...Introduction Palliative care is given to provide a comfortable environment for the patient who is dying and to improve quality of life by giving care to terminally ill patient. Palliative care is given to patient in relation to their cultural practices and spiritual needs (Davis and Kuebler, 2007) as the perceptions of a person about health and illness is defined by the cultural beliefs and values which are practiced in society (McGrath et al., 2006). Cultural diversity among various cultures is dependent upon belief system of people regarding death and dying (Clark, 2010). The following article has been focused on the role of different cultures and beliefs in palliative care and how nursing care would work in multicultural societies. Content...
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...Discussion - Quality Care from Provider and Patient Perspective Grade Recieved - "A" Quality of care has always been a concern in the U.S. health care system. Although great strides have been made to improve the quality of care delivered, many critics still believe that the United States has a long way to go before truly delivering uniform quality care. How would you define quality of care from the provider and patient perspectives? Why do you feel that quality can be viewed as a strength and a weakness of the U.S. health care system? Be sure to provide at least 2 reasons for this, and use properly cited references in your answer. Quality of care is basically when the right care is conducted at the right time, at a reasonable time to a specific person. Defining quality of care is much more difficult to identify from a patient’s perspective than that of a provider. Patients can sometimes be very hard to please in some cases. Depending on their cultural background and/or religion can define what quality of care are them but we are not going in that deep. What are going to be discussed are the basic perspectives of quality of care to patients and providers are and also the strengths and weaknesses are when it comes to quality of care. From a patient’s perspective, quality of care that is deemed suitable to a patient would be the experience of their appointment. There are many factors that are included within their experience. During...
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...efficiency and quality of care, and also state that in the health care context, the “definers […] are usually the client, purchaser, payer or provider” (p. 84). Hall (2011) analysis outcome in the medical perspective, and defines it as a target or endpoint that enables the judgment if an operation, a drug or some form of therapy was successful. Hunter, Corcoran, Leeder and Phelps (2012) also give a definition for Outcomes in medicine, but these authors considered outcomes in the patients’ perspective, and it includes physical, mental, social and spiritual health, quality of life, life satisfaction, lifestyle, and the process of the health intervention. Other author (McAuliffe, 1998) also describes the definition of outcomes as the patient’s perceptions, and as results of the care received, considering symptom severity, functional capacity and quality of life. Some of those statements can also be applied to the nursing...
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...Running head: QUALITY IMPROVEMENT PLAN PART II Quality Improvement Plan Part II Cheryl Wright University of Phoenix HCS 588 Cynthia Hughes July 16, 2012 Quality Improvement Plan Part II Quality improvement is a hospitals process to advance the quality of care and outcomes for patients using an explicit set of philosophies and procedures (Walker, 2012). This paper attempts to describe some of the areas of potential advances for quality improvement at Washington County Regional Medical Center (WCRMC) nursing unit. One principle of quality improvement is measurement, which is the collection of data to improve patient care. Using these measurements and tools can help leaders understand the direction of quality in the organization. Areas of Potential Improvement for the Organization. The areas of consideration for improvement at WCRMC are emergency room wait times and discharge instructions. Both of these improvement areas have financial and influence for the health care organization. Emergency room wait times can reduce the market share and financial stability of the health care organization. Discharge instruction if given appropriately by the nursing staff can reduce the readmission rate for WCRMC, along with financial gain and improve the satisfaction of the patient experience. These are just of couple of measures WCRMC can use to align the mission of the organization and the commitment of improving performance. There are several models and tools...
