...Practice Introduction Identified as two of the most vital qualities regarding professional ethics concerning nursing, confidentiality and trust compose the two essential components of any and all kinds of relationships between patients, colleagues and the general public for a nurse. This essay seeks to analyze the article entitled “Betraying trust or providing good care? When is it okay to break confidentiality?”, written by Nathanson (2000). This chosen article highlights the importance of confidentiality and the possible professional premises in which confidentiality is commonly brought to a breach by professionals. It delves into the ethically evident implications involved in a breach of confidentiality, how different ethical lenses propagated by different theories view the position of the nurse, and mentions some alternatives regarding the approach to problem solving. Implications of breach of confidentiality Mutual confidentiality between a patient and medical personnel finds its fulfillment when trust is gained between each other and the patient is assured that the personal matters regarding the lives of each remain within themselves. There is a severe break in confidentiality when any information regarding the patient is publicized without patient approval. It is not only unacceptable professionally, but is also so in regards to ethics, morality and legality. The results of such practice involves the patient not being transparent with medical personnel regarding their...
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...of healthcare information systems and technology has become significant for the delivery of cost-efficient and quality health care. With the help of different types of information systems in healthcare service organizations, they have become able to contribute in better health service management and delivery of quality healthcare (Blum, 2012). Use of different information systems also affirms the knowledge base necessitated for clinical and administrative decision making as discussed here in this paper. Description of different Categories of Information Systems Clinical: Information Produced: A clinical information system (CIS) is a compilation of a variety of information technology applications that allows for a central repository of information associated to patient care throughout distributed locations. This repository comprises the patient's history of sicknesses and his/her interactions with care providers by encryption of knowledge competent to assist clinicians determine about the patient's state, treatment options, and wellness activities (Sittig et. al., 2002). The repository also converts the position of decisions, actions ongoing for those decisions, and applicable information useful to perform those actions. As well, the database also produces information about the patient, including his/her genetic, environmental, and social contexts. Users of the System: Key users of...
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...Quality Management Assessment Summary HCS/451 Health Care Quality Management and Outcomes Analysis Quality Management Quality management is a systematic and continuous process that organizations use to deliver products and services that meet or exceed customer expectations. Quality management in healthcare has evolved over the years to address increased demands from consumers related to the quality of care and services, as well as to address problems in patients’ outcomes. The medical field tends to use quality management to focus on patient and staff safety, reducing medical errors, and avoiding or decreasing morbidity and mortality rates. In order to improve the quality of a facility requires the entire facility to be in consensus about what the definition of quality means, who is responsible for it, and how the employees in the facility should communicate with one another about any quality issues that may arise. Quality management requires top management commitment and a flow down through all other employees of the organization. It is a planned, organized, and systematic approach to the improvement, monitoring, and analysis of an organization’s performance. Purpose The purpose of quality management is to help organizations improve their performance by eliminating poor quality of service rather than by trying to fix the results after the service has already been given. Quality management allows an organization to continually improve the quality of...
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...order to obtain the local perceptions of barriers to and facilitators of quality of care. During this interview the continuum of care of care and the role of each unit involved in the provision of surgical care would be discussed in order to identify bottle necks and best practices. Sampling: The sampling method used is a purposive sampling because the information required is possessed by personnel intricately involved in the continuum of care of surgical patients. This includes consultant surgical...
