...I am a homeschooled dual credit student through Maloney Christian Academy currently enrolled in the Lone Star Honors College Kingwood. I am a survivor of quadruplets born at twenty-six weeks and two days. Having spent the first eighty-one days of my life in the NICU (New Born Intensive Care Unit), perseverance and overcoming obstacles has been a part of my life since the beginning. Living with my two surviving siblings has taught me many important responsibility and teamwork skills. The ability to apply those skills has brought me to great aspirations. This is my third semester at Lone Star Kingwood; I am currently conducting research for my Honors Microeconomics presentation. I am becoming involved in Phi Theta Kappa, the Math and Engineering...
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...According to Sundean and McGrath, ethical concerns of care became first prior to interventions while no constant practice on ethics decision-making take place in the neonatal intensive care unit (NICU). Usually, ethical struggles in the NICU are related to implementation and withdrawal of treatment. As a result, differences in ethical decision making involve the interdisciplinary team (IDT) and parents, whether individually or in joining. Nevertheless who will make the decisions, ethical considerations in NICU affect greatly the IDT, families and the society. Thus, contexts for ethical decision making is based on four ethical principles, autonomy, beneficence, nonmaleficence and justice (2013). Autonomy Sundean and McGrath noted that the ethical principle of autonomy includes the right to self-determination, truth telling, informed consent, privacy and commitment. The application of this principle can be difficult In the NICU for parents are the ones who act on behalf of their babies. Also, the different point of views on how to present medical aspects to the families. Sundean and McGrath emphasized that professionals came to an understanding that communicating evidence-based facts and considering family values are the reasonable approach reflecting on the autonomy principle. Furthermore, the authors stated the importance on clinicians providing parents the best evidence-based practice for their child clinical situations supposing that parents will act in the best interest of...
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... ethical concerns of care are starting to come first before interventions while there is no constant practice on ethics decision-making occurs in the neonatal intensive care unit (NICU). Ethical struggles in the NICU are usually related to implementation and withdrawal of treatment. As a results, differences on ethical decision making involves the interdisciplinary team (IDT) and parents, whether individually or in joining. Nevertheless who will make the decisions, ethical considerations in NICU effect greatly the IDT, families and the society. Thus, contexts for ethical decision making must be based on four ethical principles that are autonomy, beneficence, nonmaleficence and justice (2013). Autonomy Sundean and McGrath noted that the ethical principal of autonomy includes the right for self-determination, truth telling,...
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...Professional Roles and Values Robin Sutton Western Governors University Abstract Understanding Nursing History, Nursing Theories, and Nursing concepts are beneficial to the baccalaureate graduate nurse because it helps develop their own personal beliefs and strengths about their own practice and how it has and will be shaped throughout their profession. One of the purposes of this paper is to explain differences between nursing regulatory agencies and professional nursing organizations. Next, we will take a look at the American Nurses Association, (ANA) Code of Ethics, investigating the provisions and professional traits and how they are placed into practice. Also, to describe a nursing theory that fits into my own practice, including how the contributions of one historical figure has impacted my nursing practice. And lastly, I will discuss a scenario where I, as the nurse, safeguarded two principles for the patient. Functional Differences Between a Regulatory Agency and a Professional Nursing Organization as it Pertains to my Nursing Practice Neonatal Nursing has been part of my life for over the last 10 years. My nursing license is very important to me. It takes a lot of hard work and dedication to earn. As a nurse, I have nursing regulatory agencies and professional nursing organizations in place for my benefit as well as for the benefit of the public. However, both have some very different functions. When becoming a nurse, the Board of Nursing, (BRN), is the...
