...Medicine (IOM) Report on the Future of Nursing in Education, Practice and Leadership Esther Edukuye Grand Canyon University: Professional Dynamics NRS 430v 5/6/12 Janet Arnold Abstract This paper seeks to expand upon the 2010 Institute of Medicine’s report on the future of nursing, leading change, advancing health and illustrating its impact on nursing education, practice and leadership. There is an ongoing transformation in the healthcare system necessitated by the need to achieve a patient centered care in the community, public, and primary care settings in contrast to previous times. Nurses occupying vital roles in the healthcare system, need improvements in the areas mentioned above to enhance needed reforms. Having reviewed the 2010 institute of medicine (IOM ) report on the Future of Nursing Leading Change Advancing Health, despite being a practicing nurse for a long time, I felt a renewed sense of call to duty. I felt better about my decision to go back to school to earn my baccalaureate degree and started to think of how I can use the knowledge I will acquire thereby, to empower myself, as related to my present field of practice and start effecting changes immediately in the areas of nursing education, practice and leadership as identified in the report, needing crucial, innovation and reform. As a nurse presently in the mainstream of practice, it is no doubt that nursing care delivery today is really impacted in so many ways, according to the report as follows...
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...Stress-inoculation training (SIT). This is a cognitive behavioural method designed specifically to prepare individuals for future stressors and to promote resilience. People are taught a range of coping strategies they might use to help deal with stress. The stress inoculation approach has three phases; conceptualisation, skills training and practice and real-life application. Conceptualisation is where clients are encouraged to relive then analyse their stressful situations by breaking them down into more manageable chunks. This enables the client to reconceptualise the problem and have a more realistic understanding of what aspects of a situation provoke a stress response. For example; a teacher at school, or a boss expecting someone to work overtime without being paid extra. Skills acquisition and rehearsal is where clients learn not to get into a stressful stage by being relaxed to help reduce immediate effects of arousal. Clients develop coping strategies to deal with specific stressors; it includes both cognitive and behavioural components. Real-life application is where the client puts their strategies and techniques to the test and then reports back to their therapist to see whether they were successful or not. Contact with their therapist is maintained and clients discuss what strategies work well and what they have struggled with. One strength of SIT is that its effectiveness has been supported by research. Meichenbaum found that SIT is more effective than desensitization...
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...ASSEMBLER NON-EXEMPT: Yes (Hourly) LABOR GRADE: 6 SHIFT: 1 LOCATION: Manufacturing Shop JOB CODE: SS003 DIVISION: Stearns EMPLOYEE REPORTS TO: Production Supervisor PREPARED BY: Human Resources DATE: 1/13/2010 __________________________________________________________________________________ SUMMARY: Performs repetitive work station or line assembly operations to assemble and adjust various styles of clutches or brakes QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Manual dexterity and good number recognition skills is required. Ability to use air tools, power tools and hand tools is required. Experience in assembly practices and procedures are preferred. ESSENTIAL DUTIES AND RESPONSIBILITIES The list is representative but not intended to be all inclusive. Other duties may be assigned. Assemble various types and styles of product from start to finish including special customer requirements Read Operating Manufacturing Sheets (OMS) or Instructions to assemble product Burnish and adjust completed units as required Electrically test completed units and inspect parts for quality Prepare units for shipping, including proper documentation, as required Train other employees when necessary. Perform above duties with minimum supervision TOOLS AND EQUIPMENT: Air tools, power tools, hand tools and electrical...
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...Critical thinking brings to mind the ability to look at many aspects of an issue, problem, or statement and contemplate the risks and/or benefits before moving forward. Critical thinking looks at what is involved, who or what it will effect, why the action is necessary, how that will happen, and when, where, or how this will culminate. The knowledge I have gained over the years, as a nurse, allows me to progress forward without judgment and with purpose. I can take the information to effect the outcome. Critical thinking involves asking questions; either to yourself and probing for more details. Some factors to consider are: what is the source of the information, how it is related to the issue, what are the facts or evidence, is the information logical, and what are the underlying assumptions? This quarter I have...
