Enviar búsqueda
Cargar
The art of delegation version 1a
•
Descargar como PPT, PDF
•
1 recomendación
•
1,211 vistas
G
grandmab
Seguir
Salud y medicina
Denunciar
Compartir
Denunciar
Compartir
1 de 16
Descargar ahora
Recomendados
To measure the employees job satisfaction level in C-ZON Hospital, Ajnala. To study the employees perception towards organization. To identify the factors that motivates the employees. To studying the relationship between management and employees in C-ZON Hospital, Ajnala.
Employees job satisfaction project
Employees job satisfaction project
Surjeet K. Thakur
rep resume
rep resume
christy ladner
Definition of transformational leadership and what it takes for physicians to be true leaders in this era of healthcare reform.
05 ss - transformational physician leadership
05 ss - transformational physician leadership
Keystone Healthcare Management
Manager interview
Manager interview
Melissa Tobias
Pengantar Keperawatan Medikal Bedah
1 kmb
1 kmb
rohmanazzam
Resume 1
Resume 1
Martin A. DeRusha Jr.
Kim M Spear Updated
Kim M Spear Updated
Kim Spear
Quality Embracing Excellence
Quality Embracing Excellence
DrJanice Crenshaw
Recomendados
To measure the employees job satisfaction level in C-ZON Hospital, Ajnala. To study the employees perception towards organization. To identify the factors that motivates the employees. To studying the relationship between management and employees in C-ZON Hospital, Ajnala.
Employees job satisfaction project
Employees job satisfaction project
Surjeet K. Thakur
rep resume
rep resume
christy ladner
Definition of transformational leadership and what it takes for physicians to be true leaders in this era of healthcare reform.
05 ss - transformational physician leadership
05 ss - transformational physician leadership
Keystone Healthcare Management
Manager interview
Manager interview
Melissa Tobias
Pengantar Keperawatan Medikal Bedah
1 kmb
1 kmb
rohmanazzam
Resume 1
Resume 1
Martin A. DeRusha Jr.
Kim M Spear Updated
Kim M Spear Updated
Kim Spear
Quality Embracing Excellence
Quality Embracing Excellence
DrJanice Crenshaw
Resume
Resume
Shannon Goodwater
HUMAIRA DANISH ADMIN 2017
HUMAIRA DANISH ADMIN 2017
Humaira Danish
Dental Assistant
Dental Assistant
Manar Abdalla
Resume-Dora Ellis Reyes-2012
Resume-Dora Ellis Reyes-2012
Dora Ellis Reyes
SHELLY HEATH resumeword
SHELLY HEATH resumeword
Shelly Heath
Aged Care Not what it used to be
Aged Care Not what it used to be
Angy Dinevska
Lonnie's Resume
Lonnie's Resume
yolanda garrison
Proposal for an Effective Model for Dismissal Summaries
Proposal for an Effective Model for Dismissal Summaries
Julie Bentley
Creating a culture of safety
Creating a culture of safety
Other Mother
Hughes_Resume upon request
Hughes_Resume upon request
Danielle Hughes, BSN, RN, C-EFM
dental terminology
dental assisting
dental assisting
jas_mine21
Management analysis
Management analysis
Management analysis
Jamory
Measuring “Culture of Safety” Tawam’s Experience Discovery: Tawam Hospital’s Executive leadership realized the need to establish a “Culture of Safety” within the organization and implemented the Johns Hopkins Medicine “Comprehensive Unit based Safety Program” (CUSP). CUSP was introduced as a pilot project in the Intensive Care Unit (ICU), Neonatal Intensive Care Unit (NNU) and Paediatric Oncology Unit (Peds Onc). Prior to implementation the leadership decided to measure staff perception of safety using evidence based tool. Solution: Tawam partnered with Pascal Metrics to implement the Safety Attitude Questionnaire survey. The SAQ was administered to all Tawam Hospital staff in three phases (2008, 2010 and 2011). In 2010 the pilot CUSP units were also resurveyed to determine the status of safety culture since its introduction in 2008. An email from the CEO was sent to the participants encouraging them to participate in the SAQ survey. Physicians, nurses, ward-clerks; respiratory therapist, physiotherapist, dieticians etc were included in the survey. Those who spent at least 50% of their time in the identified units were only included to participate in the survey. Survey was administered during departmental meetings to increase response rate. Conducted separate sessions of physicians. Staff dropped the completed surveys in an envelope. 82% of staff in the patient care areas of the whole hospital participated in the overall 3 phases of SAQ Survey. The three CUSP pilot units were re-surveyed in 2010. Anonymity, privacy and confidentiality were maintained from the beginning till the end. Outcome: The survey results were graded against percentage positive responses. Responses that were less than 60% mark were graded in the danger zone and anything above the 80% mark were graded in the goal zone. Teamwork climate and Safety climate scale scores are considered to be primary dependent variables, because they are important in preventing patient harm. The overall hospital score on all the domain scores were in the danger zone, less than 60%. 20 clinical locations in 2010 and 7 clinical locations in 2011 had less than 60% scores in the primary dependent variables. The SAQ results were disseminated department wise in the presence of a hospital Senior Executive. Every department did an action plan using the SAQ de-briefer tool. The hospital administrators to bring about the change played a facilitators role and helped the departments to come up with their actionable plans. The hospital leadership in their pursuit to continuing the culture of safety journey, identified six more units for CUSP implementation based on the Phase 2 SAQ scores of 2010. Accordingly the Medical 1, Medical 2, Surgical 1, Surgical 2, Day Case and OBGYN Units were identified for the CUSP roll out. Senior Executive leaders were assigned to each of these new CUSP units to ensure leadership commi
Safety Attitudes Questionnaire- a way to measure “culture of safety”
Safety Attitudes Questionnaire- a way to measure “culture of safety”
Krishnan Sankara Narayanan MS, MBA, CPHQ, FASHRM, LHRM
Resume 2016
Resume 2016
Ann (Sing-Chia) Liu
Dental Assisting Portfolio
Dental Assisting Portfolio
Kalene Holman
Blane K. Dessy discusses changes now and in the future, and making successful partnerships
ProQuest's Library Futures Forum 2014 - Changes, Partnerships, and Collaborat...
ProQuest's Library Futures Forum 2014 - Changes, Partnerships, and Collaborat...
ProQuest
ProQuest SciTech Collection Milano 19.9
ProQuest SciTech Collection Milano 19.9
ProQuest SciTech Collection Milano 19.9
ProQuest
J.P. Morgan Research from ProQuest provides the most highly-regarded financial research available. It contains in-depth reports for 3,400 companies analyzed by 800 expert research analysts worldwide, covering all industries and all regions with just a 7 day embargo. The collection is derived from Morgan Markets, J.P. Morgan’s exclusive information for key clients and investors.
JP Morgan Research from ProQuest
JP Morgan Research from ProQuest
ProQuest
Andy Weissberg's presentation from SLA 2011 Hot Topic, Building Targeted Professional Communities
Building Targeted Professional Communities - Andy Weissberg
Building Targeted Professional Communities - Andy Weissberg
ProQuest
The presentation summarizes the survey results from 4,755 respondents from over 80 member institutions, which was co-hosted by ProQuest and CALIS (China Academic Library & Information System. The survey covered the following areas: overall awareness of the electronic resources at their university; ebooks user behavior; usage of ebook resources; challenges for using ebooks; ebook features; whether training was important in using information resources for their learning and their research; ebooks trends and needs in North America.
Meeting the Changing Research Needs of Students. An ebook survey on China stu...
Meeting the Changing Research Needs of Students. An ebook survey on China stu...
