Medication errors: what case managers can do. Part 2.
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Biomedical subjects
Publications and source records attributed to Ruth Davidhizar.
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Domestic violence is no respector of persons but may involve spouses or cohabiting adults across all socioeconomic, ethnic, and religious groups. It is no respect or of community. The abuse can be physical, sexual, or emotional/psychological. It can be economic and be demonstrated by neglect. Nursing care for the problem of domestic abuse needs to be directed at primary, secondary, and tertiary prevention. Care for victims and victimizers of domestic violence involves a collaborative relationship with other professionals as well as interagency cross referrals that involve health, welfare, refuge, and judicial protective services.
Professional image is important for all members of the health-care team, including laboratory technicians. The image of individual members not only makes a statement about the competency of the team and the self-regard of its members, but also speaks of the way the individual represents the profession. Dexterity and skill, appearance and dress, and skills in communication all contribute to the impression a patient will have of the services received and the public image of the health-care agency. Laboratory technicians play a significant role as members of the interdisciplinary team regarding patient satisfaction in health care.
Although duplicate publication is a significant problem for the nursing community, it can be prevented by teamwork between the author and editor.
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It is important for each nurse to be alert for not only individuals who are experiencing pain but also the impact that cultural phenomena may have on the way pain is experienced, expressed, and the assistance that is desired. The Giger-Davidhizar Transcultural assessment model provides a model for assisting in the assessment of pain. It is only by consideration for cultural phenomena that culturally appropriate care can be delivered.
The impending loss a staff has at the termination of a one-to-one relationship with a resident in long-term care may provoke deep feelings of grief and sadness in both the staff members involved and the resident in the case of a resident who leaves for other agency or unit. In some cases termination may result in use of defense mechanism including anger and openly hostile comment which may be displaced toward other staff or resident. Nurses need to prepare staff, particularly, novice staff, to handle these feelings in residents as well as understanding their own personal reactions at the loss of a resident.
Bickering is an unpleasant phenomena found wherever groups of people congregate. Bickering on a health care team such as that found in the nurse department can create a negative environment and poor morale. The nurse manager should take responsibility for action which can deter this type of behavior and should visibly lead the staff to more productive interactions.
Many health care providers lack cultural competency and are unaware of how to meet the needs of the culturally diverse patient. All health care providers, and particularly nurses and nurse practitioners who are on the front lines of patient care, must be skilled in providing culturally appropriate and competent care.
This article describes the essentials of health promotion, aging in America, and factors to consider when developing health promotion materials for elders. It also provides a checklist to evaluate materials for appropriateness.
For centuries storytelling has been used a powerful communication vehicle. It is also useful in nursing education to enhance self-esteem, develop critical thinking, model behaviors, and to teach cultural sensitivity and communication skills. The authors discuss the use of storytelling in the nursing literature and in a nursing course.
Individuals have long been fascinated with memory and its imperfections. Recent research in memory provides information that can enable the manager to better understand memory and know what to do when a healthy brain malfunctions. This article describes Schacter's seven brain malfunctions-transience, absent-mindedness, blocking, misattribution, suggestibility, bias, and persistence-and relates them to managerial strategies.
Sexual humor is common in the health care workplace. However, it may be used inappropriately and present a challenge to the manager. Managers must set appropriate standards for workplace humor. When sexual humor is not effectively handled, legal action may result, which wastes time and money for all involved and damages interpersonal relationships.
Medication errors present a significant hazard to patient safety and have been increasingly in the news as studies correlate the nursing shortage and patient death. This article discusses strategies to decrease medication errors and increase patient safety during medication administration.
The United States is increasingly becoming a multicultural pluralistic society. This is especially true in Florida where the present manuscript was written. Nurse practitioners must respond to growing diversity with competency and theory-based practice strategies. This paper describes application of theoretical models of caring to a diverse population in Florida with emphasis on the Giger and Davidhizar model of transcultural nursing.
Self-promotion is a technique that many managers feel is contradictory to appropriate behavior. However, without self-promotion, many managers can cause their abilities to go unnoticed and to actually be their own worst enemy. This article presents strategies for self-promotion that can advance a manager's career and assist in marketing ideas and abilities to end the manager up in center stage.
Foreign nurses and American nurses who are culturally diverse make up an increasing number of the US nursing workforce. Of foreign nurses, Asians constitute the largest number. Conflict is an inevitable aspect of human relations in health care settings. Nurses and other health team members with diverse cultural background bring to the workplace different conflict behaviors that directly impact the outcomes of conflicts. It is essential for health care team members and managers to be cognizant of different conflict behaviors as well as different conflict management styles so that strategies can be designed to build a culturally diverse health care team that is able to effectively achieve group and organizational objectives.