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...Patient and Family Centered Care Kimberley Masterson WGU0713 Stacy Stratton-Mentor Practice Setting Wellington Regional Medical Center is located in Wellington, Florida. It is a 233-bed, acute-care hospital, owned by a subsidiary of Universal Health Services, Inc., a highly respected, healthcare management organization. Wellington Regional Medical Center is owned and operated by a subsidiary of Universal Health Services, Inc.(UHS), a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation. Wellington Regional is proud to have provided high-quality healthcare("About Wellington Regional Medical Center - Palm Beach, FL | Wellington Regional Medical Center," n.d.) services to the residents of Palm Beach County since 1986.The Village of Wellington has an approximate census of 60,000 in 2013. (Census.gov). Wellington is located in western Palm Beach County and borders the Florida Everglades. Initially, the land area known today as Wellington, Fl. was developed in 1953 to provide drainage and flood control suitable for agriculture. The area was once the world’s largest strawberry patch. Nevertheless, over time the land has been purchased and sold until 1985 when Lennar homes built on 500 lots. Today, Wellington is an affluent and thriving community that is willing to stake its future on being different.(“Wellington/History of Wellington”.nd) Wellington is recognized as the winter equestrian capital of the world. Wellington...
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...Respiratory Distress Syndrome Respiratory distress syndrome (RDS) causes obstruction in the alveoli in the lungs. RDS affects newborn infants but rarely occurs in full term infants. RDS is primarily witnessed in infants of prematurity, usually less than 28 weeks gestation. RDS is more common in premature infants because the premature infant’s lungs aren't able to make enough surfactant. Surfactant is a liquid that coats the inside of the lungs and enables the alveoli to remain open so that infants can breathe in air once they're born. “Surfactant is necessary for lowering the surface tension in the alveoli so that they can stay open to allow the flow of gases. If surfactant levels are low, the alveoli do not expand and cannot receive air, leading the decreased gas exchange, low oxygen levels, and generalized distress throughout the body as cells do not receive the oxygen that they need to survive” Without sufficient surfactant, the lungs collapse and the infant has to work harder to breathe. The infant may not be able to breathe in enough oxygen to support the body's organs. This lack of oxygen circulating throughout the infant’s body can damage the baby's brain and various other organs if appropriate treatment is not delivered. Neonatal RDS can also be the result of genetic problems with lung development during the prenatal phase of the pregnancy. The earlier a baby is born, the less developed the lungs are and the higher the chance of neonatal RDS. Additional...
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...professionals. Practicing nurses need to be knowledgeable with these concepts to ensure patient’s rights. In this paper, the author will describe the relationships between legal and ethical issues. In addition, the author will identify personal values and professional ethics and examine ethical theories and principles. Examples of applications of legal and ethical issues to current practice will also be provided. Relationships Between Legal and Ethical Issues “Ethics is the branch of philosophy concerned with evaluating human action” (Guido, 2010, p. 3). It is based on the principles of right and wrong and provides structure to behaviors and actions. Ethics are closely intertwined with morals and values. Morals are “personal principles that are acquired from life experiences, family and peer relationships, religion, culture, and the law” (Guido, 2010, p. 3). Values are “personal beliefs about the truths and worth of thoughts, objects, or behavior” (Guido, 2010, p. 3). Therefore, ethics are subject to an individual’s personal interpretation. In contrast, laws are rules and regulations established by some authority and enforced by judicial decision (Dictionary.com, 2011). The legal system governs actions and behaviors without regard to personal values, beliefs, and views. Laws are constantly evolving to promote the greater good of society, rather than the individual within society as with ethics. In the health care setting situations often present itself in which both ethics...
