Respond

EXPERIENCE

I had been a bedside nurse for 24 years before I transitioned into my current position as an Accreditation Specialist. I have been in my position a little over two years and due to being a bedside nurse I never had to deal with any budgeting issues. My husband tends to all our personally finances. I honestly have to admit, I am not good with money. My husband is so much better in planning and saving for the future, I have more of a spontaneous personality. I paying more attention and asking more questions to my department manager and director in regards to our budget. They have quarterly leadership meeting where our organizations financial information is discussed. After these meetings, my leaders share the information and are willing to answer any of our questions. They want to be transparent to allow us to be educated and knowledgeable in regards to our organization.

REFLECTION

The pre-conceived notion I had of healthcare financial and budgeting principle is of staffing. I did not realize developing a staffing budget consisted of a certain formula. I was unaware of the number of factors related to identifying the full-time equivalents (FTEs) needed to staff a hospital floor. I now understand that an FTE consisted of 2,080 hours/year for a full-time employee. And patient hours are a major factor, the percentage of direct admits from the emergency room (ER). The budget also has to take into consideration the skill mix needed for your organization.

Two concepts that were very interesting to me were the nonprofit and for-profit concepts. They only difference is that non-profit organizations do not pay taxes. For profit hospitals are owned and operated by financial cooperation’s and have access to larger sums of money when needed. Nonprofit organizations are more community oriented and focuses on what the community needs. They are typically in area that are financially well off but that is not the case for the organization I am affiliated with. My community is poor and Medicaid and Medicare are a high percentage of our reimbursement. Quality verses quantity is always a main focus for us. We do not provide a lot of specialty services but what we offer is quality care with the capability to stabilize and transfer to affiliated hospitals. We like to ensure our patients are receiving quality care not matter where they are sent.

IMPLICATIONS FOR THE FUTURE

My proposed project is implementing a sepsis bundle checklist to improve sepsis bundle compliance in the Emergency Department (ED) to improve patient outcomes. This project is not a high cost to the organization. The sepsis bundle checklist can be created by our quality department and once passed through the form committee for approval it can be rolled out for use. The education department will be involved to develop the education for the staff and providers to ensure the checklist is getting implemented correctly. The checklist will be printed in our print shop so each department, mainly ED, will order and charged to their cost center. There are no areas of additional financial or budgeting data that I feel will be affected by this proposal. 

MUST FILL IN ON WORKSHEET ONLY / ANY OTHER INSTRUCTIONS WILL BE PROVIDED PLEASE REVIEW WORKSHEET THATS UPLOADED BEFORE ACCEPTING 

Part I:
Start by reviewing the articles on quasi-government and non-governmental agencies in your REQUIRED course materials. Then:

• Provide solid definitions of governmental agencies, quasi-government, non-government agencies. Please do not copy your definitions from a dictionary or any source. You  must explain these in your own words. Copying and/or direct quoting will result in 0 points on this portion of your assignment.
• Explain the difference between public health and medical services.

Part II:
INSTRUCTIONS: Complete the chart below. In each box in column 1, you need to select four public health concerns from the list below. (You might want to review information on some of the suggested health topics in Chapters 5, 6, 7, and 9 in your textbook, listed in RECOMMENDED course materials.) Your task is to find health-related organizations/agencies and a link to their website that address these issues at three distinct levels:

• Governmental Agencies (column B)
• Quasi-Government Agencies (column C)
• Non-Governmental Agencies (column D).

Then, in column E, write in one or two sentences explaining why this issue is a public or community health concern. Remember that public/community health focuses on populations, not individuals. Think back to your explanation in Part II outlining the differences between public health medical services. You are required to review scholarly research to determine the role of public health as it relates to these issues. Each description MUST include a citation.

Please note that your description of the importance to public health should not be rooted in the individual medical health care. Public health focuses on populations, not individual care. See the example below to help you with your worksheet responses.

Pick 4 from this list:

• Read and familiarize yourself with all the Ayurvedic resources in Lesson 2 (Web links, Videos, Journal Articles, etc.)
• Use the Internet to further explore Ayurvedic Medicine, and answer the following questions:
   

1. Give an example of how Ayurvedic Medicine can empower patients.
2. Describe the impact that Ayurvedic Medicine can have on the global community.
3. Identify Ayurvedic resources within a specific community.

• Your paper should be 4-6 pages, including: 
• title page
• reference page according to APA Writing Style 
• spacing and margin settings (APA Style)
• Type your paper in a WORD Document and save file.

(1) 150 words citation references

Nola Pender’s health promotion model is used to promote health behaviors by observing the family dynamics and promoting interventions that affect the family unit. The model has three main concepts. The first is that people are basically a sum of their parts, their individual biological makeup and their past experiences. Second, they have developed beliefs and characteristics based upon their interpersonal environment. The final concept is the goal, which is health promotion. The nurse is a part of the interpersonal experience, as well as the family. The individual’s perception of self-efficacy can be based on emotions related to past success or failures, the presence or absence of positive role models, and the presence of health disparities that can compete with the behavior change (Nursing Theories, 2011).

