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Achieving high value for patients must become the overarching goal of health care delivery, with value defined as the health outcomes achieved. ( Michael E. Porter, 2010).
Bostock-Cox (2013)) maintains that the 6 C’s of nursing are firmly embedded in emotional intelligence, (Rankin 2013) an essential quality required by nurses to effectively relate to their clients and colleagues. The 6cs consists of care, compassion, competence, courage, communication and commitment. Care is the vital aspect in nursing which involves nurturing or looking after patient’s wellbeing and welfare to impact on their individual life and care. In regards to Edna, it could be said that the most relevant quality of care, competence, compassion and communication are needed to motivate, uplift her spirit and encourage her. In Edna’s case, the community nurse would also need to think about some other issues that may arise such as maximizing her independent or her capability to think for herself, her social isolation, mobility, adequate nutrition, fluid intake and as well as treating/dressing her leg ulcer to avoid infections.
In order to improve health inequalities, Marmot (2010) suggests that health professionals,
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As we have seen in Edna’s story seeing any staff who is communicative, willing or interested in what she tells them, encourages her. Patients may be anxious not to be a burden to their relatives or staff with what may seems to be less important matters, which also appears in Edna’s case. Edna’s story also helps us to understand the importance of holistic care and compassion. It shows that emotional features of care are important as the rest of the knowledge and skill required to care. It illustrate how important is to be available to give supportive care and
Due to the increasing financial implications, patient satisfaction has become a growing priority for health care organizations, as well as transitioning the health care organization’s philosophy about the delivery of health care (Murphy, 2014). This CMS value based purchasing initiative has created a paradigm shift in health care in which leaders and clinicians must focus on patient centered care and the patient experience which ultimately will result in better outcomes. Leaders and clinicians alike must be committed to the patient satisfaction. As leaders within the organization, these groups must be role models and lead by example for front-line staff. Ultimately, if patients are satisfied, they are more likely to be compliant with their treatment plans and continue to seek follow up care with their health care provider, which will result in decreased lengths of stay, decreased readmissions, increased referrals and decreased costs (Murphy, 2014). One strategy employed by health care leaders to capture the patient experience, is purp...
Through the utilisation of the accompanying text, I aim to discuss and reflect upon one person’s care, to which I have had previous involvement. Using the perspectives set out by Chapelhow et al (2005), I aim to gain a broader outlook on what is expected of me as a Student Nurse. Chapelhow et al (2005) has identified six skills that they feel are required of every Health Care Practitioner. These skills are defined as ‘enablers’ as they are fundamental skills that provide the means for expert professional practice (Chapelhow et al 2005). Although there are six skills outlined, I will only be using two of them to analyse the care I provided. I have chosen to use communication and risk management as my two enablers.
the social conventions of the time. She spends more time on her art. She goes
...lthcare system is slowly shifting from volume to value based care for quality purposes. By allowing physicians to receive payments on value over volume, patients receive quality of care and overall healthcare costs are lowered. The patients’ healthcare experience will be measured in terms of quality instead of how many appointments a physician has. Also, Medicare and Medicaid reimbursements are prompting hospitals, physicians and other healthcare organizations to make the value shifts. In response to the evolving healthcare cost, ways to reduce health care cost will be examined. When we lead towards a patient centered system organized around what patients need, everyone has better outcomes. The patient is involved in their healthcare choices and more driven in the health care arena. A value based approach can help significantly in achieving patient-centered care.
Edna’s will to break out of the confinement of her family vs. Mr. Pontellier’s determinedness to keep Edna
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
Edna's Awakening Kate Chopin's "The Awakening" is a work of litature like none other I have read. It is not hard to imagine why this major work of Chopin's was banished for decades not long after its initial publication in 1899. Most of society did not like the fact that "The Awakenings" main character, Edna Pontellier, went against the socially acceptable role of women at that time. At that time in history, women did just what they were expected to do. They were expected to be good daughters, good wives, and good mothers.
