...Exam Paper The challenges faced in our most extreme healthcare facilities The Dialysis, Correctional, Mental Health, and Substance Abuse health care facilities are four very diverse settings in many ways. Yet in others they are similar. They represent many of the aspects of society that are orphaned, discarded, or swept under the rug, challenging both the caregiver and patient alike. Each represents an environment of extremes. Professionals must exercise the highest degree of vigilance in order to successfully provide patients with the care they need under the unique circumstances that each environment presents. In many ways each one of these facilities has a captive cliental with little or no choice but to be compliant or face dire consequences. In the dialysis setting compliance is enforced by the simple fact treatment is necessary to maintain their life. The correctional setting is harsh and restrictive with many imposed limitations, presenting the potential for serious health risk to inmate and care provider alike. The mental health facility is challenged by the lack of stability within the mind of the patient who is viewed as having “disordered thinking” presenting healthcare providers with the challenge of helping someone who is unable to follow orders or unwilling to even be treated. Substance abuse facilities have a patient base of substance dependent clients who present many of the same challenges of disordered thinking patients in the mental health facility and some of...
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...stand on, promote forward thinking with regards to perfecting our practice. Three trends that stand out in our history are community health organization, reformation of sanitation and prevention of infection, and the need for formalized education and registration of professional nurses. Organizing community health is best seen by the works of St. Vincent DePaul and the Daughter's of Charity. Organization of nurses to aid in the Civil War was monumental in establishing our stance in society. Hannefin, D. (1989). "Daughters of the church: A popular history of the daughters of charity in the united states 1809-1987" . (Book 17 ed.). Brooklyn, NY: Vincentian Digital Books. Retrieved from http://via.library.depaul.edu/vincentian_ebooks/17 The American Red Cross also changed the direction of community awareness when it came to health and the role of community partnership to assist those in need. Thus, driving the pull of working together. Florence Nightingale headlined the reformation of sanitation within hospitals and communities. She started the movement of preventing the spread of disease. One could venture that her efforts started the idea of evidence based practice. Woodham-Smith, C. (1950). Florence Nightingale. London, England: The Reprint Society. She was an early researcher. Her connections of mortality rates and sanitary conditions mapped the way for statistical analysis. She created awareness of the need for cleanliness in healthcare. Finally, the need for...
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...management needed in the industry, and accrediting and regulatory agencies involved in quality improvement. The Foundational Frameworks of Quality Improvement The foundational frameworks of quality improvement can be traced back to the “influential contributors and thought leaders of quality improvement systems and theories intent on improving process and producing sustainable quality results at highly productive levels” (Ransom, Joshi, Nash, & Ransom, 2008, p. 63). Walter Shewhart is one inspirational leader who addressed reliability of a process by focusing on limiting variation through statistical analysis (Ransom, Joshi, Nash, & Ransom, 2008). He is also credited with acknowledging the importance of establishing a common language for what is being measured, which is known as operational definitions (Ransom, Joshi, Nash, & Ransom, 2008). “Shewhart introduced the concept of statistical process control (SPC), which has since become the cornerstone for process control in industry” (Ransom, Joshi, Nash, & Ransom, 2008, p. 64). Edward Deming is another foundational leader in quality who built upon Shewhart’s work. Incorporating data based principles with the work started by Shewhart, Deming believed that “organizations can increase...
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...There are five competencies which I have gained exposure throughout my internship projects and assignments. First and second competency are structuring positioning and financial management. I developed my critical thinking, goal setting and understanding business plan, management flexibly, partnerships and alliances through analyzing various projects and assignments. Among of them is the Advanced Clinical Access Plan (ACA) Project, Speak to the Director Project, Clinical Product Review Committee Procedures (CPRC), New Item Request Flow Chart Process, TeleHealth Business Plan. I also developed an understanding of the physician compensation strategies, budgeting, and management accounting. In particular, I evaluated and recorded the physicians' work time for CVTS-Perfusionists Clinic, Neurosurgery Clinic, Ophthalmology Clinic, Orthopedics Clinic, Otolaryngology Clinic, Plastics Clinic, Urology Clinic, and various surgical services. These clinics are at Surgical Service Department. After that, I calculated each clinic’s total hours and total salary amounts in fiscal year 2014 in purpose of projecting and allocating the staff’s salary plan effectiveness. Then, I created a FY14 Surgical Service Department Budgeted FTEE Chart and presented to the Administrative Office for approval....
