...Canyon University AMP-450V: Leadership and Vocation December 13, 2015 This paper will paraphrase an interview conducted with Ally Hobert hereafter to be known as A. Hobert, and provide insight her responses to questions related to her personal perceptions regarding, professional identity and stewardship. I had the pleasure of interviewing A. Hobert, a floor nurse on a medical surgical unit specializing on neurological patients within a hospital. The interview was conducted via phone and was conducted in a relatively short amount of time, less than 10 minutes, and was comprised of only four questions. This author felt, although it was short, the interview was able to accurately portray A. Hobert’s role as a registered nurse (RN) in the healthcare field. What leadership and professional means to her and how that translates into, and affects, her nursing practice and career. Role A. Hobert primary role as a registered nurse within her facility is to provide safe, effective patient care. Her duties include providing patients with; medication administration, education, active listening method, assistance with or conducting patient’s activities of daily living (ADL’s). A portion of her duty as an RN collaborating with different team members including physicians, speech, physical and occupational therapy. As a nurse I also coach and educate nurse techs and work alongside them as they assist in feeding, bathing, taking vitals and more. A large part of my role is advocating for my...
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...Review of: Constructive deviance: striving toward organizational change in healthcare In this scholarly article review I will be describing the article titled “Constructive deviance: striving toward organizational change in healthcare”. This article was written by Dana L. Robbins and Bella L. Galperin from The University of Tampa and published in the Journal of Management and Marketing Research. Their purpose in writing this article is to examine and illustrate how organizational change can be brought on by constructive deviance in the healthcare workplace. It also explores the factors that relate to constructive deviance among physicians. In this article the authors use information from various academic references to support their theories. They also conduct this study with a focus primarily on physicians. This article starts of by introducing what workplace deviance is. In this article antisocial behavior, workplace aggression, organizational retaliation, and employee deviance are all used to describe behaviors generally regarded as workplace deviance. The article goes on to state that very little research has been done that examines the positive aspects of workplace deviance. One of these positives aspects is the occurrence of constructive workplace deviance. This article states that constructive workplace deviance encompasses behaviors that violate significant organizational norms in order to contribute to the well-being of the organization. The authors explore the belief...
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...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 behavior which focuses on managerial dysfunctions, such as resistance to change (Luthans, 2002), constructive deviants can play a central role in facilitating organizational change. Given the increased interest in healthcare reforms in the United States, we...
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... The role of management in a health care setting is a diverse one with many different functions and competencies that come into play. There are also many roles in the health care managerial field that are essential to the overall function and success of the health care industry; thought some are more significant than others, all are vital. According to Thompson, Buchbinder, and Shanks (2012), there are six management functions in which managers utilize to carry out process in the health care industry: planning, organizing, staffing, controlling, directing, and decision making (Chapter Chapter 1: An Overview of Healthcare Management). Planning, which means setting priorities and determining performance targets, is needed to be able to ascertain which direction and end goals are needed to meet the overall spectrum of the organization. Organizing involves knowledge of the overall design of the organization and designating reporting relationships and intentional patterns of interaction (Thompson, Buchbinder, & Shanks, 2012, Chapter Chapter 1: An Overview of Healthcare Management). This would apply in the workplace as determining positions, assignments, and the distribution of authority and responsibility within the scope of the managerial role. Staffing, controlling and directing all involve identifying characteristics of the workforce and applying those toward the overall need of the organization. Developing and maintaining the workforce, assessing and correcting the workforce...
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...By decreasing the incidence of hospital acquired infections the ACNP can improve quality of care and save the hospital money. In the ICU setting many times central lines are necessary for invasive monitoring of hemodynamically unstable patients, administration of vasopressors, and administration of antibiotics. The ACNP can ensure when the line is inserted, sterile technique is maintained throughout the procedure and the use of central line bundles are now standard of care. The ACNP should also document the necessity of the central line and promptly remove the line when it is no longer indicated. Often the use of urinary catheters is essential in monitoring strict urinary output or in patients with urinary retention. Again removing the catheter when no longer indicated can reduce the incidence of catheter associated infections. In the hospital setting the ACNP can implement unit based guidelines that include dressing changes, hand washing, cleansing the skin with chlorhexidine, and cleansing before accessing ports (Peasah et al., 2013). In any efforts to decrease infection rates meticulous hand washing is...
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...Buxton Salem International University Abstract Social media is a rapidly growing and evolving driver of patient engagement and social change on a local, national and global scale. The impact of patient education and engagement through social media interaction is felt throughout the health care system and health care institutions and providers are adapting rapidly to accommodate the needs of an informed, involved patient population. The shifting patient-physician dynamic involved in electronic communications poses ethical and moral questions about the ongoing transformation role of physicians in the online community. The purpose of discussion highlights the various types of communications used in healthcare social media exchange, their roles in the corporate healthcare setting and recommended guidelines for ethical physician electronic social media use and health care institution social media policy. Social media refers to a wide variety of Internet-based electronic communication platforms uniting users globally. These tools vary from encyclopedia-like wikis and written blogs to visual media platforms such as You Tube and Pinterest to familiar social-sharing programs such as Facebook, Twitter, and MySpace. Using these platforms “Allows anyone to create and share information, ideas and experiences through the web in the form of a conversation.” (Loh, Bourque, Lee, Morrison, & Walker, 2012, p. 7) However, using these tools proficiently requires a balance of prudence, art...
