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Monday, January 27, 2020
Effect of Communication on Collaborative Working
Effect of Communication on Collaborative Working Discuss how communication within an inter-professional team could affect collaborative working. Inter-professional learning and collaborative working in healthcare are two significant practices that must be understood as health care practitioners and trainee health professionals, to deliver high quality of patient-centred care in National Health Service (NHS) through effective communication. Thus, the aim of this essay is to critical discuss and analyse how communication within an interprofessional team could affect collaborative working to reduce medical errors, decrease workloads, reduce mortality rate, conflict and lack of trust. Two specific key points will be addressed throughout this essay; collaboration with staff and students, effective communication such as verbal and non verbal which entails active listening. In accordance to the Nursing and Midwifery Council (NMC) (2015) codes of conduct on confidentiality, personal information and trust identifiers will be anonymous in the essay and service users (SU) will signify patients. Buring et al (2009) explained Inter-professional teamwork as the extent of which an array of several healthcare professionals such as doctors, nurses, pharmacists and many more work together successfully to influence the quality of care being provided, improve collaboration, enhance quality of patient care, lower costs, decrease patient length of stay and overall reduction in medical errors in health care setting. Negatively, poor communication within a team of health professionals might lead to conflict, lack of trust and may impact on patient care and safety (Vincent, 2011). Collaborative working in healthcare is the process whereby professionals from different disciplines work and support each other as a team cohesively, whilst balancing their roles, sharing responsibility towards making difficult clinical evidence based decisions appropriate enough for the best interest of the SU (McCabe Timmins, 2013). The NMC (2015) stated that to promote a dynamic collaboration among health and social care professionals, effective communication must be established and demonstrated within respective teams, at the same time respecting individual professionalââ¬â¢s knowledge, skills and contribution. Flin (2009) defines communication as ââ¬Ëthe transfer of information, ideas or feelingsââ¬â¢ (p. 16). However, Emmitt and Gorse (2009) articulate that the transmission of information from sender to receiver may be distorted, therefore, in order for communication to be successful within collaboration, professionals have to utilise this skill effectively. Daly (2004) affirms that effective communication between healthcare professionals is the cornerstone to successful collaboration. Furthermore, Stukenberg (2010) states that once effective communication has been implemented within collaborative working, improved knowledge, work interactions, and positive environment for professionals to work cohesively is established, subsequently, improving the delivery of patient care (Chatman, 2008). The two method of communication that has been commonly cited by numerous literatures are, verbal and non-verbal communications which are widely used by health and social care practitioners in various settings. A study of Purtilo and Haddad (2009) highlighted that verbal communication is vital to health professionals in forming professional relationship through the form of team meetings. The study further emphasised that regular meetings of interprofessional team linked by a common care pathway help to enforce verbal communication and activate effective team collaboration. An example of this was during the authorââ¬â¢s placement in a hospice (palliative care), a multidisciplinary meeting was held regularly every week consisting of an array of professionals from different department such as nurse specialists, consultants, social workers, student nurses, doctors, occupational therapist, spiritual and psychological specialist to discuss and up-date members of the team regarding patien ts care. As observed, effective communication was utilised and initiated throughout the course of the meeting as ideas from this group of professionals were put forward in an orderly manner as each professionals took it in turn to contribute towards the decision-making process. Communication observed was clear and concise among the health professionals. Bach and Grant (2012) concurs that clarity of conservation among professionals will aid the process of information being transmitted accordingly thus leading to understanding, as it ensure vital information are not