Hospital Setting Essays (Examples)
Study Document
Application Of Quality And Safety Concepts
… be. Figures from a couple of important research works reveal that between 44,000 and 98,000 individuals lose their lives per annum within healthcare setting owing to preventable clinical errors. Even if one uses the lower figure, preventable clinical mistakes within healthcare facilities surpass mortality attributed to feared … on account of such mistakes and inefficiencies (Amit, 2019). Of particular concern is: patient information exchange when patients are shifted between departments or hospital. Conventionally-performed record sharing of patients is ineffective and time-consuming, as well as puts patient data in jeopardy (i.e., risk of data leaks and … practice guidelines. Furthermore, it was concluded that HIT constitutes a key instrument when it comes to improving the safety and quality of healthcare. hospital and other healthcare facilities must selectively choose technologies for investment, since research works reveal that certain technologies have only limited evidence when it … safety improvements, though its adoption……
References
Bibliography
Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Med J, 38(12), 1173–1180.
Amit, M. (2019, January 28). 5 Problems Which Healthcare Technology Can Solve for a Healthier World. Retrieved from Net Solutions: https://www.netsolutions.com/insights/5-healthcare-problems-which-digital-technologies-can-solve-for-a-fit-and-healthy-world/
DeSanctis, G., & Poole, M. S. (1994). Capturing the Complexity in Advanced Technology Use: Adaptive Structuration Theory. Organization Science, 5(2), 121-147.
Feldman, S. S., Buchalter, S., & Hayes, L. W. (2018). Health Information Technology in Healthcare Quality and Patient Safety: Literature Review. JMIR Med Inform, 6(2).
Halamka, J., Mandl, K., & Tang, P. (2008). Early Experiences with Personal Health Records. Journal of the American Medical Informatics Association, 15(1), 1-7.
IOM. (1999). To Err is Human: Building a Safer Health System. National Academy of Sciences.
Singh, H., & Sittig, D. (2016). Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Quality & Safety, 25, 226-232.
Weigel, F., Hall, D. J., & Landrum, W. H. (2009). Human/Technology Adaptation Fit Theory for Healthcare. SAIS 2009 Proceedings.
Study Document
The Role Of Quality And Safety In Nursing Science
… person?centeredness nursing homes. The positive health outcomes from those that participated in the study as perceived by relatives, demonstrated person?centered climate facets of hospital and safety have a major role in the quality of care. It stands to suggest focusing on the holistic approach to patient can … care.
Often quality of care and safety go hand-in-hand. High quality of care can be seen through lower mortality. “Patients cared for in hospital where a high proportion of RNs reported excellent quality of care (the highest third of hospital) had 23% lower odds of 30-day inpatient mortality” (Smeds-Alenius, Tishelman, Lindqvist, Runesdotter, & McHugh, 2016, p. 117). Nurses who make sure patients take … 30-day inpatient mortality” (Smeds-Alenius, Tishelman, Lindqvist, Runesdotter, & McHugh, 2016, p. 117). Nurses who make sure patients take their medications, advise them on after-hospital routines, and educate on options for lifestyle changes, can lead to improvement in……
References
References
Brasait?, I., Kaunonen, M., Martink?nas, A., Mockien?, V., & Suominen, T. (2016). Health care professionals’ skills regarding patient safety. Medicina, 52(4), 250-256. doi:10.1016/j.medici.2016.05.004
Jones, T. L., Hamilton, P., & Murry, N. (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52(6), 1121-1137. doi:10.1016/j.ijnurstu.2015.02.012
Lood, Q., Kirkevold, M., Sjögren, K., Bergland, Å., Sandman, P., & Edvardsson, D. (2019). Associations between person?centred climate and perceived quality of care in nursing homes: A cross?sectional study of relatives’ experiences. Journal of Advanced Nursing. doi:10.1111/jan.14011
