The Shortage Of Nursing School Essay - 2336 Words

It is not a secret that for many years there has been a detrimental nursing shortage in the United States. Factors that contribute to the unfortunate decrease in availability of nurses and other health care professionals can be attributed to a shortage of nursing school instructors which impacts enrollment into nursing schools, and many in the health care profession are nearing retirement age. The need for health care continues to steadily increase as the baby boomer generation ages. In order to meet these demands, there has to be adequate staff in the workplace. After an extended amount of time dealing with unsafe staff to patient ratio it has come the time to take action and devise solutions rather than letting patient care suffer. After comparing a variety of possible solutions, the most feasible was to create and implement a clear updated set of regulations, and formulate a law to enforce the same. The proposed solution will address the ineffectiveness of current health care staf fing regulations, propose a law that will enforce safe staff to patient ratios, mandate that all parties involved in developing health care laws be members of the health care field themselves, and work to maintain a strict continuous reassessment phase to ensure that all changes remain beneficial. With the help of the entire health care community the implementation of this proposed solution will create a dramatic decrease in adverse patient outcomes while increasing patient and staffShow MoreRelatedNursing Legislation1003 Words   |  5 PagesLegislative Issue Faced by Nursing http://www.aacn.nche.edu/Media/shortageresource.htm The web site I found that discusses this critical issue is by the American Association of Colleges of Nursing. (AACN). This is an outstanding website that discusses the current and projected issues regarding the nursing shortage. The article identifies sobering figures of projected shortages up to the year 2020. By 2010, the nursing shortage is projected to be 12%, by 2015 to be 20% and by 2020 a frighteningRead MoreNurses Shortages On Quality Patient Care1318 Words   |  6 PagesNurse Shortages On Quality Patient Care. Eras of high vacancy rates for RNs in hospitals have come and gone, but the current shortage is different. According to the 2002 estimation by the workforce commission of the American Hospital Association, nursing shortages has reflected vital changes in general public demographics, vocation expectations, work attitudes and worker dissatisfaction. Undoubtedly, the current situation may well continue over several decades. In addition, a federal governmentRead MoreShortage Of Nurses And Healthcare Workers1439 Words   |  6 PagesI believe that there is a shortage of nurses in the United States and in other counties throughout the world. There is a big shortage of nurses and healthcare workers in the nursing home where I worked at. To solve the problem of the nursing shortage, management hired travel nurses to come into the facility to work. I think travel nurses can be helpful in some ways and hurtful in other ways. Staff at the nursing home gave the travel nurses a hard time becaus e they were getting paid more money forRead MoreDeveloping An Implementation Plan For Nursing Shortage1662 Words   |  7 PagesDeveloping an Implementation Plan Nursing shortage is a global problem facing all health care system and the impact on nursing professional and patient care outcomes cannot be over emphasized. Despite all effort made by the ANA and health care institutions to address the issue of nursing shortage there seems to be no change and the problem still exist hence there is every need to implement a new plan to address the problem of nursing shortage (ANA, 2014). The project plan is aimed at introducingRead MoreNursing Shortage Essay1100 Words   |  5 Pagesthere a big shortage of nurses? The American Association of Colleges of Nursing (AACN) is very concerned about the nursing shortage (Rosseter, 2011). The AACN is working to find different ways to address the shortage of nurses (Rosseter, 2011). There are several countries that fear that the nursing shortage is growing rapidly. According to the World Health Organization several countries has had a decrease in the number of students graduating from nursing school (Honor Society of Nursing, 2001).Read MoreMedical Errors Of The Medical Field1711 Words   |  7 Pagesdetermine the best methods for each of their patient’s unique patterns of life. However, these relationships also require time. There is a problem throughout America’s healthcare system: nurses are overworked due to the fact that there is a nursing shortage. This has forced nurses to reduce the amount of time spent with their patient – creating a risky situation where either the medical staff make a potentially fatal mistake or they could omit an important part of the patient’s history or careRead MoreThe American Healthcare System Is Severely Impacted By The Shortage Of Nursing Personnel Essay1192 Words   |  5 Pagessystem is severely impacted by the shortage of nursing personnel. According to the American Nurses Association (2014), the nursing shortage has compromised patient safety, patient care and patient health outcomes. The nursing shortage can also cause medical errors, result in fatigue, injury and job dissatisfaction. The nursing shortage has been influenced by several factors. The purpose of this paper is to discuss the factors that influence nursing shortage in the U.S , present two strategies toRead MoreTitle Viii Nursing Workforce Development1537 Words   |  7 Pages Title VIII Nursing Workforce Development Julie Schlick Nebraska Methodist College The health care industry is in need of a strong nursing workforce that can provide quality care. The present nursing shortage is only predicted to worsen as the baby boomers retire and health care needs expand. The shortage is projected to reach more than one million nurses, and reform is needed to increase the interest in nursing therefore funding is needed for this transformation ((AmericanRead MoreAmericas Nursing Shortage Analysis Essay1182 Words   |  5 Pages The shortage of registered nurses (RNs) in the United States has been a cyclical topic dating back to the 1960s. Only recently have employers in certain regions of the nation stated a decline in the demand for RNs. Consequently, according to the American Association of Colleges of Nursing’s (American Association of Colleges of Nursing [AACN], 2014) report on 2012-2013 Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing, American nursing schools denied admission to 79,659Read MoreThe Cau ses Of The Nursing Shortage1563 Words   |  7 Pages The Causes of the Nursing Shortage On June 14, 2011, Claire Courchane talking about the current situation in the nursing field said that ‘With the nursing shortage looming, America needs shot in the arm’. She couldn’t address such reality in better words. The shortage, which goes evolving, already has dramatic effects on our healthcare system. In 1998, a 61 years old woman experienced the consequences of an understaff hospital due to a nurse shortage. Indeed, Shirley Keck who was interned

