Older people are associated with increased risk for hospitalisations due to illness or trauma (Seymore & Cannon, 2010). The nature and burden of the illness that the older person faces is related to the quality of health care services they may receive when admitted to a hospital or other clinical setting (Dossa & Capitman, 2010). In terminal cases, the patient may choose to engage Hospice services, either in the clinical setting or at home. The human rights of such patients are ethically fundamental in their quality of care through palliative care services (Brenna, Carr, & Cousins, 2007).
The care received in the clinical health care setting for elderly patients may be substandard due to staffing and regulation issues (Maas, Specht, Buckwalter, Gittler, & Bechen, 2008). There is a need to identify the failings in quality of care and promote the human rights of elderly patients in healthcare settings (Gittler, 2008).…...
mlaReferences
Barry, P., & Planalp, S. (2008). Ethical issues for hospice volunteer. The American Journal of Hospice and Palliative Care, 458-462.
Brenna, F., Carr, D., & Cousins, M. (2007). Pain management: a fundamental human right. Anesthesia and Analgesia, 205-221.
Dossa, A., & Capitman, J. (2010). Community-based disability prevention programs for elders: predictors of program completion. Journal of Gerontological Social Work, 235-50.
Gittler, J. (2008). Governmental efforts to improve quality of care for nursing home residents and to protect them from mistreatment: a survey of federal and state laws. Research in Gerontological Nursing, 264-284.
Positive Ways to Encourage and Motivate Employees in a Healthcare Setting
Many healthcare settings are extremely stressful environments, and the prevalence of burnout syndrome among healthcare workers such as registered nurses in emergency rooms is among the highest of all professions (Lombardo & Eyre, 2011). Therefore, identifying positive ways to encourage and motivate employees in healthcare workplaces has assumed new importance and relevance in recent years. To determine some optimal approaches, this paper provides a review and discussion of two peer-reviewed journal articles concerning positive ways to encourage and motivate employees in a healthcare setting, followed by a summary of the research and important findings concerning these issues in the conclusion.
eview and Discussion
Although all healthcare workers are unique, they share some common wants and needs that can represent the starting point for any initiatives that are intended to encourage and motivate them. For instance, one method that has proven efficacy in…...
mlaReferences
Chen, Y-C & Lin, S. (2013, May). Modeling internal marketing and employee loyalty: A quantitative approach. Asian Social Science, 9(5), 99-102.
Lombardo, B. & Eyre, C. (2011, January). Compassion fatigue: A nurse's primer. Online Journal of Issues in Nursing, 16(1), 1-5.
Malambe, L. (2013, January 1). Short-term incentive schemes for hospital managers. SA Journal of Human Resource Management, 11(1), 1-3.
History Of Information Systems in Healthcare Settings
Information and information exchange have developed to become one of the most important aspects in the delivery of care across all healthcare settings. The significance of information systems in healthcare settings is demonstrated by the fact that care delivery involves various stakeholders including the healthcare organization, the patient, and the healthcare team. Given the significance of information in care delivery, information systems in the healthcare field have constantly evolved and have a history that can be traced back to the late 1960s. As information systems continued to evolve in healthcare, backup and recovery systems were implemented to help in maintaining patient records in order to enhance care delivery.
History of Health Information Systems
Health information systems that have attracted significant attention in the recent past are not new concepts in healthcare since the use of Information Communications Technology in this field has existed for a long…...
mlaReferences
Almunawar, M.N. & Anshari, M. (n.d.). Health Information Systems (HIS): Concept and Technology. Retrieved January 28, 2016, from http://arxiv.org/ftp/arxiv/papers/1203/1203.3923.pdf
"Evolution of Healthcare Informatics Standards." (n.d.). HIMSS -- Transforming Health through IT. Retrieved January 28, 2016, from http://www.himss.org/library/interoperability-standards/Evolution-of-Healthcare-Informatics-Standards
high-performance work practices benefit the nursing profession -- and moreover, how are high-performance work practices beneficial to the patient receiving care from the nurse? This paper delves into the concept of high-performance efforts in the nursing workplace.
