Voalte - Rx for Doctor Disconnect
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How can physicians become engaged when they're struggling to communicate with the rest of the care team? It all starts with smartphones.
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Discussion 1In today’s society, certain types of cultural barrie.docx
Discussion 1
In today’s society, certain types of cultural barriers in healthcare have the power to negatively impact outcomes and can lead to expensive consequences for health systems. Cultural competency refers to the ability to interact with people across cultures. When used in healthcare, it focuses on being able to care for patients with diverse values, beliefs, and behaviors. Today, the delivery of healthcare needs to be tailored to patients’ social, cultural and linguistic needs. According to the health care service company Cigna, cultural competency in healthcare can overcome health disparities. Some of these disparities include language barriers, cultural beliefs and practices, medical bias, variations in care access and quality, and low health literacy (Husson University, 2019).
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Having the ability to communicate effectively with patients and their families is key for good patient care. The importance of communicating effectively in cross-cultural encounters is necessary. Cultural competence includes providing effective health care across diverse cultures by working collaboratively and communicating effectively. Advanced practice nurses and physicians who are aware of their own and their patients’ cultural backgrounds, along with the values that are often implicit in current medical models, are better able to achieve mutual understanding within the patient encounter and to focus on culturally appropriate health care interventions (Ladha et al., 2018)
With the Purnell Model, all aspects and domains of this model work by affecting one another, rather than standing alone. With this model there are specific cultural domains that include, heritage, communication, family roles and organization, workforce issues, bicultural ecology, high risk behaviors, nutrition, childbearing, death rituals, spirituality, health care practices and the healthcare practitioner (National Association for School Nurses, 2019).
As nurse practitioners, understanding the impact that cultural competence and interaction with your patients are key in quality patient care and trust. Cultural competency is relevant to healthcare education due to the fact that minorities will constitute 54% of the total United States population by 2050. The Purnell Model helps by evaluating the impact of interventions such as service learning and the change on cultural competence following the specific intervention. Research involving the Purnell Model is used as the theoretical framework for determining the h.
FINAL PAPER 432
This document discusses issues with patient misidentification in healthcare and proposes solutions. It notes that patient misidentification can lead to medical errors and harm patients. Interventions like using two patient identifiers, barcoding systems, and staff education on safety protocols may help reduce errors related to improper identification. The importance of ensuring patients receive the correct treatments and medications is emphasized.
Effect of Nursing Shortag.docx
Effect of Nursing Shortage and Turnover on In-Patients
Running Head: PICOT STATEMENT PAPER 1
Effect of Nursing Shortage and Turnover on In-patients
Nursing shortage and turnover is a serious problem experienced in the United States of America (USA) and the world at large. Many states in the USA have inadequate nurses which end up impairing the quality of service given to the patients especially in-patients. The few nurses available cannot completely meet the needs of the patients especially those who critically needs total care and attention. The few nurses available are usually stressed and in a hurry trying to care for a high number of patients which is usually impossible. This situations adds stress to them and increase their chances of quitting the job. Nurses play a pivotal role in caring for these patients especially the ones admitted in long term acute care facilities (LTAC) since they continuously monitor the patients in critical conditions and provide necessary treatments and medicine to save the lives of the patients (Stone et al., 2006). There are various reasons which can be associated with the nurses' shortage and turnover and these include inadequate nursing educators, inequitable distribution of nurses, high turnover rate and aging workforce to name but a few. These problems can be solved by investing in the development of nurses to make them happy and well equipped with the knowledge and skills required to handle their tasks. This can be through training them regularly, giving them a chance to further their education as they work, paying them well and giving them appropriate compensations among other key strategies.
PICOT Statement
Considering the patients in long term care facilities, do effective investment in the development of nurses compared to the current standards of nurse staffing in the USA essential in improving the quality of care of the in-patients?