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...February 2, 2014 To: Mr. William Harkey From: Natalie N. Painter Subject: Research Analysis Two articles selected for review derive from The Journal of Perinatal Education. The first article I read was titled, “Evidence Based Maternity Care: Can New Dogs Learn Old Tricks?” It was written by Merilyn Curl. Curl is a Certified Nurse Midwife, Lamaze Certified Childbirth Educator, and a Fellow of the American College of Childbirth Educators. The article illustrates the efforts of reform applied to the founding cultures and purpose given to a modern day Certified Nurse Midwife. Assessing the Situation She begins unfolding her story at the time of hire with a concise perspective of the culture and practices of the community hospital she worked for. Curl describes the time old “Nursing Process” as assessing the situation, making a plan, then finally evaluating the outcome. She follows this same progression in her attempt to restructure nursing practices at this community hospital. She very clearly presents her personal experience as what practices (whether or not they were best practices) she was seeing in the nursing community verses research based best nursing practice. One piece of evidence she presents for this is how “This meant that labor nurses were assigned only one patient allowing the time to provide continuous labor support. Despite strong encouragement to remain at the bedside, most nurses remained tethered to the central monitoring station” (p.235). This...
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...Sampling Techniques Name Institution Sampling Techniques At the Critical Care Unit, visiting hours are restricted in a guise to allow patients to rest and nurses to provide care in a setting that guarantees modesty and patient privacy. Over the years, though, perceptions have changed and practitioners believe that family presence plays is crucial for improved patient outcomes (Kable, Chenoweth, Pond, & Hullick, 2015). Research, however is necessary to assess whether this new perception is realistic or influenced by certain unrealistic factors. However, further research is always necessary before making such major changes in the healthcare sector. Possibly, nurses are expressing interests in the change without a consideration of the initial factors that were considered when the policy was adopted. Random sampling is necessary to avoid biasness, include all crucial participants, and for certainty of reliable findings (Sawbridge & Hewison, 2013), which is necessary for the evaluation of the validity of the new perceptions before instituting any change is necessary. Since the study ought to capture a diverse group of nurses, patients, and family members, then sampling is appropriate. Researchers will gather information from three samples; nurses, patients, and family members. With a properly structures research question, hypotheses, and questionnaires relevant to the three groups, it will be easy to gather enough data from the three groups. Usually, data collected from...
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...DIFFERENCE IN COMPETENCIES BETWEEN NURSES WITH ASSOCIATE DEGREE AND BACCALAUREATE DEGREES Kelly Matthews Grand Canyon University: RN to BSN NRS 430 V – PROFESSIOANL DYNAMICS 06/14/12 Abstract This is an attempt to analyze the differences in competencies between the nurses with Associate Degree (ADN) and Bachelor’s degree (BSN) in Nursing. The contemporary nursing career demands critical thinking, effective communication skills and comprehensive knowledge. To be equipped with these attributes, a Nurse must pursue at least the BSN degree program. The salient points considered for this analysis and finding are: • A comparison of curricula of both programs. • Increasing requirement of Educators, Researchers and Administrators in Nursing. • Patient safety, quality of care, sync with technological advancements. • A patient care situation. DIFFRENCES IN COMPETENCIES OF NURSES WITH ASSOCIATE DEGREE AND BACCALAUREATE DEGREE Education is an infinite process. Everyday, new developments emerge and new deceases and remedies discovered. The overall outlook of healthcare professions has dramatically changed in the past few decades. Nursing plays a very critical and important part in efficient care and patient safety. Nurses work shoulder to shoulder with physicians in treatment planning and management. Legal and ethical responsibility of the care provided is also increasingly shared by the Nurses. Nursing profession thus calls for better qualified and well groomed...