ProQuest
Open Discovery Initiative, John Law, ALCTS CRL IG panel on NISO ODI
Open Discovery Initiative, John Law, ALCTS CRL IG panel on NISO ODI
ProQuest
ProQuest: The Road to Open Access - An Aggregator Journey (LundOnline 2014)
ProQuest: The Road to Open Access - An Aggregator Journey (LundOnline 2014)
ProQuest
Más contenido relacionado
La actualidad más candente
Resume
Resume
Shannon Goodwater
HUMAIRA DANISH ADMIN 2017
HUMAIRA DANISH ADMIN 2017
Humaira Danish
Dental Assistant
Dental Assistant
Manar Abdalla
Resume-Dora Ellis Reyes-2012
Resume-Dora Ellis Reyes-2012
Dora Ellis Reyes
SHELLY HEATH resumeword
SHELLY HEATH resumeword
Shelly Heath
Aged Care Not what it used to be
Aged Care Not what it used to be
Angy Dinevska
Lonnie's Resume
Lonnie's Resume
yolanda garrison
Proposal for an Effective Model for Dismissal Summaries
Proposal for an Effective Model for Dismissal Summaries
Julie Bentley
Creating a culture of safety
Creating a culture of safety
Other Mother
Hughes_Resume upon request
Hughes_Resume upon request
Danielle Hughes, BSN, RN, C-EFM
dental terminology
dental assisting
dental assisting
jas_mine21
Management analysis
Management analysis
Management analysis
Jamory
Measuring “Culture of Safety” Tawam’s Experience Discovery: Tawam Hospital’s Executive leadership realized the need to establish a “Culture of Safety” within the organization and implemented the Johns Hopkins Medicine “Comprehensive Unit based Safety Program” (CUSP). CUSP was introduced as a pilot project in the Intensive Care Unit (ICU), Neonatal Intensive Care Unit (NNU) and Paediatric Oncology Unit (Peds Onc). Prior to implementation the leadership decided to measure staff perception of safety using evidence based tool. Solution: Tawam partnered with Pascal Metrics to implement the Safety Attitude Questionnaire survey. The SAQ was administered to all Tawam Hospital staff in three phases (2008, 2010 and 2011). In 2010 the pilot CUSP units were also resurveyed to determine the status of safety culture since its introduction in 2008. An email from the CEO was sent to the participants encouraging them to participate in the SAQ survey. Physicians, nurses, ward-clerks; respiratory therapist, physiotherapist, dieticians etc were included in the survey. Those who spent at least 50% of their time in the identified units were only included to participate in the survey. Survey was administered during departmental meetings to increase response rate. Conducted separate sessions of physicians. Staff dropped the completed surveys in an envelope. 82% of staff in the patient care areas of the whole hospital participated in the overall 3 phases of SAQ Survey. The three CUSP pilot units were re-surveyed in 2010. Anonymity, privacy and confidentiality were maintained from the beginning till the end. Outcome: The survey results were graded against percentage positive responses. Responses that were less than 60% mark were graded in the danger zone and anything above the 80% mark were graded in the goal zone. Teamwork climate and Safety climate scale scores are considered to be primary dependent variables, because they are important in preventing patient harm. The overall hospital score on all the domain scores were in the danger zone, less than 60%. 20 clinical locations in 2010 and 7 clinical locations in 2011 had less than 60% scores in the primary dependent variables. The SAQ results were disseminated department wise in the presence of a hospital Senior Executive. Every department did an action plan using the SAQ de-briefer tool. The hospital administrators to bring about the change played a facilitators role and helped the departments to come up with their actionable plans. The hospital leadership in their pursuit to continuing the culture of safety journey, identified six more units for CUSP implementation based on the Phase 2 SAQ scores of 2010. Accordingly the Medical 1, Medical 2, Surgical 1, Surgical 2, Day Case and OBGYN Units were identified for the CUSP roll out. Senior Executive leaders were assigned to each of these new CUSP units to ensure leadership commi
Safety Attitudes Questionnaire- a way to measure “culture of safety”
Safety Attitudes Questionnaire- a way to measure “culture of safety”
Krishnan Sankara Narayanan MS, MBA, CPHQ, FASHRM, LHRM
Resume 2016
Resume 2016
Ann (Sing-Chia) Liu
Dental Assisting Portfolio
Dental Assisting Portfolio
Kalene Holman
La actualidad más candente
(15)
Resume
Resume
HUMAIRA DANISH ADMIN 2017
HUMAIRA DANISH ADMIN 2017
Dental Assistant
Dental Assistant
Resume-Dora Ellis Reyes-2012
Resume-Dora Ellis Reyes-2012
SHELLY HEATH resumeword
SHELLY HEATH resumeword
Aged Care Not what it used to be
Aged Care Not what it used to be
Lonnie's Resume
Lonnie's Resume
Proposal for an Effective Model for Dismissal Summaries
Proposal for an Effective Model for Dismissal Summaries
Creating a culture of safety
Creating a culture of safety
Hughes_Resume upon request
Hughes_Resume upon request
dental assisting
dental assisting
Management analysis
Management analysis
Safety Attitudes Questionnaire- a way to measure “culture of safety”
Safety Attitudes Questionnaire- a way to measure “culture of safety”
Resume 2016
Resume 2016
Dental Assisting Portfolio
Dental Assisting Portfolio
Destacado
Blane K. Dessy discusses changes now and in the future, and making successful partnerships
ProQuest's Library Futures Forum 2014 - Changes, Partnerships, and Collaborat...
ProQuest's Library Futures Forum 2014 - Changes, Partnerships, and Collaborat...
ProQuest
ProQuest SciTech Collection Milano 19.9
ProQuest SciTech Collection Milano 19.9
ProQuest SciTech Collection Milano 19.9
ProQuest
J.P. Morgan Research from ProQuest provides the most highly-regarded financial research available. It contains in-depth reports for 3,400 companies analyzed by 800 expert research analysts worldwide, covering all industries and all regions with just a 7 day embargo. The collection is derived from Morgan Markets, J.P. Morgan’s exclusive information for key clients and investors.
JP Morgan Research from ProQuest
JP Morgan Research from ProQuest
ProQuest
Andy Weissberg's presentation from SLA 2011 Hot Topic, Building Targeted Professional Communities
Building Targeted Professional Communities - Andy Weissberg
Building Targeted Professional Communities - Andy Weissberg
ProQuest
The presentation summarizes the survey results from 4,755 respondents from over 80 member institutions, which was co-hosted by ProQuest and CALIS (China Academic Library & Information System. The survey covered the following areas: overall awareness of the electronic resources at their university; ebooks user behavior; usage of ebook resources; challenges for using ebooks; ebook features; whether training was important in using information resources for their learning and their research; ebooks trends and needs in North America.
Meeting the Changing Research Needs of Students. An ebook survey on China stu...
Meeting the Changing Research Needs of Students. An ebook survey on China stu...
ProQuest
Open Discovery Initiative, John Law, ALCTS CRL IG panel on NISO ODI
Open Discovery Initiative, John Law, ALCTS CRL IG panel on NISO ODI
ProQuest
ProQuest: The Road to Open Access - An Aggregator Journey (LundOnline 2014)
ProQuest: The Road to Open Access - An Aggregator Journey (LundOnline 2014)
ProQuest
Jane Hutchison and deg farrelly present their findings based on a yearlong research project about streaming video in academic libraries. See the survey results, especially pertinent if you work with video in your library.
Streaming Video in Academic Libraries – Survey Results and Copyright Informat...
Streaming Video in Academic Libraries – Survey Results and Copyright Informat...
ProQuest
This presentation explores ways in which government information can shed light on the causes of the war, the relationships integral to it, and the outcomes that resulted. It will also describe some of the lasting impacts not often thought of as directly war-related.
