Nursing practice is impacted by community involvement in several ways. Community health is affected by factors like culture, diversity, and access to care. With shorter hospital stays, nurses must find ways to educate and support patients outside of the hospital to improve health. This involves developing chronic care models, conducting outreach programs, and using telemedicine. It is important for nursing practice to understand community needs through data collection and train on diverse cultural beliefs to provide patient-centered care. Higher nursing education is needed to allow nurses to better coordinate care across settings and help patients manage chronic conditions in the community.
Intercultural communication between patients and health care providers2001Kelsy Saulsbury
Cultural diversity is becoming increasingly more important in the workplace. This is particularly true in health care organizations facing demographic shifts in the patients served and their families. This study serves to aid the development of intercultural communication training programs for health care providers by examining how cul- tural sensitivity and effective intercultural communication, besides helping patients, personally benefit health care providers by reducing their stress. Effective intercultural communication and cultural sensitivity were found to be related. Health care providers’ levels of intercultural anxiety also were found to correlate with effective intercultural communication.
Intercultural communication between patients and health care providers2001Kelsy Saulsbury
Cultural diversity is becoming increasingly more important in the workplace. This is particularly true in health care organizations facing demographic shifts in the patients served and their families. This study serves to aid the development of intercultural communication training programs for health care providers by examining how cul- tural sensitivity and effective intercultural communication, besides helping patients, personally benefit health care providers by reducing their stress. Effective intercultural communication and cultural sensitivity were found to be related. Health care providers’ levels of intercultural anxiety also were found to correlate with effective intercultural communication.
Each semester the Michigan State University Program in Public Health celebrates the accomplishments of its graduates earning their Master in Public Health degree.
Advanced practice nursing; an expanded nursing role on an international level Hanze University Groningen
Eduprof Expertmeeting 14-15 April 2011 Groningen.
Workshop Nursing
presentation on Advanced practice nursing; an expanded nursing role on an international level by Mrs. P. Roodbol, Hanze University of Applied Sciences Groningen. The Netherlands
Each semester the Michigan State University Program in Public Health celebrates the accomplishments of its graduates earning their Master in Public Health degree.
Advanced practice nursing; an expanded nursing role on an international level Hanze University Groningen
Eduprof Expertmeeting 14-15 April 2011 Groningen.
Workshop Nursing
presentation on Advanced practice nursing; an expanded nursing role on an international level by Mrs. P. Roodbol, Hanze University of Applied Sciences Groningen. The Netherlands
A Loja Cumulus atende a capital paulista, o interior e o litoral. Na empresa também há assistência técnica 24 horas. Visite o show room da empresa ou solicite uma visita!
Lecture two of MUH 3212 Lecture series on the Baroque and Classical eras of Western Music. This lecture focuses on Aspects of Performance Practice, additional sources, and it briefly touches on some aspects of the harpsichord in preparation for Jan. 15 harpsichord masterclass.
This was presented at ECCMID 2016 by ECDC expert Carl Suetens. It was created by Mr Suetens together with another ECDC expert Pete Kinross in behalf of the Hospital-associated Infections surveillance Network (HAI-Net)/ Clostridium difficile infection (CDI).
