...Change Strategy: To implement changes that will impact the improved care of sepsis patients the Interprofessional Sepsis Workgroup suggests the following strategy for change: Request support from the CNO, CMO and executive leadership to implement the needed changes to improve sepsis bundle compliance. Sepsis Education for providers, nurses, and allied health staff. Develop an automated screening tool and dashboards in the EHR to alert nurses and providers of potential sepsis Develop algorithms, nurse-initiated protocols, and order sets to facilitate care interventions. Engage the Rapid Response Team (RRT) RN’s to act as Sepsis Experts to assist staff and encourage best-practice. Stock common antibiotics to the ED to prevent delays in administration....
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...Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional Nursing’s Scope and Standards of Practice Description of Scope of Nursing Practice Development and Function of Nursing Standards The Function of Competencies in Standards The Nursing Process Tenets Characteristic of Nursing Practice Healthy Work Environments for Nursing Practice Model of Professional Practice Regulation Standards of Professional Nursing...
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...Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional Nursing’s Scope and Standards of Practice Description of Scope of Nursing Practice Development and Function of Nursing Standards The Function of Competencies in Standards The Nursing Process Tenets Characteristic of Nursing Practice Healthy Work Environments for Nursing Practice Model of Professional Practice Regulation Standards of Professional Nursing...
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...Sunday, September 16, 2014 Leadership Strategies Leadership Strategies In the hospital setting many interdisciplinary teams exist to improve patient care. As a member of an interdisciplinary team the nurse is able to provide valuable insight from the nursing perspective and may lead the team to achieve goals. One leadership strategy the nurse may employ is to be a visionary presenting a plan. Enlisting the support of the team to implement a plan through motivation is one example of leadership. A leader must have excellent communication skills to engage the unit staff cooperation in initiating the plan. The unofficial leader builds on abilities to inspire, creates enthusiasm and provides support to the care team members as the plan is implemented. The role of team leader does not have to be by a person in a formal leadership position. Often it is best filled by a front line staff nurse who is able to effectively gather support from her team members on the nursing unit. The leadership strategies exhibited by the nurse are being a visionary, a motivator, a communicator, an inspiration, mentor and even a cheerleader by creating enthusiasm to plan, initiate, implement and evaluate the plan of an interdisciplinary team. Active Involvement Active involvement of a nurse in the interdisciplinary team allows a well round view of processes that closely impact patient care. By having the nurse represent the nursing unit, much information can be learned about the core...
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...career within health care management: Short-term career goals · Obtain confirmation in a fellowship program which will provide a comprehensive education/training for health care management. · Create and code of ethics and values which will inspire commitment to excellence within the health care field. · develop executive leadership skills of the highest level. · Continually improve and perfect my organizational and leadership abilities. · Obtain marketable managerial as well as technical skills necessary to meet the actual demands as well as challenges dealing with tomorrow’s health care field. · Develop an understanding of how to use specialized and academic knowledge in practical difficulties. · improve the leadership/management potential in the staff members. · improve my personal responsibilities in a way that will contribute towards the organizations efficiency. · Learn how to take initiative for making management choices, and act independently, in addition to on the team. · Seek methods to improve processes as well as outcomes. · Develop a mentor/networking relationship over the organization. · Be a permanent brilliant management team player in an excellent health care business. Long-term profession goals. · Mentor as well as mold less experience co-workers into leaders. · Lead innovative, effective, world-class health care organizations) as well as improve personal care quality. · Create a successful difference...
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...ILLINOIS STATE UNIVERSITY Does moral leadership matter? MBA412-Fall, 2014 BIBHU DASH 2014 Contemporary Business Perspective and Leadership Skills Table of Contents Page # 1. Introduction 2. Basic concepts and analysis of Moral and Ethical Leadership 3. Definition of Concepts a. Defining Leadership b. Defining Moral Leadership 4. Current State of Knowledge a. Literature Review 5. Argument Map 6. Assumptions and Point of View by Stakeholders 7. Evaluation of Argument a. Wheel Of Critical Thinking b. Universal Intellectual standards Evaluation 8. Key Take-Away 9. Plan to enhance Moral leadership skills a. Plan Table 10. Bibliography 2 2 3 3 4 5 5 6 7 8 9 10 11 12 12 14 1 Introduction Does moral leadership matter? In my opinion, yes it really does matter. Even if for high organization performance the leadership has to focus on high shareholder returns, but it should not solely focus on returns by compromising boundaries of morality. In this paper we will discuss whether moral leadership is crucial for an organization to be successful. First, we will define what moral leadership is and will discuss what are the standards of morality that needs to be maintained in a high performing organization. Then we will discuss whether the moral standards will be same for both personal and organization or they will be different. Then we will talk about the current state of knowledge of this topic and the implications and recommendations that we have found from our literature...
