Example Of Overview Of The Healthcare Organization: Maxim Healthcare Services Report

Example Of Overview Of The Healthcare Organization: Maxim Healthcare Services Report

Final Project
The Maxim Healthcare Services are a United States based healthcare provider with a presence in more than forty states in the country. The paper would concentrate on the branch located in Indianapolis, Indiana. The organization offers healthcare services and in that vein employs thousands of staff including nurses of various qualifications and leaning such as Registered Nurses, Licenses Practical Nurse, Certified Nurse Assistant, among others. It is imperative to note that the organization has diverse healthcare facilities and arrangement with nurses being employed in the following service departments: homecare nursing, travel nursing, emergency nursing, internal clinical services, among others.
The work arrangement is flexible and depends on the contract provisions between the employer and the employee. On the overall, Maxim Healthcare Services are an organization informed by the need to provide healthcare services to the citizenry in America. It is noteworthy that the organization operates under the free enterprise system in the United States of America. However, its main objective is the provision of healthcare to the citizenry and not merely to earn profits.

Overview of the job position and reason for selection
The emergency nurse is a qualified registered nurse, abbreviated as ER Nurse RN. This position plays a critical role in three main departments, these are, the intensive care unit, the critical care unit and the medical surgery. The job position confers essential roles to the nurse in the mentioned departments. The main roles include: planning, implementing and evaluating patient care, assessment of signs and symptoms indicative of the patient’s condition, performs interventions and remedial actions in response to priorities in the work place in consonance to the hospital policy and the patient care outcomes and conditions, ensures patient care needs are fully addressed and that patient comfort ability is maintained to the best interest of the organization, ensures implementation of the doctors’ recommendation and advise including interpretation and administration of the diagnosis and prescription from the doctor, among other auxiliary duties. In appreciation of the roles of the emergency nurse, it is essential to elaborate on the essential position that the emergency nurse plays in the work environment. The nurse is there to provide continuity in the medication process. The doctors diagnose illnesses and prescribe medication while the nurses are left to care, evaluate and monitor the patient’s progress and condition.
This job position was selected for its essential role in the overall treatment, recuperation and monitoring of the patient. It illustrates the special role that nurses play in the administration of healthcare services. It negates the stereotype that nurses’ roles are often merely auxiliary. It puts into perspective the contribution of nurses and especially in the emergency department hence my motivation to cover and analyse it.

Job position in the organizational hierarchy
In the healthcare industry and specifically the hospital setting, the hierarchy is often flatter entertaining only three main levels or job groups, these are, the management, the skilled personnel and the semi-skilled personnel. All healthcare professionals involved in the active discharge of medical services fall in the second hierarchy. The nurses hence fall in the skilled personnel category. In this hierarchy, the nurses fall below the doctors. A keen evaluation of the hierarchy places emergency nurses under the doctors and physicians and in the same level as other nurses.

Challenges in recruitment and retention and the importance of the job position
It should be noted that emergency nurses do not have a definite time of service. However, as is the case in the Maxim Healthcare Services, emergency nurses work on rotational basis. They serve in the various mentioned department on a shift often of eight hours. In addition, the nurses work in teams. For instance, team A of ten nurses could man critical unit B for eight hours and then exit to allow team B to proceed for another eight hours. The challenges often arise in the risks and inconveniences experienced. Cases of night shifts, exposure to blood borne pathogens and toxic and chemotherapeutic chemicals increase the risks inherent in this profession. Generally the turnover is low. Nurses are often committed to their work and would seek alternative solutions other than quitting. Some of teetering challenges the organization often grapples with in relation to retention is the shift programming, the salaries and allowances, continued training and the annual and maternity leave programs. Recruitment programs are often handled through intense interviews with the pooled recruits being a blend of experienced and fresh graduates. The training and orientation often presents challenges especially for fresh graduates primarily because of the expectation gap from the college experience to real workplace environment. However, on the average, the recruitment and retention is often handled effectively through the human resource department.
The importance of the job position lies in the fact that these personnel provide continuity in medication processes. They evaluate, implement and regulate the medication process as prescribed and instructed by the doctors. Their role is essential in the overall administration of healthcare services especially given the critical conditions in the emergency set ups.

Interesting Aspects
Some of the striking aspects that I liked in this job position was the organization places on emergency nurses. In appreciation of their critical roles, the organization ensures all their employment grievances are listened to and addressed. In addition, the nurses’ remuneration is subject to a progressive review each year, as at 2012, the average annual income in Indiana was $64000.


