Hospital Essays


Hipaa Ethics

overlooked no aspect of patient care and fully fulfilled legal standards. Conclusion All hospital, state, and federal practice regulations and guidelines, and AAMA's ethical code, must be followed when administering everyday care. A key role of medical assistants is helping physicians avert malpractice claims. For effective performance of medical assistant duties, an office should be maintained, following all OSHA (Occupational Safety and Health Administration) safety, toxic substances, and hazardous equipment regulations. The office should meet quality assurance/control guidelines for every test, treatment and specimen. Medical assistants must adhere to HIPAA guidelines for ensuring patient information confidentiality and patient privacy, maintaining systematic,… Continue Reading...

Relationship Between Effective Communication and Productivity

a big communication breakdown, which may consequently affect the patients and in turn, the hospital, eventually. Most of the medical assistants are from different ethnic, racial and cultural backgrounds. It is known that these differences, even though beautiful, can be some of the greatest hindrances of effective communication. For instance, in some cultures, people shy away from being assertive. O'Daniel Rosenstein (2008) opine that cultural barriers can also obstruct nonverbal communication. A workplace should develop and implement a standard set of policies that work towards overcoming this barrier. These policies should be consistent and universally applicable. The policies should… Continue Reading...

Postoperative Nursing Management

optimal recovery trajectory. The plan includes a nursing priorities list for when the patient is in the hospital, objectives that must be met for discharge, and post-discharge instructions that will be the subject to cultural competencies as many care-related instructions must be transferred to the patient and her family. As the anesthesia starts to wear off, the vital signs should begin to further stabilize, and the patient can be offered ice chips. In many cases, patients are nauseated after waking from the anesthesia and this seems to be the case with Maggie. This sensation usually passes but if it… Continue Reading...

How Does Heroin Impact a Caucasian Family

coeditor, Terry Altilio, who directs social work within the New York Beth Israel hospital's pain medicine and palliative care unit, states that pain advocacy is a complex aspect in clients' lives. The licensed clinical social worker further states that social work skills inevitably apply to pain-related advocacy, which constitutes a social justice issue impacting Caucasians, in racial, cultural, gender, psychological, socioeconomic, and spiritual contexts. Altilio serves people not receiving proper pain care at other healthcare facilities, in collaboration with experienced clinicians possessing superior knowledge on pain patients' and their families' needs. As pain is a multidimensional phenomenon, its treatment… Continue Reading...

Working Women and Breastfeeding

that roughly seven in ten American mothers breastfed their babies in the hospital, but less than half this share (i.e., only 33%) were still feeding breast milk to their babies at six months (Abbott Laboratories, 2003). The British breastfeeding rate was 76% among just-born babies, with over 33% of mothers stopping breastfeeding by the time the baby was six weeks old. Workplace barriers may aggravate the issue and be a major contributor to a large number of working mothers' decision to prematurely quit breastfeeding. Public health drives focused at encouraging breastfeeding among working mothers call for breastfeeding support by… Continue Reading...

Nursing Practitioner

their practice scope, specific care; however, their scope might be restricted by hospital privileging (Hittle, 2010). One Issue or Challenge Related to Role Delineation/Implementation In FNP practice, one of the challenges linked to role implementation or definition is turnover. This occurrence hampers consistent guideline implementation. Some practice directors state that, at times, nurses who are provided training with respect to guidelines quit, and others cannot effectively step into their roles since they lack the necessary training. Practice physicians, in such cases, are increasingly tasked with carrying out the majority of these guideline-linked tasks, besides their daily clinical decision-making (Chimeddamba… Continue Reading...

Mark and Mathews Presentation Of Jesus’ Disciples

Areas to Compare The Gospel of Mark Mark 1:16-20, the Calling Why should we focus on the First Disciples' Calling? This calling was the first of Jesus' ministry to the public. The act of Jesus was a distinction in Jewish society. According to Jewish tradition it was not a norm for Jewish teachers to go to the field and recruit disciples. It is the disciples that sought teachers. Jesus is particular in calling out his first disciples, i.e. Peter, Andrew, John and James. According to Mark, the initiative for recruiting and training to become a disciple always comes from Christ.[footnoteRef:1]… Continue Reading...

Permanent Supportive Housing for the Homeless

are able to receive PSH are reported to spend less time in the emergency room receiving care from hospital providers. They are also more likely to be able to live stably and independently as a result of PSH intervention. As the research shows, it is important for government to support permanent supportive housing for homeless persons for a number of reasons: first, it reduces the burden placed on community stakeholders as a result of costs incurred/associated with treating mentally ill homeless persons who receive care from emergency rooms in hospitals (Rog et al., 2014; Tsemberis et al., 2004). The… Continue Reading...

Social Policies in Community Agencies

Social Work Social Policies in Community Agencies Hall (2013) opines that social workers practicing from a community organizing or development perspective try to tackle systemic problems that lead to negative social issues. Social policy attempts to study how society promotes individual and family welfare. Also, the policies tend to be consistent with what the government of the day views to be the most optimal way to help those who are disadvantaged and can't help themselves. A number of these social policies are incorporated in the works of community agencies. They include availing supportive services to the vulnerable members of society… Continue Reading...

Patient Named Eliza

Part 1     Eliza, a patient aged eighteen, is enrolled at the City University and resides in a dorm with friends. The patient is currently seeking treatment for stress/anxiety and low self-image (Eliza Intake Document Provided by Customer). Eliza has not indicated any life stressors. Her father, Burt, drives a truck for a living, whereas her mom, Joan, is an elementary school secretary. While the father-daughter relationship appears to be quite strong, Eliza appears to have issues that need working on, when it comes to her relationship with her mother. As of now, Eliza is not taking any mental health… Continue Reading...

Mcardie Estate Vs Cox

subsequently relinquish the patient's care to an ICU expert. Moreover, owing to staff deficit, and in accordance to hospital rules, the respondent had to remain absent from work for a month. While under the care of the ICU team, another surgery was conducted for repairing a small bowel leak. However, the patient did not make it out of the ICU alive. The report presented by the pathologist revealed perforations in her stomach's rear as well as frontal walls, in addition to the presence of bile-stained liquid in her abdomen, close to the rear wall perforation, and pus-filled material close… Continue Reading...

Case Summary Analysis

said to have died 30 minutes after the shot. He had been rushed to the Parkland hospital of Dallas. Less than 60 minutes after the shooting, Oswald, who was formerly a Marine, murdered a police officer who interrogated him while on a street close to his rooming house in Dallas. Oswald had just begun his job at the Book of Depository of Texas School Building. After half an hour, he was apprehended while at the movie theatre. The police had been informed about a suspect. On 23rd November, Oswald was officially arraigned in court for two murders, Kennedy's and… Continue Reading...

My Life

and my mum worked as a front desk person in the nearby hospital. I had a considerably happy childhood enjoying the days with my young siblings and at the time would consider ourselves to be somewhat spoilt with trips, presents and toys. However, one of the difficult periods in my life came early on when I was 7 years old when my parents split up and had a divorce. This was such a difficult time; because of the constant battle for custody and visitation for us siblings, between the two of them. This took a great toll on me… Continue Reading...

Advanced Practice Nursing

American Healthcare System: Implications for Advanced Practice Nursing Advanced Practice Registered Nurses (APRNs) is the group of health care professionals on whom stakeholders and lawmakers depend to deliver most of America's health care. APRNs refer to registered nurses who've attained advanced clinical and educational practice requirements. They include clinical nurse specialists, nurse anesthetists, certified nurse-midwives and nurse practitioners. Experts project that the demand for APRNs is bound to increase as hospitals pay more attention to the most unstable and sickest patients and move most of health services to homes, nurse-managed clinics, birthing centers, schools, community health centers, and other centers… Continue Reading...

Bryan Stow Vs Los Angeles Dodgers Case Analysis

Stow sustained a traumatic brain injury and was rushed to the nearest hospital. On April 1, 2011, the next day after the incident, the physician carried a partial craniotomy for Stow, which was later followed by the partial surgeries to replace the cranioplasty and removing an epidural mass. Stow is disabled permanently, live on social security benefits and receiving mental and physical therapy. In the case, Stow claimed that he suffered from the cognitive deficits that impaired his communication skills, motor skills, memory, retention and concentration. Additionally, Stow claimed that the injury has affected his mobility that caused him… Continue Reading...

Health Disparities

HP2020 ('Healthy People 2020') initiative is reducing health gaps in America. Much controversy exists with regard to what the term 'health disparities' actually refers to. Disparities are largely witnessed on the basis of socioeconomic status (SES), and racial/ethnic identity. A number of health indicator-related differences exist among different racial and ethnic groups in America. This paper will endeavor to explain what health disparities implies, the health indicator-related differences among different racial/ethnic populations, causes for such differences, and potential ways to bring about health improvements for underserved populations. "Health Disparities" Defined There is considerable debate regarding the precise meaning of "health… Continue Reading...

Jerry Maguire Analysis

also portrayed as having lacking ethics, with an uncaring attitude. This attitude is seen when he is in the hospital visiting a player that is suffering from severe concussion, and the players man theory to advise his father to stop playing in order to protect his health, Jerry dismisses the request, stating that nobody could stop him playing. This demonstrates his uncanny nature, which even Terry himself questions later in the film, when he asked himself if you just become another shock in a suit. This evolution towards redemption occurs after this encounter, when he writes a mission statement… Continue Reading...

Discharge Summary

Part 1 1. What behaviors would indicate that the client is sustaining at a healthy baseline?      The therapies mentioned in Eliza’s case will be instrumental in stabilizing her behavior; if they are conducted regularly. Cognitive behavioral therapy is effective in stabilizing several factors that cause problems for Eliza in her life. Eliza’s problems including anxiety, obsessive compulsive disorder, trauma sensitivity, and eating disorder can be addressed and cured in several therapy sessions. Stability of these factors can be an indication of Eliza’s health based on evaluation.       CBT has presented promising outcomes when applied early to… Continue Reading...

Obtaining Informed Consent in Ontario

is deemed capable of making a decision on his own and the state or hospital may not give him treatment against his will. Thus, in the case of the schizophrenic patient who refuses treatment, the measure of whether treatment can be forcefully given him depends on how these two questions are answered. To give him treatment against his will if he is able to understand the information and appreciate the consequences of actions would be to violate the Health Care Consent Act. However, if the patient is unable to process the information given him about how to make a… Continue Reading...

Persuasive Speech

Outline I.) Introduction a. Attention Getter: Think about the concerns tied to illegal immigration such as terrorism, lack of jobs, costs in terms of tax and how prevalent it is becoming in the present day. b. Relevance: Illegal immigration in the United States is the highest in the world compared to any other nation. c. In accordance to statistics, there were approximately 11.1 million illegal immigrants in the United States (Krogstad et al.) d. Credibility: I have done research on illegal immigration, its benefits and shortcomings from various secondary sources. e. Thesis: I am going to urge you to see… Continue Reading...

Bacteria and Viruses

such infections appears to be numerous times greater than what is observed. The impact of HCAI implies lengthy hospital stays, long-standing disability, increased resistance of bacteria to antimicrobials, and ultimately death (Challenge, 2009). Therefore, it is important for healthcare providers to be wary of the healthcare settings and also environment to ensure that bacteria and viruses are not spread or contaminated to the patients being given health care. This encompasses the need for making sure that the health care providers, such as nurses and physicians, are well knowledgeable and proficient in understanding the differences between viruses and bacteria, and… Continue Reading...

Marriott Internationals Management Style

Marriott International is one of the largest hotel chains worldwide. With its headquarters in Bethesda, Maryland, the organisation has over 5,700 properties spread across more than 100 countries around the world. Throughout its nine decades of operation, the organisation has undergone numerous changes in terms of management, processes, as well as corporate and business strategy. This paper discusses a number of change aspects relating to the organisation. These include two key changes in the organisation's management style, role of senior management in preparing the organisation for its most recent change, use of vendors and spokespersons, an innovation that could positively… Continue Reading...

Reducing Burn Care Unit Operating Costs

40-bed units making the program to be highly financially rewarding. Nevertheless, the hospital has faced challenges in the last three decades because the unit has experienced the nursing shortages, moreover, the burn care program also suffered the staffing problems. The issues made Burn Care Unit to implement the Baylor Plan designed for nurses 12-hour shift every weekend, and weekdays. Nurses who worked for 24 hours get paid for 36 hours with full benefits based on overtime policy. Thus, nurses who worked on weekends are prohibited from working on weekdays. During the weekdays, nurses are paid with full-time benefits based… Continue Reading...

Community Planning Methods That Involve Legalization Of Recreational Marijuana

In the shifting views about the health effects of marijuana, there is a general trend for states to relax the rules around this substance across the nation. Some states have already lifted the ban against marijuana for recreational purposes. The state of California set the pace in this discussion and shifting perceptions when it passed a proposal now popularly known as proposal 215 to allow possession of small amounts of the substance for medical uses (Murphy and Carnevale 2016). Other states have followed suit. The most notable among these states are the District of Columbia and six other states. They… Continue Reading...

Evidence Based Nursing Practices

Nursing is a tough profession to perform well. There are constant innovations and changes in healthcare that make research and education a top priority among nurses to achieve the goal of providing high quality care. Evidence-based practice offers nurses a way to use the research continuously developed to create strategies and techniques that better suit the needs of patients. However, it is a daunting task that many nurses have not successfully accomplished. From problems with nursing leaders to an inability to apply knowledge learned, evidence-based practice has not caught on in nursing practice as desired. To create strategies to better… Continue Reading...

Return on Investment with Fall Prevention

EBP Programs There are two important things to remember when it comes to the health issues of older adults. First, older and senior adults account for the lion's share of healthcare problems and costs as compared to the younger groups. This makes sense as the body is aging and/or shutting down not to mention that the bad habits (if any) of a person in their younger years truly start to take hold and render their effects once a person reaches their 50's, if not before. Second, there are common sense and evidence-based ways to handle these issues and help improve… Continue Reading...

Recent Trends in Medicare Reimbursements

Medicaid Services (CMS), "The CMS, the federal agency that runs Medicare, is changing the way Medicare pays for hospital care by rewarding hospitals for delivering services of higher quality and higher value" (Linking quality to payment, 2016, para. 2). This recent change in Medicare policy means that health care organizations can absorb some if not all of the costs of their credentialing function by ensuring the process is performed efficiently and is designed to ensure that all medical care providers possess the requisite licenses and credentials required for practice as well as the expertise needed for their occupational specialty… Continue Reading...

Accreditation Costs Of Healthcare Organizations

efficacy (Why get accredited, 2016). Moreover, it helps distinguish a given healthcare organization from the remaining healthcare practitioners. An accredited hospital indicates management's and workforce's devotion to growing into the practitioner of choice, guaranteeing clients are delivered the best possible healthcare. It also ensures improved patient faith in the organization, and recognition. Accreditation aids in strengthening the community's confidence in the healthcare facility, and its service quality. Additionally, it serves to increase organizational value. Given the incessant modifications to the health sector, patients seek dependable professionals who constantly and unfailingly provide superior quality healthcare and validate their capacity of remaining… Continue Reading...

Health Industry Professional Boards

Healthcare professionals offer their services to the community whilst taking care to fully respect people's dignity. Doctors need to earn public confidence by dedicating their skill all equally, and to the best of their ability. A number of professional organizations supporting doctors in ensuring public safety exist, two of which are the ANA (American Nurses Association) and the AMA (American Medical Association). In this paper, the two aforementioned organizations' standards and functions will be analyzed. A clear identification of the professional boards The ANA represents its 3.6-million-strong registered nurse (RN) workforce's interests. Its goal is attempting to advance the profession… Continue Reading...

Nursing License and Process

jurisdiction. On the other hand credentialing is generally considered to be the process where an employer, most often a hospital or a health maintenance organization (HMO), certifies after verification that a professional practitioner possesses the required education and the training and experience that would allow that professional to practice in a particular area. The types of credential and the process of verification which any hospital or any other healthcare provider has to address while credentialing a practitioner are sometimes specified by state or local laws and regulations ("Position Statement on Credentialing and Privileging for Nurse Practitioners," 2016). Hence it can… Continue Reading...

Public Health Information

be numerous times greater than what is observed. The impact of HCAI implies lengthy hospital stays, long-standing disability, increased resistance of bacteria to antimicrobials, and ultimately death (Challenge, 2009). Therefore, it is important for healthcare providers to be wary of the healthcare settings and also environment to ensure that bacteria and viruses are not spread or contaminated to the patients being given health care. This encompasses the need for making sure that the health care providers, such as nurses and physicians, are well knowledgeable and proficient in understanding the differences between viruses and bacteria, and what they can do… Continue Reading...

Improving Health Welfare for a Vulnerable Population Community

with the location as barriers, telemedicine technologies, programs with incentives for practicing in rural areas, pre- hospital emergency services are necessary to improve health care delivery (Aday, 2001). Health care resources that serve vulnerable populations Health care models that meet needs of the vulnerable population should be provided with additional investment to develop, evaluate, and to support effective health care. There is a lack of the research and innovation in the health care and rehabilitation programs for persons with chronic illness or disabilities. For those who face geographic barriers, avenues of telemedicine, incentives for those who practice in under-served areas… Continue Reading...

Crisis Situations

Natural Disaster In August 2016, the state of Louisiana experienced catastrophic flooding, specifically at Baton Rouge and Lafayette areas. The flooding, rated as the most terrible natural disaster since the 2012 Hurricane Sandy, resulted in 10 deaths and destruction of property worth billions of dollars, leaving thousands of residents homeless. The situation presented a major crisis for organizations mandated with disaster response, particularly the Federal Emergency Management Authority (FEMA). Many agencies and people have criticized FEMA for not attending to the disaster with adequate urgency, as well as for its failure to warn the residents adequately prior to the storm.… Continue Reading...

