...practice environment and higher retention rates. Research found long hours, and unsupportive practice environments contribute to high turnover rates. Here is a look at the evidence which promote the creation of a shared governance model for a positive practice environment and better retention rates. Shared Governance and Nurse Retention Introduction Shared governance models are being promoted as a plan to decrease nurse turnover, but there are many variable elements to the Shared governance model. True shared governance characteristics are a practice environment that has a process by which nurses take an active participatory role in the decisions of the hospital nursing practice. Most shared governance models are associated with Magnet status hospitals, but more and more hospitals are adopting this style of management without the designation. This is a relatively new concept because nursing in hospitals was paternalistic in the early years and nursing was more of an occupation than a career. Nursing is now a profession and in the hospitals with shared governance it has a professional practice model. Porter O’Grady introduced the concept of “Shared Governance in the 1980’s and it was seen as a strategy to enable...
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...October 2015 Managing Organizations and Leading People Task 1 A1. Description of the Organization The Medical University of South Carolina (MUSC) is the leading medical center in South Carolina providing medical care to surrounding communities and training to future health care professionals with affiliations to six different colleges and universities. The Medical University was founded in 1924 as a Medical College for the training of physicians. It was one of the first medical universities in the United States. In 1955 it was expanded into the Medical University of South Carolina, the medical center it is today, providing health care and training health professionals is areas of pharmacy, nursing, medicine, graduate studies, health professions, and dental medicine. MUSC is a not for profit organization serving millions of people in South Carolina and surrounding states with over 12000 employees and training approximately 2600 health care professionals every year according to the Medical University of South Carolina, MUSC Administration website. The Mission of MUSC is to improve health and maximize quality of life through education, research and patient care. They have the Vision to be nationally recognized as a Premier Academic Medical Center and to be a leading and transformative Academic Health Center being recognized as top 25 among academic medical centers. According to the Medical University of South Carolina, MUSC Administration website, MUSC has...
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...growing up, people of the same race generally lived in the same community. What defines a community? Webster defines a community as a group of people with common characteristics or interest living together within a larger society (Merriam-Webster, 2010). The common characteristic in this case was race. As a child, I did not know anything about the importance and affect that race played in the state and city I lived in. This paper will provide an overview of my experiences within my community and focus on ethnicity and the way race and ethnicity has shaped my personal life view and a few of the problems that it faced when it comes to race relations. The community that I belong to or associate with would be the African American community. I am an African American black female and I reside in Atlanta, Georgia. Atlanta has a population around 61% African American, 33% Caucasian American and 6% other nationalities (Census, 2009). However, the entire state of Georgia has a population around 28% African American, 65% Caucasian American and 7% other nationalities (Census, 2009). Atlanta was one of the major cities that played a key role in the Civil Rights movement. As I read and study my history, I admire all the trials and tribulations that African Americans went through during the 1960’s. The Civil Rights movement is the main reason my community, as well as other communities, consisted of people with a common characteristic. Most communities carried the look of segregation...
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...THE PERCEPTIONS OF EFFECTS OF A STUDY SKILLS COURSE, “DYNAMICS OF EFFECTIVE STUDY,” ON THE ACADEMIC ACHIEVEMENT OF AFRICAN AMERICAN STUDENTS AT A DEDICATED ACADEMIC MAGNET HIGH SCHOOL A Dissertation Submitted to the Graduate Faculty of the Louisiana State University and Agricultural and Mechanical College in partial fulfillment of the requirements for the degree of Doctor of Philosophy in The Department of Educational Leadership, Research, and Counseling by Josephine Ann Allen B.S., Nicholls State University, 1976 M.A., Southern University, 1988 M.A., Southern University, 1990 December, 2003 DEDICATION This dissertation is dedicated to my Heavenly Father through Jesus Christ who has given me this wonderful gift and to my loving mother, Mrs. Daisy Celestin Allen, who has always believed in education and has supported me throughout my academic endeavors. ii ACKNOWLEDGEMENTS I am most appreciative to my former principal, Mr. James B. Williams, Jr., who encouraged me to complete this study and East Baton Rouge Parish for allowing me to conduct this research. I am also thankful to the participants in the study - teachers, students, parents, and administrators of Baton Rouge Magnet High School - for allowing me to conduct this research. I want to acknowledge a former student of mine, Harley Becnel, for reminding me of why I started this educational journey and why I persisted to complete the process. All children deserve to be properly educated. With love for...
