...Introduction This essay seeks to discuss the factors that facilitate change in health and social care. This can be achieved by assessing the challenges that the major factors of change bring using the Care Quality Commission of the Quality Care Commission for the Royal United Hospital Bath NHS Trust (RUHB). The second task aims to evaluate contemporary changes being inaugurated in the provision of health and social care services. In addition to this, a strategy and criteria will be devised in order to measure these recent changes including how the impact of these changes can be measured and evaluated. LO1 1.1 Explain the key factors that drive change in health and social care services ‘Change’ within an organization sometimes refers to organizational change in health and social care is the movement from a current state through a state of transition to a state in the future (Richards, 2012). The impetus of change within an organization may come from within and outside. These are known as the internal and external drivers of change. This can be explained using PEST and SWOT analysis. PEST analysis (Political, Economic, Social and Technological analysis) describes a framework of environmental factors considered in the strategic management of an organisation (Friesner, 2014). Political factors of change include change of government and policies within the NHS in the form of legislations. For example, when the Coalition government came to power in 2010, it embarked on reforming...
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...www.med.monash.edu www.med.monash.edu NUR1010 FOUNDATIONS OF NURSING AND MIDWIFERY PRACTICE Concepts of health, illness & human development OBJECTIVES • • • • • • Begin to develop their understanding of what nursing and midwifery involves. Discuss the concept of health. Discuss the concepts of human development. Describe factors that influence health across the lifespan. Begin to develop an understanding of the concepts surrounding person centeredness. Discuss the role of the nurse in infection control and prevention 1 2 www.med.monash.edu www.med.monash.edu 2009 Number Nursing Statistics Clinician Clinical management & Adm. Clinical nursing Average age (years) Average hours worked per week Definition of Nursing Nursing: encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management and education are also key nursing roles International Council of Nurses 2002 250,786 29,971 220,815 44.1 47.3 43.7 33.2 39.2 32.4 Non-clinician Lecturing, education and or supervision of new nurses Research Other 25,965 9,570 2,325 14,070 46.4 45.0 45.1 47.6 33.9 36.7 34.2 54 Total 276,751 44.3 ...
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...Community First Medical Center Community First Medical Center prides itself as being an extraordinary community hospital, developing strong relationships within the community. Community First is dedicated in providing exemplary service, accessible emergency and acute care to our patients. Our compassionate commitment to maintaining healthier lives within our community thru continued education that helps us to provide excellent quality of care. Community First is committed to encouraging and facilitating ethical behavior in all its activities. Community First plays a devoted role within the community as a health care provider and an employer and is devoted to providing excellent quality medical care. Each employee must exercise the highest degree of integrity, ethics, and objectivity in their daily actions and activities by upholding the following codes: Each employee of Community First Medical Center shall: I. Uphold the Code of Ethics and mission of the Community First Medical Center; II. Exhibit fairness and treat all individuals equally III. Conduct themselves during professional activities with honesty, integrity, respect, fairness and good faith IV. Comply with all federal, state and local laws and regulations pertaining to healthcare; V. Provide exemplary service and promote wellness through continued commitment to the community; VI. Demonstrate zero tolerance for any abuse of power that compromises patients or others served; VII. Maintain competence...
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...which doesn’t allow Americans underclass to stay healthy. Unfortunately due to the socially inapt and social inequity many people feel powerless to receiving healthcare. Other reasons for the population not to have healthcare is poor finances, poor geographic area, and immigrates that don’t understand the health system. Unfortunately one sees that this demographic is susceptible to get more chronic illnesses and unfortunately major illnesses such as HIV or AIDS. However there is some hope in 2015 President Obama mandated that congress put Obamacare into effect which gives everyone healthcare no matter the income. There the wake of decreased powerless feelings these Americans can begin to stay healthier and remain healthy. The general public will begin to acclimate to see more and more American receiving healthcare. Typically the scope of conditions is based on the current environmental changes which will affect the outcome in various cases such as social and human wellbeing. For example when looking into the changes in environment on must look into what and why the human race is directly be affected? Some simple affects in health of this population is water supply, food supply, and vitality. If one believes that the US will influence the environment positively than individuals can begin to adapt to the diverse atmosphere the live in. On the other hand if the changes aren’t positive than the effects in the environment will exacerbate any vulnerabilities. When looking...
