...focuses mainly on the health issues. Its main objective is to find out the most wanting health concerns occurring in US in order to facilitate the healthy living of American citizens. In conjunction with institute of medicine (IOM), the foundation formed an initiative committee which was obligated to form a report that would suggest the recommendation for the future of nursing (Clavelle, 2012). Due to the rapid changes in the world of health, and the ever growing systems in health care, it deemed necessary to evaluate the obstacles in the nursing profession which curtailed effective response to these evolving changes in the health systems. This was in line with 2010 Affordable care Act which was on the view that, since the nurses forms the largest proportion of the health worker, they can play a fundamental role in achieving the objectives stipulated in the Act. The Act included the provision of transforming health care system to the one that focuses on patient needs, safety, affordability and quality. Prior to the final verdict on the report, the committee researched on various challenges such as the problems that affected the education system of nursing, and the probable solutions necessary for advancement of the system. Among the probable solution they reviewed were; the benefits of highly skilled nurses given the challenges of ageing population in America, an advanced education system that focuses more on a community setting rather than acute care, the qualification entry...
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...Running head: ANALYSIS OF AN ETHICAL DILEMMA: ARIZONA SHOOTING Analysis of an Ethical Dilemma: Arizona Shooting Tragedy Thomaline Turner Grand Canyon University NRS 437V January 22, 2011 Analysis of an Ethical Dilemma: Arizona Shooting Tragedy Objective: An ethical dilemma can be characterized as a set of circumstances where one’s typical guiding moral influences clash in such a way that any possible conclusion will be perceived unfavorably. In today’s world, healthcare professionals can expect to be increasingly confronted with and play key roles in the resolution of ethical dilemmas (Burkhardt & Nathaniel, 2008). This paper serves to explore, in detail, an ethical dilemma relating to civil confinement and the implications from its lack of use in regard to the recent Arizona shooting tragedy. A January 11, 2011 article obtained from The American Broadcasting Company (ABC) News called “Tucson Shooter Jared Loughner: Could Anything Have Stopped Alleged Gunman?” will be a prime resource for this purpose. This paper will examine the alternative of civil confinement and its significance in the context of this tragedy using Uustal’s framework for ethical decision making. Ethical theories and principles will be presented and discussed as supportive arguments. Event, Ethical Implications, and Concern: Earlier this month, on January 8, 2011, nineteen people were gunned down outside of a Tucson-area supermarket, six of them fatally, in a massacre-style shooting...
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...The Implementation of the Electronic Medical Record The Implementation of the Electronic Medical Record One would believe that with today’s technology the American health care industry would be one of the most advanced in the world. Unfortunately this is not completely so. Our European neighbors are maintaining this lead for many years. Not intending to take everything away from the United States, this country has its medical science history firsts as well. Just to name a few, there is James Dewey Watson who holds the discovery of the molecular structure of DNA. Another American chemist Paul Lauterbur's has the claim of bringing the MRI to the medical world. Certainly this list is not complete without American physician and founder of Provident Hospital in Chicago, Daniel Hale Williams. He has credit for the first successful heart surgery. What America seems to lag behind in is the utilization of new health care technology. American industries not related to health care do not seem to have a problem in implementing new ideas, especially that of advanced technologies. One may ask why American health care so far behind other countries. The electronic medical record (EMR) is one such new technology slow to become the system of choice in American practices. EMRs are widespread in Europe, Australia, and elsewhere, but only 4% of American doctors have a fully functional system, according to the New England Journal of Medicine. President Obama is reinforcing the federal government’s...
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...Fresco Community Health Center Case Study Analysis Abstract Arroyo Fresco (AF) currently provides services through eleven clinics and four mobile service vans across western Arizona. The three counties that are served through AF provide high quality primary care and preventative services to demographic areas with diverse geography, culture, income, and other varying factors (“Arroyo Fresco,” 2006). The facility guides its decision making process for organizational strategies with the combination of FOCUS and SWOT analysis. This allows for a well-rounded check and balance system to manage and prepare for current and future strategies for short term and long term processes. The increase in financial demands, consumer expectations, partnerships and mergers, quality of care given, and health care reform restructuring have placed a lot of expectations on health care facilities (“Creating an ethical culture,” 2011). The organizational strategy proves to be an important structure in order to provide a clear definition on how AF can change over time in order to successfully deliver a strategy and action plan that will benefit the short term and long term projections within the company (“Executive Insight,” 2008). AF has an found areas to improve the job descriptions, relationships, and management processes (Miles, Snow, Meyer, and Coleman, 2013). The organization strives to establish a strategic set of goals that will monitor, advance, and demonstrate health care results within...
