The nursing profession faces several challenges in the 21st century including a growing elderly population that requires more acute care, rising healthcare costs, and the need to adapt to rapid advances in medical technology. There is also a shortage of nurses exacerbated by an aging workforce and many nurses leaving their jobs to work abroad. Nurse managers play an important role in creating work environments that support nurses, improve patient outcomes, and help address these challenges facing the nursing profession.
This deals with the application of the concepts, principles, theories and methods of developing nursing leaders and managers in the hospital and community-based settings.
The 11 areas of nursing responsibility.
1. Safe quality nursing care
2. Management of Resources and Environment
3. Health Education
4. Legal Responsibility
5. Ethico-moral Responsibility
6. Personal and Professional Development
7. Quality improvement
8. Research
9. Records Management
10. Communication
11. Collaboration and Teamwork
Nursing and challenges for geriatric care in acute hospitalsgrace lindsay
The presentation provides an overview of issues and challenges for nursing in dealing with the health needs of older people in an acute care health care setting. Some of the specific considerations are highlighted including assumptions and stereotyping.
This deals with the application of the concepts, principles, theories and methods of developing nursing leaders and managers in the hospital and community-based settings.
The 11 areas of nursing responsibility.
1. Safe quality nursing care
2. Management of Resources and Environment
3. Health Education
4. Legal Responsibility
5. Ethico-moral Responsibility
6. Personal and Professional Development
7. Quality improvement
8. Research
9. Records Management
10. Communication
11. Collaboration and Teamwork
Nursing and challenges for geriatric care in acute hospitalsgrace lindsay
The presentation provides an overview of issues and challenges for nursing in dealing with the health needs of older people in an acute care health care setting. Some of the specific considerations are highlighted including assumptions and stereotyping.
This is the first part of the lecture in Community Health Nursing. This course provides an overview of the Philippine Health Care Delivery System and the different programs implemented by the Philippine Department of Health to promote and protect the health of the people.
• Definition- pg 46 + 48 in Du Toit
• Concepts within transcultural nursing care- pg 47 in Du Toit
• Leininger’s transcultural nursing theory- pg 47-48 in Du Toit
• Transcultural nursing assessment model of Giger & Davidhizar (transcultural variations)- pg 49-51 in Du Toit
The Filipino registered nurse believes in the worth and dignity of each human being, recognizes the primary responsibility to preserve health at all cost.
This is the first part of the lecture in Community Health Nursing. This course provides an overview of the Philippine Health Care Delivery System and the different programs implemented by the Philippine Department of Health to promote and protect the health of the people.
• Definition- pg 46 + 48 in Du Toit
• Concepts within transcultural nursing care- pg 47 in Du Toit
• Leininger’s transcultural nursing theory- pg 47-48 in Du Toit
• Transcultural nursing assessment model of Giger & Davidhizar (transcultural variations)- pg 49-51 in Du Toit
The Filipino registered nurse believes in the worth and dignity of each human being, recognizes the primary responsibility to preserve health at all cost.
Ρητορική και πολιτική στην Πρωτοβάθμια Φροντίδα. Η αναγκαιότητα μιας τεκμηριω...Evangelos Fragkoulis
Παρούσιαση μου στα πλαίσια του 13ου Health Policy Forum, με θέμα:
"Πρωτοβάθμια Φροντίδα Υγείας: Προϋποθέσεις Ανασυγκρότησης και Ανάπτυξης"
Αρχαία Ολυμπία, 15-17 Απριλίου 2016
http://www.healthpolicy.gr/13%CE%B7-%CF%83%CF%85%CE%BD%CE%AC%CE%BD%CF%84%CE%B7%CF%83%CE%B7-%CE%B1%CF%81%CF%87%CE%B1%CE%AF%CE%B1-%CE%BF%CE%BB%CF%85%CE%BC%CF%80%CE%AF%CE%B1-2016/
Advancing Nursing Research to Address Global Health ChallengesRyan Michael Oducado
I this presentation, I will delve into the significance
of nursing research, some of the global health challenges that demand our attention,
the current state of nursing research, the vital role of studies conducted by nurses in
addressing these challenges, and how we can collectively advance the cause of
nursing research. We will also explore the challenges and the hurdles that often
accompany our research journey. Furthermore, we will discuss the power of
research, the strengths of collaboration, the availability of resources, and the
dissemination of research findings to create a positive, lasting impact.