Pharmacology in Nursing Research Paper Examples

Pharmacology in Nursing Research Paper Examples

– What nursing diagnosis is most appropriate for this patient?

Heart failure
– The nurse obtains laboratory results from tests drawn on admission including BNP 1275 pg/mL, K 5.4 mEq/L, creatinine 2.7 mg/dL, BUN 42 mg/dL. The nurse contacts the prescriber who orders a stat electrocardiogram, which shows S-T changes. What action should the nurse take at this point?
The nurse should immediately transfer the patient to the coronary care unit and the necessary emergency drugs to control the high blood pressure given first.
– The patient is transferred to the coronary care unit. Oxygen is administered along with furosemide (Lasix), morphine, nitroglycerine, and enalipril (Vasotec). What is the rationale for administration of these drugs?
Oxygen is provided since blood is not circulating as expected due to the heart failure. Heart failure indicates less blood being pumped to perfuse various organs. Hence to avoid damage to vital structure like the brain, heart and lungs, oxygen is provided. In addition, in heart failure, there is a tendency for such patients to develop breathing problems associated with cor-pulmonale. Furosemide is given since it is a loop directing and first line to reduce hypertension and minimize on oedema in a heart failure patient. Nitroglycerine is a good dilator and aims to increase blood flow to the heart especially coronary arteries so as to reduce heart’s work load. Morphine in this case was used as a pain reliever as well as a preventive measure to reduce instances of sleep apnea experienced by the old man. It also got the ability to cause vasodilatation of leg vessels. Enalipril was generally used for the purpose of lowering the high blood pressure of the patients.
– The patient is stabilized and is transferred to the nursing unit. Prescribed drugs include carvedilol, enalipril, and furosimide. What laboratory values does the nurse need to monitor when a patient is receiving these drugs?

Patient should constantly be monitored for potassium levels and calcium levels
– What teaching should the nurse provide to prepare this patient for discharge?
The nurse should provide the patient with education regarding the importance of taking those drugs. In addition, education regarding time to be taken, how to be taken, and side effects should also be mentioned to the patient. Furthermore, constant home monitoring of sugar levels plus blood pressure levels should be advised and informed to visit the doctor when they become uncontrolled. Furthermore, the patients should also be educated on the importance of taking diabetes drugs and proper nutrition with emphasis on avoiding foods with salts. Moreover, the patient should be encouraged to avoid strenuous activities that may overwork his heart.
– The patient lives in an apartment building with 12 stairs to climb to his apartment. After climbing the stairs, he needs to rest because he is short of breath. He can, however, perform most activities of daily living. According to the New York Heart Association (NYHA), what is this patients HF classification?


Health Care Delivery In The Us Human Resources Director Essay

Health Care Delivery In The Us Human Resources Director Essay

Couse Module
Description of Department

Type of work done in the department

Interesting, informative, or specific information
related to the chosen department that makes it unique

The targeted interviewee and responsibilities

Human resource management in health care across America is a magnificent responsibility. In the midst of health care reform and criticisms of America’s health care system being the most expensive in the world; it poses a real challenge to human resource management. This discussion will outline an interview conducted with a human resource manager of a renowned hospital in United States of America. She was asked to share her views on how it is to manage a large institution with the present image of health care across the country.

Health Care Delivery in the United States of America: Human Resource Director
Description of Department
The department managed by V.K consists of a 200 bed obstetric facility executing supervision for 15 resident obstetricians; 12 registered obstetric nurses; 11 Licensed Practical Nurses, 12 CNAs and 40 auxiliary staff members. The auxiliary staff functions as food service providers in the kitchen; cleansing and records sections of the organization. Staff nurses assist in managerial functions on clinical areas supervising LPNs and CANA’s. There are four sections within the maternity unit. These are the admitting room, prenatal; labor unit or intra-natal department and post natal where women are cared for after delivery. A nursery is attached to the unit, but neonatal nurses manage that portion of the facility.

