Essays on Hospital Setting

Assignment Executive Summary

Introduction Delivery of quality services is a priority in healthcare as excellence determines patient outcomes. Various factors affect quality service delivery in health facilities. Healthcare facilities employ the most competent healthcare professionals yet patients continue to receive poor quality services. The hospital setting is dynamic as different personnel are responsible for the patient’s well being. Proper communication structures between health professionals reduce chances of information misinterpretation or conveyance of erroneous information. Both medical and non-medical factors affect the quality of service. According to Hughes (2008), delivery of poor services occurs because of errors within the healthcare system. For ...

Education, Training and Employment for Dental Hygienist

The Surgeon General has emphasized that oral health is an integral aspect of health (Mertz, Lindler & Dower, 2011). Oral care is typically provided within the dental office by trained professionals, namely the dentist, the dental hygienist, and the dental assistant. Each has his/her field of specialization and plays an important role in providing patients with good oral care. Understanding the dental hygienist role, the education and training, needed for professional work, and the employment prospects contributes to an informed decision in choosing a career in this field.

The Dental Hygienist Role

The dental hygienist role and responsibilities are regulated at the state level ...

Infections in hospital settings are a challenge in nursing because of the potential dangers that they pose to a wide number of patients. Bloodstream infections from central lines are particularly hazardous as they affect patients that are already vulnerable, meaning that they contribute to morbidity and mortality in the hospital setting (Rinke et al., 2012). Although the rates of central-line-associated bloodstream infections (CLABSI) can be reduced by up to 67% through the introduction of checklists (Schulman et al., 2011), the issue continues to be important in a wide number of hospital settings. It is also important to understand the ...

Leadership in nursing is usually defined differently by various people. Personally, I believe that leadership entails influencing and engaging people in a shared vision. It is oriented towards the achievement of goals and has close relations to team process and groups dynamics. Leadership as a key skill is required in almost all levels of nursing (Sofarelli & Brown, 1998). The skill enables nurses as well as the nursing staff to lead via example, develop themselves and generally influence care that is not only an open but that is also responsive to the individual needs of patients (Sellgren et al., 2006). A nurse ...

a. Innovative Nursing Care Model: The Nursing Caring Delivery Model

The clinical nursing standard suggests that the primary role of nurses’ borders on direct patient care and professional performance. In a potential hospital work setting, nurses are face challenges that revolve around patient care outcomes and improving their professional outcomes (Canadian Nurses Association [CAN], 2010). Complex responsibilities include nursing assessment, planning, diagnosis, evaluation, intervention and care coordination for patients and families. In a potential hospital setting, the accountant ability of nurses for educational, clinical and fiscal patient care outcomes can be measured using the nursing caring delivery model. In an ideal hospital setting, challenges such as economic pressures, shortages of health ...

Non-hospital organizations mainly differ from hospital organizations in the sense that most of the former are non-profit making organizations and their services cover larger population than hospital organizations do. In addition, non-hospital organizations mainly offer the following services: education, research, and advocacy. Owing to these attributes, means of improving productivity for non-hospital organizations differ slightly from those applied in hospital settings.

The first step in improving productivity in non-hospital organization is to establish a small span of control (Kudyba, 2010). This implies that supervisors at different positions in the organization’s hierarchy should be able to effectively be in charge of ...

Medication errors are estimated to cause approximately 7000 deaths annually and cost approximately $2 billion in added health care spending. Improving the safety outcomes of medication-use processes in hospitals has been cited as a means of addressing this issue. Careful and planned use of information technology is a proven approach to solve a majority of medication errors made with paper-based systems (Paoletti et al., 2007). These systems have been found to provide much better compliance with the “five rights” of medication administration: right patient, right dose, right route, right time, and right medication (Hook, 2008). Accordingly, the present paper describes a test ...

Severe acute respiratory syndrome (SARS) is an infectious disease caused by SARS corona virus (SARS-CoV). It is a dangerous, not well understood, and easy to transmit disease. Its most dangerous features are that SARS outbreaks occur within the hospital setting, it can be deadly, and has no definitive set of symptoms. There is a distinct probability of another global outbreak of SARS.