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...Hospitals Healing Hospitals HLT-310V July 16, 2012 Modern hospitals operate under financial restrictions, resulting in intervention-centric care that generally does not go beyond meeting the bottom line of financial obligations. As a result, morale issues among hospital staff and mediocre working conditions tend to be the norm, leading to compromised health care provision. Change is sorely needed, especially considering the current, dismal state of the health care system. Embracing the radical paradigm of hospitals as nurturing, healing communities can and will help improve outcomes. The core idea of a healing hospital is that love is at the center of healing. From this basis, the healing hospital is a place where “patients, their families and friends, caregivers… and the community can all journey towards wellness” (Zarren, n.d.). Healthcare providers in a healing hospital still use the latest in scientific and medical methods, but what distinguishes them from their brethren in other hospitals is that they provide equal attention to spiritual demands, i.e. they must tend to both the heart and the head. The healing hospital concept embraces three key components. The first is a “healing physical environment.” This concept not only takes into consideration patient care, but also how hospital staff engages with families as caregivers. Hence, the hospital environment is designed to be as welcoming, loving, compassionate, and aesthetically pleasing...
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...Running Head: Community Assessment and Analysis Community Assessment and Analysis: The State of Arizona Team Purple Grand Canyon University: NRS 427V September 9, 2012 Community Assessment and Analysis Arizona is a state located in the southwestern region of the United States. It is also part of the western United States and the mountain west with the state’s capitol and largest city being, Phoenix. The second largest Arizona city is Tucson, which is then followed in size by eight Phoenix metropolitan area cities: Mesa, Glendale, Chandler, Scottsdale, Gilbert, Tempe, Peoria and Yuma. Arizona is the 48th state and last of the contiguous states admitted to the Union, achieving statehood on February 14, 1912. It is one of the four corner states, which borders Utah, Nevada, and California. It also has a 389-mile (626 km) international border with the states of Sonora and Baja California in Mexico. Arizona is noted for its desert climate; exceptionally hot summers, and mild winters, and it also features pine forests and mountain ranges in the northern high country with much cooler weather than in the lower deserts. The state is covered with beautiful desert landscape. There is also the less known pine-covered high country of the Colorado Plateau in the north-central portion of the state which contrasts with the desert Basin and Range region in the southern portions of the state. It is known for being home to one of the natural wonders of the...
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...Atwood and Allen Consulting James Burkett University of Phoenix Human Resources Management HRM 531 Dr. Johnson March 15, 2015 Atwood and Allen Consulting Introduction In this week’s assignment, I will look at the following three scenarios and assist the clients in complying with both state and federal laws that govern how they are organized and run. I will assist the following clients. * A small business owner in a limousine service doing business in Texas. * A Human Resources Director of a medium sized construction company that wants to open up operations in Arizona. * A Human Resources representative with a large hotel that wants to expand its operations into the country of India. Landslide Limousines as a small business client. Bradley Stonefield wants to open a “first-class” limousine service in Austin, Texas as an on-going concern. He projects that there will be 25 employees hired at the outset. He will organize as a small business and he will be subject to state and federal laws in the recruitment and retention of drivers, as well as licensing requirements that will be determined by the state of Texas. The labor market conditions will help dictate which federal and state laws will be used. The limousine service will have to comply with a number of federal employment laws. First, Title VII of the Civil Rights Act of 1964 (Cascio, 2013, p.83) prohibits the discrimination in hiring and promotions based on race, color, religion, and sex of the applicant...
