...Violence Against Nurses Working in US Emergency Departments Jessica Gacki-Smith, MPH Altair M. Juarez, MPH Lara Boyett, MSN, RN, ACNP-BC, CEN Objective: The objective of this study was to investigate emergency nurses’ experiences and perceptions of violence from patients and visitors in US emergency departments (EDs). Background: The ED is a particularly vulnerable setting for workplace violence, and because of a lack of standardized measurement and reporting mechanisms for violence in healthcare settings, data are scarce. Methods: Registered nurse members (n = 3,465) of the Emergency Nurses Association participated in this cross-sectional study by completing a 69-item survey. Results: Approximately 25% of respondents reported experiencing physical violence more than 20 times in the past 3 years, and almost 20% reported experiencing verbal abuse more than 200 times during the same period. Respondents who experienced frequent physical violence and/or frequent verbal abuse indicated fear of retaliation and lack of support from hospital administration and ED management as barriers to reporting workplace violence. Conclusion: Violence against ED nurses is highly prevalent. Precipitating factors to violent incidents identified by respondents is consistent with the research literature; however, there is considerable potential to mitigate these factors. Commitment Authors’ Affiliations: Senior Research and Practice Associate (Ms Gacki-Smith); Senior Research Associate (Ms Juarez),...
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...Vulnerability for Haitian Population to Access Healthcare in South Florida A M NUR/440 December 9, 2013 Vulnerability for Haitian Population to Access Healthcare in South Florida The purpose of this paper is to project the experience on the presented material to a group of co-workers in regards to bringing awareness to the Haitian community and healthcare issues they face. In reference to the brochure presented, it explained cultural variables between American and Haitian beliefs and religion as well as communication barriers and reasons behind it. The brochure also demonstrated why culture is put on such high value for the Haitian community and what disparities might they face with incompetent healthcare workers towards some of the issues faced and why it would be considered vulnerable. Data collected towards the outcome of the presentation as well as understanding of why this would be a barrier to healthcare was well received within the workplace. Concept of Vulnerability in Haitians “As a triple minority, Haitians face challenges as racial and ethnic minorities, as immigrants, and as individuals who experience poverty at disproportionate levels” (Belizaire & Fuertes, 2011, p. 95). Haiti is considered one of the poorest countries in the world according to Florida Times Union, (2010). Due to the earthquake in 2010, Haiti has lost majority of its economy and potential of growth, hence increasing the immigration of Haitians to South Florida. As healthcare providers...
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...Vulnerable Population in the Workplace Noy-Starra Edge Nur/440 May 7, 2012 Mrs. Mendez Vulnerable Population in the Workplace Long term acute care hospitals (LTACHs), give extended medical, rehabilitative, and intensive care to individuals with clinically complex problems that need hospital level care for greater than 25 days (American Hospital Association, 2012). Many LTACH admissions are elderly patients, which is a vulnerable population. “Elderly and aged patients are considered to be capable and competent, they should be treated as a vulnerable group of patients, who may need additional care and protection of their interests because of their possible incapability to realize their rights themselves (Pishchita, 2007, p.350). Most LTACH take Medicare and Medicaid payments and all take private insurance. The government provides insurance for low-income seniors and younger persons with disabilities that are govern by the state of the individual. According to Caring for Vulnerable Populations (2011), these persons are among the sickest and poorest individuals making them rely on dual enrollment in Medicare and Medicaid government programs for necessary services. “55% of this population has an annual income below $10,000 and sixty million Americans currently obtain coverage through state-based Medicaid programs. These individuals come from lower socioeconomic backgrounds and pose unique care coordination challenges. They disproportionately face chronic diseases and challenges...
