...constantly busy. In the hustle of caring for patients, there are some details of the patient’s care that can be overlooked in a standard phone report to the accepting nurse. With this in mind, a change is needed so that there is an optimum patient outcome for each and every one of the people that walk through the doors of the emergency room and get admitted. A1. The current practice in the emergency department that I work in when admitting a patient to the medical floor goes something like this. 1. Emergency department doctor enters orders for a consulting doctor to come and look at the patient to determine if an admission is warranted. 2. The consulted admission doctor assesses the patient and determines admission diagnosis. 3. Orders are written for admission. 4. Admission orders and chart is assessed to determine if the patient meets inpatient or observation criteria by case management registered nurses. 5. Once inpatient vs. observation status is determined, case management puts up an indicator on patient chart that bed can be ordered. 6. Primary RN requests bed from bed board using computerized bed request form. 7. Bed board assigns room to patient and places an indicator on patient chart with room number. 8. Primary nurse calls floor that patient is assigned to and asks to speak to nurse assigned to patient. 9. Phone report is given to accepting nurse. 10. Patient care tech transports patient to room. 11. Accepting nurse and...
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...Do Doctors’ Communication Skills Affect Patient Health? Margarita Michalsky Montana State University Exploring Communications Studies 200 [ April 19, 2014 ] Dr. Daniel D. Gross Abstract One of the biggest complaints that a patient has is their inability to effectively communicate with their physician. A patients’ fear and intimidation of their physician can prevent them from being forthcoming about their symptoms and lifestyle behaviors. In addition, the lack of effective listening that the physician possesses can also limit the patients’ ability to express their needs. Effective communication is imperative to the health outcomes of the patient and this paper will look at how the communication style of the patient’s physician can affect those outcomes. Do Doctors’ Communication Skills Affect Patient Health? Healthcare is always in the news. You cannot turn on your television or pick up a newspaper without seeing something about healthcare. One of the main topics of discussion is the quality of healthcare that patients are receiving from their physicians. However, quality is not solely based on the knowledge of the patient’s physician; it can be also based on the ability of the patient to effectively communicate with their physician. Patients complain that they cannot effectively talk with their physicians because they are either intimidated or they do not feel their physician actually listens to what they say. Thus, do doctors’ communication skills...
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...Task 1 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...
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...initiation of hourly rounding. With is in compliance with the objective described by the hypotheses developed in this study. Hourly rounding improves patient satisfactory score. Narrative descriptive also uses to confirm their finding. For a pilot study, one thinks that the sample size was adequate. A sample made of 51 patients, 29 females, 22 males a long with a randomly selected control group is used for that study. Although the researcher did not explain how the data were entered into the computer one assume that it was entered to promote accuracy and to reduce the possibility and effect of bias. In summary this pilot study shows that Ford, B. (2010) provide evidence to suggest that hourly rounding increase patient outcome with is benefited to nursing practice. The author took time to focus on the significant problem, she explains how the data was collected, and the diagram shows the percentage of error and the frequency of the variable. The study’s strengths and weakness is clearly defined. The author stated that the positive results of rounding exceed expectations in most facilities where the strategies have been used. Consistent hourly rounding is a key for improving safety and quality of care, it result in fewer call light interruptions, allowing nurses to organize their time better and reduce stress. Additionally, patients are less anxious. Hourly rounding contributes in several key areas...
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...Management Accounting: Information for Decision-Making and Strategy Execution - 6.Edition - 2012 Anthony A. Atkinson, Robert S. Kaplan Pearson I have both Solution Manulas And Test Banks Of this Book Contact ahad2030@yahoo.com Chapter 1 How Management Accounting Information Supports Decision Making QUESTIONS 1-1 Management accounting is a discipline that designs planning and performance measurement systems, using financial and nonfinancial information, to help an organization develop and implement its strategy. The information must be relevant and helpful, and customized to serve multiple purposes, such as making decisions, allocating resources, and monitoring, evaluating, and rewarding performance. Information for the “plan” and “do” steps of the PDCA cycle includes prospective data on costs, profits, efficiency, and quality associated with alternative ways to produce or provide goods or services. Information for the “check” and “act” steps includes assessments of how well the organization is achieving its objectives. Common information requirements include measures of cost, quality, profitability, and timeliness. 1-2 A company’s operators, managers, and executives need information for their operational control and improvement activities, as well as on the performance of their individual processes, products, services, and customers. This information is important to direct managers’ attention to areas where improvement is needed, to provide feedback...