Type of work done in the department
Precisely, these four compartments define hospital obstetric care during delivery of an infant. Upon admission obstetric nurses on duty screens the mother. Her vital signs are taken and recorded; the infant’s fetal heart rate is monitored as the mother awaits assessment by the on-call obstetrician. If the mother is in active labor she is transferred to the labor room. If there are signs that labor is imminent she is transferred to the prenatal section. Mothers who are not in labor neither at term without any complications are discharged from the facility to be seen by their outpatient obstetric for follow up care (Glynn, 2008).
During the labor unit experience patients are monitored by nurses hourly, half hourly and eventually 15 minutes for cervical dilation. When the cervical os is fully dilated an obstetrician is informed to conduct the delivery. Obstetric nurses assist in the delivery of the infant upon doctor’s request.
Once there are no complications during nor after delivery mothers are transferred to the post natal section of the facility. In this unit the fundus is checked for involution. Color and consistency of lochia is evaluated as well as vital signs. After two days of successful recovery from the trauma of labor mothers are discharged. Infants are usually cared for by a pediatrician and neonatal nurses. A decision is made by them regarding if the infant is discharged to leave with the mother.

Interesting, informative, or specific information
Related to the chosen department that makes it unique
This is the only maternity hospital found within that state. It is privately managed with state of the art equipment not found at maternity hospitals and units around the country. Patient care during and after delivery at this hospital is excellent. There is a 5-1 registered nurse/patient ratio 4-1 LPN and 4-1 CNA. Even though health care is very costly in America this institution makes it affordable by accepting Medicaid and many employee and private insurances (Crawford, 2002).
Women can be assured of a safe delivery of their new born through anesthesia administered from an evidenced based practice intervention. Measures are taken to make the labor experience as stress free as possible. The labor room is designed for a father to remain throughout labor to witness the delivery of his infant in privacy. Women who are uninsured and would like to access these services can pre-book to have their delivery by engaging in a payment plan to cover costs prior to the hospitalization.

The targeted interviewee and responsibilities
V.K is capable of performing duties in two nursing disciplines; first as a registered nurse and as an advanced practice obstetric nurse. In her capacity as human resource director she is not required to perform deliveries, but supervises primary health care offered to women within the facility ensuring that shifts are adequately staffed and the facility is managed according health care regulations.
Another major managerial responsibility entails recruitment of the most efficient staff. As such, in her capacity as human resource manager she models her expectations. Precisely, in executing this role she ensures that all staff is appropriately remunerated for their very high quality of work through incentive schemes. She pointed that people cherish the knowledge that they have job security and sustenance after they retire. Consequently, she researches opportunities and makes them available to all categories of workers under her supervision.

This advance practice nurse indicated that she abhors autocratic leadership. She never liked supervisors made subordinates feel inferior. For her it meant a violation of professional intelligence. In response she allows subordinate staff to function with integrity and further give them the space to do it efficiently according to how they were certified. By same token benevolent management styles were not advocated. They were interpreted as simply ridiculous lacking transparency. As human resource manager it is not tolerated in that organization. There is no scope for, ‘do as I say and not as I do in this maternity facility,’ she remarked. The theoretical model guiding her leadership while being transformational was clearly democratic. Importantly, in explaining Mrs. WG’s leadership style, she considered herself to be managing with democratic prudence.
Political authority for her, means engaging staff towards a top up approach instead of a bottom up influence. As such, the authority to discipline staff members was invested upon her through the designation of human resource manager. Her concept of authority and use of power is to demonstrate through modeling what ought to be accomplished. If this does not work then, a one on one discussion either at a staff meeting forum or structured interview could be reinforced (Bondas, 2006).

Bondas, Terese. (2006). Paths to nursing leadership. Journal of Nursing Management,
14(5), 332-339.
Crawford, E. (2002). Enterprising Women: The Garretts and their Circle. Francis Boutle
Glynn, J. (2008). The Pioneering Garretts: Breaking the Barriers for Women. Hambledon


Traditional Versus Cutting-Edge Hospital Environments Case Study Example


Traditional Versus Cutting-Edge Hospital Environments Case Study Example


Each organizational culture has its own expectations for the roles the new graduates would be required to play. A cutting-edge hospital may be more difficult to adapt to, for it may require that the novice learn new adaptation skills in addition to the traditional skills necessary for a smooth transition from the school into the hospital setting.
The answer lies in the new graduate’s ability to fit in at her new environment. The personality and expectations of the new graduate will impact how well and how quickly the new nurse can adapt and learn to function in the work environment. The new graduate needs to make a quick assessment of the structure of the work environment to begin to internalize the hospital culture. A cutting-edge hospital setting might require the novice nurse to learn to fit in faster than a traditional hospital with well-established guidelines for the assimilation of new graduates. A new graduate who thrives on challenge might enjoy working at Central, while one who likes structure might prefer City.

