This chapter presents a review of the existing literature on the chosen area of research from the credible and reliable sources. All the articles for the sole purpose of this literature review has been taken from the GCU library to explain the previous studies on the correlational study of transformational leadership style and patient satisfaction within African American patients at urban academic medical centers.
Jamsari bin Atan (2019) with his fellows conduct a study in the context of identifying the role of transformational leadership style in perspective of organization performance. Patient satisfaction can be only achieved when the employees of the organization are working effectively and competitively. This researched study us quantitative in nature which collect data through survey method. The study covers three industries and data is collected from the leaders and employees and customers which is further analyzed with help of statistical tools such as SPSS. The findings of the research indicate that there is a considerable relationship among transformational leadership style and organizational performance.
Moreover, this study also highlighted that transformational leadership contributes to employee competency which further ensure the satisfaction of clients or customers like patients. When satisfaction of clients or customers are fulfilled than it also indicates effective performance of organization. This research study indicates that the transformational leadership style positively influences the employee competency which leads to productivity and organizational performance these in turn ensures the customer or client satisfaction (Jamsari, 2019).
Another considerable research in this regard is carry out by Muhammad Shahid khan et al, (2018) to explore the role of transformation leadership style in the context of effective human capital. The role of human capital can’t be ignored if an organization wants to ensure its customer and clients satisfaction that’s why this research paper also aim to analyze the role of transformational leadership in the context of building and developing effective human capital. This research paper utilized a mixed method approach to carry out this research, data is collected with the help of questionnaire and interview tool. This data is further analyzed with the help of AMOS and NVivo software.
The findings of this research show that there is a positive relationship between transformational leadership style and human capital effectiveness. This research is done on the healthcare industry and the results suggested that healthcare system should follow the transformational leadership style which will enhance their employee’s productivity this in turn will ensure the patient satisfaction within healthcare centers (Muhammad Shahid et al, 2018).
In patient satisfaction the role played by nursing being a transformational leader is also very important in this regard, and this was covered in a research done by Rahman et al, (2019). The main purpose of this research study was to analyze the role of nurse in the context of patient satisfaction in medical units. Nurse is an important unit of healthcare system and in the context of present advanced world they are required to play a role of transformational leader in their work.
Because of playing this attending role being a transformational leader they help in filling the gap existed in communication among clinical nurses and physicians. When the nurses are playing their role by having with the physician while attending at the bedside of a patient it enhances the patient satisfaction and create a positive environment for patients (Rahman et al, 2019).
Although, transformational leadership style role is very important for patient satisfaction but there are some factors which affects the patient satisfaction and should be a point of concern for the transformation leaders of healthcare system. In this regard a research is conducted by Jinming Fang et al, (2019), in which the basic aim is to analyze the factors which affects the patient satisfaction. Along with this the paper aims to identify some key factors which can improve the health policy by ensuring the patient satisfaction. For data gathering the questionnaire survey method was used and recorded the response from selected population of the research study.
The methods used for data analysis are chi-square, binary logistic regression, and gamma coefficient. The findings of this research indicate that the most important factor which influence the patient satisfaction are “attitude of medical staff’s service, medical staff services technology and convenience of hospital. Therefore, in analyzing the role of transformational leadership in the context of patient satisfaction these three factors should be considerable, by following these three factors the transformational leadership of healthcare system can ensure the patient satisfaction (Jinming et al, 2019).
Another same work done in this regard by Yilmaz (2018), the main theme of this research work is to evaluate the level of patient satisfaction from nursing care and this will be linked in the perspective of being a transformation leader. This study was descriptive cross sectional in nature, which is conducted in a hospital with the help of individual characteristics form along with using the Newcastle Nursing Care Satisfaction Scale. The research mainly focuses patients who have received an inpatient treatment within hospital. The findings of this research study indicate that nursing care satisfaction level about patients are determined at the medium level. This shows the need of being transformation leadership style to ensure the patient satisfaction above the level (Yilmaz, 2018).
Boamah et al, (2018) work very specifically on role of transformational leadership in patient safety, his topic of research is very closed to this research study. Boamah analyze the effect of transformational leadership on the patient safety outcomes and also on job satisfaction. They believe that healthcare system requires an effective leadership style at each level, under this assumption he gathered data with the help of random sampling and done a cross-sectional survey and data is further testes by structural equation modeling. The results of this research paper indicate that there is a strong positive impact of transformational leadership on the patient satisfaction. So, in this regard we can say that managers, medical staff and other stakeholders should practice transformational leadership in order to enhance the patient satisfaction (Boamah et al, 2018).
Another aspect of the correlation of transformational leadership and patient satisfaction is identified by Bednarova et al, (2018) by working on the characteristics of leadership style of head nurses and its influence on patient satisfaction. Nurses are considered as key stakeholder of the healthcare system in providing quality services. Therefore, the role of head nurses is more vital in this regard, because it effects the other employees and environment.
This research paper mainly focuses that area by finding the difference existed in assessment of transformational leadership style of head nurses by junior nurses and their perception about this. Further, this difference is analyzed in the context of its impact on patient satisfaction. The data is collected with the help of Multifactor leadership questionnaire and survey method. This collected data is further analyzed through standard statistical methods, and results states that there is a positive influence of transformational leadership style of head nurses on the patient satisfaction (Bednarova et al, 2018).
