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The document discusses improving vital sign documentation during triage in emergency departments. It aims to investigate factors affecting vital sign data quality during measurement and documentation, and provide recommendations for improvement. A literature review found that timely and accurate vital sign documentation is important for identifying deteriorating patients. However, studies on nursing workflows and documentation of vital signs are limited. The objective is to study nurses' vital sign documentation process through a questionnaire of nurses and analysis of the data. Results showed teamwork and quality improvement efforts like education and training can enhance compliance with vital sign documentation standards during triage. Recommendations include departments addressing challenges in measurement time and reviewing results to improve performance.

This document discusses the formation of Behavioral Emergency Response Teams (BERT) in hospitals to quickly de-escalate potentially violent situations involving patients exhibiting dangerous behaviors. The objectives of BERT are to promote safety for patients and staff. A literature review found that BERT reduced injuries and increased staff satisfaction by providing psychiatric expertise. The author recommends that BERT teams have clear communication structures, availability, and properly trained members to effectively handle behavioral emergencies.

The document outlines a study comparing hand washing versus hand sanitizer for nursing students to improve infection control during the COVID pandemic. It finds that hand sanitizers are more effective and efficient at killing viruses and preventing disease transmission compared to hand washing, which risks recontamination and takes more time. A two-day study of 10 nursing students is conducted to test procedures, collect data on sanitizer versus hand washing, and analyze results, finding that hand sanitizers kill germs faster and are more practical for maintaining hygiene.

Nursing informatics involves integrating nursing, computer science, and information science to manage and communicate healthcare data. Nursing informatics specialists possess clinical knowledge and understand how technology impacts workflows. They are able to apply technology to improve care delivery and ensure compliance with regulations like HIPAA. Clinical information systems collect patient data into a central database to facilitate care. Electronic health records are a key part of these systems, allowing instant access to records at the point of care with benefits for documentation, safety, and clinical decision-making. Nursing informatics specialists play a key role in advancing the use of technology in healthcare.

This document presents a concept map that identifies three pathways by which medication non-compliance can be conceptualized from a social perspective. All three pathways begin with education policy and its impact. One pathway shows how low education quality can lead to low health literacy and difficulty following medication instructions. Another pathway shows how high dropout rates from underfunded schools can result in low-wage jobs without insurance, reducing ability to afford or access medication. A third pathway notes self-efficacy and unwanted side effects can influence the relationship between ability to comply with a medication regimen and actual compliance. The document concludes by outlining interventions that could help address medication non-compliance at various points in the concept map.

The document discusses several models of health and wellness including Leavell and Clark's Agent-Host-Environment Model, Dunn's Levels of Wellness, and the Health Locus of Control Model. It also examines the Health Belief Model and profiles 24 innovative care delivery models identified by the Robert Wood Johnson Foundation that focus on improving quality, satisfaction and reducing costs. Reasons for the nursing shortage include the pressures of cost containment, need for increased services and frustration with inefficient priorities that prevent nurses from practicing to their full abilities.

This document provides guidelines for writing a paper on menstrual hygiene management (MHM) in humanitarian emergencies. It instructs the student to select a peer-reviewed article on MHM, summarize it in 2 pages, identify which UN Sustainable Development Goals it addresses in 1 page, discuss implications for achieving those goals in 2 pages while citing at least 2 sources, and format the paper according to APA style over 5 pages excluding the cover page and references. The guidelines specify the expected structure, formatting, and length for the assignment.

Introduction The big business of health care is growing in a massive rate more now than ever according to The Center for Health Workforce Studies a non-profit organization located in Rensselaer, New York the organization report that, “While total U.S. employment dropped by over 2% between 2000 and 2010, health care employment grew by more than 25% during the same period. More than 13% of the U.S. labor force worked in the health sector or in a health occupation (19 million jobs out of 143 million jobs in U.S. labor force). The health care sector is projected to add over 4.2 million jobs between 2010 and 2020, with 63% of those in ambulatory settings (offices of health practitioners, home health, and other non-institutional settings” (2012, CHWS). Health care is booming in all areas of study and research from Holistic to Western Medicine which include purchasing and supply. Unfortunately this is based off the demand for more Physicians that are not available where there is a need. The health care industry believe it or not includes the food industry and health and fitness as well. The matter of ethics within the health care industry always needs to be address along with the quality of care for patients. Within this working essay paper I will discuss the matter of; Care & Service Provider, Ethics (codes and values), Mal-Distribution Physician Labor Forces. Even though the health care industry is growing the mal-distribution of health care is still evident in some rural areas. This factor of not having proper care delivered to impoverish neighborhoods and communities is another issue that still plagues the United States. David Cutler the online journal reporter for PBS News Hour stated, “About 10, 15 percent. Just to give you one example, Duke University Hospital has 900 hospital beds and 1,300 billing clerks. The typical Canadian hospital has a handful of billing clerks. Single-payer systems have fewer administrative needs. That’s not to say they’re better, but that’s just on one dimension that they clearly cost less. What a lot of those people are doing in America is they are figuring out how to bill different insurers for different systems, figuring out how to collect money from people, all of that sort of stuff” (2013). The need for health care workers is great, but the balance is off regarding where the needs are not being meet.