Prevention Of Deep Vein Thrombosis (dvt) After Hip and Knee Surgery

Deep Vein Thrombosis (DVT) is a serious health conditional that has the potential for fatal consequences. This condition basically involves the development of a thrombus in a deep vein and can take place in retinal veins, cerebral sinuses, upper extremities, and hepatic. The prevention of DVT, especially after a hip or knee surgery, is a major issue because of the increased risk of developing the condition in hospitals and community healthcare facilities. Given the increased risk for developing the condition across healthcare facilities, nurses, physicians and other health professionals face the need to understand the condition, identify it, and take… Continue Reading...

Operational Effectiveness in Healthcare Organizations

Which hospital did you select and why? The hospital selected is Mount Sinai hospital. The Health System is aimed to increase competences and economies of scale, enhance levels of quality and results, and develop accessibility to cutting-edge primary, specialty, and ambulatory care services all the way through a comprehensive clinical network (Mount Sinai, 2017). The healthcare organization is a general medical and surgical facility that consists of over 1,100 beds. In the past financial year, the healthcare facility admitted more than 60,000 patients. In addition, the organization conducted more than 30,000… Continue Reading...

Role Of Faith in Healthcare

that exist is what happens when a patient (or their family) is of one faith and the hospital or personnel on the front lines of the healthcare involved are of another faith. The correct answer, of course, is to either leave religion alone entirely or defer to the preferences and desires of the patient. This can open doors in that a patient will feel at ease when their personal religious perspective respected. However, it can present a barrier to a healthcare worker if they are of a different mindset and cannot (or will not) accept the presence of other… Continue Reading...

Application for Medicine Studies Motivational

2006). Besides the usual specialties, one can choose the context of practice. One may decide to be a hospital-based doctor, a general practitioner, a prison doctor, or a military doctor. This further makes medicine an exciting field for me. An even more interesting aspect about medicine is that one never stops doing what they trained for as they move up the professional ladder. In most fields, one's work is increasingly restricted to paperwork as they climb the career ladder. For instance, when one becomes a manager, they leave much of the hands-on work to their juniors. With medicine, it… Continue Reading...

Evaluation Management Codes

require more thorough documentation than the other codes that attract much lower fees such as hospital progress notes or visits made by an established client/patient (Physician-to-Physician E/M Compliance Solutions 2003). Summarize the 3 key components of E/M documentation Key Components While selecting E/M services, the key components to pay attention to are Examination, Medical Decision Making and History. The three components are always captured in the descriptors for outpatient services, home services, domiciliary care services, nursing facility services, emergency department services, consultations, hospital inpatient services and hospital observation services (Kane, Reinertsen & Scottong, 2011). History The extent to which… Continue Reading...

Nursing Challenge

of inadequate nurse staffing affect not only nurses, but also patients. It may increase instances of medical errors and hospital-acquired infections, as well as worsen nurse-patient and interpersonal relationships, eventually increasing patient dissatisfaction (Carayon & Gurses, 2008). Therefore, nursing staff shortage is an issue that deserves more attention than ever given. The System/Organisation The shortage of nursing staff is particularly evident at the author's organisation, a full-service, not-for-profit community hospital established in the 1960s. The hospital has a capacity of approximately 250 beds, and delivers both inpatient and outpatient services in disciplines ranging from primary care and emergency care… Continue Reading...

Planning for End Of Life Care

professional practice in a multidisciplinary palliative care team in hospice and hospital settings (Watts, 2013). Since the death of elderly individuals occurs in a variety of conditions and settings, social workers need to plan for end-of-life care. The planning and delivery of end-of-life care helps in helping the elderly cope with serious illness, face mortality or manage the process of dying in an effective manner. One of the major functions of social workers in their role in planning for end-of-life care is providing psychosocial and practical support to individuals who are approaching the end of their lives. In this… Continue Reading...

Organizational Leadership

How might researchers study the effectiveness of inclusive leadership with regard to overall organizational effectiveness and competitiveness? Why is this effective methodology? Researchers may achieve this by combining longitudinal and cross-sectional technique. The sample for the research will be chosen from the whole economic sector or from maximum possible industries such as banks, telecommunication, the public sector, construction and building, hospitality, agriculture, and so forth. This way, generalization of extended and replicated study outcomes may be achieved more confidently for a bigger group of individuals. Respondents will be administered the following Likert scales: Inclusive Leadership, Personnel Creativity, Personnel Work Engagement,… Continue Reading...

Using Emotional Intelligence in the Workplace

than 2000 questionnaires completed by nurses in a Finnish hospital, findings showed that younger nurses of the Generation Y group were more adept and willing to help older nurses of the Baby Boomer and Generation X groups to learn, use and embrace technology (an especially important tool in modern nursing). The older nurses were also able to impart knowledge and learning based on their years of experience to the younger nurses. Thus, a trade-off was discernible in bringing the generations together, as each had something to offer the other. With regard to the way that managers approach the situation,… Continue Reading...

Hsms Gap Analysis Hazard Identification and Risk Assessments

HSMS Gap Analysis and Hazard Identification Risk Assessments Description of APM Terminals Legal Environment Review of the Health and Safety Management System Description Gap Analysis Hazard Identification Physical Hazards Health and Welfare Hazards Risk Assessment Physical Hazard -- Working at Height - Scaffolding Health & Welfare Hazard -- Noise Action Plans Action Plan 1 - Management System Action Plan 2 -- Hazards and Risks Barbour Checklist: BS OHSAS 18001 Audit Checklist Occupational health and safety management has numerous benefits for business, not only an employer's duty of care, a legal and moral obligation but also critical part of business equal… Continue Reading...

Taming the Measurement Monster

(de Lancer Julnes, 2008). You work in an Emergency Room in a local hospital. You have been asked to identify all of the possible outcomes that could potentially be measured. Include your list There are various possible outcomes that could potentially be measured using performance measures in an emergency room. The emergency room provides medical and health care services to incoming patients prior to determining whether they need to be admitted or not, necessitating immediate medical services. The following is a list of possible outcomes: 1. Number of patients left without being seen 2. Number of patients left before time… Continue Reading...

Managing Quality Safety and Individual Performance in Healthcare

care, such metrics may include patient satisfaction levels, medical error rates, costs, incidence of HAIs, waiting times, length of hospital stay, readmission rates, and emergency care effectiveness. Achieving these metrics requires the input of nurses, doctors, and other healthcare workers, underscoring the significance of exceptional employee performance. The balanced scorecard can be used to measure and monitor employees' effectiveness in achieving these outcomes. The balanced scorecard, that measures all such factors, can be an effective tool for measuring and monitoring individual performance in the health care sector. Conclusion Overall, healthcare organizations can no longer be casual about quality, safety,… Continue Reading...

Leadership Culture in a Healthcare Organization

time to point out any mistakes or inaccuracies, dedicating time and resources to come up with a follow through, hospital leadership can both address detailed safety issues and perceptibly exemplify the significance of patient safety as an organizational main concern (Frankel et al., 2008). Leadership culture can also influence a healthcare setting of safety and improvement through the management of disorderly and unethical behavior by healthcare staff. Taking into consideration that executives have oversight over medical personnel, they have the capacity to make certain that unprincipled, unethical, and incompetent personnel do not put patients at risk. This also encompasses… Continue Reading...

Aurora Colorado Theater Shooting After Action Report

within five minutes after the shooting. The Aurora Police Department, the Aurora Fire Department, hospital-based emergency departments, and Emergency Management Services (EMS) worked together to manage the crisis. The agencies collaborated in evacuating victims, apprehending the suspect, searching the theater building, providing emergency medical care, transporting victims to hospitals, and assisting families of victims. Nonetheless, similar to other previous incidents, inter-agency coordination and communication difficulties were experienced. These difficulties provide crucial lessons for leadership within the field of emergency management. Background/Summary of the Incident The 20th of July 2017 was a sad day for the American nation. A few… Continue Reading...

The Outsiders

children. However, this comes at the cost of Johnny almost dying. Being in hospital, Ponyboy considers that the best thing he should do is partake in the rumble by fighting, as an act of fighting for Johnny. After winning the rumble and thinking it would make Johnny happy, Johnny is opposed to it asking Ponyboy to evade such traits. Subsequent to Johnny's demise, this completely makes Ponyboy to change his character and become nice, happy and avoids violence. This is evidenced from the last words that Johnny told him, which was to stay gold. How does the author show… Continue Reading...

Implementing Changes During Downsizing

has lost its funding and is forced to downsize its operations and employees. In order for the hospital to remain competitive, it needs to implement strategies that would reduce its current expenditures and increase revenues. There have been recommendations made by consultants hired by the President. The recommendations made are reducing staff, no annual increases, closing of one emergency room, stopping new hiring's, and closing the hospital's public programs. The hospital CEO has requested that all department heads need to implement cost cutting measures within their department and they have to increase their patient base by 20% in the… Continue Reading...

Sanford Medical Center Organization Structure

Nursing Leadership and Management Organizational Analysis -- The Organization The hospital is well recognized and has been named a top 100 Heart hospital and top 100 hospitals nationally. The organization also has a nationally ranked children's hospital that has newborn and pediatric intensive care services. Sanford Medical Center is a level II trauma center that is supported by AirMed transport services that cover a three-state area. The services offered within the facility include: • 3D Mammography • Allergy & Immunology • Behavioral Health • Breast Health • Cancer/Oncology • Children's/Pediatrics • Dermatology & Cosmetic Services • Diabetes &… Continue Reading...

Treating Allergic Patients Using Homeopathy

study in this healthcare facility because its an innovative hospital that provides homeopathy and acupuncture in combination with conventional clinical care. Therefore, this facility provides integrated medical care for patient treatment, which makes it ideal for examining enhanced quality of life and decrease in conventional drugs. This paper examines the study conducted by these researchers in relation to establishing the reliability of its findings and conclusions as well as the suitability of the research process. Brief Summary of the Research Ferreri et al. (2016) conducted a research in which the examined the issue of improved quality of life and… Continue Reading...

Nursing Rules and Regulations

following scenario and then answer the questions that follow You are on your hospital's Peer Review Committee (PRC). You are reviewing Nurse A's practice. She works on the pediatric unit. In the past, Nurse A has practiced safely without incidents. However, four months ago, Nurse A gave immunizations to five pediatric patients (3 months, 9 months, 2 years, 4 years, and 5 years of age). She used a vial of Hepatitis B vaccine that had been expired for 30 days but still was being stored in the unit refrigerator. She gave the five immunizations within a few minutes of each… Continue Reading...

Protecting Data and Health Information

Protecting Personal Data Protection of personal data is paramount in any situation. Battered women receiving help in a shelter, part of a community clinic require confidentiality to avoid problems should their abusers locate them. When computerizing an appointment system and records, sometimes such information can easily be taken if there is no protection available. Things like passwords and encryption help keep would be criminals from accessing sensitive data. Although hackers may still access the data should they gain password information, adding those layers of protection, safeguard sensitive data on most occasions. While not all negative situations can be avoided, extra… Continue Reading...

What Defines Minor Incident in Texas

hospital: Peer Review Applying Rule 217.16 Minor Incidents Read the following scenario and then answer the questions that follow You are on your hospital's Peer Review Committee (PRC). You are reviewing Nurse A's practice. She works on the pediatric unit. In the past, Nurse A has practiced safely without incidents. However, four months ago, Nurse A gave immunizations to five pediatric patients (3 months, 9 months, 2 years, 4 years, and 5 years of age). She used a vial of Hepatitis… Continue Reading...

Emotional Labour and Gendered Occupational Segregation

emotional labour strategies on employees job performance and organisational commitment in hospital sector: moderating role of emotional intelligence in Iran. World Applied Sciences Journal, 17(3), 319-326. Hochschild, A. (1983) The managed heart: commercialisation of human feeling. Berkeley: University of California Press. Huppatz, K. (2012) Gender capital at work: intersections of femininity, masculinity, class and occupation. New York: Palgrave Macmillan. Kinman, G. (2009) Emotional labour in "front-line" service employees: does mode of delivery matter. Journal of Managerial Psychology, 24(2), 118-135. Meier, K., Mastracci, S. and Wilson, K. (2006) Gender and emotional labour in public organisations: an empirical examination of the… Continue Reading...

Temporary Reassignment, Scope Of Practice, and Patients Rights in Nursing

process of nursing. Importance Temporary reassignment ensures that one is able to enjoy working in different departments in a hospital setting. Working in different department allows the employees to enjoy a different environment from the one that they are used to in their environment. On the same note, temporary reassignment is important as it helps in filling the gaps found in the hospital in case a member of a certain department has gone on leave or he or she is absent. This allows all the departments to keep running despite some of the employees having a problem. On the same note,… Continue Reading...

Increasing Patient Satisfaction

You have been appointed to chair a hospital-wide committee to develop and implement a plan to improve patient satisfaction in your facility. Your Chief Nursing Officer has provided you a summary report indicating a steady decline in patient satisfaction over the previous six months. You will need to identify the various resources available for tracking patient satisfaction, establish a clear bench mark and design a specific plan of action for reversing this trend. It is essential to note in your development that research has shown nurse communication and hourly… Continue Reading...

Reactions in Parents Of Children with Life Threatening Illness

a Breath study, which is being conducted at the Royal Children's hospital (RCH), Melbourne, Australia; a state-wide, tertiary, pediatric hospital treating seriously ill children. Data were collected from participating parents within four weeks of child diagnosis or hospital admission between November 2010 and August 2012 (Muscara, et al., 2015). • Participants included parents of children diagnosed and/or admitted to The RCH, where the illness or injury involved the threat of death or physical integrity to the child. • Participants were recruited from consecutive first admissions to the RCH cardiology, oncology, and PICU departments Other selection criteria included these requirements:… Continue Reading...

Impact Of the Rise and Spread Of Christianity

Rise and Spread of Christianity on the Classical World It's often assumed that the religion of Christianity perhaps greatly and generously impacted the classical age; after all, it was in this period that its foundations were established and it ultimately became the formal religion of the classical age. But corroborating this understandable supposition isn't easy. One might realize the fact that Jesus's religion was a considerable progress from the paganism followed since ancient times. The eventual success of Christianity proved to be a blessing for humanity. Nevertheless, revealing the precise level and nature of its benefit to humanity is tricky[footnoteRef:1].… Continue Reading...

Analysis Of Ageing Based on Psychology Interview

Interview for the Analysis of Ageing Mae was a first generation American aged 90. Mae was born on June 1927 in Bethlehem, PA. When Mae was a young girl, she moved to Queens. Married at the age of 18, Mae well-being and general health issues are normal with no major health problems despite the usual high cholesterol, high blood pressure, and stents that come along with old age. The objective of this essay is to explore the experience of late adulthood and ageing using the case study of Mae. This study analyzes the interview questions to identify the health and… Continue Reading...

Apple Market Share Increase for Ipad 4

Apple needs to increase its market share for iPad 4. Product outline Apple Inc. is a well known technology firm that specializes in designing, production and selling of computers, mobile phones and music related devices. The most outstanding feature of Apple Inc. is the brand-perception as well as identification. Apple has built itself to become a cult-brand over the last decade with the strategy to invest and market iTunes, QuickTime and iMaclines working to fortify the brand loyalty hence the cult-brand formation. The short-term goals that Apple Inc. put in place are geared towards increasing the sales of the iPad… Continue Reading...

Apple Increase in Market Share for Ipad 4

Apple needs to increase its market share for iPad 4. Product outline Apple Inc. is a well known technology firm that specializes in designing, production and selling of computers, mobile phones and music related devices. The most outstanding feature of Apple Inc. is the brand-perception as well as identification. Apple has built itself to become a cult-brand over the last decade with the strategy to invest and market iTunes, QuickTime and iMaclines working to fortify the brand loyalty hence the cult-brand formation. The short-term goals that Apple Inc. put in place are geared towards increasing the sales of the iPad… Continue Reading...

Crucial Conversations

which is a vital strategy to ease out a difficult conversation. Patients require involvement of several groups in a hospital which can only treat successfully if there is a positive collaboration between the departments. For example, nursing, and physical therapy are important parts of a patient's treatment (Grenny, Patterson, Switzler, & Macmillan, 2002); their policies and procedures are also similar so collaborating effectively will help them in a successful treatment of the patient rather than both the departments fighting over schedules and ruining the hospital's environment. As a group, several roles are divided among the members so it can… Continue Reading...

Enhancing Nursing Service Delivery and Minimizing Errors

need to introduce measures to prevent the errors in the hospital. Often, medical errors cause the increase in the patient readmissions and lawsuits when the implications of the errors are severe. The solutions to medical errors depend on decisions made by the management and commitment to staffing their facilities adequately. Implication of the Topic to the Health Promotion The issue of medical errors is rampant in the modern society. Most health facilities are private businesses, and the owners are seeking to minimize cost and maximize profits. As a result, the private hospitals have few nurses attending many patients who… Continue Reading...

Overall Health in Fargo North Dakota

groups that are active in supporting one another -- churches, the hospital, the college. The young people are aware and out working to make things better. She was really positive about the future. Enter the information about your interviews with Key Informants in this space in your template. You will not receive credit if the Key Informant interviews are inserted elsewhere on this template. Analysis of Windshield Survey Analyze and summarize your observations and the input from key informants. Write a 3 paragraph summary of community health (2) and safety (1) issues for this community and strengthens of the… Continue Reading...

The Black Wall Street

Black Wall Street was the name given to the affluent black community of Greenwood Avenue in Tulsa, Oklahoma (Jaynes, 2011). They generated a prosperous and self-sufficient business district amidst intense racism and segregation laws. Several upper class and middle class blacks lived and worked in the area with the town generating high black economic activity (Rogers, 2010). What began as a journey to Greenwood Avenue in Tulsa as servants, led the pioneering business owners to turn inward and produce their own society where most of the capital spent went back into the community. Such a closed community had its own… Continue Reading...