Leadership styles also put influences on the nurse’s quality and care system and this assumption is researched by Aladeen (2019). The main purpose of his research is to analyzed leadership styles of managers in the context of nurses which further influences the nursing care quality within the healthcare system. This research is quantitative in nature and data is collected through questionnaires from the medical and other staff of the healthcare system along with nurses.
The results of this research indicate that there is a positive correlation existed among transformational leadership style and the nurses care quality. Accordingly, to the findings of research the nurses care quality further satisfies the patient satisfaction, so the transformational leadership style is correlated with the patient satisfaction (Aladeen, 2019).
Another interesting work is done by Winans (2009) related to the transformational leadership style in the perspective of taking new life practices. The main idea of this research paper is that transformational leadership is important in enhancing the performance of healthcare system and its providers.
Because the transformational leadership mainly focuses on the complacent and work for quality enhancement within the competitive environment. Along with this it also suggests some new ways for developing, planning, implementing, organizing team members, evaluating the results and developing a responsibility of urgency. These all things positive influences the healthcare system and its providers which in turns ensures the patient satisfaction.
Skendzel et al, (2019) along with his fellows conducted a research study on the topic of transformational leadership theory in the context of improving patient satisfaction and also the provider satisfaction. The main theme of his research is to study the applications of transformational leadership style in ensuring the patient satisfaction and also the provider satisfaction along with this the author also worked on the path-goal theory applications for the patient satisfaction.
The results of this study also prove the positive correlation existed among the transformational leadership style and patient satisfaction (Skendzel et al, 2019).
This chapter presents the current literature on the concerned topic. As the transformational leadership does not directly lead to the satisfaction level of the patients but it is a step by step by which the care and healthcare service providers under the transformational leadership of their leaders work collaboratively to attain the organizational goals that in turn leads to the great satisfaction level of the patients.
A phone interview was conducted with a Health Care Administrator staff from MedStar Washington Hospital in Washington, DC. MedStar Washington Hospital Center (MWHC) is the largest not for profit healthcare organization in the District of Columbia, and is a valued member of Medstar. It is the flagship hospital of Columbia, Maryland based MedStar Health. It is nationally recognized for their diagnosis and treatment of cardiovascular diseases.
Also, its mission statement is to deliver exceptional patient-first health care, and the vision statement states they want to be a trusted leader caring for patients and advancing health. This paper will document the results of an inclusive interview that was conducted with MWHC President with several thoughtful answeres to multiple questions such as the most significant economic challenge, changes resulting from the problem, and the staff reactions to the challenges.
MWHC confronted numerous financial challenges during the tenure of President John Sullivan. He came aboard during the worst economic stresses, monetary crisis facing the hospital center, and in addition, laid off approximately 1000 associates from numerous departments between the years of 2011-2017 due to budgetary restraints. He indicated that MWHC is still facing new challenges daily.
Also, President Sullivan was willing to conduct a face-to-face interview to speak about the significant challenges facing the hospital center in 2017-2018. His email address is john.sullivan@whc.org. He indicated that there were over 50,000 women, men, and children who depend on MedStar Family Choice for healthcare services through Medicaid. The District of Columbia Department of Healthcare Finance excluded MWHC from the managed care contract award after five years of service to District residents. The healthcare plan was the choice of district residents which provided them access to high-quality healthcare inspite of the their financial situation. Enrollment in the program has grown dramatically compared to the other two Medicaid health care plans.
MWHC serves thirty-five percent of the residents in Washington, DC. The latest financial setback damaged the 2018 fiscal budget significantly, and currently there are over 120 positions which are in the over budget category. There is a four percent drop in admissions and an eight percent drop in inpatient surgeries. Also, there is Medicaid reductions, a new Medicare rule which reclassifies higher paying inpatient admissions and the implementation of a new medical record keeping system which is needed. Obama Care Shuttering Hospitals and Free Clinics (2015), indicated that smaller hospitals in poorer areas, which have a high concentration of Medicaid patients, are already beginning to shut their doors. In a December 14 article for WND, Paul Bremmer reported that in 2013, 18 acute-care hospitals in the United States closed, and “at least 12 more hospitals have closed this year in rural areas alone,” with more to come.
Interventional changes
In the current healthcare environment, there are growing partnerships between physician groups and hospital. Approximately six established prominent radiation oncology groups have partnered with MedStar. There will be training offered for other clinical employees due to a new policy being put in place because interventional radiology oncology employees are not credentialed to register new patients.
Another area of change is the MedStar Health contribution to employee’s 403 (b) plan. The hospital will no longer contribute six dollars to every dollar when an employee invests in the program. Also, former employees cannot withdraw any funds on their plans due to the hospital’s financial strains. The employee can contact Fidelity Investments and have their payments transferred to a Roth accounts if desired.
The third are of change is that employees will get pay raises of one percent until the hospital solidfy a plan to escape financial difficulty. Executive managers, front-line managers, and hourly associates are affected by this decision, and there is currently a hiring freeze on vacant positions. This mean everyone will have to double up on shift work and make the best of a difficult situation.
