...support of the two types of major stakeholders known as vendors and clinical providers (Palvia et al., 2015). Clinical providers tend to underestimate the critical role that security plays, while vendors tend to underestimate the important roles that the nursing staff plays. Understanding how that cooperation between the clinical providers and vendors during the three stages of an EHR system that includes pre-implementation, in time of implementation, and post-implementation, can provide a better assessment of the EHR...
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...one can have when engaged in assisting someone who is traumatized by an experience. Clinicians need to gauge what are healthy and normal responses when hearing another person’s trauma and what is considered as “compassion fatigue” or “secondary traumatic stress” or “vicarious traumatization” or “secondary traumatic stress disorder or countertransference. When exposed to this type of trauma, people need to identify and deal with their own emotional reactions and how this relates to their own experiences. As well as modulate their feelings and organize their thinking (Geller, Madsen, & Ohrenstein, 2004). The capacity to empathize, to feel with another person is the focal point of psychotherapy (McCann & Pearlman, 1990). That being the case, clinicians need to learn how to think clearly, modulate their emotions, feel effective when working with clients and maintain help that they are going to be effective. But, if the clinician is put into these states of stress by virtue of listening to others, they may feel inclined to withdraw from their clients (Geller et. al, 2004). When creating a psychotherapeutic relationship between a therapist and a client one approach that is considered as compatible with our theories and clinical foundations is that of the mindfulness based approach. According to Germer (2005), there are two general approaches that clinicians have applied in their clinical work. That of being mindful in psychotherapy and mindfulness – based psychotherapy (Turner...
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...prepared by the researchers to access the value of electronic health care information exchange and interoperability (HIEI) between providers (hospitals and medical groups) and independent providers (laboratories, radiology centers, payers, pharmacies, public health departments, etc). The use of information technology by health care providers is intensifying rapidly with President Bush’s support of nation adoption of electronic medical records within the next decade. In addition to the digitizing of patient’s data, information sharing between providers is being explored by policymakers. The concept of interoperability, or the flow of administrative and clinical data between users, software and hardware, encourages information technology investment and health care reform. Research hypothesis The researchers’ hypothesis was “the clinical benefits of electronic data exchange would be substantial and that financial benefits would outweigh costs”. Methodology The methods were covered a broad range of methods to gather data. The methods included literature reviews, expert interviews, and financial estimates prepared by experts. The researchers attempted to focus on published data but used experts to fill critical gaps. The researchers created a...
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...Women Kimberly L. Johnson Abstract This paper will examine the DSM disorder of Dependent Personality Disorder in Women. The focus of this paper will be to highlight the differentiation, diagnosis and treatment of this specific pathological personality disorder. According to the DSM, Dependent Personality Disorder (DPD) is characterized by a pervasive and excessive need to be cared for by others that usually lead to clingy and fears of separation. In professional counseling it is critical that clinicians understand the root causes of DPD and how this disorder can manifest in women. This disorder can be found in both men and women, but research seems to suggest that women are more likely to suffer from this disorder. Therefore, understanding the pathology of DPD and its diagnosis and treatment will be critical to professionals working with women. This paper will also discuss how clinicians should be cautious when making diagnosis in women who present with DPD and knowing what gender and culture factors that exists. Dependent Personality Disorder in Women Clinical Definition of Dependent Personality Disorder According to the DSM-IV-TR (2000), Dependent Personality Disorder (DPD) is characterized by a pervasive and excessive need to be cared for by another person that usually lead to clingy and fears of separation. DPD as outlined in the DSM-IV-TR is considered the formal diagnosis of DPD needed for insurance, research, and communication between mental health professionals...
