...Phillip J. Davenporte, M.B.A. MBA 5652 Research Methods Unit III Assignment For this assignment, review at least five articles according to the following instructions: • Using the criteria for “Judging a Research Study” on pages 258 and 259 of your textbook, evaluate at least five or more research articles. • Answer Questions 1 and 2 for all five articles. • Answer two questions from each of the remaining sections of the criteria questions for all five sources (14 questions for a total of 16 questions per source). • Include an APA references list for all five (or more) sources. A. “The Case for diversity in the health care workforce” 1. How Closely is the literature reviewed in the study related to the previous literature? In the first half of the study, the literature reviewed was not as closely related to the previous literature studied. The first half of the paper was used to set the contextual parameters of the study and to explain the basic epidemiology and rationale for the study. The second part of the paper was more closely aligned with previous literature reviewed. The information dealt directly with the research topic and the supporting literature and referenced articles dealt exclusively with the topic at hand. 2. Is the review recent? Are there any outstanding references you know about that were left out? I would consider this review to be relatively recent. The data contained in this research paper and the related referenced articles date...
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...Electronic Health Records and the Benefits of Going Paper-less U.S. health care industry is the world’s largest but also one of the most inefficient informational enterprises. It has been estimated that approximately $1.7 trillion are spent every year in healthcare within the U.S. Thus, many organizations still use the old procedure of storing medical records on paper. Hillestad et al. (2013) declare that storing records on paper can be inefficient when it comes “to coordinate care, measure quality, or reduce medical records” (p. 1). Also, with the use of the old method, healthcare professional may lack the necessary information about costs or quality, which often impedes them from making the best decisions regarding patient care. As the implementation of electronic health records (“EHR”) continues to be weak within organizations, it is important to address some of the most common barriers health providers face when it comes to acquiring such system. The main focus of this paper is to discuss the advantages that this information system provides to its users. Some potential advantages of HER include improvement of efficiency and effectiveness of: health care providers, decision making ability, availability of records, coordination of care, and cost savings just to mention a few. . Electronic records are known as another form of patients’ paper charts. It is believed that with the adoption of electronic health medical record systems those who adopt them will be greatly benefited...
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...of Assisted Suicide Paula Nehrling Grand Canyon University Introduction to Nursing Research NRS-433V Angie Lawson May 01, 2016 Legal and Ethical aspects of Assisted Suicide Only five states in the US have legalized physician assisted death. California is the latest to legalize this and it will be available here in less than a month. There are many legal and ethical questions that nurses have. Some feel like this is murder or against their religious beliefs and others feel like people should have the right to die with dignity. The Oregon death with dignity act was passed more than 20 years ago in 1994, though legal challenges delayed enactment until 1997. Washington followed in 2008, since this time, Montana and Vermont has passed laws supporting physician assisted death. California has passed legislation and will begin next month (Ganzini, L., 2016). The process is very similar in each of these states. They allow a competent adult resident of that state to obtain a prescription from a physician for a lethal dose of medication, for the purposes of causing death through self administration. The law does not allow lethal injection or allow individuals to acquire a lethal prescription through advanced directive to be used when mentally incapable in the future. There are also limits as to when the prescription can be written. Two physicians, one of whom writes the prescription, must confirm that the patient has a terminal...
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...Electronic health records (also known as ‘e-notes’, EMR or EHR) have commonly replaced the conventional paper records used in medical facilities. EHRs are a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data, and radiology reports”. Some of the basic benefits associated with EHRs include being able to easily access computerized records and the elimination of poor penmanship, which has historically plagued the handwritten medical chart. This technology can offer a more consistent method for open communication among physicians, nurses, labs and other clinical staff without relying on handwritten notes stored in a single-location, electronic health records can help with the time it takes to treat someone. Electronic health records have provided a solution to a range of health care procedures, have offered cost savings and benefits, and still have greater potential for improvement through future efforts. It is evident that the EHRs have shortcomings that are commonly noted and targeted, but they have solved many more problems inherent in previous systems, they are the ideal path for development and improvement for patients and healthcare providers. Electronic health records have allowed healthcare organizations to provide quality care all of its...
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...“Obamacare,” was signed into law on March 23, 2010 by President Barack Obama. The thing that immediately comes to mind when I think of Obamacare is healthcare for every citizen in the United States. This sounds great to me, and without research with in-depth investigation, I would say it has been homerun for Obama with acquiring votes in the past, as well as giving every citizen healthcare. I am interested in the topic of Obamacare because of the simple fact that many people of this generation believe it is a great thing; my intuition tells me that same thing. I know that the main goals of Obamacare are to provide affordable health insurance to all Americans and to ultimately reduce health care costs. This means extending coverage to about 32 million Americans who lack insurance and protecting consumers from discriminatory and unfair practices established by insurance companies. This system must work great because, after all, Canada uses this exact same socialized health care system and I hear all of the time from news media such as MSNBC and CNN about how well the healthcare system in Canada works. In fact, I have heard Michael Moore, a very well-known member of the Democratic Party, say that citizens in Canada on average live 3 years longer than American citizens because of this great healthcare system. I am very impressed by that statistic! I have heard that because Canada has a single-payer system for healthcare, the administrative costs for the healthcare very low. The Affordable...
