Implementation of the IOM Future of Nursing

Implementation of the IOM Future of Nursing
Implementation of the IOM Future of Nursing

Implementation of the IOM Future of Nursing Order Instructions: Benchmark Assignment: Implementation of the IOM Future of Nursing Report

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In a formal paper of 1,000-1,250 words, you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states

Review your state’s progress report by locating your state and clicking on one of the six progress icons for education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.

In a paper of 1,000-1,250 words:
1. Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
2. Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.
3. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Summarize two initiatives spearheaded by your state’s Action Coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

A minimum of three scholarly references is required for this assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Please Note: Assignment will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked.

*******RUBRIC*********

Benchmark Assignment: Implementation of the IOM Future of Nursing Report

1
Unsatisfactory
0.00%

2
Less than Satisfactory
75.00%

3
Satisfactory
79.00%

4
Good
89.00%

5
Excellent
100.00%

80.0 %Content

5.0 % Provided an original summary of the key messages of the IOM report, Future of Nursing: Leading Change, Advancing Health. Any specific references should be cited.

Did not attempt to provide a summary of the key messages of the IOM report, Future of Nursing: Leading Change, Advancing Health, or failed to cite specific references to the IOM report.

Provided a skeletal summary of the key messages of the IOM report, Future of Nursing: Leading Change, Advancing Health. Some of the specific references to the IOM report were cited or were done incorrectly.

Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Misinterprets evidence on the committee’s initiative.

Demonstrates good knowledge of the subject. Correctly describes the committee’s initiative. Justifies some of the impacts on the Future of Nursing.

Provided an original summary of the key messages of the IOM report, Future of Nursing: Leading Change, Advancing Health. References specific to the IOM report were properly cited.

15.0 % Identify the role of the Robert Wood Johnson Foundation Initiative and the American Association of Retired Persons on the Future of Nursing Campaign for Action and the State-Based Action Coalitions

Does not demonstrate knowledge of role. Fails to identify the impact of the Robert Wood Johnson Foundation Initiative on the Future of Nursing.

Demonstrates minimal knowledge of the subject. Does not adequately visualize or justify the work of the Committee of the Robert Wood Johnson Foundation Initiative on the Future of Nursing.

Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Misinterprets evidence on the committee’s initiative.

Demonstrates good knowledge of the subject. Correctly describes the committee’s initiative. Justifies some of the impacts on the Future of Nursing.

Demonstrates full and deep knowledge of the subject. Develops and explains an informed position on the committee’s initiative, integrates and justifies the impact on the Future of Nursing

15.0 % Identify the importance of the IOM FON report related to the nursing workforce

Does not demonstrate knowledge of the concept or its role. Fails to identify the importance of the IOM FON report related to the nursing workforce.

Demonstrates minimal knowledge of the subject. Does not adequately visualize or justify the importance of the IOM FON report related to the nursing workforce.

Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Misinterprets evidence on the importance of the IOM FON report related to the nursing workforce.

Demonstrates good knowledge of the subject. Correctly describes the importance of the IOM FON report related to the nursing workforce.

Demonstrates full and deep knowledge of the subject. Develops and explains the importance of the IOM FON report, integrates and justifies the importance of the IOM FON report related to the nursing workforce.

15.0 % Discuss the intent of the Future of Nursing Campaign for Action

Does not demonstrate knowledge of the concept or its role. Fails to identify the intent of the Future of Nursing Campaign for Action.

Demonstrates minimal knowledge of the subject. Does not adequately visualize or identify the intent of the Future of Nursing Campaign for Action.

Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Misinterprets evidence on the intent of the Future of Nursing Campaign for Action.

Demonstrates good knowledge of the subject. Correctly describes the intent of the Future of Nursing Campaign for Action.

Demonstrates full and deep knowledge of the subject. Develops and explains the intent of the Future of Nursing Campaign for Action, integrates and justifies the intent of the Future of Nursing Campaign for Action.

15.0 % Identify the rationale of state-based action coalitions

Does not demonstrate knowledge of the concept or its role. Fails to identify the rationale of state-based action coalitions.

Demonstrates minimal knowledge of the subject. Does not adequately identify the rationale of state-based action coalitions.

Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Misinterprets evidence on the rationale of state-based action coalitions.

Demonstrates good knowledge of the subject. Correctly identifies the rationale of state-based action coalitions.

Demonstrates full and deep knowledge of the subject. Develops and explains and identifies the rationale of state-based action coalitions and justifies a rationale for state-based action coalitions.

15.0 % Discuss one state-based action coalition and two initiatives

Does not demonstrate knowledge of the concept or its role. Fails to identify one state-based action coalition and two initiatives.

Demonstrates minimal knowledge of the subject. Does not adequately identify one state-based action coalition and two initiatives.

Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Identifies but misinterprets one state-based action coalition and two initiatives.

Demonstrates good knowledge of the subject. Correctly identifies one state-based action coalition and two initiatives.

Demonstrates full and deep knowledge of the subject. Develops and explains the one state-based action coalition and two initiatives, integrates and justifies one state-based action coalition and two initiatives.

15.0 %Organization and Effectiveness

5.0 % Thesis Development and Purpose

Paper lacks any discernible overall purpose or organizing claim.

Thesis and/or main claim are insufficiently developed and/or vague; the purpose is not clear.

Thesis and/or main claim are apparent and appropriate to the purpose.

Thesis and/or main claim are clear and forecast the development of the paper. Is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.

15.0 %Organization and Effectiveness

5.0 % Paragraph Development and Transitions

Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. The organization is disjointed.

Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.

Paragraphs are generally competent, but ideas may show some inconsistency in the organization and/or in their relationships to each other.

A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to the purpose.

There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.

15.0 %Organization and Effectiveness

5.0 % Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.

Some mechanical errors or typos are present but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

The prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

The writer is clearly in command of standard, written, academic English.

5.0 %Format

2.0 % Paper Format (1- inch margins;12-point-font;double-spaced;Times New Roman, Arial, or Courier)

The template is not used appropriately or documentation format is rarely followed correctly.

The template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

The template is used, and formatting is correct, although some minor errors may be present.

The template is fully used; There are virtually no errors in formatting style.

All format elements are correct.

3.0 % Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)

No reference page is included. No citations are used.

The reference page is present. Citations are inconsistently used.

The reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.

The reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.

In-text citations and a reference page are complete. The documentation of cited sources is free of error.

100 % Total Weightage

New York Action Coalition

The Future of Nursing New York State Action Coalition is the driving force for the implementation of the Institute of Medicine recommendations in our state. We are working with diverse stakeholders to create and model innovative solutions that will lead to healthier communities, with nurses leading the way.

Visit Our Website

Blog Posts by:
New York Action Coalition

Fostering Interprofessional Collaboration in Health Care

Collaboration is the cornerstone of success in any team. Interprofessional collaboration is one of the trademarks of several highly successful health care innovations. When nurses collaborate as equals with other health care providers, patient outcomes and quality of more

Issues: Fostering Interprofessional Collaboration, Locations: New Jersey, New York,

Transforming Nursing Education

More highly educated nursing workforce needed to provide more complex patient care, experts say. Many registered nurses (RNs) start—and finish—their post-secondary education with an associate degree in nursing (ADN). But health care experts want more nurses to see more

Issues: Transforming Nursing Education, Locations: National, New York, Texas, Wyoming,

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New York Action Coalition

Our Leaders

Susan Apold

Susan Apold

Professor
New York University College of Nursing

Debbie Stamps

Debbie Stamps

Chief Nursing Officer
Newark-Wayne Community Hospital

Implementation of the IOM Future of Nursing Sample Answer

Benchmark Assignment: Implementation of the IOM Future of Nursing Report

With over 3 million practitioners, the profession of nursing forms the largest section of the US’s health care workforce. Nurses play a central role in assisting patients in realizing the objectives of the Affordable Care Act, legislation that forms a wide range of health care overhaul since the creation of Medicare and Medicaid. However, some obstacles have hindered nurses from effectively responding to the ever changing clinical settings as well as an evolving health care system. These challenges include a shortage of nurses, technological changes, and the shortage of educational opportunities for nursing. These barriers need to be addressed so that nurses can be in the best position of leading change and advancing health.

Work of RWJF Committee Initiative

Robert Wood Johnson Foundation (RWJF) in conjunction with the Institute of Medicine (IOM) established a major initiative that has served as a guide in the future of nursing. RWJF partnered with IOM in conducting a study and developed a report meant to transform the future of nursing. The IOM committee through this study determined potential challenges that were facing the nursing profession and compiled a report on the modifications in institutional policies at the local, state, and national levels. RWJF through the IOM’s study committee reviewed innovative models of nursing education and care delivery and provided solutions that could be used to improve the quality of care delivery at an affordable cost.

RWJF established the initiative of the “Future of Nursing” that examined the potential of promoting the quality and accessibility of care through the use of nursing-led solutions. The report had recommendations geared towards determining significant roles for nurses in planning and executing an effective and efficient health care system.

Some of the recommendations that were highlighted in the report include an examination of innovative solutions associated with the delivery of care and nursing education with a focus on nursing and the provision of patient care. It was also recommended that the nursing faculty should be expanded, the capacity of schools increased, and nursing education be redesigned in order to ensure that it produces a sufficient number of well-prepared nurses that are able to meet health care demands. Fineberg & Lavizzo-Mourey, (2013) state that clinical and community care in the US has become more complex. Therefore, the education provided should equip nurses so that they can make important decisions linked to care for frail patients and work with sophisticated, life-saving technology. The report also pointed out that the role of nurses within the context of the health care workforce, future technology, nursing shortage, and societal issues should be re-conceptualized. Nurses are called upon to collaborate with different health care professionals and coordinate care across different settings. Moreover, the committee proposed that for improved patient outcomes to be realized, the health care sector should attract and retain competent nurses in different care settings such as acute, primary care, ambulatory care, long term care, public, and community health.

The RWJF used the report in its extensive communication in conjunction with the IOM. To support the initiative, the RWJF sponsored a team of experts who discussed the issues raised by the IOM committee. The IOM also played a vital role in the development of the report. For instance, it provided evidence-based proposals to clinicians, private stake holders as well as the general public and provided independent, objective, and technical advice to policymakers. Additionally, the IOM ensured that the recommendations that were developed had an agenda that was clearly defined with an action plan that was properly formulated.

The Importance of the IOM Report

The recommendations provided by the IOM in report center around the vital intersection between the actions of the nursing workforce and the health care needs of different people across the lifespan (Reed, 2015, November). They are meant to promote the efforts of improving the health of the people of US through contributions of nurses. They have an impact in various nursing aspects such as;

  1. Nursing Practice

Nurses have a great potential of leading innovative strategies tailored towards improving the health care system. However, a number of state regulations limit the scope of nursing practice. Depending on the state, regulations on the scope of nursing practice of a RN may deny or limit prescriptions of medications, admission of patients, assessment of patient conditions, and evaluation of tests. However, the IOM report insists that nurses should provide care to the full extent of their education and training. This has promoted delivery of quality care as nurses provide necessary care with a little limitation of the potential.

  1. Nursing education

Through the report, profound changes were introduced in nursing education both before and after receiving a license (Keating, 2014). This resulted in the betterment of nursing education which has ensured that the current and future generations of nurses provide quality, patient-centered, safe, care across settings.  Nurses have also been encouraged to act in response to the demands of the ever-changing health care sector by attaining higher levels of education and training.

  • Nursing workforce

To address the issue of a nursing shortage, the implementation of the IOM report has led to the entry of a greater number of nurses with a baccalaureate degree early in their life. The report has also resulted in the transformation of the practice environment through a balance of skills and perspectives among nurses and other health care providers.

Role of State-Based Action Coalitions and the Future of Nursing

States in the US have formed state-based coalitions that are aimed at enhancing the implementation of the proposed IOM recommendations. These coalitions mobilize stakeholders in the health care sector in order to promote the development of a clear plan of action. The state of New York has been in the frontline in shaping the future of nursing practice. For instance, it has adopted an initiative that is geared towards promoting nursing education for it to be in line with set standards necessitate so that is can meet the complex nature of the health care sector (Campaign for Action, 2014). The initiative also proposes that nurses should take up leadership roles in the promotion of the health care system. The objective of this initiative is to make sure that nurses know their roles as leaders and the public acknowledges the competence of nurses when promoting strategies. The state of New York has also built a strong and highly-competent nursing workforce. These initiatives have given the state’s nurses the opportunity of contributing actively in the promotion of care delivery.

The state of New York has been barred by barriers which limit proper advancement of IOM recommendations. One such barrier is the shortage of nursing workforce. This has resulted in overworking of the nursing leading to job burnout which in turn prevent delivery of quality patient care. It is also important to note the insufficient of nursing workforce has also resulted in an increase in hospitalization cases. Nursing advocates can play a central role in ensuring that the IOM recommendations are achieved. For instance, the advocates can engage actively in decision making processes that will introduce transformational policies in the health care sector. The barrier of nursing shortage can be addressed through increasing admission of undergraduate nursing students and increasing nursing schools. The policies should also target nursing education so that it can enlighten the nurses on how to deliver quality care despite the myriad of challenges facing the health care sector.