The War of 1812: Causes, Consequences, and Lasting Impacts
The War of 1812: Causes, Consequences, and Lasting Impacts
ProQuest
Tracing the history of the Statistical Abstract, documenting its value and uses over time, reviewing the reaction to the Census Bureau's decision to discontinue it, and hearing how ProQuest is handling the challenges and sharing some insights as to what it is taking to reconstruct this valuable resource.
Saving the Statistical Abstract: How ProQuest Approached the Project and What...
Saving the Statistical Abstract: How ProQuest Approached the Project and What...
ProQuest
Adopting a new product, service, or workflow can be time-consuming and difficult in any type of library. Learn how to get staff buy-in to the process and which milestones and methods.
A Practical Approach to Implementing Workflow Change by Nicole Pelsinsky
A Practical Approach to Implementing Workflow Change by Nicole Pelsinsky
ProQuest
A presentation by Boe Horton, Vice President, Asia Pacific at ProQuest, on the changing role of librarians in China. Presented at the 2013 CALIS Annual Meeting.
Changing Role of Librarian - 2013 Survey on Librarian in China, CALIS Annual ...
Changing Role of Librarian - 2013 Survey on Librarian in China, CALIS Annual ...
ProQuest
Libraries today frequently struggle with identifying the best strategy to maximize resources, systems and staff. As collections shift from print to electronic resources, the need for new ways to manage workflows becomes more critical. With the introduction of new web-scale management systems and the looming question of when to migrate away from the traditional ILS, librarians must determine how much automation is desired vs. required – and how to balance the value of technology and human interaction.
Charleston 2012 - Let it Flow: Effectiveness of Unified and Intelligent Workf...
Charleston 2012 - Let it Flow: Effectiveness of Unified and Intelligent Workf...
ProQuest
A brief history of Periodicals Archive Online is presented, as well as the current status of this database. Then planned developments for Periodicals Archive Online are presented.
Periodicals Archive Online: Past, Present, and Future
Periodicals Archive Online: Past, Present, and Future
ProQuest
This presentation looks a recent study on how undergraduate and graduate students use social media for research and study. The presentation also incorporates ideas from recent literature on the topic.
Computers in Libraries 2014: Engaging Students Through Social Media
Computers in Libraries 2014: Engaging Students Through Social Media
ProQuest
Darrell Gunter's presentation from SLA 2011 Hot Topic, Building Targeted Professional Communities.
Building Targeted Professional Communities - Darrell Gunter
Building Targeted Professional Communities - Darrell Gunter
ProQuest
Gambling and games of chance in US Federal government documents and British government documents.
Games of Chance in British and American History. By Catherine Johnson
Games of Chance in British and American History. By Catherine Johnson
ProQuest
The session will start with a data and literature review of the current state of e-resource management. Results of recent library projects examining workflows in the interest of efficiency and better services for patrons will be shared by presenters with deep experience with implementation of e-resource management systems. Finally, through examining examples of existing workflows and their value streams, the group will determine if specific workflow steps are adding value for patrons or just taking time.
Charleston 2012 - Get your ERM Affairs in Order
Charleston 2012 - Get your ERM Affairs in Order
ProQuest
Saw and intl datasets it milano evento
Saw and intl datasets it milano evento
Saw and intl datasets it milano evento
ProQuest
In a shifting academic landscape, research can suffer when it is viewed as a commodity and is not accompanied by a sense of curiosity and exploration. Anna-Sophia Zingarelli-Sweet, respected HASTAC Scholar from the University of Pittsburgh, will discuss motivations and strategies for reinvigorating a thoughtful, joyful research process. Following Anna-Sophia, ProQuest product managers will highlight ways to further engage users, improve research, and streamline workflows through new enhancements to Summon, Flow, and 360 Link.
Discovery in the Research Ecosystem with Anna-Sophia Zingarelli-Sweet, ProQue...
Discovery in the Research Ecosystem with Anna-Sophia Zingarelli-Sweet, ProQue...
ProQuest
Destacado
(20)
ProQuest's Library Futures Forum 2014 - Changes, Partnerships, and Collaborat...
ProQuest's Library Futures Forum 2014 - Changes, Partnerships, and Collaborat...
ProQuest SciTech Collection Milano 19.9
ProQuest SciTech Collection Milano 19.9
JP Morgan Research from ProQuest
JP Morgan Research from ProQuest
Building Targeted Professional Communities - Andy Weissberg
Building Targeted Professional Communities - Andy Weissberg
Meeting the Changing Research Needs of Students. An ebook survey on China stu...
Meeting the Changing Research Needs of Students. An ebook survey on China stu...
Open Discovery Initiative, John Law, ALCTS CRL IG panel on NISO ODI
Open Discovery Initiative, John Law, ALCTS CRL IG panel on NISO ODI
ProQuest: The Road to Open Access - An Aggregator Journey (LundOnline 2014)
ProQuest: The Road to Open Access - An Aggregator Journey (LundOnline 2014)
Streaming Video in Academic Libraries – Survey Results and Copyright Informat...
Streaming Video in Academic Libraries – Survey Results and Copyright Informat...
The War of 1812: Causes, Consequences, and Lasting Impacts
The War of 1812: Causes, Consequences, and Lasting Impacts
Saving the Statistical Abstract: How ProQuest Approached the Project and What...
Saving the Statistical Abstract: How ProQuest Approached the Project and What...
A Practical Approach to Implementing Workflow Change by Nicole Pelsinsky
A Practical Approach to Implementing Workflow Change by Nicole Pelsinsky
Changing Role of Librarian - 2013 Survey on Librarian in China, CALIS Annual ...
Changing Role of Librarian - 2013 Survey on Librarian in China, CALIS Annual ...
Charleston 2012 - Let it Flow: Effectiveness of Unified and Intelligent Workf...
Charleston 2012 - Let it Flow: Effectiveness of Unified and Intelligent Workf...
Periodicals Archive Online: Past, Present, and Future
Periodicals Archive Online: Past, Present, and Future
Computers in Libraries 2014: Engaging Students Through Social Media
Computers in Libraries 2014: Engaging Students Through Social Media
Building Targeted Professional Communities - Darrell Gunter
Building Targeted Professional Communities - Darrell Gunter
Games of Chance in British and American History. By Catherine Johnson
Games of Chance in British and American History. By Catherine Johnson
Charleston 2012 - Get your ERM Affairs in Order
Charleston 2012 - Get your ERM Affairs in Order
Saw and intl datasets it milano evento
Saw and intl datasets it milano evento
Discovery in the Research Ecosystem with Anna-Sophia Zingarelli-Sweet, ProQue...
Discovery in the Research Ecosystem with Anna-Sophia Zingarelli-Sweet, ProQue...
