Tuesday, December 24, 2019

Essentials of Planning Study Guide - 1926 Words

CHAPTER 4—ESSENTIALS OF PLANNING MULTIPLE CHOICE 1. Planning is a. a complex and comprehensive process involving interrelated stages. b. organizing, implementing, and controlling. c. finding the best person for a job. d. communicating effectively with stakeholders. 2. Strategic plans are designed to a. implement operational plans. b. establish day-by-day procedures. c. shape the destiny of the firm. d. carrying out the functions of management. 3. The purpose of tactical planning is to a. establish a general purpose for the organization. b. translate strategic plans into specific goals and plans for organizational units. c. tell entry level workers what to do on a daily basis. d. compensate for past mistakes. 4. Branch manager Hector†¦show more content†¦high speed. b. cost leadership. c. product differentiation. d. a strategic alliance. 19. Suppose that Starbucks opens a nation-wide chain of carwashes, called Starbucks Car Wash. After two years, the executive team sells of the car washes, and invests the ca sh back into building more Starbucks stores. The strategy illustrated is referred to as a. high speed. b. sticking to core competencies. c. product diversification. d. a strategic alliance. 20. A functional strategy for becoming and remaining a successful organization is to a. form a strategic alliance. b. find and retain competent people. c. get to market faster than others. d. export products. 21. Assume that Motorola developed a cell and camera phone so small it comes with a strap to wear on the wrist like a watch. Which strategy does this product launch most likely fit? a. cost leadership b. product differentiation c. focus d. high speed 22. Save-A-Lot has become one of the most successful grocery chains by serving the poor and offering low prices. This is an example of a. focus strategy. b. premium pricing. c. product differentiation d. cost leadership 23. Policies serve as guidelines to action a. that still allow for some interpretation. b. that must be followed quite strictly . c. for workers below the top-management level. d. mostly in the areas of finance and human resources. 24. Management by objectives (MBO)Show MoreRelatedObjectives Of A Study And Definition Of Terms Essay1570 Words   |  7 PagesCHAPTER ONE 1.1 INTRODUCTION. 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Sunday, December 15, 2019