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...encouraging staff to further their education to the baccalaureate level. Clinical situations have demonstrated the use of critical thinking and increased competency utilized in everyday patient care. Higher levels of communication and problem solving skills are key competencies that contribute to the positive outcomes and increased patient safety. With the increasing needs for baccalaureate prepared staff, many hospitals are taking steps to ensure educational opportunities for advancement are available and attainable. Nursing and the method of education has been a source of controversy since the development of ADN and the BSN prepared programs. In March 2007, the American Association of Colleges of Nurses released an updated statement supporting the belief that the level of education directly affects the knowledge and competency of the clinical nurse. AACN professes that nurses with Bachelor of Science in nursing degrees are well-prepared to meet the demands placed on today’s nurse. The skills of critical thinking, leadership, case management, and health promotion are just a few of the skills required by the healthcare workers of today. (AACN, The Impact of Education on Nursing Practice, 2007) Recently, many hospitals have begun the campaign to increase the number of BSN prepared clinicians. This trend, though not new, places a focus on the many aspects of the nurse and his or her profession. While the ADN prepared are noted for their technical...
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...Burns: Understanding Nursing Research, 4th Edition Critiquing Exercise Knott, A. & Kee, C. C. (2005). Nurses’ beliefs about family presence during resuscitation. Applied Nursing Research, 18(4), 192-198. |STANDARDS/EVALUATION CRITERIA 50|KEY CONCEPTS IN CRITIQUE | |points | | |Descriptive Vividness 5 pts | | |Was the significance of the study adequately described? |1. The significance of the study was adequately described. | | |Family presence (FP) during resuscitation is a matter that | |Was the purpose of the study clearly described? |warrants more investigation as to whether or not it should, or | | |should not be allowed. Furthermore, the study proposes the | |Were the interpretations presented in a descriptive way that |necessity of protocols in place in institutions to guide | |illuminated more than the quotes did? |decisions on this matter. | | | ...
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...Organizational Leadership and Inter-professional Team Development The Patient and Family Care Organizational Self-Assessment Tool (PFCC) for current practice setting will be completed as well as the organization in its entirety. The results will be analyzed based on a one to five scoring system with one being the lowest. The areas where the organization could improve its PFCC care will be discussed. The analysis of how business practices and regulatory requirements impact patient family centered care. A strategy will be created that includes goals and an operational plan to increase PFCC of the organization by improving one of the gaps that’s identified. I will discuss financial implications that this strategy may have on the organization. I will identify potential members for the multidisciplinary team who could assist in improving the identified gap. I will discuss the purpose and scope of the team to include the member’s roles, and importance of diversity within the team. The team will focus in a meaningful way using self-assessment, and awareness of self-reflective techniques. I will use PDAC to monitor whether the strategy was effective in increasing patient and family centered care. Self-Assessment Tool The PFCC tool was used to evaluate Medical Center Health System (MCHS) see attached. Setting Description Medical Center Hospital System (MCHS) is an acute care, not for profit regional 402 bed Level II Trauma Center, located in West Texas of the...
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...of a challenge than where I had come from. Ben Taub is one of the two county facilities in Houston. This particular facility has a Level 1 trauma facility therefore our unit was able to see some pretty ill, near death patients in the L&D unit. For example, one night a patient was admitted for a postmortem cesarean section after a very traumatic and fatal car accident. Well while the obstetrical physicians were trying to deliver the known baby a trauma surgeon performed a successful cardiac massage on the young lady and brought he back. During that time, the OB physicians performing the cesarean found out that the lady was pregnant with twins. The 22 weeks twins were delivered successfully and rushed off to the neonatal intensive care unit (NICU) for more intensive care. The OB patient was then...
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...levels of management and division of responsibility inside an organization each working through their own tasks. Private Limited Company- This is a company which is owned and controlled by shareholders who know each other, they can be friends and relatives. There is no minimum capital required to start up this type of business and their shares are not sold on the stock exchange market. Benefits of being a Private Limited Company (PVT LTD) * In this type of organization the shares are sold to large number of individuals. This leads to large sum of capital which will result in expansion. * All shareholders have limited liability- It means if there is a loss in the business the owners do not have to compensate by selling their personal property. * The organization can enjoy its benefits of being big. * The people who start the business are able to retain control over it. * The business can still continue running in the event of the death of a shareholder. Costs associated with being a Private Limited Company (PVT LTD) * Company requires a lot of legal...