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...Data Mining Data mining began with the advent of databases. Databases are warehouses full of computer data. Computer scientists began to realize that this data contains patterns and relationship to other sets of data. As computer technology emerged, data was extracted into useful information. Often, hidden relationships began to appear. Once this data became known and useful, industries grew around data mining. Data mining is a million dollar business aimed at improving marketing, research, criminal apprehension, fraud detection and other applications. History of Data Mining Computers began to be more widely used in the 1960’s. Computers were used to collect and store data. The data was stored on tapes and disks. The companies and organizations began to wonder about the data that was stored. They wanted to know about past sales, past performances and other pertinent information that was stored on these tapes and disks. The next step was to find an accurate way to retrieve the needed information without manually reading all the data. The next step in this quest came in the 1980’s with relational databases and structured queries. Query language could be used to find out more of what was in the data. The companies and organizations could now identify what has happened in the past. They also wanted to know how to apply this knowledge to future predictions based on past performances. In 1989, the first knowledge discovery workshop was held in Detroit (SQL Data Mining, 2012)...
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...you give them the option to provide a solution to a problem, they get more involved and take pride in their abilities. This increases motivation and productivity. 6.) Source 5 A.) Patrick, H. A., & Sonia, J. (2012). Job Satisfaction and Affective Commitment. IUP Journal Of Organizational Behavior, 11(1), 23-36. B.) This article discusses the challenges that organizations are facing to retain talented employees and the link between job satisfaction and life satisfaction. It offers statistical information that suggests a significant positive correlation between job satisfaction and affective commitment. It infers that a healthy work atmosphere decreases turnover. Decreased turnover saves organizations money (Patrick, 2012). C.)There is good information in this article but it is mostly a study with statistical information. There is no plan with suggestions for improvement. There is nothing in this article that I could suggest to The Murray Woman’s Clinic for implementation purposes; however, the statistical information does relate job satisfaction to relationships, productivity, and turnover. 7.) Source...
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...purchase a product or lure him or her in to participate in via false promises. The ideas of an unethical business practices to gain a statistical advantage is not a new idea. As a countries economy grows the population begins to see more unethical business practices. One such practice is skewing the research results. The way this is done is my taking the information that is given about a certain product or service and misrepresenting it to make it look like it is a great choice. This technique completely changes the research and twists it in the favor of the product without the consumer knowing what is going on. As economies begin to boom these practices are seen more often. Medical research is one example of where the statistics could be misleading if they are spun in the favor of the drugs companies. When people go to the doctors he or she expect the best care that his or her money pays for, but sometimes medical reports can be misleading. The healthcare industry is a billion dollar a year empire and there are many people that are out to make money. According to the article Misleading Reporting of Research Results: a Widespread Problem the author talks about how many people who report on the findings during the studies that have been conducted leave out important information (Gary, 2010). This is to per sway the reader into thinking that the product being tested is the right product for them. The deception is there being thrown at the consumer point...
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...OIM 310 Intro to Management Science - The most frequently used methods in modeling and analyzing business and economic problems. The process of abstracting and model building, and the role of various types of models in description and decision making. OIM 320 Quality Management - Quality control concepts including: fundamental computer and statistical concepts: Statistical Process Control (SPC) using control charts; methods for quality improvement; acceptance sampling; industrial experimentation and reliability. OIM 321 Business Process Simulation - Computer simulation presented for carrying out trial-and-error experiments on computer approximations of real, management systems. The goal is to 1) validate a new idea quickly, 2) diagnose potential product design problems, 3) optimize performance of complex systems, and 4) learn about something complex. The Arena environment, based on the SIMAN language, used to build models and video game-like animations. Prerequisites: (FINOPMGT 347 or OIM 301) and (FINOPMGT 353 or OIM 310) OIM 322 Business Forecasting - Introduction to the uses, limitations, and shortcomings of various short-term and long-term forecasting techniques. Problems selected from accounting, finance, management and marketing. Prerequisite: upper-level Isenberg School of Management standing. OIM 410 Business Process Optimization OIM 412 Supply Chain Management - Integrated supply chain constitutes a core firm competency, spanning most business functions...