The patients should receive safe and appropriate care in return for payment equal to the level of care received (“What is Value-Based Care”, 2016). For providers, this means using affordable and proven treatments while also catering to the patient’s needs (“What is Value-Based Care”, 2016). Additionally, this model is built upon measurement which when relayed to the patient will inform them of the scope and cost of their care. Examples of measures that are tracked, provided by the article “What is Value-Based Care,” include: procedural complications, hospital-acquired infections, and readmissions; providers face penalties if these metrics are unacceptable (“What is Value-Based Care”,
Jean Watson is a well-respected American nursing theorist who created the Theory on Human Caring. Watson’s concept on caring for a human being is simple, yet has much depth and meaning, and holds strong for nurses to work with compassion, wisdom, love, and caring. The Theory on Human Caring is necessary for every nurse, as it is our job to care for others in a genuine and sensitive way. The theory is extensive; its core foundation is based on nine concepts all interrelated and primarily focused on a nurse giving a patient care with compassion, wisdom, love, and caring (Watson, J., 1999). The nine essential aspects consist of: values, faith-hope, sensitivity, trust, feelings, decision-making, teaching-learning, environment, and human needs. Watson also created the Caritas Process consists of ten different ways of giving care:
Lee, T.H. (2010). Putting the value framework to work. New England Journal of Medicine. 363:2481-2483
The balance between quality patient care and medical necessity is a top priority and the main concern of many of the healthcare organizations today. Due to the rising cost of healthcare, there has been a change in the focus of reimbursement strategies that are affecting the delivery of patient care. This shift from a fee-for-service towards a value-based system creates a challenge that has shifted many providers’ focus more directly on their revenue. As a result, organizations are forced to take a hard look at the cost of services they are providing patients and then determining if the services and level of care are appropriate for the prescribed patient care.
Edna in “The Awakening” portrays almost like a selfish character. Her husband and her have good moments as well as bad moments, and it does not become clear until later in the book what each others intentions are. The relationship between the two is rather odd, and the families of the two disagree with their marriage, even though they have two kids already. Edna is the protagonist of the novel. While Edna and Mr. Pontellier have a "mistaken fancy" of "a sympathy of thought and taste," Edna and Robert have what seems like the real deal.
Two concepts at the heart of nursing are comfort and caring. The Meriam Webster dictionary defines comfort as easing grief or trouble, as well as giving hope or strength. The definition of caring is showing or feeling concern for others. Theorists Jean Watson and Katharine Kolcaba seek to enhance nurses understanding of caring and comforting patients through their respective theories. This paper will discuss their theories using a stepwise approach.
In the todays century, the responsibilities, roles, and opportunities for nursing and nurse education has grown abundantly to that of modern day nurses. Many nurses in the eighteen century were not educated nurses and never attended nursing school; however, they still provided care for the sick, poor, and needy and played a vital role in health maintenance. With the hard work from many notable nurses in history such as Florence Nightingale, Clara Barton, and Isabel Robb and the persistence and dedication for change from influential nurses such as Mary Mahoney and Mabel Staupers; nursing today has transformed in many aspects of practice. Although nursing as a profession is continuously evolving throughout the years, the core foundation of nursing hasn’t changed in that nursing is a profession of caring for others and servicing those in need.
I always treat each person as a unique individual with unique life experiences. I treat my patients with respect and address their cultural beliefs and values. I pride myself with having a caring attitude and want to help and heal people from their illness physically and psychologically. I think nursing can be both science and art. I think to be a successful nurse; the nurse needs to master the art of caring and continually learn and apply knowledge of nursing science throughout their career. Without caring or nurturing the nurse cannot connect with the patient and trust will not develop, without a trusting relationship, therapeutic nursing will not be able to occur. Therefore, I feel caring is at the forefront of all successful nursing interactions. This is not to negate the value that science brings to nursing. A competent nurse must be able to have a variety of knowledge and skill. The next part of the paper will discuss the metaparadigm of