IOM and Nursing Transformation Essay Example for Free

IOM and Nursing Transformation Essay The Institute of Medicine (IOM) is an American, not-for-profit, non-governmental, unaffiliated, organization created for the sole purpose to serve as an advisor to the government and every sector in society in order to make better informed health care decisions. Established in 1970 the IOM organization has been answering the nation’s most pressing questions about health care over the past 4 decades. October 5, 2010, the IOM in collaboration with The Robert Wood Johnson Foundation (RWJF), released its recommendations on nursing in the United States. The report entitled, â€Å"The Future of Nursing: Leading Change, Advancing Health† explore the need for health care nursing professionals to evolve and prepare for the dynamic work environment in which they will take part, providing an action-oriented blue print for the health care professional as a guide to practice (Institute of Medicine, 2010). The IOM report continues to have an immense impact on nursing care today, transforming primary practice, education, and the leadership roles of health care provider. Within the IOM report, 4 key messages were provided as follows, 1. Nurses should practice to the full extent of their education and training. 2. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. 3. Nurses should be full partners with physicians and other health care professionals in redesigning healthcare in the U.S. 4. Effective workforce planning and policy making require better data collection and an improved information infrastructure (Institute of Medicine, 2010, p. 4). On the grand scale, nursing is by far the largest force in health care, by sheer numbers the impact nurses make in health care is astounding. Nurses are vital to the change and success of health care reform. The IOM cites the Affordable Care Act (ACA), a new law signed into effect March 23, 2010, by President Obama. The ACA allows the public better access to care, stronger Medicare, more affordable coverage, and stronger consumer rights and protections (THE WHITEHOUSE.GOV, n.d.). What The ACA means for nursing practice is, with insurance becoming more readily accessible to the public, it is inevitable that patient loads will increase causing a higher demand for educated and skilled nurses. New rules mandating patients and practitioners meeting face-to-face at the start of care and mandating regular check-ups as preventative care will also increase demand for nurses. To meet this growing need for health care professionals current and prospective providers look to provide motivation. Funding has been made available to nurses as an incentive to pursue advanced degrees and become lifelong learners by creating stricter regulation for continuing education requirements. Employers are becoming extremely cognizant of the growing demand and are willing to provide career assistance, and tuition reimbursement in order to remain competitive in the healthcare industry as well as increase employee retention. Education is vital to achieve the goal of the IOM desiring to increase the number of BSN educated nurses from 50% to 80% by the year 2020(The Forum of Nursing Workforce Centers, 2012). With education, comes responsibility. As part of the vision of the IOM, nurses should become full partners in collaboration and shall become leaders, whether it be formal or informal. Leadership should be integrated in all aspects of nursing, â€Å"from the bedside to the boardroom† (Institute of Medicine, 2010, p. 221). Leaders aren’t just policy makers and managers anymore, they are mentors, teachers and advocates, for their patients as well as each other. As leaders nurses should collaborate with multidisciplinary team members to provide safe and effective care, sharing their knowledge, skills and critical thinking expertise. Being an informal leader also involves mentoring peers and acting as a resource, fostering an environment conducive for growth and success as well as professional development. Addressing the call to action by changing practices to meet the recommendations is vital to the transformation of nursing. To meet this call to action, my first goal is to obtain my Bachelor of Science in nursing degree. Education is the foundation the gives us the ability to grow and thrive in our profession successfully. I challenge myself to continue with my education and going forward continue on the path as a lifelong learner. I vow to seek opportunities available to me to enhance my knowledge and skill base whether it is through my employer, my state required continuing education credits (CEU’s), or a nursing organization such as my membership with the American Association of Critical Care nurses (AACN). I will continue to collaborate with all team members, be an advocate and to be a mentor and a resource to my peers, and promote education and learning through them as well. And finally I will accept this call to action by challenging my other peers and cohorts to do the same. References Institute of Medicine. (2010). The Future of Nursing: Leading Change, Advancing Health. Retrieved from http://books.nap.edu/openbook.php?record_id=12956page=R1 THE WHITEHOUSE.GOV. (n.d.). http://www.whitehouse.gov/healthreform/healthcare-overview#healthcare-menu The Forum of Nursing Workforce Centers. (2012). http://nursingworkforcecenters.org/Resources/files/StateImpactOfIOMReportOnNursing.pdf