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...Due to the ever evolving changes in society healthcare manager face new challenges developing methods to manage healthcare organizations. The postmodern complex adaptive system was developed as a result of these changes. Prior to developing the postmodern complex adaptive system healthcare manager were unable to be productive and manage in a proficient manner. Due to unproductive management healthcare managers faced new task leading to poor organizational choices. In the subsequent subsection’s ten developments are addressed identifying poor management choices and error, and then apply postmodern complex adaptive system theory illustrating healthier solutions. In chapter five, Johnson (2009) identify the initial managerial error of “failing to account for employees’ ability to learn safe machine operation methods by experimenting on their own with ways to speed up production and thereby reduce the effect they are required to use” (page 80). Issues in this illustration indicates limitations placed on the employee performing his or her occupation specifying the perspective of management discerns the best resourceful method of the employee performing the job. An effective resolution for the manager is to allow the employee freedom to make additional and novel proficient methods to accomplish his or her occupation. “CAS theory teaches us that order in a system may well be a result of the properties of the system itself, rather than some intentionality on the part of some...
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...Running ahead: Differences in Competencies between Nurses Prepared at the Associate Degree Level Versus the Baccalaureate Degree Level 1 Associates Degree Nursing Education vs. Baccalaureate Degree Nursing Education: Differences in Clinical Practice Suja Kuruvilla Grand Canyon University: NRS-430V Professor Lorraine Hoover September 2, 2012 Health care is a field that is changing dramatically. Many practicing nurses have various degrees in nursing like Associate Degree, Diploma, Baccalaureate and Master’s degree. Due to the varying levels of education and training, differences exist between the nurses prepared with an Associate degree (ADN) when compared to those nurses who have trained in a Baccalaureate degree (BSN). Though nurses getting these degrees have their differences in preparation, nurses earning these degrees have adequate theoretical and clinical learning experiences. The license qualifying examination for many states- National Council Licensure Examination (NCLEX) - does not differentiate between ADN and BSN degree prepared nurses and allows nurses with both degrees to take the licensing examination after completion of the degree regardless of the educational background of the applicant. The differences in competencies between nurses prepared with an ADN compared to those prepared with a BSN include the quality of training and duration...
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...Pharmacy Errors MAT 510 Instructor: Dr.Guo August 1, 2015 Simply knowing statistical tools and methods is not enough; one must understand the role that the science of statistics plays in managerial decisions. Managers need to think statistically. Statistical thinking is a philosophy of learning and action based on the following three principles: all work occurs in a system of interconnected processes, variation exists in all processes, understanding and reducing variation are keys to success. Understanding processes provides the context for determining the effects of variation and the proper type of managerial action to be taken. By viewing work as a process, we can apply statistical tools to establish consistent, predictable processes; study them; and improve them. While variation exists everywhere, many business decisions do not often account for it, and managers frequently confuse common and special causes of variation. We must understand the nature of variation before we can focus on reducing it. In this paper, the processes of prescription filling for HMO pharmacy will be analyzed. A process is defined as a grouping, in sequence, of all the activities involved to accomplish one particular outcome and consists of suppliers, customers, material input, information inputs, transforming activities, inspections, delays, storage, transports, and outputs. To increase the chances of a successful project, mapping of key business processes is one of the most useful tools for...
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...Associate Degree v. Bachelors Degree Nurses Sean C. Martinez Grand Canyon University: Professional Dynamics NRS-430V 27 September 2015 Associate Degree v. Bachelors Degree Nurses Education has become a driving force in today’s professional arena with many jobs requiring, at minimum, certification to get an entry level position. Nursing has lead the professional pack in that an entry level nurse now carries, at minimum, an associate’s degree. The associate degree nurse still has many more certifications to earn on top of their associate degree to allow them to work in certain units. An example of this would be an Emergency room nurse who, depending on the facility, is required to carry : BLS, ACLS, PALS, TNCC, and ENPC certifications in order to work in the emergency room. The associate degree only opens the door to nursing while the profession requires many more milestones and hurdles be passed in order to start working your first day. According to a fact sheet published by the American Association of Colleges of Nursing (AACN), “Creating A More Highly Qualified Nursing Workforce,” “Employers are recognizing that education makes a difference and are moving to hire the best educated entry-level RNs possible. According to AACN’s survey on Employment of New Nurse Graduates and Employer Preferences for Baccalaureate-Prepared Nurses released in October 2014, more than 79% of employers are now requiring or expressing a strong preference for nurses with a baccalaureate...
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