Feasibility Of Investing in Organic Foods Menu

Intrapreneurial Opportunity Within 3 Squares Restaurant Identification of the Opportunity Squares Restaurant has identified various opportunities it intends to pursue. The most interesting opportunity is the company's strong interest in things like organic eating, healthy diets, and the ability to combat food deserts. The area in which the establishment is located lacks quality food options. Therefore, the company has an opportunity to market healthy, organic food options that can improve the quality of lives. As the baby boomers enter the seniors' age and as the society develops a strong interest in the quality of life, the company can approach this… Continue Reading...

Dangers Of Backcountry Skiing to Society and Individuals

Backcountry Skiing Do Not Outweigh the Individual and Societal Impacts Backcountry skiing is one of the most popular winter recreational activities in many parts of the globe. This activity has gained much popularity with many people taking waiting for winter to take part in the largely accepted practice across those countries that have long winters. There are many impacts of the activity not only to individuals and society but also to the economy and environment. Although environmental conservation campaigns have been on the rise, limited literature explains the impacts of this activity on the people and the environment. The activity… Continue Reading...

Breach Of Duty and Financial Injury Of the Patient

malpractices all to the detriment of Mr. Jones. Besides the overall damage on his finances, the mishandling at the hospital resulted in a second operation that has taken a toll on his health because he has not recovered eighteen months later. There is also a case of breach of duty from both the doctor and the nurse. This might have contributed largely to the second operation. If the nurse had taken care of Mr. Jones appropriately, perhaps he could have recovered from the first surgery. The doctor's absence also meant that nobody was supervising the nurse's performance in providing… Continue Reading...

Nurse Manager Shadowing Experience

nursing facilities before. Prior to being appointed the nurse manager of the Cardiac Progressive Unit (2s) at the hospital, WW was a nurse supervisor in the same unit for more than 3 years. WW's leadership style as the nurse manager can be described as transformational leadership style, which she utilized to ensure that the nursing staff in the unit performed their respective duties as expected and met the desired goals. According to Perez (2014), transformational leadership style involves motivating subordinates or juniors through appealing to higher moral values and ideals. WW's use of this leadership style is evident in… Continue Reading...

Cloud Service and Prescription

may result in patient deaths, and lawsuits that lessen the financial success of any hospital/clinic. However, there is opportunity to reduce data entry errors in order to minimize negative outcomes related to prescription errors and patient satisfaction. The recommendation for minimizing negative outcomes is to incorporate a cloud service that allows for integration of existing electronic prescription records, allowing optimization of prescriptions from doctor/nurse to pharmacy to patient, thus minimizing potential data entry error. The impact the cloud service application can have on healthcare can be great. Costs may be reduced and legal ramifications from human error can be… Continue Reading...

Nursing Problems

whose conditions recur, record helps the medical practitioners understand the health history of the patient. Proper records in the hospital are helpful in patient transfers (Voyer et al. 2014). Often, patient referrals are common in hospitals and thus records help the doctors in the new hospital to attend to the needs of the patient. The family members of the patients require the health records of their patients to arrange for better treatments. The law requires the nurses to keep records of the nature of services they offer to the patients. Often, the records of each patient are permanents in… Continue Reading...

Use Of Chlorhexidine to Prevent Healthcare Associated Infections

to create a platform that employees will follow and holding employees accountable to achieve a standard of care.   Clabsi hospital is one of the best healthcare organizations the United States that adheres to the practice guideline in their clinical practice implementing the antimicrobial administration during surgery to prevent the SSIs (Surgical site infections) and HAIs (healthcare associated infections). I worked with Clabsi hospital as a nursing professional attached to the general surgery unit. Over the years, I have the pleasure to work at the surgery unit, and my year of experiences with the hospital makes me understand that our… Continue Reading...

Changing Organizational Structures to Learning Organization

Organizational Change and Management Organizations have set goals and objectives that should be achieved within a specified period. For organizations to achieve them, they should have structures that would ensure that the needed activities are done in the desired way. Maguire (2012) defines the organizational structure as the way in which people are grouped to get work done in a firm. It forms the basis for the development of an effective relationship between different stakeholders such as managers and the employees. Organizational structures can be grouped into different types that include matrix, functional, and divisional structures among others. Evidence shows… Continue Reading...

Veterans’ Mental Health Problems and the Affordable Care Act

coordination and continuity, leading to more emergency room visits, hospital admissions, adverse incidents and diagnostic interventions (Bernard, 2016). Veteran Affairs caters to a particularly substantial share of individuals suffering from mental or chronic health issues -- individuals who are particularly susceptible to the unfortunate consequences of fragmented care. Ex-servicemen with twofold or more healthcare plan qualification typically experience more fragmented healthcare; but, related problematic influences are yet to be properly examined. Some facts indicate veterans who are recipients of care from non-VA as well as VA sources will be more prone to re-admissions to hospitals and to perish in… Continue Reading...

Humana Care Delivery for Patients

Healthcare System -- Linkages and Alliances The healthcare system is a complex but integrated system that allows patients, providers, pharmacists, insurance agencies, hospitals, and regulators to all come together so that the needs of each are met. This paper will select one healthcare delivery organization in the U.S. that provides care to patients and discuss the relationship between this organization and the other stakeholders in healthcare -- in particularly how it links and aligns with these stakeholders. As the Institute of Medicine (2009) points out, "healthcare delivery organizations play a critical role because of their ability to drive practice trends,… Continue Reading...

Affordable Care Act and Marijuana

RPC cases due to marijuana exposures. In fact, about 50% of the children currently in the hospital 2 years after marijuana was allowed had suffered exposure to marijuana, an indication that legalizing the substance was the direct cause of higher child exposures (Wang et al, 2016). Continue Reading...

Robotic Surgery Essay

such training at the medical school and to a lesser extent the training hospital level remains nascent, despite the growing popularity of the field among physicians, insurance companies and patients.  It should be noted that the FDA does not regulate the training or practice of medicine, and with robotic surgery systems the training is just as important as the device itself.  While this has always been the case in surgery, the fact that so few physicians are learning robotic surgery in their medical school training is a cause for concern, and will stunt the adoption of the technology in… Continue Reading...

Legalshield Pre-paid Legal Services Essay

A Five Forces Analysis of LegalShield (formerly Pre-Paid Legal Services) and Recommendations for the Future Introduction Today, more than 100 million Americans have enrolled in some type of pre-paid legal insurance plan that provides a range of benefits, including the entire array of issues that typically confront individuals, families and small businesses (Jackson, 2007). One company that was in the vanguard of offering pre-paid legal insurance is LegalShield, formerly named Pre-Paid Legal Services of Ada, Oklahoma (About us, 2015). Founded in 1969 by Harland Stonecipher, this company has grown to become an industry leader in the pre-paid legal insurance industry… Continue Reading...

A Schizophrenia Brochure for Floridians

Kaiser Family Foundation. Available Resources: Adult Mental Health (AMH) Florida Department of Children and Families Mental Health Schizophrenia Treatment Center & hospital at North Tampa Behavioral Health References Kaiser Family Foundation at: http://kff.org/other/state-indicator/poor-mental-health-by-re/ Mental Health America at: http://www.mentalhealthamerica.net/issues/ranking-states#Overall%20Ranking Smith, D. (2007) Muses, Madmen, and Prophets: Hearing Voices and the Borders of Sanity. NY: Penguin Books Continue Reading...

Fire Safety Organizations and Affiliations with Other Groups

Fire services are on the front lines of community safety, and are occasionally integrated with other community organizations. However, fire service affiliations with other community groups are frequently underutilized. Fire service organizations sometimes fail to form effective alliances with community groups, and vice-versa, leading to breakdowns in communication and diminished delivery of service. Given the relationship value inherent in forming deeper and broader affiliations within the community, fire service organizations and the areas they serve benefit tremendously from relational and institutional embeddedness. Relational and institutional embeddedness refers to the comprehensive coordination of communications and other critical services, not just when… Continue Reading...

Change Framework to Lateral Violence in Nursing Practice

Relationship between Lateral and Horizontal Violence and Bullying. Epidemic of Medical Errors and hospital-Acquired Infections, 2(2), 209-224 Evidence strength is 2 The article presents a case study showing how bullying, Horizontal and lateral violence interacts. The authors of the article carry out a research study that seeks to demonstrate that interrelationship. This article contributes to the topic of lateral violence by demonstrating how deferent stakeholders foster lateral violence and how they can be involved in changing the culture. Sanner-Stiehr, E. (2017). Using Simulation to Teach Responses to Lateral Violence. Nurse Educator, 42(3), 133-137. Evidence strength 6 The article illustrates… Continue Reading...

Human Theory Of Caring

Introduction Theory guides practice. This is true of many things, but is especially true of nursing. While many processes, actions, and rules are involved in becoming a great nurse, understanding and applying theory must be the most important aspect. Nursing theory allows for one to examine concepts and then attempt practical application of these concepts when theories are tested. Evidence-based practice for example, is the wonderful lovechild of theory and application in that when theories are constructed, they are then tested, and if they work, are applied to standard practice via modification. This essay aims to provide a deeper synthesis… Continue Reading...

Feeding Intolerance Integrative Review Paper

weeks, or even months of intensive care, weight gain becomes a major criterion for hospital discharge. Feeding intolerance (FI) is a common complication among these preterm infants, which disrupts enteral feeding, resulting in feeding advancement delays, prolonging adequate weight gain and growth, and increasing hospital stays (Carter, 2012). Additionally, FI is associated with necrotizing enterocolitis (NEC), a gastrointestinal emergency and a leading cause of morbidity and mortality in this group of patients (Moore & Wilson, 2011). The underlying cause for these problems is associated with the infant’s immature gastrointestinal tract. Thus, optimizing enteral nutrition to support normal growth and… Continue Reading...

The Role Of Roy’s Adaptation Model in Nursing Theory

Feeding intolerance has been identified as a significant problem for infants in the Neonatal Intensive Care Unit (NICU). Inquiry has revealed massage therapy as a possible nursing intervention for the problem (Shaeri et al., 2017). Additional knowledge is desired to determine if new research findings present clinically significant evidence for use of the intervention in the NICU patient population. Toward this end, a PICO question has been formulated: does massage application given to infants born at less than 37 weeks gestation reduce feeding intolerance? Given the increased prominence of theory-based nursing, identifying an applicable nursing framework is important. One model… Continue Reading...

Comparing the Us and Canadian Healthcare Systems

Introduction The health care system in the United States is often compared with that of other countries, and the one that comes up the most frequently in Canada. The Canadian system has better outcomes in general than the American system, and is completely different in terms of structure. This paper will examine the key areas where the systems differ, and seek to extrapolate what that means. Basic Systems At its heart, the US system relies on market forces for much of its activity. Health care is providers are usually paid by insurance companies (or the government, which will be discussed… Continue Reading...

Developing Financial Benchmarks for Critical Access Hospitals

restrictions on the length of patient stay within the hospital. In addition, critical access hospitals differ from traditional Medicare Prospective Payment Systems, as well as the small ones situated in the rural expanses, owing to the dissimilarity in payment in Medicare (Pink et al., 2009). Another challenge faced is that a benchmark necessitates clear and unambiguous requirement of good performance, but the onset where performance varies from average to good is every so often not recognizable. For instance, a great deal of individuals can almost certainly come to an agreement that long-term losses are disparaging and that hospitals require… Continue Reading...

Role Of Depression and Medication

Medication adherence is delineated as the magnitude to which patients take medications as recommended by their health-care providers. Correct and accurate adherence to a treatment plan, particularly taking medication on a regular basis and as recommended in the prescriptions is a shared clinical challenge not only for clinicians but patients as well. The population growth of older adults continues to magnify and increase with the baby boomer age group almost coming to their age of retiring. The inference of this is that there is an increasing necessity for enhancing healthcare results amongst patients suffering from heart failure. Self-care discrepancies have… Continue Reading...

Confidentiality Breaches & Informed Consent when Testing New Drugs

is provided in teaching highly staffed hospitals and necessitates role-playing by a significant number of nonmedical hospital desire. While the patient care advances, it mostly at the expense of the patient’s privacy (Beltran-Aroca et al. 60). Siegler underscores the significant changes that the healthcare system has experienced in the past few decades. However, it would be inappropriate to disregard the patient confidentiality rule entirely because it would cause total insanity and loss of confidentiality in the healthcare sector (Beltran-Aroca et al. 64). Confidentiality should be maintained in the healthcare sector by safeguarding the patient’s private information from those who… Continue Reading...

Public Health Officials Using Computers to Manage Outbreaks

Introduction Digital Disease Detection, commonly referred to as digital epidemiology provided strategies and methods for allowing digital-technology users to monitor infectious disease and conduct surveillance. These strategies help in the understanding of concerns and attitudes regarding infectious diseases. The process begins with the basics, such as the availability of internet access, online sharing platforms and other digital devices. These sources offer huge amounts of data. It is important to note that while these sources collect data, they do not, do so, with public health objectives in focus (Denecke, 2017). The past few decades have seen tremendous changes in the world.… Continue Reading...

Organizational Analysis for Veterans Health Administration

centers offer a wide range of services that include traditional hospital-based services like surgery, mental health, pharmacy, critical care, orthopedics, physical therapy, and radiology. A majority of the medical centers offer specialty services like neurology, dermatology, audiology & speech pathology, dental, urology, geriatrics, and oncology. In essence, VHA aims to provide exceptional healthcare to American Veterans in order to improve their lives and well-being. The development of the community begins with taking care of the veterans. When the lives of the veterans have improved the lives of the community are also improved. Therefore, the organization is fulfilling the core… Continue Reading...

Healthcare Transcultural and the Amish Community

or herbal treatments on their own. Unfortunately, the Amish may actively “distrust the motives of hospital administrators and even doctors themselves,” partly because of pressures to conform to different standards of care but also because of the profit motive in American healthcare, which is anathema to Amish ideals (Talpos, 2016). Because the Amish do often refuse treatments or interventions, it is important to know when to support the right of patient autonomy and when doing so would violate the principle of beneficence. This is especially true when treating children. Also, Amish communities have higher rates of certain genetic mutations and… Continue Reading...

Workflow Analysis Of a Healthcare Organization

patient compliance with medication regimen. Monitoring is conducted by the nurse and other clinicians either at the hospital or home. The determination of where to conduct monitoring is influenced by whether it’s an inpatient or outpatient situation. The clinicians then provide feedback on the patient’s condition and medication use, which is documented in the patient’s electronic medical record. Measure for Evaluating the Effectiveness of the Workflow Given the significance of this process in the operations of the organization, the soundness of the workflow is evaluated through examining the rate of medication errors. In this case, the community health center… Continue Reading...

Lebanese and Middle Eastern Cultural Beliefs Regarding Health Care

of healthcare. For instance, a patient will always be accompanied by an elderly family member to the hospital. Such a member will expect to accompany the patient to the examination room and may often answer questions on behalf of the patient. Therefore, they view on culture care presentation is that it must be presented in a way that appreciates the role of family members. Secondly, the Lebanese have cultural demands that must be accommodated within the healthcare system. For instance, while they appreciate the fact that germs can cause diseases, they hold this fact alongside their cultural beliefs of… Continue Reading...

Us Healthcare Reform Initiatives

The United States is relatively unique in the world community for offering healthcare through a variety of employer-provided and government insurance systems. While most US citizens obtain healthcare via their employers, others have health insurance via a variety of government-provided programs such as Medicaid or Medicare. Still others purchase their insurance from health insurance companies themselves because they do not receive employer coverage and are unable to qualify for Medicaid. This suggests that cooperation between insurance companies, providers, and the government is necessary to improve delivery, reduce costs, and expand access to all patients. One of the first presidents to… Continue Reading...

Sledge Hockey

possible. Joan Joyce, Director of Therapeutic Recreation and Community Outreach at MedStar National Rehabilitation hospital and coach of the Sled Sharks, stated, “We have kids with spina bifida, cerebral palsey, arthro-gryposis and any other number of issues. And they are playing to win and they are really watching their stats” (Schubert, 2016). Once the players are on the ice, it’s easy to see how fast-paced the game actually is. And it is a full-contact sport. That means it gets physical—and players need to develop their conditioning in order to compete effectively. The body’s core is where a lot of… Continue Reading...

Trends in Healthcare Management Industry

well as healthcare practitioners. Moreover, drug shortages have emerged as a challenge that hospital pharmacists encounter and manage in different measures on a daily basis. The paper explores the trends in the three aspects as they relate to the healthcare management industry. Furthermore, it focuses on drug shortages as the topmost priority. Social Media in Healthcare Nowadays, patients and healthcare practitioners employ social media in different ways. The available tools in these platforms include media-sharing sites, blogs, as well as gaming and virtual reality environments (Antheunis, Tates, & Nieboer, 2013). Furthermore, Facebook posts and tweets have become approaches that… Continue Reading...

Inpatient Admission Of the Poor for Healthcare in the United States

https://www.healthpovertyaction.org/ Retrieved from https://www.healthpovertyaction.org/info-and-resources/the-cycle-of-poverty-and-poor-health/key-facts/ O'Shea, J. (2007). The crisis in hospital emergency departments: Overcoming the burden of federal regulation. www.heritage.org Retrieved from https://www.heritage.org/health-care-reform/report/the-crisis-hospital-emergency-departments-overcoming-the-burden-federal Continue Reading...

The Tourism Industry in Mexico

Introduction American tourism in Mexico provides a window into understanding U.S.-Mexico relations. By promoting tourism as a path to economic development, Mexico shows that it is still dependent on the U.S. This is the same U.S. that fought a war with Mexico, took land from Mexico (the southwest region of America), and still continues to treat Mexico with condescension (threats of building a wall, calling all immigrants rapists and murders, and knocking down the culture of Mexicans). Yet, Mexicans should think that relying on Americans for tourism is a good thing? Instead of relying on the tourism industry for economic… Continue Reading...