If Tanya were an experienced nurse she would already “know the ropes,” and have a clearer view of the situation. She might wish to change her work environment for one different from the one she is used to. Depending on her current job, she might opt for Central or City. But, is she is serious about becoming a pediatric nurse practitioner, perhaps Central with its cutting edge technology would serve her better.

One needs to know how well Tanya is able to work under pressure, and whether she is quick to adapt to new situations. It would also be good to know the type of learner Tanya is; that is, whether she is a self-guided learner or one who needs well-scaffolded material. A self-guided learner might prefer working for Central.

Important things to consider when evaluating a hospital for future employment include the hospital culture, working conditions, workload, wages, overtime, number of beds, nurse-to-patient ratios, nurse turn-over rates, agency nurse use, leadership styles, nursing educational opportunities, interdisciplinary collaboration opportunities, whether it is a teaching hospital, team/peer support, professional development opportunities, and hospital environment. The big question is whether either hospital is a magnet hospital for nurses.

American Association of College of Nurses. (2002). Hallmarks of the Professional
Nursing Practice Environment Brochure: What Every Nursing School Graduate
Should Consider When Seeking Employment. Washington: AACN.
Beecroft P.C., Dorey F., & Wenten M. (2008). Turnover intention in new graduate
nurses: a multivariate analysis. J Adv Nurs. 62 (1), 41–52.


Nursing Self Checklist – Critical Thinking Examples

Nursing Self Checklist – Critical Thinking Examples

How would you describe your thinking?
Is it easier to describe your thinking now that you know the words?

Describe your personal critical thinking process.

Apply the concepts of critical thinking to patient assessment.

Nursing: Critical Thinking Self Checklist- Boxes 2-4

How confident am I in reasoning ability?
Not very confident Very Confident
2. Do I tend to look at a situation with their context in mind, or do I tend to see things as separate compartments?

Compartmentalized thinker

3. How creative am I in my thinking?

Not very creative Very Creative

4. How flexible is my thinking?

Rigid Very Flexible

5. How inquisitive am I?

Not Naturally Curious Innately inquisitive

6. How much intellectual integrity do I have?

Go with my assumptions Seek the truth no matter what

7. How intuitive am I?

Not very intuitive Always go with my gut

8. How open-minded am I?

Quite Biased Open to all possibilities

9. How much perseverance do I have in my thinking?

Once I have problems I’ll stop Keep at it no matter what gets in the way

10. How reflective am I? Do I think about my thinking?

Not very reflective Always striving for deeper understanding of self

11. How good am I at analyzing situations?
I don’t break things down much I always pick things apart to understand them
12. How much do I pay attention to standards with my thinking?

Do not use much for judgments Always use criteria for judgments

13. How finely do I discriminate among things?

Don’t recognize small differences/similarities. Always recognize small things

14. How good am at seeking out information?
I think about what’s right here I dig for all possible evidence
15. How strong is my logical reasoning?
I can’t always justify my conclusions I can always trace my conclusions to evidence
16. How good are my abilities to predict consequences in situations?

Don’t see much further than my nose I always think. What would happen if

17. How well do I transform knowledge from one situation to the next?

Prefer textbook situations. Can adapt concepts to meet situation

Nursing: Critical Thinking – Essay
How would you describe your thinking?
I must admit, truthfully, there is no confidence or little demonstrated in the way I think. Critical thinking has been described as the art of taking control of the mind (Facione, 2011). One of the ways a person can take control of the mind is through developing confidence. Also, theorists have posited that in articulating critical thinking one must assert the ability to decide whether a claim is fully true, partly true, false or nearly false. (Hamby, 2007)
This is done mainly through observation; analysis, inference and prediction. When I describe myself as a contextual thinker it is that I see the issue, thing or situation within a contextual framework. As such, my observation, analysis inference and finally prediction is based most of my narrow view of the world.

Is it easier to describe your thinking now that you know the words?

Yes! It has become more comfortable since I recognize that I must be willing to criticize myself, be reflective in my approach and develop competence through practice (Paul and Elder, 2006). Precisely, in willing to criticize myself I am learning that I must inculcate the habit of being intentional and just do not allow anything to enter my mind and interpret them in anyway as I do. I have the ability to entertain a though or discard it.
In being reflective it is important to consider evidence before making my predictions. Hence, I know that I am a contextual thinker when I combine evidence with judgment. This is how confidence deflation surfaces because so often I feel incompetent to expose the way I think to others for fear of being criticized, but it is easier to do now.