4 CASI di Serious Games all'interno dell'impresa [e-learning games + producti...alittleb.it SRL
4 importanti casi italiani, made by Alittleb.it, di Serious Games utilizzati all'interno dell'impresa con finalità formative e/o produttive:
1) l'e-learning game "SuperMobile" di Vodafone Italia
2) il productivity game "WebPoint Village" di Seat Pagine Gialle
3) l'e-learning game in multiplayer sincrono "La Città Sostenibile" del Gruppo Hera
4) l'e-learning game "Go to Jupiter" di AstraZeneca
Defining a Culturally Competent Organization Culturally competent .docxvickeryr87
Defining a Culturally Competent Organization Culturally competent health care, broadly defined as services that are respectful of and responsive to the cultural and linguistic needs of patients, is increasingly viewed as essential in reducing racial and ethnic disparities, improving health care quality, and controlling costs. The U.S. government considers cultural competence as a method of increasing access to quality care for all patients. The aim should be to develop systems more responsive to diverse populations. Managed care organizations view cultural competence as driving both quality and business. By embedding cultural competence strategies into quality improvement initiatives to make care more efficient and effective, clinical outcomes are improved while costs are controlled. Those in academic settings agree that cultural competency education is crucial for preparing future health care workers, although appropriate education on the topic is provided in only half of the medical schools in the United States (Betancourt, Green, Carrillo, & Park, 2005). According to the Office of Minority Health, cultural competence refers to the ability of health care providers and organizations to understand and respond effectively to the cultural and linguistic needs of patients (Office of Minority Health, 2001). Cultural competence encompasses a wide range of activities and considerations. It includes providing respectful care that is consistent with cultural health beliefs of the clients and family members. Competent interpreter services and programs to promote staff diversity are other ways in which health care organizations can increase cultural competence (Clancy & Stryer, 2001). Because communication is a cornerstone of patient safety and quality care, every patient has the right to receive information in a manner he or she understands. Effective communication allows patients to participate more fully in their care. Communicating effectively with patients is also critical to the informed consent process and helps practitioners and hospitals give the best possible care. For communication to be effective, the information provided must be complete, accurate, timely, unambiguous, and understood by the patient. Many patients of varying circumstances require alternative communication methods: patients who speak and/or read languages other than English; patients who have limited literacy in any language; patients who have visual or hearing impairments; patients on ventilators; patients with cognitive impairments; and children. The hospital has many options available to assist in communication with these individuals, such as interpreters, translated written materials, pen and paper, communication boards, and speech therapy. It is up to the hospital to determine which method is the best for each patient. Various laws, regulations, and guidelines are relevant to the use of interpreters. These include Title VI of the Civil Rights Act, 1964; Executive Order .
Rosie Jean Louis Discussion 7COLLAPSETop of FormCommunity N.docxhealdkathaleen
Rosie Jean Louis: Discussion 7
COLLAPSE
Top of Form
Community Nursing Practice Model
The prevalence of illness among poor urban and rural populations increase the demand for critical care services. However, there is a shortage for physicians who can take up responsibilities in the community health sector. Among the efforts in place to strengthen the human resource is the growing interest to have nurses in advance practices participate inpatient care at the community health level. By applying the community, nursing practice model advanced practice nurses are better prepared to deliver care and outcomes to patients in poor communities.
The Community Nursing Practice Model
The community nursing model plays an essential role in ensuring that less privileged communities can access better healthcare by providing a framework for community nurses to focus on entire populations that have similar health concerns or characteristics. For example, a society where there are reproductive health issues, nurses applying this model in such a community will be able to know what the needs of the community are as far as reproductive health is concerned (Maclaine, 2014).
The model considers all levels of prevention, which include primary prevention whereby the advanced practice nurses promote health and protect against threats to health in the community. For example, carrying out awareness in the community on sexually transmitted diseases and distributing latex condoms in the community (Maclaine, 2014). Another level of prevention is secondary prevention, which involves the community nurses’ practitioners detecting and treating problems at the early stage of detection so that the health problem does not cause serious problems or affect others. The last level of prevention involves the community nurse practitioner preventing existing problems from getting worse.
The MSN Essential
Clinical prevention and population health are one of the MSN essential that is relevant to the community nursing practice. The underlying notion of this MSN essential is recognizing that masters prepared nurse applies and integrates a good organizational, patient-centered and culturally appropriate idea in planning to deliver and managing of clinical prevention and community care services to individuals and families (AACN, 2011). Under this essential, it is well elaborated that a master’s degree level nurse should be able to synthesize broad social determinants of health and data from epidemiology to design and deliver clinical interventions to the communities in need while using relevant strategies.
In summary,the model has transcended values of respect, care, and wellness, which are essential in primary health care. The CNP and MSN essential provide a framework for nurses who want to practice in the community health sector and especially for advanced care nurses. The model depicts community health nursing practitioners as an essential part of an interdisciplinary team that includes phys ...
Patient care collectives facilitate this empowerment by fostering trust, transparency, and mutual respect between patients and healthcare providers. By engaging patients as partners in their care journey, these collectives not only enhance health outcomes but also cultivate a sense of agency and autonomy among individuals.
