...conduct of your duties on your part are also governed by law. Consider the basic governance of a health care setting and how your roles as a top administrator in this setting are affected by the legal system. A healthcare system is like any other organization or society in the instance that it needs rules, communication, and active acknowledgement of each person’s responsibilities and roles among those involved in the system to succeed. As administrators we must do what needs to be done in order to ensure that the system succeeds not only for the benefit of the health care organization itself but more importantly for those that depend on the system, the patients that need our care. Not only do we need to know what it takes to make a health care system work, but we also need to understand the law that the system needs to abide by and make sure those laws are put forth in our actions. According to the Dowton Consulting International Journal, some of the problems with the governance within the healthcare system are: “one of the elements (corporate or clinical governance) is weak or underperforming; the linkages between corporate and clinical governance are not understood and respected inside the organization; and the boundaries between corporate and clinical governance are not effectively managed.” Now the corporate layout is made up of policies, laws, rules, professionals, people, and their customs. If this layout does not work cohesively then there is bound to be a disturbance...
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...nursing role and also their boundaries. Extending nursing role has happened in order to improve patient care. In Malaysia, registered nurses had given a credentialing to be able to undertake a wider range of clinical activity. The National Council of State Boards of Nursing has stated that definition of professional boundaries are the spaces between the nurses power and apply the following concepts are a spaces between nurses and a patient, nurses and doctor and also to other healthcare worker. College & Association of Registered Nurses of Alberta stated in their article “professional boundaries separate therapeutic behavior which well intentioned or not could lessen the benefit of care clients, families and communities”. Professional boundaries is a guideline for all nurses to perform their work as a professional without violent or crossing the limit of responsibility. Nurses need to practice and consistent with professional standards. Maintaining appropriate boundaries controls these power differentials and allows for a safe connection between the professional and client based on the client’s needs. Being a perioperative nurse since year 2000, I can see many changes in nursing policy and also the hierarchy of relationship between the nurse and doctor. The changes in healthcare context which have created negotiation space for nurses, leading to the evolution of new working relationship with doctors. Allen(2001a,2001b) boundaries...
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...about the most useful way to treat the disease. Aggregated data is a great way to educate healthcare professionals and patients on the link between conditions and lifestyle decisions. Healthcare professionals need education to become informed and comfortable in their healthcare duties. Aggregated data can be important part of education. The data can identify information to help with education and research. Healthcare trends, best practices, and evidence-based medicine can guide healthcare professionals in their roles. The disadvantage for aggregated data is the lack of sufficient data to measure the quality of care. Many quality and pay-for-performance initiatives address problem compliance rather than the quality of results. The quality and cost of healthcare have suffered. (Regan & Randall-Lewis, 2008) The advantage for the logic underlying an analysis of routine comparative data is that is it possible to make attributions of causality between the services provided and the observed quality measures (Powell, Davies, & Thompson, 2002, p. 122). Comparative data is easily accessible in many health care settings. The same data can be collected for several purposes and can help with the reduction of cost of setting up data collection and retrieval systems. The data from large numbers of patients with divergent conditions across varied geographical and healthcare settings can be affluent information. Quality comparative data can serve health care in many purposes...
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...undariesProfessional boundaries in Nursing This assignment a discussion about nursing boundaries issues which happened in my workplace. The founder of modern nursing has rightly quoted that ‘nursing is the care which puts the person in the best possible condition for nature to either restore or preserve health or to prevent or cure injury’. Nursing has its own entity and ethics which makes it a profession. In response to the rising health needs, the need for independent nursing is the demand of the hour. This concept are formulated and implemented in develop countries. This has helped in meeting the consumers’ demand for health benefits. In the early years of the nursing profession, it generally believed that nurses served and cared for their patients by assisting physicians. However, now days role of nursing a more expending, not only bring title as register nurses but also as nurses practitioner, advanced nurses practitioner and clinical specialty. Those nurses require undergoing specialized post basic training and most of them are quiet senior staffs. Furthermore , some of the specialty of nursing such as wound care nurse, stoma nurse, diabetic nurse and so on and some of them also been as referred from the doctor for furthered management. In the healthcare set up, if all patient care only being a nurse’s job, this organization will be failure. It need other professional collaboration for better outcome specially in patient care such as physician, surgeons, pharmacists...
