...Analysis Dorota M. Loney University of Texas at Arlington school of Nursing In partial fulfillment of the requirements of N5327 Analysis of Theories in Nursing Rhonda Mintz-Binder, RN, MN, DNP April 29, 2012 Rehabilitation Care in a Specialized Setting: A Multidisciplinary Concept Analysis First we need to understand what Rehabilitation is to be able to focus on its concept analysis. It is a part of the continuum of care as it focuses on increasing a patient’s function for self care and mobility. The need for a rehabilitation care concept in a specialized rehabilitation hospital increases as the length of stay decreases in acute hospitals after surgery or procedures due to the financial burden on insurances, Medicare, Medicaid, and the acute hospitals themselves. No longer do we see in the United States two week long acute hospital stays after major surgeries, strokes or other injuries that affect the activities of daily living (ADL). The hospitals discharge patients back home much sooner than before or transfer them to facilities for further recovery. Unfortunately some of these facilities are long term acute care hospitals or nursing homes where continuing daily therapy is very limited. The fortunate ones get admitted to a specialty hospital called a rehabilitation (rehab) hospital that this paper will focus on. Here, nurses, occupational therapists, physical therapists, speech therapists, case managers, dieticians, and physicians work all closely together to see...
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...by improving one of the gaps that’s identified. I will discuss financial implications that this strategy may have on the organization. I will identify potential members for the multidisciplinary team who could assist in improving the identified gap. I will discuss the purpose and scope of the team to include the member’s roles, and importance of diversity within the team. The team will focus in a meaningful way using self-assessment, and awareness of self-reflective techniques. I will use PDAC to monitor whether the strategy was effective in increasing patient and family centered care. Self-Assessment Tool The PFCC tool was used to evaluate Medical Center Health System (MCHS) see attached. Setting Description Medical Center Hospital System (MCHS) is an acute care, not for profit regional 402 bed Level II Trauma Center, located in West Texas of the Permian Basin. It serves a 130,000 community along with the surrounding 17 counties. It is the most comprehensive healthcare provider in the area. Founded over 65 years ago, it has grown from one facility into a family of healthcare provider’s delivering a broad range of advanced medical services to the people of West Texas. The hospital serves these communities with a high level of...
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...the community. The CHNA must be available to the public by being posted on the hospital or organizational website. Hospitals must develop a written plan addressing each need identified in the CHNA, as well as provide implementation strategies for meeting the community needs (Adams, 2011). In the given case study, Trinity Community Hospital has complete their CHNA by identifying the communities major risk factors, ill health causes and actions required to address these issues. Trinity Hospital’s CHNA targets cancer, orthopedics and cardiovascular services within the hospitals primary service region. To complete the assessment the hospital utilized information from epidemiology surveys, planning guidelines from state healthcare facilities, physician interviews, interviews with other healthcare professionals and community focus groups. A.1. Major Risk Factors Identified in the Assessment Oncology Services In the evaluation of oncology services, the CHNA identifies that 15% of the population will be over 65 within the next five years. The CHNA also identifies that 50% of men and 33% of women are expected to develop cancer during their lifetime and that new cancer cases are expected to grow from 3,200 in the present year to 4,282 in five years (an increase of 34%). The assessment also...
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...lonely in rehab center. I get more sorrow feeling after I read some articles about elders are often abused in nursing home or at their own house. Therefore, I want to discuss about...
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...the splinter removed so it wouldn’t get infected. I knew right then at that very moment that I wanted to be a nurse. Here are a couple things that I found to be interesting about nursing. Did you know that Jan 27th is school nurse day? Or did you know that in 1783 a black slave named James Derham worked as a nurse in New Orleans, eventually earning enough money to buy his freedom and move to Philadelphia, where he studied medicine and became a doctor? And I also bet that you didn’t know that the largest demand for Licensed Practical Nurses through 2110 will be in nursing homes? Or that the 4th week of May is National Nurses week, which is coming up pretty soon. And May 8th is national Student Nurses’ day (Start a nurse staffing agency). Well I didn’t know any of that either until I started my paper on my nursing career. In December 2010 I finished my schooling for a Licensed Practical Nurse at the JCTC Campus in the accelerated program. I chose to start out at that campus because its only five minutes from my house, and it was only for about ten and a half months. Now that the LPN program is over and I have completed my one hundred and twenty internship hours and passed the NCLEX exam, I am taking a couple more classes along with the ADN program courses. ADN is an Associate’s degree in nursing which is known more commonly as an RN (Registered...
