More than Medicine: Nurse Practitioners and the Problems They Solve for Patients, Health Care Organizations, and the State. By LaTonya J. Trotter. Ithaca, N.Y.: Cornell University Press. 2020. Pp. 216. $115.00 (cloth); $19.95 (paper).

2021 ◽  
Vol 126 (6) ◽  
pp. 1521-1523
Author(s):  
Tania M. Jenkins
Keyword(s):  
Health Care ◽  
Nurse Practitioners ◽  
Health Care Organizations ◽  
The State ◽  
Cornell University

scholarly journals Bedside Nurse Acceptance of Intensive Care Unit Telemedicine Presence

2018 ◽  
Vol 38 (6) ◽  
pp. e1-e4 ◽  
Author(s):  
Christina Canfield ◽  
Sandra Galvin
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Nurse Practitioners ◽  
Health Care Professionals ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Perception Of Support ◽  
Evidence Based Care

Since 2010, health care organizations have rapidly adopted telemedicine as part of their health care delivery system to inpatients and outpatients. The application of telemedicine in the intensive care unit is often referred to as tele-ICU. In telemedicine, nurses, nurse practitioners, physicians, and other health care professionals provide patient monitoring and intervention from a remote location. Tele-ICU presence has demonstrated positive outcomes such as increased adherence to evidence-based care and improved perception of support at the bedside. Despite the successes, acceptance of tele-ICU varies. Known barriers to acceptance include perceptions of intrusiveness and invasion of privacy.

scholarly journals THEORETICAL AND CONCEPTUAL FOUNDATION OF INCREASING EFFICIENCY OF REGULATING LABOR RELATIONS IN MEDICAL ORGANIZATIONS

2018 ◽  
pp. 18-27 ◽  
Author(s):  
Viktor Georgievich Akishkin ◽  
Vladimir Vladimirovich Zverev ◽  
Ramazan Abdulmuminovich Nabiev
Keyword(s):  
Health Care ◽  
Labor Market ◽  
Health Care Organizations ◽  
Labor Relations ◽  
Health Workers ◽  
Health Care Sector ◽  
The State ◽  
Innovative Activity ◽  
Professional Activity ◽  
Stimulation Of

In the context of growing penetration of the market mechanisms into the labor management modernization of the domestic health sector has led to significant changes in the content and performance of health workers. As a result, a new type of tasks related to significant transformations in the labor relations regulation of health care organizations was formed. In turn, this fact has led to the emergence of a number of social and labor contradictions concerning economic interests of workers, employers and the state, which in particular led to destructive consequences reflected in increasing imbalances in the labor market, reducing motivation of medical workers to labor and improving professional knowledge and skills for the effective use of modern high-tech equipment, increasing outflow of workers from the health service as a whole and the mass outflow of highly qualified senior and middle-level employees from medical organizations of the peripheral to central territories. The article presents theoretical and conceptual grounds for improving the efficiency of labor relations regulation of in medical organizations, including mechanism of partnership between the state and business. There have been found and analyzed the specific trends and technologies of labor relations regulation typical for the modern stage of healthcare modernization, considered peculiarities of using market and non-market methods and mechanisms in this process. There have been presented the directions of developing regulation mechanisms of labor relations in the health care organizations connected with realization of programs of training and professional development for the health care personnel, elimination of imbalances on the labor market in the health care sector, improvement of conditions for professional activity, stimulation of innovative activity of health workers and ensuring wages appropriate to the work results. The specified directions can provide increase of efficiency of the labor relations in organizations of health care on the basis of improvement of material and technical basis of professional activity of medical workers, improvement of mechanisms of stimulation of innovative activity. Implementation of the mechanisms of partnership between the state and business will allow attracting private investments in the health care sector, reducing imbalances in the labor market, which will result in creating the competitive domestic medicine.

scholarly journals Drivers and Barriers to the Use of Health Information Exchange Amongst Clinicians in the Emergency Department

2020 ◽  
Vol 3 ◽  
Author(s):  
Ben Richter ◽  
Brian Dixon
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Information ◽  
Nurse Practitioners ◽  
Information Exchange ◽  
Health Care Organizations ◽  
Health Information Exchange ◽  
Major Barrier ◽  
Single Sign On ◽  
Patient Reported