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...Boundary less Organizations Dalia M. Davidson January 16, 2012 HCS/325 David R. Campbell Boundary less Organizations Many healthcare workplaces are becoming known for being boundary less organizations. Employees are connecting to the outside world with a wide variety of co-workers, consultants, off-site employees, and other resources. Boundary less organization is a contemporary approach in organizational design. It is an organization that is not defined by, or, limited to, the horizontal, vertical, or external boundaries imposed by a predefined structure. Boundary less organization combines the business team and network structures with the addition of temporariness. Many entrepreneurial and start-up businesses are boundary less organizations. When businesses are able to make quick changes to their environments and come up with solutions to an issue makes them boundary less organizations. There are two types of boundary less organizations. Inside of boundary less organizations teamwork and communication replace formal lines of authority. Barriers that once separated organizational members are resolved and team members react spontaneously to problems that may occur. Outside boundary less organizations the needs are met through outsourcing contracts and outside alliances that come together. These relationships are forever changing so they would look different day to day. Technology and the absence of hierarchy have allowed for the acceptance of boundary less...
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...The Nursing Professional and Ethical Considerations for Using Web-Based Social Networking Sites The Nursing Professional and Ethical Considerations for Using Web-Based Social Networking Sites As nurses navigate web-based social networking sites there is a dangerously thin line between professional and personal online etiquette. Health care employees must maintain patient confidentiality and privacy at all times, as well as serve as a positive representation of their place of employment. Inappropriate use of social media often leads to disciplinary action; and in the most serious cases, can negatively affect a nurse’s career and license. A violation of patient confidentiality takes place as soon as a nurse shares information or even a small detail concerning a patient over the Internet. Examples include reflecting on the severity of a patient’s disabilities, or even commenting on the behavior of an Alzheimer’s patient. Healthcare Professionals must be diligent when it comes to using web-based social media sites. Anything that is posted on the internet is accessible to all and will stay in cyberspace even if the user deleted it off of their sites. Even with the strictest of privacy settings on their profile, it can still be seen by thousands even millions of people. So imagine that you post a picture on Facebook and you have 100 friends and those 100 friends share that post to their 100 friends and then they share that post with their friends. It could go on and on...
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...Daniel Bowey 15020242 Word Count: 1867 2 This assignment is going to discuss the role that lifelong learning plays within a professional career, whilst exploring the term continued professional development and its fundamentals. Professional lifelong learning can be seen as improvements to an individual’s own attributes and skills, which are acquired through the active participation of further training or knowledge attainment outside of their own known boundaries. This can take many forms. Knapper (1998, cited in Aslop, A. 2000.P.42) described it as ‘the ability to learn from life and throughout life, taking responsibility for one’s own learning.’ Continuing Professional Development (CPD) is a popular model of lifelong learning, and is defined...
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...The Scope of Practice of a Physician Assistant The term scope of practice has been defined as “The definition of the rules, the regulations, and the boundaries within which a fully qualified practitioner with substantial and appropriate training, knowledge, and experience may practice in a field of medicine or surgery, or other specifically defined field. Such practice is also governed by requirements for continuing education and professional accountability” (Defining Scope of Practice, n.d.). Physicians, nurses and all other medical professionals are required to know what their particular scope of practice includes and to adhere to those guidelines at all times. Many different types of healthcare professionals are found in an Emergency Room facility, and they will all have a scope of practice that they must adhere to. One such healthcare professional would be a PA or a Physician Assistant. A PA must work under the supervision of a Physician who is ultimately responsible for the PA’s performance and professional conduct with the patient. Any medical procedures that the supervising Physician performs in his scope of practice may be delegated to the PA, as long as the PA has had the necessary training and competency to successfully perform the procedure (Rogers, 2007). In an Emergency room setting a PA may be responsible for such patient care activities as evaluating incoming patients through the process of obtaining a complete and accurate health history, conducting physical...
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...defined as a combination of physical, emotional and spiritual depletion that is linked to caring for patients and their families. As the nurse loses control over personal interactions with patients and their families, and emotionally over steps the boundaries between the patient’s distress and the nurse’s ability not distance themselves emotionally from the patient, compassion fatigue sets in. Compassion fatigue is caused by the empathy the nurse has for patients. It is a natural consequence of stress that can result from becoming emotionally connected to a patient and their family while providing care. Nursing is a care profession. We are drawn to become nurses because we a heart and care about others. Nurses are the only population group at risk for experiencing compassion fatigue; anyone in a “help” associated profession is at risk. All who work in healthcare need to be aware of compassion fatigue, the risks, the warning signs and coping mechanisms. Warning Signs of Compassion Fatigue Compassion fatigue symptoms develop over time. These symptoms effect our cognitive abilities, emotional status, interactions with others, spirituality and physical health. There are warning signs that the nurse and other healthcare professionals needs to recognize in order to combat compassion fatigue and address this condition. Some of the warning signs for compassion fatigue are decreased sense of personal satisfaction...