Budget RESEARCHBudget Template - page 1 of 2GRANT(For Internal Use.docxAASTHA76
Budget RESEARCHBudget Template - page 1 of 2GRANT(For Internal Use Only - see specific sponsoringTitle:Union County of Georgia cancer prevention programagency for the proper forms)Date:12-May-17RFA no.PI:Project Period:2017/2018Budget Period:2017-2018Year 1Field researchResearch assitants( Salaries & benefits)250,000Transport120,000Research tools( questionaires and interviews)50,000420,000Screening actvitiesLocal hospital staff service fees80,000Electricity consumed by equipment20,000Maintenace expenses40,000140,000MarketingNutrionists service fees150,000Local gym service15,000Formation of chamber fo commerce180,000Education workshops ( schools and community centers)50,000395,000
pasterme:
rate as of 7/1/05
subject to change
confirm with the SPH
Business Office
pasterme:
part-time student rate as of 7/1/04 subject to change confirm with the SPH Business Office
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Running head: COMMUNITY COALITION 1
COMMUNITY COALITION 3
Community Coalition
Kimberly Crawford
Kaplan University
January 8, 2018
Community Coalition
1. Choose 5 partnerships to engage and explain why you would invite each of these people//organizations to be a part of the coalition.
The creation of community health promotion and education programs takes into consideration several agencies or parties who help in the achievement of the desired health goals. Each of the partners will address its roles using different approaches depending on their area of expertise. This is an important factor to consider as different institutions address health promotion using different approaches and perspectives. The overall outcome from the contribution of every partner should be able to restore and promote the physical, emotional, spiritual, psychological, and social wellness of the community in relation to the health issue being suffered (Minelli, & Breckon, 2009). Chronic diseases are currently the leading causes of death in the community due to their complexity and the severe effects on human health. The community health promotion and education program will be provided by the ‘Health Concerns Coalition’ which will be made up of the following partners; community religious groups, Cancer Supportive Care Foundation, an association of cancer-survivor patients, nutritional organizations, and the local authority.
1. Cancer Supportive Care Foundation – This is an important part of the coalition as it will offer technical expertise in education and diagnosis of chronic diseases. The foundation team will include medical experts who will diagnose the community members of any chronic illnesses. Examinations for diseases such as breast cancer, prostate cancer, diabetes and blood pressure will be conducted by this partner as they will provide modern machines needed for the diagnosis of chronic illnesses.
2. Community religious groups – Community religious groups ca ...
CHAPTER 84How Community-Based Organizations Are Addressing Nursi.docxtiffanyd4
CHAPTER 84
How Community-Based Organizations Are Addressing Nursing's Role in Transforming Health Care
Mary Ann Christopher, Ann Campbell
“The day may soon dawn when we Americans can enjoy a measure of life and health that is consistent with our extraordinary resources and the intelligence of our people. The pioneers have begun their work; it is far from finished. New fields, new enterprises, are visible. The times call for the high spirit of the courageous pioneers among physicians, scientists, and nurses.”
Lillian Wald
This is a time of rapid transformation in health care, one in which community health nursing has a critical role in advancing individual and public health. As the United States integrates the mandates of the Affordable Care Act (ACA), community health organizations have a pivotal role in affecting the health status of the nation, particularly for vulnerable populations. The Institute for Healthcare Improvement, through the construct of the Triple Aim, calls on all members of the health care team to improve the health of the population, improve the consumer experience and reduce the cost of care. The Institute of Medicine's (IOM) report on The Future of Nursing has charged nurses to become equal partners in the development of health policy and practice (IOM, 2011). The IOM report Public Health and Primary Care has challenged practitioners to coordinate efforts for the betterment of patients (IOM, 2012a).
Community-based organizations are strategically positioned to provide the leadership as well as the integration and coordination of services necessary to carry out these aims. Further, the community-based sector of the nursing profession is poised to influence the transformation of health care delivery by drawing on principles that are core to the discipline. By partnering with communities, creating innovative approaches to care as the system evolves, and engaging the communities they serve, community health nurses can deliver on the promise of quality health care for all. This chapter discusses the approaches of the Visiting Nurse Service of New York (VNSNY) to mobilize the strengths of the community to improve public health, establish cross-continuum interprofessional teams to affect the continuum of the patient care journey, and promote public policy to advance funding methodologies that more adequately consider risk factors of vulnerable populations.