Employee Reactions
President Sullivan indicated that a large proportion of change initiatives is extremely unsuccessful in organizations. A recent town hall meeting was held about the newest changes at the center. The leading cause of change is employee resistance and acceptance. The recent town hall meeting addressed the upcoming changes and was attended by almost every employee. Employees morale and disappointment were heard loud and clear. Younger employees are aggravated, and overheard conversations that some staff have already started searching for other jobs in other health care facilities which consisted in state and out of state. Older employees feel helpless but confident that the recent changes will help the organization overcome their financial hurdle, and will attempt to ride it out until retirement.
Evaluation of changes made at WHC
Today’s organizations are increasingly implementing assessment tools for instance as staff development plans (Beausaert et al., 2011). The power of this tool lies in supporting
employees continuing professional development (CPD), and includes all training and education undertaken by an employer to improve the occupational knowledge, skills, and abilities of employment. Also, there is a process consisting of orientation, in-service education and continuing education for employees. There is a process consisting of orientation, in-service education and continuing education for employees. Below in Figure 1 displays a development plan that can be utilized for each staff to assist with the change transition,
MWHC staff plans to center their developmental plan around computer training which will be funded by their parent company known as MedStar Health, and issued by all Human Resources Departments throughout the organization. Mkoka, Mahiti, Kiwara, Mwangu, Goicolea, & Hurtig (2015) stated, “Other researchers have commented on the need to establish a positive working environment, keep communication open, provide opportunities for career advancement and recognize and reward hard-working health workers, (p. 2)”.
There are many health care organizations in the process of implementing change due to budget constraints, and unfortunately, organizational change will affect some staff negatively, and staff will have to try and work with their organization and keep the lines of communication open with their supervisors. Healthcare facilities are still not where they should be in processes and financially, but they are much better than they were a few decades ago. With technology on the rise, and advancement in systems, processes and medicine are still climbing slowly. Some healthcare organizations are in better shape than others, but the politicians need to focus more of U.S. Healthcare while eliminating some of the other concerns that are not so important if healthcare financially is to be improved. One day eventually, healthcare will get to where they need to be, and delivering quality services to the communities with highly skilled professional staff will improve drastically eventually.
Beausaert, S. A., Segers, M. S. R., Gijselaers, W. H. (2017). Vocations and Learning, 4(3), 231-252.
Mkoka, D. A., Mahiti, G. R., Kiwara, A., Mwangu, M., Goicolea, I., & Hurtig, A. (2015). Once the government employs you, it forgets you”: Health workers’ and managers’ perspectives on factors influencing working conditions for provision of maternal health care services in a rural district of Tanzania. Human Resources For Health, 13(1), 1-13. doi:10.1186/s12960-015-0076-5
ObamaCare Shuttering Hospitals and Free Clinics. (2015). New American (08856540), 31(2), 7.
Complete the Heritage Assessment Tool on pages 365-367 of the text. The questions will give you insight into your own ethnic, cultural, and religious heritage. In a two-to-three page, double-spaced paper (excluding title and reference pages), describe your ethnic, cultural, and religious background. Then, answer the following questions:
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HCS316 Culture Diversity and Health & Illness HW 5
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized.
Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
Communication is so very important. There are multiple ways to communicate with me:
Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:
Prepare this assignment according to the guidelines in the APA Style Guide in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric before beginning the assignment to familiarize yourself with the expectations for successful completion.
Mike and Joanne are the parents of James and Samuel, identical twins born eight years ago. James is currently suffering from acute glomerulonephritis and kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection.
The spread of the A streptococcus infection led to subsequent kidney failure. James’ condition was acute enough to warrant immediate treatment. Usually, cases of acute glomerulonephritis caused by strep infection tend to improve independently or with an antibiotic.
However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve.
The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God.
Mike and Joanne had been moved by a sermon their pastor had given a week ago and witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke.
They thought it more prudent to take James immediately to a faith-healing service instead of putting James through multiple rounds of dialysis. Yet Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, hoping that James would be healed by then.
Two days later, the family returned and was forced to place James on dialysis as his condition had deteriorated. Mike felt perplexed and tormented by his decision not to treat James earlier. Had he not enough faith? Was God punishing him or James?
To make matters worse, James’ kidneys had deteriorated such that his dialysis was now not temporary, and he needed a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their kidneys to James, but they were not compatible donors.
Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches.
James’ nephrologist called to schedule a private appointment with Mike and Joanne. James was stable and given regular dialysis but would require a kidney transplant within the year.
Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match but, as of yet, had not been considered—James’ brother Samuel.
Mike pauses and struggles to decide whether he should have his other son Samuel lose a kidney or perhaps wait for God to do a miracle this time. Perhaps this is where the real testing of his faith will come in. “This time around, it is a matter of life and death, what could require greater faith than that?” Mike reasons.
