gov.au/__data/assets/pdf_file/007/17674/victaskforcevio.pdf

Neill, J. (2007, February 28). Qualitative vs. quantitative research: key points in a classic debate. Retrieved from a  http://wilderdom.com/research/QualitativeVersusQuantitativeResearch.html
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Infection Related to Catheter Usage in Hospitals

Words: 9212 Length: 30 Pages Document Type: Essay Paper #: 56883508

Quality Improvement Program

Needs Assessment and Quality Improvement Plan

Paula Stechschulte, PhD, RN

Quarter

This paper discusses the process of drafting a quality improvement plan at a community level medical facility, a plan that is aimed at reducing days under urinary catheter and also reducing the rates of infections associated with the said catheters. As a high rate of incidence of infection related to catheter usage is costly for the hospital, this implementation strategy is aimed both at reducing hospital costs and boosting patient health, safety and satisfaction. The requirement for this strategy is a level of nursing education, dedication and commitment that will necessitate training and a "go-live" session of implementation which can be stressful for workers and for patients as both adjust to change. The management directors will need to not only monitor progress using the Six Sigma method but also will need to effectively maintain levels of…… [Read More]

References

APIC (2008). -- Home. Guide to the Elimination of Catheter-Associated Urinary Tract Infections (CAUTIs). Retrieved January 16, 2016, from http://www.apic.org/Resource_/EliminationGuideForm/c0790db8-2aca-4179-a7ae-676c27592de2/File/APIC-CAUTI-Guide.pdf

Brusch, J. (2015, August 18). Diseases & Conditions - Medscape Reference. Catheter-Related Urinary Tract Infection: Transmission and Pathogens, Guidelines for Catheter Use, Diagnosis. Retrieved January 15, 2016, from http://emedicine.medscape.com/article/2040035-overview#a2

Cetina, K. K., Bruegger, U. (2001). Transparency regimes and management by content in global organizations: The case of institutional currency trading. Journal of Knowledge Management, 5(2): 180-194.

Cooper, A. (2002). Six Sigma deployment in a large integrated health system. Quality Congress. ASQ's Annual Quality Congress Proceedings, ABI/INFORM Global: 71-76.
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Australian Health Care

Words: 1706 Length: 4 Pages Document Type: Essay Paper #: 62216658

Critical Thinking and Analysis

Developing critical thinking skills and using those skills to analyze the nursing practices, guidelines and standards provides the individual with the ability and capabilities to advance in a nursing career, helps the individual to assist others in achieving their goals and objectives, and assists the individual in the quest to become a more effective and efficient nurses. One recent study determined that nurses can also benefit from enhanced critical thinking skills "by describing the mental processes, or vigilance, nurses use to differentiate the significant from the non-significant observations made with regard to patients" (Robert, Petersen, 2013, p. 86). If that is true then critical thinking skills can be quite important to the nurse who is seeking to develop a relationship with his or her patients that provides for the optimum recovery through comprehensive observation.

A nurse who understands that thinking through what he or she is…… [Read More]

Works Cited

Bozorgmehr, K.; Bruchhausen, W.; Hein, W.; Knipper, M.; Korte, R.; Razum, O.; Tinnemann, P.; (2014) The global health concept of the German government: strengths, weaknesses, and opportunities, Global Health Action, Vol. 7, pp. 1-4

Christou, A. & Thompson, S.C.; (2013) Missed opportunities in educating Aboriginal Australians about bowel cancer screening: Whose job is it anyway? Contemporary Nurse: A Journal for the Australian Nursing Profession, Vol. 46, Issue 1, pp. 59-69

Garrity, M.K.; (2013) Developing nursing leadership skills through reflective journaling: a nursing professor's personal reflection, Reflective Practice, Vol. 14, Issue 1, pp. 118-130

German, M.; (2013) Developing our cultural strengths: Using the 'Tree of Life' strength-based narrative therapy intervention in schools, to enhance self-esteem, cultural understanding and to challenge racism, Educational & Child Psychology, Vol. 30, Issue 4, pp. 75-99
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Reducing Readmission for Diabetes Patients

Words: 2695 Length: 14 Pages Document Type: Essay Paper #: 37664548

Quality Improvement Project

Diabetes -- Chronic Condition Background

Type 1 and Type 2 Diabetes

Risk factors for type 1 diabetes

Risk factors for prediabetes and type 2 diabetes

Risk factors for gestational diabetes

The Rationale for Selection

The Target Population

Intervention Plans

Target Goals

It has been estimated that in New York there is roughly two million people, or over twelve percent of the population, that have diabetes; furthermore, of this population, over half a million people have the condition but are not aware that they have it (American Diabetes Association, N.d.). It is further estimated that nearly five and a half million people, or over a third of the population, have prediabetes. Diabetes and diabetes-associated cardiovascular diseases have become the leading cause of death in the region accounting for roughly two-thirds of the deaths and the rates of diabetes has lead this trend to be referred to as the…… [Read More]

References

American Diabetes Association. (N.d.). Health Disparities. Retrieved from American Diabetes Association: http://www.diabetes.org/advocacy/advocacy-priorities/health-disparities.html

American Diabetes Association. (N.d.). New York, New York. Retrieved from American Diabetes Association: http://www.diabetes.org/in-my-community/local-offices/new-york-new-york/

CDC. (2013). Diagnosed Diabetes, Age Adjusted Rate (per 100) Adults - Total 2013. Retrieved from Center for Disease Control: http://gis.cdc.gov/grasp/diabetes/DiabetesAtlas.html

Department of Health. (N.d.). Diabetes. Retrieved from New York State: https://www.health.ny.gov/diseases/conditions/diabetes/
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Personal Statement for Admission Into Nurse Practitioner Program

Words: 810 Length: 3 Pages Document Type: Essay Paper #: 95846146

Personal Statement Application for the Nurse Practitioner Program at UCSF

I first experienced the duties of a nurse practitioner in WHATEVER, a small mountain village in Nepal.

From 1996-1998, I worked as a Community Health Volunteer with the American Peace Corps. During those two years, I worked with Nepalese women and children, teaching classes on first aid, family planning and nutrition. I also organized immunization clinics, ran a health library, and conducted community needs assessments.

I have always found great fulfillment in healthcare and in being part of people's recoveries. For this reason, I majored in Kinesiology and Biology at the University of Minnesota, even working towards an application to the Physician Assistant program during my last two years. After graduation, I worked as a nursing assistant.

Since then, I have also gained greater familiarity with pharmaceuticals and the managed healthcare system in my present work with the Daiichi Corporation.…… [Read More]

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State of the DNP

Words: 976 Length: 3 Pages Document Type: Essay Paper #: 2444227

DNP today a clash of culture, power, politics or none of these?

When first instituted, the DNP (Doctor of Nursing Practice) degree was thought to address a very important deficit within the nursing profession, namely a need for greater preparation of nurses to enter an increasingly complex and technologically sophisticated medical environment while still staying true to the practice-based focus of nursing. Before the DNP, nurses could either effectively remain stalled at the master's level of education or they could pursue a PhD, a research-focused degree. The DNP was designed to 'bridge the gap' between these two degrees for nurses who wished to remain in clinical practice yet gain a greater grounding in evidence-based medicine. Today, "there are many enthusiasts toward the DNP. Seen by some as a symbol of social progressivism…better parity with other practice disciplines such as medicine, audiology, physical therapy, and pharmacy, which all require a doctoral…… [Read More]

References

Bachmann, H. (2011) SDS reports: The DNP degree. Retrieved from:

 http://www.studentdoctor.net/2011/04/sdn-reports-the-dnp-degree/ 

Bellini, S. (2012). The Doctor of Nursing Practice for entry into advanced practice: The

controversy continues as 2015 looms. NAINR. 12(1):1-6. http://www.medscape.com/viewarticle/760749_6
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PPACA on March 23 2010 the Patient

Words: 1009 Length: 3 Pages Document Type: Essay Paper #: 73826994

PPACA

On March 23, 2010 the Patient Protection and Affordable Care Act (PPACA) was signed into law by President Barack Obama. Along with the Health Care Reconciliation Act of 2010, the PPACA became part of the overall Health Care Reform concept of 2010. The health care reform process was promoted as a way to completely transform the health care industry and ensure that all Americans received affordable health care. While supporters praise the legislation as a revolutionary law which will benefit ordinary Americans, critics claim that the Obama Administration used the health care reform process as a means of gaining control over the entire health care system. In an attempt to compare and contrast the provisions of this new law, this essay will discuss several provisions of the new health care legislation and compare the benefits as well as the criticisms of them.

