...• Elizabeth Ebomwonyi E Grand Canyon University: NRS-440v- Current Trends in Nursing Practice July 7th, 2013 Nurses’ Roles and Responsibilities in National Healthcare Reforms Every healthcare environment such as hospitals, nursing homes, ambulatory care centers, nurses have always had the closest relationship with patients and their families. Nurses assess, monitor, provide care and meet patients’ needs, relay information between physicians and patients, advocate for patients and families. Nurses have not being involved in making significant policy decisions to high quality patient care but as our country focuses on healthcare reform which will guarantee that all American have right to excellent and reasonably priced health care, nurses’ roles and responsibilities are expected to change from patient care to taking responsibilities on many new health care imperatives. According to the report of IOM, nurses should be associates with doctors and healthcare professionals in restructuring healthcare in our nation. Nurses’ responsibilities will become more prominent in continuity of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. The purpose of this speech is to enlighten nurses about the changes that will be anticipated in their roles as healthcare professionals as these reforms take place in the healthcare industry. Continuity of care is a system of patient care integration that follows patients...
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...Evolving Practice of Nursing and Patient Care Delivery Models The Speech Hello, my fello nurses. Thank you for being here at the Summit of Nursing Evolution. My name is Chhay Yann-Ly and I am a nurse. We are living in an era where the United States (US) health care system is going through tremendous changes and challenges, with sky-rocketing health care costs, fragmented and poor quality of care, high volume of aging population, and passage of the Patient Protection and Affordable Care Act (PPACA) in 2010. A summary of the PPACA is basically to improve the health care delivery system, expand coverage, and control cost (Democratics Senate Gov/Reform, n. d.). With these changes, comes the evolutionary nursing professional transformation process. This speech is a crash course on the evolving practice of nursing and patient care delivery models. The goal of this speech is to discuss the continuity or continuum of care in relation to accountable care organizations, medical homes, and nurse-managed clinics health care models. Since nursing is the backbone of health care, all of these care delivery models require a robust nursing contribution for success (American Nurses Association (ANA), 2010). The first model is the accountable care organizations (ACO). ACOs is a “shared savings” with Medicare (part A & B). The ACO, according to the ANA (2010), is “a collaboration among primary care clinicians, a hospital, specialists and other health professionals who accept joint responsibility...
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...Evolving Practice of Nursing and Patient Care Delivery Grand Canyon University: NRS 440V Jane Smith Evolving Practice of Nursing and Patient Care Delivery Hello fellow nurses, welcome to our Professional Nurse Evolution summit. My name is Jane Smith and like you I am a registered nurse, I work at the bedside. I always thought I’d live and die as a staff nurse at a busy level 1 trauma center in the inner city but recently I’ve looked up from the bedside and I see opportunities knocking at my door, and I see a way to help the community in which I serve in a different role. The practice of nursing is changing, growing, shifting in other words: transforming. Over the next decade, we will see nursing move from the acute care setting and into the community. I would like to discuss with you the concepts of accountable care organizations (ACO’s), medical homes, and nurse-managed health clinics, and continuum of care. Our health care system landscape is changing; no longer are we just treating illness, our health care system has evolved to one of disease prevention and wellness. With the signing of the Patient Protections and Affordable Care Act (PPACA), an additional 30 million Americans now have access to affordable and equitable health care (Institute of Medicine [IOM], 2011). The rising cost of health care and the sheer volume of those needing health care has led to reinventions in our care delivery models. According to the American Nurses Association (ANA), an ACO’s is a...
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...University meets the requirements for clinical competencies as defined by CCNE and AACN using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline, and their local communities. As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform. A minimum of three scholarly references are required for this assignment. While APA format is not required for...
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...University meets the requirements for clinical competencies as defined by CCNE and AACN using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline, and their local communities. As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals. 1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. 2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes. 3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform. 4. A minimum of three scholarly references are required for this assignment. In addition to submitting this...
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...Marketing task As I stated on the phone, nominal marketing will be a peripheral aspect of the position. While I do not expect a formal marketing proposal, I am looking for someone that can think outside the box and help me to grow the practice through various marketing tools, as well as manage the day to day scheduling and office duties more typical of an administrative assistance. I recognize that I am asking the person that assumes this position to wear multiple hats, mostly because I have been wearing those multiple hats myself for the past 9 years of my independent practice. I have included some basic information about my practice, applications of my services, as well as typical fees for service. Think outside the box and be creative in developing a few potential marketing strategies that you think might work well for my practice. Please recognize that I am critiquing you more on work product (accuracy of information and thoughtfulness of proposals, along with your creativity) in addition to your writing and organizational skills on this exercise. I look forward to seeing what you develop and to meeting you during our interview time next week. My practice is typically composed of 10-12 sessions per week. Sessions are a mixture of individual, couples, and family sessions. I am looking to develop a greater basis for psychological evaluations and potential forensic involvement in custody evaluations for divorcing families. I have developed evaluations that focus on...
