... Concept 8 –Organization of nursing service: This concept is taken from BBN007”ORGANISATION,PLANNING AND STAFFING”,module no.3 and organization- 11 , entitled as “organization of nursing service & patient care”. Nursing services as the part of the total health organization which aims to satisfy major objective of the nursing services is to provide prevention of disease and promotion of health.It is the part of the total health organization which aims at satisfying the nursing needs of the patients/community. Nursing is a vital aspect of health care and needs to be properly organized.A nurse is in frequent contact with the patients and hence her role in restoring health and quality of nursing care and the management of the nursing staff ,reflect...
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...incredible opportunity to explore and build upon my two passions, nursing and service. Since my Freshman year when I heard the inspiring stories about the nursing service trips from older students whom I admired, I have been eager to take part. I recognize the truly special experience these trips provide not only to grow as a nurse, but as a person, while simultaneously helping local communities of South America and the Caribbean. Thus, participating in the Haiti or Dominican Republic nursing service trips would provide a unique opportunity to build upon my experiences abroad to gain a deeper understanding of global health issues and the diversity of health care needs as well as to grow both personally and professionally....
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...The United States is presently confronting a nursing shortage which is likely to get worse in the future. The shortage is compelled by amount of reasons linked to the employment and maintenance of nurses. Less young females going into nursing schools as professional prospects in other areas have stretched. Countless eligible candidates are denied admission due to a scarcity of nursing instructors at schools. The student will present economic tools and concepts pertaining to health care issues (nursing shortage); the student will use marginal analysis and supply and demand curve to assess the issue of nursing shortage as it relates to health care. These tools are designed to explore and evaluate the nursing shortage. Registered nurses are the major set of health care specialists in America and Worldwide. It is important to understand the effects that a nursing shortage has on the economy and the health care system. Supply and Demand Supply and demand curves are vital when considering the number of registered nurses available to provide services to patients in need of care. A good service is said to be scarce when more is desired than can be satisfied with available resources which means demand exceeds supply. Quantity and quality of care demanded are greater than quantity of nurses supplied (Lane & Grohmann 1995). Nursing is a professional fields in which the nurse provides services (good) to the patient. These services must be completed in the nurse’s given shift...
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...explain how to improve quality and minimize cost. Although there are many issues facing health care, one area of focus is a nursing shortage in health care facilities. Three economic tools that will be focused on in this essay are choice and opportunity cost, supply and demand, and marginal analysis. Registered nurses (RN) are the largest group of health care professionals in the United States, strengthening the entire health care delivery system (Caron, 2004). It is important to understand the effects that a nursing shortage has on the economy and the health care system. Choice and Opportunity Cost Choice and opportunity costs are two of the most important concepts in economics. There is never an endless amount of resources, supplies, or even time so choices must be made on a daily basis. The choices that must be made in health care organizations are how to spend their limited income in the best way. The term best can be hard to define when dealing in terms of buying or spending. Health care organizations must consider what choice will give the most satisfaction or maximize gain. Wiseman explains opportunity costs as being, “…any good, including service, is the satisfaction or benefit foregone in not being able to use the resources involved to obtain some other good which is also desirable and provides satisfaction” (2011). In terms of the nursing shortage, because there are not enough nurses to fill positions, decisions must be made involving mandatory on-call shifts...
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...Nursing Interventions for Patient Safety Nursing Interventions for Patient Safety The evolution of nursing is one that is rich in history and clinical practices and has existed for hundreds of years for health care issues. This author has work experiences from 1978 to 1996 as a nurse and nursing consultant in long term care and has a personal interest in how the use of restraints has evolved to a patient focused and caring approach that has reduced the rates of restraint use and patient injuries. Nursing evidence based practices for patient safety evolves from current technological advances, research and nursing theory. The purpose of this paper is to address how nursing clinical practices evolved for the use of patient restraints in health care facilities. Identification and Discussion of Health Care Issue The Centers for Medicare & Medicaid Services (CMS) defines a physical restraint as “any manual method or physical or mechanical device, material, or equipment attached or adjacent to the resident’s body that the individual cannot remove easily which restricts freedom of movement or normal access to one’s body” (U.S. Department of Health and Human Services, 2001). Physical force can be human, mechanical devices, or a combination. Some Items that can be used to physically restrain people include bed side rails, waist belts, vests or jackets, hand mitts, arm and leg restraints. This author has witnessed wheel chairs being tied to hallways handrails; patients...