Clinical problem
The shortage and turnover of nurses is an issue that has raised a lot of concern as far as the health of the patients is concerned. This issue has resulted in long patients stay in hospitals, increased bloodstream infections and increased fatalities. The patients in acute long term care units require total attention and monitoring than any other patients requiring basic care. This is to ensure that their conditions are kept in control. In fact, one nurse should only handle three or four patients maximum because of the criticality of these patients. The inadequate of nurses in the section makes each nurse to handle more than five patients and this decreases the quality of care given to these patients and increases fatalities or longer stays. (Thompson et al., 2013). It is therefore vital for the government and healthcare departments to effectively invest in the development of nurses to increase their number, education, abilities, and motivation. There should .
Ethical Issues Related to Social MediaThe use of social media in.docx
Ethical Issues Related to Social Media
The use of social media in the healthcare setting can have significant impact on nursing practice. The impacts are common both in individual and organizational levels. The impacts of using social media in the clinical practice are both negative and positive (Jackson, Fraser, & Ash, 2014). The negative impact of using social media in the healthcare are attributed to various ethical issues. The advancement in information technology has increased the use of social media platforms in communication. Nurses are expected to develop professional skills and competencies in nursing informatics to improve their clinical practice. The use of social media has potential benefits to the users. unfortunately, irresponsible use of social media platforms is a fraught with hazards. There have been cases of patients stalking their nurses, providers blogging denigrating descriptions about patients under their care, and nurses disclosing sensitive or confidential and private information about their patients (Jackson et al., 2014). These negative impacts, for example, disclosing of private information is one of the leading factors that is linked with ethical issues when using social media in the clinical practice.
The use of social media platforms in the healthcare has raised various professional issues that include concerns related to confidentiality and privacy; professional boundaries; integrity, trustworthiness of health care professionals; line between personal and professional identity; and accountability (Denecke et al., 2015). Privacy and confidentiality are the main factors that cause ethical issues with the use of social media in the healthcare setting. Lack of privacy and confidentiality of patient’s sensitive information has been cited as the main cause of ethical issues when using various social media platforms in the healthcare setting. Privacy is controlled by the patient while confidentiality is controlled by the nurses and both should be promoting when using social media in the clinical practice (Denecke et al., 2015).
Maintaining privacy and confidentiality are important in maintaining nurse-patient relationship and addressing the related ethical issues in nursing practice. Maintaining trust of the patients is integral for ensuring provision of competent nursing care. Nurses should be committed to promote confidentiality of patient’s information when using social media to avoid the related ethical issues (Denecke et al., 2015). Lack of confidentiality may result to a situation where patients are disinclined to share intimate clinical information concerning themselves and their medical histories; thus, compromising with the delivery of quality, holistic, competent, and individualized care in nursing practice.
Sharing patient’s data through various social media platforms may result to ethical issues if informed consent is not considered. Sensitive patient’s information should be shared with the consent of.
Trends and issues
Nursing has undergone many changes and will continue to change with trends in healthcare. As healthcare shifts from hospitals to homes and focuses more on prevention, nurses will take on more essential public health and patient-centered roles. Nurses must adapt to this changing environment through lifelong learning and a broad knowledge base to address challenges around ethics, costs, and quality of care. Globalization will further impact nursing through increased mobility and standardization across borders.
Effective nursing care through researh
Nursing students are often required to participate in research studies to earn their nursing degree. This provides benefits to both the student and the nursing field. Students gain first-hand experience and build their knowledge in a particular subject. Their research also contributes to the overall body of nursing knowledge used to train new nurses. Research is necessary to determine best practices and improve nursing care quality based on evidence. Some students may even choose to pursue careers in nursing research due to their experience.
S28 September-October 2016HASTINGS CENTER REPORTUndispu.docx
S28 September-October 2016/HASTINGS CENTER REPORT
Undisputedly, the United States’ health care sys-
tem is in the midst of unprecedented complexi-
ty and transformation. In 2014 alone there were
well over thirty-five million admissions to hospitals in
the nation,1 indicating that there was an extraordinary
number of very sick and frail people requiring highly
skilled clinicians to manage and coordinate their com-
plex care across multiple care settings. Medical advances
give us the ability to send patients home more efficiently
than ever before and simultaneously create ethical ques-
tions about the balance of benefits and burdens associ-
ated with these advances. New treatments for cancer or
complex heart disease may prolong life until the disease
becomes irreversible while causing significant morbidity
that undermines functional status, independence, and
quality of life in ways that patients find unacceptable.