Economics :: essays research papers

Coca - Cola On the 14th of June Coca-Cola’s soft drinks were banned from the markets in Belgium and later also in Luxemburg and France. Two failures in the bottling system were the cause for the nausea that the people suffered. According to the article it would have been better if they would have acted fast and told the whole truth. Coca- Cola is in an ologopolistic market and therefore branding plays a great role. It is possible that the company ha lost market shares, due to this accident. In the ologopolistic market the firms don’t compete with price, but rather with advertising and other non-price strategies. Therefore one can predict that this scandal has shifted the demand curve to the left. This accident can be seen as a negative externality. The government should make Coca Cola increase their health controls (internalise their externalities), if scandals of this sort happen again. They can enforce this by either subsidies (reward) of in this case taxation (punishment). People who would usually only buy Coca Cola due to the heavy advertising might try a substitute during the time of the ban. This can be seen as a sort of free promotion for the others in the market. According to the zero sum game, the lose that Coca Cola is making right now is directly proportional to the profits the other firms are making in the respected market. Coca Cola will need to take further actions to restore their brand name that they have established throughout all these years. This will significantly influences their total added costs. A strong brand has very few goods substitutes and it is very difficult for competitors to challenge the supremacy of the brand. This health scandal might have opened the doors fro new competitors. In the long run this can lead to Coca Cola’s costs for advertising to increase or furthermore they could lose control of the market and fall into a disequilibrium. The accelerator theory suggests that the level of planned investments varies with t he rate of change of income or output rather than with the rate of interest. It will be hard for the big American company to fulfil their expectations of expansion in Europe with no investors being pleased with their progress. Best Foot forward at Reebok On October 18th Reebok published a 41 page report on how it is dealing with its workers in Indonesia.

