Internationally healthcare policies show the complicated relationship of various actors, formed a process in the current scenario to address the healthcare issues. The three major constituents of health policy formation are context, process and actors. Healthcare policies shows the collaborated decision of different participants, it shows the framework of the interrelated planning decision to be implemented for the betterment of society. 1.2 Critically assess the influence of funding on policy formation. Funding is the main element of the healthcare policy formation.
Furthermore, a positive health status is desired for everyone. Hence, health assessment is carried out on our clients each time we have the opportunity. We usually use a growth monitoring card for children 0-5 years. This card contains almost all the information one needs to know about each child, his growth and the family background. It helps to take health history as well.
Evidence-based practice specifically focuses on a holistic approach that encompasses clinical expertise, patient values, and the best researched evidence to improve patient care outcomes. As healthcare trends change to comply with the adoption of enhanced technology, compliance of government healthcare reimbursements, and higher quality care, strong leadership and continued research is needed (Huber, 2014). Nurse leaders have the vital, but sometimes challenging duty of promoting evidence-based practices in a usually complex healthcare setting. Not only should the nurse leader gather clinical data that may help improve patient outcomes and nurse practices, nurse leaders should also encourage a work environment that is open to the change that results from evidence-based practice discoveries. Through the development of a building-block approach, nurse leaders can promote evidence-based practices by incorporating the process in every aspect of the healthcare structure they supervise.
During the late nineties to the early 21st century, EBP had begun to endorse a more research-driven and theory based framework in order to support nursing practice (McEwen & Wills, 2014). This stage of theory development encouraged growth and clinical based studies in order to be formulate the next potential breakthrough in clinical practice. To promote this movement, federal agencies within the United States have funded EBP centers in order to answer clinical questions in order to improve healthcare overall (Melnyk et al., 2004). Evidence-based practice has the potential to be able to use all forms of data in order to find the way to improve patient outcomes. Within this stage, empirical data is not the only form of information being used.
This style focuses on encouraging open communication with other staff nurses and involving them in the decision-making process. So basically, the leader collect information, ideas, and feedbacks from the nurses and other healthcare providers to come up with a finalized goal or decision that will affect the process of delivering care. In this case, the staff nurses will be valued and encouraged to act independently to achieve the optimal care for all patients. According to Flood et al. (2015) democratic leadership style is better applied in those rapidly moving environments including ED.
The researchers reported a thriving nurse leadership pipeline is founded on the implementation of succession planning initiatives using an evidence-based model to help minimize barriers. Poor succession planning results in leadership instability, service compromise and poor job satisfaction. This review supports succession planning for nurse leaders and identifies an evidence-based model. Titzer Evans, J.L. (2016).
• The strategic planning process- This is an important part in an organization. In this process, the employees or staff in all sections of the health care organizations is involved in planning and making decisions. The challenges are identified and solved then ways to improve the services are employed in order to bring great outcomes to the organization. Strategic planning is of great relevance to nursing administration which
1. NURSING RESEARCH The research is on impact of nursing research on nursing practice. There is no doubt that nursing research has impacted a lot of changes in the health care services. The nursing practice has move into evidence based practice which has led to good transformation efforts. The focus is now how to increase efficiency, timeliness of healthcare, increasing effectiveness, safety and how to improve health service delivery system.
• Linking a patient based quality measurement tool to the process of care increases its usefulness in diagnosing quality problems, motivating staff and focusing improvement efforts while limiting its value for benchmarking because the process may differ between organizations. Nguyen Thanh Cong , etal (2014) conducted the research in the direction of how the service quality made an impact in patient satisfaction and he found the tangibles service quality dimensions was causes on strongest influence in patient satisfaction followed by attitude ,medical ethics and finally accessibility to health care services and the findings suggested the tangible elements is very important such as facilities in inside the hospitals , medical equipment and physical hospital environment is the predictors of patients‟ satisfaction. Nandakumar Mekoth etal (2012) found the quality of the doctor and that of the medical support staff significantly impact patient satisfaction. However, the quality of nonmedical support staff is not found to have any significant effect on patient
AUTHOR: OLOFU FATIMA OKACHE BSc PUBLIC HEALTH, 4TH YEAR SUPERVISOR: Dr. GODÉNY SÁNDOR Róza Ádány MD PhD DSc Head of the Department 2017 INTRODUCTION WHAT IS CLINICAL AUDIT? Clinical audit is the area of quality assurance that is concerned with comparing clinical processes to pre-set standards for care that have been derived from evidence-based medicine. This is to ensure that these processes are in line with the standards and where necessary, implement changes to further improve the quality of care. (Esposito and Canton 2014) The structure, process and outcome are the three categories under which the comparisons are made. (Scrivener, et al.