Among the most important are distribution and variability factors (145-146; 164; 175), with particular attention to the central limit theorem (166), and margin of error (179-186). If practitioner understand how these factors apply to statistical calculations, and how they impact the validity and potential reliability of the study, then statistical claims can be properly evaluated based on the reported values in the research being considered or produced. Evaluating the accuracy of actual statistical calculations is often beyond the abilities of practitioners. But evaluating the way the numbers yield information which addresses the trends and speaks to the causal tendencies in data is critical for understanding statistical studies.
Rumsey presents summarized treatments of basic correlative and associative measures used in statistical data, and points out that anyone can evaluate such calculations to determine what types of errors might exist in any research that utilizes them (287-291). The practitioner should be aware…...
mlaWorks Cited
Rumsey, D. (2003). Statistics for Dummies. Hoboken, NJ: Wiley.
The burn should also be checked for signs of infection, such as increased pain, redness, swelling or pus. A healthcare provider needs to be seen if any of these are present. Burned skin itches as it heals, but the skin should not be scratched and nor blisters broken. This reduces the risk of infection. The burned area can be sensitive to sunlight for up to a year, so sunscreen is needed when the person goes outside (Morgan).
The injured person should immediately go to the hospital in the case of third-degree chemical burns. No material or clothing that is stuck to the burn should be removed. The burn should not be soaked or any ointment applied. The burn can be gently covered with a cool, wet sterile bandage or clean cloth until receiving medical assistance. If possible, the burned area should be raised above the level of the person's heart…...
mlaReference
Mayo Clinic. Chemical Burns. 5 July, 2010 http://www.mayoclinic.com/health/first-aid-chemical-burns/FA00024
Metzgar, Carl. Chemical burns need prompt first aid. Pit & Quarry 88.5 (1995): 56-57
Merck Manual. Online Medical Library. 5 July 2010 http://www.merck.com/mmhe/sec24/ch289/ch289a.html
Singer, Adam, and Alexander Dagum. Current Management of Acute Cutaneous Wounds. 359 (2008): 1037-1046.
Becoming and remaining an effective leader in any healthcare setting requires a wide range of skills, including most especially the abilities to analyze complex situations and communicate with clinicians from multiple disciplines. The Leadership and Communication coursework provided valuable information and insights concerning these professional needs, but it are also important to reflect on the lessons learned in order to reinforce the learning process. To this end, this four-part reflection paper provides a discussion concerning fresh insight developed with respect to my working style and how I work with others. In addition, an assessment concerning the insights gained regarding conversations and interactions with friends, family, coworkers, and others is followed by a discussion of the strategies that will be used to improve chances for success in the future. Finally, a summary of these four parts and the insights gained is provided in the conclusion.
Part 1: Working Style
One of the more…...
Health Care
In the wake on new and very contentious health care reform, many firms have undergone extensive transformations. These transformations have been predicated on both cost control and quality management. In particular quality management has had a profound impact on the underlying business operations of many health care firms. For one, firms are now finding methods in which to enhance the overall patient experience while also mitigating potential loses due to negligent means. The focus on quality management has also made firms more efficient in regards to the overall delivery of service. In particular, my firm has done extensive work with reducing elderly accidents within the facility. This quality management initiative has not only reduced costs associated with accidents, but it also has enhanced the trust and patient experience of all stakeholders within the firm (Kelly, 2011).
Identify the milestone you chose in the history of quality improvement in the first…...
mlaReferences:
1) Draper, Elaine, Joseph LaDou, and Dan J. Tennenhouse. 2011. "Occupational Health Nursing and the Quest for Professional Authority," New Solutions 21, 47 -- 81
2) Kohn, L.T., Corrigan, J.M., & Donaldson, M.S. (Eds). (2000). To err is human: Building a safer health system. Washington, D.C.: National Academy Press.
3) Kelly, D.L. (2011). Applying quality management in healthcare: A systems approach (3rd ed.). Chicago, IL: Health Administration Press
4) Lucia, Patricia R.; Otto, Tammy E.; Palmier, Patrick A. (2009). "Chapter 1
While it may not be just to hold an organization liable, absolutely, for every instance of employee negligence, there is a rationale for imposing such liability in many cases. For example, many types of industries entail potential danger to others that are inherent to the industry.
