...of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Susan Mateo NUR/531 Tracey Lane Emerging Standards of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Of the many challenges facing the nursing profession, cultural competence is an area of great need across all settings from educators, to students, bedside nurses, nurse managers, and nursing leadership. Cultural competence for a given entity, be it an educational institution or healthcare facility, is best measured by an appraisal of that entity, with respect to the cultural diversity of its staff and customers, along with its policies, procedures and actual practices. The focus of this paper is the evaluation of the cultural competence of a local long term care / skilled nursing facility (LTC/SNF) located in Harker Heights, Texas. The inability to access numerical or percentage totals of the demographics of either the staff or residents directly resulted in observational assessments by this writer as the basis for this evaluation. The observations took place during the clinical experiences of students from the local public school district’s CNA course. Based on the various readings associated with the nursing 531 course, a definition of cultural competence includes several components. One of the most easily understood and incorporated is Campinha-Bacote's model of cultural competence. This model consists of five concepts, namely: cultural desire, cultural awareness...
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...speech. Not maintaining eye contact can indicate disinterest. Communication may not be a smooth process if a listener averts their eyes too frequently. * To let a partner know when it is their 'turn' to speak: This is related to the above point. Eye contact is more likely to be continuous when someone is listening, rather than speaking. When a person has finished what they have to say, they will look directly at the other person and this gives a signal that the arena is open. If someone does not want to be interrupted, eye contact may be avoided. * To communicate something about a relationship between people: When you dislike someone, you tend to avoid eye contact and pupil size is often reduced. On the other hand, the maintenance of positive eye contact signals interest or attraction in a partner. It's well known that good communication is the foundation of any successful relationship, be it personal or professional. It's important to recognize, though, that it's our nonverbal communication—our facial expressions, gestures, eye contact, posture, and tone of voice—that speak the loudest. The ability to understand and use nonverbal communication, or body language, is a powerful tool that can help you connect with others, express what you really mean, and build better relationships. Eye contact Since the visual sense is dominant for most people, eye contact is an especially important type of nonverbal communication. The way you look at someone can communicate many things, including...
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...TEAM EFFECTIVENESS Besides the basic approach there is now a more applied focus on the impact that teams have on employee behavior, especially the contribution to satisfaction and performance, has also received attention. An overall summary of the way to use teams to enhance satisfaction and performance are as follows: 1. Organizing work around intact groups 2. Having groups charged with selection, training, and rewarding of members 3. Using groups to enforce strong norms for behavior, with group involvement in off the job as well as on the job behavior 4. Distributing resources on a group rather than an individual basis 5. Allowing and perhaps even promoting intergroup rivalry so as to build within-group solidarity Three factors seem to play the major role in determining group effectiveness: Task interdependence (how closely group members work together), outcome interdependence (whether and how group performance is rewarded) and potency as how members belief that the group can be effective. To assess team effectiveness first requires careful specification of criteria. Effective teams are characterized as being dependable, making reliable connections between the parts, and targeting the direction and goals of the organization. This is accomplished when members “buy in,” achieve coordination, have the desired impact, and exhibit the kind of vitality that sustains the organization over time as the environment shifts or changes. Factors that affect the success level of...
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...Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care A Roadmap for Hospitals Quality Safety Equity A Roadmap for Hospitals Project Staff Amy Wilson-Stronks, M.P.P., Project Director, Health Disparities, Division of Quality Measurement and Research, The Joint Commission. Paul Schyve, M.D., Senior Vice President, The Joint Commission Christina L. Cordero, Ph.D., M.P.H., Associate Project Director, Division of Standards and Survey Methods, The Joint Commission Isa Rodriguez, Project Coordinator, Division of Quality Measurement and Research, The Joint Commission Mara Youdelman, J.D., L.L.M., Senior Attorney, National Health Law Program Project Advisors Maureen Carr, M.B.A., Project Director, Division of Standards and Survey Methods, The Joint Commission Amy Panagopoulos, R.N., M.B.A., Director, Division of Standards and Survey Methods, The Joint Commission Robert Wise, M.D., Vice President, Division of Standards and Survey Methods, The Joint Commission Joint Commission Mission The mission of The Joint Commission is to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The inclusion of an organization name, product, or service in a Joint Commission publication should not be construed as an endorsement of such organization, product, or services, nor is failure...
