The document provides information on nursing service administration. It defines nursing services as aiming to provide prevention of disease and promotion of health. The objectives of nursing service management are to initiate human relationships among nursing personnel, establish staffing patterns, develop communication and evaluation systems, and participate in programs. It discusses factors that influence patient care like the type of service, nurse experience, physical facilities, and standards of care. The organization of nursing services is outlined from the chief nursing officer down to nursing staff. Human resource management in nursing aims to motivate employees to contribute to organizational goals through functions like policy creation, recruitment, training, and staff appraisal. Job descriptions are important for analysis, recruitment, and staff development. The role of the nurse administrator is
Nursing audit assists in:
1. Evaluating Nursing care given,
2. Achieving deserved and feasible quality of nursing care,
3. Stimulating better nursing records maintenance,
4. Focuses on patient care provided and not on care provider,
5. Contributes to research in nursing.
THE EXPENSE OF QUALITY IS AN INTERACTIVE PROCESS BETWEEN CUSTOMER & PROVIDER. QUALITY ASSURANCE USUALLY FOCUSES ON MATERIAL, GOOD WORK & SERVICE PROVIDED EFFECTIVELY. ANY LACK IN SERVICE PROVIDED CAUSES DECREASE IN QUALITY
The relationship between leadership and management continue to prompt some debate, although the literature demonstrates the need for both (Trent, 2003).
leadership is viewed by some as one of managements many functions; others maintain that leadership requires more complex skills than management and that management is only one role of leadership; still others delineate between the two.
Nursing audit assists in:
1. Evaluating Nursing care given,
2. Achieving deserved and feasible quality of nursing care,
3. Stimulating better nursing records maintenance,
4. Focuses on patient care provided and not on care provider,
5. Contributes to research in nursing.
THE EXPENSE OF QUALITY IS AN INTERACTIVE PROCESS BETWEEN CUSTOMER & PROVIDER. QUALITY ASSURANCE USUALLY FOCUSES ON MATERIAL, GOOD WORK & SERVICE PROVIDED EFFECTIVELY. ANY LACK IN SERVICE PROVIDED CAUSES DECREASE IN QUALITY
The relationship between leadership and management continue to prompt some debate, although the literature demonstrates the need for both (Trent, 2003).
leadership is viewed by some as one of managements many functions; others maintain that leadership requires more complex skills than management and that management is only one role of leadership; still others delineate between the two.
Master in Nursing Administration -Start Your Career and Be Professionaldegreeinhealthcare
The field of nursing deals with providing emotional and physical care to patients admitted in clinics, hospitals and other healthcare organizations. Nurse administrators serve as the frontline in healthcare and usually supervise general operations. They usually perform record keeping, stock management, quality assurance, emergency response planning, and various administrative duties.
The National Mental Healthcare Act-2017 and its implication to current psychiatric care practice in India.
A webinar on the topic at Parul University, Vadodara, Gujrat India
History collection format in psychiatric Nursing (Courtesy Department of Psy...Mental Health Center
Psychiatric History collection format in general psychiatric unit adapted from the department of psychiatry, National Institute of Mental Health and Neuroscienses Bangalore.
Protective factors against suicidal acts in major depression:Reasons for living, Journal Club Presentation in the Dept of Psychiatric Nursing, Kothamangalam
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
2. Nursing Service
Nursing service is the part of the total health
organization which aims at satisfying the
nursing needs of the patients/community.
Nursing service
administration
Nursing service administration is a complex of
elements in interaction and is organized to
achieve the excellence in nursing care
services.
3. Definition
• Nursing services are the
part of the total health
organization which aim
to provide prevention of
disease and promotion
of health.
• WHO expert committee
4. Objectives
Management of nursing service and care
Initiate a set of human relationships at all
levels of nursing personnel.
Establish adequate staffing pattern.
Develop and implement proper
communication system.
Develop and initiate proper evaluation and
periodic monitoring system.
5. Continues…
Proper job description for nursing personnel.
Assist hospital authorities for effective
personnel management.
Share nursing information system with other
discipline.
Formulate and interpret nursing service
policies.
Assist hospital authorities for preparation of
budget.
Participate in inter departmental programs
and other programs.
6. Continues…
Education training and staff
developments
Encourage a stimulating environment in
which the personnel have opportunities to
be creating innovators.
Develop and initiate orientation and
training programs.
Create an atmosphere that conducive to
give proper learning experiences for
students.
7. Continues…
Assist in the development of a sound,
constructive program of leadership in
nursing.
Initiate programs to improve the practice of
nursing in keeping with advances in the
relative areas and disciplines affecting the
quality of nursing.
9. Continues…
Community health program
Participate in community health programs,
associated with hospital.
Interpret the roles and responsibilities in
community health programs.
Participate in extramural health programs
of the hospital and other related
organizations.
10. Functions
To assist the individual patient in
performance of those activities
contributing to his health or recovery.
To help and encourage the patient to carry
out the therapeutic plan initiated by the
physician.
To assist other members of the team to
plan & carry out the total program of care
11. Essential elements
1. A written statement of the purpose & objectives
2. A plan of organization
3. Policy & administrative manuals
4. Nursing practice manuals
5. Nursing service budget
6. A master staff planning
7. Plans of appraisal of nursing
8. Nursing service administrative meetings
9. Advisory committees
12. Continues…
10.Adequate facilities, supplies & equipments
11.Written job descriptions & job specifications
12.Personnel records
13.In-service education of nursing personnel
14.Meeting with personnel from other
departments
13. Factors influencing patient
care
The type of service
The acuteness of the service & the rate of turnover of
patients
The experience of the nurse
The number of non-nurses
The amount & quality of teaching.