On February 28, 2003, Carlo Urbani, a medical doctor working for the World Health Organization in Vietnam, examined an American patient in a French hospital in Hanoi. The patient presented with atypical pneumonia, a respiratory disease with an unusual panel of symptoms. ...

Abstract

The safety of the healthcare provider (s) and that of its clients (patients) remains to be of uttermost importance. The increasing incidence of acquired infection within the health facilities due to the use of contaminated materials as well as transfer of communicable diseases is become notably identified scenario. Dealing with the incidences of acquired infection through the process of healthcare delivery is becoming a world health organizations’ (WHO) major concern, (Weston, 2013). Over the past decade the rising complains on the diseases related from acquired infection was identified. This shows that there is need to draw a close attention towards saving ...

Part 1. Differences between quantitative and qualitative research

Research is the parlance used to refer to the search of knowledge. It is described by Kothari (2004) as both a scientific and systematic search for information and an art of scientific investigation. There are two approaches used in research, namely quantitative and qualitative research and they vary greatly on how the research is done. Quantitative research only uses measurable data to analyze while the qualitative research approach mainly uses data that are narrative and subjective. The goal or research objective of quantitative data is to use statistical models using a systematic procedure. This approach uses various steps to progress logically ...

Part 1: View and Analysis

In the context of the second slide, it is evident that the level of professionalism is not as high. For instance, one of the medical practitioners in the image is wearing a suit. Although suits might be professional in other areas, they are an unacceptable set of attire while within the hospital. As such, a person wearing a suit is expected to hang his or her coat and put on a lab coat as a way to ensure that he or she will be easily identified by the patients and other medical practitioners. As such, being dressed in uniform or hospital attire is a key ...

Trained medical professionals attend to patients of diverse ethno-cultural backgrounds, different age groups, different sexes, as well as patients with different educational backgrounds something that that makes communication between them more multifarious and difficult. Professionals in this field are required by law that they increase their communication competencies in culturally diverse healthcare contexts, where the cultural diversity of patients and staff challenges the professionals in the field. It is believed that the intercultural lens is appropriate for understanding the issue of intercultural communication, which usually involves miscommunication in hospital settings (Coiera and Tombs, 1996). The refresher course the medical ...

Introduction

Nurses have a long process of transition from the time they are undergraduate students in nursing schools to the time of being graduate nurses. This is a time when the graduate nurses face many challenges regarding their job. It is crucial for the nurses to develop ways of coping with these challenges, and the best way to do this is by coming up with relevant strategies to help them cope with these issues (Cowen &Moorhead, 2011 p. 612).This requires intense processes of socialization where they get to meet different people in the health profession who will have different demands from ...

FINAL REPORT

Introduction Knowledge Management/Intellectual Capital are very imperative sectors when it comes to giving an existing enterprise a competitive advantage over and above the rest. It is indeed an expanding field of research and practice that has been received appreciatively by both academicians and professionals of management. According to Malafsky (2003), practitioners often or always work in environments characterized by rapid changes in their work environment and information overload. It is these changes that increase the need for more knowledge so that sense can be found in “large quantities of disparate information and data.” In many instances, and in line ...

Introduction

When children are at the terminal phase of illness, their siblings are very concerned about them, their health, and progress. Subsequently, this finding reveals that there is need for health care professionals to interact, console, and give these children hope. I chose this topic because it is very much connected to children and their psychological connection to their siblings. A sibling who is psychologically prepared for any stage in the illness of their sibling is able to cope better compared to the one who is not psychologically prepared. Therefore, there is a distinct perception of children in the hospital setting ...

Sibling Support in End of Life Care

Clinical Question P (problem/population) - siblings of actively dying patients I (Intervention) - sibling preparation and involvement at patient’s end of life C (comparison) - compared to no preparation and involvement

O (outcome) - impact grief response of the siblings

Target population – siblings aged between 3 and 21 years of incurably ill kids at end of life of patients. Sibling Preparation: This refers to the age and support information on the patient’s end of life status. It provides various opportunities for the sibling to hold, ask questions, and visit. It also refers to the participation of kids in activities that make memory ...