Describe your personal critical thinking process.

My personal critical thinking can be described as me showing limited competence to entirely break things down. However, I always pick things apart to understand them and think about what is right here, digging for all possible evidence. The set back is that I do not utilize enough analysis for sound judgments. Often, the criteria I use are not clearly conclusive even though I have the ability to trace the evidence, but it has to be within the context of a textbook. Therefore, I express very little of my own thoughts.

Apply the concepts of critical thinking to patient assessment.

If a psychiatric patient becomes agitated beginning to express emotional outbursts I would observe the behavior from the perspective of a nurse. Further observation would make an assessment of the situation in determining possible reasons. My analysis would then be that he/she would not only become harmful, but the inference to arm him/herself by taking up a weapon. Finally, my prediction would be that the client/s may harm others.
Hence, observing the behavior to make sense of it, then analyze actions and reactions to determine the cause. Thirdly, I would make an inference based on what I have seem expressed verbally and emotionally then finally, a prediction would be made which is my assessment of the patient’s behavior,

Facione Peter (2011). Critical Thinking: What it is and why it counts? California. California

Academic Press.
Hamby, B.W. (2007). The Philosophy of Anything: Critical Thinking in Context. Kendall Hunt
Dubuque. Iowa Publishing Company.


Surgical Technology Research Paper Examples

Surgical Technology Research Paper Examples

Surgical Technology is a career path that involves every activity involved in surgery from preparing the patient and the operating room, to transferring patients to the recovery room and restocking the operating room. . Some of the pre-surgery duties involved in Surgical Technology are; preparing the operating room, preparing the patients and assisting the surgical team. Surgical technologists also help during surgery. Surgical duties technologists may perform are; assisting with equipment, keeping count of sponges and other supplies, operating sterilizers, lights or suction machines and diagnostic equipment. Post surgery duties include; transferring patients to the recovery room and cleaning and restocking the operating room. Some surgical technologists specialize in a particular area of surgery, such as heart surgery. Other technologists, called circulating technologists provide the interface between the sterile surgical team and help with anesthesia and open packages so that sterile persons can use the contents. Technologists who obtain further training can advance to first assistants with greater involvement in the surgical process. .

The World Health Organization maintains a Surgical Safety Checklist on its website that is a list of duties commonly performed by surgical technologists. The Checklist is broken up into three sections: Sign In duties that are done before the induction of anesthesia, Time Out duties that are performed before the skin incision and Sign Out duties that are completed before the patient leaves the operating room. One group of Sign In tasks involve talking to the patient confirming their identity, insuring the site on the patient’s body for the operation is marked, describing the procedure again and making sure the patient has given their informed consent. Another important duty of the surgical technician is reviewing the patient’s files and speaking with the patient to make sure all allergies are clearly documented and making sure the surgical team is aware of these allergies. Another set of pre-surgery Sign In tasks involve preparing the anesthesia safety check, making sure the patient does not have any existing breathing difficulties and ensuring any potential breathing assistance equipment and personnel are available during surgery. Surgical technologists also prepare intravenous fluids, including blood, and ensure that intravenous access is in place so that fluids may be administered as needed. They also check the pulse oximeter that measures pulse rate and the amount of oxygen in the blood to make sure that is in place and operating correctly. .

After anesthesia, but before the skin incision is the longest lists of tasks on the World Health Organization’s Surgical Safety Checklist. The first group of duties is making sure that all team member’s have introduced themselves by name and the role they will play during the surgery and the surgeon, anesthesiologist and nurse have verbally confirmed “the patient, site and procedure.” . The surgical technologist also works with the surgical team to review and prepare for anticipated critical events with the surgical team. The surgeon describes the potential critical or unexpected steps that sometimes come into play in the particular type of surgery, the anticipated length of the operation and the expected blood loss. The anesthesiologist inquires into patient-specific concerns and possible complications. The Nursing Team reviews sterility and equipment issues and any other concerns. The third group of tasks in the Time Out section of the Checklist is to determine if antibiotic prophylaxis was needed and if so confirm that it was administered in the last sixty minutes, and to insure any essential imaging is properly displayed.

