2 established by the Public Company Accounting Oversight Board (PCAOB), 1 requires management of a public company and the company’s independent auditor to issue two new reports at the end of every fiscal year. These reports must be included in the company’s annual report filed with the Securities and Exchange Commission (SEC). • Management must report annually on the effectiveness of the company’s internal control over financial reporting. • In conjunction with the audit of the company’s financial statements, the company’s independent auditor must issue a report on internal control over financial reporting, which includes both an opinion on management’s assessment and an opinion on the effectiveness of the company’s internal control over financial reporting. (Deloitte, 2004) The governance issues will require CareNetWest to rethink its organizational structure.
Goodman & Clemow (2010) defined multidisciplinary team as people from deferent professions directly involved within patient care but not working collaboratively; interagency care is a broader concept, not necessarily meaning government funded or healthcare bodies. The focus within this commentary will be on interprofessional team (IPT) working in which individuals collaborate in order to improve the quality of patient care sharing common objectives but making differing complementary contributions (Hornby & Atkins, 2000; Lethard, 20003). Incorporating an experience from practice this scenario will identify a specific collaborative phase in which a range of healthcare professionals integrated their knowledge and skills to ensure the holistic needs of a palliative care patient were met. As the client group for the (acute respiratory) care environment have complex health needs it is essential that access to unique healthcare specialists is available with their role proving either minimal or intense depending upon individual patient needs, thus promoting a holistic wellbeing. Confidentiality Confidentiality is an ethically important approach to nursing in which private information regarding
The theorist’s background and perspectives will be explained and lastly the theory will be discussed as to how it can serve as an underpinning and improve nursing practice. Concepts for the Grand Theory When comparing a grand theory to a middle range theory, a grand theory is much more abstract that uses a wide scope to explain and define broad issues. A middle range theory is more specific, focused and concrete (Eldridge, 2014). Watsons’s theory of human caring is a good example of a grand theory. Watson’s theory takes on a holistic approach to providing care for the patients all around wellbeing.
* What are the consequences when office procedures do not support the financial policy? * What recommendations, strategies or tools can medical offices use to ensure effective alignment of policies and procedures? The basic elements of an effective medical office financial policy are; clear explanation of the policy, the policy addresses all possible scenarios, discusses financial arrangements, payment plans, payments not covered by insurance and what forms of payment are accepted and patient education when it comes to their statement. Collection of a patient’s copayment, deductibles and any past-due balances should be discussed. An effective policy should address how a practice handles prepayment for services they will provide and also any possibility for payment arrangements of unpaid balances on a patient’s account.
See glossary of Nursing Program Student Handbook Illness is a state of adaptation in which the adaptation responses are ineffective and/or incomplete, often resulting in contact with health care providers. What is wellness? See glossary of Nursing Program Student Handbook A state of optimal health or potential achieved by individuals through the integration of health practices. What is Nursing? See glossary of Nursing Program Student Handbook The American Nurse’s Association (ANA) defines Nursing as “The diagnosis and treatment of human responses to actual or potential health problems”.
A root cause analysis is necessary to investigate the causative factors that led to the sentinel event. The errors or hazards in care in the Mr. B scenario will be identified. Change theory will be utilized to develop an appropriate improvement plan to decrease the likelihood of a reoccurrence of the outcome of the Mr. B scenario. A Failure Modes and Effects Analysis (FMEA) will be used to project the likelihood that the suggested improvement plan would not fail. Lastly, key roles nurses would play in improving the quality of care in the Mr. B scenario will be discussed.A.
Indicators of structure are measures by the supply and skill level of nursing staff as well and the education and certifications of the nursing staff. Indicators of the nursing process are nursing assessments, interventions and RN job satisfaction. Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care (e.g., pressure ulcers, falls, and intravenous infiltrations). (American Nurses Association, 2014) NDNQI: National Database of Nursing Quality Indicators. There are some patient quality and safety measures which have been shown through research to be significantly affected by nursing care or “nurse-sensitive” measures.
(Blais & Hayes p. 91). When playing the part of patient advocate and helping family members to decide what is best for a patient that is unable to make their own competent decisions we refer to provision 1.4 the right to self determination of the American Nurses Association Code of Nursing Ethics. “In situations in which the patient lacks the capacity to make a decision, a designated surrogate decision-maker should be consulted. Support of autonomy in the broadest sense also includes recognition that people of some cultures place less weight on individualism and choose to defer to family or community values in decision-making. Respect not just for the specific decision but also for the patient’s method of decision-making is consistent with the principle of autonomy.
In Monitor Alarm Fatigue: An Integrative Review, research evidence was broken down into themes including: effect of excessive alarms on staff, nurse’s response to alarms, alarm sounds and audibility, technology to reduce false alarms, and alarm notification systems. Non-research evidence revealed strategies to reduce alarm desensitization. Cvach concluded the article with evidence-based practice recommendations for technology manufacturers, hospitals, and caregivers. One nursing intervention recommended was to adjust alarm parameters so that they are customized to each individual’s actual needs. This intervention ensures that the alarms are valid and that they will provide and early warning to potential critical situations.
Critique to Evidence-Based Practice in Nursing Name of Student Institution of Affiliation Critique to Evidence-Based Practice in Nursing Evidence-based Practice (EBP) is a study aimed at finding the effectiveness of the design-models put in place through the incorporation of information obtained from patients and clinicians (Levin, Fineout-Overholt, Melnyk, Barness & Vetter, 2011, p.22). EBP is important because it offers an insight into the effectiveness of the models put in place in the healthcare system, their effectiveness while at the same time reducing the costs. EBP can be thought of as a practice aimed at empowering the medical practitioners while at the same time ensuring that patients get the best health care at a reduced cost (Levin at al., 2011, p.21). EBP is a systematic research review whose impact will continue to benefit both the patients and nurses in the medical healthcare setting. According to Levin et al.