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...Critique of a Nursing Research Article A1. Article Ford, Y. , Heyman, A., Chapman, Y. (2014). Patients’ perceptions of bedside handoff; the need for a culture of always. Journal of Nursing Care Quality, 29(4), 371-378. A2. Graphic Background Information | The purpose of this article was to identify patient perceptions of bedside handover through directly asking patients about their care. The study was done on a two in-patient medical-surgical departments at Borgess Medical Center in Michigan. They had implemented bedside handoff at shift change 18 months prior to this study. Then a sample of patient participants was chosen from the two nursing departments for the study. They had to meet certain criteria to be a participant and they had to experience three handoffs. Then they were given a survey to fill out after the beside handovers. Participants were positive about the RN bedside handoff process. The overall mean from the survey was 3.32 on a scale of 1 (strongly disagree) to a 4 (highly agree). | Review of Literature | There were multiple references that provided statistics and facts during this study. Most of these studies have focused on implementing bedside handoffs and nurse perceptions of the handoff. Published studies that focused on patients’ perceptions of beside handoff have been mainly qualitative. Recently, researchers have published studies that seek...
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...Reflections of the Diversity and Leadership in Nursing INTRODUCTION For many years, people tended to think of nurses as one homogenous group. Nurses were expected to be able to take care of problems in whatever circumstances they were presented. Things have changed, today, nurses are increasingly having the choice of specializing and branching out to other fields in nursing. Nurses have the diversity to continually educate themselves and raise their level of knowledge. Mary O’ Connor, explored the art of the nine dimensions of nursing leadership and the relationship between the nine dance metaphors. In this paper, I am going to explore one of the nine dimensions . I chose of diversity as a vehicle toward wholeness, and reflect on my own story of diversity and what I believe is a good nurse leader. Diversity and Leadership in Nursing As a small child, I knew I wanted to be in the medical profession, from playing doctor and nurse in my childhood years, to now in my adult life becoming an Registered Nurse. My mother was a nurse, and I find myself walking in her shoes everyday. My mother always had stories to tell me of her work experiences and she encouraged me and gave me the confidence I have today. After 20 years of being in the nursing profession, and 20 years of learning on the job, I have no regrets about my career choices. My career has lead me to where I am today. I have come to realize that it is is important to appreciate that leadership roles are...
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...Nur/408 Epidemiology: Global and Public Health September 10, 2012 Diane Campbell, DNP - PHN, FNP - BC Epidemiology Paper Public health nursing allows nurses to encounter various vulnerable populations on a daily basis. In particular, the elderly make up a large portion of the population, and their vulnerability to the environment and other physical factors is a very important aspect of public health nursing. Epidemiology allows the public health nurse to study and assess vulnerable populations, including the elderly, and create interventions that maximize the health potential of all members of the public. This paper will explore the role of epidemiology and also discuss the definition and purpose of epidemiology, epidemiological methods, the epidemiological triangle and levels of prevention that is related with influenza in the elderly community. Definition and Description of Epidemiology Originally, epidemiology was a term that was used to describe the spread of infectious disease. Over the course of time, that definition has expanded considerably in order to accommodate the complexity of ever-changing populations, their environments, and increasing occurrences of disease. Epidemiology is a branch of public health that studies of the frequency, distribution, and determinants of disease in human populations. It studies the patterns of diseases in human populations and how to control health problems associated with disease. The epidemiologist performs research...
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...Administrative Ethics Paper Marie Hammond HCS 335 01/13/2014 Susan Fajfasz Abstract This document is going to talk about the importance of patient information and how private it is. There are many article, magazines, and newspaper ads that deal with confidentiality and the HIPPA rules and regulations that limit doctors from giving patient information to a third party. Doctors are not able to give out patient information without the consent of the patient, in this paper though it will be talking about nurse administrator’s privacy. This document is going to explain the issues in this topic and its impacts that it has on populations it affects the most. Describe the facts that used in an article to support proposed solutions. Describe the ethical and legal issues reported to administrative issue. Explain the managerial responsibilities related to administrative ethical issues, and lastly this document will present information on proposed solutions. Administrative Ethics Paper Patients have the right to privacy especially when giving away their information in order for them to get medical help patient information such as name, number, initials, or hospital numbers are not allowed to be published in written descriptions, photos, etc. Any patient information is only allowed to be given away or talked about to a third party if there is consent from the patient himself. Patient consent must be written and archived with the authors, journal, or both, as dictated by local...
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...practitioner to understand the importance and effectiveness of the policy (Ray, 2011) , In this paper, I would like to detail the basic but the most important hospital policy; hand washing. In the united States, one every 136 patients visiting or admitted in hospital become seriously ill due to hospital acquired infections which equals two million cases a year (Joint Commission, 2011). Based on the research evidence, our hospital has hand washing policy implemented strictly that number of hospital acquired infections can be brought down with proper hand hygiene. The policy applies to all nurses, physicians, students, visitors and all healthcare professionals in the hospital settings. Hospital is a place where various patients with low immunity and different infections meet. It is the place where high chances of cross contamination and hospital acquired infections exist, resulting in high cost of care and numerous deaths. Importance of hand washing in reducing nosocomial or hospital acquired infections has been well described and advantages emphasized in various research studies. Unfortunately, the compliance with the same procedure on nursing floor is not optimal, mostly due to low staff distribution per patient, inaccessibility to the equipment, product allergies, lack of time to follow the procedure properly and the high recommended time for the procedure (WHO, 2002). Depending on the risk for infection, hand washing technique also...
