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Role of nurse manager in budget
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Role of nurse manager essay
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The topics of the nursing role in the healthcare delivery system, the responsibility of being a nurse manager, and her nursing management accountability were discussed in a question/ answer format. Nurse Manager at Ohio Health Hospice Judy Walliser RN BSN was interviewed for the purpose of this survey. J. Walliser was asked the following questions, with her responses listed as follows.
• How do health care economics and public policy effect your job as a nurse manager?
“It’s difficult. Specifically as hospice reimbursement rates become smaller and smaller in relation to the medications and treatments used, and the staff utilized in delivering care. We are allotted per-diem by private and government insurance agencies. While our costs have increased, our per-diem reimbursement has not.”
While it is hoped that the recent health care reform will reduce overall health-related expenditures, at this time there is tremendous uncertainty about the long-run impact this will have on the industry. Because modern hospice care organizations are relatively new to the health care industry, the context as a field of academic study is also newly emergent, especially when compared to other health care contexts such as hospitals and nursing homes. Most research has focused on care provision. (Kirby, 2012)
As reported by Mrs. Walliser costs are rising and reimbursement is remaining stagnant. But as hospice is a newer industry entity, most of the focused for evidence based practice to this point is directed towards the provision of care, not the cost containment of care. As a society we are very mush focused on how productive we are as a means of evaluating the worth of services. In hospice productivity is difficult ...
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.... It is partially the role of the nurse manager to communicate with doctors and families in order to manage costs in care. The most effective use of the nurse manager’s time in this role is arming the nurses who deliver patient care with the knowledge and resources needed to have difficult conversations with hospice patients, families and physicians about goals during end of life care.
Works Cited
Bonebrake, D. R.-S. (2010). Clinically Differentiating Palliative Care and Hospice. Clinical Journal of Oncology Nursing, 14(3), 273-5. Retrieved from http://search.proquest.com/docview/506630429?accountid=87314
Kirby, E. G. (2012). Strategic groups and outcomes in the US hospice care industry. Journal of Health Organization and Management 26.5, 26.5, 641-54. Retrieved from http://search.proquest.com.southuniversity.libproxy.edmc.edu/docview/1095443935?accountid=87314
This helps ensure an open line of communication between patient, family, and medical staff which allows for efficient information passing between interdisciplinary teams (Bamm & Rosenbaum, 2008). This communication allows the nursing staff an opportunity to also educate and counsel the family members as needed to prepare them for caring for the patient (Bamm & Rosenbaum, 2008). The value of viewing the patient in context of family from the nursing perspective is the fact that the whole patient is treated by taking into consideration the family environment and it 's affect on the
Gawande’s book is very pertinent to the present day and has by many accounts sparked a national discussion on end-of-life care and how we treat our elderly. With elderly people accounting for a greater proportion of the American populace and as people start living even longer than they do now, end-of-life care will become and remain a major issue faced by doctors, patients, their families, and the healthcare system. Additionally, with our greater focus on improving patient outcomes while getting the most value for our healthcare dollars, end-of-life care is a major area that healthcare systems and hospitals will focus on, as it accounts for a large portion of their budget. As a response to the need to take care of our aging population, hospice care and palliative medicine are some of the newer specialties in the medical field that have been increasing in popularity and more research needs to be focused in these areas to better understand how to improve patient outcomes.
Being in hospice care is a better alternative than being stuck in the hospital to try to avoid the unavoidable. Common misconceptions about Hospice could include that hospice makes life more miserable; however, a physician expressed his findings in Hospice,“You can only fail a patient if you fail to understand and respond to their needs. We may not be able to cure all of our patients, but if we can make them comfortable in the last moments of their lives, we will not have failed them”..Hospice care gradually emerged in the 1970s, when groups like the National Hospice Organization were formed “in response to the unmet needs of dying patients and their families for whom traditional medical care was no longer effective.”Herbert Hendin, an executive director of the American Suicide Foundations illustrates a story of a young man diagnosed with acute myelocytic leukemia and was expected to have only a few months before he died. He persistently asked the doctor to assist him, but he eventually accepted the medical treatment. His doctor told him he can use his time wisely to become close to his family. Two days before he died, Tim talked about what he would have missed without the opportunity for a
"Hospice Services and Expenses (About Hospice)." Home (Hospice Foundation of America). Web. 23 Jan. 2011. .
Spetz, Joanne, and Sara Adams. "How Can Employment-Based Benefits Help the Nurse Shortage?" Health Affairs 25 (Jan.-Feb. 2006): 212-218. ProQuest . Ithaca Coll. Lib., Ithaca, NY. 10 Dec. 2012. .
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “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” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
Since the 1990’s, the interest in nursing and the profession as a whole has decreased dramatically and is still expected to do so over the next 10-15 years according to some researchers. With this nursing shortage, many factors are affected. Organizations have to face challenges of low staffing, higher costs for resources, recruiting and reserving of registered nurses, among liability issues as well. Some of the main issues arising from this nurse shortage are the impact of quality and continuity of care, organizational costs, the effect it has on nursing staff, and etc. However, this not only affects an organization and community, but affects the nurses the same. Nurses are becoming overwhelmed and are questioning the quality of care that each patient deserves. This shortage is not an issue that is to be taken lightly. The repercussions that are faced by both nurses and the organization are critical. Therefore, state funding should be implemented to private hospitals in order to resolve the shortage of nurses. State funds will therefore, relieve the overwhelming burdens on the staff, provide a safe and stress free environment for the patient, and allow appropriate funds needed to keep the facility and organization operational.