Implementation of the IOM Future of Nursing Conclusion

The US has the potential of transforming its health care sector and nurses should contribute majorly in this transformation. The IOM report has been essential in the health care sector as it calls on nurses to play a central role in America’s increasingly multifaceted health care system. Moreover, nurses have been urged to adopt leadership roles in all care settings so that they can satisfy the demands of the evolving health care. The health care delivery competencies has enabled nurses to examine the likely evolution of the health care sector, evaluate their career goals, and determine what should be done to achieve the set objectives. Some of the interventions that have been put forward include advancement of academic education, continuing education, as well as certification. These advancements have been necessary in equipping nurses with appropriate skills for tackling the challenges they encounter.  However, the efforts of improving the organizational conditions not only rest solely on nurses but also on health care organizations, the government, insurance industry, and professional associations. Collaboration of these diverse parties will help in ensuring that the health sector offers affordable, seamless, quality care that is easily accessible.

Implementation of the IOM Future of Nursing References

Campaign for Action. (2014). Transforming nursing education. Retrieved from http://campaignforaction.org/transforming-nursing-education/

Fineberg, H. V., &Lavizzo-Mourey, R. (2013). The future of nursing: A look back at the landmark IOM report.

Keating, S. B. (2014). Curriculum development and evaluation in nursing. Springer Publishing Company.

Reed, J. (2015, November). Creating a Culture of Health: Opportunities for Public Health Nursing to partner with State Action Coalitions. In 143rd APHA Annual Meeting and Exposition (October 31-November 4, 2015). APHA.

Social Healthcare for the Elderly Abuse

Social Healthcare for the Elderly Abuse Order Instructions: The guided word limit is 2750 words

Social Healthcare for the Elderly Abuse Sample Answer

Social Healthcare for the Elderly

Introduction

This essay revolves around the case review associated with elderly abuse in health and social care. Elderly abuse has been on the high increase in the recent past largely because the government has failed to perform its obligations.

Social Healthcare for the Elderly Abuse
Social Healthcare for the Elderly Abuse

This paper sets out to put certain issues into perspective so as to enable a friendly environment to the elderly to the elderly persons in the community.

Task 1.1 Description of how information could reach the public

The content based on the case study analysed in this paper ought to reach the public sphere at all costs. To begin with, there is a need for a well-structured response mechanism to facilitate the disclosure of all manner of abuses to the concerned authorities (Seale, 2003). Again, the abused persons should not be afraid of the outcomes of disclosing the wrongs meted against them. There has been a culture where wrongs meted out by one party are perpetuated because the injured party is ignorant of the right channels that would help them seek help or talk about them to get the required public attention. In our contemporary world, for instance, help relating to electronic shopping, fast foods among other associated aspects is widely available.                               Nonetheless, no one pays much attention to  the elderly. Moreover, available channels of communication have been outrun with time, an aspect that makes it intricate to communicate.  This backdrop calls for an appropriate review of the situation by the regulators. However, because the government may not be able to do everything for everyone, people ought to take initiatives when it comes to reporting the issues to the relevant authorities. In the UK, for instance, the modifications to the components of Southern Cross have culminated to several mistakes (Hara, 2011).                                                                                                             The Southern Cross has been relentless to providing new information concerning the projected new operators for a momentous proportion of its residential and nursing homes in England.  Nonetheless, owing to poor management and communication methods, there is a scenario of chaos right now (Johnston & Andy, 2013). The authorities and the law enforcers should work closely with those respective houses. On the other hand, the locals should help the authorities as much as they can to ensure these cases are reported promptly.

Task 1.2 Analysis of different media techniques such as media, leaflets, newspapers used for communicating information associated with elderly care.

Media plays an integral role when it comes to disseminating societal issues. However, information linked to elderly care never reaches the public because of the failure of the media to report about it. Nevertheless, the media house should not be subjected to blames or held responsible for not covering some issues, or for simply reporting issues that the public is interested to hear. Contemporary media for instance, reports more about the popular trends regardless of whether or not they have any relevance to the public (Hickey, 2014). During prime time, media goes out to report sensational news too. In this respect, the perception of the media attitude should be altered (Davies, 2005). Moreover, information associated with elderly issues should be disseminated without any repression or omission. With the advents of social media, it becomes easier to disclose social ills rather fast. There is a need to put into use social media.

Task 1.3 influence of divergent ways on people’s attitudes, thoughts, and behaviors

Much as  people’s attitudes and behaviors are diverse, it is easier to influence them through different channels. For instance, type of media, presentation layout, content, logical visual basics, and sound influence people’s attitudes and behaviors. And because the people’s attitudes can be altered through visualization and sounds, it becomes effective per se. In due course, enhancing people’s understanding about particular issues through graphical representations will certainly enhance their attitudes and behavior.

Task 2.1 Influence of media on the attitudes and behaviour of people

The media has many functions and the key one is informing the public about current events. In the healthcare sector, the media informs the public about current issues related to health and social care including an outbreak of illnesses, new medicines, treatment techniques and so forth. The increased demand for data has contributed to advancement in periodicals, newspapers, television programs that address health, and social care. Discussions on current events associated with health and social care is done to inform public. Such debates involve professionals from different fields of health and social care to influence perception of the public (Willby, 2008). For instance, in the US there was a discussion on a department in Novartis that paid a large sum of money to physicians following a prescription manufactured by the company. This scenario will affect public behaviors and attitude towards the products of these firms.

The media can be used as a watchdog of political structure to influence people’s attitude and behaviour. This way the media creates awareness about political structures, by releasing important political opinions, and conditions associated with health and social care. Therefore, a person is empowered to access information about the government, rights and assists them in formulating decisions in health and social care (Davies, 2005).

Moreover, the media is in charge of educating people on health and social care, as it is able to reach many. For instance, the media can educate the public about risks associated with smoking. This can be carried out through health education programs through social media platforms. Again, the media can be used as a platform for announcing events related to health and social care including risks of certain drugs, and epidemics. Health and social care institutions can also utilize the media to market services to the larger public. However, they should ensure that the ads are convincing and also attractive to help people make informed decisions (Kelly et al. 2005). The objective of any ad is to attract the attention of people; the more attractive the ad is the higher the ability to influence their attitudes and behaviors.

Task 2.2 Evaluating the Reliability and Validity Of Media Content

It’s vital for people to assess validity as well as the reliability of information prior to considering it factual. The public can ascertain this by evaluating the source of information, the issuance of the data and the manner in which it is released and presented. There are different sources of data, for example, government websites, and advocacy groups, political, and religious institutions. The public must understand the agenda behind any information or basically to create awareness. For instance, information released by the Ministry of Health (MoH) on a given policy issue is reliable in comparison to that provided by lobby groups (Hopson, 2013).

Presently, UK is campaigning for quality health and social care by incorporating the elderly people. This campaign is organized by the government, making it valid and reliable as it values the interests of its population. Conversely, in the United States, there is Obama care, which purposes to modify insurance sector to cater for the healthcare needs of low-income earners. The bill was widely debated; some opposed it while other supported it. However, the media plays an important role of presenting facts and views about the bill (Hopson, 2013). By and large, the public must get information from reliable sources like government sites and publications.

Task 3.1 Contemporary Issue

Compared to previous years, Britain population is healthier than ever. Nonetheless, regardless of the improving health of the population, minorities’ health is increasing at a remarkable low rate in comparison to the general population. In the attempt to address the issues, it has been challenging, particularly, for healthcare providers as well as policy makers. It is evident that causes of inequalities are determined based on social factors (Hara, 2011). Employment industry and education structures plan access to job opportunities based on the society. Moreover, inequalities are influenced by sexuality, gender, and racial background. Experts have demonstrated that addressing unequal allocation of the variable of health is vital in terms of improving Britain’s health sector. Facts on the mortality rates of immigrants demonstrate the presence of heterogeneity across minorities.

Task 3.2 Monitoring different perspectives

In the UK, ethnic groups comprise of about eight percent or 4.6 million individuals of the entire population. Previous studies have shown that racial communities have a low quality of health in comparison to white Caucasians in conditions like heart diseases, mental health, and stroke among others (Hickey, 2014). In the past years, healthcare inequalities of various ethnicities are common in various healthcare institutions across the UK. The UK government in the past decade provided data on the healthcare gaps across the nation and also certain areas that the gap was increasing (Davies, 2005). The inequalities start at birth, for example, children born in poor households are in danger of being born premature and developing chronic illness in adulthood. This leads to the cycle of inequalities. As such, the government has initiated a number of measures with the objective of investigating aspects of healthcare inequalities while reducing it among racial communities. Some of the initiatives are; Health Challenge England; Spearhead Primary Care Trusts; Race for Care and so forth. Much as initiatives were introduced to not only improve, but also minimise healthcare gaps. Some have been successful, while others were have failed in addressing inequalities in healthcare.

Task 3.3 Significance of results to health and social care

Previous studies on health and social care documented in a number of journals have been the basis upon which health experts use to practice while improving service delivery. These studies are crucial when it comes to creating awareness about challenges in health and social care and presents a general understanding of handling such challenges. For example, many intellectuals have investigated about the significance of training of healthcare experts on ethnicity and cultural diversity of UK’s populace (Davies, 2005). This a suitable step because it helps health care experts to be conscious of the expectations of racial communities, including beliefs, practices, and social conditions. Furthermore, findings are used publicly as the foundation for informing them about new events in health and social care industry such that the they are aware of the healthcare gaps across health care institutions across the UK. Data from government published on their sites about health care gaps is helpful since it informs the public on current issues on health and social care. In addition, advocacy groups publish information about social and health care on their sites and other channels to create public awareness.

Task 3.4 Factors influencing development of various perspectives

A number of factors are attributed to the development of various perspectives over a given time frame, for instance, ignorance about the health care requirements racial minorities. Regardless, of the enhanced outcomes conducted through ethnic diversity initiatives, three is a lack of provisions for health care experts across the UK apart from in psychiatry. Therefore, it is important for health education to integrate principle that purpose to achieve the objectives of improving health for the entire population, and identification of special health requirements, belief and communication challenges of racial groups (Anon, 2013). Many health professionals state that changing lifestyles in inner cities have contributed to increasing the number of ethnic minorities. In fact, Asians people in the UK has increased considerably, hence, it is crucial to find a remedy to these issues. Other elements that influence the growth of various perspectives include economic constraints, availability of adequate information, and changing roles of corporate in managing hospitals. These factors were evident in the past and they have greatly influenced the perception of people. As such, this is a field that planners and policy makers should take into account when making decisions (Anon. 2013).

Task4.1: The extent of local attitudes reflect those found at a national level

Recently, NHS has been under pressure to review measures aimed at reducing health inequalities. On one hand, reports indicate that NHS is not effective in terms of minimizing health inequalities, on the other, the gap is increasing considerably. The reports call upon the government to concentrate on issues at different health institutions while highlighting the main cause of such inequalities. Social and economic issues are main causes of changes in behaviour and attitude in local and national levels are not adequately emphasized (Morris, Carrell & McDonald, 2016). There is the need for education and training programs on social causes of illnesses while encouraging health specialists to advocate for patients. The media has played its role of reporting health gaps as well as changing racial minorities face in the UK. While the released data can be deceptive, its necessary for the government to provide information so as to ascertain accurate facts on health inequalities reach the public. Furthermore, the government must use various modes of media to release the information including television, radios, websites among others (Hara, 2011). Again, the government must inform the public on necessary measures to address health inequalities, for instance, integrating progress records on initiatives they have implemented.                                                                                  With respect to local level, there is a wide range of beliefs and practices that greatly influence health status. The majority of people in local areas do not want to change the manner in which they take medication, they still believe in their practices. This is an aspect that contributes to spreading of diseases. At the local level, social care facilities are regarded as ineffective and simply a place for caring for elderly individuals. Subsequently, local attitudes lead to many national issues. If individuals are not able to reduce the spread of endemic, it is reflected at the national level, which leads to remarkable risks to economic, health and physical issues. Therefore, to reduce while ensuring the country’s population is health, everyone should be involved.

Task 4.2 Evaluation of validity of public attitudes and behaviors

Healthcare is a field that entails creating awareness about health related issues (Willby, 2008). This also entails wide areas  associated with social, spiritual, intellectual, physical, and environmental health.  This is the basis upon which people learn to conduct themselves in a way that is appropriate to the promotion of health. In many instances, media post news without taking into account the element of empathy. The variation in public attitude and behaviour can be as a result of the gap in income. The public’s response to social platforms in the promotion of health is positive. As a matter of fact, social platforms are commonly employed to influence individuals’ behaviour towards health. Social promoters use several marketing strategies including placing information in clinics, community outreach, and promotion. Therefore, based on the case study the information will significantly influence public attitude as well as behaviors. In addition, releasing information on elderly abuse in the public will demonstrate the increased health gaps of this group.

In turn, this will contribute to the formation of groups that aims to create awareness about elderly abuse. The groups can also organize peaceful protests to get the government to enact laws that prohibit abuse of elderly. The groups can also educate elderly people about their rights and how to increase their wellbeing. Releasing such data contributes to contemporary thinking in terms of health and social care, which makes the government be effective in the provision of services to all.

Task 4.3 Effects of contemporary thinking

Contemporary thinking in the delivery of health and social care can result in many consequences. For instance, it helps in educating the public about what  the government is doing and ways of addressing a given social and health event. Nonetheless, the public should be cautious regarding the sources of the information. Moreover, the public must ensure the information is not only valid, but also reliable (Willby, 2008). This is because the released data impacts on the public’s attitude, behaviour, and thoughts.  Caution should then be considered prior to release. Contemporary thinking involves the utilization of informatics in health and social care, which is imperative in obtaining good outcomes including; management of care setting; team collaboration; and negotiation.

