...Amanda Richardson of Geico Insurance Company referred this file for medical case management. Instructions were given to meet with Connie Rae Blakeslee-Perez and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 5/8/17 I spoke at length with son Joshua. He has limited information regarding his others medical health or providers. On 5/9/17 I met with Ms. Perez and her husband at Hurley Medical Center. Ms. Perez is alert to her name. She is non verbal. Ms. Perez has a trachea placed with oxygen support and is unable to speak. Ms. Perez is bedbound and dependant on staff care. Mr. Perez signed and read the Michigan Case Management consent form. He reports their son Joshua is the contact. I was told that Joshua was not available for several days. Mr. Perez has limited medical information regarding his wife. MEDICAL FACTORS...
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...the pro’s and con’s to eating disorders and the media, and a few possibilities on how to fix this epidemic before it starts to spiral out of control. When you think about the billions and billions of people in this world, it is hard to believe that “2 million Americans-most of them women and girls-do suffer from eating disorders” (Gorman 110). That number is shocking isn’t it? How about the fact that “approximately 1 in 150 teenage girls in the U.S. falls prey to anorexia nervosa… Not so clear is how many more suffer from bulimia” (Gorman 110). What could be more shocking than knowing that “Anorexia has been diagnosed in girls as young as eight? Most deaths from the condition occur in women over 45” (Gorman 110)? There have been many studies that look at the number of women and men that suffer from eating disorders, some of them blame the media...
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...However, there is a side of the story that is not all good. The same technology that we produce and use, that contributes to an increase in life expectancy, is leading to increased demand on the healthcare system, primarily from the growing population of senior citizens. This leads to a shrinking supply of healthcare resources to treat the very people who need it. This creates a situation where many people go untreated. Insurance companies, both public and private, are required to solicit bids to get the required healthcare resources to treat their customers. Given that many in our society can afford to pay a good price for the best healthcare this takes away good treatment opportunities from those with significantly less resources (Cuff, Hurley, Mestelman, Muller, Nuscheler, 2012). As the competition for valuable and scarce medical resources grows, many health professionals are raising questions about who gets what treatment and when and what treatments should be withheld from who and why. Healthcare...
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...The Role of Leadership in Human Resource Management a Comparative Study of Specific Public and Private Sectors in Pakistan Akbar Ali * Dean, Multi Disipline, Degree Program NUST, Karachi ABSTRACT The fundamental problem of this study was to examine "The role of leadership in human resource management through comparison of public and private sectors in Pakistan" by evaluating the leadership in ten competencies. The sample was 115 leaders (assesses) which were assessed by 520 respondents (assessors) belonging to Airlines, Hospitals and Banks from both Public and Private Sector. Each of the manager / leader was evaluated by using 360 degree feed back assessment questionnaire. Statistical analyses were conducted using the SPSS statistical package. Outcome of this study pointed that there were statistically significant difference among score of leadership between Private and Public Sector organizations. The conclusion of the study indicated; a) Leadership at Private sector is performing better than Public Sector. b) The leadership score of private sector bank was significantly higher to public sector bank. c) The leadership score of private sector hospital was significantly higher as compared to the public sector hospital. d) The leadership score in public sector airline was significantly higher to the private sector airline. The findings also indicated to call upon Pakistani leaders at public sector hospitals and banks, as well as private sector airline leaders to enhance their...
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...Leadership in Human Resource Management a Comparative Study of Specific Public and Private Sectors in Pakistan * Akbar Ali Dean, Multi Disipline, Degree Program NUST, Karachi ABSTRACT The fundamental problem of this study was to examine "The role of leadership in human resource management through comparison of public and private sectors in Pakistan" by evaluating the leadership in ten competencies. The sample was 115 leaders (assesses) which were assessed by 520 respondents (assessors) belonging to Airlines, Hospitals and Banks from both Public and Private Sector. Each of the manager / leader was evaluated by using 360 degree feed back assessment questionnaire. Statistical analyses were conducted using the SPSS statistical package. Outcome of this study pointed that there were statistically significant difference among score of leadership between Private and Public Sector organizations. The conclusion of the study indicated; a) Leadership at Private sector is performing better than Public Sector. b) The leadership score of private sector bank was significantly higher to public sector bank. c) The leadership score of private sector hospital was significantly higher as compared to the public sector hospital. d) The leadership score in public sector airline was significantly higher to the private sector airline. The findings also indicated to call upon Pakistani leaders at public sector hospitals and banks, as well as private sector airline leaders to...