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...Recieved - "A" Quality of care has always been a concern in the U.S. health care system. Although great strides have been made to improve the quality of care delivered, many critics still believe that the United States has a long way to go before truly delivering uniform quality care. How would you define quality of care from the provider and patient perspectives? Why do you feel that quality can be viewed as a strength and a weakness of the U.S. health care system? Be sure to provide at least 2 reasons for this, and use properly cited references in your answer. Quality of care is basically when the right care is conducted at the right time, at a reasonable time to a specific person. Defining quality of care is much more difficult to identify from a patient’s perspective than that of a provider. Patients can sometimes be very hard to please in some cases. Depending on their cultural background and/or religion can define what quality of care are them but we are not going in that deep. What are going to be discussed are the basic perspectives of quality of care to patients and providers are and also the strengths and weaknesses are when it comes to quality of care. From a patient’s perspective, quality of care that is deemed suitable to a patient would be the experience of their appointment. There are many factors that are included within their experience. During their time with their physician, quality of care that is proficient...
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...Nurses use theories to clarify the events through nursing practice. A concept analysis provides insight to nursing knowledge and understanding of the concepts allows nurses to determine nursing actions (George, 2011). Quality of Life Quality of life (QOL) is a contemporary phrase which was first heard after the Second World War and, since then, has been frequently used but not well explained (Meeberg, 1993). Most theorists have at least an unexpressed belief that human health and QOL are associated closely. It is the interest of most healthcare providers to promote QOL for those who are seeking help. However, nurses cannot work with clients to attain QOL if the goal is unclear (Meeberg, 1993). Both Virginia Henderson and Rosemarie Parse are influential nursing theorists that share a common concept of QOL. This paper will explore perspectives in regards to QOL between these two theorists. Henderson’s Theory Virginia Henderson believed humans have universal needs of water, air, and food for survival, and everyone plays a part of the contribution to the well-being of each other leading to the creation of a healthy society. Nurses care for patients, sick or well until they can care for themselves independently. However, for the very young and very old, nursing care is needed in particular circumstances (Hargrove-Huttel, 1988). Four metaparadigm concepts of person, environment, health, and nursing share common viewpoints by nursing theorists and how they impact nursing practice (George...
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...Clinical Psychology; Name: Institution: In answering the above question, one must understand the contributions of the contemporary psychology that is fascinated by human relationships and behavior. The aims of clinical psychology are noble, which is to use principles of psychology as well as our understanding of the human behavior in promoting quality of life, health, and finally happiness. Looking at the patient who wants more time in psychotherapy and is challenging my competencies, as a psychologist, I must use new skills in tackling the issue in order to develop better applications and make the patient understand the treatment processes. The typical therapy session is often 45 – 50 minutes, and therapy interventions might take less time. The standard starting and ending times as well as the session length provide a means for patients and therapists to observe emotional reactions (Plante, 2005). Psychotherapy is imbalance because it allows the clients to talk more, but its goal is to meet the needs of the client. Therefore, in the therapy room there is always a power differential between the therapist and client. Patients understand that this arena involves the specialized knowledge of the therapist. The therapist is required to explain to the patient the ground rules, psychotherapy framework, and assure them that they are acting for the best interest of the client (Bonanno & Burton, 2013). Opening up during psychotherapy can stir up primitive portions...
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...Management Focusing on Acute Pain: A Multidisciplinary Concept Analysis The concept of managing acute pain is extremely significant to nursing as pain is one of the most common problems for which patients seek out health care resources. Pain is a complex and abstract concept that encompasses sensory, emotional, psychological, social, and spiritual perceptions of pain that may occur in combination with physical pain. Pain is difficult to describe and often hard to measure; although, most healthcare providers agree that pain is subjective and is to be measured qualitatively and quantitatively as the patient perceives its intensity. Pain can affect the quality of life of the individual by impacting them physically, emotionally, and financially. Pain can also impact the family and support systems. The treatment of pain and the loss of income due to pain increases the costs for health care, the individual, and the population. Analyzing and clarifying the concept of managing acute pain can increase the healthcare provider’s knowledge of acute pain management, define the concept of managing acute pain, and expand the understanding of the concept of managing acute pain. The aim of this analysis is to clarify the defining attributes of managing acute pain, identify antecedents that influence the perception of pain and the possible consequences of acute pain. Review of Literature To increase the understanding of the concept of managing acute pain, it is important to explore the definitions...