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...transactional and transformational leadership. Manoeuvre in supervise change and direction to convert work culture will be considered and last but not least this paper will conclude its point of view on leadership and its influence on team efficiency. At first, I am a stated register nurse with 5 years of an experience in Intensive care unit in a private sector hospital and graduated from one of the well-known nursing university of Malaysia. Currently, I am pursuing my study Bachelor of Nursing with local university in collaboration with one of UK University. Presently, I am working in 12 beds of multi discipline Intensive care unit. There are one nursing supervisor, one senior staff nurse, 26 staff nurses and 3 hospital attendants. Since I started working in this unit about 5 years ago, I realise that patient in this unit easily getting Hospital Acquired infection which is cause by poor working culture that actually affecting patient care. In general manner, the unit was facing a lot of complaints and getting high rate of Ventilator Associated Pneumonia to patient who is on long term of ventilator support. Similarly, poor term work also appears in this unit due to all selfish behaviour. When there was an adverse incident happen, everyone will just blaming each other and pretend that this is not my business. Apart from this, I found that this unit is an unsafe working culture due to quite a number of adverse incidents occurs. For example, inadequate of emergency equipment such...
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...Cindy Johnson Grand Canyon University: NRS-430-V 03-26-15 Differences in Associate Degree prepared Nurse and Baccalaureate prepared Nurse Competencies. The rise in morbidity and mortality rates among hospitalized patients in the United States heightens concerns about professional competency. Nurses and other healthcare professionals are under increased pressure to provide safe, effective patient care. Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels. This paper will compare the differences between an Associate degree prepared nurse (ADN) and a Baccalaureate degree prepared nurse (BSN). Education Differences An ADN or associate degree nurse is as a nurse with two to three years training, usually at a community college or technical school. The curriculum usually consists of fundamentals, the basics of nursing and clinicals. A BSN or baccalaureate prepared nurse is a nurse with four or five years of training usually at a University. With the BSN, a nurse will have to think outside the box, use credible research, theory, leadership skills, all of which will make the nurse a better critical thinker, and in turn her patients will be safer. Both ADN and BSN will be qualified to take the NCLEX exam upon graduation from either community college or a university and become RNs. ADNs get primarily fundamental education in school consisting...
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...t Educational Preparation Candace Tiley GCU RN-BSN Professional Dynamics NSG-430V April 7, 2013 Nurses with a Baccalaureate in nursing education versus Associate Degree in nursing education are prepared to deliver a higher standard of patient care. The differences in the core curriculum of the baccalaureate program set it above the associate degree program giving the nurse who holds a BSN better critical thinking skills The BSN educated nurse has a broader base of education in such areas as the fine arts, as well as important nursing courses that emphasize evidence-based practice. BSN educated nurses are also taught leadership skills, management skills and nursing theory. To understand the differences in competencies between nurses prepared at the associate degree level versus the baccalaureate level requires at least a short review of the history of the development and introduction of the associate degree program (ADN). Of importance is when the ADN Program was introduced and the reason it was introduced. In the mid-1940’s the BSN Programs that had been in existence for 60 years were responsible for graduating about 15% of the new nurses. The remaining graduates came from the Diploma programs that had been in existence for 100 years. The ADN Program was introduced after World War II as a result of the severe nursing shortage during that time. The concept was initially explored by...
