Storm Born Chapter Seven

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Nursing Informatics Essay

Nursing informatics can best be described â€Å"as the integration of data, information and knowledge to support patients and clinicians in decisions across roles and settings, using information structures, process, and technology† (Knight & Shea, p. 93). Nursing informatics has evolved over the last half decade from a system with only a few abilities to a worldwide technological system used in many hospital settings and physician offices in order to unify healthcare, eliminate error, and allow clinicians to spend less time charting and more time fulfilling job duties. In the 1960s, technology entered the nursing profession and the very first computer systems were integrated into hospitals. The early computer systems were implemented in order to process orders promptly and keep an accurate record of charges incurred by patients during their hospital stay (Murphy, 2010). Over the next few years, technology improved and started to revolutionize the nursing profession, documentat ion and communication throughout the hospital went from pen and paper to online databases filled with electronic patient information (Murphy, 2010). The introduction of NI has â€Å"prompted significant transformation in healthcare, along with increased attention to patient safety and outcome† (HIMSS Nursing Informatics Awareness Task Force, 2007, p. 38). Nursing informatics (NI) was finally recognized as a specialty in the mid-1990s (Murphy, 2010) Nursing informatics continued to evolve and the clinical setting began using electronic health records in patient care areas. Electronic health records (EHR) is like the nursing process, in which computer charting uses a hands on approach where the clinician is responsible for physically inputting the data attained into the Electronic Health Record. (McFadden, 2012). EHR was a huge push by President Bush in 2004, he mandated that the electronic health record be worldwide in the United States within ten years and created the Office of the National Coordinator for Health information Technology (HIMSS Nursing Informatics Awareness Task Force, 2007). The concept behind the electronic health record was to redesign the way patient care was delivered so that documentation and data gathering was integrated and automatically uploaded eliminating the room for errors and or misinformation (McFadden, 2012). Today nursing informatics uses technology to improve its clinical nursing  practice as well as to enhance the quality of patient care (Saba, 2001). As patients change, technology in the hospital setting must change and adapt as well. In order to make sure that the Electronic Health Record is as user friendly as possible for the majority of the clinicians using the system, TIGER was formed. â€Å"TIGER which stands for Technology Informatics Guiding Specialties which is a national collaborative of nurses from various specialties† (â€Å"TIGER,† 2010, p. 11). Nurses who are on the front line taking care of patients first hand bring knowledge of how information can be supported and improved upon in the clinical process and decision-making, which ultimately improves quality and patient outcome (â€Å"TIGER,† 2010). TIGER has improved nursing informatics by intertwining technology into the nursing practice, therefore making health information technology the stethosc ope for the 21st century (â€Å"TIGER,† 2010). Along with the continuing development of technology CPOE (Computerized Provider Order Entry) was developed freeing nurses from having to transcribe physicians hand writing and eliminating the need for order clarification made via phone calls improving quality control and patient outcomes. (Thede, 2012). Lab results are readily available through Point Of Care seconds after a test is completed in order for nurses and physicians to have information to review and determine further course of treatment the moment the results become available (Thede, 2012). Nursing informatics has a direct impact on nurses. Nurses spend roughly 50% of their time documenting and as little as 15% at the patient bedside (HIMSS Nursing Informatics Awareness Task Force, 2007). Our role as a nurse is being redefined by computers allowing more time to actually nurse patients to health and less time documenting our measures used to return them to health. As stated by HIMSS Nursing Informatics Task Force (2007) â€Å"this movement toward evidence based clinical practice is designed by a clinical information system which serves as the integrator that supports clinical judgment and client values† (p. 31). Nursing informatics will continue to improve and will become able to process data more quickly than it doe s now (Saba, 2001). In the 21st century, nursing informatics is part of our everyday professional activity. The majority of healthcare professionals are computer literate as utilizing a computer and accessing patient records has become a part of our everyday duties as nurses. (Saba, 2001). As we continue to move toward a more IT world, nursing informaticists will continue to work  with nurses to ensure that our practice is further enhanced by new technology (HIMSS Nursing Informatics Awareness Task Force, 2007). As clinicians is our duty to be prepared and properly trained with the most recent technological advances so we can spend less time finding where to document information or inputting information and more time fulfilling other nursing duties. In summary, according to Murphy (2010) â€Å"nursing informatics has evolved to an integral part of health care delivery and a differentiating factor in the selection, implementation, and evaluation of health IT that supports safe, high-quality, patient-centric care† (p. 207). It is time for nurses to leave the past ways of paper charting and embrace what the future has for us in the ever evolving technological world. Our profession is being transformed to meet the needs of patients and allowing clinicians to keep accurate records but doing so in a timely and safe manner. Nursing informatics is a tool which is in place to make it easier to keep accurate records, spend more time interacting and caring for patients, and have one place to look for information regarding patient care. References HIMSS Nursing Informatics Awareness Task Force. (2007, March). Informatics. Nursing Management, 38, 38-42. http://dx.doi.org/http://dx.doi.org.ezproxy.ttuhsc.edu/10.1097/01.NUMA.0000262926.85304.a6 Knight, E. P., & Shea, K. (2014). A Patient-Focused Framework Integrating Self-Management and Informatics. Journal of Nursing Scholarship, 46, 91-97. http://dx.doi.org/10.1111/jnu.12059 McFadden, R. (2012, December). Nursing informatics: A specialty on the rise. , 16, 16-17. Retrieved from http://search.ebscohost.com.ezproxy.ttuhsc.edu/login.aspx?direct=true&db=rzh&AN=2012223758&site=nrc-live Murphy, J. (2010, May-Jun). Nursing informatics: the intersection of nursing, computer, and information sciences. Nursing Economic$, 28, 204-207. Retrieved from http://search.ebscohost.com.ezproxy.ttuhsc.edu/login.aspx?direct=true&db=rzh&AN=2010699607&site=nrc-live Saba, V. K. (2001, September). Nursing informatics: yesterday, today and tomorrow. International Nursing Review, 48, 177-187. Retrieved fr om http://web.b.ebscohost.com.ezproxy.ttuhsc.edu/nup/detail/detail?sid=976b7ae2- 0db7-4ca2-83ce-c7fded8dd419%40sessionmgr112&vid=10&hid=119&bdata=JnNpdGU9bnVwLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#db=rzh&AN=2001106151 Staggers, N., & Thompson, C. B. (2002). The evolution of definitions for nursing informatics: A critical analysis and revised definition. Journal of the American Medical Informatics Association. The voice of nursing informatics and the future of nursing Technology Informatics Guiding Education Reform (TIGER) (2010). ANIA-CARING Newsletter, 25(4), 11-20. Retrieved from http://web.b.ebscohost.com.ezproxy.ttuhsc.edu/nup/detail/detail?sid=2b530457-f316-4cab-99a1-51bdce7a9464%40sessionmgr115&vid=1&hid=119&bdata=JnNpdGU9bnVwLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#db=rzh&AN=2010939703 Thede, L. (2008, Aug 18). The Electronic health Record: Will Nursing Be on Board When the Ship Leaves? OJIN: The Online Journal of Issues in Nursing, 13. http://dx.doi.org/10.3912/OJIN.Vol13No03InfoCol01 Thede, L. (2012, Janurary 23). â€Å"Informatics: Where is it?†. OJIN: The Online Jour nal of Issues in Nursing, 17(1). http://dx.doi.org/10.3912/OJIN.Vol17No1InfoCol01