Future Trends in Crisis Intervention Free Essays

Future Trends in Crisis Intervention Abstract Mental Health Paraprofessionals (MHPP) will work with the client and family on behavioral issues that occur in the home, school, and community. The MHPP serves on the treatment team and assists professional staff with the execution of the treatment plan. They also assist with securing community services that might be available to the client and the client’s family. We will write a custom essay sample on Future Trends in Crisis Intervention or any similar topic only for you Order Now The purpose of intensive Mental Health Paraprofessional Intervention is to enable the client to be maintained in the most normalized, least restrictive setting as possible, and to prevent unnecessary, inappropriate institutionalization. This paper discusses an overview paraprofessionals, the impact the paraprofessionals have on the field, the challenges that organizations are faced, and how to manage with the implemented changes. Future Trends in Crisis Intervention As the population in the United States continues to climb the need for human services professionals does the same. Human service agencies are often face the dilemmas of being over-worked and under paid. Professionals in this field are often prone to burnout because of these dilemmas. Sadly, human service agencies are often the first to experience budget cuts. These budget cuts affect the human service professional’s organization, facility, coworkers, pay, clients, and their personal moral. Leading officials of many human service organizations are noticing the affects of these dilemmas and are trying proactive approaches in solving the epidemics. As a result, the paraprofessional is becoming increasingly popular as the organization can fill the much needed worker positions and assist in alleviating clinician case load. This paper discusses the impact of this trend on the human services field and how the trend will impact the practice of crisis intervention in the future. The challenges faced as a result of the impact, and how the worker can proactively deal with this expanding trend is also covered. It is vital for these services to keep up with the demand and save as much of the valuable budget money. The Paraprofessional Counseling paraprofessionals are bachelor’s level graduates whom have completed a course in order to become certified as a paraprofessional. Paraprofessionals generally work in mental health centers, crisis units, day treatment programs and group homes. Generally they provide direct care to patients, where as a counselor, psychologist or psychiatrist offer more specified trained services. Treatment centers will employ support staff to work directly with their patients; counseling center paraprofessionals (CCP) are distinctly different from other support staff (Barrios amp; Perlas, 2010). They hold a certification in working with the mentally ill and a bachelor’s degree while certified counseling technicians (CCT) have a similar certification, but hold a high school diploma instead of a bachelor’s degree (Barrios amp; Perlas, 2010). Some treatment centers will also hire direct service professionals that do not have CCP or CCT certifications, but generally, those whom hold a certification are in higher demand and are more employable. Contact of a Paraprofessional The main purpose of a CCP is to interact directly with patients in their care; this may involve setting and enforcing rules on unit, organizing daily activities, and helping with chores or other similar duties. According to Christine Wyman (2012), â€Å"They often have more contact with clients that much of the other staff, including doctors, psychologists, and therapists, as the CCP is usually in charge of the client’s day to day activities. † Though the CCP performs less specialized work, they often have the most insight into individual clients. Because of the constant contact they are an invaluable member of the treatment team. With how often CCP’s get to observe patients on a daily basis they are able to pick up on behavior patterns that other staff may not see. They are also able to see how various treatments affect a patient in their daily lives. Some CCPs are designated to work one on one with a single client. A CCP in this role is often assigned as such because a client has a particular need. â€Å"Such needs could include but are not limited to helping a client with severe cognitive or physical limitations, watching a client whom is a danger to himself or others or working with a client whose treatment goals involve intensive one on one work† (Wyman, 2012). Impact There are many ways that the use of counseling center paraprofessionals can benefit the organization. One of the many benefits of the paraprofessional in the human service career field could be that they require less training than typical clinician or other human service professional. That way the CCP is able to become certified and begin work in a much shorter time frame then someone who is going through all the required schooling and testing to become a licensed professional. Another aspect deals with the lesser amount of pay therefore saving the organization money. With the way budgets are being cut it is important to stretch every dollar as much as possible. â€Å"Someone without the education or licensure will not be able to do as much as a professional and therefore require less pay therefore saving money for other areas it is needed† (Barrios ;amp; Perlas, 2010). Since CCP’s spend a great deal of time with the patients they serve as valuable member of the treatment team in helping diagnose issues and observe if prescribed treatments are working. With the CCP’s doing this then that opens up the professionals to work with more clients on a one on one basis. Challenges Paraprofessionals in the human services field can be considered both an important asset and a nuisance to the clinicians and the clients served. With all the good that a paraprofessional brings the position also has some negatives. During this tumultuous economy, districts find themselves entertaining a variety of solutions as a means of tackling severe budget reductions, and colleges are faced with the impossible task of providing quality student services without adequate resources. As a result, paraprofessionals may have absorbed additional duties previously performed by a robust counseling department. Also the CCP’s can be improperly