You have been asked to organize a community health fair at a local public school. The health fair will provide information and education on the following topics related to health promotion:
The volunteers who will be manning the stations are from the health care community (doctors, nurses, dieticians, and social workers). You want to ensure that the team members take into consideration the familial health traditions, personal beliefs and the values of the people who will be attending the health fair. In a three- to four-page paper (excluding title and reference pages), address the following points:
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HCS 316 Diversity in Health & Illness Essay 7
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized.
Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
Communication is so very important. There are multiple ways to communicate with me:
Crohn’s disease is a chronic bowel inflammatory disease. Some people may be symptom-free while others can have severe chronic symptoms. Crohn’s disease can sometimes cause life-threatening complications. Necessary information would need to be obtained from the patient through a health assessment and diagnostic tests. It is a chronic illness that does not have a cure and requires advanced care and ethical issues consideration. The information from the patient also plays a vital role in the management of Crohn’s disease.
Management of Crohn’s Disease requires an expert level of knowledge from a dedicated Nurse Specialist. The nurse should educate the patient to enhance confidence in the treatment plan. This increases drug persistence and adherence rates. The nurse should advise the patient on the use of biosimilars to reduce the cost of treatment. Reassurance and ensuring patient comfort minimizes anxiety, enhances patient collaboration and promotes patient healing. Mental, emotional support in the form of empathy, showing care and giving a sense of security to this patient whose self-care is compromised.
Diagnosis of Crohn’s disease requires a comprehensive evaluation of biological, clinical, and psychosocial aspects of the disease. In a study by Lightner (2018) in the Bowel Inflammatory Diseases, the diagnosis of Crohn’s disease is often made after the completion of cross-sectional imaging. Laboratory tests are useful for diagnosing Crohn’s disease, assessing disease activity, monitoring response to therapy, and identifying complications. Symptoms of Crohn’s illness are fatigue, blood in the stool, anal drainage in the event of fistulas and abdominal pain. These symptoms, however, are not disease-specific.
There is no clear clinical feature that helps in the diagnosis of Crohn’s disease. The nurse should assess for complications/red-flag signs. These are bleeding, weight loss and anemia. The nurse should assess for diarrhea, fever, fatigue, abdominal pain and blood in the stool. The nurse assesses the skin, joints and eyes for extra-intestinal symptoms. The nurse also assesses the level of anxiety and depression. They are the most common psychosocial problems in Crohn’s disease.
Management of Crohn’s disease is a complex process. Complex diagnostic methods are required. This makes management expensive. It is a chronic illness requiring palliative care. Health care providers should pay attention to the psychosocial needs of the patient and consider the patient’s financial status when determining the method of management.
Evaluating the effectiveness of the program is an important operation that will help in determining the intervention methods utilized to have any impact in addressing the social problem of drug use. The evaluation plan will measure how successful the intervention plan is and the accomplishments that the program has achieved. The evaluation will examine the benefits that the program has on the drug issue, its progress and overall outcomes. This will be important in determining if the intervention should be continued or if there are additional measures that need to be included in the intervention plan.
In evaluating the effectiveness of the programs, different evaluation tools will be used that include surveys, observation, focus groups and interviews. Surveys entail examining the behaviour of a group before and after the intervention has been implemented (Abadie & Cattaneo, 2018). In this case, the group shall be examined before the intervention program on young substance abusers is conducted and after the intervention has been implemented. The surveys shall be used to examine the behavioural change in terms of the prevalence of substance use among young adults, trends of abuse, and their attitudes towards substance abuse. This shall help in determining if the intervention program has had any impacts.
Observation method shall be used in examining alcohol consumption among adults. This measure is vital as it enables researchers to observe the participants in their natural settings hence increased accuracy (Guyadeen & Seasons, 2018). Alcohol consumption among the adults shall be examined for a period of six months to determine if the intervention program had any impact in reducing alcohol consumption in this group. This measure will observe the amount of time the adult spent in alcohol consumption, their alcohol consumption levels to note any change and listen to their talks concerning the topic of alcohol consumption. Observation shall also be used to examine the effectiveness of the emotional and social skills education on young people. Observation shall be done on how young people manage their emotions and how they apply their social skills in resisting substance use.
Focus groups will study the reactions of the young people and the impact the intervention plan had on both the young people and the adults involved in the program. A group of three to five individuals shall be used in this measure. Focus groups are an effective measure that helps in gathering data quickly ion the effectiveness of an intervention (Guyadeen & Seasons, 2018). The identified focus group shall be engaged in direct and open headed questions. Their response will help in determining how the group was impacted by the intervention program, thus determining how effective it was to the targeted audience.
Interviews shall also be carried out on a sample of the participants to determine how effective the program was. Participants shall be picked randomly to avoid bias. The identified participants shall be asked questions concerning what they think about the program. What they have learned from the program and how effective they found the program to be in behavioural change as well as improving their knowledge on the subject t matter. The advantage of using this measure is that it offers a chance for participants to explain better in their views regarding the issue (Abadie & Cattaneo, 2018). They also provide in-depth information as open headed questions are used.