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...The case study given is about a fresh graduate, Mr. Rakesh Sharma joined Modern Industries Ltd. (MIL) in Bangalore as a trainee against a projected vacancy in the Paints Application Department for one-year training. Mr. Sharma has been performed very well. The Department Manager and the Training Manager were satisfied with his performance in the first two quarters. However, when stepping in to the third quarter, Mr. Sharma raised an issue about curtailing his training period. The request has not be entertained and Mr. Sharma's behavior started to change and became unacceptable. Counseling session and warning letter have been issued to him and the situation did not turn good. One of the primary objectives of the Training Department is to recruit who have good potential and train them to be effective persons in different department. The Training Manager clearly known that Mr. Sharma is a potential trainee but he failed to train him in different department and caused Mr. Sharma only have one choice of department to stay which is the Paint Application Department. The Training Manager have to struggle on his rational decision whether to terminate or not to terminate Mr. Sharma. There are five issues discussed in this report. These five issues are the main causes to the problem that the Training Manage has to decide whether he should terminate Mr. Sharma or not. The five issues are communication, employees behavior, compensation and benefit, company policy, training and development...
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...The Regional Human Resource Generalist/ Trainer for Whole Foods Market would be a position that I would like to possess. The position will be a support to the Company’s Regional Team Members apart of the Human Resources related functions as well as the training and development . This position will support the Regional Team Member Services Team in Human Resource related functions and Team Member training and development activities in the South Region. This includes Payroll and Benefits Specialist Training, resolving payroll and benefits issues, facilitating regional open enrollment, troubleshooting employment issues, investigations, and assisting with HR recordkeeping audits. Greater than 50% travel. Once obtaining this position of the Regional Human Resource Generalist, I would make a few goals that would help me better serve in the position. The position consists of many responsibilities so setting goals to meet the responsibility would be a tactic I would first take so that I am not feeling overwhelmed and spread myself to thin. Breaking down the responsibilities Human Resource Trainer Human Resources Trainer Job Description Develops and runs training programs for employees of industrial, commercial, service, or government establishment. Confers with management to gain knowledge of work situations requiring training for employees to better understand changes in policies, procedures, regulations, and technologies. Develops teaching outline and determines instructional...
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...An organization needs to have training programmes to achieve certain objectives that the company needs to progress in the direction to reach the company’s goals that it has set. The training has to be systematic so that it will be effective. The purpose of a systematic approach to training and development is to access if the training and development has met the training objectives. The other purpose is also to determine if the organization managed to get their return on investment in the training and development. Training and development is linked very closely to the performance in an organization and it is through this process that the company will be able to meet the current or future manpower needs. In an event that there is a gap in the performance of the employees and the organization goals, that is where training will be needed. The organizational needs that will cause the management to conduct training include skill shortages due to ageing population, employees performing poorly, company decide to produce new products, apply new technology, or design new jobs because these changes tend to require new skills. At times the company maybe prompted by outside forces, such as customer requests or legal requirements. The first phase is the training needs assessment phase. In this phase, the training objectives are established. This beginning phase is very important, as it is in this phase that we access what is the direction or mission of the training programmes. In this...
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...Part 3: Business Quality – 5 Practice Principles By: Gautam Borah Abstract: “Business Quality – The Fundamentals”, is the first treatise in the series of Business Quality. The first part contended a new Postulate on Quality which addresses the need of an organization and customer in the current global scenario of business. The title “Business Quality - The Delivery Model” is the second treatise on the subject of Business Quality. This is the third part titled “Business Quality – 5 Practice Principles”. This part delineates the principles on which the Business Quality is predicated. The treatise proposes 5 principles which can help an organization to create the DNA of Business Quality. Introduction The first treatise in this series of Business Quality discussed the notion of Quality in the context of current global business environment and a new postulate has been reprised. The second treatise delineated a Delivery Model for the postulate. This article is the Part 3 of the same series which illustrates the Practice Absolutes of Business Quality. The intrinsic notion of the practice principles The principles presented in this article are at practice levels. Unlike strategic principles, the practice principles aim at execution and will assist the organizations to build a culture of business Quality. Besides, practiced with a suitable monitoring and measurement system, these principles will act as the operational building blocks to sustain the Business Quality initiative...
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...Article Critique Training is the Answer…But What Was the Question The author’s main objective of this article is to ask the question of whether training really works or not. Mr. Rosner looks at how managers were being trained in order to develop the employees that they managed. This article also speaks about the mindset of personnel that attend training. Rosner states, in the words of Bob Pike, president of Minneapolis-based Creative Training Techniques, “Most people come to training with one of four mindsets: as a learner, a networker, a vacationer or a prisoner” (Rosner, 2009). These mindsets that people possess can make the training better or worse for the people attending it. If they come in with a learning mindset then they tend to more focused on what they are about to learn. They are more involved in the training and understand what they are there for. The networker mindset person is there for learning but they want to network with other people within the class. They are looking to make connections in order to have more connections for a later date, maybe for a better job or for something they may need in their current company. The vacationer mindset person is there to get away from everything not to learn. They want to get away from the office and enjoy their time away. The prisoner feels as if they were forced to be there and they come in mostly with a closed mind about the training they are attending. Rosner also speaks about some problems that people have within...
