...Emerging Standards of Care Kassandra Snow NUR 531 May 25th, 2015 Greg Friesz Emerging Standards of Care In the United States, it is no secret that there are many differing cultures, ethnicities, religious and racial in an abundance. In the nursing field, we see many differing cultural diversities on a daily basis. Racial, religious, and ethnic differences are mostly easy to spot in the health care world. These differences are readily discussed in nursing education, and education is given on how to provide culturally competent care for many different backgrounds. While this is an amazing thing to have in the nursing world, my question is what about the culture of military Veterans? Veterans are typically overlooked when it comes to the concept of culturally competent care. They have their own way of thinking, own belief systems and even their own language along with the specific mental and addiction health disparities. It is important that nurses do not overlook the rising number of Veterans, and the specific care they need due to the differing culture. Culturally competent care for veterans, any vulnerabilities of the Veteran culture, standards of culturally competent care in the Veterans Administration, application of nursing theory, and solutions for providing culturally competent care for Veterans will be addressed in this paper. Culturally Competent Care and Standards The United States is widely known as the “melting pot” of the world, and that comes with many...
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...Emerging Standards of Care NUR/531 August 18, 2014 Emerging Standards of Care According to the U.S. Department of Health and Human Services (2013) “Cultural competency is one of the main ingredients in closing the disparities gap in health care. It’s the way patients and doctors can come together and talk about health concerns without cultural differences hindering the conversation, but enhancing it. Quite simply, health care services that are respectful of and responsive to the health beliefs, practices and cultural and linguistic needs of diverse patients can help bring about positive health outcomes.” Populations Served and Their Vulnerability Healthcare organizations across the United States have been an area where cultural differences have been evident for a long time. With the significant influx of English language challenged immigrants who have not only had the means to secure jobs providing health care plans, but have also been saddled with the fear of deportation if they are considered "illegal" and, therefore, hindering their healthcare options (USDHHS, 2013). Hospitals have had to change their cultural competency to address this populations' immediate healthcare needs. On any given day, healthcare providers in a hospital setting can encounter an astonishing diversity of ethnic groups. Each of these ethnic groups brings with it their own cultural identities including language, beliefs, socioeconomic status (the wealthy, the middle class, the poor and the...
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...Emerging Standards of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Susan Mateo NUR/531 Tracey Lane Emerging Standards of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Of the many challenges facing the nursing profession, cultural competence is an area of great need across all settings from educators, to students, bedside nurses, nurse managers, and nursing leadership. Cultural competence for a given entity, be it an educational institution or healthcare facility, is best measured by an appraisal of that entity, with respect to the cultural diversity of its staff and customers, along with its policies, procedures and actual practices. The focus of this paper is the evaluation of the cultural competence of a local long term care / skilled nursing facility (LTC/SNF) located in Harker Heights, Texas. The inability to access numerical or percentage totals of the demographics of either the staff or residents directly resulted in observational assessments by this writer as the basis for this evaluation. The observations took place during the clinical experiences of students from the local public school district’s CNA course. Based on the various readings associated with the nursing 531 course, a definition of cultural competence includes several components. One of the most easily understood and incorporated is Campinha-Bacote's model of cultural competence. This model consists of five concepts, namely: cultural desire...
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...Emerging Standards of Care According to the U.S department of Health and Human services Office of Minority Health, "Integrated health care approaches must respect the whole person, work across the life span, include prevention and early intervention methods, and be person-centered, strength-based and recovery focused," (Sanchez, Chapa, Ybarra, & Martinez, Jr., 2012, p. 5 ). In this healthcare model, the patient must be treated not only according to the standards of nursing practice but integrate into the care, respect for the individual's belief system as well as their culture. "Providers that respect the cultures, languages and worldviews of the people they serve are more successful in engaging and activating individuals, families and communities to be an active participant in their own health care," (Sanchez, Chapa, Ybarra, & Martinez, Jr., 2012, p. 5) By integrating into care the individuals beliefs and needs, the professional can create rapport with the individual in such a way that encourages the individual to be active in their own health decisions based on the professional's medical knowledge and the individual's belief system. Culturally competent care is care that is respectful of and responsive to an individual's health beliefs, practices, and needs. This type of care is sensitive to the individual's ethnic and religious beliefs as well as cultural beliefs that have been shown to engage individuals into participating in their healthcare. The skill to deliver culturally...
