Tuesday, January 28, 2020

Role of Nursing Informatics in Health Care

Role of Nursing Informatics in Health Care The Role of Nursing Informatics at Cleveland Clinic Foundation The Informatics system at the Cleveland Clinic Foundation (CCF) plays an essential role in supporting the delivery of quality patient care and to improve patient satisfaction, features that are very important to maintain the Magnet Status achieved by the Clinic. As the CCF mission statement highlights, the goal of the Clinic is to support nursing care and achieve good outcomes along with patient satisfaction. This goal was reached by creating an informatics system that allows an easy access to data information, ensures easy communication between health care providers and promotes nursing and patient education. The mission of CCF is to support evidence-based nursing practice and improved patient outcomes with technology solutions that enhance nursing communication, documentation and efficiency ( Nursing Informatics: Nursing past, present and future section, para. 1). Cleveland Clinics Nursing Informatics implemented an electronic medical record system, called Epic System that is using high technology and considers professional and clinical experience to manage the patients information, to improve work, and to deliver higher quality health care for its clients. Nurses and Physicians have easy access to the system, being able to view data and collect necessary information, provide quality client care and document the patients condition. health care professionals can document through the electronic medical record system the medical care that was provided to the patients and the patients responses to the care given. The Epic System is used not only by nursing professionals, but by a large variety of allied health care departments, too. For example respiratory therapists can document aerosol treatments administered to their patients, adjustments in ventilator settings and the patients response to these interventions. The pharmacy department uses the i nformation system to access patients data such as medical reconciliation, medications profile, including current and home medications , demographics, health history and medical diagnosis. In this way it will be reducing significantly medication errors. The physicians consider Epic System to be very useful for them, because allows them to easily find their patients file in the system, allowing access to the patients prior doctors visits and health information, laboratory results, radiology test results as well as interdisciplinary consult results and recommendations. The physicians orders for medications and treatments can be easily entered into the system through the computerized physician order entry feature of the system (CPOE). This has high significance in reducing medication errors and in delivering care in a timely manner. The CCF website presents a clear explanation about the Informatics systems role in obtaining and maintaining the high standard achieved by the clinic: Nursing Informatics, in collaboration with the Information Technology Division, is  Implementing an electronic medical records system from Epic Systems of Madison,  WI.   Electronic documentation of the patients medical record is transforming  clinical practice for nursing, allied health and medical practitioners at the Cleveland  Clinic. After using Epic Care successfully in ambulatory outpatient services for two  years, the Clinic is currently undergoing a phased implementation of the Epic  system in the inpatient setting-enabling health care providers to examine any  patient record across the entire continuum of care in all Cleveland Clinic facilities  (Nursing Informatics: More information about the Nursing Informatics specialty  section, para. 4). Another important aspect of the Informatics system in the nursing care provided at CCF is that it contributed significantly to the improvement of communication between medical professionals by improving the accuracy and the speed of communication. It comes very convenient for the physicians to access the computer system from any location, either inpatient or outpatient locations, or either from the comfort of his or her home or office or even while on the golf course or at the mall (Hebda, Czar Mascara, 2005, p.126), to enter orders for the patient. By doing so, the system alerts all departments to carry out physician orders. For example when ordering a chest X-ray for the patient, the radiology department will automatically place a transportation order for the patient, to be transported from the nursing floor to the radiology department. Through the nursing communication tool, the physician can communicate to the nursing staff about withholding diet or medications as preparation for specific tests or even surgery. The same way, the physician, can interpret radiological results in a timely manner, by checking the radiography evaluation report placed in the computer system, without the need to walk to the radiology department to read the film. In this way it could be saved precious time that could save another patients life. A different feature of the Informatics System used at the CCF is that provides a large variety of choices for patient and nursing education, offering multiple educational resources at different levels. For patient education purposes, the CCF intranet has a link called patient education that consists of information edited in a simple language, easily comprehensible for non-healthcare personal. This site provides information about specific medications, including their side effects, indications and contraindications; also gives information about diseases or home going discharge instructions, regarding activity, diet, signs and symptoms of complications and many other subjects. The CCF television channel has information about diabetes, advice for smoking cessation, anti-coagulation administration, or techniques to reduce and manage stress, etc. This way patients can be easily educated towards a better understanding of the healing process and can actively participate to their care. At the same time, the CCF Intranet provides valuable information for physicians and nurses that improve their knowledge related to medical diagnoses, policies and procedures as well as giving them the chance of updating themselves with the newest technologies used. The CCFs Alumni Library has commonly used medical sites like Up to Date, Medline that are handy to use when more information are needed about a healthcare related issue. The COMET helps nurses and nursing aids to maintain an updated level of nursing education, reinforcing policies and standards required by the clinic. According to its definition, the Nursing Informatics has a primary role in delivering high quality nursing care,  Nursing Informatics is a specialty that integrates nursing science, computer science,  and information science to manage and communicate data, information, and  knowledge in nursing practice. Nursing informatics facilitates the integration of  data, information and knowledge to support patients, nurses and other providers in  their decision-making in all roles and settings. This support had been accomplished through  the use of information structures, information processes, and information  technology (ANA Scope and Standards of Nursing Informatics Practice, 2001, pg vii). The convenience of the Informatics system of the Cleveland Clinic Foundation is represented, by easy access to patient data, and resources for patient and nursing education. The valuable communication tool between health care providers, contributed tremendously in attaining high standards in patient care and their satisfaction. All these features are essential factors that helped the Cleveland Clinic to achieve the great award of Magnet Hospital.