Murray, M., Sundin, D., & Cope, V. (2017). New graduate registered nurses’ knowledge of patient safety and practice: A literature review. Journal of Clinical Nursing, 27(1-2), 31-47. doi:10.1111/jocn.13785
Sahlström, M., Partanen, P., Rathert, C., & Turunen, H. (2016). Patient participation in patient safety still missing: Patient safety experts\\' views. International Journal of Nursing Practice, 22(5), 461-469. doi:10.1111/ijn.12476
Smeds-Alenius, L., Tishelman, C., Lindqvist, R., Runesdotter, S., & McHugh, M. D. (2016). RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: A national cross-sectional study of acute-care hospitals. International Journal of Nursing Studies, 61, 117-124. doi:10.1016/j.ijnurstu.2016.06.005
Tobiano, G., Marshall, A., Bucknall, T., & Chaboyer, W. (2015). Patient participation in nursing care on medical wards: An integrative review. International Journal of Nursing Studies, 52(6), 1107-1120. doi:10.1016/j.ijnurstu.2015.02.010
Twigg, D. E., Pugh, J. D., Gelder, L., & Myers, H. (2016). Foundations of a nursing-sensitive outcome indicator suite for monitoring public patient safety in Western Australia. Collegian, 23(2), 167-181. doi:10.1016/j.colegn.2015.03.007
Study Document
Suicide Prevention Intervention In The Emergency Department
… allowed me to see as much. Legacy is in Lee County’s Screening Center for Mental Health Crisis and is located inside Main St hospital, and patients from all over the county are processed through the Emergency Room. At Legacy, patients will be screened using the Columbia Assessment … them to access on their own, it leaves a huge gap in mental health services for the community. Clients are brought to the hospital via the police, ambulance, referred from the school district, nursing homes or come as walk-ins. The ER becomes a revolving door and clients … Stanley et al. (2018). Patients who visit the ED but fail to receive the care they require should not be discounted by the hospital but rather should be considered as they are an example of the type of population most vulnerable to death and therefore most in ……
References
References
Appleby, L., Morriss, R., Gask, L., Roland, M., Lewis, B., Perry, A., ... & Davies, L. (2000). An educational intervention for front-line health professionals in the assessment and management of suicidal patients (The STORM Project). Psychological medicine, 30(4), 805-812.
Belmont Report. (1979). Ethical Principles and Guidelines for the Protection of Human
Subjects of Research The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. Department of Health, Education, and Welfare. Retrieved from https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/index.html
Browne, V., Knott, J., Dakis, J., Fielding, J., Lyle, D., Daniel, C., ... & Virtue, E. (2011). Improving the care of mentally ill patients in a tertiary emergency department: development of a psychiatric assessment and planning unit. Australasian Psychiatry, 19(4), 350-353.
Burnette, C., Ramchand, R., & Ayer, L. (2015). Gatekeeper training for suicide prevention: A theoretical model and review of the empirical literature. Rand health quarterly, 5(1).
Callaghan, P., Eales, S., Coates, T., & Bowers, L. (2003). A review of research on the structure, process and outcome of liaison mental health services. Journal of Psychiatric and Mental Health Nursing, 10(2), 155-165.
Chatterjee, R. (2018). A Simple Emergency Room Intervention Can Help Cut Suicide Risk. Retrieved from https://www.npr.org/sections/health-shots/2018/07/11/628029412/a-simple-emergency-room-intervention-can-help-cut-future-suicide-risk
Cooper, J., Kapur, N., Webb, R., Lawlor, M., Guthrie, E., Mackway-Jones, K., & Appleby, L. (2005). Suicide after deliberate self-harm: a 4-year cohort study. American Journal of Psychiatry, 162(2), 297-303.
