...Scarce Resources-Nursing shortages Nursing shortages has become a global issue facing many countries. The scarcity of nurses is expected to increase as demands for health care services increase. Scarcity of resources in health care is a multi-faced problem with multiple causes ranging from nurses leaving the profession because of job dissatisfaction, retiring baby boomers, increasing health demands with decreasing number of those entering the profession, shortage of nurse educators and nursing school, and lack of nursing program funding (Buchan & Aiken, 2008). Nursing shortage is not only a shortage of individuals with nursing qualification but also a shortage of qualified individuals who unwilling to work under current conditions. The American health care system is on a time bomb waiting to explode. The Nursing Shortage Influencing Factors Nurses leaving the profession because of job dissatisfaction Inappropriate distribution of nursing resources through inadequate career support, in appropriate skill mix and utilization, and poor retention incentives lead nurse’s job dissatisfaction (Buchan & Aiken, 2008). Inability of nurses to advocate for patients’ safety causes job dissatisfaction leading to poor job performance and negative patient outcomes. Therefore, nurses will leave the profession because of guilt and dissatisfaction for inability to perform to their best abilities. Aging Registered Nurses (RN) Workforce The fewer RN population entering the profession,...
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...References: Clark ANA Art & Science Kelly Paubel Nur 531 May 21, 2012 Holly Stenerson PLACE PHOTO HERE, OTHERWISE DELETE BOX Subhead. Subhead. left screen page 1 Summary “INSERT PULL QUOTE HERE. DELETE BOX IF NOT IN USE.” Mandatory Nurse-to-Patient Ratio right screen page 2 Negative Influences Positive Influence of Mandated Ratios Is mandating ratios the answer. currently in California the mandated ratios are: !:2 for ICU, Critical Care, NICU, PACU, Labor & Delivery, and with ED patients requiring intensive care 1:3 for Stepdown Units 1:4 for Ante & Post partum, Pediatrics, ED, Telemetry, and other specialty units 1:5 for Medical Surgical units 1:6 for Psychiatric units. Has these ratios changed patient care and nurse satisfaction? Hospitals and nursing organizations are divided on how this change has effected patients and nurses. The California Nurses Association states that nurse retention, burnout, and morale have improved (Clark, 2010). Advocates also say that medical errors have reduced and patient satisfaction has improved. Although several states have attempted to pass laws mandating nurse-to-patient ratios, only California has successfully passed one. California Assembly Bill 394, mandating minimum, specific, and numerical nurse-to-patient ratios in hospitals, passed in 1999. left screen page 2 Nursing has seen many changes with the increase in medical treatments available. This...
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...Habermas auf fünf Seiten von Egbert Scheunemann 2 1 Aktualisierte Version August 2008 Habermas‘ inzwischen in über dreißig Bänden entfaltetes philosophisches und gesellschaftstheoretisches Denken auf wenigen Seiten zusammenzufassen, ist kein leichtes Unterfangen. Gleichwohl möchte ich im Folgenden kurz zusammenfassen, worum es bei Habermas grundsätzlich geht und wie ‚alles‘ grundsätzlich zusammenhängt, weil mir ein ähnlicher Versuch, Habermas’ Gesamtwerk für die schnelle Lektüre auf wenige Seiten zu komprimieren, nicht bekannt ist – sehr wohl aber das Bedürfnis vieler Freundinnen und Freunde aus Philosophie und Politik, aber auch ‚nur’ aus dem interessierten Privatkreis, ein solches Kurzkompendium zur Verfügung zu haben. Also: Habermas‘ Philosophie ist der Versuch, das Projekt der Moderne, also die Entwicklung der modernen Zivilisation, als – in der Tradition Kants – dreigestaltige Rationalitätsentfaltung zu begreifen: als Prozess der Differenzierung der kognitiv-instrumentellen, der normativ-praktischen und der ästhetisch-praktischen Vernunftsdimension sowie der immer weiteren Ausdifferenzierung dieser Dimensionen quasi nach innen, also entsprechend immanenter Logik.3 Diese (mehr die Logik betreffende) Rationalitätstheorie ist dabei zum Einen als (mehr die Empirie berücksichtigende) Gesellschaftstheorie zu begreifen: Die Entfaltung der genannten Rationalitätsdimensionen läuft analog zu einer adäquaten Entfaltung der gesellschaftsanalytisch zu erfassenden Dimensionen der...