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...Prison Healthcare Healthcare is a big topic no matter how you view it, but when looking at it from the point of a person who is in prison, it takes on a whole new view. Those who are in prison have federal and state laws that say that the prisons must provide them with medical facilities for their healthcare needs. This paper will identify a governmental agency that regulates the healthcare that is provided to prisoners in an institution within the United States, along with the foundation of such an agency and who regulates the licenses, accreditation, certifications, and authorization for employment for those who work within one of these facilities. The Federal Bureau of Prisons The Federal Bureau of Prisons (BOP) is an agency that was created on May 14, 1930 and approved of by then president Herbert Hoover. Its main headquarters is in Washington, D.C. The BOP is a subdivision of the United States Justice Department and is responsible for the administration of the federal prison system. Its sole purpose is to provide more open-minded and compassionate care to those who are federal inmates within the United States prison system. This agency is also responsible for providing medically needed health care to inmates in agreement with federal and state laws. One of the most negative aspects that the BOP is responsible for is carrying out all judicially mandated federal executions, including the lethal injection of inmates who have been sentenced to death for a crime they have...
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...Educational Preparation: Associate- degree nurses versus baccalaureate- degree nurses Registered nurses make up one of the biggest professions in healthcare. There is a wide variety of skill levels amongst RNs, including differences in education. However, one thing they have in common is having passed the National Council Licensure Examination. Associate and baccalaureate degree programs each prepare its students for becoming nurses. Although, research has shown there is a variance in competencies between the two degrees, and that hospitals employed with bachelor’s degree nurses have better patient outcomes (Aiken, Clarke, Cheung, Sloane & Silber, 2003). Associate degree nursing education was developed more than sixty years ago at the end of World War II. There was a shortage of nurses, and a project was initiated for the two- year degree. Doctor Mildred Montag, the project director, designed the curriculum to be patient centered instead of disease centered. It consisted of approximately half nursing courses and half general education courses. Fundamental concepts were instilled in the students in the beginning of the program, and by the second year were built on with more complex concepts. Clinical experiences were also different in that it included community facilities, in addition to hospital-based experiences. The two- year program deemed itself successful, and became a stimulus for growth. Even with the associate degree’s success, it has been a controversial subject when...
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...they get paid more, helps with going into management, depends on the situation and experience is what makes a better nurse - no matter the degree. Besides the obvious of the longer length of the education and higher costs in obtaining a higher degree, what is that many employers are now preferring and requiring staff to have at least a BSN? Now, I am looking into studies that have been done and are ongoing through many schools and agencies. These findings continue growing. I found several differences between the ADN and the BSN educated nurse. I will discuss a few of them here. Similarities between the BSN and ADN Both the ADN and the BSN are similar and can function in many roles. Caring for the sick, skilled in promoting and maintaining health, having the same nursing philosophies and teachings, and many of the hands on skills. Both are qualified in passing of the same NCLEX licensing exam. ADN’s education are affordable and accessible which prepare the nurse for competent technical bedside nursing. Both students experience many of the same fears and stressors in obtaining their degree. A study from Oermann, Marilyn H., compared the stresses and clinical experiences between associate and baccalaureate degree nursing programs. The ADN students’ experiences higher level of stress in the clinical...
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...Talking about the nurse’s weekend in a clinical setting also severely violated her boundaries by over disclosing her personal information instead of solely treating the patient (Levett-Jones 2018). Even though sharing person information can be effective in showing empathy and realness to the patient to decrease their anxiety (Simon 2017), in this case, the information which was shared did not aid in the patient’s wellbeing or clinical treatment. Instead, the nurse should have been aware of her boundaries and kept within them to maintain professionality, respect and trust. By only addressing relevant information key to Sandra’s treatment, she would have avoided this boundary crossing which would have thus prevented the patient-nurse relationship from being affected. Once affected, the relationship between them may have also been irreversibly damaged (Simon 2017). Furthermore, the nurse should have been consistently psychologically self-aware (ie empathetic) of how any events occurring outside the healthcare setting could have affected her wellbeing (Cooklin, Lucas, Strazdins, Westrupp, Giallo, Canterford & Nicholson 2013). For instance, the patient could have been experiencing maternal separation anxiety which could have heightened her feelings of anxiety by being separated...