Vulnerable Population in the Workplace Free Essays

Nursing profession is a career with a vast field of different practices with different roles to choose from. This variety makes the nursing field a vulnerable profession for mistakes if not tackled with adequate educational and clinical training. Although there are different specialties for a nurse to choose from to continue their career, it is still necessary for every nurse to have even a little amount of knowledge, or background, of the different scopes of practice of the other specialties of nursing. We will write a custom essay sample on Vulnerable Population in the Workplace or any similar topic only for you Order Now If this can’t be achieved as an individual, teamwork is necessary by sharing the knowledge you have especially in the workplace. Having that knowledge about vulnerable population is an essential tool to be able to work with patients properly. Sharing that knowledge to your workplace is important in order for them to be able to work competently, especially in the field that I work with where we handle different kinds of patients. In this paper, we will see how the knowledge about the vulnerable population is essential in the workplace, which consists of topics essential to this subject such as the Vulnerable Population: Vulnerable People, Cultural Competence and Resilience, and Social Justice in Nursing. Vulnerable Population: Vulnerable People Understanding the definition of being vulnerable is the first step to be able to work competently with this population. According to the American Journal of Managed Care, members of this â€Å"vulnerable population† are those who are at risk for certain health problems. (AJMC, 2006) As the term elaborates, vulnerability is the susceptibility of any group or individual for risks of problems. Home health nurses meet lots of vulnerable patients especially those who have chronic diseases, disabled, and the elderly. Understanding  what their at risk for are essential in order for nurses to plan for prevention interventions. Examples of vulnerable population that home health nurses meet frequently are those who are disabled, have chronic illness, and the elderly. They are also on the top of the list that are high risk for falls, pressure ulcers, pneumonia, DVT, depression, and the list goes on and on. It is important for home health nurses to understand these risks for this vulnerable population to be able to generate prevention interventions. Cultural Competence and Resilience Cultural Competence and Resilience is an important quality that should always be carried by a professional nurse. According to Poole, cultural competence is practiced by nurses not only because it is politically appropriate, but it is also an inner sense that being culturally competent is an essential attitude to be able to build that therapeutic relationship with the patient, which promotes better healing environment. (Poole, 1998) Resilience is the ability of an individual to bounce back from change or difficulty as defined by the Merriam-Webster Online Dictionary (2010). With these two combined, home health nurses can be able to deal with patients with different cultures competently without any difficulty adapting from the great changes that they may experience from different types of patients. Social Justice in Nursing Social Justice is known as the ability to provide fair treatment regardless of age, ethnicity, race, economic status, disability, and gender as defined by the American Association of Colleges of Nursing (2008). When this attitude is applied to nursing, it makes a nurse aware that everyone is equal, and therefore should be treated equal. In home health nursing, this equality is sometimes not seen because of the inability of the patient to pay for the right services that is appropriate to his/her condition. But this is not an excuse for a nurse to neglect the other appropriate care that can be done independently. To show care more than to show how vulnerable they are because of socioeconomic status is more important than having that full coverage of treatment they can get but is not receiving that genuine care that they need for therapeutic relationship and healing. This attitude is important because ever since the nursing profession started, nurses became an advocate to their patients to protect their rights and to  encourage them to exercise that power of their rights. These three important topics are important to understand more deeply in order for the nurse to be able to provide care more effectively especially to those who are included in the vulnerable population. More importantly, knowledge with these topics should be shared to my workplace to expand the knowledge on caring with the vulnerable, especially for home health nurses who most of the time take care of the elderly, disabled, chronically ill, minorities, and the socioeconomically unfortunate. How to cite Vulnerable Population in the Workplace, Papers Vulnerable Population In The Workplace Free Essays One has chosen to focus on the substance abuse patients as the vulnerable population for the project. Frequently one has identified and seen stigmatization, prejudgments, and poor care given to this population in the workplace. Many patients are discharged each day with no plan of care, no education on resources and no instructions for follow up care. We will write a custom essay sample on Vulnerable Population In The Workplace or any similar topic only for you Order Now The outcomes and possibilities for the patient’s recovery have shown to be slim by the frequent return of the patient in the emergency room. The patients return within hours of discharge from the ER and seem to be in the same condition as when they left. One has created an action plan and a teaching brochure for health care providers to help facilitate a better system and care process for this population. The first step of overcoming this issue is to start from the base of it, which are the providers and their beliefs. The focus will be on educating the health care providers to stop stigmatization, develop self-awareness, and learn to be