Study Document
… A is what is known as “hospital insurance”, and “helps pay for inpatient care in a hospital or limited time at a skilled nursing facility (following a hospital stay). Part A also pays for some health care and hospice care”, according to the Social Security Administration.
The … outlines some specific things within each of these broad categories. For example, under hospital care Medicare Part A covers semi-private rooms, meals, general nursing, drugs as part of your inpatient treatment, and other hospital services and supplies.
In a skilled nursing care unit, you are covered for meals, semi-private room, skilled nursing care, physical therapy, occupational therapy, speech-language pathology services, medications, medical social services, medical supplies and equipment used in the facility, ambulance transportation, dietary … is not particularly well-covered under Part A
For home health services, Part A covers a fairly extensive range of services, including part-time skilled nursing care,……
References
Medicare.gov (2020) Website, various pages. Medicare.gov. Retrieved April 10, 2020 from https://www.medicare.gov
Social Security Administration. (no date). Website, various pages. SSA.gov. Retrieved April 10, 2020 from https://www.ssa.gov
Study Document
…
This is part 3 of the quality and sustainability paper. Part 1 outlined the descriptive method of assessing quality and safety measures in nursing science. It was concluded that administrative data could be used to determine the effectiveness of quality or safety program since safety is the … that administrative data could be used to determine the effectiveness of quality or safety program since safety is the most fundamental aspect of nursing science (Twigg, Pugh, Gelder, & Myers, 2016). In part 2, analysis and application of safety programs were explored and Kenneth E. Waldenberg Health ……
References
Alenius-Smeds, 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. Retrieved from http://dx.doi.org/10.1016/j.ijnurstu.2016 (06)005
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
Campbell, R. J. (2008). Change Management in Health Care. The Health Care Manager, 27(1), 23-39. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/18510142
Hughes, R.G. (2007). "3 Barriers to quality improvement and quality improvement research." Institute of Medicine (IOM). Advancing quality improvement research: Challenges and opportunities: Workshop summary. doi:10.17226/11884.x
Lennox, L., Maher, L., & Reed, J. (2018). Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare. Implementation science: IS, 13(1), 27. doi:10.1186/s13012-017-0707-4
Stetler C.B., Ritchie J.A., Rycroft-Malone J. & Charns M.P. (2014) Leadership for evidence-based practice: strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence Based Nursing 11(4), 219–226.
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
...Nursing NRS311 – Life Stage Considerations: Child, Adolescent & Family Health
Assessment Task Two: Child Protection Case Study
Introduction
Young people and children are the most vulnerable groups in society. As a Registered nurse in NSW, I can identify, consult others, and respond to situations where a young person or a child is at risk of harm. Some of the common reasons that predispose young people and children to risk include family and domestic violence, sexual, emotional, and physical neglect. In Fiona's case, the important risk of harm is neglect (NSW Government, 2018b). Fiona burnt part of her feet on the heater three days ago. Susanna, on noticing, cleaned the wound using tap water. She applied papaw ointment and covered it with an adhesive bandage. In this case, the most significant risk is neglect. Under the circumstances, a question suffices to ask where the mother was when Fiona, a three-year-old, got……
References
Australian Law Reform Commission (ALRC). (2010). Family violence: A national legal response. Canberra: ALRC.
Child Family Community Australia (CFCA). (2016). Australian legal definitions: When is a child in need of protection? (CFCA Resource Sheet). Melbourne: Australian Institute of Family Studies.
New South Wales Government. (1998). Children and Young Persons (Care and Protection) Act 1998.
NSW Government, (2018a). Child wellbeing and child protection fact sheet for NSW Health workers. Retrieved from https://www.health.nsw.gov.au/parvan/childprotect/Pages/child-wellbeing.aspx
NSW Government, (2018b). About child protection and wellbeing. Retrieved from https://www.health.nsw.gov.au/parvan/childprotect/Pages/default.aspx
WHO (2002). \\\\\\\\\\\\"Chapter 3: Child abuse and neglect by parents and other caregivers.\\\\\\\\\\\\" World report on violence and health. Retrieved from https://www.who.int/violence_injury_prevention/violence/global_campaign/en/chap3.pdf
World Health Organization. (2006). Preventing child maltreatment: a guide to taking action and generating evidence. Geneva, WHO.
Study Document
… is a problem, no one is going to do anything about it to address it—such as writing a congressman or volunteering at a nursing home. Information is power, so when one organizes the community with the aim of spreading information, raising awareness, and empowering the public to ……
References
Brojeni, S. A., Ilali, E. S., Taraghi, Z., & Mousavinasab, N. (2019). Lifestyle and its related factors in elderly. Journal of Nursing and Midwifery Sciences, 6(1), 32.