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...Vulnerable People in the Workplace Vulnerable People in the Workplace Paper Watson is a Nursing theorist who recognizes nursing as the art of caring and the need to treat each patient holistically (Watson, 2007). Leininger is another Nursing theorist who realized caring is unique and the core of nursing. According to Leininger’s Cultural Care Theory as cited by Maier-Lorentz (2008), on Transcultural Nursing, nurses need to be aware of various cultures and how to use this knowledge in their daily practice (Maier-Lorentz, 2008). Leininger’s Cultural Care Theory addresses the need for cultural competency in health care. Communication with a patient can be affected by a patient’s culture. In addition, nurses need to avoid ethnocentric bias. In an effort to achieve a holistic approach to health care one must have an understanding of cultural factors that may affect proposed health care interventions. Leininger’s Cultural Care Theory can be hardwired with Watson’s Theory of Human Care to help achieve holistic care of the patient (Leininger & McFarland, 2002). In this paper I will discuss the design of a teaching program at my workplace to help raise awareness about vulnerable populations. According to De Chesney and Anderson (2008), issues with vulnerability can apply to population groups or individual people. De Chesney and Anderson (2008) discuss vulnerable populations that are at higher risk for health issues related to socioeconomic status, cultural issues, or environmental...
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...Vulnerable Populations in the Workplace Jennifer Hudson NUR/440 October 15, 2012 Deborah Nallo Vulnerable Populations in the Workplace Change is a constant in the workplace. Policies are written and revised based on the situational needs of the organization and the workforce. A health care setting is unique in that it not only bases policies, reforms, and values on organizational needs and employee needs but also the needs of the very important clients, the patients. Guidelines exist to protect the safety and health of the patients and employees; they also exist to prevent injury, abuse, and to maintain costs and budget. However, change within an organization does not always have to happen at a senior level. An employee can recognize a need and set a course to raise awareness of this need with his colleagues and managers. According to Wells, Manual, & Cunning (2011, p. 784), “the ability to implement change requires the engagement of nursing staff and support in order to positively affect nursing outcomes.” Nurses are capable of identifying patient barriers to receiving quality care. Awareness of inequalities and barriers in a health care setting is important to reduce the incidence of disparity and create positive change for the patients and employees. Disparity is a term used to “reflect differences in health care and outcomes among many groups” (De Chesnay & Anderson, 2012, p. 520). A vulnerable population is a group that has a higher risk of experiencing...
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...The Single Mom NURS 440 April 26, 2015 Deanna Radford There are a lot of assumptions out there about single parents and particularly single moms. For example, there are people who believe that most single moms choose to raise their kids solo, are unemployed, and receive government assistance. While every story is different, most don’t support these assumptions. Once largely limited to poor women and minorities, single motherhood is now becoming the new “norm”. This prevalence is due in part to the growing trend of children born outside marriage, a societal trend that was virtually unheard of decades ago. When you examine U.S. Census data, the actual single parent statistics may surprise you. Single Parents by the Numbers According to the U.S. Census Bureau, there are approximately 13.7 million single parents in the United States today, and those parents are responsible for raising 22 million children. This number represents approximately 26% of children under 21 in the U. S. today. Despite negative assumptions that most single moms “selfishly” chose to raise their kids solo, the majority of individuals raising children alone started out in committed relationships and never expected to be single parents. Of all single-parent families in the U.S., single mothers make up the majority. According to the U.S. Census Bureau, out of about 12 million single parent families in 2014, more that 80% were headed by single mothers. Today...
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...Vulnerable Population in the Workplace Jack Daniel NUR 440 Health Assessment and Promotion for Vulnerable Populations 20 December, 2010 Dawn Talbert MSN, RN, BC-FNP The purpose of this paper is to develop the awareness of the healthcare disparities for the Hispanic population. The aspects of why the Hispanic population is a vulnerable population will be shown. There are numerous barriers to healthcare for Hispanic patients and the healthcare provider; this paper will discuss only two of these barriers. Two interventions will be shown to aid the healthcare provider in bring down the barriers to efficacious healthcare for Hispanic patients. Three or more concepts from this course will be incorporated into this paper. Awareness of the healthcare disparities is critical to understanding when attempting to take down the barriers to equal healthcare for the vulnerable Hispanic population. The deficiencies are well researched and documented. In 2003, the Institute of Medicine of the National Academies issued Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, which reported that minorities are less likely than whites to receive health services, including clinically necessary procedures, even when controlling for insurance status, patient income, and other access-related factors. Cultural bias can affect clinical decision-making. The authors found evidence that stereotyping, biases, and uncertainty on the part of health care providers...