Some patients and families voice concerns about access
to treatments and about the quality and safety of the care
they or their loved ones receive.
Every day on every shift, nurses at the bedside feel
these pressures and the intense array of ethical issues that
they raise. A staggering 17.5 percent of trained nurses are
leaving their roles or the profession after less than one
year of service,2 and increasing levels of moral distress
and burnout contribute to their decisions.3 Meanwhile,
research supports the common-sense understanding that
patients and health care organizations fare better when
nurses are not harried, are supported in their work en-
vironments, and are able to practice high-quality, ethical
care.
At the same time, administrators, policy-makers, and
regulators struggle to balance commitments to patients,
families, staff members, and governing boards. Health
care organizations are compelled by laws, regulations,
and accrediting bodies to pursue externally reported
measures of effectiveness that can put their mission and
values at risk. While health care systems declare their
commitment to core ethical values, many clinicians
struggle to understand institutional priorities, budgets,
policies, and decisions seemingly inconsistent with their
values as professionals.
Increasingly clinicians find their ability to provide
compassionate care at odds with the intensifying focus
on matters such as clinical pathways aimed at standard-
izing care, cost-cutting efficiencies, electronic medical
records, and hospital policies and procedures.4 Arguably,
each of these have merit in the current system, but what
is not accounted for are the unintended consequences
of diverting attention from the core ethical values of the
professions. For example, the advent of the EMR requires
clinicians to focus on documentation rather than being
fully present during patient encounters. An emphasis on
clinical pathways increases the risk of reducing patient
symptoms and diseases to what fits a rote app.
POD Paper Immunity fo rthe Community
This document summarizes a student paper about promoting childhood immunizations in Texas. It provides background data on recent outbreaks of vaccine-preventable diseases from sources like the CDC. Vaccination rates in Texas are outlined, with 81.5% of children receiving the full DTaP series and 92.7% receiving the MMR vaccine. The document proposes partnering with organizations like the Texas Nurses Association to educate caregivers and potentially advocate for stricter vaccination laws. The overall goal is to increase immunization rates and protect community health.
PODImmunityfortheCommunity
This document summarizes a student paper about promoting childhood immunizations in Texas. It provides background data on recent outbreaks of vaccine-preventable diseases from sources like the CDC. Vaccination rates in Texas are outlined, with 81.5% of children receiving the full DTaP series and 92.7% receiving the MMR vaccine. The document proposes partnering with organizations like the Texas Nurses Association to educate caregivers and advocate for stricter vaccination laws to increase immunization rates and prevent future outbreaks.
PROVIDERS CHALLENGE FOR TREATING INFECTIOUS3PROVIDERS CHALLENGE.docx
PROVIDERS CHALLENGE FOR TREATING INFECTIOUS 3
PROVIDERS CHALLENGE FOR TREATING INFECTIOUS 15
Providers Challenge for Treating Infectious Disease
Amy Nicole Elders
Grand Canyon University
Science Communication & Research
Bio- 317V-0500
Michael Rothrock
September 6, 2019
Abstract
Running head: PROVIDERS CHALLENGE FOR TREATING INFECTIOUS 1
High mortality results from infection within healthcare institutions whether community or hospital acquired. Hospitalists provide inpatient care with increasing frequency due to the overwhelming workload upon primary care physicians. However, hospitalists are generalists and are minimally prepared to attend patients with serious infections which may rapidly overwhelm particularly in vulnerable populations. Duplication of diagnostic testing, prolonged length of stay drives up costs for institutions and patients. Erroneous or inadequate prescription of antibiotics costs lives, Infectious disease specialists are inadequately utilized despite statistical evidence that such specialty care improves outcomes. Education, collaboration between providers, and prescribing guidelines are recommended to address these needs.