Social Healthcare for the Elderly Abuse Conclusion

In the end, this paper determined to highlight not just an overview and insight on global health issues, but also the role played by the media to inform the wider society. Accordingly, the public has a pertinent role to play as well. While almost everyone has an obligation towards reporting, individual attitudes and the motive behind reporting is of a great importance . The national health issues tend to play out in the global sphere. Hence globally major issues tend to happen to owe to the attitudes of local peoples. Again the relevant authorities should take a lead to create public awareness, in healthcare related issues and determine the veracity of publications. While it is vital to champion the notion that the young should always be educated through media, they should always take limited interest in media publications. It is imperative for the public to assess the consistency and legitimacy of media content before they can think of consuming it.  This starts with evaluating not just the information source, but also who is dispensing the information and how the content is disseminated. Some of these sources may include the political class, religious agenda, government sources and lobby groups among others. The public ought to analyse whether or not the information presented is aimed at playing with the public emotions or simply reporting plain facts.

Social Healthcare for the Elderly Abuse References

Anon., (2013). NHS told to do more to ‘reduce health inequalities’. Accessed on 24th May, 2016    at http://www.bbc.com/news/health-21807157

Davies S. (2005). Research Governance Framework for Health and Social Care Accessed on                    24th of May, 2016 at http://www.gov.uk/government/publications/research-governance-            framework-for-health-       and-social-care-second-edition

Hara, O, M (2011). Sustainability: Living our values. Why the responsible reporting of mental                   health issues is so important. Accessed on 24th May, 2016 at             http://www.theguardian.com/sustainability/blog/editorial-mental-health-reporting.

Hickey, S. (2014). How technology in the home can improve health and social care. Accessed                  on 24th May, 2016 at https://www.theguardian.com/business/2014/jul/13/technology-  home-improve-health-social-care

Hopson, C. (2013). Is the NHS really that bad – what does the evidence show? Accessed on 24th             May, 2016 at http://www.theguardian.com/healthcare-network/2013/may/08/nhs-what-  does-evidence-show

Johnston J. & Andy D. (2013). Care homes let my dad starve to death. PUBLISHED: Accessed              on 24th May, 2016 at http://www.dailymail.co.uk/news/article-2315603/Wanda-         Maddocks-secretly-jailed-trying-save-father-Here-exposes-shocking-      neglect.html#ixzz34QOSusrL

Kelly, M. P., McDaid, D., Ludbrook, A., & Powell, J. (2005). Economic appraisal of public                      health interventions. London: Health Development Agency. Accessed on 24th May, 2016              at www.hda-online.org.uk

Morris, S., Carrell, S & McDonald, H. (2016). How healthcare differs across the UK. Accessed    on 24th May, 2016 at http://www.theguardian.com/politics/2016/feb/09/how-healthcare-    differs-across-the-UK

Seale C (2003). Media and Health Guidance and units – Edexcel Level 4 BTEC Higher                            Nationals in Health and Social Care– Issue 1 – October 2004 155

Willby P. (2008). The media’s addiction to the controversy can seriously damage your health.       Accessed on 24th May 2016 at             http://www.theguardian.com/commentisfree/2008/aug/13/pressandpublishing.health

Caring for Patients with Chronic Illness Paper

Caring for Patients with Chronic Illness
Caring for Patients with Chronic Illness
Caring for Patients with Chronic Illness

Caring for Patients with Chronic Illness

Order Instructions:

Caring for Patients with Chronic Illness
Topic 1: Caring for Patients with Chronic Illness
In this discussion you will create an age appropriate, evidence based plan of care for a client that might present to a primary care setting with a chronic disease or diseases. Make sure to include in the case study subjective, objective, and assessment data. You will post this information to the Discussion Board. Please provide a list of differential diagnoses, diagnostic exams and create an evidenced based management plan for the client. Be sure to provide a medication list and appropriate dosages. Remember when creating a plan that this patient will have more than one chronic disease and you should create a plan to involve all aspects of care. Comment on peers plan of care in terms of cost effectiveness and evidenced based.
Groups are as follows according to your last name:
A-H: African American female with Congestive Heart Failure, who has had a 20 pound weight gain in the past month. She also has Peripheral Vascular Disease with Venous Insufficiency. This patient has a Grade III murmur and takes anticoagulants

SAMPLE ANSWER

Subjective Data

Chief Complaint: Shortness in breath, fatigue, a “racing” heart, and weight gain

HPI: A 55 year old African American presents to the hospital complaining of shortness of breath, fatigue, a “racing” heart, and weight gain. The patient reports that she has noted breathlessness over the last three months while walking up stairs and in other activities that are strenuous. Two weeks ago she was not capable of completing her routine one-mile walk. The patient further reports that yesterday she became severely breathless while walking from one room to another. Today, she presents with extreme dyspnea.

Medication: The patient is on anticoagulants (warfrain, INR 2.0-3.0).

Allergies: Denies any having any food or drug allergies

Past Medical History: Patient was diagnosed with peripheral vascular disease with venous insufficiency at age 25.

Pat surgical History: Denies any surgery

Sexual/Reproductive History: Patient married and has two children

Personal/social history: Moderate alcohol use. She goes for a jog every morning.

Significant Family History: Patient’s father suffering from hypertension and type II diabetes.

Systemic Review

General: Moderately obese, in acute distress sitting upright, breathless

HEENT: Normoceohalic. Ears, eyes, and throat normal

Neck: Distended neck veins visible

Chest: Scattered rhonchi with productive frothy cough

Heart: Irregular, S3 gallop, grade III murmur

Gastro intestinal: Denies having acid reflux and GI upset

Extremities: Pitting edema, no clubbing, pulse intact

Hematologic: No history of blood transfusion or dyscrasia

Skin: negative for skin lesion, lumps, bruises, discoloration or itching.

Neurologic: Anxious with an impending doom feeling.

Objective Data

Vital signs: BMI 28, BP 130/91, Pulse ox 94%, temperature 37.40C, heart rate 88bpm

Abdomen: no observable or palpable abnormalities

Growth issues: the patient can say his name, speak clearly, respond to three-part commands, and bend his back without falling

Alertness: the patient is oriented, not agitated, but slightly less alert than normal

Musculoskeletal: Denies having any disorders

Diagnostic Tests:

  • Chest X-ray: cardiomegally with pulmonary edema
  • Echocardiogram: Grade III murmur
  • Electrocardiogram: Atrial fibrillation
  • Exercise stress test: Exercise intolerance

Assessment

The most likely diagnosis for this patient is congestive heart failure. This is a condition that is characterized with tachycardia, breathlessness, and edema in the extremities all of which are consistent with the patient (McMurray et al., 2012).

Care Plan

Some of the medications that will be recommended for the patient include:

Diuretics: Furosemide 60mg once daily

Beta blockers: Propranolol 100 mg orally twice daily

Angiotensin converting enzyme inhibitors: Enalopril 40mg per day orally (McMurray et al.,  2014).

Chromium supplements will also be administered for management of the patient’s weight.

The patient will be advised to monitor her weight and avoid junk foods that may increase her weight. Therefore, she should maintained a balanced diet and restrict herself from taking excess salt. Excessive intake of salt may result in increased blood pressure (Scott & Winters, 2015). She should also regulate drinking of alcohol which may hinder her from achieving positive outcomes. In addition, the patient should continue doing her morning jog which will aid her in managing her weight. She should use at least to pillows at night so that she can sleep comfortably. She should adhere to her medication and report to the physician whenever she is experiencing side effects.

References

McMurray, J. J., Adamopoulos, S., Anker, S. D., Auricchio, A., Böhm, M., Dickstein, K., … & Jaarsma, T. (2012). ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012. European journal of heart failure14(8), 803-869.

McMurray, J. J., Packer, M., Desai, A. S., Gong, J., Lefkowitz, M. P., Rizkala, A. R., … & Zile, M. R. (2014). Angiotensin–neprilysin inhibition versus enalapril in heart failure. New England Journal of Medicine371(11), 993-1004.

Scott, M. C., & Winters, M. E. (2015). Congestive heart failure. Emergency medicine clinics of North America33(3), 553-562.

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Anemia Classification and Rationale

Anemia Classification and Rationale Order Instructions: Details: In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.

Anemia Classification and Rationale
Anemia Classification and Rationale

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin.

NRS410V.R.CaseStudy1_Student_02-11-13.docx

*****RUBRIC******
Unsatisfactory 0-71%
0.00%
2
Less Than Satisfactory 72-75%
75.00%
3
Satisfactory 76-79%
79.00%
4
Good 80-89%
89.00%
5
Excellent 90-100%
100.00%
80.0 %Content

40.0 %Accurate identification of anemia classification and rationale.
Identification of anemia classification and rationale is not offered.
Identification of anemia classification and rationale is offered, but incomplete, lacking relevant information, such as rationale.
Identification of anemia classification and rationale meets the basic requirements of the assignment.
Identification of anemia classification and rationale is offered in detail.
Identification of anemia classification and rationale is offered in detail while demonstrating evidence of deeper insight and/or reflection.
40.0 %Explanation of patient diagnosis with rationale from case findings. Outside sources and/or medical and nursing references used to support conclusions.
Explanation of patient diagnosis is not offered.
Explanation of patient diagnosis is offered, but incomplete, lacking relevant information, or does not provide outside sources and/or medical and nursing references to support conclusions.
Explanation of patient diagnosis uses outside sources and/or medical and nursing references to support conclusions, and meets the basic requirements of the assignment.
Explanation of patient diagnosis uses outside sources and/or medical and nursing references to support conclusions and is offered in detail.
Explanation of patient diagnosis uses outside sources and/or medical and nursing references to support conclusions and is offered in detail while demonstrating evidence of deeper insight and/or reflection.
15.0 %Organization and Effectiveness

5.0 %Thesis Development and Purpose
Paper lacks any discernible overall purpose or organizing claim.
Thesis and/or main claim are insufficiently developed and/or vague; the purpose is not clear.
Thesis and/or main claim are apparent and appropriate to the purpose.
Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of arguments and appropriate to the purpose.
Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
5.0 %Paragraph Development and Transitions
Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. An organization is disjointed.
Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.
Paragraphs are generally competent, but ideas may show some inconsistency in an organization and/or in their relationships to each other.
A logical progression of ideas between paragraphs apparent. Paragraphs exhibit unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to the purpose.
There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice, sentence structure, and/or word choice are present.
Some mechanical errors or typos are present but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
The prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
A writer is clearly in command of standard, written, academic English.
5.0 %Format

2.0 %Paper Format(1- inch margins;12-point-font;double-spaced;Times New Roman, Arial, or Courier)
A template is not used appropriately or documentation format is rarely followed correctly.
A template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
A template is used, and formatting is correct, although some minor errors may be present.
A template is fully used; There are virtually no errors in formatting style.
All format elements are correct.
3.0 %Research Citations(In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)
No reference page is included. No citations are used.
The reference page is present. Citations are inconsistently used.
The reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.
The reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.
In-text citations and a reference page are complete. The documentation of cited sources is free of error.
100 %Total Weightage

Anemia Classification and Rationale Sample Answer

The blood count indicates that the patient is suffering from microcytic hypochromic anemia– iron deficiency anemia. The patient hemoglobin (8 g/dL) is also low (Normal 12.3-15.3 g/dL) suggesting of microcytic anemia. The patient Hematocrit (32%) is also low as compared to a normal range of (35-47%). In this case, it is evident that Ms. A is suffering to anemia due to the deficiency in folate, iron, and B12.  This implies that she has a decrease in the mass of red blood cells. The red blood cells have roles of transporting oxygenated blood from the lungs to tissue and deoxygenated blood from body organs to the lungs. Anemia is an indicator that calls for an evaluation to determine the underlying etiology (Goddard et al., 2011).

Low hemoglobin oxygen has decreased oxygen affinity, these causes alteration of the cardiac output (Goddard et al., 2011). Iron is an important part of hemoglobin which is responsible for carrying oxygen from the lungs to the best part of the body. The patient lack of energy and weakness is caused due to starved oxygen. This explains why the patient has been experiencing tiredness, headaches, and breathlessness. Blood loss due to menorrhagia is identified as the main cause of iron deficiency among premenopausal women.  The main challenge is that the patient themselves may not even realize that her periods are excessive bleeding as she has been experiencing this condition for that past 12 years. When a patient loses blood they lose iron. Therefore, when the patient lost blood during menstruation, she lost a lot of iron putting her at risk of developing anemia. Excessive use of aspirin is associated with gastrointestinal bleeding which is also associated with iron deficiency (Goddard et al., 2011).

Surprisingly, iron deficiency among women is very common but often undiagnosed or untreated.  Most people undiagnosed with iron deficiency are suffering in silence. The main issue is that most women assume that the feelings of getting tired, weak, and irritable are normal experiences caused by their busy lives. If the condition is left untreated for a long time, iron deficiency anemia puts the patient at risk of getting an infection due to a low immune system. It also increases the patient’s risk of developing lungs and heart complications including heart failure and tachycardia (Goddard et al., 2011).

Excessive menstruation is the main cause of iron deficiency young women. Gastro-intestinal bleeding is another main cause for the bleeding. If the gynecological procedures do not improve the patient anemic condition, endoscopy procedures should be conducted to rule out gastrointestinal bleeding. The underlying condition must be treated. The anemia should be treated using ferrous sulfate 200 mg two times daily until the hemoglobin levels get normal. An antifibrinolytic (Tranexamic acid) should be administered during menstruation. This will help minimize the amount of bleeding. Contraceptive pills should be prescribed to reduce menorrhagia (Davey, 2012).

It is important to include iron-rich foods inpatient diets including beef, beans, lentils, dark leafy vegetable, and dried fruits. The patient should also be advised to feed on green peas, kidney peas, peanuts, cereals, and dark green vegetables to obtain folate. Vitamin B-12 rich food should be included in the diet including the dairy products, meat, soy products and fortified fruits (Goddard et al., 2011).

