...Outcomes Measurement and Data Management Project: Hospital Readmissions Charmein Garner and Celeste Thomas Loyola University New Orleans Outcomes Management Project Defined Issue or Problem of Interest The selected problem of interest is hospital readmissions after being discharged from hospitals/medical facilities. Several patients enter the hospital and soon after discharge are catapulted back into the seemingly revolving doors of the hospital. Readmission rates affect all areas of healthcare. Center for Medicare and Medicaid (CMS) has targeted readmissions as a guideline of poor quality of care. Engaging patients during their inpatient admission as they transition to alternate levels of care may reduce readmission by 50% (Service, 2008). The intent of this proposed paper is to take a look at hospital readmissions rates in correlation with the patient being elderly and having a diagnosis of heart failure and assess what can be done to positively change these statistics, which increase the quality of care we as healthcare professionals provide to our patients. A Rationale for Selecting the Issue or Problem of Interest Hospital readmissions can occur throughout the patient’s transition through the healthcare system. Many times readmissions occur among those who are frail and have chronic conditions. Readmissions account for approximate 18% of Medicare patients, of this 13%, are suspected to be avoidable and are directly linked to poor quality. Quality is...
Words: 1562 - Pages: 7
...Application ORIGINAL XXX 1541-5147 ARTICLES International of Orem’s Self-Care Deficit Theory and Standardized Nursing Languages in a Case Study of a Woman With Diabetes IJNT Malden, USAJournal Inc Blackwell Publishing of Nursing Terminologies and Classifications Application of Orem’s Self-Care Deficit Theory and Standardized Nursing Languages in a Case Study of a Woman with Diabetes This paper aims to illustrate the process Coleen P. Kumar, RN, MSN, CNS, is Assistant Professor of Nursing, Kingsborough Community College, Brooklyn, New York. Introduction As the average lifespan is extended, more individuals are coping with chronic illnesses such as diabetes, which has reached epidemic proportions with more than 20 million people in the United States having this diagnosis (Gordois, Scuffham, Shearer, Oglesby, & Tobian, 2003). The American Diabetes Association (ADA) estimates that a million people will be diagnosed of diabetes every year (2004). Long-term complications of diabetes are costly to both the individual and the healthcare system. Over the past decade, diabetes research has focused on pharmacological approaches and lifestyle interventions to the illness (Odegard, Setter, & Iltz, 2006). Recent evidence in the forum of diabetes care revealed a need for healthcare professionals to assess and empower individuals in the self-management of this illness. For the purposes of this case study, health assessment by nurses was defined by Fuller and Schaller-Ayers (2000) as a process...
Words: 5056 - Pages: 21
...Running head: THE CONTRIBUTION OF HIGHER EDUCATION IN NURSING 1 The Contribution of Higher Education In Nursing Grand Canyon University: NRS- 430 V Professional Dynamics THE CONTRIBUTION OF HIGHER EDUCATION IN NURSING 2 Nursing in today’s day and age is a profession that is both rewarding and demanding. With increased pressure on hospitals to provide clinically sound medical care while functioning as a business, nurses are at the forefront of providing patient safety in a business environment. America depends on both two and four year institutions of higher education to prepare nurses, who will be working side by side in the healthcare environment. As a result of nursing job growth and projected retirement rates, it is estimated that America will need one million additional Registered Nurses by 2018 (Fulcher, Mullin, 2011). With strong evidence that a Baccalaureate degree in nursing improves patient outcomes, the IOM recommends 80% of nurses have a BSN by the year 2020. Evidence clearly suggests a relationship between a baccalaureate education and improved patient outcomes (Sarver, Cichra & Cline, 2015). One difference that may contribute to competency differences between ADN and BSN programs is number of credit hours obtained while in school. BSN programs require 120 credit hours whereas ADN programs require 71.5 (Fulcher, Mullin, 2011). Thus, the amount of hours spent learning is greatly reduced in an ADN program. One can infer that more school...