Similar a The art of delegation version 1a
Nursing as a Profession Essay The nursing process Essay New Graduate Nurses Essay What Is Nursing? Essay Eulogy For Nurse Essay on Nursing Care Plan
Nursing Essay Writing
Nursing Essay Writing
Paper Writing Service Cheap
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. Running head: SUPPORT COORDINATION TRAINING 1 SUPPORT COORDINATION TRAINING 3 Support Coordination Training BUS 340: Business Communication SUPPORT COORDINATION TRAINING Each state providers services to adults with intellectual disabilities daily. These services are supposed to be delivered with quality and within the guidelines of policies created by the department of behavioral health and developmental disabilities from each state. Support coordinators are tasked with the job of being the eyes and the ears of the state as the state is not able to directly oversee each entity that is providing services to intellectually disabled adults. Support coordinator assess not only the quality of each provider’s service but each individual’s satisfaction with each service. This oversight includes support coordination, which the state directly oversees. Much like DFCS workers, support coordinators are spread thin and are required to do a great deal of work. This causes support coordinators to burn out quickly and even miss important things during visits to monitor services. This in turn causes providers to be able to get by with not providing quality services and services that meet the standard that the state’s DBHDD has set. It is much easier to blame the support coordinator for failing to do their job properly than to admit that the real issues lie within the lack of training and preparation. “This kind of work requires strong leadership and a solid infrastructure in order to sustain the various tasks involved in service coordination” (Bigby, Fyffe, & Ozanne, 2007). To send someone out with the great task of managing not only the individual but the family of the individual and their support team without proper training is frightening. However this is the case with most support coordination agencies. Support coordinators have to assess the effectiveness and efficiency of services using judgement coupled with knowledge. If a support coordinator does not have particularly good judgement or enough knowledge, even about that particular individual, it can be impossible to assess services. Services or even a provider that may work for one DD individual may not work for another. Therefore, it is a neccessity to ensure that support coordinators are properly trained before being sent out into the field to assess services through extensive training. Training should include all aspects of the support coordinators expected tasks including: information (background) about the individual’s that the support coordinator is assigned to manage, judgement training, implementation of formal procedures and processes, resources and tools training, services training, time management and more importantly work-related stress reduction training. These activities are directed towards ensu ...
Reproduced with permission of the copyright ow.docx
Reproduced with permission of the copyright ow.docx
sodhi3
THIS IS THE FEEDBACK I RECEEIVED. Only one patient responded to my post. Hope this helps Ryan, Inadequate levels of nursing professionals were first discussed more than 80 years ago (Whelan, n.d.). Recently, scholars have opined many reasons for the shortage of nurses. Factors such as work stress, burnout, violence against healthcare professionals, a lack of qualified nursing instructors, and nurses unable to adapt to changing technology or clinical environments have been addressed (Haddad & Toney-Butler, 2019). As many nurses may attest, doing more with less can lead to mistakes and dissatisfaction with a nursing career. Ultimately, patient care suffers. Organizations employ various tactics to help strengthen nurse retention. Halter et al. (2017) suggest strong nursing leadership and assigning preceptors to new nurses can help minimize nursing resignation rates. At the writer’s employment, hospital administrators use several ways to retain nurses. Each quarter, a nurse is recognized for outstanding achievement by receiving a certificate, gift card, and editorial mention on the hospital’s intranet. Moreover, the hospital caters lunch for all employees, dayside and nighttime staff, twice a year for meeting quality targets. Also, the hospital uses various national celebration days such as ice cream, donuts, coffee, bagels, and candy to reward all employees. Creating a level of goodwill and institutional collaboration can help retain nurses and improve job satisfaction (Kurnat-Thoma et al., 2017). Reference Haddad, L.M., & Toney-Butler, T.J. (2019). Nursing shortage. StatPearls Publishing. Halter, M., Pelone, F., Boiko, O., Beighton, C., Harris, R., Gale, J., Gourlay, S., & Drennan, V. (2017). Interventions to reduce adult nursing turnover: A systematic review of systematic reviews. The Open Nursing Journal, 11, 108-123. https://doi.org/10.2174/1874434601711010108 Kurnat-Thoma, E., Ganger, M., Peterson, K., & Channell, L. (2017). Reducing annual hospital and registered nurse staff turnover: A 10-element onboarding program intervention. SAGE Open Nursing, 3. https://doi.org/10.1177/2377960817697712 Whelan, J.C. (n.d.). Where did all the nurses go? Retrieved from https://www.nursing.upenn.edu/nhhc/workforce-issues/where-did-all-the-nurses-go/ By Thomas C. Ricketts and Erin P. Fraher Reconfiguring Health Workforce Policy So That Education, Training, And Actual Delivery Of Care Are Closely Connected ABSTRACT There is growing consensus that the health care workforce in the United States needs to be reconfigured to meet the needs of a health care system that is being rapidly and permanently redesigned. Accountable care organizations and patient-centered medical homes, for instance, will greatly alter the mix of caregivers needed and create new roles for existing health care workers. The focus of health system innovation, however, has largely been on reorganizing care delivery processes, reengineering workflows, and adopting electronic technolo ...
THIS IS THE FEEDBACK I RECEEIVED. Only one patient responded to my.docx
THIS IS THE FEEDBACK I RECEEIVED. Only one patient responded to my.docx
juliennehar
✍️
Job Redesign For Expanded HIM Functions Case Study...
Job Redesign For Expanded HIM Functions Case Study...
Amanda Hengel
2 1 5 L e a r n I n g o b j e c t I v e s C H A P T E R 8 H U M A N R E S O U R C E S M A N A G E M E N T They’re not employees, they’re people. —Peter Drucker ➤ Describe the range of human resource functions in the medical practice. ➤ Appreciate the range of professionals that are found in medical practices. ➤ Articulate the steps in the hiring function. ➤ Understand regulations that are specific to the employment process. ➤ Illustrate the steps in managing change. ➤ Describe why leading change is important to medical practice management. In t r o d u c t I o n Healthcare employment constitutes about 9 percent of the American workforce, with about 3 percent being professionals (KFF 2016). Hiring and sustaining a high-caliber staff are two of the most important functions of managing a physician practice. Without a prop- erly trained and motivated staff, providing high-quality services to the practice’s patients C o p y r i g h t 2 0 1 7 . H e a l t h A d m i n i s t r a t i o n P r e s s . A l l r i g h t s r e s e r v e d . M a y n o t b e r e p r o d u c e d i n a n y f o r m w i t h o u t p e r m i s s i o n f r o m t h e p u b l i s h e r , e x c e p t f a i r u s e s p e r m i t t e d u n d e r U . S . o r a p p l i c a b l e c o p y r i g h t l a w . EBSCO Publishing : eBook Collection (EBSCOhost) - printed on 4/7/2020 7:56 PM via SUNY CANTON AN: 1839064 ; Wagner, Stephen L..; Fundamentals of Medical Practice Management Account: s8846236.main.eds F u n d a m e n t a l s o f M e d i c a l P r a c t i c e M a n a g e m e n t2 1 6 is difficult. An old saying in human resources management, “Hire for attitude, and train for skill,” is particularly applicable today, when in the highly competitive medical practice environment, patients have increasingly high expectations of their providers. Simply having technical skills is not adequate to build and maintain a successful practice. Staff must be able to engage patients in a positive and constructive way to earn their trust and satisfac- tion. Although data seem to conflict on this point, many researchers believe engaged and satisfied patients are more likely to comply with the instructions of their providers than are disengaged, unsatisfied patients, leading to better outcomes (e.g., Kane, Maciejewski, and Finch 1997). More recently, a study by Fenton, Jerant, and Bertaski (2012) found little connection between satisfaction and clinical outcome; in fact, the researchers found that mortality was higher, as were expenditures and utilization, among more satisfied groups. Other authors have observed this tenuous connection as well (Kennedy, Tevis, and Kent 2014). The controversy has intensified as more physician payment is tied to patient satis- faction. Some issues that complicate this concept are the lack of common definitions and measures of satisfaction and the complexity inherent in defining.
