...The role of nurse managers and nurse leaders extends beyond the delivery of direct patient care. Organizations now utilize experienced nurses in administrative roles because nurses can provide unique insight regarding the resources needed to effectively and safely carryout patient care. As the healthcare industry pushes to improve the quality of care and contain costs organizations are forced to redesign healthcare delivery. Nurse leaders can help organizations find innovative ways to delivery safer and more cost-effective care. This paper will examine the resources necessary for the financial management, material management and personnel management of a Patient Centered Medical Home (PCMH) through a Christian world view. The proposed healthcare...
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...ESSAY ASSIGNMENT ESSAY #1 DOMESTIC MARKET Health care reform is a political and economic topic that has been debated for years. Most recently in the United States under the president Barack Obama's current term he passed a law that most of us Americans refer to as Obama Care but is also known as the Affordable Care Act. This law requires every American to have some sort of health care coverage. However, is affordable health care really that affordable? There are some countries that have national health insurance systems where government uses tax revenues to provide a basic health care package. However, in America most citizens are enrolled in private health care Insurance usually provided by their employer. Health care provided by employers does come at a cost. It does drive up the cost of labor because it’s another cost incurred by the firm and sometimes the employee. Several companies I have worked for in the past have shared the cost of insurance; by doing this the firm does not incur all the costs of health care; the firm also avoids being fined for not providing health care. If the firm does not provide health care and has more than 50 employees the firm will incur of fine of $5,000. Thus, employers are essentially forced to either incur the costs of health care or pass part or all the costs onto the employee, therefore, decreasing the overall amount the employee actually makes. Some employers could use health care benefits as an enticement to keep their labor force...
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...of how, when and why people do things. Quantitative research behaves in a quantified since and assigns numerical values to responses and measure statics. With this said Proverbs, the bible verse, supports that research methods can be Godly. I interpret that verse as meaning that it is important to know and confirm in your mind that you know something, but it is better to research the topic in a biblical since rather thas a secular or worldly since. the glory of kings is researching and becomeing stronger on a topic. Pshycologists often study peoples behavior in how and why they do things. These psycologists can us Qualitative research to learn how to tell why people do the things they do. Statement 2 Romans 12:2 says,"Do not conform to the pattern of this world, but be transformed by the renewing of your mind. Then you will be able to test and approve what God's will is--his good, pleasing and perfect will. In Quantitative research people study others behavior based on statics and numbers. Research methods can be ungodly because like the verse discribed, we are not suppost to conform to the patterns on this worl we live in. With quantitative reseach it is easy to follow the crowd and look at the statoics of what everyone else is going. The staticas give the answers to Peoples behaivio and that in my opinion is ungodly. What the majority does is not proper research on behavior.W e are too have a renewing of mind. Statement 1 The purpose of Qualitative...
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... The ANA Code of Ethics with Interpretive Statements offers a statement for every professional nurse’s ethical obligations and duties, ethical standard, and commitment to society (ANA, 2001). Nurse must continuously meet standards of care and the ANA Code of Ethics and uphold fundamental legalities. Taking a closer look into the nurses ethical responsibility and fundamental legalities associated with direct patient care and as it would apply in the case study case study of patient Marianne, a 79 year-old female, who is admitted to the emergency department with hemorrhagic stroke, a grave prognosis of recovery and no advance directive. This paper will discuss legal responsibilities of the registered nurse as witness in a malpractice case of a nurse colleague found negligent in following standards of nursing practice. “The nurse’s primary commitment is to the patient who is the recipient of nursing care,” (Rushton, Dixon, & Wavra, 2005, p. 6). This quote applies to both nursing dilemmas discussed. The primary obligation of the nurse is to protect the patient’s best interest, maintaining safety, dignity and ethical accountability, which is essential in Marianne’s case, as she is neurologically unstable and unable to self direct care and is without a living will. According to the ANA Code of Ethics with Interpretive Statements, the...
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...Direct Contact and its impact on challenges facing adopted children: A Literature Review. Table of content: 1) Abstract …………………………………………..3 2) Introduction and research question ………... 3 3) Methodology and Method……………………... 8 4) Key Findings……………………………………... 16 5) Analysis and Discussion………………………. 25 6) Limitations………………………………………... 28 7) Conclusion and recommendation…………….. 29 8) Bibliography………………………………………. 30 1) Abstract This literature review explores the concept of direct contact, and what impact it has on the challenges that face adopted children. It begins by discussing adoption, contact and the meaning of these concepts. The key findings are then analysed and discussed in correlation to social work practice. From the literature analysed it would seem that direct contact has a positive impact on the challenges facing adopted children. These include, identity development,attachment development and reduced feelings of loss. Recommendation for future practice and research; although there is much to be learnt from research that has been carried out to date, simple formulas and rules cannot be applied; decisions made around contact require case by case assessment of the risks and benefits. Furthermore, long...
