...Workplace The United States is facing the need to provide nursing care to an increasing diverse patient population with a nursing workforce that, in itself, is impacted by generational, ethnic and gender differences. The purpose of this paper is to present the importance of diversity in the workplace and delivering culturally competent nursing care, the impact of gender diversity, and the misrepresentation of minorities in the nursing profession. Importance of diversity in the workplace America is a kaleidoscope of cultures, religions, races, and nationalities. The USA Quick Facts from the US Census Bureau shows the following 2011 population statistics: White 63.4%, Hispanic/Latino 16.7%, Black/Afro-American 13.1%, Asian 5.0%, American Indian & Alaska Native 1.2%, and Native Hawaiian/Pacific Islanders. 0.2%. In 2012 minority population increased to 37% and is projected that minorities will be the majority by 2043. Mason, Leavitt & Chaffee (2012) pointed out that as our population “continues to grow and increase its diversity, it is important that the nursing workforce reflect these changes to effectively meet patient care needs and ensure cultural competency” (p. 378). Cultural assessments must be part of the nurse’s health assessment. To be culturally competent nurses need to be aware of their own culture, and the diverse culture of their colleagues and patient populations (Maier-Lorentz, 2008). Culturally competent nursing care is important for positive patient outcomes...
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...staff such as doctors, nurses, CNAs, and your support and ancillary personnel. The current organizational structure in place constitutes of variety of directors, executive officers, and the like. For being a community hospital, there are a lot more supervisory and executive roles than there needs to be for a small hospital. A community hospital is defined as a small business entity that provides general practice services to the surrounding community that has a small population (Primrose, 1998). After carefully reviewing, the organizational structure could be trimmed down in a variety of ways depending on what the focus is of the community needs are. For example, say that this community hospital is located in a retirement community; the organizational structure would have to be composed of a large amount of nursing, respite, and hospice care due to the age of the population. However, if the community hospital were to be located in a college town where the age group is more or less in the young adult range, then the organizational model would need to follow nursing, pediatric care, and more of a general practice approach. Furthermore, the organizational model is directly reflective as to what the population the community is serving. In stating that, it is to be noted that the current organizational structure, at one time, resembles that of a simplified structure, which does effectively govern the hospital. It seems as if as time went on and the hospital grew, the organizational...
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...Perspectives on Professional Bereavement By: Lara Grinceri, RN Grand Canyon University Background The purpose of this article is to look at the role of Professional Oncology Nurse, their obstacles to care, in terms of grief and loss, and determine possible supportive interventions. [ (Jennifer Wenzel, 2011) ] As the oncology patient population continues to grow, so does the demand for experienced, expertly trained oncology nurses. The role of the oncology nurse is challenged by many outside forces, such as increased workloads, heightened patient acuity and complexity, and repeated contacts with suffering patients and caregivers. [ (Jennifer Wenzel, 2011) ]. Due to the nature of their role, these specialized nurses are a limited resource, and due to the high emotional complexity of their patients, can result in a higher than normal turnover rate. This is often in the form of burn-out or compassion fatigue from the constant interactions with death or dying situations. It is critical for nursing to recognize and identify the emotional, as well as physical, barriers to care, and intervene before burnout or compassion fatigue is able to occur. This study looks at the collaboration of a mid-Atlantic University NCI (National Cancer Institute) teaching hospital and affiliated school of nursing , to research their oncology nursing population, and create a plan to manage work-related bereavement, specific to work settings, and to create a supportive program for nurses to help other...
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...Countering Compassion Fatigue: A Requisite Nursing Agenda Deborah A. Boyle, MSN, RN, AOCNS®, FAAN Abstract Nurses have a longstanding history of witnessing the tragedy experienced by patients and families; however, their own reactions to profound loss and premature death have not been systematically addressed. There is a paucity of research describing interventions to prevent or minimize the ramifications of repeated exposure to traumatic events in the clinical workplace. Compassion fatigue is a contemporary label affixed to the concept of personal vicarious exposure to trauma on a regular basis. Yet this phenomenon of compassion fatigue lacks clarity. In this article, the author begins by describing compassion fatigue and distinguishing compassion fatigue from burnout. Next she discusses risk factors for, and the assessment of compassion fatigue. The need to support nurses who witness tragedy and workplace interventions to confront compassion fatigue are described. Citation: Boyle, D., (Jan 31, 2011) "Countering Compassion Fatigue: A Requisite Nursing Agenda" OJIN: The Online Journal of Issues in Nursing Vol. 16, No. 1, Manuscript 2. DOI: 10.3912/OJIN.Vol16No01Man02 Key words: Compassion fatigue, nurse stress, work setting improvements, communication skills Nurses care for ill, wounded, traumatized, and vulnerable patients in their charge. This exposes them to considerable pain, trauma, and suffering on a routine basis (Coetzee & Klopper, 2010; Hooper, Craig, Janvrin, Wetzel...