Study Document
Eating Disorder
… x2
0.9% Normal Saline (NS) 1000 mL IV bolus
Continuous cardiac monitor
Magnesium sulfate 4 gm IVPB over 4 hours. Recheck potassium per hospital protocol
Potassium Chloride 10 mEq IVPB (x4) each dose over 1 hour. Recheck potassium per hospital protocol
Assessment and referral mental health assessment
1:1 sitter/security watch
The patient is sexually active
Patient has shown signs of electrolyte imbalances
Anorexia … cardiac conditions
Magnesium replacement
Potassium replacement
Detection of any underlying mental health issues
Identification of changes in the patient’s status and condition
PRIORITY setting: Which Orders Do You Implement First and Why?
Care Provider Orders
Order of Priority
Rationale
Establish peripheral IV
0.9% Normal Saline (NS) 1000 … Magnesium replacement is required before potassium replacement
COLLABORATIVE CARE: NURSING
3. What can the nurse do to establish a therapeutic rapport/relationship in this setting?
The nurse can establish a therapeutic rapport/relationship in this setting through demonstrating an……
Study Document
Henrietta Lacks And The Social Covenant Of Nursing
… that she could not explain. In 1950, she decided enough was enough and asked her husband to take her to the Johns Hopkins hospital. It was the only regional health facility where black people could get treatment for complicated conditions back then (Skloot, 2010).
After undergoing tests … the only regional health facility where black people could get treatment for complicated conditions back then (Skloot, 2010).
After undergoing tests at the hospital, she was found to have cervical cancer. This was in the second month of 1951. She subsequently received radiation treatment under general anesthesia. … received radiation treatment under general anesthesia. Cervical radiation treatment was the gold standard intervention back then for the disease. Continuing research at the hospital by two physicians, George Gey and Richard TeLinde, plays an important role in Henrietta Lacks’ story. Gey was trying to develop and grow ……
References
References
American Nurses Association. (2010). Nursing\\'s social policy statement: The essence of the profession. Nursesbooks. org.
Cruess, R. L., & Cruess, S. R. (2008). Expectations and obligations: professionalism and medicine\\'s social contract with society. Perspectives in Biology and Medicine, 51(4), 579-598.
Fowler, M. D. M. (2015). Guide to nursing\\'s social policy statement: Understanding the profession from social contract to social covenant. Silver Spring, MD: American Nurses Association.
Palmd, (2010). More on Lacks ethics. Science blogs. Retrieved from https://scienceblogs.com/whitecoatunderground/2010/02/03/more-on-lacks-ethics
Quinlan, C. (2018). Trust in Medical Research: The Legacy of Henrietta Lacks, Part 1. Science 36 Trial Mix. Retrived from https://www.science37.com/blog/medical-research-trust-and-henrietta-lacks/
Reeves, S., van Soeren, M., MacMillan, K., & Zwarenstein, M. (2013). Medicine and nursing: A social contract to improve collaboration and patient-centred care. Journal of interprofessional care, 27(6), 441-442.
Skloot, R. (2010). The immortal life of Henrietta Lacks. Broadway Books.
Stump, J. L. (2014). Henrietta Lacks and The HeLa Cell: Rights of Patients and Responsibilities of Medical Researchers. The History Teacher, 48(1), 127-180.
Study Document
The Karen Ann Quinlan Case Legal Aspects Of Healthcare
… promptly slid into a comma. Soon, her friends realized she was not breathing and called an ambulance which rushed her to Newton Memorial hospital. Efforts to resuscitate Quinlan were unsuccessful and after it became apparent that her comma was irreversible, she was transferred to another medical facility, ……
References
References
Drane, J.F. (1994). Clinical Bioethics: Theory and Practice in Medical Ethical Decision-making. New York, NY: Rowman & Littlefield.
Holland, S., Kitzinger, C. & Kitzinger, J. (2014). Death, treatment decisions and the permanent vegetative state: evidence from families and experts. Med Health Care Philos., 17(3), 413-423.
Karen Ann Quinlan Hospice (2019). The Story of Karen Ann Quinlan Made Headlines! Retrieved from https://www.karenannquinlanhospice.org/about/history/
Mizzoni, J. (2011). Ethics: The Basics. Hoboken, NJ: John Wiley & Sons.