Monday, January 20, 2020

An American Jew :: essays papers

An American Jew In this large city of ours situated on big spinning ball, inside a vast galaxy, and even larger universe. We sometimes tend to leap out into the unkown embracing and fearing life on other planets, when we can not embrace life or learn not to fear life on our own planet. We as a society have formed our own barriers when those placed upon us have been removed. We rarely see mixed neighborhoods outside of large cities. Even in our own borough we can see this; for example Borough Park is mostly Religious Jews, the area surrounding Brooklyn College is mostly black, and Gerritsen Beach is mostly Italian. When someone who doesn't belong in a community invades that community, that community then will fear and reject the invaders. The community is like the indiginous people of an island, when the island recieves its first visiter from the outside, the indiginous people fear the visiter and fear the change they may bring. My family was the first Russian family to move to an all Italian neighborhood, I was told to go back to where i cam from "damn rooskies", the children used to yell and taunt my sisters and myself. They would scream go back to Russia eventhough we had never been there. But soon I made freinds with a local girl who accepted me for me, not for being Russian, but for being Diana. My parent's didn't want me to get involved with the wrong kids and they also feared my friendship with people of different backgrounds. But our families began to talk and then we went over to each others houses for dinner and pretty soon, we were having block parties and backyard BBQ's. We weren;t Russian anymore, and they weren't Italian we had met somewhere in the middle. My mom now makes an amazing lasagna and the Laura's mom (the girl I befriended) makes a great Chicken Kiev. We didn't belong to any one class, our neighborhood was no longer Italian and it didn't become Russian it just was. It was just a neighborhood, no classification, just a middle class neighborhood, it was gray. Gray is that color inbetween black and white, its not black, and its not white, its just in the middle. If you think about there are a lot of colors like that; take pink for example its a mix between red and white, its not red and its not ehite, its just in the middle its just pink.