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...mission should be revised. The Medical Center is in an older urban area with smaller shops and businesses. The community is trending towards a predominantly elder population. There has also been a decline in compliance with T.J.C. standards. Staffing supports new program development and the physician staff is in abundant supply. There are also major issues that need to be addressed, such as shortages in clinical staff, non-interfacing information technology systems, antiquated facilities and infrastructure, and a shift to its financial mix. Careful assessment of the aging person's perception of his or her health, health practices, and knowledge of safety factors affecting their own health is an important part of primary care in all settings. A strategic plan to handle the aging population must be addressed and plans implemented to meet the challenges and needs that the aging population would present. One of the major issues confronting the Community South Medical Center are the shortage of clinical staff including registered nurses, respiratory therapists, and medical technologists The strengths, (arrived through SWOT analysis),of Community South Medical Center is that it has comprehensive health services including acute care, residential care, independent living, in-home nursing, hospice, neonatal, and pediatric services, advanced cardiac services, a major trauma center, a center of excellence for pulmonary services, and a neurosurgery center. (Instructor. 2012) Expansion...
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...exclusion. Social care includes activities such as analyses of the local environment, the economical status of community members and making decisions on financing or co-financing of help measures requested by individuals. The social care budget is also playing a role in financing health services for the unemployed (from the central budget) and the homeless/uninsured (from the local community budget). From the central social care budget money flows to the National Health Fund (NFZ), which is the central insurance institution in Poland, and is further disseminated among the 16 regions of Poland in which branches of NFZ are located. From the local community budget, moneys are paid directly to selected health care units. Due to the yet unfinished implementation of family medicine, primary health care in Poland consists of two dimensions or care models: the old Semashko model with its group out-patient units and the family medicine model. Nowadays both dimensions have equal representation in the health care system: First, part of primary health care – the remaining Semashko model – is organized based on out-patient units. Traditionally, these units consisted of different parts: general-internal medicine; pediatrics; surgery; OBGYN; district nursing care and in many cases dental care. Care in each of these parts was provided by specialists of each particular medical...
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...Job Satisfaction In Registered Nurses: Survey Research Lindsey Rask July 30th, 2011 Job satisfaction within acute, community and public health nursing is imperative to the health care system as it directly affects the entire organization. In most health care settings, nurses hold the majority of positions, and replacement of an licensed personnel can be costly, time consuming, and difficult due to staff shortages. These factors are leading to a decrease in job satisfaction, as they are a major cause of burnout rates within the health care profession. The focus of this study is to explore the career plans, satisfaction levels and professional concerns of registered nurses (RNs), specifically within the Prince Albert Parkland Health Region. Through the use of a interviewed survey, this study will explore what significant number of nurses will choose to seek employment outside of nursing, shift to part-time positions, further their education in the nursing field, retire, or alter their career plans is some way. It will also look at what sort of turnover should be expected among nursing staff, if there is a perceived shortage of professionals in their field, and whether they would recommend nursing as a career to others. Nursing is the nation’s largest healthcare profession, with more than 3.1 million RNs nationwide. Of all licensed RNs, 2.6 million or 84.8 percent are employed in nursing, leaving about 500,000 licensed nurses that do not work in the...