The effectiveness of the program shall be assessed by determining the drug use prevalence rates among both the young people as well as the adults. A reduced drug and substance use rate shall indicate that the intervention program was a success. Additionally, this shall be determined through observing the response from both the young people and the adults regarding the program. This will include observing the behaviour change, the relationship between children and their parents shall also be observed to determine if the program was effective or not. An improved relation and connection indicate that the home visiting technique was effective
Monitor progress of the intervention plan
Ensure successful implementation of the intervention plan
Analyze program outcomes
ObjectivesReport and communicate resultsMake interventions where necessary
Improve program effectiveness
ActivitiesSurveysInterviews
Focus groups
Data measurement toolsEvidence-based programsBehavior management and modification Home visits
Emotional and social skills education
Classroom management
Timeframe6 MonthsResponsible personTeam leaderMeasures of successProgress in reduced drug useReflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings. What are some effective tactics for APN strategic positioning regarding pay equality?
Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service, and same pay?
Below is an article that provides great practical information highlighting how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.
Policy & Politics in Nursing and Health Care Seventh Edition Diana J. Mason, Ph.D., RN, FAAN Rudin Professor of Nursing Co-Director of the Center for Health, Media, and Policy School of Nursing Hunter College City the University of New York, New York Deborah B. Gardner, Ph.D., RN, FAAN, FNAP Health Policy and Leadership Consultant, LLC Honolulu,
Hawaii Freida Hopkins Outlaw, Ph.D., RN, FAAN Adjunct Professor Peabody College of Education Vanderbilt University Nashville, Tennessee Eileen T. O’Grady, Ph.D., NP, RN Nurse Practitioner and Wellness Coach McLean, Virginia 2 Table of Contents Cover image Title page Copyright About the Editors Contributors Reviewers Foreword Preface What’s New in the Seventh Edition? Using the Seventh Edition Acknowledgments Unit 1 Introduction to Policy and Politics in Nursing and Health Care
Chapter 1 Frameworks for Action in Policy and Politics Upstream Factors Nursing and Health Policy Reforming Health Care Nurses as Leaders in Health Care Reform Policy and the Policy Process Forces That Shape Health Policy The Framework for Action Spheres of Influence Health Health and Social Policy Health Systems and Social Determinants of Health Nursing Essentials Policy and Political Competence 3 Discussion Questions References Online Resources
Chapter 2 An Historical Perspective on Policy, Politics, and Nursing “Not Enough to be a Messenger” Bringing Together the Past for the Present: What We Learned From History Conclusion Discussion Questions References Online Resources.
Chapter 3 Advocacy in Nursing and Health Care The Definition of Advocacy The Nurse as Patient Advocate Consumerism, Feminism, and Professionalization of Nursing: the Emergence of Patients’ Rights Advocacy Philosophical Models of Nursing Advocacy Advocacy Outside the Clinical Setting Barriers to Successful Advocacy Summary Discussion Questions References Online Resources
Chapter 4 Learning the Ropes of Policy and Politics Political Consciousness-Raising and Awareness: the “Aha” Moment Getting Started The Role of Mentoring Educational Opportunities Applying Your Political, Policy, Advocacy, and Activism Skills Political Competencies Changing Policy at the Workplace Through Shared Governance Discussion Questions References Online Resources
Chapter 5 Taking Action: How I Learned the Ropes of Policy and Politics Mentors, Passion, and Curiosity
Chapter 6 A Primer on Political Philosophy Political Philosophy The State 4 Gender and Race in Political Philosophy The Welfare State Political Philosophy and the Welfare State: Implications for Nurses Discussion Questions References Online Resources
Chapter 7 The Policy Process Health Policy and Politics Unique Aspects of U.S. Policymaking Conceptual Basis for Policymaking Bringing Nursing Competence Into the Policymaking Process Conclusion Discussion Questions References Online Resources
Chapter 8 Health Policy Brief: Improving Care Transitions Improving Care Transitions: Better Coordination of Patient Transfers among Care Sites and the Community Could Save Money and Improve the Quality of Care1 References Online Resources
Chapter 9 Political Analysis and Strategies What is Political Analysis? Political Strategies Discussion Questions References Online Resources
Chapter 10 Communication and Conflict Management in Health Policy Understanding Conflict The Process of Conversations Listening, Asserting, and Inquiring Skills Conclusion Discussion Questions References Online Resources
Chapter 11 Research as a Political and Policy Tool So What is Policy? What is Research When It Comes to Policy?