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...Rehabilitation Center a skilled nursing facility in Anywhere, NY has determined that a capital expenditure of an installation of electronic medical records (EMR) will help their facility compete with surrounding facilities. The cost will be roughly $50,000, and will consist of the hardware, labor, software, service, and education for facility staff. This paper will confer that attainment of electronic medical record hardware and software will facilitate organizational and management with facility goals based on the necessity of the facility to compete with other facilities in the area that are technically advanced. In the long run the facility will reap the rewards of the installation of this new technology. Management Goals Productivity The chief goals of the administration group at Client Health and Rehabilitation Center is that of productivity. With the organization becoming further advanced technologically owing to the use of the EMR system, responsibilities that consist of procuring doctors orders for updating, filing, and charting additional redundancies, and use many paper charts will not be necessary, thereby doing away this outdated responsibility. Acquiring information for chart audits to determine code status, new doctor orders, and accurateness of assessments will be completed with simplicity. The management team understands the need to put into practice the technology with a crossing point to the finance office....
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...Technology Plan Paper Akosua Adjei Sentara College of Health Sciences Technology Plan Paper Introduction As remote monitoring of patients gradually more becomes a vital part of our health care delivery system globally, and patients become more comfortable to its ease, hospitals, health systems, insurance providers, and clinicians will have to seek out new ways to use the fast developing technology in diverse and modern ways. While telemonitoring technology is gaining interest as a plan to improve the care of patients with chronic diseases such as diabetes, asthma, heart failure; they frequently also raise their own different set of legal and compliance challenges, particularly in the area of privacy and security. This paper will analyze needs and recommend ways in creating a remote monitoring program for patients with heart failure with information to how to implement it throughout the organization. What is Telemonitoring? Key information technology application domains in health care include telemedicine and home telecare. On the one hand, telemedicine is defined as the direct provision of clinical care, including diagnosing, treating, or consultation, via telecommunications for a patient at a distant (Wainwright &Wootton, 2003). Remote monitoring, or telemonitoring, can be regarded as a subdivision of telemedicine, which is the use of electronic and telecommunications technologies to provide and support health care when distance separates the participants (Nangalia...
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...Abstract This paper examines and analyzes optimal fasting before elective surgery by examining clinical study information to determine if optimal fasting is necessary and, if so, what effect this has had on patient risk and morbidity. Research is obtained from sources and studies that have collected data from observation and surveys, and fieldwork studies are also included. Information is also taken from various specialists in the field of anaesthesiology. The primary objectives of the data-gathering throughout the course of the paper will be to obtain information that can determine if optimal fasting is the best standard to implement, whether there are any correlations between pulmonary aspiration and optimal fasting, and if a new standard should be implemented that lessens fasting time. Outline Introduction Problem Statement Purpose of Research Research Objectives Research Methodology Research Design Data Collection Sample Design Field Work Data Analysis Limitations of Research Literature Review Application of Findings Implementation Conclusions Bibliography Appendices From the Paper "During a study conducted in 2002 (Crenshaw & Winslow), surgical patients revealed that they were thirsty and hungry after having fasted for 12-14 hours prior to surgery. However, guidelines issued in 1999 by the American Society of Anesthesiology (ASA) (www.asahq.org) allow for the consumption of liquids as close as two hours before surgery and a light...
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...AACN Statement of Support for Clinical Nurse Specialists The American Association of Colleges of Nursing (AACN) is committed to advancing professional nursing roles and highlighting the connection between well-educated nurses and quality health care. As a leading supporter of academic institutions that educate advanced practice registered nurses (APRNs), AACN is keenly aware of the direct link between graduate-prepared nurses and both patient safety and positive outcomes. Within the APRN community, Clinical Nurse Specialists (CNSs) play a unique role in the delivery of high quality nursing care. These clinicians are experts in evidence-based nursing and practice in a range of specialty areas, such as oncology, pediatrics, geriatrics, psychiatric/mental health, adult health, acute/critical care, and community health among others. In addition to direct patient care, CNSs also engage in teaching, mentoring, consulting, research, management and systems improvement. Able to adapt their practice across settings, these clinicians greatly influence outcomes by providing expert consultation to all care providers and by implementing improvements in health care delivery systems. AACN supports the full definition of the Clinical Nurse Specialist outlined in the American Nurses Association’s 2004 publication titled Nursing: Scope & Standards of Practice. (See Attachment A). Further, the growing body of research on CNS outcomes shows a strong correlation between CNS interventions and safe...