Rosenthal, M.S. (2018). Clinical Ethics on Film: A Guide for Medical Educators. New York, NY: Springer.
Singer, P. (2013). A Companion to Ethics. Hoboken, NJ: John Wiley & Sons.
Study Document
Challenges In Management Facing Transformational Leaders Service
… attempted to explore the part played by transformational leadership when it comes to shaping the innovative behavior of personnel through studying the innovation setting’s mediating impacts as well as the moderating, cross-level impact of innovation as a requirement of the project. This study aims at acquiring profound ……
References
References
Al Ahmad, S., Easa, N. F., & Mostapha, N. (2019). The Effect of Transformational Leadership on Innovation: Evidence from Lebanese Banks. European Research Studies Journal, 22(4), 215-240.
Aldholay, A. H., Isaac, O., Abdullah, Z., & Ramayah, T. (2018). The role of transformational leadership as a mediating variable in DeLone and McLean information system success model: The context of online learning usage in Yemen. Telematics and Informatics, 35(5), 1421-1437.
Carreiro, H., & Oliveira, T. (2019). Impact of transformational leadership on the diffusion of innovation in firms: Application to mobile cloud computing. Computers in Industry, 107, 104-113.
Zappalà, S., & Toscano, F. (2019). Transformational leadership and innovation adoption: Is there a moderation role of personal initiative and job control?. Psychologica, 119.
Zhang, Y., Zheng, J., & Darko, A. (2018). How does transformational leadership promote innovation in construction? The mediating role of innovation climate and the multilevel moderation role of project requirements. Sustainability, 10(5), 1506.
Study Document
Healthcare Provider Shortage
Executive Summary
The healthcare sector in the United States is facing shortage of healthcare providers, particularly in rural setting. One of the most affected areas in the country is rural Maryland, especially Allegany County, which has been selected as the location for … counterparts in the city and are forced to work more. Providers in Maryland also find it difficult to establish their practices in rural setting because of the fewer job opportunities for their spouses.
The shortage of providers in rural Maryland has attracted considerable attention from policymakers and … the 2-year period. MedChi should also partner with healthcare facilities in the county to identify relevant technologies to be adopted in the clinical setting. The partnerships should incorporate identification of necessary financial resources for these healthcare setting to purchase and utilize these technologies in their clinical setting/environment. This activity will be carried out for a period ranging between 6……
References
References
Antonelli, A.F. (2019, May 14). Does America Have a Physician Shortage – or Are Our Doctors ‘Just Bad at Managing Time’? Retrieved August 5, 2019, https://www.advisory.com/daily-briefing/2019/05/14/physician-shortage
Daly, R. (2018, May 22). Healthcare Workforce Shortage Worsening: Senators. Retrieved August 5, 2019, from https://www.hfma.org/topics/news/2018/05/60811.html
Desmon, S. (2019, March 1). Doctors in Short Supply in Rural Maryland. Baltimore Sun. Retrieved August 5, 2019, from https://www.baltimoresun.com/bal-id.rural01mar01-story.html
Heath, S. (2019, July 11). What Clinician Recruitment Tactics Say About the Physician Shortage. Retrieved August 5, 2019, from https://patientengagementhit.com/news/what-clinician-recruitment-tactics-say-about-the-physician-shortage
Merritt Hawkins. (2019). 2019 Review of Physician and Advanced Practitioner Recruiting Incentives. Retrieved August 5, 2019, from https://www.merritthawkins.com/uploadedFiles/merritthawkins_2019_incentivereview.pdf
Western Maryland Health System and Allegany County Health Department. (2011, November). Allegany County Community Health Needs Assessment. Retrieved August 5, 2019, from http://www.alleganyhealthplanningcoalition.com/pdf/ACHD%20Community%20Health%20Needs%20Assessment.pdf
Wolford, H.B. (2018, May 28). Allegany County Sees Shortage of Health Care Workers. Time News. Retrieved August 5, 2019, from https://www.times-news.com/news/local_news/allegany-county-sees-shortage-of-health-care-workers/article_28b1030d-4403-5d84-aa26-fe17d61b8561.html
Study Document
Drug Abuse
… as well. The population involved in this study is the young school age population—specifically children who are between ages 10 to 18—and the setting is in the following developed countries: U.S., Canada, France, England, Germany, Italy, Russia, Australia, Japan and China. With the opioid epidemic now raging ……
References
References
Baggio, S., Spilka, S., Studer, J., Iglesias, K., & Gmel, G. (2016). Trajectories of drug use among French young people: Prototypical stages of involvement in illicit drug use. Journal of Substance Use, 21(5), 485-490.