The amount & quality of supervision and ward
teaching.
The method of appointment of the medical staff.
The plan of ward floor plan.
The physical facilities.
14. Continues…
The amount, type & location of equipments &
supplies.
The number of working hours
The morale of the worker.
Methods of performing nursing procedures.
The time required for hospital routines
The method of assignment.
The standards of nursing care.
Good ward management.
15. Organization of nursing
services
Chief nursing officer (CNO)
Nursing Supdt (NS)- Gr I
Nursing Supdt. (NS)- Gr II
Deputy (Asst.) NS
Head Nurse (Each ward)
Staff
Nurse
Student
Nurses
Nursing orderly
17. Objectives of HRM
• Primary objective: Motivate the employees to
contribute their maximum towards achieving
organizational goal.
• Secondary objectives:
1. To get the required number of employees and to
train them
2. Create good organizational relations at all levels
of employees
3. Provide fair wages
4. Ensure the employees maximum contribution
towards the organizational goals.
18. Functions of HRM
1. Creating and promoting human resources related
policies
2. Determining the human resources need
3. Educating managers regarding HRM policies,
strategies & approaches
4. Conducting & utilizing the research related to
HRM
5. Establish conducive organizational climate,
teamwork & mutual respect
6. Recruitment, selection, placement & replacement
7. Designing, directing, & evaluating HR
development
19. Continues…
8. Designing and development of
communication system
9. Maintaining acceptable staff welfare
program
10. Staff counseling
11. Establishing regular staff appraisal
12.Occupational safety measures
13. Promoting staff morale motivation
14.Redeeming, recovering and reinstating
guilty employees
22. Job description
• It refers to the duties and responsibilities
of a specific job and the characteristics of
the individual needed to perform it
successfully.
• Elements included are:
– Job title
– Department
– Job grade
– List of duties & responsibilities
23. Purposes of Job description
Job analysis & classification
Recruitment
Delegation of responsibilities
Staff development
Staff appraisal
Staff discipline
24. Guidelines for writing Job
Description
1. Allocate a title that distinctly imply the nature
of job
2. A description with a summary of the
essential requirement
3. Enlist the duties in logical sequence
concentrating on the major activities and the
proportion of time involved
4. Use standard formats
5. Write in clear, concise manner
6. Review periodically
25. Class Presentations
1. Job description of Nurse Manager-Ms.
Annmary Tomy
2. Job description of Nursing supdt-Ms. Chippy
Paulose
3. Job description of Ast. Nursing supdt-Ms.
Binu C Varghese
4. Job description of Head Nurse-Ms. Anu
Alias
5. Job description of Staff Nurse-Ms. Binitha
Thomas
27. Ward Management
• Organizes, directs and supervises the nursing
services
• Coordinates assignments of staff.
• Establishes the general pattern of delegation of
responsibilities and authority.
• Formulates standing orders for the nursing care.
• Ensures appropriate allocation of duties and
responsibilities to all nursing staff
• Formulates nursing policies to ensure quality patient
care and adequate attention at all times.
• Responsible for efficient functioning of the nursing
staff.
• Evaluates the personal performance of the nursing
staff.
28. Continues…
Discipline
• Ensure that a standard of discipline of
nursing staff is high at all times.
• Maintain good order and discipline in wards /
departments.
• Makes daily rounds of the hospital wards /
departments and also seriously ill patients.
• Brings immediately to the notice of the
authority all matters concerning neglect of
duty, insubordination either by nursing staff,
patients or visitors or any un-towards
incident.
29. Continues…
Public Relations
• Promotes and maintains harmonious and
effective relationship with the various
administrative departments of the hospital
and related community agencies.
• Maintain cordial relationships with the
patients and their families.
Office duties
• Scrutinizes the reports and returns and
submits in accordance with existing orders.
30. Continues…
Confidential Reports
• Initiates the confidential reports of nursing staff on
due dates.
• Responsible for the nursing budget.
Education
• Carries out in-service training for all categories of
nursing staff and paramedical personnel and
keeps the records of such trainings.
• Conduct various update courses based on the
needs.
• Encourages the personnel to participate in the
continuing education program.
31. Continues…
Staff Welfare
• Responsible for health and welfare of nursing
staff.
• Ensures annual and periodical health examination
and maintenance of health records.
Conferences
• Responsible for organizing and conducting staff
meeting of the nursing staff once in three months.
• Holds conference in nursing care problems and
discuss policies as regards to working conditions,
working hrs and other facilities.
32. Continues…
Supervision
• Supervises nursing care given to the patients
and all nursing activities within the nursing
unit.
• Supervises the work of all paramedical staff
of the hospital.
Records and Reports
• Maintains various records such as duty roster
nursing staff, day off book, personal bio-data,
leave plan, staff conference book, courses
file etc.
33. Problems & Challenges
♠ Lack of adequate
training.
♠ Problem of personnel
management.
♠ Inadequate number of
nursing staff.
♠ Shortage of trained
manpower.
♠ Poor role model.
♠ No research scope.
♠ Professional
risk/hazards.
♠ No autonomy in
nursing activities.
♠ Lack of motivation.
♠ No involvement in
planning.