Background:   Health Information Exchange (HIE) describes the exchange of medical data between various health care organizations. Though research is limited, widespread use of HIE may improve patient outcomes while improving efficiency and thus lowering health care costs for patients. The paucity of existing research necessitates further study into the effects of HIE use in the clinical setting. The Indiana Network for Patient Care (INPC) is one of the most comprehensive HIE networks in the country, and provides an ideal environment for conducting research regarding factors that influence HIE use.   Methods:  A group of 20 clinicians from the Emergency Department were chosen to answer a set of questions regarding their HIE use. This group included physicians, nurse practitioners, physician assistants, and registered nurses from various health care organizations across the state of Indiana. Interview questions were centered around four main themes: Performance Expectancy, Effort Expectancy, Social Influence, and Facilitating Conditions. Interviews were recorded and transcribed, then subject to qualitative analysis using NVivo software.   Results:  The Single Sign-On and EHR Button were the most commonly discussed features in terms of facilitating HIE use. Providers used HIE most often when the patient reported previous admission at a different hospital, or when the patient was incapacitated and could not provide information. Although clinicians had unanimous social support for using HIE, inadequate training regarding HIE was apparent, and served as the most common barrier to its use.   Conclusion/Impact:  The implementation of Single Sign-On and access to the INPC via a button integrated into the user’s EHR are critical for widespread use of HIE, while lack of physician training serves as a major barrier to its use. Implementing SSO and EHR button features while improving HIE training may spurn additional use of HIE and thus lower costs for both hospitals and patients.  

Rorschach-CS Scores of Six Groups of Patients

2013 ◽  
Vol 34 (1) ◽  
pp. 24-55 ◽  
Author(s):  
Caspar C. Berghout ◽  
Jolien Zevalkink ◽  
Abraham N. J. Pieters ◽  
Gregory J. Meyer
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Organizations ◽  
Total Sample ◽  
Psychoanalytic Psychotherapy ◽  
Cross Sectional ◽  
Treatment Groups ◽  
Treatment Type ◽  
Psychotherapy Groups ◽  
Cross Sectional Design

In this study we used a quasiexperimental, cross-sectional design with six cohorts differing in phase of treatment (pretreatment, posttreatment, 2-year posttreatment) and treatment type (psychoanalysis and psychoanalytic psychotherapy) and investigated scores on 39 Rorschach-CS variables. The total sample consisted of 176 participants from four mental health care organizations in The Netherlands. We first examined pretreatment differences between patients entering psychoanalysis and patients entering psychoanalytic psychotherapy. The two treatment groups did not seem to differ substantially before treatment, with the exception of the level of ideational problems. Next, we studied the outcome of psychoanalysis and psychoanalytic psychotherapy by comparing the Rorschach-CS scores of the six groups of patients. In general, we found significant differences between pretreatment and posttreatment on a relatively small number of Rorschach-CS variables. More pre/post differences were found between the psychoanalytic psychotherapy groups than between the psychoanalysis groups. More research is needed to examine whether analyzing clusters of variables might reveal other results.

INCREASING ADOPTION OFSOCIAL MEDIA IN HEALTHCARE ORGANIZATIONS : OPPORTUNITIES AND CONCERNS

2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Sharafat Hussain ◽  
Prof. Mohd. Abdul Azeem
Keyword(s):  
Health Care ◽  
Social Media ◽  
Social Networking ◽  
Health Care Organizations ◽  
Healthcare Providers ◽  
Healthcare Organizations ◽  
Online Questionnaire ◽  
Potential Benefits ◽  
Social Media Presence ◽  
Use Of Social Media

Adoption of social media amongst health care organizations is thriving. Healthcare providers have begun to connect with patients via social media. While some healthcare organizations have taken the initiative, numerous others are attempting to comprehend this new medium of opportunity. These organizations are finding that social networking can be an effective way to monitor brand, connecting with patients, community, and patient education and acquiring new talent. This study is conducted to identify the purpose of using social media, concerns, policy and its implementation and the overall experience of healthcare organizations with social media. To collect first hand data, online questionnaire was sent via LinkedIn to 400 US healthcare organizations and representatives out of which 117 responded and were taken further for analsysis. The results of this study confirm the thriving adoption, increased opportunities and cautious use of social media by healthcare organizations. The potential benefits present outweigh the risk and concerns associated with it. Study concluded that social media presence will continue to grow into the future and the field of healthcare is no exception.

Nurse Practitioner Challenges to the Orthodox Structure of Health Care Delivery: Regulation and Restraints on Trade

1985 ◽  
Vol 11 (2) ◽  
pp. 195-225
Author(s):  
Karla Kelly
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Delivery ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Allied Health ◽  
Care Delivery ◽  
The United States ◽  
Care Providers ◽  
Allied Health Care

AbstractUntil recently, physicians have been the primary health care providers in the United States. In response to the rising health care costs and public demand of the past decade, allied health care providers have challenged this orthodox structure of health care delivery. Among these allied health care providers are nurse practitioners, who have attempted to expand traditional roles of the registered nurse.This article focuses on the legal issues raised by several major obstacles to the expansion of nurse practitioner services: licensing restrictions, third party reimbursement policies, and denial of access to medical facilities and physician back-up services. The successful judicial challenges to discriminatory practices against other allied health care providers will be explored as a solution to the nurse practitioners’ dilemma.

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