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...Legal Encounter 1 New Corp hired Pat as manager of real property in Vermont; this position is responsible for activities related to maintaining leased office space. Pat supervised 51 employees and lower-level supervisors, and he dealt with tenants who leased commercial space. Pat relocated from another city 300 miles away, moving his wife and children and selling and buying a home. His wife quit her job to seek employment in Vermont. After Pat had been working for three months, his boss explained that things were not working out and that Pat would be discharged with 30 days of severance pay. Pat was surprised because his employer gave no previous indication of any problem. New Corp’s personnel manual, which had been provided to Pat upon his acceptance of employment, outlined the process for dealing with unsatisfactory employees: Notice of Unsatisfactory Performance/Corrective Action Plan If the job performance of an employee is unsatisfactory, the employee will be notified of the deficiency and placed on a corrective action plan. If the employee’s performance does not improve to a satisfactory level in the specified period of time, termination will follow. Pat acknowledged that, upon employment, he signed an understanding that the company observed employment at will with respect to discharge, but believed the provision limited New Corp’s freedom to fire him at will. Pat also stated that New Corp’s senior management was noticeably unfriendly after Pat had been...
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...title). (Student’s Name) (Professor’s Name) (Course Title) (Date of Submission) Google database technology is such a familiar tool in the operations of HIM departments in hospitals. This technology is usually adequate to allow HIM professionals to work with vendors or information services staff. Database technology is moving from the task of supporting paper systems to actually becoming the central digitized health information system. The success of Google database technology depends on the skills of HIM professionals to entering the data to the database accordingly. Reports that more countries and states in the world such as the United States has are becoming nations of databases. Today, Google database technology is being used to track patient information. Many patients die in hospitals or at their homes due to errors that arise from medication errors and that’s why the healthcare institutions are adopting use of Google database technology to track everything from prescription medications and laboratory tests to patient outcomes. The reason for the shift to Google database technology is that most medical information is recorded on paper, a practice that has led to a great deal of record waste and data duplication which leads to inappropriate treatments. Hospitals are now creating a Google database structures that contains electronic medical records to track patient’s interaction with the medical staff from birth to death. To stay current in ever changing technology...
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...Teaching Statistics and Probability is great for promoting problem solving and critical thinking, enhancing communication, developing number sense, and applying computation. As it applies to every day situations and appeals to our sense of fairness, it is very close in nature to inquiry based learning. Children encounter ideas of statistics and probability outside of school every day. The data students see are often represented graphically, statistically, or probabilistically. Weather reports are just one example of probability data we hear on the news. Begin teaching probability by formulating questions. “How many children in this class prefer to eat apples?” Children are familiar with line plots, which they learned earlier, review and build on that knowledge. Next step in teaching probability is to teach to collect data: observations, survey and questionnaires, experiments, interviews, simulations, poles, examining records, and searching info sources. It is important to teach kids to use appropriate methods of collecting data. Next step is to analyze data, represent it graphically. Representing data is done in a concrete way first (laying objects on the graph), and moving towards pictorial representation (drawing a chart with pictures of items being compared), and then symbolic (line plot, pie chart). Help students understand graphic representations by asking questions about the chart. Different ways to represent graphically: line plots, stem and leaf plots, box plots, picture...
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...Globalization and PPQ Parts Global Marketing Unit 1 IP Abstract Multinational companies may encounter many obstacles when attempting to operate business from foreign locations. Globalization managers and decision makers may develop strategies in order to make transition happen smoothly. This paper discusses some pros and cons that are included in the process. Introduction Companies should thoroughly research their desired location for doing business. Searching for indicators such as high economic status will increase chances of the company doing well in that location (AIU Media). Inasmuch the customs and laws of the country should be integrated into all projects of success. Some of the issues the host foreign country could face as a result of the expansion are mist trust from its colleagues within their country, outcry from native business owners and problems with governance ,as it relates to being receptive of the origin of concepts and or/operations that are to be introduced to their country.. Some FDI also believe that their original business sites will loose capital as a result, of venturing to another country (Lipsey). Inasmuch companies who wish to expand must be concerned with and resolve all of the matters which counteract production and globalization of markets as those are the main concerns (AIU Media) Host countries also generally pay higher wages to foreign companies in contrast to those at their home location. At times this...