2 1 5L e a r n I n g o b j e c t I v e sC H A P T E R.docx
2 1 5L e a r n I n g o b j e c t I v e sC H A P T E R.docx
herminaprocter
2 1 5 L e a r n I n g o b j e c t I v e s C H A P T E R 8 H U M A N R E S O U R C E S M A N A G E M E N T They’re not employees, they’re people. —Peter Drucker ➤ Describe the range of human resource functions in the medical practice. ➤ Appreciate the range of professionals that are found in medical practices. ➤ Articulate the steps in the hiring function. ➤ Understand regulations that are specific to the employment process. ➤ Illustrate the steps in managing change. ➤ Describe why leading change is important to medical practice management. In t r o d u c t I o n Healthcare employment constitutes about 9 percent of the American workforce, with about 3 percent being professionals (KFF 2016). Hiring and sustaining a high-caliber staff are two of the most important functions of managing a physician practice. Without a prop- erly trained and motivated staff, providing high-quality services to the practice’s patients C o p y r i g h t 2 0 1 7 . H e a l t h A d m i n i s t r a t i o n P r e s s . A l l r i g h t s r e s e r v e d . M a y n o t b e r e p r o d u c e d i n a n y f o r m w i t h o u t p e r m i s s i o n f r o m t h e p u b l i s h e r , e x c e p t f a i r u s e s p e r m i t t e d u n d e r U . S . o r a p p l i c a b l e c o p y r i g h t l a w . EBSCO Publishing : eBook Collection (EBSCOhost) - printed on 4/7/2020 7:56 PM via SUNY CANTON AN: 1839064 ; Wagner, Stephen L..; Fundamentals of Medical Practice Management Account: s8846236.main.eds F u n d a m e n t a l s o f M e d i c a l P r a c t i c e M a n a g e m e n t2 1 6 is difficult. An old saying in human resources management, “Hire for attitude, and train for skill,” is particularly applicable today, when in the highly competitive medical practice environment, patients have increasingly high expectations of their providers. Simply having technical skills is not adequate to build and maintain a successful practice. Staff must be able to engage patients in a positive and constructive way to earn their trust and satisfac- tion. Although data seem to conflict on this point, many researchers believe engaged and satisfied patients are more likely to comply with the instructions of their providers than are disengaged, unsatisfied patients, leading to better outcomes (e.g., Kane, Maciejewski, and Finch 1997). More recently, a study by Fenton, Jerant, and Bertaski (2012) found little connection between satisfaction and clinical outcome; in fact, the researchers found that mortality was higher, as were expenditures and utilization, among more satisfied groups. Other authors have observed this tenuous connection as well (Kennedy, Tevis, and Kent 2014). The controversy has intensified as more physician payment is tied to patient satis- faction. Some issues that complicate this concept are the lack of common definitions and measures of satisfaction and the complexity inherent in defining ...
2 1 5L e a r n I n g o b j e c t I v e sC H A P T E R.docx
2 1 5L e a r n I n g o b j e c t I v e sC H A P T E R.docx
lorainedeserre
✍️
A Nurse Residency Program For New Nursing
A Nurse Residency Program For New Nursing
April Dillard
Becoming a Nurse Essay Nurse Interview Essay What Is Nursing? Essay The nursing process Essay Acute Care Nursing Essay
Nursing Essays
Nursing Essays
Papers Writing Service
✍️
Essay On Wound Care Nurse
Essay On Wound Care Nurse
Peggy Johnson
Job enrichment: creating meaningful career development opportunities for nurses CHRISTINE DUFFIELD R N , D i p N E d , B S c N , M H P , P h D 1 , RICHARD BALDWIN R N , A s s D i p N u r s A d m i n , B H l t h A d m i n , M B A 2, MICHAEL ROCHE D i p A p p l S c N u r s , B S c N u r s , M H S c , P h D 3 and SARAH WISE L L B , M S c 4 1Professor, Associate Dean (Research), Director, 2Honorary Associate, 3Senior Lecturer and 4Research Assistant, Centre for Health Services Management, Faculty of Health, University of Technology, Sydney, NSW, Australia Correspondence Christine Duffield Centre for Health Services Management Faculty of Health University of Technology, Sydney Level 7, 235–253 Jones Street (PO Box 123) Broadway NSW 2007 Australia E-mail: [email protected] DUFFIELD C., BALDWIN R., ROCHE M. & WISE S. (2014) Journal of Nursing Management 22, 697–706. Job enrichment: creating meaningful career development opportunities for nurses Aim This paper presents an evaluation of a career development policy in South Australia which increased the number of senior staff nurse positions and provided senior registered nurses with time away from clinical duties to undertake agreed projects. We use Kanter’s model of structural power and commitment theory to understand the dimensions of this policy. Background Development strategies for experienced staff who wish to remain at the bedside are needed, especially in smaller health services with limited opportunities for horizontal or vertical mobility. Methods Face-to-face semistructured interviews were conducted with 54 senior staff nurses who participated in the career structure arrangements. Results The policy enhanced the structure of opportunity in three ways: by increasing the number of senior staff nurse positions, the ladder steps were improved; undertaking strategic projects developed new skills; and the job enrichment approach facilitated time out from the immediate pressures of ward work and challenged nurses in a different way. Conclusions Through job enrichment, South Australia has found a novel way of providing meaningful career development opportunities for experienced nurses. Implications for nursing management Methods of job enrichment need to be considered as part of career development policy, especially where movement between clinical facilities is limited and staff wish to remain at the bedside. Keywords: career development, empowerment, job enrichment, job satisfaction, nurse management, retention Accepted for publication: 30 November 2012 Introduction Providing staff development opportunities within appropriate career structures is an important tool in enhancing nurses’ job satisfaction, organisational com- mitment and, ultimately, retention. The concept of job satisfaction has consistently been found to be a major, if not the most prominent, predictor of nurses’ inten- tions to stay in their current role and within the nursing profession (Duff.
Job enrichment creating meaningful career developmentopport.docx
Job enrichment creating meaningful career developmentopport.docx
christiandean12115
Chapter Nine Ethics and Safe Patient Handing and Mobility 1 2 Extent of the Problem Safe Patient Handing and Mobility (SPHM) is a concern for patients, family members, and healthcare professionals. SPHM involves safety when lifting, re-positioning, and transferring patients. Formal issue of concern since the 1980s 3 Barriers to SPHM Implementation of best practices is limited by: Lack of knowledge. Perceptions of the use of equipment. Gender of the caregivers. Equipment. 4 Problem Solving There is a need to further SPHM by influencing the work culture. Costs of programs is a concern, but programs save money and prevent injury. State legislation will assist. Professional association campaigns address issues. 5 Ethical Concerns Nonmaleficence is a major ethics application for SPHM. Nonmaleficience is also a cardinal ethics principle for healthcare providers. Using evidence-based practices can prevent harm. 6 Ethical Concerns Nonmaleficence also includes educating patients and family members on SPHM to prevent harm. Changing systems and making appropriate referrals are also part of nonmaleficence. 7 Ethical Concerns Beneficence is also an ethics concern in SPHM. It means that do the best for others. Beneficence includes maintaining the dignity of patients. Beneficence also goes beyond the patient to include the family members. 8 Ethical Concerns Beneficence includes concern for staff members. It is beneficent to prevent the staff injury by using SPHM. Preventing injury also includes ethical stewardship. SPHM practices honor the dignity and value of patient, family, and staff. 9 Ethical Concerns Social justice is also included in SPHM practices. SPHM practices decrease the possibility of injury, which reduces costs of worker’s compensation, insurance, and staff replacement costs. 10 In Summary… 11 11 Florida National University PHI1635 Biomedical Ethics: Assignment Week 5 Case Study: Chapter 9 Objective: The students will complete a Case study tasks that contribute the opportunity to produce and apply the thoughts learned in this and previous coursework to examine a real-world scenario. This scenario will illustrate through example the practical importance and implications of various roles and functions of a long-term care settings. As a result of this assignment, students will be better able to comprehend, scrutinize and assess respectable superiority and performance by all institutional employees. ASSIGNMENT GUIDELINES (10%): Students will critically measure the readings from Chapter 9 in your textbook. This assignment is planned to help you examination, evaluation, and apply the readings and strategies to your of a long-term care settings You need to read the PowerPoint Presentation assigned for week 5 and develop a 3-4 page paper reproducing your understanding and capability to apply the readings to your long-term care settings. Each paper must be typewritten with 12-point font and double-s.