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...long, and costly process. Magnet status was designed to make healthcare organizations safer, reduce infection, mortality, hospital acquired UTI, and fall rates. Improving employee satisfaction and retain nurses was another reason. Only a handful of healthcare organizations nationwide has received magnet status. Once received it has to be maintained every four years. The purpose of this paper is to discover how magnet status drives healthcare changes. History of Magnet Status The nursing shortage of the 1980s had researchers curious how some hospitals were able to retain nurses. High nurse turnover and vacancy rates were affecting most hospitals. Researchers looked at the hospitals that were retaining nurses and what they were doing right. Magnet status was created in 1983 after investigating hospitals that retained nurses; it was determined that these hospitals had quality patient, resident, and client care. Magnet organizations have a history of positive nurse and work satisfaction linked to increased autonomy in practice, structural empowerment, participation in decision-making opportunities, and a positive work environment (Laschinger, Fingan, Shamian, & Wilk, 2004). Magnet organizations recognize and reward their nurses for competence. Nurses are given more autonomy and decision-making about patient care. Professional growth through higher education and certificates is rewarded. Interdisciplinary collaboration between leadership and...
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...Identify 2 to 3 areas of alignment and/or misalignment of human capital programs and initiatives within your current company's Human Capital plan or activities. Based on the Human Capital Management (HCM) survey tool from the Harvard Business Review article and a recent employee survey that our organization took part in, the company I work for has several areas that are potentially misaligned. Specifically, employee engagement and leadership practices are the two areas that are misaligned. However, the organization scored well in the category of knowledge accessibility which is one lever that the company can capitalize on to motivate employees. How are these areas of alignment or misalignment impacting current performance or morale? Although...
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...A Critique of the Literature Effects of Nursing Rounds: on patients’ Call Light Use, Satisfaction and Safety. Introduction: The findings of this article will critically review the methods of research, population, systems and data used to obtain results regarding this study. This evaluation of the outcome would determine whether or not there was a need to change the nursing management of patient care. The study would determine if patients were happy with their care and if the rate of falls were minimised. In the health care setting, the call light is an important communication tool for the nursing staff and patients especially in an emergency situation. Title: The title clearly summarises the content of this Journal article which suggests there was either a qualitative or quantitative designed research data used to conclude the findings. There was limited context which was not clearly defined (Meade et al.2006, p 58). Abstract: This is succinct, meaning the writer has been brief and precise with the back ground information about the research article. This...
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...Organizational Organizational Culture Analysis There is no single definition of organizational culture. One of many definitions states that organizational culture is a set of values and behaviors that contribute to a unique social and psychological environment of an organization (Schein, 2010). In the past 30 years, the interest in connection between organizational culture and organizational success has increased. The link between organizational culture and its success is far from certain. Each organization has a unique social structure that drives much of the individual behavior of its members. Organizational culture is difficult to observe, measure, or sketch. It can support and/or reinforce organizational structure, it could conflict with it, and it could be of an alternative to it. This paper will analyze organizational culture of Hospital. The author will attempt to identify and provide examples of the artifacts, values, and underlying assumptions of the Hospital culture. The data for this analysis was collected through direct observation, review of internal materials published by the Human Resources (HR) Department, and reports provided by external consultants and the State of Maryland. The observations are based on direct interactions with current employees of the Hospital. Employees observed represent executives, senior level management, clinical staff, and the bottom line. HR materials used for this analysis are published on the Hospital internal website that...