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...Vincent Coughlin PATHE 200 Final Project Spring/15 RELIGION AND SPIRITUALITY IN MEDICINE THESIS STATEMENT: Patients with multiple religious beliefs are treated everyday by emergency care workers which creates a void in respect towards the patient and their beliefs if the proper training and knowledge are lacking. INTRODUCTION When the subject of religion and spirituality come up in conversation in the governmental arena most people will argue that they are both on separate planes and should remain that way. But when people were asked if there is a place for religion in the medical field, the majority of those asked will say that they would prefer their physicians inquire about their individual faith and beliefs. In fact, polls indicate that the U.S. Population is highly religious; that most people believe in Heaven and hell. The same people also believe in the healing power of prayer and the capacity of faith to aid in the recovery from disease (N.E.J.O.M. 342). Religion and Spirituality have become an intricate part of patient care in the last 20 plus years. Religion is understood as a set of beliefs, rituals and practices usually embodied within an institution or an organization. Religion is more generalized and all-inclusive. Spirituality is more defined and specific to each individuals Religion. Spirituality is thought of as a search for what is sacred in life, one’s deepest values, along with a relationship with God...
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...COMPASSION FATIGUE AMONG HEALTHCARE WORKERS A PROPOSAL PRESENTED TO THE FACULTY OF THE GRADUATE SCHOOL OF UNIVERSITY OF THE VISAYAS CEBU CITY, PHILIPPINES IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ARTS IN NURSING MAJOR IN NURSING MANAGEMENT BY: CONCHITA BRANZUELA BERGADO CHAPTER I THE PROBLEM INTRODUCTION: Quality of life among healthcare providers will matter on the quality and safety of patient care. Today the proportion of acute patients entering the health care system through emergency departments continues to grow and the number of patients in the Intensive care unit also increasing. In emergency room department, the Emergency medical services (EMS) workers are primary providers of pre-hospital emergency medical care and integral components of disaster response. The potentially hazardous job duties of EMS workers include lifting patients and equipment, treating acute injuries or life-threatening illnesses, handling hazardous chemical and body substances, and participating in the emergency transport of patients in ground and air vehicles. These duties create an inherent risk for EMS worker occupational injuries and illnesses. Healthcare workers in the Emergency medicine has evolved to treat conditions that pose a threat to life and have a significant risk of morbidity. Work-related stressors in which Emergency Department nurses encounter are numerous as a result of the...
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...Int. J. Mgmt Res. & Bus. Strat. 2012 Nethi Suresh Babu and T Sreenivas, 2012 ISSN 2319-345X www.ijmrbs.com Vol. 1, No. 1, October 2012 © 2012 IJMRBS. All Rights Reserved A STUDY ON PATIENT SATISFACTION IN HOSPITALS (A Study on Three Urban Hospitals in Guntur District, Andhra Pradesh) T Sreenivas1 and Nethi Suresh Babu2* *Corresponding Author: Nethi Suresh Babu, sureshbabu.nethi@yahoo.co.in Objectives: 1. To study the satisfaction levels of the patient in sample hospitals. 2. To suggest measures to strengthen the administrative practices that improves patient satisfaction in hospitals in India. Settings: Government General Hospital (GGH), St. Joseph General Hospital (SJGH) and NRI Hospital (NRI) in the state of Andhra Pradesh in South India. Results: 38 – Items scales having good reliability and validity was developed. Seven dimensions of perceived quality were identified—Admission Procedure, Physical Facilities, Diagnostic Services, Behaviour of the staff, Cleanliness, Dietary Services and Discharge procedure. The researcher observed that patient satisfaction is high in the case of SJGH and followed by NRI and GGH. Conclusion: The developed scale is used to measure perceived quality at a range of facility types for patients. Perceived quality at public facilities is only marginally favorable, leaving much scope for improvement. Better staff and physician relations, interpersonal skills, infrastructure, and availability of drugs have the largest effect in improving patient...
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