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...A group can be defined in many different forms , for example a number if people or things that are put together, or closed together. Within social care a group put together will share the same beliefs, principles and standards which is needed to execute the jobs. This will help them to come together to work on the task for agreed purposes and and outcomes. A team can be defined to be more specific, for example a team is considered working together towards a specific goal. Within health and social care it is possible to have a group without a team while on the other hand there is no team without a group. There are different types of group within the health care sector. For example, nurses, health care assistant, doctors and physiotherapists. These groups will work as a team in order to pass on information and also learn to work with each other. These health professionals will have to have the necessary skill and recourses to promote a common approach to work, the willingness to share information, trust and support in each other; the ability to work through conflict an the willingness to take responsibly for team actions. Social care workers will work effectively in teams in order to pass on information and also to work with different co-workers. Communication is important but very complicated within a group. For example when working in a group each individual would love to feel like they are involved and valued as a member, so it is important to communicate with each other...
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...Priority Needs According to the World Health Organization (WHO) there are approximately 300 million individuals worldwide suffering from asthma (WHO 2006). It is expected by the year 2025 there will an additional 100 million persons diagnosed with asthma. As the prevalence of this non-communicable disease continues to rise there must me methods implemented to control and monitor. It is with this foundation that a needs assessment was conducted in the emergency department (ED) of the Princess Margaret Hospital in Nassau, Bahamas. Uncontrolled asthma places an enormous strain on individuals’ and health systems resources, and is a major cause of hospitalizations and poor quality of life (Mash et al. 2009) The Center for Disease Control (CDC) in the United States estimates that asthma accounts for 1.6 million emergency department visits and 440,000 hospitalizations annually. In addition CDC states that the cost of asthma accounts for 10.6 million dollars in primary physician visit and cost US $3,300 per person annually to manage. As the question of quality care continues to plague our society organizations continue to seek me ways and methods to improve the standard of care and reduce cost. AHRQ in its quality initiatives found that the persons diagnosed with asthma continue to increase in the society. WHO, CDC, GINA and AHRQ are all the organizations working together to curb this epidemic that is continuing to rise. The American Nurses Association (2007) stated that the goal...
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...on Healing in Adults with Illness: A Multidisciplinary Concept Analysis Lauren E. Johnson University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of N5327 Analysis of Theories in Nursing Ronda Mintz-Binder, RN, MN, DNP March 10, 2014 Effects of Humor and Laughter on Healing in Adults with Illness: A Multidisciplinary Concept Analysis The stressors of illness, together with the stressors of everyday life, can challenge the coping mechanisms of all patients. The relationship between humor and health dates back to the bible: “A cheerful heart is good medicine, but a crushed spirit dries up the bones” (Proverbs 17:22, New International Version). Research across many disciplines has shown humor to be an important tool in facilitating these coping skills Humor is an integral part of everyday life and, therefore, also a component of the care and treatment of patients in the modern health care system. The purpose of this paper is to examine and analyze the concept of humor along with laughter in the healthcare arena as well as serve as a vehicle in providing a clearer understanding of the thought and its therapeutic value in nursing. Review of Literature Don’t forget to summarize here!!!! Nursing Discipline A quantitative study was conducted by Astedt-Kurki & Liukkonen (1994) to illustrate the occurrence and meaning of humor in the nursing process, as described and experienced by professional nurses. Because humor can...