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...Nursing is a long process job to go through; one of the hardest process to go through is through your education. The first thing you must do is get your high school diploma, then you must choose a nursing school to apply for, find nursing jobs, volunteer at a hospital. The most important thing you must focus on is ongoing to college first, some options that there is are; University of Pennsylvania, Columbia U; and many other universities. The classes you must take are associates degree in nursing, nutrition in chemistry, microbiology and chemistry. There are several types of nurses you may not know, the registered nurse is the most common all people know, but there are more than that: ●Licensed practical nurse: Licensed practical nurses perform...
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...The Institute of Medicine (IOM) partnered with the Robert Wood Johnson Foundation (RWJF) in 2008, prior to the Affordable Care Act passing, stated a two year study on the nursing profession and changes needed to advance the future of nursing practice. The introduction of the report states the groups “established a 2-year Initiative on the Future of Nursing. The cornerstone of the initiative is this committee, which was tasked with producing a report containing recommendations for an action-oriented blueprint for the future of nursing, including changes in public and institutional policies at the national, state, and local levels” (IOM, 2011). This report also determined that nurses should continue to strive for higher levels of education and advanced training using an improved education system that promotes seamless academic progression unlike the stair-step type systems currently in place that do not facilitate education advancement. So when Congress passed the the Affordable Care Act March of 2010, which is the biggest reformation of the healthcare system since the Medicare and Medicaid programs were first created in 1965, created even more of a need for more nurses in advanced clinical roles. According to Medicaid.gov, “The Affordable Care Act is actually two separate pieces of legislation; the Patient Protection and Affordable Care Act (P.L. 111-148) and the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152). Together these 2 legislative acts expand Medicaid...
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...University Nursing has evolved over the years to entail more than just caring for another person. The nursing profession encompasses regulatory agencies, professional organizations, theories, values, traits and a code. The following outlines some of what it means to be a nurse. A. Functional Differences The Board of Registered Nurses is an entity set up to protect the public from nurses and to regulate the practice of registered nurses. It protects the public by: setting educational standards for RN’s, approving nursing programs, evaluating license applications, issuing and renewing licenses, issuing certificates, taking disciplinary action when needed and managing intervention programs. The BRN assists me by keeping me accountable to the pledge I made as an RN to adhere to my scope of practice and maintaining my continuing education units (BRN, 2016). Professional Nursing Organizations, like the American Nursing Association, act as a voice of a nurse to the public and government. The ANA promotes the rights of nurse’s in the workplace, projects a positive view of nursing and lobbies the congress and other health care industries on behalf of nurses. My membership with the ANA personally is a resource to me for workplace issues that come up and ethical concerns I may have. The ANA offers continuing education units in the form of conferences, seminars and articles. I benefit from the ANA by having comradery with other nurses in the profession (ANA, 2015). B. Nursing Code Examples ...
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...challenges for several countries. The purpose of this paper is to summarize India’s health care structure, health care policy, access to care issues, cost related to how much is spent, where the money comes from, and how it is spent, the role of nursing, and strengths and weaknesses of the system. In India, there has been a promising change over the last decade as the government has introduced many structural reforms and a private sector that has shown unprecedented growth. Despite these advances, the shifting demographics, socio-economic status, and changes in disease patterns is making a challenging journey more difficult (Binnendijk, Koren, & Dror, 2012). Three main challenges of India’s health care can be broadly defined as access, capacity to pay, and quality care. Healthcare challenges will become progressively more difficult over time as India is expected to be the most populated country in the world by 2028 (Haub, Gribble, & Jacobsen, 2011). India’s health care structure includes public and private hospitals, voluntary health agencies, national health programs, as well as traditional Ayurvedic medicine (Shrivastava, Shrivastava, & Ramasamy, 2013). The majority of health care centers are government owned and regulated. These urban centers have private hospitals that provide excellent care. The fragmented health care delivery means lots of small hospitals and clinics scattered over enormous geographical areas (Narang, 2011). These factors explain why India is far behind some...
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...record. (Complete for all that are listed in Abdelhak under the “health data users and uses” section. - Patient: uses their medical data to understand their health care and to become more active partners in maintain or improving their health. - Health care practitioners: uses it as a primary means of communications among themselves. - Health Care providers and Administrators: uses the data to evaluate care, monitor the use of resources, and receive payment for services rendered. Administrators analyze financial and patient case mix information for business planning and marketing activities - Third party payers: the data become the basis for determining the appropriate payment to be made. - Utilization and case managers: uses it to coordinate care so that the patient is cared for in the most clinically cost-effective manner. - Quality of care committees: use the information as a basis for analysis, study, and evaluation of the quality of care given to the patient. - Accrediting, licensing, and certifying agencies: use the record to provide public assurance that quality health care is being provided. - Governmental agencies and public health: to determine the appropriate use of the governmental financial resources for health care facilities and educational and correctional institutions - Health information exchanges: provides patient centered care that improves quality, safety, efficiency, timeliness and accessibility -...
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