Individual workers are not likely to be capable of compensating victims of their negligence, but the employer benefits and profits financially by engaging in the particular industry. Therefore, the employer should not necessarily escape liability for compensating all harm caused by their activities, regardless of fault in particular instances.
10.A nurse is responsible for making an inquiry if there is uncertainty about the accuracy of a physician's medication order in a patient's record. Explain the process a nurse should use to evaluate whether or not to make an inquiry into the accuracy of the physician's medication order.
Like other highly trained professionals, experienced nurses develop a…...
mlaReferences
Abrams, N., Buckner, M.D. (1989) Medical Ethics: A Clinical Textbook and Reference for the Health Care Professionals. Cambridge, MA: MIT Press
Caplan, a.L., Engelhardt, H.T., McCartney, J.J. Eds. (1981) Concepts of Health and Disease: Interdisciplinary Perspectives. Reading, MA: Addison-Wesley
Starr, P. (1984) the Social Transformation of American Medicine.
New York: Basic Books
One such barrier is the pattern of supply-driven care that has proven extremely costly on the average consumer and patient. Essentially, this method of healthcare has created a multi-billion dollar industry, where patients' needs are put to the side in order for healthcare organizations to make the largest profit margin possible through a system that resembles a production line more so than a hospital facility. Unfortunately, "producers control demand" (O'Toole, 2009, p 48). With so many major companies profiting from this style of healthcare, they will undoubtedly put up a fight for reform initiatives like the Triple Aim Initiative, which is hoping to rework the system in order to save consumers the burden of costs, without reducing the quality of the care they receive. Moreover, the physician-centric model of most of today's healthcare systems also proves a barrier to the aims of the Triple Aim Initiative. Essentially, under this…...
mlaReferences
O'Toole. Eileen. (2009) Healthcare in the 21st century. The Nurse Practitioner, 34(7), 46-50.
World Health Organization. (2013).World Health Statistics 2013: Indicator Compendium. Web. http://www.who.int/gho/publications/world_health_statistics/WHS2013_IndicatorCompendium.pdf
Healthcare Legal Issues
Discuss the impact Federalism has on the regulation of health care delivery; how do the different sources of law as they related to the federal and state governments matter, if at all?
In general, federal regulation of health care delivery would be much more appropriate and efficient than state or local law, at least in so far as major aspects of health care delivery are concerned. That is because state laws vary considerably; that makes it impossible to establish a consistent or uniform standard of health care delivery across state lines. Certainly, there are aspects of health care that are appropriate to regulate at the state or even the local level, but there are others that would be much better to regulate on a national or federal level.
One of the best examples of an aspect of health care delivery that should be regulated federally are elements of necessary health…...
mlaReference
Reid, T. (2009). The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care. New York: Penguin Group.
Drug costs have gone from 26% of health care spending by private insurance companies in 1990 to 44% in 2006 (Kaiser Foundation, 2008). This issue has not been adequately addressed by health care reform. Instead, a deal appears to be made for $80 billion in concessions from the pharmaceutical industry in exchange for its support of health care reform (Kirkpatrick, 2009).
The underlying trend in each of these major issues in health care reform is controlling the rising cost. Malpractice reform seeks to control the cost of insurance to health care providers, so that they can pass those savings along to consumers. The public option provides a plan for affordable health care coverage for uninsured and underinsured Americans. This is deemed necessary because private insurers will not offer insurance to those it feels will demand too much in terms of health care costs going forward. Reducing the cost of health…...
mlaWorks Cited:
Carey, Nick. (2009). Uninsured Americans hope reform brings health coverage. Reuters. Retrieved October 7, 2009 from http://www.reuters.com/article/topNews/idUSTRE58F0NO20090916
The White House. (2009). The Obama Plan: Stability and Security for All Americans. Retrieved October 7, 2009 from http://www.whitehouse.gov/assets/documents/obama_plan_card.PDF
New York Times. (2009). Malpractice and Health Care Reform. New York Times. Retrieved October 7, 2009 from http://www.nytimes.com/2009/06/17/opinion/17wed2.html
Kaiser Family Foundation. (2008). Prescription Drug Trends. Kaiser Family Foundation. Retrieved October 7, 2009 fromhttp://www.kff.org/rxdrugs/upload/3057_07.pdf
Health Care & Faith Diversity
It is quite obvious how different religions hold different philosophical views on various aspects and even when it comes to healing. Each religion highly upholds their spiritual values hence the need for health practitioners to be cautious while handling varied clientele whether they hold the same religious sentiments or not. In this research we will major on the views held by the Sikh, Buddhist and Judaist religions in comparison to the Christian belief on healing.
