...Organizational Structure and Culture Paper NUR 492 October 21, 2013 Tisa Carlisle Organizational Structure and Culture Paper This paper will review the organizational structure and culture of Palmetto Health, an acute care hospital located in Columbia, South Carolina. The focus will be on the medical-surgical unit. The paper will review the type of organizational structure and how communication is affected by the social and cultural aspects of this hospital. Also discussed is how Palmetto Health provides client-centered care to accomplish their mission statement, “To be remembered by each patient as providing the care and compassion we want for our families and ourselves” (Palmetto Health, 2013). Type of Organizational Structure The type of organizational structure used at Palmetto Health is a hybrid structure. This organizational structure, as it grows, organizes both self-contained units and functional units into a hybrid organization (Sullivan & Decker, 2009). This hybrid structure improves alignment between corporate and service goals. The hybrid structure also encourages better adaptation to the environment while maintaining its efficiency. A weakness of the hybrid structure is conflict between top administration and managers. Managers often resent administrators’ intrusions into what they see as their area of responsibility. Over time, these organizations tend to accumulate large corporate staff to oversee divisions in an attempt to coordinate service...
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...United States, to become a registered nurse, one must complete one of three different types of formal education followed by the completion of the National Council Licensure Examination (NCLEX) with a score of passing. These three types of formal education are baccalaureate-degree nursing (BSN), associate-degree nursing (ADN), and the diploma in nursing. Curriculum standards for all three types of formal education are set and regulated by the National League for Nursing Accrediting Commission (NLNAC) or Commission on Collegiate Nursing Education (CCNE). Although curriculums vary between the three, the standards set are equivalent for all, requiring education and training of elementary nursing skills in the areas of mental-health nursing, surgical nursing, maternal-newborn nursing, and adult nursing. In recent years, there has been a proposal to increase the amount of BSN educated nurses to 80% of all registered nurses by the year 2020. (Institute of Medicine, 2010) This push for greater numbers of BSNs is greatly due to substantial research findings correlating a decrease in...
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...Educational Preparation The competencies between nurses prepared at the associate-degree level (ADN) versus the baccalaureate-degree level have become a very important topic within the healthcare field. This paper will explain a nurse prepared at the baccalaureate-degree level (BSN) brings a higher level of competency to clinical settings. Acute care employers now prefer nurses that has achieve their BSN over the ADN with the goal of achieving Magnet status. It was challenging to write a paper that point out ADN’s educational deficits objectively. However, there is a clear difference between the two, that’s why I’m here today. After reading the content within the interactive nursing timeline of historical events and other articles related to the growing profession of nursing, there was a direct connection between higher academia and proficiency within the profession. The associate degree nursing program is fairly new compared the bachelorette nursing programs. Our history in America has demonstrated that great conflict usually drives for innovative solutions. If we take a look at modern nursing today, we know that major shifts in nursing have happen near or within times that our country was at war. For instance, the development of the associate degree in nursing programs arrived around the WWII era when America had to develop an appropriate answer for the shortage of registered nurses in the field. According to the Adelphi website Dr. Mildred Montag introduced a possible...
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...based practice brings perfection in nursing skills in order to provide competent and safe care to the patients. The level of responsibility and accountability varies as the professional role changes. The charge nurse has more responsibility than the registered nurse. Therefore their levels of professional judgment and practices are not same, but they assume same professional accountability. According to the Agency of Healthcare Research and Quality (AHRQ) Patient Safety Network web site expands upon the definition of prevention of harm: “ freedom from accidental or preventable injuries produced by medical care” (Mitchell, 2008). In 2001 (AHRQ) has given evidence based repot in different ways to improve patient safety. One of the top priorities listed is appropriate use of prophylaxis to prevent Venous Thromboembolism (VTE) in patients at risk. In this paper summarizes how nursing professional is accountable for appropriate use of prophylaxis to prevent VTE in high- risk patients. The fundamental reason for thromboprophylaxis in hospitalized patients is based on scientific principles and...