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...Organizational Leadership and Interprofessional Team Development A. Organization Self Assessment Tool (See Appendix 1 A) 1. Description of practice setting The work environment for the practice of nursing has been known as one of the most demanding throughout all areas of nursing. In general, nurses provide the vast majority of patient- care in hospitals, nursing homes, ambulatory care sites, and other health care settings. Penant Hospital is 200- bed hospital located close to the inner city. We serve mainly people from low socio-economic backgrounds, average age 65years. There is a large migrant population in the area, with demography of blacks, whites and Hispanics. Penant hospital was established almost fifty years ago and is part of a large corporation. We are Joint Commission accredited and have over 400 medical staff. Our dedication to providing quality, compassionate, cost effective healthcare that is responsive to the needs of our patients, physicians and community is firmly established in our mission. We provide many services to our community. These services encompass emergency care, breast care, inpatient hospice care, behavioral health, laboratory services, wound care, orthopedics as well as pain management. Penant Hospital has an administrative team which comprises of Chief Executive Officer (CEO), Chief Medical Officer(CMO), Chief Nursing Officer(CNO), Chief Financial Officer (CFO) , Chief Organizational Officer (COO) and Director...
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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...
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...of effective teams: a literature review Characteristics of effective teams: a literature review SHARON MICKAN AND SYLVIA RODGER Sharon Mickan is a PhD student and Sylvia Rodger is a Senior Lecturer in the Department of Occupational Therapy at The University of Queensland. Sharon holds a NH&MRC Public Health Postgraduate Research Scholarship. Abstract Effective healthcare teams often elude consistent definition because of the complexity of teamwork. Systems theory offers a dynamic view of teamwork, in which input conditions are transformed via optimum throughput processes into maximal output. This article describes eighteen characteristics of effective teams across input conditions and teamwork processes, which have been identified from the literature. Background Research into team effectiveness has traditionally searched for characteristics of effective teams. Quantitative evaluations of specific interventions have largely been inconclusive and emphasised the need for further research (Schwartzmann 1986). The complexity of team functioning precludes reducing teams to their least number of components. Rather, a systems theory approach recognises the relationships and interdependence between and within teams. Given the importance of teamwork to delivering healthcare, a better understanding of how teams function effectively will be invaluable for educating and developing teams. This article will summarise and evaluate characteristics that create and maintain teams in healthcare...
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...SYNTHESIS OF ADVANCED NURSING ROLES BROWN_K_W5A2_SU_NSG5000 Kerry Ann Brown South University Due to the changing health care environment, the nursing profession is currently in a process of evolution. Scopes of practice and role expansions are being prepared. Some of these roles are traditional, such as nurse practitioners who have been fighting for equality and recognition since the early 19th century. With the advent of technological advancements in health care new roles such as nurse informaticists, recognized as a specialty in the later part of the 20th century, are being put into practice and defined. More responsibilities are being given to the nursing profession due to its knowledge base within the constructs of organization, implementation, and evaluation skills with a human approach. During the context of this class much knowledge was gained in respect to the nurse practitioner (NP), nurse administrator, nurse educator, and nurse informaticist (nurse informatics specialist). Because health care is changing, the aforementioned roles are also evolving, this paper will explore the commonalities with each advance practice role and analyze the roles and contributions of the nurse informatics specialist. The nurse practitioner is a postgraduate prepared registered nurse, who has either a master’s degree or doctorate. Upon graduation, NPs possess a wealth of knowledge allowing them to independently manage direct clinical aspects of patient-centered holistic...
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...responsibilities. The letter of agreement was intended to foster a sense of belonging among the group and identify leadership and governance for the project. The two site coordinators were responsible for preparing and coordinating the ethical review applications and letters of support. The team decided to use the existing practices of community service providers. To facilitate referrals of participating patients, the team first identified the existing service pathways. The hospital medical director distributed an overview document to inform emergency department physicians of the project, and the clinical nurse specialist reviewed the referral process, protocols and documentation with nursing staff. ore than ever, health-care providers need to communicate with each other to stay informed about the services clients receive. Working in collaboration is essential to the delivery of effective, efficient and timely care (D'Amour, Ferrada-Videla, San Martin Rodriguez, & Beaulieu, 2005; Interprofessional Care Steering Committee, 2007). We all had roles on the Geriatric Emergency ManagementFalls Intervention Team (GEM-FIT) project, which was aimed at evaluating an alternative service-delivery pathway to reduce the number and consequences of falls in adults aged 65 and older who presented to an inner-city hospital emergency department. The project was based on the Falls Intervention Team (FIT) study, which had evaluated a best practice, multifactorial fall-prevention program for community-dwelling...
