The changing climate as a result of the advent of value-based care continues to place significant demands on hospitals, medical providers, healthcare organizations, and physicians to take a completely new look at the marketing strategy. A coherent strategy and sustained quality are critical in today’s healthcare market to attract new patients, retain existing clients, and maintain positive and productive relationships between the patients and hospital staff. To be viable today, healthcare organizations have to utilize effective strategic planning to develop integrated marketing strategies that makes it efficient and easy for the target population to identify what they need, make informed decisions, and provide insights and new information – not just basic promotion. Also, such efforts have to be constantly evaluated to ensure highest quality that fosters better outcomes and more value for the
Further, new clinical roles, the need for managerial and executive talent, the imperative to retain nurses in active practice over longer careers, and the desire by practicing nurses to move up the economic ladder lead to the demand for continuing education and career mobility and development. Schools of nursing have many of the core resources needed to deliver continuing professional education and can provide appropriate courses efficiently and effectively. Affiliation with schools by nurses in active practice may lead to an increase in enrollment for advanced degrees. Health care and health-related organizations may serve as institutional partners in sponsoring such program offerings, which would contribute to their relevance, increase participation, and lower costs. Nursing research is an integral part of the scientific enterprise of improving the nation 's health.
Nurses Level of Leadership and Autonomy United States Within the United States, the oncology nurses play a vital role in leadership being at the forefront of care, as well as having a wide range of autonomy. However, ultimately, the providers make the orders that the nurses have to follow. A 2013 article, Nursing Practice Environment and Outcomes for Oncology Nursing elaborate on autonomy within the oncology nursing field. A notable finding of the study was the more autonomy the nurses felt they had compared to their peers on medical surgical floors. Their research states that oncology patients normally have complex cases and require a lot of knowledge and time.
Evidence based practice holds a high level of importance in the field of professional nursing. Nursing research adds to the current knowledge base and simultaneously supplies trustworthy data that can be used as the basis for practice (Kearney-Nunnery, 2016, p. 79) . The implementation of the practices gained through research, and proven through evidence, contribute to the profession of nursing, the welfare of the patient, and the health industry. In the field of nursing, evidence based practice provides the nurse with the most up to date and proven interventions. It increases the nurses overall knowledge and expertise, which makes them a higher quality provider of care.
I find the uptake of evidence-based practice is one of the fields that has profoundly affected the paradigm shift and is woven into each of the nursing fields, and since wide researches have been conducted so far, it imperative to note that the available material will equip and provide needed assistance. Stevens (2013) argues that the use of the knowledge which is gained from quality improvement efforts will definitely generate evidence needed to make systems improvements and transform healthcare. Therefore, utilizing the available resources in addition to conducting further researches, exploring on well-intended expert opinions and working together with the willing partners from the academy for discovering what works to improve health care guarantees growth of the profession. It is true that there a number of challenges to improving the profession, but there is no magic bullet for bringing success into the practice, several strategies are needed. Furthermore, what works in the context of care should be identified and the context variables implementation.
The institute of Medicine two thousand and ten report on the future of nursing, aims at changing leadership and education of healthcare and nursing. Also, the report urges the nurses to take an enhanced role in the growing complex system of health care. the IoM report is as a result of an examination on the manner in which nurses' academic qualification, duties and responsibilities ought to alter to meet the growing demand for healthcare. Additionally, The report aims at enhancing response to a changing and complex health care system via improving nurses' role in provision of care. Nurses represent the greatest population of medical workforce and are at a good position to realize the goals set in the 2010 IoM report.
Concept Analysis Health promotion is a concept that is frequently used in the nursing profession. The World Health Origination (2016) defines health promotion as the ability of empowering individuals to take over, and to improve, their health. The concept of health promotion is to allow individuals to increase self-control over their health. Type 2 Diabetes is an increase public health concern in the United States. According to the CDC (2016) Type 2 Diabetes is associated with an alarming rate of mortality, cardiovascular disease, cerebral vascular accidents, unemployment, and an increase in healthcare cost secondary to complications related to uncontrolled diabetes.
Physician/hospital collaborations, when structured properly, can yield a host of benefits, including improvements in several key areas: economics, quality of care, operating performance, resource consumption and physician retention and leadership. The hospitals will have to evaluate physician competency level, even when under contract. The reason being is because hospitals are held accountable regardless, but if they had a more reliable staff it could reduce lawsuits. Physicians rely on hospitals for the use of their facilities and also to gain income. To have financial security is a motivation alone for physicians that work in the
Drug administration remains a traditional task of nurses which involves significant responsibility (Armitage & Knapman 2003, cited by Tang, Sheu, Yu, Wei & Chen, 2007) and should be given attention as such in order to reduce mistakes. Indeed, medication errors are even more common nowadays, since the numbers of medications available on the market for prescription increased. Additionally, technological advancements helped to increase the routes for medication, where nurses are provided with different pumps, tubes and valves which make nurses more susceptible to errors in drug administration (Tang et al.,2007) since different pump models have different settings and need different tubing. There are multiple contributing factors to medication error of which some may
In cases when a hospital records a higher rate of HAI, it is important to inform a patient of the risk. This strategy supports the concept of patients’ autonomy and empowers them to make better health decisions. According to Sharp, Palmore, and Grady (2014), a telephone survey carried out in 2013 revealed that 93% of respondents agreed that knowing a hospital’s infection rates influences their selection of a care setting and physician. Healthcare institutions are however caught in an ethical dilemma because if they inform patients of the risk of infection, they may opt not to receive treatment and diagnosis. In the long-term, the risk of disease progression increases significantly.
However, in hospitals of US, nurses have been facing different clinical issues (Sharifcorresponding & Masoumi, 2005). The most important issue that is needed to be resolved is the cultural competence. Cultural competence exists in all the organisations and this increases the efficiency of organisations. Similarly, this has become a major factor in the health care system of US hospitals. However, the selection of this clinical issue has been made because of the severely negative impacts of cultural competence, which are increasing with the passage of time.
The need for standardized quality measures has been evolving as insurances companies, patients and employers want more data driven health outcomes that improve patient health while reducing cost. The National Committee for Quality Assurance and the federal Agency for Health Care Research and Quality (AHRQ) along with CMS have been a leaders in utilizing evidence based methodologies and measuring quality outcomes to improvement health. The Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely set of quality measures in the U.S incorporating quality measures across many domains of treatment identification strategy in the Initiation and Engagement measures, based on procedure, diagnosis codes and chart audits that is feasible
There is a need for greater reimbursement for nurse staffing for health care organizations. Nurses make up the bulk of medical personnel and are the frontline caregivers and health care providers. I agree with many experts’ opinion that adequate nurse staffing results in favorable patient outcomes and must therefore be financially supported. Dunham-Taylor (2015), argues that “effective workforce management is a key factor contributing to organizational success” (Dunham-Taylor, 2015). Moreover, the author asserts that adequate nurse staffing leads to better patient outcomes, better reimbursement, positive patient satisfaction scores, greater workforce satisfaction, increase employee retention, financial success and organizational stability