Providers Challenge for Treating Infectious Disease
Technology has become increasingly advanced and the ability to diagnose, treat, and manage patients is ever evolving. Although advancements in imaging, surgical procedures and medication therapies make possible a better quality of life, they are often required to self-manage very serious disease and infection. Insurance companies and healthcare regulations often guide the path providers must take to care for patients. The length of stay in hospitals are decreasing and patients are being treated on an outpatient basis. Patients often receive care in outpatient rehabs, infusion centers, and home health agencies with medications supplied by specialty pharmacies. Drug resistant organisms are becoming more common and the risks associated with treating these organisms can often be challenging to manage. Treatment is often received for an extended amount of time and many primary care providers no longer see patients on an inpatient basis. This means that hospitalists assume care when they are admitted into the hospital but are unable to follow the patient for the remainder of treatment when they are discharged. When complications arise for these patients, they have limited ways of seeking help. There is fragmented care and lack of continuity. In the case of patients diagnosed with infection, questions about when hospitalists should consult specialists such as infectious disease physicians often occur. Mortality and morbidity for patients as well as hospital stays and readmission are decreased when an Infectious Disease physician is consulted early (CDC, 2013). Research is focused on the education of these two types of physicians, why some providers decide not to pursue a specialty, as well as success rates of patients treated by both. Fact ...
Staffing & infections
The document summarizes research that shows a link between nurse staffing levels and patient outcomes. Several studies are cited that demonstrate higher nurse-to-patient ratios are associated with lower hospital infection rates, fewer complications, decreased mortality rates, and better financial performance. The research indicates specific staffing targets, such as a ratio of 1 nurse for every 4 patients, could prevent tens of thousands of patient deaths annually. The evidence consistently shows improved patient outcomes and safety when there are sufficient nursing staff to care for fewer patients per nurse.
Tom Peters at Inova Health System, Fairfax
The document discusses excellence in healthcare and describes the Planetree model for patient-centered care. The Planetree model focuses on 9 practices: human interaction, informing and empowering patients, including family/friends, nutrition, spirituality, human touch, healing arts, integrating alternative practices, and healing environments. It provides examples of how various hospitals have implemented these practices to improve patient satisfaction and health outcomes.
Bed side management and patient safety
The document discusses the importance of bedside manner and interprofessional cooperation in healthcare. It states that poor communication among healthcare personnel is a major factor in hospital errors. Bedside manner refers to a healthcare provider's medical knowledge, personality, and ability to understand and communicate with the patient. The document emphasizes the need for etiquette, respectful relationships, and high standards among all healthcare professionals when interacting with patients and colleagues.
HL Making it Clear
The document summarizes a presentation on health literacy. It identifies components of health literacy and discusses how limited health literacy impacts patient health and healthcare costs. It examines best practices for clear communication and reducing barriers to understanding health information. The presentation aims to improve health outcomes through better communication between healthcare professionals and diverse communities.
Patient Care Essay
Safe Patient Care
Nursing Education and Quality Patient Care Essay
Patient Safety Essay
Essay on Providing Quality Patient Care
Patient-Centered Care: A Case Study
Nursing Care Study Essays
Quality Patient Care Essay
Patient Centered Care Essay
Essay On Patient Centred Care
The Importance Of Patient Care And Quality Care
Patient Centred Care Essay
Patient-Centred Care Essay
Quality Patient Care Essay
Nurses Provide Excellent Patient Care Essay
Essay Patient Care Plan
My Experience With A Patient Essay
comment1Since the inception of CNL’s, documentation shows pati
comment1
Since the inception of CNL’s, documentation shows patients have shorter hospital stays, reduced readmission rates, and improved quality of care. Infection rates and falls decreased. Patient satisfaction increased, and nurse turnover rate decreased (HealthLeaders, 2009). Clinical Nurse Leaders had such a positive impact on patient care by applying evidence-based practices. This includes but is not limited to planning, implementing and evaluating patient care. Working across the different disciplinaries, coordinating, delegating and supervising patient care has benefitted patients and hospitals alike (Vadurro, 2018).
This leadership position works directly with the patients, so it is important the CNL enjoys direct patient care, as well as mentoring fellow nurses. The CNL should have qualities such as strong problem-solving skills and critical thinking (RegisteredNursing.org, 2018).