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...University of Phoenix Ethics: Health Care and Social Responsibility HCS 335 Deborah Laughon February 5, 2012 Administrative Ethics Abstract of Article: Administrative Ethics and Confidentiality/Privacy Issues This article presents a case study highlighting the conflict between an individual’s right to privacy and the rights of patients and staff to know when a professional standard has been breached. The process by which the administrator determines a course of action is reviewed in the context of workplace realities through an ethical analysis. The growth of information systems and the increased involvement of third parties in decision-making have created new issues regarding confidentiality and the release of sensitive information for health care personnel who are in a position of public trust. The issues facing nursing administrators are complex, and of particular concern are the conflicting demands of providing quality care with limited resources. The authors identify strategies to deal with the workplace issues that give rise to the potential for abuse as well as the strategies to support an impaired colleague who attempts to reenter the workforce (Badzek, Mitchell, Marra, & Bower, 1998). Introduction When asking the general public what health care ethics and health care privacy mean, most will relate that they are about protecting patients. Health care ethics and health care privacy do exist to protect patients and to ensure that care is delivered with moral and...
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...problem of too many Mexican immigrants crossing over the United States border illegally. Immigration has been at the forefront of American politics for some time now. The issue is not only of recent concern, but of past concern as well. For most of the United States’ history, illegal immigrants have continually crossed the border into the United States. The branches of government involved in this situation is most likely all three of them. The judicial branch has no direct connection as of yet, but a court case can be seen in the future having to deal with this issue of illegal immigration. The executive and legislative branches are most directly involved by dealing with the creating of new legislation and executing it. The legislative branch has passed the necessary laws needed to deal with the illegal immigration issue such as the 700 mile fence across the border of the US and Mexico. The public officials involved with illegal immigration are numerous. The President all the way down to the small city officials cope and strategize about this issue. Cities and state official deal with the presence of illegal immigrants on a closer level, especially a major border state like Arizona and Texas. All congressmen and Whitehouse officials are connected with this issue as current legislation requires their attention. The two sides like in most American political debate involve the Republican conservative ideals and the Democratic liberal ideals. Most Republican believe in...
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...infections, demonstrated by an increase in cases following dust storms, seismic events, archeological digging, or recreational activities (Fauci et al., 2008). The incidence of endemic fungal infections has risen substantially over the past several decades, especially in geographic locations in which there has been substantial population growth (Fauci et al., 2008). Healthcare providers may be required to recognize and treat an increasing number of severe coccidioidal infections as growth and urbanization to these areas increases. Additionally, a recent study of community-acquired pneumonia (CAP) in Arizona suggested coccidioidomycosis might be a common cause. Patients with CAP and endemic exposure should receive laboratory evaluation for coccidioidal infection. Because of its subtle onset and increased incidence, coccidioidomycosis infection is a serious health concern for residents of the Southwest, including the suburban areas of Phoenix. This paper will summarize the incidence and prevalence of coccidioidomycosis in Maricopa...
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...National, State, and Local Human Service Organizational Structures and Processes Summary National, State, and Local Human Service Organizational Structures and Processes Summary Team A selected three organizations to analyze and understand their organizational structures and processes, and also to compare and contrast their similarities and differences. The organizations selected include the Red Cross, Arizona Child Protective Services, and Native Connections. Each organization will be examined for their organizational structure and whether the organization is governmental, private, for-profit, or nonprofit. The paper will analyze the departments, divisions, or specific areas of program delivery and how the organization builds community. How building community affects the value of the organization will also be discussed. The organizational culture will be examined and why the culture is important to the organization. The Blake and McCanse’s Leadership Grid and Hersey and Blanchard’s Situational Leadership Model will be related to the each organization’s human relations model. A relevant strategic plan or organizational chart for each organization will be examined and a summary will be given of the differences between the national, state, and county or local human service organizations selected. Organizational Structure Organizational structure defines how the organization is arranged and operates (Lewis, Packard, Lewis, 2007). The Red Cross is structured in a combination...