misheard in turn reduces the risk for confusion among individuals within the team. Burnard and Gill (2014) further explained that communication is the art and process of creating and sharing ideas from different individuals, therefore, when this is demonstrated within a group of professionals, they are able to contribute ideas drawing from their own knowledge, experience and expertise as suggested by Baatrup (2014). Tindall, Sedrak and Boltri (2013)also articulated that effective communication will warrant that each members of the team are kept up-to-date which is vital when key decisions are made regarding a patientââ¬â¢s care. They further elaborate that communication forms relationship where trust and respect are instilledthereby enhancing job satisfaction and wiliness of health professionals to join forces with one another as a team in order to deliver a care that is of high quality. Rost and Wilson (2013) maintains that active listening should also be incorporated within communication as it an invaluable tool that sustains collaborative working among healthcare professionals. However, communication failures among health care professionals have been highlighted as the leading cause of unintentional patients harm with many leading to permanent injuries and even deaths (The Joint commission, 2006). An example will be the devastating case of Victoria Climbie (UK Department of Health (DoH), 2003) which demonstrated the effects of ineffective team work and poor communication among health professionals. The recommendation from Lord Lamingââ¬â¢s report on the Victoria Climbie inquiry stress the need for health care professionals to improve interprofessional communication and collaboration. As emphasised by UK DoH (2013), effective communication is crucial among health professionals to enhance care delivery, develop therapeutic relationships and it is known to be one of the 6Cââ¬â¢s approved by government and NHS to support the values and ethics in health care delivery. Ineffective collaborative working can be as a result of lack of understanding, poorly defined roles and responsibilities, poor communication challenges among health care professionals, which evidently has a negative impact on clinical outcomes. As seen in the Francis report (2013) of the Mid Staffordshire hospital where SU were left to suffer as a result of poor communication and collaboration among interprofessional team. For this reason, the DoH (2013) emphasise the need for all health care professionals to work together collaboratively, communication effectively among each other and have an increased knowledge of the role of each member of the team. Interprofessional team must possess active listening skills which is an important tool in improving discussion and help building trusting relationships between health care professionals (Stainton et al, 2011). Aitken (2013) recognised good listening skills as an important tool for effective communication that can consolidate collaborative working among health professional especially for student analysis and learning. In terms of collaboration between staffs and students, this allows students to be able to gain insights into the varieties of language used such as terminologies commonly used within health and social care, in turn enhances understanding as students are aware of how best to communicate with other professionals within clinical practice building up their interprofessional skills paving away for effective collaboration (ref). REF) put fort the notion that where there is effective communication between staff and students, a strong relationship is formed where there is mutual respect and trust, even though there is differing competence between this specific group of individuals (Hamilton, 2010). Morgan, (2013) also states that effective communication will improve staff and students experiences. Collaborative working through effective communication facilitates professionals from a diverse range of other expertise to help achieve single aim, decrease work load, share ideas on how to deliver highest quality of care through understanding of information communicated. In addition, NMC (2015) recommends that professionals should have the necessary skills to communicate effectively with colleagues and other professionals in order to improve patient care. Hence, working collaboratively has been widely stimulated as the best approach in improving health outcomes (UK DoH, 2010). Furthermore, to support collaborative practice individuals need to utilise interpersonal skills to promote effective teamwork and communication. Therefore, Combined Universities Inter-professional Unit (CUILU) (2010) recommended a guideline designed to help students and different professionals understand how the development of a