The system of delivery within health care has always been on the change and rise due to technology along with self-care, health care, development, education, and creating a healthy society. As the old saying goes, “where there is good health there is also good financial wealth” and this is where the formation of the ACA took place and a new integrated delivery system created.

Nursing informatics is defined as the integration of nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice. It aims to support nurses, nursing practice, and patients through technology and access to information. Key aspects of nursing informatics include using technology to support clinical practice, administration, education, and research in nursing. It also involves ensuring privacy and security of patient health information stored and shared electronically.

This document discusses the importance of incorporating patient preferences in medical decision making. It provides an example of a patient who preferred angiotensin II receptor blockers over ACE inhibitors for their treatment. The document emphasizes that caregivers must explain treatment options to patients and consider their preferences according to HIPAA. Incorporating preferences can lead to better outcomes and reimbursement structures. It also discusses how a patient's medical history and preferences should be considered when determining the appropriate treatment intervention.

The document compares public perceptions of physicians and veterinarians in the United States. A survey of 606 participants rated 25 personality characteristics for each profession on a 9-point scale. Statistical analysis found veterinarians were perceived as more approachable, sensitive, sympathetic, patient and understanding, while physicians were seen as more proud and arrogant. Overall, the results indicate the public tends to view veterinarians more favorably than physicians.

This document summarizes a literature review of research papers in clinical informatics and digital health in nursing from 2015-2016. It describes the search strategy and criteria for including papers, which resulted in 73 papers being shortlisted. Of these, 5 top papers were chosen that either identified gaps in the literature or demonstrated improved patient care through digital health innovations. The document discusses each of these 5 papers and their relevance. It concludes with recommendations and limitations of the literature review.

This document discusses the methodological and ethical issues around the use of connected devices in health. It summarizes that while connected devices promise to help change health behaviors through self-quantification and social support, there are still many open questions. Specifically, more research is needed to understand what components of connected devices are actually effective, for whom, and how they work. Additionally, issues around inequalities in access and the impact on privacy require further study. Overall, connected devices should be viewed as complex interventions and evaluated using theory-driven approaches to fully understand their outcomes and mechanisms of impact in different contexts.

This document summarizes a study on the involvement of nurses in HIV policy development in Nyanza Province, Kenya. 1. The study found that nurses are involved in policy development at local and district levels but their involvement is still minimal at provincial and national levels. Linkages and collaborations with other organizations provided the greatest benefit. 2. Nurses perceived they were more involved in policy implementation than formulation due to lack of knowledge and skills. They also lacked confidence to participate. 3. Benefits of involvement included improved nursing care, support from workplaces, and relationships built with other health professions through collaborations. Linkages were formed with government departments, NGOs, communities, and learning institutions.

A document prepared by Dr. Mustafa Salih, the former director of the Directorate General of Health Policy, planning and research at the Federal ministry of Health in Sudan.

This document defines research and discusses the need for and purposes of community health research. It outlines different methods of community health research, including descriptive and explanatory research as well as quantitative and qualitative methods. The document also lists various areas that are appropriate for research in community health nursing, such as health problems, aged care, disease distribution, effectiveness of health services, and health care practices.

The document summarizes key topics covered in a Professional Capstone and Practicum course, as reflected in a student's journal. The journal addresses new practice approaches learned, including evidence-based practice and intraprofessional collaboration. It also discusses healthcare delivery systems, ethics, population health, the role of technology, health policy, leadership models, and health disparities. The student reflects on strengthening their cultural competence and how the course helped them meet competencies.

(1) This document outlines a reflective journal assignment for a Professional Capstone and Practicum course. Students are required to maintain weekly reflections on their clinical experiences and integrate them into a course-long reflective journal. (2) The journal should address various topics gained from their practice immersion experiences, including new practice approaches, ethical considerations, interprofessional collaboration, health disparities, the role of technology, health policy, population health concerns, healthcare delivery systems, and leadership models. (3) While APA style is not required, solid academic writing is expected. Students will reflect on their professional development, strengths, weaknesses, and how they met the course competencies.

- Care coordination is an essential nursing practice that employs nurses to improve communication between patients, families and the healthcare team for safer patient care. - Nurses design effective care plans to improve health outcomes and coordinate care among the team and other stakeholders. - The presentation aims to raise nurses' understanding of care coordination principles and ethical decision-making while implementing patient-centered strategies.

