For example, CAQ’s have the potential to improve employment opportunities for many PAs. Dearani and Nowak (2015) argue that “Today’s health care paradigm has to reconcile millions of newly insured Americans with an aging population battling chronic conditions and a shortage of physician specialists… Certified PAs must have the education, experience and skills to deliver quality specialty care” (p. 6). CAQ’s are a way for specialty PAs to formally demonstrate their proficiency and advanced knowledge. In addition, according to Danielsen (2009), Governmental agencies like the Agency for Healthcare Research & Quality (AHRQ), and the National Institutes of Health (NIH) are heightening focus on patient safety and risk management. Therefore, the growing diversity of practicing PAs needs to ensure patient quality of care.
Cultural competency is one of the major elements in eliminating health disparities. Fejos defines (as cited in spector,2004)defines culture as “the sum total of socially inherited characteristic of a human group that comprise everything which one generation can tell,convey,or hand down to the next, in other words ,the non-physically inherited traits we possess’.Cultural competence and respect for others becomes especially important for us in the nursing practice because we are patient advocates. In U.S. the ethinic and racial population has increased significantaly. It has challenges to the system of health care delivery service. Health care practitioners need to stay abreast of patients cultures(Boyle,200).Nurses should provide respectful
And also not to exclude the importance of cultural sensitivity wherein the health care provider has some basic knowledge of the custom, and tradition observe among the diverse cultural groups being served in the health care setting. You stated that due to the increasing cost of education, nurses coming from higher
In the healthcare system creating love and trust, offering encouragement and to be reassuring are all factors that will affect the resilience of a healthcare consumer as well as the healthcare professional. Healthcare professionals need factors like their work environment and the relationships they have with their colleague to become resilient. For healthcare workers dealing with trauma and tragedy situations each day allows them to build resilience as they are to ‘toughen up’ emotionally and physically, they are to detach themselves emotionally from patients and situations, they are to have balance in their life, through their personal and work life and they use critical reflection and reconciliation (Hart, Brennan, & De Chesnay, 2014). To build resilience as a healthcare consumer and professional they both need a good social support network and without one with the professional and consumer will find it hard to cope in adverse and stressful events as they don’t have enough support. Other factors that affect resilience of the healthcare consumer and professional are to understand their strengths and weaknesses especially being a healthcare professional, healthcare professional need to understand that patients aren’t clients and they
Introduction The growing cultural changes in the United States provide opportunities and challenges in healthcare for providers, systems, and policy makers. There is a growing consensus amongst healthcare workers that it is necessary to produce and provide culturally competent services. Cultural competence is defined as “the ability of providers and organizations to effectively deliver health care services that meet the social, cultural, and linguistic needs of patients” (Seeleman et al, 2015). A major topic of discussion amongst health professionals at industry conferences is the improvement of health outcomes and quality of care- specifically the contribution of culturally competent cares towards the elimination of racial and ethnic health disparities. More and more Plans to move the health care system towards the goal of cultural competence is being realized due to the health implications of being stagnant (Seeleman et al, 2015).
A more recent contribution of evidence translating into practice is a study involving person-centered handover (nursing report). The study showed that involving the patient and family in the nurse’s report led to higher rates of satisfaction concerning exchange of information (Kullberg, Sharp, Johansson, Brandberg, & Bergenmar, 2017). Conclusion Patient-centered care is a far-reaching concept that places the patient at the center of the sphere of healthcare; members of the healthcare team must always remember to place the needs of the patient above all else. Health care quality and evidence-based practice play a direct role in moving the patient to the center of care. Congress founded the Patient-Centered Outcomes Research Institute
Clinical research is from acute to chronic care experience throughout life span. It involves health promotion and preventive care for individual, families and communities in different settings. It is important for nursing research to widen the scope in order to have a greater impact in future. The aspect of health promotion and preventive care are very important because some diseases are better prevented than treated and while some changes are irreversible such as aging are part of human experience. Health systems and outcomes research focuses on how health care delivery influences quality, cost and experience of patient.
The Columbian Exchange is a mark in history that has lead to pivotal outcomes that has affected the world today as well as the past. The Exchange between the old and new world has brought advances to today’s world due to sacrifices and interactions between two distinctly different populations. Both worlds introduced one another to new diseases, and resources that overall lead to advancements in research and new resources of survival to help sustain populations in both worlds, which have carried over into present day and has allowed for the development of the human population. Sustainable populations allowed individuals to no longer concentrate solely on survival rather have time to research and expand knowledge about health practices and give attention to preventing deadly epidemics. Although the interaction of disease did give rise to deadly epidemics in the new world the advancements made in medicine changed how disease and illness were treated and further allowed a change in perspective about health and survival.
Understanding the Healthcare system can be very challenging due to the system is constantly changing from new technology manage care, health care reforms, aging populations and other economic factors that have a significant impact in the service provided. Understanding plays an important role in the health care system because the improving quality in the healthcare system requires the implementation of internationally and recognized evidence based guidelines and protocols. EBP is necessary to integrate the best research with clinical expertise and patient value to establish best health outcomes. We believe that openly outlining and understanding some form of theory that explains the reason for why an intervention may work to induce planned
Limiting language barriers Because of the overwhelming evidence that cultural competence in healthcare add to better health outcomes, an obligation towards culturally competent care is growing among healthcare organizations. Healthcare organizations are starting to incorporate broad approaches to answer to the requirements of racial and cultural minorities. In addition, there are progressively more government guidelines that dictate better awareness of health organizations towards the increasing population diversity. Also, numerous health care organizations are concluding that creating and employing a cultural competence strategy is a noteworthy business move that augments the attention and contribution of both providers and patients (Dejesus, 2008) Growing the cultural competence of health systems also has the benefit of minimizing organizational and language barrier. The literature review demonstrates that culturally competent healthcare organizations create policies that attempt to address cultural concerns on all levels, from the establishment's Executive leadership to clinicians and administrative workers.
Recently the advanced practice registered nurse (APRN) became a very important profession due to the major changes in the healthcare system and the Patient Protection and Affordable Care Act (PPACA) goals that focus on providing patients with affordable but quality care, improving patient health outcomes, expanding care to the underserved areas, and lowering the costs. It became apparent that over the years nurses played an important role in healthcare system. According to the National Governors Association (2012) “The demand for primary care services in the United States is expected to increase over the next few years, particularly with the aging and growth of the population and the passage of the Affordable Care Act (ACA)” (p. 1). In addition,