The funding option for capital expansion was private bank funding. While this option was not the best, and should have been HUD 242 Loan Insurance Program, there were fewer years of loan maturity. The interest on this option is higher than the other, but the maturity date was less. Furthermore, there is a flexible refinancing and prepayment option with no set period for using…
In this simulation I learned that a person would have to have a team to help make life changing decisions for a company. Decisions should not be based on one person solution. It takes time to come up with a strategy plan long or short to control the flow of money in a business. Any decisions that are made concerning the finance can make or break a…
The research hypotheses underlying the JBTC evaluation encompass the delivery of services (process evaluation), individual-level outcomes (outcome evaluation), and cost effectiveness (economic evaluation). The program-level hypotheses were also tested that relate to JBTC implementation of specific program components and intermediate outcomes, including the urine testing will increase. Substance abuse treatment participation, retention, and completion rates will increase. Use of appropriate mental health services will increase. Use of educational services, including alternative schools and mentoring, will increase.…
The continuum of care cannot be completed alone, it requires communication, cooperation, and coordination for quality care. The Joint Commission cited communication the core component of teamwork as the root cause in nearly 60 percent of sentinel events. Having structured communication can prevent failures in communication. The use of verbal handoffs has been a tradition in nursing, however the use of structured handoffs and has shown to improve communication among registered nurses, including in the surgical arena. Furthermore, AORN supports a comprehensive surgical checklist from JACHO and WHO. However, The Joint Commission does not stipulate which team member initiates any section of the checklist except for site marking; The Joint Commission…
The Joint Commission (2014) identified communication errors as the fourth highest root cause of sentinel events from 2004 through the second quarter of 2014. In order for nurses to be effective in their dynamic roles, they must be effective communicators with an array of interdisciplinary healthcare team members, patients and families (CCN, 2014). Communication can be frustrating, leading to pertinent information not relayed, resulting in the rise of potential errors and poor patient outcomes. Have you ever been frustrated when communicating with a physician, giving shift report, or consulting the physical therapist? To reduce frustration and potential errors and increase patient safety and outcomes, nurses must also be efficient in their communication style. The communication model, SBAR (Situation, Background, Assessment, Recommendation), becomes an invaluable communication resource, when adopted and implemented by the facility and all healthcare team members are trained…
Julie Burger - Julie is the multiple disability specialist from the Special Education Service Agency (SESA) working with CPMS since 2016.…
When reviewing the literature, the researchers found that while bedside handover was credited to improve communication and patient and staff satisfaction that very little empirical data was available about the economic, cost effective benefits of the process. They discussed the findings of 7 articles that were reviewed and they cited 17 sources that were dated from 1947 to 2009. The oldest citations were related to the change management process and not directly related to bedside handover. Literature review found that the delay in nurses connecting with patients during traditional handover could result in reduced patient safety and in increase in adverse events (Caruso, 2007). Trossman, in an article in The American Nurse in 2009, reported anecdotally that bedside handover…
O’Daniel, M, Rosenstein, A.H Professional Communication and Team Collaboration in Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Hughes RG, editor. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr…
According to the Royal College of Nursing (RCN) 2014, communication is at the heart of everything we do in our society. It’s central to our learning, our work and our leisure interests. It is vital in health care, where patients/clients can feel vulnerable, isolated and anxious, therefore teams need to rely on good communication to help them deliver safe, coordinated and effective healthcare. Without communication between certain individuals in the team, it can cause conflict or friction between some colleagues therefore delaying the goal of impeccable patient…
Concerns from transitioning from the practical nurse transition are registered nurses hold a higher degree of legal responsibility. The…
Research has shown that ineffective communication between physicians and nurses can result in missed or delayed diagnosis, unnecessary or repeated testing and over prescribing of medications (Espetin, 2010). It has also been shown that poor communication between team members can have a negative effect on patients in ways of psychosocial experiences. This occurs when patients are confronted with information depending on the nature and quality of information that is transmitted to them and can also affects the enactment and outcome of the decision making process regarding treatment opinions (Thorne, Bultz & Baile, 2005). As a result, patients are often dissatisfied with the amount of knowledge they receive from medical professionals and they, in turn, express that this is an area requiring improvement (Conn, Lingard, Reeves, Miller, Russell & Zwarenstein, 2010). As noted above, poor communication between team members often results in negative outcomes not only for the team itself but also for the patients. Because communication plays a vital role in effective collaboration, healthcare providers must address potential breakdowns so as to ensure productive dialogue and to create troubleshooting strategies. The College of Nurses of Ontario website states that communication is how nurses establish and maintain their therapeutic relationships by building trust, empathy and receptivity (CNO, 2006). This information is also applied to interprofessional collaboration. Effective communication strategies which strengthen nurse-patient relationships can also strengthen nurse – physician relationships. Since communication occurs both verbally and non-verbally, it is important to be aware of the many ways through which one communicates and to understand the fundamental role communication plays in patient care (CNO,…
As the nurse manager of a 30-bed medical-surgical unit, you have just received the results of the quarterly patient satisfaction survey. The satisfaction scores for your unit show an ongoing decline over the past three reporting periods. You also look at your unit’s satisfaction scores as compared with other units in the hospital and realize that the scores for your unit are now lower than those of most other units in the hospital. As you begin to ponder the meaning of these data, you receive a call from the office of the vice president of nursing to schedule a meeting with you to discuss your plan to improve patient satisfaction on your unit.…
What is the one conversation that usually gets heated when talking to nurses? Bring up the subject of staffing levels on their unit. As a nurse assistant, staff nurse, charge nurse or nursing administrator, inadequate staffing creates tension and stress. When staffing is inadequate patient safety, infection rates, patient satisfaction and staff satisfaction are only a few of the areas affected. Many hospital administrators and lawmakers want to make patient care a numbers game. The Joint Commission on Accreditation of Healthcare Organizations requires hospitals to create a staffing plan that defines staffing effectiveness as the skill mix, competence, and effectiveness related to the services needed. (Morgan, 2004) When it comes to staffing, one size does not always fit all. Patients are individuals with individual needs and one patient with a certain diagnosis can take much less attention and time from the nurse than a patient of the same age with the same diagnosis. For good nurses the main goals during their shift is giving exception patient care and providing a safe environment. “The notion of high-quality care in hospitals is essential to public safety isn’t new. In 1751 Benjamin Franklin founded America’s first hospital-Pennsylvania Hospital-and commented that patients ultimately suffer and die without sound nursing care.” (Clarke, 2003) Nursing leaders are under tremendous pressure to lower costs while improving quality. (Carter, 2004) It is often found that…
The economic and political powers that be have administered cuts in financial assistance to low income families, as well as a decrease in affordable housing for those who need it. African Americans represent a large number of those affected by economic, political and workforce changes. When it comes to the urban area of New York City (NYC) many African Americans are being displaced because of one if not all of the previous mention changes. These are some of the pathways for African Americans becoming homeless. The housing needs of African American homeless are far greater without services available to address their identified needs. However, regardless of the path, there is one hard reality; these issues have plagued African Americans since…
Physicians, nurses, and other health care professionals ultimately work together with the common goal of serving an individual patient. Yet few have developed the essential team skills to help them work productively with their colleagues, analyzing outcomes and processes…