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...and relevant presentation of concepts. According to Alligood (2014), they address concepts such as person, environment, health, and nursing. Philosophies are derived from different theoretical works which affirm general ideas pertaining to those works. Philosophies are all based on individual ideas which conceptualize different views of nursing. Alligood (2014) suggests that philosophies broaden everyday views of nursing. Nursing Philosophy Nursing philosophy is a representation of philosophy as it directly relates to nursing. According to Alligood (2014), specific nursing philosophies encompass theory guided nursing practice. The three different philosophies of nursing that each has their own value system are Nightingale’s, Watson’s and Benner’s. Each philosophy addresses its own concept of nursing care and factors that are associated with that. Alligood (2014) suggests nursing philosophies give us different views to consider when applying nursing care. Each philosophy serves its purpose as an interpretation of a rationalized value system of ideas of nursing care. Metaparadigm A metaparadigm is a knowledge type of nursing. The core basis of nursing is founded on a knowledge approach. According to Alligood (2014), a metaparadigm applies human beings, environment, health, and nursing in a concept of philosophical significance to nursing care. A NURSING PHILOSOPHY 3 metaparadigm is used as a way to better understand the relationship with those factors...
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...Social work is the work that is done by trained people with the goal of improving the conditions of others who are in need. The trained personnel strive to accomplish social change and development among people who are experiencing major issues. The main goals of their profession are to improve the quality of life, family, neighborhood, and even community. Any social worker chooses this profession out of a sense to improve the world and help their clients through the harder times of their lives. Social workers go through a long process of schooling and experience that makes them an official social worker. They work in multiple different settings at full time during all times of the week. On top of the struggles they deal with, social workers...
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...North Mississippi Health Services is a diversified regional health care organization, which serves 24 counties in north Mississippi and northwest Alabama from headquarters in Tupelo, Miss. The NMHS organization covers a broad range of acute diagnostic and therapeutic services, offered through North Mississippi Medical Center in Tupelo; a community hospital system with locations in Eupora, Iuka, Pontotoc, and West Point, Miss., and Hamilton Ala.; North Mississippi Medical Clinics, a regional network of more than 30 primary and specialty clinics; and nursing homes. NMHS offers a comprehensive portfolio of managed care plans. Educational programs and early intervention are important aspects of our services, but our main focus is to provide convenient access to quality health care. NMHS works to achieve its corporate mission to improve the health of the people of this region by providing conveniently accessible, cost-effective health care of the highest quality. NMHS is a 2012 recipient of the prestigious Malcolm Baldrige National Quality Award. We are a distinctive IT leader. Buildings and services are linked through a role model MANAGEMENT INFORMATION SYSTEM (MIS) (F.4.2-2). NMHS began building its comprehensive MIS in 1975 and the system includes 7,000 desktop PCs, 2,000 laptops/notebooks, 2,000 printers, 300 medication barcode scanners, a WIDE AREA NETWORK (WAN), auto paging and faxing services, remote dial-up access, wireless notebook computers and systemwide email. We...
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...such as hospitals, nursing homes, ambulatory care centers, nurses have always had the closest relationship with patients and their families. Nurses assess, monitor, provide care and meet patients’ needs, relay information between physicians and patients, advocate for patients and families. Nurses have not being involved in making significant policy decisions to high quality patient care but as our country focuses on healthcare reform which will guarantee that all American have right to excellent and reasonably priced health care, nurses’ roles and responsibilities are expected to change from patient care to taking responsibilities on many new health care imperatives. According to the report of IOM, nurses should be associates with doctors and healthcare professionals in restructuring healthcare in our nation. Nurses’ responsibilities will become more prominent in continuity of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. The purpose of this speech is to enlighten nurses about the changes that will be anticipated in their roles as healthcare professionals as these reforms take place in the healthcare industry. Continuity of care is a system of patient care integration that follows patients over time through comprehensive arrays of health services across all levels of care. It allows patients’ care to be managed efficiently from primary physician care to in-hospital or critical care settings and to medication prescriptions. The...