Sikh religion
The Sikh hold the belief that when one is sick it is the will of God and that He is merciful to heal; however one has to consider medical treatment in order to get well. During illness: Sikh patients engage in prayers to seek God for help, seek to obtain peace by remembering Gods name, recite sacred hymns (Gurbani) which are words from the holy scriptures (Guru Granth Sahib) and are…...
mlaReferences:
Dharma Haven, (2005).Tools for Healing Relaxing and Awakening. Retrieved March 30,
2012 from http://www.dharma-haven.org/tibetan/healing.htm
Manitoba, (2006). Core Competencies for Spiritual health care Practitioners. Retrieved March 30, 2012 from http://ahpcc.org.uk/pdf/compaudittool.pdf
Marinell & James (2009). Jewish Views of Illness and Healing. Retrieved March 30, 2012
Demographic Trends
There have been several demographic trends that have affected health care in the past century in the United States. Of these, one of the most important has been the baby boom generation, which came about in the years after World War Two. This generation is characterized by its unusual size compared with previous generations, and is even bigger than the generations that have followed. Socially, this manifested in the baby boomers being key drivers of consumer trends, and social change during the 1960s. They have also become a major driver of demand for health care. Boomers are now entering Medicare eligibility as well, which will bring more of them onto the government health plan. The Medicare plan was not enacted until after they had been born, so the full effects of implementing Medicare would have been known with respect to this generation, but that does not mean it is…...
mlaReferences
Leclere, F., Jensen, L., & Biddlecom, A. (1994). Health care utilization, family context and adaptation among immigrants to the United States. Journal of Health and Social Behavior. Vol. 35 (4) 370-384.
Robson, W. (2009). Will the baby boomers bust the health budget? Demographic change and health care reform. CD Howe Institute.
healthcare practices and history of nursing in the Jewish culture.
There are several healthcare practices within the Jewish culture. According to the rabbinic lore, no aging process existed until the time that Abraham was born. No disease also existed until the time when Jacob came to existence.
The connections of Jews to the healing process at patients as well as physician level is noted to be ancient with a deep root in history and theology (MyJewishLearning.com, 2011).In most religions, the idea of medical treatment was largely an anathema. In most traditional religions, disease, deformity and accident were regarded as parts of God's creation that those of human beings. Anything to do with medical treatment was largely considered to be a process of meddling with the Creator's (God's) work and will. Judaism however, views the concept of medical treatment in appositive light. It views medical treatment as an obligation on the basis…...
mlaReferences
Gesundheit, B., Hada, E (2005).Maimonides (1138-1204): Rabbi, Physician and Philosopher*. IMAJ 2005;7:547-553
Illievitz, AB (1935).Maimonides the Physician. Can Med Assoc J. 1935 April; 32(4): 440-442.
Leininger MM (1997) Overview and Reflection of the Theory of Culture Care and the Ethnonursing Method. Journal of Transcultural Nursing, 8:2, 32.52.
Leininger MM (1991) Culture Care Diversity and Universality: A Theory of Nursing. National League for Nursing Press, New York.
Health Care System
Healthcare Professionals
Health care providers must be properly integrated at every system level and must be allowed to lead the processes of designing, implementing and operating ideal health systems. esearch works identify a number of challenges with regard to healthcare personnel integration. Apparent loss of control, status, returns or practice style modifications may lead to healthcare providers becoming discontented. This discontentment can give way to bitterness and, ultimately, practitioners may end up resisting change (Suter et al., 2009).
Capitalizing on current networks, an intense emphasis on patients and informal inter-provider bonds are anticipated to ease healthcare practitioners' functioning within ideal healthcare systems. Economic integration of healthcare providers, utilization of compensation structures for recruiting and retaining the best candidates, measures for improving workplace climate quality and financial incentives are identified as crucial to system success.