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...Scarce Resources Article Christopher Chow Nurs/531 November 17, 2014 Annete Marget Scarce Resources Article For many years now the shortage of nurses has been a difficult global issue that is affecting many countries. Ever since I started high school about 11 years ago, we always here that there is a shortage of nurses. Even till this day, there is a shortage of nurses and it continues to grow. According to (Buchan, 2008), “A nursing shortage is not just an organizational challenge or a topic for economic analysis; it has a major negative impact on health care (Buchan 2006). Failure to deal with a nursing shortage – be it local, regional, national or global – will lead to failure to maintain or improve health care.” Influencing factors to Nursing Shortage There are several reasons why there is such a shortage of nurses that are available. This can be due to heavy population growth resulting in the need of more health care services, not enough nursing students, budget cuts in the hospitals, stress levels that are affecting current nurses which impact job satisfaction which causes them to leave and also the aging of the current nurse workforce. From experience, nurses usually leave their profession due to dissatisfaction. Dissatisfaction can be caused from nurse’s inability to provide excellent quality of care to patients, insignificant change in job performance. Another reason why there is shortage of nurses is due to the lack...
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...Scarce Resources Article: Strategies for Addressing the Nursing Shortage: Coordinated Decision Making and Workforce Flexibility LANDI L SCHOCK NURS/531 September-17, 2012 Holly Stenerson Scarce Resources Article: Strategies for Addressing the Nursing Shortage: Coordinated Decision Making and Workforce Flexibility The issue that was chosen to do an editorial response on was “Strategies for Addressing the Nursing Shortage: Coordinated Decision Making and Workforce Flexibility”. The nursing shortage statistics are as follows: in 1990 the United States had an 11% vacancy rate of unfilled, full-time RN positions. This number ebbs and flows over time but since 2001 the United States has had a 13% vacancy rate of unfilled , full-time RN positions and this has not changed as in past times ( Fox & Abrahamson, 2009). According to Fox & Abrahamson, 2009,” A web of dysfunction exists that is far more complicated than any single factor, “(235-244). There are many influencing factors to blame for this nursing shortage. One such factor is the population imbalance created by the Baby Boomers aging and leaving the workforce and the smaller Generation X’ers that have to try and care for all of these aging people (Fox & Abrahamson, 2009). Another influencing factor are our aging pool RN’s. Our average RN age is 43 and we have many nurses retiring. Half of RN’s are going to be over 50 by age 2010 and the U.S. does not have enough new nurses to replace them (Fox & Abrahamson...
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...Evaluating a Website for Credibility Chamberlain College of Nursing The era of computer has made education and the quest for knowledge easier and accessible. Health-related information is crucial to the nurse, patients, other allied health personnel and the public. An astute nurse or scholar must evaluate the content of a website for credibility before using the resources following a systematic approach. The criteria to be used when evaluating Web-based sources are, authority, information, objectivity, ease of navigation, privacy and security policies. (CCN, 2015). The criteria will be discussed later. The health-related website I choose to evaluate is the National Institutes of Health website. URL: www.nih.gov The purpose of this website is to support the mission of the NIH, and their mission is to seek fundamental knowledge about the nature and behavior of living systems and the application of that knowledge to enhance health, lengthen life, and reduce illness and disability. (nih.gov) The good thing about NIH website is that it can be located using many search engines like Google, yahoo, msn, AOL, mywebsearch, etc. NIH is a public domain image processing and analysis program for mackintosh. The software is located at http://rsb.info.nih.gov/nih-image/index.html My reasons for the selection of this website are: The NIH is one of the world’s foremost medical researchers and the focal point for medical research in the United States. (nih.gov). It comprises 27 separate...
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...Evaluating a Website for Credibility Chamberlain College of Nursing The era of computer has made education and the quest for knowledge easier and accessible. Health-related information is crucial to the nurse, patients, other allied health personnel and the public. An astute nurse or scholar must evaluate the content of a website for credibility before using the resources following a systematic approach. The criteria to be used when evaluating Web-based sources are, authority, information, objectivity, ease of navigation, privacy and security policies. (CCN, 2015). The criteria will be discussed later. The health-related website I choose to evaluate is the National Institutes of Health website. URL: www.nih.gov The purpose of this website is to support the mission of the NIH, and their mission is to seek fundamental knowledge about the nature and behavior of living systems and the application of that knowledge to enhance health, lengthen life, and reduce illness and disability. (nih.gov) The good thing about NIH website is that it can be located using many search engines like Google, yahoo, msn, AOL, mywebsearch, etc. NIH is a public domain image processing and analysis program for mackintosh. The software is located at http://rsb.info.nih.gov/nih-image/index.html My reasons for the selection of this website are: The NIH is one of the world’s foremost medical researchers and the focal point for medical research in the United States. (nih.gov). It comprises 27 separate...