The Organization and Structure Of Fire Department

Organizational structure and physical structures are the two main components of fire departments in any community. The following is a proposal for a newly designed fire department in a suburban area. Occupational safety, integration with community infrastructure, and strategic alliances with other public service sectors will all be included in the department design proposal. Organizational Structure Organizational structure in fire departments is in dire need of change. In some departments, that change is happening from the top down, as departments respond to the needs of young recruits and rookies who may be unfamiliar or uncomfortable with the “paramilitary” culture that… Continue Reading...

Thematic Analysis the Things They Carried and Slaughterhouse Five

Destructiveness of War in "The Things They Carried" and "Slaughterhouse Five" Summary “The Things They Carried” is a series of stories in which the narrator Tim O’Brien describes the experience of soldiers in the war. The term denotes the things that the soldiers came with to war. Some of the things are intangible such as fear and guilt while others are physical things such as M-16 rifles, morphine, and matches among others. When Lavender is shot during the war, Lieutenant Cross feels guilty for causing his death (O’Brien 56). However, he destructs himself from guilt by thinking about his old… Continue Reading...

Suicide Among Psychiatric Patients

of death (Schwartz-Lifshitz, Zalsman, Giner et al, 2012; Tillman, 2014). Although most suicides do not occur in the hospital setting, psychiatric disorders—especially mood disorders and psychotic disorders—are risk factors that increase the likelihood of a suicidal event (Appleby, 1992; Sarzetto, Delmonte, Seghi, et al, 2017). Suicide not only affects the patient, but reverberates throughout the patient’s family and social circle, also causing distress and potential performance issues among clinical staff (Tillman, 2014). Therefore, it is important that psychiatric nurses understand how to recognize risk factors, and establish a clinical practice environment that prevents suicide. Minimizing suicidal tendencies requires different… Continue Reading...

Does the Truth Matter?

access to news databases (para3). Blair’s article ‘A NATION AT WAR: RECUPERATION; Former P.O.W. Returns Home For Treatment at Army hospital’ states that “as members of Private Lynch's family waited in the Melrose House, an Army hotel in the Walter Reed complex, for her arrival, friends in West Virginia held a fund-raiser this afternoon for her father, Gregory Sr., a self-employed truck driver who has not worked since his daughter was reported missing” (Blair para11). However, that complex doesn’t house any such hotel. Despite Blair’s short span of employment with the company and the fact that he was only one… Continue Reading...

Strategies to Enhance Patient Satisfaction

inputs, negative feedbacks and a cycle of events. The primary care hospital environment has various units that handle different cases including the intensive care, intermediate care, medical-surgery, emergency department (ED) etcetera. This paper delves into system theory in the emergency department, identify goals and challenges in this department and establishes an appropriate structural outcome. Subsystems in Emergency Department In the emergency department, the inputs include financial resources, supplies, and staffing needed for the unit to be functional. The emergency department is in operation all day and night and needs sufficient nurses and subordinate staff to give a throughput of… Continue Reading...

Nursing Shortages

more nurses. Baydoun et al. (2016) conducted a qualitative descriptive study, collecting information from a governmental academic hospital in Lebanon and interviewing 20 nurse managers at the facility. Content analysis approach was used to analyze the data, which showed that staff shortages were routinely caused by one of three factors or some combination of the three: 1) work-related issues, 2) individual issues, and 3) organizational issues. These issues did not correlate in any explicit way with the level of education that the nurse had received, which indicates that there may be more to the problem of staffing shortages than… Continue Reading...

The U.s Economy and Health Care

locations. This care delivery realignment, already in process at Boston’s Children’s hospital, enhances accessibility and value of more ordinary services for providers as well as patients whilst simultaneously enabling tertiary centers to focus specialized resources towards genuinely complex care patients (Kaplan & Porter, 2012; Kemble, 2010). iii. Process-competence matching. One can also enhance resource utilization through an examination of whether every current process necessitates a particular degree of training and expertise. TDABC’s process maps generally uncover opportunities for low-cost healthcare workers with relevant capabilities to carry out certain duties doctors presently carry out without having negative impacts on the… Continue Reading...

Electronic Health Records Implementation Challenges

The relevance of electronic health records (EHRs) cannot be overstated when it comes to the enhancement of better and safer care for patients. This is more so the case given that they enable quick access to the records of patients, as well as enhance the safe and secure sharing of medical data. However, it is important to note that the efficient implementation of EHRs could be hindered by a number of challenges. It would be prudent to highlight some of the said challenges, based on my experiences with implementing EHRs, and to develop suggestions on how the challenges could be… Continue Reading...

Quantitative Research Designs Validity

Validity, in essence, has got to do with the extent to which a given research study measures the accuracy of a specific concept – effectively meaning that a study can be said to have passed the validity test if it accurately mirrors that which the researchers set about to investigate. In quantitative research, as Polit and Beck (2012) point out, “researchers strive to design studies that are strong with respect to all four types of study validity” (p. 303). As the authors further point out, while an attempt to enhance one kind of validity may benefit another form of validity,… Continue Reading...

Adoption Of New Technology

Introduction That there is resistance to the adoption of this new technology should not surprise. There is often a fair amount of inertia within any organization when it comes to organizational change in general, and rolling out new technology in particular. Structural inertia has long been studied in organizational change literature – people become accustomed to doing things a certain way, they have fallen into routines, and many people really do not like being broken out of their comfort zones (Hannan & Freeman, 1984). This phenomenon can be observed on the macro level, but it will also manifest on the… Continue Reading...

Sars and Patient Rights

danger, as they would have already passed out of danger or been placed into the hospital if they were in danger by the time they were located. The point was merely to obtain data so that the center could better understand the disease and how it spread. Thus, the key ethical issues involved obtaining consent from the participants in the study. Every participant in a study has a right to take part or not take part in the study—and every participant has the right to know what the participant’s role is and what the information is being used for.… Continue Reading...

Using Health Information Technology As a Source Of Evidence-based Practice

In a study titled Perceptions Regarding Medication Administration Errors Among hospital Staff Nurses of South Korea, You, Choe, Park, Kim, and Son (2015) came to the conclusion that one of the more effective ways of minimizing wrong-time errors involved ensuring that as their shift commences, nurses spend some time examining not only the list of medications, but also referring to the records of patients and going through the original order. This, according to the authors, is a domain design meant to avert medicine administration errors such as the one highlighted in this text. The relevance of health information technology… Continue Reading...

Characteristics Of an Effective Nurse Administrator

policies to changes to local ordinances that might impact hospital logistics. Healthcare administrators make decisions related to how to allocate funds and human resources, how to handle and resolve conflict, and how to maintain effective relationships with stakeholders through activism and philanthropy in ethical ways (Klein, 2014). Within the healthcare context, nurse administrators can work in urban, suburban, or rural regions. Their institutions can be small, large, local, national, or multinational. The nurse administrator frequently juggles divergent demands from funding partners, community members, patients, nursing staff, and lawmakers. On call all the time, nurse administrators continually coordinate between different… Continue Reading...

Delays in Medicating New Admissions Leading to Discharge Against Medical Advice

2006). It has been observed that a psychiatrist will always have a case or cases that leave hospital care against medical advice. In fact, 35% of patients admitted to psychiatrist care are discharged against medical advice (Tavallaei et al., 2005). The abbreviations AMA and DAMA are used alternately in hospital. They refer to situations where patients leave hospital despite being advised against it by their physician (Alfandre, 2009; Karimi et al., 2014). Explain the process you have illustrated above If the parents of the child insist on taking their child home despite the medical expert’s view against it, do… Continue Reading...

How Organizational Behavior Impacts Health Care

this is especially true for nurses whose behavior can make or break a patient’s stay in a hospital in terms of whether the patient views it positively or negatively. References Bhargava, R. (2012). Likeonomics. New York, NY: John Wiley & Sons. Den, H., Deanne, N., & Belschak, F. D. (2012). When Does Transformational Leadership Enhance Employee Proactive Behavior? The Role of Autonomy and Role Breadth Self-Efficacy. Journal of Applied Psychology, 97(1), 194-202. Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370. Schyns, B., Schilling, J. (2013). How bad are the effects of bad leaders? A meta-analysis of… Continue Reading...

Childhood Obesity Prevention

Childhood Obesity and prevention: Action by parents and children. Obesity, also known as overweight is defined by WHO (2018:1) as the excessive accumulation of fats that can cause harm to the health of an individuals. Obesity or overweight metrics are measured through the use of internationally accepted formula Body Mass Index (BMI). This involves the juxtaposition of body weight in kilograms against the body height in Meters. Simply put dividing the weight of an individual in KGs by the Square of the Height in Meters. Once the result is obtained, the individual can be classified as either normal weight, overweight… Continue Reading...

Infection Control

2015). Thus, complications that arise from infection spreading may not be confined to the hospital or facility where they occur but can easily become an issue that impacts the outside world as well. Examples abound, whether they are influenza related, SARS-related, and so on. Communities can suffer significantly when even the simplest infection control precautions are not followed by nurses in health care facilities. Another potential complication can be resource-related, as infection spreading can lead to a drain on resources as procedures are put in place to stem the spread and deal with contamination, quarantine and clean-up (Koutlakis-Barron &… Continue Reading...

The Impact Of Using Bilingual Call Compared to Family Interpreters Research Paper

improved maintenance of diabetes, eventually, there are minimal ER visits and the admissions to the hospital are also expected to reduce significantly. However, there is a necessity for the development of an elaborate financial and legal structure to insure LEP patients and devise an elaborate policy in the delivery of linguistic access services. References Afable-Munsuz, A., Mayeda, E., Pérez-Stable, E., & Haan, M. (2013). Immigrant Generation and Diabetes Risk Among Mexican Americans: The Sacramento Area Latino Study on Aging. American Journal Of Public Health, 103(5), e45-e52. http://dx.doi.org/10.2105/ajph.2012.300969 Bethea, D. (2018). Use a Professional Interpreter Instead of Bilingual Family or Staff. Blog.languageline.com. Retrieved 26… Continue Reading...

The Relationship Of Csr and Employee Attitudes Essay

2.1 Employee perception of CSR As Du Preez and Bendixen (2015) note, a consumer’s initial exposure to a company’s brand typically comes from the employees who stand on the front lines of the company’s workplace. These employees represent the face of the business and thus embody the business’s brand. They are the brand’s diplomats in a sense, and if the consumer is put off by the employees, the brand suffers. In order for employees to represent their organization’s brand with confidence and enthusiasm, they must be able to believe in the brand, embrace the organization’s CSR policies, and promote the… Continue Reading...

Role Of Office Of National Coordinator

Office of the National Coordinator (ONC) was created by George W. Bush in 2004 through an executive order and the congress mandated associated legislation. The ONC is an entity within the US Department of Health and Human Services. The main purpose of the ONC is basically to promote the national health information technology (HIT) infrastructure and oversee its development. In the context of the healthcare providers, the ONC is seen as a close associate to the nationwide push to have electronic health records to the patients in different hospitals all with the aim of curbing errors in the medical field… Continue Reading...

Meaningful Usage Of Health Information Technology Hit

supports the entire electronic infrastructure needed for safe, secure e-health dataflow. It aims at engaging all stakeholders ( hospital systems, physician practices, community health clinics, patients, payers and public health systems), thereby facilitating ongoing public debates and discussions relating to healthcare issues requiring more advanced technology approaches. Health IT initiatives demonstrate the ability to initiate unexpected partnerships and collaborations, with 85% of stakeholders (Pennic, 2012) joining hands to acquire new skills and knowledge from one another, deploy novel technologies, and map the way to an integrated health community founded on cooperation, communication, access and transparency. HIT acceptance and implementation necessitates… Continue Reading...

India Government and Economics

Government Type India is a parliamentary republic, the largest democracy in the world with over a billion people and counting. Head of State The head of state is a ceremonial position occupied by the President. The current President is Ram Nath Kovind, and vice president is M. Venkaiah Naidu, positions held since July-August of 2017 (CIA World Factbook, 2018). The president is elected by an electoral college, which is comprised of appointed members of both houses of parliament as well as members of state legislatures (CIA World Factbook, 2018).The President serves for a five year term, and there are no… Continue Reading...

Advance Practice Nursing Ethics Disclosure

Saleem & Amlani (2014) claim, “disclosure of errors has reduced the chances of lawsuits cases on hospital or on physician,” (p. 1). Even when apology or disclosure laws do not pertain to the situation, healthcare organizations should have higher standards of patient care that include mandatory medication error disclosure for the purposes of maintaining a culture of safety. Recommendations Creating a culture of safety is the key component of reducing medication errors, and responding to errors in an ethical manner. Administering medication is a more complex procedure than it may seem, involving collaboration with multiple members of the medical… Continue Reading...

Schizophrenia

Psychological Disorders and Their Treatment Schizophrenia is a chronic brain or psychological disorder that causes the sufferer to experience hallucinations, have paranoid delusions, engage in confused speech, have trouble thinking clearly, and lose the ability to function in a normal manner. According to the DSM-V (2013), the diagnosis criteria for schizophrenia states that these symptoms must last at least in duration for 6 months and there should be at least one month in which the symptoms are active and are negatively affecting the person’s life—i.e., the individual’s ability to work or socialize. While the WHO (2017) notes that there are… Continue Reading...

Sepsis

infection if it does in fact manifest. The research study “Adherence to PALS Sepsis Guidelines and hospital Length of Stay” by Paul and colleagues (2012) sought to assess the adherence to sepsis guidelines within a pediatric emergency department setting. This study evaluated such guidelines by looking specifically at how closely clinicians adhered to the Pediatric Advanced Life Support (PALS) of 2006 with the help of a multivariate negative binomial regression. This study found that when clinicians followed the guidelines closely, acting immediately when needed, the hospital stays for patients were shorter. It’s also worth noting that in a subsequent… Continue Reading...

The Role Of Senior Manager in Eldercare

Dopson, S, Renz, A., et al (2014). The role of hospital managers in quality and patient safety: a systematic review. BMJ Open 2014;4:e005055. doi: 10.1136/bmjopen-2014-005055 Porter-O’Grady, T. & Malloch, K. (2015). Quantum leadership. 4th edition. Burlington, MA: Jones & Bartlett. Stack, L. (2014). Execution IS the strategy. San Francisco: Berrett-Koehler. “Understanding Healthcare Management.” Chapter 2. http://samples.jbpub.com/9780763759643/59643_CH02_5289.pdf Walshe, K. & Smith, J. (2006). Introduction: the current and future challenges of healthcare management. In K. Walshe & J. Smith (Eds.) Healthcare Management. Berkshire: McGraw-Hill. Continue Reading...

Nursing Practice Changes

Nursing: Today and Throughout History The occupation of nursing has been around for almost all of history in some form or another. In the ancient Roman Empire are found records of the nursing practice, where nurses provided care to in-patients at local Roman hospitals. In Constantinople—the Rome of the East—nurses were “known as hypourgoi” (Kourkouta, 1998). These nurses (both male and female) were tasked with jobs much like today’s nurses: they provided a wide variety of services to patients. Kourkouta (1998) states that the main tasks of the hypourgoi (male nurses) and hypourgisses (female nurses) were to give “psychological support… Continue Reading...

Technology and Workplace Changes

it is important to remember that all providers have different needs. “The average hospital will need a system that allows different wings and internal/external services (labs, pharmacies, etc.) to effectively communicate, for instance, while the individual clinic’s required features will largely center around patient health, prescription history, referrals, and other factors” (Wade, 2017, par.6). Asking the vendor what types of facilities prefer to use the system may be useful; using the standard system favored by institutions in the same field of specialty may be a good indication of what is needed. Finally, size may also be a factor. Smaller… Continue Reading...

Bullying Essay

she was also physically assaulted by the girlfriend of the boy she slept with and was rushed to the hospital afterward for drinking bleach. Todd made a short video on YouTube detailing her suffering. “On September 7, 2012, Amanda Todd posts a video on YouTube entitled “My Story: Struggling, Bullying, Suicide and Self Harm”. Using queue cards she tells her story of the cyber-bullying she has been exposed to for a long period of time” (Hendricks & Hansen, 2014, p. 17). A month later, in October of 2012 Todd hung herself in her home. Amanda Todd is just one… Continue Reading...

Abortion Pros and Cons Essay

requirements and modifications of this law. Consider the following policies currently in place. Doctor and hospital Prerequisites: 41 assert that an abortion needs to be done by a licensed doctor (Africa, 2018). 19 states assert that an abortion must be performed in a hospital after a specific point in the pregnancy (Africa, 2018). Gestational limitations exist in 43 states forbid abortions except to protect a woman’s life or health, after a specific time in the pregnancy (Africa, 2018). Coverage by private insurance is still narrow. 11 states limit the inclusion of abortion in private insurance plans, usually limiting the… Continue Reading...

Introduction to Security

The client will be speaking at a Holiday Inn at a rally for the 2nd Amendment supporters. A separate group of anti-gun protestors has already announced that it will picket the event. A third group of white nationalists has also pledged to come to the event to protest against the anti-gun protestors. Anti-Trump protestors have announced on Facebook that they too will be protesting the event and picketing with the anti-gun protestors. Parkland students are also set to arrive bringing the media in tow. Four death threats have been sent to the Holiday Inn, threatening it with violence should the… Continue Reading...

Reducing Operational Costs Of Burn Care Unit

this case are interlinked and, in essence, complement each other. Being one of the many units of the hospital, the Burn-Care Unit could be used as the test ground for the operational cost minimization strategies highlighted herein for later organization-wide implementation. 2.0. A Methodology for Estimating the Annual Labor Cost of Operating the Burn-Care Unit In seeking to estimate the annual labor costs of operating the unit, all expenditures (as opposed to wages only) will be included. This is to say that such items as social security paid for by the hospital, as well as pension plan and health… Continue Reading...

Healthcare Management for Eldercare Advocacy Organization

standard of clinical practice. What this means is that hospital stay will be minimized, because patients can be monitored at home and interventions carried out away from the hospital (CGI GROPU, 2014, p5) The delivery of healthcare services is fast moving into the home and it involves a number of people, devices and technologies. It cuts across different residential environments. Spearheading this shift are a number of factors such as; the ever-increasing cost of healthcare, increasing elderly population size, prevailing rates of chronic conditions, better disease outcomes, injuries, childhood conditions and technological advancements. These together with a host of… Continue Reading...