Community as Partner and the Community Anchor
Community Anchor is a concept that is being developed by the VNSNY as a way to build healthier communities. The Community Anchor is a term that suggests if nursing is going to exercise its responsibility for the individual as well as public health, the profession must recommit to its traditional focus on grassroots needs assessment and service provision, so brilliantly illustrated by the work of Lillian Wald, founder of the Henry Street Settlement House, the VNSNY, public health nursing, 665occupational health nursing, the first pl.
Public health is defined as “the approach to medicine that is concerned with the health of the community as a whole” ("Definition of Public Health", 2013). Without public health, health care would be in vain. A person could be in perfect health one day, come in contact with a person with a contagious disease, and be dead within twenty-four hours. This paper will discuss the local health department.
Palliative care in the United States has experienced tremendous growth and visibility over the past decade. Integrating palliative care principles into mainstream health care systems is becoming increasingly common in both acute care and community-based programs. The Center to Advance Palliative Care (CAPC) has played a key role in advancing this field by providing resources, education and training to healthcare providers.
S28 September-October 2016HASTINGS CENTER REPORTUndispu.docxWilheminaRossi174
S28 September-October 2016/HASTINGS CENTER REPORT
Undisputedly, the United States’ health care sys-
tem is in the midst of unprecedented complexi-
ty and transformation. In 2014 alone there were
well over thirty-five million admissions to hospitals in
the nation,1 indicating that there was an extraordinary
number of very sick and frail people requiring highly
skilled clinicians to manage and coordinate their com-
plex care across multiple care settings. Medical advances
give us the ability to send patients home more efficiently
than ever before and simultaneously create ethical ques-
tions about the balance of benefits and burdens associ-
ated with these advances. New treatments for cancer or
complex heart disease may prolong life until the disease
becomes irreversible while causing significant morbidity
that undermines functional status, independence, and
quality of life in ways that patients find unacceptable.
Some patients and families voice concerns about access
to treatments and about the quality and safety of the care
they or their loved ones receive.
Every day on every shift, nurses at the bedside feel
these pressures and the intense array of ethical issues that
they raise. A staggering 17.5 percent of trained nurses are
leaving their roles or the profession after less than one
year of service,2 and increasing levels of moral distress
and burnout contribute to their decisions.3 Meanwhile,
research supports the common-sense understanding that
patients and health care organizations fare better when
nurses are not harried, are supported in their work en-
vironments, and are able to practice high-quality, ethical
care.
At the same time, administrators, policy-makers, and
regulators struggle to balance commitments to patients,
families, staff members, and governing boards. Health
care organizations are compelled by laws, regulations,
and accrediting bodies to pursue externally reported
measures of effectiveness that can put their mission and
values at risk. While health care systems declare their
commitment to core ethical values, many clinicians
struggle to understand institutional priorities, budgets,
policies, and decisions seemingly inconsistent with their
values as professionals.
Increasingly clinicians find their ability to provide
compassionate care at odds with the intensifying focus
on matters such as clinical pathways aimed at standard-
izing care, cost-cutting efficiencies, electronic medical
records, and hospital policies and procedures.4 Arguably,
each of these have merit in the current system, but what
is not accounted for are the unintended consequences
of diverting attention from the core ethical values of the
professions. For example, the advent of the EMR requires
clinicians to focus on documentation rather than being
fully present during patient encounters. An emphasis on
clinical pathways increases the risk of reducing patient
symptoms and diseases to what fits a rote app.
Long Term Care FacilitiesLong term care facilities have gained .docxsmile790243
Long Term Care Facilities
Long term care facilities have gained popularity nowadays in the health care department. The assignment will focus two long term care facilities one facility is from nursing facility, and the other one is the adult day care. One has the responsibility of managing and administering either of the two facilities. The new managers appointed needs to be oriented and familiarized on the management of the long term care facility. The assignment provides a description of the different multidisciplinary teams, and departments included in the facilities. It also provides those who are comprised in the target population of the various programs in the care facilities. The human resource and major staffing issues faced in the home nursing and adult day care. The assignment will also focus on the significance trends likely to affect the operation of the different programs in the long term care facilities and how to overcome them. Finally, the integration and cooperation forms in the long term care facilities are outlined in the assignment. The financing, management nature and quality issues affecting cooperation and integration in the facilities are also discussed in the assignment.
