...Moving Forces………………………………………………………………7 Restraining Forces…………………………………………………………...8 Change Integration…………………………………………………………..8 Refreezing Process…………………………………………………………..9 Introduction On patients requiring bipap masks, what is the effect of applying duoderm to bridge of nose compared to not using any barrier to prevent skin breakdown while in the hospital? This paper is about a problem that has been identified in the nursing field and the change process. Patients who need to wear a bipap mask for better oxygenation are having complications with the mask causing a pressure ulcer on the bridge of the nose. This is not only painful to the patient but also increases health cost. This paper is about Lewin’s change theory and how to implement this new change and overcome resistance. It will talk about the freezing, moving and refreezing process, changes that need to be made and how to implement this plan. As well as what is necessary to enforce this change so that it becomes status quo. Lewin’s Theory Kurt Lewin was born in Germany and immigrated to the US in August of 1933, after Hitler came to power. He had originally been involved with schools of behavioral psychology before changing directions and going into research. He is well known for his writings on group dynamics, group therapy and social psychology. His most influential theory was his model of the change process in human systems. While studying human behavior, Lewin concluded that driving forces push in...
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...HCM387-1301B-02 Management Principles in Healthcare Phase 3DB Avis Philbert 03/06/2013 Baby Boomers Impact on Health Care As our population increase so is the demand for services and better managed care for elderly. With most of the baby boomers beginning to reach retirement age, the health care industry is already on its way to facing many challenges and issues that comes along with these changes. It is expected by the year 2030, nearly 20 percent of the population will be over the age of 65 and diagnosis with Alzheimer’s(travelnursing.com). National trend indicate that more elderly are more frequently choosing to receive long term care services in a variety of settings that are less restrictive than nursing homes. Due to the increase of this aging population health care leaders must be ready to face the many issues and challenges that come along with these changes. The demand for Geriatric care services, simply due to the increasing number of elderly in the country. As time goes by we will continue to see an increase in the services for Residential care, Long term care and Palliative care also known as hospice for elderly and Oncology care for patients with cancer. Due to this cause Health Facilities mangers will have to be prepared to delivery exceptional customer service to please their clients , That means they must be prepared to manage the many issues that come along such as , potential shortage of staffing, lack of equipment, storage of medical supplies and treatment...
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...Priority Needs According to the World Health Organization (WHO) there are approximately 300 million individuals worldwide suffering from asthma (WHO 2006). It is expected by the year 2025 there will an additional 100 million persons diagnosed with asthma. As the prevalence of this non-communicable disease continues to rise there must me methods implemented to control and monitor. It is with this foundation that a needs assessment was conducted in the emergency department (ED) of the Princess Margaret Hospital in Nassau, Bahamas. Uncontrolled asthma places an enormous strain on individuals’ and health systems resources, and is a major cause of hospitalizations and poor quality of life (Mash et al. 2009) The Center for Disease Control (CDC) in the United States estimates that asthma accounts for 1.6 million emergency department visits and 440,000 hospitalizations annually. In addition CDC states that the cost of asthma accounts for 10.6 million dollars in primary physician visit and cost US $3,300 per person annually to manage. As the question of quality care continues to plague our society organizations continue to seek me ways and methods to improve the standard of care and reduce cost. AHRQ in its quality initiatives found that the persons diagnosed with asthma continue to increase in the society. WHO, CDC, GINA and AHRQ are all the organizations working together to curb this epidemic that is continuing to rise. The American Nurses Association (2007) stated that the goal...
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...Formal Paper Heather Shuping Theoretical and Professional Foundations in Nursing Assessment/Background In the time that I have spent in the clinical setting during my nursing education, I have noticed several problems that concerned me. One of the main concerns I have seen in the hospital setting is staff turnover among the nursing profession. The turnover can ultimately lead to temporary problems like understaffing. Thankfully though, I believe this problem is amendable with proper intervention to facilitate a change toward staff retention. So why is staff turnover a problem in the nursing profession? First and foremost, this is not a unifactoral issue. In fact, staff turnover is the byproduct of multiple job related factors and stressors in the nursing profession. For instance, job-related stress plays a major factor in decreasing one’s job satisfaction. Stress in nursing usually occurs when one perceives that his or her resources are exceeded in a given situation (Esther, et al., 2005). Typical factors that can promote stress in a nurse are high job demands and excessive work hours. With these factors, the nurse may continually feel overworked, while also feeling like they are working “all the time.” Other factors that could cause stress are having little control over your work environment or having limited supportive relationships in the workplace. As we all realize, at least some sense of control and peer support are necessary to promote feelings of job satisfaction...