Facilities and Supplies
Amodel healthcare system would include a standard formulated list of standardized healthcare supplies and…...
mlaReferences
Nelson, A. (2002). Unequal treatment: confronting racial and ethnic disparities in health care. Journal of the National Medical Association, 94(8), 666.
Suter, E., Oelke, N. D., Adair, C. E., &Armitage, G. D. (2009).Ten Key Principles for Successful Health Systems Integration. Healthcare Quarterly (Toronto, Ont.), 13(Spec No), 16 -- 23.
Nursing Health Care Informatics
"…At the beginning of the 21st century, nursing informatics has become a part of our professional activities…[and has] advanced the field of nursing by bridging the gap from nursing as an art to nursing as a science…" (Saba, 2001, 177).
Nursing Health Care informatics relate to and address technology and other cutting edge issues of great interest in the healthcare field. According to the AMIA, Nursing Informatics is the "…science and practice (that) integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide." New and relevant knowledge presented in the genre of informatics helps to empower nurses and other healthcare practitioners to deliver the most effective patient-center care possible. This paper presents several informatics in the belief that applying healthcare technologies and practices that are genuinely progressive and helpful to today's nurse is a way…...
mlaWorks Cited
AMIA (2009) Working Group Nursing Informatics. Retrieved March 9, 2014, from http://www.amia.org .
An, J.Y., Hayman, L.L., Panniers, T., and Carty, B. (2007). Theory Development in Nursing
And Healthcare Informatics. A Model explaining and Predicting Information and Communication Technology Acceptance by Healthcare Consumers. Advances in Nursing Science, 30(3), E37-E49.
Cipriano, P.F. (2011). The Future of Nursing and Health IT. Nursing Economics, 29(5).
Practicum Project in Health Informatics
Strengths
• This practicum thesis allows the student to work on developing informatics-based applications while also applying informatics science and skills.
• Uses technology to help streamline processes that ultimately aid in the patient experience
• Lowers costs while increasing efficiency
Weaknesses
• Does not focus on the "human component" of technology
• Focuses on the benefits of informatics but does not take into account the costs as it relates to onboarding. People must be training on the technology; stakeholders must know how to fix problems that arise. All employees must be willing to adopt the technology.
• Does not properly take into account the threat of cyber security and its implications on training nurses. A hack may disrupt the overall application of the technology
"Preceptor Training and Nurse etention"
Strengths
• Strong emphasis on a team approach as it relates to training and retention
• Use of preceptorship
• Emphasis on training programs and rotational environments
Weaknesses
•…...
mlaReferences:
1) American Association of Colleges of Nursing Essentials. (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/publications/position/DNPEssentials.pdf .
2) American Nurses Association. (2010). Scope and standards of practice. Silver Spring, MD: Nursebooks.org.
3) Bae, S., Mark, B., & Fried, B. (2010). Impact of nursing unit turnover on patient outcomes in hospitals. Journal of Nursing Scholarship, 42(1), 40-9. doi:10.1111/j.1547-5069.2009.01319.x.
4) Baker, S. L. (2010). Nurse educator orientation: Professional development that promotes retention. The Journal of Continuing Education in Nursing, 41(9), 413-7. doi:10.3928/00220124-20100503-02.
Health Care Change
The change process is influenced by myriad philosophical, ethical, regulatory, and reflective interactions, particularly for entities involved in the health care industry. egulatory interactions establish mandates that organizations must adhere to, which require changes in procedures. Similarly, ethical interactions can affect the change process by establishing precedents based on the outcomes of previous ethical decisions, which provide the basis for additional behavior in similar ethical situations. eflective interactions affect the change process by enabling parties to ruminate about previous successes and failures, and to change their organizations to maximize the former and minimize the latter. Philosophical interactions influence the change process by allowing health care practitioners to exchange varying viewpoints and perspectives on matters that can provide the impetus for departmental or organizational change.
The impact of networking and collaboration with inter-professional groups seeking to resolve global health care problems can be profound, even nationally (Office, 2016).…...
mlaReferences
Cybriwsky, N. (2011). The power and popularity of social media and the internet in Brazil. / Retrieved from http://sites.duke.edu
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