Running head A REVIEW OF KEY CURRENT HEALTHCARE ISSUES QUALITY A.docxtoddr4
Running head: A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM 1
A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Student's Name
Institution Affiliation
Date
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Healthcare regulations, funds, workload, and technology continue to complicate and inconvenient the U.S healthcare system. However, the quality and value of care tops. In the United States of America, despite significant healthcare transformation efforts, poor care lingers a considerable concern.
America is second to none in terms of healthcare expenditure across the globe. Ironically, evidence shows that its citizens do not receive the most appropriate care, or at least, which they need. For instance, Graban (2018) documents that preventive care is underutilized in the country, which is escalating the budget of managing advanced diseases. On the other hand, patients of chronic ailments such as diabetes, hypertension, and cardiac complications, do not also usually get treatments that are proven and effective (Wiler, Pines, & Ward, 2019). According to Strome (2019), this case is particularly true and event rampant to the persons that insured, uninsured, or under-insured. The lack of proper coordination of chronic diseases patients' care would only source more or exuberate poor healthcare. The unsurprising healthcare system's underlying fragmentation only fuels the issue given that many health care providers hardly have the payment support such related gears, necessary for effective communication and coordination to improve patient care.
While a significant number of patients miss medically necessary care, other clients get unnecessary or even unsafe attention. Research depicts terrific variations in hospital inpatient lengths of stay, specialists' visits, testing and procedures, and costs — not just by United States' unalike geographic areas, but from one health institution to another in the same town (Wiler, Pines, & Ward, 2019). Though limited, evidence on the most effective treatments and procedures, on the best way of informing providers about the efficacy of different treatments, and on the failures of detecting and reducing errors further underwrite the gaps care's quality and effectiveness (Strome, 2019). The concerns are especially pertinent to the Americans of the lower social classes as well as to those from diverse demographic and ethnic groups are usually frequent victims of a lot of incongruences in health and health care.
The implication of Poor Patient Care
Poor quality care impacts both patients and providers negatively. For patients, it reduces their survival changes, aggravates illnesses, and leads to unnecessary mortalities (Graban, 2018). To providers, such issu.
Running head A REVIEW OF KEY CURRENT HEALTHCARE ISSUES QUALITY A.docxhealdkathaleen
Running head: A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM 1
A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Student's Name
Institution Affiliation
Date
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Healthcare regulations, funds, workload, and technology continue to complicate and inconvenient the U.S healthcare system. However, the quality and value of care tops. In the United States of America, despite significant healthcare transformation efforts, poor care lingers a considerable concern.
America is second to none in terms of healthcare expenditure across the globe. Ironically, evidence shows that its citizens do not receive the most appropriate care, or at least, which they need. For instance, Graban (2018) documents that preventive care is underutilized in the country, which is escalating the budget of managing advanced diseases. On the other hand, patients of chronic ailments such as diabetes, hypertension, and cardiac complications, do not also usually get treatments that are proven and effective (Wiler, Pines, & Ward, 2019). According to Strome (2019), this case is particularly true and event rampant to the persons that insured, uninsured, or under-insured. The lack of proper coordination of chronic diseases patients' care would only source more or exuberate poor healthcare. The unsurprising healthcare system's underlying fragmentation only fuels the issue given that many health care providers hardly have the payment support such related gears, necessary for effective communication and coordination to improve patient care.