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...Code of ethics Nursing has a code of ethics that defines the principles by which nurse provide care to their clients. In addition, nurses incorporate their own values and ethics into practice. The code of ethics for nurses with interpretive statements provides a guide for carrying out nursing responsibilities that provide quality nursing care and provides for the ethical obligations of the profession. Standard nursing care: An Asset In order to ensure quality care the nursing care needs some standards. Standards are degree of excellence. The aim of standard nursing care is to support and contribute to excellent practices. The role of nurse is constantly changing to meet the growing needs of health services. Objectives • Plan • Holistic Approach • Appropriate Diagnosis • Realistic Goal • Selecting Appropriate Media • Quality Care rather than quantity • Economize Time, Material, Energy Types of standard care • Structure -- Things we use • Process -- Things we do • Outcome -- The result Characteristics of standard care • Dynamic • Reflects Changes • Not Static Brief description of methods and procedure S - Successful termination of helping relationship for client. T - To have clear idea or conception of the distinct goal, nursing the patient and health needs of society. A - Assertive planning. N - Nature of client nurse interaction. D - Directing others. A - Analytical thinking. R - Respect status and policies. D - Data collection in accordance with goal...
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...The Impact of the 2010 IOM Report on The Future of Nursing Robert Loperfido Felician Health Policy and Politics NURS 385 Helena Correia RNC, MSN August 18, 2014 The Impact of the 2010 IOM Report on The Future of Nursing The United States is at a significant junction. Health care reforms are being carried out and the system is beginning to change. The largest component of the health care workforce is nurses and the needs to strengthen this group will only improve the delivery of care and the health care system. The IOM and the Robert Wood Johnson Foundation established that accessible, high quality care cannot be achieved without extraordinary nursing care and leadership (American Nurses Association, 2014, p. 1). The report calls on nurses individually and as a profession to embrace changes needed to promote health, prevent illness and care for people across the lifespan. The report also calls for support from interprofessional collaborations from physicians, dieticians, physical therapist and other multisector professions to work with nurses to make the changes necessary for a more accessible, cost efficient and high quality health care system. This report expands on the theme that high quality, safe, evidence based patient centered care is a critical role of nursing and that to have a successful health care system rests on the future of nursing (Institute of Medicine, 2010). In 2010 the President signed into law and Congress approved health care legislation...
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...and the growing demand for health care services. Due to the increase in population, baby boomers aging, and an increase in chronic disease is causing this higher demand for registered nurses. Nursing schools are struggling to expand capacity to meet the needs of the rising demand for care given the national move toward health care reform ("Nursing Shortage", 2014). Registered nurses compromise the largest group of health care professionals. The nursing shortage has caused adverse effects in health care, and nurses are often working long hours under stressful conditions causing them to become burnt-out, injured and fatigued. Patient safety is at risk along with poor quality of care due to the nurses being tired, and they become more prone to making mistakes and medical errors. Demand The request of registered nurses is not new in the health care industry; it has been here for decades. In 2000, the supply of registered nurses was about 1.89 million while the demand was approximately 2 million, causing a shortage of 110,000 ("Nursing Shortage", 2014). The request for nurses is expected to continue to increase and by 2015 quadruple. The lack of nurses is not just limited to the United States but is worldwide. Registered nurses compromise the largest group of health care professionals. Demand versus supply continues to be an issue with the increasing shortages of registered nurses (RN) and the growing demand for health care services. Due to the increase in population, baby...