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...In This GUIDE Welcome to Houston Methodist St. John Hospital ___________________________ 2 About Us_______________________________________ 3 Travel Directions____________________________ 4 Telephone Directory ______________________ 5 During Your Stay ________________________ 6-8 Visiting Hours__________________________________ 6 Parking_________________________________________ 6 Cell Phones_____________________________________ 6 Calling Your Nurse______________________________ 6 Telephone ______________________________________ 6 Fire Safety______________________________________ 6 Smoking________________________________________ 6 Electrical Appliances___________________________ 6 Mail and Flowers_______________________________ 6 Gift Shop________________________________________ 6 Spiritual Care___________________________________ 7 ATM_____________________________________________ 7 Patient Meals___________________________________ 7 Snacks__________________________________________ 7 Guest Trays_____________________________________ 7 Vending Machines_____________________________ 7 Cafeteria________________________________________ 7 Financial Expectations for Admissions________ 7 Wireless Internet Access_______________________ 7 Valuables_______________________________________ 8 TV_______________________________________________ 8 Television Channel Listings____________________ 8 Your Privacy & Information___________15 Do You Have Pain? ________________________16 ...
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...Running head: CANCER PAIN MANAGEMENT 1 Cancer Pain Management Lavon R. Williams University of South Alabama Running head: CANCER PAIN MANAGEMENT Cancer Pain Management Cancer is rapidly becoming a chronic illness, and an estimated that 10 million individuals in the United States are survivors of cancer (Sun, Borneman, Piper, Koczywas, & Ferrell, 2008). According to 2008, cancer statistics from the American Cancer Society, about 2 565,650 people die in the United States from cancer every year. Approximately 1.6 million new cases of cancer are expected to be diagnosed in the United States this year (American Cancer Society, 2012). This is why the health care needs of cancer patients are unique, and many are at risk for developing late or long-term side effects and pain from their primary treatments. These long-term effects may also hinder optimal physical, psychological, and cognitive functioning for patients (Sun et al., 2008). Pain is experienced by 30% to 50% of cancer patients receiving treatment and by 70% to 90% of patients with metastatic or advanced disease. In almost every cancer-related case pain is inadequately managed due to a lack of patient and professional knowledge of optimum management (Sun et al., 2008). This paper will discuss how nurses can help provide adequate pain management in advanced cancer patients. Patient and family needs Support for the patient and family may include education and information, coping skills, counseling and psychotherapy...
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...regulatory agency related to prevention and monitoring of communicable diseases will be identified. The impact in which this organization protects and serves the health industry and its communities will be revealed. A primary health care organization that is directly responsible for reporting to the disease control agency will be described. The correlation between both the Center of Disease Control (CDC) and ProMedica Health System (PHS) will be presented as to their responsibilities and purpose in providing controlling, monitoring, evaluating, research, and education services while following regulatory health care guidelines will be presented. Introduction Regulatory agencies play an important and vital role in securing the protection, safety and welfare of our nation’s population. People, agriculture, health care industries and its affiliate employees need guidance and resources to protect the nation from dreadful diseases. Efforts to ensure the safety of the nation in the face of all kinds of diseases are developed through regulatory agencies such as the Center for Disease Control (CDC) (cdc.gov.od). Health care organizations that impact the regulatory agencies objectives of evaluating and monitoring conditions within disease control measures are found in associative organizations such as ProMedica Health System (ProMedica) as well as state and local governmental organizations. The CDC introduces the regulations, guideline and services available to our growing industrialized...
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...COMPASSION FATIGUE AMONG HEALTHCARE WORKERS A PROPOSAL PRESENTED TO THE FACULTY OF THE GRADUATE SCHOOL OF UNIVERSITY OF THE VISAYAS CEBU CITY, PHILIPPINES IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ARTS IN NURSING MAJOR IN NURSING MANAGEMENT BY: CONCHITA BRANZUELA BERGADO CHAPTER I THE PROBLEM INTRODUCTION: Quality of life among healthcare providers will matter on the quality and safety of patient care. Today the proportion of acute patients entering the health care system through emergency departments continues to grow and the number of patients in the Intensive care unit also increasing. In emergency room department, the Emergency medical services (EMS) workers are primary providers of pre-hospital emergency medical care and integral components of disaster response. The potentially hazardous job duties of EMS workers include lifting patients and equipment, treating acute injuries or life-threatening illnesses, handling hazardous chemical and body substances, and participating in the emergency transport of patients in ground and air vehicles. These duties create an inherent risk for EMS worker occupational injuries and illnesses. Healthcare workers in the Emergency medicine has evolved to treat conditions that pose a threat to life and have a significant risk of morbidity. Work-related stressors in which Emergency Department nurses encounter are numerous as a result of the...