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...Running head: Research Paper 1 Research Paper: Research of Articles’ Literature, Methods & Findings Running head: Research Paper 2 Research Paper: Research of Articles’ Literature, Methods & Findings My research consisted of the critique of 3 articles. Within my paper, I will summarize, critique, and capture implications of the articles. The first article is Assessing Personality in the DSM-5: The Utility of Bipolar Constructs. The second is Predicting the Behavior of Offenders with Personality Disorder: Issues for Investigative Psychology. The last article is Interactions between Bipolar Disorder and Antisocial Personality Disorder in Trait Impulsivity and Severity of Illness. All articles have something to do with personality disorders. The article Assessing Personality in the DSM-5: The utility of Bipolar Constructs was written by Douglas B. Samuel. The 8 page article was published by Taylor & Francis Group, LLC. This article was about the DSM-5 labeling the personality disorders as categorical constructs. Most of the categorical labels can provide relatively straightforward and rapid communication about a person. These types of categories will lead to more stimulating research and generate specific treatment recommendations. There are some disadvantages to the categorical approach including the excessive diagnostic co occurrence, inadequate coverage, excessive heterogeneity within the categories, lack of meaningful or well-validated boundary...
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...Psychological Tests and Measurements PSY 475 * Deborah Ford * June 6, 2011 Introduction to Psychological Testing According to a survey of 455 psychologists and counselors form Division 17 (Counseling Psychology) of the American Psychological Association, psychological testing is an important part of clinical psychology (Fee, Elkins, & Boyd, 1982). The most recommended tests from this group were the Minnesota Multiphasic Personality Inventory (MMPI), the Wechsler Adult Intelligence Scale (WAIS), and the Strong-Campbell Interest Inventory (SCII) (Fee, Elkins, & Boyd, 1982). Psychological testing provides the clinician with information about the client’s personality structure pertinent for the multifaceted approach to mental health (Fee, Elkins, & Boyd, 1982). In this research paper, test will be defined, major categories of tests will be examined along with their uses and users, and reliability and validity of testing will be compared. * The Definition of Test * The definitions for test given by the Oxford English Dictionary and the glossary of the authoritative Standards for Educational and Psychological Tests are not useful for the purpose of this paper; however, one may take some practical information from these two sources along with the definitions from the textbooks by Anne Anastasi and Lee Cronbach. The Oxford English dictionary does acknowledge that the variables tested are the academic, mental, physiological, or other qualities of a human subject (Hogan...
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... Benefits of the CPOE include: -Standardized orders that improve response time and avoid scheduling problems and conflict with existing orders. -The CPOE includes a display of the patient's medical history and current results and evidence-based clinical guidelines to support treatment decisions. -The CPOE system allows for real-time patient identification, drug dose recommendations, adverse drug reaction reviews, checks on allergies, and test or treatment conflicts. -Physicians and nurses can review orders immediately for confirmation. -Access is secure, and a permanent record is created, with electronic signature. -The system accepts and manages orders from any location in the health system, through a variety of devices, including wireless PCs and tablet computers (Inpatient Computerized Provider Order Entry (CPOE), 2015). The benefits are the main reasons why CPOE has the advantage over paper orders, especially with them being more secure because paper order can get lost. Transcribing and ordering errors can occur at either the ordering or transcribing stage. These errors can be due to a variety of causes, including poor handwriting, ambiguous abbreviations, or simple lack of knowledge on the part of the ordering clinician (Balthasar L. Hug, 2009). CPOEs are being used to help lessen the incidence of Adverse Drug Events (ADE). ADEs...