Saturday, January 11, 2020

Environmental Factors Essay

The Coca-Cola Company was established in 1886 in the United States. Today, the Coca-Cola Company’s products are available in over 200 different countries. Each country contains its own demographics and other factors that influence the marketing planning and promotions for the Coca-Cola product lines. These factors vary by location and can include culture, customs, and even legal matters. The Coca-Cola Company has been able to successfully examine these factors and create marketing campaigns that have allowed the company to grow in leaps and bounds over the past 100 years. Global economic interdependence Global economic interdependence is when different economies rely upon one another and can include goods and service exchanges. Coca-Cola is one of the most famous soft drink brands in the world because they have successfully marketed their products across the globe. These foreign economies rely upon Coca-Cola products to stock their shelves to meet the consumers demand. With such a strong demand, countries would want the company’s product in local stores to increase sales and thus taxes collected. In order to get products to foreign markets, Coca-Cola is faced with trade restrictions and agreements. Restrictions can include tariffs which impose taxes on imported goods or quotas that limit the amount of certain product that is brought into the country (Kotler, Keller, 2012). These restrictions can lead to questions as to whether entering that foreign market is profitable. A high tariff could cut into profits while other trade restrictions may not allow a product to enter the market at all. A stiff market to enter may require a very detailed and successful marketing plan in order to reach the most potential consumers. A failed plan could result in the company paying more for the product to enter that market rather than the amount of money being made. Demographics and infrastructure Demographics must be examined prior to entering a foreign market. Household income, population, and age can all play a factor in a marketing plan. Poor  countries such as those in Africa may not be able to afford to purchase a product and therefore, would not be included in a marketing plan for a high priced item. Also, if there is a limited amount of infrastructure the product may not be able to be transported. Countries that lack infrastructure such as paved roads or electricity would become difficult markets for Coca-Cola to enter. Without roads or railroads, Coca-Cola would not be able to deliver their product to the consumers. Electricity is typically needed in order to keep the beverage chilled and to record sales transactions. A country lacking infrastructure will have a difficult time getting popular goods to their consumers. Cultural differences Cultural differences play a role in the marketing process. Different cultures will have different ideals and may even use products for different reasons. What may be acceptable in the American market may be a sign of disrespect in another. Knowledge of cultural differences can make or break a marketing campaign and also the entire company. For example, the Japanese commercials tend to have more animation and songs in the commercial. Also, the culture is also more advanced in technology so vending machines are more advanced in Japan than the ones we see here in America. Finally, different cultures may see certain products or ingredients as unhealthy. What may be delicious to consumers in China may be horrid to the taste buds of those in America. Social responsibility and ethics versus legal obligations Social responsibility and ethics are values that should be followed but not necessarily obligated to do so. On the other hand, legal obligations force a company to perform certain actions. For example, Coca-Cola is not legally obligated to set a certain price on their product. However, they are legally obligated to place nutritional and ingredient information on the product. As previously mentioned, different cultures play a role in marketing. What one culture may see as a social responsibility may be a legal obligation in another. As many know, Coca-Cola once contained the drug cocaine. Legally, cocaine is outlawed in the United States but may not be in other countries. What some may not know is that Coca-Cola still contains an extract from the coca leaves that is not classified as illegal (New York Times, 2013). In some cultures, it may be unethical to sell a product that has any  derivatives from any mind altering plants. Political systems and the influence of international relations Political systems can decide whether to allow a product to enter their market or impose extreme conditions that must be met. In addition, international relations can play a part as to where a product goes. Currently, the United States has a trade restriction with Iran that limits what can be exchanged between the two countries. Iran, once considered an ally, is now an evil and thus trade restrictions are in place. Coca-Cola may find it difficult to get their product into this market through a legit trade agreement. If Coca-Cola was faced with the fact that nobody would be allowed to import their product, they would be able to develop a marketing plan for domestic use that would portray that they are the only country who gets to receive the product. Foreign Corrupt Practices Act of 1977 The Foreign Corrupt Practices Act of 1977 prohibits bribes being paid to foreign officials to assist in obtaining or keeping business (U.S. Securities and Exchange Commission, n.d.). This Act would prohibit Coca-Cola from bribing an Iranian official to allow them to export their product to the country. Because of this Act, large corporations can no longer pay foreign officials to keep their products in stores of countries that have banned them either by local or international law. These different laws and stipulations create barriers for a product to be introduced into foreign and domestic markets. Technology Advancements in technology have made marketing both easier and more difficult at the same time. Social media sites such as YouTube now promote products before the user can watch the video they intended to view. As technology advances, previous innovations become cheaper and open the doors for new consumers to obtain these products. As the amount of people who are able to access the internet increases, so does the amount of people that can view advertisements. One of the newest fads for technology is making more products â€Å"green†. Environmental friendly products are now the big rage and consumers will pay more for a product if it is deemed â€Å"green†. Advances in technology will eventually lead to more products being green and thus  creating a decline in the demand. Conclusion The Coca-Cola Company was established in 1886 in the United States. Today, the Coca-Cola Company’s products are available in over 200 different countries. Each country contains its own demographics and other factors that influence the marketing planning and promotions for the Coca-Cola product lines. Factors such as political influences, technology, and cultural differences all play a part on marketing. Differences in these factors can determine whether a product should be entered into the market. It is the responsibility of the manufacture, such as Coca-Cola, to perform their due diligence and evaluate its findings. References New York Times. (2013). How Coca-Cola Obtains Its Coca. Retrieved from http://www.nytimes.com/1988/07/01/business/how-coca-cola-obtains-its-coca.html U.S. Securities and Exchange Commission. (n.d.). Spotlight on Foreign Corrupt Practices Act. Retrieved from http://www.sec.gov/spotlight/fcpa.shtml

Friday, January 3, 2020

Political Events Before Pakistan Making From 1942-1947

Political events from 1942-1947: Introduction: Here we are discussing famous political events before Pakistan making from 1942 to 1947. 1942: 22 March Cripps Mission: The Second World War has a great impact on British government because of victories of japan on Singapore, Rangoon, and Andaman. Burma was also turned into a battle field. And the war has come to the border of India. In India, the situation became more complicated, because congress wanted to take advantages of this situation for the independence. But British wanted to secure India. In these circumstances, the mission of British was sent to India under the leadership of Sir Stafford Cripps on 22 March 1942 called Cripps mission. The British government wanted to control the situation of India by taking general election in the provinces till the Second World War ended. But the two political parties in India that were Congress and Muslim league both reject this proposal. 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