Section 5501 of the PPACA provides for…… [Read More]

Works Cited

Appleby, Julie. (2011, Jan. 10). Effort To Reward Medicare Advantage Plans Draws Criticism. Kaiser Health News. Retrieved from http://www.kaiserhealthnews.org/Stories/2011/January/10/Medpac-on-Medicare-Advantage-bonuses.aspx

"Side Effects: Obamacare Could Punish Docs for Better Quality Care." (2010, July 16). The Heritage Foundation. Retrieved from http://fixhealthcarepolicy.com/health-care-news/side-effects-obamacare-could-punish-docs-for-better-quality-care/

Gold, Jenny. (2011, Jam. 18). "Accountable Care Organizations, Explained." NPR. Retrieved from http://www.npr.org/2011/04/01/132937232/accountable-care-organizations-explained

"Health Care Reform: Annual Fee on Prescription Drug Manufacturers and Excise Tax on Medical Devise Manufacturers." (2010, Apr.). Covington & Burling LLP Retrieved from http://www.cov.com
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Legislation of Foreign Nurses Practicing in the United States

Words: 2042 Length: 5 Pages Document Type: Essay Paper #: 16385907

Legislation of Foreign Nurses Practicing in the United States

The United States Health Care system is undergoing a major crisis of nurse-staffing shortage. A survey conducted by the American Hospital Association -- AHA of 715 hospitals performed during spring 2001 showed that a vacancy of 126,000 positions of registered nurses prevails through out the nation. The International Council of Nurses -- ICN, a federation of 125 nursing organizations indicated it to be a global problem. In order to meet the staff requirements, the U.S. health care facilities, both individually and in collaboration are persistently demanding the state and federal law makers to smoothen the restrictions in both the state regulations and U.S. immigration law to permit an increased influx of foreign-educated nurses. (Trossman, 2002)

Cheryl Peterson, MSN, Registered Nurse, a senior policy fellow in the practice department of ANA reveals that there are three primary modes that foreign educated nurses…… [Read More]

REFERENCES

"All Foreign Healthcare Workers Must Re-certify" Retrieved from http://www.pulsehr.com/Resources/US_Nursing_Visa_Immigration_Certification_Latest_News.htm Accessed 3 October, 2005

Maddox, P.J. (Dec. 31, 1998) "Administrative Ethics and the Allocation of Scarce

Resources" Online Journal of Issues in Nursing. Retrieved from http://www.nursingworld.org/ojin/topic8/topic8_5.htm Accessed 4 October, 2005

"Position Statement on Recruitment and Rights of Foreign Nurses" Retrieved from http://www.aft.org/topics/immig-healthcare/ImmigRts_10_03.pdf
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Analyzing the US Healthcare System

Words: 974 Length: 3 Pages Document Type: Essay Paper #: 99362072

U.S. Healthcare System: An Analysis

Healthcare System: An Analysis

The United States healthcare system is far more than simply a health insurance system with multiple contributors, neither is the government solely responsible for funding the system -- thus it is a hybrid health insurance system. The funding pattern depicts the system aptly, in the year 2010, 12% of funding came from local and state coffers, 38% from the federal government and 50% from private funds. Regardless of the source of funding, most people seek care from private health facilities (Dorning, 2014).

Primary Care

Individuals seek primary care for almost all the health concerns they encounter, for instance, one may look for primary care even for common afflictions such as viral fever, bacterial infection or influenza. Individuals also look for primary care if they think they have broken a bone; have skin rash or a sore muscle. Primary care providers (PCPs)…… [Read More]

References

Baldwin, D. M. (2003). Disparities in Health and Health Care: Focusing Efforts to Eliminate Unequal Burdens. The Online Journal of Issues in Healthcare, 8(1).

CDC. (2014, March 13). Healthy People 2020. Retrieved from National Center for Chronic Disease Prevention and Health Promotion, Division for Heart Disease and Stroke Prevention: http://www.cdc.gov/dhdsp/hp2020.htm

Dorning, J. (2014, June). The U.S. Health Care System: An International Perspective. Retrieved from Department for Professional Employees: http://dpeaflcio.org/programs-publications/issue-fact-sheets/the-u-s-health-care-system-an-international-perspective/

Squires, D., & Anderson, C. (2015, October 8). U.S.Health Care from a Global Perspective: Spending, Use of Services, Prices, and Health in 13 Countries. Retrieved from The Commonwealth Fund: http://www.commonwealthfund.org/publications/issue-briefs/2015/oct/us-health-care-from-a-global-perspective
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Nursing Knowledge A Controversy the Scope of

Words: 1742 Length: 5 Pages Document Type: Essay Paper #: 26357332

Nursing Knowledge: A Controversy

The scope of the nursing profession has increased dramatically over the last thirty years. The demarcation between medical and nursing tasks is quickly dissolving as the nursing profession is becoming increasingly multidisciplinary and complex. In 1996, nurse practitioners were mandated to obtain master's degrees to address their changing role in medical care (Nicoteri & Andrews, 2003). In this multidisciplinary and evolving healthcare environment, adaptation is paramount to providing effective patient care. Currently, there is a controversy in nursing regarding the direction that the development of nursing knowledge should take. There are many critics who believe that developing new nursing theories is an effective way to promote this development. However, theories are often abstract and not adaptable to specific healthcare settings. The belief that the knowledge base for nursing should evolve entirely from theory has important implications for nursing as an academic discipline and by extension the…… [Read More]

References

Attree, M. (2001). Patients' and relatives' experiences and perspectives of 'good' and 'not so good' quality care. Journal of Advanced Nursing, 33, 456 -- 466.

Burman, M.E., Hart, A.M., Conley, V., Brown, J., Sherard, P., Clarke, P.N. (2009). Reconceptualizing the core of nurse practitioner education and practice. Journal of the American Academy of Nurse Practitioners, 21, 11-17.

Hart, A.M., Macnee, C. (2007). How well are NPs prepared for practice: Results from a 2004 survey. Journal of the American Academy of Nurse Practitioners, 19, 35 -- 42.

Mantzoukas, S., Jasper, M. (2008). Types of nursing knowledge used to guide care of hospitalized patients. Journal of Advanced Nursing, 62, 3, 318-326.
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Should There Be One Organization That Is the Voice for Nursing If Yes Why If No Why Not

Words: 1247 Length: 4 Pages Document Type: Essay Paper #: 5796315

Nursing associations: Is there a need for professional organizations? If yes, why? If no, why not?

Throughout its history, nursing has struggled to establish itself as a separate, worthy profession with a unique set of paradigms and ways of knowing. Nurses are not simply inferior doctors or the helpers of doctors, as was once commonly thought. Professional associations play a vital role in establishing nurses' credibility. Such associations often take on the responsibility for systemizing theories of professional knowledge; defining specializations of the profession and specialist definitions; raising educational and practice standards; offering professional education; creating a base of authority and approval within the profession and larger society; defining ethics and enabling the profession to self-regulate and define its ethical standards (Matthews 2010).

Although professional associations serve a vital function for all professions, it could be argued that for nurses the need is particularly acute, given the volatility of the…… [Read More]

References

American Nursing Association. Retrieved from:  http://www.nursingworld.org/ 

Greggs-McQuilkin, D. (2005). Why join a professional nursing organization? Nursing, 35 (19).

Retrieved from:

http://journals.lww.com/nursing/pages/articleviewer.aspx?year=2005&issue=09001&article=00006&type=Fulltext
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Ethics Nursing Choose a Potential

Words: 698 Length: 2 Pages Document Type: Essay Paper #: 86000956



My solution has the potential benefits including the following. First, our hospital would be hailed as a progressive institution that serves all members of its community. Second, our hospital would benefit from improved quality of care. As a family nurse practitioner, I value the holistic approach to nursing. All aspects of the patient's life are taken into consideration. Other benefits more directly impact the patient's outcomes, and also workplace morale. As Oberle & Hughes (2008) point out, "administrators should provide opportunities for discourse to help staff reduce moral distress and generate creative strategies for dealing with this," (p. 707). Finally, benefits include ascription to the most fundamental of tenets of nursing. The American Nurses Association (2010) states that humanist, feminist, and social ethics should at all times be adhered to in the advanced nursing practice. The only costs associated with my solution would be the time and energy spent convincing…… [Read More]

References

American Nurses Association (2010). Code of Ethics for Nurses. Silver Spring: ANA.

Kaplan, C. (n.d.). Ethical dilemmas. Advance Healthcare Network. Retrieved online:  http://nurse-practitioners-and-physician-assistants.advanceweb.com/article/ethical-dilemmas-2.aspx 

Oberle, K. & Hughes, D. (2008). Doctors' and nurses' perceptions of ethical problems in end-of-life decisions. JAN 33(6): 707-715.
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Curriculum for Medical Training Intervention

Words: 897 Length: 3 Pages Document Type: Essay Paper #: 24921450

Medical trauma triage management requires skillful curriculum development, which in turn depends on an assessment of needs and an anticipation of potential barriers to implementation. The initial needs assessment has revealed required resources of about four or five medical services providers such as physician assistants and nurse practitioners. Support personnel may be provided, but an additional challenge will arise when implementing the curriculum in a real world setting such as a trauma center, emergency room, or intensive care unit. Adequate space and time must be carved out for the curriculum implementation, without disturbing standard operating procedures. At the same time, improving trauma triage management will ultimately facilitate patient service delivery and maximize care outcomes, goals that should continually be communicated to the institutional administration as well as all participants in the program.

Each phase of the ADDIE model, an industry benchmark for curriculum development, "requires constant evaluation," (Allen, 2006, p.…… [Read More]

References

Allen, W.C. (2006). Overview and evolution of the ADDIE training system. Advances in Developing Human Resources 8(4): 430-441.

Bass, E.B. (n.d.). Step 1: Problem identification and general needs assessment.