trained or supervised. Because of these two occurrences the care provided can suffer. When people are overworked they are more likely to suffer from burnout. In this case the lack of CCP’s can cause burnout on behalf of the professionals and if the CCP’s are doing more than they should they can become burnt out. Managing Paraprofessional responsibilities should not extend beyond information dissemination. When the duties expand into goal setting, planning or decision making, the paraprofessional has overstepped his/her professional boundaries. It is recommended that paraprofessional roles and duties be assessed to ensure that paraprofessionals do not extend beyond their primary job description (Barrios ;amp; Perlas, 2010). If paraprofessionals are utilized, proper training and supervision are imperative. Both training and supervision should be conducted with counselors taking an active role in both. Training methods could include individual one-on-one trainings, small group trainings, or an in-service training to the greater college community in order to differentiate the goals and responsibilities between counselors and paraprofessionals. Trainings and supervision should include clearly defined responsibilities and a counselor referral process. Identification badges, that include name and position, should be provided along with ethical and confidentiality regulations. Closing Crisis Intervention Counseling plays an important role and benefits many people in their time of need. With the direction of society and the numerous budget cuts that are implemented each year, the affected organizations that provide these services must find the best way to survive. In hiring counseling center paraprofessionals the group takes some of the pressure off of the professionals and spread the work out more evenly. This move also saves the organization money on a tight budget. There are many issues that face the human service field and counseling in the future but one major is the funding. CCP’s can do a lot to solve this issue now and in the future as budgets for these services get cut even more. How to cite Future Trends in Crisis Intervention, Papers

Human Migration Factors Essay Example For Students

Human Migration Factors Essay Human Migration FactorsMigration, the movement of people from one place, origin or country toanother1. For as long as man can remember migration has been a big part in ourlives. People have migrated continuously since their emergence as a species. The art of migrating is to move from place to place or country tocountry, to find what we searched for, A suitable environment for our familiesand us to live in. It is vital for humans to keep on the move or migrating. Manypeople migrate to different places around the world, like Europe, Africa, TheAmericas, Australia, and the Soviet Union. Humans migrate because they feel thatthey need to have stable and suitable environment in which to live in and bringup their families. People may migrate to different places or countries due tomany factors. These can be put into a category called Push Factors. Thesefactors are reasons why people want to leave. Many people feel they have toleave a certain place because the environment in which they live is unstable. Push Factors like, Poverty, war, religions restriction, unemployment, pooreducation, illnesses, diseases, a poor health system, lack of liberty and eventhe climate, can change a humans mind and make them want to leave a particularcountry or place. One the other hand there are other factors called Pull factors. Thesefactors are different and are the opposite of the Push Factors, making them wantto leave the country they are living in. People may be in love and find betterliving standards in the other country. There may also find it to be safer andhave laws that are more liberal. They might be more freedom and a chance to geta job and earn money to support their family, can pull humans to leave thatcountry or place. In 1992 my parents told my sisters and I that we were leaving SouthAfrica and heading for Australia. We decided to leave because my family did notfeel that they wanted their children (my sisters and I) to be raised up with upin violence and political unsuitability. These Pull Factors were overpoweringand eventually on January the 24 1993 our whole family of 10 people arrived tolive in Australia. Migration to other countries or places often ends up being a success. Sometimes the people, who migrated a few years ago, realise that the choice theymade was a wrong one. The choice my family made was thank goodness a good one. The Migration of humans from around the world has been enormous. Sincethe beginning of the industrial revolution, it is continuing to grow. I hopethat it will continue to grow even more and many new and fantastic places willbe discovered. 1 Collins Pocket English Dictionary, 1989Religion

New Management Concepts in Coffee Shop Operations free essay sample

This paper discusses the importance of new management concepts in the smooth operations of a coffee shop. This paper takes a coffee shop as a business model in order to suggest an improved running of the business. The author explains how In this highly competitive business world, it is important to adopt the most suitable management practices and therefore organizations are required to experiment with new concepts. He indicates that while some new ideas may serve ones business positively, others may not prove to be very successful and it all depends on the type of business and the organizational structure. From the paper: Though the corporate world is changing rapidly, still the best way to gain an edge over your rivals is still what it used to be, i.e. adoption and implementation of sound business practices. But important thing is that the very definition of those practices has changed too and they are no longer what they used to be some decades ago. We will write a custom essay sample on New Management Concepts in Coffee Shop Operations or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page We have seen how in this age of cut-throat competition, the organizations are required to stay one step ahead of their rivals by continuously improving their services. But often marketing and management experts are amazed at the pace at which business values are changing and they are struggling with a practical definition of good business and sound strategies. The two things that have come to our notice in recent times are that customers are becoming the most important factor in all company policies, most firms are trying to achieve a customer-oriented approach in order to attract a loyal customer base. Another important thing is quality of the products; the customers are satisfied only when what they are being offered is better than the products of some other firms.