Chapter NineEthics and Safe Patient Handing and Mobility.docx
Chapter NineEthics and Safe Patient Handing and Mobility.docx
spoonerneddy
© 2 0 1 3 M A H ea lt h ca re L td Michelle Burke Michelle Burke is Tutor, Florence Nightingale School of Nursing and Midwifery, King’s College London Email: [email protected] Managing work-related stress in the district nursing workplace AbstrAct This article aims to highlight the issue of work-related stress within the district nursing workplace. It will acknowledge how the management of work-related stress has previously been discussed within nursing literature and will consider the emerging relationship between staff working conditions, staff wellbeing and quality of patient care. It will reintroduce the Health and Safety Executive’s (HSE’s) Management Standards approach to tackling work-related stress, which provides management support to reduce environmental work stressors and encourage enabling work environments and a positive workplace culture. Key Words w District nursing w Work-related stress wStaff health and wellbeing w HSE Management Standards w Quality care Work-related stress is defined as ‘the adverse reaction people have to excessive pressures or other types of demand placed on them at work’ (Health and Safety Executive (HSE), 2007:7). Under UK law, employers have a duty of care to protect the health, safety and welfare of their employees and to assess the risks arising from hazards at work, including work-related stress (HSE, 2007). Stressful work environments place high demands on a person, without giving them sufficient control and support to man- age those demands, with a perceived imbalance between the effort required and the rewards of the job (National Institute for Health and Care Excellence (NICE), 2009). NHS staff are almost four times as likely to be absent from work with stress compared with other occupations (Clews and Ford, 2009) and the rate of sickness absence within nursing and mid- wifery averages 4.87%, the third highest in the NHS (Health and Social Care Information Centre, 2012). environmental work stressors In 2012, a national survey of nearly 3000 nurses captured aspects of the working conditions of nurses in 31 acute hospi- tals across England (Ball et al, 2012). Some 42% of the nurses surveyed were classified as suffering from emotional exhaus- tion; 70% of the respondents felt there were insufficient num- bers of staff to get work done; 80% reported that at least one aspect of care was not done in their last shift due to lack of time and 44% said that they would leave their current job due to job dissatisfaction. These results are supported by previous, smaller studies (Zeytinoglu et al, 2006; Laschinger, 2010). Although district nurses were not represented in the survey by Ball et al (2012), the findings could be tentatively applied to the district nursing setting, as smaller-scale research has identified similar outcomes. A descriptive study by Evans (2002) explored district nurses’ experiences of stressful work- related events and found that t.
© 2013 MA Healthcare L.docx
© 2013 MA Healthcare L.docx
LynellBull52
Respond to Chisom and Arianne Chisom O RE: Discussion - Week 3 Top of Form Organizational Structures and Leadership Nurse leaders and management must have organizing skills when working in any hospital setting. According to Marquis & Huston (2015), "In the organizing phase, relationships are defined, procedures are outlined, equipment is readied, and tasks are assigned" (p. 261). The current hospital I am at runs like a corporation. The Hospital Corporation of America (HCA) is large hospital system that takes pride in being run like a business. That means that every hospital has CEO, COO, CFO, etc., just like in a corporation. The hospital is run like a line organization. According to Marquis & Huston (2015), " In these structures, authority and responsibility are clearly defined, which leads to efficiency and simplicity of relationships" (p. 271). Anyone that works at HCA must sign a contract that lists the job responsibilities and duties. This agreement serves as legal documentation that everyone understands their role in the organization. Decision Making The organization uses a centralized decision-making hierarchy. Upper management makes all the important decisions and will inform nurse supervisors and management of any changes that must be implemented. All the main issues in the hospital are decided by upper management and must be expedited fast (Marquis & Huston, 2015). The hospital is relatively large with multiple units and specialties. The problem with centralized decision making is that upper management must implement any changes. The current unit I'm on has significant issues related to the nurse supervisor and director. Most of the problems stem from a lack of communication with management and staff. Staff has spoken up a lot about the problem but has realized nothing is getting done. Since the upper management makes decisions for the whole hospital, it has been hard to explain the problems of the unit. Informal and Formal Leadership Formal and informal nurse leaders are relevant to each unit. A formal leader on the unit is the Director of Nursing (DON). The DON has a formal position in the organization. Right now, the DON functions as a manager. The DON is in charge of all the staff on the unit and works closely with the Director of the unit. As stated before, there have been numerous issues with the DON and staff. Due to many changes with the director of the unit changing to different people in the span of a few months, more tasks have been pushed onto the DON. This has caused distention amongst the staff. Staff morale is low due to not having clear and concise responsibilities and duties. The DON as a nurse leader must use evidence-based practice (EBP) to push for better quality of care and safety of staff and patients on the unit. The nurse leader must lead changes in the organization and EBP paves the way for the changes needed (Stetle, Ritchie, Rycroft-Malone, & Charns, 2017). Informal leaders are essential to any uni.
Respond to Chisom and ArianneChisom O RE Discussion - Week .docx
Respond to Chisom and ArianneChisom O RE Discussion - Week .docx
peggyd2
Respond to Chisom and Arianne Chisom O RE: Discussion - Week 3 Top of Form Organizational Structures and Leadership Nurse leaders and management must have organizing skills when working in any hospital setting. According to Marquis & Huston (2015), "In the organizing phase, relationships are defined, procedures are outlined, equipment is readied, and tasks are assigned" (p. 261). The current hospital I am at runs like a corporation. The Hospital Corporation of America (HCA) is large hospital system that takes pride in being run like a business. That means that every hospital has CEO, COO, CFO, etc., just like in a corporation. The hospital is run like a line organization. According to Marquis & Huston (2015), " In these structures, authority and responsibility are clearly defined, which leads to efficiency and simplicity of relationships" (p. 271). Anyone that works at HCA must sign a contract that lists the job responsibilities and duties. This agreement serves as legal documentation that everyone understands their role in the organization. Decision Making The organization uses a centralized decision-making hierarchy. Upper management makes all the important decisions and will inform nurse supervisors and management of any changes that must be implemented. All the main issues in the hospital are decided by upper management and must be expedited fast (Marquis & Huston, 2015). The hospital is relatively large with multiple units and specialties. The problem with centralized decision making is that upper management must implement any changes. The current unit I'm on has significant issues related to the nurse supervisor and director. Most of the problems stem from a lack of communication with management and staff. Staff has spoken up a lot about the problem but has realized nothing is getting done. Since the upper management makes decisions for the whole hospital, it has been hard to explain the problems of the unit. Informal and Formal Leadership Formal and informal nurse leaders are relevant to each unit. A formal leader on the unit is the Director of Nursing (DON). The DON has a formal position in the organization. Right now, the DON functions as a manager. The DON is in charge of all the staff on the unit and works closely with the Director of the unit. As stated before, there have been numerous issues with the DON and staff. Due to many changes with the director of the unit changing to different people in the span of a few months, more tasks have been pushed onto the DON. This has caused distention amongst the staff. Staff morale is low due to not having clear and concise responsibilities and duties. The DON as a nurse leader must use evidence-based practice (EBP) to push for better quality of care and safety of staff and patients on the unit. The nurse leader must lead changes in the organization and EBP paves the way for the changes needed (Stetle, Ritchie, Rycroft-Malone, & Charns, 2017). Informal leaders are essential to any uni ...