Bikin for Bruises

â€Å"Oh man,† my friend moaned. â€Å"Look at her bike!† He motioned towards a girl in a bright yellow running shirt, obviously one of the more experienced bikers. She was walking a shiny, expensive blue bike through the parking lot. But the entire left pedal was shattered†¦completely gone, except for a stub of black metal. â€Å"Geez†¦are you sure we’re up for this?† I ask. It was our first time mountain biking. We had no idea what we were getting into. â€Å"I dunno, man,† he said. â€Å"Let’s try it out. How hard could it be?† I climbed into the back of his beat up, silver pickup to unload the bikes. â€Å"I think we might need these,† he said, emerging from the truck with our helmets. â€Å"Haha, I hope not.† After making sure the strap was tight enough, I climbed on my green Trek and set off down the beaten path. The forest rushed past as we bumped along the dirt trail. For a half-mile, my eyes were set on my friend’s back tire and the occasional rock. Then, the trail got narrower and the turns became sharper. The first hill rose ahead, its top barely visible through the foliage. But after sweaty palms and burning thighs, we finally clambered to the summit. â€Å"You ready for this?† I ask, observing the trail ahead. It was no more than two feet wide and followed a slight curve with rocks, roots, and squirrels all over. â€Å"No turning back now, bro. Ladies first.† â€Å"Ha, funny,† I said sarcastically, â€Å"See you at the bottom†¦if you’re lucky.† I pushed of the forest floor and started down the slope. The trees raced past as I picked up speed. I felt every rock and root through my bike, through the seat and through the handlebars. Suddenly, I was jamming the brakes the whole way, doing everything in my power to not wipe out. Standing o n the pedals moved my center of balance forward, so every bump threatened to buck me off. Finally, the end of the hill approached. The ground flattened and I stopped accelerating. I could hear shouts of adrenaline as my friend started the decent. In the middle of the path, about 20 feet ahead, there was a stone. Three inches in diameter, it was no different than all the others on the way. I ignored this particular rock, because I figured I could handle it. It was just another bump. But this was a BIG MISTAKE. I hit the rock, still crouching on the pedals, close to the end of the hill. And then I went right over the handle bars. The world spun as my bike vanished beneath me. Somehow I ended up clearing the bike and landing on my feet—perfectly fine, but shaken. My friend cheered. â€Å"Hey, you okay?† he asked. â€Å"That looked nasty from back here.† He sounded concerned, but I can tell he’s still laughing on the inside. â€Å"Yeah, I’m alrigh t. Let’s do it again.† Whether on the mountain bike course, in the classroom, or at work, I bring a strong work ethic, adventurousness, and, most importantly, the ability to get back on the bike and keep going.

