...Applying Standardized Terminologies in Practice Introduction Nursing professionals have standardized terminology they use to communicate with each other and other medical professionals. Standardized terminology (ST) has allowed nurses to agree upon a common terminology to describe assessments, interventions, and outcomes related to the documentation of nursing care. Nurses from different units, hospitals, geographic areas, and countries will be able to use commonly understood terminology to identify the specific problem or intervention implied and the outcome observed (Rutherford, 2008). Within ST there are organizations that have standardized the terminology for nurses. NANDA, NOC, and NIC are the organizations that will be discussed throughout this paper and how they related to patient care based on a provided scenario. The scenario I will be discussing is: 47yr male patient presenting to the ED with c/o SOB and CP x 3 days. Pt is pale and diaphoretic on arrival. VSS are HR 130; BP 123/74; O2 sat 96% on 4L NC; pt. with shallow rapid respirations rate 36. NANDA is an organization that has developed more than 200 nursing diagnoses. “NANDA International will be a global force for the development and use of nursing's standardized terminology to ensure patient safety through evidence-based care, thereby improving the health care of all people” (NANDA, 2014). NANDA committed to improving the quality of nursing care and improvement of patient safety through evidence-based practice...
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...Incident Command System The way this nation prepares for and responds to domestic incidents is about to change. It won't be an abrupt change; best practices that have been developed over the years are part of this new comprehensive national approach to incident management known as the National Incident Management System (NIMS). But it will change � and for the better. Developed by the Department of Homeland Security and issued in March 2004, the NIMS will enable responders at all jurisdictional levels and across all disciplines to work together more effectively and efficiently. Beginning in FY 2006, federal funding for state, local and tribal preparedness grants will be tied to compliance with the NIMS. One of the most important 'best practices' that has been incorporated into the NIMS is the Incident Command System (ICS), a standard, on-scene, all-hazards incident management system already in use by firefighters, hazardous materials teams, rescuers and emergency medical teams. The ICS has been established by the NIMS as the standardized incident organizational structure for the management of all incidents. Although many agencies now use various forms of ICS, there is considerable...
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...NIMS and the Incident Command System The way this nation prepares for and responds to domestic incidents is about to change. It won't be an abrupt change; best practices that have been developed over the years are part of this new comprehensive national approach to incident management known as the National Incident Management System (NIMS). But it will change � and for the better. Developed by the Department of Homeland Security and issued in March 2004, the NIMS will enable responders at all jurisdictional levels and across all disciplines to work together more effectively and efficiently. Beginning in FY 2006, federal funding for state, local and tribal preparedness grants will be tied to compliance with the NIMS. One of the most important 'best practices' that has been incorporated into the NIMS is the Incident Command System (ICS), a standard, on-scene, all-hazards incident management system already in use by firefighters, hazardous materials teams, rescuers and emergency medical teams. The ICS has been established by the NIMS as the standardized incident organizational structure for the management of all incidents. Although many agencies now use various forms of ICS, there is considerable uncertainty about NIMS ICS and the impact it will have on systems and processes currently in place. These are important questions because one of the FY 2005 requirements for implementing NIMS is "institutionalizing the use of ICS, across the entire response...
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...SOFTWARE DEVELOPMENT EFFORTS AND SOFTWARE DEVELOPMENT METHODOLOGY AT ALPHA BAY CORPORATION Kingslee Rathinam Foundation Of Business Intelligence Saint Joseph University FALL 2012 Introduction During the past forty years, new software development approaches were introduced to fit the new cultures of the software development companies. Most software companies nowadays aim to produce valuable software in short time period with minimal costs and within unstable, changing environments. Agile Methodologies were thus introduced to meet the new requirements of the software development companies. This paper presents how the Alpha Bay Corporation handled software development process and the type of software development methodology used by them and the recommendations for improvements which includes agile approaches including Extreme Programming, Agile Modeling and SCRUM, describes the differences between them and recommends when to use them. Company Profile Alpha Bay Corporation is building a world-class system called AIRSTM. Their software gives retailers the integrated, real-time data access they need to see where their inventory is, when they need it, across all channels of their business. This allows retailers to increase their revenues by raising the average order value, reducing out-of-stock situations and dramatically increasing customer loyalty. Alpha Bay’s AIRSTM suite, which includes applications such as Point-of-Service...