The World Health Organization lists the following tasks to be done and confirmed by the surgical technologist and “the nursing team before the patient leaves the operating room.” The technologist and the nursing team also confirm that the proceedure has been recorded by name and that name includes patient’s name as well. Then they review the “ instrument, sponge and needle counts.” to make sure they are correct, check that any specimens are labelled courrectly and that there are no problems left unaddressed. There is also a review done with the surgeon, nurse and the anesthesologist to address any concerns they may have about the surgery, and recovery process. . Following surgery, technologists help bring the patient to the recovery room, they prep the operating room for the next surgery.

The field of Surgical Technology provides a broad scope of duties, and technologists may choose to specialize in a particular group of tasks, or a particular type of surgery. With the increasing amount of technical equipment involved in the surgical process this career field is advancing quickly. The Mayo Clinic estimates there were presently 71,000 surgical technologists in the year 2000. They estimate that this employment field will grow faster than average as the amout of surgical proceedures increases with the aging population. .

Accreditation Review Council on Education in Surgical Technology and Surgical Assisting . (2012). Accreditation Review Council on Education in Surgical Technology and Surgical Assisting . Retrieved 3 11, 2012, from Accreditation Review Council on Education in Surgical Technology and Surgical Assisting : http://www.arcst.org/

Association of Surgical Technologists. (2011). Association of Surgical Technologists. Retrieved 3 11, 2012, from Association of Surgical Technologists: http://www.ast.org/

Mayo Foundation for Medical Education and Research. (2012). Surgical Technology. Retrieved 3 11, 2012, from Mayo Clinic: http://www.mayo.edu/mshs/surg-career.html


Nursing: Class Discussion Research Paper Nursing: Class discussion.

Nursing: Class Discussion Research PaperNursing: Class discussion.

A nurse’s duties are based on principles established centuries ago and thus are guided by a strict code of ethics. This limits the decisions available to a nurse as a health practitioner when in the line of duty and to some extent when even off duty as the Hippocratic Oath doesn’t specify that a nurse or any other medical practitioner must be in his or her line of duty so as to deliver the necessary responsibility. This has several implications on the decision options available to a nurse with regards to, or due to constraints imposed by, ethical and legal liability and accountability resulting from the Hippocratic Oath and the Florence Nightingale pledge.
A nurse is expected to educate others and enhance fostering of gaining knowledge in the area of health to both the public and the government. Besides, nurses are bound by the oath to train those that are in need of learning the profession and also help and collaborate with other medics in services delivery as well as research. This binds the nurse into a collective decision making so as to involve the others as required by the oath. Taking into account the fact that patients have the right to privacy treatment with dignity and confidentiality about their health or family matters, and then this means that a nurse can’t take either advantage of a patient or patients for personal gains or gain ground to be personal against such an individual.
Even with respect to that, however, at times the decisions made by nurses might counter the very reason for the Hippocratic Oath and the Florence Nightingale pledge. Taking into account the current trend of establishing lucrative private health care systems and facilities, supervisors of such facilities are likely to be business oriented than just providing necessary medical care to those who need it. The decisions available to a nurse though guided by a sound doctrine whose goal is to help humanity gets altered and meander from the expected. For instance the management may pressurize them to portray a positive image of such a facility even when the reality might not be as either portrayed or marketed. This contradicts the stand against false presentation or misinforming the public on matters on the ground.

Hill, S. S., & Howlett, H. A. (2013). Success in practical/vocational nursing: from student to leader (7th ed.). St. Louis, Mo.: Elsevier.


Free Communication Skills Of Nurses In Palliative Care Essay Example

Free Communication Skills Of Nurses In Palliative Care Essay Example

Hospice and palliative care is a health unit that involves extensive care to patients. Hospice care and palliative care have b had contradictory opinion over the years, however, both focus on providing quality care to patients and relates to nursing worldwide. These type of care focuses on quality care after life, however, palliative care focusing on pain management during the last stages of a patient whereas hospice care ensures that quality care is ensured to the patient and respective families.
Ethical issues on palliative/hospice care has been debated over the years, communicating being the greatest difficulty that nurses/ physicians face in explaining this care to patients and their families. Focusing on the article “Journal of Hospice and Palliative Nursing”, the topic of Communication Skills of Nurses in Palliative Care has quantitatively been discussed and results posted on the various ways that the nurses face.
Communication has gained its focus and has entirely been explained and discussed in the article, and has managed to join the history that revolves around palliative/ hospice care. Different stories have been used by nurses in the article pertaining the topic, which has managed to bring out clearly factors to consider before and after communicating. Factors such as mode of communication, nature, condition of the patient and proper way to approach the patient and respective family.
However, the permanent focus of the article on communication is more of quantitative, with the lack of qualitative research aiding the topic quite uncalled. Describing better ways and discussing possible solutions to emerging ways of communication with evolving systems should have been adopted to give quality and reliable information on how to approach communication ethics in any health setting.