The Chemistry between Research and Policymaking 5 Using Research to Create, Inform, and Shape Policy Research and Political Will Research: Not Just for Journals Discussion Questions References Online Resources
Chapter 12 Health Services Research: Translating Research into Policy Defining Health Services Research HSR Methods Quantitative Methods and Data Sets Qualitative Methods Professional Training in Health Services Research Competencies Fellowships and Training Grants Loan Repayment Programs Dissemination and Translation of Research Into Policy Discussion Questions References Online Resources
Chapter 13 Using Research to Advance Health and Social Policies for Children Research on Early Brain Development Research on Social Determinants of Health and Health Disparities Advancing Children’s Mental Health Using Research to Inform Policy Research on Child Well-Being Indicators Research on “Framing the Problem” Gaps in Linking Research and Social Policies for Children Nursing Advocacy Discussion Questions References Online Resources
Chapter 14 Using the Power of Media to Influence Health Policy and Politics Seismic Shift in Media: One-to-Many and Many-to-Many The Power of Media Who Controls the Media? Getting on the Public’s Agenda Media as a Health Promotion Tool Focus on Reporting Effective Use of Media Analyzing Media 6 Responding to the Media Conclusion Discussion Questions References Online Resources
Chapter 15 Health Policy, Politics, and Professional Ethics The Ethics of Influencing Policy Reflective Practice: Pants on Fire Discussion Questions Professional Ethics Reflective Practice: Foundational Nursing Documents Personal Questions Reflective Practice: Negotiating Conflicts between Personal Integrity and Professional Responsibilities Personal Question U.S. Health Care Reform Reflective Practice:
Accepting the Challenge Personal Question Reflective Practice: the Medicaid 5% Commitment—an Appeal to Professionalism Discussion Question Reflective Practice: Your State Turned Down Medicaid Expansion Personal Question Reflective Practice:
Barriers to the Treatment of Mental Illness Personal Question Ethics and Work Environment Policies Mandatory Flu Vaccination: the Good of the Patient Versus Personal Choice Conclusion Discussion Questions References Online Resources Unit 2 Health Care Delivery and Financing
Chapter 16 The Changing United States Health Care System Overview of the U.S. Health Care System Public Health Transforming Health Care Through Technology Health Status and Trends Challenges for the U.S. Health Care System Health Care Reform Opportunities and Challenges for Nursing Discussion Questions References 7 Online Resources
Chapter 17 A Primer on Health Economics of Nursing and Health Policy Cost-Effectiveness of Nursing Services Impact of Health Reform on Nursing Economics Discussion Questions References
Chapter 18 Financing Health Care in the United States Historical Perspectives on Health Care Financing Government Programs The Private Health Insurance and Delivery Systems The Problem of Continually Rising Health Care Costs The ACA and Health Care Costs Discussion Questions References Online Resources
Chapter 19 The Affordable Care Act: Historical Context and an Introduction to the State of Health Care in the United States Historical, Political, and Legal Context Content of the Affordable Care Act Impact on Nursing Profession: Direct and Indirect Overall Cost of the Aca Political and Implementation Challenges Conclusion Discussion Questions References Online Resources
Chapter 20 Health Insurance Exchanges: Expanding Access to Health Care What is a Health Insurance Exchange? Exchange Purchasers Other Health Insurance Options Federal or State Exchanges State-Based EXCHANGES Development of the Exchanges Establishing State Exchanges The Federal Exchange Rollout
: ACA Setback New York’s Success Story The Oregon Story Exchange Features 8 Marketplace Insurance Categories Role of Medicaid Nurses’ Roles with Exchanges Consumer Education State Requirements Include Aprns in Exchange Plans Assessing the Impact of the Exchanges and Future Projections Conclusion Discussion Questions References Online Resources
Chapter 21 Patient Engagement and Public Policy: Emerging New Paradigms and Roles Patient Engagement Within Nursing Patient Engagement and Federal Initiatives The VA System: an Exemplar of Patient-Centered Care From Patient Engagement to Citizen Health Conclusion Discussion Questions References Online Resources
Chapter 22 The Marinated Mind: Why Overuse Is an Epidemic and How to Reduce It Commonly Overused Interventions Reasons for Overuse Financial Incentives as the Major Cause of Overuse The Marinated Mind Physician and Nurse Acknowledgment of Overuse Public Reporting to Reduce Overuse Journalists Advocate for More Transparency About Overuse Discussion Questions References Online Resources
Chapter 23 Policy Approaches to Address Health Disparities Health Equity and Access Policy Approaches to Address Health Disparities Evaluating Patient-Centered Care Summary Discussion Questions References Online Resources 9
Chapter 24 Achieving Mental Health Parity Historical Struggle to Achieve Mental Health Parity Implications for Nursing: Mental Health Related Issues and Strategies Discussion Questions References Online Resources
Chapter 25 Breaking the Social Security Glass Ceiling: A Proposal to Modernize Women’s Benefits1 Benefits for Women Strengthening the Program Changes We Oppose Strengthening Financing Discussion Questions References Online Resources
Chapter 26 The Politics of the Pharmaceutical Industry Globalization Concerns Values Conflict Direct to Consumer Marketing Conflict of Interest Education Gifts Samples Conclusion Discussion Questions References Online Resources
Chapter 27 Women’s Reproductive Health Policy When Women’s Reproductive Health Needs are Not Met Why Do We Need Policy Specifically Directed at Women? Women’s Health and U.S. Policy Discussion Questions References Online Resources
Chapter 28 Public Health: Promoting the Health of Populations and Communities The State of Public Health and the Public’s Health Impact of Social Determinants and Disparities on Health Major Threats to Public Health Challenges Faced by Governmental Public Health 10 Charting a Bright Future for Public Health Discussion Questions References Online Resources
Chapter 29 Taking Action: Blazing a Trail…and the Bumps Along the Way—A Public Health Nurse as a Health Officer Getting the Job: More Difficult Than You Might Think Creating Access to Public Health Care in West New York On-the-Job Training Political Challenges Safe Kid Day Arrives Nurses Shaping Policy
You are a home health care nurse scheduled for a home visit to your patient, a retired account payable clerk who is seven days postsurgical with a new colostomy.