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...Transforming Lives Communities The Nation …One Student at a Time Disclaimer Academic programmes, requirements, courses, tuition, and fee schedules listed in this catalogue are subject to change at any time at the discretion of the Management and Board of Trustees of the College of Science, Technology and Applied Arts of Trinidad and Tobago (COSTAATT). The COSTAATT Catalogue is the authoritative source for information on the College’s policies, programmes and services. Programme information in this catalogue is effective from September 2010. Students who commenced studies at the College prior to this date, are to be guided by programme requirements as stipulated by the relevant department. Updates on the schedule of classes and changes in academic policies, degree requirements, fees, new course offerings, and other information will be issued by the Office of the Registrar. Students are advised to consult with their departmental academic advisors at least once per semester, regarding their course of study. The policies, rules and regulations of the College are informed by the laws of the Republic of Trinidad and Tobago. iii Table of Contents PG 9 PG 9 PG 10 PG 11 PG 11 PG 12 PG 12 PG 13 PG 14 PG 14 PG 14 PG 14 PG 15 PG 17 PG 18 PG 20 PG 20 PG 20 PG 21 PG 22 PG 22 PG 22 PG 23 PG 23 PG 23 PG 23 PG 24 PG 24 PG 24 PG 24 PG 25 PG 25 PG 25 PG 26 PG 26 PG 26 PG 26 PG 26 PG 26 PG 27 PG 27 PG 27 PG 27 PG 27 PG 27 PG 28 PG 28 PG 28 PG 28 PG 28 PG 33 PG 37 Vision Mission President’s...
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...Culturally Sensitive Teaching Project for Nurses Joseph H Cortez NUR/440 January 8, 2012 Leslie Rowan Culturally sensitive Teaching Project for Nurses Diabetes is growing at an epidemic rate in the United States, and Hispanics in the city of Los Angeles are at especially high risk. This high-risk minority population requires extra efforts on the part of providers to decrease the rate of diabetes and related complications. The focus of this project is to educate nurses about cultural competency, barriers that Hispanics face, and how to improve their quality of life by making a lifestyle change. Experience at the Workplace Working with Hispanic immigrants and Hispanic nationals at my facility has given me firsthand exposure to their struggles and barriers that they face in the healthcare system. Working with other nurses has exposed me to the sad reality that the majority of them lack cultural competency, sensitivity and understanding for this particular vulnerable group. In my experience, most of my co- workers view Hispanic clients as a burden to the system rather than as a person that needs support, understanding and guidance to overcome the health disparities and barriers they face in our healthcare system. During this project, I interviewed and shared with two of my co-workers a brochure I developed, designed to increase awareness about the vulnerability of Hispanics, based on their culture and illness. Concepts were covered about the importance of health...
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...Vulnerable Populations in the Workplace Project Patricia Lawson NUR/440-Health Assessment and Promotion for Vulnerable Populations April 11, 2011 Sheila de Vaugh, APRN, BC CBS Evening News correspondent Ben Tracy reported on April 6, 2011 that teenage drinking and drug use has increased by 22% and that 71% of all teenagers have had a drink of alcohol before finishing high school. Most teenagers believe that smoking marijuana is not a big deal and that parents and society opposed cigarette smoking more (Tracy, 2011). Celebrities such as Michael Jackson, Brittany Murphy, and Anna Nicole Smith overshadow the issue of prescription drug abuse when every day people are experiencing the same outcomes. Emergency room (ER) nurses are the frontline in treatment of individuals suffering from addiction, withdrawal, and overdose. Still, many doctors and nurses have become hardened because of the belief that patients are drug seeking, which leads to poor management of pain and increased disparity accessing health care. In this paper I will present demographics on prescription drug abuse, issues of cultural competence and sensitivity, and strategies nurses can use to alleviate health consequences for this vulnerable group. Finally, I will conclude by presenting a brochure that ER nurses can use to identify patients at risk for substance abuse and to assess for early referral to treatment. Consequently, looking at the big picture can help health care providers...
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...How do new technologies impact on workforce organisation? Rapid review of international evidence Report developed by The Evidence Centre for Skills for Health Contents Key Themes ............................................................................................................................................ 3 Scope .................................................................................................................................................................... 3 How are teams being organised?.......................................................................................................... 7 Substituting grades and roles ............................................................................................................................... 7 Reducing staff or team size .................................................................................................................................. 8 Empowering patients............................................................................................................................................. 9 Changing the place of care ................................................................................................................................. 10 Working across organisations ............................................................................................................................. 10 Working across regional areas .........................