While a significant number of patients miss medically necessary care, other clients get unnecessary or even unsafe attention. Research depicts terrific variations in hospital inpatient lengths of stay, specialists' visits, testing and procedures, and costs — not just by United States' unalike geographic areas, but from one health institution to another in the same town (Wiler, Pines, & Ward, 2019). Though limited, evidence on the most effective treatments and procedures, on the best way of informing providers about the efficacy of different treatments, and on the failures of detecting and reducing errors further underwrite the gaps care's quality and effectiveness (Strome, 2019). The concerns are especially pertinent to the Americans of the lower social classes as well as to those from diverse demographic and ethnic groups are usually frequent victims of a lot of incongruences in health and health care.
The implication of Poor Patient Care
Poor quality care impacts both patients and providers negatively. For patients, it reduces their survival changes, aggravates illnesses, and leads to unnecessary mortalities (Graban, 2018). To providers, such issu ...
DQ 3-2Integrated health care delivery systems (IDS) was develope.docxelinoraudley582231
DQ 3-2
Integrated health care delivery systems (IDS) was developed to initiate excellence health care access and quality of care to entire populations and community by collaborating and coordinating diverse healthcare professionals. Main driving force of IDS is patient centered care by using resources such as collaborating care from physicians and allied health care professionals to construct continuum of care, to deliver care in the most cost-effective way, utilize trained and competent providers by utilizing evidenced -based practice and combine innovation such as EHR (Electronic Health Records) system and team work to produce improved healthcare system.
Excellence in care is attainable by incorporating allied healthcare professional, as high quality care is possible when coordination is unified and covers all areas of responsibilities. For an example-combining resources and coordination of care by involving physicians, dietitian, physical therapy or occupational therapy to work with patient diagnosed with obesity by promoting teamwork approach and ultimately delivering endurance in care and utilizing various resources.
Barriers to IDS can be a huge block in delivering quality care. Among many one limitation is physicians not participating in integrated healthcare system, which disconnect physicians from team based approached by deterring continuous quality improvement (essentialhospitals.org, n.d). This is because, system such as EHR or new innovative quality assurance programs are time consuming and overwhelming, thus decline in physicians support in IDS programs. By implementing user friendly system approach, enforcing focused based care and accepting the necessity of evidenced based practice can improve these barriers. Hence, increasing clinical expertise to produce better service and quality of care in integrated delivery system.
Essentialhospitls.org (n.d). Retrieved from: http://essentialhospitals.org/wp-content/uploads/2013/12/Integrated-Health-Care-Literature-Review-Webpost-8-22-13-CB.pdf
Dq 3-1
1.
In the US, there is not one type of health care system but rather a subset of systems, some of them catering to specific populations. These subsystems include managed care, military, and vulnerable populations. Managed care is a health care delivery system that seeks to achieve efficiency by integrating the basic functions of health care delivery, employs mechanisms to control utilization of medical services, and determines the price at which the services are purchased and how much the providers get paid, military health care system is available free of charge to active duty military personnel and covers preventative and treatment services that are provided by salaried health care personnel and this system combines public health with medical services, and vulnerable population subsystem offers comprehensive medical and enabling services targeted to the needs of vulnerable populations and government health insurance programs provide.
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
pasterme:
rate subject to change Please review all budgets with the SPH
Business Office.
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 ...
2 8 5L e a r n I n g o b j e c t I v e sC H A P T E R.docxlorainedeserre
2 8 5
L e a r n I n g o b j e c t I v e s
C H A P T E R 1 0
Q U A L I T Y M A N A G E M E N T I N
T H E P H Y S I C I A N P R A C T I C E
Quality and reliability are system properties.
—W. Edwards Deming
➤ Articulate the nature of performance management.
➤ Describe the approaches to performance improvement.
➤ Appreciate the impact of variation on performance.
➤ Discuss the components of the Triple Aim.
➤ Describe process improvement.