Swanson, R.A. & Holton, E.F. (2009). Training and development practices. Chapter 12 in Foundations of Human Resource Development.
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A concise Analysis of an Ethical Decision

Words: 931 Length: 2 Pages Document Type: Essay Paper #: 76990847

Ethical Decision

Nursing professionals have to make routine decisions bearing ethical principles and regulations in mind. Proper decision-making necessitates a grasp of the interface between nursing, laws, and ethics (Furlong, 2007, p. 29). But nursing professionals across the world face increasing difficulty when attempting to work with integrity amid the complicated ethical decisions and pressure they encounter. "Notes on Nursing" by Florence Nightingale describes the ethical obligations of communication, confidentiality, and the importance of fulfilling patient requirements (Ulrich et al., 2010)

Ethical / Moral Issue

Karen, a nurse practitioner (NP) fresh out of college, working in a little town, is visited by a first-time expectant mother (previous menstrual period -- 5 weeks ago), Susan Ruttley, aged 29 years. Karen wishes to begin prenatal care for the patient, who, although married, visits alone and claims she hasn't informed her husband of her condition, as he wished to postpone starting a family,…… [Read More]

References

Corbin, J. R. (2007). Confidentiality & the Duty to Warn: Ethical and Legal Implications for the Therapeutic Relationship. The New Social Worker, 14(4). Retrieved 5 September 2016 from http://www.socialworker.com/feature-articles/ethics-articles/Confidentiality_%26_the_Duty_to_Warn%3A_Ethical_and_Legal_Implications_for_the_Therapeutic_Relationship/

Furlong, E. (2007). Right or Wrong: Legal and Ethical Issues and Decision-Making. Jones and Bartlett Publishers. Retrieved 5 September 2016 from http://www.jblearning.com/samples/0763744352/44352_ch03_pass1.pdf

Kaplan, C. (2016). Ethical Dilemmas. Advance Healthcare Network for NPs & PAs. Retrieved 5 September 2016 from http://nurse-practitioners-and-physician-assistants.advanceweb.com/article/ethical-dilemmas-2.aspx

Ulrich, C. M., Taylor, C., Soeken, K., O'Donnell, P., Farrar, A., Danis, M. & Grady, C. (2010). Everyday Ethics: Ethical Issues and Stress in Nursing practice. Journal of Advanced Nursing, 66(11), doi: 10.1111/j.1365-2648.2010.05425.x. Retrieved 5 September 2016 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3865804/
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Ouuch Making Excellent Health Responses

Words: 4319 Length: 15 Pages Document Type: Essay Paper #: 96010800



Prior to Launching Technology Initiatives

Over the past seven years, many healthcare organizations, like OUUCH, have begun to transition from the traditional paper-based systems to EHR systems. Research has shown that over a period of time. EHR systems can improve quality of care for patients, provide more accurate information, and overall improve safety issues relating to reducing mistakes with patients. In the exploratory study, "Change factors affecting the transition to an… [EHR] system in a private physicians' practice: An exploratory study," Aaron D. Spratt, Social Security Administration and Kevin E. Dickson (2008), Southeast Missouri State University, report that the U.S. health care industry reportedly ranks among the world's leading inefficient information enterprises. Although the system needs major changes, the transition process however, creates a high change in the business aspect of an organization. Spratt and Dickson (2008) explain that for an EHR system to be successful, doctors must be involved…… [Read More]

REFERENCES

Amatayakul, M. (2009). EHR vs. EMR: what's in a name? Healthcare Financial

Management. Healthcare Financial Management Association. Retrieved May 13, 2010

from HighBeam Research: http://www.highbeam.com/doc/1G1-202487730.html

Bennett, D. (2009). EMR market includes small and large system vendors. Managed Healthcare
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Health Care Industry

Words: 1212 Length: 3 Pages Document Type: Essay Paper #: 76415813

Health Care

The Staffing Policies Matrix

Hospitals are in the clubs quadrant of the staffing policies matrix. Hospitals are in this sector because careers are slow-moving. This means that the focus is not on constant promotion. Instead, individuals work based on their specialist area, whether it be nursing, rehabilitation, or various medical specialties. On a day-to-day basis the focus is on being reliable and consistent.

Sonnenfield and Pieperl (1988) note that organizations in the clubs sector have a fixed hierarchy with an emphasis on status. This is true of hospitals with overall status based on the hierarchy of professions. This hierarchy has support staff at the lower levels, nurses at the middle levels, medical professionals at the higher levels, and specialist medical staff such as surgeons at the highest level. Within the levels, seniority determines status. Seniority is also the basis on which promotion is generally given. This is a…… [Read More]

References

Porter, M.E. (1980). Competitive strategy: Techniques for analyzing industries and competitors. New York: The Free Press.

Sonnenfield, J.A., & Peiperl, M.A. (1988). Staffing policy as a strategic response: A typology of career systems. Academy of Management Review, 13, 588-600.
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Childhood Depression

Words: 4442 Length: 15 Pages Document Type: Essay Paper #: 78449735

Childhood Depression

Major depressive disorder, or MDD, may affect up to twenty percent of the adult population. The recognition of depression as a serious and common mental disorder has been vital in the identification and treatment of depression in adults. Leaps and bounds have been made in the field of depression research. The widespread recognition of the many possible causes of depression, including chemical imbalances with genetic or medical origins as well as traumatic life events, has made it possible for those suffering from depression to openly seek treatment options and discuss their depression without necessarily feeling the same overwhelming shame and isolation that were inevitable in generations past. Depression is more likely to be identified in an affected individual by family members, physicians, or others because of the public information that is available for professionals and the common people. Research is constantly revealing new treatment options, identifying causal factors,…… [Read More]

Works Cited

Fremont, W.P. (2004, April) Childhood reactions to terrorism-induced trauma: a review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry. v43, i4, 381(12).

Gaughan, D.M., et al. (2004, June) Psychiatric hospitalizations among children and youths with human immunodeficiency virus infection. Pediatrics. v113, i6, 1793(1).

Gazelle, H. & Ladd, G.W. (2003, January-February) Anxious solitude and peer exclusion: a diathesis-stress model of internalizing trajectories in childhood. Child Development. v74, i1, 257(22).

Louters, L.L. (2004, September) Don't overlook childhood depression: an effective approach to childhood depression requires that you maintain a high index of suspicion and understand the disorder's full spectrum of manifestations. JAAPA - Journal of the American Academy of Physicians Assistants. v17, i9, 18(7).
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Healthcare Industry Changes in Healthcare in the

Words: 1234 Length: 4 Pages Document Type: Essay Paper #: 32949900

Healthcare Industry

Changes in healthcare in the last ten years

In the last two decades, the average cost of healthcare per person was $2,800. This almost doubled in a span of ten years to reach a staggering $4,700. The cost tripled to reach $7,500 per person in 2008. This has happened as the number of Americans without insurance keeps increasing. The number of uninsured Americans has risen from 13.1% in 2001 to 16.3% in 2008 (Chideya, 2012). This implies that approximately 50 million people are uninsured today the reason being the job losses that were witnessed during the world economic meltdown and employer's decision to cut back on coverage (Chideya, 2012). A number of innovations in the healthcare sector were also registered within the last ten years especially the use of iPhone in clinical trials. These phones could be turned into EKG monitors that automatically transmitted data to a cardiologist…… [Read More]

References List

Chideya, F. (2012). Healthcare 5, 10, 20 years in the past and Future. Retrieved from http://www.forbes.com/sites/singularity/2012/07/02/healthcare-5-10-20-years-in-the-past-

and-future/

Garson, A. & Levin, S.A. (2001). Ten 10-Year Trends for the Future of Healthcare: Implications

for Academic Health Centers. Ochsner Journal, 3(1), 10-15.
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Nursing the Future of Health

Words: 1185 Length: 3 Pages Document Type: Essay Paper #: 68858301

People who are in poor health are less likely to work and, when in work, are less prolific. They are less probable to invest in their own schooling or to save for retirement, and so to support the broader economy. Experts believe that the present economic and labor market, social security arrangements, retirement age and the relations between all of them will need to be considered when addressing the economic benefits of better health in the future. The substantiation is clear; a healthy population including healthy older people can add substantially to the economy (Figueras, McKee, Lessof, Duran & Menabde, 2008).

4. The wisdom of depending on International Medical School Graduates (IMGs) to fill gaps in physician supply, while U.S. medical schools hold class size constant, is questionable. In addition, the aging of the physician workforce, the decreasing hours worked by both physicians in practice and physicians in residency, and…… [Read More]

References

ANA's Health System Reform Agenda. (2008). Retrieved from http://www.nursingworld.org/MainMenuCategories/HealthcareandPolicyIssues/HealthSy

stemReform/Agenda/ANAsHealthSystemReformAgenda.aspx

Figueras, J., McKee, M., Lessof, S., Duran, A. & Menabde, N. (2008). Health systems, health and wealth: Assessing the case for investing in health systems. Retrieved from  http://www.euro.who.int/__data/assets/pdf_file/0009/83997/E93699.pdf 

Sultz & Young, (2011). Health Care USA Understanding its Organization and Delivery.
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United States Has the Most

Words: 6833 Length: 20 Pages Document Type: Essay Paper #: 34903730

al., 2010).

Nursing and the ER

The Emergency Room 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]

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/
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Postoperative Vision Loss Elements of

Words: 8700 Length: 30 Pages Document Type: Essay Paper #: 21606334

More times than not, a patient will argue that he did not understand what the physician stated to him; even amidst documented proof the medical professional and the patient did engage in an informed conversation. "The fact that a meeting took place does not necessarily mean that there was a meeting of the minds" (Informed consent…, 2010, ¶ 5). This issue leads some health care providers to assert that informed consent forms possess little value, particularly when a legal battle ensues and the professional cannot prove the patient did, in fact, understand the informed consent process.

