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[Type text] [Type text] [Type text] 1 Running head: IMPACT OF HOSPITALS OBTAINING MAGNET DESIGNATION Impact of Hospitals Obtaining Magnet Designation Impact of Hospitals Obtaining Magnet Designation As hospitals and long term care facilities compete to be the finest facility, one main focus is to create an environment that delivers service excellence and better patient outcomes (Drenkard, 2010). To achieve its goal, the American Nurses Credentialing Center (ANCC) has created designation recognizing hospitals for their outstanding nursing care delivery; Magnet Recognition Program (jcaho). In her book, Nursing Clinic of North America, Karen stated the designation ensures that a consistency level of practice and professionalism is demonstrated throughout magnet hospitals in the states and hospitals that are attaining magnet status share the same characteristics of qualitative factors known as “Forces of Magnetism” (Hill, 2011). Forces of magnetism is the requirement for designation as a magnet facility and exemplifies a professional environmental guided by a strong and visionary nursing leader who advocates and support excellence in nursing practice (Jordan, 2011). On the other hand, to earn magnet status can be challenging. According to Lorrie Mancuso, the process is a complex application process and extremely expensive (Lorrie, 2016). It is not an easy work to obtain the status and hospitals must work hard to meet strict requirements as well as commitment to the nursing practice (Hawke, 2003). <This paper proposes a review of what is the impact to the hospitals obtaining magnet designation versus the process of obtaining the designation, and compare which one has more advantages> Discussion of Research Points in Favor of Obtaining Magnet Designation Magnet designation is recognized to be the golden standard in nursing world and it is recognized for nursing excellence and delivers high quality of nursing care (“Magnet Status for Nursing Excellence,” 2016). According to Joint Commission on Accreditation of Healthcare Organizations, there is less mortality rate in magnet hospitals due to higher nurse to patient ratios. For example, the incidence of pneumonia acquired in hospitals was associated to the nurse staffing level. A study revealed, “Adding just 30 minutes of RN staffing per patient day greatly reduced the incidence of pneumonia in patients following surgery” (Potter, Perry, Stockert, & Hall, 2016). Nurses’ safety is significantly improved at magnet hospital. Several studies have demonstrated up to one-third reduction in needle stick injuries in magnet facilities at a cost of $405 per incident. Occupational health injuries for musculoskeletal injuries and blood and body fluid exposures are also lower in hospitals with magnet status. Magnet hospitals are in a better position to recruit and retain nurses, most likely because of a better work environment, share governance structures, and nursing services support .
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Running head: IMPACT OF HOSPITALS OBTAINING
MAGNET DESIGNATION
Impact of Hospitals Obtaining Magnet Designation
Impact of Hospitals Obtaining Magnet Designation](https://image.slidesharecdn.com/typetexttypetexttypetext1runningheadimpacto-221209051731-1b8f1c2d/85/Type-text-Type-text-Type-text-1Running-head-IMPACT-O-docx-1-320.jpg)
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This document summarizes a study that examined nurses' use, knowledge, and attitudes toward evidence-based practice (EBP) at a large Magnet hospital. The study used a questionnaire divided into three subscales to assess EBP use, knowledge, and attitudes. The results found that higher levels of education and years of experience were associated with more positive EBP attitudes and knowledge. Additionally, specialty certification was linked to greater EBP use and knowledge. The study provides insights into factors that can increase nurses' adoption of EBP.
Essay On Wound Care Nurse
- The document discusses implementing a new best practice of using betadine nasal swabs for pre-operative patients at a hospital where the author works. Currently, the hospital tests patients but does not use nasal swabs.
- The author describes the steps needed to implement a new practice according to research, including forming an implementation team, researching evidence on the practice, grading the evidence, and getting approval from the hospital administration through presenting findings to a research or governing body.
- A needs assessment must also be conducted first to identify the need for change based on metrics or outcomes data. The hospital has a process for new practice implementation that involves several approval steps.
17NURSING ECONOMIC$January-February 2008Vol. 26No. 1M
17NURSING ECONOMIC$/January-February 2008/Vol. 26/No. 1
M
AGNET® STATUS IS AWARDED
by the American Nurses’
Credentialing Center
(ANCC) to hospitals that
satisfy a set of criteria designed to
measure the strength and quality
of their professional nursing prac-
tice. Designation as a Magnet hos-
pital originated in the 1980s. It was
awarded to hospitals that were
successful in recruiting and retain-
ing nurses during the nursing
shortage of that time (Gleason,
Sochalski, & Aikin, 1999). It is pur-
ported that nurses in Magnet-des-
ignated hospitals deliver excellent
patient outcomes (The Center for
Nursing Advocacy, 2006). When a
health care organization receives
Magnet designation, it is recogni-
tion of a facility’s attainment of
excellence (ANCC, 2006a).
“The Magnet Recognition Pro-
gram® identifies and defines the
‘Forces of Magnetism’ as the char-
acteristics displayed by health care
organizations that develop and
maintain a professional practice
environment that helps recruit and
retain nurses” (ANCC, 2004). To
date, over 200 hospitals in the
United States and one in Australia
are recognized with Magnet desig-
nation (ANCC, 2006b). For a
health care organization to receive
Magnet designation, the environ-
ment must be provided where
nursing care promotes attainment
of the highest achievable patient
outcomes (ANCC, 2004). Evalu-
ation of patient outcomes is an
important topic because of the
concern about the quality of
healthcare.
One of the 14 Forces of
Magnetism requires a health care
organization to have a professional
model of care. The eligibility
requirements stipulate that this
model must be utilized throughout
the health care system and that the
same philosophy must be used
throughout the system. The model
of care is to “give nurses the
responsibility and authority for the
provision of direct care.” Further,
“the models of care provide for the
continuity of care across the con-
tinuum.” The models take into
consideration patients’ unique
EXECUTIVE SUMMARY
One of the 14 Forces of Mag-
netism requires a health care
organization to have a profes-
sional model of care.
The eligibility requirements stip-
ulate that this model must be
utilized throughout the health
care system and that the same
philosophy must be used
throughout the system.
The American Association of
Critical-Care Nurses Synergy
Model for Patient Care de-
scribes nursing practice based
on eight patient characteristics,
and also describes eight nurse
competencies.
The core concept of the model
is that the needs or characteris-
tics of patients and families
influence and drive the charac-
teristics or competencies of
nurses.
Synergy results when the
needs and characteristics of a
patient, clinical unit, or system
are matched with a nurse’s
competencies.
The synergy model is an excel-
lent framework to organize the
work of patient care throughout
the health care system.
It can be used and applied in
various ways and provides a
comprehensive framework for
assuring suc ...
Many healthcare financial decisions have a direct effect on nursin.docx
Many healthcare financial decisions have a direct effect on nursing practice and patient care delivery. What are the ethical implications of these financial decisions? Discuss and explain two specific ways to involve nursing staff in financial planning.
Peer 1 Response:
Lauren Van Hemelrijck posted
The ethical implications of financial decisions that have a direct effect on nursing practice consist of the reduction in available money that is spent on staffing in order to ensure there are appropriate ratios at all times as well as cutting costs related to specific equipment and or tools needed to perform our jobs. Specific nurse to patient ratios have been implemented in some places however, it is not currently the norm regardless of numerous studies that have been conducted and shown that the higher the ratio the worse a patient's outcome. Although facilities will save a substantial amount of money when they cut down on staff, which is why they often choose to do so, an immoral and unethical act in and of itself, the end result effects the patients in often times very negative ways. If patients are having poor experiences they are either not likely to return because they are afraid the care that they receive will continue to be less than adequate or they will have to return due to complications that could have been prevented had there been an appropriate nurse to patient ratio when they were being cared for. As a study on this very subject has found "there is already a significant amount of empirical evidence showing the relationship between certain individual and organizational characteristics of hospital nursing and patient outcomes. These characteristics include nurses' level of education, patient-to-ratios, percentage of RNs among all nursing staff (skill mix), and the nurse practice environment" (Simonetti, 2019, p. 79).
Often times, more expensive equipment makes our jobs easier because it is more efficient and or effective. If we begin to "cut corners" in these ways it will undoubtedly have a direct impact on how well we are able to perform our jobs in certain situations. This is unethical because equipment could mean the difference between accuracy and efficiency among other things. This then means that it could then make or break a patient's outcome. If safety is compromised it is completely inappropriate to substitute equipment that might be unsafe thus putting the patient at an increased risk for illness or injury. This is not only incredibly unethical, it will have an all around negative impact on the facility's reputation and financial standing in the long run. Nurses should have a say in how money is spent because they are often times the most knowledgeable about all of the above. One article that looks at lifting equipment or lack there of states that "the results indicate that fewer than 12 percent of the responding nurses told us they have a "No Lift Policy". More than 85 perfect of hospitals have some type of.
Organizational Application of Nursing Theory Discussion.docx
This document discusses the application of nursing theories in organizational settings. It provides two examples of how nursing theories have been applied: 1) Kaplow and Reed explore how the AACN Synergy Model was used to guide patient care and achieve Magnet designation. 2) Ahtisham and Sommer analyze Virginia Henderson's Need Theory and how it provides a framework for identifying and meeting patients' nursing care needs. The document also discusses how the AACN Synergy Model can act as a professional model of care when applied in healthcare organizations.
Climate today in healthcare.pdf
Higher patient-to-nurse ratios are associated with increased safety risks for patients and worse outcomes. The research purpose is to determine if there is a correlation between increased patient loads for nurses and a rise in medication errors, treatment errors, falls, cardiac arrests, and deaths over a 6-month to 1-year period. Previous studies have found that hospitals with higher patient ratios have higher mortality rates and inability to rescue patients in a timely manner. Higher patient loads are also linked to increased nurse burnout, job dissatisfaction, and lower quality of patient care.
NRS 493 Grand Canyon University Improving Patients Quality Discussion.pdf
This document discusses implementing effective bedside shift reporting to improve patient care quality. It proposes conducting bedside shift reporting where the incoming and outgoing nurses provide patient information directly to each other at the patient's bedside. This is compared to traditional reporting without patients present. The goal is to reduce adverse outcomes and support patient safety, satisfaction, and involvement in care. It reviews literature showing benefits like increased safety and proposes piloting the intervention in one unit before expanding it. Outcomes would be monitored to evaluate the impact on care quality and patient experience.
Magnet hospitals
Magnet hospitals are healthcare facilities recognized for nursing excellence. This document outlines the history and development of Magnet designation. It discusses the importance of Magnet status and the benefits it provides like lower nurse turnover, higher job satisfaction, and better patient outcomes. The document details the original 14 Forces of Magnetism and the ANCC's updated 5 forces model. It also reviews the prerequisites, application process, and requirements for maintaining Magnet recognition.
Recommended
A Nurse Residency Program For New Nursing
This document summarizes a study that examined nurses' use, knowledge, and attitudes toward evidence-based practice (EBP) at a large Magnet hospital. The study used a questionnaire divided into three subscales to assess EBP use, knowledge, and attitudes. The results found that higher levels of education and years of experience were associated with more positive EBP attitudes and knowledge. Additionally, specialty certification was linked to greater EBP use and knowledge. The study provides insights into factors that can increase nurses' adoption of EBP.
Essay On Wound Care Nurse
- The document discusses implementing a new best practice of using betadine nasal swabs for pre-operative patients at a hospital where the author works. Currently, the hospital tests patients but does not use nasal swabs.
- The author describes the steps needed to implement a new practice according to research, including forming an implementation team, researching evidence on the practice, grading the evidence, and getting approval from the hospital administration through presenting findings to a research or governing body.
- A needs assessment must also be conducted first to identify the need for change based on metrics or outcomes data. The hospital has a process for new practice implementation that involves several approval steps.
17NURSING ECONOMIC$January-February 2008Vol. 26No. 1M
17NURSING ECONOMIC$/January-February 2008/Vol. 26/No. 1
M
AGNET® STATUS IS AWARDED
by the American Nurses’
Credentialing Center
(ANCC) to hospitals that
satisfy a set of criteria designed to
measure the strength and quality
of their professional nursing prac-
tice. Designation as a Magnet hos-
pital originated in the 1980s. It was
awarded to hospitals that were
successful in recruiting and retain-
ing nurses during the nursing
shortage of that time (Gleason,
Sochalski, & Aikin, 1999). It is pur-
ported that nurses in Magnet-des-
ignated hospitals deliver excellent
patient outcomes (The Center for
Nursing Advocacy, 2006). When a
health care organization receives
Magnet designation, it is recogni-
tion of a facility’s attainment of
excellence (ANCC, 2006a).