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...Ryan and Cronin 2013). The purpose of literature review in nursing includes evaluating current practice and making recommendations for policy development and change. Thus, the purpose of this literature review is to establish the current perspectives of patients, family and nurses on the factors that improve dignity in the end of life. Resultantly, this literature review will explore the role of nurses’ based on the findings of the perspectives that patients, family and health professionals have concerning the issue of dignity in the end of life care. In that regard, the paper follows a systematic approach which involves an introduction that explains the concept of end of life and the types of end of life care available. The paper then proceeds to explore the concept of dignity as viewed from several perspectives through the use of literature on the models of dignity means of measuring dignity and the themes associated with this conception. Consequently, the factors that improve dignity are laid out and discussed at length. Eventually, the paper will achieve its secondary goal which is to determine and expound on the topic of the roles that a nurse plays in end of life care not only for the patient but also for their family. End of life care Before the discussion of the main topic of this literature review which is determining the factors that promote dignity in the end of life in order to determine the role of nurses in the end of life, there is need to understand the meaning...
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...healthcare focus is on providing patient-centered, safe and effective care for improved patient outcomes. This focus is not only important for the patient’s health, but has become vital for the financial well-being of healthcare organizations. The United States has consistently ranked among the highest in healthcare costs and the lowest in improving patient outcomes when compared to other industrialized nations (Davis, Stremikis, Squires, & Schoen, 2014). There are multiple national organizations and initiatives designed to improve the state of healthcare in the U.S. and this topic is often debated at all levels of government. The Centers for Medicare & Medicaid Services (CMS), along with the Agency for Healthcare Research & Quality (AHRQ) developed a standard set of survey questions which are publically reported designed to measure patient’s perceptions of their “hospital experience.” The survey instrument is called the Hospital Consumer Assessment of Healthcare Provider and Systems (HCAHPS) which allows hospitals and consumers the ability to compare hospitals to one another on topics important to patients. The survey also serves as a tool to enhance accountability through transparency and creates incentives for hospitals to improve the quality of the care they provide (Centers for Medicare & Medicaid Services, 2014). Nursing plays a vital role in the hospital’s HCAHPS comparison measures. The patient’s perception of the hospital “experience” includes several nursing-specific...
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...contrary to your personal beliefs or chosen religious values? How will you support a patient’s death and dying rituals and practices, and still honor your own? HLT 324V Week 4 Case Study: Through the Eyes of the Patient and the Health Care Professional Topic: Spiritual and Cultural Emphases on Death and Dying Allied health professionals are confronted with different death and dying practices. An effective allied health professional recognizes the importance of understanding different cultural practices, and learns how to evaluate the death, dying, and spiritual beliefs and practices across the cultures. Read the two specified case histories and choose one for this assignment. Chapter 4, “Stories of Abby: An Ojibwa Journey” and Chapter 14, “Stories of Shanti: Culture and Karma,” by Gelfland, Raspa, and Sherylyn, from End-of-Life Stories: Crossing Disciplinary Boundaries (2005), available in the GCU Library: http://library.gcu.edu:2048/login?url=http://site.ebrary.com/lib/grandcanyon/Doc?id=10265487 Identify your role as a health care professional in supporting Abby or Shanti’s dying rituals, and in creating strategies for displaying respect while still providing quality care. Integrate your strategies as you develop a care plan describing how you would approach the situation and care for the patient. Review the “Care Plan” template prior to beginning. Include the following in your care plan: 1. Communication: family and patient 2. Treatment...
