On the other hand, there are various ways that at least some of the external manifestations of lack of concern for patient welfare can be better identified and addressed than they seem to be at many facilities. Failure to adhere to fundamental protocols, such as those pertaining to antisepsis have been proven time and again to contribute directly to the unacceptably high rate of nosocomial infections in clinical environments (Reid, 2009). Generally, those types of protocols, such as compliance with hand-washing requirements and glove changing are some of the first signs that a health care worker is not highly motivated to provide the best possible care to patients (Hamric, Spross, & Hanson, 2009). That problem is one that government regulators have sought to resolve, at least indirectly, by shifting the financial burden of several types of nosocomial infections (such as those occurring in connection with urinary catheters) to the institutions since the change in CMS reimbursement policies in that regard that took effect in 2007 (Reid, 2009). However, in many respects, the problem is actually much more fundamental than that. It may very well be a function of the fact...
Certainly, there is an appropriate role for regulators and facility administrators to play in ensuring the highest quality of patient care. However, the most effective and realistic way to motivate better care would be to tap into the principal motivation underlying the choice of many newer entrants into the health care field: personal compensation. In the nursing home and other elder care environments, connecting compensation to results and to patient evaluations might go much further toward improving the quality of care than relying exclusively of regulatory formulae that, not matter how stringent, can never address the internal states of mind and personal motivation of health care workers.
It is critical that NHAs are first qualified nurses, as their ability to relate to other nurses is essential to the organizational success of the nursing home ("Nursing home administrator jobs," 2011). Career paths for an NHA are rooted with education background and nursing experience. Although experience is necessary for being a successful NHA, a career path at minimum requires clinical licensing (Decker, & Castle, 2009). The NHA is the
Nursing Home Report on Conditions at Brighton and Sussex University Hospitals NHS Trust The following report is based on extensive observation of the conditions for patients living at the Brighton and Sussex University Hospitals NHS Trust. While some patients received moderate care, overall, the quality of care in this facility was appalling. All patients -- all people -- deserve to be treated with dignity, and this was far from the case. The
/nursing homes. Clearly, since the focus of these articles are based on an institutional economics point-of-view of healthcare quality, a limitation of the study is that it does not take into consideration other variables that might influence the efficiency of nursing homes in providing quality healthcare. Among these unaccounted variables are the politics behind healthcare, specifically federal laws and policies related to the provision of healthcare. Apart from policies and laws,
Nursing Home Abuse Irrespective of the fact that the sphere of elder ill-treatment prevention has traditionally been concentrated on ill-treatment in the domestic environment, growing interest is seen against the ill-treatment of residents in nursing homes. (Abuse in Nursing Homes) The origin of modern nursing home industry is traced during the post World War-II period in form of modern nursing home industry involving the construction and operation of profit making, medical
Nursing Home Resident Agitation: Predictors and Interventions To critically review selected articles investigating and discussing predictors of nursing home resident agitation, and recommended interventions. Burgio et al., (2007, p. 642) provides a working definition of nursing home resident agitation "… as verbal, vocal, and motor activities that are repetitive, outside of social standards, and considered inappropriate by staff." Agitation can often involve physical and/or verbal aggression, which can increase the risk of
Nursing homes and facilities that are somewhat less restrictive are needed and necessary in some situations so as to allow for the proper level of care and supervision. However, the isolation and removal from the outside world that people experience as a result of being in a nursing home can be oppressive and hurtful. There are often times where temporary jaunts outside of the nursing home or fun activities within
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now