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...studies that nurses with a higher level of education provide better quality patient care versus the associate level nurse (Rosseter, 2012). There are several differences in competencies between a associate and baccalaureate nurse that include mortality rates, leadership skills, critical thinking skills, health care promotion, clinical skills, and case management (Rosseter, 2012). Baccalaureate Program The American Association of Colleges of Nursing believes that a Baccalaureate degree has a significant impact on a nurse’s level of competency and knowledge base (Rosseter, 2012). The Baccalaureate program is a four year degree and the nursing courses are at the upper division level (Friber et al., 2011). Courses include health informatics, healthcare economics, leadership, research, and health policies (ANA, 2012). The components of the classes such as at Grand Canyon University (GCU) are liberal education, patient safety, evidence-based practice, management of information, health care policies, communication and collaboration, and professional values (Friberg et al, 2011). The courses emphasize ethical decision making, accountability, professionalism, leadership, communication skills, and critical thinking (GCU, 2011). Nursing practice includes disease prevention, health promotion, and early detection with prompt treatment of acute and chronic illness (GCU, 2011). The Baccalaureate program provides a deeper understanding of...
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...Associate-degree Level VS. Baccalaureate-degree Level in Nursing Lisa L. Ramirez Grand Canyon University: NRS 430-V November 22, 2013 There are many differences in the nursing field between an undergraduate nurse, holding an associate’s degree (ADN) and a graduate nurse, holding a baccalaureate’s degree (BSN). The main focus of this paper is to identify the differences of competency in the nursing practice of nurses holding an ADN vs. a BSN degree in the roles of assessing, critical thinking, communicating, providing care, teaching, and leading. Competency is the ability to do something efficiently and successfully. Grand Canyon University (GCU) offers the BSN program and is based on the curriculum set forth by the College of Nursing. This curriculum is outlined to prepare the student to respond creatively to the continuously changing health care systems throughout the world. “Within this program, professionalism, ethical decision making, accountability, effective communication, and critical thinking are emphasized and is achieved by the application of liberal arts, science, health and nursing theories” (GCU). The Associate Degree Nursing curriculum provides knowledge, skills, and strategies necessary to integrate safety and quality into nursing care, to practice in a dynamic environment, and to meet individual needs which impact health, quality of life and achievement of potential, according to the community college of Piedmont. According to an article from...
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...NRS 430: Professional Dynamics Josh Lake April 26, 2013 The Future of Nursing Introduction The United States is facing the largest health care reform in recent history. Nursing, along with other disciplines, will be at the fore front of this enormous transition. Up to this point nursing has played an essential role in the delivery and management of care. To continue to play a pivotal role nursing must elevate its practice to meet the needs of an ever changing health care delivery system. Advances in nursing practice will aide in changing and making health care more affordable, safe and effective. This paper will discuss how nursing, as a profession, can rise to the occasion through elevation of education, primary care practice, and leadership as outlined in the Institute of Medicine (IOM) report: The Future of Nursing: Leading Change, Advancing Health. This paper will also discuss how the author will alter personal practice to meet the goals of the IOM report. Education Advancement The Need for Advancement Since its inauguration nursing education has progressed and reformed to meet the needs of the client and the health care delivery system of the time. Issues in health care have influenced the role of education in preparing nurses to deliver safe and effective care and advocate for their patients. Nursing shortages have prompted multiple levels of education for entry level nurses. There are three pathways that have existed for nurses to become an RN. The Bachelor...