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...Executive Summary Brandy Libby Grand Canyon University: Nurse Leadership and Management NRS-451V January 24, 2014 Executive Summary The current staff have varied years of experience, and education. Some have not completed an intermediate or advanced fetal monitoring course. Many have not had updated education in reference to the newest nomenclature set forth by the National Institute of Child Health and Development (NICHD) in 2009. Standardizing the interpretation and the communication of varied fetal heart rate (FHR) patterns among all staff is needed to decrease intrapartum mistakes, decrease liability exposure and improve patient outcomes. Improving staff competencies in the interpretation, communication, documentation and management of fetal heart rate tracings is critical to these goals (HANYS (Healthcare Association of New York State), The American Congress of Obstetrics and Gynecology (ACOG) New York State Department of Health [HANYS, ACOG, NYSDOH], 2011). The National Certification Corporation (NCC) recently launched a public campaign named “Just Ask”. The campaign is designed to educate and encourage patients to ask for certified nurses and nurse practitioners. It is the goal of this proposed quality improvement initiative to have all perinatal staff be updated and certified in electronic fetal monitoring by the NCC by the year 2015. Purpose Litigation caused by the misinterpretation and management of electronic fetal monitoring (EFM) tracings continue...
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...Introduction Conceptual frameworks of nursing model have provided the professional nurse a foundation for the development of individual practice. I have chosen an individual at my current placement to base the care plan on. The patient is a 45 year male who has been in and out of the ward for severe anxiety issues and my job is to build a therapeutic relationship so she can become more comfortable with herself and this would lead to an end result of socializing with others. In this assignment I examined the Peplau interpersonal relations model and the Neuman health care systems model. After an overview of the two models, a comparison of the models was presented, Neuman's model focuses on the person as a complete system, the subparts of which are interrelated physiological, psychological, sociocultural, spiritual, and developmental factors whereas Hildegard Peplau proposed that nursing involved a set of interpersonal relationships between nurse and patient. She carefully described these relationships, applying other disciplines, such as psychology, which was a first in the field of nursing by raising standards to a higher level of examination, she helped prepare nursing's move from a skill to a profession. This model of nursing will be applied to a specific client situation to determine the impact it will have of my individual client and psychiatric nursing practice and how it will link in with the care plan that has been developed according to the models framework. In the interest of the...
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... References 10 Executive Summary Expanding a business poses certain risks, and entering a foreign market can be additionally challenging. This report serves to guide foreign expansion in Europe by listing the main areas to be focused on, and recommendations for how to meet these specific needs in order to succeed in international ventures. Learning the customs and idiosyncrasies of the regions where the new business venture is planned is vitally important in order to penetrate the market. Understanding that good business practices can differ in other parts of the world, and applying best practices in all areas of business will create successful partnerships and customer bases. Applying foreign law is likewise important, as failure to comply with regulations where business is conducted can result in sanctions, fines, and have a generally negative overall impact on operations. Europe in particular has certain advantages of standardized laws that are applied throughout all European Union members, 27 countries in all. Thorough research of an organizations chosen market is another key stage to mitigate the risks of entering a foreign market. Through the use of focus groups and in-house research a business can determine which existing products are ready for a foreign market, and how much development will be needed for success. The first step in preparing a business to enter a foreign market is selecting the correct personnel to lead the new initiative, these should...