collaborative worker is evaluated by applying the inter-professional capability fr amework. This consists of four domains which are Collaborative working (CW), Reflection (R), the Cultural Awareness and Ethical Practice (CAEP) and the Organisational Competence. In conclusion, effective communication and collaboration has a huge impact on the lives of SU and health professionals either positively or negatively. It is the role of health professionals to address this and collaboratively maintain continuity of care where there is high quality patient centred care, promote good working relationship with members of a team, thereby enhancing job satisfaction for professionals and quality of life for patients. A good listening skills, mutual respect and value for team members irrespective of their discipline will also facilitate an effective collaboration and patient safety. REFERENCES Aitken, J.E. (2013). Cases on Communication Technology for Second Language Acquisition and Cultural Learning. United States: IGI Global. Baatrup, G. (2014). Multidisciplinary Treatment of Colorectal Cancer:Staging ââ¬â Treatment ââ¬â Pathology ââ¬â Palliation. United Kingdom: Springer. Bach, S. A. Grant, (2012). Communication and Interpersonal skills in nursing. Exeter: Learning Matters Ltd. Buring, S.M., Bhushan, A., Broeseker, A., Conway, S., Duncan-Hewitt, W., Hansen, L. Westberg, S. (2009). Interprofessional Education: Definitions, Student Compentencies, and Guidelines for Implementation. American journal of pharmaceutical education, 73 (4), 1-8. Burnard, P. Gill, P. (2014). Culture, Communication and Nursing. United States: Routledge. Chatman, I.J. (2008). Medical Team Training:Strategies for Improving Patient Care and Communication. United States: Joint Commission Resources. CUILU (2010) Interprofessional Capability Framework: a framework containing capabilities and learning levels learning to Interprofessional capability. The Combined Universities Interprofessional Unit. Sheffield Hallam University and The University of Sheffield. Daly, G. (2004). Understanding the barriers to multiprofessional collaboration. Nursing Times, 1(9), 78 -79. Emmitt, S. Gorse, C.A. (2009). Construction Communication. United Kingdom: John Wiley Sons. Flin, R. et al (2009) Human factors in patient safety: review of topic and tools. Report for Methods and Measures Working Group of WHO Patient Safety. Geneva: World Health Organization. Retrieve April 7th 2015, from http://www.who.int/patientsafety/research/methods_measures/human_factors/hu man_factors_review.pdf Francis, R. (2013). Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. The Mid Staffordshire NHS Foundation Trust Public Inquiry. London: TSO Hamilton, C. (2010). Communicating for Results: A Guide for Business and the Professions. (9th ed.). United States: Wadsworth Cengage Learning. McCabe, C. Timmins, F. (2013). Communication Skills for Nursing Practice. (2nd ed.). United Kingdom: Palgrave Macmillan. Morgan, M. (2013). Improving the Student Experience:A Practical Guide for Universities and Colleges. United Kingdom: Routledge. Nursing Midwifery Council. (2015). The code professional standards of practice and behaviour for nurses and midwives. London: NMC Purtilo, R. Haddard, A. (2009). Health professional and patient interaction. (7th ed.). United States: Rost, M. Wilson, J. (2013). Active Listening. United States: Routledge. Stainton, K., Hughson, J., Funnell, R., Koutoukidis, G. Lawrence, K. (2011). Tabbners Nursing Care:Theory and Practice. Elsevier Health Sciences. Stukenberg, C.M. (2010). Successful Collaboration in Healthcare:A Guide for Physicians, Nurses and Clinical Documentation Specialists. United States: CRC Press. The Joint Commission (2006). Root causes of sentinel events, all categories. Oakbrook, IL Retrieved April 4th , from http://www.jointcommission.org/NR/rdonlyres/FA465646-5F5F-4543-AC8F-E8AF6571E372/0/root_cause_se.jpg Tindall, W.N.,Sedrak,M., Boltri, J. (2013). Patient-Centered Pharmacology:Learning System for the Conscientious Prescribe. Philadelphia: F.A. Davis. United Kingdom. Department of Health (2010). Modernising Scientific Careers: The England action plan. Retrieved April 10th, 2015 from https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/139529/dh_115144.pdf United Kingdom. Department of Health and NHS Commissioning Board (2013). Compassion in practice. Nursing, midwifery and care staff: our vision and strategy Redditch: NHS Commissioning Board. United Kingdom. Department of Health. (2003). Laming Report. The Victoria Climbià © Inquiry-Report of an inquiry by Lord Laming. Retrieved April 4th , 2015 from https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/273183/5730.pdf Vincent, C. (2011). Patient Safety.(2nd ed.). United Kingdom: Wiley Blackwell.