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...Evidence-Based Practice in Nursing Regis University April 9, 2010 Implementation of Evidence-Based Practice Throughout history, nursing practice has experienced change. Florence Nightingale initiated the greatest change in nursing in the mid-1800’s when she gathered data regarding the morbidity and mortality of soldiers (Chitty & Black, 2007). Nightingale recognized there was a need for change to improve patient outcomes. Her determination to provide the best possible care, based on the evidence she gathered, has inspired a profession. Today, the process of using research to care for patients is referred to as evidence-based practice. The purpose of this paper is to define and explain the importance of evidence-based practice, discuss qualitative and quantitative research studies which affect medical-surgical areas, and barriers preventing research utilization and how they may be overcome. Definition of Evidence-Based Practice There are numerous definitions of evidence-based practice (EBP). EBP is defined by Boswell and Cannon (2007) as, “A research-based, decision-making process used to guide the delivery of holistic patient care by nurses” (p. 340). Cope (as cited in Chitty & Black, 2007), defines EBP as “using the best available research findings to make clinical decisions that are most effective and beneficial for patients” (p. 275). It is clear throughout the spectrum of definitions that research is important for making the best possible clinical decisions...
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...complexity of the material that is covered during each class meeting. Consequently, they may resort to memorizing facts instead of comprehending, applying, and transferring knowledge to practice. In addition, students rely on teachers to provide lecture notes and may not be adequately prepared to participate in class discussions. Case studies, which are an effective way of connecting critical thinking, problem solving, and decision-making to practice (Baumberger-Henry, 2003; Campbell, 2004), enhance students’ participation in class discussions. Conceptual models of nursing provide a unique body of knowledge that can be used to guide construction of case studies and enhance application of didactic course content to nursing practice. Students tend to undervalue the contributions of a nursing conceptual model to guide practice. By integrating a nursing conceptual model into the organization of course content and construction of case studies, students are exposed to how conceptual models can guide nursing practice. The purpose of this column is to explore the use of case studies for a senior level medical-surgical nursing course constructed within the context of the Roy adaptation model. Roy Adaptation Model The Roy adaptation model is a conceptual model of nursing that provides a solid foundation for nursing practice (Roy & Andrews, 1999). The philosophical and scientific assumptions of Roy’s model assert that the person is a holistic Nursing Science Quarterly, Vol. 20 No. 4, October 2007...
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...Health Care System Health Services Organization Health Care System In this paper there will be a brief discussion of three forces that have affected the development of the U.S healthcare system. It will observe whether or not these forces will continue to have an effect on the U.S healthcare system over the next decade. This paper will also include an additional force, which may be lead to believe to have an impact on the health care system of the nation. And lastly this paper will evaluate the importance of technology in healthcare. There are three major forces that have affected the development of the health care system within the U.S. and these forces include social, political and economic. The first force is defined as a social force, and during this time in the year of “1850 was the development of the first hos-pitals within the United States, which marked the beginning of formal organization in the U.S” (Williams & Torrens, 2010, p.3). “This particular force concentrated its efforts on public health problems, such as epidemics and various acute infections that affected large amounts of those individuals as a result of poor living conditions, such as unclean foods, contaminated water and housing. After most of the epidemic problems started getting under control, hospitals had to now solve other major problems such as trauma and diseases which were in critical need of surgical intervention” (Williams & Torrens, 2010, p. 3). The second force that affected the...
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...Career Research Paper: My Two Career Choices in the Medical Field Choosing a career path is a major life changing decision, some of us know from the time we are old enough to read and write what we are destined to become. Some of us learn along the way from life experiences and others around us what path we will choose to take, some of us have our future predetermined for us such as being born in a family with a long history of lawyers or being prepared from a young age to take of the family business. In addition, there are those of us who go to school for years and take class after class waiting for an epiphany or some type of inspiration to point out the right direction towards one certain career path. I however, knew from a young age that...
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...Educational Preparation CHIGO Professional dynamics. NRS 430V Monica Kidder November 08, 2012 Educational Preparation Nursing education is very important because of the skill needed to practice .All nurses’ use critical thinking and best judgment at all times in their area of practice. There is a belief that Associate degree in nursing educational level is lower than the Baccalaureate degree in nursing and their scope of practice. Associate Degree in Nursing is a two to three years program and Baccalaureates Degree is a four year program. After receiving the Associate Degree in nursing successful candidates are required to pass NCLEX an external professional exam monitored by Board of Nurse examiners. Bachelor’s Degree in Nursing is a four year program which deals with level of health promotion and spiritual perspectives and deals with ethical issues and social influences. It works across liberal arts including biblical concept. In the area of practice Bachelor’s degree nurse is better equipped to deal with all level of practice both as a bedside nurse and as a manager for good patient’s outcome. The program prepares nurses for a broader scope of practice. Bachelor’s Degree in nursing program equips nurses better than the Associate Degree Nursing to be able to meet with the challenges and the demand of the changing needs of patients in our world today as suggested by the Institute of Medicine Landmark Report on the Future of Nursing. This was initiated by the Robert...