Your patient lives with her husband, who is involved in her care; they compile a list of questions between visits to ask upon your arrival at their home.
1.During this visit, the patient had questions regarding her colostomy equipment and stoma care; her husband had questions regarding his current medication regimen. Both of them express concerns over recent changes in their healthcare coverage.
a. What data in the scenario are pertinent?
b. Outline your nursing care responsibilities as the home health care nurse, in this scenario. Compare and contrast these responsibilities with those found in the acute care setting.
c. What would be your recommendation for the husband’s medication questions?
d. What is the home health care nurse’s role and responsibilities related to the challenges of health care reform?
2. You are a nursing student attending clinical at a large, urban university hospital where you engage in direct patient care with clinical instructor supervision. At the nurses’ station, you overhear various nurses addressing patient care needs, including an RN requesting consults with a physical therapist, a respiratory therapist, a dietitian, and a social worker. Another nurse discusses the potential
need for palliative or hospice care consults for a patient. You observe a physician assistant approach the nurse with a list of written orders.
a. Outline the roles of the various licensed health care workers mentioned in this scenario.
b. Compare and contrast palliative and hospice care. What is the major difference between the two?
c. As a nurse, what is your responsibility regarding physician assistant (PA) orders?
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
Examine how might nurses and nursing organizations improve policies to encourage the judicious use of antibiotics in humans? Identify the correlation between global disease surveillance and domestic disease surveillance, and the significant role the family nurse practitioner plays.
Write a 4-6 page policy proposal and practice guidelines for improving quality and performance associated with the benchmark metric underperformance you advocated for improving in Assessment 1.
In advocating for institutional policy changes related to local, state, or federal health care laws or policies, health leaders must be able to develop and present clear and well-written policy and practice guideline proposals that will enable a team, a unit, or an organization as a whole to resolve relevant performance issues and bring about improvements in the quality and safety of health care. This assessment offers you an opportunity to take the lead in proposing such changes.
As a master’s-level health care practitioner, you have a valuable viewpoint and voice to bring to discussions about policy development, both inside and outside your care setting. Developing policy for internal purposes can be a valuable process toward quality and safety improvement, as well as ensuring compliance with various health care regulatory pressures. This assessment offers you an opportunity to take the lead in proposing such changes
The policy proposal requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.
Explain the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.
What is the current benchmark for the organization and the numeric score for the underperformance?
How is the benchmark underperformance potentially affecting the provision of quality care or the operations of the organization?
What are the potential repercussions of not making any changes?
What evidence supports your conclusions?
Recommend ethical, evidence-based practice guidelines to improve targeted benchmark performance prescribed by applicable local, state, or federal health care policy or law.
What does the evidence-based literature suggest are potential strategies to improve performance for your targeted benchmark?
How would these strategies ensure performance improvement or compliance with applicable local, state, or federal health care policy or law?
How would you propose to apply these strategies in the context of Eagle Creek Hospital or your own practice setting?
How can you ensure these strategies are ethical and culturally inclusive in their application?
Analyze the potential effects of environmental factors on your recommended practice guidelines.
What regulatory considerations could affect your recommended guidelines?
What resources could affect your recommended guidelines (staffing, financial, and logistical considerations, or support services)?
Explain why particular stakeholders and groups must be involved in further development and implementation of your proposed policy and practice guidelines.
Why is it important to engage these stakeholders and groups?
How can their participation produce a stronger policy and facilitate its implementation?
Organize content so ideas flow logically with smooth transitions.
Proofread your proposal, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal.
Use paraphrasing and summarization to represent ideas from external sources.
Be sure to apply correct APA formatting to source citations and references.
Example Assessment: You may use the Assessment 2 Example [PDF] to give you an idea of what a Proficient or higher rating on the scoring guide would look like.
It may be helpful to use a template or format for your proposal that is used in your current organization. The risk management or quality department could be a good resource for finding an appropriate template or format. If you are not currently in practice, or your organization does not have these resources, many appropriate templates are freely available on the Web.
Your policy should be succinct (about one paragraph). Overall, your proposal should be 4 to 6 pages in length.
A Patient’s profile brief helps organizations understand and know their patients well through the collection of their psychographic and demographic data. By using psychographic parameters, such as buying and spending habits, companies can streamline their operations in line with the desires and interests of their patients for maximum profitability. A good patient profile brief must define each patient’s psychographic and demographic profile, inform an appropriate patient relationship management system, and provide an efficient technique for measuring patient satisfaction.
Policy Proposal and Practice Guidelines
A patient profile brief is essential for healthcare facilities as it provides them with critical information about quality. Healthcare facilities can best get to know their patients by using parameters such as psychological graphics, demographics, preferences, and patient information. An effective patient profile brief should also encompass patient satisfaction metrics, a method for managing patient relationships, and the psychographic and demographic profile of the patients.