Anemia Classification and Rationale References

Davey, P. (2012). Medicine at glance 3rd edition. John Wiley & Sons.   England.

Goddard, A., James, M., McIntyre, A. and Scott, B. (2011). Guidelines for the management of iron deficiency anemia. Gut, 60(10), pp.1309-1316. Retrieved from http://www.bsg.org.uk/pdf_wor

Describing the Approach to Care of Cancer

Describing the Approach to Care of Cancer Order Instructions: Details: Write a paper (1,250-1,750 words) describing the approach to the care of cancer.

Describing the Approach to Care of Cancer
Describing the Approach to Care of Cancer

In addition, include the following in your paper:

Describe the diagnosis and staging of cancer.
Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using them
rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

Approach to Care

1
Unsatisfactory 0-72%
0.00%
2
Less Than Satisfactory 72-75%
75.00%
3
Satisfactory 76-79%
79.00%
4
Good 80-89%
89.00%
5
Excellent 90-100%
100.00%
80.0 %Content

30.0 %Explanation of the Diagnosis and Staging of Cancers is Provided.
An explanation of the diagnosis and staging of cancers is not provided.
An explanation of the diagnosis and staging of cancers is provided but is missing relevant information.
An explanation of the diagnosis and staging of cancers is provided that meets the assignment criteria.
An explanation of the diagnosis and staging of cancers is provided that is offered in a detailed manner.
An explanation of the diagnosis and staging of cancers is provided that is offered in a detailed manner while demonstrating higher level or critical thinking.
20.0 %At Least Three Complications of Cancer are Identified With Comprehensive Discussion of Available Treatments.
Less than three complications of cancer are identified.
At least three complications of cancer are identified but lacking a comprehensive discussion of available treatments.
At least three complications of cancer are identified with a comprehensive discussion of available treatments.
More than three complications of cancer are identified with a comprehensive discussion of available treatments.
More than three complications of cancer are identified with a comprehensive discussion of available treatments while demonstrating higher level or critical thinking.
30.0 %Provides Recommendations to Address Physiological and Psychological Side Effects of Care.
Recommendations to address the physiological and psychological side effects of care are lacking.
Recommendations to address the physiological and psychological side effects of care are missing relevant information.
Recommendations to address the physiological and psychological side effects of care meet the assignment criteria.
Recommendations to address the physiological and psychological side effects of care are offered in a detailed manner.
Recommendations to address the physiological and psychological side effects of care are offered in a detailed manner while demonstrating higher level or critical thinking.
15.0 %Organization and Effectiveness

5.0 %Thesis Development and Purpose
Paper lacks any discernible overall purpose or organizing claim.
Thesis and/or main claim are insufficiently developed and/or vague; the purpose is not clear.
Thesis and/or main claim are apparent and appropriate to the purpose.
Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.
Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
5.0 %Paragraph Development and Transitions
Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. An organization is disjointed.
Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.
Paragraphs are generally competent, but ideas may show some inconsistency in an organization and/or in their relationships to each other.
A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to the purpose.
There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.
Some mechanical errors or typos are present but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
The prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
A writer is clearly in command of standard, written, academic English.
5.0 %Format2.0 %Paper Format (1- inch margins; 12-point-font; double-spaced; Times New Roman, Arial, or Courier)
A template is not used appropriately or documentation format is rarely followed correctly.
A template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
A template is used, and formatting is correct, although some minor errors may be present.
A template is fully used; There are virtually no errors in formatting style.
All format elements are correct.
3.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)
No reference page is included. No citations are used.
The reference page is present. Citations are inconsistently used.
The reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.
The reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.
In-text citations and a reference page are complete. The documentation of cited sources is free of error.
100 %Total Weightage

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Describing the Approach to Care of Cancer Sample Answer

 Introduction

Cancer is a disease that arises when changes occur in a group of normal cells leading to uncontrolled growth that forms a tumor. This manifested in all cancers except cancer of the blood (leukemia). If untreated, tumors can grow and spread into the surrounding normal cells or other body parts through the lymphatic system or the bloodstream affecting the nervous, digestive, and circulatory systems. Globally, cancer has a high incidence and its burden is set to rise. Research by Brennan et al., (2014) indicated that cancer kills more people compared to malaria, AIDS, and TB combined. Clinicians have been at the forefront in the fight against cancer. They have put in place important strategies that have aided them in understanding the extent of cancer during diagnosis which has proven to be an important determinant of the future care plan as well as the patient outcome.

Describing the Approach to Care of Cancer Diagnosis and Staging

The diagnosis of cancer relies on physical examinations, blood tests, biopsies, and diagnostic imaging tests such as CT scans, X-rays, and MRIs. Once an individual has been diagnosed with cancer, the next procedure conducted is cancer staging. The staging process entails categorizing the level of development of cancer. This practice is of great significance since it informs on the therapeutic measures that will be undertaken. The most common staging system used across the globe is the TNM system. This system classifies tumors in relation to their size (T), the degree of metastasis to the regional lymph nodes (N) as well as the degree of metastasis to other body parts (M). In addition to this anatomical approach of staging, the systems may also consider some prognostic aspects such as serum or histology tumor markers.

In the TNM system, the extent of the primary tumor is assessed and assigned a value ranging from Tx, T0, Tis, T1, T2, T3 to T4 depending on the size of the tumor. The absence or presence of a tumor in regional lymph nodes is assessed and assigned a value of Nx, N0, N1, N2, or N3 in relation to the degree of spread. Distant metastasis, on the other hand, is assessed and values of Mx, M0, and M1 used to denote the extent of metastasis. Staging is an essential step in the process of cancer management. For instance, if the staging is local the interventions that will be effective in its management are radiation or surgery. If the disease has advanced and metastasized to other parts of the body, a process that occurs through the lymphatic and the bloodstream, chemotherapy is considered to be the most effective approach for its management. Most cancers are at stage four which is the most severe whereas some cancers have stage 0 whereby the carcinoma is in situ.

Describing the Approach to Care of Cancer Complications

Usually, cancer is associated with a number of complications that require proper assessment and minimization in the process of caring for individuals suffering from cancer. Pain has been ranked as one of the most common complications of cancer. Generally, pain is classified as somatic pain which localized within a specific region, visceral pain which arises due to an injury to a body organ, and neuropathic pain which arises when the central nervous system is injured. In cancer, the pain arises as a result of the pressure that is exerted on nerves as the tumor grows and spreads into surrounding tissues. The pain can be minimized through the use of analgesics such as ibuprofen or nerve blocking agents that are injected into the nerve or spine. Weight loss is also another common complication that patients with cancer go through. Usually, cancerous cells consume nutrients meant for the growth and maintenance of normal body weight. These cancerous cells are extremely competitive. They deprive essential nutrients of normal cells leading to poor growth. This complication can also arise during cancer treatment. This is because treatment approaches such as chemotherapy can result in side effects such as nausea and vomiting which in turn interfere with the eating habits of patients. Patients with cancer may also suffer from dyspnea, a complication associated with breathing difficulties. A number of several factors cause dyspnea. Some of these factors include hypoxemia, reduced erythrocyte count, obstruction or narrowing of the airway, and anxiety. Dyspnea can, however, be managed through the administration of oxygen to patients, use of lifestyle modifications such as living in well-ventilated buildings, and administration of anti-anxiety agents.

Describing the Approach to Care of Cancer Care plan

For positive outcomes to be achieved in cancer management, effective strategies must be used. Some of the important considerations that can be used in cancer management include early diagnosis and initiation of treatment.  Cancers tend to worsen as they metastasize. It is for this reason that approaches have been designed to focus on preventing the spread of cancers which the aim of stopping the spread and removing cancerous cells. Mostly, cancer patients require holistic care whereby they overcome emotional, physical, psychological, and social challenges associated with the disease (Imran et al., 2016). Provision of care that covers these characteristics generates positive outcomes. Caregivers understand well that cancer is a complex ailment that requires integrated management which involves several medical specialties. Therefore, cancer patients are advised to consider attending health care institutions that provide multidisciplinary services for efficiency. This will avoid incidents of visiting different specialists and receiving fragmented recommendations. The care plan should also perceive patients as unique instead of making assumptions that all patients require similar needs. Therefore, the care plan should integrate the patient’s factors such as emotional health, physical health, age, spirituality, and culture. The care plan should also be patient-centered whereby physicians encourage patients to communicate freely. In addition, the patients’ preferences should be respected, patient education optimized, and engagement of patients and their families in decision-making processes.

Describing the Approach to Care of Cancer and Side effects of Cancer Treatment

Like any other chronic disease, cancer has several side effects that can be categorized generally as either psychological or physical. Some of the physical side effects of cancer include diabetes, infertility or hypothyroidism.  Hypothyroidism which is a condition characterized by the reduction in the secretion of thyroid hormones can arise due to the use of radiation which destroys the thyroid gland. Patients with hypothyroidism manifest with cold intolerance, reduced metabolism, and dry skin. However, hypothyroidism can be managed through the use of agents that stimulate the production of thyroid hormones such as iodine or administration of thyroxin or levothyroxine. Radiation can also cause physical damage to the teeth. This is because high radiation doses towards the neck region can interfere with the enamel exposing the patient to a high risk of developing gum related conditions. Radiation can also kill saliva secretory cells resulting in a condition referred to as xerostomia whereby patients present with dry mouth.

Corticosteroids such as dexamethasone and prednisolone are some of the important agents used in the treatment of cancer. These agents are used in reducing cancer-related inflammation, boosting patient appetite, relieving sickness, and treat cancer itself. However, these steroids trigger an increase in the of blood glucose resulting in diabetes. Patients that develop diabetes are put on an insulin regimen. Infertility arises in some severe cases. Research has proven that chemotherapeutic agents that are alkaline in nature such as cyclophosphamide damage the ovaries. In men, the use of chemotherapeutic drugs such as vinca alkaloid, methyl, and platinum hinders the reproductive system. Fertility preservation can be achieved through the embryo and ovarian tissue freezing.

Cancer treatment can also affect greatly the patients’ memory hindering their cognitive ability resulting in conditions such as amnesia. This may pose a great problem especially among students who may start experiencing learning problems. Fatigue is another common complication results due to chemotherapy and radiation. Even the most active individuals find themselves exhausted.

Patients who undergo surgery to have their lymph nodes removed are predisposed to the risk of developing lymphedema a condition characterized by the accumulation of lymph fluid and may cause pain and swelling. Patients with Hodgkin’s lymphoma may also have their spleens removed and hence are at high risk of serious infections since the spleen plays a significant role in the production of essential immune cells.

Chest radiation and chemotherapy can damage the lungs. Some of the drugs that have been reported to cause lung damage include bleomycin, dexamethasone, prednisone, and carmustine (Stewart & Wild, 2015). Surgery, radiation, and chemotherapy can affect the effective digestion of food. Moreover, radiation and surgery to the abdomen can cause scarring of tissue, long-term pain as well as intestinal problems that may hinder digestion. Some cancer survivors also tend to develop chronic diarrhea which reduces the ability of the body to absorb nutrients.

Describing the Approach to Care of Cancer References

Brennan, M. E., Gormally, J. F., Butow, P., Boyle, F. M., & Spillane, A. J. (2014). Survivorship care plans in cancer: a systematic review of care plan outcomes. British journal of cancer111(10), 1899-1908.

Imran, F. S., Andrews, C., Doerner, K., Heatherington, B., Hodes, S., Pictor, N. M., … & Jamshed, S. (2016, January). Survey of cancer survivors’ understanding of their cancer care and follow-up plan. In ASCO Annual Meeting Proceedings (Vol. 34, No. 3_suppl, p. 51).

Stewart, B. W. K. P., & Wild, C. P. (2015). World cancer report 2014. World.

Nursing Care of Mental Healthcare Consumers

Nursing Care of Mental Healthcare Consumers Order Instructions: Please follow the marking instructions attached The Nursing Care of Mental Healthcare Consumers Who Self – Neglect

Nursing Care of Mental Healthcare Consumers
Nursing Care of Mental Healthcare Consumers

“How would you feel when almost every individual within the society treats you differently by avoiding any form of interaction? Well, no one prefers to be treated that way. Mental health consumers are more often marginalized because of their mental state. This aspect can worsen their entire being and situation, which can propel them to neglect the self. By definition, a mental health consumer refers to persons who use mental health services in order to empower their mental health status while obtaining support or treatment. Evidently, suffering from mental illness can be devastating to a patient and that situation can affect various aspects of their lives ranging from their physical status to their emotional being. On the other hand, self-neglect refers to the behavioral situation in which a person neglects or fails to attend to their personal basic needs such as feeding, appropriate clothing, tending appropriately to medical conditions, feeding or personal hygiene. Nonetheless, in extreme cases of self-neglect, the situation can be inferred to as Diogenes syndrome (Townsend, 2013). Despite the severity of self-neglect in a mental health consumer, nursing professionals need to care for them in an attempt to improve their mental health issues. This presentation focuses on the relevance of nursing care for mental healthcare consumers who self-neglect to modern mental health nursing as well as to recognize the appropriate linkages with other mental health care providers.