Being a good listener can seem like an easy thing to do. Many people believe that the mere act of having ears means that they are doing their job to show that they are listening. They think to themselves, “I am a person who can hear. How could anybody think I am not listening to them?!” But just having ears is not all there is to being a good listener; it takes much more. There are things such as eye contact, nonverbal communication, and gestures that can let a person know that you are listening. In settings such as a hospital or a veterinary clinic ...

Introduction

Knowledge management in the healthcare domain may be regarded as an integration of formal techniques and methods in order to ease the utilization, dissemination, preservation, development, identification, acquisition and creation of the diverse aspects of the knowledge assets of the healthcare organization (Bordoloi & Islam, 2012). Delivery of excellent healthcare services requires optimal knowledge management and thereby having an established knowledge management process aids to enhance the process performance. Past studies analyzing the importance of knowledge management in healthcare depict that this process is far more complicated in the healthcare domain. This is mainly as a result of diverse perspectives on ...

Hawkins, T. Charlotte., Flynn, L., & Clarke, P. S. (2008). Relationships between registered nurse staffing, process of nursing care, and nurse-reported patient outcomes in chronic hemodialysis units. Nephrology Nursing Journal, 35(2), 123- 145. Cho, S. H., June, J. K., Kim, M. Y., Yoo, C. S., Yun, C. S., & Sung. H. Y. (2009). Nurse staffing, quality of nursing care and nurse job outcomes in intensive care units. Journal of clinical nursing, 18, 1729-1737. Blackwell Publishing Ltd. The main aim of this study was to scrutinize the relationship between nurse staffing and nurse-rated quality of nursing care and the ...

The improvement of the quality, safety and efficiency of healthcare is an economic and national necessity (Ashrafi, Kelleher & Kuilboer, 2014). In line with this, business planning and effective management practices are essential if such a necessity has to be attained. Decent business planning and principles of practice management influence direct and indirect processes of care such as patient satisfaction and reimbursements respectively. Patient satisfaction is a process of care that is directly influenced by planning and management practices. Poor business planning and management skills are associated with poor healthcare service delivery, and consequently, poor patient satisfaction (Ashrafi, Kelleher & Kuilboer, 2014). It ...

For a long time, the normal working shifts for nurses has been 8 hours. However, some hospital settings have extended the 8 hour working shift to a 12 hour shift. The difference in working shifts has an effect on the overall delivery of care especially when it comes to continuity of care. Continuity of care is primarily concerned with quality of care over time (Gulliford et al., 2006). This care is usually idealized in the patient’s familiarity and experience of a ‘continuous caring relationships” with a specific health professional (Gulliford et al., 2006). Through this process, the physician and the patient are ...

Nurses play a pertinent role in process and program improvement in the hospital leading to improvement of care and organizational outcomes (Hickey & Kritek, 2012). The article by Yragui, Silverstein & Johnson (2013), reveals that nursing leadership is critical to an organization in preventing disruptive behaviors. Typically, disruptive behaviors affect staff, patients and visitors, a situation that adversely affects organizational goals. Certainly, nursing professionals are useful in offering solutions to curb hostile and disruptive behaviors in a hospital to enhance the quality of care and organizational outcomes. Hostile behaviors in a hospital may occur in the form of physical or verbal attacks, abusive language, ...

A Hospital setting is the most conducive environment for the patients. It has all basic infrastructure to cater the ever growing needs of patients who may present a spectrum of health complications. Certain limitations appear to decrease the quality care which in turn raises concerns among the patients and their family members. Healthcare professionals, especially nurses have a great role to play in contributing to an improved patient care by decreasing the patient concerns. In such context, the present description deals highlighting g a topic on surgical site infections with a special emphasis on its evidence-based management. Briefly, as the name implies a ...

Introduction

Nurse have various legal responsibilities in any hospital setting. The nurse’s responsibilities particularly become accentuated in settings where various problems are being experienced. In this case study, a step down unit of a hospital is experiencing high census and a very high patient nursing ratio, meaning that the unit is serious understaffed. Understaffing is a critical issue in health care because it can lead to several negative consequences. One of these problems is medical errors, and this is, in fact, what happens in this particular hospital. A medication error refers to an error by a care provider either in dispensing, administration, prescribing or ...

