...Emerging Standards of Care NUR/531 August 18, 2014 Emerging Standards of Care According to the U.S. Department of Health and Human Services (2013) “Cultural competency is one of the main ingredients in closing the disparities gap in health care. It’s the way patients and doctors can come together and talk about health concerns without cultural differences hindering the conversation, but enhancing it. Quite simply, health care services that are respectful of and responsive to the health beliefs, practices and cultural and linguistic needs of diverse patients can help bring about positive health outcomes.” Populations Served and Their Vulnerability Healthcare organizations across the United States have been an area where cultural differences have been evident for a long time. With the significant influx of English language challenged immigrants who have not only had the means to secure jobs providing health care plans, but have also been saddled with the fear of deportation if they are considered "illegal" and, therefore, hindering their healthcare options (USDHHS, 2013). Hospitals have had to change their cultural competency to address this populations' immediate healthcare needs. On any given day, healthcare providers in a hospital setting can encounter an astonishing diversity of ethnic groups. Each of these ethnic groups brings with it their own cultural identities including language, beliefs, socioeconomic status (the wealthy, the middle class, the poor and the...
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...Emerging Standards of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Susan Mateo NUR/531 Tracey Lane Emerging Standards of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Of the many challenges facing the nursing profession, cultural competence is an area of great need across all settings from educators, to students, bedside nurses, nurse managers, and nursing leadership. Cultural competence for a given entity, be it an educational institution or healthcare facility, is best measured by an appraisal of that entity, with respect to the cultural diversity of its staff and customers, along with its policies, procedures and actual practices. The focus of this paper is the evaluation of the cultural competence of a local long term care / skilled nursing facility (LTC/SNF) located in Harker Heights, Texas. The inability to access numerical or percentage totals of the demographics of either the staff or residents directly resulted in observational assessments by this writer as the basis for this evaluation. The observations took place during the clinical experiences of students from the local public school district’s CNA course. Based on the various readings associated with the nursing 531 course, a definition of cultural competence includes several components. One of the most easily understood and incorporated is Campinha-Bacote's model of cultural competence. This model consists of five concepts, namely: cultural desire...
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...Emerging Standards of Care Paper December 15, 2014 Donna Rose Nur/531 Emerging Standards of Care Paper A growing problem in the United States is the increase in health disparities amongst minorities regardless that the United States is a multicultural country. This problem is due to the poor quality and accessibility of health care services. As the population of diversity continues to grow rapidly so does the importance of cultural competence in healthcare. Cultural competence is a set of behaviors, attitudes, and skills that enables nurses to work effectively in cross-cultural situations ("Cultural Competence", 2014). Organizations must have the capacity to value diversity, conduct self-assessment, manage the dynamics of difference, institutionalize cultural knowledge and adapt to the diversity and the cultural context of the communities they serve. The Office of Mental Health and Substance Abuse Services (OMHSAS) stated that inequities in service delivery and care in the health care system are associated with discrimination, and a lack of culturally competent practices, including a lack of cultural awareness and sensitivity by health care providers (Upsher, n.d). Substance abuse is defined as a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences ("The Science Of Drug Abuse And Addiction: The Basics", 2014). This paper will discuss and define the appropriateness of competent care in Substance...
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...Emerging Standards of Culturally Competent Care NUR/531 University of Phoenix Emerging Standards of Care: Cultural Competence The current U.S. population exhibits unparalleled sociocultural and ethnic diversity, yet the nursing workforce fails to reflect the current state of the nation’s diversity. According to Clark, Calvillo, Fongwa, Kools, Dela Cruz, Lowe, and Mastel-Smith (2011) non-Hispanic Whites constitute 83.2% of the nursing workforce, although Hispanics, African Americans, American Indians, Asians, and other ethnic groups remain underrepresented. Nursing faces the challenge to meet the health care needs of such a culturally diverse population while promoting diversity in the workforce through educating nurses on cultural sensitivity and competence. Cultural competence in nursing is evolving as the standard of care. Nursing and other health care providers must employ knowledge of various social and cultural influences in the care setting to promote patient-centered care (Mitchell, Fioravanti, Founds, Hoffmann, & Libman, 2010). It is crucial to recognize and appreciate the relevance of diversity in the acute care setting to set standards of culturally competent nursing care, and improve care delivery through meeting and improving these standards. Cultural Competence ...
