...from all levels of the multi disciplinary teams communication can be improved. Nursing as a profession has come along way from the time of Florence Nightingale, nurses are now being constantly training in interpersonal communication skills and are more medically informed. Nurses have a very important role to play in the healthcare setting and in many cases are the voices of the patients. Nurses are part of the multi disciplinary team who need to work together and communicate effectively to provide the best patient outcome. Gluyas, (2014) and St Pierre et al., (2011) Both...
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...is based on a case study and will explore a person-centered care given to a patient by the student and her supervisor during a clinical placement. The assignment will explore effective communication skills when working with other professionals, the patient, and their families. For clarity, the assignment will also explore the ethical, legal and professional values underpinning nursing practice with a special focus on how professional issues can impact the person-centered care given. It must be acknowledged that the assignment relates to the person-centered care provided by the student to a patient during her stay in the hospital. The person’s confidentiality will be protected in this assignment, with the use of a pseudonym...
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...Interprofessional Team Development: A Patient and Family Centered Care Western Governor’s University: C158 May 11th, 2016 Interprofessional Team Development: A Patient and Family Centered Care Approach Approach to patient care has changed over the last three decades from patient treatment-focused model to include comforting, engaging, and empowering patients. The new approach implements patient-centered care environments. It has been adopted by care providers, research bodies, funding agencies, and regulatory agencies, among others. To enhance patient-centered care, business practices, regulatory requirements, and reimbursement regulatory procedures have been adopted. This is evident by the regulations of Joint Commission and the provision of services by Medicare Medicaid services (CMS). In this paper, the impact of business practices, regulatory requirements, and reimbursement procedures on patient-centered care is discussed. A multidisciplinary approach on a process improvement enhancing Patient and Family Centered Focus Care is outlined in a hospital located in Arizona. Regulatory Requirements and Healthcare Business In 1996 the Institute of Medicine took on healthcare improvement to resolve unsafe care by ambitiously moving toward quality initiatives. The release of “To Err Is Human: Building a Safer Health System19 (1999) and Crossing the Quality Chasm (2001)” focused on the fails of the healthcare systems pointing out that over 98,000 patients die in hospitals annual due...
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...Collaborative Approach to End Stage Renal Disease Patient Care Chronic kidney disease (CKD) affected 15.1% of the U.S. population in 1999-2000. During the fifth stage of kidney disease, kidney failure occurs. This is known as end-stage renal disease (ESRD). As of 2006, 25% of the Medicare budget was being used for the treatments for CKD and ESRD patients. As the baby boomers age, these numbers are expected to rise as well. An innovative and collaborative approach, such as a patient-centered medical home (PCMH), to ESRD treatment will provide higher quality patient care while reducing cost (Odum &Whaley-Connell, 2012). A case study using the PCMH approach will be conducted. Case Description Natalie is a 53-year-old African American woman. She...
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...Personal and Professional Healthcare Communication Paper Health Care Communication Health care communication may be defined as a process that facilitates interdependence among members of a health care unit or group. It occurs either verbally or non verbally and is a process that enhances the sharing of ideas. Health care communication is essential in coordinating activities with in a health care unit if it encompasses health care administration and staff members. Health care communication is the degree to which individual have the capacity to obtain, process, and understand the basic health information and services needed to make appropriate health decisions. The health care communication is also considered as the health care literacy, which appears in different variety of ways. The health care communication can be in conversations with healthcare professionals, on prescription and over-the-counter medication bottles, health education or promotional materials, insurance or Medical applications and other forms of health information. Health communications examines the relationship of communication to desired patient care outcomes. The importance of communication providers and selected outcomes like the adherence to treatment, healthcare utilization, trust, and satisfaction with healthcare providers, and improvements in health statues are part of communication practice. The training of communication providers adheres to the professional values. The stated values are the foundation...
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...IOM Competencies Case Study Tiffany Jill September, 28 2013 NUR 310 Nursing Leadership and Management IOM Competencies Case Study Nurses who work night shift at hospitals are often faced with the dilemma of whether or not to call a physician for advice during the night. Fear of having to deal with an unpleasant doctor can be intimidating, as the physician is frequently asleep when being called. Failure to communicate has been linked to poor quality and patient errors, therefore nurses and doctors must communicate and work collaboratively in order to provide high quality and safe care to their patients. The Institute of Medicine (IOM) recommends educating health professionals in five different areas: providing patient centered care, working in interdisciplinary teams, employing evidence based practice, applying quality improvement, and utilizing informatics (Yoder-Wise, 2011). Learning and applying these competencies will help nurses and physicians to deliver the best healthcare possible and lead to positive patient outcomes. The following will describe how IOM competencies can be used in healthcare. A decline in patient status can require needing further recommendations by the physician. Nurses should assess patient situations early, as this could help to avoid waking a doctor. It is best to try and prevent calling doctors unless it is an emergency and cannot wait until morning. Other avenues should be pursued prior to reaching out for guidance to the doctor...