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...HCS/475 Oct 6, 2014 Kathie Huttegger Introduction. In any industry especially that of healthcare people must follow rules and guidelines established that appoint a specific blameworthiness for issues that may arise. There are measures to which breaking specific rules may lead to a predetermined punishment such as, write-ups, termination or that of court and jurisdiction proceedings. By following strict rules it may make the work place feel that of a negative, but there are methods used to bring positivity to a place that must follow guidelines. What is taking responsibility? In the work place there are many rules that people must follow. Accountability can be described as answerability, blameworthiness, liability, and the expectation of account-giving (Dykstra, C. February 1939). In the healthcare industry, it is pertinent that facilities uphold guidelines of accountability towards employees. Measures. Individually or in a team setting, employees must know their respective role and abilities within those guidelines. It is important to understand that responsibility is a contrasted view from that of accountability. While being accountable for something, requires the responsibility to take blameworthiness, it is not the same. Accountability is measured in products, roles, outcomes and that of accomplishment or lack of it (Grady, T, & Malloch, K. (2007) All about the acts. Healthcare and the industries alike are built on ethical considerations. Patient’s privacy and medical...
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...organization is vital in financial matters and in creating the morale and loyalty of the personnel. Ethics are also relevant to the business as it ensures that there is ethical behavior among the workers in the organization. Ethics are also relevant to the business as it aids in creation of an ethical organizational culture. Most of the organizations when posed this question believe that it is the employees who are chiefly responsible for ensuring that their work meet the ethical considerations. However, the employees are not the only ones responsible for business ethics, the employees need support from the management or from the employer. This paper has a look at the ethical issues surrounding the steel manufacturing industry and the Healthcare industry. It also looks at the relevance that ethics have on business, sustainability and corporate responsibility. The paper also looks critically at the connection of business ethics to the organizational culture. Lastly, it tries to answer the question on who is responsible for business ethics. Introduction Ethics forms the values and principles that a person uses in governing their activities and decisions. When it comes to an organization, the code of ethics form the set of principles and values that guide the company in running its programs, decisions and policies. The ethical philosophy that...
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...University Functional Differences Nurses are in a position to make a difference in society. Ethical decision making and professionalism is essential to the nursing practice. Nurses are a majority of the employees in hospital setting, outpatient centers, clinics, and colleges that provide direct patient care, education, and advocacy for patients. Nursing, as a profession, is regulated in each state by their board of nursing. In Indiana, the Indiana State Board of Nursing is the agency responsible for licensing and renewal of licenses of all nurses, regulating the standards of care provided, and taking disciplinary against nurses (Indiana State Board of Nursing, n.d.). The Nurse Practice Acts are enforced through the board of nursing by approving educational programs for nurses. Professional nursing organizations (PON) are more specific to areas of nursing. They are private organizations in which nurses can choose to become members of such as the Association of Perioperative Nurses (AORN). The AORN’s mission is to promote excellence in the delivery of care received in the perioperative area. The organization may lobby for legislation in various areas of the perioperative area to improve the quality of care that patient’s receive and hold seminars to ensure nurses are up to date on the latest research and technological advances in the surgical setting. The AORN strives for nurses to achieve continuing education, utilize evidenced-based practice, and become competence caregivers...
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...procedure of moral choice making alludes to the procedure of assessing and picking among choices in a way reliable with moral standards. In making ethical decisions, it is important to see and take out untrustworthy choices and select the best moral option. This paper will inform the reader about the four ethical principles and the methods of ethical decision making, which all will assist with resolving ethical dilemmas. Ethical principles are the establishments of moral examination since they are the perspectives from which direction can be gotten along the pathway to a choice. “Ethical principles assist care providers in making choices based on moral principles that have been identified as standards considered worthwhile in addressing healthcare-related ethical dilemmas” (Pozgar, 2011). The four ethical principles are autonomy, beneficence, non-maleficence, and justice. There is a 96 year old male who has been diagnosed with terminal liver cancer. Currently the patient is admitted to the ICU for the proper treatment. The patient is confused and disoriented, very skinny and appears underfed, and is covered with bruises, which are common in patients with liver disorders. “The principle of autonomy involves recognizing the right of a person to make one’s own decision” (Pozgar, 2011). This suggests that people should have control over their lives light of the fact that they are the main individuals who totally comprehend their way of life. Here, the patient is unable to make decisions...
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...HR plan- Aastha Healthcare – “bringing healthcare of international standards to you’’ HR management in a hospital is of utmost importance as all operations in a hospital revolve around people and patients. Before we begin with the HR plan we need to know the size and holding capacity of the hospital. We assume that ‘Aastha Healthcare, has 100 beds , including 10 ICU beds . This is a small private hospital and expansion is at foresight. ------------------------------------------------- Doctors to Bed Ratio ------------------------------------------------- ------------------------------------------------- 1: 5 (Indian Medical Council) ------------------------------------------------- Nurses to Bed Ratio ------------------------------------------------- ------------------------------------------------- 1:3 Bed Recruitment and Selection Procedure Manpower planning calls for the integration of information, formulation of policies and forecasting of future requirements of human resources so that the right personnel are available for the right job at the right time. Planning job requirements and job description Manpower planning consists of studying job requirements and preparing job description. The requirements of each and every job must be thoroughly studied through job analysis. Job Analysis Job analysis is the process of examine a job to identify its component parts and the circumstances in which it is performed. It is necessary to be...
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