In order to appropriately identify patients suffering from mental health problems, it is ideal to identify the various aspects that help in identifying them or the factors that assist in characterizing them. Most cases involving self-neglect are often recognized as a result of numerous complaints received from several sources such as community organizations, neighbors, GPs and healthcare professionals (Naik, Lai, Kunik & Dyer, 2008). The process of managing and identifying cases is very complex and difficult, which requires a multi-disciplinary and multi-agency approach. Based on several studies, individuals with mental health problems are often poor and indulge in smoking habits, lack exercise, consume alcohol, have poor diets and consumer other drugs (Middleton, 2008; Richardson, 2007). The deteriorating state of their daily lives often affects their energy levels, organization skills, attention, physical abilities or motivation. The effect on the patient can cause them to neglect the self. Studies also indicate that the side effects of certain psychiatric medications can cause a decrease in motivation levels among mental patients (Townsend, 2008; Gunstone, 2003). Therefore, self-neglect among mental patients can be caused by illness alone. With the help of medical practitioners including nursing care cases of self-neglect among mentally ill patients are likely to reduce.

Notably, nurses constitute the largest population of health care professionals, thus, they have a key role in the management and identification of self-neglect among mentally ill patients. The relevance of nursing care to mental healthcare consumers in the modern nursing practice can be identified through the assessment, diagnosis, outcome identification, planning, and implementation and evaluation steps (Peate, Wild, & Nair, 2014). In the initial process, nurses establish a database in which the database relates to the client using assessment tools such as KELS, geriatric depression scale and nutrition assessment (Pickens et al., 2007). The next process involves identifying the patients’ health care needs as well as the specific goals for care. The third process involves the establishment of the specific criteria that measures the achievement of anticipated outcomes while the fourth process involves designing the most appropriate strategy that facilitates the achievement of the desired goals. The implementation process involves initiating and finishing actions that are necessary for accomplishing goals as the final process involves the determination of the degree to which the objectives and goals of the implemented care have been achieved (Boyd, 2010). Through this sequential step, a nursing practitioner is capable of analyzing personal achievements in relation to providing care to patients, especially those with mental illness and having self-neglect. The outcomes of this process help both the nursing specialists and other medical professionals to identify the various steps that indeed help in solving the problem of self-neglect among mentally ill patients, for future reference.

Currently, the nursing profession is working towards providing holistic care to the patient. This means that other than assisting patients within hospitals, nurses also help patients outside the hospitals such as acceptance within society. With reference to mentally ill patients, they are among the most segregated groups of people within society. The nursing education helps in providing additional knowledge to nurses and it is disseminated to the public by informing them that mentally ill patients are just like other people with slight differences in their ways of thinking and making decisions. Some of the interventions include adult protection services, drug misuse rehabilitation, housing services, budgeting services, and neurological assessment among many others (Lauder, Anderson & Barclay, 2005). These shape the current approach in providing care to patients by integrating friendly approaches towards the patients. By dealing with cases of self-neglect, nurses are capable of reducing the stigma that mental patients receive, which in turn promotes their general well-being.

In conclusion, within the modern nursing field, practitioners are more propelled towards the identification and management of self-neglect cases among mentally ill patients as a means of preventing the reoccurrence of the phenomenon. Since nurses constitute the largest portion of individuals within the health care sector, they play a chief role in ensuring the provision of proper care to patients. In the nursing profession, taking care of mentally ill patients helps in identifying the most appropriate ways of providing care. Treating mentally ill patients with self-neglect issues helps in improving the health of the patients in general.”

Nursing Care of Mental Healthcare Consumers References

Boyd, M. (2010). Psychiatric nursing: Contemporary practice. Philadelphia: Lippincott Williams & Wilkins. https://books.google.co.ke/books?id=a-GcGVtBnqQC&pg=PA893&lpg=PA893&dq=Nursing+Care+of+Mental+patients+Who+Self+%E2%80%93+Neglect+relevance++to+contemporary+mental+health+nursing.&source=bl&ots=H7F7RnZ_WT&sig=hFRFTS4lxe5tl53BEFM-1drGcpA&hl=en&sa=X&redir_esc=y#v=onepage&q=Nursing%20Care%20of%20Mental%20patients%20Who%20Self%20%E2%80%93%20Neglect%20relevance%20%20to%20contemporary%20mental%20health%20nursing.&f=false

Gunstone, S. (2003). Risk assessment and management of patients whom self-neglect: a ‘grey area’ for mental health workers. Journal of Psychiatric and Mental Health Nursing, 10, 3, 287-296. http://onlinelibrary.wiley.com/doi/10.1046/j.1365-2850.2003.00568.x/abstract

Lauder, W., Anderson, I., & Barclay, A. (2005). A framework for good practice in interagency interventions with cases of self-neglect. Journal of Psychiatric and Mental Health Nursing, 12, 2, 192-198. http://www.ncbi.nlm.nih.gov/pubmed/15788037

Middleton, J (20 June 2008). Self-neglect 2: nursing assessment and management. Nursing Times. Retrieved from http://www.nursingtimes.net/roles/older-people-nurses/self-neglect-2-nursing-assessment-and-management/1584631.fullarticle

Naik, A. D., Lai, J. M., Kunik, M. E., & Dyer, C. B. (2008). Assessing capacity in suspected cases of self-neglect. Geriatrics, 63, 2, 24-31. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2847362/

Peate, I., Wild, K., & Nair, M. (2014). Nursing Practice: Knowledge and Care. Hoboken: Wiley. https://books.google.co.ke/books?id=xqXCBwAAQBAJ&pg=PA250&lpg=PA250&dq=Nursing+Care+of+Mental+patients+Who+Self+%E2%80%93+Neglect+relevance++to+contemporary+mental+health+nursing.&source=bl&ots=a6pjAEpAMS&sig=XBJXGriVDaILTkHpVefKU3FG_2o&hl=en&sa=X&redir_esc=y#v=onepage&q=Nursing%20Care%20of%20Mental%20patients%20Who%20Self%20%E2%80%93%20Neglect%20relevance%20%20to%20contemporary%20mental%20health%20nursing.&f=false

Pickens, S., Naik, A. D., Burnett, J., Kelly, P. A., Gleason, M., & Dyer, C. B. (2007). The utility of the Kohlman evaluation of living skills test is associated with substantiated cases of elder self-neglect. Journal of the American Academy of Nurse Practitioners, 19, 3, 137-142. http://www.ncbi.nlm.nih.gov/pubmed/17341281

Richardson, B. K. (2007). Psychiatric nursing. Clifton Park, NY: Thomson Delmar Learning. https://books.google.co.ke/books?id=yw2HAQAACAAJ&dq=psychiatric+nursing+by+richardson&hl=en&sa=X&redir_esc=y

Townsend, M. C. (2008). Nursing diagnoses in psychiatric nursing: Care plans and psychotropic medications. Philadelphia: F.A. Davis Co. http://www.sbmu.ac.ir/uploads/townsend2011.pdf

Townsend, M. C. (2013). Essentials of psychiatric mental health nursing: Concepts of care in evidence-based practice. Philadelphia: F.A. Davis Co. https://books.google.co.ke/books?id=cxdengEACAAJ&dq=Essentials+of+psychiatric+mental+health+nursing:+Concepts+of+care+in+evidence-based+practice.&hl=en&sa=X&redir_esc=y

Conflict Resolution in Healthcare Case Study

Conflict Resolution in Healthcare Case Study Order Instructions: Read the following Case Study. Discuss the following in your assignment:

Conflict Resolution in Healthcare Case Study
Conflict Resolution in Healthcare Case Study

-Develop the argument you would be advancing if you were in George Mann’s position.
-Develop the argument you would advance if you were in Sally Carter’s position.
-Assuming the position of the CEO, Jane Arnold, render a decision. (Document your decision in whatever detail may be necessary, complete with an explanation of why you decided in this fashion).
-Based on your responses to Questions 1–3, outline whatever steps—policy changes, guidelines, payroll requirements, etc. —you believe should be considered to minimize the chances of similar conflict in the future.

Conflict Resolution in Healthcare Case Study Guidelines

The assignment should be a minimum of 5 pages, excluding the title page and reference page.
Utilize a minimum of 5 references, only 1 can be the textbook.
Fully answer all questions above and follow proper APA guidelines.

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CHARTING A COURSE FOR CONFLICT RESOLUTION: “IT’S A POLICY”
The setting is an 82-bed hospital located in a small city. One day an employee of the maintenance department asked the supervisor, George Mann, for an hour or two off to take care of some personal business. Mann agreed and asked the employee to stop at the garden equipment dealership and buy several small lawn-mower parts that the department required. While transacting business at a local bank, the employee was seen by Sally Carter, the supervisor of both human resources and payroll, who was in the bank on hospital business. Carter asked the employee what he was doing there and was told the visit was personal.
Upon returning to the hospital, Sally Carter examined the employee’s time card. The employee had not punched out to indicate when he had left the hospital. Carter noted the time the employee returned, and after the normal working day, she marked the card to indicate an absence of two hours on personal business. Carter advised the chief executive officer (CEO), Jane Arnold, of what she had done, citing a long-standing policy (in their dusty, and some would say infrequently used, policy manual) requiring an employee to punch out when leaving the premises on personal business. The CEO agreed with Sally Carter’s action.
Carter advised Mann of the action and stated that the employee would not be paid for the two hours he was gone. Mann was angry. He said he had told the employee not to punch out because he had asked him to pick up some parts on his trip; however, Mann conceded that the employee’s personal business was probably the greater part of the trip. Carter replied that Mann had no business doing what he had done and that it was his—Mann’s—poor management that had caused the employee to suffer.
Mann appealed to the CEO to reopen the matter based on his claim that there was an important side to the story that she had not yet heard. Jane Arnold agreed to hear both managers state their position.

Conflict Resolution in Healthcare Case Study Reference

McDonell, C.R. Health Care Supervision 2nd Edition. Jones & Bartlett Publishers, 2011

Conflict Resolution in Healthcare Case Study Sample Answer

Healthcare Case Study

Question 1: Argument to advance if I were in George Mann’s position

In the setting, which is an eighty-two-bed hospital, George Mann is a supervisor in the maintenance department. The employee who wanted to leave the hospital premises asked for permission from his supervisor for some time off to attend to some personal business and the supervisor, George Mann, approved the employee to leave premises for 1 or 2 hours. While out of the hospital premises, the supervisor asked the worker to go to the equipment dealership and purchase a number of lawn-mower parts needed by the maintenance department. The worker did not punch out to indicate he was gone (McDonell, 2011).

In essence, the employee should be paid for the 2 hours that he was gone since although he attended to personal business, he also attended to an official task assigned to him by his supervisor – the task of going to a garden equipment dealership to purchase lawn-mower parts for the hospital’s department of maintenance. As George Mann, I strongly consider that the staff member needs to be paid for those two hours as I am the one who led that employee to believe that he will be paid. Furthermore, I strongly believe that despite the two hours which the employee spent on personal business outside the hospital premises, it was time that was utilized well given that it actually saved me a trip out of the organization to the equipment dealership to purchase those lawn-mower parts myself – it saved me time that I used to do other crucial tasks in the hospital.

Question 2: Argument to advance if I were in Sally Carter’s position

The employee should have punched out when he left the hospital premises to indicate that he was actually gone. The personal business of the staff member was, in fact, the greater part of his trip outside the hospital and for this reason – even though the employee’s leaving was approved by his supervisor – he should not be paid for the time period that he was actually not working. The employee’s supervisor, George Mann, should not have allowed the employee to go out on personal business on time that should have been spent working at the hospital organization. The company’s long-standing policy stipulates that any staff member of this hospital has to punch put when he or she leaves the hospital premises on personal business. The employee, in this case, is not exempt from this policy and because he never punched out, he was in violation of the company policy. All in all, as Sally Carter, I strongly believe in the company’s policy and the action which was sanctioned by the employee’s supervisor was really in violation of the company policy.

Question 3: Decision to render assuming I am Jane Arnold, the chief executive officer

Supposing that I am the organization’s chief executive officer, I will thoroughly listen to the statements of positions made by Sally Carter and George Mann. I will then work closely with these two people in order to arrive at a solution that is reciprocally satisfactory to the current problem and come up with a way of preventing such a problem from occurring again in the future. McDonell (2011) reported that a solution to this case might, in fact, hinge on whoever between manager Sally Carter and supervisor George Mann best describes his or her position. Moreover, the solution reached might be hinged upon the way in which the chief executive officer Jane Arnold relates individually to both these two people and how this CEO interprets the policy and its value to herself (McDonell, 2011).

To reach the best solution and make a decision regarding this case, as CEO Jane Arnold, I would revisit the rarely utilized, dusty policy and procedure manual and make a final decision basing on this document. This long-standing policy clearly spells out that whenever any hospital staff member leaves the hospital and goes out on personal business, that worker must punch out. As such, the decision that I will reach is not to pay the employee for the duration that he was out of the premises. The employee himself stated that he was leaving for personal business and he left, hence he should have clocked out or punched out to indicate the period of time he was out of work.