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...volume of approximately 250 to 300 calls per day. The office hours in Telecare are Monday through Friday from 8:00 a.m. to 4:00 p.m. with observance of all federal holidays. The Telecare nurse is responsible for answering calls efficiently at approximately 32 calls per day. The Telecare nurse triages symptoms from the patient and obtains urgent access to the clinic via an evidenced based triage program called Veteran’s Health Gateway (VHG). This program helps the nurse make clinical decisions per protocols and provides evidenced based education recommendations based on the triage disposition (Document Storage Systems, Incorporated, 2014). All calls in Telecare are monitored by software connected to the phone lines to ensure management can report the trends related to clinical calls. Abandonment Rate Adverse Trend The abandonment rate in Telecare is the percentage of calls from patients in the phone queue that hang up before the triage nurse answers. The abandonment rate...
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...Institute for Health Technology Transformation Population Health Management A Roadmap for Provider-Based Automation in a New Era of Healthcare Acknowledgements Alide Chase, MS Senior Vice President for Quality and Service Kaiser Foundation Health Plan, Inc. & Kaiser Foundation Hospitals Connie White Delaney, PhD, RN, FAAN, FACMI School of Nursing Professor & Dean Academic Health Center Director, Biomedical Health Informatics (BMHI) Acting Director of the Institute for Health Informatics (IHI) University of Minnesota Don Fetterolf, MD, MBA Principal Fetterolf Healthcare Consulting Robert Fortini VP & Chief Clinical Officer Bon Secours Health System Paul Grundy, MD, MPH Global Director of Healthcare Transformation IBM President Patient-Centered Primary Care Collaborative Richard Hodach, MD, PHD, MPH Chief Medical Officer Phytel Michael B. Matthews Chief Executive Officer Central Virginia Health Network Margaret O’Kane President National Committee for Quality Assurance Andy Steele, MD, MPH, MSC Director, Medical Informatics Denver Health 2 Dear Colleagues, Population health management has been around for a while, but only recently has it gained serious attention from mainstream healthcare organizations. The reason is simple: healthcare reimbursement is changing, and hospitals, healthcare systems, and physician groups must adapt to a new world in which providers are rewarded for meeting quality objectives for their entire patient panel, and not just those actively...
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...cause of much of the destruction. The levee system catastrophically filed resulting in major flooding and destroyed the patients files stored in the basement of the hospital. It is managements plans to keep patients records secure by implementing new policies and procedures for responding to an emergency that has the potential of damaging systems that contain electronic protected health information by scanning paper medical records into the computer, establishing procedures for creating and maintaining backups of any electronic protected health information, (backups that are exact copies and retrievable at any time, but also kept secure from unauthorized access) and storing the backups off site. In 2000 Gulf Coast Hospital started moving the paper files to the EMR and started staff training on the use of EMR. Part of the job as administrator of a hospital in hurricane prone areas is to train the staff for the future hurricane emergencies. The staff has already been trained on ways to avoid accidental disclosure of patient information. The Health Information Portability and Accountability Act (HIPPA) requires that employees complete yearly education to maintain competency on patient privacy issues. The hospital is prepared for the next natural disaster and information users, such as managers, directors, and...
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...The Forgotten Member- A Case Report In Organizational Behavior, we define a team as a group of people brought together to use their complementary skills to achieve a common purpose for which they are collectively accountable. (Schermerhorn, 2010) Stages of group development Bruce Tuckman (1965) developed a 4-stage model of group development. They are 1. Forming: The group comes together and gets to initially know one other and form as a group. 2. Storming: A chaotic vying for leadership and trialing of group processes 3. Norming: Eventually agreement is reached on how the group operates 4. Performing: The group practices its craft and becomes effective in meeting its objectives. 5. Adjourning: The process of "unforming" the group, that is, letting go of the group structure and moving on. Part I: Group Development The Forgotten Member is a case study of a group of students who were assigned a project by their professor. In the case of Christine and her group which is composed of her classmates in accounting, their goal is to generate a well-written analysis in reviewing a 7-page case. This five member group is a dynamic bunch because of the mix of different personalities. Since there is diversity within the group, it cannot be prevented that a variety of perceptions and work attitudes affect the group processes and development. It also mentions different personality traits that a team coordinator has to encounter in a team to maintain a balance. It also outlines...
