...communication can enhance patient-provider relationships and improve quality of care outcomes. Cultural unfamiliarity hinders autonomy of the patient and threatens an optimum level of care health care professionals are sworn to strive towards. Language barriers and mediated conversations hinder communication and foster an environment filled with confusion and apprehension. This essay reviews a scenario featuring a health care team’s disregard for communication barriers and its impact on an Iranian man diagnosed with cancer. Recommendations are offered on traditional American College of Healthcare Executives (ACHE) approaches to cross cultural medicine as they apply to this scenario. The ultimate objective is for health care providers and administrators to be aware of the possible impacts elicited by the lack of attention to language barriers and to provide approaches to combat these obstructions of quality health care. Keywords: cross-cultural medicine, cultural miscommunication, cultural awareness Lost in Translation Hospitals in the United States are not restricted to serving a single language population or culture. Many medical professionals consider cultural barriers a hindrance and do not make time to familiarize themselves with other cultures before providing care. This unawareness results in ethical dilemmas that question autonomy of the patient and does not promote beneficence. First, this essay examines violations of basic ethical principles as related to Mr. Tabrtizi...
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...Cumulative Essay Mathew Johnson College Phoenix Leadership Prof. Monstade February 04, 2012 Leadership Cumulative Essay Introduction This essay will give insight into the author’s point of view on several facets of nursing today. The information provided will speak to lessons learned in the Everest College Nursing program. Topics covered 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...
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...COMMUNICATION IN MENTAL HEALTH NURSING Communication is a key concept in nursing. Care Quality Commission (2012) highlighted the importance of accessible information and communication in the delivery of high quality care services. Nurses often spend a large proportion of time exchanging information with their patients and listening to their needs. Therefore, effective communication and interpersonal skills are vital in building caring professional and ethical nurse-patient relationships. These enable the delivery of personal centered care which is particularly important for mental health patients. For instance, therapeutic communication in mental health services can promote the well –being of the clients. To address these issues, this essay aims to identify key components of effective communication that can enhance good quality care for people with mental health problems. Poor practice examples that are resulted from the lack of sufficient communication are investigated for example, report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (2013). Finally, the influence of effective communication on my future practice is discussed. Communication is the process by which people use to exchange information through verbal or nonverbal messages. It comprised of both verbal and nonverbal messages, such as; body language, eye contact, facial expression, tone of voice, rate of speech, context and hesitations that accompany the words (Videbeck 2011). Morrissey and...
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...their experiences.This essay aims to discuss patient abuse within aged care facilities and a nurses duty of care are two issues that allow a nurse to reflect and develop their practice skills and person-centered practice. The World Health Organisation (WHO) defines elder abuse as a separate or continuous action, or where care is absent within a relationship that requires trust, resulting in physical and emotional violence towards the patient.(World Health Organization, 2018). Nurses hold a duty of care to their patients. They additionally carry a legal obligation...
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...Health Care Marketing Reflection Essay According to Berkowitz (2006), “marketing is the process of planning and executing the conception, pricing, promotion, and distribution of ideas, goods, and services to create exchanges that satisfy individual and organizational objectives.” In the hospital setting marketing may vary from the focus of the patient or the physician. The two parties are important in the assistance of the company continuing its revenue growth. Upon entrance to the medical facility the patient must have the proper insurance or the proper form financial resources to pay the cost any services provided by the medical staff. On the other hand the medical staff which, includes the physician, nurses, therapists, and social workers must have the knowledge and skills to provide the appropriate care to meet the patient needs while hospitalized in the facility. Health care systems utilize some form of advertising strategy to encourage potential patients to enter their facility for their medical needs. In many hospital settings one of the primary marketing strategies used is the promotion of positive patient experience. Ensuring a positive patient experience is a technique used to gain the patients confidence and trust with the medical staff and facility. Many large hospitals have trusted in the media and Internet for medical information for their current and future patients. This is used as a form of marketing because of the easy accessibility for all age groups....
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...It is undoubtedly true that PICU admission is extremely frightening and traumatic experience to the pediatric patient and to their families. The Pediatric Critical Care Society cited in Herr et al,. (2011) PICU, as an area within a hospital specializing in the care of critically ill infants, children, and teenagers from infant to 17 years of age. Children admitted in this area face either motor, speech, language or cognitive impairments that affect their ability to communicate, making them vulnerable to communication. The American Academy of Pediatrics (AAP) endorsed “Effective Communication” as being responsive to the needs of whole patient and family dynamic, which are essential to patient and family centered care, it can be expressed either by verbal or non verbal ways. The functions of effective communication are valuable in delivering efficient and emphatic care to the child and to their family members (Levetown 2015)....