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...Arroyo Fresco Arroyo Fresco Community Health Center (AF) is a community health center serving western Arizona from 11 clinics and 4 mobile service vans. Community health centers have been established over the past 40 years in underserved areas in all 50 states, and they are nonprofit, community-owned health care organizations that offer patients high-quality primary care and preventive services regardless of their ability to pay. They also provide enabling services, such as transportation, translation, case management, health education, and home visitation, which increase access to care. AF serves three counties – Yuma, Mohave, and La Paz – with diverse populations and needs. The service area of over 23,000 square miles has fewer than 400,000 people – about one-third of the state’s overall population. AF provides ambulatory medical (i.e. obstetric/gynecologic, family medicine, pediatric) and dental services, which are supported by routine laboratory and X-ray services, vision and hearing screening, behavioral health and substance abuse screening, and pharmacy services. AF also ensures that its patients can access all services required across the continuum of care through partnerships or contractual relationships with hospitals, physicians, and agencies throughout the tricounty area and these arrangements are spelled out in the annual plan required by the Bureau of Primary Health Care (BPHC). Arroyo Fresco’s mission is to provide residents of Yuma, La Paz, and Mohave counties...
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...n this exercise, your team will analyze the organization and develop a new organizational strategy for the Arroyo Fresco Community Health Center. The strategy should be formulated using the information from the case study, including an analysis of the results, and should take into account current concerns including health care reform, the political environment in Arizona, the state of the economy, and leadership and management principles learned during the course and financial capability. The Arroyo Fresco Case Study will be available for download in the Course Content area. Team members should prepare Project Plan An abbreviated project plan due in Week 5 (format will be provided in the Course Content area) An updated project plan w/status column completed in Week 9 A presentation to the Board of Directors which will be presenting in the conference in Week 11. This can be a Powerpoint presentation, Adobe Acrobat presenter, video, or any creative combination you can think of. The presentation grading will be based on: Organized overview of strategy Persuasiveness of presentation Creativity in presentation Clarity of answers to comments/questions in the conference A brief seven (7) page paper (excluding tile page and reference list), which includes: Discussion of new strategy and whether it is financially viable. Analysis of results of Chapter 7 and the research completed Specific goals/recommendations for the future including generation of revenue. Description...
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...Trends- Human Service June 24, 2013 Trends This paper will relate economic and political events to current trends in the human services field. Identify demographic trends that influence future needs in the delivery of human services. The team will focus on the North, South, East, West of the USA, and Military serving in foreign lands for our collection of data for this paper. East One major trend in the East coast that has affected Human Services professionals is the Terrorist attacks on September 11, 2001 (9/11). There is no doubt that Americans everywhere will remember the tragic events that took place on 9/11 at the World trade Center, Pentagon, and the aborted flight in Pennsylvania. “The loss of lives and property on 9/11 was not large enough to have had a measurable effect on the productive capacity of the United States even though it had a very significant localized effect on New York City and, to a lesser degree, on the Washington, D.C. area” (Woodside & McClam, 2011, pg.? ) . The attack of 9/11 changed many lives in many ways. Every day is a reminder of how life has changed with longer lines at airports, concrete barriers, a greater police presence in cities, a color-coded five-level threat system, and increased emphasis on biological weapons research. The attacks on 9/11 has affected the work of human service professionals in a major way, encountering clients with both long and short term consequences. Because these attacks were acts of terrorism;...
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...WAL-MART’S CURRENT STRATEGY INTRODUCTION Wal-Mart operates more than 11,000 retail units under 69 banners in 27 countries and e-commerce websites in 10 countries. (Wal-Mart.com) They employ 2.2 million associates around the world; 1.3 million in the U.S. alone. Wal-Mart provides general merchandise: family apparel, health & beauty aids, household needs, electronics, toys, fabrics, crafts, lawn & garden, jewelry and shoes. Also, the company runs a pharmacy department, Tire & Lube Express, and Photo processing center as well (www.Wal-Mart.com). When Sam Walton created Wal-Mart in 1962, he declared that three policy goals would define his business: respect for the individual, service to customers, and striving for excellence (www.Wal-Mart.com). Wal-Mart's corporate management strategy involves selling high quality and brand name products at the lowest price. In order to keep low prices, the company reduces costs by the use of advanced electronic technology and warehousing. It also negotiates deals for merchandise directly from manufacturers, eliminating the middleman. This paper will analyze Wal-Mart's current strategy and challenges. In addition, I will discuss the threats and challenges facing Wal-Mart currently, priorities set by Wal-Mart CEO Lee Scott. I will also discuss the proposals outlined in the “Supplemental Benefits Documentation: Board of Directors Retreat FY06,”the result of the Board Benefits Strategy document leak, Wal-Mart initiatives from...
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