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...1. Nursing It is assisting the individuals, sick or well in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge (Virginia Henderson) 2. Art A superior skill that you can learn by study, practice and observation. 3. Science The ability to produce solutions in some problem domain. 4. Other disciplines that are related to nursing and how they contribute to nursing: i) Medicine- Doctors consult patients and order investigations to be performed on a patient as well as prescribe medicine for the patient. They give instructions as to how the patient has to be nursed for example post-operatively the doctor may instruct that the patient be kept nil by mouth for a given period. ii) Dialetics- The patient needs a balanced diet so it is the duty of the dietician to work out the dietary requirements of the patient. The food has to be prepared according to the patient’s ability to digest for example if the patient is on liquid diet or light diet. Special diets may need to be adhered to depending with the patient’s condition for example low salt diet for hypertensive patients or diabetic diet for diabetic patients. iii) Laboratory Technology- Patients’ specimens need to be processed so as to come up with a proper diagnosis. Laboratory results help in ascertaining the medicines the patient is sensitive to in cases of infections...
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...health to nursing practice, gives us a concept of family nursing. In this set up nurse develops care plan which revolves around client and his family. Involving family in care helps patient and family members bond better during the critical times and it also results in improved patient outcomes. Nurses can use multi-disciplinary team approach to educate family members and introduce them to different aspects of patient needs post discharge. Family members can be educated regarding dietary needs, swallowing and aspiration precautions, mobility issues and patient transfers, assistive devices and lastly and most importantly medication regimen. This education can be further classified into categories such as wound care, tubes and drain care. Community resources and community services need to be included in plan. Resources such as community health services and public health clinic are added value to family nursing. As these services work for not just the client but the welfare of the whole family and they help prevent hospital visits and ER visits. Family nursing is relatively new concept in patient care but it is showing growth in the patient care area. Since we have new healthcare restructuring in process, this has introduced rapid growth of managed care systems. Part of this system is a trend of patients going home “sicker and quicker” (Jones, Friedman, & Bowden, 2003, Chapter 2). Reduction of hospital based services and staff, and the growth of community-based services; this all...
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...Executive Summary Nurses do more than care for people. Ever since Florence Nightingale led the effort to improve hospital sanitation and became known as the founder of modern day nursing, nurses have been at the forefront of change in health care and public health. Nurses provide ongoing assessment of patient’s health. Their round-the-clock presence, observation, skills, and vigilance allow doctors to make better diagnoses and develop proper treatments. Many lives have undoubtedly been saved by an attentive nurse who saw early warning signs of an impending cardiac arrest or some other crisis. Given the importance of nurses to the health of Americans, it is unfortunate, indeed, that the nation is facing a critical nursing shortage. There is a sense of urgency about the shortage this year as the first wave of baby boomers begins turning 60. As the country ages it means Registered Nurses will play an even larger role as the 78 million baby boomers require additional health services. Hospitals have struggled to attract more nurses, but working conditions keep getting tougher. Nurses frequently have to work double shifts, and new insurance rules, under which only the sickest people are treated in hospitals these days, mean that each of the patients requires much more care and attention. Introduction The United States is facing a critical shortage of registered nurses -- particularly the specialized, highly trained nurses who staff intensive...
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...The Future of Nursing KEMEL ISHMMAEL NRS 430V PROFESSIONAL DYNAMICS GRAND CANYON UNIVERSITY PROFESSOR CELESTE OTTNEY O3/12/12 The Future of Nursing The IOM report ‘The Future of Nursing: Leading Change, Advancing Health’ provides comprehensive recommendations regarding how the profession of nursing can be improved in the future. The following paper will consider the impact of the IOM report on nursing education, nursing practice and the nurse’s role as a leader. Nursing Education According to the IOM report, the education system should be improved so that the nurses may be able to achieve higher levels of education and training. The report also suggests that the education system should be such that the academic progression of the nurses remains unhindered. The nursing education should provide a better understanding of care management, systems-level change management, quality improvement methods and the reconceptualized roles of nurses in a reformed health care system. From the report, it can be inferred that education system should add a managerial aspect to the education and training of the nurses. In order to understand the management of change in an organization and the methods to improve quality of the services provided by an organization, nurses should acquire a higher level understanding of the organizational structure and organizational management. The report recommends that the nursing education should not hinder the acquisition of higher...