A Little Bit of Stress Is Useful

â€Å"A little bit of stress is useful – it keeps people in their toes. † Discuss. In order to answer this question one must first define the various elements in the question. Stress can be defined as ‘The harmful physical and emotional responses that occur when the requirements of the job do not match the capabilities, resources or needs of the worker’ . One can define useful, as stress making a person happy, productive and efficient. Also in terms of an organisation making it successful, efficient and effective. You should use more industrial words here eg producing more units Millions of people suffer from stress on a daily basis. Stress can affect a person’s physical health such as increased heart rate and rise in blood pressure, and can affect a person mentally such as depression. This in turn for organisations can be devastating and potentially detrimental, as this can lead to poor industrial relations and high absenteeism, ‘IHC estimates that 13. 4 million working days a year are lost to stress’. On the face of it this would suggest that stress is indeed a bad thing. Indeed a study reported in the Journal of the American Medical Association showed that those participants who experienced chronic high stress on the job had a considerably greater chance of suffering another heart attack than did those in less stressful jobs. Furthermore there were many cases in world war one of sudden deaths to soldiers who had not endured any wounds, these men probably died of shock when responding to stress. In 1967 Holmes and Rahe carried out a study now called the stress scale where they looked at 5,000 medical patients’ medical records as a way to determine specifically which stressful events caused illnesses, in hierarchical order from the most stressful events to the least. Death of a spouse topped the list followed by, divorce, martial separation and a jail sentence. All these events are intrinsically negative and as such it would be easy to conclude that stress is bad for anyone as it is caused by bad events. However Hooshmand conversely states that ‘stress is just another misunderstood term in the medical practice’ he goes on to say that ‘the phrase any stress is bad (is) nothing further from the truth’. Indeed Lazarus mentions how ‘Hans Selyve suggested two types (of stress) distress and eustress. Distress is the destructive stress illustrated by anger and aggression and it is said to damage health. Eustress is the constructive type, illustrated by emotions associated with emphatic concerns for others†¦ ompatible with or protective of good health’ This is significant, according to Selyve and Lazarus there is, as mentioned above, a ‘distress’ type of stress which is bad- this is where there is too much stress. For example if a manager were to give a deadline which was impossible this may over stimulate and de motivate an employee causing them to do no work. But also mentioned is a ‘eustress’ type of stress which can be seen as ‘useful’ and healthy ‘keeping people on their toes’. This would be where there are small amounts of stress for example if a manager was to set a strict but reasonable deadline it may push the employee on to work harder, stimulating an increasing the employees energy levels to meet the challenge . This shall be mentioned in more detail later on in the essay. Although Lazarus goes on to mention that this hypothesis ‘has not been adequately supported†¦. by empirical research’ there is other evidence to support this claim of eustress. In 1908 Robert M. Yerkes and J. D. Dodson created an experiential relationship between performance and pressure, now known as ‘Yerkes-Dodson Law ’. The law shows that performance actually increases with pressure i. e. stress: the eustress that Selyve went on about, but only up to a point. When levels of pressure become too high, performance decreases, this is known as distress. The process is illustrated graphically as a rounded, inverted U-shaped curve which increases and then decreases with higher levels of pressure. Clearly according to this law one wants to reach the optimum stress levels which is small amounts of stress to keep one on its toes but not too much as this could lead to depression and potentially heart problems. It is now important to look at specifically how eustress can help and be healthy for you. From ‘Yerkes-Dodson Law’ it would not be unreasonable to suggest that eustress is basically stress in small, not large amounts. Leitnerpg states that ‘according to Allen 1983 eustress represents challenge and stimulation for healthy growth and development’ this would suggest that eustress stress gives you the competitive edge roviding you with focus and determination. There are many examples above of stressors likely to produce distress such as divorce but Leitner mentions stressors which produce eustress such as ‘roller coasters and skiing’ It is important to note that people are actually paying for these stressors, thus they can be considered us eful stresses. Some people even thrive on the excitement of stresses this can be best shown in adrenaline junkies, as they seek activities that increase their hormone adrenaline production. Examples of these stress seekers include racing car drivers, politicians and bungee jumpers. It is well known that many employees will leave there work to the last minute they need the stress and adrenaline to get their work done, if there is no stress it is probable this work would never be done. Indeed it is possible to have stressors which can cause both eustress and distress such as exercise, which can be considered a eustress, but when overdone can lead to injuries and illness. Selye points out that ‘whether an activity produces eustress or distress depends on the participant’s perception of the activity’ this can be supported by a quote from Shakespeare ‘things are neither good nor bad, but thinking makes them so’ . Indeed everyone is different when dealing with stress whether stress is good or bad for someone depends on that person. This can be supported by Type A and B personality theory created in the 1950’s . This puts people into two groups . Type A people are according to Friedman, M. & Rosenman ‘impatient, excessively time-conscious, insecure about their status, highly competitive, hostile aggressive, and incapable of relaxation’ . They established a link between type A people and coronary heart disease after analysing data from thousands of people who had beforehand been placed into either type A or Type B group. Whilst type B people are almost the opposite of type A people, relaxed in nature with no sense of time urgency and less easily stressed. Quote The above evidence would suggest that the amount of stress does not matter to a great extent but what does is the type of person as, according to this theory there are two types of people, type A personalities will deal worse with stress than type B personalities. It would not be unreasonable to suggest that a small amount of stress for type B personalities maybe good for that person ensuring they are focused and have more of a sense of time urgency, however the same amount of stress mposed on a type A personality could caused aggravation, anxiety and maybe even heart problems. Indeed some employers will look for employees who not only can naturally deal with stress but actually thrive on it. An example of this can be given of Alan Sugar who makes it clear in the program the apprentice that he is looking for people who can deal with stressful situations by testing them as part of the recruitment process . An essential part of the recruitment procedure is to be able to keep your nerve and defend yourself in the public forum of the board room, an artificially created stressful environment. In this day and age there is bound to be stress due to the nature of work and the fast moving environment around us, it is how we deal with this stress which can determine whether this stress is useful or not. ‘Yerkes-Dodson Law’ dictates that if there is too much stress this can reduce the performance of the individual, thus it is sometimes important for the individual to be able to reduce this stress in order to produce optimal performance. Indeed Ward states that ‘in learning to manage stress effectively you may come to believe that the experiences of stressful periods may become beneficial to you. There are many different ways of dealing with stress and how well you deal with stress will determine how it affects you. A person can exercise to help reduce stress, ‘exercise creates a sense of confidence and control, which reduces stress’ this does not mean just occasional exercise but exercise on a daily basis if possible. Exercise also directly leads to relaxation of the body which can help reduce stress. Having the required sleeping hours is also vital, this will refresh yourself making you feel better the next morning and ready for work. If one does not have the required sleeping hours necessary it can lead to tiredness which can lead directly to stress. So far mainly people and employees have been looked upon, it is important to look at how organisations as a whole deal with stress and if they find it useful or not. Organisations are becoming more and more aware of the importance of stress and its impact on employees. Ward mentions some ways in which companies are taking action to combat stress ‘more are referring employees for health and fitness tests. Others are running stress management courses and providing stress counselling for employees’ . In view of this one can clearly see how important stress is in organisations. Some company’s thrive on stress these mainly seem to be financial orientated organisations. Who are and need to be extremely competitive with other similar organisations, this stress pushes the organisation on to its limits increasing the efficiency and effectiveness of the company. It is not uncommon nowadays for organisations to deliberately impose stress on employees; this can be done by paying employees with high commissions, meaning they are not guaranteed money at all. Some employees actually enjoy this stress, they enjoy the challenge and the buzz. Indeed this can be directly linked to job satisfaction. Other organisations in the health field such as hospitals try to reduce stress, as they feel any stress imposed on patients could be dangerous, one of the things they do to reduce stress is painting the hospital walls green as it is proven that green is a low stress colour can decrease stress. Clearly in the health field stress is deemed as bad but maybe in the financial field stress is seen as useful pushing on the company to success. Thus the usefulness of stress depends upon which type of organisation it’s for. Obviously though too much stress in a financial organisation can cause absenteeism which will ultimately lose the company money. To conclude with regards to organisations as a whole, it just depends on the type of organisation to how useful stress is. In terms of individuals, small amounts of stress which Selye describes as eustress can help keep people on their toes, keeping them focused and acting as a stimulant, pushing them on to work. However it can completely depend on the person. A Type A person may not be able to take that stress and instead of ‘keeping them on their toes’ may cause panic and anxiety. Nonetheless, in saying this, as Yerkes-Dodson law dictates some stress is needed to achieve optimum performance and give people a challenge, which increases job satisfaction. Thus it would be accurate to conclude that ‘a little bit of stress is useful – it keeps people on their toes’. You would improve the structure if you cross reference more eg when you are talking about how stress needs to be in the right quantity, it might be helpful if you mention that later on you will be talking about how stress an be controlled. If you need to add any more – you could talk further about the work life balance – ie however stressful the job – outside activities are essential A further element you could talk about – when discussing different personalities – is that what is stressful for some is not for oth ers. A good example might be of mothers who stay at home and look after children – for some this is v stressful and for others it is an ideal environment. You could also add an international dimension eg in France there is huge job security and longer holidays (I think) in America holidays are short and there is v little job security