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...Grade Recieved - "A" Identify a nonprofit health care organization and a for-profit health care organization of your choosing. Answer the following: Summarize the types of services provided, clientele served, and provider groups involved. Compare and contrast the strengths and weaknesses of each organization from patient, provider, administrator, and third-party payer perspectives. Provide at least 2 suggestions for each organization to minimize the identified weaknesses. Summarize which organization you would rather be part of, using rationale. Abstract There are many differences that for-profit and not-for-profit organizations have between one another. Research has been conducted on one not-for-profit organization (VA hospital) in a for-profit organization (Baptist Medical Center) and the strengths and weaknesses from a provider’s and patient’s perspective in which organization would be a better choice to be part of. Not-for-profit hospitals are recognized for their charitable intentions. Not-for-profit hospitals have a habit of being larger and also have a tendency to be training hospitals. The earnings that not-for-profit hospitals receive are reinvested to enhance the quality care that is offered at these hospitals. Their earnings are also invested into community programs, which in turn can provide little to no fee to those individuals who are considered to be low income families and also maybe uninsured for the services of these programs. The purpose...
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...Nursing Home Administrator Nicole Hejl University of Phoenix Axia HCS/320 Erin Being a nursing home administrator with in a nursing home, excellent communication is a necessity. Communication is how care providers determine the quality of care that is given and needed for the patients. By being a nursing home administrator, it is my job to make sure that the HIPPA rules and regulations are being used by all employees. By making sure that HIPPA rules and regulations are being upheld, the nursing home is providing quality care to the patients. When a change happens at a nursing home there can be confusion and conflict with everyone involved. While following the chain of command can be long and even boring, it is needed to keep the communication process smooth and effective. The chain of command does help reduce the risk of a communication breakdown. If a communication breakdown is developed it can cause commotion in any health care facility which could jeopardize everyone involved. With being the nursing home administrator, the first job that I would need to do is have a full understanding of the new policies and procedures. I would need to know how the policies and procedures were put into place and how exactly this will affect the patient’s in the nursing home. In order to do this I would want to speak with the board members so my concerns could be addressed. In order to address these issues I could meet with the board members face to face, use social media, or by electronic...
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...I have a little more than two years working experience as a nurse on the medical surgical floor that focuses on orthopedic and bariatric patients. I also have another job as a medication assistant at Austin Community College (ACC). This job allows me to collaborate with a nursing instructor by educating level one nursing students in a hospital setting in medication administration safety, basic nursing skills, critical thinking skills, evidence-based practice, core measures, and providing effective and holistic nursing care. My goals as a nurse is to build a trusting relationship with my patients and promote the patient’s sense of control in order to attain quality, holistic health. These goals are very similar with my ACC students. As I assist in teaching them how to reach their potential as a future nurse, I want us to trust each other, and I want them to be autonomous in researching answers themselves to provide quality care. My nursing care before this class was more focused on evidence-based practice since I did not consciously incorporate theory into my bedside practice. This personal framework paper will review my personal values, beliefs, and nursing philosophy in relation to my bedside nursing practice and medication assistant position. I will describe Erickson, Tomlin, and Swain’s Modeling and Role Modeling Theory (MRMT) and how it applies to the nursing metaparadigm and my nursing practice. I will further compare and contrast the theory of Modeling and Role Modeling...
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...patients’ ability to express their needs. Effective communication is imperative to the health outcomes of the patient and this paper will look at how the communication style of the patient’s physician can affect those outcomes. Do Doctors’ Communication Skills Affect Patient Health? Healthcare is always in the news. You cannot turn on your television or pick up a newspaper without seeing something about healthcare. One of the main topics of discussion is the quality of healthcare that patients are receiving from their physicians. However, quality is not solely based on the knowledge of the patient’s physician; it can be also based on the ability of the patient to effectively communicate with their physician. Patients complain that they cannot effectively talk with their physicians because they are either intimidated or they do not feel their physician actually listens to what they say. Thus, do doctors’ communication skills affect the patient’s health outcome? The articles used for this paper reflected the possible answers to this question. ‘Physician Sociality Communication and Its Effect on Patient Satisfaction’ by Chas D. Koermer and Meghan Kilbane discusses how a patients’ physicians communication style affects how the patient feels about the doctor and if they are satisfied with the care that they...
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