An investigation of the role of SIS in The (Especially, In A Rural Part Of Our Planet)expand Health Servicing The WritePass Journal

An investigation of the role of SIS in The (Especially, In A Rural Part Of Our Planet)expand Health Servicing Introduction An investigation of the role of SIS in The (Especially, In A Rural Part Of Our Planet)expand Health Servicing ). The overarching argument for this is that firms perform well when IT resources including knowledge assets, managerial and technical IT skills and physical IT infrastructure elements are aligned with the business strategy, and when suitable structures are employed in effectively managing the IT resources and supervising their deployment (Coltman et al., 2015). This alignment is ever important in the current environment where new information technologies continue to fundamentally alter conventional business strategies by allowing firms to function across the boundaries of function, time, and distance by leveraging these technologies (Bharadwaj et al., 2013). This report discusses the role of strategic information systems in expanding the health service in rural areas. Specifically, it focuses on the implementation of a telemedicine program for managing diabetes for patients in rural areas by a hospital in an urban centre. The investigation focuses on the planning and the implementation of this technological solution by considering the perspectives of different stakeholders. The report starts by discussing literature on telemedicine in diabetes management. Telemedicine and Diabetes Management The management of diabetes and its associated complications is quite costly. Targeted glycaemic control is necessary for minimising the complications of this chronic condition. Conversely, less than 70% of individuals with diabetes are attaining targeted glycaemic control, showing that effective management of the disease continues to be a challenge (Fatehi et al., 2014a). Patients in rural areas are unable to attain targeted glycaemic control partly because of poor access to specialised healthcare providers. Because of the increasing need for quality healthcare and the declining availability of clinicians, information and communications technologies have demonstrated the potential for improving access to healthcare services and reducing the costs of delivering healthcare (Fatehi et al., 2014a). Telemedicine involves providing health and medical services remotely using ICT. Telemedicine facilitates the expansion of healthcare by bridging the physical gap between consumers and healthcare providers thus reducing costs. Synchronous telemedicine entails consumers and healthcare providers interacting in real time by relying on communication technologies. For instance, video conferencing, where there is exchange of image and voice in real time, is increasingly becoming popular in telemedicine in the delivery of various healthcare and clinical services at a distance (Fatehi et al., 2014b). Verhoeven et al. (2010) systematically reviewed asynchronous and synchronous teleconsultations in diabetes and reported that these offer a reliable, cost-effective, and feasible solution for the delivery of diabetes care. Video conferencing is used in collaborative goal setting, nutrition counselling, self-management training, and diabetes education for patients (Siriwardena et al., 2012). According to Faruque et al. (2016), telemedicine is helpful in the provision of care t o individuals with diabetes especially those in rural areas who are unable to travel to healthcare facilities due to large distances.   Therefore, telemedicine, especially teleconference, is a technological solution for managing diabetes for individuals in rural areas who are underserved by specialists. The next section explains the methodology used to obtain stakeholders views on the adoption and use of teleconferencing for diabetes management. Methodology This report collected data using interviews to understand the implementation of telemedicine for expanding access to healthcare services for people with diabetes in rural areas. The report included the views of various perspectives including patients, healthcare providers at the hospital, and in the rural areas to understand the adoption and implementation of this information system.   Semi-structured interviews were conducted with these stakeholders in locations and time that were convenient for the stakeholders. The interview was based on the interview schedule found in Appendix 1. These interviews were digitally recorded followed by verbatim transcription. After transcription, the interviews were analysed using coding (Vaismoradi et al., 2016). The coding led to the identification of various thematic categories including the strategic intent of adoption of telemedicine, benefits of telemedicine, and challenges during implementation as explained in the section below. Findings and discussion Strategic intent of implementation of telemedicine The telemedicine intervention was adopted by the hospital after it was discovered that some of the patients from the rural areas were not coming for the follow- up appointments to get information on ongoing management of their diabetes. An endocrinologist at the hospital stated that: I noticed that some of my patients were not coming for their appointments†¦ I looked at their records and realised that they were unable to do so because they came from rural areas. Therefore, we had to find a way of ensuring they got the much-needed information and support to manage diabetes at home The hospital identified the need for providing cost-effective care for their diabetes patients in rural areas who were unable to access specialised care in their communities. The hospital considered the adoption of telemedicine as a way of providing quality care while minimising unnecessary patient admissions due to diabetes complications. Thus, this was a critical component of the hospital’s strategic intent. According to Coltman et al. (2015), having a strategic intent involves the allocation of resources and engaging in activities to assist in achieving their objectives. In line with this, the stakeholders at the hospital had to consider how the telemedicine program will improve access to healthcare for patients with diabetes in a cost-effective manner. The CEO of the hospital said that: We recognised that the telemedicine would provide us with an opportunity for providing the required care to our patients†¦ However, we had to consider the overhead costs to set-up the telemedicine infrastructure both on our side and the rural side. Additional funding was required for this initiative. The implication of this is that the hospital had to set aside funds for the telemedicine infrastructure and this entailed working with managers from the finance and IT departments. The manager from the IT department determined the costs of using telemedicine intervention in terms of initial costs and ongoing upgrades to achieve a sustainable system.   