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...Literature Review Patient Education for Post-Hospitalization Home Care Debra Scully Walden University NURS 6010-11 Advancing Nursing through Inquiry and Research April 8, 2012 Patient Education for Post-Hospitalization Home Care Changes in health care delivery brought on by financial constraints have affected the length of stay for certain patient procedures, resulting in an early discharge. Patients discharged from hospitals sooner than anticipated are finding themselves ill prepared, regarding insufficient education and instructions on self-management for home care, post-hospitalization. Patient education in nursing should be a focal priority, yet is often slighted due to time constraints, and lack of staff, preparation and materials. The purpose of this paper is to discuss the importance of sufficient patient education prior to discharge for patients with residual home care. Research on this topic could have beneficial implications for patient satisfaction pertaining to quality education for home care prior to discharge. Evidenced-based research has illustrated that the development of educational tools to aid nursing in providing succinct and pertinent information of discharge criteria has attributed to a rise in patient satisfaction. Considerations for educational materials were preferred language, specificity of patient concerns, and simplicity of educational materials. Summary Contemporary day surgery: patients’ experience of discharge and recovery ...
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...(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 - Employer:...
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...THEORY TO PRACTICE LITERATURE REVIEW A PAPER SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE NURS 5013 – THEORETICAL FOUNDATIONS IN THE GRADUATE SCHOOL OF THE PRAIRIE VIEW A&M UNIVERSITY COLLEGE OF NURSING BY HARSHAL THOMAS, BSN, RN HOUSTON, TEXAS March 3, 2014 DeMonica Junious, PhD, RN, CNE INTRODUCTION This paper is a systematic presentation of nursing theories based on literature review. The purpose of this paper is to describe how nursing theories are applied in administrative practice. It will help to generate further nursing knowledge. Nursing theory can help patients, managers and other healthcare professionals to recognize the unique contribution that nurses make to the healthcare service. The First stage is introducing the paper. The Second stage is the body of paper which consists of six different articles from pages three to eight. Each article starts with brief description about the study following with concise review of the selected theory. About who formulated the theory and also describes the components of the theory. The middle part of the article states the reasons for using the specific theory by the author. Also describing how the theory was used and illustrates the results of the study. The article ends with explaining how that particular theory can be used in my own nursing administrative practice. The Last stage is summarizing the paper and listing the references in alphabetical order. ...
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...|IT Consultation Team Proposal | | | |Rural Community Hospital | | | | | | | | | |IT Consultation Team Proposal | | | | | | ...
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...“Top 100 Workplaces” in Minnesota based on an employee-based survey project. With over 1,360 companies and organizations invited to participate and compete to be a top workplace, only 160 were honored with an award. To qualify for the Star Tribune top workplaces, a company must have more than 50 employees in Minnesota. The rankings were composite scores calculated purely on the basis of employee responses and was published in a special section of the Star Tribune’s print and web editions. My thesis statement is, the work environment offered at Olmsted Medical Center have motivated and collaborated group cohesions among employees to make these companies successful. The rankings of the top 100 workplaces are based on survey information WorkplaceDynamics, an independent company specializing in employee engagement and retention, collected. The list WorkplaceDynamics compiled is based on an employee feedback survey project, which contains twenty-two questions and five custom questions to assess employee opinions about company leadership, communication, career opportunities, workplace environment, managerial skills, pay and benefits satisfaction, job security, organizational justice, and the importance of various work elements. The surveys are designed to measure the three critical elements of the workplace: the company’s organizational health and fundamentals of the company (values, execution, leadership, and culture); the employees’ work environment of the day-to-day jobs (managers...
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...Management Focusing on Acute Pain: A Multidisciplinary Concept Analysis The concept of managing acute pain is extremely significant to nursing as pain is one of the most common problems for which patients seek out health care resources. Pain is a complex and abstract concept that encompasses sensory, emotional, psychological, social, and spiritual perceptions of pain that may occur in combination with physical pain. Pain is difficult to describe and often hard to measure; although, most healthcare providers agree that pain is subjective and is to be measured qualitatively and quantitatively as the patient perceives its intensity. Pain can affect the quality of life of the individual by impacting them physically, emotionally, and financially. Pain can also impact the family and support systems. The treatment of pain and the loss of income due to pain increases the costs for health care, the individual, and the population. Analyzing and clarifying the concept of managing acute pain can increase the healthcare provider’s knowledge of acute pain management, define the concept of managing acute pain, and expand the understanding of the concept of managing acute pain. The aim of this analysis is to clarify the defining attributes of managing acute pain, identify antecedents that influence the perception of pain and the possible consequences of acute pain. Review of Literature To increase the understanding of the concept of managing acute pain, it is important to explore the definitions...
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