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...statement with reference to people with intellectual disabilities. This essay is based on the discussion of what prevents people with disabilities from leading a fulfilling life is not their lack of ability but other peoples low expectations of them. This essay will firstly define 'HIQA', what the aim of HIQA is and how it is important to those with disabilities. Secondly, the topic will be focusing on the childhood years for those with disabilities, discussing how people with disabilities were treated in society. Following this will be information about the 1900s...
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...Eleanor Milo Effective Communication Health Care organizations help people in need of health care gain access to it at minimal costs to different organizations. These organizations offer economic incentives for physicians and patients to select forms of treatment and care that have lower costs while still maintaining quality of care. By incentivizing this type of behavior, health care organizations broaden the availability of basic medical necessities. Today health care organizations are experiences different changes in the workplace. Employees are expected to assume an increase of workload delegated by the intent of work process evaluation. Since its inception in 1953, Memorial Healthcare System has been a leader in providing high-quality health care services to South Florida residents. Today, it is the fifth-largest public health care system in the nation and highly regarded for its exceptional patient- and family-centered care. Memorial's patient, physician and employee satisfaction rates are some of the most admired in the country, and the system is recognized as a national leader in quality health care. Memorial Healthcare System provides safe, quality, cost-effective, patient- and family-centered care, regardless of one's ability to pay, with the goal of improving the health of the community it serves. Through more integrated relationships with physicians, Memorial Healthcare System will deliver patient- and family-centric care in a highly efficient manner with exceptional...
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...attaining a higher level of education. I remember growing as a child has had in mind to have a career that I will be happy practicing and also enjoy doing every single task involve in the profession. This actually paved way for me because it made see realize the areas am going to be good at and well know the potentials I possess as an individual. This insight helped me to purse nursing career because I have seen myself possess most of the qualities of a nurse as per the definition of nursing. The definition of nursing by ANA is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and population. Differences in Competencies between AND and BSN Nurses The difference in competencies is that BSN prepared nurses possess high level of education in nursing which allows the opportunity to assume a position that involve the use of certain skills. These skills includes decision making skills, critical thinking, planning, implementation, intervention and evaluation in nursing.(Rosster, 2006 P.4). A BSN nurse having spent more years in nursing program has increased knowledge in all areas of studies including research in nursing, leadership and management. This acquired knowledge helps them...
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...Comparative Religion Reflection Essay Reflection Essay My Religion and Malloy’s Eight Elements I was born and raised in the Lutheran Church with a strong belief system. As of recent years, I have opted to not attend church services, but still feel very strong about the beliefs that I was raised with. There are a few beliefs that I was raised with that I don’t buy into, such as the belief that god created earth and all things on it in 6 days. There is far too much scientific evidence to suggest that evolution has and is constantly taking place. Despite this, I do thing that our belief system plays a very important part in my life. For me, community does not play as big of a role in my belief system. I tend to believe that one does not necessarily need to attend church to worship god. I do that every day in my daily life. I am so thankful for my friends, family, life and everything in it. This has been my dad’s feeling for a very long time and I tend to follow him. We do have several central myths that we believe in. All of these myths are told in the bible and are stories that we learn from the time we are young children. I remember going to bible camp when I was in elementary and junior high school. We would go for a week and always on the last night of camp, the counselors put on what was called the Passion Play. The play was the story of the last few days of Jesus’ life, his crucifixion, and how he rose from the dead. I have such vivid memories of...
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...Character Analysis Essay for Ebenezer Scrooge in A Christmas Carol "Greed, Ebenezer Scrooge, wealth. Feel them. Know them. Yours was as heavy as this I wear seven years ago, and you have labored to build it since," wailed Jacob Marley in Frederick Gaines's adaptation of Charles Dickens's A Christmas Carol (396). Burdened by his greedy life, Marley, Ebenezer Scrooge's deceased business partner, is forced to wander the spirit world with no sense of peace. He warns Scrooge to change his selfish ways to avoid the same miserable fate. Marley's ominous warning sets in motion three life-altering journey through time for Scrooge with the Spirits of Christmas Past, Present, and Yet To Come. Ebenezer Scrooge, originally a greedy and heartless character, changes drastically after his ghostly experiences influence him to become a generous and caring man by the end of the story. In Scene I of "A Christmas Carol", Scrooge is a bitter and self-centered man. For instance, Scrooge's own nephew, Fred, asked Scrooge if he would join Fred and his family for dinner. Scrooge coldly denied Fred's invitation by saying "Nephew, keep Christmas in your own way…"(390)....
