ICU Case Study

Leadership has many definitions. Chin, Desormeaux, and Sawyer (2016) define leadership as a relationship between followers and a leader with the intent to promote change through a mutual vision. Therefore, leaders are active influences in the outcome of organizations, through their decision-making, strategies, and influence on followers (Dinh et al., 2014). Additionally, in the nursing context, it has been documented that a leader 's style plays a factor in patient outcomes (Fischer, 2016). Indeed, in an ever-changing, complex health care environment, nursing leadership has become a crucial factor in managing challenges and maintaining patient safety (Fischer, 2016).

Excellent care for patients was the vision founder of Methodist Le Bonheur Healthcare (MLH), John Sherard had when he decided to build a hospital in 1899. He was concerned about “his Methodist pastor and his care while in the charity ward of a Catholic hospital. His conviction that Memphis should have a Methodist hospital that cared for all people started a movement that eventually became the largest healthcare provider in the Mid-South” ("When It Comes to the Sherards, Methodist is All in the Family," 2015).

Your discussion presents an interesting perspective on business principles. Managing financial needs of a hospital and patient’s satisfaction goes hand and hand in the hospital field. This also can create a negative impact when it comes to prescribing pain medication. An ethical dilemma arises for emergency room providers who in relation to new reimbursement tactics centered upon patient satisfaction scores (Kelly, Johnson, & Harbison, 2016)

Environmental External Factors It is imperative to keep a watchful gaze on the outside environment of health associations. The external environment is embodied with elements that happen outside of a health care association that have a prominent impact on the development of the association. The vision of Scripps Mercy Emergency Department is to create a safe and trusting place where health needs are met promptly and diligently with the best quality delivered. The Scripps Mercy Emergency Department 's natural elements include innovation, demographics, training and education, examination, and monetary improvement, rivalry, and the legislative issues.

The history of one of today’s greatest non-profit organizations, Johns Hopkins Hospital, starts first with one humble entrepreneur who dreamed of a better life for people all across the globe. According to an article written by Johns Hopkins Hospital, Johns Hopkins intentions for his hospital were as follows; “…to create a university that was dedicated to advanced learning and scientific research, and to establish a hospital that would administer the finest patient care…to care for the indigent sick of this city and its environs, with regard to sex, age, or color, who may require surgical or medical treatment, and who can be received into the hospital without peril to the other inmates, and the poor of this city and state, of all races, who

Finally, the RMHC is a positive global influence. They give out millions in grants and scholarships to organizations and students. They have diverse ways of providing the care any family needs by the House, Family Room, or Care Mobile. This charity is value orientated making sure to make each location “a home away from home”.

Avoiding Permanent Damage from Temporary Help A background check, or application confirmation, checks the data given by a job applicant, utilizing free sources, for example, criminal and common court records, former employer’s records, school records, and credit or car purchases reports. Companies, whose workers have contact and a responsibility to the public, or to consumers, should be well aware of the previous actions of their employee, to assure that they will behave as expected. Knowing whether a potential representative has been included in criminal or other wrong action, (for example, drug or other substance misuse, neglectful conduct, untrustworthiness, robbery, or perilous and fierce conduct) permits the executive to figure out whether a candidate is suitable for the targeted workplace. The incompetency of Ms. Ross for the role is evident.

Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models.

A career as a Psychiatric-Mental Health Nurse Practitioner is a natural extension of my personal, educational, and research experiences. Although my path to nursing has not been a straight line, every experience that put me on this path has shaped my passion and dedication to psychiatric nursing. After losing loved ones to suicide at a young age, I made a promise to myself and to them that I would dedicate my life to helping individuals struggling with mental illness. This promise led me to study Psychology at UC Berkeley, where I fell in love with clinical research investigating the efficacy of treatments for mental illness.

Transformational leaders, who empower nurses to advocate, understand that communication and professional collaboration are the core ingredients to foster safe nursing care and to collectively advocate for improved health care policies. Of interest, due to communication and collaborative efforts among state hospital associations and the ANA along with the state nurses associations, seven states have enacted safe staffing legislation using the Registered Nurses Safe Staffing Act’s committee approach (ANA, n.d.). Conclusion The essence of an effective nurse leader lies in the ability to inspire and motivate others to action, which begins with communication and professional collaboration skills.

In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience. Quality and Safety Education for Nursing (QSEN) Competencies QSEN consists of six competencies: patient centered care, quality improvement, teamwork and collaboration, safety, informatics, and evidence based practice. To provide patient-centered care, I had to educate the patient when administering medications on why the patient was taking the medication and side effects. Care had to be individualized with each patient and it included providing respect with his or her decisions in their care.

Their number one goal is to help their patients no matter what. However, not everyone follows that logic. If a person of color came into the clinic it is generally assumed that they just want drugs. If a Muslim came into a hospital with a gunshot wound it is assumed they are a terrorist so let us just let them die.

Ethical Issues in Nursing: Nurse-Patient Ratios Megan Harvey, Katie McKelvery, Erica Robbins & Cassandra Tingley St. Johns River State College March 2018 Ethical Issues in Nursing: Nurse-Patient Ratios Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations

The study of this program is beneficial because most elderly clients who come into the emergency department with pain or injury associated chronic illness. More often than not, these clients, who may be cared for with palliative or hospice care, do not have easy access to these services. In addition, Medicare does not always pay for necessary services that are so needed by clients with severe chronic illnesses, especially in urban areas. Sixty-nine percent of clients and their families’ who participated in this study expressed true satisfaction in the services provided by nurses.

Please answer the following questions, 1. State your understanding of your main duties and responsibilities. My duties are to provide efficient and knowledgeable care to those patients in critical conditions, using nursing process and nursing judgement. My responsibility is to provide competent care and promoting patients safety. 2.