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...Emerging Standards of Care According to the U.S department of Health and Human services Office of Minority Health, "Integrated health care approaches must respect the whole person, work across the life span, include prevention and early intervention methods, and be person-centered, strength-based and recovery focused," (Sanchez, Chapa, Ybarra, & Martinez, Jr., 2012, p. 5 ). In this healthcare model, the patient must be treated not only according to the standards of nursing practice but integrate into the care, respect for the individual's belief system as well as their culture. "Providers that respect the cultures, languages and worldviews of the people they serve are more successful in engaging and activating individuals, families and communities to be an active participant in their own health care," (Sanchez, Chapa, Ybarra, & Martinez, Jr., 2012, p. 5) By integrating into care the individuals beliefs and needs, the professional can create rapport with the individual in such a way that encourages the individual to be active in their own health decisions based on the professional's medical knowledge and the individual's belief system. Culturally competent care is care that is respectful of and responsive to an individual's health beliefs, practices, and needs. This type of care is sensitive to the individual's ethnic and religious beliefs as well as cultural beliefs that have been shown to engage individuals into participating in their healthcare. The skill to deliver culturally...
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...Emerging Standards of Care NUR 531 Emerging Standards of Care The impact of the varying demographics and the emergent multicultural humanity emphasizes the significance of cultural competence for the provision of quality care in this diverse society. Identifying and comprehending the beliefs, customs, practices, and values of a culture is essential for nurses and health care providers. Beyond the racial and ethnic group, classification that usually comes to mind with discussion of cultural diversity, other types of cultural diversity such as gender and organization affiliation warrants attention. This paper will discuss cultural competence in home health care/hospice, the people that receive service and issues of community vulnerability. Exploration of standards of cultural competence, potential impacts of delivery of care, and possible solutions to implement where standards are not being met will emerge. Cultural Competence According to Freidman, Bowden, and Jones (2003), people view culture as a model for our way of living, behaving, living, and feeling. An association between culture and heath practices is existent. In fact, culture is the most influential factor in determining health behaviors and beliefs (Campinha-Bacote, 2003). Cultural competence involves being aware of, and conversant on, and sensitive to the diverse cultures that exist in the population. Health care providers should not only embrace cultural diversity but must also strive for cultural...
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...Emerging Standards of Care Kassandra Snow NUR 531 May 25th, 2015 Greg Friesz Emerging Standards of Care In the United States, it is no secret that there are many differing cultures, ethnicities, religious and racial in an abundance. In the nursing field, we see many differing cultural diversities on a daily basis. Racial, religious, and ethnic differences are mostly easy to spot in the health care world. These differences are readily discussed in nursing education, and education is given on how to provide culturally competent care for many different backgrounds. While this is an amazing thing to have in the nursing world, my question is what about the culture of military Veterans? Veterans are typically overlooked when it comes to the concept of culturally competent care. They have their own way of thinking, own belief systems and even their own language along with the specific mental and addiction health disparities. It is important that nurses do not overlook the rising number of Veterans, and the specific care they need due to the differing culture. Culturally competent care for veterans, any vulnerabilities of the Veteran culture, standards of culturally competent care in the Veterans Administration, application of nursing theory, and solutions for providing culturally competent care for Veterans will be addressed in this paper. Culturally Competent Care and Standards The United States is widely known as the “melting pot” of the world, and that comes with many...
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...to be followed. Code of conduct is prompted by legislations and they are a set of rules that outline the responsibilities that people have as a worker. Policies are rules that the company are made to follow. Name: | Martha Jones | Care first ID: | 14596032885 | Teleophone number: | 02083467128 | Mobile number: | 07859436709 | Email: | Marthajones@hotmail.com | Servers best interest | Before Martha joined the care home, she enjoyed taking trips to her local park to feed the ducks and socialise with her friends. She also enjoys playing board games as she feels as if it stimulates her brain. However, since Martha joined the care home, she hasn’t been able to leave to do the daily activities that she used to because her carers find it hard to assist her, and other workers are usually too busy. The solution to this problem is for service providers to create a rota so that two carers are always available throughout the day to assist her on her daily activities, so that she can continue to go to the park and interact with her friends. Martha is very independent and likes to do things on her own. She is only assisted with personal care, such as being washed and receiving her medication. Martha occasionally smokes outside of the care home, however, her carers do not assist her with this. | Her dislikes: | Martha does not like taking oral treatment, as she often finds it hard to swallow big tablets. However, her carers try to crush some of the medication and dissolve...