Question 4: Policy changes and guidelines

Basing upon the responses to the first and third questions above, there are several guidelines, policy changes, and payroll requirements which need to be considered in order to reduce the likelihood of similar conflicts taking place in future. Policy changes and guidelines include the following:

  • Every employee has to punch out if he or she leaves the premises for any reason besides official, permitted hospital business.
  • If a staff member leaves the premises for any reason besides official hospital business during the workday, for instance, the employee leaves for personal business, he or she will not be paid for the hours spent out of work.
  • When an employee leaves the hospital premises for official, permitted hospital business, he/she should not use this opportunity to also carry out his personal business otherwise he/she will not be paid for the hours he was out of work.
  • Every employee has to record any breaks that he/she takes during the workday including personal time which he/she takes off, medical appointments, lunch – and make a note of that break in the workday in the time software/timecard (Swanton, 2012).
  • If you are not able to work for whichever reason, kindly inform the Practice Manager or your supervisor personally or through telephone as early as possible prior to the starting time. Punctuality and regular attendance by hospital staffs are vital constituents in the efforts of the hospital to sustain high client and patient care levels. Revising schedules or reassigning staffs in order to accommodate tardiness and/or absences serves to put a burden on every staff member (Goldstein, 2015).
  • Staff members are required to report for work promptly. Tardiness for staff members of this organization would be assessed and points would be evaluated for every single day of work the worker fails to report as scheduled. The staff member would be awarded 2 points for coming to work no later than 10 minutes after their scheduled commencing time; and 3 points for arriving to work between 11 minutes – 60 minutes late. Staff members who come to work over 60 minutes late would accumulate 5 points.
  • A worker should not leave his or her work area without approval by the supervisor and if they have to leave the hospital premises, then he/she must punch out for his or her period of absence and punch at the moment they come back (Markowich & Eckberg, 2011). Only the employee’s supervisor can grant permission to leave the premises.
  • Misrepresenting the number of hours worked is justification for firing (Mikulay, Neuman & Finkelstein, 2013).
  • A staff member would be subject to punitive action when his or her points in total accumulated from unauthorized tardiness and absence reach the levels shown below in any 6 month period:
Points Disciplinary action
Nine Verbal warning
Eleven Written warning
Thirteen Firing

 

  • Whenever possible, every staff member should inform his or her department of tardiness or absences. An employee who does not contact his/her department causes other employees to assume extra responsibilities and tasks, which results in an overall loss of productivity (Mikulay, Neuman & Finkelstein, 2013). Any worker who does not notify his/her supervisor of any absence according to this policy would be subject to the following disciplinary action: First failure to inform supervisor about the absence – verbal warning; second failure – written warning; third failure – dismissal.
  • Staff members should obey the guidelines for recording the actual hours that they worked. A missed punched in or punched out is an infringement of this policy and comprises: failure to timely and accurately report the time worked; and failing to punch in or punch out on their time clock (Carraher & Buckley, 2011).
  • Supervisors need to monitor the attendance record of their workers regularly and address any unacceptable attendance consistently and on time (Dishon-Berkovits & Koslowsky, 2012).

A worker is considered absent when that worker is not available for work as scheduled or assigned and such time off was not approved or scheduled beforehand as stipulated by the department notification procedure (Hackett & Bycio, 2013). A staff member is considered tardy when that employee leaves work before the ending of his or her scheduled or assigned work time without first being approved by the supervisor and does not arrive at the workplace at the scheduled or assigned work time (Mikulay, Neuman & Finkelstein, 2013).

Conflict Resolution in Healthcare Case Study References

Carraher, S. M., & Buckley, M. R. (2011). Attitudes towards benefits and behavioral intentions and their relationship to absenteeism, performance, and turnover among nurses. Academy Of Health Care Management Journal, 4(2), 89-109.

Dishon-Berkovits, M., & Koslowsky, M. (2012). Determinants of Employee Punctuality. Journal Of Social Psychology, 142(6), 723-739.

Goldstein, D. (2015). Inexcusable absences. The New Republic, 246(2/3), 32-37.

Hackett, R. D., & Bycio, P. (2013). Evaluation of employee absenteeism as a coping mechanism among hospital nurses. Journal Of Occupational & Organizational Psychology, 69(4), 327-338.

Markowich, M. M., & Eckberg, S. (2011). Get control of the absentee-minded. Personnel Journal, 75(3), 115.

McDonell, C.R. (2011). Health Care Supervision 2nd Edition. Albany, NY: Jones & Bartlett Publishers

Mikulay, S., Neuman, G., & Finkelstein, L. (2013). Counterproductive Workplace Behaviors. Genetic, Social & General Psychology Monographs, 127(3), 279.

Swanton, M. (2012). Attendance policy can be enforced without violating employee’s ADA rights. Inside counsel, 23(247), 56-57.

Importance of Working In Partnership in Health Care

Importance of Working In Partnership in Health Care Order Instructions:

Importance of Working In Partnership in Health Care Sample Answer

Working In Partnership in Health and Social Care

Introduction

The importance of working in partnership is that it facilitates development of mutual and inclusive relationship with the healthcare providers and the service users. This helps improve the delivery of care and enhances the   healthcare provider experiences. However, the process of working in partnership is often complex as it involves articulate planning and implementation of interventions within the community.

Importance of Working In Partnership in Health Care
Importance of Working In Partnership in Health Care

Working in partnership is extremely important when delivering care to people with long-term health conditions as it facilitates the process of empowering the patients, which increases the understanding on ways to cope with their health conditions both physically and mentally. This helps to ensure that the patients’ health demands are met effectively (Paterson, Nayda & Paterson, 2012).

In this regard, this paper aims to explore the existing philosophies of working in partnership. The paper will also evaluate the effectiveness of partnership and collaboration within the system. More so, the paper will also explore on the existing models on partnership within the healthcare, legislations available and organization practices. This aids in describing the various policies and practices that can be integrated in healthcare industry, to promote partnership and collaboration within the industry. Lastly, the paper also aims to explore the various outcomes of working in partnership. This will include the analysis of the prevailing barriers, facilitators and strategies, which will help gain better understanding of working in partnership in healthcare.

Task 1.1

Working in partnership is a vital aspect in healthcare and social care.  Partnership refers to a shared jointness and power, marked by respect for one another, divisions of roles, accountability and individual input. Different terms are used to define partnership including cooperation, shared learning, teamwork, participation and multi-disciplinary working.  The staffs in healthcare have the responsibility to recognize the importance of promoting autonomy within the service users and the service providers.  They are not only expected to be attentive to their own roles but also learn to relate with each other’s within the within St Andrew’s healthcare facility.  This is important particularly in the view of the unrest and cynicism observed in the NHS. Therefore, it is important for those concerned about their commitment in developing a mutual relationship for the good of the service users (Soni 2014).

For this reason, there is need to explore the philosophy that facilitate the staff to work in partnership at the St Andrew’s hospital. The philosophy is needed for several reasons but the ultimate goal is to providing quality care to the service users. The philosophy ensures that there is equity, quality and efficiency in the delivery of the healthcare and social care services. The philosophy is governed by ethics- a complex activity that is concerned with the moral obligations and dilemmas.  Ethics in healthcare philosophy are governed by the ethical theories. For example, the theory of deontology is concerned with the moral duty as well as the action rightness (Petch, Cook, and Miller 2013). Therefore, this theory suggests that a healthcare staff must always do what is morally right irrespective of the associated consequences.  The other theory is the utilitarianism proposed by Jeremy Bentham, which is based on the principle of utility. Although these theories do not describe exactly on how a staff should behave, it gives the healthcare staff an understanding on how to motivate each other and pull ideas especially when confronted by ethical dilemmas and in accordance to ethical principles of autonomy, non-maleficence, justice and beneficence (Paterson, Nayda & Paterson 2012).

The working in partnership at St Andrew’s hospital should be governed by the partnership philosophies such as respect, autonomy, and empowerment, power sharing, and making informed choices.  The philosophy of empowerment involves sharing power with other partners who may not have the power.  This philosophy is centered in healthcare service users and providers to enable them take greater charge of themselves.  It involves the process of recognizing, enhancing and empowering other people’s ability to meet their demands and to resolve their own issues with the available resources, making them feel in control of their lives.  This enriching experience is associated with satisfaction and often leads to smooth partnership relationship (Robert& Cornwell 2011).

The philosophy of independence is a broad concept as it includes the behavioral, psychological and socioeconomic dependency.  The main cause of dependency is disability, cultural expectations and elderly age.  Independence includes the ability for one to make informed choices about their life’s aspects.  The philosophy of autonomy must be enhanced to ensure effective partnership between the healthcare providers. When delivering services, the healthcare providers must refrain from manipulating   the service user’s environment to fulfill their interests (Greco, Webb, and Beecham 2012).

In the discourse if healthcare ethics, respect philosophy is mainly manifested to protect the patient autonomy. Therefore the healthcare providers should provide information to the service users regarding the treatment which will help them make informed decisions.  This includes recognizing the values and accepting the patient belief.  To promote working in partnership, power sharing involves negotiating so as to involve arrive at an understanding of roles as well as the responsibilities in the various disciplines.  Empowering, respecting and power sharing principles enables the partners in health industry to make informed choices (Petch, Cook, and Miller 2013).

Task 1.2

There are various kinds of partnership relations in healthcare and social care facilities such as St Andrews Hospital. The aim of these partnerships is to ensure that healthcare services are improved and efficient. This includes establishing measures that will improve intervention and preventive care that actually meets the needs of the healthcare providers.

Examples of the partnership relationships include the strategic relationship that exists between the local authorities and the healthcare service providers whose aim is to deliver seamless services to the community. The interagency partnership relationship includes the interaction of the organization in healthcare industry including the NHS, voluntary and private organizations. These organization’s includes an interaction between the inter-professional within the same firm requires to follow the philosophies of partnership to empower them and give them choices that will improve their outcomes. This calls for collaborative communication between the different organizations working together with St Andrew hospital (Hibbard and Green 2013).

In working with collaboration, one of the benchmark is that every partner must have common knowledge about the respective roles and acquisition of skills. According to white paper “our health, our care, our say” advocates for local authorities to have a better partnership when working with one another and in order to deliver effective services in healthcare so as they can achieve better outcomes.  The white paper has established a good framework that can be used to guide local authorities to work in collaboration. This calls for clarity of on the role of each partner so that they can work together to meet the agreed targets and goals. Patients with complex demands require integrated services from the various disciplines to perform strategic planning stage (Paterson, Nayda & Paterson, 2012).

The report mandates that each health care facility must establish a common assessment framework to assess the partnership.  The framework should bring together the various stakeholders including the primary cate, public healthcare and the local government. This is because establishing measures without any agreements will make the healthcare facility to lose focus and make the partners revert to their old methods, which puts other stakeholders at risk. The system should be based on formal assessment should be based on the patient needs and must be assessed on primary care trusts and local partners including local hospitals to  set  frameworks (Greco, Webb, and Beecham 2012). An example of such frameworks includes SCIE, NICE, and department of health. For example, the New horizons document describes that only robust partnerships across the public and private sector must have effect frameworks that will ensure that the necessary change has been achieved to improve effective delivery services. The evaluation platform of this report is done by assessing the outcomes needed for effective delivery of services, ability to access the healthcare facility and the general community health (Petch, Cook, and Miller 2013).

Task 2.1

The partnership models are a vital component of policy and legislations in health and social care. This implies that it is extremely very vital to analyze the partnership across the across the healthcare disciplines. There are about 5,500 partnerships across UK. To effectively implement the philosophy of partnership in healthcare, the theoretical models are very important. These theoretical models include the hybrid model, coalition model, coordinated model, and unified model (Greco, Webb, and Beecham, 2012).

Local strategic partnerships were established in 2000 whose role is to bring all the representatives from the various voluntary and statutory communities to discuss and address the various challenges and allocation of funds. Their main role is to encourage joint working among healthcare stakeholders so as to prevent silos working.  Local Area Agreements deal between the joint working of the local healthcare providers and the government. LAA main aim is to improve the outcomes to link funding with innovate delivery of services. They reflect on the community vision, challenges and priorities established within the community as required by the government through Regional Government offices. LAA gives a practical plan for partnership that has priorities around the safety and economic issues as well as the environment.  They promote the evaluation of outcomes and targets at local and government levels (Ball et al., 2010).

The unified model amalgamates management, staffing structures and training within the healthcare services. This model provides an integrated delivery of healthcare services which has a single unified trust, with each trust having a specific strategic approach/goals and financial system. This is a model used in St Andrew’s facility as it has a single employer within a single budget and offering a considerable promise. This is an advantage as it has the potential of removing the potential to blame the incompetency for the others. The model benefits includes the fact that it reduces delayed discharges,  ensures that teams are integrates and ensures progressive resettlement from lengthy stays in the hospitals (Greco, Webb, and Beecham, 2012).

This improves access of healthcare services, referrals and effective delivery of services. The main disadvantages of this model are that it gives hegemony of the health as it affects the partnership philosophy on sharing of power.  This model seems to subsume the social care values and services as the resource focuses more in the acute sector. This may make the integration not be realized to its full potential. The coordinated model involves synchronizing of the healthcare services (management, training and staffing) such that they work individually as a distinct entity. In this type of model, there are many specialized autonomous organizations but work in harmony (Greco, Webb, and Beecham 2012). This is best illustrated by fig. 1 below

The coalition model in healthcare systems is where there exists an association as well as the alliance of various institutions that operate independently. It is a pact among the health and social care (HSC) who operates in joint action but each of the organization has self-interest.  An example is Ottawa coalition of community Health and Resource Centers (CHRCs).  On the other hand, a hybrid model involves the mixture of the different models to attain its range of services including the unified model, coordination model and coalition model (Greco, Webb, and Beecham 2012).

Task 2.2

Care delivery to service providers is mainly influenced by the laws that are put in place which makes an organization to function in one specific way.  The main aim for the government policy is to ensure that the established standards are established in the society.  The UK laws give the employees and employers the fundamental principles that should be used to deal with the people in any given scenario. Each set rules attached to specific legislation should be followed and to those who break the laws, sanctions are normally applied.  Therefore, the healthcare providers are expected to have a basic knowledge of the laws and principles so that they can be applied to their work place (Paterson, Nayda & Paterson 2012).