Currently, lawyers routinely challenge informed consent forms in courtrooms throughout the United States (U.S.). "The model consent forms incorporate substantial details of anesthesia techniques, risks and other elements of 'informed consent', so that a strong presumption is established on its face" (Informed consent…, 2010, ¶ 7). During the informed consent process, to help inoculate…… [Read More]

REFERENCES

Anaesth, B.J. (2009). Perioperative visual loss: What do we know, what can we do? Department

of Anesthesia and Critical Care. University of Chicago. Retrieved January 25, 2010 from http://bja.oxfordjournals.org/cgi/content/short/103/suppl_1/i31

Booth, B. (2008). Informed consent at the heart of New York lawsuit. Retrieved January 26,

2010 from http://www.ama-assn.org/amednews/2008/03/10/prca0310.htm
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Telemedicine Will Telemedicine Improve the Quality of

Words: 7147 Length: 22 Pages Document Type: Essay Paper #: 87286452

Telemedicine: Will telemedicine improve the quality of healthcare and its delivery for remotely located advanced healthcare para-professionals?

The basic purpose of this study is to discuss whether telemedicine will improve the quality of health care and it's delivery for remotely located advanced health care para-professionals.

The scope of the study is over seeing as it covers the implication of implementation of telemedicine as a professional genre. It would also show how the installation of telemedicine means to other researchers, who want to take this field further and analyze it other context such as financial system of medical systems, telemedicine implicaiton on Medicare etc.

The researcher plans to adopt a case study / historical methodology of research by first collecting a literature review and then finally using it as a base for the analysis of the hypothesis questions. The researchers will also plan to use both primary and secondary sources. Primary…… [Read More]

Bibliography

1. Dakins, D.R., [1995]. "Wild-Eyed Revenue Projections Create Moving Target for Home Healthcare Market," Telemedicine and Telehealth Networks, 2:3:3.

Author not available, [1993]. Consensus Statement, First Mayo Telemedicine Symposium.

Grigsby J, Barton PL, et al. [1994]. Analysis of expansion of access to care through use of telemedicine and mobile health services. 3: Telemedicine policy: quality assurance, utilization review, and coverage. Denver: Center for Health Policy Research;:8.

Fishman, Dorothy J., [07-01-1997]. Telemedicine: bringing the specialist to the patient.. Vol. 28, Nursing Management, pp 30(3).
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Health Reforms and the Role of Nurse Practitioners

Words: 1696 Length: 4 Pages Document Type: Essay Paper #: 87188194

Nursing Practice Expected to Grow and Change

Ageing of population and healthcare providers, coupled with reforms to healthcare, will raise demands for professionals in the field, also expanding existing professionals' required skill sets and roles. Physicians, physician assistants, nurse practitioners, nurses, and medical assistants are included in this growth area. Fortunately, healthcare is characterized by a swiftly expanding and large workforce (with 23000 new entrants every month, nationally); this sector progressed even in recent economic recessions (Survey, 2013). Registered Nursing (RN) is one of the leading U.S. occupations which is projected to grow 26% and add the highest number of jobs by 2020 (an estimated 1.2 million RNs overall), as per U.S. Bureau of Labor Statistics (Survey, 2013). This stems from a projected rise in demand, as well as a need for replacing the current ageing RNs. Nursing careers are being pursued in America increasingly; the number of students enrolled…… [Read More]

Bibliography

Buerhaus, P., DesRoches, C., Applebaum, S., Hess, R., Norman, L., & Donelan, K. (2012). Are Nurses Ready for Health Care Reform? A Decade of Survey Research. Nursing Economics, 329.

Dunbar-Jacob, J. (2011). The Changing Role of Nursing in Health Care Reform. Pittsburgh: Pitt Nurse. Institute for Nursing Centers Survey (2008). Retrieved from http://nursingcenters.org/PDFs/INC%20Highlight%20Report%2010_6_08.pdf.

NURSE-MANAGED HEALTH CENTERS. (2011). Retrieved from: http://www.nncc.us/pdf/NMHC_Quality_Standards.pdf

Pohl, J.M., Tanner, C., Barkauskas, V.H., Gans, D., Nagelkerk, J., & Fiandt, K. (2010). Nurse-managed health centers' national survey: Three years of data. Nursing Outlook, 58(2), 97-103
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Information Systems in Healthcare

Words: 4901 Length: 15 Pages Document Type: Essay Paper #: 16336011

Health Information System

Promoting Action Design Research to create value in healthcare through IT

Recently there has been varying proof showing that health IT reduces costs while improving the standard of care offered. The same factors that had caused delays in reaping benefits from IT investment made in other sectors (i.e. time consuming procedural change) are also very common within the healthcare sector. Due to the current transitive nature of the Healthcare sector, new IT investment is likely not going to provide maximum value unless this new investment is backed up with a total reform of healthcare delivery. The overall ability of healthcare IT value researchers to add value to practice will be severely limited as a result of the traditional ex-post approach to measuring IT and the fact that government spurs significant investment. It may be risky to generalize or compare results from traditional IT value research with those…… [Read More]

References

Fichman, R., Kohli, R., & Krishnan, R. (2011). The role of information systems in healthcare: Current research and future trends. Information Systems Research, 22(3), 419-428.

Goh, J.M., Gao, G., & Agarwal, R. (n.d.). Evolving work routines: Adaptive routinization of information technology in healthcare. Information Systems Research, 22(3), 565-585.

Hoffnagel, E., Woods, D., & Leveson, N. (2006). Resilience engineering: Concepts and precepts. Abingdon: GBR: Ashgate Publishing.

Jones, S., Heaton, P., Riudin, R., & Schneider, E. (2012). Unraveling the IT productivity paradox lessons for health care. The New England Journal of Medicine, 366(24), 2243-2245.
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Analyzing Entrepreneurship Nurse Owned Clinics

Words: 2303 Length: 6 Pages Document Type: Essay Paper #: 37871987

Entrepreneurship: Nurse-Owned Clinics and Beyond Mobile FNP (Family Nurse Practitioners)

There are over 125,000 NPs (nurse practitioners) in the U.S., as per estimates of the AANP (American Academy of NPs). Compared to physician assistants, NPs enjoy greater autonomy and responsibility, and have been increasingly assuming roles in administrative leadership, aside from their conventional patient-care duties at clinics and hospitals. However, owing to the thorough knowledge required to succeed within private practice settings, NPs often establish independent practices after many years of experience at healthcare centers such as hospitals, in the role of salaried NPs (Furlow, 2011).

According to the Chief Executive of the NNCC (National Nursing Centers Consortium), Tine Hansen-Turton, a substantial growth has been observed in nurse-run health clinics, before as well as subsequent to the implementation of the ACA (Affordable Care Act). She claims the number of nurse-run clinics across the nation has now grown to five-hundred; this…… [Read More]

References

Aiken, L.H. & Sage, W.M. (1992). Staffing national health care reform: a role for advanced practice nurses. Akron Law Review, 26. Retrieved from https://www.uakron.edu/dotAsset/3ed241d2-f4fa-4afe-aca6-deacf419abcb.pdf

Fraino, J.A. (2015). Mobile nurse practitioner: A pilot program to address service gaps experienced by homeless individuals. Journal of Psychosocial Nursing, 53. Retrieved from http://repository.usfca.edu/cgi/viewcontent.cgi?article=1000&context=health_stu

Furlow, B. (2011, May 30). Business advice for nurse practitioners considering private practice. Clinical Advisor. Retrieved from http://www.clinicaladvisor.com/your-career/business- advice-for-nurse-practitioners-considering-private-practice/article/203953/

Helseth, C. (2010, May 7). Advanced practice nurses fill health care gaps in rural areas. Rural Health Information Hub. Retrieved from https://www.ruralhealthinfo.org/rural- monitor/advanced-practice-nurses-fill-gaps/
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Organization Is a Small to

Words: 1892 Length: 7 Pages Document Type: Essay Paper #: 60644347

Samson is herself a minority and half of the nursing staff in the office are non-white. One of the senior doctors is Latino. Samson helped staff trace some of the office miscommunications to a lack of cultural sensitivity. Diversity issues are on the table at one of every two staff meetings, according to Samson. Diversity awareness has improved as a result of directly confronting stereotypes that had previously prevailed in inter-office communications. Samson also believed that diversity awareness was most important in regards to patient relations. Therefore, Samson encouraged staff members to take into account communication differences and other issues related to diversity when addressing patients.

7. Synergy and Human Capital

Generating cooperation and fostering personal strengths is one of Samson's main goals as the Senior Administrator. Achieving the goals of the organization depends on a positive workplace environment, which in turn is fostered by synergy. Samson helped create an…… [Read More]

References

"Health Care Administrator," (nd). The Princeton Review. Retrieved online: http://www.princetonreview.com/Careers.aspx?cid=76

Samson, D. (2010). Interview.
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Military Retirees Are Entitled to

Words: 12717 Length: 46 Pages Document Type: Essay Paper #: 18599361



First of all only a scant few of these Veterans groups will acknowledge the "promise" of free health care; for the most part these groups will tout the benefits already promised by the Veterans Administration and assert that cuts in these benefits are the same a broken promise-or contractual breach in legal terms. The idea of the United States military making a "promise" or forging a legally binding agreement between individual veterans or groups of veterans is barred by the United States Constitution. As will be demonstrated in the Literature Review, specific Constitutional language from Article I give Congress and only Congress the express authority to make laws and regulations pertaining to the armed forces. Therefore, the idea the military breached a contract with service members is, ultimately, inherently inaccurate. Combining the lack of specific language within the materials provided by any governmental agency with the clear language of the…… [Read More]

References

.... (n.d.). The RETIRED MILITARY ADVOCATE. The RETIRED MILITARY ADVOCATE. Retrieved November 29, 2010, from  http://mrgrg-ms.org/ 

Best, R. (2003, August 7). Military Medical Care Services: Questions and Answers. Congressional Research Service, 1, 1-17.