Severe nursing shortages and the urgent concerns as to the quality of care resulting from these shortages has led to the increased implementation of high-performance work practices (HPPs), according to assistant sociology professor Janette Dill and colleagues in the peer-reviewed journal Health Care Management Review. And it should be noted that the study that Dill and colleagues conducted relates not to nurses per se, but to the career development that HPP offers for "unlicensed frontline healthcare workers." These workers are nursing assistants, mental health counselors, "patient care technicians" and "respiratory therapy technicians" (Dill, 319).
hile they are not licensed as RNs, these workers make up 50% of the healthcare workforce (six million of these…...
mlaWorks Cited
Dill, J.S., Morgan, J.C., and Weiner, B. (2014). Frontline health care workers and perceived career mobility: Do high-performance work practices make a difference? Health Care
Management Review, 39(4), 318-328.
Identify issues that occurred during CPOE implementation, identify potential causes of such issues, and list specific recommendations, based on evidence- based rationale and research, to resolve the identified issues prior to the next CPOE implementation. Elaborate on a scripture/bible quote reference related to the discussion content.To begin the first issue with the CPOE implementation is that all participants where not properly onboarded within the community hospital. As noted in the case study, many physicians were heavily resistant to the change and deliberately attempted to the undermine the system to maintain the status quo. Here, these provides evidence that all physicians were not properly onboarded throughout the CPOE process. Although resistance to change is to be expected with a technology shift as large as the one mentioned in the case, it is not customary to have such vehement disagreement and outright disregard for the policy overall (Chern, 1992). This indicates that…...
mlaReferences
1. Chern, Bernard. 1992. “Charge to the Workshop,” presented at Information Technology and Manufacturing: A Workshop, National Science Foundation, Washington, D.C., May 5–6
2. Clinton, William J., and Albert Gore, Jr. 1993. Technology for America’s Economic Growth: A New Direction to Build Economic Strength.
Infection Control
Question 1; Describe different types of infection control precautions. Why is it important to follow infection control guidelines? Describe the importance of hand washing.
Infection control requires strategies that will prevent the movement of potential infections from one source to a new source. Different types of infection control precautions may be undertaken. The primary approaches include hand hygiene, including washing, as well as the use of alcohol gel, the process that will prevent the transfer of infection by eliminating harmful bacteria and viruses (CDC, 2011). Infection control also requires attention patients to be minimised through the cleaning and sterilisation of any equipment and resources that come into contact with patients, for example scissors. The cleaning of equipment also applies to the general cleaning of the healthcare environment, to avoid potential buildup of dust which may harbour harmful microbes, as well as sterilisation specialised equipment, such as respiratory equipment, surgical…...
mlaReferences
Anonymous, (2015), Proper Body Mechanics, Re trieved 15 September 2015 from http://www.drugs.com/cg/proper-body-mechanics.html
CDC, (2011), Basic Infection Control and Prevention Plan for Outpatient Quality Settings, retrieved 15 September 2015 from http://www.cdc.gov/hai/pdfs/guidelines/basic-infection-control-prevention-plan-2011.pdf
Lippincott Nursing Center, (2015), infection prevention: dress up for safety with PPE, retrieved 15 September 2015 from http://www.nursingcenter.com/static?pageid=811924
Waeckerle, Joseph F. MD; Seamans, Sandra MA; Whiteside, Mary PhD; Pons, Peter T. MD; White, Suzanne MD; Burstein, Jonathan L. MD; Murray, Rick, (2001), Developing objectives, content, and competencies for the training of Emergency Medical Technicians, Emergency Physicians, and Emergency Nurses to care for casualties resulting from Nuclear, Biological, or Chemical (NBC) incidents, Annals of Emergency Medicine, 37(6), 587-601
democratic style of leadership. As pointed out by Cherry (2016), democratic leadership is also referred to as participative leadership and encompasses accepting input or contribution from one or more members of the group in the course of decision-making and problem-solving. However, the leader gets to maintain the ultimate say when deciding from the choices available. The members of the group have a tendency of being encourages and driven by democratic leaders. In addition, this style of leadership usually results in more efficacious and precise decisions, taking into account that no leader has the ability of having knowledge in all areas. Obtaining input and contribution from members of the group with expert knowledge and proficiency generates a more comprehensive foundation for decision-making (Cherry, 2016). This fits and goes in hand with my beliefs about my style of leadership. I believe that as a leader, it is imperative to incorporate the…...
mlaReferences
Cherry, K. (2016). What's Your Leadership Style? About Health.