In t r o d u c t I o n
One of the most important issues to address in the medical practice is the quality and
safety of the care provided to patients. The Institute of Medicine (IOM 2001), a presti-
gious branch of the National Institutes of Health, stated in its landmark report Crossing the
Quality Chasm: A New Health System for the 21st Century, “In its current form, habits, and
environment, American health care is incapable of providing the public with the quality
health care it expects and deserves.”
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EBSCO Publishing : eBook Academic Collection (EBSCOhost) - printed on 4/16/2020 7:48 PM via SUNY CANTON
AN: 1839064 ; Wagner, Stephen L..; Fundamentals of Medical Practice Management
Account: s8846236.main.ehost
F u n d a m e n t a l s o f M e d i c a l P r a c t i c e M a n a g e m e n t2 8 6
Another historic IOM (2000) report, To Err Is Human: Building a Safer Health
System, indicated that a shocking number of people—an estimated 44,000 to 98,000 per
year—are harmed by the healthcare system. A more recent study found that this number
has increased since publication of the 2000 IOM report despite substantial efforts to
improve. Medical errors have now become the third leading cause of death in the United
States (Makary and Daniel 2016).
The complexity of medical service and the inconsistency with which these services
are delivered, not to mention the fragmented nature of the system, have led to a number
of quality concerns (Mosadeghrad 2014), including a lack of systematic approaches to care
delivery and quality improvement. Efforts to improve quality in the medical profession
have a long tradition of focusing on individual performance versus system performance.
Exhibit 10.1 illustrates the potential flaw in this thinking. The bell-shaped curve, P-1,
represents the overall performance of any given system. Curve P-2 illustrates an improved
system of performance where the median performance is moved from M-1 to M-2. If an
organization seeks to improve by only focusing on the low performers, it experiences only
a small improvement, shown as I-1. By improving th ...
Brief overview of group 2 final PowerPoint presentation pertaining to the affects of macro-trends on the U.S.Healthcare Systems and potential job growth/opportunities that will come from them.
A research information guidelines to discuss the matter to the selected participants disclosing all necessary information before conducting an assent/informed consent.
This presentation discuss about acid-base-gas normal ratio and its indication in relation to varying abnormal level and how to manage it. This includes clinical analysis practice.
This questionnaire is use to test the knowledge about ECG 12 leads in operations, principles and concepts about cardiovascular diseases and diagnostics.
This questionnaire is use to determine the level of domestic problem a college student have in terms of financial, health, relationship and family system
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
Our mission is to provide a safe and supportive environment where our clients can receive the highest quality of care. We are dedicated to assisting our clients in reaching their objectives and improving their overall well-being. We prioritize our clients' needs and individualize treatment plans to ensure they receive tailored care. Our approach is rooted in evidence-based practices proven effective in treating addiction and mental health disorders.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...
Nursing Practice in the 21st Century
1. Seminar on Nursing Management:
Nursing Practice in the
21st Century: Trends &
Challenges
SPEAKER: PAMELA M. VEROY RN, MAN
NOVEMBER 18, 2018 @ DAVAO DOCTORS COLLEGE DAVAO CITY
9:00AM – 12 NN
2. NURSING SERVICE
“One of the most demanding work environments
across multiple industries, the nurse practice
environment is drowned with concerns over health
safety issues, including job-related injuries and stress,
physical assaults, threats, and verbal abuse.” -
(Henriksen, 2016).
3. Nurse Manager
Nurse managers are recognized as leaders who
have the ability to create practice environments that
influence the quality of patient care, nurse job
satisfaction levels, and the achievement of
performance goals (Zori, Nosek, & Musil, 2010).
4. The primary goal of nurse managers
The primary goal of nurse managers is to create a well-
structured nursing departments, ensure that the
organizational context supports the work of nurses, and
provide skilled coaching to assist nurses in maximizing their
performance processes to have positive combined effect
(Hackman, 2010).
5. Stated Questions?
What are the issues and challenges in the nursing profession
in this current period?
What changes takes place under the nursing leadership and
management?