Birkey, a. (2010, July 21). Fraudulent vets charity raised big money in Minnesota. The Minnesota Independent, p. 3.

Burrelli, D. (2008, August 12). Military Health Care: The Issue of Promised Benefits. Congressional Research Service, 1, 1-14.
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The Changing Healthcare Staffing Trends

Words: 644 Length: 2 Pages Document Type: Essay Paper #: 22583195

Health Care Staff Trends

The healthcare system has seen various changes over the decades with the aim of making the care more efficient and quality to the citizens. One of the most important changes is the Patient Protection and Affordable Care (PPAC) which has significantly changed the demand for healthcare professionals and the vacancies they have as well as the hiring and staffing practices by the healthcare organizations. These changes occasioned by the PPAC have various tenets and also implications that come with them especially for the healthcare sector in the future.

The PPAC has resulted in the rising of the nurse practitioner and the physician assistant roles within the healthcare system. This has made many healthcare organizations to focus more on the team approaches to providing care which is geared towards employing more nursing practitioners and physician assistants who will help in providing care to the aging population. This…… [Read More]

References

Barnet S., (2015). 5 ways the PPACA has changed healthcare staffing and workforce trends. Retrieved November 12, 2015 from http://www.beckershospitalreview.com/workforce-labor-management/5-ways-the-ppaca-has-changed-healthcare-staffing-and-workforce-trends.html

Moore M., (2015). What are HRM Strategies. Retrieved November 12, 2015 from http://smallbusiness.chron.com/hrm-strategies-59260.html

Wright P.M., (2015). Human Resource Strategy. Adapting to the Age of Globalization. Retrieved November 12, 2015 from http://www.shrm.org/india/hr-topics-and-strategy/strategic-hrm/Documents/HR%20strategy%20EPG-%20Final%20Online.pdf
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Midwifery in Primary Care New Directions for

Words: 2611 Length: 8 Pages Document Type: Essay Paper #: 83945934

Midwifery in Primary Care

New Directions for Midwives:

Addressing Novel Primary Care Roles

Looking towards the future, radical changes are sweeping the United States healthcare system with the advent of a new public healthcare system. This change and the economic reality of care should motivate all healthcare providers to question of who can best meet the healthcare needs of women. Nurse midwives are advanced practice nurses educated in the field of primary health care for essentially normal women and newborns. Their focus is wellness and health education. Once patients are introduced to the concept of a nurse practitioner and the services provided, the majority are satisfied with the quality of the care received. Evidence suggests that women, if given a choice, prefer the ministrations of a female practitioner over that of a male for their intimate healthcare needs. As a predominantly female group, nurse midwives are an excellent source of…… [Read More]

Rossouw, J.E., Anderson, G.L., Prentice, R.L. (2002). Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health Initiative randomized controlled trial. JAMA. 288(3):321-33.

Santoro, N., Brown, J.R., Adel, T. And Skurnick J.H. (1996). Characterization of reproductive hormonal dynamics in the perimenopause. J Clin Endocrinol Metab. 81(4):1495-501.

Santoro, N. And Randolph, J. (2011). Reproductive hormones and the menopause transition. Obstet Gynecol Clin North Am. 38(3):455-66.
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Health Policy Economics Class Master Degree Level

Words: 2850 Length: 8 Pages Document Type: Essay Paper #: 91626873

Health Policy Economics class. Master Degree level. It 8-12 pages long 10 resources. The topic Over-Utilization Emergency Room Services. I uploading project details.

Reliance on emergency departments for non-emergent services has been on the increase with many people visiting them since they provide timely access to primary care. The 1985 Emergency Medical Treatment and Active Labor Act (EMTALA) mandated Medicare institutions to provide emergency departments for patients despite their regardless of their ability to pay for these services. Many of the uninsured or underinsured thus find these emergency rooms as the most convenience sources of health care. Overutilization of emergency rooms is a vicious cycle as a result of increasing health care costs that are associated with this phenomenon. Three possible solutions to this problem are identified which are health care homes, retail clinics and telehealth with the best solution being the health care homes.

Overutilization of emergency room services…… [Read More]

References

Blackstone, E.A., Buck, A.J., & Simon, H. (2007). The Economics of Emergency Response. Policy Sciences, 40(4), 313-334. doi: 10.2307/25474342

Brailsford, S.C., Lattimer, V.A., Tarnaras, P., & Turnbull, J.C. (2004). Emergency and On-Demand Health Care: Modelling a Large Complex System. The Journal of the Operational Research Society, 55(1), 34-42. doi: 10.2307/4101825

Bristol, N. (2006). Overtaxed U.S. emergency care system needs reorganisation. BMJ: British Medical Journal, 332(7556), 1468. doi: 10.2307/25689667

Carey, K., Burgess, J.F., & Young, G.J. (2009). Single Specialty Hospitals and Service Competition. Inquiry, 46(2), 162-171. doi: 10.2307/29773415
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Malpractice Claims on Delivery and

Words: 865 Length: 3 Pages Document Type: Essay Paper #: 34758605



Some researchers have suggested that increased liability not only encourages physicians to practice defensive medicine, but also undermines many patients access to much needed medical services (Hyman & Silver, 2004).

Boulard (2002) cites many studies that clearly show the increasing costs of malpractice insurance affect specialist care. In 2002 alone more than 60 specialists at one critical care facility in Las Vegas left their jobs after another malpractice premium spike. The crisis results in closure of a 24-hour critical care center (Boulard, 2002). The crisis emphases the potential for not only reduced care but complete lack of access to care for hundreds of patients in similar situations. While legislatures are working on solutions to such problems, the issue is far from resolved. In some medical facilities, physician assistants and nurse practitioners are performing procedures doctor's once did, simply because the cost of medical malpractice is too high for doctors to…… [Read More]

References

Bhat, V.N. (2001). Medical malpractice: A comprehensive analysis." Westport, CT:

Auburn House.

Boulard, G. (2002). "The doctor's big squeeze: Huge increases in medical malpractice insurance rates are driving doctors out of business. What is the answer?" State Legislatures, 28(10): 26.

Danzon, P.M. (1985). "Medical malpractice: Theory, evidence and public policy."
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Urgent Care Centers Filling a

Words: 2432 Length: 6 Pages Document Type: Essay Paper #: 43484314



One of the reasons that a lot of these centers are affordable is because half of urgent care centers are preserved by physician groups and another 38% by hospitals, which are providing their own centers distinct from emergency rooms (Alexander, 2012). More customers are using urgent care centers as their chief area of admission to the healthcare system, and 32 million more will enter in 2014 when the Patient Protection and Affordable Care Act is in effect (Krug, 2006) Emergency rooms and primary care physicians and will not be able to handle the enlarged volume, according to the study.

Another thing that helps with the cost is the fact that the patients can get things such as the X-rays, urine samples and blood work done at these centers in a very well-organized method (Weinick & Mehrotra, 2010). Even at some of these centers, employees do monitor how long individuals have…… [Read More]

References

Davidson, M.B., Ansari, a., & Karlan, V.J. (2007). Effect of a nurse-directed diabetes disease management program on urgent Care/Emergency room visits and hospitalizations in a minority population. Diabetes Care, 30(2), 224-7.

Finn, M.J., & Neill, M.A. (2005). Bio-emergency preparedness in Rhode Island: A role for urgent care centers? Medicine and Health Rhode Island, 88(11), 395-7.

Krug, S.E., Bojko, T., Dolan, M.A., Frush, K.S., & al, e. (2006). Pediatric care recommendations for freestanding urgent care facilities. Pediatrics, 116(1), 258-60.

Many Emergency Department Visits Could be Managed at Urgent Care Centers and Retail
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Managing a Primary Care Facility

Words: 1632 Length: 5 Pages Document Type: Essay Paper #: 84036708

Manager of a Primary Care Clinic

A new primary care facility has been established approximately 25 miles outside of a small city that has a population of 50,000 people. This facility currently has five family physicians, two nurse practitioners, twenty clinical support staff, and two physician assistants. The main objective of this new primary care facility is to provide primary care services to an increasingly diverse community of people within and outside the city. Despites the tremendous growth opportunities in the city, most of the residents still struggle to make end meet. Since the central city comprises two huge acute care facilities and one tertiary care facility, the residents are forced to use the facilities' emergency departments for routine conditions and illnesses in cases where their private physicians are unavailable. Therefore, this new primary care facility will play a crucial role in enhancing the health and well-being of this population…… [Read More]

References

Alvarez & Marsal Holdings. (2015, May 18). Retail Healthcare: Growing Trend for Healthcare Service Delivery. Retrieved November 3, 2015, from http://www.alvarezandmarsal.com/retail-healthcare-growing-trend-healthcare-service-delivery

Health Resources and Services Administration. (2011, April). Performance Management and Measurement. Retrieved from U.S. Department of Health and Human Services website: http://www.hrsa.gov/quality/toolbox/508pdfs/performancemanagementandmeasurement.pdf

Heidenreich, J. & Peterson, L. (2013, August 14). 4 Tips for Your Primary Care Strategy. Retrieved November 3, 2015, from http://www.beckershospitalreview.com/hospital-physician-relationships/4-tips-for-your-primary-care-strategy.html
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Therapeutic Hypothermia Th Literature Review

Words: 1253 Length: 4 Pages Document Type: Essay Paper #: 19017647

" This study found that a simple, external cooling protocol could be implemented easily "overnight in any system already treating post-resuscitation patients" and had an 89% success rate in reaching optimal temperature -- however, only 27 patients made up the study (Busch 2006: 1277).