Patient Demographics and Psychographics
Patient psychographic information pertains to patients’ values, buying and spending habits, and hobbies. It explains why individuals make purchases. In this aspect, organizations need to evaluate patients’ underlying interests, feelings, and opinions to optimize business decisions (Milat & Li, 2017). For example, marketing strategies are influenced by the type of group being targeted. Psychographic evaluation of patients is important because businesses package their services or products around their patients’ needs and desires, hence making more sales.
Strategies to Improve on the chosen Benchmark.
Modern businesses value the idea of patient relationship management as a technique for managing the interactions between them and their patients. The idea is to analyze the history between these organizations and their patients to improve relationships by focusing on patient retention and building trust and loyalty to boost sales. The idea is to have a deep relationship with patients that go beyond financial transactions.
The key method modern organizations use to manage relationships between themselves and their patients is through CRM systems (Soll, R. F., & McGuire, 2019). The CRM systems adopted by these organizations can collect and compile data from different sources of communication, such as telephones, websites, emails, and social media, among other channels. After gathering crucial information about their patients and their purchasing trends, the organizations devise an appropriate approach to manage their relationship with their patients to improve sales.
One of the most important CRM tools is quality check. In this approach, the strategy is to attract patients to visit a business using the company’s internet content rather than having marketers vying for patients. One reason this approach is considered one of the most effective CRM tools is that having patients visit Healthcare facilities is a sign of interest. Once interest has been aroused, the organization can then move on to find out the interests and desires of these potential patients.
After this, a patient profile can be created with both demographic and psychographic information. CRM tools help healthcare facilities to increase efficiency. CRMs are also crucial because organizations use them to make vital decisions about pricing, dealing with patients’ tastes and preferences, and manage relationships between them and their patients based on their history and current trends.
Another important CRM tool is the patient relationship management approach. This approach gives the management and departments or organizations an integrated platform where they can share the view of all patients (Soll, R. F., & McGuire, 2019). It also helps organizations stay connected to their patients through dedicated and social media websites. Social media provides one of the best platforms for capturing patients’ data and interacting with them. This is important because organizations can collect patient information that they can use to streamline their operations to the needs and desires of their patients rather than taking a general approach to sales.
Patient Satisfaction Metrics
Successful organizations extend their efforts beyond offering essential services to patients. They aggressively engage in finding out the measure of satisfaction of their patients. To this end, such organizations use patient satisfaction metrics to gauge how much their patients are satisfied with their products and services. Measuring the level of patient satisfaction is an important activity for businesses because it reveals the level of trust and loyalty patients have in a business.
Patient satisfaction is essential for the retention and capturing of new potential patients (Ray-Barruel et al., 2017). Research has it that when patients have trust in healthcare facilities, they become loyal, meaning that the business is assured of current and future business with such patients. Furthermore, satisfied patients are more likely to recommend the business to other patients, spend more money on the organization, and buy more frequently.
Patient satisfaction scores and social media monitoring are two examples of important metrics which can be used to measure the level of patient satisfaction. In the case of the latter, companies can come up with a rating score for each patient based on the level of satisfaction. It helps organizations evaluate the level of loyalty of their patients. On the other hand, social media monitoring can help organizations observe the sentiments and feelings of patients towards their products or services. This is important because organizations can use such sentiments and feelings to streamline their operations following their patients’ desires and interests, attracting more sales.
Creating a patient profile brief is critical because it allows Healthcare facilities to focus their attention and energy on areas where they are likely to improve the quality of services they provide. Additionally, it is important because it helps businesses streamline their operations in line with their patients’ interests and desires, creating loyalty and profitability. Organizations that collect and analyze patients’ demographic and psychographic information have a better chance of success than their competitors (Ray-Barruel et al., 2017).
A good patient profile brief does not stop at gathering demographic and psychographic information of patients but also entails putting in place an efficient patient relationship management tool focused on giving the best possible service as well as retention of patients. Further, a good patient profile brief must have patient satisfaction metrics that are used to measure the level of trust, loyalty, and satisfaction that patients have in a business.
Conclusion
Clinical Guidelines and new policies are critical tools that inform clinical practice, especially regarding patient assessment, treatment plan design, and discharge conditions. First, the approach is essential in impacting the quality of healthcare offered to patients. Through EBP critical guidelines, patients enjoy numerous advantages, among them being benefiting from enhanced decision-making by nurses. Conversely, nurses also gain immensely from leveraging EBP critical guidelines , enabling them to offer the best care quality, avoid committing clinical errors and achieve enhanced patient outcomes.
Milat, A. J., & Li, B. (2017). Narrative review of frameworks for translating research evidence into policy and practice. Public Health Research & Practice, 27(1), e2711704. https://doi.org/10.17061/phrp2711704
Ray-Barruel, G., Ullman, A. J., Rickard, C. M., & Cooke, M. (2018). Clinical audits to improve critical care: part 2: analyse, benchmark and feedback. Australian Critical Care, 31(2), 106-109. https://doi.org/10.1016/j.aucc.2017.04.002
Soll, R. F., & McGuire, W. (2019). Evidence-based practice: improving the quality of perinatal care. Neonatology, 116(3), 193-198. https://doi.org/10.1159/000496214