Research Question: Do health care workers comply with hand washing strategies at the hospital level?

Annotated Bibliography Asare, A., Enweronu-Laryea, C. C., & Newman, M. J. (2009). Hand hygiene practices in a neonatal intensive care unit in Ghana. The Journal of Infection in Developing Countries, 3(05), 352-356. In this study, the researchers sought to assess hand hygiene practices and the nature of patient contact in physicians and nurses at a neonatal intensive care unit (NICU) in Ghana. The study was descriptive and cross-sectional, lasted two weeks, and the amount time of observation daily was 5 hours. The researchers assessed compliance to alcohol rub as well. Compliance to hand washing before and after patient contact ...

Implementation of a Patient Fall Prevention Program

Stakeholders are those groups or people who are responsible or have a particular interest in the prevention of patient falls in a hospital or a healthcare setting. The nurses, patient, and the family are stakeholders who are engaged in the patient fall prevention program. Nurses play an important role in the patient fall prevention program. It is the duty of the nurse to ensure that the patient is safe and secure. The nurse aide would assist the nurse in the evaluation and documentation of the patient’s environment, tasks and plan. The treating medical provider review specific types of rehabilitation therapy for ...

1) With the advanced science, technology, and new medications, hospitals provide an opportunity to cure patients. Creating a healthcare system with healing, caring and loving environment is the ultimate challenge. There are three main components of healing hospitals. These are a healing physical environment; integration of technology and work design, and a “radical loving care” culture. A healing environment is made up of more than the patients only. It also comprises the knowledge to help family members and other people that may be part of the patients support group. Technology and work design are also crucial components to a healing hospital because ...

METHODOLOGY

This study is intended to be conducted prospectively in a 375-bedded educational hospital facility. This study will be carried out in a 6 month period running from November 2013 to April 2014. In regard to the methodology for this study, all patients admitted during this period will be examined and included in this research for every day detection of any form of Hospital acquired infection, also referred to as nosocomial infections, which ranges from Surgical site infections (SSI), Pneumonia (PNEU), Urinary Tract Infection (UTI), Methicillin-Resistant Staphylococcus Aureus (MRSA), blood stream and Lung infections among many others (Warrell, 2003, p.17). Through a quantitative ...

Scenario of Paediatric Care within a Hospital Setting

INTRODUCTION Every day, children becomes ill or get involved in various types of accidents that require medical attention. Whether these children are taken to a paediatrician, specialist, clinic or a hospital setting, a nurse will tend to them. Therefore, a paediatric nurse plays a crucial role which is as imperative as that of a doctor. Paediatric nurses are known to provide essential information in regard to treatment, prevention of future illnesses and injuries in children, and helping the child and the family as well all through the illness or injury. In this paper, I will develop a scenario of paediatric care within a hospital setting for a ...

Introduction

Body-Literature Review - The importance use of oxytocin use in obstetrics - The importance of Oxytocin use in postpartum haemorrhage - Oxytocin use by paramedics - Summary

Conclusions

Recommendations Abstract This document embraces a literature review research into the feasibility of oxytocin for the management of postpartum haemorrhage in the pre-hospital setting. Scientists have discovered that oxytocin has shown to have reduced the risk of postpartum haemorrhage yet only some ambulance services are equipped with the drug. This discussion explores reasons for paramedic professionals electing not to have oxytocin in their execution units and ultimately ...

Abstract

This research proposal explores shortage of nurses in United States of America. After a concise literature review, a methodology will be explained. This embodies a descriptive quantitative research design. The instrument used for data collection would be a questionnaire designed and accessed through survey monkey. Responses will be gathered from a population of serving nurses and those who have left routine bedside nursing practice now functioning in other higher adjacent capacities such as advanced nurse practitioners. Representative samples of the population will be drawn using simple random techniques. A comprehensive plan of this research is outlined in the following document and a system of how ...

INTRODUCTION

Every year, many lives are usually lost due to the spread of infections in the hospitals. Although all hospitals have infection control procedures and policies, the risk of infections seems to be impossible to completely eliminate. In the course of my clinical nursing experience, I have noted that these infections that are mostly picked up during a patients stay in the hospital mostly ranges from lung infections, urinary tract infections, Methicilin-Resistant Staphylococcus Aureus (MRSA), and blood stream infections among many others (Amos & Waugh,2010). These are commonly known as hospital-acquired infections (HIA). In this paper, I will expound on the ...