Multidisciplinary teams are very essential in nursing facility. The main objective of the multidisciplinary teams is to ensure that there is improved outcome on the patients’ health status. The multidisciplinary disciplinary teams involve the staffs in the nursing facility. There are different levels of multidisciplinary teams in the nursing facilities. The levels can be grouped as follows; nurses, technicians, anesthesiologists, and attending physicians (Medicaid, 2017). The teams work together through proper communication in different levels to ensure improved outcome of the patient. The various multidisciplinary teams should be trained to work collaboratively.
The main aim of the multidisciplinary teams is to ensure that there is improved outcome on the patient’s health status. The multidisciplinary disciplinary teams involve the staffs in the adult day care. Adult day care involves taking care of an individual in all round manner. That is nutritional, health, and the daily living needs. There are different teams involved in each activity in the adult day care facility. There are nutritionist, health specialists, fitness advisor, and living advisor. For health specialists, there are different levels of multidisciplinary levels can be grouped as follows; nurses, technicians, anesthesiologists, and attending physicians (Epstein, 2014). The teams work together through proper communication in different levels to ensure improved outcome of the patient. The various multidisciplinary teams should be trained to work collaboratively. The attending doctor performs regular check up on the individuals to find out if there are any signs of disease or peculiar body behavior. After the check up, the attending physician communicates the results to the other memb ...
Foundational Learning in Social Determinants of Health for Health Professionals by Dr. Haydee Encarnacion Garcia. Presented at the Emerging Trends in Nursing Conference at Indiana Wesleyan University on June 1, 2017.
1. Running head: HOW COMMUNITY INVOLVEMENT
1
1
How Community Involvement Effects Nursing Practice
Linda Elliston
The Robert B. Miller College
HADM 410 - Nursing Leadership Management II
Johanna Hurst
March 21, 2014
2. HOW COMMUNITY INVOLVEMENT 2
How Community Involvement Effects Nursing Practice
The nursing practice is effective by the diversity, culture, and health of the community.
Keeping the community healthy and making sure the community has access to care is
imperative. With acute care admission times being shorter and the patients are usually sicker,
there is not enough time to give the patients all the education and support they need. The nursing
practice needs to find ways to adapt to this changing trend to help keep the community healthy
and more involved in there medical care.
The American Organization of Nursing Executives (AONE) has identified diversity
principles for health care organizations. These principles include both “internal and external
resources to meet the needs of the diverse patient and workforce populations served”
(Finkelman, 2011, p. 244). The internal resources include fiscal resources to help develop
educational programs and policies to help train employees about diversity and how to meet the
needs of the community/patients they are caring for. Some of the external resources includes
using outside members of the community, with diverse backgrounds, to help with organizational
with planning processes to help meet the needs of the patients and to help with collecting data on
the local community. The outside members of the community need to collect data in regards to
the primary language spoken, the average age of the population, any disease specific domination
in the community, and the community’s race and ethnicity. This data is important for the
organization since it helps the organization develop processes to improve on the quality care and
patient safety rates for the community.
3. HOW COMMUNITY INVOLVEMENT 3
Patient centered care is also vital for a diverse population. Nurses need to be trained in the
different culture beliefs to help give the best quality care for each individual patient. The core
competency of patient-centered care is described by the IOM (2003): “’identify, respect, and care
about patients’ differences, values, preferences, and expressed needs; relieve pain and suffering;
coordinate continuous care; listen to, clearly inform, communicate with, and educate patients;
share decision-making and management; and continuously advocate disease prevention,
wellness, and promotion of healthy lifestyles, including a focus on population health”’
(Finkelman, 2011, p. 216). Keeping the patient informed and letting the patient participate in the
decisions made in regards to their care in imperative.
As mentioned above, in today’s world patients are coming to the hospital sicker and stay for
a shorter period of time; one of the ways to help keep the community healthy, and prevent
frequent hospital readmissions is by developing a chronic care model. “The essence of the
chronic care model is the interaction between an informed, activated patient and a prepared,
proactive practice team” (Bodenheimer, 2005). The chronic care model is essential “in
improving care for chronic diseases” (Bodenheimer, 2005). With more Nurse Practitioner (NP)
and Physician Assistance (PA) acting as leaders, this chronic care model can help educate and
keep our communities healthy. Some hospitals have Nurse Practitioners checking on the patients
post- discharge to help the patients manage their chronic illnesses. Hospitals also have Case
Managers that help the patients arrange for at home assistance and follow up care.