Sunday, January 19, 2020
Longevity research Essay
Today, a great amount of people have learned to enjoy life once again as a senior in the community. This would speak of those in the 70ââ¬â¢s and beyond. Life expectancy for Americans, which was a mere 49 years in 1900, has now increased to around 76 years. This we can say is due to improvements in health care, nutrition, and the overall standard of living. Not only are people living longer, but they are becoming more active in their older age, relative to elderly of the past. More older Americans are able carry out their own ââ¬Å"instrumental activities of daily livingâ⬠(Hodes 2003) As such, the desire for life has grown and billions have been poured into longevity research, an undertaking meant to discover ways and means to extend life. A vast motivation in science has been well-funded to discover how to keep man alive longer, with its aim toward more and more years. (Douglas 2006) There are concerns however one must view in light of this, namely, will a society with many living over a hundred years be actually as beautiful as it seems to present? The first concern would be the quality of life given that although the body may be kept health, the brain will be aging. Surely, the mind at the age of 110 is not as lucid as that of one at the age of 60. There are many diseases that correlate with the aging brain, but let us use the more common Alzheimerââ¬â¢s disease as an example. This is a devastating condition that has been seen to have a profound impact on individuals, families, the health care system, and society as a whole. Demographic studies suggest that if the current trends maintain themselves, the annual number of incident cases of this disease will begin a sharp increase in the year 2030 thereabouts. (Alzheimerââ¬â¢s association 2009) This will be a time that people born between 1946 and 1964 will all be over 65 years. Studies further show that by the year 2050, the number of Americans with the disease could double. Imagine these implications. Itââ¬â¢s true that people live longer, but then what quality of life can one have if he lives 20 years more but has lost memory of his family and friends. This disease accounts for around 50-50% of cases of dementia. With increase longevity, there will be a large increase in the prevalence of the disease as people will be living to be older. It can be such difficulty to the individual to live in a condition where for years he is grasping at memories that he cannot recall. Itââ¬â¢s an incredible burden to the family as well, as they will now be responsible for more elderly, living longer lives, incapable of self care, and maybe even incapable of recognizing kin. Imagine a scenario where a parent is 110 years old, their child being 85 and their grandchild at 60, how would it be feasible for the turn of care to pass from parent to child in such a scenario where all are classifiable as aged. A second concern is that apart from the aging mind, there is also the aging body. It is true that the individual will be living long, but then there are multitudes of risks that will accompany this. The wear and tear from all the years will now set in as he will now be more prone to multitudes of disease as years go by. Sicknesses like arthritis of the joints, a heart attack, stokes, cataracts, diabetes and many more will all now be factors that come into play. Even worse, should the person gain a long-playing debilitating condition, one with no cure such as the case of Alzheimerââ¬â¢s previously mentioned, then again what kind of quality of life can he sustain? Letââ¬â¢s take a stroke for example. Currently, a stroke is the third leading cause of death in the United States. Statistics show that over 143,579 people die each year in the United States from this condition. Now in terms of long term disability, stroke is the leading cause as people may live on with their life span after a completed stroke. Furthermore, having a stroke does not mean that a person cannot have another one to further cause disability. Now, it is seen that nearly three-quarters of all strokes occur in people over the age of 65. It is also noted that the risk of having a stroke more than doubles each decade after the age of 55. (Internet Stroke Center 2009) This is not even accounting for those who go through strokes at a young age. Now, given this data, imagine the risk for one who is to live until 120 years old. Imagine if a large bulk of population were to live this long, then the worldwide prevalence of stroke survivors would be high. After a stroke, it is very possible for one to lose control of speech, of movement in half a body, of mobility, and sometimes even requiring full time nursing care. The implications on a person and a family would be immense. Given that strokes occur generally in people over 65, imagine having one at 70 and then living for 40 more years. How would one survive that lone without the capacity to communicate. Itââ¬â¢s true that one can live with the heart beating, but the question is in terms of quality of life. Another concern that also affects health will be the incidence of depression. A longer life for one spouse would mean having to live through the death of loved ones. Longevity increases the number of years one would live past the death of a spouse and family. Studies can increase life but imagine a scenario where a parent has to live past his spouse children and grandchildren. Again, the concern regarding quality of life comes in play is emotional makeup is indeed a very important aspect of human life. Rebecca Utz, a sociologist at ISR stated: ââ¬Å"While only about 6 percent of widowed persons had serious financial problems since their spouse died, 63 percent reported less