Briefly set out a) the main theoretical perspectives underlying the Essay

Briefly set out a) the main theoretical perspectives underlying the remuneration of executive directors in major national or mul - Essay Example However, this silence is less relevant to their leadership qualities, and more a result of their resultant extra ordinarily high salaries. In addition, there has been a very significant difference in the remunerations of CEOs belonging to US companies, as compared to those belonging to companies in the UK. With respect to this observation, this paper studies the remuneration of executive directors, and delves into the issues and theories concerning their outrageous amounts, and the debates that arise from them. The debate on the remuneration that executives receive has been carried out for several years. A recent factor, which has heated this debate even further, is the current recession and its effects (The Economist, 2010). This stems from the fact that over 13 percent of the residents of the US are unemployed, while millions others struggle to hold on to their jobs as their salaries and wages are reduced from what they used to be (Robbins, Judge & Judge, pp. 278, 2008). Apart from this, Lehman Brothers experienced a downfall, and needed two bailout packages from the government to recover and prevent further such happenings. This occurrence has made the common person wary of the way the scarce resources are employed, and that they should be treated as scarce instead of being wasted. However, people who only see half the picture make majority of the complaints and criticisms that the system of high remunerations receives. They see how these directors receive huge salaries for what they do, but they do not consider or even know about the stressful and demanding jobs that these directors do which help them secure such large payments (The Economist, 2010). This is a critical element that is missing from their perspectives, which makes theirs an unfair, unbalanced perspective. These critics do not bother considering the perspective of the CEOs themselves, or the significance and value of their services (The Economist, 2010). This paper aims to prove that, for this reason, their perception is flawed, and that the CEOs do earn the money they receive, using research, and statistics. Theoretical Perspectives It is an observation (Robbins et al., pp. 23-39, 2008) that a huge number of experts have carried out research on the issue of remuneration of executive directors in the United Kingdom, as well as in the United Kingdom, especially during the last decade. Analysis has identified that extraordinary increment in the salaries of executive directors been one of the major reasons of such a huge number of researches carried out on the subject. In order to understand theoretical perspectives of executive directors’ remuneration, the paper will include agency and expectancy theories that will provide a comprehensive understanding. In particular, every company in the United Kingdom follows a standard remuneration package for its executive director that usually includes a basic salary, a yearly bonus along with long-term benefits. In this packag e, salary is the permanent component whereas the other components vary in different organisations. It is an observation that two factors play a critical role in determining variable components in remuneration of executive. Firstly, the calculation that relates variable components as functions of basic salary (Robbins et al., pp. 23-39, 2008). The second factor refers to the achievement of directors in terms of their target, thus, an average performance will lead towards to a lower bonus. Besides understanding

Study Case Example | Topics and Well Written Essays - 1500 words

Case Study Example The pursuit of innovation and efficiency led to operational excellence which was its competitive edge over rival companies. 2- Lincoln Electric’s vision was to be the world’s leading manufacturing company. The plan therefore was to produce high quality products at the lowest cost possible in order to transfer more value to its customer in terms of savings and to itself through increased sales volumes. The organization therefore adopted a flat structure to encourage communication and build trust between staff and other workers as well as guaranteeing job security in order for staff to be less resistant to change as need be. As a form of control the company used merit rating systems that analyzed individuals of four factors: dependability, quality, output, and ideas and cooperation. 3- James Lincoln believed that through competition and incentive every person could develop to his or her full potential (Fast and Berg 4). This assertion resembles the optimistic and positive view of workers advanced by McGregor’s Theory Y. Lincoln therefore believed that he had put in place the right environment (and cultural paradigm) that enabled workers be responsible, self-direct and be creative. Other policies that Lincoln instituted such as guaranteeing employment for workers and year-end bonuses pegged on merit ratings point towards Maslow’s theory. Guaranteeing employment allows workers to satisfy physiological needs and to some extent safety needs. The bonus incentives on the other hand allow workers to reach towards greater goals or to afford higher needs such as new car, home etc. which are esteem needs. 4- Belief in workers’ ability to self-manage; be creative; and institution of reward schemes that are not capped directly contributed to Lincoln’s dominating performance over its competitors for two reasons. Firstly, it kept staff motivated. Motivated staff increases productivity which increases returns. Secondly, employees stick around