Respond to Chisom and ArianneChisom O RE Discussion - Week .docx
Respond to Chisom and ArianneChisom O RE Discussion - Week .docx
audeleypearl
Running head: IDENTIFYING A CHANGE PROJECT 1 IDENTIFYING A CHANGE PROJECT 4 Identifying a Change Project Name Institution What is the difference between leadership activities and management activities: Leadership can be described as the conduct of a person when guiding the activities of a given group towards a common goal. The main concept of roles of leadership is based on impacting group activities and adjusting to change Sullivan, E. J. (2013. There is a challenge when considering leadership in the healthcare context because most theories are not formed within the healthcare framework for they were normally established for business contexts and later applied to the healthcare. Management can simply be defined as the process that managers utilize to realize organizational goals. It’s the process of achieving organizational set goals through the available resources. How do management and leadership activities contribute to the success of change initiatives: The activities involved in this process include planning, staffing, organizing, directing, controlling, and making decisions in the operations of the system to attain anticipated result and improve its entire performance. Management involves a combination of steps to follow to achieve the set requirements. Leaders look for suitable ways of doing things for instance they will establish the goals and purposes for the people (American Nurses Association, 2010; Sullivan, 2013). Anyone can be a leader without necessarily being in an authority position. Transformational leadership is necessary along with good management of staff and resources. This entails committing individuals to action, converting those under you into leaders and converting the leaders themselves into change agents. It has less to do with use of power to pressure and suppress others in order to achieve result. Instead, it involves empowering them to understand and own the vision of the organization and trusting them to work towards the goals that profit not just themselves but the organization in general (Sullivan, 2013). In nursing empowerment would result to enhanced patient care, reduced sick days, and less attrition. Through this, the staff will have higher job satisfaction and there will be higher retention of staff amongst there nursing functions. What change projects are needed in your agency at this time? Among the changes required is to ensure nurses practice to the full capacity of their education and training and programs to be formed to ensure nurses attain higher training to much the growing demands in the sector. These can only be achieved through good leadership and proper management. The Company that I work for currently is an insurance company and as a registered nurse case management, there is always area of change especially in reaching pat.
Running head IDENTIFYING A CHANGE PROJECT 1 .docx
Running head IDENTIFYING A CHANGE PROJECT 1 .docx
charisellington63520
Running head: NURSING RESEARCH PROJECT 1 NURSING RESEARCH PROJECT 5 Nursing Research Project Phase Two Karen Lezcano Nursing Research Florida National University Nursing Research Project Introduction Nursing just like any profession faces numerous challenges daily. Nurses are usually tasked with the duty to ensure that they work diligently and professionally to ensure that their clients are satisfied with the services that they deliver. They are usually tasked with the duty to ensure that the patients that visit their premises get quality services that they deserve. However, these services come at a cost; they face a myriad of challenges that they have to work fully despite these challenges to satisfy their clients. Therefore, this research paper analysis some of the problems that nurses face in the daily execution of their duties. Identification of the Problem Nurse faces a myriad of challenges in their daily execution of duties. To ensure that they discharge their duties perfectly all these challenges must be identified and effective measures are put in place to ensure that the challenges are taken care of. The major problems that most of the medical facilities are the issue of understaffing. Nurses have faced challenges in terms of duties assigned to them in comparison to their numbers. Studies conducted have also portrayed that there are shortages of nurses in the medical facilities. However, the challenges that these nurses face are varied in different nations and towns, there are those nations that have surplus while there are those towns and nations that have a high shortage of these important service providers in the healthcare facilities. The impact of these shortages has also resulted in further challenges for the nurses. In this regard, one of the major challenges that these nurses face is the need to work for long hours due to the shortage of employees at the medical facilities. The few available nurses must work in shifts and endure long working hours to ensure that they meet the desired goals of the institution are met. The work of nurses calls for one to be sober and cognitive in decision making (McLelland et al. 2015). However, with a situation where nurses are required to work for long hours, work in shifts such that they can sleep for a while and resume their duties. This is a worrying trend for the nurses because their cognitive ability and judgment as normal human beings are likely to decline when overworked. Therefore, the chances of making poor decisions are also likely to increase with time as they work overtime. Besides that, the shortages of nurses in healthcare facilities which calls for overworking of these nurses to ensure that patients are fully taken care of, usually lead to an increase in hazard and dangerous accidents taking place.
Running head NURSING RESEARCH PROJECT .docx
Running head NURSING RESEARCH PROJECT .docx
glendar3
Running head: NURSING RESEARCH PROJECT 1 NURSING RESEARCH PROJECT 5 Nursing Research Project Phase Two Karen Lezcano Nursing Research Florida National University Nursing Research Project Introduction Nursing just like any profession faces numerous challenges daily. Nurses are usually tasked with the duty to ensure that they work diligently and professionally to ensure that their clients are satisfied with the services that they deliver. They are usually tasked with the duty to ensure that the patients that visit their premises get quality services that they deserve. However, these services come at a cost; they face a myriad of challenges that they have to work fully despite these challenges to satisfy their clients. Therefore, this research paper analysis some of the problems that nurses face in the daily execution of their duties. Identification of the Problem Nurse faces a myriad of challenges in their daily execution of duties. To ensure that they discharge their duties perfectly all these challenges must be identified and effective measures are put in place to ensure that the challenges are taken care of. The major problems that most of the medical facilities are the issue of understaffing. Nurses have faced challenges in terms of duties assigned to them in comparison to their numbers. Studies conducted have also portrayed that there are shortages of nurses in the medical facilities. However, the challenges that these nurses face are varied in different nations and towns, there are those nations that have surplus while there are those towns and nations that have a high shortage of these important service providers in the healthcare facilities. The impact of these shortages has also resulted in further challenges for the nurses. In this regard, one of the major challenges that these nurses face is the need to work for long hours due to the shortage of employees at the medical facilities. The few available nurses must work in shifts and endure long working hours to ensure that they meet the desired goals of the institution are met. The work of nurses calls for one to be sober and cognitive in decision making (McLelland et al. 2015). However, with a situation where nurses are required to work for long hours, work in shifts such that they can sleep for a while and resume their duties. This is a worrying trend for the nurses because their cognitive ability and judgment as normal human beings are likely to decline when overworked. Therefore, the chances of making poor decisions are also likely to increase with time as they work overtime. Besides that, the shortages of nurses in healthcare facilities which calls for overworking of these nurses to ensure that patients are fully taken care of, usually lead to an increase in hazard and dangerous accidents taking place.
Running head NURSING RESEARCH PROJECT .docx
Running head NURSING RESEARCH PROJECT .docx
todd581
Instructor Feedback Assignment 2 Grading Criteria Maximum Points Earned Points Background and Significance Section articulates the problem and need for the proposed innovation. 5 5 – NP Statement of the Problem and Purpose of the Study is appropriate and supported with evidence. 5 5 Research question 5 5 Research Hypothesis and Null Hypothesisare appropriate for research question. 15 10 – your research hypothesis is ok but you do not have a null – it should show no relationship between the same variables Variables are Operationally Defined. 15 0 – you have talked about your data collection methods but have not provided any variable definitions How are you defining – Patient satisfaction, improvement in health status, cost containment, availability of medical care Followed APA guidelines for writing style, spelling and grammar, and citation of sources. 5 2 – page 3 had two different font types (look at the in text citation) spelling error – (can) – null hypothesis section – need a conclusion to your paper Total: 50 27 Week 3 Research Proposal Draft Elizabeth Flores South University Running head: WEEK 3 RESEARCH PROPOSAL DRAFT 1 WEEK 3 RESEARCH PROPOSAL DRAFT 2 Week 3 Research Proposal Draft People will often judge others not just on the answer that is provided but also the question that is asked. Since we can't always get the answer right, we should try to at least get the question right! So in this humbled researcher’s opinion, the most relevant question for a nurse practitioner is very important. The question is: how can we elevate the level of health care in the United States and potentially the entire world while containing costs and effectively supply the voracious and ever growing need for compassionate, competent, and effective health care workers. This should also be accomplished as we fill the need for elevating the suboptimal work conditions, addressing the lack of respect, increasing the sub optimal remuneration, that advanced nurse practitioners are forced to endure on a daily basis. The problem: Nurse practitioner are often bright, motivated, and talented individuals who are patient and just wanted to help the infirmed while making a career for themselves, which is barely possible in "todays climate". The cause: Bright students are often pigeoned hole out of having the opportunity to attend medical schools by an antiquated and unfair school system in the United States. This system unfortunately often weeds out very talented and passionate individuals. I believe that schools from the very early ages are teaching many outdated concepts and use very tricky, sneaky, and unfair testing practices and questions. These schools waste a lot of time teaching out dated concepts and facts. Our world and has change so much yet schooling is locked into teaching many of the same concepts it did a hundred years ago while often ignoring more important concepts such health and cancer related topics.
