According to Statistics Canada Report 2013, “life expectancy in Canada is one of the highest in the world” and it is expected to grow, making the aging population a key driver to our health-systems reform. By 2036, seniors in Canada will comprise of twenty five per cent of the population (CIHI, 2011). Seniors, those aged 65 years and older are the fastest growing population in Canada. Currently there are approximately 4.8 million Canadians aged 65 or greater. It is projected that this number will increase to 9 to 10 million by 2036 (Priest, 2011). As the population get aged the demand for health care and related services are expected to increase. Currently, the hospitals in Ontario are frequent faced with overcrowding emergency departments, full of admitted patients and beds for those patients to be transferred to. It has been reported that 20% of the acute care beds in the hospital setting are occupied by patients that do not require acute hospital care. These patients are termed Alternate Level of Care (ALC). ALC is “When a patient is occupying a bed in a hospital and does not require the intensity of resources/services provided in this care setting (Acute, Complex, Continuing Care, Mental Health or Rehabilitation), the patient must be designated Alternate level of Care at that time by the physician or her/his delegate.” (Ontario Home Care Association, 2009, p.1). Markham Stouffville Hospital (MSH) is an acute care Hospital in Markham Ontario. Every year almost 40,000 patients discharge referral transactions are conducted across 52 health care facilities in the Central Local Health Integration Network (CLHIN). I am currently working as a Hospital Case Manager (HCM) in Central Community Care Access Central (CCAC) at the Markham ... ... middle of paper ... ...s, K.D., London, F. (2005). Patient education in health and illness (5th ed.). New York: Lippincott. Shuttleworth, A., (2004). Managing workplace stress: how training can help. Industrial and Commercial Training, 36 (2), 61 – 65. Statistics Canada. (2012). Components of population growth. Retrieved from http://www.statcan.gc.ca/pub/91-003-x/2007001/4129903-eng.htm Stichler, J. F., (2011). Leading Change. One of a Leader's Most Important Roles. Nursing for Women's Health, 15(2),, 166–170. VanderBent, S. D. (2009, September). Home Care and Pandemic Flu. In Ontario Home Care Association Bringing Health Care Home. Retrieved March 10, 2014, from https://www.homecareontario.ca/public/docs/publications/position%20papers/2009/Home-Care-and-Pandemic-Flu.pdf Ziegler, S.M. (2005). Theory-driven nursing practice. (2nd Ed.). New York, NY: Springer Publishing Company, Inc.
Moss, A. J. et al. Design and operation of the 2010 National Survey of Residential Care Facilities. Vital Health Stat. 1. 1–131 (2011). at
Walker, L.O., & Avant, K.C. (2005). Strategies for theory construction in nursing. Upper Saddle River, NJ: Pearson Prentice Hall.
Walker, L. O., & Avant, K. C. (1995). Strategies for theory construction in nursing (3rd ed.). Norwalk, CT:
Thorne, S. (2010). Theoretical Foundation of Nursing Practice. In P.A, Potter, A.G. Perry, J.C, Ross-Kerr, & M.J. Wood (Eds.). Canadian fundamentals of nursing (Revised 4th ed.). (pp.63-73). Toronto, ON: Elsevier.
Walker, L.O., & Avant, K. (2005). Strategies for theory construction in nursing (4th ed.). Upper Saddle River, NJ: Prentice Hall.
The public agencies such as CMS have periodically made drastic changes to their reimbursement policies. In 2003, the CMS began the hospital quality initiative and Home Health quality Initiatives ( Denisco & Barker, 2013). The hospital quality initiative mainly focused on Acute Myocardial Infarction (AMI), heart failure ( HF), and pneumonia( PNE). The home health quality initiatives also focused on quality measures for individuals receiving home care services ( DeNisco & Barker, 2013). In 2001 about 3.5 million disabled and elderly Americans received care from 7,000 Medicare certified home health agencies and about 3 Million elderly and disabled Americans received care from 17,000 Medicare and Medicaid certified Nursing Homes ( DeNisco & Barker, 2013). In 2004, CMS Nursing home Quality Initiative started 14 quality measures in the areas of delirium, pain( acute and chronic), incontinence, decline in activities of daily living, physical restraints, worsening of anxiety and depression, pressure sores, indwelling catheters, mobility decline, bedfast, weight loss and urinary tract infections( DeNisco & Barker, 2013). The National...