Words: 1304 - Pages: 6
...Running head: LEADERSHIP STYLE AND TODAY'S NURSING LEADERS Leadership Style and Today's Nursing Leaders Trends and Issues NRS 440V Leadership Style and Today's Nursing Leaders Nursing leadership in health care today is a fast-paced, demanding and very challenging with shifting and competing priorities. Nursing leaders are receiving more scrutiny than ever as the performance expectations continue to rise at all levels of leadership in an effort to move health care organizations forward. Moreover, a managers’ success will largely depend upon their ability compare and contrast leadership styles, identify a leadership style that best fits their philosophy, in addition to that of the organization represented. Although there are at least fifteen different defined management styles, ranging from the very classic to the very creative, it has been determined that no one style is neither right nor wrong, only that different styles are needed for different situations (Marquis & Huston, 2008). The classic styles of management include autocratic, bureaucratic, laissez-faire and democratic. These are often considered the most basic of leadership styles. The article featured in Nursing Management focuses on Transformational leadership. Transformational leadership is a more creative, non-traditional management style (Raup, 2008) fits the writers leadership style and philosophy. The article further describes transformational leadership as a dynamic...
Words: 511 - Pages: 3
...dismal future. The framework of healthcare faces distinct challenges, potentially providing the opportunity for nurse leadership to provide a pathway for the future. One concern is the capacity to prepare the next generation of nurse leaders, both formal and informal, to become effective leaders, contributing to the future health of the workplace. This study is an analysis pertaining to the development of future nurse leaders. The analysis seeks to uncover the challenges of developing nurse leaders, and the necessary requirements for the next generation of leaders within healthcare. The findings suggest that the development of nursing leadership is vital in relation to healthy workplace environments, and quality patient care. Furthermore, a new paradigm and set of competencies necessary to lead nursing into the future. Keywords: leadership, nursing, development, future The Future of Nurse Leadership In today's ever-changing health care environment, nurses, especially administrators and managers, require leadership skills that provide direction for a new generation of nurses. Currently,...
Words: 2998 - Pages: 12
...Running head: LEADERSHIP STYLE AND TODAY'S NURSING LEADERS Leadership Style and Today's Nursing Leaders Trends and Issues NRS 440V Kowanda Robinson Leadership Style and Today's Nursing Leaders Nursing leadership in health care today is a fast-paced, demanding and very challenging with shifting and competing priorities. Nursing leaders are receiving more scrutiny than ever as the performance expectations continue to rise at all levels of leadership in an effort to move health care organizations forward. Moreover, a managers’ success will largely depend upon their ability compare and contrast leadership styles, identify a leadership style that best fits their philosophy, in addition to that of the organization represented. Although there are at least fifteen different defined management styles, ranging from the very classic to the very creative, it has been determined that no one style is neither right nor wrong, only that different styles are needed for different situations (Marquis & Huston, 2008). The classic styles of management include autocratic, bureaucratic, laissez-faire and democratic. These are often considered the most basic of leadership styles. The article featured in Nursing Management focuses on Transformational leadership. Transformational leadership is a more creative, non-traditional management style (Raup, 2008) fits the writers leadership style and philosophy. The article further describes transformational leadership...
Words: 513 - Pages: 3
...Katherine Kolcaba theory of comfort has created a new level of nursing. Promotion of comfort exists in all areas of nursing. Comfort is desired by patients of all ages and illnesses. There is a high importance in fulfilling comfort needs of the patient is order to achieve optimal health benefit and promote future health seeking behaviors. Keywords: Comfort, outcomes, quality, safety, and health promotion Comfort Theory was introduced by Katherine Kolcaba in 1994 (McEwen & Wills, 2014, pp 244). This theory gave the word comfort a whole new meaning. It explored comfort as a key element in nursing care. This mid-range theory identifies comfort as the means to achieving positive patient experience and outcomes. The concept follows...