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...Philosophy of Nursing Auburn University School of Nursing Abstract: This paper explores the personal nursing philosophy I plan to convey in my nursing career. I believe the nature of nursing is rooted in commitment to public service and the undeniable desire to help those in need. Nursing is more than treating an illness; rather it is focused on delivering quality patient care that is individualized to the needs of each patient. My philosophy of nursing incorporates the knowledge of medicine while combining it with relational, compassionate caring that respects the dignity of each patient. I believe nursing care should be holistic while honoring patient values. A crucial aspect of nursing is interprofessional relationships, and collaborative efforts among healthcare professionals promote quality patient care. My philosophy of nursing extends to my community in which health promotion is something I will continually strive for. Personal Philosophy of Nursing For as long as I can remember I have been overwhelmed with a longing desire to care for those in need, and I feel this ultimately led me to the career choice of nursing. I feel most fulfilled when I am serving and caring for others, and my personal nursing attitude is one that is centered on compassion and service. According to Merriam-Webster’s online dictionary (2012), a philosophy is “an analysis of the grounds of and concepts expressing fundamental beliefs,” and before entering to the profession of nursing, it is important...
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...Chapter I Introduction Recently, we have been given the opportunity to know more about Davao Medical Hospital, which has been greatly of interest to us. The Hospital has become part of our lives for more than four years now. We spend 24 hours every week in Davao Medical Hospital for our duties. That is why today, and for a few days more, We as a group are indeed very grateful that upon the day we shall bid goodbye to Ateneo de Davao University, the institution who have inculcated us with good values and quality education and also become part of our lives for many years have given us the opportunity to know more the history of Davao Medical Hospital. This document aims to describe the in- depth information, history and other factors that have been utilized to the emergence of Davao Medical Hospital. The resources came from our orientation and meeting with Mrs. Vilma Comoda, R.N, MAN and the interviews and the written documents we have read. HISTORY OF THE DAVAO GENERAL HOSPITAL 1917 – Enacted by the Philippine Legislative as Davao Public Hospital with a 25 bed capacity. The Davao General Hospital at Davao City, way back in the year 1918, a just a Sick Ward set up by the District Engineer’s Office in Davao for the care and treatment of the sick laborer’s known as “Sakadas”, who were the brought in to help the development of Davao. In 1919, by virtue of Special Act of the Philippine Legislation which was passed in 1917, to establish...
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...Professional Development of Nursing Professionals Professional Development of Nursing Professionals The Impact of the IOM Report on Nursing Education The institute of medicine’s report will have a great impact on the nursing education (Institute of Medicine, 2010). This will open doors to an even greater innovation on the nursing education. In 2008, the Robert Wood Johnson Foundation (RWJF) started an initiative in order to change for the better the future of nursing education and the whole nursing profession as well. The RWJF purpose is to make a report and give recommendations that will help the nursing profession. One those recommendations says that nurses should practice to the full extent of their education and training (Institute of Medicine, 2010). This is recommendations is very essential in order to improve the nursing profession and education, being a good nurse starts by having a good foundation in nursing school. If a nurse gets a good education, he or she will be competent enough to assess any situation that will come his or her way. He or she will be able to identify any problems and give the necessary needs of the patients because he or she can identify what is needed to be done in order to give the best and proper nursing care to every patient. Understanding every anatomy and physiology of the human body, memorizing every medication and action of each drug, and how to properly give the right care for every each patient suffering from different disease. These...
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