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...DeMase Emerging Standards of Care Paper December 15, 2014 Donna Rose Nur/531 Emerging Standards of Care Paper A growing problem in the United States is the increase in health disparities amongst minorities regardless that the United States is a multicultural country. This problem is due to the poor quality and accessibility of health care services. As the population of diversity continues to grow rapidly so does the importance of cultural competence in healthcare. Cultural competence is a set of behaviors, attitudes, and skills that enables nurses to work effectively in cross-cultural situations ("Cultural Competence", 2014). Organizations must have the capacity to value diversity, conduct self-assessment, manage the dynamics of difference, institutionalize cultural knowledge and adapt to the diversity and the cultural context of the communities they serve. The Office of Mental Health and Substance Abuse Services (OMHSAS) stated that inequities in service delivery and care in the health care system are associated with discrimination, and a lack of culturally competent practices, including a lack of cultural awareness and sensitivity by health care providers (Upsher, n.d). Substance abuse is defined as a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences ("The Science Of Drug Abuse And Addiction: The Basics", 2014). This paper will discuss and define the appropriateness of competent care in Substance...
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...Emerging Standards of Care NUR 531 Emerging Standards of Care The impact of the varying demographics and the emergent multicultural humanity emphasizes the significance of cultural competence for the provision of quality care in this diverse society. Identifying and comprehending the beliefs, customs, practices, and values of a culture is essential for nurses and health care providers. Beyond the racial and ethnic group, classification that usually comes to mind with discussion of cultural diversity, other types of cultural diversity such as gender and organization affiliation warrants attention. This paper will discuss cultural competence in home health care/hospice, the people that receive service and issues of community vulnerability. Exploration of standards of cultural competence, potential impacts of delivery of care, and possible solutions to implement where standards are not being met will emerge. Cultural Competence According to Freidman, Bowden, and Jones (2003), people view culture as a model for our way of living, behaving, living, and feeling. An association between culture and heath practices is existent. In fact, culture is the most influential factor in determining health behaviors and beliefs (Campinha-Bacote, 2003). Cultural competence involves being aware of, and conversant on, and sensitive to the diverse cultures that exist in the population. Health care providers should not only embrace cultural diversity but must also strive for cultural...
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...Emerging Standards of Care: Cultural Competence Nur 531 July 29, 2013 Instructor Greg Friensz Emerging Standards of Care: Cultural Competence The current U.S. population exhibits unparalleled sociocultural and ethnic diversity, yet the nursing workforce fails to reflect the current state of the nation’s diversity. According to Clark, Calvillo, Fongwa, Kools, Dela Cruz, Lowe, and Mastel-Smith (2011) non-Hispanic Whites constitute 83.2% of the nursing workforce, although Hispanics, African Americans, American Indians, Asians, and other ethnic groups remain underrepresented. Nursing faces the challenge to meet the health care needs of such a culturally diverse population while promoting diversity in the workforce through educating nurses on cultural sensitivity and competence. Cultural competence in nursing is evolving as the standard of care. Nursing and other health care providers must employ knowledge of various social and cultural influences in the care setting to promote patient-centered care (Mitchell, Fioravanti, Founds, Hoffmann, & Libman, 2010). It is crucial to recognize and appreciate the relevance of diversity in the acute care setting to set standards of culturally competent nursing care, and improve care delivery through meeting and improving these standards. When examining definitions and concepts of cultural competence, it is evident that it not only pertains to race, sex, age, and ethnicity, but encompasses “other inseparable factors of culture...
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...Healthcare Ecosystems Task 1 Abstract In response to the “Patient Protection and Affordable Care Act (ACA) amended by the Health Care and Education Reconciliation Act (Reconciliation Act), collectively referred to as healthcare reform” (); Wishard-Eskenazi Health of Indianapolis, Indiana has begun to make milestone changes to meet the requirements of the healthcare reform. Being a leader in today’s technology which began thirty years ago with development of one of the nation’s first electronic medical record and continues to excel in the healthcare informatics technology today continues to use this technology in quality improvement initiatives, support for future technology research and improving the quality care of the patient. Wishard-Eskenazi Health remains true to their mission statement and provides a multitude of services to accomplish this statement. With the many legislative changes being brought forward today’s hospitals are forever changing and improving the quality of care provided to the patient. In response to the “Patient Protection and Affordable Care Act (ACA) amended by the Health Care and Education Reconciliation Act (Reconciliation Act), collectively referred to as healthcare reform” ( Basini, 2012); two of Indianapolis, Indiana hospitals have launched a partnership. Community Health Network and Wishard-Eskenazi Health agree to launch this partnership to assist each other in meeting the requirements of the of the Healthcare reform act. Together...
