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Nursing ethical codes
Ethical principles in nursing
Importance of quality in the aspect of nursing management
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Every hospital, institution and nearly each organization, contains a chain of command. In most cases, this chain of command is diagrammatic with a chart, usually noted as associate in nursing structure chart. The chain of command in a simple form is that the line of authority and responsibility on that orders square measure passed among the nursing department, the hospital, and between totally different units.
Conflicts might exist between physicians, between physicians and workers, and between the workers or the health care team and therefore the patient or patient 's family. The conflicts might vary from disagreements to major controversies that will cause proceeding or violence. Conflicts have a major adverse impact on productivity, morale,
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Also the degree of excellence of something. I selected this concept because "quality" can mean so many different things. What I may view as quality may not be the same as what you may view as quality. Quality can be perceived depending on ethnicity, family dynamics, economic status, age groups etc. I hope to get a full understanding on my concept and also find out its true meaning because in nursing, everyone wants "Quality Care" but if the person delivering the care is of different economic status or ethnicity, that person may not view the word "Quality" the same as the person receiving the services. For example: A nurse providing a simple back rub to an older person patient may be perceived as providing quality care vs a male from a different culture may not want you to touch them and will get upset with you if you …show more content…
Patients as well as providers are unware of hospital cost regarding services they provide. Increased transparency of hospital acute care costs and utilization data is needed to enable more cost-effective care. There are many opportunities to improve efficiency and quality of inpatient hospital care. Hospitals should seek to expand more services to for extended hours, explore the use of practice, and should implement alternate physician staffing models to facilitate high quality care that is more efficient. There are no financial incentives to coordinate care or insure patients have access to continued care once they leave the hospital. Guidelines and financial incentives need to be developed and implemented to improve care coordination across the board when speaking in terms of healthcare services. The patient is maybe less costly but finding insurance to cover these specialty doctors will become another
Pay-for-performance (P4P) is the compensation representation that compensates healthcare contributors for accomplishing pre-authorized objectives for the delivery of quality health care assistance by economic incentives. P4P is increasingly put into practice in the healthcare structure to support quality enhancements in healthcare systems. Thus, pay-for-performance can be seen as a means of attaching financial incentives to the main objectives of clinical care. However, reimbursement is a managed care payment by a third party to a beneficiary, hospital or other health care providers for services rendered to an insured or beneficiary. This paper discusses how reimbursement can be affected by the pay-for-performance approach and how system cost reductions impact the quality and efficiency of healthcare. In addition, it also addresses how pay-for-performance affects different healthcare providers and their customers. Finally, there will also be a discussion on the effects pay-for-performance will have on the future of healthcare.
It would be necessary for a hospital administrator to look closely at ways to lower healthcare costs and provide more efficient care when a large employer like BRPP states they are thinking of relocating their employee inpatient hospital services to a company like InduShealth. InduShealth is offering substantially lower prices for several surgical procedures and a U.S. hospital administrator would not want to lose this large consumer population if it was possible to find more efficient methods of providing healthcare to their patients (McLaughlin & McLaughlin, 2008). One pricing strategy that a hospital administrator could advocate for is a bundled...
Yvy Llambles, BSN, RN is the Primary Nurse Educator for Memorial Herman North East, Emergency Department (ED). Yvy, as she likes to be called, has the educational responsibilities of overseeing orientation for all departments in the Memorial Hermann North East location. In addition to her overall role as an Educator, Yvy is the Nurse Educator for all Registered Nurses within the Emergency Department. This analysis will explore the characteristics of Yvy in her role as a nurse manager as well as detailing her role as an effective nurse leader. The review of Yvy as a nurse leader will also detail her leadership style, responsibilities and skills. Furthermore, the effectiveness of Yvy’s communication style as a
Nursing leaders ' responsibility extends to become a voice for the nurses and for offering quality in patient care, not just at their organizations but spanning the whole communities, interacting with law makers in revising regulations and laws, with researchers and educators. Nurse leaders, in particular those at manager and supervisory levels are spread sparsely. They are involved in business planning, human resources, information management and writing reports. It is advisable for them to refocus the leadership on care which matters to patients which is the essence of
The nursing leadership problem is there are not enough bachelor prepared nurses to staff hospitals nationwide, because Magnet hospitals have a goal to have 80% of nurses in the hospitals to have a four year Bachelor of Science in nursing degree by the year 2020 (Sarver, Cichra, & Kline, 2015). This problem of the shortage of nurses stems from the baby boomers retiring and needing more medical care. So to offset the need for nurses, more two year programs for nurses have begun around the area to increase the nurse population to accommodate the baby boomers. The problem is leading to the nurses who are working short staffed becoming dissatisfied with their job and jumping around from hospital to hospital causing high turnover rates
Leadership at times can be a complex topic to delve into and may appear to be a simple and graspable concept for a certain few. Leadership skills are not simply acquired through position, seniority, pay scale, or the amount of titles an individual holds but is a characteristic acquired or is an innate trait for the fortunate few who possess it. Leadership can be misconstrued with management; a manager “manages” the daily operations of a company’s work while a leader envisions, influences, and empowers the individuals around them.