The article on communication ethics portrays some of the difficulties nurses’ faces today with respect to the patients they handle. Communication has been of challenge, but over the years has been overcome with recent evolutions made, from oral language to sign language as the article shows. Thus, any communication ethical related problem linked to hospice/palliative care should be treated with great ethical standards to ensure proper service provision that influence best decisions for the care givers of the patient, patients themselves and their respective families.


Free Culturally-Competent Care Essay Sample

Free Culturally-Competent Care Essay Sample

Culturally-competent care is healthcare that is mindful of the values prevalent in the ethnic and religious backgrounds of the patient. The capacity to provide culturally-competent care is critical especially for nurses who work in high-stress, high-acuity healthcare environments. Nurses must be culturally-competent to the extent that they develop rapport with patients. This helps in accurately assessing, developing and implementing nursing interventions to cater to the needs of the patients.
As a nurse, I can influence my nursing practice to ensure that I am culturally-competent. I can achieve this by respecting the dignity and rights of all patients regardless of their ethnic, cultural or religious backgrounds. In addition, respecting the beliefs of patients even though they conflict with mine can also help me to become culturally-competent. Common barriers to cultural competence in nursing include racism, discrimination, stereotyping and prejudice. Simple practices that can help me achieve a good rapport and show respect to patients include referring to them by their surname or asking how they prefer to be referred to as. It also includes showing respect for those around the patient such as their support group, family and friends. Building confidence for a better patient-nurse relationship may take time but it is worth the effort. If the patient speaks a language that I do not understand, I can improve our relationship by seeking an interpreter.
If I witness care that is not culturally-competent, I will make an effort to advise the nurse involved on the need to be culturally competent. This may involve calling them aside in privacy. If the problem persists, I may seek intervention from a supervisor or higher authority so as to have them make a change.


Legislation Of RN Patient Load Assignments: Rebuttal Essay Sample

Legislation Of RN Patient Load Assignments: Rebuttal Essay Sample

Whilst the refuting arguments made have a certain validity and merit, they are in my view outweighed by the strong and legitimate reasons for legislating nurse caseloads. Dilcher (1999) agreed that “setting of minimum nurse-to-patient ratios has the potential to enhance patient care in hospitals, encourage nursing education programs, and attract former nurses, who have become frustrated with inadequate ratios, to the nursing profession and hospital practice.” Dilcher recognized that such legislation could increase costs, but as indicated in the “Support” section of the subject PowerPoint presentation, a nurse working with a regulated caseload (hence not trying to fit in too many patients into a working day) will perform better, give patients the attention they need and deserve, and will above all have greater job satisfaction. That is key to retaining nurses in the profession, especially at a time when the implementation of Obamacare is likely to further overload the healthcare system in the U.S.
Without such legislation, some see safety as an issue. Judson and Kaplan (2009) published an article in Metro West Daily News, in which they described various problems caused by overworked nurses working in an under-staffed environment where each nurse may have up to 12 patients to care for. These included patients suffering with bed sores and/or other infections. One case of a urinary infection cost $44,000 to resolve.
So the refuting argument that legislating caseloads will increase costs may – as mentioned above – have some validity, but costs can and probably will be increased by not legislating, as the overworked nurses make mistakes or overlook/neglect needed attention to patients. Yes, there may be a growing nursing shortage, but the solution is not to further overwork nurses, which will exacerbate the shortage, by causing more to leave the profession for a less stressful working life. Legislating to control nurse caseloads has to be the way forward.

Dilcher, Amy. (1999). “Legislating Nurse-to-Patient Ratios: California Legislation Falls Short.” University of Houston, Texas. Retrieved from http://www.law.uh.edu/healthlaw/perspectives/MedicalProfessionals/991019Nurse.html
Judson, Jen & Kaplan, Matthew. (2009) “Nurses press for patient limits.” Metro West Daily News. Retrieved from http://www.metrowestdailynews.com/news/x1659495133/Nurses-press-for-patient-limits