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...interest and the interests of others. Defining "Reasonable" Being "reasonable" means having the faculty of reason, acting rationally governed by reason. The behavior can be called "reasonable" if the activities can be valued as fair, just, or equitable. The person must be honest, moderate, sane, sensible, and tolerable. "Reasonable" implies a certain standard of valuation. It is a standard for guiding conduct. Reasonable Person This phrase is a personification of the description of "reasonable". Thus, the "reasonable man or person" can be understood as a phrase used to denote a suppositional person who exercises those mentioned qualities which society demands as stated above. Applying the Reasonable Person Standard: The reasonable person does not always appear in the Process of evaluating human behavior. There are several judicial patterns demanding a judgment of reasonableness without expressly mentioning the reasonable man as a personification, such as: reasonable aids, care, diligence, doubt, compensation, (market) value, notice, skill, time, manner, opportunity, extent, efforts, and so on. "Reasonable care" means that degree of care which a Person of ordinary prudence would exercise in the same or similar circumstances. This isn't simply a reflection of how the average person behaves, but is how the typical person ought to behave in circumstances in which there is a potential or actual risk of harm to...
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...employer, the employer will be liable [3] An employer is liable even for unauthorised acts, if they are so connected with authorised acts that they may be regarded as modes of doing them. The test is whether the wrongful act may be considered a mode of performance, or whether it is so removed from an authorised act that it may be deemed independent. Duty of Care The general principle is that “a person is not liable for damage to another through his or her negligence unless a duty of care is owed” [2] [4] “The law concerns itself with carelessness only where there is a legal duty to take care. A person owes a duty to take reasonable care to avoid acts or omissions which he or she should have reasonably foreseen would be likely to injure his or her ‘neighbour’, that is, another person ‘closely and directly affected’ by that acct or omission” [3] [5] Once it is accepted that a duty of care exists, its breach will result from a failure to meet the required standard of care. That standard requires reasonable care. Failure to take reasonable care is negligence. [6] The fundamental test is the standard of the “reasonable person”...
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...negligent misstatement. It is not a fraudulent misrepresentation because the defendant did not make any false statement or aseems to have decent in mind. 2. Rule 2.1 Step 1: Duty of care The very first rule to establish is whether the defendant, Don, owes a duty of care to the plaintiff, Patrick and Mary. Following the case of Donoghue v Stevenson (1932) , it is clear that the duty of care is not dependent on whether a contract exists, which there is none between Patrick and Don or Mary and Don. It is very much dependent on these things: a) A duty of care can be owned when giving advice/supplying information The defendant, Don, ought to know that while dispelling information that has crucial implications, he is being trusted to give the best kind of advice to the other party (L Shaddock and Associates Pty Ltd v Parramatta City Council, 1981) . The principals of this case states that whenever a person gives information or advice to another upon a serious matter in circumstances where the speaker realises, or ought to realise, that he is being trusted to give the best of his information or advice as a basis for action on the part of the other party and it is reasonable in the circumstances for the other party to act on the information or advice, the speaker comes under a duty to exercise reasonable care in the provision of the information or advice he chooses to give. It is reasonable to...
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...Negligence In today’s busy health care industry nurses and doctors are pushed to the limit. We are asked to make life and death decisions in mere seconds. Society is also more aware of what they should expect from health care providers. This awareness demands health care providers not only provide excellent care, but also document the care they provide to ensure they are not subject to accusations of negligence, or gross negligence that can lead to malpractice suits. This paper will differentiate between negligence, gross negligence, and malpractice. In order to further examine these issues an article titled “Amputation mishap, negligence cited” from The Neighborhood News in which “Earlier this week, 62-year-old Joseph Benson underwent an amputation of his leg just below the left knee and only suffered one complication- the wrong leg was amputated” (Lowell, n.d.) will be discussed. This will include the determination of whether or not this example is a case for negligence, gross negligence, or malpractice. This discussion will also include the importance of documentation and its correlation to potential negligence, the ethical principles I would use to guide my practice in this situation, and how I would document to satisfy ethical and legal requirements. Most people do not understand the distinction between negligence, gross negligence, and malpractice. According to Guido (2010), a plaintiff must prove that there was a duty to the patient, that a breach of the duty owed to...