Bonyani, A., Safaeian, L., Chehrazi, M., Etedali, A., Zaghian, M., & Mashhadian, F. (2018). A high school-based education concerning drug abuse prevention. Journal of education and health promotion, 7.
Chu, Y. W. L. (2015). Do medical marijuana laws increase hard-drug use?. The Journal of Law and Economics, 58(2), 481-517.
Downes, D. (2017). The drug addict as a folk devil. In Drugs and politics (pp. 89-97). Routledge.
Goodchild, M., Nargis, N., & d\\'Espaignet, E. T. (2018). Global economic cost of smoking-attributable diseases. Tobacco control, 27(1), 58-64.
Grant, C. N., & Bélanger, R. E. (2017). Cannabis and Canada’s children and youth. Paediatrics & child health, 22(2), 98-102.
Herbert, A., Gonzalez-Izquierdo, A., McGhee, J., Li, L., & Gilbert, R. (2016). Time-trends in rates of hospital admission of adolescents for violent, self-inflicted or drug/alcohol-related injury in England and Scotland, 2005–11: population-based analysis. Journal of Public Health, 39(1), 65-73.
Henkel, D., & Zemlin, U. (2016). Social inequality and substance use and problematic gambling among adolescents and young adults: a review of epidemiological surveys in Germany. Current drug abuse reviews, 9(1), 26-48.
Study Document
Developing Organizational Practices And Policies
Introduction
In healthcare organizational setting, competing needs are rather commonplace. Thus, nurse leaders ought to effectively manage these needs so as to ensure that an organization is able … extent, this involves not only prudent allocation of resources, but also proper establishment of priorities.
Competing Needs
The competing needs in the organizational setting are: the need to promote better outcomes via the acquisition and implementation of new technology and the need to raise the minimum wage … of employees as a motivation and retention strategy.
To begin with, it should be noted that technology is of great relevance in healthcare setting. As a matter of fact, Kruse and Beane (2018) point out that there is no doubt that technology has had a significant impact … resistance to change as a consequence of lack of familiarity. For this reason, given the finite nature of resources and the fact that hospital margins……
References
References
Agah, A. (Ed.). (2013). Medical Applications of Artificial Intelligence. New York, NY: CRC Press.
Barlow, J. (2016). Managing Innovation in Healthcare. Hackensack, NJ: World Scientific Publishing Company.
Cherry, B. & Jacob, S.R. (2018). Contemporary Nursing: Issues, Trends, & Management (8th ed.). St Louis, MO: Elsevier Health.
Jones, C.B. & Gates, M. (2007). The Costs and Benefits of Nurse Turnover: A Business Case for Nurse Retention. Online Journal of Issues in Nursing, 12(3).
Littlejohn, L., Campbell, J., Collins-McNeil, J. & Khayile, T. (2012). Nursing Shortage: A Comparative Analysis. International Journal of Nursing, 1(1), 22-27.
Kruse, C.S. & Beane, A. (2018). Health Information Technology Continues to Show Positive Effect on Medical Outcomes: Systematic Review. J Med Internet Res, 20(2).
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