“The Magnet Recognition Pro-
gram® identifies and defines the
‘Forces of Magnetism’ as the char-
acteristics displayed by health care
organizations that develop and
maintain a professional practice
environment that helps recruit and
retain nurses” (ANCC, 2004). To
date, over 200 hospitals in the
United States and one in Australia
are recognized with Magnet desig-
nation (ANCC, 2006b). For a
health care organization to receive
Magnet designation, the environ-
ment must be provided where
nursing care promotes attainment
of the highest achievable patient
outcomes (ANCC, 2004). Evalu-
ation of patient outcomes is an
important topic because of the
concern about the quality of
healthcare.
One of the 14 Forces of
Magnetism requires a health care
organization to have a professional
model of care. The eligibility
requirements stipulate that this
model must be utilized throughout
the health care system and that the
same philosophy must be used
throughout the system. The model
of care is to “give nurses the
responsibility and authority for the
provision of direct care.” Further,
“the models of care provide for the
continuity of care across the con-
tinuum.” The models take into
consideration patients’ unique
EXECUTIVE SUMMARY
One of the 14 Forces of Mag-
netism requires a health care
organization to have a profes-
sional model of care.
The eligibility requirements stip-
ulate that this model must be
utilized throughout the health
care system and that the same
philosophy must be used
throughout the system.
The American Association of
Critical-Care Nurses Synergy
Model for Patient Care de-
scribes nursing practice based
on eight patient characteristics,
and also describes eight nurse
competencies.
The core concept of the model
is that the needs or characteris-
tics of patients and families
influence and drive the charac-
teristics or competencies of
nurses.
Synergy results when the
needs and characteristics of a
patient, clinical unit, or system
are matched with a nurse’s
competencies.
The synergy model is an excel-
lent framework to organize the
work of patient care throughout
the health care system.
It can be used and applied in
various ways and provides a
comprehensive framework for
assuring suc ...
Many healthcare financial decisions have a direct effect on nursin.docx
Many healthcare financial decisions have a direct effect on nursing practice and patient care delivery. What are the ethical implications of these financial decisions? Discuss and explain two specific ways to involve nursing staff in financial planning.
Peer 1 Response:
Lauren Van Hemelrijck posted
The ethical implications of financial decisions that have a direct effect on nursing practice consist of the reduction in available money that is spent on staffing in order to ensure there are appropriate ratios at all times as well as cutting costs related to specific equipment and or tools needed to perform our jobs. Specific nurse to patient ratios have been implemented in some places however, it is not currently the norm regardless of numerous studies that have been conducted and shown that the higher the ratio the worse a patient's outcome. Although facilities will save a substantial amount of money when they cut down on staff, which is why they often choose to do so, an immoral and unethical act in and of itself, the end result effects the patients in often times very negative ways. If patients are having poor experiences they are either not likely to return because they are afraid the care that they receive will continue to be less than adequate or they will have to return due to complications that could have been prevented had there been an appropriate nurse to patient ratio when they were being cared for. As a study on this very subject has found "there is already a significant amount of empirical evidence showing the relationship between certain individual and organizational characteristics of hospital nursing and patient outcomes. These characteristics include nurses' level of education, patient-to-ratios, percentage of RNs among all nursing staff (skill mix), and the nurse practice environment" (Simonetti, 2019, p. 79).
Often times, more expensive equipment makes our jobs easier because it is more efficient and or effective. If we begin to "cut corners" in these ways it will undoubtedly have a direct impact on how well we are able to perform our jobs in certain situations. This is unethical because equipment could mean the difference between accuracy and efficiency among other things. This then means that it could then make or break a patient's outcome. If safety is compromised it is completely inappropriate to substitute equipment that might be unsafe thus putting the patient at an increased risk for illness or injury. This is not only incredibly unethical, it will have an all around negative impact on the facility's reputation and financial standing in the long run. Nurses should have a say in how money is spent because they are often times the most knowledgeable about all of the above. One article that looks at lifting equipment or lack there of states that "the results indicate that fewer than 12 percent of the responding nurses told us they have a "No Lift Policy". More than 85 perfect of hospitals have some type of.
Organizational Application of Nursing Theory Discussion.docx
This document discusses the application of nursing theories in organizational settings. It provides two examples of how nursing theories have been applied: 1) Kaplow and Reed explore how the AACN Synergy Model was used to guide patient care and achieve Magnet designation. 2) Ahtisham and Sommer analyze Virginia Henderson's Need Theory and how it provides a framework for identifying and meeting patients' nursing care needs. The document also discusses how the AACN Synergy Model can act as a professional model of care when applied in healthcare organizations.
Climate today in healthcare.pdf
Higher patient-to-nurse ratios are associated with increased safety risks for patients and worse outcomes. The research purpose is to determine if there is a correlation between increased patient loads for nurses and a rise in medication errors, treatment errors, falls, cardiac arrests, and deaths over a 6-month to 1-year period. Previous studies have found that hospitals with higher patient ratios have higher mortality rates and inability to rescue patients in a timely manner. Higher patient loads are also linked to increased nurse burnout, job dissatisfaction, and lower quality of patient care.
NRS 493 Grand Canyon University Improving Patients Quality Discussion.pdf
This document discusses implementing effective bedside shift reporting to improve patient care quality. It proposes conducting bedside shift reporting where the incoming and outgoing nurses provide patient information directly to each other at the patient's bedside. This is compared to traditional reporting without patients present. The goal is to reduce adverse outcomes and support patient safety, satisfaction, and involvement in care. It reviews literature showing benefits like increased safety and proposes piloting the intervention in one unit before expanding it. Outcomes would be monitored to evaluate the impact on care quality and patient experience.
Magnet hospitals
Magnet hospitals are healthcare facilities recognized for nursing excellence. This document outlines the history and development of Magnet designation. It discusses the importance of Magnet status and the benefits it provides like lower nurse turnover, higher job satisfaction, and better patient outcomes. The document details the original 14 Forces of Magnetism and the ANCC's updated 5 forces model. It also reviews the prerequisites, application process, and requirements for maintaining Magnet recognition.
Lundmark v mepnp
This document summarizes research on Magnet hospitals and environments that support professional nursing practice. Key points:
1) Early research in the 1980s identified characteristics of "Magnet hospitals" that were able to attract and retain nurses when others could not. These characteristics centered around strong nursing leadership, autonomy, and good relationships between nurses and physicians.
2) Further research developed tools to measure these "Magnet characteristics" and evaluated their relationship to nurse and patient outcomes. However, most studies had limitations like relying on self-reported surveys.
3) The Magnet Recognition Program evaluates healthcare organizations against criteria based on the original Magnet research. Over 200 organizations have received Magnet designation. Research continues to investigate the impact of Magnet and professional
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The document discusses challenges related to employee recruitment and retention in the healthcare industry. It notes issues such as a shortage of primary care physicians, high staff turnover, and difficulties retaining employees. It recommends developing a training program to address these challenges by focusing on organization details, recruitment and retention strategies, stakeholder impacts, and suggested solutions to improve quality of care, access, and costs.
Quality of nursing service in bpkihs
The study aimed to assess the quality of nursing services provided at B. P. Koirala Institute of Health Sciences, Nepal. Data was collected using questionnaires to evaluate ward in-charges' leadership qualities, functional capabilities, nursing care status, environmental sanitation, and documentation. The results showed that ward in-charges had average leadership skills (69.2%) and managerial performance (48.28%). Nursing care status (72.32%) and documentation (73.23%) were satisfactory. Environmental sanitation was also satisfactory (65.9%). The findings indicate a need for continuous nursing education to improve leadership skills and the quality of nursing services.
Magnet hospital dr wesam
This document provides an overview of magnet hospitals and the magnet designation process. It begins with defining what a magnet hospital is and the benefits of magnet designation. It then explains the 14 forces of magnetism that are the conceptual framework for magnet appraisal. The document outlines the phases of the magnet appraisal process and barriers to achieving magnetism. It concludes with introducing the new magnet model which organizes the 14 forces into 5 key components: transformational leadership, structural empowerment, exemplary professional practice, new knowledge/innovations, and empirical outcomes.
The Joint Commission Has Instituted A Number Of Goals...
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The Lived Experience of New Graduate Nurses DQ.pdf
This document summarizes a study that explored the lived experiences of new graduate nurses working in acute care settings. Through interviews with 10 new graduate nurses, the researchers identified three overarching themes: knowledge, skills, and environment. While nursing school provided a basic foundation of knowledge, participants felt it did not fully prepare them for their current roles and responsibilities in acute care settings. They noted a lack of exposure to real-world scenarios and a focus on test preparation over practical experience. The high turnover of new graduates negatively impacts patient care and costs employers money. Understanding new graduates' experiences can help educators better prepare students and support a smooth transition to practice.
4CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEWCapston
4
CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEW
Capstone Project Change Proposal Presentation for Faculty Review and Feedback
Name
Name of the institution
Date
Running head: ASSIGNMENT TITLE HERE
1Running head: CHANGE PROPOSAL PRESENTATION FOR FACULTY REVIEW
Intervention
The capstone change proposal is effects of disproportionate nurse to patient staffing ratios on the quality of patient care. Patients can be exposed to several safety issues if proper care is not given to them. These problems include falls, hospital-acquired infection due to poor hand hygiene by the healthcare workers, medication administration errors, poor health education to the patients, and negligence in attending to the spiritual needs of the patients. Interventions includes presenting the safety concerns to the management team of the facility to enable them to hire more nurses to deliver adequate care to the patients. In-service training of the nurses on fall prevention, proper application of fall precautions and identification of patients who are at risk of falls are another important intervention. Proper hand hygiene is an intervention that will prevent hospital-acquired infections and nurses should form the culture of doing it (Sands, & Aunger, 2020). Medication errors can lead to complications or death of patients. Nurses should check the medications properly and identify the patients before administration of the medications.
Evidence Based Literature
The articles reviewed have different research aims and questions, but they are all centered into the idea of the effects of nurse-to-patient ratios on patient outcomes. The research questions of these articles are divided into three categories: definition of nursing staffing, effects of nursing-to-patient ratio on patient outcomes and nursing characteristics that hinders the delivery of care. The study by (Cho et al., 2020), defines the term nursing staffing in terms of the nursing care needs of the patients.
Nurses are essential in the provision of quality care in acute units, and their staffing levels have an impact on patient outcomes. (Cho et al., 2015), examine the link between nursing staffing and patient outcomes, specifically the mortality rate. Comparing to (Driscoll et al., 2018) and (Shin et al., 2018), the articles examine the effects of nursing staffing ratios on the patient outcomes in acute specialist units. Besides, (Needleman, 2016) reviews the studies that examine the effects of nursing skill mix on the patient outcomes such as patient ratings of hospitals, mortality, adverse health outcomes, and nurse burnout and dissatisfaction.
Some of the factors such as nursing skills, staffing methods, and working environment affects the nursing staffing ratio, which hinders the quality of care. The article by (Bridges et al., 2019), explores the relationship between nursing staffing skills and the quality and quantity of their interactions with patients in hospital wards. (Olley et al., 2019) ...
4CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEWCapston.docx
4
CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEW
Capstone Project Change Proposal Presentation for Faculty Review and Feedback
Name
Name of the institution
Date
Running head: ASSIGNMENT TITLE HERE
1Running head: CHANGE PROPOSAL PRESENTATION FOR FACULTY REVIEW
Intervention
The capstone change proposal is effects of disproportionate nurse to patient staffing ratios on the quality of patient care. Patients can be exposed to several safety issues if proper care is not given to them. These problems include falls, hospital-acquired infection due to poor hand hygiene by the healthcare workers, medication administration errors, poor health education to the patients, and negligence in attending to the spiritual needs of the patients. Interventions includes presenting the safety concerns to the management team of the facility to enable them to hire more nurses to deliver adequate care to the patients. In-service training of the nurses on fall prevention, proper application of fall precautions and identification of patients who are at risk of falls are another important intervention. Proper hand hygiene is an intervention that will prevent hospital-acquired infections and nurses should form the culture of doing it (Sands, & Aunger, 2020). Medication errors can lead to complications or death of patients. Nurses should check the medications properly and identify the patients before administration of the medications.
Evidence Based Literature
The articles reviewed have different research aims and questions, but they are all centered into the idea of the effects of nurse-to-patient ratios on patient outcomes. The research questions of these articles are divided into three categories: definition of nursing staffing, effects of nursing-to-patient ratio on patient outcomes and nursing characteristics that hinders the delivery of care. The study by (Cho et al., 2020), defines the term nursing staffing in terms of the nursing care needs of the patients.