income and 34 percent said their financial strain increased significantly after they were widowed. The negative economic consequences are even more pronounced for women than they are for men, and the declines are lasting, not a temporary drop associated with funeral expenses or estate planning. â⬠(About. com 2009) This itself is proof of how oneââ¬â¢s death can affect an individual, not only in terms of health and emotion, but in terms of capability to function as well. Increasing longevity means increasing the chances that people will outlive one, or even more spouses, and have to deal with many deaths for many years. Depression rates will increase as a consequence of spouses living well past their mates, their children and maybe even their grandchildren. A study conducted showed that eighty-four (24%) of 350 widows and widowers met criteria for depressive episodes at 2 months, 72 (23%) of 308 did so at 7 months, and 46 (16%) of 286 did so at 13 months, further supporting this claim that depression and emotional consequences of too much longevity should be of concern. (Zisook, S & Shuchter, S. 1991) A fourth point that should raise concern for biologic implications for longevity revolve around care for the elderly. Today, families turn to nursing homes and assisted living to give the elderly the care and attention they need. The alarming factor now revolves around what actual care they are receiving in these places, as a congressional report made by CBS news correspondent Bill Whitaker previously stated that around 1,600 U. S. nursing homes, nearly one-third of all in total, have been cited for abuse. These reported abuses were of various types, spanning from physical, sexual and verbal. All abuse in all these forms is on the rise. The report further noted that that more than twice as many nursing homes were cited for abuse in 2000 than in 1996. It was further seen that in 1,601 nursing homes , around 1 in 10 abuse citations were made in serious incidents. By serious, it was meant that they either put residents at great risk of harm, injured them or killed them. (CBS news 2001) Imagine how greatly the health of these poor elderly could be affected by increased longevity. Already at this current time with our elderly, society is unable to provide adequate care for them, and resorting to nursing homes and various assisted living environments that have led to elderly abuse. What more an increase can be expected if people were to live into the hundreds. The population would have a drastic increase in the aged, thus increasing the burden on society to care for them. If at this current day and age, society already is unable to manage the abuse problem, then the health implications of longevity are grave in that they will aggravate the abuse by increasing the number of elderly left alone. Investigators have further said that many violations are neither detected nor reported, which leads officials to conclude that the problem is even underestimated. Surely, if society cannot currently manage the elderly and provide a good, healthy and safe environment for them, then there is no way that society can do so after a further increase in the aged that longevity research will bring. My fifth and final concern regarding longevity lies in the fact that it will now place a large amount of population that has needs to be fulfilled but cannot fulfill them on its own. Increasing longevity will increase the number of senior citizens and the number of non-working elderly dependent. The health concerns for this are immense, as the question that can now be raised is regarding who in society will provide for the health of these individuals who cannot earn a living for themselves. CDC research concerns states that the increased number of people with ages over 65 will potentially lead to increased health-care costs. The health-care cost per capita for persons from the age group over 65 years in the United States is three to five times greater than the cost for persons below that age. (CDC 2003) Imagine how this will increase if people were to live 20 years longer. Currently, the number of persons aged >65 years is expected to rise from around 35 million in 2000 to an estimated 71 million in 2030. Longevity will even increase this number. Eventually, as resources will decline, then there will not be enough economic support to support the aged, leading to substandard healthcare and health risks. There may not be enough to provide them with medical needs, particularly because the working population may be outnumbered by the dependent elderly non-working populous. As such, in conjunction with many other previously discussed claims, the promise of longevity, although seemingly tempting, may not exactly be as, wonderful as it seems to be. WORKS CITED About. com:Mental health (2009) ââ¬ËLosing a Spouse: What Hurts and What Helps [online] Available from [April 6, 2009] Alzheimers association (2009) ââ¬ËWhat is Alzheimerââ¬â¢sââ¬â¢[online] Available from [April 6, 2009] CBS news (2001) ââ¬ËNursing Home Abuse Increasingââ¬â¢ [online] Available from [April 6, 2009] CDC (2003) ââ¬ËPublic Health and Aging: Trends in Aging ââ¬â United States and Worldwideââ¬â¢ MMWR weekly[online] Available from [April 6, 2009] Douglas, J. (2006) ââ¬ËNew longevity research center launched to study supercentenariansââ¬â¢ Natural News [online] Available from < http://www. naturalnews. com/020701. html> [April 6, 2009] Hodes, R. (2003) ââ¬ËHuman Longevity and Aging Researchââ¬â¢. Special Committee on Aging [online] Available from [April 6, 2009] Internet Stroke Center (2009) ââ¬ËStroke Statisticsââ¬â¢ [online] Available from [April 6, 2009] Zisook, S & Shuchter, S. (1991) ââ¬ËDepression through the first year after the death of a spouse ââ¬â¢ Am J Psychiatry [online] Available from [April 6, 2009]