What transformation and scientific approaches that brought
light to the nurse leaders?
6. 1. Issues and challenges in the
nursing profession
Nursing practice in the 21st century faces a number of challenges, and
these are:
1a.- growing population of hospitalized patients who are older and more
acutely ill,
1b.- increasing healthcare costs,
1c. - the need to stay current with rapid advances in medical knowledge
and technology. These challenges are complicated by an existing
1d. - shortage of nurses, and aging nurse workforce
7. 1a.- Growing hospitalized elderly population and more
acutely ill
The elderly, or those older than 65 years, currently represent 12.5% of the
U.S. population, and are projected to increase to 20% of the population
by 2030—growing from 35 million to 72 million in number (He,
Sengupta, Velkoff, et al., 2005).
Targeting the care needs of the hospitalized elderly and awareness of
risks for illness-related complications are urgent concerns for managing
acute health care conditions in this population
8. 1a.- Growing hospitalized elderly population and more
acutely ill
Half of the hospitalized adult were > 65 y.o.
vulnerability to hospital-associated complications,
A primary focus for improvement in health care is on
promoting patient safety and avoiding injuries to patients
(Institute of Medicine, 2001).
9. 1a.- Growing hospitalized elderly population and more
acutely ill
A research conducted by Kleinpell, Fletcher, and Jennings
(2008) entitled: ‘Reducing Functional Decline in Hospitalized
Elderly’ examined hospitalized elderly with acute illness and
its impact from hospitalization.
There is significant correlation in the functional decline of
elderly after discharge from hospital confinement.
KEY POINT: Specialty geriatric nursing care can positively
impact elder care in the hospital setting.
10. 1a.- Growing hospitalized elderly population and more
acutely ill
A conducted study in Europe:
To investigating the influence of frailty on access to health care
Outcome: The frail elderly increase their primary and hospital care
utilization before the onset of disability.
Nursing implications based on the evidence-based result is to promote
healthier aging and to reduce the burden on health systems.
Source:
Ilinca, S., & Calciolari, S. (2014). The patterns of health care utilization by elderly Europeans: frailty and its
implications for health systems. Health services research, 50(1), 305-20.
11. 1a.- Growing hospitalized elderly population and more
acutely ill
Nursing Labor Force Are Aging too
Population ageing affects inflows to and outflows from the labor force.
Groups entering the labor market are smaller due to the low fertility levels
in the last decades of the 20th century.
Older workers = Baby boomers
Population and labor force ageing as well as shrinking of the working-age
population make employment a key issue in policy responses to
demographic change (Population ageing in Europe Facts, implications
and policies Research and Innovation, n.d.).
12. 1a.- Growing hospitalized elderly population and
more acutely ill
In the Philippines, the number of older people is increasing
rapidly, faster than growth in the total population (Perez,
1999, December).
In one decade, this grew to 6.5 million older people or about
6.9% of the total population (national Statistics Office, 2000).
The National Statistics Office projects that by 2030, older
people will make up around 11.5 % of the total population,
from 4.6 million (60 yrs. Older) in 2000.
13. 1a.- Growing hospitalized elderly population and more
acutely ill
In Philippines
- Elderly living in poverty (13.2 percent in 2015) – by Phil.
Statistics Authority
- Age discrimination “barriers to employment”
- Still a contributor to society
- - call centers
- - consultancy works (Professionals)
- But some begging on the streets.
- Nursing Implications: Family caregiving
14. 1a.- Growing hospitalized elderly population and more
acutely ill
Many predictions in previous years had said that the Philippines is far
from having an aging population as the country is expected to get a
boost from a "young population."
In 2014, for instance, a study by Moody’s Investors Service showed that
the Philippines will continue to enjoy the benefits of a young population
at least until 2030.
The study predicted that the percentage of elderly people (65 and above)
in the Philippines will most likely grow to 4.9 percent by 2020; 5.6 percent
by 2025 and 6.3 percent by 2030.