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...information system would require an interdisciplinary group of forward thinking innovators, and an interoperable electronic medical record system that includes standard nursing terminology. The technology needed in this scenario that would make this combination successful consist of network security measures to ensure security of protected health information under the federal requirements of HIPPA and HITECH. The use of emerging technology such as cellphones, tablets and remote technology should also be included in the discussions of creating a telehealth system that would accommodate both of the combining organizations. Telehealth not only includes communication between patients and healthcare providers, but also communication between healthcare providers in both of the combining organizations. Video conferencing can save healthcare providers time and money by allowing them to collaborate with one another without being physically near one another. A3. Identification of Team The interdisciplinary team on the project committee will consist of four team members. Team member A would be the project team lead in which I would nominate myself. It is important to have a nurse as project team lead because they understand the needs of the patients, the work flow of the unit and also how the system will affect those working at the point of care. The project lead should be an experienced nurse who is proficient within their specialty of nursing and is comfortable in a leadership role. The role...
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...The company is known for its acquisitions and that is how it has done much of its growth in the emerging economies as well as the US. The Company is known internationally for its portfolio of beauty and personal care products that are aimed towards catering to each level of market segment. It is an international success with deep rooted commitment and sensitivity towards local consumers’ needs and cultures. 1. Management Orientation: L’Oreal’s management orientation is geocentric. This can be seen in the sales, half of which come from outside of Europe. L’Oreal has 23 global brands across 130 countries and has 38 factories all over the world (Henderson, R., & Johnson, R. 2010). The firm has promoted its national brands to the rest of the world as related by Owen-Jones. Owen-Jones promoted the five core businesses into becoming global. These included: hair care, hair color, skin care, color cosmetics and fragrances. If we look at the website of L’Oreal Paris, we can see its presence in five continents and numerous countries (L’Oreal Paris). It has also targeted emerging economies such as China and India. It has brands targeted for all of these different market segments in the different continents. Due to its progressive investment in research and development, L’Oreal has been able to cater to the multicultural expectations, tailored to meet the needs through impressive standards. 2. The Global...
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...Emerging market report 2007 Disclaimer PricewaterhouseCoopers has exercised professional care and diligence in the collection and processing of the information in this report. However, the data used in the preparation of this report (and on which the report is based) was provided by third-party sources. This report is intended to be of general interest only and does not constitute professional advice. PricewaterhouseCoopers makes no representations or warranties with respect to the accuracy of this report. PricewaterhouseCoopers shall not be liable to any user of this report or to any other person or entity for any inaccuracy of information contained in this report or for any errors or omissions in its content, regardless of the cause of such inaccuracy, error or omission. Furthermore, to the extent permitted by law, PricewaterhouseCoopers, its members, employees and agents accept no liability and disclaim all responsibility for the consequences of you or anyone else acting, or refraining from acting, in relying upon the information contained in this report or for any decision based on it, or for any consequential, special, incidental or punitive damages to any person or entity for any matter relating to this report even if advised of the possibility of such damages. The member firms of the PricewaterhouseCoopers network (www.pwc. com) provide industry-focused assurance, tax and advisory services to build public trust and enhance value for its clients and their stakeholders...