Nurses are essential in the provision of quality care in acute units, and their staffing levels have an impact on patient outcomes. (Cho et al., 2015), examine the link between nursing staffing and patient outcomes, specifically the mortality rate. Comparing to (Driscoll et al., 2018) and (Shin et al., 2018), the articles examine the effects of nursing staffing ratios on the patient outcomes in acute specialist units. Besides, (Needleman, 2016) reviews the studies that examine the effects of nursing skill mix on the patient outcomes such as patient ratings of hospitals, mortality, adverse health outcomes, and nurse burnout and dissatisfaction.
Some of the factors such as nursing skills, staffing methods, and working environment affects the nursing staffing ratio, which hinders the quality of care. The article by (Bridges et al., 2019), explores the relationship between nursing staffing skills and the quality and quantity of their interactions with patients in hospital wards. (Olley et al., 2019).
AN OVERVIEW OF FACTORS INFLUENCING QUALITY MANAGEMENT WITH REFERENCE TO NURSI...
This document provides an overview of factors influencing quality management with reference to nursing services. It discusses the methodology used in the study, which involved collecting primary data through questionnaires from 150 nurses working in a hospital. The study found that competence level, social skills, expertise/experience, ability to prioritize work, and participation in quality management programs influence the quality of care provided by nurses. Additional factors like staff development activities, hospital facilities, organizational structure/processes, and managerial support also affect nursing quality from a management perspective. The study concludes that ongoing training is needed to address lack of nursing knowledge, which poses a challenge for quality management in nursing care.
NR 439 CCN Week 6 Relationship Between Nursing Job.pdf
1) The study aimed to examine the relationships between nurse staffing, job satisfaction, and nurse retention in acute care hospitals.
2) It was a quantitative, correlational study where nurses completed an online survey about staffing, job satisfaction, and retention.
3) The findings suggested a moderate negative relationship between job satisfaction and retention, and a slight positive relationship between satisfaction and staffing levels. Nurses reported dissatisfaction from high patient assignments.
Reimplementation of a bedside shift report 7 Errors are .docx
Reimplementation of a bedside shift report 7
* Errors are in red that must be addressed or more points will continue to come off.
· Clarification about the change process is needed; telehealth in ICU is mentioned but not explained as being relevant to BSR. There are many sentence structural issues. See my feedback throughout.
Change Proposal: Reimplementation of a Bedside Shift Report
The identified clinical problem that is relevant to nurses in the workplace is the bedside shift report (BSR). The bedside shift report may be used to help the development of teamwork, ownership, and accountability thus increasing the satisfaction of the nurses. The reason for selecting the reimplementation of a bedside shift report is because; at a targeted facility the implementation of the bedside shift report is becoming poor. This has led to the poor compliance with the standards of practice, and increase costs in the facility. Also, to have a reduced cost by removing overtime pay and scrubbing off legal errors which result in legal fees (Clark et al., 2020). (*Re-phrase this sentence, avoid slang).
The reimplementation of a bedside shift report is important for the nurse practicing in the organization. Bedside shift report assists in improving the experience of the client and improving the handoff care between the nurses through including the family and client in the delivery of care. Bedside shift report is leading to the introduction of a change in the nursing culture i.e. introduction of various methods of communicating patient-specific care at a shift transformation. Shift reports given at the bedside is helping in changing the manner in which nurses are communicating and practicing (Clark et al., 2020).
At the targeted facility, the execution of the bedside shift report is poor and this is associated to the lack of knowledge concerning the role of bedside shift reporting on the patient outcome. The healthcare providers at the facility are not directly engaged in the provision of healthcare. There is poor communication of the goals of the bedside shift reporting and their importance about the positive outcomes and benefits that are involved in the change (Clark et al., 2020).
According to the study by Gregory et al., (2014), the process of assessing the transformation in practice that involves transitioning of the bedside nurse shift handoffs is important. The evaluation process is helpful in the re-implementation plan to help in improving the areas of weaknesses. The evaluation process of the success in the implementation in the practice is assessing the perception of the nurses about the proposed changes i.e. the re-implementation plans. There is evidence showing the positive impacts of the bedside shift report in the safety of the patient, the control of the pain, the satisfaction of the patients, and improvement in the nurse to patient or nurse to nurse communication (Gregory et al., 2014).
A study by Dempsey et al., (2014) reveals t.
HFMA Article: 5 Signs That You Can Reduce Staffing Costs and Boost Nurse Sati...
HFMA Article: 5 Signs That You Can Reduce Staffing Costs and Boost Nurse Sati...Block & Tackle Marketing
See how three Care Logistics hospitals are increasing efficiency in care delivery to improve healthcare quality and nurse morale while reducing costs from overtime, agency use, and turnover. By Care Logistics CFO Samantha Platzke. Implementing Fixed Patient For Nurse Ratios
This document proposes implementing hourly rounding at a hospital to improve patient safety and satisfaction. A task force would be established to use research evidence to propose, implement, and evaluate the change. The Johns Hopkins Nursing Evidence-Based Practice model would be used as a guideline, consisting of three phases - identifying the issue, searching for evidence, and translating evidence into practice. Implementing hourly rounding would help meet patients' needs, reduce call lights and falls, and improve HCAHPS scores.
Magnet status anju
In nursing practice, certain standards are to be maintained. I also work with students of nursing, therefore as a concern, i wrote about it.
Sample Nursing School Essays
- Nursing informatics is defined as integrating nursing, information, and technology to support health worldwide. A master's-prepared nurse discussed her role in a military hospital, which involves obtaining patient data from various sources and presenting it to help improve care.
- She advised that nursing informatics is a growing field with many opportunities for self-starters interested in technology. Shadowing her showed her taking on roles like mentoring others and evaluating education programs on any given day.
Impact Report to Senior Leadership
A prominent nursing center in the mid-size East South Central city in the South has come under the fire due to a major challenge of shortage in the nursing staff. An increase in the health care expenses led to a temporary reduction in the staff’s earning that led them to decrease in the number of nurses. Decreasing the nursing staff is the only logical way to combat the increased health costs, however, it partly kills the working enthusiasm of the staff.
But, the decreased staff is birthing more problems, as there is an array of patients that come to this center for care and cure and the decreased number of nurses cannot put up with all of them.
OnBoarding Excellence
This poster summarizes Bronx Lebanon Hospital Center's use of an Exemplary Practice Cognate for onboarding new staff nurses from 2011-2013. The cognate established standards for licensure, certifications, and education that align with the Magnet model of nursing excellence. Use of the cognate was associated with an increase in nurse retention rates from 69.14% in 2011 to 86.29% in 2012 and a decrease in nurse turnover rates from 30.86% to 13.36% over the same period. The poster reviews the qualifications and competencies required of exemplary practice nurses at Bronx Lebanon.
Discussion 1How Competing Needs May Impact the Development of
Discussion 1
How Competing Needs May Impact the Development of a Policy
For my previous discussion post, I discussed how staffing shortages can lead to burnout due to increased workloads and longer hours. Burnout has been shown to significantly increase medication errors, reduce patient outcomes, and reduce productivity which decreases the quality of patient care overall (Bakhamis et al., 2019). Nurses will also become overwhelmed working in stressful environments, creating lower job satisfaction scores and lower nurse retention (Bakhamis et al., 2019). Because of this need to prevent burnout in nurses, the policy would need to be developed to address having an adequate nurse-to-patient ratio while also balancing budget costs. Despite attempts to develop policies to help healthcare organizations, competing needs related to the workforce and lack of resources make it difficult to address the shortage.
Nursing leaders would need to develop a policy that can create a supportive environment for nurses to care for patients safely. The goal would be to improve patient outcomes and improve retention, decreasing burnout. For example, developing a policy to establish set nurse-to-patient ratios depending on the unit. Adequate staffed units have been shown to result in lower mortality rates, shorter hospital stays, and less risk for adverse risks like medication errors (Saville et al., 2019).
Specific Competing Needs that May Impact Nurse Shortages
For adequate staffing, there needs to be a balance between the funds available and the organization’s available budget so that it is sustainable while also providing the best patient outcomes. In other words, there needs to be staff and funding available for this to happen. Within my healthcare organization, we have used travelers to fill in shifts to help supplement staffing. There have been times when the number of travel nurses outnumbers staff nurses on a given shift. While these travelers provide much-needed help, they also have expensive contracts and will work a few months per their contracts. When discussing this dilemma with hospital leadership, we have been told this process is not sustainable in the long run. Instead, the hospital risks losing more money in paying travelers than losing staff nurses. According to Kelly and Porr (2018), this is an example of how the business model of healthcare can negatively impact nurses and their ability to provide safe, high-quality patient care. Over time this can increase nursing stress due to ethical dilemmas, increase burnout, and ultimately worsen staffing anyway (Kelly & Porr, 2018).
Nurses should recognize these issues as serious ethical dilemmas as patients risk subpar care due to increasing healthcare costs. Milliken (2018) suggests nurses develop ethical awareness, by challenging situations and understanding the outcomes of these actions. For example, in my healthcare organization, we have discussed how the lack of staffing can lead to increa ...
Importance Of Evidence Based Practice In Nursing
This document discusses the importance of evidence-based practice in nursing. It begins by explaining how evidence-based practices have reverberated across nursing practice, education, and science. The need for improved healthcare calls for evidence-based practices to be incorporated into health systems to increase effectiveness, safety, and efficiency. New practice approaches should be evidence-based to help move healthcare in the desired direction. The document also provides an example of how one facility successfully reduced hospital-acquired pressure ulcers through implementing evidence-based skin assessment and wound care protocols. It concludes by stating the importance of evidence-based practices in tackling issues like hospital-acquired pressure ulcers.
Copyright © 2020 e-Service Journal. All rights reserved. No co
Copyright © 2020 e-Service Journal. All rights reserved. No copies of this work may be distributed
in print or electronically without express written permission from Indiana University Press.
doi: 10.2979/eservicej.12.1.02
42
An Evaluation of Medicare’s
Hospital Compare as a
Decision-Making Tool for
Patients and Hospitals
Sagnika Sen
Pennsylvania State University, USA
AbStRACt
Medicare’s Hospital Compare aims to assist patients to make informed decisions about
their choice of care through its star rating systems and side-by-side comparison of
hospitals. Despite the use of the rating system by hospitals as an endorsement of quality,
it is not clear whether the information helps consumers make choices specific to certain
diseases. Moreover, the system also does not provide any guidance to hospitals as to
which quality improvements lead to better outcome and why. Using data from 4793
hospitals, this research explores the relationship using the triad of structure, process, and
outcome. Our results show that the star rating system is inadequate for making disease-
specific decision. More importantly, there is little evidence linking the structure and
process related variables with disease specific clinical quality outcomes.
Keywords: Medicare, Triple Aim Performance, Hospital Performance, Clinical
Quality, Efficiency
INtRoduCtIoN
To bring transparency and efficiency in health services, Centers for Medicare and
Medicaid Services (CMS) provides consumers with a tool to assess the quality
of hospitals and other health care providers in their vicinity through its Hospital
Compare website. (Medicare, n.d.). The data in Hospital Compare originate from
An Evaluation of Medicare’s Hospital Compare
43
different quality and cost-effectiveness initiatives undertaken by CMS where indi-
vidual hospitals report on various outcome and process measures regarding mor-
tality, safety, readmissions, patient experience, and timeliness and effectiveness of
care (Kaye et al., 2017). Using a complex methodology, CMS assigns a star-rating
system on a scale of 1 through 5 (1: worst, 5:best) to individual hospitals (Hospital
Compare Overall Ratings Resources, n.d.). Upon entering a zip code or a hospital
name in the Hospital Compare website, a summary of nearby hospitals along with
their star-ratings are displayed. Up to three hospitals can then be selected to make
detailed side-by-side comparisons related to heart attack, heart failure, pneumonia,
surgery and other conditions. These comparisons are organized by patient satisfac-
tion, timeliness and effectiveness of care, readmissions and deaths, among others.
While the star rating system is widely used by patients, care providers,
insurance companies, and policymakers (Mehta et al., 2020), there is also a
considerable debate regarding its deviance from other quality rankings (Austin
et al., 2015). Furthermore, there is often little information explaini ...
Explain how firms can benefit from forecastingexchange rates .docx
Explain how firms can benefit from forecasting
exchange rates
Describe the common techniques used for
forecasting
Explain how forecasting performance can be
evaluated
explain how interval forecasts can be applied
APA format, minimum 3 sources
Paper will be a minimum of 650 and a maximum of 900 words.
(This includes title section, content, and references…in other
words the entire paper)
.
•POL201 •Discussions •Week 5 - DiscussionVoter and Voter Tu.docx
• POL201 • Discussions • Week 5 - Discussion
Voter and Voter Turnout
Prepare: Prior to completing this discussion question, review Chapters 10, 11, and 12 in American Government and review Week Five Instructor Guidance. Also read the following articles: How Voter ID Laws Are Being Used to Disenfranchise Minorities and the Poor (Links to an external site.)Links to an external site., Fraught with Fraud (Links to an external site.)Links to an external site., and Proof at the Polls (Links to an external site.)Links to an external site.