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...Who is the Better Nurse? Christa A. Hosley Grand Canyon University: NRS-430V August 9, 2014 Who is the Better Nurse? What is the definition of competence? Merriam-Webster’s Collegiate Dictionary describes competence as the ability to do something well or the quality or state of being functionally adequate. This paper will describe competency differences between the two year degree nurse, otherwise know as the (ADN), and the four year degree nurse, otherwise known as the (BSN). An Intensive Care Unit patient care situation will be described, making you aware of the different approaches to nursing care and decision making based on educational levels of the nurse. What is the future of the nursing profession? We must first, take a look at the history of nursing. Several centuries ago, nursing was not seen as a profession, rather a job for the less dersired. (Friberg & Creasia, 2010). These men and women helped the sick, poor, and abandoned individual, nursing them back to health. Florence Nightingale, the founder of modern nursing, was responsible for the first Diploma School of Nursing at St. Thomas Hospital in London, England, to educated nurses on better practices with improved sanitation and environments. (Friberg & Creasia 2010). Due to a major nurse shortage after World War II, Mildred Montag founded the first ADN nursing program in 1956. (Friberg & Creasia 2010). There are now multiple educational options for students. A graduate of an accredited nursing program...
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...venturing into the future with my Bachelor of Science in Nursing (BSN) degree. Some people ask me “why do you bother getting your BSN?” This is a question I have considered myself over the past year, and now I am back in school, I realize the benefits to further education are enormous. Nursing link website states “in today’s nursing world, more is expected from a nurse than following doctor’s orders and starting IVs.” (Forster, 2008, para. 4) It continues to report that we as nurses must be able to “make critical decisions about a patient’s care, to question the doctor if orders seem inappropriate and to help the patient through, sometimes, difficult life-changing decisions.” One can only develop these skills with a broad based education, one that includes “critical thinking, and exposure to many different people, though process, and cultural and social norms.” Therefore BSN programs offer more education aimed at developing such necessary skills. (Forster, 2008, para. 4) This paper will discus such benefits in obtaining a BSN degree in further detail; by comparing the differences in competencies between nurses based on their degree level, the use of patient care situation describing differences in approach to nursing care based of formal education in nursing, and the overall benefits and advantages of higher education for nursing practice. Interestingly enough, several studies have been done on these benefits and how higher education affects us as nurses in our practice with more...
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...Differences in Nursing Competencies: ADN vs. BSN Sheri Lancaster August 23, 2014 Differences in Nursing Competencies: ADN vs. BSN There has been much discussion recently about the need to require a minimum of a baccalaureate degree for entry-level nurses. Many hospitals have moved to this ideology and have already began to give a hiring preference to those nurses who hold a baccalaureate degree and many have hired Associate degreed nurses with the requirement that they will obtain their baccalaureate degree within so many years of employment date. This paper will discuss the differences between a nurse holding an associates degree and a baccalaureate degree, as well as, present a patient care situation describing how patient care decisions difference based upon the nurse’s educational level. History of ADN and BSN Programs It was during the post World War II years that Mildred Montage developed an associate degree level of nursing education in response to the shortage of nursing (Creasia & Friberg, 2011). She developed the associate degree-nursing program with the intent that these nurses would work under the supervision of baccalaureate level nurses who were at the time considered professional nurses. The Associate program is a two-year program that focuses on the fundamentals of nursing and teaching bedside clinical skills. The baccalaureate degree program has been in existence since 1909 and was developed as a five-year program (Creasia & Friberg, 2011). It...
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