According to the Health and Social Care Act 2012, the clinical commissioning groups (CCGs) are the cornerstone of the healthcare system in the UK. There are about 211 CCGs that are responsible to commission for 226,000. The Health and Wellbeing boards (HWBs) are integral in delivering an integrated approach to the health and social care. They bring the NHS, public health staff and local Healthwatch plan to the public with the aim of addressing the inequalities.  These are among many other changes made by the health and social care act 2012, as it addresses the policies that previously were ignored. The reforms have ensured that there is improved equity, excellence and accountability.  The care standard Act 2000 sets out regulations especially on powers that cover areas such as staff, management, conduct and other premises that deliver health and social care. Section 23 of this Act mandates the state secretary to publish statements that the social care inspection must put into consideration when making their decisions (Soni 2014).

According to the mental health section 31 health act (1999) and section 75 of NHS Act have established evaluation procedures that help assess the ability for pooling funds,  delegation of commissioners processes, and integration of providing services and developing of the coordinated services.  The aim of this evaluation procedure is to ensure that partners work in partnership to deliver services rather than spending many resources regarding the organization’s boundaries. This aids in eliminating the unnecessary gaps as well as duplication of services. The Mental Capacity Act (2005) has established a framework that is used to determine when a decision should be done on the behalf of the other.  This ensures that patient mental capacity is assessed appropriately before the various agencies (primary care, social services, and local authorities) take an action that affects the patient (Greco, Webb, and Beecham 2012).

Task 2.3

When delivering care services to the healthcare providers, there are various department involved. Each of the services involved have different policies that focus using different legislations.  For instance, the usual practices at the hospital include the diagnosis, treatment and preventive care. The relevant bodies involved include the department of health as well as the medical council. There are many policies that govern the practices in the hospital (Greco, Webb, and Beecham 2012).

For general practice in healthcare, the key responsibilities resemble those of a hospital and the relevant bodies involved includes CQC, Nursing and midwifery as governed by the mental capacity Act 2005, Medical Act 1983 and Mental health Act. In mental health, the practices involved include the rehabilitative services, psychotherapies, and psychiatric services. The relevant bodies involved include the Public Health UK and NHS. The key legislation used includes the recent Health and social care act. Looking at these examples, it is clear that each service have differences in practice, relevant bodies and the legislation. Although they have the same goal, the practices and policies may not be compatible (Doyle, Lennox, &Bell 2013).

The impact if the differences may make sharing of information to be difficult in many case scenarios. This could prevent identification areas which need to be improved or need partnership to ensure effective delivery of services.  Even in the partnered group, they may fail to create ownership to ensure that demands for the service users are met effectively. This impedes collaboration and achieving the desired outcomes. Although the multiagency co-operation is believed to improve the healthcare services, the established frameworks and policies differ and the leading hindrances of effective delivery of services. The reduced cooperation interferes with the philosophies of working in partnership, which causes adverse impact to the population. For example, the government initiated cooperation is mainly statutory, which implies that each of the service providers is expected to comply with the established set of standards as well as terms of agreements. These laws ensure that the public offices comply with the set standards and serve the community as established by the frameworks.  In private sectors, such practices and policies are voluntary, which implies that the organizations may fail to comply with the set policies, affecting the collaborative processes negatively (Petch, Cook, and Miller 2013).

Task 3.1

Partnership of working at different levels (inter-professional, inter-organizational and between service users) can be evaluated in reference to their outcomes. This is because the outcomes as well as their effectiveness can be used to determine the effectiveness of the partnership and the whether there is need to regulate the partnership in order to achieve the purposes. The outcomes of working in partnership at organization level can either be negative or positive outcome. The positive outcomes include autonomy, improved delivery of services and increased empowerments to improve the decision making processes. For instance, the inter-organizational partnership can lead to increased training as well as employment opportunities for the professionals including social workers, doctors and nurses (Paterson, Nayda & Paterson, 2012).

Partnership improves sharing of responsibilities, which improves sharing of labor. Most of such organizations have high employee retention, satisfaction and increased productivity. In addition, partnership between the organizations enables sharing of risks and assets. The outcome is that the organization can raise funds with ease because borrowing. Partnership at organization level makes it easy to attract a prospective employee. The outcome is that it might benefit the employees by offering complimentary skills and create wider pool of skills, knowledge and contacts (Paterson, Nayda & Paterson, 2012).

The negative outcomes include miscommunication, confusion and frustrations because decision making processes are shared.  The miscommunications could lead to disagreements, abuse, and dramatic split-ups. The main issue of partnership at organization level is loss of autonomy. The requirement to reach into a consensus with partners before taking an action is undertaken can lead to conflicts, especially when there is conflict of interests. The main outcome of these negative impacts is that it impedes smooth implementation of evidence based changes due to challenges of additional management, reporting and monitoring of the process. Lastly, there are issues of reputation impact especially in scenarios where one partnership makes a mega mistake that ruins the partnership reputation and track record (Miller, Whoriskey, and Cook 2008).

The outcomes of increased partnership between professionals include delivery of coordinated services and efficient resource use which reduces potential risks and mitigates mistakes because of increased understanding of operational context.  Proper communication in partnership results to increased professional development and reduced medical errors due to clarity on responsibilities and effective communication. The outcome is increased effectiveness and efficiency due to reduced cost of operations and sharing of delivery systems that helps reduce duplication of duties. The other outcomes include enhanced professional skills as well as professional competencies due to increased innovation. This further leads to long stability and increased credibility as well as reputation of the partnership (Paterson, Nayda & Paterson, 2012).

The negative outcomes include miscommunication, time-wasting and fund mismanagement. In addition, the business partners are individually and jointly responsible for the actions of one another. The profits are shared with others which imply that each partner must learn to value one another skills and time. This is actually a challenge when one of the partners puts less effort and time due personal issues. Lastly miscommunication between partners could lead to distrust and disagreements (Paterson, Nayda & Paterson, 2012).

The outcome for working in partnership between service users includes shared principles, coherent approach, integrated services and improved working practices.  The fact that organization benefits from combination of complementary skills, the wider pool of information will improve patient’s health condition and general wellbeing. The powerful moral support and creative brainstorming with the health providers enables them to understand the unique patient demands. Through partnership, the health and social care enables the healthcare providers to establish a better and deeper understanding of the healthcare industry, as well as obtaining skills and expertise’s that are necessary for effective management of patients.  The negative outcomes for partnership between healthcare providers are limited, but it can include increased costs due to the many organizations involved. It also leads to disjointed delivery of services and reduced shared mission and vision, mainly due to communication breakdown leading to poor quality of care (Paterson, Nayda & Paterson, 2012).

Task 3.2

There are several barriers associated in working in partnership. For instance, there lacks a clear approach on ways to empower patients working with different professionals. This makes it difficult for a client to follow procedures as they have information that is confusing. Additionally, the different priorities, plans and goals of the agencies and professionals are huge hindrances when working in partnership.

According to Cameroon and colleagues (2013), lack of standardized systems for data collection and storing makes it difficult to share the information appropriately. This makes it difficult to analyze an issue, its consistency as well as the urgency of the matter. Therefore, the partnered agencies are expected to review their data collection and process in order to improve the expected plans. The differences in policies make it difficult to understand their different roles as well as responsibilities. This lack of role clarity often results to reduce collective decision making processes. If the organization lacks clear monitoring and accountability systems are main barriers in working with partnership. These barriers must be addressed in order to improve the working in partnership outcomes between the healthcare providers, service users and the organizations (Soni 2014).

Despite the fact that partnership in healthcare is associated with increased ability to deliver better services, there are several challenges that face organizations that work in partnership, hindering the effectiveness of working in collaboration. To start with, most of the organization lacks clear understanding of each other. The increased misunderstandings between the healthcare providers lead to development of biasness and misconceptions about one another. For instance, there has been a huge misunderstanding between the private rehabilitation centres and correctional centres in relation to rehabilitation of the inmates, which has resulted into increased mental health complications between the inmates (Cameroon et al. 2013).

Organizations working in partnership face conflict of interest, especially in cases where the organizations fails to establish boundaries or appropriately define specific roles of each other. In some cases, the conflict may arise if one partner focus more on one aspect than the other due to selfish interests (Soni, 2014).

In some cases, the reduced commitment of the organization towards achieving specific goals as well as objectives could lead to poor delivery of services. For example, when a healthcare facility for geriatric population may be reluctant to admit new elderly due to lack of funding by the public health, leading to increased number of population who are not being care for. Lastly, one of the partners may not be willing to commit fully their time as well as arrangements. The inadequate allocation of time by the organizations could lead to lagged operations.  In some cases, inadequate training and profession development opportunities for staff members of the two organizations could lead to resistance to change by the staff members. This leads to poor coordination of activities and inadequate funding due to rigid and inflexible organization bureaucracy and culture (Cameroon et al., 2013).

Task 3.3

Improved staffing and access to resources is important. This is because staffing issues causes delay and reduced accountability in health services. Adequate staffing will increase professional accountability of their actions. This will make the professions preventive and proactive approach to improve, giving a better chance to improve equality and excellence in healthcare. Additionally, it is important to establish effective monitoring systems. This will help ensure that all projects and actions carried out in accordance to the legislations and established frameworks. The information sharing inclusion should be established. This will ensure that the service users obtain information, which will promote teamwork. This might call foe effective leadership and management to ensure that there are effective strategies established to improve the healthcare performances as intended (Greco, Webb, and Beecham 2012).

The working in partnership at each healthcare facility should be governed by the partnership philosophies such as respect, autonomy, and empowerment, power sharing, and making informed choices.  The philosophy of empowerment facilitates sharing power with other partners who may not have the power.  This focuses in healthcare service users and providers to enable them take greater charge of themselves which will improve outcome of working in partnership.   This is because it facilitates the process of recognizing, enhancing and empowering other people’s ability to meet their demands and to resolve their own issues with the available resources, making them feel in control of their lives.  This enriching experience is associated with satisfaction and often leads to smooth partnership relationship and positive outcomes (Paterson, Nayda & Paterson, 2012).

Conclusion

Working in partnership between the healthcare agencies and stakeholders in the UK still remains the government central focus. This is especially important due to the increased in complexity of health demands between the populations. In this regard, it is important to establish effective partnership across the various healthcare agencies, in order to ensure that they remain focused with quality delivery of services. Therefore, more need to be researched on the importance of effective partnership in improving the quality of services delivered in health care.

Importance of Working In Partnership in Health Care References

Ball, R., Forbes, T., Parris, M. and Forsyth, L. 2010. The Evaluation of Partnership Working in the Delivery of Health and Social Care. Public Policy and Administration, 25(4), pp.387-407.

Cameron, A., Lart, R., Bostock, L. and Coomber, C. 2013. Factors that promote and hinder joint and integrated working between health and social care services. 1st ed. [ebook] Available at: http://www.scie.org.uk/publications/briefings/files/briefing41.pdf

Doyle, C., Lennox, L., &Bell D. 2013. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open 2013;3:e001570. doi:10.1136/bmjopen-2012-001570 [Ebcohost]

Hibbard J.H. and Green J. 2013. ‘What the evidence shows about patient activation; better health outcomes and care experiences; fewer data on costs’. Health Affairs 2013; 32:222207-14 [Proquest]

Greco, V., Webb, R. and Beecham, J. (2012). An Exploration of Different Models of Multi- Agency Partnerships in Key Worker Services for Disabled Children: Effectiveness and Costs. 1st ed. [ebook] Available at: https://www.york.ac.uk/inst/spru/pubs/pdf/keyworker.pdf [Accessed 22 Apr. 2015].

Lees, L. (2013). Leadership in Health and Social CareLeadership in Health and Social Care. Nursing Management, 20(1), pp.8-8.

Miller, E., Whoriskey, M. and Cook, A. (2008). Outcomes for Users and Carers in the Context of Health and Social Care Partnership Working: From Research to Practice. Journal of Integrated Care, 16(2), pp.21-28.

Paterson, G., Nayda, R., & Paterson, J. (2012). Chronic condition self-management: Working in partnership toward appropriate models for age and culturally diverse clients. Contemporary Nurse, 40(2), 169-178. doi:10.5172/conu.2012.40.2.169

Petch, A., Cook, A. and Miller, E. (2013). Partnership working and outcomes: do health and social care partnerships deliver for users and carers?. Health Soc Care Community, p.n/a-n/a.

Robert, G., & Cornwell, J. (2011). What matters to patients? Developing the evidence base for measuring and improving patient experience. Project Report for the Department of Health and NHS Institute for Innovation & ImprovementGlasby, J., Miller, R. and Dickinson, H. (2011). Partnership working in England” where we are now and where we’ve come from. Int J Integr Care, 11(E002).

Soni, H. (2014). Partnership Working in Health and Social Care Glasby Jon and Dickinson Helen Partnership Working in Health and Social Care128pp £9.99 Policy Press 9781447312819 1447312813. Nursing Management, 21(8), pp.12-12.

Nursing Assignment Research Paper

Nursing Assignment Research Paper
Nursing Assignment Research Paper

Nursing Assignment Research Paper

Nursing Assignment  Research Paper

Order Instructions:

Follow the directions and grading criteria closely

2. The length of the project report is to be no less than 5 and no greater than 6 pages excluding title page and reference pages.

3. APA (2010) format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):

a. Introduction

b. Description of the 9 NONPF NP Core Competencies

c. Description of the Interview with the APN.

d. Analysis of the discussed APN competencies

e. Conclusion

Preparing the paper

The following are best practices for preparing this project paper:

1. Read “Interview Suggestions and Tips” in Course Resources.

2. Review the 9 NONPF Nurse Practitioner Core Competencies.

3. Identify an APN with whom to conduct an interview. The APN should practice in one of the following roles: CNS, CNP, CNM, or CRNA.