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...that it can bring about positive changes. Unlike much of the literature on workplace deviance which focuses on dysfunctional behavior such as antisocial behavior and workplace aggression, constructive deviants are employees who break the rules and norms but intend to benefit the organization. These individuals can play a key role in creating an organizational change and serve as future change agents. Given the increasing discussion on health care reforms, this paper explores the factors that relate to constructive deviance among physicians. Finally, practical implications and future research directions are discussed. II. Introduction Workplace deviance has generally been used to describe the following behaviors: antisocial behavior (Giacalone & Greenberg, 1997), workplace aggression (O’Leary-Kelly, Griffin & Glew, 1996), organizational retaliation (Skarlicki & Folger, 1997), and employee deviance (Robinson & Bennett, 1995). Although previous research has increased our understanding of the harmful effects of deviance within organizations, little research has examined the positive aspects of deviance. Constructive workplace deviance encompasses behaviors that violate significant organizational norms in order to contribute to the well-being of the organization (Galperin, 2003). Constructive deviance is becoming increasingly important in businesses today because constructive deviants can bring about positive changes. Unlike much of the field of organizational...
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...Effective Communication HCS 325 Effective Communication Within a health care organization, communication is encouraged for better understanding and is essential for success. Effective communication is vital between staff and the patients, as the patients look to the staff for their medical care. If communication is lacking in one area, errors ensue, and the health of the patient is potentially put in jeopardy. A health care facility shares its knowledge through communication. The techniques in which the organization shares that knowledge can be either effective or ineffective. According to Lombardi and Schermerhorn, (2007), “the organization structure is the system of tasks, workflow, reporting relationships, and communication channels that link the diverse parts of an organization.” (page 54). Effective techniques in sharing important information and knowledge includes the organization structure. A functional structure is vital to a health care organization so that groups within the facility can communicate their knowledge with other staff members or departments within the facility. Functional organizations are traditional business hierarchies in which tasks are grouped by functional area. By developing a formal structure, an organization can achieve outstanding results such as successful dissemination of information among departments, delegation of duties, and outstanding patient care. The health care facility where I work uses a combination of a functional organization...
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...Statement of Purpose Doctor of Nursing Practice Essay Luisa Walsh 2/18/2013 In today’s healthcare system, nursing is a challenging field as a result of rapid technological advances and changes in healthcare policies. As a dedicated nursing professional, with a great passion for learning, I strive to stay on top of these changes. I am determined to increase my knowledge to be an instrumental part of providing quality healthcare. The demands of nursing are high; however the rewards are even higher. Nursing requires both a supreme understanding of the science of health, and a caring bedside manner befitting only those who seek a position of such a personal involvement in the well-being of a patient. Academically, I will put forth all of my efforts into my studies. I will challenge myself, and work hard at all the obstacles that lay ahead. The combination of my past academic performance and personal standards of nursing excellence will provide the foundation of success in my Doctor of Nursing Practice (DNP) studies. It will require a great amount of time and energy; however I am excited to pursue this challenge. The rigorous and intense demands of the Doctorate program strongly match my capabilities. I have served in the armed forces and during my nursing career have provided care for many challenging situations such as veterans who suffer from Post-Traumatic Stress Disorder (PTSD). I am fully aware of what I need to do for any given situation and am able to manage stress in...
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...Grief and loss are inevitable experiences that affect the older adult. Grief is defined as “the emotional response to a loss or death” (Yancey & Hunter, 2014, p. 449). As adults age their friends gradually die, they may outlive older generations of their family, health may deteriorate, and abilities and independence may diminish. The loss of loved ones, health, and independence, among many other losses, can give rise to grief in the older adult. Grief is a natural response to loss. While some can adjust to the conditions of loss in others it can intensify to the point where the individual is unable to cope with the loss (Gibson, 2012). The inability to cope with grief can yield undesirable effects such as: depression, anxiety, insomnia, increased use of alcohol or drugs, and decreased social interaction (Potocky, 1993). This is why it is necessary for the nurse to facilitate the grieving process. Jean Watson’s theory contains relevant concepts that nurses can incorporate into their care of the older adult experiencing grief. Nurses can fulfill their role in facilitating the grief process through the application of therapeutic communication techniques in the appraisal of grief, by preventing isolation through social support, and promoting hope as a coping strategy. The use of therapeutic communication techniques will aid the nurse in making a valid appraisal of the patient’s grief. This involves assessing the value of the patients loss; in other words, determining the significance...
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