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...gossip. Social media and the use of smartphones are becoming more prevalent in business and the healthcare field as well. According to Pew Research Center, “62% of smartphone owners have used their phone in the past year to look up information about a health condition” (April, 2015). Technology, just like all things come with flaws and setbacks. However, with the new technology being created every day, along with the increasing use of both smartphones and social media, using these outlets for patient-provider relationships can enhance overall patient trust and care. That being said, ensuring that patient privacy is not violated has to be the number one priority. Advances in technology and media can pose great triumphs for healthcare further down the road, as long as the appropriate measures are taken to ensure that HIPAA standards are being met at all times while using these outlets. Understanding HIPAA’s Guidelines for Securing Patient Information HIPAA’s Privacy Rule sets the guidelines for the use and disclosure of protected health information (HHS, n.d). This Privacy Rule protects all identifiable information that is held or transmitted by a covered entity. These entities include health providers, health plans, healthcare clearinghouses, or its business associates. It protects this information in any form, whether electronic, paper, or oral. (Terry, 2015). Identifiable information can include any of the following: an individual’s past, present or...
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...WP2 RESEARCH PROPOSAL As a Christian, I know for a fact, that for thousands of years, most Christians and Jews have always opposed suicide. With this being said, one may think that most of my biases could be a result of my religious background. However, in reality, I have actually become very open-minded about the overall concept of euthanasia. While doing my topic proposal, my religious beliefs were overriding my conscious. In order to continue my research, I overcame my biases but trying to imagine myself in the place of a terminally ill person facing death, or envisioning a family member trying to come to terms with there on death. This was not easy for me as it was difficult to not say “No, you shouldn’t attempt any form of suicide, which is a one-way ticket to hell.” But, I have come to the realization that some don’t have the strength to suffer any longer than they already have or continue to feel as if they are a burden to their loved ones. I feel that in physician assisted suicide, to completely understand why someone would want to commit such an act, you have to put yourself in that person’s shoes. This can be difficult when dealing with such a controversial subject. In almost any situation it is true that if you have never personally been in the same type of situation, it may be easy to disagree with them. However, I feel like suicide is a heavier topic because it is literally life or death. I am choosing to write about the legalization of physician assisted suicide...
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...Physician assisted suicide has been a major debate worldwide for many years. Some individuals don’t realize how hard it is to accept assisted suicide on a grand level. The hardest questions around assisted suicide is not whether it is accepted or not, but if accepted, how and who it will be implement for. This paper will not discuss why assisted suicide should or should not be implemented, but will explain political and societal questions that may arise if assisted suicide is accepted. There will also be given real examples of individuals who completed assisted suicide and possible questions that can arise from them. This paper will also explain how assisted suicide has only a minor effect on nursing care. Once the answers to these questions...
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...Electronic Medical Records Jacynthia Mcgill-Rice HCS/440 July 13, 2013 University of Phoenix Pamela Cromity, Instructor Abstract Emergency systems improve the quality of care, save money, and improve efficiency using familiar research technology for the health care industry. Larry Weed an amazing visionary physician who in the 1960’s, stated that health care providers should be able to document findings, and research patients information quickly and easily in their electronic medical records. The concept of implementing electronic medical record is also to allow third parties to independently verify diagnosis accurately in a timely manner. The EMR system provides effective communications among health care professionals and providers, such as radiology, laboratory, and connection with patients who experience chronic pathologies under the care of multiple subspecialty care providers. In this paper will speak about advantages, disadvantages, and the challenges within the communication of electronic medical records. Electronic Medical Records Electronic medical records have been around since the 1960’s. As medical care becomes more complex new data is already overwhelming health care professional’s capacity to treat patients with the latest information...
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...care system. The health care information technology is no longer an option but a necessity to be compliant with the mandated federal regulations. President George W. Bush in 2004 asked health care providers to implement Electronic Health Records (EHR) by 2014. The Joint Commission for the Accreditation of Health Care Organizations (JCAHO) and Health Insurance Portability and Accountability Act (HIPAA) also joined this initiative by asking health care providers to be compliant with the new legislation. Many community-based physician practices previously reluctant to embrace technology are realizing the benefits of the health care information systems, such as computerized physician order entry (CPOE), electronic medical records (EMR), tele-medicine, complex disease management, and automated billing systems. The purpose of this paper is to compare and contrast a contemporary health care facility with a health care facility of 20 years ago. Additionally, the paper will identify at least two major events and technological advantages that influenced the current health care information system (HCIS) practices. Definition of Health Care Information Systems Prior to discussing the evolution of HCIS in the last two decades, it would be beneficial to have a basic understanding of the two primary classes of the health care information systems. According to Wager, Lee, and Glaser (2009),” A health care information system (HCIS) is an arrangement of information (data), processes, people, and...