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...Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care A Roadmap for Hospitals Quality Safety Equity A Roadmap for Hospitals Project Staff Amy Wilson-Stronks, M.P.P., Project Director, Health Disparities, Division of Quality Measurement and Research, The Joint Commission. Paul Schyve, M.D., Senior Vice President, The Joint Commission Christina L. Cordero, Ph.D., M.P.H., Associate Project Director, Division of Standards and Survey Methods, The Joint Commission Isa Rodriguez, Project Coordinator, Division of Quality Measurement and Research, The Joint Commission Mara Youdelman, J.D., L.L.M., Senior Attorney, National Health Law Program Project Advisors Maureen Carr, M.B.A., Project Director, Division of Standards and Survey Methods, The Joint Commission Amy Panagopoulos, R.N., M.B.A., Director, Division of Standards and Survey Methods, The Joint Commission Robert Wise, M.D., Vice President, Division of Standards and Survey Methods, The Joint Commission Joint Commission Mission The mission of The Joint Commission is to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The inclusion of an organization name, product, or service in a Joint Commission publication should not be construed as an endorsement of such organization, product, or services, nor is failure...
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...criteria that ensure professional practice. I adopted my values in a collage characterized by strong family bondage and commitment, sharing, love, happiness and family pets. This collage values happiness, wealth and family bondage than other matters in life. I express my vision for a happy family, values and goals to measure progress. My vision aims to ensure family safety, health and togetherness. In order to have a happy family, one must attend to all their needs including shelter and food. One also has to try and be the best father or mother and thus promote common family values that ensure commitment, guidance, respect and openness in the family relationships. I upholds these values as a consequence of ill-upbringing. There was no care for me during my early life. There was also no such a thing as rights to be provided. After a deep soul-searching, I...
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...Orientation to course 1. Course descriptions 2. Course outcomes/competencies 3. Textbooks B. Course Requirements 1. Student assignments and responsibilities 2. Minimum level of achievement 3. Evaluation tools C. Course/ Clinical Assignments and Evaluation D. Major Concepts 1. Caring 2. Clinical judgment, clinical reasoning, and nursing judgment 3. Clinical microsystem 4. Collaboration 5. Critical thinking 6. Cultural competence and Diversity 7. Ethics 8. Evidence-based care 9. Healthcare environment 10. Human flourishing 11. Informatics and Information management 12. Integrity 13. Knowledge, skills, and attitudes 14. Leadership 15. Nursing and Nursing Process 16. Nursing-sensitive indicators 17. Patient and Patient-centered care 18. Personal and Professional development 19. Professional identity 20. Quality improvement 21. Relationship-based care 22. Safety Teaching-Learning Strategies * Review course syllabus distributed by instructor * Read requirements and policies related to program found in Nursing Student Handbook (NSH) * Review course supplemental learning guide (SLG) * Text for course * Read definitions of Major Concepts used in the Program...
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...INTRODUCTION In recent years, patient-centeredness and cultural competence have been promoted as integral to improving health care quality. Although patient- centeredness and cultural competence have grown out of separate traditions each with its own focus they have many similarities. Health care that is patient-centered is likely also to be culturally competent, and culturally competent care is likely to be patient-centered. Proponents of patient-centeredness may therefore view cultural competence as within its purview; likewise, proponents of cultural competence may view patient-centeredness as an essential element. THE EVOLUTION OF PATIENT-CENTEREDNESS Patient-centered care supports active involvement of patients and their families in the design of new care models and in decision-making about individual options for treatment. The IOM (Institute of Medicine) defines patient-centered care as: "Providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions." The term “patient-centered medicine” was originally coined by Balint in 1969 to express the belief that each patient “has to be understood as a unique human being (Balint)".The concept has evolved and expanded, and today, no one would deny that health care should be patient-centered.2 However, despite universal endorsement of patient-centeredness, there is considerable ambiguity in its definition and use across settings...