Community Health Advocates. (2015). Helping New Yorkers get, keep, and use health coverage. Retrieved from: http://www.cssny.org/programs/entry/community-health-advocates
Davoodvand, S., Abbaszadeh, A., & Ahmadi, F. (2016). Patient advocacy from the clinical nurses' viewpoint: A qualitative study. Journal of Medical Ethics & History of Medicine, 9(5), 1-8.
Maryland, M. A., & Gonzalez, R. I. (2012). Patient advocacy in the community and legislative arena. Online Journal of Issues in Nursing, 17(1), 2.
Stainton, H. (2016). Horizon to fund new NJ healthcare advocacy organization. News, Issues, andIinsight for New Jersey. Retrieved from: http://www.njspotlight.com/stories/16/11/21/horizon-to-fund-new-nj-healthcare-advocacy-organization/
Yamada, T., Chen, C. C., Murata, C., Hirai, H., Ojima, T., & Kondo, K. (2015). Access disparity and health inequality of the elderly: unmet needs and delayed healthcare. International journal of environmental research and public health, 12(2), 1745-1772.
Study Document
...Nursing Personal Changes
A major change among RNs that challenged them and was difficult for them to make focused on implementing a transcultural care model among the nurses that required the nurses to become more educated about different cultures and how to respond to patients of these various cultures. It required of the nurses the need to maintain two different perspectives and sets of beliefs in the minds at once—their own beliefs and an empathetic view of the beliefs of the patient of the different cultural background. As Kodama and Fukahori (2017) noted, the main challenge for RNs tasked with a change of this nature is to develop respect and empathy for others while holding a micro and macro perspective. This paper will describe the different perspective on change by those who like it and those who dread it, explain why readiness for change is so crucial to its success, show……
References
Doll, G. A., Cornelison, L. J., Rath, H., & Syme, M. L. (2017). Actualizing culture change: The Promoting Excellent Alternatives in Kansas Nursing Homes (PEAK 2.0) program. Psychological services, 14(3), 307.
Joshi.(2014). Change is Constant, but Improvement is Rapid. H and HN: Hospitals and Health Networks (2014).
Kodama, Y., & Fukahori, H. (2017). Nurse managers’ attributes to promote change in their wards: A qualitative study. Nursing open, 4(4), 209-217.
Kotter’s 8 Step Change Model. (2018). Retrieved from https://www.toolshero.com/change-management/8-step-change-model-kotter/
NHS. (2011). Overview – Change Management – the Systems and Tools for Managing Change. Retrieved from https://www.england.nhs.uk/improvement-hub/wp-content/uploads/sites/44/2017/11/Overview-Change-management.pdf
Tobias, R. M. (2015). Why do so many organizational change efforts fail?. Public Manager, 44(1), 35
Study Document
...Nursing Annotated bibliography: Management and Accounting Challenges facing Transformational Leaders: Service and Technology
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.
The authors of this article maintain that leadership forms one of the main factors for organizational adoption of successful innovation. But researchers have yet to delve into the subject of leadership elements impacting adoption stages (namely, initiation, implementation, and ‘routinization’). This research involved authors formulating and empirically testing a model based on transformational leadership elements as well as diffusion of innovation model phases, utilizing PLS technique and information from as many as 154 companies, for studying the implementation of novel technology, namely MCC (mobile cloud computing). Factors like corporate vision, supportive leaders, intellectual stimulation, and personal acknowledgment are important when it comes to implementation intent. In contrast, supportive leaders are a driving factor……
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
...Nursing Introduction
From the year 1999 to 2014, the number of prescription opioids in the USA quadrupled. However, even with such an increase, there was no evidence of a reduction of pain the patients experienced. Instead, the number of deaths that resulted from overdoses of opioids increased in the same ratio as the increase in prescription figures. The Center for Disease Control provides safety guidelines for the prescription of opioids for pain alleviation in persons aged 18 years and above, in settings outside medical care facilities such as palliative care centers, and end of life care points(CDC, 2016). This paper provides a summary of the CDC guidelines on the prescription of opioids for chronic pain relief and a regime plan for opioids as APRN.
Summary of main concepts
Determining when to start or proceed with opioids for chronic pain
1. Non-first line or routine chronic pain therapy Opioids
Chronic pain is……
References
Breuer, B., Cruciani, R., & Portenoy, R. K. (2010). Pain management by primary care physicians, pain physicians, chiropractors, and acupuncturists: a national survey. Southern Medical Journal, 103(8), 738-747.