Source: Commission in Population, 2018
16. 1b.- Increasing healthcare costs
There are five factors (Dieleman et al., 2017)
population size,
population aging,
disease prevalence or incidence,
service utilization, or service price related to health care spending
(exposure);
changes in health care spending in the United States from 1996 to 2013
(outcome)
(Data on the five factors for 155 health conditions and six types of care
ambulatory, inpatient, prescriptions acquired in retail settings, nursing facility,
emergency departments and dental care)
17. 1b.- Increasing healthcare costs
Factors contributing to the increasing cost of health care services, and in
turn, health care premiums.
• Greater Demand for Services
• New Technology
• Prescription Drugs
• Cost Shift Due to Under-Funded Public Programs
• Government Regulation & Mandates
• Medical Malpractice Liability
Nursing Implication: quality nursing care vs health capital expenditures
Source: (Rising Health Care Costs What Factors are Driving Increases?, n.d.)
19. 1b.- Increasing healthcare costs
Philippines
Healthcare cost
More than half of out-of-pocket
(OOP) amounting to Php 186.6 or 50.1
percent went to pharmacies.
Private general hospitals came in
second at Php 97.5 billion or 26.1
percent;
followed by providers of ambulatory
health care at Php 50.3 billion or 13.5
percent.
Household got highest
contribution
20. 1b.- Increasing healthcare costs
Conducted study – correlation between healthcare cost and nursing
service
A study conducted to determine the connection between nursing
diagnosis and the use of healthcare resources. The result revealed a
significant correlation between expenses and all the demographic variables
(age, sex, type of healthcare affiliation, types of prescription charge) and
nursing diagnosis. The nursing diagnosis can provide information of the
utilization of healthcare resources (Company-Sancho, Estupiñán-Ramírez,
Sánchez-Janáriz, & Tristancho-Ajamil, 2017).
21. 1b.- Increasing healthcare costs
Philippines
Blog: A compilation of health guide to reduce healthcare cost.
The practical solutions for the Filipinos to reduce spending health
treatment in out-of-pocket (“The Ultimate Guide to Reduce Your
Healthcare Costs in the Philippines,” 2017).
Source:
The Ultimate Guide to Reduce Your Healthcare Costs in the Philippines (2017, August). Retrieved from
http://www.moneygirlphilippines.com/ultimate-guide-reduce-healthcare-costs-philippines/
22. 1c. – Updating current & rapid advances in medical knowledge and
technology.
The healthcare landscape is becoming more advanced and efficient, and
the field of nursing has adapted along with the advances technology
Require education, training, and a period of adoption for nurses
Evolving care delivery processes in such areas of the hospital
= as intensive care units (ICUs), emergency/trauma treatment, and
recovery rooms have created a need for nurses with advanced clinically
and technically skills.
23. 1c. – Updating current & rapid advances in medical knowledge and
technology.
Health Technology (Betencourt, 2018)
1. Vein Finding Tool
2. Stethee “SMART” Stethoscope – FDA-cleared Stethee Pro features
technology to capture and analyze heart and lung sounds data via
Bluetooth thru smartphone applications (Apple iOS and Google Android
devices.
3. Cheap Monitors Blood Sugar Levels - Its artificial intelligence algorithm
then triggers its software to either administer glucose or insulin via the
drip that a patient is connected to. The drip is connected to a screen. The
screen shows the metrics for the patient.
4. Patent Monitoring System Reducing Fall Rates – ex. AvaSys Telesitter
video-observation system to improve safety and lower staffing costs.
24. 1c. – Updating current & rapid advances in medical knowledge and
technology.
Health Technology (Betencourt, 2018)
5. Scheduling and Staffing Technology – Joe Novello (37-year-old Creator
and CEO) of NurseGrid
6. The future of mobile devices – “The future of Healthcare: 2022 Hospital
Vision Study” (Betencourt, 2018)
7. The 3D printing – e.g. Ian McHale, a senior at the US Steinert High
School created a blueprint for producing finger splints.
