...Christle Shavers NR 447 Collaborative Health Care Team-building Leadership Core healthcare competence According to the Institute of Medicine, patient-centered is “health care that establishes a partnership among practitioners, patients, and their families (when appropriate) to ensure that decisions respect patients’ wants, needs, and preferences and that patients have the education and support they need to make decisions and participate in their own care” (2001). There are many attributes that can be associated with patient-centered care. First, there is the requirement for education and shared knowledge; second is the requirement for the involvement of a patient’s family and friends; and third is collaboration and management of a care team. Since patient-centered care connotes healthcare that is solely focused on the needs of the patient, there is need for nurses and other health care providers to be sensitive to the spiritual dimensions of care as well as to other non-medical attributes of human nature. The patient should be respected and his needs and preferences should form the core of the decisions made by health care providers. As a requirement, and to streamline care, there is need for information to flow from the experts to the patients and to the family and be accessible to the relevant parties. Leadership SMART goal I will learn how to handle a patient’s members through analysis of the nursing codes of ethics, studying examples...
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...Course Date Introduction Concept analysis can be referred to as the activity where different concepts, their characteristics as well as their relations with other concepts are brought out clearly and evidently (Fawcett& Desanto, 2012). The creation of a distinct conceptual clarity about the different concepts proves to be of great importance to all the forms as well as the kinds of research. The general outlined guidelines of research as well as the philosophical literature are often in the mentioning of research analysis or on the hand also mention the concept of the research. Different disciplines have formulated different methods or rather devised different methods of concept analysis. These different methods are meant for the development as well as the clarification of their own concepts in their different fields. The methods may at one time share a scholarly view of the problems of concept as well as the methodology, however, since they are discipline specific, they too may also be in need of various modifications before they could be of use and applicable to the different fields in which they are meant to be used. In nursing science, the art of concept analysis is at a greater height seen as an integral part of the development of a theory and a discipline of the science of nursing. This paper evaluate the nursing concept of care in nursing. Caring in nursing Caring in nursing is the active support as well as involvement of the patients receiving treatment and their...
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...Role of the Provider and Scope of Practice Many only know of doctors and nurses who provide care, but in reality there are many health care professionals behind them that work together to provide them with the proper care they need. There are so many health care professionals that work together and form a work flow to maintain the proper and correct care given to each and every patient that they rely on each other. If one of the professionals were to fall out of sync with the rest of the team then it causes the patient care to fall. In particularly many do not know of cardiovascular technicians and respiratory technicians they are as equally important as nurses and doctors. In this paper I will explain the roles and scope of practice of both cardiovascular and respiratory technicians have in health care, the skills and education needed, and about patient-centeredness. Respiratory and cardiovascular technicians go hand and hand with each other because our body relies on our heart to pump and breathing is the most important thing we all need, therefore a respiratory and cardiovascular technician work closely together to provide for the patients. The role of a respiratory technician is “Respiratory therapists care for patients with both acute and chronic breathing problems across the entire age spectrum.” (Becker & Nguyen, 2014). The job of an RT is to manage and care for those who have respiratory issues. For a cardiovascular technician they specialize in invasive...
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...Evidence-Based Practice March 17, 2015 Overview of Quantitative vs. Qualitative Articles Using two research studies selected from the list of articles provided. I choose A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014) and Impact of a Smoking Cessation Educational Program on Nurses' Interventions (2014). The purpose of this paper is to do an overview of both a quantitative and qualitative article. Review each selected article on learning about study design, by identifying information from each component of the study. Then evaluate the strengths and weaknesses of each study. Overview of Quantitative Article Research Question According to the article, A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014), the research question is, does patient hand hygiene included in the bundle strategy help decrease Clostridium difficile infections? According to information found in Chapter 3 (Adams, 2012), using the abstract of problem-solving, nursing process and research process, the information found in this study was impertinent to the outcome. Determining that hand washing does help decrease c-diff infections. Study Design The article, A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014), is a quantitative study, and non-experimental design gathers the information. Non-experimental design as defined in Chapter 6 (Adams,...