4. When conducting the interview, be sure to identify appropriate background information regarding the interviewee (who, what, where, when, and why).

5. Discuss 4-5 APN core competencies with the interviewee. Be sure to identify appropriate details including relevant practice examples gleaned from the APN leader.

6. When analyzing the discussed APN competencies, be sure to fully address each APN competency discussed in terms of original source and leader’s application to APN role (i.e., Nurse Practitioner Core Competencies [NONPF, 2011]).

7. Conclude the paper with a summary of the main points covered in the paper and the benefits of meeting the competencies within the APN role.

8. MINIMUM OF 5 SCHOLARLY ARTICLES USED TO REFERENCE YOUR WORK (2011-2016)

SAMPLE ANSWER

Introduction

Nursing is a profession that requires the demonstration of expertise, effective communication, leadership and an understanding and application of evidence-based practice. The nurse practitioner core competencies provide nurses with the essential behavior that they are expected to demonstrated when delivering nursing care. Nurses acquire the knowledge of the core competencies throughout their training period which includes the handling of patients. Patients and their kin expect quality care and it is with the provision of quality care, guided by the core competencies, that a strong patient-nurse relationship is formed. The discussion below will focus on the analysis of the nine core competencies in nursing as well as an evaluation of a Clinical Nurse Specialist (CNS) and her demonstration of the core competencies in her day to day nursing activities.

Description of the 9 NONPF NP Core Competencies

The 9 NONPF Nurse Practitioner (NP) Core Competencies highlights the essential behavior that nurse practitioners must demonstrate as they execute their nursing services in the ever changing health care environment.  The first core competencies are the scientific foundation competencies that emphasizes on the analysis and use of data to enhance nursing practice.  Scientific foundation competencies also emphasizes on developing new practices based on related research and knowledge.  The second core competencies are the leadership competencies that call on nurses to embrace advanced leadership responsibilities with the intent to improve healthcare delivery.  Quality competencies advocate for nurses to embrace and advocate for quality clinical practice as a strategy of promoting a culture of excellence in the healthcare environment (Thomas, & Nativio, 2011). Practice inquiry competencies advocate for nurses to embrace and translate new knowledge into their practice so as to improve patient outcomes.

Technology and information literacy competencies advocate for the integration of necessary technologies to enhance patience care. Policy competencies involves the demonstration of an understanding of existing policies and their relation/influence to nursing practice and health care delivery.  Health delivery system competencies refer to the ability of nurses to understand and apply existing organizational practices and systems to enhance health care delivery. Ethics competencies refer to the ability of nurses to understand existing ethical principles and the ability to apply them in the different health care scenarios.  Lastly, the independent practice competencies refer to the nurse’s potential to function as a licensed autonomous practitioner as well as a high standards of accountability (Thomas, & Nativio, 2011).

Description of the Interview with APN

The Advanced Practice Nurse (APN) selected for the interview was Jane, a 45year old Clinical Nurse Specialist (CNS) at St. Louise Hospital. The CNS has over 20 years of nursing experience and has a master’s degree as well as certification indicating advanced knowledge and clinical skills. For 20 years of her nursing profession, Jane has worked directly with patients, implemented treatment plans and mentored fellow nurses who join the profession. The interview focused on understanding the spheres of influence of a clinical nurse specialist. The CNS works directly with the patients with the intent of providing direct patient care across various medical settings. The CNS ensures that she engaged her fellow nurses in determining the ideal care plan for the patients.  The CNS also strives to embrace evidence-based practices and recommendation so as to provide patients with quality health care services. The CNS strives to influence the patient outcomes by adopting evidence-based practice into her daily operations. The CNS thus acts a bridge between standard clinical practice and science by translating research into action. The interviewee indicates her determination to change traditions of service delivery and replacing the traditions with recent scientific research (Tuite, & George, 2010).  She points out the tendency by health care professionals to maintain the status quo of practices irrespective of the changes in the health care industry.

According to the CNS, she uses her knowledge and expertise to engage in a cost benefit analysis of merging technologies, medical products and interventions. CNS also strives to embrace preventative protocols for purposes of minimizing costs of health care services. The interview also focused on ethics in the nursing profession.  CNS Jane also advocates for ethical conduct in health care delivery.  The CNS ensures that nurses adhere to the code of ethics.  The CNS also mentors, trains and takes other nurses through refresher training on ethical standards in health care delivery.

Analysis of the discussed APN Competencies

Several competencies stand out with regard to the CNS interview. First, the CNS demonstrates independent practice competency. Rather than playing a supervisory and leadership role as the CNS, the CNS also functions as an independent practitioner.  The CNS is always assisting where necessary in the diagnosis, treatment and management of patients at the facility. The CNS engages patients in evaluating their illness. The CNS also provides patients with advice on the management of their illness.  The CNS is also culture sensitive and strives to integrate the patient’s beliefs and practice in the treatment and recovery plan. The CNS also demonstrates scientific foundation competencies through the adoption and implementation of evidence-based practice (EBP). EBP is all about the utilization of the best evidence. According to Makic (2013), evidence-based nursing focuses on integrating a problem solving angle with regard to patient care.

Evidence-based practice guarantees improved outcomes in the delivery of patient care. The CNS also demonstrates leadership competencies as she executes her nursing role. As a clinical nurse specialist, the CNS supervises nurses on all aspects of patient care.  She also oversees health care delivery and ensures that quality is emphasized.  Patient satisfaction is achieved with the delivery of quality services.  As a leader, the CNS initiates and guides changes that will enhance patient care. The CNS is also the advocate for quality and cost effective service delivery. The CNS thus ensures that the nurses use resources and facilities that will enhance cost effective utilization of resources without jeopardizing on quality.

Leadership competencies also emphasize on effective oral and written communication.  Effective communication in nursing is critical in the delivery of quality patient care.  Generally, nursing is a profession that involves collaboration with different health care professionals. Communication is thus critical as it enhances information sharing with regard to the patient’s condition, management initiative and treatment.  Nurse leaders must enhance communication with their nurses to enhance patient care.  Leaders must also demonstrate effective communication with patients so as to enhance patient satisfaction. According to Kourkouta & Papathanasiou (2014), effective communication is critical for the successful outcome of i nursing care. The CNS also demonstrates ethical competence as she integrates ethical principles in every aspect of the decision making process. In nursing, the ethical principles include beneficence ie the aim to do good; non-maleficence ie the aim to do no harm.  Patients entrust healthcare providers with the lives and expect that the healthcare professionals will take care of them with the greatest level of professionalism and expertise (Holt, 2012).  The application of the principles of beneficence and non-maleficence helps nurses in making ethical decisions that have the patient’s best interest in mind.  Nurses also strive to uphold the patient’s autonomy with regard to the medical procedures and treatment that he is expected to undertake.  Overall, nurse leader ensure that all nurses adhere to the ethical principles of nursing practice as the ultimate guide to healthcare delivery.

Conclusion

The understanding of the core competencies of nursing is critical in the nursing profession as it ensures that the nurses are able to execute the nursing duties with the professional realms of the profession.  Nurses must know and implement in the core competencies in their daily activities in nursing. The core competencies enable nurse practitioners to implement the full scope of nursing practice as licensed independent practitioners. The CNS interviewed demonstrated an understanding as well as the application of the core competencies of nursing.  Competencies such as ethics ensure that the nurses are able to execute their duties within the moral frameworks of the profession.  Similarly, evidence-based practice ascertains that nurses deliver quality healthcare services to their patients.

Reference

Holt, J. (2012). Ethical practice in nursing care. Journal of nursing standards. Vol. 27:51-56

Kourkouta, L. & Papapthanasiou, I. (2014). Communication in nursing practice. Journal of Academy of medical sciences of Bosnia and Herzegovina.  Vol. 26(1): 65-67

Mackic, M. (2013). Putting evidence into nursing practice. American Association of critical care nurse. Vol. 33(2)

Thomas, A. & Nativio, D. (2011). Nurse practitioner core competencies. The National Organization of Nurse practitioner’s faculties

Tuite, P. & George, E. (2010). The role of the clinical nurse specialist in facilitating evidence-based within a university setting.  Critical care nursing. Vol. 33(2): 117-25

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Health Care Provider and Faith Diversity

Health Care Provider and Faith Diversity Order Instructions: Details: Your instructor will assign and send you a peer’s paper from the Health Care Provider and Faith Diversity:

Health Care Provider and Faith Diversity
Health Care Provider and Faith Diversity

First Draft assignment. Your job is to critically read the assignment and make corrections/comments using Track Changes in Microsoft Word.

Assess the paper on the following content:
1.Does the paper provide sufficient evidence for its hypothesis or claim?
2.Does the flow of the paper and sentence structure make sense?
3.Should it be organized in a different way?

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Group – Here are your papers to exchange for review. Pick one that isn’t yours. Just one paper. When complete upload in assignment dropbox and here for your peer to see your feedback.

In the assignment details you’ll see there are three questions to provide guidance on how you are to assess each others papers. I’m going to suggest you make 5 – 10 good comments in your peer review that you believe will help, rather than filling the paper up with 30 suggestions for example.

1. Does paper provide sufficient evidence for its hypothesis or claim?

2. oes the flow of the paper and sentence structure make sense?

3. Should it be organized in a different way?

No need to worry about using Track Changes in Microsoft Word. Just insert your comments throughout paper. For Mac, go to “Insert” on menu bar at top and select comment. For Windows, inserting comments can be accessed under the “Review“ tab

THE PAPER TO REVIEW WILL SEE SENT VIA E-MAIL

Health Care Provider and Faith Diversity Sample Answer

Health Care Provider and Faith Diversity: First Draft

Introduction

Health care professionals encounter people from many different walks of life each day. These people may be from different parts of the world, they may speak different languages, and they may practice different religions too. By taking the time to understand other cultures and religions, health care professionals can deliver the best possible care to those that are recovering and also to those that may be nearing the end of life here on Earth. This paper will compare Christianity and Buddhism. Christianity and Buddhism are two very popular religions in Hawaii and the health care worker would benefit from knowledge of both religions.

Christianity

Christianity is a religion based on the teachings of Jesus Christ during his earthly life more than 2,000 years ago. The teachings of Jesus Christ are documented in the Bible with the followers of Jesus Christ known as Christians. Christians believe that although each person is unique in creation (no two people are exactly alike),God loves each of them equally. They also believe that God has a predestined plan for each and every one of them, just as he had a plan for Jesus. Christians consider it of utmost importance to treat others just as Jesus did – to show kindness to others, even your enemies, and to always speak the truth. The Bible says in Luke 6:27-28, “But to you who are listening I say: Love your enemies, do good to those who hate you, bless those who curse you, pray for those who mistreat you” (New International Version).

When Christians get sick or have family members who are sick, they pray. Christians value quiet prayer time. Prayer is a form of communication with God that gives them hope. They ask for healing (Cunningham, 2006). They ask for God’s best in their life. Even though they may not always be healed, they believe that God is in control and God sometimes decides to grant eternal rest in heaven over healing. Earth is seen just as a temporary home. Most Christians do not fear death. However, they do fear what may happen before death – they fear suffering an illness or feeling pain prior to their passage into eternal life (Thornton, 2016).

When a person takes his or her last breath in this world, they may be dead on Earth, but very much alive, well, and whole in Heaven. Death reunites believers with Christ. The suffering and pain that they may have experienced while here on Earth was only temporary and is no more. In Heaven, all they will know is joy. For those unremorseful sinners who chose not to believe and denied God, they go to Hell.

Buddhism

Unlike Christianity, Buddhists do not serve a god. Rather Buddhism is a combination of traditions and beliefs incorporated with spiritual practices. The teachings of Buddhism are largely attributed to Gautama Buddha. Buddha meaning “the enlightened one.”

Health Care Provider and Faith Diversity Conclusion

The writer is Christian and is therefore familiar with Christian values. Learning about Buddhism enabled the writer to have a deeper understanding of a religion different from his own. By knowing what other cultures or religions practice, health care professionals can be more appreciative of the world’s diversity and to remember to be respectful when one’s beliefs may greatly differ from your own. One similarity that stood out for both Christianity and Buddhism is the need for quiet time to pray or meditate. This illustrates the importance of hospitals providing a quiet environment and minimized distractions during recovery or at the end of life. Comparing these two religions allowed the writer to see the differences and similarities.

Comments

  1. This paper captures the subject of discussion by providing sufficient evidence for its hypothesis. However, it  is important to develop a strong thesis statement of the paper. The body of the paper then builds from the thesis by stating a point and providing supportive evidences in every paragraph.
  2. It is also important to consider that paper depicts a solid flow of thought. The sentences provide a complete thought on the subject. In advancing this paper, there is need to consider the use of compound sentence structures to support the argument.
  3. The entire paper does not need to be organized in a different way. However, the student would make some slight changes that include the building of a stronger thesis on the subject.

Health Care Provider and Faith Diversity References

Cunningham, W. R. (2006, February 26). A Christian perspective of healing: Part 2.

Sermon, Pursuing the Truth Ministries. Retrieved March 6, 2016 from

http://www.pursuingthetruth.org/sermons/files/healing-prayer.htm

Ehman, J. (2012, May 8). Religious diversity: Practical points for health care providers.

Penn Medicine. Retrieved from

http://www.uphs.upenn.edu/pastoral/resed/diversity_points.html

Thornton, S. (2016, March 6). The word of victory! The seven greatest words of love –

Part 6.Sermon, East Valley Church of the Nazarene, Apache Junction, AZ.