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...REDUCING FALLS IN THE HOSPITAL SETTING Abstract “Falls and fall related injuries are the most commonly reported adverse event among adults admitted to inpatient setting. Up to twenty percentages of patients admitted, reported falling of at least once during an inpatient hospital stay period” (Oliver, Healey, & Haines, 2010). The author works at a city hospital located in Gilbert, Arizona and encounters a great amount of orthopedic patients along with other general surgery patients. All patients that are on that floor are at a risk of falls during the first 48 hours after surgery due to anesthesia that is still in the system and pain medication that is scheduled to help ease the patient during the post-surgical time frame. One of the side effects of anesthesia exiting the body is nausea and vomiting which can make the patient feel dizzy and lightheaded, thus making them a great risk for falls. This has been the reason that the topic was chosen; to attempt to improve this issue in the hospital setting and to provide a system in which all hospital staff collaborate to help increase the quality of patient care. The location that is being observed is the post-surgical/orthopedic floor where the author is currently working. A description of risks and concerns are provided and patient outcomes depend on implementing the proposed interventions. The two solutions that are presented are hourly rounding and the importance of an improved nurse call light button and education on proper...
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...The effect of cyber-crime and one way to fight back Travis Major Lynn University Jeanette Francis 08 June 2013 The cost of cybercrime to businesses For three years now cybercrime has continued to grow. During this time cyber-attacks have more than doubled, while hitting the financial side with an estimated 40 percent increase. The cost of cybercrime study in 2012, conducted by Ponemon Institute, found that cybercrime costs to a random sample of organizations averaged 8.9 million dollars. This spike is estimated to have increased the cost of cybercrime by 6 percent from 2011 and 38 percent from 2010. Also during this study it was discovered that there had been a huge increase of cyber-attacks, approximately 48 percent, with around 102 of them being successful per week. The number of successful attacks per week in 2010 was only around 50. More than 78 percent of the annual cybercrime can be labeled as denial of service, malicious code, malevolent insiders, and stolen or hijacked devices. Businesses have no choice but to spend an increasing amount of money, time, and energy in order to protect themselves against these cyber-attacks that seem to be reaching unsustainable levels. Even though some companies are finding ways to lower the cost of security measures, the cost of time and energy spent cannot be eased. No matter what the solution is, it will always take time to incorporate any security and energy to maintain those securities. Additional key findings include: ...
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...only part of the grim reality, with near–fatal abuse and neglect accounting for more than 18,000 permanently disabled children, and approximately 142,000 serious injuries (Baladerian, 1991). Findings from the report, A Nation’s Shame: Fatal Child Abuse and Neglect in the United States, indicate that African Americans are overrepresented in both fatalities and near–fatal injuries (U.S. Advisory Board on Child Abuse and Neglect, 1995). Research shows that child deaths from physical trauma are most frequently caused by angry, out–of–control males. Mothers are more likely to be responsible for deaths caused by severe neglect (U.S. Advisory Board on Child Abuse and Neglect, 1995). However, researchers 31 cannot account for the large numbers of cases of homicide against African American children. Data on the types of abuse by ethnic groups are...