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...Curriculum Working Group at the University of Toronto Joint Centre for Bioethics; and incorporates aspects of the accountability for reasonableness framework developed by Daniels and Sabin (2002) and adapted by Gibson, Martin, & Singer (2005). Introduction Ethics is about making “right” or “good” choices and the reasons that we give for our choices and actions. Ethics promotes reflective practice in the delivery of health care. Ethics addresses the question “What should we do and why?” Another way to describe ethics is as follows. It is about: • Deciding what we should do – what decisions are morally right or acceptable; • Explaining why we should do it – justifying our decision using language of values and principles; and • Describing how we should do it – outlining an appropriate process for enacting the decision. 2 Ethical issues arise every day in health care (See Appendix A). Everyone has a role to play in ensuring the ethical delivery of care, from bedside to boardroom. Trillium Health Centre is committed to providing quality compassionate care to the community it serves. Ethical principles and values are incorporated into the way that decisions are made and care is delivered every day. Accreditation Canada expects that healthcare organizations will have in place a framework for guiding ethical behavior that is publicly accessible and consistent with the law. As healthcare organizations seek to provide quality care in the face of significant financial constraints, they...
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...Submitted by Lekshmi P Roll no:09810036 MBA 1 ST year Department of Management Studies Indian Institute of Technology Roorkee Page 2 Department of Management Studies,IIT Roorkee Page 2 Abstract This paper tries to present the overview of ICT and the health sector and also tries to identify the key issue and questions in this field .It also mentions the challenges facing the development of ICT implementation in health programmes and activities, and identifies the emerging trends and technologies that will shape ICT tools in the health sector. This paper also tells about the E- health standards existing and the various barriers related to establishing uniform standards. The paper also talks about the New Public Sector Management .And throughout the paper we will discuss some specific cases which will show us exactly how the ICT is changing the face of the health sector in some countries . Page 3 Department of Management Studies,IIT Roorkee Page 3 Contents 1. Introduction ........................................................................................................................................4 2. ICTs and the health-related MDGs (Millennium Development Goals)...............................................5 3. Using ICTs in the Health sector...........................................................................................................6 3.E-Health Standards ...............................................................................
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... programs and service development across the NT. While this framework is intended to be used within the health sector, we strongly encourage other sectors and agencies outside of the health domain to use the framework. This framework should be used in conjunction with health promotion audit tools and other health promotion resources available in the NT, such as the Public Health Bush Books and the Quality Improvement Program Planning System (QIPPS). It is also designed to be used as a guide, together with other local, regional and national frameworks, policies, strategies and resources. Why Health Promotion? The World Health Organisation (WHO) acknowledges the growing evidence that health promotion and preventive health approaches are effective in improving overall health and wellbeing, reducing the burden of chronic disease and injury, addressing health inequities, facilitating the better use of resources and enhancing economic productivity.1 2 3 4 Striking a balance between investments in a health promoting approach that addresses the increasing burden to the healthcare system of preventable chronic conditions and investments that increases the level of expenditure in treatment services is a major component of health system reform. It is particularly important to utilise key performance indicators and...
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...Journal of Applied Business and Economics Global Business Management: Current Trends and Practices Michael Wisma Saint Joseph College of Indiana Today, problems associated with global business management have been identified as factors that negatively impact the performance and productivity of multinational corporations and in turn, adversely affect regional and national economic growth. While factors related to logistics and distribution are important when selecting international suppliers, they are inadequate when considered in isolation of internal and external forces. This paper engages in a comprehensive and systematic analysis of global supply chain management, particularly in terms of micro and macro cultural considerations. INTRODUCTION Organizations are facing increased global competition, economic uncertainties, and changing markets. Technology is changing the way we conduct business and manage information. Outsourcing of significant functions within businesses and organizations complicates the landscape of supplier relations. Suppliers and vendor partners may be located in the same city, region or country. But they are just as likely to be located halfway around the world, adding new challenges to business management. The growth of international strategic partnerships has risen exponentially in the last twenty years. Competing in a global marketplace has made it increasingly important to align business strategies with a risk management strategy...
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...53-70 53 Open Access Outreach and Engagement in Homeless Services: A Review of the Literature Jeffrey Olivet*,1, Ellen Bassuk1,2,3, Emily Elstad1, Rachael Kenney1 and Lauren Jassil1 1 2 3 Centre for Social Innovation, 215 Spadina Avenue, Suite 120 Toronto, Ontario M5T 2C7, Canada The National Center on Family Homelessness, 181 Wells Avenue, Newton, MA 02459, USA Department of Psychiatry, Harvard Medical School, USA Abstract: Outreach and engagement are regarded by many who work in homeless programs as essential services. Outreach on the streets and in shelters is often the first point of contact for people who are not served by traditional sitebased services and is often the first step in engaging homeless people in services. While outreach and engagement are critical components of the response to homelessness, consensus is lacking about the nature and effectiveness of these services. The purpose of this paper is to examine what is known about outreach and engagement for people experiencing homelessness. The authors review quantitative studies that examine outcomes and augment this understanding with information from qualitative studies and non-research literature. The latter provides information about the goals of outreach, assumptions and values, staffing issues, and consumer involvement. The paper concludes with implications for practice, policy, and research. Keywords: Homeless/homelessness, outreach, engagement, review. INTRODUCTION At a recent discussion...