Saturday, January 11, 2020
Differences Between Secondary School and College Life
Differences between secondary school and college life This is our first week of college life . We feel that college life turned out to be like what we expected before we enrolled . One of the reason is because of the environment in our college is not that stressful and have a enjoyable environment for studies . The rules and regulation in our college is not that strict since we can wear homewear to attend classes rather than school uniform . Besides that , we are more exposed to new things so that we can learn and gain experience to make our life more meaningful .Since this is our first semester , so we get to know more friends from other states . Furthermore , the lecturers are more approachable and their teaching method are more fun and lively . One of the experiences that we are experiencing now is that we learn to manage our time to be more systematic so that we wonââ¬â¢t be late for classes . We are also training ourselves to be more discipline because there are too many dist raction like clubbing , shopping or gaming . From this distraction , we must learn to restrict ourselves so that it wonââ¬â¢t affect our studies .The difference between secondary school and college life that we are experiencing now is we have to seek for our own notes for every subject and not depending on the lecturer to get us notes during the class . We have to be more confident to speak out our opinions and thoughts so that we wonââ¬â¢t following blindly . We also learn how to coorperate and communicate with others efficiently so that we can achieve our goals or to complete the task . Other than that , the technologies in college is more advance compared to secondary school .As an example , we can get the information through the internet everytime and everywhere . We can also pass our assignment through email , communicate with lecturer through online . It is so much convenient and efficient compared to secondary school . One of the biggest changes between secondary school and college is attendance . In secondary school , we will penalized for missing class but in college it will affect our credit hours and this credit hours will affect us from taking exam or test . The class sizes in college is slightly smaller than secondary school .This way can increase the interaction between the student and lecturer , The facilitates in college is much better like larger library , computer lab , lift and classes with air-conditioner . One of the best thing in college is that we can choose the subject or courses that we like rather than forcing ourselves to study the subject that we dislike during secondary school . Student in college are more mature . This is because they are meet with different types of peoples , country and also culture . So , we should adapt to the changes and enjoy our college life .
Friday, January 3, 2020
Big Brands Target Hispanic Consumers - 1507 Words
Theme of the Article This article focuses on the increased importance for marketers to place a reasonable focus on the growing Hispanic demographic and their substantial purchasing power. With an estimated eleven percent of the US population by 2017, Hispanic consumers will comprise a large submarket. This Hispanic submarket will be able to add to the bottom line of companies that are able to target this market with the right marketing mix. Targeting the $1.2 trillion submarket is becoming a necessity for brands that are looking to grow their market share. Hispanic consumers are increasingly making their way into mainstream America and creating their own American Dreams. As they move up the socioeconomic scales they begin to buy biggerâ⬠¦show more contentâ⬠¦This form of segmentation and variables are very popular for marketers because they are often associated to consumersââ¬â¢ wants and needs, and they are easily measured. Within the variables described above, age and race are emphasized in the article. This kind of Multicultural Marketing recognizes that different ethnic and cultural segments have sufficiently different needs and wants to require targeted marketing approaches, and that a mass market approach is not refined enough for such diversity. Multicultural marketing can result in different marketing messages, media, channels, etc. Hispanics have long been seen as a growing and profitable market by many. However, as the article mentions, only recently have many large brand names begun to view them as a valuable base of customers. The article states that dating to the 1980s, Hispanic consumers became a target for advertisers but only recently have they become a serious target for all serious marketers, especially the big name brands that are looking to boost sales in these tough times. Creating marketing aimed at a specific set of races and cultures gives a marketer an advantage over competitors who are ignoring that market. Adapting mar keting campaigns and translating ads that have proven successful for a company can be challenging for companies that do not prepare properly. For example, the California Milk Processor Board (CMPB) failed when they used their traditional ââ¬Å"Got Milk?â⬠Show MoreRelatedJohn Deere Brand Analysis1638 Words à |à 7 Pagesexpand its consumer marketing to sell products/services to new retirees, home and acreage buyers with different ethnicities, and females, while keeping the current consumers that are traditionally Caucasian males. The paper considers the brand personality of John Deere and the different characteristics of the three new segments and identifies areas of opportunities. 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