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...BSN Versus ADN Veronica Suarez Grand Canyon University: NRS-430V March 6, 2015 High demands of nursing and more nursing schools existing are creating more competition for job opportunities that has evolved into hospitals raising the bar on nurses’ knowledge. Living here in Miami makes job searching a difficult task unless if you know someone who knows someone or you have all of the qualifications for the job which lately it’s including have a BSN, as opposed to many years ago where having an associates degree was sufficient. The hospital I just got hired at to do an emergency department residency program is not a magnet hospital but due to healthcare foundations and the hospital itself trying to become a magnet hospital they required me to either have my bachelors degree or at least be enrolled in one. I understand and respect this approach of the hospital because I do know that nurses with a BSN bring more to the hospital practice setting in the sense of their prized critical thinking skills, health promotion, and leadership skills. For example, being in the ER and having a patient that has been admitted with a possible ischemic stroke requires fast critical thinking skills in assessing the patient and following the hospitals protocols for this type of patient such as conducting a CAT scan and drawing labs to be able to diagnose if the patient is having a stroke or not so if need be give Activase as soon as possible since time...
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...pathways take the same NCLEX-RN exam. The NCLEX-RN exam is multiple choice and tests the minimum competency for practicing nursing safely. Once an individual passes the exam they are licensed to practice. Currently the exam is focused on acute care setting. As the health system sways from the acute care scene to the primary care environment the focus of the exam will need to change to meet these demands. The exam will need to emphasis on community health, health promotion and primary care. As our health system transform, there comes a demand to have a nurse with a higher education. Studies have shown better patient outcomes when there is a BSN prepared nurse at the bedside (Aiken, Clarke, Sloane, Lake, & Cheney, 2003;Kutney-Lee, Sloan, & Aiken, 2013) . The baccalaureate prepared nurse who is trained, unlike the associates prepared nurse, will be needed to make clinical decisions independently, case manage and educate patients on the importance of compliance with treatment regimens and preservation of good health. The National Advisory Council on Nurse Education and Practice (NACNEP) report the baccalaureate prepared nurse is the best...
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...Unit 1 – Case Study – The Private Bay The World’s Most Resilient Copyright Infringer? Kinjal Mistry California Intercontinental University Dated: 21st Feb 16 Author Note Kinjal R Mistry, California Intercontinental University Correspondence concerning this article should be addressed to Kinjal R Mistry, 1913 Key St, Maumee OH-43537 Contact Email – kinjalm17@gmail.com Contact Phone – 631-394-7810 Abstract The international administration of laws which can be combines with the risk of fines and imprisonment is not enough to dissuade the Pirate Bay from encouraging, boosting and helping copyright infringement. In some companies, file sharing services are provided to generate business revenue stream and sometimes these services are illegal and still used to advertise “clue chips brand”, (Andersen, B, 2010). So far there is enough potential for the business to be made, file sharing will sustain its existence in the global internet market. This papers focuses on the legal and social issues brought up by peer-to-peer sharing of files and copyrighted information on the websites. Companies argue that limitation against file sharing will pause the technology innovation. On the other side, it is certain that file sharing may break IP protections that Pirate bay knowingly exploits these protections. Research shows that the music industry has justification to shut down peer...
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...function. With no concise definition from the last three centuries, it would be appropriate to look at a brief history of hypnosis. Hypnotic trance like states have been utilised for thousands of years in many cultures and religions, and continue to be seen today. We will start with looking at Franz Anton Mesmer, who is commonly referred to as the grandfather of hypnosis. Mesmer Studied Theology, but went on to study Law and then medicine. He gained respect in his professional duties and the Viennese society, whilst working at the Vienna school. Mesmer believed that magnetism formed the basis of all successful hypnosis. It was in 1974 on Mesmer’s first patient, where he applied magnets to the patient. Believing that the human body was analogous to magnets and could therefore be used to heal. Mesmer moved to France and alienated many universities and scholars, but gained the respect of Louis XVI. By the 1780s magnets were no longer part of Mesmer’s techniques however, he continued to find success using variations of magnetism. This led to the interest from King Louis XVI, who commissioned a study on Mesmer’s practices. This study concluded that the fluid which Mesmer said “ebbed and flowed according to the laws of magnetism” did not exist....