Reflect: The U.S. has one of the lowest voter turnout rates among modern democratic political systems. One study ranks the U.S. 120th on a list of 169 nations compared on voter turnout (Pintor, Gratschew, & Sullivan, 2002). During the last decade, many initiatives have been undertaken to increase voter participation, yet concerns about the possibility of election fraud have also increased. Additionally, some political interests feel threatened by the increase in turnout among some traditionally low-turnout ethnic minorities. Several states have recently passed legislation imposing new registration and identification requirements. This has sparked debate about whether these are tactics intended to suppress turnout or to prevent fraud. Think about the media’s role in the election process and how both mass media and social media can impact the election process.
Write: In your initial post, summarize recent developments in several states enacting voter ID laws. Analyze and describe the pros and cons on both sides of the debate about these laws. Is voter fraud a major problem for our democracy or are some groups trying to make it harder for some segments of society to vote? What impact has the media (mass and social) had in influencing public opinion regarding voter ID laws? Draw your own conclusion about the debate over voter ID laws and justify your conclusions with facts and persuasive reasoning. Fully respond to all parts of the prompt and write your response in your own words. Your initial post must be at least 300 words. Support your position with at least two of the assigned resources required for this discussion, and/or peer reviewed scholarly sources obtained through the AU Library databases. Include APA in-text citations (Links to an external site.)Links to an external site. in the body of your post and full citations on the references list (Links to an external site.)Links to an external site. at the end. Support your position with APA citations from two or more of the assigned resources required for this discussion. Please be sure that you demonstrate understanding of these resources, integrate them into your argument, and cite them properly.
.
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Quality of nursing service in bpkihs
The study aimed to assess the quality of nursing services provided at B. P. Koirala Institute of Health Sciences, Nepal. Data was collected using questionnaires to evaluate ward in-charges' leadership qualities, functional capabilities, nursing care status, environmental sanitation, and documentation. The results showed that ward in-charges had average leadership skills (69.2%) and managerial performance (48.28%). Nursing care status (72.32%) and documentation (73.23%) were satisfactory. Environmental sanitation was also satisfactory (65.9%). The findings indicate a need for continuous nursing education to improve leadership skills and the quality of nursing services.
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This document provides an overview of magnet hospitals and the magnet designation process. It begins with defining what a magnet hospital is and the benefits of magnet designation. It then explains the 14 forces of magnetism that are the conceptual framework for magnet appraisal. The document outlines the phases of the magnet appraisal process and barriers to achieving magnetism. It concludes with introducing the new magnet model which organizes the 14 forces into 5 key components: transformational leadership, structural empowerment, exemplary professional practice, new knowledge/innovations, and empirical outcomes.
The Joint Commission Has Instituted A Number Of Goals...
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4CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEWCapston
4
CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEW
Capstone Project Change Proposal Presentation for Faculty Review and Feedback
Name
Name of the institution
Date
Running head: ASSIGNMENT TITLE HERE
1Running head: CHANGE PROPOSAL PRESENTATION FOR FACULTY REVIEW
Intervention
The capstone change proposal is effects of disproportionate nurse to patient staffing ratios on the quality of patient care. Patients can be exposed to several safety issues if proper care is not given to them. These problems include falls, hospital-acquired infection due to poor hand hygiene by the healthcare workers, medication administration errors, poor health education to the patients, and negligence in attending to the spiritual needs of the patients. Interventions includes presenting the safety concerns to the management team of the facility to enable them to hire more nurses to deliver adequate care to the patients. In-service training of the nurses on fall prevention, proper application of fall precautions and identification of patients who are at risk of falls are another important intervention. Proper hand hygiene is an intervention that will prevent hospital-acquired infections and nurses should form the culture of doing it (Sands, & Aunger, 2020). Medication errors can lead to complications or death of patients. Nurses should check the medications properly and identify the patients before administration of the medications.
Evidence Based Literature
The articles reviewed have different research aims and questions, but they are all centered into the idea of the effects of nurse-to-patient ratios on patient outcomes. The research questions of these articles are divided into three categories: definition of nursing staffing, effects of nursing-to-patient ratio on patient outcomes and nursing characteristics that hinders the delivery of care. The study by (Cho et al., 2020), defines the term nursing staffing in terms of the nursing care needs of the patients.
Nurses are essential in the provision of quality care in acute units, and their staffing levels have an impact on patient outcomes. (Cho et al., 2015), examine the link between nursing staffing and patient outcomes, specifically the mortality rate. Comparing to (Driscoll et al., 2018) and (Shin et al., 2018), the articles examine the effects of nursing staffing ratios on the patient outcomes in acute specialist units. Besides, (Needleman, 2016) reviews the studies that examine the effects of nursing skill mix on the patient outcomes such as patient ratings of hospitals, mortality, adverse health outcomes, and nurse burnout and dissatisfaction.
Some of the factors such as nursing skills, staffing methods, and working environment affects the nursing staffing ratio, which hinders the quality of care. The article by (Bridges et al., 2019), explores the relationship between nursing staffing skills and the quality and quantity of their interactions with patients in hospital wards. (Olley et al., 2019) ...
4CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEWCapston.docx
4
CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEW
Capstone Project Change Proposal Presentation for Faculty Review and Feedback
Name
Name of the institution
Date
Running head: ASSIGNMENT TITLE HERE
1Running head: CHANGE PROPOSAL PRESENTATION FOR FACULTY REVIEW
Intervention
The capstone change proposal is effects of disproportionate nurse to patient staffing ratios on the quality of patient care. Patients can be exposed to several safety issues if proper care is not given to them. These problems include falls, hospital-acquired infection due to poor hand hygiene by the healthcare workers, medication administration errors, poor health education to the patients, and negligence in attending to the spiritual needs of the patients. Interventions includes presenting the safety concerns to the management team of the facility to enable them to hire more nurses to deliver adequate care to the patients. In-service training of the nurses on fall prevention, proper application of fall precautions and identification of patients who are at risk of falls are another important intervention. Proper hand hygiene is an intervention that will prevent hospital-acquired infections and nurses should form the culture of doing it (Sands, & Aunger, 2020). Medication errors can lead to complications or death of patients. Nurses should check the medications properly and identify the patients before administration of the medications.
Evidence Based Literature
The articles reviewed have different research aims and questions, but they are all centered into the idea of the effects of nurse-to-patient ratios on patient outcomes. The research questions of these articles are divided into three categories: definition of nursing staffing, effects of nursing-to-patient ratio on patient outcomes and nursing characteristics that hinders the delivery of care. The study by (Cho et al., 2020), defines the term nursing staffing in terms of the nursing care needs of the patients.
Nurses are essential in the provision of quality care in acute units, and their staffing levels have an impact on patient outcomes. (Cho et al., 2015), examine the link between nursing staffing and patient outcomes, specifically the mortality rate. Comparing to (Driscoll et al., 2018) and (Shin et al., 2018), the articles examine the effects of nursing staffing ratios on the patient outcomes in acute specialist units. Besides, (Needleman, 2016) reviews the studies that examine the effects of nursing skill mix on the patient outcomes such as patient ratings of hospitals, mortality, adverse health outcomes, and nurse burnout and dissatisfaction.
Some of the factors such as nursing skills, staffing methods, and working environment affects the nursing staffing ratio, which hinders the quality of care. The article by (Bridges et al., 2019), explores the relationship between nursing staffing skills and the quality and quantity of their interactions with patients in hospital wards. (Olley et al., 2019).
AN OVERVIEW OF FACTORS INFLUENCING QUALITY MANAGEMENT WITH REFERENCE TO NURSI...
This document provides an overview of factors influencing quality management with reference to nursing services. It discusses the methodology used in the study, which involved collecting primary data through questionnaires from 150 nurses working in a hospital. The study found that competence level, social skills, expertise/experience, ability to prioritize work, and participation in quality management programs influence the quality of care provided by nurses. Additional factors like staff development activities, hospital facilities, organizational structure/processes, and managerial support also affect nursing quality from a management perspective. The study concludes that ongoing training is needed to address lack of nursing knowledge, which poses a challenge for quality management in nursing care.
NR 439 CCN Week 6 Relationship Between Nursing Job.pdf
1) The study aimed to examine the relationships between nurse staffing, job satisfaction, and nurse retention in acute care hospitals.
2) It was a quantitative, correlational study where nurses completed an online survey about staffing, job satisfaction, and retention.
3) The findings suggested a moderate negative relationship between job satisfaction and retention, and a slight positive relationship between satisfaction and staffing levels. Nurses reported dissatisfaction from high patient assignments.
Reimplementation of a bedside shift report 7 Errors are .docx
Reimplementation of a bedside shift report 7
* Errors are in red that must be addressed or more points will continue to come off.
· Clarification about the change process is needed; telehealth in ICU is mentioned but not explained as being relevant to BSR. There are many sentence structural issues. See my feedback throughout.
Change Proposal: Reimplementation of a Bedside Shift Report
The identified clinical problem that is relevant to nurses in the workplace is the bedside shift report (BSR). The bedside shift report may be used to help the development of teamwork, ownership, and accountability thus increasing the satisfaction of the nurses. The reason for selecting the reimplementation of a bedside shift report is because; at a targeted facility the implementation of the bedside shift report is becoming poor. This has led to the poor compliance with the standards of practice, and increase costs in the facility. Also, to have a reduced cost by removing overtime pay and scrubbing off legal errors which result in legal fees (Clark et al., 2020). (*Re-phrase this sentence, avoid slang).
The reimplementation of a bedside shift report is important for the nurse practicing in the organization. Bedside shift report assists in improving the experience of the client and improving the handoff care between the nurses through including the family and client in the delivery of care. Bedside shift report is leading to the introduction of a change in the nursing culture i.e. introduction of various methods of communicating patient-specific care at a shift transformation. Shift reports given at the bedside is helping in changing the manner in which nurses are communicating and practicing (Clark et al., 2020).
At the targeted facility, the execution of the bedside shift report is poor and this is associated to the lack of knowledge concerning the role of bedside shift reporting on the patient outcome. The healthcare providers at the facility are not directly engaged in the provision of healthcare. There is poor communication of the goals of the bedside shift reporting and their importance about the positive outcomes and benefits that are involved in the change (Clark et al., 2020).
According to the study by Gregory et al., (2014), the process of assessing the transformation in practice that involves transitioning of the bedside nurse shift handoffs is important. The evaluation process is helpful in the re-implementation plan to help in improving the areas of weaknesses. The evaluation process of the success in the implementation in the practice is assessing the perception of the nurses about the proposed changes i.e. the re-implementation plans. There is evidence showing the positive impacts of the bedside shift report in the safety of the patient, the control of the pain, the satisfaction of the patients, and improvement in the nurse to patient or nurse to nurse communication (Gregory et al., 2014).
A study by Dempsey et al., (2014) reveals t.
HFMA Article: 5 Signs That You Can Reduce Staffing Costs and Boost Nurse Sati...
HFMA Article: 5 Signs That You Can Reduce Staffing Costs and Boost Nurse Sati...Block & Tackle Marketing
See how three Care Logistics hospitals are increasing efficiency in care delivery to improve healthcare quality and nurse morale while reducing costs from overtime, agency use, and turnover. By Care Logistics CFO Samantha Platzke. Implementing Fixed Patient For Nurse Ratios
This document proposes implementing hourly rounding at a hospital to improve patient safety and satisfaction. A task force would be established to use research evidence to propose, implement, and evaluate the change. The Johns Hopkins Nursing Evidence-Based Practice model would be used as a guideline, consisting of three phases - identifying the issue, searching for evidence, and translating evidence into practice. Implementing hourly rounding would help meet patients' needs, reduce call lights and falls, and improve HCAHPS scores.
Magnet status anju
In nursing practice, certain standards are to be maintained. I also work with students of nursing, therefore as a concern, i wrote about it.
Sample Nursing School Essays
- Nursing informatics is defined as integrating nursing, information, and technology to support health worldwide. A master's-prepared nurse discussed her role in a military hospital, which involves obtaining patient data from various sources and presenting it to help improve care.
- She advised that nursing informatics is a growing field with many opportunities for self-starters interested in technology. Shadowing her showed her taking on roles like mentoring others and evaluating education programs on any given day.
Impact Report to Senior Leadership
A prominent nursing center in the mid-size East South Central city in the South has come under the fire due to a major challenge of shortage in the nursing staff. An increase in the health care expenses led to a temporary reduction in the staff’s earning that led them to decrease in the number of nurses. Decreasing the nursing staff is the only logical way to combat the increased health costs, however, it partly kills the working enthusiasm of the staff.