The IT manager identified a cost-effective technological solution provider for the information systems that was required for the provision of diabetes care and support to patients from rural areas. The manager from the finance department and the CEO worked together in determining how to get the funding for this initiative. The initiative was funded using funds from the hospital’s contingency budget. Furthermore, the CEO of the hospital had to talk with administrators and nurses, and pharmacists in the rural areas to participate in the project as they critical to its success. This is captured in this statement â€Å"we realised that we needed professionals on the ground to provide some aspects of the care. We approached healthcare providers to get their buy-in into this initiative’’ (hospital’s CEO). Therefore, the strategic intent of the hospital in the implementation and use of video-conferencing in reaching individuals with diabetes in rural areas and providing them with the necessary care reflects a strategic alignment between IT and business, particularly, strategy execution. Specifically, the hospital adopted a strategy execution alignment where the business strategy influenced the IT infrastructure, but this was constrained by the business infrastructure (Gerow et al., 2014). In other words, the hospital’s business strategy was to provide quality care in a cost-effective way to individuals with diabetes in rural areas. In turn, this strategy influenced the IT infrastructure in terms of the kind of technological solution required to meet the business strategy. Therefore, the hospital ended up selecting videoconferencing as the appropriate IT infrastructure.   However, this was constrained by the hospital’s business infrastructure in terms of skills and proce sses in the provision of diabetes care and support to individuals in rural areas. The telemedicine initiative involved using interactive video-conferencing between a multidisciplinary diabetes care team from the hospital and the patients in the rural homes. The multidisciplinary team consisted of diabetes specialists including diabetes education experts, nurses, endocrinologist, and ophthalmologist who provided personalised care to diabetes patients based on their clinical status. The patients were provided with tablets that allowed them to engage in video conferences with the multidisciplinary team on a daily basis. The patients shared with the specialists about their psychological, emotional, and physical health during the interactive video conferences. Furthermore, the patients’ health data including glucose levels, blood pressure, and weight were automatically captured by the tablets and transmitted on a daily basis to the clinicians. The outcomes of the consultation between the specialists and the patient were then communicated to the physician in the rural area to facilitate care coordination. According to a local physician, the implementation of this initiative required a change in how care was delivered to individuals with diabetes†¦the hospitals care team got in touch with me and communicated their daily consultations with patients to ensure that I was prepared to provide the necessary care at the local level.   This approach to the implementation of video-conferencing reflects strategic information systems planning to achieve alignment between the business and IT. In particular, this planning was characterised by the identification of the required IT applications together with the necessary change management, resources, and infrastructure for implementing the technological solution (Maharaj Brown, 2015). Benefits of telemedicine The diabetes specialists were positive on the potentiality of video-conferencing in enhancing and expanding access to diabetes services to individuals in rural areas to promote self-management of the disease. A diabetes education expert said that: This technology increased my ability to provide education on exercise and diet modifications to my patients by talking to them via the video-conference, and this has empowered our patients to manage their diabetes in their homes. Patients were enthusiastic that the telemedicine would support the clinical needs even though they had no or limited experiencing in using video-conferencing. Some of the patients stated that: I didn’t have experience when it comes to telemedicine. But, I knew that it would be benefit me by providing  Ã‚   with ongoing support and information for diabetes management at home (patient 1) I had never used video conference before, but it provided me a way to talk with the physician and get timely advice and guidance on managing my diabetes (patient 2) In recognition of the limited experience that patients had in video-conferencing, the hospital’s IT department together with the external technological solution provider offered the required training. According to the IT manager at the technological solution provider: We collaborated with the hospital’s IT department in sending out individuals to provide training to the patients. The patients were taught on how to use the video conference system and provided with the necessary equipment. The stakeholders highlighted the benefits of video-conferencing for diabetes management for the patients in the rural areas. The statements below capture some of the stakeholders’ perspectives. During the video-conferences, we used the daily clinical status reports of the patient, and we were able to discuss appropriate interventions to implement with the patient. This benefitted the patients because they got personalised interventions, information, and support (Hospital endocrinologist). I got e-prescriptions