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...Carl von Ossietzky Universität Oldenburg Studiengang: Bachelor of Arts in Betriebswirtschaftslehre mit juristischem Schwerpunkt BACHELORARBEIT Titel: Zum Selbstbewusstsein der Strategieberatung vorgelegt von: Johannes Backer Betreuende Gutachterin: Dipl. Kffr. Stephanie Birkner Zweiter Gutachter: Prof. Dr. Reinhard Priem Oldenburg, den 30.09.2011 Inhaltsverzeichnis ................................................................................................. I Abbildungsverzeichnis ...................................................................................... III Abkürzungsverzeichnis ..................................................................................... IV 1. 2. Einleitung..................................................
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...Emerging Standards of Care NUR/531 August 18, 2014 Emerging Standards of Care According to the U.S. Department of Health and Human Services (2013) “Cultural competency is one of the main ingredients in closing the disparities gap in health care. It’s the way patients and doctors can come together and talk about health concerns without cultural differences hindering the conversation, but enhancing it. Quite simply, health care services that are respectful of and responsive to the health beliefs, practices and cultural and linguistic needs of diverse patients can help bring about positive health outcomes.” Populations Served and Their Vulnerability Healthcare organizations across the United States have been an area where cultural differences have been evident for a long time. With the significant influx of English language challenged immigrants who have not only had the means to secure jobs providing health care plans, but have also been saddled with the fear of deportation if they are considered "illegal" and, therefore, hindering their healthcare options (USDHHS, 2013). Hospitals have had to change their cultural competency to address this populations' immediate healthcare needs. On any given day, healthcare providers in a hospital setting can encounter an astonishing diversity of ethnic groups. Each of these ethnic groups brings with it their own cultural identities including language, beliefs, socioeconomic status (the wealthy, the middle class, the poor and the...
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...Emerging Standards of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Susan Mateo NUR/531 Tracey Lane Emerging Standards of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Of the many challenges facing the nursing profession, cultural competence is an area of great need across all settings from educators, to students, bedside nurses, nurse managers, and nursing leadership. Cultural competence for a given entity, be it an educational institution or healthcare facility, is best measured by an appraisal of that entity, with respect to the cultural diversity of its staff and customers, along with its policies, procedures and actual practices. The focus of this paper is the evaluation of the cultural competence of a local long term care / skilled nursing facility (LTC/SNF) located in Harker Heights, Texas. The inability to access numerical or percentage totals of the demographics of either the staff or residents directly resulted in observational assessments by this writer as the basis for this evaluation. The observations took place during the clinical experiences of students from the local public school district’s CNA course. Based on the various readings associated with the nursing 531 course, a definition of cultural competence includes several components. One of the most easily understood and incorporated is Campinha-Bacote's model of cultural competence. This model consists of five concepts, namely: cultural desire...
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...Biometrisches PHOTO (45mm x 35 mm / heller Hintergrund Antrag auf Erteilung eines Schengen-Visums Österreichische BotschaftSofia | Dieses Antragsformular ist unentgeltlich 1. Name (Familienname) (x) | Reserviert für amtliche Eintragungen | 2. Familienname bei der Geburt (frühere(r) Familienname(n)) (x) | Datum des Antrags: Nr. des Visumantrags Antrag eingereicht bei □ Botschaft/Konsulat □ Gemeinsame Antragsbearbeitungsstelle □ Dienstleistungserbringer □ Kommerzieller Vermittler □ Grenze Name: □ Sonstige Stelle Akte bearbeitet durch: Belege: □ Reisedokument □ Mittel zur Bestreitung des Lebensunterhalts □ Einladung □ Beförderungsmittel □ Reisekrankenversicherung □ Sonstiges: Visum: □ Abgelehnt □ Erteilt: □ A □ C □ Visum mit räumlich beschränkter Gültigkeit □ Gültig vom ….. bis….. Anzahl der Einreisen: □ 1 □ 2 □ mehrfach Anzahl der Tage: | 3. Vorname(n) (Beiname(n)) (x) | | 4. Geburtsdatum (Jahr-Monat-Tag) | 5. Geburtsort 6. Geburtsland | 7. Derzeitige Staatsangehörigkeit Staatsangehörigkeit bei der Geburt (falls nicht wie oben) | | 8. Geschlecht □ männlich □ weiblich | 9. Familienstand □ ledig □ verheiratet □ getrennt □ geschieden □ verwitwet □ Sonstiges (bitte nähere Angaben) | ...