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...Vulnerable population and self-awareness paper Name Institution Vulnerable population and self-awareness paper Biases among the healthcare personnel calls for self-awareness in order for them to understand how such biases affect delivery of healthcare to vulnerable groups such as mentally ill. Self-awareness is a conscious process that creates personal understanding. It enables them to determine their strengths and limitations, emotional understanding and their behavior with others in a mental health environment. Development of self-awareness enables the health providers to take control of situations. This provides a genuine, authentic and honest presentation of the mental healthcare nurses (Tusaie, 2013). The vulnerable group to be discussed is the depressed mentally ill population. Depression is a chronic disease that significantly affects American’s health and productivity. Demographics of the depressed Depression affects over 21 million people, including children and adults in America. It is the leading major cause of disability for people in the age of between 15 and 44. This is according to the report of the Mental Health America and Thomson Healthcare. More so, depression with anxiety is experienced by approximately 9.6% of Americans and 2.6% without anxiety. The prevalence of mixed anxiety and depressive disorder is relatively more in women than in men. Overall, occurrence of depression is 1 in every 10 adults at a given...
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... Failure Mode and Effects Analysis (FMEA) Regulatory Issues Advantages of CQI Application in Health Care Third Party Measurement Systems Conceptual Framework for Measuring the Quality of Health Care Measuring and Regulating Health Care in the United States The Role of Joint Commission on Accreditation of Hospitals Accreditation is required for Licensure The Joint Commission Approach to Quality Assurance Improving The Performance of Quality Improvement Teams My working title : Craftsman to Scientist : Working Through a Quality Transition. Working thesis : The manner in which physicians manage their role in the evolution of healthcare from a single clinician cottage craft to a scientific...
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...sharing information by telephone, delivering a speech, messaging, letters, e-mail and sharing information face to face. When a person can listen, store, and recall the information that they listened to, it is only then that you know you have communicated effectively. There can be times when there are barriers that prevent effective communication. Things like sending mixed messages, distractions, or inappropriate body language are just a few. The fundamentals of effective communication differ from the regimen in the essentials of health care communication. Why? Because one must be able to communicate effectively in healthcare seeing as how vital it is to be precise and accurate when making a decision about a patient’s health care. When we communicate with our associates and loved ones we are not as aware of exactly how a message is relayed to the other party. In healthcare, one must be very thorough and specific when communicating. “There have been innumerable conflicting messages and...
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...relationship is different from a personal relationship The difference between a working relationship and a personal relationship is that a professional relationship is governed by professional codes of conduct and employer policies and procedures. Fundamentally, it is vitally important to maintain professional boundaries between other staff members and individuals in your care, taking care to maintain a strong sense of mural respect and understanding of the beliefs of others, regardless of your opinion of them. Essentially, a personal relationship is one that is created through personal choice with a person who you share similar interests and personal values with. Concepts such as boundaries are more fluid and are not governed by set rules of procedures. 1.2 Describe different working relationships in social care settings There are many different types of relationships within health and social care and each will require a different type of working relationship with varying degrees of formality. For instance, the relationship you would have between a service user and a social worker, or other professional body would be much different, having to employ a more formal approach with a member of a professional body. Essentially the different types of working relationships are: Between colleagues Between supervisors and managers Professional bodies Clients and family members/representatives of clients 2.1 Describe why it is important to adhere to the agreed scope of the...
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...PCN-505 Counselor Ethical Boundaries and Practices Denise I Ratliff Professor RaTonya Bennett March 30, 2016 * * * * Introduction Ethics, boundaries and potential dual relationships are important for counselors to comprehend. Understanding the code of ethics and understanding the many facets of counselor /patient scenarios that can arise during a professional relationship. Dual relationships is a gray area in which there is a very paramount question that the counseling professional need to address and that is; whether a dual relationship is necessary. Simply put, impractical dual relationships can be charged with unnecessary jeopardy. Certain situations may arise in which a dual relationship could be hard to avoid and may have its challenges. It is important that any counseling that is given regardless of the relationship should be safe and secure. Boundary Issues and Dual Relationships Part A – Decision-Making Model and Counseling Examples Engaging in dual relationships is risky business in being a counseling professional. Ethical issues related to professional boundaries and dual relationships can be complex because, dual relationships and the issues that follow are multi-faceted. “If a dual relationship is exploitative, whether it is before, during, or after a professional relationship, it should be avoided” (ACA, 2015). It is important that the counselor acknowledge the fine distinctions between crossing boundaries that lay in the difference...
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...I believe all healthcare professionals should be licensed in their own discipline, assuring that they have met educational requirements, received a minimal number of hours of training, and passed the exams. Licensing is a mandatory credentialing process established by a state government board and requires us to meet the set standards. State boards write healthcare credentialing and scope of practice laws to protect the public (Allen, 2013). These laws sets the legal boundaries that each profession is authorized to perform. Today, to alleviate the stress resulting from the presence of sicker patients, fewer RNs and numerous cost and budgetary restrictions, healthcare organizations are utilizing the services of unlicensed assistive personnel...
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