Outreach programs and outpatient services are also important areas for nurses to be
competent in to help keep the community stay healthy. “The type of support available to the
patient and family in the community has a major effect on the hospital’s ability to discharge
patients and prevent complications and readmission” (Finkelman, 2011, p.187). With increasing
4. HOW COMMUNITY INVOLVEMENT 4
drive to provide care in the community, the nursing practice needs to focus more on the
“availability of home health care, medical supplies and equipment, general support such as
Meals-on-Wheels, social services, case management, and so on, and ambulatory care clinics”
(Finkelman, 2011, p.187). The continuum of care to the community also needs to include health
promotion, screening and counseling on disease and illness prevention, tertiary care and
education on the importance of vaccinations, and hospice care. An example of nursing practice
giving back to the community is the Super All Year (S.A.Y) Clinic. The S.A.Y. Detroit Clinic is
“the city's first ever free medical clinic, designed to provide maintenance and preventive
healthcare solely to homeless and uninsured children and their mothers” (Nurse Community
Involvement, n.d.). Nurses have volunteered multitudes of hours at this clinic, performing
healthcare education and patient care (Nurse Community Involvement, n.d.). Another example is
the Beumont Speaker’s Bureau, where nurses provide community education by volunteering “to
go into the community to speak at no charge to civic groups, social clubs and other non-profit
organizations (Nurse Community Involvement, n.d.). .
Telemedicine is another way of assisting the community. Visiting nurses can use this new
technology to help monitor patients with chronic illnesses from the convenience of their own
homes. The visiting nurses can deliver the equipment and educate the patient on the use of the
equipment. This technology can be used to report vital signs, blood sugars, heart rhythms, daily
weight, etc. to the visiting nurse service. Furthermore, telemedicine visits can be arranged for
rural patients that do not have a way of obtaining transportation to and from a doctor’s
appointment, and several states now consider telemedicine visits the same as office visits for the
purposes of insurance billings (Telehealth, 2014).
5. HOW COMMUNITY INVOLVEMENT 5
Nowadays, “nurses are being called on to coordinate care among a variety of clinicians and
community agencies; to help patients manage chronic illnesses, thereby preventing acute care
episodes and disease progression; and to use a variety of technological tools to improve the
quality and effectiveness of care” (The Future of Nursing, 2010). Nurses need to be competent
in “leadership, health policy, system improvement, research and evidence-based practice, and
teamwork and collaboration, as well as competency in specific content areas such as community
and public health and geriatrics” (The Future of Nursing, 2010). “To respond to these increasing
demands, the Institute of medicine IOM committee calls for nurses to achieve higher levels of
education and suggests that they be educated in new ways that better prepare them to meet the
needs of the population” (The Future of Nursing, 2010).
6. HOW COMMUNITY INVOLVEMENT 6
References
Bodenheimer, T., MacGregor, K., & Stothart, N. (2005, March). Nurses as leaders in chronic
care. PubMed. Retrieved February 1, 2014, from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC554894/
Finkelman, A. (2011). Leadership and Management for Nurses: Core Competencies for Quality
Care (2nd ed., pp. 187-245). New Jersey: Prentice Hall. Kindle Edition.
Nurse Community Involvement. (n.d.). In Beaumont Health System. Retrieved March 22, 2014,
from http://www.beaumont.edu/nurse-community-involvement/#.Uy3Fe5BOXIV
Telehealth initiatives that vastly improve patient access to care. (2014). In Communication
Solutions for Healthcare. Retrieved February 15, 2014, from
http://www.avispl.com/markets/healthcare?
sid=MVTM&utm_source=bing&utm_medium=cpc&utm_term=telemedicine&utm_cont
ent=Telemedicine&utm_campaign=Bing_VC_Healthcare
The Future of Nursing: Leading Change, Advancing Health. Institute of Medicine. N.p., 5 Oct.
2010. Web. 22 Mar. 2014. <http://www.iom.edu/Reports/2010/The-Future-of-Nursing-
Leading-Change-Advancing-Health.aspx>.