culturally competent and to be the best advocate for the patient. In the emergency room there are frequent patients via ambulance, walk-in’s, which are intoxicated and requesting, detox. Typically when the patient arrives he or she are intoxicated, wheatear it is drugs or alcohol. The patient is registered and triaged. Depending on their condition or level of intoxication, they are either immediately brought in or are placed on a stretcher and wait to be evaluated by a physician. Because of the large population of substance abusers in New York City, these patients tend to have a stigma attached to them. The stigma is the patients will not follow up with his or her detox programs, they will return to the ER with-in hours of discharge, they are seeking food and shelter for the night, and they are not serious in their treatment to recover. Therefore, many of the providers and nurses in the ER tend not to take the patient or his or her care seriously. They often wait to see if the patient will walk out and leave after a few hours of warmth and food. If the patient is in the waiting area and waiting to come in, many charge nurses will continue to skip over the patient to bring in others. If the patient is in the department the providers tend not to pick-up their charts in assumption the patient will just leave to continue his or her addiction. One has created a teaching brochure to help identify three concepts, which may lead and assist in caring for the substance abuse patient. The concepts will help providers to be empathetic, trustworthy, and intelligent to the patient’s backgrounds and beliefs. The brochure speaks of the concepts and reasons it will aid in the patient success in recovery. If these patients are seen as a lost cause and providers do not listen or rectify the problem the population of the substance abuser will grow and increase the death rate and increase dangers to others as well. Substance abuse does not only endanger the patient but the people around him or her. For example, a person who is drinking and driving can hit a pedestrian walking and cause fatal danger to that person. One has learned through lessons in this class how to identify a vulnerable population, how self-awareness cultural competence, and advocacy can help treat these patients and provide the best care needed to have the best outcome. The first step as a provider is to have self –awareness. It is only possible for one to relate to others when they know whom one is and what one will or will not accept from others (Jack, Kristen, Smith, Anne, 2007,para. 1). In the treatment of others it is important for the provider to be aware of their own personal beliefs and identity. To truly understand what one believes in is to have self –awareness. â€Å"Being self-aware enables us to identify our strengths and also those areas that can be developed. If we do not know our good and bad points then we are less likely to be able to help others (Burnard 1992). Nurses can use the self to therapeutic effect when working with patients, for example, when empathizing or advocating (Jack, et al 2007,para. 2). Cultural competence is also important for the health care team to incorporate in accurate care for substance abuse patients. Cultural competence is not only about ethnic background, religion, race, or spirituality. It is also about the environment in which one lives. â€Å" The layers of culturally competent practice do not solely address race and ethnicity. A comprehensive culturally competent practice encompasses issues related to language, migration and acculturation, family history, religious practices, as well as social trust and community attachment† (Mallow Cameron-Kelly, 2006, para. 11). The staff needs to learn the importance of empathy and pre-judgmental thoughts toward the culture of the substance abuse patient. They live and survive in a different environment. To provide care for them is to understand and keep biased opinions out of the treatment. Providers should analyze and try to learn of their culture and struggles they see and handle each day. The third concept implemented in this learning tool would be advocacy. Nurses and doctors are essentially the patient’s voice. Patients relay on the health care provider to help them and guide them through care and also to represent them in the hospital or within the community. The nurse and physician are the main identifiers of the recurring problem. The providers can help to implement new policies or create outpatient programs to keep the patient on a positive track. Identifying the flaws and implementing new systems can help the patient have a better health outcome. â€Å"The knowledge and expertise of a nurse regarding the care and concerns of a patient are vast. Overlay that knowledge and expertise with a sense of community, and the nurse advocate is born. Whether teaching proper car-seat installation to parents, advocating for primary seatbelt laws at the state house, or testifying at a congressional committee hearing, each nurse should be aware of the importance of political advocacy. Health care is in an evolving state, and nursing is at the table; every nurse should be aware and supportive of this advocacy† (Philips, 2012, para. 10). In conclusion one believes substance abuse patients would benefit greatly and outcome goal would improve if he or she were cared for and handled by a provider who was empathetic and knowledgeable to his or her cultural needs, ethnic background, and beliefs, whether they were spiritual or not. Each person or patient is unique and should receive treatment in a way, which suits him or her uniquely. In order for a provider to do so, they should be knowledgeable to self-awareness, cultural competence, and advocacy. Knowing oneself, possessing knowledge of others and motivation to be a trustworthy advocate will help the substance abuse patient feel support and allow him or her to recognize the provider as a trustworthy person. Building trust and creating a stable health climate with the patient will paint a road to recovery for the substance abuse patient. How to cite Vulnerable Population In The Workplace, Papers