Cooke, L., Gemmill, R., & Grant, M. (2008). APN core competencies: A framework for developing and testing an APN discharge intervention. Clinical nurse specialist CNS, 22(5), 218.
Curtis, E. A., de Vries, J., & Sheerin, F. K. (2011). Developing leadership in nursing: exploring core factors. British Journal of Nursing, 20(5), 306.
Frankel, A., & PGCMS, R. (2016). What leadership styles should senior nurses develop? Nursing, 10, 32.
Translational ResearchCurrent Nursing Practice in the Healthcare Setting Requiring ChangeThere are numerous areas within nursing that demand change in everyday healthcare practice. More often than not, irrespective of the healthcare setting, an inventive group is required to conduct research and facilitate change. I presently work as a clinical educator in my hospital. There are numerous practices that require change or upgrading. Subsequent to conducting a review and research analysis, my decision is to include bedside reporting, which is lacking within the hospital. Bedside report occurs between the outward-bound and inward-bound nurse alongside a patients bedside while conducting a shift change. The meeting is purposed to facilitate patient engagement in trade of real-time information during shift change. This provides both the inward-bound nurse and the patient the prospect to ask questions and authenticate significant information regarding the history of the patient and care plan prior to the outgoing nurse leaving (Rush,…...
esolving Conflict in a Healthcare SettingThe purpose of this paper is to provide a summary of a real-life conflict in a healthcare setting, including the cause of the conflict, the parties that were involved, how the conflict was resolved, and whether the outcome was fair to all the individuals who were involved. In addition, an explanation concerning how the conflict could have been avoided from the outset is followed by a description of the associated DNP essentials and which leadership competencies were applied and how they served to accomplish the outcome. Finally, the paper provides a summary of the findings in the conclusion.eal-life example of conflictSeveral years ago, a program specialist in the office of quality assurance (OOQA) in a tertiary healthcare facility was tasked with trending all patient incidents by her supervisor to identify trends and opportunities for improvement in the delivery of patient care. These reports were to…...
mlaReferencesDetermining Patient Days for Summary Data Collection. (2022). U.S. Centers for Disease Control and Prevention. Retrieved from sumdata_guide.pdf.The Essentials of Doctoral Education for Advanced Nursing Practice. (2006, October). American Association of Colleges of Nursing. Retrieved from https://www.aacnnursing.org/Portals/ 42/Publications/DNPEssentials.pdf.https://www.cdc.gov/nhsn/pdfs/patientday_
Addressing Complex Issues in Healthcare SettingsAddressing Complex Issues in HealthcareAt present, the U.S. Food and Drug Administration receives more than 400,000 reports concerning drug-related medication errors in the United States each year (Medication error statistics, 2022). Many of these medication errors result in serious patient harm, including death (Jin et al., 2022). Although the causes of medication errors vary, miscommunications among nursing staff represent one of the major sources today and many of these preventable errors will continue to occur unless and until nurses and other healthcare practitioners follow hospital protocols when administering medications.Healthcare Professionals Needed to Make a Positive ChangeAn interdisciplinary team comprised of a doctor of nursing practice (DNP) representative from nursing services as well as representatives from pharmacy and information resource management (IM) to identify the specific causes and sources of medication errors, including responsible individual, shift, and ward and track them over time to identify opportunities…...
mlaReferencesJin, H., Xiao, Z., Li, M., Fu, Q., & Duffy, V. G. (2022). How do medication errors occur in the nursing communication process? Investigating the relationship between error types and error factors. Work, 1–13.López, M. I. M., Sáchez, G. I., García, F. F. P., & Pancorbo, H. P. L. (2022). Nurses and ward managers’ perceptions of leadership in the evidence?based practice: A qualitative study. Journal of Nursing Management, 30(1), 135–143.Medication error statistics. (2022). SingleCare. Retrieved from com/blog/news/medication-errors-statistics/#:~:text=How%20many%20medication %20errors%20occur,year%20because%20of%20medication%20errors.Sim, T. A., & Joyner, J. (2012). A multidisciplinary team approach to reducing medication variance. The Joint Commission Journal on Quality Improvement, 28(7), 403–409.The Essentials of Doctoral Education for Advanced Nursing Practice. (2006, October). American Association of Colleges of Nursing. Retrieved from https://www.aacnnursing.org/Portals/ 42/Publications/DNPEssentials.pdf.https://www.singlecare.