These clinical staff will make house calls to United Healthcare clients secured by Medicare who face perpetual, and conceivably costly, conditions, for example, diabetes or congestive heart failure (Triad Business Journal, 2013). It 's a speculation United Healthcare trusts enhances tolerant health through more financially savvy, higher-quality care, and thus, helps the organization 's main concern (Triad Business Journal, 2013). It is expected that the House Calls system will be looking after 75,000 Medicare patients before the current years over (Triad Business Journal, 2013). United Healthcare right now covers around 250,000 seniors in the state with its Medicare Advantage items. Moreover with the strategic plan to hire more nurses and healthcare providers, such as in home visits offer the opportunity to assess the patient’s medication regimens, offer routine physical evaluations and react to any healthcare demands (Triad Business Journal, 2013). United Healthcare plans and suppliers envision such normal, preventive care will take off emergency room office visits or healthcare facility stays for more genuine, and costly, problems in the future (Triad Business Journal,
Doody, O., & Doody, C. (2012). Transformational leadership in nursing practice. British Journal of Nursing, 21(20). Retrieved from http://web.b.ebscohost.com.proxy.library.ohiou.edu/ehost/pdfviewer/pdfviewer?sid=3655bc92-b9ec-4a08-84d8-f5d3098ddfdf%40sessionmgr120&vid=17&hid=116
When I think of barriers to leading change, the experience that comes to mind is one that occurred during my first few months as a nurse leader. Though this experience happened many years ago it is one that I think of periodically, and contemplate how I could have been more effective in my leadership style
The nursing profession is considered both an art and a science. An example of the science of nursing is the theory and evidence based practice guidelines (EBP), which influence a nurses practice. The art of nursing is fluid of bringing science and patient care into nursing practice. Nurses in all levels of nursing educational programs should study nursing theory. According to Eun-Ok (2015) theory evaluation has declined and it is essential to developing nursing knowledge; which, leads to the development of nursing discipline. Nursing theory should be continually evolving as current health care trends evolve. The best way to accomplish this is through incorporating theory in academia and nursing
... improved according to national quality assessment ratings ( Alligood, M. (2011). "Theory-based nursing practice has demonstrated a capacity to structure professional care, unify and simplify communication, save time, clarify decision-making, and reduce nurse staff turnover saving thousands of dollars.( Alligood, M. (2011)..)
Walker, L. O. & Avant, K. C. (2011). Strategies for theory construction in nursing. Upper Saddle River, NJ: Pearson Education, Inc.
Parker M. E., & Smith M. C. (2010). Nursing theories and nursing practice (3rd ed.).
To make good nursing decisions, nurses require an internal roadmap with knowledge of nursing theories. Nursing theories, models, and frameworks play a significant role in nursing, and they are created to focus on meeting the client’s needs for nursing care. According to McEwen and Wills (2014), conceptual models and theories could create mechanisms, guide nurses to communicate better, and provide a “systematic means of collecting data to describe, explain, and predict” about nursing and its practice (p. 25). Most of the theories have some common concepts; others may differ from one theory to other. This paper will evaluate two nursing theorists’ main theories include Sister Callista Roy’s
In order to find a solution to the issue of stress in the workplace, it is important to first understand what stress is. Stress is a difficult issue to solve because everyone experiences stress differently. According to the National Institute of mental health, stress can be defined as the brain’s response to any demand (“Fact Sheet on Stress”). When there is any sort of change going on, it usually triggers the stress response. Since people are always dealing with certain changes in their lives, they are always dealing with some type of stress. One of the biggest growing issues with stress is stress in the workplace. According to Northweste...