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...The purpose of this paper is to submit a case study of a single parent facing health choices with limited resources and apply the Health Psychology four key frameworks. Fatima is the young mother who is making the choice to first feed her family and in the process is not addressing her own health symptoms that may put her at risk for serious consequences. In this paper we will look at options in her decision making that may improve both her health and her children’s and improve the family health future. The strategies will be developed from the text of Dr. Jane Ogden in The Psychology of Health and Illness and the Dr. Robert M Kaplan, “Health Psychology: Where Are We And Where Do We Go From Here?” and with the insightful work by Dr. Gabor Mate in When the Body Says NO: Exploring the Stress-Disease Connection Fatima and Health Challenges of a Single Parent...
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...Richard, Ph.D. September 2009 foreward Not everyone in the United States enjoys the same health opportunities. Studies show that minority Americans experience poorer than average health outcomes from cradle to the grave. They are much more likely to die as infants, have higher rates of diseases and disabilities, and have shorter life spans. As the U.S. Congress and the Obama Administration work toward enactment of legislation to reform America’s health care system, a central focus of the debate has been the projected cost of ensuring accessible and affordable health care to every citizen. While some have struggled with the premise that health care reform can actually reduce health-related spending, the experience of racial and ethnic minorities under our current health care system is a strong indication that improving opportunities for good health – and minimizing inequities in health care access and outcomes – may well be good for the nation’s fiscal health, as well. This study, commissioned by the Joint Center for Political and Economic Studies and carried out by leading researchers from Johns Hopkins University and the University of Maryland, provides important insight into how much of a financial burden racial disparities are putting on our health care system and society at large. The researchers examined the direct costs associated with the provision of care to a sicker and more disadvantaged population, as well as the indirect costs of health inequities such as lost productivity...
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...Children's Hospital Case Study Name: Date: Discussion Questions 1) What is the management-research question hierarchy for Akron Children’s Hospital? Akron Children's Hospital identify five steps in their management-research questions hierarchy, which are: 1. Management Dilemma: the first step in the management- research question hierarchy, where the hospital choose specific objectives to generate solutions. The hospital is concerned mostly with increasing their business and the number of their patients. 2. Management Questions: searching for an innovative plan that differentiate them from their competitors and gain a competitive advantage over them. 3. Research Questions: looking for ways in which the hospital can provide for children advanced technology care equipments in their treatment. 4. Investigation Questions: the hospital investigates different questions, like "How can we attract patients from other countries to get their treatment at out hospital?" and "How parents decide whether to bring their children to our hospital?" 5. Measurement Questions: the hospital utilize a collecting data tool such as surveys and questioners to gather information from their customers regarding the hospital treatment and care for their children, the distance from the hospital to the home, and the quality of technology and medicines used. 2) What are the advantages/disadvantages of an observation study for this research? Each observation study has its advantages...
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...Communication Style Case Study Rosa Olivia Ramos HCS 350 November 12, 2012 Katherine Brewer Communication Style Case Study There are a variety of communication styles and some are better than others. I will analyze three scenarios and explain if a passive, assertive, aggressive, or passive-aggressive communication style was used. I will also discuss a personal experience where a passive communication style was used. I will discuss how I could improve the communication and how communicating effectively is important in the health care profession and to the outcome of this interaction. The first case study was about a nurse, Robin, who used an aggressive communication style toward Rashad, a healthcare assistant. During a team meeting, Robin stated that Rashad was just an aide who was to obey the RN’s and not think for himself. Robin spoke her mind, did not filter her thoughts, and was blunt. Her voice was raised and she embarrassed Rashad and belittled him in front of co-workers. Robin attacked Rashad in a hostile manner which makes her communication style aggressive. “Aggressive behavior is an encroachment or attack upon another and is almost always hostile in intent” (Hansten & Jackson, 2009, p. 281). Robin is being emotionally honest by verbally expressing what she actually feels, even though the unkind words may offend or hurt others. Rashad, in turn, displayed a passive communication style because he didn’t respond to her. He stayed quiet and instead started...
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...In this case study of a 78-year-old African American female, who lives with her husband Willie, in a rough part of town. Jane was admitted to hospice on December 23, 2017, for changes in the level of health-related illness. He had been living at home on hospice before going to the hospice facility. She had been living at home with her husband when he had hypertensive heart disease, acute or chronic systolic, unspecified atrial fibrilla, diabetes, major depressive disorder, cardiomyopathy, undefined, and angina pectoris, vague. There was some debate whether there had indeed been a change in the level of health-related issues. Jane, was currently not receiving the medication prescribed to her on a daily basis which caused some complication in...