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...Accountable Care Organization is a healthcare organization characterized by a payment and care delivery mode. lt seeks to tie provider reimbursements to a quality metrics and reductions in the total cost of care for an assigned population of patients. A group of coordinated health care providers form an ACO, which then provides care to a group of patients. The ACO may use a range of payment methods, (e.g. capitation, fee-or-service with an asymmetric or symmetric shared savings). The ACO is accountable to the patients and the 3rd party payer for quality, appropriateness, and efficiency of the health care provided. The Centers for Medicare and Medicaid Services (CMS), an ACO is considered an organization of health care providers that agree to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program. This paper identifies the differences between HMO’s and ACO’s but also correlates the similarities between ACO’s and Patient Center Medical Home (PCMH). The ACO’s place a degree of financial responsibility on the providers in hopes of improving care management and limiting unnecessary expenditures while continuing to provide patients freedom to select their medical services. The success and challenges of ACO are identified and explored. By increasing care coordination, ACO’s can help reduce unnecessary medical care and improve health outcomes, leading to a decrease in utilization of acute care services...
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...Distinguish how the major concepts (see Nursing Student Handbook) of the program are affected by the variety of conditions and diseases within this course for all age groups. Outline A. Orientation to course 1. Course descriptions 2. Course outcomes/competencies 3. Textbooks B. Course Requirements 1. Student assignments and responsibilities 2. Minimum level of achievement 3. Evaluation tools C. Course/ Clinical Assignments and Evaluation D. Major Concepts 1. Caring 2. Clinical judgment, clinical reasoning, and nursing judgment 3. Clinical microsystem 4. Collaboration 5. Critical thinking 6. Cultural competence and Diversity 7. Ethics 8. Evidence-based care 9. Healthcare environment 10. Human flourishing 11. Informatics and Information management 12. Integrity 13. Knowledge, skills, and attitudes 14. Leadership 15. Nursing and Nursing Process 16. Nursing-sensitive indicators 17. Patient and Patient-centered care 18. Personal and Professional development 19. Professional identity 20. Quality improvement 21. Relationship-based care 22. Safety Teaching-Learning Strategies * Review course syllabus distributed by instructor * Read requirements and policies related to program found in Nursing Student Handbook (NSH) * Review course supplemental learning guide (SLG) * Text for course * Read definitions of Major Concepts used in the Program...
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...Inter-professional Team Development I. Introduction Patient and Family Centered care evolved a relationship that involved the patient and the family in the treatment, decisions and potential outcomes in their medical plans and care. The patient is encouraged to take part in every aspect of their treatment and is empirically empowered through education and understanding to make the best decisions possible in their care and management of their disease process. This evolution has moved the health professional into an open, honest, communicative relationship with the patient and empowered them with a tool that had, until recently, been devoid; they have been given choices. The patient-centered care model addresses the patient's concerns by providing resources and communication concerning the options available to them, and to evaluate their understanding of their diagnosis and how to utilize these resources and understanding to meet their needs. II. Self-Assessment Tool III. Setting Description The present setting where I am employed is a 300 bed academic Level One Trauma Center residing in the heart of the city. We provide many specialties of care which include trauma, stroke--being in the minority as a comprehensive stroke center--high risk obstetric and a state of the art cancer care center, to name of a few of the services provided to a tri-state area. The hospital sees a very diverse population of patients, with a large amount, around 26%, being indigent...
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...shall consist of a reflection of the personal nursing philosophy, impact and concepts of the Nursing Code of Ethics and how it applies to Nursing as a profession, the concept of patient centered care, use of technology in documentation, and the leadership aspects that are considered as a new graduate. Leadership aspects entail team leading, delegation, and role transition from graduate to RN. This is the point of view of the author and information given here will be both objective and subjective. Nursing Philosophy In a previous paper written, the reflection of this student’s own nursing philosophy seemed to coincide with that of Florence Nightingale as well as Dorothy Orem. Orem’s school of thought leans toward the nurse having a large hand in aiding a patient to achieve total self-sustainability. Dorothy Orem’s theory is actually three separate theories that work synergistically. These theories are the theory of self-care, theory of self-care deficit, and the theory of Nursing systems. This works well for a patient, when achieved, due to the self-care aspect. Someone whom is actively involved in their own progress displays an inherent will to do well by oneself. This promotes compliance which can be a large barrier in healthcare. Education is an extremely important aspect in all of nursing but even more so in this philosophy. Florence Nightingale paid close attention to the surroundings of the patient. By doing this she became the first...