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...LEON GUINTO MEMORIAL COLLEGE, Inc. 442 Mabini Street Atimonan, Quezon (Recognized by the Government) No. 010 s. 1986 …teaching minds …changing lives …moving forward June 24, 2013 Rosvyl Claudia E. Esposo Chief Internal Auditor Rural Bank of Atimonan, Inc. Atimonan, Quezon Ms. Esposo: Greetings! Leon Guinto Memorial College, Inc. aims at the total development of its students instilled with knowledge, skill and values in order for them to be globally competitive individuals and actively contributing members of the society. In light of the aforementioned, we believe that as an institution given such responsibility, we must link up with companies who desire the same passion with us in order to update, upgrade and make the education of our youth more relevant to the actual needs of the industry. As part of the curriculum of our college, the College of Business and Accountancy is partnering you and your respected company to attain our shared vision through the Student Apprenticeship Program (SAP). This would give them the chance to be exposed to the actual working environment and apply the theories and principles they learned from their studies. Moreover, this particular subject is a partial fulfillment of their requirements for graduation. As a well established company, we believe that you are our perfect partner in achieving the objectives of our SAP. In this connection, we would like to request your office to accommodate some of our...
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...of the not-so-nutritious diet made available to them in their hall mess & canteen. Our campus provides quality food at hostel level, no doubt. But those people who follow a rigorous routine of workouts, gym, road-running, weekly matches, this mess food doesn’t guarantee the total nutrition that should be. Nutrition drive is being initiated with this motive only. The Games & Sports Council wants every deserving player of its contingent to get the maximum benefit. How to begin? Every 6 days a week, from 8 30 to 9 30pm a juice stall would be booked in front of hall 3, specifically for sports people. The stall owner would be given a list of captain’s & vice-captain’s name on it. Students who are regular in practice and have attended the practice session on that day can avail this facility, this would be done under the supervision of the captain or the vice-captain, one of them has to be present along with them. Every sport that our campus students play has a different strength than the other. To account for this, number of students who can benefit from this activity would be limited & the thing most important to this, only regular students can utilize this opportunity. There can be 3 different types of Juices that can be provided, namely pineapple, orange & any other seasonal fruit. Choice would be subjective to players. Benefits- The Objective of this nutrition drive is not only to provide students with the essential nutrition, but also ensure regularity...
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...Apprenticeships develop employees who can do many different tasks. They usually involve several related groups of skills that allow the apprentice to practice a particular trade, and they take place over a long period of time in which the apprentice works for, and with, the senior skilled worker. Apprenticeships are especially appropriate for jobs requiring production skills. Internships and assistantships are usually a combination of classroom and on-the-job training. They are often used to train prospective managers or marketing personnel. Programmed learning, computer-aided instruction and interactive video all have one thing in common: they allow the trainee to learn at his or her own pace. Also, they allow material already learned to be bypassed in favor of material with which a trainee is having difficulty. After the introductory period, the instructor need not be present, and the trainee can learn as his or her time allows. These methods sound good, but may be beyond the resources of some small businesses. Laboratory training is conducted for groups by skilled trainers. It usually is conducted at a neutral site and is used by upper- and middle management trainees to develop a spirit of teamwork and an increased ability to deal with management and peers. It can be costly and usually is offered by larger small businesses. Trainers Who actually conducts the training depends on the type of training needed and who will be receiving it. On-the-job training is...
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...As we can see, art and religion is present in the relic, “The Golden Tara”. The religious culture is manifested by a sculpture, or an idol, showing the artistic capacity of the civilization many years ago. This practice is still present in our time today, similar to the paintings and sculptures of many diverse religions. The discovery of these ancient tools is a proof of technology being used and developed long ago. We already had these basic tools long before we were discovered by different races. These also depict our ancestor’s simple standard of living. Having these tools proves that our ancestors were already looking for advancement in the way they live, and as they develop with time, even more technology is urbanized and more knowledge is unveiled. The practice of Trade has been long present since before the coming of the Spaniards. Evidence of this practice are the Chinese ceramics that were uncovered from some places in Cebu. Trade has always been a major player in the economy, and trading doesn’t only mean exchange of goods, but also exchange of knowledge. Warfare has always played a role in many societies. Most of them are caused by conflicting tribal affairs, protection of power, and ownership of land. In some places of Cebu, some traces of war artifacts are found, proving that warfare was present in the bygone times. Some tools and weapons were excavated and it can also be seen that warfare was of great importance during their...
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