The Virginia Tech Shooting

officials failed to notify the family of Seung-Hui Cho’s first victim, even though she was taken to the hospital where she survived for more than two hours before succumbing to her injuries. Virginia Tech’s delay meant that the victim’s family never got a chance to see her one last time alive. Instead, the University was more focused on locking down administrators—like the workers in the University’s president’s offices, where a warning was given a full half hour before a formal warning was made to students (Urbina, 2009a). Police also took a half hour longer in responding to the alert… Continue Reading...

Improving Outcomes for Elderly Essay

Essay Prompt Community Resources for Older Individuals Volunteers and political officials in local communities often campaign to improve conditions and provide services to increase the well-being of individuals and families living in those communities. If you are the parent of young children, you might focus on improving the local school or creating safe places where children can play. If you are an individual in later adulthood or a caregiver for an individual in later adulthood, what community resources might be important to you? For this week's Assignment, you evaluate the resources that your local community provides for its older members.… Continue Reading...

Hospitality Law Essay

Redskin Trademark Facts Many sports teams use Indian logos and names as their moniker. One such team is the Washington Redskins. There are many people, both Indians and non-Indians, that say that the use of such logos is wrong and that the word “redskin” is racist. However, not all people (even including many Indians) agree on this matter (Cox et al, 2017). Issue The issue to address is whether the trademark/patent and other offices have the right to impose a rule or guideline based on the presumption that “redskin” is racist. There is, of course, the question of whether there… Continue Reading...

Gun Control Essay

1996 known as the Dunblane Massacre. “Fifteen children and Mrs Mayor died at the scene; another child died in hospital. It is not known how many bullets were discharged during the massacre, which police estimate lasted between two and three minutes. Only one child escaped unscathed” (CLARKE-BILLINGS) Conclusion In conclusion, guns have a place in American society. Thanks to the Second Amendment, Americans feel they have the right to own guns to protect themselves and their families. Those that support gun ownership due so because they want to feel safe. They believe possession of firearms allows them to prevent… Continue Reading...

Patient Centered Care in Healthcare Nursing

respect to advisors. There are no patient/family representatives on the various hospital committees, there are no patient/family advisory councils and we only score a 3 for having patients/family on the rounds. In essence, while leadership is generally well-engaged with PFCC, there is actually very little input from patients and family. The implementation of the mission, vision and tactics towards PFCC is entirely the responsibility of management and staff as a result. The hospital does not score well, in general, in the area of quality improvement. The one area of strength in this domain is that patients and family are… Continue Reading...

Professional Accountability and Patient Safety

Assessment 3: Professional Accountability and Patient Safety Defining the Issue: Violence from Patients towards Nurses: In this discussion, I concern myself with ‘violence from patients towards nurses.’ It is important to note, from the onset, that violence meted to nurses by patients is one of the least discussed contemporary nursing issues. In the words of Stevenson, Jack, O’Mara and LeGris (2015, p. 32), “registered nurses (RNs), compared to other healthcare providers are at a higher risk of experiencing violence in the workplace that is initiated by patients and families.” In essence, violence from patients towards nurses includes any act of… Continue Reading...

Human Robot Interaction

Human-Robot Interaction There is a problem with clarity in the question – I've been assigned a robot, and the question accepts that, but the question asks "for which you design your robot." The robot has already been designed, so the question is nonsensical. There is also the claim that terms in capital letters are defined in Looijie – this is also false. Those terms are used in that paper, and form the basis of it, but they are not explicitly defined in that paper. The instructor clearly is not very good at English and this is going to put the… Continue Reading...

Nursing Healthcare Balanced Scorecard

balanced scorecard. Preferable for snapshots of performance data and for communicating to hospital administrators would be simpler, more straightforward metrics of assessing employee engagement. Exit interviews, surveys, and online questionnaires that are shorter and which encourage employee responses to be honest and forthcoming would all help administrators measure employee engagement systematically over time. Scorecard Advantages Although it includes several more performance outcomes than would be required, this scorecard nevertheless does focus on only four main areas including employee engagement, patient safety, quality of care, and performance measures. Each of these is then broken down into sub-categories with clearly defined… Continue Reading...

Interdisciplinary Health Services in Rural America

Introduction Basically, building and preserving these relationships can be tough, given divergent institutional priorities, ethnicities, and anticipations and absence of a shared perspective. Members of a compact countryside neighborhood tend to be focused on a number of institutions that carry opposing priorities. Countryside institutions could also deal with restricted chances to partnerships, based on their general public health objectives and institutional priorities. Of further significance is the fact that developing relationships amid local health divisions (LHDs), neighborhood health facilities, health agencies, workplaces of countryside health, medical centers, non-profit institutions, as well as the private marketplace is important to meet the… Continue Reading...

Health Public Policy Analysis

Introduction Since 1986, the World Health Organization has promoted a Healthy Communities/Healthy Cities initiative, also known as the Alliance for Healthy Cities, with hundreds of participating municipalities across the world (Hancock, 1993; World Health Organization, 2018). The purpose of the Alliance for Healthy Cities is to encourage local governments to incorporate health promotion into all areas of public practice, economic policy, and urban development (World Health Organization, 2018). Goals of the Healthy Communities/ Healthy Cities approach include reducing public health risks including obesity, and promoting healthy lifestyles, public safety, and health equity. The success of Healthy Cities programs and policies… Continue Reading...

Should We Get a Basic Income

up, the reality will be far worse than a mild hangover. Economies will be rushed to the hospital on life support. The concept of basic income will no doubt be introduced over the airways by concerned politicians attempting to obtain brownie points with a populist idea—but it will be like applying a band-aid to a hemorrhaging wound gushing pints of blood at a mile a minute. Basic income will not solve the economic problems of the global economy: the problems run too deep. They are rooted in the fact that the concept of money has been distorted over the… Continue Reading...

Rounding by Nurses in the Progressive Care Unit

the researcher’s health care team is often failing to meet quality care objectives according to patient reporting on the hospital consumer assessment of healthcare providers and systems (HCAHPS). Opportunities for growth in quality care based on the HCAHPS of the PCU include topic areas related to patient inclusion as well as communication skills of the members of the healthcare team. Patient perception of quality is that the healthcare team in the PCU is unable to explain the care process in a way that the patient and family members feel comfortable with or that allows them to understand the care… Continue Reading...

Stress at the Workplace

The Need to Rein in Stress at the Workplace Introduction Human capital is a key component in the organizational success equation. For this reason, an organization ought to adopt the appropriate strategies with an aim of protecting and promoting this key resource. Organizations that are able to effectively manage their human capital are likely to outperform their peers in the marketplace because organizational culture as well as the skills and competencies of employees cannot be replicated by competitors. When employees have mental or emotional concerns that prevent them from performing at optimum, organizational performance suffers as the said employees are… Continue Reading...

Green Plants and Employee Outcomes

Executive Summary In 2016, E brought a world class office space to Boston that features natural light, sweeping urban views, reclaimed timber, rooftop PV solar and green roof plantings. The E Boston headquarter building design is consistent with corporate commitments to sustainability and environmental impact. However, it is essential to consider innovative approaches to continue to improve the space for all employees. Studies document that green plants improve indoor air quality, decrease levels of particulate matter, manage acoustics and increase general wellbeing (Lohr, 2010). According to Terappin (2012), natural design elements including plants have measurable effects on employee health and… Continue Reading...

Indwelling Urinary Catheter Care

received from insurance providers. Research question The research seeks to investigate the effect of frequent CAUTI education, among the in- hospital patients with indwelling urinary catheter, conducted over six months. Background and Significance of the Problem It is common medical knowledge that urinary catheters have the potential to cause urinary tract infections, known as catheter-associated urinary tract infections (CAUTIs). Indwelling catheters are a part of many plans of care, specifically for emergent and critical care patients within the hospital setting. According to the CDC, more than 12% of acute care infections are caused by CAUTI. They further report that 12%–16% of acute… Continue Reading...

Social Network Map

Work I am currently working as a registered nurse in a trauma hospital, which comprises different healthcare practitioners. As a registered nurse in this facility, my daily role involves dealing with trauma patients who visit the hospital’s emergency room or intensive care unit for a variety of reasons. In essence, my clinical practice in the trauma hospital revolves around dealing with critically ill patients who suffer from traumatic injuries. The traumatic injuries emanate from a wide range of factors including falls, car accidents or assaults. Therefore, these patients have different kinds of injuries including brain injury, internal bleeding, and fractures… Continue Reading...

Helping the Elderly Population

attention and that can only come by way of time. By helping these individuals to feel more comfortable, hospital staff can be relieved of some of their burden and the families and loved ones of these individuals can also be relieved of some of the stress they feel by having to take care of them. The public value is seen in the sense that when one gives oneself to the community, the community benefits in myriad ways, most of which may go unnoticed—but all of which are important and impactful. Overall Impressions My overall impressions of my event were… Continue Reading...

Using Evidence Based Practice to Resolve a Nursing Issue

great potential for decreasing the incidence of CLABSIs in the acute care hospital setting (Raup, Putnam, & Cantu, 2013). Since EBP aims at hardwiring current knowledge into common care decisions it will improve the care process and patient outcomes within our practice setting. EBP is backed by research and there is evidence to support that implementing a change will result in improved outcomes for patients. This makes it easy for other nursing staff to embrace the proposed change since there is supporting evidence that making the change will be beneficial to the patient. Nursing Concern to be Improved The… Continue Reading...

Challenges Of Discrimination in Health Care System

is suffering from anemia. On this particular instance, Tamara had driven to the hospital in great and while on her way, she turned on the music so loud in order to drown the pain she was feeling. Unfortunately, when she got to the hospital, the doctor did not believe Tamara that she was in great pain. The doctor told her that they had seen her in her car and that if she could listen and dance to the music that was such loud then she was not in pain. The encounter that Tamara had with the health care system… Continue Reading...

Banking and Blockchain Technology

Introduction Blockchain technology is an innovative addition to the financial market. What began as a brainchild by the people or person known as ‘Satoshi Nakamoto’, blockchain technology has evolved and become something far greater than most would have imagined. Blockchain technology allows for digital data to be distributed (not copied), allowing for it to become the foundation for a new kind of internet. Businesses have used the technology to implement the use of digital currency like Bitcoin and promote growth of blockchain companies. Some of these successful blockchain companies are: Aeternity, Bitfury, DFINITY, ContentKid, and Blockphase. These companies represent the… Continue Reading...

How Do Endowments Differ from Trusts

Endowments 1 An endowment is a monetary gift to a non-profit organization. Typically, the principal is used to earn interest, dividends or a return on investment. Oftentimes, the entire principal that a non-profit like a university, for example, has is referred to as its endowment. The principal is preserved while the return is used for a variety of functions, from charity to expansion and so on. There are four different types of endowments that exist. These are: term, unrestricted, restricted and quasi. Term endowments set a term on the donation—i.e., the money can only be spent after the term has… Continue Reading...

Hospital Organizational Change Nurse Consultation

Organization Jackson Health System in Miami, which comprises six individual organizations including Jackson Memorial hospital, is a cluster of healthcare institutions that include teaching hospital, children’s hospital, and a range of specialized care centers. A total of 9000 employees work in the Jackson Health System, including physicians, nurses, and administrators. As a health system, Jackson recognizes the value of integrating multiple healthcare domains under one rubric: both geographic and cultural. The unified health system at Jackson depends on a hierarchical bureaucracy, but one that does also provide significant autonomy to its individual organizations or brands like the Holtz Children's hospital.… Continue Reading...

Arguments for and Against Physician Assisted Suicide

suffering, and for no reason other than so that the physician and the hospital can avoid possible litigation or complications due to dissenting family members. Conclusion When the topic of physician-assisted death is analyzed from a logical perspective, it becomes clear that one side is more prone to fallacies than the other. The opponents of physician-assisted death use several logical fallacies including the slippery slope, begging the question, and false dilemmas. Physicians who oppose physician-assisted death fear that the practice could be abused, but in places where the practice is legal, there are strict systems in place to prevent… Continue Reading...

Social Problem and Human Services

Social Problem Related to Human Services Social justice implies citizens’ equal entitlement to the self-same services and rights. In this paper, the inequalities in providing various human services to different societal groups in the nation will be addressed. Beginning with education, a fundamental human service, it is a highly concerning fact that the nation’s educational system continually fails unwanted, abused and neglected children. Also, foster children totally at society’s mercy for survival are largely ignored. As children don’t have any avenue for voicing their views and demands, and cannot finance political campaigns, protest for improved services, or lobby elected representatives… Continue Reading...

Methicillin Resistant Staphylococcus Aureus Mrsa and Lyme Disease

NIAID (2009) points out that MRSA remains one of the most common hospital-acquired infections. This is more so the case given the contagious nature of MRSA and the fact that the bacterium is capable of surviving for a significant period of time on various surfaces including, but not limited to, fabric, taps, door handles, as well as sinks and floors. In recent times, strains of MRSA have been witnessed with greater frequency in community settings (NIAID, 2009). In the past, as Boswihi and Udo (2018) point out, elderly patients in various healthcare settings were almost solely prone to MRSA-caused… Continue Reading...

Value Based Purchasing Implementation Plan

plays a critical control function to ensure that the hospital is able to treat Medicare patients at a profitable level, especially taken advantage of the funding available through the value based purchasing formula. The second critical department is the purchasing department. While Finance records the transactions, and exerts control, Purchasing is ultimately responsible for ensuring that medical equipment and supplies are brought in at a price that allows us to be able to deliver value-based treatment. By sourcing supplies from the lowest-cost suppliers, buying in bulk when it is cost-effective to do so, and other purchasing functions, the Purchasing… Continue Reading...

Why I Want to Be a Nurse Essay

well above physicians. And it’s for good reason. Patients in hospital may forget who their doctor is, but they will rarely forget their nurse” (Hand, 2015). This is in part because the doctor will be just make a quick visit here and there, but the nurse is the constant presence by the side of the patient throughout the healing process (Hand, 2015). Some people would probably assume the opposite, since doctors are given so much esteem in our societies. The reality is that nurses are constantly working for the good of the patient, advocating for them, multitasking, engaging with… Continue Reading...

Benchmarking for a National Hospital Assessment

weaknesses have been identified based on the data collection instruments and formal evaluations. The Baptist hospital, the main hospital within the Baptist Health Care system, is a poor performer on some meaningful metrics. One of the most important weaknesses is safety. The Leapfrog hospital Safety (2018) reflects the high rates of Methicillin-resistant Staphylococcus aureus (MRSA), a common but preventable staph infection. Also notable is the low score on patient satisfaction surveys. Current Evidence-Based Practice Activities Baptist Health Care system works closely with Mayo Clinic, and evidence-based practice is the cornerstone of the Baptist Health Care system. Current evidence-based practice… Continue Reading...

Patient Analysis for a Nurse Practitioner

has she suffered any serious ailment, admission to a hospital, or surgery. Patient is somewhat overweight, with a small quantity of thigh fat. She states that in spite of exercising and eating healthy, her thighs have remained the same. Family History Patient’s dad was diabetic while her grandma was found to be suffering from cancer somewhere in her fifties. Social History Patient enjoys a healthy relationship with family members. She is employed as a primary school teacher, which is why she can easily afford her apartment’s rent. She enjoys an open romantic relationship and active sex life. Review of… Continue Reading...

Cultural Identity Essay

Abstract This paper discusses all the facets and considerations inherent to a cultural identity essay. Namely, the paper describes the importance of cultural identity, the definition of cultural identity, and examples of cultural identity—both theoretical and literal examples in the world today. This paper seeks to show how one’s cultural identity is so much more than just a melee of one’s race, environment and heritage. Cultural identity is made up of so many factors and influences, both positive and negative, and both direct and covert. This paper sheds light on how one’s cultural identity manifests and how the cultural identity… Continue Reading...

Repealing the Individual Mandate

U.S. health care system. The coalition, which includes American Medical Association, America’s Health Insurance Plans, the American hospital Association, and BlueCross BlueShield Association state that repealing the provision would lessen enrolment in health insurance programs and have serious consequences on the health system. In conclusion, the individual mandate is one of the most controversial health care issues in the United States. Republican lawmakers are repealing this provision as part of their efforts to dismantle Obamacare and the belief that such an initiative would minimally decrease number of people covered in health insurance exchanges. However, is repealing the individual mandate… Continue Reading...

Patient with Chest Pain

(2001). Management of acute coronary syndromes in the community hospital without cardiac surgical capability: how can access to interventional therapy be improved? Am J Cardiovasc Drugs, 375-85.   Continue Reading...

Costs and Delivery Healthcare System

the patients to the specialty services provided by institutions and also medical procedures and tests, and also restrict the hospital stays for the patients. The downside to this is the limitation to patients in terms of accessing quality and sufficient medical care. An additional impact of the high healthcare costs takes into account decreased accessibility to medical services and also poor healthcare quality. Research has demonstrated that there is a correlation between increasing patient cost encumbrance and utilization of health services, pointing toward the conclusion that when patients incur higher healthcare costs they are less likely to gain accessibility… Continue Reading...

Self Management in Nursing

A Concept Analysis in Behavior Management: Self-Management in Psych Nursing Introduction In nursing, when it comes to behavior management—i.e., helping individuals to alter their behavior in order to achieve a positive aim—various strategies are available. One concept of behavior management that has been handed down over generations of nursing practice is the concept of self-management. This concept analysis paper will analyze self-management by describing a history of the concept, its defining characteristics and attributes, antecedents and consequences, various cases related to the concept, empirical measurements, and recommendations following a discussion of the analysis. Aims and Purposes of Analysis Aims The… Continue Reading...

