This survey has only thirty-two questions which are analyzed each year. It is given to patients randomly throughout the year, collected by those who receive training in giving the survey. Some questions that are asked are in the category of composite topics which include; nurse communication, doctor communication, responsiveness of hospital staff, pain management, questions about medications, discharge information, and cleanliness of the hospital. This is all done to show the patient the true quality of the hospital, and the general effect on the
〖ND〗^ξ The available number of nurses per day in scenario ξ (nurses/day). H Working hours per day (hours/day). BU Maximum beds utilization tolerance. NU Maximum nurses utilization tolerance. 〖UB〗_p^ξ The upper bound on the number of patients of category p per week in scenario ξ (surgery cases/week).
Diverse cultural (theory) The evolution of transcultural in nursing beings when Leininger discovered a core concept of care during her early education and this concept had later become her inspiration to specialize in transcultural nursing exclusively. She described this concept as a fundamental nursing component based on her own experience and positive feedback from patients’. She mentioned that during her early days working in the child guidance home, she experienced a cultural shock, which eventually leading her to realize that lack of understanding concerning cultural diversity could explain persistent behavioral patterns in some children (Leininger, 1991). She notices a major shortfall in understanding differential patient demands in the context of care and wellness. She stated that, the quality of nursing education suffered due to the absence of training in cultural diversity and as a result there is a disconnection between patient and nurse.
Work environment and work values can also play a role in this respect (Mills & Blaesing 2000, Ewens 2003, Allen 2004). Education and the acquisition of knowledge are likely to have an impact on nurses' job satisfaction and self-concept. The increment in academic knowledge as well as a better understanding of the nursing field leads to a better self-concept and job satisfaction (Arthur 1992, Pask 2003). Furthermore, international differences in traditional cultural and social values need to be taken into account when measuring nurses' professional identity and self-concept (Fealy 2004, Thupayagale-Tshweneagae & Dithole 2007). A discussion on the image, the self-concept and the professional identity of nurses in a global context is vividly required and to be explored further to diminish the negative perception and to increase the professional level and job satisfaction.
These factors include trust, support, mutual respect and collaboration when a colleague is sick (Norris, 2012). This incident had prompted me to think about several important aspects of nursing for me. Nurses should apply human factors knowledge to clinical settings to enhance teamwork and workplace culture. Human factors application is important for patient safety. The underlying reasons for clinical errors are often associated with poor communication, teamwork, leadership, and assertiveness in the clinical settings.
However, shortcomings with PHRs such as limited availability and accessibility, breaches in confidentiality, rigid format of data and missing data are all noted by Hebda et al (2013). The author has also recognised these limitations on clinical practice, with files physically being misplaced and pages of files being placed into incorrect patient’s charts, causing breaches in confidentiality and possible treatment errors if the correct information is not present. Hawley et al’s work (2014) highlights that EHR in a maternity setting aims to integrate care between General Practitioners, midwives, alternative health professionals and the woman herself. Integration between these care sectors is required for effective and safe management of pregnant women. Ireland is currently implementing an EHR for all women and babies under the care of maternity services.
The study concluded that the LGBT cultural competency deficiency and the existence of health disparities will remain pervasive unless all practitioners are trained. LGBT patient do experience substandard care, biases, health access barriers and poor quality competency when seeking healthcare. The above barriers and deficiencies mix to produce inefficient, inequitable, unsustainable and infeasible healthcare environments and conditions that exacerbate the differences in health and increased costs to patients, physicians and healthcare system. The purpose of the study is to explore through review and analysis of literature and policies that are relevant to the problems surrounding the LGBT cultural competency in
Trans-cultural Nursing in Australia Trans-cultural nursing is one of the important aspects of health care system as we are living in ever changing multi-cultural environment. Cultural competence can be define as obtaining cultural information about patients and then applying the knowledge in order to improve nursing care and patients health status. In today’s Australian health care professional have to be culturally competent and sensitive to other people culture as they have to deal with patients of diverse social, economical, political and cultural environment with different belief system. According to 2012 census data by Australian bureau of statistics out of total population only 2.5% identified themselves as Torres strait islander people and 26% of them are immigrant and further 20% having one parent born overseas. There are various barriers to the cultural sensitivity like 1.
Cultural awareness and cultural knowledge are hugely important in the society we live in today. Ireland is transforming into a society of many cultures as growing numbers of people from various ethnic backgrounds and cultures settle here. With 18% of the Irish population in 2030 expected to be foreign national (HSE, 2012) an effort must be made to adapt to these cultures within our healthcare system. All patients have the right to knowledge and information regarding their condition, and it is important that healthcare providers communicate this information in a professional manner. Communication plays a vital role in cultural awareness.
Poor communication is so important that the Institute of Medicine identified it as the cause of many medical errors (Institute of Medicine, 1999). The Center for American Nurses (2008) defines disruptive behavior as “behavior that interferes with healthy communication among providers and adversely influences performance and outcomes. For instance, at the beginning of the placement, I found a reason behind the occurrence of client errors and missing nursing interventions that is insufficient communication among my teammates. Meanwhile, I have learnt a more systematic presentation to turn over cases and apply. Standard protocols, such as SBAR (situation-background- assessment-recommendations) are now commonplace as a way to improve communication (Beckett & Kipnis, 2009).