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...understood, but further studies in methadone maintenance with opioid dependence will prove that methadone maintenance prevents cravings and withdrawal symptoms and helps an addict to maintain their sobriety while trying to overcome their addiction. In this paper the author will discuss the scientific method and several studies that have been conducted on the use of methadone in the treatment of substance abuse. The scientific method is a set of principles and procedures that researchers use to develop questions, collect data and reach conclusions. (Cherry, 2013). In Psychology the goals of the scientific method is to seek and describe behaviors and explain why the behaviors occur. (Cherry, 2013). Researchers also strive to create research that can be used to predict and change human behavior. (Cherry, 2013). The four steps of the scientific method are, (1) forming a testable hypothesis, (2) devising a study and collecting data, (3) examining the data and reaching conclusions and (4) reporting the findings of the study. (Cherry, 2013). All the research articles discussed in this paper used the empirical research method. This type of research is based on experimentation or actual observation; it is conducted to test a hypothesis. The researchers observed and measured the behaviors of the participants using a quantitative research method by collecting data and reporting the data using numbers. (Frankfort-Nachimas, C. & Nachimas, D. 2008). The first study,...
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...affordable and accessible health care coverage and services. Within the past thirty to forty years, the scope and cost of health care coverage and services has drastically changed, altering the manner in which health care was previously managed. There are several factors that have affected the cost of health care coverage over the course of the past two to three decades. One of these factors is the introduction and rapidly increasing enrollment in managed health care insurance plans. Managed care health insurance plans can, in most cases, help to alleviate the rising costs of effective medical coverage. Another important factor that has affected health care costs is the invention and implementation of new medical technologies. As prominent researchers and economic analysts have discovered, there is a distinct and direct correlat! ion between advancing medical technologies and rising health care costs. Medical innovation has been proven time and again to be an important determinant of health care cost growth. It would appear that managed care health insurance plans, which attempt to lower health care costs, and highly expensive new medical innovations and procedures are at cross purposes, pulling against one another in very different directions. Market-level comparisons have found the cost growth of health care in markets with greater managed care penetration to be generally slower than that of non-managed care health insurance markets....
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...Linking Patient Satisfaction with Nursing Care ------------------------------------------------- Abstract ------------------------------------------------- This paper explores the linking of patient satisfaction with nursing care from three measurement instruments to include the BERNCA (Basel Extent of Rationing of Nursing Care) scale for rationing of care, the RPPE (Revised Professional Practice Environment) scale to explore nurses’ perceptions of their work environment and the Patient Satisfaction scale. This article suggests that there is a correlation between the variables among the organization and environment, care rationing and patient satisfaction that influence patient outcomes. (Papastavrou, Andreou, Tsangari, and Merkouris, 2014). It defines that rationing of nursing care appears as an organizational difficulty, associated with the way nurses perceive environmental constraints of practicing their profession and it is linked with patient outcomes such as patient satisfaction from nursing care. (Papastravrou, et al, 2014). ------------------------------------------------- ------------------------------------------------- Keywords: Nursing care, Rationing, Patient satisfaction, Professional environment ------------------------------------------------- ------------------------------------------------- ------------------------------------------------- ------------------------------------------------- ------------------------------------------------- ...
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...1997). The ANA Code of Ethics with Interpretive Statements offers a statement for every professional nurse’s ethical obligations and duties, ethical standard, and commitment to society (ANA, 2001). Nurse must continuously meet standards of care and the ANA Code of Ethics and uphold fundamental legalities. Taking a closer look into the nurses ethical responsibility and fundamental legalities associated with direct patient care and as it would apply in the case study case study of patient Marianne, a 79 year-old female, who is admitted to the emergency department with hemorrhagic stroke, a grave prognosis of recovery and no advance directive. This paper will discuss legal responsibilities of the registered nurse as witness in a malpractice case of a nurse colleague found negligent in following standards of nursing practice. “The nurse’s primary commitment is to the patient who is the recipient of nursing care,” (Rushton, Dixon, & Wavra, 2005, p. 6). This quote applies to both nursing dilemmas discussed. The primary obligation of the nurse is to protect the patient’s best interest, maintaining safety, dignity and ethical accountability, which is essential in Marianne’s case, as she is neurologically unstable and unable to self direct care and is without a living will....
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...Quality: An Analysis of Minimum Direct Care Staffing Requirements for Nursing Homes John R. Bowblis Objective. To study the impact of minimum direct care staffing (MDCS) requirements on nurse staffing levels, nurse skill mix, and quality. Data Sources. U.S. nursing home facility data from the Online Survey Certification and Reporting (OSCAR) System merged with MDCS requirements. Study Design. Facility-level outcomes of nurse staffing levels, nurse skill mix, and quality measures are regressed on the level of nurse staffing required by MDCS requirements in the prior year and other controls using fixed effect panel regression. Quality measures are care practices, resident outcomes, and regulatory deficiencies. Data Extraction Method. Analysis used all OSCAR surveys from 1999 to 2004, resulting in 17,552 unique facilities with a total of 94,371 survey observations. Principle Findings. The effect of MDCS requirements varied with reliance of the nursing home on Medicaid. Higher MDCS requirements increase nurse staffing levels, while their effect on nurse skill mix depends on the reliance of the nursing home on Medicaid. MDCS have mixed effects on care practices but are generally associated with improved resident outcomes and meeting regulatory standards. Conclusions. MDCS requirements change staffing levels and skill mix, improve certain aspects of quality, but can also lead to use of care practices associated with lower quality. Key Words. Minimum direct care staffing ratios, quality, nursing...
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