Differences in Competencies Between the Adn Versus the Bsn Nurse

adept at wielding needles and tubes, but be better prepared for hospital employment nonetheless” (Nursinglicensure.org). As a result of the fact that the BSN nurse is more prepared with clinical experience, this graduate might have an easier time adjusting to employment as an actual nurse, as the high stakes and ultra fast-paced world of nursing is something that is not foreign to him/her. Thus, the real-life learning curve will be smaller. This is a competency that so many people overlook when making the distinction between ADN and BSN. The reason that it is overlooked is because it’s not something… Continue Reading...

Healthcare Delivery System Model

shared vision. Some of the competencies associated with the hospital are the facility to facility funding opportunity, improvement of the quality of the institution, identity and strategic planning. Hospitals usually have identities that are distinct from medical training schools and the doctors, although the relationships are invaluable (Cowen, et al., 2008, p. 410). The need to provide better incentives for change of behavior keeps urging. While providers on salary are not very likely to overuse services, they may underutilize services that are effective. While paying for good performance may be effective, incentives must be sufficient and they should target… Continue Reading...

Body Mind and Soul in the Cancer Ward Wit

have her best interests at heart. She feels dehumanized by the hospital and the institutionalization of patients and she begins to wonder if she dehumanized Donne as a poet, focusing on structure, verse, and punctuation, rather than the actual meaning of Donne’s poetry, which was intensely religious and metaphysical in nature. The contrast between the different ways the body can be seen and language is embodied in the title of the play, Wit. Wit was something which was prized in Donne’s era as something which made people human—in other words, the use of humor. The title of the play… Continue Reading...

Vaccinations Autism and the Argument over Mandatory

Wakefield’s original claim that vaccinations are linked to autism in children “has been fully debunked,” tainted with “suspicions of fraud,” (Pierik, 2017, p. 221). Moreover, there has not been a single peer-reviewed study capable of substantiating Wakefield’s claim, which has been called “the most damaging medical hoax of the last 100 years,” (Flaherty, 2011, p. 1302). The reason why the anti-vaccination hysteria is considered a major public health crisis is because of the potential death toll that could arise from an unvaccinated public exposed to communicable diseases like measles and mumps. An unvaccinated person has a 90% chance of becoming… Continue Reading...

Haiti Health Marketing Plan

Sometimes people do not have the money for fuel to get to the one clinic or hospital available to them in these areas, for miles (Farmer, 2012). Perhaps with careful planning and tackling main problems like lack of health insurance, such actions can lead to an overall improved outlook for healthcare in Haiti. Through the Travel Care Voucher Program and Primary Healthcare Plan, Haitians will have health insurance and the travel arrangements necessary to receive proper medical treatment. II. The Need for Santé Nou The need for primary healthcare services in Haiti was clearly identified in the research studies… Continue Reading...

Role and Importance Of Bilingual Interpreters

The Impact of Using Professional Bilingual Interpreters Abstract Elderly Hispanic patients experience numerous challenges when seeking for healthcare services since they are only eloquent in their native language and are classified as Limited English Proficient (LEP) patients. This paper examines patient-provider communication between these patients and healthcare providers. The evaluation is carried out to determine the role and significance of bilingual interpreters in promoting medication adherence among elderly Hispanic patients aged 50-75 years. The project will be implemented in an outpatient clinic and community center that provides care to different kinds of patients including elderly Hispanics. This project demonstrates that… Continue Reading...

Decision Theory

is little risk in jaywalking, the idea that should something bad happen it would probably involve me going to hospital, I just don't see why I would take that risk, when I could cross in a safer manner just a bit further down the road. That said, I'm more likely to jaywalk in a place I frequent than some other city where maybe I don't know the traffic patterns. Taking these variables into account, my risk-taking behavior is still fairly risk neutral or slightly risk averse, but there are certain variables that could influence my decision in a way… Continue Reading...

Conducting a Security Assessment Of a Building

fire department is a major station that is across the street from the nearest police department. The nearest hospital is St. Paul's hospital, which is about 2km to the southwest. There is a station for BC Ambulance Services about 2km away to the east. It is anticipated that VPD will have the fastest response time, given the density of patrol vehicles in the area. All emergency services are reached via 911. The Sun Tower sits on the corner. There is one building directly adjacent. This is home to a beauty salon, and residential condominiums above. There is no security… Continue Reading...

Tesla's Problematic Pricing Strategy

Pricing Strategies and Decisions Pricing Strategy Management Pricing Policies, Processes and Methods Policies used to manage Tesla’s pricing strategy. Currently Tesla is not only benefiting by but is actually relying on government subsidies to sell its cars. Subsidies come from electric vehicle (EV) tax credits that purchasers are able to obtain whenever they buy a Tesla. The problem is that these credits are only given to consumers for a set duration. Once the government ends the subsidy, sales drop drastically, as has been in the case in Hong Kong where tax incentives basically were the whole of Tesla’s pricing strategy—and… Continue Reading...

Types Of Nursing Evidence

Use of Evidence- Based Practice and Research Utilization Through the Identification of Barriers to Implementation in a Critical Access hospital. Journal of Nursing Administration, 47(1), 56-61. doi:10.1097/NNA.0000000000000437   Continue Reading...

Boston Marathon Bombings

times by law enforcement authorities, was taken to a local hospital where he died (Frommer, 2013). Some indication of the effectiveness of the law enforcement response to this terrorist incident can be discerned from the rapidity with which the suspects were identified and subsequently located, as well as the steps that were taken by the FBI. For example, Frommer points out that, “[On] April 19, the Boston area was put on lockdown, with schools closed, public transportation service suspended and people advised to stay inside their homes, as police conducted door-to-door searches in Watertown and military-style vehicles patrolled the… Continue Reading...

Family-based Diabetes Intervention for Hispanic Adults and Their Family Members

that by using the patient\\'s native language it is possible to reduce the incidences of increased hospital care. Patients are also able to receive and understand health information and knowledge more easily. References Hu, J., Wallace, D. C., McCoy, T. P., & Amirehsani, K. A. (2014). A family-based diabetes intervention for Hispanic adults and their family members. The Diabetes Educator, 40(1), 48-59. Inoue-Choi, M., & Freedman, N. D. (2017). When to Adjust for Potentially Confounding Variables—Reply. JAMA internal medicine, 177(6), 892-892. Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., . . .… Continue Reading...

The Health Care Administration

Information Technology Health Care Administration Within the Community hospital that I work in, there is the Chief Information Officer (CIO) and he is regarded as a departmental head like the other heads responsible for accounts and procurement, stores and other departments. This position is a high ranking position in the organization since he is in charge of employees within the data department and also responsible for data collection, cleaning, presentation and interpretation if need be. Within the data department, there are related positions such as chief medical information officer, data officers and external data officer.… Continue Reading...

Hk Cares Charity

based on profit motive (or lack thereof) or the people or agency that has a controlling interest in the hospital and its operations. The mission and vision statements for the foundation are fairly basic and easy to understand. As one might expect, they both center on the care that is to be furnished and provided. The mission statement, as is the norm, focuses on the present. By contrast, the vision statement is more about where the foundation wants to be in the future. Even with the difference between the two, the chords that are struck should obviously be related.… Continue Reading...

Nurses and the Twelve Hour Shift Work

effects. References Stimpfel, A.W., Sloane, D.M. & Aiken, L.H. (2012). The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction. Health Aff (Millwood). 2012 Nov; 31(11): 2501–2509. Continue Reading...

Medical Evacuation Evolution in the Us

would bandage and attend to the wounded patient, they would then radio the hospital to inform them of the incoming patient and their diagnosis. Using helicopter evacuation minimized the use of morphine and eliminated additional complications. Patients no longer underwent multiple transfers and levels of care. Mobile medical units were developed and they were stationed within 10 miles of the front liners. These units were referred to as MASH (Mobile Army Surgical hospital) (Katoch & Rajagopalan, 2010). The units offered initial care to the wounded soldiers and only the critically injured would be transferred to physical hospitals. 4th Historical… Continue Reading...

Evaluating and Controlling Technology Snopes

fallen ill after consuming contaminated Dasani brand water, with most of those rushed to hospital exhibiting “parasitic symptoms such as vomiting, fever, rash and stomach bloating” (Woman’s Vibe, 2018). Other websites that carried this fake news item include, but they are not limited to, fitbodycenter.net, demicmedia.com, and healthyhouseideas.com. According to Snopes, the origin of this particular fake story was a website going by the name News4KTLA (Snopes, 2018). To make the story appear even more authentic, the story was accompanied by an image that purported to show the hand of a man holding the clear parasite. The image appears… Continue Reading...

Healthcare Organization

status with respect to healthcare provision. Notably, it is ranked as the best hospital in the entire state of Ohio and also the Cleveland Metropolitan area. In the same manner, the hospital is ranked as the second best health care organization in the nation based on reports. This implies that patients are inclined to seek medical services from the healthcare organization. In the same manner, physicians are inclined to work within such a renowned hospital. 3. Ethics Another strong suit of the healthcare organization is ethics. Notably, the Ethisphere Institute has ranked Cleveland Clinic as one of the most… Continue Reading...

Rodeo Fundraising Sponsorship Analysis

Fundraising Activity The rodeo lost $8326 in its first year, and there are a number of different options on the table for improving the profitability next year. One of the options includes the creation of two more major sponsor slots that would be used to offset some of the costs that the organizing committee incurred in the first year. One of the largest costs was $3341 for the contestant hospitality tent, and this could be offset by a major sponsorship slot, which would only cost $48 for a sign. This would deliver a net gain to the bottom line. However,… Continue Reading...

Nursing Shadow Experience

As a student who had only just completed the first semester of the course, I had no experience with pediatric patients prior to the shadowing task. Thus, the nurse shadowing task was a rather exciting experience for me, exposing me to several new aspects of pediatric care (Burkitt et.al 2001). However, its most heart- rending element was congenital patient care – seeing babies being born with an illness was a rather touching experience. While a few of my peers were fairly well- informed on the subject of pediatric care, I wasn’t. Most of the information I gleaned and things I… Continue Reading...

Veterans with Ptsd

points out is that in order to receive medical benefits at VA hospital, a veteran must be honorably discharged or released. Veterans who are dishonorably discharged are not available for benefits. That is problematic because if a soldier is suffering from PTSD, it may manifest in behavior that leads to dishonorable discharge. This means the veteran will not receive the benefits required for quality care (American Public Health Association, 2014). Resources Available The main resource available to this population is the VA hospital, but as the American Public Health Association points out and as other researchers have shown, it… Continue Reading...

Education and Leadership in Perioperative Nursing

Nursing Higher Education and Leadership Clinical leadership is very important because of the problems that characterize the health care sector, including workforce shortage, high rates of change, staff chaos, quality issues, and safety concerns, among others. From history, the preparation of nurses for key roles in the health care delivery system is quite important and should not be overlooked. (Joseph & Huber, 2015). I am trained both as a clinical nursing educator and perioperative nurse. Clinical nurse educators attain that title after much experience in nursing. They mainly coach nursing students and the newly graduated ones. Perioperative nurses on the… Continue Reading...

Legal and Ethical Cases in Nursing Assessment

of the nurse in the surgeon’s office, who testified that a call was received from the hospital at 4:00pm, and that the surgeon then made haste to the hospital. Not only had the nurse been misrepresenting the truth to the patient’s wife, as she had not spoken to the doctor about the patient’s breathing any time soon, she then waited 38 minutes before reaching out to the surgeon. This is clear, doubtless negligence. Had the nurse done everything she had claimed to have done during her testimony (but did not), the patient might have survived. I would decide this… Continue Reading...

Do Not Resuscitate Orders

terminally-ill patients what their preferences are on resuscitation—“We know it’s required under hospital policy to ask patients their preference about resuscitation, but these cancer patients . . . well . . . you know . . . they’re dying . . . it doesn't make sense” (Weissman, 1999, p. 149). Weissman (1999) states that while DNR orders were “designed to ensure patient autonomy while at the same time identifying patients in whom resuscitation is not indicated,” they have come to serve, unfortunately, as “an example of how a well-meaning application of modern medical ethics [leads] to untold patient/family suffering… Continue Reading...

School Security Management

Security Options and High Performance Introduction As McCrie notes, “the training of employees and the development of their skills and careers is a critical and time-consuming activity within security operations.”[footnoteRef:2] For an organization like a public elementary school, employees are more than likely already stretched to the max in terms of time and ability: their primary focus is on teaching and assessing student achievement. Other stakeholders—i.e., parents—will nonetheless be concerned about safety, as Stowell points out.[footnoteRef:3] To keep stakeholders happy, managers and employees have to find ways to satisfy concerns about security—on top of doing their full-time jobs of administering… Continue Reading...

Homeostasis Its Effect on the Critically Ill

Homeostasis Defined Homeostasis, according to Nirmalan and Nirmalan (2017), is the propensity for living organisms to maintain relative stability in the internal environment. Homeostasis is made possible through the cooperation of several regulatory mechanisms and separate sub-systems which make up the normal physiology of a living organism (Nirmalan & Nirmalan, 2017). During critical illnesses internal or external stress can make an attempt at interfering with the self-regulation systems beyond what is considered as normal range in physiology. According to Palaparthi and Med (2017), the word homeostasis is derived from two Greek words i.e. ‘homeo’ (stands for similar) and ‘stasis’ (standing… Continue Reading...

Policy Of Choice Patient Safety

of healthcare services is a complex responsibility that the professionals in healthcare risk management must never take lightly. hospital regulations and accreditation standards make the safety requires complex and inevitable (PSQH, 2014). With formal procedures and policies, it is possible to promote and encourage compliance with regulation and high safety standards in the workplace. These policies also make quality healthcare and patient safety easier to deliver. Well articulate policies will alleviate variability in nursing practice that is likely to lead to compromises in care and eventual harm to the patient. The financial situations that require more attention for patient… Continue Reading...

Cost Effectiveness Analysis for Evidence Based Project

per 50 encounters with new Limited English Proficient (LEP) patients visiting the hospital. This time savings will be calculated over a 3-month timeframe, which is considered adequate for the development and implementation of this evidence-based project. References Kleinpell, R.M. (2013). Outcome assessment in advanced practice nursing (3rd ed.). New York: Springer. Muennig, P. & Bounthavong, M. (2016). Cost-effectiveness analysis in health: A practical approach (3rd ed.). San Francisco, CA: Jossey-Bass. Appendix A Cost Benefit Analysis for Use of Bilingual Interpreter Call During Provider Visits Costs (based on personal research) Category Item Qty Price Total Staffing Bilingual interpreter  1  $45,000… Continue Reading...

Nurse Abuse

most cases, patient abuse of nurses leads to disruptions in care throughout the hospital due to the physical or psychological damages suffered by the nurse in such cases (Esposito, 2017). Experiences of violence and verbal abuse are also responsible for many cases of nurse turnover (Truman, Berger & Topp, 2013). According to the United States Bureau of Labor Statistics, the rate of intentionally caused injuries on the job is higher among nurses in the hospital setting than in any other private sector (Thayer & Leone, 2017). Verbal abuse is extremely common, with weekly occurrences being reported (Truman, Berger &… Continue Reading...

How Modern Medicine Was Developed

doctors brought about the notion of complete medical history examination and can only be performed in a hospital or diagnostic clinic. Describe the changing social and economic fortunes of antebellum American physicians. What factors do you see as responsible for these changes? Before the American Civil War, physicians were not concerned much about infections. The physicians would visit his patients at home and midwives were still charged with the birthing of babies. The status a physician was honorary in that they were held in high esteem within the society even though they were performing unorthodox medical interventions (Warner and… Continue Reading...

Preventing Falls in a Hospital Setting

A hospital Based Practice Paradigm to Improve Patient Outcomes Advanced practice nurses are well situated to assume leadership roles in improving patient outcomes through the development and implementation of evidence-based interventions that affect large patient populations (Curley & Vitale, 2011). All types of evidence-based interventions, however, are not necessarily appropriate or optimally effective in all circumstances, making the need for ongoing research an essential part of the process (Mateo & Foreman, 2013). Nevertheless, some interventions already have proven efficacy in a wide range of hospital settings, and it just makes… Continue Reading...

Effects Of Lead Exposures Among Children Under 12 Years Of Age

Abstract Around the World and in the United States, actions have been taken to reduce, control and clean up the volume of Lead so that to prevent Lead-related illnesses among humans. Lead exposure is seen to affect a child’s development process and some behavioral aspects. The study seeks to determine the effect of indoor Lead exposure to children under the age of 12 years. This study undertakes a secondary desk-review research methodology to obtain knowledge from previous researches. The study establishes that children are exposed to Lead through consumption of water at homestead or/and at the school where the drinking… Continue Reading...

Intensive Care Unit Nursing Staff Job Stress and Burnout

among nurses working in critical care settings: a case of a selected tertiary hospital in Rwanda. International Journal of Research in Medical Sciences, 5(12), 5121-5128. Cishahayo, Nankundwa, Sego and Bhengu concentrated their research on nurses serving in the ICU and ED. They sought to determine the factors associated with these nurses working in the emergency department and Intensive care units. They identified the major risk factors for burnout: gender, age, work load, years of experience, working shift, ethical issues, and patient-related decision making, among others. They also attempted to derive the associations between socio-demographic factors and burnout. They used… Continue Reading...

Involvement Of Professional Interpreters in Care Delivery Process

and are necessary in the implementation process. The administrative stakeholders required for implementation of this project is the hospital management while the clinical stakeholders include healthcare providers, nurses, patients, and professional interpreter. The necessary financial stakeholders include the healthcare provider and governmental or non-governmental healthcare agencies. Theoretical Foundation and Conceptual Framework The main goal of this proposed project is to promote the use of professional interpreters in the healthcare setting to help improve patient-provider communication and medication adherence among elderly Hispanic patients aged 50-75 years. Since these patients are Limited English Proficient (LEP) patients, they face language barriers when… Continue Reading...