Words: 1415 - Pages: 6
...RTT1 Task 1 Eric M. Lunsford Western Governors University Organizational Systems and Quality Leadership January 11, 2015 RTT1 Task 1 A. Nursing Sensitive Indicator Since Florence Nightingale’s work over one hundred years ago, researchers have tried to define nursing’s role on patient health outcomes. Nursing Sensitive Indicators (NSI) have been developed through the National Database of Nursing Quality Indicators (NDNQI) to address this need. The NDNQI provides nursing specific indicators that help evaluate nursing care at the unit level. NSI are nursing specific structures and processes that have a direct impact on patient outcomes. Through the NDNQI, reporting standards are developed for nursing performance. Over eleven hundred facilities nationwide provide data based on these indicators to NDNQI ("The National Database," 2014). NSI are used in several ways. First, NSI data can be reviewed so facilities can identify problems in patient care related to nursing in their units. A relationship between NSI patient outcomes and processes can be identified. After improvements have been implemented facilities can measure their effectiveness by reanalyzing this data. Second, because NSI measure nursing at the unit level, facilities can compare their nurses’ performances to similar units. These comparisons can be used to identify best practices other facilities have implemented to incorporate them in their hospital. Lastly, facilities with higher NSI can use...
Words: 854 - Pages: 4
...June 19, 2016 The American Association of Colleges of Nursing (AACN), believes that the level of education a nurse has plays a significant role in the competency of nurses to give the best care outcomes for their patients. Nurses with Bachelor of Science in Nursing (BSN) degrees are better prepared through education to meet the demands placed on today's nurses in this highly demanding field. BSN nurses are recognized for their critical thinking skills and leadership abilities. BSN nurses are also educated in the areas of case management and health promotion. Nurses who obtain a bachelor degree are thought to have better adaptability to practice across a variety of settings, both inpatient and outpatient. Many healthcare organizations identify that baccalaureate degree nurses bring a unique value to the practice settings of the many fields of nursing (Bushy, 2014) There are 3 levels of education for those wishing to be a Registered Nurse. A Diploma Nurse, AND or Associate Degree Nurse, and a BSN or Bachelor Degree Nurse. A diploma nurse trains for 3 years in a hospital, an ADN trains for 2-3 years in a community college, and a BSN trains for 4 years at a university or upper level college. All three sit for the same NCLEX-RN exam to obtain their licensure to practice. The areas in which each nurse can practice are mostly similar except BSN nurses have management opportunities in which ADN nurses generally do not. The thought being that a BSN educated nurse is...
Words: 932 - Pages: 4
...Motivation and Stress: A Discussion of Management Recommendations for a Local Hospital The following report was written by a private consultant hired to examine the issues being experienced by Delmar General Hospital with their nursing staff. The report begins with a discussion of nursing, moves on to an overview of motivational theories, as well as stress and its effects on motivation. The issues occurring within this hospital with their nursing staff will be reviewed and interpreted by the private consultant. The private consultant will then conclude with a discussion of her final recommendations in terms of what can be done by Delmar General and their management staff to increase motivation and decrease stress levels, with examples from supporting research. No matter what ones goal may be, motivation always plays a big role in achievement. In the workplace, individuals must be motivated to perform their best however, frequent conflicts can often hinder ones motivation levels by causing stress. Managers within the workplace can attempt to achieve maximum productivity while maintaining a positive employee affect through the use of various kinds of motivational plans. The nursing profession is one of many within healthcare that deal with a lot of stress and motivational issues. Currently nursing is facing a series of issues that makes understanding stress and motivation very important for healthcare managers. It was estimated by the US Department...
Words: 5506 - Pages: 23
...Nursing Sensitive Indicators (NSIs) and Hospital Consumer Assessment and Healthcare Providers and Systems (HCAHPS) are at the forefront of patient care. These quality measures of nursing care are evaluated in hospital settings. These indicators and survey scores allow nurses and their administrators to assess how the care they are providing is following evidence-based practices, and how they can improve their practices towards a better patient outcome. The American Nurses Association (in promoting these indicators as the definitive standards for patient care and quality ANA) has made steps improvement. The purpose of this paper will define NSIs, HCAHPS and include examples of each from Good Samaritan Medical Center, the outcomes and interventions...