But, the decreased staff is birthing more problems, as there is an array of patients that come to this center for care and cure and the decreased number of nurses cannot put up with all of them.
OnBoarding Excellence
This poster summarizes Bronx Lebanon Hospital Center's use of an Exemplary Practice Cognate for onboarding new staff nurses from 2011-2013. The cognate established standards for licensure, certifications, and education that align with the Magnet model of nursing excellence. Use of the cognate was associated with an increase in nurse retention rates from 69.14% in 2011 to 86.29% in 2012 and a decrease in nurse turnover rates from 30.86% to 13.36% over the same period. The poster reviews the qualifications and competencies required of exemplary practice nurses at Bronx Lebanon.
Discussion 1How Competing Needs May Impact the Development of
Discussion 1
How Competing Needs May Impact the Development of a Policy
For my previous discussion post, I discussed how staffing shortages can lead to burnout due to increased workloads and longer hours. Burnout has been shown to significantly increase medication errors, reduce patient outcomes, and reduce productivity which decreases the quality of patient care overall (Bakhamis et al., 2019). Nurses will also become overwhelmed working in stressful environments, creating lower job satisfaction scores and lower nurse retention (Bakhamis et al., 2019). Because of this need to prevent burnout in nurses, the policy would need to be developed to address having an adequate nurse-to-patient ratio while also balancing budget costs. Despite attempts to develop policies to help healthcare organizations, competing needs related to the workforce and lack of resources make it difficult to address the shortage.
Nursing leaders would need to develop a policy that can create a supportive environment for nurses to care for patients safely. The goal would be to improve patient outcomes and improve retention, decreasing burnout. For example, developing a policy to establish set nurse-to-patient ratios depending on the unit. Adequate staffed units have been shown to result in lower mortality rates, shorter hospital stays, and less risk for adverse risks like medication errors (Saville et al., 2019).
Specific Competing Needs that May Impact Nurse Shortages
For adequate staffing, there needs to be a balance between the funds available and the organization’s available budget so that it is sustainable while also providing the best patient outcomes. In other words, there needs to be staff and funding available for this to happen. Within my healthcare organization, we have used travelers to fill in shifts to help supplement staffing. There have been times when the number of travel nurses outnumbers staff nurses on a given shift. While these travelers provide much-needed help, they also have expensive contracts and will work a few months per their contracts. When discussing this dilemma with hospital leadership, we have been told this process is not sustainable in the long run. Instead, the hospital risks losing more money in paying travelers than losing staff nurses. According to Kelly and Porr (2018), this is an example of how the business model of healthcare can negatively impact nurses and their ability to provide safe, high-quality patient care. Over time this can increase nursing stress due to ethical dilemmas, increase burnout, and ultimately worsen staffing anyway (Kelly & Porr, 2018).
Nurses should recognize these issues as serious ethical dilemmas as patients risk subpar care due to increasing healthcare costs. Milliken (2018) suggests nurses develop ethical awareness, by challenging situations and understanding the outcomes of these actions. For example, in my healthcare organization, we have discussed how the lack of staffing can lead to increa ...
Importance Of Evidence Based Practice In Nursing
This document discusses the importance of evidence-based practice in nursing. It begins by explaining how evidence-based practices have reverberated across nursing practice, education, and science. The need for improved healthcare calls for evidence-based practices to be incorporated into health systems to increase effectiveness, safety, and efficiency. New practice approaches should be evidence-based to help move healthcare in the desired direction. The document also provides an example of how one facility successfully reduced hospital-acquired pressure ulcers through implementing evidence-based skin assessment and wound care protocols. It concludes by stating the importance of evidence-based practices in tackling issues like hospital-acquired pressure ulcers.
Copyright © 2020 e-Service Journal. All rights reserved. No co
Copyright © 2020 e-Service Journal. All rights reserved. No copies of this work may be distributed
in print or electronically without express written permission from Indiana University Press.
doi: 10.2979/eservicej.12.1.02
42
An Evaluation of Medicare’s
Hospital Compare as a
Decision-Making Tool for
Patients and Hospitals
Sagnika Sen
Pennsylvania State University, USA
AbStRACt
Medicare’s Hospital Compare aims to assist patients to make informed decisions about
their choice of care through its star rating systems and side-by-side comparison of
hospitals. Despite the use of the rating system by hospitals as an endorsement of quality,
it is not clear whether the information helps consumers make choices specific to certain
diseases. Moreover, the system also does not provide any guidance to hospitals as to
which quality improvements lead to better outcome and why. Using data from 4793
hospitals, this research explores the relationship using the triad of structure, process, and
outcome. Our results show that the star rating system is inadequate for making disease-
specific decision. More importantly, there is little evidence linking the structure and
process related variables with disease specific clinical quality outcomes.
Keywords: Medicare, Triple Aim Performance, Hospital Performance, Clinical
Quality, Efficiency
INtRoduCtIoN
To bring transparency and efficiency in health services, Centers for Medicare and
Medicaid Services (CMS) provides consumers with a tool to assess the quality
of hospitals and other health care providers in their vicinity through its Hospital
Compare website. (Medicare, n.d.). The data in Hospital Compare originate from
An Evaluation of Medicare’s Hospital Compare
43
different quality and cost-effectiveness initiatives undertaken by CMS where indi-
vidual hospitals report on various outcome and process measures regarding mor-
tality, safety, readmissions, patient experience, and timeliness and effectiveness of
care (Kaye et al., 2017). Using a complex methodology, CMS assigns a star-rating
system on a scale of 1 through 5 (1: worst, 5:best) to individual hospitals (Hospital
Compare Overall Ratings Resources, n.d.). Upon entering a zip code or a hospital
name in the Hospital Compare website, a summary of nearby hospitals along with
their star-ratings are displayed. Up to three hospitals can then be selected to make
detailed side-by-side comparisons related to heart attack, heart failure, pneumonia,
surgery and other conditions. These comparisons are organized by patient satisfac-
tion, timeliness and effectiveness of care, readmissions and deaths, among others.
While the star rating system is widely used by patients, care providers,
insurance companies, and policymakers (Mehta et al., 2020), there is also a
considerable debate regarding its deviance from other quality rankings (Austin
et al., 2015). Furthermore, there is often little information explaini ...
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HFMA Article: 5 Signs That You Can Reduce Staffing Costs and Boost Nurse Sati...
Discussion 1How Competing Needs May Impact the Development of
Discussion 1How Competing Needs May Impact the Development of
Copyright © 2020 e-Service Journal. All rights reserved. No co
Copyright © 2020 e-Service Journal. All rights reserved. No co
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Explain how firms can benefit from forecastingexchange rates .docx
Explain how firms can benefit from forecasting
exchange rates
Describe the common techniques used for
forecasting
Explain how forecasting performance can be
evaluated
explain how interval forecasts can be applied
APA format, minimum 3 sources
Paper will be a minimum of 650 and a maximum of 900 words.
(This includes title section, content, and references…in other
words the entire paper)
.
•POL201 •Discussions •Week 5 - DiscussionVoter and Voter Tu.docx
• POL201 • Discussions • Week 5 - Discussion
Voter and Voter Turnout
Prepare: Prior to completing this discussion question, review Chapters 10, 11, and 12 in American Government and review Week Five Instructor Guidance. Also read the following articles: How Voter ID Laws Are Being Used to Disenfranchise Minorities and the Poor (Links to an external site.)Links to an external site., Fraught with Fraud (Links to an external site.)Links to an external site., and Proof at the Polls (Links to an external site.)Links to an external site.
Reflect: The U.S. has one of the lowest voter turnout rates among modern democratic political systems. One study ranks the U.S. 120th on a list of 169 nations compared on voter turnout (Pintor, Gratschew, & Sullivan, 2002). During the last decade, many initiatives have been undertaken to increase voter participation, yet concerns about the possibility of election fraud have also increased. Additionally, some political interests feel threatened by the increase in turnout among some traditionally low-turnout ethnic minorities. Several states have recently passed legislation imposing new registration and identification requirements. This has sparked debate about whether these are tactics intended to suppress turnout or to prevent fraud. Think about the media’s role in the election process and how both mass media and social media can impact the election process.
Write: In your initial post, summarize recent developments in several states enacting voter ID laws. Analyze and describe the pros and cons on both sides of the debate about these laws. Is voter fraud a major problem for our democracy or are some groups trying to make it harder for some segments of society to vote? What impact has the media (mass and social) had in influencing public opinion regarding voter ID laws? Draw your own conclusion about the debate over voter ID laws and justify your conclusions with facts and persuasive reasoning. Fully respond to all parts of the prompt and write your response in your own words. Your initial post must be at least 300 words. Support your position with at least two of the assigned resources required for this discussion, and/or peer reviewed scholarly sources obtained through the AU Library databases. Include APA in-text citations (Links to an external site.)Links to an external site. in the body of your post and full citations on the references list (Links to an external site.)Links to an external site. at the end. Support your position with APA citations from two or more of the assigned resources required for this discussion. Please be sure that you demonstrate understanding of these resources, integrate them into your argument, and cite them properly.
.
•No less than 4 pages causal argument researched essay •In.docx
•
No less than 4 pages causal argument researched essay
•
Includes an interview with an expert from a university
•
Includes survey question with students concerning the topic
•
Includes arguments from official sources from the library
.
•Focus on two or three things in the Mesopotamian andor Ovids ac.docx
•Focus on two or three things in the Mesopotamian and/or Ovid's account of creation that differ from Genesis. How do they differ? What is the significance of these differences?
•Focus on two or three things in the Mesopotamian and/or
Ovid's account of the flood that differ from Genesis. How do they differ? What is the significance of these differences
.
•Langbein, L. (2012). Public program evaluation A statistical guide.docx
•Langbein, L. (2012). Public program evaluation: A statistical guide (2nd ed.). Armonk, NY: ME Sharpe. ◦Chapter 7, “Designing Useful Surveys for Evaluation” (pp. 209–238)
•McDavid, J. C., Huse, I., & Hawthorn, L. R. L. (2013). Program evaluation and performance measurement: An introduction to practice (2nd ed.). Thousand Oaks, CA: Sage. ◦Chapter 4, “Measurement for Program Evaluation and Performance Monitoring” (pp. 145–185)
•Geddes, B. (1990). How the cases you choose affect the answers you get: Selection bias in comparative politics. Political Analysis, 2(1), 131–150. Retrieved from http://www.uky.edu/~clthyn2/PS671/Geddes_1990PA.pdf
•Levitt, S., & List, J. (2009). Was there really a Hawthorne effect at the Hawthorne plant? An analysis of the original illumination experiments. Retrieved from http://www.nber.org/papers/w15016.pdf
•Urban Institute. (2014). Outcome indicators project. Retrieved from http://www.urban.org/center/cnp/projects/outcomeindicators.cfm
•Bamberger, M. (2010). Reconstructuring baseline data for impact evaluation and results measurement. Retrieved from http://siteresources.worldbank.org/INTPOVERTY/Resources/335642-1276521901256/premnoteME4.pdf
•Parnaby, P. (2006). Evaluation through surveys [Blog post]. Retrieved from http://www.idea.org/blog/2006/04/01/evaluation-through-surveys/
•Rutgers, New Jersey Agricultural Experiment Station. (2014). Developing a survey instrument. Retrieved from http://njaes.rutgers.edu/evaluation/resources/survey-instrument.asp
•MEASURE Evaluation. (n.d.). Secondary analysis of data. Retrieved February 24, 2015, from http://www.cpc.unc.edu/measure/our-work/secondary-analysis/secondary-analysis-of-data
•Zeitlin, A. (2014). Sampling and sample size [PowerPoint slides]. Retrieved from http://www.povertyactionlab.org/sites/default/files/2.%20Sampling%20and%20Sample%20Size_AFZ3.pdf
Now that you have thought through a logical model or framework for your Final Project, it is time to develop preliminary input, output, and outcome indicators. For this Assignment, use the guidelines from the Urban Institute resource and consult relevant Optional Resources from this week.
Submit a 2- to 3-page paper which describes your input, output, and outcome program indicators, including the following:
•Describe the variables and the data you will be using.
•Provide a realistic discussion of the availability of research data.
•Provide an analysis of intended data collection strategies.
◦If a sample or sample survey will be used, discuss the sampling frame or the sampling strategy you intend to use.
.
•Chapter 10 Do you think it is possible for an outsider to accura.docx
•Chapter 10: Do you think it is possible for an outsider to accurately discern about the underlying cultural values of an organization by analyzing symbols, ceremonies, dress, or other observable aspects of culture in comparison to an insider with several years of work experience? Select a percentage (e.g., 10%, 70%, etc.) and explain your reasoning.