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...copy & paste to cite: Pio, E. (2008). Threads of Constraint: Ethnic Minority Migrant Women and Employment, Research and Practice in Human Resource Management, 16(2), 25-40. Threads of Constraint: Ethnic Minority Migrant Women and Employment Edwina Pio Abstract Nations, organisations and ethnic minority migrants are compelled to deal with issues emerging from the perceptions and politicisation of ethnicity. Issues of ethnicity are often fore grounded in the zone of work where the complexities of migration, ethnicity, gender and employment intersect. This paper highlights the perceptions of university business students in a New Zealand university with reference to ethnic minority women and employment. Through a study of various databases and the construction of parables on ethnic minority women in New Zealand, the experiences of recruitment and selection, diversity management and career progression emerge as themes in the perceived employment experiences of ethnic minority migrant women. The paper argues for the need to highlight narratives of ethnic minority women through creative pedagogy in order to sensitise business students and future managers to the consequences of migration and a need for the intelligent utilisation of human resources in a world that is increasingly multicultural. Introduction Historically New Zealand (NZ) is a country of immigrants though these immigrants in the 19th and early 20th century were primarily Caucasians...
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...Department, Pima Community College, Tucson, AZ E-mail: llawrence@pima.edu AIM. The purpose of this study was to examine how nurses’ moral distress, education level, and critical reflective practice (CRP) related to their work engagement. The study is relevant to nursing, given registered nurse (RN) documented experiences of job-related distress and work dissatisfaction, and the nursing shortage crisis. A better understanding of factors that may enhance RN work engagement is needed. METHODS. A non-experimental, descriptive, correlational design was used to examine the relationships among four variables: moral distress, education level, CRP, and work engagement. The sample included 28 intensive care unit RNs from three separate ICUs in a 355-bed Southwest magnet-designated hospital. RESULTS. There was a positive direct relationship between CRP and work engagement, a negative direct relationship between moral distress and work engagement, and CRP and moral distress, together, explained 47% of the variance in work engagement. Additionally, in the neonatal intensive care unit, a positive direct relationship between increased educational level and CRP was identified, with a suggested negative relationship between increased education level and moral distress. IMPLICATIONS. Strategies to promote CRP and reduce moral distress are recommended, to promote RN work engagement. Additionally, further study on the role of education in...
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...Health Human Resources Planning: an examination of relationships among nursing service utilization, an estimate of population health and overall health status outcomes in the province of Ontario November 2003 Gail Tomblin Murphy, PhD(c) Linda O’Brien-Pallas, PhD Chris Alksnis, PhD Stephen Birch, PhD George Kephart, PhD Mike Pennock Dorothy Pringle, PhD Irving Rootman, PhD Sping Wang, PhD Decision Maker Partners: Lucille Auffrey, RN Jean-Marie Berthelot Tom Closson Doris Grinspun, RN Mary Ellen Jeans, RN, PhD Kathleen MacMillan, RN, MA, MSc Barbara Oke, RN Judith Shamian, RN, PhD Barb Wahl, RN Funding Provided by: Canadian Health Services Research Foundation Nova Scotia Health Research Foundation University of Toronto Principal Investigators: Gail Tomblin Murphy Professor, School of Nursing Dalhousie University 5869 University Avenue Halifax, Nova Scotia B3H 4H7 Linda O’Brien-Pallas Professor and CHSRF/CIHR Chair, Nursing Human Resources Unit Co-Principal Investigator, Nursing Effectiveness, Utilization & Outcomes Research Unit Faculty of Nursing University of Toronto 50 St. George Street Toronto, Ontario M5S 3H4 Telephone: (416) 978-1967 Fax: (416) 946-7142 E-mail: l.obrien.pallas@utoronto.ca Telephone: (902) 494-2228 Fax: (902) 494-3487 E-mail: gail.tomblin.murphy@dal.ca This document is available on the Canadian Health Services Research Foundation Web site (www.chrsf.ca). For more information on the Canadian Health Services Research Foundation, contact the Foundation...