Words: 1160 - Pages: 5
...Standard Terminologies in Nursing In home care, Congestive Heart Failure (CHF) is a prevalent diagnosis, encompassing at least fifty percent of our total patient census. ‘Standardized nursing terminologies play a significant role in defining nursing care’ (Park, 2013). I will show how NANDA, NIC and NOC apply to CHF, the elements involved and how it can improve the patient. The purpose of this paper is to show the main nursing diagnoses, interventions and outcomes of NANDA, NIC and NOC (NNN) and its linkages for CHF patients. Following the NNN elements shows improvement in home care patients with CHF. Overview of North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC) and Nursing Outcomes Classification...
Words: 691 - Pages: 3
... 1 Associates Degree Nursing Education vs. Baccalaureate Degree Nursing Education: Differences in Clinical Practice Suja Kuruvilla Grand Canyon University: NRS-430V Professor Lorraine Hoover September 2, 2012 Health care is a field that is changing dramatically. Many practicing nurses have various degrees in nursing like Associate Degree, Diploma, Baccalaureate and Master’s degree. Due to the varying levels of education and training, differences exist between the nurses prepared with an Associate degree (ADN) when compared to those nurses who have trained in a Baccalaureate degree (BSN). Though nurses getting these degrees have their differences in preparation, nurses earning these degrees have adequate theoretical and clinical learning experiences. The license qualifying examination for many states- National Council Licensure Examination (NCLEX) - does not differentiate between ADN and BSN degree prepared nurses and allows nurses with both degrees to take the licensing examination after completion of the degree regardless of the educational background of the applicant. The differences in competencies between nurses prepared with an ADN compared to those prepared with a BSN include the quality of training and duration of the course. From research shown in many well published studies and from my own practice, I feel that such differences in training create various approaches to patient management in similar clinical situations and hence do have...
Words: 1425 - Pages: 6
... 12-13 INTRODUCTION in today ever rapid changing and challenging healthcare environment, nurses are required to develop their leadership skills where effective leadership styles they choose to deliver high quality care with improved patient safety outcome (Treguno et al, 2009); healthy work environments (Shirey, 2009): job satisfaction (Heller et al, 2004; Sellgren et al, 2007); lower turnover rates (Gelinas and Bohen, 2000); and positive outcome for organization and patients (Wong and Cummings, 2007) and healthcare providers (Cummings et al, 2005). It must be emphasized that leadership should not be viewed as an optional role or function for nurses. Nurse leaders nowadays confronting challenges like new roles, new technology, financial constraints, greater participation, cultural diversity and education We must be aware and realized that leadership is a must in all healthcare facility where effecting change and achieving high standards of patient care are stipulated in job titles, such as Director of Nursing, Nurse Consultant, or Modern Matron (Sulivan and Garland, 2010). One of the most challenging nurses faced today in nursing profession is...
Words: 3138 - Pages: 13
...pharmacological and non-pharmacological treatments; 2. changes in consumer demands and expectations; 3. fiscal and resource constraints; 4. changes in societal demographics in particular the ageing of society; 5. an increasing burden of chronic disease; 6. documentation of limitations in traditional health care delivery; 7. an increasing emphasis on transparency and accountability, 8. evidence based practice (EBP) and clinical governance structures; and 9. the increasing cultural diversity of the community. These challenges provoke discussion of the necessity of developing services around a model of care. What do we mean by a model of care? Ambiguity exists in the literature, with the terms, model of care, nursing model, philosophy, paradigm, framework and theory often used interchangeably, despite referring to diverse, yet parallel concepts (Tierney 1998). In their recent review of the literature, the Queensland Government (Australia) reported that they found no consistent definition of ‘model of care’ (Queensland Health 2000). They concluded that a model of care is a multidimensional concept that defines the way in which health care services are delivered (Queensland Health 2000). More specifically, Davidson and Elliott (2001) described a model of care as a conceptual tool that is ‘a standard or example for imitation or comparison, combining concepts, belief and intent that are related in some way’ (p. 121). They consider it to be critical...
Words: 3800 - Pages: 16