The change which is outlined in this paper relates to how early referral of terminally ill patients into a hospice program results in better patient outcomes, in particular, with regard to pain management. PICO format question will be used , along with a supportive body of evidence regarding the fact that early onset into a hospice program is helpful with providing end of life pain control. Hospice programs available, and options associated with them will be discussed as well as common concerns associated with early admission to hospice. The methods used for payment of hospice, and how one qualifies for entrance into a hospice program will be explored. A literature search will be performed and its results detailed within the body of this paper. Recent publications on the subject matter and associated issues such as moral and ethical questions as well as the change question will be discussed. Planning, implementing and evaluation of the change proposed will be explored within this paper.
The care of patients at the end of their live should be as humane and respectful to help them cope with the accompanying prognosis of the end of their lives. The reality of this situation is that all too often, the care a patient receives at the end of their life is quite different and generally not performed well. The healthcare system of the United States does not perform well within the scope of providing the patient with by all means a distress and pain free palliative or hospice care plan. To often patients do not have a specific plan implemented on how they wish to have their end of life care carried out for them. End of life decisions are frequently left to the decision of family member's or physicians who may not know what the patient needs are beforehand or is not acting in the patient's best wishes. This places the unenviable task of choosing care for the patient instead of the patient having a carefully written out plan on how to carry out their final days. A strategy that can improve the rate of care that patients receive and improve the healthcare system in general would be to have the patient create a end of life care plan with their primary care physician one to two years prior to when the physician feels that the patient is near the end of their life. This would put the decision making power on the patient and it would improve the quality of care the patient receives when they are at the end of their life. By developing a specific care plan, the patient would be in control of their wishes on how they would like their care to be handled when the time of death nears. We can identify strengths and weakness with this strategy and implement changes to the strategy to improve the overall system of care with...
Death is a universal truth. Hospice reduces the suffering associated with death. Hospice is considered the philosophy and model for quality, compassionate care to terminally ill patients. Patients accepted into a hospice program usually have a prognosis of less than six months to live (Potter, Perry, Stockert & Hall, 2017, p. 761). Hospice provides skilled medical care, pain management, emotional, and spiritual support tailored to the patient’s needs and wishes. The goal of hospice is to focus on the quality of life during the end of life. It gives patients a sense of dignity, provides patients and families with support, and it is cost effective. Today, seven out of ten Americans die from chronic disease. By 2020, the number of people living with a chronic illness will increase to 157 million (Hogan 2012). As the elderly population in the U.S. continues to increase, the importance of hospice will only continue to grow.
The field of nursing provides one the opportunity to make a difference in the lives of others. Nurses interact directly with patients at times of hardship, vulnerability, and loss. The nursing profession has been around for decades. Due to the contribution from historical leaders in nursing, the nurse’s role has progressed over time. Although the roles of nurses have evolved throughout the years, one thing has remained the same: the purpose in giving the best patient care.
It can also be quite stressful for the dying individual if the family members are attempting to plan their funeral and they are unable to communicate their wishes (Callanan & Kelley, 1992: 42-43). This issue of miscommunication occurs closer to death, so if the planning process starts soon enough the dying individual should be able to effectively communicate their wishes (Callanan & Kelley, 1992: 42-43). It has also impacted the dying individual in positive ways. Because of this, there are now places that individuals can transition into before the actual dying process begins. For example, in past decades, individuals with dementia would have to stay at home and be cared for by their friends and family, who while trying their best, may not have been able to cope with the demands of that individual along with their own personal lives (Dosa, 2010). Now, these individuals, when money and resources allow, are able to access special institutions and sectors in hospitals that are specially equipped to deal with those demands (Dosa, 2010). But this transition has plenty of financial challenges that go along with
Green, P. (1984). The pivotal role of the nurse in hospice care. CA: A Cancer Journal for Clinicians, 34(4), 204-205.
Palliative care “focuses more broadly on improving life and providing comfort to people of all ages with serious, chronic, and life-threatening illnesses” (http://www.WebMD.com). Palliative care is not the same as hospice, since it is not only for the dying. According ...
In today’s society, leadership is a common yet useful trait used in every aspect of life and how we use this trait depends on our role. What defines leadership is when someone has the capability to lead an organization or a group of people. There are many examples that display a great sense of leadership such being an educator in health, a parent to their child, or even a nurse. In the medical field, leadership is highly used among nurses, doctors, nurse managers, director of nursing, and even the vice president of patient care services. Among the many positions in the nursing field, one who is a nurse manager shows great leadership. The reason why nurse manager plays an important role in patient care is because it is known to be the most difficult position. As a nurse manager, one must deal with many patient care issues, relationships with medical staff, staff concerns, supplies, as well as maintaining work-life balance. Also, a nurse manager represents leadership by being accountable for the many responsibilities he or she holds. Furthermore, this position is a collaborative yet vital role because they provide the connection between nursing staff and higher level superiors, as well as giving direction and organization to accomplish tasks and goals. In addition, nurse managers provide nurse-patient ratios and the amount of workload nursing staff has. It is their responsibility to make sure that nursing staff is productive and well balanced between their work and personal lives.