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...Introduction Health care information systems (HCIS) have evolved so much in the last two decades. The evolution has helped transform the way administration and health service providers store and access data. The emergence of personal computers and the internet has helped change the physician workplace and the ease in which information is stored and utilized (Beaver, 2003). The last two decades have been periods of significant change as the health systems have increased in efficiency, decreased costs, increased the quality of care and improved channels of communication. Comparison between a current physician office and 20 years ago The Obama administration placed health reforms in place that have neccesitateed change of physician operations today. Health organizations can now purchase health insurance over the internet. Many health care providers are diverting their attention towards concierge and urgent care services in order to serve the rising demand for health services. Concierge care and critical care organizations have led to the integration of HCIS and improved quality, patient-centered care, assurance standards, easier reimbursement and easier control of costs (Koutsouris & Lazakidou, 2014). Urgent care is defined as offering ambulatory services outside the confines of a hospital. 80% of health organizations in the country today use technology for clinical systems while the other 20% have placed measures in place to do in the coming years (Koutsouris & Lazakidou, 2014)...
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...manage electronic health records in and out of clinical settings. Healthcare records at the majority of clinics in the U.S. are currently stored on paper and not electronically, which can create inefficiencies with labor, care and actual timeliness to transfer care from one office to another. Specialty doctors normally require information from primary care physician offices to continue care on patients that are much needed. Computerized physician order entry is an extremely important part of the process when it comes to launching an EMR system. The capabilities of using this type of order entry will allow physicians to enter and record accurate patient medications and diagnoses necessary for treatment of each of their individual patients. Another great capability of upcoming EMR systems is the ability of physicians to use voice recognition software that will allow them enter information from medication to diagnoses and findings verbally. There is a wide variety of EMR systems that can be utilized and maintained by one or two IT professionals in both large and small clinical settings. Utilizing a system that allows physicians to record health information will cut back on costs that occur from errors or wait time when medical records are being requested from other offices or hospitals. Medication reconciliation comes close to physician order entry but is a huge area that has a...
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...regulations. The implementation of the Electronic Health Records (EHR) by 2014 has become mandated as ordered by President George.W.Bush in 2004 which was seconded by the Joint Commission for the Accreditation of Health Care Organizations (JCAHO) and Health Insurance Portability and Accountability Act (HIPAA). These organizations asked the health care providers to comply with the new legislation and those community-based physician practices who were earlier reluctant to accept and implement it have now realized that the health care in sequence systems in the form of CPOE (computerized physician order entry), EMR (electronic medical records), the tele-medicine, complex disease management, and automated billing systems are very beneficial to them The paper intends to showcase the comparison and contrast between a contemporary health care facility and a traditional health care facility which prevailed before twenty years. At least two major events and technological advantages influencing the practice of the current health care information system are also included in this paper. Definition of Health Care Information System It would be better to understand the two primary classes of health care information system; the Clinical and administrative information systems, prior to the discussion of its evolution and growth in the last two decades. To quote Wager, Lee, and Glaser (2009),” A health care information system (HCIS) is an...
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...In the International Journal of Advance Research in Computer Science and Management Studies, an article entitled Performance Appraisal in the Contemporary World gives a great overview of how important performance appraisals are. The way that its employees perceive an organization in important. There are five components of interaction within an organization. These consist of structure, system, culture, leader behavior and employee’s psychological needs When employees are satisfied, their perception of the organization is positive. Employers demand commitment and dedication from their employees and the employee expect more from the employer . Performance appraisals are a great way to determine how effective an employee is. These are conducted on an individual level. Performance appraisals allow an employee to be rated on specific goals, tasks, and accomplishments that they conduct over a period. An individual is typically rated based on their contributions to the organizations goals as well. Providing feedback to an individual can be very beneficial to reward them for what they have accomplished as well as feedback regarding improvements they could make. There are four different methods of a contemporary performance appraisal. These are performance appraisal by assessment Centre’s, performance appraisal by behaviorally anchored rating scales, management by objective, and performance appraisal by human resource accounting method. There is also a customer feedback method...
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...Running Head: Effective Communication Paper Effective Communication Paper HCS/325 September 29, 2014 Dr. Shawn Matheson Effective Communication Paper Effective communication within an organization is essential when dealing with health care. Communication is a very important aspect in organizations. In order to become successful within an organization, one must be able to communicate internally and externally. Without effective communication, an organization can fail in so many ways. There are many ways an individual can fail in communicating with other staff members. Teamwork plays a major role in effective communication. In this paper I will discuss an organization model and different techniques used to help become successful (Buchbinder, 2012). Effective Teamwork Effective teamwork is very important in organizations. One great way to help with communication is working in teams with different ethnicities and nationality. A team must be able to work together effectively to achieve goals and purposes. In healthcare, teamwork is required to perform great quality care. Even physicians must practice teamwork, because they rely on their nurses to help deliver care. There is no physician known that can run a practice alone without the help of others. In teamwork, one must be able to lead, be committed, and understand the aspects of the job. By performing these methods, the team members can learn how to achieve higher level goals and deliver member satisfaction. There...
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