gain. It is imperative that patients understand when to call their provider after being discharged…
PATIENT CENTERED NURSING CARE PLAN STUDENT NAME: _________________________ CLIENT’S AGE: ___________ SEX: MALE FEMALE DATE: _________________________________ DIAGNOSIS: __________________________________ Assessment (Subjective and Objective Data, Fundamental Needs) Nursing Diagnosis (NANDA) Planning Intervention Evaluation Analysis Statement… Related to……
High 30-day readmission rates have become problematic for many facilities. The Centers for Medicare & Medicaid Services (CMS) have put emphasis on readmission rate reductions for hospitals (“Readmissions Reduction Program”, n.d.). The stress of high readmission rates weighs heavy on facilities as a result of the Affordable Care Act (ACA) which requires CMS to reduce payments to hospitals with excess admissions (“Readmissions Reduction Program”, n.d.). Incorporating Project Re-Engineered Discharge (RED) as part of the discharge process at a small hospital will impact the facility’s readmission rates. Utilizing an evidence based practice (EBP) model can assist advance practice nurses (APN) in creating a system change. A synthesis of evidence…
There is a prevalent disconnect in the system which ultimately leads to inefficiency and reduced quality of care. There needs to be an effective way for care providers and facilities to systematically collaborate. This lack of communication is most recognizable when a patient is shifted from one facility to another. In such a scenario, physicians are not sure of what conditions the patient is or has suffered from or what type of tests have been conducted. This puts the patients’ health at risk and can also increase the cost of care due to the tests that will probably be repeated. The article provided a particular example in which coordination not only improved the quality of care patients received but also cut down on costs. In the example, the nurse’s only duty was to improve the coordination of care which…
RN’s are greatly needed solely for the reason is that they provide the greatest level of care for many patients. An RN not only provides all types of care, but they also gives advice and helps coordinate other health services for their patients. An RN may be in charge of other nursing personnel such as interns, volunteers and techs. They may be also responsible for a patient’s overall case management, working together in conjunction with everyone from the patient to the primary care physician, as well as other…
The contemporary definition of nursing according to the Scope and Standards of Practice (2010) is: “Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.” (p. 66).…
olistic nursing can be practiced in any setting. Demographics from the American Holistic Nurses Association (AHNA) membership show that 39 percent of holistic nurses work in hospitals, 23 percent in private practice, 15 percent in academia/education/research, 11percent hospice/palliative/long…
There are a variety of values, assumptions, and beliefs that influence my perspective and performance as a labor and delivery nurse. Values guide the very principles of care and the nurse’s vision of its overall purpose, while certain assumptions and beliefs are involved in directing care on a more day-to-day level in a highly profound and meaningful way.…
With healthcare spending steadily on the rise in the United States, healthcare payers are beginning to make the shift from volume-based to value-based payment regimes. The main focus in doing so is to improve the quality of care while reducing the cost. One type of value-based approach is an Accountable Care Organization (ACO), which is defined as a “group of healthcare providers who agree to share responsibility for the quality, cost, and coordination of care for a defined population of patients.” There are three core features of the ACO model. The first is that the ACO consists of a strong base of primary care health provider organizations; the second is that performance measurement is designed to support ongoing improvement in patient care…
In this assessment you will have the opportunity to present evidence that shows you are able to:…
How does the leadership and governance of a health care organization influence the development and implementation of risk-management and quality-management policies?…
In this essay I intend to examine the issues surrounding nurses ' accountability in relation to the scenario discussed, and to Adult nursing. From the group sessions and further reading I have broaden my understanding of what being an accountable practitioner involves. Nurses are highly responsible for their own actions and care they provide. Consequently they are professionally accountable to the Nursing and Midwifery Council, (NMC) as well as their employer, public, patient, families and to themselves. Nurses have to justify why specific care was given in a particular way, (Royal College of Nursing, 2008). And they are required to use their professional knowledge, judgement and skills to make decisions continually throughout their practice, to allow them to exercise best practice (NMC, 2008). Professional, ethical and legal issues are all incorporated into being an accountable practitioner and nurses must take these issues into account throughout their practice. However before exploring accountability further an understanding of the term must be addressed. Tingle, 1995 states it is a contested topic as the concept of accountability is indefinable and arguable. On the other hand Bergman, 1981, defines it as being able to be ‘counted on ', however states it is a complex notion as there are varying ways a practitioner can be held accountable dependant on who they are accountable to at the time of the incident. In terms of health care McSherry and Pearce, 2002 explain that accountability relates to continual changing practice and the practitioner has a responsibility to ensure their practice is effective with an evidence base.…
Within a health system, quality care involves providing patients with appropriate services and accurate evaluation through competence and compassion. Additionally, effective communication is essential for shared decision-making within a timely manner (Campbell, 2000). The purpose of this paper is to address the concept of adverse events and determine the relationship between patient satisfactions along with the quality of care.…
Healey, B. J., & Evans, T. M. (2014). Introduction to Healthcare services; Foundations and challenges. John Wiley and sons.…
In a competitive and continuously evolving healthcare system, quality improvement efforts are essential to provide safe, effective and efficient care to patients. Since there are a plethora of healthcare facilities available for patients to choose from, the quality of care is a big factor in the success of a business (General business resources, n.d.). Therefore, quality improvement (QI) projects that follow the Institute of Medicine’s six domains of health care quality will be able to provide safe, equitable, high quality, effective, and well-timed care to withstand these competitive areas (IHI,2017). Advanced Practice Registered nurses (APRNs) with a doctoral level education (DNP) are scholarly prepared nurses who are educated with leadership skills and evidenced based practice knowledge…