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...citation for each article. Answer the following questions and respond to at least two of your classmates’ postings. • What is the rationale presented for the changes? What are the internal and external pressures considered in the change? • Compare and contrast the rationales from each article. What are the commonalities presented? Are some presented as more legitimate than others? • To what extent are single versus multiple rationales utilized? What conclusions do you draw from this? 2. Force Field Analysis Find at least one significant article related to either downsizing, implementation of a new technology, or a merger or acquisition. Provide a complete APA citation of the article. • What are the key driving forces? What are the key restraining forces? • Prepare a force field analysis graph (see Figure 5.9 from your text). • Think about how to implement the change by increasing drivers or reducing restraints. • Describe and discuss the change in terms of the force field analysis in 200 words or less. Respond to at least two of your classmates’ postings. ________________________________________ Assignments To complete this assignment, go to this week's Assignment link in the left navigation:...
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...citation for each article. Answer the following questions and respond to at least two of your classmates’ postings. • What is the rationale presented for the changes? What are the internal and external pressures considered in the change? • Compare and contrast the rationales from each article. What are the commonalities presented? Are some presented as more legitimate than others? • To what extent are single versus multiple rationales utilized? What conclusions do you draw from this? 2. Force Field Analysis Find at least one significant article related to either downsizing, implementation of a new technology, or a merger or acquisition. Provide a complete APA citation of the article. • What are the key driving forces? What are the key restraining forces? • Prepare a force field analysis graph (see Figure 5.9 from your text). • Think about how to implement the change by increasing drivers or reducing restraints. • Describe and discuss the change in terms of the force field analysis in 200 words or less. Respond to at least two of your classmates’ postings. ________________________________________ Assignments To complete this assignment, go to this week's Assignment link in the left navigation:...
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...directly compete with their most profitable product, cigarettes? With the use of these analytical frameworks it will help us to better understand this situation. PEST PEST Analysis of Global Trends – 2011-2016 Political * Increased emphasis in healthcare | Economic * Recovering/Growing | Social * Health conscientiousness | Technological * Battery life advances * Material utilization * Portability | Beginning with the PEST Analysis we can get a macro perspective on the trends. There has been a global emphasis on healthier lifestyles and pharmaceutical companies have already taken advantage. As a social trend it is increasingly popular to look good and be healthier. Food industries are staying away from synthetic ingredients and gyms are packed. The economy has slowly recovered and is now growing. With recent advances in cellphones batteries longevity and size has drastically gotten better and more efficient. Technology has made it easier to extract, mold and use material to our benefit. And with all these advances technology has gotten increasing more portable. Next we will analyze the e-Cigarette industry and try to understand why big tobacco companies want to join. Porter’s Six Forces Analysis Porter’s Six Forces Analysis of the E-cigarette Industry | Supplier Power – Low * Intellectual Property | Threat of Substitution –High * Traditional Cigarettes * Cigars * Traditional tobacco * Alternative ways of smoking * Tank systems | Threat...
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...counterparts. Experts said there are multiple, often unrelated, forces behind the price hikes, including drug ingredient shortages, industry consolidation and production slowdowns due to manufacturing problems. But the lawmakers convening Thursday's hearing said the federal government needs to play a bigger role in restraining prices. "If generic drug prices continue to rise then we are going to have people all over this country who are sick and need medicine and who simply will not be able to buy the medicine they need," Vermont Sen. Bernie Sanders, who chairs the Senate Subcommittee on Primary Health and Aging. Sanders is a political independent who usually votes with the liberal wing of the Democratic party. Sanders introduced a bill that would require generic drugmakers to pay rebates to the federal Medicare and Medicaid programs when prices of their medications outpace inflation. Those payments are already mandatory for branded drugs, but have never applied to generics. Last month, Sanders and House Rep. Rep. Elijah Cummings, D-Maryland, sent letters to the makers of 10 generic drugs that have seen price increases of over 300 per cent or more in recent months. The price for one of those, the antibiotic doxycycline hyclate, rose more than 8,280 per cent during a six-month period from an average of $20 per bottle to $1,849 per bottle. The increases cited by the Senate subcommittee were calculated by the Healthcare Supply Chain Association using the average...
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...Borkowski (2002). It has the potential to improve safety and efficiency in the ever changing healthcare system. The administrators of Brokovitz General Hospital are introducing Information technology as an organization wide change process. IT enhance productivity, improve security of patient information and reduce cost, this allows the HS to be more competitive with their counterparts. Information Technology will replace doing things manually, save time, reduces errors, and decrease cost as well as improves safety and quality of care of clients. This paper will explore the need for development, organizational and individual barriers, factors that might influence the proposed development, summarize organizational readiness for change, the theoretical models that relates to the change, and internal and external resources that are available to support the development. The change will be piloted in the emergency room and if successful it will be implemented throughout the institution. Need for Proposed Organizational Change According to Borkowski (2002), there is a great need for information technology in healthcare. The external forces have had a significant impact on the changes within the healthcare industry. For example, clients are knowledgeable consumers of health services which is mostly due access to the internet. IT has been the focus of recent reform efforts in the healthcare industry in the United States (US). Nevertheless, there has been enormous difficulty in developing...