•Chapter 11: A noted organization theorist once said, "Pressure for change originates in the environment. Pressure for stability originates within the organization." Do you agree?
•Chapter 12: If managers frequently use experience and intuition to make complex, non-programmed decisions, how do they apply evidence-based management (which seems to suggest that managers should rely on facts and data)?
•Chapter 13: In a rapidly changing organization, are decisions more likely to be made using the rational or political model of organization?
•What biblical implications should be included/addressed?
•How can/should a biblical worldview be applied?
Group Discussion Board Forum Thread Grading Rubric
Criteria
Points Possible
Points Earned
Thread
0 to 30 points
All questions associated with Part 1 are provided in a thread.
At least 4 peer-reviewed references are included in the thread.
The thread is 1200 words.
The thread is posted by the stated deadline.
Spelling and grammar are correct.
Sentences are complete, clear, and concise.
Total
.
· Bakit Di gaanong kaganda ang pagturo sa UST sa panahon.docx
·
Bakit
Di gaanong kaganda ang pagturo sa UST sa panahon ni Jose Rizal
·
bakit
Merong diskriminasyon; minamaliit ang mga Pilipinosa panahon ni Jose Rizal
·
bakit
Galit sa kay Jose Rizal ang mga Dominikano dahil sa pagtatatag ng Companerismo (Fraternity)
·
bakit
Gustong gamutin ni Jose Rizal ang ina niya
.
·YOUR INDIVIDUAL PAPER IS ARGUMENTATIVE OR POSITIONAL(Heal.docx
·
YOUR INDIVIDUAL PAPER IS ARGUMENTATIVE OR POSITIONAL
(Healthcare Information Technology)
THIS is NOT and information paper so please read this carefully
Individual Writing Assignment
This Individual Writing Assignment is worth 20 points, and it is due at the end of Week 5.
The purposes of this assignment are to a) help you effectively use research resources through library data bases and search engines to complete course requirements; b) improve your critical thinking skills, and c) develop your effectiveness in writing about topics relevant to course objectives and healthcare information systems. The paper explores, in greater detail than the required readings and class discussion, any healthcare information system topic identified in the course text or syllabus. Your job is to select a current issue in healthcare information systems, provide the necessary background and your position, along with a conclusion and future direction. I encourage you to select a subject in which you have interest and approach this assignment as a potential publishable work.
Position Paper
Your final paper is 15 pages double-spaced (excluding the executive summary, footnotes, and references) with a 10 or 12 point font. Tables, graphics, and diagrams must be placed in the paper as attachments. They do not count in the page length. This is a guide to help you organize your content and what is expected in each section. The page counts are suggested, however, where they have a limit, that must be adhered to.
·
Cover Page:
APA Style (1 Page, not included in page count)
·
Table of Contents:
(not included in page count)
·
Executive Summary:
Bottom line up front (1 page, no more)
·
Introduction
: (1/2 to 1 page)
·
Background
: Information on the topic that provides context so readers can understand the background leading into your statement and analysis of the issue (up to 2 pages, no more)
·
Analysis of the issue
: This is the problem you see with the current state of your topic supported by evidence and literature that brings validity to the issue or problem you are stating exists. Then describe the factors contributing to the issue /problem broken down by (2-3 pages)
People
Processes
Technology
·
Position
: Now that the reader understands the problem broken down by people, process, and technology, provide a clear statement of what your position is on the issue and why. (1/2 to 1 page)
·
Rationale
: Now that the reader clearly understands your position and why you will detail your position with supporting evidence and literature to persuade the reader your position is the most valid. You should address opposing views with counter arguments here also. Your position should have evidence directly addressing the issues you stated above broken down by the same (3-4 pages)
People
Process
Technology
·
Recommendation
: Now that you have convinced the reader on your position being the best way forward, you need to provide 3-5 discrete recommen.
·Write a 750- to 1,Write a 750- to 1,200-word paper that.docx
·
Write
a 750- to 1,
Write
a 750- to 1,200-word paper that addresses the following:
Define religion.
Describe the theory of animism.
Explain the influence of religion on cultures.
Identify the seven major religions of the world.
Describe any four types of theism.
Format
your paper consistent with APA guidelines.
Include
a minimum of five references.
Limit
direct quotes to less than 10% of the total manuscript.
Criteria for grading
·
Introduction provides sufficient background on the topic and previews major points
·
Define religion
·
Describe the theory of animism
·
Explain the influence of religion on cultures (e.g., architecture, art, politics, social norms, etc.)
·
Identify the seven major religions of the world and provide one or two sentences about each
·
Describe any four types of theism (e.g., atheism, monotheism, ditheism, polytheism, pantheism, etc.) and provide an example of each
·
Conclusion
.
[Type here]Ok. This school makes me confused. The summary of t.docx
[Type here]
Ok. This school makes me confused. The summary of this week they posted like this:
SUMMARY:
This week introduced you to grand theories and middle-range theories that serve to articulate the voice of nursing within healthcare.
Here are the key points covered:
Grand theories are comparatively more abstract than middle-range theories since they are at a higher level of abstraction. Compared to grand theories, middle-range theories are made up of limited number of concepts that lend themselves to empirical testing. All theories help to explain human health behavior.
· Sister Callista Royï's adaptive model theory is built on the conceptual foundation of adaptation. It identifies the positive role that nursing plays in the promotion and enhancement of client adaptation to environments that facilitate the healing process.
· Leiningerï's culture care theory is pertinent in the current multicultural healthcare environment where nurses are exposed to diverse cultures.
· Penderï's health promotion and disease prevention theory can be called as a "direction setting exercise" for nursing professionals. It believes in fostering the spirit of health promotion and disease and risk reduction.
From the chapter, Models and Theories Focused on Nursing Goals and Functions, read the following:The Health Promotion Model: Nola J. Pender
From the chapter, Models and Theories Focused on a Systems Approach, read the following:
The Roy Adaptation Model
From the chapter, Models and Theories Focused on Culture, read the following:
Leininger's Cultural Care Diversity and Universality Theory and Model
SO, THAT IS WHY I ASSUMED THAT HAS TO BE ONE OF THEM (Pender, Roy Adaptaion or Leininger)
ANYWAY, I AM PUTTING INFORMATION TOGETHER.
Week 4 Chapter 17
Models and Theories Focused on Nursing Goals and Functions
The Health Promotion Model: Nola J. Pender
Background
Nola J. Pender was born in 1941 in Lansing, Michigan. She graduated in 1962 with a diploma in nursing. In 1964, Pender completed a bachelor’s of science in nursing at Michigan State University. By 1969, she had completed a doctor of philosophy in psychology and education. During this time in her career, Pender began looking at health and nursing in a broad way, including defining the goal of nursing care as optimal health.
In 1975, Pender published a model for preventive health behavior; her health promotion model first appeared in the first edition of the text Health Promotion in Nursing Practice in 1982. Pender’s health promotion model has its foundation in Albert Bandura’s (1977) social learning theory (which postulates that cognitive processes affect behavior change) and is influenced by Fishbein’s (1967) theory of reasoned action (which asserts that personal attitudes and social norms affect behavior).
Pender’s Health Promotion Model
McCullagh (2009) labeled Pender’s health promotion model as a middle-range integrative theory, and rightly so. Fawcett (2005) decisively presented the differenc.
© 2020 Cengage Learning®. May not be scanned, copied or duplic.docx
© 2020 Cengage Learning®. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
Business Plan
• Provides a more specific and detailed
exploration of the venture’s goals and operations
with a clear path on how the venture will
succeed.
• A written document that details the proposed
venture:
• Describes the current status, expected needs, and
projected results of the new business.
• Demonstrates a clear picture of what the venture is,
where it is projected to go, and how the entrepreneur
proposes it will get there.
© 2020 Cengage Learning®. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
Benefits of a Business Plan (slide 1 of 2)
• For the Entrepreneur:
• Time, effort, research, and discipline to create a
formal plan forces the entrepreneur to view the
venture critically and objectively.
• Competitive, economic, and financial analyses
subject the venture to close scrutiny.
• For Outside Evaluators:
• Develops and examines operating strategies and
expected results.
• Provides a tool for use in communications with
outside financial sources.
© 2020 Cengage Learning®. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
Benefits of a Business Plan (slide 2 of 2)
• Specifically for the Financial Sources:
• Details the market potential and plans for securing a
share of that market.
• Shows the venture’s ability to service debt
or provide an adequate return on equity.
• Identifies critical risks and crucial events with
a discussion of contingency plans.
• Contains the necessary information for a thorough
business and financial evaluation.
• Assesses the entrepreneur’s managerial ability.
© 2020 Cengage Learning®. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
Developing a Well-Conceived Business Plan
• The Five-Minute Reading:
1. Determine the characteristics of the venture and its industry.
2. Determine the financial structure of the plan (amount of debt or
equity investment required).
3. Read the latest balance sheet (to determine liquidity, net worth,
and debt/equity).
4. Determine the quality of entrepreneurs in the venture
(sometimes the most important step).
5. Establish the unique feature in this venture (find out what is
different).
6. Read the entire plan lightly (this is when the entire package is
paged through for a casual look at graphs, charts, exhibits, and
other plan components).
© 2020 Cengage Learning®. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
Putting the Package Together
• Key Format Issues:
• Appearance
• Length
• The cover and title page
• The executive summary
• The table of contents
© 2020 Cengage Learning®. May not be scanned, copied or duplicated, or posted to a publicly access.
© 2016 Laureate Education, Inc. Page 1 of 3 RWRCOEL Prof.docx
© 2016 Laureate Education, Inc. Page 1 of 3
RWRCOEL Professional Dispositions
Professional Conduct
1. Ethical and Legal Conduct: The candidate demonstrates professionalism
as outlined by legal and ethical guidelines within the profession.
a. Demonstrates professional behavior as described in Walden’s Code of
Conduct
b. Demonstrates ethical behavior as described by professional codes of
ethics
2. Professional Obligations: The candidate meets professional obligations in
a responsible manner.
a. Maintains a strong record of attendance and punctuality, communicating in
advance the need for any absence or delay in meeting performance
expectations
b. Prepares for professional obligations and meets expected deadlines
© 2016 Laureate Education, Inc. Page 2 of 3
3. Professional Appearance and Demeanor: The candidate demonstrates
professional appearance and behaviors in the educational setting.
a. Maintains appropriate appearance through professional dress and
grooming
b. Approaches teaching and learning tasks with initiative, confidence, and
energy
c. Exhibits composure and self-control
d. Demonstrates flexibility in adapting to changing circumstances and
student needs
Professional Qualities
4. Professional Development/Growth: The candidate engages in ongoing
professional development and growth to improve professional practice.
a. Engages in continuous learning through participation in professional
development opportunities
b. Applies new ideas to professional practice based on existing data,
reflection, and intellectual curiosity
c. Engages in ongoing critical reflection of personal performance to improve
professional practice
5. Advocacy: The candidate advocates for fairness, equity, and social change
in the learning environment.
a. Displays empathy, fairness, persistence, problem-solving skills, and
appropriate risk-taking actions on behalf of others
b. Advocates for the social, emotional, physical, educational, behavioral, and
basic needs of others
c. Promotes positive social change to enhance educational opportunities and
promote student learning
6. Equity: The candidate demonstrates culturally responsive practices to
create an inclusive learning environment that is respectful of diverse
cultures, values, and beliefs of others.
a. Displays equitable treatment of others
i. Sets high expectations for all learners
© 2016 Laureate Education, Inc. Page 3 of 3
ii. Treats others with respect and dignity
iii. Recognizes individual differences in teaching and learning
b. Engages in culturally responsive practices in interactions with students,
families, colleagues, and communities
c. Creates learning environments that are inclusive; free of bias and
discrimination and respectful of diverse cultures, values, and beliefs
d. Engages families and other stakeholders in planning for individual success
Collabor.
© 2022 Post University, ALL RIGHTS RESERVED Due Date.docx
© 2022 Post University, ALL RIGHTS RESERVED
Due Date: Sunday at 11:59 pm EST
Points: 100
Overview:
Social histories are prepared to paint a comprehensive picture of a client’s situation and
relevant information. This information may come from referral sources, other providers,
and the client. For this assignment, you will be drafting a social history for your client,
Mr. Brown, from the Case Vignette.
Instructions:
Apply the information provided in the Case Vignette and prepare a social history that
addresses the following:
• Client information
• Presenting Problem
• Referral (Including source and reason)
• Medical History
• Personal/Family History
• Education
• Work History
• Personality and Habits
Requirements:
• Submit a Word document that includes a title page.