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...Loperfido Felician Health Policy and Politics NURS 385 Helena Correia RNC, MSN August 18, 2014 The Impact of the 2010 IOM Report on The Future of Nursing The United States is at a significant junction. Health care reforms are being carried out and the system is beginning to change. The largest component of the health care workforce is nurses and the needs to strengthen this group will only improve the delivery of care and the health care system. The IOM and the Robert Wood Johnson Foundation established that accessible, high quality care cannot be achieved without extraordinary nursing care and leadership (American Nurses Association, 2014, p. 1). The report calls on nurses individually and as a profession to embrace changes needed to promote health, prevent illness and care for people across the lifespan. The report also calls for support from interprofessional collaborations from physicians, dieticians, physical therapist and other multisector professions to work with nurses to make the changes necessary for a more accessible, cost efficient and high quality health care system. This report expands on the theme that high quality, safe, evidence based patient centered care is a critical role of nursing and that to have a successful health care system rests on the future of nursing (Institute of Medicine, 2010). In 2010 the President signed into law and Congress approved health care legislation called the Affordable Care Act. This legislation gives the United States...
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...SCHOOL OF NURSING Models of Capstone Projects: A Conversation Terri E. Weaver, PhD, RN, FAAN Professor and Dean University of Illinois at Chicago College of Nursing © Weaver, 2012 Jane M. Kirkpatrick, PhD, MSN, RNC-OB Head, School of Nursing Associate Dean, College of Health and Human Sciences Purdue University Objectives for this session Discuss the intent and scope of the DNP capstone scholarly project: – Differentiating from the PhD thesis – How the project demonstrates competencies Determine similarities and differences among multiple forms of DNP projects/capstones in terms of scope and expected deliverables Examine the issues that surround the DNP project/capstone If it Walks Like a Duck and Talks Like a Duck – Is it a capstone project? An endeavor by any other name: capstone, practice inquiry, scholarly project focused on practice May benefit group, population, or community (NONPF, 2007) Scholarly work that translates (is implemented) evidence into practice – Sustainability (Ahmed, et al., 2013) AACN description of DNP project “Rather than a knowledge-generating research effort, the student in a practice focused program generally carries out a practice applicationoriented “final DNP project,” which is an integral part of the integrative practice experience (AACN, 2006, p.3) Project possibilities (NONPF, 2006) Translate research into practice Quality improvement (care processes, patient outcomes) ...
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...FOUNDATION DEGREE IN HEALTH AND SOCIAL CARE MANAGEMENTETHICS, LEADERSHIP AND INTERPROFESSIONAL WORKING IN HEALTH AND SOCIAL CAREHS4501-40Describe The Importance Of Quality Leadership And The Difference Between Leadership And Management Within A Health And Social Care Environment, And Explain The Ethical Value Framework Leaders Of Services Should Adhere To STUDENT ID: 213599 06/05/2011 WORD COUNT 3,606 | | Describe The Importance Of Quality Leadership And The Difference Between Leadership And Management Within A Health And Social Care Environment, And Explain The Ethical Value Framework Leaders Of Services Should Adhere To | | This essay will discuss the importance of quality leadership, the diversities between leadership and management within health and social care and explain the ethical frame work leaders of services should adhere to. Every organization strives to be successful regardless of the type of business it conducts; no organization can be fully successful and productive without good quality leadership. Haris and Ogbonna (2000) discovered that although leadership may not completely affect the organisations achievement, the quality of leadership does affect the workers of the organisation who in turn have a substantial affect on the organiation. (cited in Haracre, et al 2011) If workers are contented and without stress in their work they will be more likely to be enthuiastic...
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...Organizational Leadership and Interprofessional Team Development Natacha Joseph RN Western Governors University I am currently employed as a community health nurse by a Managed Long Term Health company, Elderserve Health in New York City. Elderserve Health is a subsidiary of The Hebrew Home at Riverdale. Elderserve Health offers a variety of services including Care Coordination, Nurse services in connection with home health care, Therapies, including physical, occupational and speech at your home and in other settings, Social Work Services, Personal Care, Nutritional Counseling, Respiratory Therapy, Durable Medical Equipment, Medical and Surgical Supplies, Prosthetics, Orthotics and Orthopedic Footwear, Enteral and Parenteral Supplements, Personal Emergency Response System, Non-Emergency Health-related Transportation, Adult Day Health Care, Social Day Care, Podiatry (Foot Care), Hearing Exams and Hearing Aids/Batteries, Dentistry, Eye Exams and Eyeglasses, Home-delivered and Congregate Meals, Social and Environmental Supports, and Nursing Home Care (Institutional Medicaid required). As said by Hebrew Home (n.d.) “Our goal is to provide care in a warm, homelike environment and in a manner, which preserves and enhances independence and dignity. Such care should be provided on the basis of a continuum of care in which older people can live, learn and flourish. In fulfilling its mission, The Hebrew Home believes in a person-centered philosophy of service, celebrating our...
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