Saturday, December 7, 2019

Quantitative Research Article Review free essay sample

There are various reasons why I chose this article. I am an agency nurse and work at various different emergency departments around Middle Tennessee. Most of them are concerned about patient satisfaction scores and are frequently called into meetings regarding these scores. Staff at most of these hospitals can be called to the carpet as you may say if we have unsatisfactory reports from patients. This can be very frustrating because not all the facts are taken into consideration and the report is solely based on an irate patients comment. Most of these comments are due to the fact that the patient had to wait a long time to see the doctor or get placed into a room and last but not least is the number one complaint of not getting pain medication or prescriptions for pain medication. We, the staff see this as unfair, but according to the article, Medicare is one of the main driving forces behind the patient satisfaction scores and reimbursement by Medicare will be determined by the scores. The article appears to have credibility and integrity based on the fact the report is very well written, concise, and organized. The author has a doctorate in medicine, and the title is clear and accurate. The abstract provides a clear overview of the problem, methodology, findings and recommendations. The only concerning issue about this article is how they obtained the patient satisfaction scores, the demographics, the population which is the emergency room patients was noted, how many patients where surveyed, and many other variables were not discussed. The purpose of the study was clearly identified in the title of the article. The article maintained logical consistency and flowed very well. The literature review was limited due to the fact that this idea of patient satisfaction scores are fairly new idea and the research is somewhat limited. The method of the study was an ex post facto correlational study and somewhat vague. The hypothesis was clearly stated in this article and two were used. The two used were, â€Å"No correlation exists between the hospitals allied health care department’s revenue and various measures of allied health care customer satisfaction from April 2008 to April 2010† and â€Å"A correlation exists between the hospital’s allied health care department’s revenue and various measures of allied health care customer satisfaction from April 2008 to April 2010† (Ellis-Jacobs, 2011, p. 2). The article also discussed the research question for the study which is, â€Å"what is the relationship, if any, between allied health care practitioners’ customer service skills and a hospital’s gross revenue† (Ellis-Jacobs, 2011, p. 2). The sample â€Å"involved 25 months of historical satisfaction survey mean scores and revenue statements from a rural hospital in northeastern Oklahoma† (Ellis-Jacobs, 2011, p. 2). â€Å"The current study involved identifying a relationship between two variables: the customer service skills of allied health care practitioners and a hospital’s financial success. The current study included data in the form of statistical figures and table. Revenue reports and patient satisfaction surveys for the same period were also analyzed (Ellis-Jacobs, 2011, p. 2). The target population was vaguely identified along with aims and the theoretical framework used. The ethical considerations were not mentioned in this study. The data was analyzed by Pearson correlations and operational definitions were clearly defined. Although the data analysis was clearly defined and appropriate, the number of participants was not mentioned. The findings were not mentioned with the literature review but the hypothesis was identified and supported. The study concluded that â€Å"with respect to inpatient ratings, the null hypothesis was not rejected, and it could not be concluded that the hospital’s gross revenue was related to mean inpatient satisfaction scores. However, emergency department mean patient satisfaction scores were correlated to revenue in three areas of allied health care practitioner skills, standard testing, courtesy of person performing blood collection, and courtesy of radiology personnel† (Ellis-Jacobs, 2011, p. ). â€Å"Other factors that affect hospital gross revenue such as health care facility location and seasonal trends were identified. Rural health care facilities are a primary source of patient care for elderly and uninsured in rural areas; therefore, taking care of these patients will result in greater patient satisfaction scores and ultimately increased hospital revenue† (Ellis-Jacobs, 2011, p. 5). â€Å"Based on the information gained from this study, a new model for patient care was developed for exploration. Take Care of Patients of TCOP is based on the premise that is rural health care facilities are taking care of patients by meeting or exceeding the patients expectations, all aspects of rural health care survival, including patient satisfaction, will work together to provide the greatest care for patients and greatest reimbursement for the health care facility† (Ellis-Jacobs, 2011, p. 5). The study concluded that the† study did not indicate a significant relationship exists between allied health care practitioner customer service skills and a hospitals gross revenue in the inpatient setting† (Ellis-Jacobs, 2011, p. ). The study recommended that the â€Å"health care leadership must implement this simple customer service model, Take Care of Patients for allied health care practitioners to test its validity in a health care setting† (Ellis-Jacobs, 2011, p. 4). The references were accurately referenced in this study. I found the findings to be clinically and statistically significant. This research will be significant in years to come for all health care providers. Health care providers will be forced increase patient satisfaction scores in order to be reimbursed by Medicare and possible other insurance companies. It also means that health care providers will have to perform tests and give needless medications to patients in order to increase these scores. This means providers will have to give a known drug seeker a prescription for Lortab, so they do not call and complain. It also means that the doctors with attitude and lack of bed side manners will have to learn new customer service skills which could not only help the patient but the staff as well. For the Advanced Practice Nurse, this means that we will have to improve our customer service skills in order to maintain or jobs and receive paychecks. With the growing geriatric population, most of our patient’s will have Medicare and we will have to jump through hoops in order to keep our clinics, hospitals, and walk-in clinics open and profitable. Something that should possibley be done for health care providers is to hold seminars on how to increase patients satisfaction scores without jeopardizing our dignity and license.