Formal education requires the RN to BSN, passing the N-Clex, and continuing to a Master of Science degree. The advanced courses include pathophysiology, clinical assessment and pharmacology. After successful completion of those requirements, an RN is able to obtain the CNL Certification from the Commission on Nurse Certification (RegisteredNursing.org, 2018).
comment2
Clinical nurse leader influences the direct patient care in the hospital settings. For example they give patient education including individuals, families and other care givers. They will be part of the ongoing assessment and modification if necessary of the plan of the care. They perform a comprehensive assessment of the client and family/caregiver upon initial contact. A Clinical Nurse Leader acts as a systems analyst or risk anticipator by anticipating patient safety risks, reviewing critical incidents, and evaluating client care delivery options. The CNL is also work with other care providers go for day-to-day information or issues related to the care of the specified patient cohort in the hospital settings. CNLs are also uniquely positioned to plan and coordinate care across entire patient populations or service lines, working with the multidisciplinary healthcare team across the care continuum, and helping organizations reduce length of stay and prevent readmissions. Clinical Nurse Leaders are also adept at using technologies and information systems to improve healthcare outcomes for their units and patients (Eira I. & Klich, H (n.d.). According to a study in University Hospital in Augusta, GA, piloted a CNL role in an acute care environment and documented significantly improved, patient-centered care through CNL assessment and advocacy. These CNLs communicated carefully with patients to determine their needs other than those specific to the current medical diagnosis. In each case the CNL’s ability to assess the patient’s unique needs and advocate with the healthcare team led to significant realignment of the treatment plan with the patient’s needs and preferences (Reid, & Denniso ...
Bulder_Samantha_DOCTORS_MEASLES_VACCINE_J351_ETHICS_endofthequarterproject
Doctors have an ethical obligation to educate parents about the importance of vaccinating children against measles. While parents have the right to refuse vaccines, this puts other children at risk. Doctors should try to convince hesitant parents but may dismiss families that refuse, as unvaccinated patients endanger others. Media coverage of discredited claims linking vaccines to autism has contributed to rising exemption rates and growing measles risks in the US. Doctors must protect their patients and communities from preventable diseases.
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S28 September-October 2016HASTINGS CENTER REPORTUndispu.docx
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PROVIDERS CHALLENGE FOR TREATING INFECTIOUS3PROVIDERS CHALLENGE.docx
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comment1Since the inception of CNL’s, documentation shows pati
comment1Since the inception of CNL’s, documentation shows pati
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Voalte - Rx for Doctor Disconnect
- 1. How can physicians become engaged when they’re struggling to communicate with the rest of the care team?
- 2. Poor communication has a high cost. The Joint Commission on Accreditation of Healthcare Organizations. “Sentinel Event Type Root Causes by Event Type 2004-2Q2013,” September 20, 2013, “National Patient Safety Goals Effective January 1, 2014,” 2013.
- 3. Nurses hunt down doctors.
- 4. Pager use is declining. “Where pagers haven’t gone extinct yet,” Verne Kopytoff, CNN Money, July 16, 2013.
- 5. Are your physicians sharing information with the entire care team?
- 6. Doctors need to rethink referrals. “Improving Care Coordination in the Specialty Referral Process Between Primary and Specialty Care,” Caroline Y. Lin, North Carolina Medical Journal, Vol 73, No. 1.
- 7. Doctors take risks with insecure texting. “TXT@WORK: Pediatric Hospitalists and Text Messaging,” Stephanie Kuhlmann, DO, FAAP, Carolyn R. Ahlers-Schmidt, PhD, and Erik Steinberger, BS University of Kansas School of Medicine—Wichita, Kansas, 2014.
- 8. Can you afford to put your patients’ protected health information in jeopardy?
- 9. SMS and PHI don’t mix. U.S. Department of Health and Human Services. “Combined Regulation Text of All Rules,” March 2013.
- 10. Providers are planning a mobile future. 3rd Annual HIMSS Analytics Mobile Survey, February 2014.
- 11. Smartphones build physician engagement. When you’re ready to get your physicians connected: Visit voalte.com Read our white paper: Physician communication: 3 key elements to secure texting.