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...OFFICIAL CATALOG This Catalog contains information, policies, procedures, regulations and requirements that were correct at the time of publication and are subject to the terms and conditions of the Enrollment Agreement entered into between the Student and ECPI University. In keeping with the educational mission of the University, the information, policies, procedures, regulations and requirements contained herein are continually being reviewed, changed and updated. Consequently, this document cannot be considered binding. Students are responsible for keeping informed of official policies and meeting all relevant requirements. When required changes to the Catalog occur, they will be communicated through catalog inserts and other means until a revised edition of the Catalog is published. The policies in this Catalog have been approved under the authority of the ECPI University Board of Trustees and, therefore, constitute official University policy. Students should become familiar with the policies in this Catalog. These policies outline both student rights and student responsibilities. The University reserves the right and authority at any time to alter any or all of the statements contained herein, to modify the requirements for admission and graduation, to change or discontinue programs of study, to amend any regulation or policy affecting the student body, to increase tuition and fees, to deny admission, to revoke an offer of admission and to dismiss from the...
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...Based on a cross-sectional method, quantitative data was collected from 100 employees working in one of the Malaysian state health departments, with a response rate of 48 percent. The results of multiple regression analysis revealed that supervisory support was not significantly associated with transfer of training, whereas peer support exerted a significant and positive influence on transfer of training. This study responded to the pressing calls for more studies to elucidate the relationship between social support and the transfer of training. The findings contributed to the body of literature by clarifying the nature of relationships between supervisory support, peer support and transfer of training, particularly from the Malaysian workplace perspective. Key words: Supervisory support, peer support, transfer of training 1. Introduction Over the years, organizations increasingly invest on training and development to improve employees’ work performance. It is estimated that organizations in the United States spend approximately $130 billion annually on training and development (Paradise, 2007). Unfortunately, only a small portion of learning is actually transferred to the job (Pham, Segers & Gijselaers,...
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...2014-2015 Undergraduate Academic Calendar and Course Catalogue Published June 2014 The information contained within this document was accurate at the time of publication indicated above and is subject to change. Please consult your faculty or the Registrar’s office if you require clarification regarding the contents of this document. Note: Program map information located in the faculty sections of this document are relevant to students beginning their studies in 2014-2015, students commencing their UOIT studies during a different academic year should consult their faculty to ensure they are following the correct program map. i Message from President Tim McTiernan I am delighted to welcome you to the University of Ontario Institute of Technology (UOIT), one of Canada’s most modern and dynamic university communities. We are a university that lives by three words: challenge, innovate and connect. You have chosen a university known for how it helps students meet the challenges of the future. We have created a leading-edge, technology-enriched learning environment. We have invested in state-of-the-art research and teaching facilities. We have developed industry-ready programs that align with the university’s visionary research portfolio. UOIT is known for its innovative approaches to learning. In many cases, our undergraduate and graduate students are working alongside their professors on research projects and gaining valuable hands-on learning, which we believe is integral...
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...ork2012 - 2013 Catalog A Message from the President “Sullivan University is truly a unique and student success focused institution.” I have shared that statement with numerous groups and it simply summarizes my basic philosophy of what Sullivan is all about. When I say that Sullivan is “student success focused,” I feel as President that I owe a definition of this statement to all who are considering Sullivan University. First, Sullivan is unique among institutions of higher education with its innovative, career-first curriculum. You can earn a career diploma or certificate in a year or less and then accept employment while still being able to complete your associate, bachelor’s, master’s or doctoral degree by attending during the day, evenings, weekends, or online. Business and industry do not expand or hire new employees only in May or June each year. Yet most institutions of higher education operate on a nine-month school year with almost everyone graduating in May. We remained focused on your success and education, and continue to offer our students the opportunity to begin classes or to graduate four times a year with our flexible, year-round full-time schedule of classes. If you really want to attend a school where your needs (your real needs) come first, consider Sullivan University. I believe we can help you exceed your expectations. Since words cannot fully describe the atmosphere at Sullivan University, please accept my personal invitation to visit and experience...
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