Healthcare Budgetary Decision Making
With resources becoming increasingly limited in the healthcare industry, managers are continually challenged with devising effective strategies for dealing with budgetary concerns. The most prominent challenge comes in the form of decision making that results in striking a balance between cost reduction and the maintenance of high quality care and safety for patients. The following discussion outlines approaches that can be utilized by managers to effectively deal with budgetary concerns in healthcare settings, with an emphasis on the advantages of group decision making strategies.
It is evident that there is often a struggle in the healthcare industry for managers to continually and effectively manage depleting resources, address the ever-changing needs of patients, and all the while provide a high level of patient care (Sibbald et al., 2010). This struggle has at its core a need for improvement in regards to the processes in which priorities are established in…...
mlaReferences
Burleson, G. (1984). Management, budgeting and the use of resources -- a private sector review. Hospital and Health Services Review, 80(3), 124-5.
Sibbald, S.L., Gibson, J.L., Singer, P.A., Upshur, R., Martin, D.K. (2010). Evaluating priority setting success in healthcare: a pilot study. BMC Health Services Research, 10, 131.
Xie, H., Chaussalet, T., Toffa, S., Crowther, P. (2005). A software tool to aid budget planning for long-term care at local authority level. Studies in Health Technology and Informatics, 114, 284-90.
Health Care Access Ethical Dilemma
Access to health care services is not equitable in the United States. The 15% of Americans without health insurance coverage find it extremely difficult to access health care services (Trotochaud, 2006). This is an injustice that should be addressed. Patients going to rural health care facilities face myriad challenges that are occasioned by stigmatization. Stigmatization of illnesses that patients grapple with occasions ethical conflicts. In the process, patients' right to privacy and confidentiality are often violated. There are practical guidelines that can be used to minimize ethical conflicts. It is imperative that confidentiality and trust be made paramount under circumstances where healthcare professionals deal with patients with stigmatizing illnesses.
A typical example of confidentiality, overlapping relationships and lack of willingness to seek care can be attested to in a situation where a woman working at a local store finds out that her partner is HIV-positive and also…...
mlaReferences
Trotochaud, K. (2006). Ethical Issues and Access to Healthcare. Journal of Infusion Nursing,
29(3), 165-170.
Tummala, A. & Roberts, L.W., (2009). Ethics Conflicts in Rural Communities: Stigma and Illness. Hanover, NH: University Press of New England.
Healthcare Partnership in the Community
Discuss an example of healthcare partnership in your community and specifically cite examples that show how nurses, both individually and collectively, influenced the care provided. What obstacles were confronted and what strategies were employed in order to effectively overcome them.
One community healthcare partnership that is salient in my mind is Texas Department of State Health Services' program on tuberculosis or TB. This group of projects is specifically handled by the Office of Border Health, specifically because communicable diseases transmitted over the Texas-Mexico border will inadvertently affect the state of community health of both countries (i.e., the U.S. And Mexico). Under the program, two projects have been successful and known for its accomplishment in helping decrease TB prevalence in communities near the Texas-Mexico border: Proyecto Juntos and TBNet.
Proyecto Juntos specifically centers on "bilateral TB control," centering its efforts to curbing TB prevalence by monitoring the health of…...
mlaReferences
Texas Department of Health Services, Office of Border Health. Available at: http://www.dshs.state.tx.us/borderhealth/
Texas Organization of Nurse Executives. Available at: http://www.texasnurse.org/
Healthcare Administration
isk Involved in Poor Chart Documentation: An Overview in Total Quality Management
Poor chart documentation in the behavioral health field is a concern for risk management and a critical area for total quality improvement. Poor chart documentation can lead to an audit by accrediting bodies and in severe circumstances lead to discharge. There are many legal ramifications associated with poor chart documentation. This paper will highlight the importance of poor chart documentation, the consequences of poor documentation, and suggest possible tools for resolving documentation errors. The best tool for eliminating chart documentation risk is developing a risk management system appropriate to the health care setting.
