The reluctance to refer patients to specialists may also mean that nurses must practice more holistic, rather than specialized forms, of nursing. The desire for cost containment has resulted in many nurses assuming physician's duties, such as those duties confined in previous eras to the patient's primary care physician. In states with high HMO (Health Maintenance Organization) enrollment, more nurses were shifted to lower-paying nonhospital settings, such as in home health care settings, to defray costs (Buerhaus & Staiger 1996).
What affect has manage care had on nursing education?
Surprisingly, the majority of nursing schools still do not work with a managed care organization or with physician training programs to facilitate educating student nurses in managed care competencies. However, 57% of hospitals do offer continuing education to staff members though educational seminars, staff meetings, and other programs (Copeland 2003, p.2-3). Although the managed care system is likely to change in the not-so-distant future as calls for healthcare reform become increasingly loud, the fact that the managed care approach is unlikely to entirely to disappear, coupled with unique challenges posed by the financial demands of healthcare has caused many nursing schools to either revise their curriculums or to add certification for nurses seeking to specialize in managed care organizations or approaches.
Nursing practice and the environments within which nurses work are under constant influence from health care financing changes, shortages of health care workers, new technologies, and other national, societal, and economic factors. The impact of fewer resources, escalating costs, and more chronically ill patients calls for continuing education in managed care type skills in nursing as well as in all health care provider groups. With...
It is also quite possible that there is a significant "placebo effect" when dealing with GI (or other) treatments. The patients may be truly relaxing, but may also believe that they are managing their pain through breathing and imagery, meaning they are, in fact doing just that (Bresler; Menzies). Evidence-Based Practice Analysis -- Clearly, the use of GI techniques to supplement and help wean patients off pharmaceutical pain management solutions
reputed "health crisis" currently facing Americans. The author explores several aspects of the health care crisis and analyzes the validity of those claims. The author presents an argument that there really is not a health care crisis and it is a fallacy. There were six sources used to complete this paper. Why do People Believe the Crisis is Real? What Evidence is There That it is Not Real? What are some of
Still, the concept of guided imagery tends to stray far from traditional methods of pain management. Pharmaceuticals have long been a major method of treatment for pain, but have resulted in major backlashes in regards to patients becoming addicted, especially in long-term and chronic cases of pain. If guided imagery could be a successful method, it may reduce pain or increase pain tolerance, without the threat of chemical dependence. There
Social, Cultural, And Political Influence in Healthcare Delivery Social, cultural, and political inequalities are detrimental to the health and healthcare system of the U.S. This is because the U.S. is one of the most multicultural, overpopulated, diverse and undergoing rapid economic growth. The federal government has embarked on efforts geared at addressing unsustainable costs of health care in the U.S. With the leadership of the current president, Barrack Obama, initiatives of
Develop a financial strategy for using global nursing strategies to increase fiscal responsibility. Include the positive and negative financial impact of bringing foreign healthcare providers into a financial organization. Examples such as physicians, nurses, and therapist should be evaluated and assessed for financial viability. Healthcare institutions may be faced with fiscal constraints at some point in their growth process therefore necessitating austerity measures and sound business practices that will help minimize
A1. Advantages and Disadvantages of a System All health information systems (HIS) come with great advantages and some disadvantages that must be taken in account to keep patients safe. A HIS is a system that captures, retains information, and helps manage it. A HIS can be used to send health information within an organization and outside of the organization. Several items within a healthcare organization have interoperability with the HIS such
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