A more recent, 2009 study by Castren (2009) "Scandinavian clinical practice guidelines for therapeutic hypothermia and post-resuscitation care after cardiac arrest" found the TH technique ineffective because even experienced physicians were unaware of "optimal target temperature, duration of cooling and rewarming time" and were only able "to predict the clinical outcome correctly in only 52% of the patients" (Castren 2009: 280). Supporters of the therapy admit that a lack of knowledge and training has made widespread implementation of TH problematic. In one Canadian study by Kenneday, J. et al. (2010),"The use of induced hypothermia after cardiac arrest: a survey of Canadian emergency physicians," only one half…… [Read More]

References

Busch, M. (2006). Rapid implementation of therapeutic hypothermia in comatose out-of-

hospital cardiac arrest survivors. ACTA Anaethesiol Scandinavica, 50 (10): 1277-1283.

Castren, M. (2009). Scandinavian clinical practice guidelines for therapeutic hypothermia and post-resuscitation care after cardiac arrest. ACTA Anaethesiol Scandinavica, 53 (3): 280-288.

Eisenburger, Philip, et al. (2001). Therapeutic hypothermia after cardiac arrest. Current Opinion in Critical Care, 7: 184-188.
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Fourteen Forces of Magnetism and

Words: 2138 Length: 7 Pages Document Type: Essay Paper #: 75534689



Force 12: Image of Nursing. The VA recognizes the importance of individual care to the perception of quality healthcare in its facilities. Even if the entire organization operates in an effective and compassionate manner, if the nurse that cares for a patient fails to deliver on this level of care, the individual perception of nursing care will be diminished. To this end, the organization's nursing fact sheet proclaims, "VA Nursing Service is dedicated to promoting optimal health, patient safety, quality health care, and the highest professional standards, in order to ensure that our veterans receive the best possible care and that our staff work in the best possible health care system" (VA Nursing Service, 2005).

Force 13: Interdisciplinary Relationships. The VA's Web page, "VA & Experienced Professionals" (2008) states, "Our doctors, physician assistants, nurses, therapists, pharmacists, and other professionals work together in an interdisciplinary care team structure" (p. 3).

Force…… [Read More]

References

About Office of Nursing Services. (2008). Department of Veterans Affairs. [Online]. Available: http://www1.va.gov/nursing/page.cfm?pg=111.

About VA. (2008). Department of Veterans Affairs. [Online]. Available:  http://www.va.gov/about_va/ .

Bliss-Holtz, J., Winter, N., Scherer, Elaine M. (2004, September). An invitation to magnet accreditation. Nursing Management, 35(9), 36-42.

Facts about the Department of Veterans Affairs. (2008). Department of Veterans Affairs. [Online]. Available: http://www1.va.gov/opa/fact/vafacts.asp.
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Mayo Clinic Has the Reputation

Words: 1290 Length: 4 Pages Document Type: Essay Paper #: 67172810

They are beginning to make better use of nurse and nurse practitioners as they are being integrated into the teams. They also have a lot of physician assistants that are being used in a lot of different areas. Turnover is very low. it's abnormal for people to leave and when they do, many wind up coming back. That fact that people stay so long is significant to the success of the organization (Mahar, 2008).

Do they have an advantage?

The Mayo Clinic has one tremendous advantage that makes them so successful in the marketplace. This advantage is the fact that they are customer focused for high quality. Quality has the potential to give organizations in viable industries a competitive edge against their competition. By aiming to be the best in the category of experience, Mayo competes with a customer-focused, high-quality approach (Nelson, 10).

Quality often becomes a rubric for products…… [Read More]

References

About Mayo Clinic. (2010). Retrieved March 18, 2010, from Mayo Clinic Web site:

http://www.mayoclinic.com/health/aboutthissite/aboutmayoclinic

How to Use Social Media: An Interview with Lee Aase of Mayo Clinic. (2009). Retrieved March

19, 2010, from Open Forum Web site: http://www.openforum.com/idea-hub/topics/the-world/article/how-to-use-social-media-an-interview-with-lee-aase-of-mayo-clinic
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Health Care Phc and Colorectal Cancer Authorities

Words: 2625 Length: 8 Pages Document Type: Essay Paper #: 86475047

Health Care (PHC) and Colorectal Cancer

Authorities around the world have expressed the need for development of an incorporated health care system with augmented emphasis on primary health care, and integration of principles and practices of health promotion. Primary health can be defined as the care provided at the first point of contact with the health care system, the point at which health services are assembled and synchronized to promote health, prevent illness, care for common illness, and manage health problems. This definition includes a focus on a primary care model, typically provided by family physicians, and a broader notion that includes a range of health and social services offered by way of multidisciplinary teams. Primary health care is the natural entry-point to reorient a health system towards health promotion. Health promotion is the procedure of facilitating people to amplify control over, and to advance, their health and well being…… [Read More]

References

Colon and Rectal Cancer. (2011). Retrieved from http://www.cancer.gov/cancertopics/types/colon-and-rectal

Colorectal Cancer Control Program (CRCCP). (2011). Retreived from http://www.cdc.gov/cancer/crccp/demonstration.htm

Colorectal Cancer Health Center. (2011). Retreived from http://www.cancer.gov/cancertopics/types/colon-and-rectal

Colorectal Cancer Screening. (2011). Retrieved from  http://www.cdc.gov/cancer/colorectal/basic_info/screening/
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Role of Public Health Nurses in HIV Prevention

Words: 1868 Length: 5 Pages Document Type: Essay Paper #: 14200387

Epidemiology of Communicable Disease - HIV

Epidemiology of Communicable Disease

Description of the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence).

Human immunodeficiency virus (HIV) is a virus that can lead to the development of acquired immunodeficiency syndrome, or AIDS, in susceptible people. Although the human body can eliminate some types of viruses, it cannot eliminate HIV, so once a person get HIV, they have the virus for life.

Within an organism, the HIV virus spreads via body fluids, affecting certain cells of the immune system. These cells are referred to as T cells or CD4 cells. As HIV moves through the body, such a massive number of T cells are destroyed that the body can no longer effectively fight off infections and other diseases. This is the point at which an HIV infection results in full-blown AIDS.

Although…… [Read More]

References:

Centers for Disease Control and Prevention. (CDC) Retrieved  http://www.cdc.gov/hiv/ 

Global HIV / AIDS Organizations. AIDS.gov. Retreived http://www.aids.gov/federal-resources/around-the-world/global-hiv-aids-organizations/

Control of Communicable Diseases in Emergencies: Public Health Guide for Emergencies. The Johns Hopkins and the International Federation of Red Cross and Red Crescent Societies. Retreived http://www.jhsph.edu/research/centers-and-institutes/center-for-refugee-and-disaster-response/publications_tools/publications/_CRDR_ICRC_Public_Health_Guide_Book/Pages_from_Chapter_7_.pdf
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Overcoming Ethical Barriers to Improved EOL Patient Outcomes

Words: 1233 Length: 4 Pages Document Type: Essay Paper #: 20342892

Ethics in EOL Decisions

Finding Common Ground in EOL Care Decisions

Churchill (2014) presents to readers a case study to highlight some of the ethical and moral issues that will occur during end-of-life (EOL) decisions. The case study is not a factual event, but represents the mean severity and complexity of the EOL struggles experienced by the typical stakeholders. In this example, the treating physician has unsuccessfully tried to convince the adult daughter that her father will never recover from a coma and would benefit the most by palliative care, while the daughter refused to give up on the hope that her father would recover. Churchill (2014) spent time with clinicians and family member to try and understand their perspectives, thereby fulfilling his duties as a clinical ethics consultant. He discovers the patient has a living will and durable power of attorney, which prevented the use life-sustaining interventions in circumstances…… [Read More]

References

Churchill, L. (2014). Narrative awareness in ethics consultations: The ethics consultant as story-maker. Hastings Center Report, 44(1 Suppl.), S36-9.

O'Mahony, S., McHenry, J., Blank, A.E., Snow, D., Eti Karakas, S., Santoro, G. et al. (2010). Preliminary report of the integration of a palliative care team into an intensive care unit. Palliative Medicine, 24(2), 154-65.

Shuman, A.G., Montas, S.M., Barnosky, A.R., Smith, L.B., Fins, J.J., & McCabe, M.S. (2013). Clinical ethics consultation in oncology. Journal of Oncology Practice, 9(5), 240-5.

Voigt, L.P., Rajendram, P., Shuman, A.G., Kamat, S., McCabe, M.S., Kostelecky, N. et al. (2014). Characteristics and outcomes of ethics consultations in an oncologic intensive care unit. Journal of Intensive Care Medicine, published online ahead of print 10 Jun. 2014.
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Staff Nurses' Perceptions of the Advantages and

Words: 3292 Length: 12 Pages Document Type: Essay Paper #: 9449893

Staff Nurses' Perceptions of the Advantages and Disadvantages of Rapid Response Teams

Rapid Response Teams (RRT) are critically important in hospital settings to reduce the failure to resuscitate patients however, there are questions as to the perceptions of nurses concerning RRTs.

The significance of this study is the knowledge that will be added to the existing base of knowledge on the perceptions of nurses of RRTs.