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...organisation contains three-levels of strategy. The top hierarchy refers the corporate-level strategies that attempts to make use of the firm’s unique competencies by accepting a portfolio to the business management by developing long term plans. And the middle is the decision-making hierarchy at business-level that translates the statement’s direction and generates corporate-level strategies for business units or SBUs. And the bottom hierarchy is functional-level that develops short term strategies and annual objectives in different areas of organisation. (David, 2003) II. ORGANIZATION & BUSINESS SEGMENTS Company Profile Johnson & Johnson- A most comprehensive health-care firms in the world and most diversified. J&J manufactures health care products for consumer & personal care, pharmaceutical, medical devices and diagnostics markets. It is operating its firms in 57 countries and nearly 200 companies around the world. J&J generates nearly half of its revenues from outside US; through its operating networks and marketing organizations that sells products in 175 countries. (Web 1) Key Facts- Johnson & Johnson Incorporated | 1887, Public Company | Employees | 114,000 | Sales | US $63.7 billion | Net earnings | US $12.9 billion | Stock Exchanges | New York Toronto | Operating locations | 57 Countries | Ticker Symbol | JNJ | Mission- To improve the quality of life for, people at everywhere. Vision- Bringing science to the art of...
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...Ethics of Offshoring: Novo Nordisk and Clinical Trials In Emerging Economies Offshoring is a highly debatable topic throughout the country and the world. Many people base their opinions on different aspects of offshoring. Some people are against offshoring because they feel as if the working conditions in other countries aren’t up to par and are unethical. Some people are against offshoring because they feel it is taking jobs away from people within their own country. Some people are for offshoring because they feel there is greater profit involved or that they can get harder workers in other countries. No matter what side of the debate, everyone can agree on a few things like there needs to be better standards for working conditions, proper safety measures, and high economic and ethical concern. The case Ethics of Offshoring: Novo Nordisk and Clinical Trials in Emerging Economies was a highly informative case on clinical trials and offshoring. There was a reporter who wanted to speak with Anders Dejgaard, chief medical officer of Novo Nordisk, about his take on the offshoring of clinical trials by Danish companies as there had been multiple reports about trials being conducted in developing countries under unethical conditions. When reading the case, it truly made me consider aspects that I had never considered before. There are a few underlying questions that I feel need to be discussed. First of all, when considering both economic and ethical aspects, is it appropriate...
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...Tsai Subject: Ethics of offshoring Date: 05/23/2011 Critical issued of the appropriateness of conducting clinical trials in emerging countries has arisen over years. Being a leading company in biopharmaceutical industry, Novo Nordisk faces the critiques of whether it is justice to offshoring their clinical trials in developing economies. With the consistency of ethical principles brought up by Novo Nordisk, the company would be able to move their trials into emerging economies with the best interest for stakeholders. I will also propose ideas to Mr, Dejgaard for possible approach to media as well as the practices that Novo Nordisk could have changed over time at the end. Conducting Clinical Trials in Emerging Economies With Utilitarian approach, every party has different perspectives in the outcome of an action. In this case, we have shareholders, employees, customers, supply chain, government and local communities, with secondary stakeholders of media, special interest groups and NGOs. For customers, government and local communities, they emphasize more on the proof of efficacy and safety of medical products. While shareholders, employees, supply chain care more of the profitability as a whole in general. As a result, Novo Nordisk will be better off maximizing its profits while holding their ethical justice for conducting clinical trials in emerging countries. Economic Aspect As the Nobel prize winner, Milton Friedman pointed out that making profit will be the first priority...
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...Key Success Factors and Common Pitfalls for Health Care Businesses Overview Previous sections of this guide provide investors with tools for analyzing health-sector investment opportunities. This section deepens investor’s knowledge of the sector by presenting key elements of different types of health care businesses, including hospitals, clinics, laboratory and diagnostic facilities, pharmaceutical retailers and distributors, and medical education and training institutes. Each is characterized by distinct factors to consider when appraising credit and investment worthiness. A discussion follows of success factors and common mistakes that investors see in financing requests from each of these types of businesses. The box on this page describes one banker’s experience with health-sector borrowers in Uganda. Hospitals Key Elements for Analysis: Typically private hospitals earn revenue from inpatient and outpatient services, surgical procedures, diagnostic testing (laboratory and radiology), and drug sales. The number of beds defines the inpatient capacity, and bed occupancy rate and average length of stay are key metrics for determining inpatient numbers (a key revenue driver). Similarly, outpatient numbers and consultation fees drive outpatient revenue. Key profit centers are usually surgical procedures, diagnostic tests, and drug sales, rather than room rates and consultation fees. Because of the equipment and facility requirements, hospitals are generally much more capital...
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