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...Interprofessional Team Development: A Patient and Family Centered Care Western Governor’s University: C158 May 11th, 2016 Interprofessional Team Development: A Patient and Family Centered Care Approach Approach to patient care has changed over the last three decades from patient treatment-focused model to include comforting, engaging, and empowering patients. The new approach implements patient-centered care environments. It has been adopted by care providers, research bodies, funding agencies, and regulatory agencies, among others. To enhance patient-centered care, business practices, regulatory requirements, and reimbursement regulatory procedures have been adopted. This is evident by the regulations of Joint Commission and the provision of services by Medicare Medicaid services (CMS). In this paper, the impact of business practices, regulatory requirements, and reimbursement procedures on patient-centered care is discussed. A multidisciplinary approach on a process improvement enhancing Patient and Family Centered Focus Care is outlined in a hospital located in Arizona. Regulatory Requirements and Healthcare Business In 1996 the Institute of Medicine took on healthcare improvement to resolve unsafe care by ambitiously moving toward quality initiatives. The release of “To Err Is Human: Building a Safer Health System19 (1999) and Crossing the Quality Chasm (2001)” focused on the fails of the healthcare systems pointing out that over 98,000 patients die in hospitals annual due...
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...structure has allowed them to become one of the prominent organizations for treating cancer, research, and schooling. Since the early 90’s, they successfully restructured from being a physically organized cancer center in regards to clinical fields into a hospital that was structured into disease centered combined practice components termed multidisciplinary centers of care. These components were reinforced by an organizational structure plan in which doctors conveyed information both to management of educational units and disease centered care centers. As their ability to research and at the same time educate future health care personnel keeps them in forefront. Though these multidisciplinary centers of care do not operate simultaneously as one team focus on an individual patient they communicate focusing on particular cancer treatment and research with the same mission and goal. Keywords: cancer, research, students The University of Texas MD Anderson Cancer Center Organization& Stakeholder Relationship Knowledge and Comprehension The University of Texas MD Anderson Cancer Center being one of the United States most valued centers dedicated entirely to the care of patients with cancer, education and research. Located in Houston, Texas Medical Center, established in 1941 MD Anderson was a part of “The University of Texas System”. Further research shows The University of Texas MD Anderson Cancer Center is known to many just as MD Anderson Cancer Center, and “is one of...
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...efficiency and quality of care, and also state that in the health care context, the “definers […] are usually the client, purchaser, payer or provider” (p. 84). Hall (2011) analysis outcome in the medical perspective, and defines it as a target or endpoint that enables the judgment if an operation, a drug or some form of therapy was successful. Hunter, Corcoran, Leeder and Phelps (2012) also give a definition for Outcomes in medicine, but these authors considered outcomes in the patients’ perspective, and it includes physical, mental, social and spiritual health, quality of life, life satisfaction, lifestyle, and the process of the health intervention. Other author (McAuliffe, 1998) also describes the definition of outcomes as the patient’s perceptions, and as results of the care received, considering symptom severity, functional capacity and quality of life. Some of those statements can also be applied to the nursing...