The work of Heintz and Schreiner (2007) entitled "Improving Patient Safety Through the Use of Rapid Response Teams" states in relation to the perceptions of nurses to rapid response teams that staff nurses "… may be fearful that RRT members will criticize their clinical judgment." In a separate work entitled "Rapid Response Teams: Reducing Codes and Raising Morale" it is reported that many hospital nurses like the idea of a Rapid Response Team and in fact "an addition to their significant value as a…… [Read More]

References

Johal, Jagdeep (2008) Staff Nurses' Perceptions of Rapid Response Teams in Acute Care Hospitals. Queens Research & Learning Repository. Retrieved from:  http://qspace.library.queensu.ca/handle/1974/1503 

Heintz, Anne and Schreiner, Mary Ann (2007) Improving Patient Safety Through the Use of Rapid Response Teams" Dateline. Vol. 6, No. 1. Online available at: http://www.mlmic.com/portal/Files/Dateline/DatelineSpring07_6.pdf

Tee, A., et al. (2008) Bench-to-Bedside Review: The MET Syndrome -- the Challenges of Researching and Adopting Medical Emergency Teams. Critical Care 23 Jan 2008.

Rapid Response Teams: Reducing Codes and Raising Morale. Institute for Healthcare Improvement. Online Retrieved from: http://www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/ImprovementStories/FSRapidResponseTeamsReducingCodesandRaisingMorale.htm
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Elderly Care in America A Comparison With

Words: 2859 Length: 9 Pages Document Type: Essay Paper #: 9049215

Elderly Care in America: A comparison with England's Healthcare System

Healthcare in America vs. Healthcare in England

Different countries have varying healthcare systems across the world and the systems are set to benefit the local population with the best possible care as would be dictated by the budgetary allocations and supported by the economy and the GDP of the particular nations. There are different sections of the healthcare system that try to cater for each section of the populations and this paper will specifically be concerned with the healthcare systems in the U.S.A. And in England, particularly directed at the elderly in the society. It will look at the healthcare system that prevails in the U.S.A. And the tenets that define it as well as the system that prevails in England, then the paper makes comparison of the two systems as well as highlight the differences that there are between…… [Read More]

References

Advanta Home Care, (2014). East Vs. West: How we Treat our Elderly. Retrieved December 5, 2014 from http://advantahomecare.net/east-vs.-west-how-we-treat-our-elderly

American Dental Association, (2014). Oral Health Topics: Medicaid and Medicare. Retrieved November 26, 2014 from  http://www.ada.org/en/member-center/oral-health-topics/medicaid-and-medicare 

National Institute of Aging (2008). Americans Living Longer, Enjoying Greater Health and Prosperity, but Important Disparities Remain, Says Federal Report. Retrieved November 26, 2014 from http://www.nia.nih.gov/newsroom/2008/03/americans-living-longer-enjoying-greater-health-and-prosperity-important

New York Times, (2014). Is the Affordable Care Act Working? Retrieved November 26, 2014 from http://www.nytimes.com/interactive/2014/10/27/us/is-the-affordable-care-act-working.html#/
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The Importance of Special Education

Words: 2377 Length: 7 Pages Document Type: Essay Paper #: 82220908

Special education allows children with special needs to gain knowledge and develop skills that can help them lead normal lives and gain independence. Although some consider special education as separate from the total educational enterprise, it is not. It is an integral part of it and serves the community in more ways than one. The specific function of special education in schools is to recognize the needs of children that suffer from mental and learning disabilities and help them get the services they need to thrive in an academic setting. Early childhood special education services provide parents and children with the tools to promote success in education early on, giving these students early access to support and services that will help them throughout their childhood and into adulthood.

Because every child has needs, the special education aspect of schools provides extra assistance so every child can be aided versus only…… [Read More]

References

Hedeen, T., Peter, M., Moses, P., & Engiles, A. (2013). Individualized Education Program (IEP)/Individualized Family Service Plan (IFSP) Facilitation: Practical Insights and Programmatic Considerations. Center For Appropriate Dispute Resolution In Special Education (CADRE). Retrieved from http://eric.ed.gov/?id=ED558077

Hong, S. & Shaffer, L. (2015). Inter-Professional Collaboration: Early Childhood Educators and Medical Therapist Working within a Collaboration. Journal Of Education And Training Studies,3(1), 135-145. Retrieved from http://eric.ed.gov/?q=early+childhood+special+education&pr=on&ft=on&pg=2&id=EJ1054910

Hooper, S. & Umansky, W. (2009). Young children with special needs. Upper Saddle River, N.J.: Pearson Merrill Prentice Hall.

Khan, A., Ahmad, R., Hamdan, A., & Mustaffa, M. (2014). Educational Encouragement, Parenting Styles, Gender and Ethnicity as Predictors of Academic Achievement among Special Education Students. International Education Studies, 7(2), 18-24. Retrieved from http://eric.ed.gov/?q=special+education&pr=on&ft=on&id=EJ1068932
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Working With the Aging

Words: 2461 Length: 8 Pages Document Type: Essay Paper #: 32258184

Working With the Aging

Ladies and gentlemen, I stand here before you at a time in which the health care of older Americans has become a critical issue. Or should I say issues? We have more people needing more and more specialized care -- this is critical. We have fewer and fewer people being asked to do more and more -- that is critical. Current healthcare policy, especially for the aging, seems inadequate to address the challenges of what lies ahead. The situation seems very bleak at times. All signs seem to show that it will get bleaker. Well, I am here to tell you that I am the weatherman. I have weathered this storm with you. And I can tell you that the forecast looks good, if we can just keep our eyes on what is important and understand what tools we have to get through this, and overcome…… [Read More]

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Internet-Based Conferencing Information Technology Has

Words: 1230 Length: 4 Pages Document Type: Essay Paper #: 90163463

Web conferencing, though it is a very effective tool has its own drawback. The lack of human element and the absence of nonverbal feedback, particularly when dealing with clients constitute the negative side of electronic communication.

The field of medicine is one that uses web conferencing to great success. Telemedicine success stories are a good indication of the useful application of web conferencing. Web Conferencing, for example allows physician assistants and nurses to consult physicians and experts pertaining to patients symptoms and start appropriate treatment method for patients in hospitals and health care units running in remote locations. Similarly educational institutions embrace the technology offering e-learning modules for students from geographically diverse areas.

With careful planning and implementation of access privileges for different group of end-users internal security concerns can be allayed. Sensitive information can thus be protected by authorization. VOIP security concerns are a deterring factor as time and…… [Read More]

Bibliography

1) Matt McKenzie. Five Web Conferencing Packages: Not Just Conference

Calls Anymore. NetworkComputing.com Dec 1, 2005 http://www.networkcomputing.com/showArticle.jhtml?articleID=174403432

2) Kelly Jackson-Higgins. Video IP Project Boosts Network's Profile: A Look at Cisco Media Network. NetworkComputing.com Apr 19, 2004 http://www.networkcomputing.com/showitem.jhtml?docid=1508centerfold

3) Kelly Jackson-Higgins. Concrete Company Trades Travel for Web
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Falls the Issue of Accidental Falls at

Words: 11378 Length: 30 Pages Document Type: Essay Paper #: 89408906

Falls

THE ISSUE OF ACCIDENTAL FALLS

At some point, anyone who had learned how to walk has had the experience of falling down -- it is a universal experience for infants as they gain ambulatory ability. In hospitals, however, the accidental fall is the most reported type of patient safety incident, with elderly patient populations displaying a particular vulnerability (Oliver 2007, p.173). Approximately one-third of adults over the age of sixty-five will experience an accidental fall this year (CDC 2012, n.p.) Fischer (2005) offers some clarification as to how these incidents should be defined -- the simplest basic definition is "a sudden, uncontrolled, unintentional, downward displacement of the body to the ground or other object" (p822). This definition takes into account the unpredictable nature of the incident, and the fact that it frequently involves a certain loss of control on the part of the patient; it also reminds us that…… [Read More]

References

CDC (2012). Adult falls. Web. Accessed at: http:/ / www.cdc.gov/HomeandRecreationalSafety/Falls/adultfalls.htm

Currie, LM. (2006). Fall and injury prevention. Annual Review of Nursing Research. 24(1):39-74.

Fischer ID; Krauss MJ; Dunagan WC et al. (2005). Patterns and predictors of inpatient falls and fall-related injuries in a large academic hospital. Infection Control and Hospital Epidemiology. 26(10):822-7.

Grubel, F. (1959) Falls: A principal patient incident. Hosp Manage. 88:37-8.
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Nurse in Improving Health Care Services South

Words: 922 Length: 3 Pages Document Type: Essay Paper #: 8481761

Nurse in Improving Health Care Services (South Africa)

Nurses in South African community play a role in many important ways to the enhancement of individuals' health. They are pioneers of changes to systems in the community that assist the health. Besides, they play key roles in dealing with illness, impairment, and damage protection and in promotion of health. Nurses in this community function in progressively diverse environments like community health centers, educational institutions, street clinics, youth centers, and medical outposts with different associates whilst fulfilling the health needs of the communities around them.

Nursing is mainly assisting individuals (sick or well) in the performance of those actions leading to wellness, or its restoration (or to a relaxing death) that they would execute unaided if they had the necessary strength, will, or information. It is the exclusive contribution of nurses to help individuals to be independent of such assistance as soon…… [Read More]

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HIV AIDS and Community Nurses

Words: 1311 Length: 4 Pages Document Type: Essay Paper #: 10037581

HIV Nursing

The human immunodeficiency virus (HIV) is a retrovirus (actually a lentivirus) that eventually causes the acquired immunodeficiency syndrome (AIDS; World Health Organization [WHO], 2014). There are two subtypes of the HIV virus: HIV -- 1 in HIV -- 2 (the agent in the epidemiological triangle). Both are transmitted to the host (humans) via the exchange of bodily fluids such as by sexual contact, rectal contact, blood, or breast milk (Centers for Disease Control [CDC], 2014). According to the World Health Organization (WHO) the biggest risk factor associated with acquiring HIV is unprotected sex (WHO, 2014). Thus, the environment in the epidemiological triangle consists of these human bodily fluids and incubation period lasts from three to six months (Hiv & Long, 2012).