• Be sure to address each section fully. Each area of information can be broken
into sub-sections, listed with the appropriate heading.
• This is a professional report and should use formal language, complete
sentences, proper grammar and appropriate sentence structure.
Be sure to read the criteria below by which your work will be evaluated before
you write and again after you write.
Social History Assignment
HSV340 – Case Management
© 2022 Post University, ALL RIGHTS RESERVED
Evaluation Rubric for Social History Assignment
CRITERIA Deficient Needs Improvement Proficient Exemplary
0 – 5 Points 6 – 7 points 8 – 9 points 10 points
Client
information
Section missing or
major details
missing.
Section addressed.
Some key details
missing.
Section addressed
in detail. Sub-
sections used with
headings when
appropriate. Minor
detail(s) missing.
Section addressed
in full detail. Sub-
sections used with
headings when
appropriate.
Presenting
Problem
Section missing or
major details
missing.
Section addressed.
Some key details
missing.
Section addressed
in detail. Sub-
sections used with
headings when
appropriate. Minor
detail(s) missing.
Section addressed
in full detail. Sub-
sections used with
headings when
appropriate.
Referral
(Including
source and
reason)
Section missing or
major details
missing.
Section addressed.
Some key details
missing.
Section addressed
in detail. Sub-
sections used with
headings when
appropriate. Minor
detail(s) missing.
Section addressed
in full detail. Sub-
sections used with
headings when
appropriate.
Medical History Section missing or
major details
missing.
Section addressed.
Some key details
missing.
Section addressed
in detail. Sub-
sections used with
headings when
appropriate. Minor
detail(s) missing.
Section addressed
in full detail. Sub-
sections used with
headings when
appropriate.
Personal/Family
History
Section missing or
major details
missing.
Section addressed.
Some key details
missing.
Section addressed
in detail. Sub-
sections used with
headings when
a.
{DiscriminationGENERAL DISCRIMINATI.docx
{
Discrimination
*
GENERAL DISCRIMINATION
+
RACIAL DISCRIMINATION
RELIGIOUS DISCRIMINATION
(on freedom of religion)
DISCRIMINATION ON SEXUAL ORIENTATION
(still weak protection)
GENDER DISCRIMINATION
(CEDAW)
TYPES OF DISCRIMINATION
NON-DISCRIMINATION in INT’L LAW
A. GENERAL DISCRIMINATION
Arts 1 & 2 Universal Declaration on Human Rights
Arts. 2 & 26 ICCPR
Art. 14 ECHR & Add. Protocol 12
B. RACIAL DISCRIMINATION
Int’l Convention against All Forms of Racial Discrimination (ICERD)
Art . 2: (1). Each State Party to the present Covenant undertakes to respect and to ensure to all individuals within its territory and subject to its jurisdiction the rights recognized in the present Covenant, without distinction of any kind, such as race, colour, sex, language, religion, political or other opinion, national or social origin, property, birth or other status.
(2). States to take the necessary steps to adopt laws and measures to give effect to art. 2;
(3). States to ensure effective remedy, determined by competent judicial, administrative or legislative authorities, or by any other competent authority and enforce such remedies.
Art. 26: non-discrimination before the law and equal protection by the law
ICCPR
*
Justification for differential treatment
General Comment 18 HRC
Not every differentiation of treatment will constitute discrimination:
if the criteria are reasonable and objective
and the aim is to achieve the purpose which is legitimate
ICCPR cont.
*
“Racial discrimination" shall mean any distinction, exclusion, restriction or preference based on race, colour, descent, or national or ethnic origin which has the purpose or effect of nullifying or impairing the recognition, enjoyment or exercise, on an equal footing, of human rights and fundamental freedoms in the political, economic, social, cultural or any other field of public life (art. 1)
States Parties particularly condemn racial segregation and apartheid and undertake to prevent, prohibit and eradicate all practices of this nature in territories under their jurisdiction (art. 3)
RACIAL DISCRIMINATION-
International Convention on the Elimination of All Forms of Racial Discrimination
Direct discrimination: Indirect discrimination
Formal equality: Substantive equality
Discrimination in law: Discrimination in practice
Non-discrimination: negative protection
Equality: positive obligations -> special measures
Is there a hierarchy in the protection of discrimination?
Racial Discrimination (prohibition Jus Cogens);
gender based discrimination?
Religious-based discrimination??
Discrimination based on sexual orientation???
Discrimination (forms & grounds)
= Affirmative action/ positive action
Article 1.4 of ICERD:
Special measures taken for the sole purpose of securing adequate advancement of certain racial or ethnic groups or individuals requiring such protection as may be necessary in order to ensure such groups or in.
~UEER THEORY AND THE JEWISH QUESTI01 Daniel Boyarin, Da.docx
~UEER THEORY AND
TH'E JEWISH QUESTI01
Daniel Boyarin, Daniel Itzkovitz,
and Ann Pellegrini, Editors
COLUMBIA UNIVERSITY PRESS
NEW YORK
COLUMBIA UNIVERSITY PRESS
Publishers Since 1893
New York Chichester, Ulest Sussex
Copyright© 2003 Columbia University Press
All rights reserved
Library of Congress Cataloging-in-Publication Data
Queer theory and the Jewish question I Daniel Boyarin,
Daniel Itzkovicz, and Ann Pellegrini, editors.
p. cm.-(Between meh-between women)
ISBN 0-231-11374-9 (cloth: alk. paper)-
ISBN 0-231-11375-7 (pbk.: olk. pape<)
1. Jewish gays. 2. Jewish lesbians. I. Boyarin,
Daniel. II. Itzkovitz, Daniel. III. Pellegrini, Ann
IV. Series.
HQ75.15.Q5 2003
305.892'4-dcll
2003048494
Casebound editions of Columbia University Press books
are printed on permanent and durable acid-free paper.
Printed in the United States of America
010987654321
p10987654321
Acknowledgments
Strange Bedfellows: An Introduction
Daniel Boyarin, Daniel ltzkovitz, and Ann Pellegrini
Category Crises: The Way of the Cross and the Jewish Star
Marjorie Garber
Epistemology of the Closet
Eve Kosofsky Sedgwick
Contents
ix
19
41
Queers Are Like Jews, Aren't They? Analogy and Alliance Politics 64
Janet R. Jakobsen
Freud, Bltiher, and the Secessio lnversa: Mannerbunde,
Homosexuality, and Freud's Theory of Cultural Formation
Jay Geller
Jew Boys, Queer Boys: Rhetorics of Antisemitism and
Homophobia in the Trial of Nathan "Babe" Leopoid Jr.
and Richard "Dickie" Loeb
Paul B. Franklin
Viva la Diva Citizenship: Post-Zionism and Gay Rights
Alisa Solomon
90
121
149
vii
Queers Are Like Jews, Aren't They? Analogy
and Alliance Politics
JANET R. JAKOBSEN
Queers are like Jews. Aren't they?
What does it mean to pose the Jewish question in relation to queer theo-
ry? Is there any one Jewish question? And does not the Jewish question also
pose the question of queer theory itself? What is the relationship berween
"Jewish" and "queee'? Does queer, after all, refer to the identity of those with
whom it is most commonly associated in the current milieu: homosexuals and
other sexual dissidents? Or does queer mean something, well, "different" than
that, different than a catch-all ca\egory with reference to sexuality? And if
queer refers to something else-to~ for example, that which is other, different,
odd, queer-what is its relation to the specific difference (queerness?)' of Jew-
ish? One can certainly imagine instances in which it would be quite queer to
be Jewish. But, if we simply take up the concept in this manner-that Jews
are the queers of this or that setting-does not all difference get colonized
into "queer"? And, doesn't the specter of sexual identity continue to haunt the
word queer, leaving sexuality as the fundamental difference? What if Jewish is
taken to mean something more than a specific difference? What of the impli-
cations of Jewishness beyond Jewish d.
© 2017 Cengage Learning. All Rights Reserved.Chapter Twelve.docx
© 2017 Cengage Learning. All Rights Reserved.
Chapter Twelve
Work: Occupational and Lifestyle Issues in Young and Middle Adulthood
© 2017 Cengage Learning. All Rights Reserved.
Introduction
What factors are attributed to job satisfaction?
What difficulties do middle-aged people face when they need to switch careers?
How do men and women differ regarding career choice?
How do parents juggle work and caring for children?
© 2017 Cengage Learning. All Rights Reserved.
12.1 Occupational Selection and Development
Learning Objectives
How do people view work?
How do people choose their occupations?
What factors influence occupational development?
What is the relationship between job satisfaction and age?
© 2017 Cengage Learning. All Rights Reserved.
The Meaning of Work, Part 1
Most people view work as a means for obtaining money and personal growth
Personal achievement is fulfilled through work based on whether or not meanings can be achieved
Developing self
Union with others
Expressing self
Serving others
© 2017 Cengage Learning. All Rights Reserved.
The Meaning of Work, Part 2
Meaning-mission fit: the alignment between an executive’s personal intentions and the company’s mission
When aligned, executives care more about employees’ happiness, job satisfaction, and emotional well-being
© 2017 Cengage Learning. All Rights Reserved.
Occupational Choice Revisited, Part 1
Three theories on adults’ choice of work:
Career construction theory: people build careers through own actions that result from personal characteristics and the social context
Holland’s personality-type theory: people choose work based on the fit between their individual traits and occupational interests
Social cognitive career theory (SCCT): career choice is the result of the application of Bandura’s social cognitive theory, especially self-efficacy
© 2017 Cengage Learning. All Rights Reserved.
Occupational Choice Revisited, Part 2
Figure 12.1 The four-variable (paths 1–6) and six-variable (paths 1–13) versions of the SCCT
interest and choice models.
© 2017 Cengage Learning. All Rights Reserved.
Occupational Development, Part 1
Personal experiences affect people’s occupational goals
Goals may change due to changing interests, not having a good fit with the job, or the need for further education to advance
People with the talent and opportunity to achieve their goals often obtain them
Young adults usually modify career expectations at least once
© 2017 Cengage Learning. All Rights Reserved.
Occupational Development, Part 2
Millennials tend to change jobs more often than in other generations
However, they generally have the same level of satisfaction
Reality shock: what is learned in the classroom does not carry over to the real world, and does not represent all a person needs to know
Best addressed through internships and practicum experiences
© 2017 Cengage Learning. All Rights Reserved.
Occupational Development, Part 3
Mentor/executive coach: part teach.
`HISTORY 252AEarly Modern Europe from 1500 to 1815Dr. Burton .docx
`HISTORY 252A
Early Modern Europe from 1500 to 1815
Dr. Burton Van Name Edwards (Van)
Tuesday – Thursday 3:30-4:45
Unistructure 247
Third Paper Assignment
Due Tuesday, December 13th
The third paper will be based on a book in the list at the end of the syllabus. These works are generally works of literature, with some concerned with philosophy or politics. The student’s task will be to show how the chosen work reflects or shows the influence of conditions and events in Europe that were operating at the time of the writing of the work. This is not a book report. I am not interested in plots or descriptions of the general argument of a given work. Instead, I am looking for an analysis of specific sections of the chosen work that may illuminate social and economic attitudes or contemporaneous conditions.
The paper should be 7-8 pages long.
You will be expected to give a 5-10 minute oral report based on your finding in the third paper. This oral report will be a significant part of your class participation grade.
.
^ Acadumy of Management Journal2001. Vol. 44. No. 2. 219-237.docx
^ Acadumy of Management Journal
2001. Vol. 44. No. 2. 219-237.
A SOCIAL CAPITAL THEORY OF CAREER SUCCESS
SCOTT E. SEIBERT
MARIA L. KRAIMER
•̂ ' ' ' Cleveland State University
ROBERT C. LIDEN
University of Illinois at Chicago
A model integrating competing theories of social capital with research on career
success was developed and tested in a sample of 448 employees with various occupa-
tions and organizations. Social capital was conceptualized in terms of network struc-
ture and social resources. Results of structural equation modeling showed that net-
work structure was related to social resources and that the effects of social resources
on career success were hilly mediated by three network benelits: access to information,
access to resources, and career sponsorship.
Organizational researchers have begun to de-
velop increasingly comprehensive models of career
success using demographic, human capital, work-
family, motivational, organizational, and industry
variables (e.g., Dreher & Ash, 1990; Judge & Bretz,
1994: Judge, Cable. Boudreau, & Bretz. 1995; Kirch-
meyer, 1998). Although this work has provided
considerable evidence regarding the determinants
of career outcomes, the roles of informal interper-
sonal behaviors have not been fully explored (Judge
& Bretz, 1994; Pfeffer, 1989). Popular advice for
getting ahead in one's career rarely fails to mention
the importance of networking for the achievement
of career goals (e.g., Bolles, 1992; Kanter, 1977).