Sampling And Data Collection Plan - 1203 Words

Sampling and Data Collection Plan Business Research Project Part Patricia Tyler, Cynthrea Font, Jacob Moorer, Abner Segovia QNT/561 September 28, 2015 Professor: Dr. Luis R. Mora Sampling and Data Collection Plan Introduction This paper outline the sampling and data collection procedure used to test MTD Flower’s by Mail hypothesis. The MTD Flower’s by Mail hypotheses are: H0: Implementing TQM with MTD Flower’s vendors (IV) will improve customer satisfaction (DV). HA: Implementing TQM with MTD Flower’s vendors (IV) will not improve customer satisfaction (DV). Research Question Implementing TQM could help people have a better customer service satisfaction. Now that people are more connected than ever to technology more and more people are doing their shopping on line. We want to know if people would rather shop for flowers in the store or would they order on line if the customer satisfaction and prices were better. TQM can help better the customer service satisfaction and continue to make it better. After research information it seems that the focus would be on customer satisfaction and how easy it is for the on line ordering process. Will the flowers arrive on time and will they look as good as the picture on the website. Target Population and a Brief Reasoning A targeted group would be a group in which a researcher wishes to draw conclusions from. From research MTD has learned the importance of customer service satisfaction and marketing budgets for success inShow MoreRelatedEssay about Sampling and Data Collection Plan842 Words   |  4 Pagesï » ¿ Sampling and Data collecting Plan October 9, 2014 University of Phoenix QNT/561 Team D has chosen to look into whether or not should Pear Inc. should start putting their resources into either Laptops or tablet electronic devices. Putting resources into a venture that may or not pan out could be detrimental to that same company. 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