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...The 7 Cs of Human Caring CARING is the vehicle through which nurses interact with patients and and assist them to cope with suffering, to find meaning in their experiences, to promote health and wellness and to die with dignity. CARING is action that nurtures; action that fosters growth, recovery, health and protection of those who are vulnerable. CARING is the empowering of those for whom care is given (Roach, 1997). CARING is the framework through which we as nurses implement the art and science of professional practice. 1. COMPASSION: Compassion means to be with another in their suffering. It is empathy and sensitivity to human pain and joy that allows one to enter into the experience of another. It is the understanding of whom that person truly is for whom one is caring. According to Simone Roach, “With compassion, one becomes a colleague of humanity” (Roach, 1992, p. 18). Compassion is an essential component of the nurse patient relationship. 2. COMPETENCE: Competence is acquiring and using evidence-based scientific and humanistic knowledge and skill in the application of therapeutic interventions in the current practice of nursing. Competence is reflected in the cognitive, affective and psychomotor domains of learning. It is the knowledge of the role of the nurse in the health care delivery systems of the hospital and the community. 3. CONSCIENCE: Conscience directs moral, ethical and legal decision-making. It motivates us to increase the knowledge and skills needed to respond...
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...Development Matrix Complete the following matrix depicting the historical development of risk management and quality improvement. Select 8-10 historical regulatory and nonregulatory events and activities over the 20th century that contributed to the theoretical foundations of risk management. The matrix must identify the name, year, and founder of the development; the nature of the development; and its importance in the development of risk management and quality improvement. Use this table as a graphic organizer to summarize the theoretical underpinnings and historical development of risk management and quality improvement. Historical Development (Name, Year) Founder of Event Nature of Development Importance to Development of Risk Management and Quality Improvement 1. The National Health care Quality Report, 2011 Agency for Healthcare Research and Quality The nature of the development is to monitor and control nationally the quality of care in the United States. These reports measure trends in effectiveness of care, patient safety, timeliness of care, patient centeredness, and efficiency of care. In the 20th century new chapters on care coordination, health system infrastructures are put into place. The reports present, in chart form, the latest available findings on quality of and access to health care. According to Priority areas for national action: Transforming health care quality (2003), the committee decided a framework would be useful in helping to identify potential candidates...
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...phenomenon, thus providing it with a separate identity or meaning. 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...
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...Issues in Patient Care Student Name School Name ABSTRACT Healthcare transformation is recently an issue which has attracted the public attention in the global world and is being discussed not only in statehouses but also in public. Though it is believed that any rising issue in patients should be catered in the health checks but the aspect can also be undertaken in the homes. In essence, the care of patients should be prioritized and emphasized by the practioneers to be done in homes, since it is cost effective and a better component reform effort undertaken (Guadagnino, 2008) Patients should be empowered in taking care of their health without merely depending on the decision given by the health practioneers. Health issue is a critical subject which should be prioritized and taken with a lot of caution since it means one contemplating between life and death. Therefore, apart from one being empowered to take care of him/herself it is also vital for one to adhere to the prescriptions and steps given by the health checks (Guadagnino, 2008) ISSUES IN PATIENT CARE A patient is therefore obliged to take care of his or her health regardless of the circumstances and situations which they encounter and thus the issues involved in the patient care should not be a hindrance towards the practioneers taking an extra care to the patients. A considerate care to the patients should therefore be an imperative and vital aspect and thus the practioneers...
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...workers and has also been shown to compromise quality of care for hospice patients (Dill & Kagle,...
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...I felt at ease and happy that my patient wanted to talk with me. I had never been in an actual hospice setting before, although I have worked with hospice patients. I found it too intimidating because I got to spend time with patients that are facing end-of-life and to make sure their life as comfortable as possible it hard but also rewarding. I found that in hospice social workers have pretty demonstrated everything possible to make the patient and family comfortable and also educate the family about the stages of grief. Social workers could demonstrate the use of Specialist palliative care. Specialist Palliative care is a diverse discipline that takes place across many different settings and is provided by teams based on the Health and Care Professions Council. British Association of Social (NHS) and in the voluntary sector. Variations in scope and setting result in a range of local arrangements for the delivery of specialist palliative care. Specialist palliative care which helps people with cancer and other life-threatening illnesses and their families to cope with the disease and its treatment throughout the patient pathway. It helps the patient to maximize the benefits of therapy and to live as well as possible with the effects of the...
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...To address this issue Ministry of Health and Family welfare, Government of India, came forward with a number of programmes. The initiatives taken by Government of India are as...