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...A CASE STUDY ON THE DIFFICULTIES FACED BY TM POINT KUALA SELANGOR IN OPERATING IT SHOP BACHELOR OF BUSINESS ADMINISTRATION WITH (HONS) OPERATIONS MANAGEMENT FACULTY OF BUSINESS MANAGEMENT NOVEMBER 2009 AbstrAct ABSTRACT This case study will be conducted in TMpoint Kuala Selangor. I would like to identify the difficulties faced by this organization in operating it shop. As this company is a serviceoriented organization, they need to satisfy customer’s needs and wants. Sometimes, they fail to achieve due to some problems or lacking. In this case, I will use the customer’s data of fixed-line termination and monthly statistical data on customer complain to explore the symptoms of low customer satisfaction. I also will conduct some observations in order to gather relevant data. The computer software package which is Statistical Package for Social Science (SPSS student Version 14.0 for Window) will be used to analyze the data that have been gathered, furthermore to identify the major problems faced by this organization. There are some symptoms that has been identified; there are increasing number of customer complain, fixed-line termination, not well-educating the customers and shortage of worker. When the problem has been identified, conclusion and recommendations will suggested to the organization in order to be the best service provider in the world. They need to take corrective action if they want to ensure company’s survilvalness. vii TABLE OF CONTENT...
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...How Well is the Organization’s Present Strategy Working? “A strategy of a corporation forms a comprehensive master plan that states how the corporation will achieve its mission and objectives” (Wheelen & Hunger, 2010, p. 19). Unfortunately, the present strategy at Southern Lakes Credit Union is in trouble due to the financial crisis that has plagued the credit union industry. In 2009, credit unions were not offered a government bailout like the banks received. Therefore, each year credit unions all throughout America will have to pay a percentage of their assets into the NCUA (National Credit Union Association) fund. This will be necessary in order for the industry to stay operational in the United States. Therefore, for mid size organizations like Southern Lakes Credit Union, yearly profits will be depleted in order to pay this assessment. Finally, these assessments have led to low morale amongst the staff as a result of pay increase freezes, mandatory 2 week furloughs, and 50 percent reduction in 401k contributions. Next, our organization is desperately trying to prevent being acquired by a larger credit union by strategically implementing several products and programs that focus primarily on the younger demographic. Therefore, SLCU has developed teen checking accounts, add on certificates of deposits, and rewards for good grades. Southern Lakes has even devoted its time to charity, donations, and providing scholarships. Finally,...
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...the best and brightest employees. II. Areas of consideration 1. Value system Value system is a set of ethical values and measures used for the purpose of ethical or ideological integrity. Organizational value systems are standards of behaviors that govern individual employee behavior within an organization. A personal value system on the other hand is a set of principles or ideals that drive or guide a person’s behavior. Absence of organizational value system encourages employees to pursue behaviors in line with their personal value system, which may not be the values the organization wants to develop. CERD lacks organizational value system. Its absence encouraged some women employees to develop exclusive groupings. It abetted unfair practice of exclusively grabbing training opportunities abroad by some management and training section personnel, curtailing equal opportunity and personal ambitions and career growth of other employees like Sylvia Gregorio. Other indicators include frequent discussions of male engineers’ drinking sessions, girls and disco prompting Sylvia Gregorio to lament that regular staff appears more intellectual than the engineers. There is also that gender bias, at least within the Solar section, where jobs usually involves installation works. Men are preferred over women as they are more flexible. Sylvia, subtly stated that with this current setup, there is no chance she will be promoted. 2. Compensation Compensation package appears uneven and...
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