Development Of an Health Advocacy Campaign

Developing a Health Advocacy Campaign Introduction Health advocacy takes into account direct service to a person or household as a whole in addition to activities that facilitate the promotion of health and accessibility to health care amongst communities and the greater general public. Joining together science, ethics and politics, advocacy is self-instigated, evidence-based, deliberate action that health professionals can assume and undertake to aid in the transformation of systems and improve the environments and policies that fashion their patients’ behaviours and choices, and at the end of the day their health. It helps in guaranteeing access to care, directing the… Continue Reading...

Salmonella Infection

their hands prior to preparing food or taking care of children, aged individuals or patients in a hospital (GSA, 2012). Cost Associated With the Disease According to Economic Research Service (USDA) figures, salmonella from various sources is linked to an annual cost of roughly 2.65 billion dollars, on the basis of CDC (Centers for Disease Control and Prevention) figures that suggest roughly 1.4 million yearly cases of salmonella from all sources, causing 415 deaths. Average projected cost for each case stands at $1,896. Costs associated with cases of E coli O157 have been projected at 478.4 million dollars, based… Continue Reading...

Reducing Patient Falls

Quality (2018), between 700,000 and one million patients in the United States fall while in hospital each year, and about one third of these falls could have been easily prevented with effective administrative procedures and best practice protocols. Yet many organizations lack the quality and safety initiatives they need to prevent patient falls in hospital. As a result of negligence to prevent falls, patients experience a number of injuries that could even lead to higher mortality rates. Hospitals like this, which do not have fall preventing strategies in place, risk malpractice suits and fail to fulfill their ethical responsibilities… Continue Reading...

Cabg Surgery Plan Of Care

Interdisciplinary Care Providers CABG or coronary artery bypass graft surgery is advised for individuals suffering from CHD (coronary heart disease), for alleviating symptoms, prolonging lifespan, and improving QOL (quality of life) (Bayoumi, 2015). Improvements in mechanical ventilation-supported cardiac operation patient management continues to be a major focus area for better optimizing clinical results. The FTE (fast-track extubation) theory applied in case of cardiac operation patients is growing in popularity, in a bid to offer more economical and superior-quality healthcare. A large number of research works have established that prompt extubation (i.e., between 6 and 8 hours after surgery) may be a safe… Continue Reading...

Health Care and Transparency Issues

how well prepared care providers actually are. Gandalf and Moreno give the example, for instance, of the University hospital in Utah: At the University of Utah, “when doctors’ scores and comments were published on their website, several things happened. First, the scores improved. Second, the doctors had many, many more positive comments than negative comments; and they liked seeing their positive comments out there. And third, it had a significant impact on their brand because it changed the search dynamics on a site like Google” (Gandalf & Merlino, n.d.). This shows that transparency not only inspires more confidence in… Continue Reading...

Using a Poster to Reduce Medication Errors

in the number of medication errors made in the target hospital. Implications for Nursing Posters are a highly cost effective strategy for reducing mediation errors. Many if not most tertiary healthcare facilities have in-house graphics departments that can support these types of initiatives. References Stoppler, M. C. & Marks, J. W. (2018) The most common medication errors. MedicineNet. Retrieved from https://www.medicine net.com/drugs_the_most_common_ medication_errors/views.htm. Continue Reading...

Mayo Clinic Website Evaluation

Website Evaluation: Mayo Clinic With the preponderance of misleading healthcare information on the Internet, it is important to become a discerning reader with strong science media literacy skills. The Mayo Clinic website has strong search engine optimization and arrives at or close to the top of Google searches for any health-related topic. Therefore, it is important to vet the Mayo Clinic website for strengths, weaknesses, and overall credibility. The Mayo Clinic is an actual medical group, with clinics, hospitals, and research centers located throughout the United States. It is a credible source, and therefore an authoritative site in general. In… Continue Reading...

Efficiency in the Health Care Facilities

of measures. The most outstanding measure is through streamlining the processes in the hospital. Streamlined systems can be achieved by standardizing the work and services in the hospital, implementation of bar-coding in the hospitals to save on time wasted looking for patent records, streamlining the laboratories services with interface solutions (Jone P.R., 2013). There are however factors that act to hinder the efficiency of systems set and hence increasing the ALOS in the health facilities. One of the common factors identified is the level of cooperation that the medics receive from the patients at the next of kin in… Continue Reading...

Differences in Two Distinct Product Categories

Soft Drinks and Smartphone Apps Product Categories Introduction Product categories allow marketers to classify products into meaningful categories that assist them in deciding on the appropriate strategies and methods that will assist them in promoting a particular product. Product categories are the primary method for grouping products that have similar features. Each category will have a distinct marketing strategy and even if the target market might be similar. This is because each category will be geared towards a different aspect of an individual's life. The two categories we are discussing are soft drinks and smartphone apps. These two categories will… Continue Reading...

Healthcare Challenges in the United States

able to get treatment even when they are not able to physically access the hospital building. Providers also benefit as they are able to offer solutions remotely. Some of the factors that are limiting the growth of healthcare mostly revolve around funding. Not everyone is in a position to afford the healthcare they need or would want. The lack of funds means researchers are limited in the number of researches work they can conduct, which slows down the progress of healthcare. Without research, it would be difficult to determine if there is a need for change or increase efficiency… Continue Reading...

Programs for Risk Management for Health Care Organizations

the implementation of risk management programs healthcare institutions can systematically and proactively protect the patient and hospital assets, accreditation, market share, brand value, reimbursement levels and the community standards. A risk management plan can be understood as a fundamental tool for implementation of the risk management program. The plan provides structures and guidance for the business and clinical services that make it possible to deliver quality care to the patients and foster safe hospital environment (The University of Scranton, 2018). · Description of the Incident Risk management plan Any risk management plan must be focused on provision of comprehensive,… Continue Reading...

Pert and Cpm Pert and Cpm Usage

method can be beneficial include conducting a vacation drive, hospital construction, polio eradication, adding another wind into a hospital facility, CHC (Community Health Centers) and PHC (Primary Health Centers) commissioning, ICU construction and launching, starting a medical college facility, health workers’ training program design, family camp planning, welfare centers for family planning development, nurse hostels construction, sanitation drive planning, and community health education program development etcetera (Jain, 2013). Evaluation of Programs Projects that are widely diverse subject themselves to the CPM and PERT analysis as suggested in the applications list below. · The procedure for missile launch · Ship… Continue Reading...

Pay for Performance

have not adequately linked the two. (Barello et.al 2012) Premier Inc. and CMS are two notable nationwide hospital systems which are undertaking a project to demonstrate the pay-for-performance. The participants get more cash for treating Medicare patients with conditions such as heart failure, coronary artery bypass graft, acute myocardial infarction, pneumonia, and hip and knee replacements. On 31st March, 2018, 414 Premier hospitals were allowed to enroll for the project and 267 of these agreed to participate. (Vogenberg & Smart, 2018) Rosenthal et.al (2005) states the importance of the lessons from the pay-for-performance project. Legislation and/or policies related to pay-for-performance… Continue Reading...

Key Resources Critical Infrastructure

Critical Infrastructure and Key Resources NIPP (National Infrastructure Protection Plan) offers the necessary structure for coordination, synchronization and integration of activities originating from different pertinent statutes, presidential directives and national strategies for the creation of a combined countrywide approach for the implementation of the protection mission of CIKR (Moteff & Parfomak, 2004). The continuity and protection of CIKR is fundamental for national security, safety, vitality, lifestyle and public health. Critical infrastructure can be understood as the systems, networks and assets, virtual or physical (Fisher & Norman 2010). Critical infrastructure is quite fundamental to a nation to the extent that their… Continue Reading...

Patient Care and the Affordable Care Act

has been a significant upsurge of patients streaming in for care in the hospital. The increased number of patients visiting the hospital have put a strain on the available staff and significantly affected the quality of care to patients. The higher nurse-to-patient ratio have in the recent past contributed to increase in mortality and morbidity. In the hospital, staff are facing increasing work relate pressures, increasing demand for services and the institution is struggling to keep up with the system of pay-for-performance. Essentially the hospital administration inadequately compensates its workforce in relation to the work done (Samuel, Maizel, Shane,… Continue Reading...

The Use Of the Lean Method

Page 1 Higher death rates at Community hospital may be cause for alarm. People often do not want to see negative statistics that may infer lower quality care. However, does higher death rates mean lower quality care or can it be something else? Something like this may be brought up because the logical conclusion would be that low quality care brought on by potential problems within the hospital such as understaffed departments or lower quality medical tools, could lead to the higher mortality rates. Still, it may… Continue Reading...

Fitness and Health Insurance Reform

(EHR) is often cited as a reason for poorer quality health outcomes. But while hospital with completely digitized systems generally do have better patient outcomes, when studies comparing those institutions with and without EHR control for factors such as patient income, number of nurses on staff, and other quality-promoting variables, the existence of EHR is not the decisive factor (Yanamadala, et al., 2016). This suggests that EHR is not necessarily a vitally necessary component of a more nationalized healthcare plan. References Obama, B. (2016). United States health care reform progress to date and next steps. Jama, 316(5), 525–532. Retrieved… Continue Reading...

The Challenge Of Doctors Without Borders

work c. The U.S. then attacked a Doctors without Borders hospital in Afghanistan killing dozens and destroying the work of the group for 2 years i. 42 people died ii. Including staff, doctors, patients and volunteers d. This contrast between a nation intent on destroying with bombs and a small group intent on healing with health care and medicine shows that people need to choose sides and support one or the other. II. Establishing the Need a. Because of all the conflicts, wars and diseases raging around the world, there is a need for humanitarian service. b. Doctors without Borders… Continue Reading...

Healthcare Nursing Patients Caring

the better. The coldness that many patients feel upon entering a clinic or hospital can be transformed into a warm atmosphere more conducive to healing without incurring additional costs. In fact, nurse leaders and hospital administrators need to recognize that the small changes made to staff development practices, leadership, and institutional design end up saving costs related to unnecessary readmissions. Patients that receive genuine caring are more likely to take the necessary emotional and physical steps in their own healing journey. Verghese also points out how doctors often miss important bits of information when they rely only on the… Continue Reading...

Hiv Aids Pandemic Outbreak and Discussion

In the summer of this year, San Francisco General hospital opens up a ward dedicated exclusively to incidences of AIDS and it is filled within days (hiv.gov). This was also the year when the Morbidity and Mortality Weekly Report was able to rule out all casual transmissions of HIV/AIDS such as via food, water, air, and environmental surfaces (cdc.gov, 1983). This was so significant because it provided clarity to the rest of the world about how people were at risk in becoming infected—and how they were not. While it was good that major centers and organizations for health and… Continue Reading...

Implementation Of Continuous Quality Improvement

British nurse, Florence Nightingale, determined the link between high mortality rates among army hospital inpatients and inferior living conditions. Surgeon Ernest Codman initiated hospital standards development, adopting and stressing the significance of healthcare outcome assessment approaches (Colton, 2000). Former US President Johnson, in the year 1965, signed the bill that made Medicare a component of the nation’s Social Security scheme. This bill which was enforced in July of 1966 expanded the three-decade-long Social Security initiative and offered nursing home and hospital care, outpatient treatment and home nursing services to individuals aged above 65 years (QIO News, 2014). Numerous major attempts… Continue Reading...

Implementation Process Of the Ehr Change

the globe. At the present moment, the small rural hospital will largely benefit from the implementation of EHRs. The following are the steps that could be undertaken in the implementation process of EHR for the hospital: 1. The first phase would encompass delineating all of the tasks and practices necessitated to be carried out by the physicians, IT staff, as well as practice managers. The fundamental tasks in this phase comprise of scheduling the implementation, patients and practice data migration, formation of a training program and delineating critical success factors and assessment strategies. 2. The implementation committee is thereafter… Continue Reading...

The Relevance Of Operating Room Nurse Residency Program

Need for Operating Room Nurse Residency Program A Review of Literature Previous studies have indicated that in other specialties, nurse residency programs have been largely successful in seeking to stem nursing shortages. However, very few studies have attempted to evaluate as well as assess the effectiveness and success rate of nurse residency programs in relation to operating room nurses. It is important to note that there is a looming crisis in the horizon in relation to the shortage of operating room nurses (Brown, Belgard, Washington, and Grueso, 2017). The effects this continued shortage could have on perioperative nursing could be… Continue Reading...

Differences Between Inferential and Descriptive Statistics

US Healthcare System Healthcare staffing needs are expected to change in the next 10 years. As 78 million Americans are expected to hit retirement age, there will be need for more healthcare staffs who cater for the needs of the elderly or aging population. Garson & Levin (2001) state that changes in the healthcare sector are expected to enhance patient care processes, improved quality of care, and increased efficiency. Modern trends in the health sector shows that healthcare systems will evolve to best leverage a global market for their services through shifting to value-based care and placing emphasis on clinical… Continue Reading...

Critical Analysis War Is a Racket

Critical Analysis: War is a Racket Butler is correct: war is racket. He describes a racket as an operation that costs many but benefits a few—and that describes war well enough. Hundreds of thousands of lives are put on the line while a handful profit—investors, bankers, speculators and industrialists, for example, all of whom stood to make out like bandits from the Spanish-American war. Wars are invariably fought over some pretense: the Spanish-American War was launched because of an explosion on The Maine, which our yellow journalists quickly blamed on Spain, which allowed our leaders (who always have a cozy… Continue Reading...

A Brief History Of Medicare and Medicaid

bill on 30th July 1965. Early in the day, the Medicare segment constituted Part A for hospital insurance and Part B for medical care insurance. Both parts came to be what is called the Original Medicare. They are used to assist Americans with footing healthcare costs. Over the years, the Congress has been reviewing and changing the plan so as to make it accessible to more Americans. Medicare extended its coverage in 1972 to include disabled people, the terminally ill renal disease patients and all elderly people at 65 years and above (Piatak, 2015). Medicaid has made many significant steps… Continue Reading...

Affordable Care Act Aca Implementation State Of Florida

by their insurance, or facing an unpleasant surprise to discover that although the hospital itself may be classified in-network, the particular provider they saw was not. Hospitals have acknowledged the need to keep information current, both for their own reimbursement as well as to protect patients from unexpected costs. “hospital experts agree there needs to be more clarity about whether a hospital is in a particular network…a hospital signed with a plan, but then later learned it was not part of the plan” (Born, 2017, p. 18). Other positive signs in Florida are that physicians and hospitals have shown… Continue Reading...

Nursing Shortage Essay

Abstract Globally, a nursing shortage is impeding the advancement of healthcare systems around the world. The nursing shortage refers to any situation in which the labor market cannot keep up with patient demands. Causes of the nursing shortage include poor working conditions leading to high turnover rates, insufficient nursing education programs, and lack of incentives for nurses to work in areas of critical concern. Effects of the nursing shortage include further staff shortages due to high stress environments and poor patient care—including higher rates of mortality and morbidity. Nursing shortages have affected almost every region of the world, and may… Continue Reading...

Affordable Care Act

Affordable Care Act (ACA) • Differentiate between at least three groups of stakeholders impacted by the ACA. Obamacare or the ACA (Affordable Care Act) was primarily designed and put into effect in the year 2010 with an objective of offering better healthcare insurance coverage for the American people and minimize the heavy costs incurred by the American people to access healthcare (Thompson, 2014). Although ACA has achieved sizeable success in coverage there are still many challenges facing it including slow adoption across America, funding problems and problems getting the support of the public (Center for Public Impact, 2017). The main… Continue Reading...

Financial Strategies Of Healthcare Organization

organization has. According to Dong (2015) there is a significant statistical relationship between the financial performance of a hospital and the quality of healthcare the hospital provides. The profitability of the hospital, operating efficiency, asset liquidity, costs, and financial leverage are important determining factors to the quality of healthcare. Generally public hospitals offer lower quality healthcare compared to the nonprofit hospitals (Dong, 2015). Similarly, urban hospitals often report better healthcare quality compared to the hospitals situated in the rural areas. In specific terms, results from the research conducted by Dong (2015) reveal that treatment quality for the cardiovascular patients increased… Continue Reading...

Criminal Law and Psychopathy

Criminal Law and Psychopathy I. Introduction Various studies have in the past indicated that there is a high correlation between violence/criminal behavior and psychopathy. This would largely be expected given that psychological studies into the character and disposition of psychopaths has demonstrated that the need for control (or power) as well as egocentrism, which also happen to be the dominant character traits of psychopaths, are predictors for deviant or antisocial behavior. The debate on whether or not psychopaths should be held criminally responsible for their acts, and thus be subjected to criminal punishment, has been raging for a long time.… Continue Reading...

Nursing Theory Research and Practice

with regards to choosing the appropriate action, reaction, intervention, and transaction that would help make a patient’s health and hospital stay more manageable and comfortable as well as helping them recover faster from their physical and emotional dilemma. Scenario in which theory, research, and practice interact A good scenario in which theory, research and practice interact would be where a nurse is faced with a situation in the Antenatal Orthopedic care unit. A nurse practitioner serving in the orthopedic care unit is faced with a situation where a 25 year old pregnant woman who looks quite healthy and comfortable… Continue Reading...

Medicare Access Reauthorization Act or Macra

On April 16, 2015 an Act called the Medicare Access and CHIP Reauthorization Act (MACRA) was passed, which is a piece of history of bipartisan legislation. Eventually, on October 14, 2016 the Centers for Medicare & Medicaid Services, the department of Health and Human Services, and the regulatory agency which takes care implementing and putting into practice MACRA, gave out an ultimate rule with a comment duration putting into practice the provisions of MACRA. MACRA revokes the highly denounced Sustainable Growth Rate Formula together with its schedule for Medicare Physician Fee (MPF) cuts, substituting it with the Quality Payment Program,… Continue Reading...

Elder Abuse Among Patients

little understood about how elder abuse is identified and diagnosed in hospital settings. Care providers do not have enough education on the matter and need to be better informed. The purpose of this research is to obtain a better sense of what care providers in the geriatric service line do know about elder abuse, how to identify it, and what to do to address it: this information will serve to help the geriatric service line develop a teaching tool that will train the care providers in that line to better understand, recognize and address elder abuse. As training and… Continue Reading...