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...ADN VS BSN: Differences in Competencies Juline DiSilvestro Grand Canyon University Professional Dynamics NRS-430 V Monica Kidder RN, MSN May 11, 2013 ADN VS BSN: Differences in Competencies The complexity of modern healthcare and the patients of today mandate a higher level of academic preparation than in the past. Advanced critical thinking skills are a must. Nurses need to function independently, making clinical decisions, providing bedside care, case management, education to patient and family in regards to disease process, treatment, and how to adapt to a healthier lifestyle. As healthcare continues to evolve and become more complex, it is necessary to assure proper education has been achieved. Controversy among the nursing profession has existed for many years regarding what is the acceptable minimum education for nursing practice. The ADN program takes 2-3 years to complete. The ADN programs started due to a need for nurses during a nursing shortage brought on by WWII. The ADN program provided a shorter period of time to acquire the necessary minimal skill to obtain licensure, and practice safe entry level nursing without the emphasis on leadership, nursing theory and critical thinking. The focus of ADN programs has been to prepare the nurse with considerable clinical experience and technical nursing tools needed to provide patient care at the bedside (Cresia & Friberg, 2011). They do not have the education to perform research activities which becomes the basis...
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...Abstract Healthcare unlike many high-risk industries has made slow progress in improving patient’s safety. The role of nursing in improving medication safety has been largely underestimated. Much of the research undertaken to date in relation to adverse medication events has neglected the impact that nurses have or could have in improving patient safety. In examining literature regarding adverse medication events one can see the urgent need for significant improvement in medication practices and processes. In addition that this health care issue will only improve with the participation of all disciplines working towards a common goal of improving the safety of those in our care. Introduction Medications play a key role in healthcare but can also be a significant key cause of medical error and of adverse patient outcomes. Nurses by the nature of their roles in medication administration can be the last line of defense in eliminating or reducing adverse medication events. The administration of medication is a common and almost routine activity in a nurse’s daily work, yet it is fraught with complexity and risk for both the patient and nurse. As a student nurse working in partnership with a registered nurse I have observed a variety of practices in medication administration that have varied from what I have been taught in class. On reflecting on these practices and questioning nurses why such practice has been adopted has illustrated to me both the flawed processes and environment...
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...companies back in 1997; they released their first GRI (Global Reporting Initiative) in 2003 and have done so annually since. In the summer of 2007 the company went through a social responsibility media nightmare after the revelations that various toys in their product line exceeded the safety levels for lead which resulted in the recall of over 18,000,000 products. At the time it was a huge story that naturally impacted the company in a negative way but if there is a silver lining it would be that the company has subsequently fully revamped their testing and auditing processes for all manufacturing. The company’s more robust position in 2011 demonstrates that huge business mistakes can be overcome if lessons are learned, which appears to be the case for Mattel. Introduction Mattel, Inc. was founded in 1945 by Ruth and Elliot Handler and Matt Matson. The company had its headquarter in El Segundo, California and was well-known in the world as the leader in the design, manufacture, and marketing of family products especially for as Barbie, Hot Wheels, Cabbage Patch Kids, and Matchbox Cars. Because of manufacturing kids` products that were sold in more than one hundred and fifty nations, Mattel Inc., especially, took the responsibility, not only for kids’ safety and well-being, but also for environment and philanthropic issues. Compared to other companies in the industry, Mattel `s effort...
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...The Silent Treatment VitalSmarts, AORN, & AACN present: Why Safety Tools and Checklists Aren’t Enough to Save Lives David Maxfield, Joseph Grenny, Ramón Lavandero, and Linda Groah Silence Kills was conducted immediately before AACN’s national standards for healthy work environments were released10. It identified seven concerns that often go undiscussed and contribute to avoidable medical errors. It linked the ability of health professionals to discuss emotionally and politically risky topics in a healthcare setting to key results like patient safety, quality of care, and nursing turnover, among others. The Silent Treatment shows how nurses’ failure to speak up when risks are known undermines the effectiveness of current safety tools. It then focuses on three specific concerns that often result in a decision to not speak up: dangerous shortcuts, incompetence, and disrespect. The Silent Treatment tracks the frequency and impact of these communication breakdowns, then uses a blend of quantitative and qualitative data to determine actions that individuals and organizations can take to resolve avoidable breakdowns. Imagine you are a nurse who has been given a set of new safety tools that warns you whenever your patients are in danger. That would be powerful, life-saving information, right? But what if nobody listened to you or heeded your warnings? This kind of breakdown is happening in hospitals every day. The quote below is one of 681 collected in the course of this...
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