= Prosthetics and implants can be 3D printed. Dutch surgeons replaced
the entire top of a 22 year–old woman’s skull with a customized printed
implant made from plastic.
= Organovo Bioprinting functional human tissue. Successfully bioprinted
liver tissues already in 2014.
25. 1c. – Updating current & rapid advances in medical knowledge and
technology.
Telehealth/Telemedicine in Philippines
Telemedicine is a multiplatform technology, which uses videoconferencing
facility, high-definition cameras, computers, among others, to remotely
consult with doctors or diagnose patients. High quality operation footage
and consultations rely on high-capacity research and education networks
like PREGINET.
In the Philippines, doctors and medical practitioners can now diagnose
and examine patients in far-flung communities, geographically isolated
regions, or underserved areas via telemedicine, an interactive technology,
which runs through the Philippine Research, Education and Government
Information Network (PREGINET).
Nursing Implications: Nursing Ethics and Review of Patient’s Privacy and
Confidentiality
26. 1c. – Updating current & rapid advances in medical knowledge and
technology.
Research in Telehealth
- Recent studies in the emergency care setting,
utilization of telemedicine during patient triage has
demonstrated reduction in patient wait time and
improvement in patient satisfaction.
- Implementation of telemedicine in urgent care
settings may make triage faster and more efficient
and lead to similar improvements in wait time and
patient satisfaction (Aungst, 2018).
27. 1d. - Shortage of nurses, and aging nurse
workforce
According to data from the Philippine Overseas Employment
Agency (POEA), 92,277 nurses have left the country to work
abroad since 2012. That's almost 19,000 nurses leaving every
year.
This month, alarmed by the brain drain, The Philippines
Department of Budget and Management’s 2018 National
Expenditure Program, said there are over 20,101 vacant
positions for government health workers, mostly nurses.
28. 1d. - Shortage of nurses, and aging nurse
workforce
Factors:
- do not receive the benefits enjoyed by regular employees, such as 13th
month pay and hazard pay.
- Contractual worker for many years
- Low minimum wage for professional standard
Tony Burke, vice president of the OMNI College of Nursing stated:
“Filipinos, anywhere they go, they make it and they’re successful. Filipino
nurses and Indian nurses both have really good training and experience, but
adapting is the biggest difference,” Burke said.
29. 1d. - Shortage of nurses, and aging nurse
workforce
The nursing shortage takes place on a global scale. Australia, the UK, and
the US receive the largest number of migrant nurses. Australia received
11,757 nurses from other countries between 1995 and 2000 (Kline, 2003).
The Philippines is the largest exporter of nurses in the world supplying
25% of all overseas nurses .
An average, there are about 30,000 Filipino nurses traveling to the U.S.
each year.
- Source: Matsuno, Ayaka (May 6, 2010). "Nurse Migration: Asian Perspective". docstoc.com.
30. 1d. - Shortage of nurses, and aging nurse workforce
Impact of Nurse Migration
the most educated and skilled nurses
are the first to go abroad.
According to a study led by former
Philippine Secretary of Health Jaime
Galvez-Tan, close to 80 percent of all
government doctors have become
nurses or are in nursing schools.
There are roughly 9,000 doctors-
turned-nurses and 5,000 of all these
medical practitioners are now
working abroad.
Matsuno, Ayaka (May 6, 2010). "Nurse Migration: Asian
Perspective". docstoc.com.
31. 1d. - Shortage of nurses, and aging nurse
workforce
Reasons of Decline of Nurses
Imminent retirement of a generation of nurses (even stretching retirement
in much older age)
40% of working RNs over the age of 50 by 2010 and nearing retirement
(Buerhaus, 2008)
demand of nurses exceeded supply of 400,000 RNs 2020 lead to nursing
shortage rise at 500,000 by 2025 as demand of nurses increase 2% – 3%
a year (Buerhaus, Potter, Staiger, & Auerbach, 2008).