- The Nurse Leader's Role as Advocate for The Nursing Profession. Advocacy is a term that stands for supporting a proposal or cause. There are a number of workplace concerns arising in the nursing sphere. In order to resolve them and promote a positive work atmosphere, point-of-care nurses need to advocate for the profession.

Examples of Point-of-Care Advocacy

- Advocacy for the nursing profession can be undertaken by point of care nurses once they enroll in councils, committees and quality-improvement teams. By becoming a member, it is vital to represent the requirements of both patients and colleagues. - Participating in organization-wide activities is a means to engage ...

Stress has a significant impact on student performance and is one of the top determinants of whether a student will stick it out throughout the program and matriculate. The nursing curriculum is known to be one of the most stressful programs, in part by the type of student that enrolls in these programs: individuals with families to support and limited hours for study. Another stressor for nursing students over and above their academic load is the mandatory clinical experience, which has been reported by a significant majority of nursing students to exert the greatest stress. Thus, the clinical environment in which ...

Lashawna Young is a social worker currently working in a large hospital in Evansville, IN. It has been over 30 years since she has been in the field; she was still in high school when she started as a hospital volunteer.

Q. “What is the nature of your work?”

Answer: “My practice is more community-centered and since I work in a supervised clinical setting, my work primarily involves counseling and providing therapy to patients. As much as I deal with clinical procedures, I also occasionally serve as a liaison between the different departments in the hospital.”

Q. “What are your job qualifications?”

Answer: “My pursuit of a career in social work began with a Bachelor’s degree. After earning a BSSW ...

Is the survival rate in ‘sudden death’ cardiac patients increased

when automated external defibrillators are used?

Introduction

Synthesis of Literature: Studies 1, 2, 3, 4 & 5 - Aim of study - Methodology - Results - Conclusion

Synthesis and Relevance to Research topic

Conclusion - Summary Table

Is the survival rate in ‘sudden death’ cardiac patients increased

when automated external defibrillators are used?

Introduction

This literature review encompasses five studies relating evidence based practice regarding survival rates in ‘sudden death’ cardiac patients. These rates would be examined in relation to the use automated external defibrillators. Assessments of the research aims, methodology, results/ conclusions will be embraced.

Synthesis of Literature

Study 1 Aim Comilla Sasson; Mary A.M. Rogers; Jason Dahl and Arthur L. Kellermann (2009) ...

Introduction

In improving the efficiency of the world health care program, technology and design should be highly considered. This will improve heath literacy through information access, education and wellness interventions. Studies show that health care environment improves the outcomes of the clinical services (Mairead, 2011). A hospital setting determines the outcome of illness. Healing hospital paradigm offers services beyond the traditional cure model (Mairead, 2011).

Description of a Healing Hospital

A healing hospital refers to a hospital whereby the moral values and working conditions in health care are taken into consideration by increasing the availability of the staff and services required (Burkhadt, 2010). Healing is the ...

Introduction to MRSA

Methicillin-resistant Staphylococcus aureus (MRSA) is a bacterial strain of S. aureus that that has developed a resistance to certain types of antibiotics, including methicillin, penicillin, oxacillin, and amoxicillin (Farley 2008). The types of infections differ according to whether the MRSA infection was acquired in the hospital setting (HA-MRSA) or whether it was a community acquired MRSA (CA-MRSA) infection. The most severe MRSA infections are those acquired in health care facilities and include infections of the bloodstream or surgical wounds, and pneumonia. MRSA bacteremia is often fatal, thus timely and aggressive intervention is critical in patients at high risk of death; for example, ...

V. Intervention Decision

Discussion of implications for practice that can be drawn from results of EBP inquiry

Specific Evidence Based Practice Intervention Evidence Based Model to be applied Influence of patients, administration and team members on implementation Ability to implement based on resources and clinical setting

V1.Implementation Plan

The intervention decision pertaining to this project relates to the PICOT question, ‘in the hospital setting how does the use of central venous catheters (CVC) compare to the use of peripherally inserted central catheters (PICC) influence the risk of infection rate? After completing a comprehensive literature search and review this researcher is committed to making an intervention decision to inform future evidence ...