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...Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, 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...
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...Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, 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...
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...Benedictine University MPH 610 – D1B4 Health Policy Developing New Policies: Policy Proposal Suicide Prevention Week Eight N. De Shields Instructor Dr. Yasmin Dada-Jones ABSTRACT This policy proposal attempts to abate the increasing number of suicides in the United States, a survey from 2001 to 2009 list fatal self-injuries span world-wide demographics, male and female, age, ethnic disparity and economic disposition. From 1999 to 2007 the number of suicides in the United States increased from 10.46 to 11.26 per 100,000 people, between ages 10 to 24 it is the 3rd leading cause of death, 2nd leading cause in 24 to 35 year olds and the 10th from all age groups. Globally one in every 40 seconds, 800,000 a year, suicide is absolutely preventable, these are not accidents and 90% sought treatment for mental health prior. Thoughts and ideation are higher among young adults’ ages 18 to 25 years where the greatest attempts are made; among 18 and older 8.3 million report having suicidal thoughts, 2.2 million made plans, 1 in every 25 succeed in committing suicide. Between the ages 15 to 24 years old 100 to 200 attempts are made, 500,000 in the United States seek help in emergency rooms; an estimated 6.5 billion in non-fata, self-inflicted medical cost. The initiative seeks to apply ecological approaches normally dedicated to specialized populations; the approach will intrinsically identify suicide victims through venues and or genres. Public suicide prevention efforts could...
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...Center for US Health System Reform Business Technology Office The ‘big data’ revolution in healthcare Accelerating value and innovation January 2013 Peter Groves Basel Kayyali David Knott Steve Van Kuiken Contents The ‘big data’revolution in healthcare: Accelerating value and innovation 1 Introduction1 Reaching the tipping point: A new view of big data in the healthcare industry 2 Impact of big data on the healthcare system 6 Big data as a source of innovation in healthcare 10 How to sustain the momentum 13 Getting started: Thoughts for senior leaders 17 1 The ‘big data’ revolution in healthcare: Accelerating value and innovation Introduction An era of open information in healthcare is now under way. We have already experienced a decade of progress in digitizing medical records, as pharmaceutical companies and other organizations aggregate years of research and development data in electronic databases. The federal government and other public stakeholders have also accelerated the move toward transparency by making decades of stored data usable, searchable, and actionable by the healthcare sector as a whole. Together, these increases in data liquidity have brought the industry to the tipping point. Healthcare stakeholders now have access to promising new threads of knowledge. This information is a form of “big data,” so called not only for its sheer volume but for its complexity, diversity, and timeliness...
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...to avoidable medical errors. It linked the ability of health professionals to discuss emotionally and politically risky topics in a healthcare setting to key results like patient safety, quality of care, and nursing turnover, among others. The Silent Treatment shows how nurses’ failure to speak up when risks are known undermines the effectiveness of current safety tools. It then focuses on three specific concerns that often result in a decision to not speak up: dangerous shortcuts, incompetence, and disrespect. The Silent Treatment tracks the frequency and impact of these communication breakdowns, then uses a blend of quantitative and qualitative data to determine actions that individuals and organizations can take to resolve avoidable breakdowns. Imagine you are a nurse who has been given a set of new safety tools that warns you whenever your patients are in danger. That would be powerful, life-saving information, right? But what if nobody listened to you or heeded your warnings? This kind of breakdown is happening in hospitals every day. The quote below is one of 681 collected in the course of this research. “I think nearly every day we are faced with the hand-off allergy list. Frequently, the surgeons will order an antibiotic the patient is allergic to according to the safety checklist. When the patient is out of surgery, nurses have to call the surgeon, the anesthesiologist, and sometimes even the pharmacist before someone listens. Sometimes, we go ahead and give the drugs...
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...the actual impact of brand knowledge on consumer response to different aspects of the marketing program. * Brand equity measurement system: set of research procedures designed to provide marketers with timely, accurate, and actionable info about brands so they can make the best possible tactical decisions in the short run and strategic decisions in the long run. * New accountability- return of marketing investment. * Measuring the long-term value of marketing in terms of both its full short term and long-term impact on consumers is crucial for accurately assessing ROI. Brand Audits * Brand audit: a comprehensive examination of a brand to discover its sources of brand equity. Assesses the health of the brand, and suggests ways to improve and leverage its equity. * 2 steps in a brand audit: brand inventory and brand exploratory. * Marketing audit: comprehensive systematic, independent and periodic examination of a company’s marketing environment, objectives, strategies, and activities with a view of determining problem areas and opportunities and recommending a plan of action to improve the company’s marketing performance. * Brand inventory: provides a current profile of how all the products and services sold by a company are marketed and branded. up to date profile of how all the products are branded in terms of brand elements, and nature of supporting marketing program. * Helps suggest what consumers’ current perceptions may be based on...
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