An Argument in Support Of Vaccination

Pro-Vaccination: An Argument in Support of Vaccination Introduction In the past, there has been marked increase in the number of vaccinations recommended as more vaccines are developed in an attempt to rein in various diseases. Accompanying this increase has been parental concerns regarding the relevance and safety of the said vaccines. Apart from parents, various anti-vaccine proponents have also presented numerous and diverse arguments against vaccines. It should, however, be noted that the various concerns as well as arguments against vaccines have been countered by medical professionals who are of the opinion that the relevance of vaccines cannot be overstated… Continue Reading...

Nursing Turnover and Leadership

& Geiger-Brown, J. (2014). Factors associated with work-related fatigue and recovery in hospital nurses working 12-hour shifts. Workplace Health & Safety, 62(10), 409-414. Huber, D. (2014). Leadership and nursing care management (5th ed.). Maryland Heights, MO: Saunders Elsevier. HRSA. (2018). Which nursing programs do we fund? Retrieved from https://bhw.hrsa.gov/grants/nursing Twibell, R. (2012). Tripping over the welcome mat: Why new nurses don’t stay and what the evidence says we can do about it. American Nurse Today, 7(6), 1-7.   Continue Reading...

Doctors Without Borders and Clean Water Crisis

sanitation projects can take into account the construction of latrines or taking care of waste management in a hospital. Works Cited Doctors Without Borders. Engage Us: Volunteer, 2018. Retrieved from: https://www.doctorswithoutborders.org/take-action/engage-us/volunteer Doctors Without Borders. Who We Are. Retrieved from: https://www.doctorswithoutborders.org/who-we-are Fox, Renée C. Doctors without borders: humanitarian quests, impossible dreams of medecins sans frontieres. JHU Press, 2014. Redfield, Peter. Life in crisis: The ethical journey of doctors without borders. California: Univ of California Press, 2013. Wass, Val, and Southgate, Lesley. "Doctors without borders." Academic Medicine 92.4 (2017): 441-443. Water. Org. The Power of Water, 2018. Retrieved from: https://water.org/our-impact/water-crisis/ World Health Organization. Drinking Water,… Continue Reading...

Africa and Cultural Studies

Option 1 Assumptions about truth can be dangerous in any research because they can lead to bias shaping the research: a researcher may suffer from confirmation bias, seeking only the type of answers that align with his assumptions (Nickerson, 1998). Objectivity and subjectivity, therefore, are important to consider when conducting research, just as deriving the correct interpretation of the meaning of collected data is important. Objectivity, subjectivity and meaning are interconnected, as both objectivity and subjectivity will feed in to how meaning is understood. Every person is capable of being both objective and of having a subjective experience at the… Continue Reading...

The Amazing Clara Barton

she died in 1912. Born in 1821, she served as a hospital nurse in the American Civil War and became a member of the National Women’s Hall of Fame in 1973. This paper will provide the background biographical information on Clara Barton, discuss her most significant contribution to Human Services, describe where she did her work, and explain her legacy. Biographical Information Clara Barton was born on Christmas Day in 1821 in North Oxford, Massachusetts. Her family religion was Universalist and she believed in the Universalist doctrine that all people are born saved because a good God would never… Continue Reading...

How to Achieve Environmental Health

Surveillance System for an Environmental Health Concern Introduction Environmental health is an important concern for health care providers because it comprises the areas of human health that are impacted by external factors, such as chemical agents, biological agents, physical environment and so on. Issues that fall under environmental health are air pollution, water pollution, pesticides, chemical spills, and other areas (Laroque, 2009). Because of the risk of these areas negatively impacting human health, there is a need to monitor environmental health areas. One major area of environmental health that desperately needs surveillance is the quality of the air in urban… Continue Reading...

Challenges Of Command and Control Leadership

Leadership and Change Leadership is defined as the ability of an individual to influence and guide his or her followers. Therefore, the leader is required to make sound decisions, create and articulate a clear vision, establish goals that are achievable, and provide the followers with the necessary knowledge and tools for them to achieve goals. There are different leadership styles that leaders follow or adhere to. The most common of them being the command and control leadership style. While it might be the most common leadership style in use today, that does not mean that it is the most effective… Continue Reading...

Nursing Metaparadigm

the research interests of the study. She also takes into consideration the patient’s environment, which is a hospital which is extremely focused upon advancing research. Again, the individual patient’s own interests may be forgotten as a result. With this in mind, using the resources of medical ethics and the legal system, Susie discusses the possibility of a DNR (do not resuscitate) order with Vivian. Susie empowers the patient with knowledge that Vivian can understand, despite Vivian’s weakened state, and allows Vivian to know that despite the external pressures of the environment in which Vivian, Vivian still has autonomy. The… Continue Reading...

Economic Disadvantages and Respiratory Issues

The Florida Asthma Program manages statewide efforts in reducing asthma hospital admission rates and also increasing the number of asthma patients receiving self-management education. This program takes a thorough approach in preventing as well as decreasing asthma discrepancies in Florida through abiding by an integrated tactic as laid down by the Centers for Disease Control and Prevention National Asthma Control Program. Programmatic schemes have been established and incorporated into three component regions: interventions, surveillance and partnerships (Florida Health, 2019). Communication Plan Prescriptive drug therapies: Also referred to as maintenance drugs, they are generally consumed daily on a long-term basis… Continue Reading...

Case Study Of Copper Coil

Copper Coil Case Study Student Name University Name Copper Coil Case Study Abstract Copper Coil is a successful corporation that specializes with distinct metal components. The company has seen progressive sales in the past five years and such growth is projected to continue in the forthcoming periods. This analysis sought to ascertain three key aspects comprising of employee engagement, employee turnover and perceptions of organizational support. The analysis of the data comprised of the gender category, which included of three different groups including males, females, and individuals who failed to state their gender. For starters, the outcomes of the study… Continue Reading...

Conflict Mapping in South Sudan

in tribal genocide. The increasing involvement of the Nuer white army, deliberate church and hospital massacres demonstrate the evolution if the war. The pervasive cases of sexual assault have been associated with ethnic troops. 2.3. Highly Militarized Nation The competing dominant group of elites in South Sudan referred to as the “gun class” have been a driver of South Sudan chronic civil war. The elite group supports militia groups to escalate political grievances that often explodes in deadly violence with pronounced ethnic undertones. For example, the supporters of Dr. Machar entails a division of army that broke away from… Continue Reading...

Intervention Plan for Valuing Diversity

Topic for intervention plan: Valuing Diversity About the topic Cultivating a diverse workforce can have great power in a corporation. Diversity can be brought about by a different race, demographic, age, residing locations, culture, or even language. Therefore, diversity is not about these categories but about anything that differences one individual from another. It could be ideas skills, thoughts, knowledge, geography, culture or opinions. An organization can achieve diversity by including the differences among the people in the mix when making critical decisions, generating new ideas and solutions to the challenges they face internally as well as to the external… Continue Reading...

Developing an Annex for an Emergency

The Train Derailment Chemical Spill Response Annex Introduction The three main priorities that the National Incident Management System (NIMS) provides for any emergency response operation are: to save lives, stabilize the incident, protect property and the environment. These three priorities are supported by the guiding principles of flexibility, standardization and unity of effort (NIMS, 2018). These priorities and principles, therefore, will serve as the foundation of this Train Derailment Chemical Spill Response Annex. This Annex will describe the role and expectations of all relevant partners in the response, the interagency collaboration process and procedures that all responding partners will be… Continue Reading...

The Initiation Process in the Hero S Journey

is such a bumbling, inept fool, he blows the break-out and is wounded and hauled off to a hospital to recover in the process while Bill remains locked behind bars. Then a hurricane arrives and barrels up the river tearing the town apart. The hospital literally blows away and Willie scrambles to get out of harm’s way while the townsfolk flee for safety. A tree knocks the prison into the river and Bill, still locked up, cannot escape and is in danger of drowning. Willie escapes the town wreckage, leaps into the Stonewall Jackson, ties ropes to the necessary… Continue Reading...

Implementation Process Fall Reduction Project

Reduction Project: An Evaluation of the Implementation Process Chapter 3: Implementation In Brief Blank hospital had a significant increase in falls in the inpatient acute care setting. For this reason, the need for an immutable and comprehensive fall strategy was identified at the hospital following an evaluation of the various costs (both financial and ethical) associated with falls deemed preventable. Towards this end, a fall prevention project was undertaken. I was responsive for overseeing the fall prevention project implementation. 1. Description of Steps · Pre-implementation phase · Implementation phase · Sustainment phase 1.1. Pre-implementation Phase The pre-implementation phase took a total of… Continue Reading...

Upsa Members and Ltc Choices

entail treating conditions that are potentially curable like bladder infections and pneumonia with some transitory stay at the hospital where necessary (MedicineNet, 2018). Hospice programs provide respite care personnel. The respite care personnel are trained volunteers responsible for taking over patient care in order to give the family some relief and opportunity to take care of other things (MedicineNet, 2018). Volunteer care forms part of the philosophy of a hospice. Hospice is a term that comes from the Latin word ‘hospitium’ in reference to a guesthouse (MedicineNet, 2018). Hospice versus Palliative Care In some ways palliative care is similar… Continue Reading...

Acute Gastritis

CHIEF COMPLAINT: Constant abdominal pain with N/V for 4 days HISTORY OF PRESENT ILLNESS: The patient is a 24-year-old African American female who presents to the clinic with abdominal pain, nausea, as well as vomiting. According to the patient, she has not experienced fever and she has not noticed any blood in her stool or vomit. ASSESSMENT: A 24-year-old African American woman presents to the clinic complaining of abdominal pain, nausea and vomiting. Upon enquiry, she denies any blood in the stool or vomit. She also denies any fever. Patient medical history is not available. Although acute gastritis is suspected,… Continue Reading...

Reducing Patient Waiting Time for Better Patient Outcomes

The anticipated changes will have to be approved by the finance department, the hospital executive management, and the nursing manager. The proposed changes may require financial investment and top tier approval from the hospital management. Step 3 Literature Review- current best practices in Healthcare Scheduling Brandenburg et al. (2018) in evaluating the best practices in scheduling of healthcare examined how CEO’s in leading health systems in the United States handled the difficult issue concerning the waiting time through the healthcare continuum. The researchers reviewed crucial forces that shaped wait times in the healthcare environment and the evolution of tools… Continue Reading...

Nursing Homes and Resident Care

are typically provided in different settings—often in the geriatric unit of a hospital. A nursing home is most often used as a setting for long-term care in which assistance is needed with daily living and with the instruments needed for daily living, as well as geriatrics suffering from behavioral illnesses such as dementia or Alzheimer’s (Sanford et al., 2015). The nursing home focuses on providing a safe, stable, supportive environment for long-term care of elderly residents. The Support of Family and Friends In this setting, it is helpful to have the support of family and friends. Friends, family and… Continue Reading...

How to Manage a Non Profit Health Care Organization

offers assisted living services, nursing home services, memory care, rehabilitation care, hospital care, adult day care services and many other health care services around the nation. One example is the Madonna Manor in Northern Kentucky, which was founded by the Benedictine Sisters in the 1960s, then operated by the Sisters of St. Francis as a subsidiary of CHI in 1998. CHI clearly identifies itself as a non-profit organization on its main website (CHI, 2019) and its mission, vision and values align with the standard idea of what a non-profit should be. This paper will describe the history, leadership and… Continue Reading...

Response to Hurricanes for Hospitals

US Disaster Preparation and Lack of with Regards to the Hurricanes and US Administration Introduction The health policy relating to U.S. disaster preparation or lack thereof with respect to hurricanes is one that must include a better system of communication between the U.S. disaster response teams and the hospitals in the affected regions. As Hurricane Katrina showed, the U.S. was not prepared to handle the level of response needed in the wake of the catastrophe the hurricane produced. The problems with the response to Hurricane Katrina were numerous: there was no National Response Plan (NPR) in place and there was… Continue Reading...

Maintaining the Health Of Patients

is directly responsible for a third of HAIs among patients in hospital settings (Iowa Department of Public Health). The challenge, then, is in agreeing to the emphasis placed on CAUTI within the organization, and taking adequate risk management measures to prevent this condition from occurring. Still, the very nature of this challenge presents opportunities for the aforementioned organization to engage in preventative action to preclude the occurrence of CAUTI as much as possible. Specifically, this organization should implement a number of strategies to help CAUTI from affecting patients in clinical environments. These strategies are readily stratified into two components:… Continue Reading...

Qi Gong Religion and China

Health in 1955. He also helped in the foundation of Beidaihe Qi Gong Sanitarium hospital in 1966 and was the first president (Liu 62). The period saw development in academic researches by various scholars such as Xu Feng Yan. The founders of different times have contributed to the advanced modern-day practice of Qi Gong. The basic beliefs and convictions of Qi Gong are rooted in the psychological effects of exercises. They are founded on the concept of ‘the Three Adjustments’ which include the mind, breath, and body. The adjustments aim at integrating the three aspects into one to get… Continue Reading...

Neurological Disease

1 The field of neuroscience that interests me most is a research position at a hospital or university. I believe that being attached to a research facility within the medical community has the potential for high demand in the future, as a growing segment of the population ages and develops Alzheimer’s and dementia. Neurological disorders have a devastating effect on the person affected, and those around them. I see neurological diseases of the aging process as particularly devastating because the person slowly loses their life and their special connection with those who love them. I am interested in two areas… Continue Reading...

Acl Tears and Rehabilitation

the knee should be protected or immobilized (Massachusetts General hospital, 2019). The first phase of the recovery process requires giving the knee protection, rest, and time to heal. Placing a pillow under the knee for comfort should be avoided, as this can lead to the knee becoming stiff (Massachusetts General hospital, 2019). The pain and swelling typically subside in about three weeks and the person can then begin gentle motion to regain range of motion. A stationary cycle or swimming using the flutter kick and typically recommended as early stage recovery exercises (Massachusetts General hospital, 2019). An ACL tear… Continue Reading...

Johnson and Johnson Human Resource Value and Contribution

Introduction to Johnson and Johnson For a company to be successful, it must continuously build and nurture long-term relationships with its strategic shareholders. Shareholders is anyone who has an interest in an organization ((Noe et al., 2016). They include employees, governments, competitors, suppliers, competitors and customers. One such company is Johnson and Johnson (J&J). It has emerged as one of the most successful company globally because of its values dubbed "Our Credo” (Team, Directors and Governance, 2019).J&J is also among the Fortune 500 companies. This paper will focus on various dimensions of the J&J Company. It is divided into three… Continue Reading...

Metoprolol and Cardiac Surgery

with PoAF by reducing the days of hospitalization, or hospital readmission due to worsening cardiac complications. The clinical trial by Crystal et al., (2004) of 100 patients with similar AF history, age and sex identifies a 8% (99% CI) reduced risk of PoAF associated to administration of prophylactic metoprolol and an increased risk of PoAF by 3.3 % (97% CI) among the placebo group. PoAF increases the length of admission in the Intensive Care Unit (ICU) (Crystal et al., 2004). According to Crystal et al., (2004), failure to administer beta-blockers results prior to cardiac surgery yields a decline of… Continue Reading...

Immigration in the United Kingdom

Windrush Generation Introduction After the end of WWII, the British were faced with a severe labor shortage. There were simply not enough workers to tend to the work needed in England. The war had wrought considerable destruction and the solution, it seemed at the time, was to import labor. Immigrants from the Caribbean countries, such as Jamaica, Trinidad and Tobago and Barbados were invited to the UK between the years of 1948 and 1971 to help fill the labor shortage. They arrived at the ship the MV Empire Windrush, which is where the name “Windrush Generation” comes from.[footnoteRef:2] As a… Continue Reading...

Signature 410-non-profit Healthcare Organization

assisted living services, nursing home services, memory care, rehabilitation care, hospital care, adult day care services, and many other health care services around the nation. It has recently merged with Dignity Health becoming one of the largest health services conglomerates in the U.S. This paper will discuss the marketing strategies employed by CHI, its financial situation, partnerships and strategic planning. Marketing Strategies The marketing strategies used by CHI include TV, digital-marketing with content and social media, print ads and even outdoor advertising to help make CHI more popular among the different communities throughout the states in which it operates… Continue Reading...

The Future Of Healthcare Technology

regardless of the technology that is developed, it must be supported and executed by hospital leadership to be successful. Currently, research is underway for the use of artificial intelligence, supercomputing, and clinical support systems in the healthcare environment. This research will explore how these technologies are likely to change healthcare in the future, and the role of readership in making the integration of these technologies a success. Overview Currently, information technology is an integral part of the healthcare system. HIT refers to a variety of technologies that collect, transmit, store, and display patient data electronically (Hemmat, Ayatollahi, Maleki, and… Continue Reading...

Halloween 1978 the Horror Movie

to kill a group of teenage girls; Annie, Laurie Strode, and Lynda after breaking out of the mental hospital on Halloween 1978. The film is based Haddonfield, Illinois where 6-year-old Michael Myers viciously murders his sister after she parted with her boyfriend following a sexual encounter on Halloween night in 1963. Enraged with sexual anger, Michael escapes with a mission of killing Laurie who he considers as a similar version of his sister but kills Laurie’s friends before attempting to kill Laurie. During the Halloween, of 1978, Laurie notices that Michael is stalking her and her friends, Annie and… Continue Reading...

Toxicology Testing

to be used. This form of testing is commonly used in police stations and hospital labs, to test for illicit substances and toxins in the blood and other body fluids respectively. In the case of law enforcement, they can use this as evidence if one is charged with ‘Driving under the Influence’, which is a traffic offence. In murder cases, DNA evidence can be used in court to prove a crime with an accuracy of 99.91%. According to Lappas (2016), accused persons are always prosecuted when they are found with illicit substances in their blood stream. Toxins are porous… Continue Reading...