Community Health Nurse

Introduction Palliative care is a specialty of medicine that is concerned with the enhancement of the quality of life of individuals and families of individuals that are battling with a serious illness. Its major focus is on the increase of comfort by expert management of distressing symptoms including treatment and prevention. In addition, palliative care is also geared towards a better care plan through clear communication, proper planning and impeccable coordination of care (Supuileda, 2002). Palliative care involves the whole individual. It involves caring for the physical, emotional and spiritual needs of the individual and their families. It focuses on the ...

. HOW WOULD THE ORGANIZATIONAL CULTURE OF EACH HOSPITAL AFFECT A NEW GRADUATE ?

Each organizational culture has its own expectations for the roles the new graduates would be required to play. A cutting-edge hospital may be more difficult to adapt to, for it may require that the novice learn new adaptation skills in addition to the traditional skills necessary for a smooth transition from the school into the hospital setting. 2. WHICH ORGANIZATIONAL CULTURE DO YOU THINK WOULD BE BEST FOR A NEW GRADUATE , CENTRALS OR CITYS ? The answer lies in the new graduate’s ability to ...

Emergency is set in the emergency department of a hospital. In this interesting and unique tale, readers are introduced to an unreliable narrator and his equally questionable friend. Both in reality and as a result of drug induced hallucination, Johnson exploits the use of place in both setting up and accentuating the themes of the story.

The narrator has been working in the hospital as a clerk for the last few weeks. He had his friend, Georgie, abuse drugs, and Georgie takes them illegally from the medical supplies in the hospital. The nature of the story lends itself to being set in a ...

America has different nationalities that practice different faiths. Healthcare providers face a challenge in understanding the different religious beliefs, which they encounter in the hospital setting. There are many faiths some of which are well known to them such as Christianity, Islam, and Hinduism. However, some religions such as Buddhism, Bahai, Native American Religion, Shintoism, and Sikh are uncommon. Different faiths follow different rules and regulations. This makes it hard for health care providers because they are not in a position to learn and understand all the religions of the patients they take care of in the hospitals. Three faiths have ...

“Emergency” is set in the emergency department of a hospital. In this interesting and unique tale, readers are introduced to an unreliable narrator and his equally questionable friend. Both in reality and as a result of drug induced hallucination, Johnson exploits the use of place in both setting up and accentuating the themes of the story. The narrator has been working in the hospital as a clerk for the last few weeks. He had his friend, Georgie, abuse drugs, and Georgie takes them illegally from the medical supplies in the hospital. The nature of the story lends itself to being set ...

Abstract

Hospitals globally need to ensure that they shift concerns to the concept of risk management. This allows for the identification, evaluation and prioritization of risks within the hospital environment. The process promotes good health among workers and patients by simply providing measures that may be implemented to combat risks that may adversely affect the well being of workers and patients and the public in general. There are a lot of risks that may be experienced within a hospital setting. Among them is the risk of acquiring infectious disease. Therefore this calls for need of infection control from the perspective of ...

While I am aware the health care system and hospitals already face enough problems with budgeting and caring for patients, the inter-hospital politics threaten to disrupt whatever cohesion is still felt by the varying members of the medical community. Nurses, in particular, have an especially hard job, their duties falling somewhere between doctor and assistant, while receiving neither the pay or slack of either. The micro politics inherent in the health care industry can, often, impede the ability of the nurse to maintain a balanced work/life setting, as well as prevent them from caring for the patient in the best ...

Research Article Critique

Effects of working conditions on intravenous medication errors in a Japanese hospital

Introduction

In an effort to determine the working conditions that influence the occurrence of errors and near-miss errors related to intravenous medication, Seki and Yamazaki (2006) developed a study in a Japanese hospital setting using questionnaires methodology of research. The anticipations were that working conditions may have had a negative effect on the outcomes of nursing practices in Japan due to their deterioration in the recent past. The results of this study showed that workload and inexperience in the wards studied led to errors in nursing practices. Lack of fatigue and long-term ...