from the healthcare team, and when the patients picked their medications, I talked to them about complying with their medications. By collaboratively working with the healthcare team, the quality of care of patients improved in terms of medication compliance (Rural Pharmacist) The use of video conference has contributed to preventing unavoidable admissions for diabetes for these patients. The daily support and education they got from us has improved care coordination and connections between the patients and us to minimise the use of emergency departments (Hospital ophthalmologist) A few months after the implementation of this project, we had seen a reduction in the admission of patients with diabetes in our area (Rural physician) I had problems before in controlling my diabetes because I did not have access to the kind of doctors who provide the necessary care†¦ but this changed with the daily video conferences (Patient 3) I am satisfied with information and guidance I get from the consultations with the doctors each day in managing my diabetes. I no longer need to travel to the hospital to get the care I need (Patient 4) The stakeholders perspectives highlight the impact of teleconferencing on the delivery of healthcare services to diabetes patients in rural areas.   These perspectives have received support in literature. For instance, patient satisfaction is highlighted in the study by Fatehi et al. (2015) in an assessment of patient satisfaction levels with remote consultations for diabetes via video conference in a virtual outreach clinic using a cross-sectional survey. The results revealed that the patients were generally satisfied with remote consultation as they had no problem with building rapport with the clinical specialists over video conferences (Fatehi et al., 2015).   Furthermore, the positive impact of telemedicine on the management of diabetes has been shown in the literature. Specifically, Huang and colleagues (2015) carried out a systematic review and meta-analysis of randomised controlled trials on the impacts of telecare intervention on glycaemic control in type 2 diabetes. It was demonstrated that patient monitoring by telecare demonstrated significant improvement in glycaemic control in comparison with patients monitored by routine follow-up (Huang et al., 2015). Weinstock et al. (2011) also found that improvement in glycaemic control related to telemedicine was sustained over a period of five years among medically underserved patients with diabetes. In their randomized controlled trial, Steventon et al. (2014) discovered that telemedicine led to modest improvements in glycemic control among patients with type 2 diabetes over 12 months. Self-management as a critical aspect of diabetes management in telemedicine has been investigated by Young et al.(2014) who focused on the effect of person-centred health behaviour coaching model delivered through telehealth with patients with diabetes living in underserved, rural communities was assessed. The results showed that the interventions led to significantly higher scores in self-efficacy, which supported self-management of the disease (Young et al., 2014). According to Steventon et al. (2014), the greater self-care and oversight related to telemedicine might lead to fewer unplanned hospital admissions. Challenges during implementation Implementation of the technological solution was accompanied by some challenges. One of the major challenge identified by the stakeholders was unanticipated technical issues.   This is explained by the IT manager at the hospital: Sometimes the video conferences failed because of a drop in the internet connection. This meant that the encounter could not take place. When this occurred, communication occurred via cell phones to address important issues. The technical issues had a negative impact on the interactions between the patients and diabetes care team. According to the endocrinologist, Sometimes in the middle of the video-conference, the connection dropped. I could wait till past the time I had allocated for that specific consultation. Mostly, by the time the connection was up again, I would be consulting with a different patient at the hospital, and I missed my encounter with the patient in the rural area. In those cases, I worked with the rural nurses via a cell phone to communicate important information about the patient. Technical difficulties in teleconference are due to problems with accessing broadband in rural areas, which is still lagging behind urban areas. Patients homes might lack high-speed cable internet that has more bandwidth capabilities and a highly reliable signal, and this causes connection problems during video conferencing (Batsis, Pletcher Stahl, 2017). Schulz et al. (2014) reported in their study that 25% of all video conferences consultations experienced a drop in internet connection. Consequently, it is suggested that unanticipated technical issues with implementing teleconferencing should be anticipated and this highlights the importance of providing strong IT support with ongoing updates in protocols for patients in rural areas (Slusser et al., 2016). Another challenge reported was issues with reimbursements. This was identified by the finance manager at the urban hospital.   She said that: I had problems with suitable billing of encounters between the patients and the doctors and capturing this. Sometimes, I billed an encounter, but the insurer failed to pay or took longer to do so. I had to go through convincing them [insurers] that the consultation actually occurred by talking with the patient and pharmacists or nurses in the rural areas for confirmation. One of the patients also talked about this issue by stating that, â€Å"after talking with the doctors on the video conference they tell you to pick up the drugs at your pharmacy and when you get there, you are told there are problems with your insurer in terms of payment. I had to call my insurer to follow up and address this issue’’ (patient 5). According to Batsis et al. (2017), low reimbursement is a problem for the lasting sustainability of telemedicine systems in a fee-for-service model. This problem is due to limitations that are placed on the type of telemedicine covered by health insurers. Conclusion In conclusion, this report has focused on the strategic information systems in expanding the health service in rural areas.   