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...as Homeric text where allusions to testing are personified as gods challenging man. Undoubtedly, tests in those times had their own high-stakes nature, perhaps being the life of an individual, and while this may seem extreme and unfair in the twenty-first century, in its context was perhaps necessary to ensure the survival of a group. This protectionism no doubt persists today, evident in social policy and language norms. Although the stakes have changed, entry to a society is no less high contextually in terms of financial and emotional currency. Now as the dominant species the survival of the fittest no longer seems relevant, so attention must be drawn to current gate-keeping practices and not only their necessity but also whether or not they are fair. While language testing has become standard practice in many countries it has also become politicized especially as a means of power (Hamp-Lyons, 1997a; Shohamy, 2001). In this case the term fairness becomes problematic because determining whether it is society or the political class who has set the standards has many implications. Language testing systems employed by governments may be relevant to determine types of language skills and their validity is certainly justified in some circumstances such as entry to an industry, but it does not mean that test takers are prepared for the communicative reality of a society. Consequently, testing can be unfair for both test taskers and for the community in which they hope to enter and...
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...Chapter I THE PROBLEM AND ITS BACKGROUND Introduction As technology continues to advance, computers are becoming more part of everyday life. Computers are everywhere at work, at school, and at home. Many daily activities either involve the use of or depend on information from a computer. It is also the best solution for providing information and a way of communications in every individual and gives better understanding of some events that can arouse the interest of some particular subject matter. The computerized world is highly efficient one, which processing the big quantities of data and keeping. Computer can be considered as another instrument for developing a system like grading system in every school. This can be a great help to those teachers who are handling many task from providing easier and faster access. Through the advancement of Education System in the Philippines and the application of K-12 system in public and private schools, the systems of grading and recording must be restructured together with the development of the country’s system. K-12 system of assessment critically changed and made assimilation with the international countries. The ideal system focused on the decisive purpose of quality assuring student learning. The said education system is also a standard-based to guarantee the productive teaching of teachers to help the students aspire through their goal. The propagation of technology greatly helps the teachers and students to have efficient...
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...between a nursing diagnosis and a collaborative problem. List three parts of a nursing diagnostic statement. Describe the rationale for setting priorities. Discuss appropriate circumstances for short-term and long-term goals. Identify four ways to document a plan of care. Describe the information that is documented in reference to the plan of care. Discuss three outcomes that result from evaluation. n the distant past, nursing practice consisted of actions based mostly on common sense and the examples set by older, more experienced nurses. The actual care of clients tended to be limited to the physician’s medical orders. Although nurses today continue to work interdependently with physicians and other health care practitioners, they now plan and implement client care more independently. In even stronger terms, nurses are held responsible and accountable for providing client care that is appropriate and reflects currently accepted standards for nursing practice. I problems of clients (Fig. 2-1). It is the accepted standard for clinical practice established by the American Nurses Association (ANA) (Box...
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...What is Joint Interdependence Anyway? Colonel Christopher R. Paparone, U.S. Army, and James A. Crupi, Ph.D. HERE IS MUCH ADO lately about the concept of “joint interdependence” in future military operations. More than one four-star general has praised Operation Desert Storm’s joint deconfliction; that is, the conduct of relatively independent service operations orchestrated in space and time so as not to interfere with each other, as in air operations deconflicted with ground operations. In Operation Iraqi Freedom, U.S. forces achieved more joint interoperability with a variety of forces working together to a greater degree because processes were clear, such as using U.S. Air Force close air support in lieu of U.S. Army artillery. But, generals say the future of jointness is interdependence, with no service operating independently and all relying on each other’s capabilities to be successful. We are not completely satisfied with this vision of future joint interdependence. We are concerned that military leaders might inadvertently miss the leadership and organizational implications associated with interdependence. Instead of the discussion oriented on deconfliction, interoperability, and interdependence, we propose a more meaningful way to talk about the continuum of interdependence. We believe there are varying degrees of interdependence, each of which affects differently how the military organizes, leads, and achieves. The concept of interdependence might be best understood...