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...striving to provide optimal health on a holistic level. This essay will review three recent journal articles from professional nursing organizations on how the roles of nurses has evolved in regards to health promotion, specific ways that nurses implement methods of health promotion, as well as the primary, secondary, and tertiary levels of health promotion prevention. Promoting health in Nursing Health can be considered as physical, spiritual, mental, and social functioning of human beings (Edelman, Kudzma, & Mandle, 2014). Cultural and religious beliefs can also influence health promotion, as well as environmental factors that may pose risks for individuals who are unaware. The purpose of health promotion in nursing practice lies in the fact that nurses are on the front line of educating, implementing, and enforcing health promotion in all aspects of life to their patient’s. As the health care system continues to evolve and change, so does the role of nurses and all interdisciplinary staff that are directly involved in patient care. The doctors knew the job of the nurse years ago was more of an assistant, to use when they needed. In today’s world, nurses are the hubs in which all care in centered. Nurses have exceptional assessment skills, which are utilized in the industry to obtain thorough histories on each patient they encounter. Doctors, and therapists rely on these assessments in order to form a plan of care,...
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...the first Magent Hospital was recognized by the ANCC , The University of Washington Medical Center in Seattle, WA. Throughout the Magnet process we hear words such as “Shared governance, empowerment, Transformational leadership. All these words mean that the power should start from the bottom up, not from the top down. The purpose of this essay is to give a brief overview of the magnet model and how this model changes how an organization operates day to day. Overview of the Magnet Designation A Magnet hospital is one which is accredited by the American Nurses Credentialing Center (ANCC) which is a subsidiary of the American Nurses Assosiation. (give credit). This organization complies and exemplifies the ideals of nursing service and care throughout the continuium of nursing. Most of these Magnet recognized hospitals go through a rigorous credentialing process. As aforementioned, Magnet facilities give power to the nursing staff and encourage them voice their concerns without fear of being reprimanded. A Magnet hospital begins with the vision to empower the staff in the organization in order to provide patient centered care and optimal outcomes. This model supports professional growth and encourages nurses to become certified in their field of practice (ANCC). In addition to the staff being optimally educated, nursing management must also have higher educational degrees and certifications in leadership roles. For example, anyone holding a position such as a...
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...Francisco 1 Christopher Francisco English 101 John Harding 10 February 2015 Rodriguez Essay Rough Draft “The Achievement of Desire” is a story of a boy that came to the United States from Mexico with his parents who were seeking a better life and more opportunities. As Rodriguez becomes older, he starts to go to school and with this, starts to drift away from his family values and culture. In turn, it starts to create a separation between his education and his family. Many people have to make difficult decisions in order to achieve their desire or dream. For Rodriguez, the idea of fitting in is creating this separation and making his education his priority. Education was the focus of his entire life. He could not feel comfortable at home because he realized there was an educational division between him and his family since he was in elementary school. He was proud that he lost his Spanish accent, and he even corrected the “simple” grammatical mistakes of his parents as a second grade student. (Rodriguez 1) Not only that, he was oddly annoyed when he was unable to get parental help with a homework assignment. When he reached grade three, the separation between him and his family became more obvious. His ever-increasing intensity to his studies became a joke to his families, which Francisco 2 lead to the reason of why he must physically separate himself from his family. His father once found him reading a novel in a closet hiding. His mom even became worried...
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...Literature Review Jennifer L. Gallo Grand Canyon University: Family Centered Health Promotion 429V April 22, 2012 Jennifer L. Cook RN, MSN Running Head: HEALTH PROMOTION Health Promotion “describes a multifaceted approach to encourage health related lifestyle changes among individuals and communities” and “aims to allow people to increase their control over their health and the factors that affect it with the ultimate aim of enhancing health and its determinants.” (Bennett, Perry & Lawrence, 2009, pg. 49). This essay will discuss the purpose of health promotion, the role and responsibility assumed by nurses in health promotion, implementation of health promotion by nurses, and will identify and define the three levels of health promotion prevention. Until the mid-twentieth century, health care was illness orientated. Main causes of death up to that point were related to infectious disease. Around 1940, chronic illnesses including heart disease, stroke, and cancer became the leading of deaths. (McLeroy & Crump,1994). As the focus of health care changed, the role of nursing changed as well. Historically, nurses provided care to the ill and provided treatment for diseases without necessarily emphasizing health education. As healthcare has evolved, promoting wellness has become a fundamental part of the nursing profession. Nurses are in a position to influence health modification in individuals, families and communities by encouraging healthy lifestyle choices and...
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