This has been achieved by examining the implementation of video-conferencing between individuals with diabetes and diabetes specialists in the provision of diabetes care to patients in rural areas. This report has highlighted how the hospital ensured alignment between its business strategy of providing cost-effective diabetes care to individuals with diabetes in rural areas and the use of the video-conferencing as its IT infrastructure.   The hospital had to plan for its strategic information systems by identifying the appropriate IT infrastructure, processes, and changes to how care was delivered to the targeted population in rural areas. The analysis revealed how the implementation of video-conferencing addressed the interests of the different stakeholders including the hospital, diabetes specialist care team from the hospital, the patients, and healthca re providers at the local level.   Thus, the implementation of this technological solution was beneficial to all the stakeholders. Overall, this report highlights how strategic information systems are vital in the expansion of health service in rural areas. References Arvidsson, V., Holmstrà ¶m, J., Lyytinen, K. (2014). Information systems use as strategy practice: a multidimensional view of strategic information system implementation and use. Journal of Strategic Information Systems, 23, 45-61. Batsis, J., Pletcher, S., Stahl, J. (2017). Telemedicine and primary care obesity management in rural areas-innovative approach for older adults? BMC Geriatrics, 1-9. Bharadwaj, A., El Sawy, O., Pavlou, P., Venkatraman, N. (2013). Digital business strategy: toward a next generation of insights. MIS Quarterly, 37(2), 471-82. Coltman, T., Talon, P., Sharma, R., Queiroz, M. (2015) Strategic IT alignment: twenty-five years on, Journal of Information Technology, 1-10. Faruque, L., Wiebe, N., Ehteshami-Afshar, A., Liu, Y., Dianati-Maleki, N., Hemmelgarn, B., Manns, B., Tonelli, M. (2016). Effect of telemedicine on gylcated haemoglobin in diabetes: a systematic review and meta-analysis of randomized trials. CMAJ, 1-25. Fatehi, F., Armfield, N., Dimitrijevic, M., Gray, L. (2014b). Clinical applications of videoconferencing: a scoping review of the literature for the period 2002-2012. Journal of Telemedicine and Telecare, 20(7), 377-83. Fatehi, F., Martin-Khan, M., Gray, L., Russell, A. (2014a). Design of a randomized, non-inferiority trial to evaluate the reliability of videoconferencing for remote consultations of diabetes. BMC Medical Informatics and Decision Making, 1-7. Fatehi, F., Martin-Khan, M., Smith, A., Russell, A., Gray, L. (2015). Patient satisfaction with video teleconsultation in a virtual diabetes outreach clinic. Diabetes Technology Therapeutics, 17(1), 1-6. Gerow, J., Thatcher, J., Grower, V (2014). Six types of IT-business strategic alignment: an investigation of the constructs and their measurement. European Journal of Information Systems, 1-27. Huang, Z., Tao, H., Meng, Q., Jing, L. (2015). Effects of telecare intervention on glycaemic control in type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials. European Journal of Endocrinology, 172, R93-R101. Maharaj, S., Brown, I. (2015). The impact of shared domain knowledge on strategic information systems planning and alignment. South African Journal of Information Management, 17(1), 1-12. Schulz, T., Richards, M., Gasko, H., Lohrey, J., Hibbert, M., Biggs, B. (2014). Telehealth: experience of the first 120 consultations delivered from a new refugee telehealth clinic. Internal Medicine Journal, 44(10), 981-5. Siriwardena, L., Wickramasinghe, W., Perera, K., Marasinghe, R., Katulanda, P., Hewpathirana, R. (2012). A review of telemedicine interventions in diabetes care. Journal of Telemedicine and Telecare, 18(3), 164-68. Slusser, W., Whitley, M., Izadpanah, N., Kim, S., Ponturo, D. (2016). Multidisciplinary paediatric obesity clinic via telemedicine with thin the Los Angeles metropolitan area: lessons learned. Clinical Paediatrics, 55(3), 251-9. Steventon, A., Barsley, M., Doll, H., Tuckey, E., Newman, P. (2014). Effect of telehealth on glycaemic control: analysis of patients with type 2 diabetes in the Whole Systems Demonstrator cluster randomized trial. BMC Health Services Research, 1-12. Vaismoradi, M., Jones, J., Turunen, H., Snelgrove, S. (2016). Theme development in qualitative content analysis and thematic analysis. Journal of Nursing Education and Practice, 6(5), 100-110. Verhoeven, F., Tanja-Dijkstra, K., Nijland, N., Eysenbach, G., Van Gemert-Pijnen, L. (2010). Asynchronous and synchronous teleconsultation for diabetes care: a systematic review. Journal of Diabetes and Science Technology, 4(3), pp.66-84. Weinstock, R., Teresi, J., Goland, R., Izquierdo, R., Palmas, W., Eimicke, J., Ebner, S., Shea, S. (2011). Glycaemic control and health disparities in older ethnically diverse underserved adults with diabetes: five year results from the Informatics for Diabetes Education and Telemedicine (IDETel) study. Diabetes Care, 34, 274-9. Yayla, A., Hu, Q. (2012). The impact of IT-business strategic alignment on firm performance in a developing country setting: exploring moderating roles of environmental uncertainty and strategic orientation. European Journal of Information Systems, 21(4), 373-87. Young, H., Miyamoto, S., Ward, D., Dharmar, M., Tang-Feldman, Y., Berglund, L. (2014). Sustained effects of a nurse coaching intervention via telehealth to improve health behaviour change in diabetes. Telemedicine and E-Health, 828-34. Appendix 1: Interview Schedule Please explain why the hospital decided to implement videoconferencing in providing diabetes care to individuals in rural areas? What was involved in the planning for the implementation of the technological solution? Did the hospital work with external stakeholders in the implementation process? How did the implementation of the technological solution affect the aims of the hospital and its specialist clinicians? How has the use of videoconference affected your (patient) access to diabetes care? Were there any challenges that were experienced during this process? If so, which ones? To obtain answers to these questions and/or get a Custom Essay for you research, feel free to reach out to us and place an order today.