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...Mentoring and enabling learning in the practice setting A reflective account of my experience of facilitating learning, assessing and teaching a student or co-worker, and how this experience will inform my future development within the mentor or practice teacher role. Student Number: 2930211 Word Count: 3150 Part 1: Introducing the Mentorship role I am a band five registered paediatric nurse based on an orthopaedic and spinal surgical ward in a tertiary paediatric hospital. I am currently engaging in completing my training to become a qualified mentor. This reflective account details my experiences assessing, teaching and facilitating the learning of a student during their practice based learning, and how this experience may affect my future practice. Throughout the account, in order to protect the identities of people, trust and clinical setting involved confidentiality will be maintained via the use of pseudonyms or omission of names (Nursing and Midwifery Council (NMC), 2008a). The function of practice based learning is to provide experience, serving an important role in developing the skills of the student in interacting with patients and their families assisting in technical, psychomotor, interpersonal and communication skills (Ali and Panther, 2008). Practice based learning provides an opportunity to link theory and practice, and promotes professional identity development (Fishel and Johnson, 1981). Practice based learning is also crucial in the profession of nursing...
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...Social Science a Medicine 54 (2002) 1255–1266 Health sector reform and public sector health worker motivation: a conceptual framework Lynne Miller Francoa,*, Sara Bennettb, Ruth Kanferc a University Research Co., LLC, Partnerships for Health Reform Project, 4800 Montgomery Lane, Bethesda MD 20814, USA b Abt Associates, Partnerships for Health Reform Project, 4800 Montgomery Lane, Bethesda MD 20814, USA c Georgia Institute of Technology, Atlanta, GA 30332, USA Abstract Motivation in the work context can be defined as an individual’s degree of willingness to exert and maintain an effort towards organizational goals. Health sector performance is critically dependent on worker motivation, with service quality, efficiency, and equity, all directly mediated by workers’ willingness to apply themselves to their tasks. Resource availability and worker competence are essential but not sufficient to ensure desired worker performance. While financial incentives may be important determinants of worker motivation, they alone cannot and have not resolved all worker motivation problems. Worker motivation is a complex process and crosses many disciplinary boundaries, including economics, psychology, organizational development, human resource management, and sociology. This paper discusses the many layers of influences upon health worker motivation: the internal individual-level determinants, determinants that operate at organizational (work context) level, and determinants stemming from interactions...
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...REVIEW OF THE LITERATURE Background paper prepared for the National Health and Hospitals Reform Commission June 2009 This paper was prepared at the Commission’s request by staff of the secretariat to the Commission. The lead author was Emily Hurley. Ian McRae Ian Bigg Liz Stackhouse Anne-Marie Boxall and Peter Broadhead provided some input and commented on drafts. This is a paper prepared as background for the NHHRC. The views and findings expressed in it should not be taken to be the views of the NHHRC or of the Australian Government. 2 TABLE OF CONTENTS Introduction ....................................................................................................4 International overview of efficiency .............................................................4 Health status – due to more than the health care system ............................7 An Australian focus ......................................................................................8 Summary ......................................................................................................8 A framework for efficiency............................................................................9 Operational Efficiency .................................................................................10 Health sub-sectors .....................................................................................11 Hospitals...................................................................................
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...The Emerald Research Register for this journal is available at http://www .emeraldinsight.com/researchregister EJM 37,3/4 476 Received July 2001 Accepted May 2002 The current issue and full text archive of this journal is available at h ttp://www.emeraldinsigh t.com/0309-056 6.htm Marketing planning, market orientation and business performance Sue Pulendran Gartner Group, Sydney, Australia Richard Speed Melbourne Business School, University of Melbourne, Melbourne, Australia, and Robert E. Widing II Department of Management, University of Melbourne, Melbourne, Australia Keywords Company performance, Marketing planning, Market orientation, Marketing concept Abstract This study examines the relationships between marketing planning, market orientation and business performance. We explore conceptually how linking the behaviours of marketing planning with the values of market orientation might be expected impact on business performance. Our ®ndings suggest that high quality marketing planning can lead to performance bene®ts, but as antecedent to a market orientation, rather than as an independent activity. European Journal of Marketing Vol. 37 No. 3/4, 2003 pp. 476-497 q MCB UP Limited 0309-0566 DOI 10.1108/03090560310459050 Introduction Although managers have long been exhorted to become close to their customers and adopt the marketing concept, academic marketing has been able to offer relatively little guidance as to the practical...
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