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...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 tied into wheel chairs with sheets; bed sheets wrapped tightly around patients in bed restricting movement; all four extremities tied down to beds to prevent the patient from wandering; improperly applied restraint causing asphyxiation and untrained staff ordering and applying restraints. Chemical restraints are psychoactive medications used to control a person’s behaviors without...
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...RTT1 Task 2 Never events are serious medical errors that are often preventable. When such events transpire, it is necessary to fully assess the situation so that these errors can be prevented in the future. Root cause analysis (RCA) is a tool employed by healthcare facilities to analyze adverse events and the systems that lead to them. A. Root Cause Analysis “A central tenet of RCA is to identify underlying problems that increase the likelihood of errors while avoiding the trap of focusing on mistakes by individuals” (AHRQ, 2012). The emphasis of RCA is on error prevention. It is a structured process of gathering data regarding the event, analyzing the information, and finding solutions to the problems to prevent reoccurrences. A team consisting of the charge nurse, a physician, a respiratory therapist, a pharmacist, hospital administrators, and patients not involved in the case is assembled to work through the process. The team begins by interviewing patients and staff involved to gather as much vital information as possible. Once all necessary information is compiled, the team works together to get to the root(s) of the problem. In the case of Mr. B, there were multiple issues that led to the adverse event as opposed to one root problem. In the process of defining the problem, several causal factors were identified. The error was a result of both facility and human error. Mr. B, a 67-year-old patient, presented to the small, six-room, rural hospital ED due to severe...
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...services for elder patients and well being of these residents are provided. Most of the workers in the nursing home are caring, compassionate and conscientious and help their patients in their everyday life from bathing, eating, activities, and total patient care if needed. However, some time in other facility, staff, fellow residents or sometimes visitors to the facility may be guilty of abusing patients in some point, this will cost a lot because it is a federal felony to abuse a patient and may cause jail time and penalty. Different Types of Elder Abuse: •Physical Abuse: The most common type of abuse in elderly. This is a type of abuse that the caregiver force the senior citizen to do something that the caregiver wants him to do. Physical abuse can be hitting, pushing, confining and restraining the elderly. •Emotional Abuse: This type of abuse can cause emotional stress and pain to the elderly person. Emotional abuse can be humiliating, threatening, blaming, and yelling the person for something not right or not right by the caregiver’s rules. Emotional abuse also by the elderly isolate from his family or...
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...Why do liberals favour limited government and how they propose it be achieved? (45 marks) Classical Liberalism advocates what is called the ‘minimal state’, in this style of government the influence of the state upon society is kept to its absolute basic necessities. Namely the only public sector services available is an army – to prevent attack by a foreign nation, a police force to keep law and order, and an adjoining judicial system to pronounce judgement upon criminals who break laws. The state is seen as a ‘night watchman’ and exists only to preserve the liberties of civil society. This is seen by Classical Liberals as a society in which individuals are allowed the most possible freedom to the extent to which they do not interfere with any other person’s freedom as the ‘harm principle’, written by J.S Mill suggests. This form of freedom is known as ‘negative liberty’ or freedom ‘from’ any external constraints. According to Thomas Hobbes using negative liberty, "a free man is he that in those things which by his strength and wit he is able to do is not hindered to do what he hath the will to do". The opposite style of government to this is what is known as the ‘enabling state’. The government has increasing more influence upon the people and often establishes certain methods of welfare to ensure that all have an equal amount of opportunities or liberties. This can manifest itself in the form of institutions such as ‘free health care’ as was established in Britain in...
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...------------------------------------------------- Organizational and Leader Analysis Prepared for: BIP2_C200 Managing Organizations and Leading People Western Governor’s University Texas Title: MedTrust: An Organizational and Leadership Analysis Prepared by: Donna Baldinell, MBA Healthcare Leadership Student I.D.#: 000527488 Date: 12/15/2015 ------------------------------------------------- Tables of Contents 1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2. The Organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3. Key Leadership and Practices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 4. Cultural Integration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 5. Business Strengths . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 6. Weaknesses/Limitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 7. Organizational Opportunities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 8. Organizational Threats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 9. Leadership Strengths . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 10. Leadership...
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...Incentives * Variable pay philosophy * How variable pay motivates employees * 3 categories of variable pay * Types of individual incentives * Gainsharing and how different from profit sharing * 3 types of commission pay plans and which is the most common * Examples of performance incentives * Why incentives should be tied to organizational goals * Pros/cons of bonuses vs. merit pay Chapter 13 – Benefits * why employers offer benefits * flexible benefits * adverse selection * employee choice in benefits selection * personal statement of benefits * legally required benefits and discretionary benefits * workers’ compensation / unemployment / severance * recent trends in healthcare insurance * HMO / PPO / POS * Health savings...
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