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...Wesley D. Pointjour Final Research Paper: Telehealth In Nursing Homes Health Quality Management April 02, 2015 Introduction In many nursing home facilities, patient safety is little to non-existent and if they are, there displayed on a need be and not obliged basis. They are displayed case by case rather than nursing home protocol. Even with changes in regulations, reporting systems, and documentation over the past couple of years, the nursing home industry still has its share of problems. Patient safety is meant to provide patients freedom from healthcare associated preventable harm, meaning when things go right, nothing bad happens. Nursing home organizations have been constantly trying to improve their reputation and the way people view them, but how? Don’t patients make up a nursing home? What about their safety? Shouldn’t we start there? How do we make improvements? Telehealth, a new approach to improving patient safety in nursing homes, will use telecommunication technologies to deliver health related services and information that support patient care, administrative activities, and health education (Dixon, Hook, McGowan, 2008). In this paper I will explore the major benefits of Telehealth and how its implications can improve patient safety in nursing home care. What is Telehealth and why is it important? Telehealth is the means and methods to improving access to care and reducing healthcare associated costs. It is also a system that can be used for education...
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...Introduction to Health Services and Information Systems Barnabas Health is a nonprofit nonsectarian hospital own by john F. Bonamo, MD, MS President and CEO. It’s New Jersey’s largest integrated health care delivery system. It includes Clara Maass Medical Center in Belleville; Community Medical Center in Toms River; Kimball Medical Center in Lakewood; Monmouth Medical Center in Long Branch; Newark Beth Israel Medical Center in Newark; Barnabas Health Behavioral Health Center in Toms River; and Saint Barnabas Medical Center in Livingston. The System also includes the Barnabas Health Outpatient Centers with the Barnabas Health Ambulatory Care Center in Livingston and the Saint Barnabas Family Imaging and Breast Center in Bedminster; ambulatory care facilities, a state-wide behavioral health network and comprehensive home care and hospice programs. Barnabas Health provides treatment and services for more than two million patients each year: 198,000 inpatients and Same Day Surgery patients; 452,000 Emergency Department patients; and 1.5 million outpatients; and delivers more than 18,300 babies annually. Their 18,200 employees, 4,600 physicians and 445 residents and interns are united in their mission to deliver the highest quality of care in the best possible environment. Among its nationally renowned services are: New Jersey’s only certified burn treatment facility, world-class cardiac surgery services for adults; the oldest, most experienced heart transplant...
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...in order for a treatment approach to be within best practice it needs evidence to back it up. This evidence includes scientific research completed on individuals similar to the client, clinical expertise from the clinician, and the values that the client and their family have. According to the American Speech Language Hearing Association (ASHA) this process involves the speech language pathologist doing the necessary research to gain the knowledge needed to make a clinical decision and have the skills necessary to act on the clinical decision and while doing so, making sure the literature they are basing their decision off of is reliable and is of high quality (2005). It was also stated to be...
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...Elements of Clinical Psychology Paper Leah Syberg PSY/480 October 5, 2015 Tara Thompson Introduction There are different approaches and disciplines in psychology (Plante, 2010). The different approaches have different understandings of how people develop cognitively, and how personality (including behavior) is formed. For example, some people can be treated sufficiently with pharmacology (medication), while others can benefit from a psychoanalytical approach to thinking and behavior (uncovering unconscious thoughts and feelings). In this way, each perspective and form of treatment has its own benefits. Clinical psychology, on the other hand, can use all perspectives and approaches (Plante, 2010). This is true because clinical psychology is an art- using all researches, methods, and approaches to define the problems a person can have. In addition to defining the problem, clinical psychology can offer different forms of treatment. For example, one person’s depression can be best treated with medication, and another person can benefit from cognitive-behavioral therapy. Also, people with multiple problems can benefit from the treatment of a clinical psychologist. This is true because the clinical psychologist can offer different forms of treatments for the many problems one person can face. This paper will discuss the field of clinical psychology, the history, research methods, and the differences in different fields of psychology. Clinical Psychology ...
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