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Racial and ethnic disparities in the U.S. health care system
Racial and ethnic disparities in the U.S. health care system
Differences and similarities between hippocratic oath and principles of medical ethics (2001) of the american medical association
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Hospital Management “…I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person's family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick.” (Tyson) these words are part of an oath that is spoken by those entering in the medical field, an oath to fulfill to the best judgment and capabilities ethically and morally to treat all people that come in their care; this is the Hippocratic Oath. All those in the medical field, particularly in a hospital setting, are familiar with the Hippocratic Oath and it is used day in and day out. As managers of a company or organizations you apply similar methods in …show more content…
Our Lady of the Lake Hospital is a not for profit organization, meaning it is not obligated for increasing income and profits, but about servicing the community. My source, Bella a mental and behavioral tech that was employed with the hospital during 1996-2001, shed some light on the hospital’s favoritism of the medical units over the behavioral units. Like most hospitals, Our Lady of the Lake had/has hospital wide mission statement that lays claim that everyone has a duty to the health and well-being of all patients and is responsible to the hospital as well (Bella). However, the tech says that is not the case in regards to the behavioral unit, which is governed by a different set of rules than the other units. The behavioral unit deals with the mentally ill …show more content…
Underpayment inequity exists when a person’s own outcome- input ratio is perceived to be less than that of a referent (Jones). Which comes from the equity theory that states it’s a theory of motivation that focuses on people’s perceptions of the fairness of their work out-comes relative to their work inputs (Jones). The fairness is extremely uneven inside the hospital; my source validates the inequality between medical units and the behavioral units. By state law a hospital has to have psych ward or a behavioral unit for the mentally ill patients of all variety. Management is not open to the fact that the behavioral unit patients are to be treated to the same equality that the medical unit patients get. Though it is hard to see successful outcome with this unit than those of the medical units, the successful out-comes are there and should be boasted, yet it is not. The pay of the employees should be fair across the board, rather than the disproportionate ratio that is at, favoring the medical units. The inequality that is present have a security issue that leaves the patients with not enough staff to properly attend to the patients and the patients not having enough staff to help
The Hospitals medical staff including on call- physician and their designees should be made aware of Hospital bylaws or policies and procedures.
Not only do health care providers have an ethical implication to care for patients, they also have a legal obligation and responsibility to care for the patient. According to the Collins English dictionary, a duty of care is ‘the legal obligation to safeguard others from harm while they are in your care, using your services or exposed to your activities’. The legal definition takes it further by making it a requirement that a person act towards others and the public with watchfulness, attention, caution and prudence which a reasonable person in the circumstances would use. If a person’s actions fail to meet the required standard, then the acts are considered negligent (Hill and Hill, 2002). If a professional fails to abide to the standard of practice for their practice in regards to their peers, they leave themselves open to criticisms or claims of breach of duty of care, and possibly negligence. Negligence is comprised of five elements: (1) duty, (2) breach, (3) cause in fact, (4) proximate cause, and (5) harm. Duty is defined as the implied duty to care/provide service, breach is the lack thereof, cause in fact must be proven by plaintiff, proximate cause means that only the harm caused directly causative to the breach itself and not additional causation, and harm is the specific injury resultant from the breach.
These types of external influences keep the healthcare organization afloat and maintained for patient care. The staff such as assistants, nurses, physicians, specialists, clinicians, and managers, states their opinions for improvement and make proper judgement for patient care. Lastly, patients are a prime influence and critic of healthcare of negative aspects or positive aspects of doctor care and treatment. Conflicts of staff shortages, incorrect coding/ billing, incompetent staff, and lack of knowledge of ethics are always an issue to improve. As long ethical procedures are in effect at all times with OSHA, ACA, HIPAA, JCAHO, etc., then the healthcare facility is in good order. The Affordable Care Act is a law for all staff and managers to stay informed and know how the changes apply to patients. For future healthcare administrators and staff, it’s critical to recognize the external influences in healthcare administration and maintain ethical technology standards, code standards, hiring standards, staff capability, and law
Providers must act in the best interest of the patient and their basic obligation is to do no harm and work for the public’s wellbeing. A physician shall always keep in mind the obligation of preserving human life. Providers must communicate full, accurate and unbiased information so patients can make informed decisions about their health care. As a result of their recommendations, providers are responsible for generating costs in health care but do not generate the need for those expenses. Every hospital has both an ethical as well as a legal responsibility to provide care, even if the care may be uncompensated.