The WHO reports that 85% of HIV transmission occurs through heterosexual intercourse on a global basis and that the other major modes of transmission of the HIV…… [Read More]

References

Association of Nurses in AIDS Care. (2014). ANAC website. Retrieved June 12, 2014 from  http://www.nursesinaidscare.org/i4a/pages/index.cfm?pageid=3277 .

Centers for Disease Control and Prevention. (2014). HIV. Retrieved on June 12, 2014 from http://www.cdc.gov/hiv/basics.

Hiv, C., & Long, H. (2012). AIDS. Medical Care, 916, 874-7720.

Maurer, F.A., & Smith, C.M. (2012). Community/public health nursing practice: Health for families and populations. St. Louis, MO:Elsevier Health Sciences.
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Universal Worker Reorganization of Work

Words: 1298 Length: 5 Pages Document Type: Essay Paper #: 35323527



Individuals performed low-level jobs (that is, jobs with low prestige, low salaries, and a narrow range of required skills and duties), on the other hand, are generally not satisfied with their jobs and would welcome an increased range of responsibilities. Thus the concept of an universal healthcare worker is especially relevant in a medical context in which a very high degree of the care is provided by personnel who are neither doctors or nurses. Such a locale that is ideal for the insertion of a universal healthcare worker is a long-term care facility.

Increasing the job satisfaction of workers in long-term care facilities is especially important because such facilities experience very high turnover rates. This is expensive for the institution, stressful on the workers, and traumatic for the patients.

While some assisted living facilities still operate within this model the industry as a whole is moving toward a more "holistic"…… [Read More]

References

Kolus, K. (2010). Activities angst. Retrieved from http://www.ltlmagazine.com/ME2/dirmod.asp?sid=&nm=&type=Publishing&mod=Publications::Article&mid=8F3A7027421841978F18BE895F87F791&tier=4&id=4EC15B97B92D47EEA1AE40DF0E4C8292.

Peter Senge and the Learning Organization.

Widdes, T. (1996). Assisted living's universal worker. Nursing Homes.
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Behavioral Responses Among Early Adopted

Words: 2190 Length: 8 Pages Document Type: Essay Paper #: 53445186

Using an alpha level of.05, it is hypothesized that the analysis will be significant, F (#,#) = #, Mse = #, p… [Read More]

References

Austad, C.C., & Simmons, T.L. (1978). Symptoms of adopted children presenting to a large mental health clinic. Child Psychiatry and Human Development, 9, 20-27.

Brand, A.E. & Brinich, P.M. (Nov, 1999). Behavior problems and mental health contacts in adopted, foster, and nonadopted children. Journal of Child Psychology and Psychiatry, 48 (8), 1221-9.

Brodzinsky, D.M. & Smith, D.W. Stress and Coping in Adopted Children: a Developmental Study. Journal of Clinical Psychology, 23, 91-99.

Cohen, N.J., Coyne, J., & Duvall, J. (May, 1993). Adopted and biological children in the clinic: family, parental and child characteristics. Journal of Child Psychology and Psychiatry, 34 (4), 545-62.
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Arizona State University

Words: 1270 Length: 4 Pages Document Type: Essay Paper #: 61273520

Arizona State University (ASU) is a leading metropolitan research international institution in the United States that is committed to excellence in teaching, research, and public service. Established in Tempe in 1885 by a legislative act, ASU was initially formed as a teachers college. The core of the Tempe campus was a 20-acre cow pasture donated by leading citizens who desired an institution to educate public school teachers and offer instruction to their children in agriculture and mechanical arts.

In 2002, Michael M. Crow became the University's sixteenth president. In his inaugural address, he outlined his vision for the transformation of the school into a prototype for a new American university. This future institution will be a comprehensive research university that continues its academic excellence as well as have a strong commitment to social, economic, cultural, and environmental issues to meet the needs of the growing Phoenix area. The city has…… [Read More]

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Safety Net Hospitals Have Traditionally Provided Medical

Words: 1382 Length: 3 Pages Document Type: Essay Paper #: 72609761

Safety net hospitals have traditionally provided medical services vital to public health. Unfortunately, the recent economic recession has dealt a hard blow to safety net hospitals, even to the point of forcing hospital closures. Fortunately, Health Care Reform has already positively impacted U.S. health care and will even revolutionize American health care in some respects.

The Effect of the Closure of Safety Net Hospitals on Public Health

Safety net hospitals, such as Grady Memorial Hospital, serve the public health through providing vital treatment of uninsured, underinsured, Medicaid, and Medicare patients, along with some privately insured patients (Dewan & Sack, 2008). In addition, some safety net hospitals are also teaching hospitals that train medical professionals who contribute considerably to public health. Unfortunately, economic pressures are forcing the closure of some safety net hospitals, resulting in the severe reduction of medical care in certain communities for the "poor and underserved" (Altman, Shactman,…… [Read More]

Works Cited

Altman, S.H., Shactman, D., & Efrat, E. (2006, Jan/Feb). Could U.S. hospitals go the way of U.S. airlines? Retrieved September 1, 2012 from Proquest.com Web site:  http://search.proquest.com/docview/204650663/138ED25BFA63A547161/5?accountid=28844 

Amalberti, R., Auroy, Y., Berwick, D., & Barach, P. (2005, May 3). Five system barriers to achieving ultrasafe health care. Retrieved September 1, 2012 from Proquest.com Web site: http://search.proquest.com/docview/222267835/138ED3FE9A36E21E74A/6?accountid=28844

Dewan, S., & Sack, K. (2008, January 8). A safety-net hospital falls into financial crisis. Retrieved September 1, 2012 from Nytimes.com Web site: http://www.nytimes.com/2008/01/08/us/08grady.html?pagewanted=1&_r=1

Felland, L.E., Cunningham, P.J., Cohen, G.R., November, E.A., & Quinn, B.C. (2010, January). The economic recession: Early impacts on health care safety net providers. Retrieved September 1, 2012 from Rwjf.org Web site: http://www.rwjf.org/files/research/55109.pdf
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Therapeutic Hypothermia Review

Words: 1429 Length: 5 Pages Document Type: Essay Paper #: 84350015

Therapeutic Hypothermia Review

Annotated… [Read More]

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Dispel the Notion That Many Students Have

Words: 919 Length: 2 Pages Document Type: Essay Paper #: 54885969

dispel the notion that many students have concerning research. That particular notion is that research can answer all questions. This particular paper attempts to clarify what types of questions research is able to address and when research is useful in healthcare (Beya & Nicoll, 1998, p. 1044).

There really is no formal introduction in the paper. Instead, this is a conceptual review article and does not follow the formal format of a research study. The paper covers several considerations that should be made in deciding whether particular question is amenable to a research study and then discusses how a research study should be approached.

There are no formal methodology or results sections in this paper. This paper is a conceptual paper describing the limitations of research studies and how good research studies should be constructed.

The part of the paper that best resembles a methodology has to do with the…… [Read More]

References

Beyea, S.C., & Nicoll, L.H. (1998). Dispelling the myth that research answers all questions.

Association of Operating Room NursesJournal, 68(6), 1044-1047.
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Government Employees Overtime Rules

Words: 1396 Length: 4 Pages Document Type: Essay Paper #: 36922751

Rule Exempt Employee

The Final Rule that was announced and published on May 18, 2016, seeks to update the overtime regulations applicable in the U.S. This rule is expected to provide overtime pay protections for over 4 million workers in the first year of its implementation. It is expected that many workers in the U.S. would get a boost to their wallets and seek to ensure that the adequate compensation is given to people for their hard work.

The new rule seeks to cover a number of primary issues that include the updating of the salary and the compensation levels for Executives, Administrative and Professional workers to be exempted. The rule that was announced "sets the standard salary level for workers at the 40th percentile of earnings of full-time salaried workers in the lowest-wage Census Region" (Colunga & Atterberry, 2015). This region is currently the South where the pay is…… [Read More]

References

Blue-collar workers and the part 541 exemptions under the Fair Labor Standards Act (FLSA). (2008). Washington, DC.

Colunga, G. & Atterberry, R. (2015). DOL: Guidance on Misclassification of Workers; Notice of Proposed Rule on White-Collar FLSA Exemption; Interim and Final Rules Relating to the H2-B Worker Program; Proposed Black Lung Benefits Act Rule; Proposed Rule to Help Retirement Investors • OSHA: F. Employment Relations Today, 42(3), 51-57. http://dx.doi.org/10.1002/ert.21525

Colunga, G. & Atterberry, R. (2016). DOL: Proposed Rule on Workers' Compensation for Energy Employees; Final Rule to Promote Pay Transparency; FLSA Final Rule on Direct-Care Workers Upheld • OSHA: Final Rule on Retaliation Complaints of Railroad and Public Transportation Employees; Proposed. Employment Relations Today, 43(1), 63-68. http://dx.doi.org/10.1002/ert.21552

Kastrinsky, H. (2014). DOL: Final Rule to Require Minimum Wage and Overtime for Home Health-Care Workers; Process Begins for Rules Concerning Projection of Retirement Income • Three Agencies Explain When Employers Must Recognize Same-Sex Marriages for Federal Purposes • OFCCP:. Empl. Rel. Today, 40(4), 53-60. http://dx.doi.org/10.1002/ert.21434