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For over a century the improvement of health care has been championed by individuals and groups from Florence Nightingale to The Institute of Medicine (IOM). In the time of Ms. Nightingale, cleanliness and nutrition became the focus of improvement. Now, in the twenty and twenty-first century, the IOM has established guidelines and practices that bring the greatest balance between patient centered care and organized medicine since the early days of reform. Utilizing science to identify practices that produce measurable and quantifiable for the patient, six fundamental values called Aims, were developed to create a safe, effective, accessible healthcare system. Theses Aims state that Health Care must be safe, effective, patient centered,
A powerful speech given by Don Berwick on December 2004 explains ways in which healthcare industries needs to implement in order to save lives and to reduce the mortality death rates that occur in the healthcare (i.e. no needless death). In his speech entitled “Some Is Not A Number…. Soon Is Not A Time” invites all healthcare care organization U.S. and the world to come together to save 100,000 lives by June 14th 2006 at 9am exactly 18 months from the day of the speech. In order to achieve this goal Dr. Berwick suggests there should be a high standards protocol that will help improve care and reduce patients harm.
As our health care system continues to evolve and become more focused on a preventive and coordinated approach to patient care, we too must progress and create programs that follow such principles. The Patient-Centered Medical Home (PCMH) model follows similar ideologies and recently has gained increasing support. The patient’s primary care physician, who will provide preventive and continuing care for the patient, directs this medical model. The PCMH model of care is comprised of a health care team working together to serve their patient and provide quality care.1 The model works to empower the patient by promoting communication with not only the physician but with the nursing staff, specialists, and other health care providers. Every patient
With healthcare costs soaring in the United States, there is a continuous movement by hospitals and health systems towards reaching a number of patient and system oriented goals related to higher levels of quality, safety, and cost effectiveness. The Triple Aim captures the essential challenges and opportunities of this time within the U.S. Healthcare system. Formally introduce by the Institute for Healthcare Improvement (IHI) in October 2007, the Triple Aim is theoretical model for optimizing health system performance. The initiative has three components: improving the patient experience of care (including quality and satisfaction), improving the health of populations, and reducing the per capita costs of health care (Berwick,
notices to patients and their families, schedule and lead the meetings. Wishing to be actively involved in the process, I represented nursing along with the charge nurse of the unit and the charge aide.
Our group has chosen to focus on one of the Grand Theorists. The theorist we chose is Florence Nightingale. She based many of her concepts on the principle that every human being has “cleanliness, fresh air, sanitation, comfort, and socialization were necessary to healing.” (McEwen & Wills, 2014, p.132). During the reparative process any or all of these items are interrupted. Many of Nightingale’s notes and letters were written long before the metaparadigm concepts of human, environment, health, and nursing were labeled as such. Nightingale’s notes on nursing expounded on each of her principles in great detail so much so that they are still referred to and applied to modern day nursing practices.
National Institute for Health and Care Excellence (NICE) developed the area of their concern for quality improvement in relation to t prevention and treatment of various kinds of health conditions or services. Therefore, in the course of this innovation, team members will make sure patients are safe and not harm by the change that aims to help them; care is effective, practising with the best available evidence based practice, is person centred; making patients first concerned when making clinical decision; avoiding unnecessary delays and provide care in timely manner (Health Foundation, 2013).
“Apprehension, uncertainty, waiting, expectation, fear of surprise, do a patient more harm than any exertion. Remember he is face to face with his enemy all the time, internally wrestling with him” (Nightingale, 1992, p. 22). Fortunately, in the nineteenth century, Florence Nightingale recognized uncertainty could cause harm to her patients (Nightingale, 1992). Equally important to the nursing profession are the nursing theorists, their work, and the evolution of the theories that followed Florence Nightingale, the founder of modern nursing (Alligood, 2014).
Nursing as a profession dates back for at least several centuries. Those first truly recognized as nurses were wet nurses, or those who cared for the child when the mother was unable to. However, as with most modern jobs, nursing has progressed with the passage of time. Throughout history, there were many influential nurses, such as Clara Barton, founder of the American Red Cross. Moreover, one nurse known to many to have contributed greatly to the field of nursing is Florence Nightingale.
Registered nurses work to contribute good health and prevent illness. They also treat patients and help go through there rehabilitation and also give support and advice to patients family. Registered nurses are general-duty nurses who focus in the achievement of caring for their patients. They are under the supervision of a doctor. As I researched this career It brought more questions to my life. It became a big interest that soon I would have an opportunity to answer my own questions obviously with the help of others.
In today’s health care system, “quality” and “safety” are one in the same when it comes to patient care. As Florence Nightingale described our profession long ago, it takes work and vigilance to ensure we are doing the best we can to care for our patients. (Mitchell, 2008)
Florence Nightingale Florence Nightingale was born in Florence, Italy. Her parents named her after the city she was born in. She was born on May 12, 1980, she was raised mostly in Derbyshire, England. Many people when they hear Florence Nightingale think about her as a nurse and her fight for better hospital care. Florence did a lot more in her life than achieve better hospital conditions, and become a nurse.
Florence Nightingale is a very prominent person in the medical field. She had a strong desire to devote her life to helping others. She is known as the founder of modern medicine. The Nightingale Pledge is taken by new nurses and was named in her honor. The annual International Nurses Day is celebrated on her birthday. Without her contributions healthcare would not be what it is today.
A theory I can relate to is Nightingales theory, I found her theory to be extremely interesting. A patient health is affected by the environment that they are in, whether it is at the hospital or at their house. Once a patient is discharged the nurse should be aware of the patient home environment, what they have access to, and what they don’t have.
To this day, the most admired person in nursing history would be Florence Nightingale. She will forever be an influential figure in the world of nursing due to her perseverance and critical thinking skills that saved so many lives during the Crimean War. There is no way to tell how long it could have taken nursing to evolve without the help of Nightingale. In her book, Notes on Nursing: What It Is and What It Is Not, Nightingale described a multitude of factors that must be considered when helping the ill to recover and to have the healthy maintain their well-being (Nightingale, 1860/1969). Four chapters in her book are of high importance, chapter two, on Health of Homes, chapter
Florence Nightingale, named after the city of Florence, was born in Florence, Italy, on May 12, 1820. She would pursue a career in nursing and later find herself studying data of the soldiers she so cringingly looking after. Born into the Crimean War, Florence Nightingale took the lead role amongst her and her colleges to improve the inhabitable hospitals all across Great Britten; reduce the death count by more than two-thirds. Her love for helping people didn’t go unnoticed and would continue to increase throughout her life. In 1860 she opened up the St. Tomas’ Hospital and the Nightingale Training School for Nurses before passing August 13, 1910 in London. Her willingness to care for her patients was never overlooked and wound establishing