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...to another Committed if: 1.They owe the other person a duty of care; and 2.They breach the duty of care; and 3.Their breach causes the other person to suffer reasonably foreseeable harm 1. DUTY OF CARE RELATIONSHIP - between parties, does one owe a duty of care to other? Doctors owe DOC to patients AN EXISTING RELATIONSHIP BETWEEN PARTIES WHERE THE DEFENDANT HAS ASSUMED RESPONSIBILITY FOR THE PLAINTIFF – DUTY OF CARE OWED. TAME V NEW SOUTH WALES [2002] PG. 188 – Established relationship between defendant and plaintiff – duty of care owed NO RELATIONSHIP - REASONABLE FORESEEABILITY - To establish a duty of care, at the time of the incident it was reasonably foreseeable that the defendants conduct could cause harm to someone in the plaintiffs’ position. DONOHUE V STEVENSON [1932] PG. 186 – Manufacturers owe a duty of care to consumers. If harm to the plaintiff wasn’t reasonably foreseeable, the defendant will not owe a duty of care BOURHILL V YOUNG [1943] PG. 186 or Only needs to be shown that some kind of harm to someone in the plaintiffs position could be caused by the defendants conduct. Reasonable person foreseen possible harm CHAPMAN V HEARSE [1961] PG. 187 – chain reaction – possible harm – owed duty of care to cherry SALIENT FEATURES OF THE CASE PG.187/88 – Court will consider relationship of parties and other features of the case and then compare those features of other cases where a duty of care exists. - SULLIVAN V MOODY [2001] PG. 187 – Does a doctor owe a...
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...in the audit working papers. In the audit engagement acceptance or reappointment stage, audit evidence is the information that the auditor is to consider for the appointment. For examples, change in the entity control environment, inherent risk and nature of the entity business, and scope of audit work. Subsequent Event: Subsequent event is the accounting term for a financial transaction that occurs after completion of the balance sheet for a specified period but before the company’s full set of financial statements is prepared. Subsequent events clarify information about a business’ financial picture as reflected by the balance sheet, a financial report that includes all transactions through the report date. The Financial Accounting Standards Board, the authority entrusted with establishing generally accepted accounting principles, publishes detailed requirements for defining and recording subsequent events in financial records. Adjusting Event or Post Balance Sheet Events: Material events that occur between the date of preparation of financial statements and the date of their approval by the management. Such events must be reflected in the financial statements of a firm, to comply with the requirement of giving a 'true and fair view' of its financial position. A non-material (non adjusting) but significant...
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...Contents Question 1 1 Duty of Care 1 The Standard of care 3 Damages 4 Causation 5 Question 2 6 Question 3 8 Truth or Justification 8 Privilege 8 Absolute Privilege 8 Qualified Privilege 8 Honest Opinion / Fair Comment 9 Apology 9 Offer to make amends 9 Consent 9 Fair and reasonable publication on the matter of public interest 9 Question 1 Under the tort of negligence there are a number of factors that must exist in order to establish negligence. Firstly, there must be a duty of care to protect others against reasonable foreseeable harm or loss. Secondly, there must be a breach of that duty. Thirdly, there must be loss or damage to the plaintiff and finally, there must be a causal link between the breach of duty of care and the loss or damage suffered. Duty of Care Duty of care refers to the relationship which the law recognises as giving rise to a legal duty to take care. A duty of care is a responsibility to take such care and breach of this can lead to the defendant being liable to pay damages to a party who has suffered losses or injury as a result of their breach of care. Therefore it is important for the claimant to establish that the defendant owed them a duty of care. In this case study Donoghue v Stevenson (1932), the duty of reasonable care was established. Mrs Donoghue went to a cafe with a friend. The friend brought her a bottle of ginger beer and an ice cream. The ginger beer came in an opaque bottle so that the contents could...
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