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...internship doctors Number of learners: 2 Number of medical staff in the clinic: 1 consultant, 1 nurse, 2 internship doctors. Procedure to be performed: upper limb nerve conduction study (NCS). A non-invasive procedures Time scheduled for each patient: 45 minutes Total number of patient: 5. Clinic time: Wednesday morning 8 am -12pm Duration of placement: 1 month Learning situation (max 500 words) Purpose: At the end of the clinical session, the learner should be able to: 1- Perform a focused patient-centered history and focused physical examination for diverse patient referred to the clinical neurophysiology clinic 2- Perform upper limb nerve conduction studies in patients referred to clinical neurophysiology clinic. 3- Perform analysis ,interpret and report findings of nerve conduction study. 4- Demonstrate...
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...pertinent to the goals of the team. They both have the responsibility towards meeting the goals of the organization and people that they serve. In nursing, they are both responsible for meeting patient satisfaction. Fellowship allows the members to work together and share common values so as to fulfill a common goal. 2 What is TeamSTEPPS, what is purpose, provide an example. How is this beneficial for the patient the staff, and nursing? Go to AGRQ web site, search TeamSTEPPSand watch the video. How do you think implementing TeamSTEPPS will improve quality of care, why and provide an example? TeamSTEPPS is an evidence-based teamwork system to improve communication and teamwork skills among health care professionals. The purpose is to produce highly effective medical teams that optimize the use of information, people, and resources to achieve the best clinical outcomes for patients. For example, having a team of nurses, physicians, CNAs, administrators all assigned to work with patients in the same units of to hospital so as to improve patient satisfaction. The most important benefit is that patient care is provided with a high degree of safety, since this always comes first when providing patient centered care. TeamSTEPPS would help improve communication between physicians and nurses , for example, when a nurse is taking a medication...
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...Table of Contents Introduction Page 3 Risk Scenario Related to Patient Care and Safety Page 5 Risk Scenario Related to the Physical Plant Page 9 Risk Scenario Related to Staffing Page 13 Best Practices in 4 Hospitals Page 15 Tenet Healthcare Page 16 Cleveland Clinic Stroke Improvement Plan Page 17 Conclusion Page 18 References Page 19 Introduction The issue of risk scenario carries immense importance for most of the hospitals that are part of the healthcare setting. However, there is not only one scenario that can affect the hospitals but there are several scenarios that can create an impact on the functions of the hospital. There are three scenarios that would be highlighted in the current topic. These three scenarios have a tendency to put a hospital at risk for financial stability. The first scenario that can produce a negative impact on the hospital risk is related to patient care and safety. The second scenario is related to the physical plant. The third and last scenario is related to staffing. The role of HIM practitioner in this regard would be very important. They would serve as a clinical quality assessment resource and as a team member to perform their tasks related to healthcare work. Therefore, all the issues related to three scenarios will be discussed in detail. The impetus for quality improvement has been driven in recent years by three main factors: 1. The amount of money that the US spends on healthcare per capita and as...
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...Health Care Coordination Models: Benefits and Challenges Traci L French Salem International University Abstract: Care coordination refers to several forms of patient care management that is patient- rather than provider-focused and has the end goal of the “Triple Aim”-improved patient experience, improved population health and decreased per capita costs. These goals are achieved by developing healthcare models which promote collaborative care between providers, increase communication between health care entities, actively engage patients in health care and lifestyle choices and rely heavily on health technology to extend provider services, personalize care and monitor quality improvement efforts. The main barriers to care coordination implementation include poor reimbursement for services, difficulties with provider network communications, shortages of trained care coordination personnel and ambiguity in provider roles and responsibility, which can lead to provider accountability issues. When well-established, care coordination models allow patients to form substantive, long-term personal relationships with providers and increase personal accountability for health care choices. These relationships increase compliance with care regimens in the ambulatory setting and decrease costs with overall improvement in patient quality of life. Care coordination refers to several forms of patient care management which is patient- rather than provider-focused and has the end goal of...
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...providers, learners, specialists, patients, customers, families and other groups intently to empower ideal wellbeing outcomes for clients. IPC is a collective operation which takes place when various medicinal services providers work with individuals from inside their own calling, with individuals outside their calling and with patients and their families jointly to achieve good health outcomes collaboratively. This complex relationship, occurs over a period of time. The objective of this paper is to demonstrate how interprofessional cooperation creates a relationship of appreciation and respect for other disciplines...
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