Nurses play an important role as patient advocates by promoting patient autonomy, informing decision making, and supporting patients. As advocates, nurses must understand patients' needs, values, and interests and help translate medical information. Effective advocacy also involves influencing broader health policies and systems. Nurses need to expand patient advocacy beyond individual patients to address systemic issues influencing health. The COVID-19 pandemic has highlighted nurses' role in advocating for patients and promoting health while also facing challenges such as staffing shortages, risk of infection, and burnout.

The document discusses interdisciplinary training in healthcare. It defines interdisciplinary training as education that involves professionals from different disciplines learning together to improve patient outcomes. Current medical training programs are beginning to incorporate more interdisciplinary approaches. A proposed framework for interdisciplinary certification includes rotations of students from various fields like nursing, pharmacy, social work on collaborative healthcare teams. This would allow students to gain experience with an interdisciplinary approach while completing their primary training. The benefits of interdisciplinary training include improved understanding between professionals which can lead to more comprehensive patient care plans and better outcomes. Some challenges include the extra time and resources required for such an approach.

The document discusses several approaches to improving healthcare delivery and reducing costs through more coordinated, patient-centered care. It describes how medical homes provide comprehensive primary care through interdisciplinary teams to manage chronic conditions and reduce emergency visits. The document also discusses how standardized clinical pathways and communication between specialists can improve patient outcomes. Finally, it explains how patient-centered care that involves shared decision-making with providers can increase patient engagement, knowledge, and adherence to treatment plans.

S28 September-October 2016/HASTINGS CENTER REPORT Undisputedly, the United States’ health care sys- tem is in the midst of unprecedented complexi- ty and transformation. In 2014 alone there were well over thirty-five million admissions to hospitals in the nation,1 indicating that there was an extraordinary number of very sick and frail people requiring highly skilled clinicians to manage and coordinate their com- plex care across multiple care settings. Medical advances give us the ability to send patients home more efficiently than ever before and simultaneously create ethical ques- tions about the balance of benefits and burdens associ- ated with these advances. New treatments for cancer or complex heart disease may prolong life until the disease becomes irreversible while causing significant morbidity that undermines functional status, independence, and quality of life in ways that patients find unacceptable. Some patients and families voice concerns about access to treatments and about the quality and safety of the care they or their loved ones receive. Every day on every shift, nurses at the bedside feel these pressures and the intense array of ethical issues that they raise. A staggering 17.5 percent of trained nurses are leaving their roles or the profession after less than one year of service,2 and increasing levels of moral distress and burnout contribute to their decisions.3 Meanwhile, research supports the common-sense understanding that patients and health care organizations fare better when nurses are not harried, are supported in their work en- vironments, and are able to practice high-quality, ethical care. At the same time, administrators, policy-makers, and regulators struggle to balance commitments to patients, families, staff members, and governing boards. Health care organizations are compelled by laws, regulations, and accrediting bodies to pursue externally reported measures of effectiveness that can put their mission and values at risk. While health care systems declare their commitment to core ethical values, many clinicians struggle to understand institutional priorities, budgets, policies, and decisions seemingly inconsistent with their values as professionals. Increasingly clinicians find their ability to provide compassionate care at odds with the intensifying focus on matters such as clinical pathways aimed at standard- izing care, cost-cutting efficiencies, electronic medical records, and hospital policies and procedures.4 Arguably, each of these have merit in the current system, but what is not accounted for are the unintended consequences of diverting attention from the core ethical values of the professions. For example, the advent of the EMR requires clinicians to focus on documentation rather than being fully present during patient encounters. An emphasis on clinical pathways increases the risk of reducing patient symptoms and diseases to what fits a rote app.

This document discusses the Philippines Code of Ethics for Registered Nurses and how it provides a framework to guide nurses in drug administration. The code outlines five ethical responsibilities: nurses and people, nurses and practice, nurses and coworkers, nurses and society/environment, and nurses and their profession. It emphasizes respecting individuals, accountability in nursing practice, collaborative relationships, and preserving nursing integrity. While the code guides nurses' ethical actions in drug administration, it should still be revised over time to address changes in healthcare.

The document discusses health care delivery systems and nursing care delivery models. It provides an overview of the types of health care services including primary, secondary, and tertiary prevention. It also describes various health care agencies and providers. Factors affecting health care delivery are discussed as well as several nursing care delivery modalities/frameworks for care such as managed care, case management, patient-focused care, and differentiated practice.

lecture presented in the unit of Clinical Pharmacy, Al-Mahmoudiya General Hospital as part of the training course of clinical pharmacists at 24/5/2023