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...Research Proposal Running head: RESEARCH PROPOSAL 1 Research Proposal Kathryn Keiper Duke University School of Nursing Research Methods N307-01 Dr. Carla Gene Rapp Apr 20, 2005 Research Proposal Table of Contents 2 Introduction……………………………………………………………………………….3 Review of the Literature…………………………………………………………………..4 Purpose……………………………………………………………………………………8 Methods……………………………………………………………………………………9 Design and research questions…………………………………………………….9 Sample……………………………………………………………………………..9 Survey instrument……………………………………………………..…………10 Research procedures……………………………………………………………..10 Informed consent and IRB approval……………………………………………..11 Strengths and Weaknesses……………………………………………………………….11 Timeline and Cost Considerations……………………………………………………….12 Conclusion……………………………………………………………………………….13 Concept Model………………………………………………………………..Appendix A Sample Questions……………………………………………………………..Appendix B References……………………………………………………………………………….18 Research Proposal Research Proposal Introduction Intensive care units (ICUs) were designed to provide highly skilled, lifesaving nursing care to viable patients with acute illnesses or injuries. Patients with chronic and/or terminal illness were not expected to be admitted to these units, with the possible exception of acute exacerbations of reversible complications. Patients whose care needs changed from curative to palliative were intended to be transferred out of critical care to patient care environments more suited to end-of-life care. However...
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...The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine PREPUBLICATION COPY: UNCORRECTED PROOFS Copyright © National Academy of Sciences. All rights reserved. The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html THE NATIONAL ACADEMIES PRESS 500 Fifth Street, N.W. Washington, DC 20001 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by Contract No. 65815 between the National Academy of Sciences and the Robert Wood Johnson Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project. International Standard Book Number 0-309-XXXXX-X (Book) International Standard Book Number 0-309- XXXXX -X (PDF) Library of Congress Control Number: 00 XXXXXX Additional copies of this report are available from the National Academies...
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...How do new technologies impact on workforce organisation? Rapid review of international evidence Report developed by The Evidence Centre for Skills for Health Contents Key Themes ............................................................................................................................................ 3 Scope .................................................................................................................................................................... 3 How are teams being organised?.......................................................................................................... 7 Substituting grades and roles ............................................................................................................................... 7 Reducing staff or team size .................................................................................................................................. 8 Empowering patients............................................................................................................................................. 9 Changing the place of care ................................................................................................................................. 10 Working across organisations ............................................................................................................................. 10 Working across regional areas .........................
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...EXECUTIVE SUMMARY REPORT ON TWEGAITE EFFORTS FOR BUSOGA DEVELOPMENT By Dr. Bakama BakamaNume, Chair, Busoga Twegaite, Houston, Texas, Dr. Fred W. Alibatya, Chair, Twegaite Inc. – New Jerseyand Mr. John Kizito-Kalema, Chair, Twegaite, Minneapolis, MN. History and Accomplishments Purpose By the time of this report Twegaite has three announced chapters: (1) Twegaite Inc. – New Jersey, (ii) Busoga Twegaite – Houston, TX and (iii) Twegaite – Minneapolis, MN. Twegaite has had two international conventions: Houston, May 22nd – 26th and Minneapolis, May 22nd – 25th. The three chapters are unanimous in purpose and resolve to develop Busoga. Just note that both Houston and Minneapolis made Twegaite truly international. (i) New Jersey Chapter At the May 21st – 25th , 2009 Twegaite second International Convention in Minneapolis, MN, the banquet speaker Betsy Waibi Zikusoka spoke of the history and purpose of Twegaite as a concept and an organization. She also highlighted some of the achievements the organization had scored in specific projects back in Busoga. “I shall try my best to give you the history of Twegaite” she said. “Twegaite came about as a result of a meeting that was held in Princeton Junction, one Sunday afternoon, in October 1998. We figured that as a group the idea of trying to give back to our community in Busoga and Uganda at large was not a bad one. It is a non-political group and the name Twegaite means, "Let's unite." Membership is open to anybody in the world who subscribes...
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