The ability of a unit to survive is largely dependent upon the hospitals internal financial budgetary performance and the external needs within the community. Developing a financial budget is a process that should use teamwork to plan and implement in order to be effective. The budget sets perimeters for administrators to follow throughout the year, allowing the director to report variances while providing guidance to maintain a minimum variance and adjust when possible (Finkler & McHugh, 2008). By using all department managers in the planning process of the new budget, the nurse executive is able to develop effective strategies for all departments while investing in the goals. This eliminates many problems associated with budget and identifies areas that need improvement or expansion. Because of the competition, declining margins, and other economic pressures, nurse executives need to take steps to control costs and increase revenues for this unit. The overall goal of the financial performance within the organization is to meet the total budgetary needs of the unit to produce favorable outcomes. My focus will be to propose the expansion of a new Joint Replacement Unit (JRU) within the hospital, while identifying the major operating components of the budget for this organization. The importance of reviewing the budget for a newly developed unit is to allow the nurse executive and administrative team to manage the existing organizational programs within in the facility, plan for goal accomplishments for the new unit, while controlling costs.
This chapter will analyze the Hippocratic medicine using especially the study of the Hippocratic Corpus. In the texts of the Hippocratic Corpus, medicine becomes pragmatic and secular, with theories to explain natural causes of diseases and discussions about medical practices and professional ethic. The chapter will discuss fundamental theoretical and ethical changes in medicine after Hippocrates.
When the practices in the healthcare delivery system or organization threaten the welfare of the patient, nurses should express their concern to the responsible manager or administrator, or if indicated, to an appropriate higher authority within the institution or agency or to an appropriate external authority” (3.5 protection of patient health and safety by acting on questionable practice, ANA, 2015). The example of the practice is a patient discharge from the rehab facility to the Personal care unit with pending PT/INR results, which turned out to be critical. The admitting nurse demonstrated moral courage by questioning physician who wrote discharge orders and the nurse who completed discharge. Rehab physician refused to address lab results and referred the patient to the PCP. Admitting nurse raised a concern to administration to review discharge protocol and deviation from safe practice. Nurse acted on behalf of the patient and requested readmission to rehab based on patient’s unstable medical
One of the big barrier is the high demands to reduce costs. As healthcare industry has been targeted as an organization that over spends. This has resulted in finding ways to cut costs in the hospitals. Reduce costs can result in losing possible valuable staff members such as psychiatric sitters who improve quality, safety, and value-driven outcomes. Communication barriers between staff and management need to be eliminated.
The nurse to patient ratio is unrealistic in many hospitals. In most cases it is almost impossible to give each patient the true amount of detailed care they really need. This is seen in most cases where there is one nurse assigned to 16 patients and each patient requires a different level of attention. Nurses are pressed for time, forcing them to cut corners, resulting in an increase in nosocomial infections and patient deaths. “The past decade has been a unsettled time for many US hospitals and practicing nu...
According to the American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the health, safety and rights of the patient” (p. 6). Nursing responsibilities should be acted upon at the highest standard and must be based on legal and ethical obligations. Healthcare provider’s perception and judgment of the patient’s well being, as well as taking into account the rights of the patient in every action, is one of the key elements in nursing practice. International Council of Nurses (ICN) (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3).
...ctors? Besides, if a hospital works like this , doctors should equip with medical ethics such as, doctor should equip with autonomy of the individual, professional justice ,beneficence to everyone and non maleficent. Otherwise, it loss of meaning of this jobs. It is believed that most of the healthcare staff are enthusiastic. However, there are so many annoying social activities staff should attend but that is not include in their working scope.(醫者心) Therefore, even healthcare staff full of conscientious however it scattered the attention or energy by the social activities. Thus the quality of health care gradually decrease.(irrational non humanized)
Understaffing is one of the prominent problems that hospitals and healthcare facilities are facing. Hospitals and healthcare facilities argue that they do not have enough budget to hire nurses to care for patients. While some say that there are not enough nurses here in the United States to hire. Also, hospital administrators think that hiring extra workers is not economically right. However, nurses and staffs disagree. When facilities do not have enough staff, it is the workers, especially the nurses that are having a hard time. They are the one that are suffering from overworking and pressure which leads to mistakes that will affect the hospital’s reputation and patient’s health. Nurses are here to care and nurture a patient and therefore
The Hippocratic Oath is one of the first written statements of a moral code for physicians and it shows their commitment for the good of their patients. The safety of the patient is the cornerstone to deliver quality in healthcare. Consequently putting patient safety first is at the heart of Clinical Risk Management. In order to improve the quality and safety of health-care services, it is fundamental to identify the circumstances and opportunities that put patients at risk of harm and act to prevent or control those risks. The risks to patients are many and diverse, and the complexity of the healthcare system that delivers them is huge. It is often believed that safety lies foremost in the hands of those who are the closest to the patient,
Staffing varies according to acuity, number of patient’s, and knowledge base. The operating budget will have a variety of staff levels to factor in along with other resources to run a unit effectively. In this budget acuity has gone up in the last two years and maybe the manager did not plan for this. With the acuity increasing dramatically over two years the focus should be in the cross-training of nurses from other units, which will help during the high acuity times. Cross-training will have a minimal expense in the long run.
On the other hand, due to the problem of short staffing the patient care is missing, nurses are failing to rescue the patient and nurses are having job stress because of work overload and long length of duty