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...Nursing Professionals Accountability of Nursing Professionals for Patient Safety Practices Related to Informed Consent Lavonia Deanne Bishop Grand Canyon University NURS-430V Professional Dynamics 23-Aug-2010 (0106) September 19, 2010 Accountability of Nursing Professionals for Patient Safety Practices Related to Informed Consent Accountability in nursing can be defined as the state in which the nurse is responsible for upholding a professional agreement with the patient to provide services and be held answerable for the outcomes of behaviors related to these services (Hood, 2010). One of the main areas we are held accountable for as professional nurses is the safety of our patients. After an evidence-based review of patient safety practices, the Agency for Healthcare Research and Quality has identified numerous opportunities for quality improvement. The practices identified were rated by strength of evidence, with the highest rated being listed first. This paper will examine practice number five, asking patients to recall and restate what they have been told during the informed consent and the responsibility of the professional nurse in this process. The Informed Consent Process According to Terry (2007) informed medical consent occurs when a patient autonomously and expressly permits a professional to perform a medical act on that patient or include the patient in a research project. Patients are now encouraged to be more informed consumers and take an active part...
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...Concepts Analysis Paper Demis Rey BSN Theoretical Foundations of Advanced Nursing Kaplan University March 10, 2014 The concept of Quality has a close relation with nursing practices. Higher quality healthcare is the common goal of all healthcare team and improving healthcare quality has become the common focal point of all healthcare organization. Quality has become an important issue for healthcare facilities facing a changing of healthcare environment (Tsai, & Wu, 2013). Quality is derived from the Latin “quails” and is defined as essential character of nature…an inherent or distinguishable attribute or property, a character “trait” and is defined as superiority of kind and degree or grade of excellent (Wicks, & Roethlein, 2009). Every quality expert defines quality somewhat differentially, and there are a variety of perspectives than can be taken in defining quality. The most widely concept of quality is the Industrial Organization Society (IOS) definition as “the degree to wish a set of inherent characteristics fulfill requirements” (Wicks, & Roethlein, 2009, p. 85). The psychological concept is closely aligned with the dictionary definition when quality relates to logic: “quality is the positive or negative character of a proposition” (The Merriam-Webster Dictionary, 2014). Quality is a set of characteristics or properties, as supported by the multidimensional definitions of quality. Quality can focus on excellence or can be viewed as the degree of a...
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...nursing profession and in nursing education. It will also explain how nursing theory describes the nursing profession using this perspective. This perspective is important because it can help one to take a closer look at smaller parts of nursing. Examples are provided of how the Self- Care Deficit Theory views education from this perspective. The Self-Care Deficit Theory was chosen because it good framework for nursing school curriculum and helps to guide the author’s present nursing practice. Theory as a Microscope of Nursing Nursing theories contain concepts that take a closer look at the features of nursing related to nurses and clients. The relationships between and among the concepts form the structure of the theory. Theories are formed after concepts are named and validation occurs. Theory takes a closer look at the features of situations in nursing practice and the relationships between them that are common to all occurrences in nursing (Orem and Taylor, 2011). Orem and Taylor (2011) stated that the formation of theories starts with a search of the dominant features of nursing practice situations. Then they are isolated and a search is started to understand their meaning. Finally the concepts are...
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...the practice of nursing and teaches nurses to learn what is causing an imbalance for the patient in his immediate environment and figuring that out by the nurse interacting with the 2007, p. 338). There are five concepts mentioned by Alligood (2010), they are the following: • Nurses function • Presenting behavior or problem situation • Immediate reaction • Reflective inquiry • Improvement in resolving dilemma (p. 339). In Chitty (2010) one of many theories discussed in nursing explores Ida Orlando’s Theory of the coined process of “Deliberate Nursing (Alligood, 2010, p. 346). Her theory is the cornerstone of the “nursing process” (Chitty, 2010, p. 315). Her theory is one, which has shaped nursing on the premise of “how to improve the patient’s condition by figuring out what they need through the nurses interaction with the patient?” (Chitty, 2010, p. 314). By interactions, verbal and non-verbal can illuminate the problem, which is the immediate concern. Orlando is the one that initiated the patient-centered focus by “involving the patients’ in the decision making process” (Chitty, 2010, p. 315). Her theory provides positive outcomes, as she stated in Chitty (2010) “the process gets to the bottom line” (p. 315) meaning that it finds the problem quickly through the way the patient behaves and the nurses observations centered around listening to the patient, seeing the patient behave, and what they talk about or do not talk about. Theory’s Historical background:...
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