College of Nurses of Ontario,(2009).Practice Guidelines: Conflict prevention and management. Retrieved April 3, 2014 from http://www.cno.org/Global/docs/prac/47004_conflict_prev.pdf
Conflict has been an issue for man since the dawn of civilization. In today’s fast paced world conflict, especially in the workplace, is a frequent occurrence. When that workplace is a health care environment where lives are at stake, emotions run high and collaboration with many different disciplines is required conflict often becomes a prevalent part of everyday life. Conflicts in the workplace can lead to reduced morale, lowered productivity resulting in decreased patient care and can cause large scale confrontations (Whitworth 2008). In the field of nursing whether a conflict is with a peer, supervisor, physician, or a patient and their family, conflict management is a necessary skill.
Leadership in healthcare today requires communication skills, changing in healthcare delivery with limited or changing resources, strong human resource abilities, and professional engagement among nurses and management teams. The following is the Part II of a leadership case study exploring the leadership perspective for several issues.
Subsequently, my understanding of Quality nursing care was for health professionals to abide by the national care standard of dignity, privacy, choice, safety, realising potential, equality and diversity when delivering care. Additionally, my understanding about quality nursing care was showing unconditional positive regard to patients, not being judgemental towards people, being empathetic and congruent professional when providing
Among them is its emphasis on productivity. Fee for service encourages the delivery of care and maximizing patient visits. As a payment mechanism, it is relatively flexible in that it can be used regardless of the size or organizational structure of a physician’s practice, the type of care provided such in clinic visit, surgery, therapy session, and the place of service such as physician’s office, nursing home, hospital, surgery center or the geographical location of care. Fee for service does support accountability for patient care, but it is often limited to the scope of the service a particular physician provides at any point in time. Although fee for service is easy to understand conceptually, it can be difficult to understand in practice. Patients may struggle to decipher the coding and nomenclature involved in billing, manage the numerous bills and explanations of benefits they might receive, and understand its application in inpatient settings, especially for lab, radiology, and anesthesia services. Because payment is limited to one provider for one interaction, fee for service does little to encourage management of care across settings and among multiple
Organizational structure provides the framework to enable members of the organization to delegate responsibility, maintain accountability and structure authority. UMC utilizes organizational structure and has organizational diagrams readily available for review when necessary. The chain of command in the Neurotrauma Intensive Care Unit (NTICU) included the assistive personnel reporting to nursing, nursing reporting to team leader for the shift, sh...
Effective management can be described as the art and skill of manager to manage the challenges and problems efficiently and well in the organization. These skills include communication skills, decision making, problem solving skills, conflict management and many more. According to Katz (1974), there are several key competencies to become an effective nurse manager such as conceptual skill that involves the ability to analyze critically
The management theories included the scientific management theory, classical organization theory, the behavioral school and management science school.
In this case study Allison is put in a tough situation because her doctors decided to make ineffective decisions. At first, the doctors were keeping Allison up-to-date with what they were doing, but only to a certain point. When the doctors did everything, they thought would result in the practice becoming “successful” they ended up going to Allison for advice. In chapter 3 of the book Introduction to Health Care Management, authors Buchbinder and Shanks make a good point about workplace motivational theories by stating, “to achieve this type of success, organizations must recognize the full power of their employees and motivate them to reach for the common good of the organization” (p. 51). Allison must have the best interest to help these doctors as they face many complicated issues, for her to be able to draw upon and apply the theories of management and motivation to address the issues the doctors created.