Indeed, Luthans, Hodgetts, and Rosenkrantz (1988)
found that the most successful managers in their
study spent 70 percent more time engaged in net-
working activities and 10 percent more time en-
gaged in routine communication activities than
their less successful counterparts. Recent advances
in social capital theory (Coleman, 1990) have begun
to provide a finer-grained analysis of the ways in-
dividuals' social networks affect their careers in
organizations (Burt, 1992, 1997; Ibarra, 1995;
Podolny & Baron, 1997; Sparrowe & Popielarz,
1995). This theoretical perspective has the poten-
Data were collected and the manuscript was submitted
and processed while Scott E. Seibert was in the Manage-
ment Department at the University of Notre Dame and
Maria L. Kraimer was a graduate student at the Univer-
sity of Illinois at Chicago. Support for this project was
provided by the Management Department at the Univer-
sity of Notre Dame and the Alumni Office of the Univer-
sity of Notre Dame. The current investigation is part of a
larger study of career success.
tial to considerably enhance scholars' knowledge of
the role of social processes in career success.
The first purpose of the current study was to
integrate the current conceptualizations of social
capital as they pertain to career success. Tbree dif-
ferent theoretical approaches—weak tie theory
(Granovetter, 1973), structural hole theory (Burt,
1992), and social resource theory (Lin, 1990)—
focus on different network properties as r.
`Inclusiveness. The main.docx
`
Inclusiveness. The main difference that can distinguish a happy employee from disgruntled employee. As with all decisions that are made, there is always an audience that the decision will affect. When employees are privy and organizational decisions are inclusive to employees this can greatly increase their level of fulfillment. Whether or not the end user of the decision will be content with the outcome or not, there will always be critics. Which leads us to discuss key characteristics and the importance of involving employees in relative organizational decision making.
It is not uncommon to find that during strategic organizational planning that top-level management will include their employees to engage and provide their input on complex processes. Human capital, whether the organization is large or small, corporate ran or small business managed is key to an organization’s success. Employee satisfaction level drives productivity and is what increases revenue for the company. Happy employees equal happy customers.
What does it take to keep employees motivated? A critical and important element for employers to keep their employees happy and content is clear communication. It is critical that an organization’s objective and vision for future growth is communicated clearly throughout all levels. Top-level management must be skilled at delivering the company’s mission and values to every tier within their organization. Each tier within the organization with healthy communication should be able to open-mindedly accept the message and freely provide any feedback positive or negative without fear of repercussion. Keeping an open line of communication within an organization is key to building the foundation for success.
As we move away from the golden days of traditional office operations consisting of fax machines, telephones, paper, pencils, etc. and move towards a more technologically repertoire, we lose the personable face to face interaction with one another. We spend most of the day behind our computer screen at our desk. The need to sustain job satisfaction amongst employees could not be ever more present than now. To maintain the morale amongst employees, organizations should be able to keep them challenged and motivated. Take technology for example. If the increase of new technology isn’t daunting enough, consider the challenge to remain current with technology all the while maintaining a competitive advantage in the industry? Reach internally to our internal resource, human capital. Employees must be given the opportunity to share their knowledge, skills, and abilities. When empowered to provide input concerning highly visible organizational decisions, employee morale is boosted. Not only is this beneficial for employees but also the employer as they receive ideas and input that could possibly lead to the solution. Employee engagement boosts the overall welfare of the organization.
According to.
__MACOSXSujan Poster._CNA320 Poster Presentation rubric.pdf.docx
__MACOSX/Sujan Poster/._CNA320 Poster Presentation rubric.pdf
__MACOSX/Sujan Poster/._CNA320+Poster+Template (1).ppt
__MACOSX/Sujan Poster/._Helpful Hints for the Poster Presentation.docx
Sujan Poster/Poster Abstract - Aspiration pneumonia (1).docx
Title: Aspiration pneumonia: Best practice to avoid complications
Background
Aspiration pneumonia is a lung infection due to inhaled contents; this is a relevant topic because aspiration pneumonia is prevalent and accounts for up to 15% of all pneumonia cases and is particularly common in older people, and thus it is important for nurses to be aware of how to manage the condition particularly as the population is ageing so this will be of more concern (Kwong, Howden & Charles 2011).
Target Audience
The target audience for this presentation is experienced Registered Nurses and thus the presentation has been designed for this group.
Main Findings
Aspiration pneumonia is an infection within the lungs that occurs after a person aspirates either liquid, vomit or food into the larynx and lower respiratory tract; this can occur when an individual inhales their gastric or oral contents. Patients at risk include individuals who are elderly or those who have a marked disturbance of consciousness such as that resulting from a drug overdose, seizures, a massive cerebrospinal accident, dysphagia or dysphasia (Kwong, Howden & Charles 2011). Aspiration pneumonia can quickly develop into respiratory failure, abscess and empyema and this requires supportive care, which is the main form of therapy, however prophylactic antimicrobial therapy is also often prescribed (Joundi, Wong & Leis 2015). Best practice suggests suctioning, supplemental oxygen to keep O2 above 90%, septic shock therapy, management of hypotension and antibiotic therapy for 7-10 days. Sputum cultures should be taken so that antibiotics can be tailored appropriately (McAdams-Jones & Sundar 2012).
Implications for Practice
These findings are important for registered nurses to be aware of so that aspiration pneumonia can be managed appropriately and complications can be avoided, which could cause increased hospital stay and costs. Nurses need to be aware of the best practice recommendations such as oxygen supplementation, sit up while eating, provide thickened foods and drinks, dental care and about taking sputum cultures when managing aspiration pneumonia so that treatment can be tailored appropriately and recovery can occur quickly.
Feedback from marker (Teacher)
Thank you for your abstract.
You have just managed a pass grade, your work is very basic and you will need to engage with the basic practice literature to ensure you have a comprehensive understanding of this topic in your poster.
I am also unclear on your focus, is this about prevention of aspiration or management once it has occurred or both?
Kind regards Andrea
Sources of Evidence
Joundi, R, Wong, B & Leis, J 2015, "Antibiotics “Just-In-Ca.
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[Type text][Type text][Type text]1Running head IMPACT O.docx
- 1. [Type text] [Type text] [Type text] 1 Running head: IMPACT OF HOSPITALS OBTAINING MAGNET DESIGNATION Impact of Hospitals Obtaining Magnet Designation Impact of Hospitals Obtaining Magnet Designation
- 2. As hospitals and long term care facilities compete to be the finest facility, one main focus is to create an environment that delivers service excellence and better patient outcomes (Drenkard, 2010). To achieve its goal, the American Nurses Credentialing Center (ANCC) has created designation recognizing hospitals for their outstanding nursing care delivery; Magnet Recognition Program (jcaho). In her book, Nursing Clinic of North America, Karen stated the designation ensures that a consistency level of practice and professionalism is demonstrated throughout magnet hospitals in the states and hospitals that are attaining magnet status share the same characteristics of qualitative factors known as “Forces of Magnetism” (Hill, 2011). Forces of magnetism is the requirement for designation as a magnet facility and exemplifies a professional environmental guided by a strong and visionary nursing leader who advocates and support excellence in nursing practice (Jordan, 2011). On the other hand, to earn magnet status can be challenging. According to Lorrie Mancuso, the process is a complex application process and extremely expensive (Lorrie, 2016). It is not an easy work to obtain the status and hospitals must work hard to meet strict requirements as well as commitment to the nursing practice (Hawke, 2003). <This paper proposes a review of what is the impact to the hospitals obtaining magnet designation versus the process of obtaining the designation, and compare which one has more advantages> Discussion of Research Points in Favor of Obtaining Magnet Designation Magnet designation is recognized to be the golden standard in nursing world and it is recognized for nursing excellence and delivers high quality of nursing care (“Magnet Status for Nursing Excellence,” 2016). According to Joint Commission on Accreditation of Healthcare Organizations, there is less mortality rate in magnet hospitals due to higher nurse to patient ratios. For example, the incidence of pneumonia acquired in hospitals was associated to the nurse staffing level. A study
- 3. revealed, “Adding just 30 minutes of RN staffing per patient day greatly reduced the incidence of pneumonia in patients following surgery” (Potter, Perry, Stockert, & Hall, 2016). Nurses’ safety is significantly improved at magnet hospital. Several studies have demonstrated up to one-third reduction in needle stick injuries in magnet facilities at a cost of $405 per incident. Occupational health injuries for musculoskeletal injuries and blood and body fluid exposures are also lower in hospitals with magnet status. Magnet hospitals are in a better position to recruit and retain nurses, most likely because of a better work environment, share governance structures, and nursing services support that are necessary to meet magnet criteria. As a result, they have lower vacancy and turnover rates. Points in Opposition of Obtaining Magnet Designation To apply, hospitals must going through an appraisal process that requires them to present evidence showing achievement of magnet standards. Magnet status requires nurses to collect data on specific nursing sensitive quality indicators or outcomes and compare their outcomes against national, state, or regional database to demonstrate quality of care (Potter, Perry, Stockert, & Hall, 2016). The journey of magnet certification is a journey for the entire organization. Teamwork, patience, dedication, and respect across the entire organization are important to obtaining Magnet Certification. The magnet process itself can take anywhere from 2-4 years or longer from idea generation to site visit. It can be challenging to implement a shared decision-making model, stay focused, meet deadlines and keep energized over this period (Layola nursing newsletter). <This voluntary process consumes a lot of time and hard work> On top of the lengthy application process, the hospitals must reapply every four years to keep the designation status (“Magnet Status for Nursing Excellence”). Effects on Nursing Practice By analyzing the benefit of obtaining magnet designation in healthcare organizations versus <is it worth enough the
- 4. money and time to have it? Which seems often too much and making it impossible, the student nurse agrees that in order to demonstrate quality patient care and improve patients’ outcomes, magnet recognition program is worth all that it costs and then some>. A nurse must work in an environment so that they can grow and flourish. That is the environment where positive attitudes are enforced, nurses’ inputs are valued, management are supportive, high nurse to patient ratio, constructive communications between nurses and physicians as well as a structural empowerment all the nursing staff to participate in their professional practice, to implement new knowledge and innovations. The student nurse believes all of these characteristics can have positive impact on patient because the nurses in such environment are satisfied, involved, and innovative. Consequently, the patient outcomes are fewer complications, fewer adverse events, shorter lengths of stay, most importantly, lower mortality rate. Conclusion When comparing if it’s worth it obtaining magnet designation, the benefits of having it quite drastically outweigh when hospitals do not have one. Magnet program objective is to promote quality in the work setting that supports professional nursing practice. It identifies excellence in delivering nursing services and these facilities disseminate best practice in nursing services and live by nursing ethics. Besides lowering nurse turnover, magnet hospital is most likely the desirable facility that patients will seek. Understanding the disadvantages; costly, time consuming, need dedication from employees throughout the process are the reasons why not every facility would want to obtaining the status. However, nurses in magnet facilities have better positive attitudes at work, this benefits extend to the patient and organization.
- 5. Reference Zittel, B., Moss, E., O'Sullivan, A., & Siek, T. (2016). Registered Nurses as Professionals: Accountability for Education and Practice. Online Journal Of Issues In Nursing, 21(3), 8. doi:10.3912/OJIN.Vol21No03Man01 Swanson, J., Tidwell, C., (September 30, 2011) "Improving the Culture of Patient Safety Through the Magnet® Journey" OJIN: The Online Journal of Issues in Nursing Vol. 16, No. 3, Manuscript 1.
- 6. Jordan, Z., (2011). A “force” to be Reckoned with: The International Attraction of Magnet Status. Pacesetters, (8)1, 10- 13. http://journals.lww.com/jbipacesetters/Fulltext/2011/01000/A__ force__to_be_reckoned_with___The_international.3.aspx?trend md-shared=0 https://www.americannursetoday.com/going-for-the-gold-the- value-of-attaining-magnet-recognition/ Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2016). Fundamental of Nursing: The Health Care Delivery System. St. Louise, MO: Elsevier Health Science. Hill, S. H., (2011). Nursing Clinics of North America. Lexington, KY: Elsevier Health Science Finkelman, A., & Kenner, C., (2014). Professional Nursing Concept. New York: Jones & Bartlett Learning. Magnet Status for Nursing Excellence. (2016). In Northwest Community Healthcare. Retrieved from http://www.nch.org/about-nch/high-quality-care/magnet-status- for-nursing-excellence Joint Commision on Accreditation of Healthcare Organizations. (2016). Healthcare at the Crossroads: Strategies for Addressing the Evolving Nursing Crisis. http://www.nch.org/about-nch/high-quality-care/magnet-status- for-nursing-excellence