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...PR O J E K TAR B E I T Studienbereich Wirtschaft Studiengang Handel Thema der Projektarbeit: Marken erfolgreich positionieren Verfasser: Daniel Cwik Studienjahrgang/Kurs: 2006 / Handel 4D Ausbildungsbetrieb: Günther+Schramm GmbH+Co.KG Ausbildungsabteilung: Verkauf und Controlling Praxisphase: vom 31.03.2008 bis 13.06.2008 Zuständige/r Ausbildungsleiter/in: Oliver Schoppe 07364/24-124 oliver.schoppe@gs-stahl.de Studierender: Datum und Unterschrift Ausbildungsleiter/in: Datum, Unterschrift und Firmenstempel Inhaltsverzeichnis 1. Einleitung.......................................................................................................................1 1. 1 Problemstellung und Zielsetzung...........................................................................1 1.2 Vorgehensweise.......................................................................................................2 2. Definition des Markenbegriffs.......................................................................................3 3. Markenpositionierung....................................................................................................4 3.1 Differenzierung und Spezialisierung .....................................................................4 3.2 Original schlägt Kopie............................................................................................5 3.3 Qualität ist notwendig, Markenimage entscheidend..............................................6 3.4...
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...Emerging Standards of Care Paper Ron Perkins NUR/531 December 23, 2013 Jane Jacks Emerging Standards of Care Paper In nursing, we care for patients from a variety of cultures and backgrounds. This diversity is dependent on location, population, and nursing specialty and may change at any point. In order to properly provide culturally competent care, we must be educated about the individual culture needs and limitations. It's also important to be mentally open to looking beyond our personal norms to care for patients with unique cultural backgrounds and beliefs. As a dialysis nurse, we are seeing the effects of chronic kidney disease affecting a larger, more diverse population of patients. Patients are going into renal failure earlier, family dynamics are uniquely affected, and patients from all walks of life are affected. The paper will look at dialysis at Fresenius Medical Care in St Louis Missouri located in The Hill neighborhood. It will define cultural competency, identify the different cultures served, discuss how the standards of culture competency are being met and what areas are not, and discuss nursing care delivery and possible solutions for areas lacking in cultural competency. Culturally Competent Care at Fresenius Dialysis Centers It is imperative as health care providers that we not only care for a verity of people with different health conditions, but also from different backgrounds. We are given the task of caring for the physical and mental...
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...Nicole DeMase Emerging Standards of Care Paper December 15, 2014 Donna Rose Nur/531 Emerging Standards of Care Paper A growing problem in the United States is the increase in health disparities amongst minorities regardless that the United States is a multicultural country. This problem is due to the poor quality and accessibility of health care services. As the population of diversity continues to grow rapidly so does the importance of cultural competence in healthcare. Cultural competence is a set of behaviors, attitudes, and skills that enables nurses to work effectively in cross-cultural situations ("Cultural Competence", 2014). Organizations must have the capacity to value diversity, conduct self-assessment, manage the dynamics of difference, institutionalize cultural knowledge and adapt to the diversity and the cultural context of the communities they serve. The Office of Mental Health and Substance Abuse Services (OMHSAS) stated that inequities in service delivery and care in the health care system are associated with discrimination, and a lack of culturally competent practices, including a lack of cultural awareness and sensitivity by health care providers (Upsher, n.d). Substance abuse is defined as a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences ("The Science Of Drug Abuse And Addiction: The Basics", 2014). This paper will discuss and define the appropriateness of competent...
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...Culturally Competent Care Standards Lori Houde Nur/531 Gregory Friesz December 17, 2012 As more people immigrate to this country, the need for culturally competent nursing care becomes more important. Hospitals, clinics, and doctors offices are now emphasizing the need for nurses to be aware of the diverse needs of many differing cultures. Learning and understanding Leininger’s transcultural nursing theory can assist the nurse in incorprating culturally competent care into their practice. Nursing standards regarding cultural commpetence are changing as more immigrants are entering this country and the health care system. Statistics According the the US Census Bureau in 2000 30% of the US population was an ethnicity other than non-hispanic whites. The projection is that it will reach 50% by the year 2050, while currently 90% of all nurses are caucasian (Maier-Lorentz, 2008). Brought into working terms that means that if a nurse has a six patient assignment, approximately two of the six will be from another culture and have different needs and beliefs. Nursing care revolves around giving holistic care to each patient. In order to provide holistic care to patients the nurse must be aware of the individual needs of that patients. The patients cultural background will determine what those needs are. If a nurse is unaware of the cultural needs, there is no way to provide a plan of care to meet the individual needs. Leininger’s Cultural Care Theory Leininger’s culture care...
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