Cause Effect Papers

Cause Effect Papers Cause Effect Papers Cause Effect Papers: Why and What? You may be surprised by the fact that writing of cause effect papers is rather fascinating task. But it is so, indeed! Why? When writing cause effect papers students investigate causes and effects of certain events or phenomena that have taken or are taking place in nature or human society. Is it not interesting to find out why World War I started or what may be results of the carbon emission increasing? So, lets consider how to do this interesting task in order to get high grades! In what way should cause effect papers be written? It is up to you to decide whether you want to study causes or effects, whether you want to research the main causes/effects among numerous ones. The matter point is that you should be interested in the issue. The process of writing of cause effect papers First of all, one should stress that writing of cause effect papers like any other assignment papers should begin with determining of a topic. If you are not provi ded with a certain topic for your writing, your task is more difficult. You should think about what you want to study in your cause effect paper. Remember: choose the topic that is interesting for you. It will be much easier for you to write your paper. Besides, you will be able to make your paper interesting for your audience. So, then the process of your writing starts.Study the issue. Before writing about any causes or effects you should study the issue in question properly. Remember: the more information on the topic you will find, the better you will highlight the issue. Make a thesis statement. State what exactly you are discussing. Pay attention your thesis statement should be short and clear. Make an outline. Determine the main points you are going to highlight in your paper: causes, effects or both causes and effects. Write your paper. Try to use different facts, examples, results of some observations, some figures. That will make your paper more interesting and convincing. The usage of various transitional words and phrases such as first of all, firstly, secondly, this suggestion is supported by the fact that, it seems that, moreover will help you put your thoughts clearly and logically. Do not forget to check your cause effect paper! Any mistakes may easily spoil the impression about your paper and, hence, your grade. So, re-read your paper for several times paying attention to grammar, spelling, punctuation and the whole contents. So, bearing in mind this information will help you in writing any of cause effect papers.

Middle Ages Magic Activities from Religious Point of View Assignment

Middle Ages Magic Activities from Religious Point of View - Assignment Example The Church did not approve of theories that contradicted the official doctrine of the Church. This is because their view of human knowledge is based on a concept of an all-knowing God and a revelation of absolute truth through the scriptures and through the Pope and the senior leaders of the Church. There was no room for theories that were based on principles outside this rather strict set of rules. The whole issue of whether the earth is the center of the universe, for example, was seen as a theological dogma, not a theory or scientific view, and these issues have the potential to cause the whole foundation of Christian belief to crumble if they are challenged and found to be false. That is why the Church resisted any other views. There seems to have been in Medieval times quite a bit of experimentation with these forbidden arts, just as today people read horoscopes, go to see fortune tellers, and have lucky objects at the same time as holding broadly orthodox beliefs in one of the main religions. Old pagan beliefs linger on in symbolic ways, as for example in the Christmas trees, Harvest Thanksgiving services and Easter eggs that we have in Western culture, even though these are symbolic of pagan festivals (Jolly, 2000, p. 1). In this, there is not so much difference between medieval and modern society. The issue of predetermined events and the prediction of human behavior was a very thorny one because it goes to the heart of the Christian doctrine of salvation. It matters a lot, for example, whether a person has free will or not, and whether they freely choose to do good or evil deeds, or whether they are just puppets being manipulated by fate or some demon or other. Christians have a strong sense of being morally responsible for their actions, and relying on God alone, and so many other forces that get in between a man or woman and their god were seen as a bit threat.