Pender’s model can help in teaching behavioral change, because it considers the multitude of dynamic forces at work in an individual’s life.  According to the theorist, when a person’s interpersonal environment becomes supportive and positive, there is a greater chance of patient compliance. For incidence, if the person is a new onset diabetic and their family is not supportive with diet changes and do not modify the family meals, the patient is less likely to be compliant with their new diet. 

Disparities such as age, socioeconomic status, educational level, disability, race, culture, or religious beliefs can affect a patient’ ability to learn. These factors can compete with the patient’s ability to participate in health promoting behaviors or limit access to health promotion resources. For instance, a person with limited English speaking ability may not have health promotion resources available in their native language (Whitney, 2018). 

According to the transtheoretical model, change is based upon a person working through six stages. Change occurs when a person has had time to contemplate and make up their mind to take action (Whitney, 2018). People can be unwilling to change for many reasons. They might not be cognitively capable, physically ready, or psychologically ready (Ashton & Oermann, 2014). For example, newly diagnosed patients are often in denial or have not accepted the diagnosis, so they may not be willing to intitally learn about their condition or their care. Another example, is when a parent of a child with a TBI is still grieving and may leave the room when their child needs to be cathed, toileted, or connected to a feeding pump. In this case, patient teaching that includes the parent’s active participation in their child’s care is not the focus. 

Ashton, K., & Oermann, M.(2014). Patient education in home care: strategies for success. Home Healthcare Now,32(5),288-294. Retrieved from https://www.nursingcenter.com/journalarticle?Article_ID=2460148&Journal_ID=2695880&Issue_ID=2460020

Nursing Theories. (2011). Health promotion model. Retrieved from http://currentnursing.com/nursing_theory/health_promotion_model.html

Whitney, S. (2018) Teaching and learning styles. In Grand Canyon University (Eds.), Health promotion: health & wellness across the continuum. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/1

(2) citation references 150 words

Bandura’s Self efficiency theory of behavior change is a health promotion model that was made the model by Albert Bandura. This model focused on the feelings of self-efficacy can lead to competency (Whitney, 2018). Bandura believed that patients/individuals have the power to bring their own outcomes to fruition. Its stated that there are three factors influence self-efficacy which are behaviors, environment, and personal/cognitive factors. The theory focuses on “…how learning is influenced by repetition, reinforcement, and symbolic modeling.” (Whitney, 2018). This model helps by giving power to the patient in changing their outcomes and behaviors.

Some barriers that effect a patient’s ability to earn and language, environment, socioeconomic status, illness and the patient’s readiness to learn. Language is an obvious barrier to learning, if a patients first language isn’t English and the nurse who is caring for said patient only speaks English there is going to be an inability to teach/learn. In this situation the use of translators and informational and educational packets/ videos in the patients preferred language are helpful and overcoming this barrier. The environment in which learning or teaching is done is also very important. If the environmental is full of distraction, loud noises, family members and nurses in and out or even a roommate it can cause the patient to ot focused on the teaching that is taking place. Nurse must ensure that before teaching is done that the environment is prepared. This involves elimination of all distractions, turning of the tv, having family members and staff exit the room and so on.

If a patient isn’t ready to learn or change the teaching is useless. Attitude and behaviors are one of the biggest factors in not just healing but learning as well. When patients aren’t ready or willing, the information they receive won’t be absorbed or it will be ignored which will lead to possible worsening of the patient’s illness and negative outcome. A Nurse has to ensure the patient is in the right mindset to learn, receive information and change. This can be done be a simple readiness to learn assessment by the nurse.

References

Whitney, S. (2018) Health Promotion: Health & Wellness Across the Continuum. Grand Canyon University. https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/1

Changing Attitudes in the Workplace

Several attitudes can be displayed in the  workplace depending on conditions, management style, personal issues,  and values. There are seven steps for changing attitudes in the  workplace. Refer to this week’s readings on the step-by-step process for  changing attitudes in the workplace. Now, read the following scenario:

You are a new manager in the department  (either major or desired management position). You discover that the  majority of staff members have a negative attitude, they gossip, and  have low morale. Many bring their home issues and problems to work.

Using the South University Online Library,  you may also research on the topics related to attitudes and perception  and write your response. Your response should be of at least three  pages.

Based on the above scenario and your research, answer the following questions in a Microsoft Word document:

• Explain each of the seven steps, including the sub steps, with  detailed, specific examples on how you will effectively change negative  attitudes in your department.
• What will you do specifically to turn your department around to a well-functioning team with positive attitudes?

Submission Details:

• Support your responses with examples.
• Cite any sources in APA format.