- Buerhaus, P., Potter, V., Staiger, D. O., & Auerbach, D. I. (2008). The future of the nursing workforce in the United States: Data, trends
and implications. Sudbury, MA: Jones and Bartlett. Available at http://www.jbpub.com/catalog/9780763756840/
32. 1d. - Shortage of nurses, and aging nurse
workforce
CHALLENGES IN NURSING MANAGEMENT
1. Generation Gap of Nursing Workforce
Title: Can I relate? A review and guide for nurse managers in leading generations.
An article review to enable nurse managers develop an understanding of the five-generation health workers
by defining the characteristics, general behaviors, strategies for the nurse managers to employ each
generational groups.
These groups are: Traditionalists (born between 1922 and 1945), baby boomers (born between 1946 and
1964), Generation X (born between 1965 and 1979), millennials (born between 1980 and 1995), and
Generation Z (born after 1995).
Outcome of the study was that; There are strengths in each generation. Key differences can be harnessed to
build stronger teams through comprehensive communication strategies, customized reward systems, and
workplace flexibility (Christensen, Wilson, & Edelman, 2018).
IMPLICATIONS: Managers can use Its intergenerational differences, the nurse managers can develop
harmonious environment that bridges generational differences and promotes workforce unity.
33. 1d. - Shortage of nurses, and aging nurse
workforce
CHALLENGES IN NURSING MANAGEMENT
Title: Values of generation Y nurses compared to generation X and baby boomers - A cross-sectional study
This conducted study answer its query with the assumption that there is an effect on the attitudes and
behavior of values between the 3-generations:
generation Y/mellineal (1981 - 1995) and generations X (1966 - 1980) and the baby boomers (1956 - 1965).
Results: The values of self-centredness, stimulation, and hedonism are of high importance to generation Y in
both self-assessment and outside consideration, tradition, conformity, and safety are considered less
important (Huber & Schubert, 2018).
IMPLICATIONS: In the sense of a transformational understanding of leadership, operative and strategic
nursing management must consider generation-specific differences in dealing with nursing staff.
34. Transforming Healthcare System in this 21st
century
Article: Reimagine Health Care Leadership, Challenges and Opportunities
in the 21st Century
Effective nursing leadership in a healthcare organization correlates with
staff job satisfaction, retention, turnover and quality of care.
Nursing leadership development must be supported by appropriate level
of educational preparedness, and requisite set of competencies and skills
(Lee, Daugherty, & Hamelin, 2018).
35. Online Nursing Education
The resource capacity in nursing programs has a direct impact on student
admissions and number of graduates who enter the nursing workforce.
Online delivery of nursing education is identified as a solution to
expand nursing program capacity.
Source:
Russell BH. (2015). The who, what, and how of evaluation within online nursing education: state of the science. J Nurs
Educ,.54(1):13-21. doi: 10.3928/01484834-20141228-02.
36. Virtual Learning Environment
Many higher education institutions use virtual learning environments
(VLEs) that has potential value and appropriateness
Using VLEs for purposes beyond teaching and learning functions,
providing a method of collecting data that has minimal costs,
requires few resources,
offers maximum flexibility,
has apt technical support and engages participants.
Source:
Grech A, and Cassar M. (2018). Can virtual learning environments be used as research platforms? Nurse Res. doi:
10.7748/nr.2018.e1568.
37. Changes in Models of Care
new healthcare models to meet the healthcare demands of the 21st
century.
New models of care have emerged in recent years that could lead to
changes in healthcare delivery and the health professions workforce.
assuming expanded roles for a broad range of patients in ambulatory care
and community-based settings
Educational Redesign of Undergraduate Nursing Curricula
Expansion of Nursing Research
38. Nurse Deployment Program
Deployment programs are geared towards providing
Human Resource for Health (HRH) to areas of needs
– unserved and underserved for more effective and
efficient health service delivery.
43. References
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