health records for easy retrieval and analysis by other members of the healthcare team. Based on the organization’s rules and policies, medication selection process should be based on clinical evidence, patient characteristics, cost-effectiveness, and best practice.
The second stage in the process is ordering/prescribing, which entails creating a medication order that incorporates the specific medicine for the patient and dosing recommendations depending on the patient and his/her clinical condition (Hughes & Blegen, 2008). This is carried out by a physician or nurse using electronic health records, which are utilized for managing a patient’s medical information. The information required to execute this step… Continue Reading...
care. The procedures, programs of treatment, or medications the payer will cover may not be those that a healthcare team would have recommended.
As is the case with regulators, payers often make their decisions more based on aggregate data than what might be good for a single, individual patient. As such, reimbursement policies will typically reflect a broader sort of approach to policy-making than at the level of healthcare organization administration. The results of an epidemiological study, for instance, might be in conflict with what is best for one particular patient seeking acute care in the organization. There might be special medical situations, for example, where the generic… Continue Reading...
and encourage further testing of patients who are deemed at risk for developing health problems as a result of being overweight or obese (Kushner, 2012). Subsequent to diagnosis, healthcare teams should offer patients a range of options based on their current lifestyle and their willingness and ability to change. Unfortunately, “national studies have shown that obesity counseling rates remain low among healthcare professionals,” (Kushner, 2012, p. 2870). Even if assessment and diagnostic procedures remain complex and individualized, healthcare workers need to develop more comprehensive protocols for treatment intervention plans. Assessments are also based on patient risk factors for developing comorbid conditions (National Institutes of Health, 2000).
Patient Education
Patient education is the cornerstone for obesity awareness, early detection,… Continue Reading...
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 that is being provided to them. The researcher has first-hand experience with this challenge in the PCU and has heard first-hand from patients there that the care seems disjointed, that continuity is lacking, and how problematic it is for patients to hear different answers or explanations from different members… Continue Reading...
a fall does not result directly in injury, it can seriously undermine patient trust in the healthcare team and perceptions of institutional quality of care (Patient Safety Network, 2018). Insurance providers and the Centers for Medicare and Medicaid Services do not reimburse hospitals for the “additional costs associated with patient falls,” (Patient Safety Network, 2018, p. 1). Given the tremendous ethical and financial costs associated with preventable falls, hospitals like this one need a comprehensive and immutable fall prevention strategy with the means by which to maintain a culture of safety throughout the organization.
Causes of the Problem
Falls are complex incidents, with several interrelated variables… Continue Reading...
patients. Likewise, disclosure empowers the patient to make informed choices about reactions to the medical error while encouraging the healthcare team to do whatever necessary to reduce errors from occurring in the future. The best strategies for reducing medical errors include ongoing professional training of all staff, correcting organizational culture barriers, and the implementation of a set of specific protocols for medication administration.
Summary
Ethical Issues
Whether or not the patient experienced adverse effects has nothing to do with the ethic of disclosure. Even consequentialist frameworks like utilitarianism can be used to show why disclosure should be normative among advanced practice nurses. A utilitarian ethic promotes the greatest good… Continue Reading...
of how the patient perceives the care, and whether there is more we can do as a healthcare team to ease their discomfort or clarify what we are doing. Professional presence, or mindfulness, should be considered a core competency of nurses because of how important it is for reducing medical errors and improving patient outcomes.
Personality Preferences
Results of Keirsey Temperament Personality Test
The results of my test show I am one of the Guardians, stalwart leaders who help uphold the structures, institutions, and laws of society. Guardians like me also support others to be the pillars of our collective social institutions.
Analysis of Results
Alignment with… Continue Reading...
healthcare team is affected. When nurses are not happy with their work environment, they quit. This can be very expensive for the health care organization as they have to hire and train new ones.
Programs that are currently related to this issue.
How has this issue been dealt with in the past? Based on reports from my preceptor who happens to be the director of nursing, the facility has in the past attempted to address nurse burnout by providing adequate staff. Unfortunately, most of the new nurses get overwhelmed and… Continue Reading...
have a routine check-in with other members of the healthcare team, including physicians and psychologists.
2. Level of patient interactions. Nurse leaders do not necessarily have as much one-on-one time with patients, because they are in a position of leadership that guides other members of the healthcare team. However, nurse leaders do pay close attention to patient files and data, pointing out areas of concern or issues related to care continuity and collaboration with other healthcare workers. During the day, it is possible that the nurse leader does assist nurses who are primarily engaged in patient interactions and these… Continue Reading...
professional health care. Telling members of the healthcare team what the goals and expectations are, but still allowing them to self-organize, gives them some autonomy within the fast-paced world of professional healthcare. Experts within the field support this wholeheartedly: “First, business structures work best when they are self-organized. Rather than impose shape upon the organization, managers should simply allow the organization of people and effort to evolve in response to ongoing messages from customers” (Hout, 1999). This shows that the manager has faith in team members to handle things as they come up and as they see… Continue Reading...
in general. We now work as independent members of an interdependent healthcare team, applying best practices and cultural competencies towards optimizing patient care.
Nursing education is notoriously demanding, due to the rigors of professional competencies that are expected of all graduates. I am prepared to make changes to my time management, to my self-concept, and to my lifestyle in order to successfully complete the degree while also preparing for my financial future. Nurses who are committed to advancing the profession itself, as well as their own personal career, place additional burdens on themselves to make their education count. I am dedicated… Continue Reading...