United States school reform model Essay Example | Topics and Well Written Essays - 1250 words

United States school reform model - Essay Example Public schools in the US are long overdue for reform. The pedagogy, governance, and organization are archaic, as are the methods of teaching and day to day operations. Yet it is no small task to overhaul a system that has been in place for well over one hundred years. There have been several attempts to change the way schools were run, yet each one has failed, or has affected change on only a few schools. Few would argue that America's public schools are no longer meeting the needs of the families they serve, much less reaching their potential as ideal environments for children to grow and learn in. Schools are essential to society, but they must grow and change to meet the needs of the people that reside within that society. To change schools, it is necessary to look at change to the way schools are run, both at a micro and a macro level or organization. It is necessary to look at how the school should interact within the community, and how it should create its' own community. And f inally, it is necessary to look at the pedagogy, and how it works and is assessed within the schools.Current school government is convoluted, and is micro-managed at far too many levels. Each school has government, then each district, then each county, each state, each region, and finally, on a country-wide level. This overabundance of government comes also with very little organization. Tyack looks at governance as a definite place of difficulty in education. Citing the New York City schools as an example, he points out that when control is de-centralized, people demand centralized governance; yet when the governance is centralized, the people want governance back at the local level. When it returns, the cycle repeats itself (Tyack 76-77). It is clear that governance of schools needs to be clear about hierarchy of power, and also with regard to who is in charge of what areas of education. Because American's are an ever changing population characterized by the constant shifting and movement of groups from one area to another, it stands to reason that public schools should be run on a country wide level, and not on a state run level. Goodlad, author of A Place Called School, recommends similar changes, only at a state level. He explains "State officials, including the governor, should be held accountable for articulating a comprehensive, consistent set of educational goals for schools (Goodlad 275). He suggests that it is not reasonable, nor logical to place the blame for not following educational mandates upon schools; that it is the responsibility of the state to pass on these new mandates, and to ensure that the schools are funded for the changes (Goodlad 274). His recommendations are reasonable, although they do not account for the need to maintain standards country-wide, which would be better served by one organization rather than several. By limiting governance to one major organization, all schools would be subject to the same rules and tests, allowing c hildren to move from school to school with regular uniformity. Health codes and nutrition could also be met at a federal level, ensuring the health of America's children over the long term. Clearly, in addition to federal level government there needs to be local organization also, to provide support and to ensure all schools are accounted for. This can be met by having state level governance, removing the need for district level altogether. With-in schools, current governance allows for the handling of discipline and day to day operations. The principal of each school should have power over the daily operations of the school, but should also be a part of the staffing decisions and possibly a member of a state advisory board, that would help suggest curriculum or other changes to a state committee. School governance needs to take into account American Society, and the changes that take place yearly. Community involvement is also a necessary component of school success. Goodlad suggests that in

Developing tourism product in souq waqif Essay Example | Topics and Well Written Essays - 5250 words

Developing tourism product in souq waqif - Essay Example Such is the global scale of tourism that the WTO currently publishes annual tourism statistics for around 200 countries. Reflection of this dramatic growth in scale and scope, tourism’s global economic contribution has also become increasingly significant. c) Creation process: this process requires not only the existence or creation of infrastructures, facilities and services but also the development of specific activities or experiences. The result of the process can be seen as the tourism supply of a destination. d) The communication stage: once tourism supply is created, there will be functional and emotional benefits that can be communicated to markets and target audiences through the creation of an image and the correct positioning. The values provided by the product should also be communicated and promoted to stimulate consumption. After the four stages, there is the final stage which is the result stage. It is in this stage that the consumption of tourism products in a destination is done by the tourists or buyers of the product. It is important to note that tourist destinations contribute a lot of revenues to their respective owners. For this reason, it is imperative that all such destinations are guarded against barriers that would hinder the coming and subsequent staying of tourists. One such pace that needs urgent rethinking is the Souq Waqif which is an impressive tourist destination but is however faced with the problem of inadequate parking space. More and more tourists would like to visit this destination but the problem of parking space is a major hindrance to their coming. This paper therefore provides a comprehensive discussion on the techniques and procedures that can be adopted in this destination for it to be marketed as an impressive tourism product. Tourists always overcrowd Souq Waqif whci makes them feel uncomfortable and therefore they cannot