Poor chart documentation costs behavioral health providers thousands of dollars in malpractice costs every year. Errors related to chart documentation can be severe; a patient can suffer an untimely death for example. In fact, statistical evidence suggests that each year thousands of patients die or are…...
mlaReferences:
Aron, DC. & Headrick, L.A. (2002). Educating physicians prepared to improve care and safety is no accident: It requires a systematic approach. Quality and Safety in Health Care, 11, 168-173.
Burke, M., Boal, J., & Mitchell, R. (2004). Communicating for better care. American Journal of Nursing. 104(12), 40-47.
American Society of Healthcare Risk Management, American Hospital Association. (2004). The
growing role of the patient safety officer: Implications for risk manager. Chicago: American Hospital Association.
Health Care Communication
As the nation's health care resources become more and more strained, health care professionals are being asked to do more with less. They are being pressured to find cheaper ways to improve the quality of health care they deliver. Given the current circumstances, this sounds difficult and even unreasonable, but it may not be entirely impossible.
One simple way for medical professionals to improve the quality of health care they provide is by improving their health care communication skills. Health care communication is "The art and technique of informing, influencing, and motivating individual, institutional, and public audiences about important health issues. The scope of health communication includes disease prevention, health promotion, health care policy, and the business of health care as well as enhancement of the quality of life and health of individuals within the community." (U.S.D.S.H.S., 2000, p.11-20).
In health care, as in all aspects of life, communication is…...
mlaBibliography
U.S. Department of Health and Human Services. (2000). Healthy People 2010: Volume I, Focus Area 11: Health Communication (second edition) Washington, DC: U.S. Government Printing Office.
Zachariae, R. et. al. (2003). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. British Journal of Cancer, 88(5), 658-65.
Heisler, M. et. al. (2002). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. Journal of General Internal Medicine, 17(4), 243-52.
Safran, D.G. et. al. (1998). Linking primary care performance to outcomes of care. Journal of Family Practice, 47(3), 213-20.
Infection control specifically refers to stopping the spread of disease in healthcare settings and during health care procedures, such as surgeries. It is a catchall phrase that refers to a wide variety of behaviors or practices that can result in the elimination or reduction of disease transmission in these settings. We are happy to provide you with some suggested topics and titles for an essay about infection control.
Essay Topics
Best hygiene practices for pre-surgical prep of skin to prevent surgical-site infections
Does the routine use of masks in non-surgical medical examinations and routines reduce infectious disease transmission....
For the last decade, total quality management has been considered the gold standard in quality management in the healthcare setting. Therefore, the question is not really whether we can apply total quality management in hospitals, but what steps hospitals need to take to implement this type of management within their organizations.
The first thing to keep in mind is that modern hospitals are not simply hospitals; they are almost all part of larger healthcare networks. This has the potential of dramatically improving patient care, as the range of care that a patient can access through a....
1. The benefits and challenges of switching to Electronic Medical Records in healthcare settings.
2. The impact of Electronic Medical Records on patient care and outcomes.
3. The role of Electronic Medical Records in improving healthcare efficiency and reducing costs.
4. The importance of data security and privacy in Electronic Medical Records systems.
5. The potential for interoperability and data exchange between different Electronic Medical Records systems.
6. The future of Electronic Medical Records and the potential for advanced technologies like artificial intelligence and machine learning.
7. The ethical considerations and implications of Electronic Medical Records, particularly in regards to patient consent and data sharing.
8. The....
1. The role of a substance abuse nurse in promoting and providing support for individuals struggling with addiction
2. The impact of substance abuse on mental health and the role of nurses in managing co-occurring disorders
3. The importance of culturally competent care in substance abuse nursing
4. The challenges and rewards of working with individuals with substance use disorders in a nursing setting
5. The ethical considerations of caring for patients with substance abuse issues
6. The role of education and prevention in addressing substance abuse from a nursing perspective
7. The impact of substance abuse on families and the role of nurses in supporting....
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