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...tool to help hospitals get closer to the goal we want – perfect care.” — Quint Studer, CEO, The Studer Group, author of Results that Last “Mark Graban is the consummate translator of the vernacular of the Toyota Production System into the everyday parlance of healthcare. With each concept and its application, the reader is challenged to consider what is truly possible in the delivery of healthcare if standardized systems borrowed from reliable industries were implemented. Graban provides those trade secrets in an understandable and transparent fashion.” — Richard P. Shannon, MD, Frank Wister Thomas Professor of Medicine, Chairman, Department of Medicine, University of Pennsylvania School of Medicine “There is an enormous shortfall between the healthcare we are promised and what we actually get. Mark Graban explains how those in the system can make care delivery better for everyone –patients, providers, and payers.” — Steven Spear, Senior Lecturer, MIT, Senior Fellow, IHI “Mark Graban’s work has been a steady companion in the three years I have been studying and applying lean in healthcare. He...
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...Journal of Web Engineering, Vol. 2, No.3 (2004) 193-212 © Rinton Press Requirements Engineering for Web Applications – A Comparative Study M. JOSÉ ESCALONA University of Seville. Spain escalona@lsi.us.es NORA KOCH University of Munich (LMU) and F.A.S.T. GmbH, Germany kochn@informatik.uni-muenchen.de koch@fast.de Received (to be filled by the JWE editorial) Revised (to be filled by the JWE editorial) The requirements engineering discipline has become more and more important in the last years. Tasks such as the requirements elicitation, the specification of requirements or the requirements validation are essential to assure the quality of the resulting software. The development of Web systems usually involves more heterogeneous stakeholders than the construction of traditional software. In addition, Web systems have additional requirements for the navigational and multimedia aspects as well as for the usability as no training is possible. Therefore a thoroughly requirements analysis is even more relevant. In contrast, most of the methodologies that have been proposed for the development of Web applications focus on the design paying less attention to the requirements engineering. This paper is a comparative study of the requirements handling in Web methodologies showing trends in the use of techniques for capturing, specifying and validating Web requirements. Keywords: Requirements Engineering, Web methodology, survey Communicated by: (to be filled...
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...Better Practices for Retaining Organizational Knowledge: Lessons from the Leading Edge David W. De Long and Thomas Davenport n 1998, after significantly downsizing for ten years, the Tennessee Valley Authority (TVA) realized that the median age of its 13,000 remaining employees was 48. Because most of its workers retired well before age 60, this meant that over the next ten years the TVA, the largest electrical utility in the United States, was bound to lose many of those it depended on to run its nuclear, coal-fired, and hydroelectric power plants efficiently and safely. Those employees, and the knowledge they embodied, would be hard to replace. Changing workforce demographics, marked by an aging labor force, more competitive recruiting, and faster turnover among younger employees, are creating unprecedented knowledge-retention problems in many industries, threatening to reduce the capacity for innovation, growth, and operational efficiency. A recent study of 26 firms conducted by the Accenture Institute for Strategic Change documented the danger lost knowledge poses for organizational performance in the global chemical industry.1 But, of course, operational and institutional amnesia imperil more than just the chemical industry. This article outlines a set of “better practices” that organizations currently are implementing to address these concerns. The practices shared here are not claimed to be “best in class,” because the challenges of knowledge ...
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...Academy Press | | Student Response | Objectives | Discuss concepts of quality control, quality assurance and quality improvement. Chapter 23 | Discuss the following:Quality control - refers to activities that are used to evaluate, monitor, or regulate services rendered to consumers.Quality Assurance - Quality assurance models seek to ensure that quality currently exists.Quality Improvement - assume that the process is ongoing and quality can always be improvedDefine the following terminology * Critical Event Analysis – process used to determines discrepancies between care provided and unit standards. * Root Cause Analysis – process used to obtain further information regarding why the standard was not met. * Benchmark - the process of measuring products, practices, and services against best-performing organizations. A tool for identifying desired standards of organizational performance. * Standard - predetermined level of excellence that serves as a guide for practice. Standards have distinguishing characteristics; they are predetermined, established by an authority, and communicated to and accepted by the people affected by them. Because standards are used as measurement tools, they must be objective, measurable, and achievable. * Quality Gap - The difference in performance between...
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