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...My brother resided with me the last six months before he transitioned over so I witnessed firsthand the lack of quality care he received due to being underinsured. Medicaid was my brother’s only source of health insurance. His sickness prevented him from maintaining a full-time job. The full-time jobs he did hold did not offer him an affordable insurance plan due to his condition. One employer denied him coverage completely because it cost too much to insure a person who needs extensive long-term care. Pre-existing clauses prevented him from receiving necessary preventatives services. The pharmaceutical companies charged high copays for name brand medications that he needed. Medicaid drug formularies limited his access to many beneficial drugs. Lack of insurance coverage prevented him from having a primary care physician to see consistently so he frequented the ER departments at the community hospitals. Whenever he was admitted into the hospital, he had a certain amount of days they would keep him, a lot of medical services were not provided to him because of his level of benefits with Medicaid, and he was often discharged from the hospital still in pain. His access to care was breached due to lack of insurance. Insurance plays a very important role with people who have terminal and genetic illnesses. Access and quality care are necessary and important key components in healthcare. Having health insurance increases access to care and positively affects health outcomes (Teitelbaum...
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...years of research, reports revealed that the market failure in the current healthcare system has imposed tremendous economic burdens on families, employers, and government at every level. One in every six Americans was without health insurance, healthcare spending was quickly skyrocketing, medical errors were excessive and administrative cost was enormous ("About cea.") The CEA reports also found that authentic healthcare reform has considerable benefits if slowing the growth of healthcare cost has the following components: Increase the standard of living by improving efficiency if resources are freed up that can be used to make other goods and services. Prevent dreadful budgetary ramifications and raise national savings. Finally, slowing the growth of health care cost would raise employment and lower unemployment now and later on without prompting inflation (whitehouse.gov) Labor A second component of healthcare reform, would increase the overall economic welfare of the uninsured extensively more that the costs of insuring them. In addition, it would increase labor supply that would reduce disability and absenteeism in the work place and boost the labor market. The coverage expansion will phase out stipulations on pre-existing conditions and enhance the productivity of labor markets by deleting and important restriction on job switching. The CEA also found that, by creating a well-rounded health insurance market, further prevents...
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...Indian Public Health Standards (IPHS) Guidelines for Community Health Centres Revised 2012 Directorate General of Health Services Ministry of Health & Family Welfare Government of India Indian Public Health Standards (IPHS) Guidelines for Community Health Centres Revised 2012 Directorate General of Health Services Ministry of Health & Family Welfare Government of India CONTENTS Message Foreword Preface Acknowledgements Executive Summary Indian Public Health Standards (IPHS) for Community Health Centres v vi vii viii 1 3 Introduction�������������������������������������������������������������������������������������������������������������������������������������������������������� 3 Objectives of Indian Public Health Standards (IPHS) for CHCs���������������������������������������������������������������������������� 3 Service Delivery in CHCs�������������������������������������������������������������������������������������������������������������������������������������� 3 Manpower����������������������������������������������������������������������������������������������������������������������������������������������������������� 8 Equipment��������������������������������������������������������������������������������������������������������������������������������������������������������� 11 Drugs�����������������������������������������������������������������������������������������������������������������������������������������������������������������...
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...attain their objective to the satisfaction of those served and with a high degree of morale and sense of attainment on the part of those rendering the service. 2. Purpose of Plan This swot aims to review the management problem faced by Parkway Nursing Care and recommend possible solutions. The objectives of this swot are: * To categorize through various theories the issues faced by the management. * To recommend ways to improve the management system. 3. Background Information Parkway Nursing Care, founded in 1972 in Phoenix, Arizona is a nursing home that was very successful in the 1980s with its skilled nursing services. However, due to its rapid expanding company, the service and management have been beleaguered by patient abuse and billing fraud. As aging population increases, the demand of beds and services from the nursing home increases. 4. Management Environment The management environment is a high-level view of your...
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