CDC, (2016). CDC Guideline for Prescribing Opioids for Chronic Pain. Center for Preparedness and Response (CPR).
Cheatle, M. D., & Savage, S. R. (2012). Informed consent in opioid therapy: a potential obligation and opportunity. Journal of Pain and Symptom Management, 44(1), 105-116.
Dowell, D., Haegerich, T. M., & Chou, R. (2016). CDC guideline for prescribing opioids for chronic pain—the United States, 2016. Jama, 315(15), 1624-1645.
Hudspeth, R. S. (2016). Standards of care for opioid prescribing: What every APRN prescriber and investigator need to know. Journal of Nursing Regulation, 7(1), 15-20.
Study Document
… 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 are treated for chief complaints and not for the underlining ……
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
… was implemented in the organization to help lessen work overload and reduce working hours. Following the implementation of a flexible work schedule, appropriate nursing shifts were established. Nurses at the facility are required to carry out their responsibilities during their shifts and ensure smooth transition of work … at the facility are required to carry out their responsibilities during their shifts and ensure smooth transition of work responsibilities between them. The nursing shifts were established depending patient demands for healthcare services and other activities carried out in the acute care setting. After creating the flexible … be enhanced through some changes. First, the intervention could be enhanced through hiring more staff to promote continuity of services provided to patients. Nursing shifts exacerbated the current shortage of nurses faced by the facility. Hiring more staff would help enhance the effectiveness of……
References
Bhui, K., Dinos, S., Galant-Miecznikowska, M., de Jongh, B. & Stanfeld, S. (2016, December). Perceptions of Work Stress Causes and Effective Interventions in Employees Working in Public, Private and Non-governmental Organizations: A Qualitative Study. BJPsych Bulletin, 40(6), 318-325.
Kelly, E.L., Moen, P. & Tranby, E. (2011, April). Changing Workplaces to Reduce Work-Family Conflict: Schedule Control in a White-Collar Organization. American Sociological Review, 76(2), 265-290.
Khan, N. & Khurshid, S. (2017, February). Workplace Stress and Employee Wellbeing: Case of Health Care Staff in UAE. European Scientific Journal, 13(5), 217-226.
Korte, R.F. (2007). The Socialization of Newcomers into Organizations: Integrating Learning and Social Exchange Processes. Retrieved from Institute of Education Sciences website: https://files.eric.ed.gov/fulltext/ED504550.pdf
Kossek, E.E. & Lee, K. (2017, October). Work-Family Conflict and Work-Life Conflict. Retrieved March 24, 2020, from https://oxfordre.com/business/view/10.1093/acrefore/9780190224851.001.0001/acrefore-9780190224851-e-52?print=pdf
Njegovan, B.R. & Kostic, B. (2014). Impact of Organizational Socialization Towards Employees’ Social Adaptation. Journal of Engineering Management and Competitiveness, 4(1), 34-40.
Van Kleef, D., Steen, T. & Schott, C. (2017, October 26). Informal Socialization in Public Organizations: Exploring the Impact of Informal Socialization on Enforcement Behavior of Dutch Veterinary Inspectors. Public Administration, 97(1), 81-96.
Zhou, S., Da, S., Guo, H. & Zhang, X. (2018, April 17). Work-Family Conflict and Mental Health Among Female Employees: A Sequential Mediation Model via Negative Affect and Perceived Stress. Frontiers in Psychology, 9(544), doi: https://doi.org/10.3389/fpsyg.2018.00544
Study Document
… un-scheduled removal before replacement is in place. This is necessary to prevent a critical failure.
Impact of new equipment on patient outcome Chief nursing officers Ensure the new equipment installed can support the hospital functions.
Quality of equipment procured Senior procurement expert in the hospital or an ……
References
Healthcare Business. (2013, May 15). Report: Hospitals waste billions using outdated technology. Retrieved from Health Care Business Tech: http://www.healthcarebusinesstech.com/outdated-technology-wastes-money/
Lee, J. (2016, April 14). Top five risks of using outdated technology. Retrieved from Meridian: http://www.whymeridian.com/blog/top-5-risks-of-using-outdated-technology
Moran, W. J. (2019). Hospital Fundraising Best Practices. Retrieved from The Moran Company: https://morancompany.com/hospital-fundraising-best-practices/
Parand, A., Dopson, S., A. R., & Vincent, C. (2014). The role of hospital managers in quality and patient safety: a systematic review. BMJ Open.
Pohjola, T., Suhonen, M., Mattila, K., & Meretoja, R. (2016). The work done in healthcare projects . Journal of Nursing.
Ponemon Institute. (2013). The Economic and Productivity Impact of IT Security on Healthcare. Imprivata.
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