Instructor FeedbackAssignment 2 Grading CriteriaMaximum Points.docx
Instructor FeedbackAssignment 2 Grading CriteriaMaximum Points.docx
normanibarber20063
Applying Evidence-Based Practice Evidence for Effective Leadership and Management Citation: Catrambone, C., Johnson, M., Mion, L., & Minnick, A. (2009). The design of adult acute care units in U.S. hospitals. Journal of Nursing Scholarship, 41(1), 79–86. Overview: This descriptive study examined the current state of hospital unit design characteristics recommended by the Agency for Healthcare Research and Quality (AHRQ) in 81 adult medical-surgical units and 56 intensive care units in six metropolitan areas. The AHRQ recommends that the following unit design characteristics positively impact patient outcomes: single rooms, work areas for staff that are not a long distance from the bedside, frequent staff hand hygiene stations, certain types of unit configuration, percentage of private rooms, and presence or absence of carpeting. The purpose of this study is to provide a benchmark and to assess nursing environments. Data were collected by observation, measurement, and interviews. The researchers conclude that few of the hospital units met the AHRQ recommendations. Further research is required to expand understanding of these design elements, their interaction, and impact on outcomes. Application: Health care organizations are much more than a description of the organization. They are also physical buildings. Several recommendations in the Institute of Medicine (IOM) report Keeping Patients Safe. Transforming the Work Environment of Nurses (2004) pertain to design of work and workspace to prevent and mitigate errors. This study on unit design elements relates to the IOM work, which is referenced in the study. There are many factors and elements that impact PRINTED BY: [email protected] Printing is for personal, private use only. No part of this book may be reproduced or transmitted without publisher's prior permission. Violators will be prosecuted. https://jigsaw.vitalsource.com/api/v0/books/9781323001004/pri... 1 of 28 9/17/16, 8:03 AM the quality of care and design is one of them. Historically nurses typically have had limited input into design of units, but more hospitals are including nursing management and staff nurses in the decision making process when facilities are renovated or new buildings are built. For a long time nurses just had to work within the space they had even if the design did not consider nursing needs; however, more is known today on the impact of space and design on work processes and staff. Questions Based on your clinical experience, your clinical experience why is unit structure important to the staff and to patient outcomes? Identify three examples to support your opinion. 1. Why do you think it would be important to have standards related to unit structure and environment? 2. If you were a patient, what type of unit would you want to be on? Describe it, and explain why this is the type of unit you would prefer. 3. confronting many critical issues related to access of care and lack of insurance, .
Applying Evidence-Based Practice Evidence for Effective Leader.docx
Applying Evidence-Based Practice Evidence for Effective Leader.docx
justine1simpson78276
course material
challenges of Clinical Leadership.docx
challenges of Clinical Leadership.docx
4934bk
Similar a The art of delegation version 1a
(20)
Nursing Essay Writing
Nursing Essay Writing
Reproduced with permission of the copyright ow.docx
Reproduced with permission of the copyright ow.docx
THIS IS THE FEEDBACK I RECEEIVED. Only one patient responded to my.docx
THIS IS THE FEEDBACK I RECEEIVED. Only one patient responded to my.docx
Job Redesign For Expanded HIM Functions Case Study...
Job Redesign For Expanded HIM Functions Case Study...
2 1 5L e a r n I n g o b j e c t I v e sC H A P T E R.docx
2 1 5L e a r n I n g o b j e c t I v e sC H A P T E R.docx
2 1 5L e a r n I n g o b j e c t I v e sC H A P T E R.docx
2 1 5L e a r n I n g o b j e c t I v e sC H A P T E R.docx
A Nurse Residency Program For New Nursing
A Nurse Residency Program For New Nursing
Nursing Essays
Nursing Essays
Essay On Wound Care Nurse
Essay On Wound Care Nurse
Job enrichment creating meaningful career developmentopport.docx
Job enrichment creating meaningful career developmentopport.docx
Chapter NineEthics and Safe Patient Handing and Mobility.docx
Chapter NineEthics and Safe Patient Handing and Mobility.docx
© 2013 MA Healthcare L.docx
© 2013 MA Healthcare L.docx
Respond to Chisom and ArianneChisom O RE Discussion - Week .docx
Respond to Chisom and ArianneChisom O RE Discussion - Week .docx
Respond to Chisom and ArianneChisom O RE Discussion - Week .docx
Respond to Chisom and ArianneChisom O RE Discussion - Week .docx
Running head IDENTIFYING A CHANGE PROJECT 1 .docx
Running head IDENTIFYING A CHANGE PROJECT 1 .docx
Running head NURSING RESEARCH PROJECT .docx
Running head NURSING RESEARCH PROJECT .docx
Running head NURSING RESEARCH PROJECT .docx
Running head NURSING RESEARCH PROJECT .docx
Instructor FeedbackAssignment 2 Grading CriteriaMaximum Points.docx
Instructor FeedbackAssignment 2 Grading CriteriaMaximum Points.docx
Applying Evidence-Based Practice Evidence for Effective Leader.docx
Applying Evidence-Based Practice Evidence for Effective Leader.docx
challenges of Clinical Leadership.docx
challenges of Clinical Leadership.docx
Último
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now CALL WATTSAPP 6378878445 THE MOST BEAUTIFUL INDEPENDENT ESCORT CALL GIRL SERVICE, Chennai WE ARE PROVIDING GENUINE CALL GIRL SERVICE I AM A a NATURAL BRUNETTES, SLIM BODY, NATURAL LONG HAIR AND ALL TYPE OF HAIR IS A NATURAL BRUNETTE IN THE MOST BEAUTIFUL INDEPENDENT ESCORT GIRL I AM A NATURAL BRUNETTE WITH ROOM AND HOTEL AND A NATURAL BRUNETTE WITH A BODY MADE FOR SIN AND ALL TYPE OF ME ALL THE TIME I SEND YOU A HAIR, VERY SOCIABLE AND FUNNY, READY TO ENTERTAIN TO ENTERTAIN U AND MAKE FORGET ABOUT TO GET ENTERTAIN U AND MAKE FORGET#v08 ABOUT ALL THE PROBLEMS. LET'S HAVE A WONDERFUL TIME TOGETHER AND FORGET ABOUT EVERYTHING ALL TYPE SERVICE ENJOYMENT SAFE AND SECURE IN CALL OUT CALL HOME AND HOTEL ANYTIME AVAILABLE AND ALL TYPE SERVICE ENJOYMENT
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
tanudubay92
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos and Number ★ CALL US High Class Luxury and Premium Escorts ServiCe We Provide Well Educated, Royal Class Female, High-Class Escorts Offering a Top High-Class Escorts Service In the & Several Nearby All Places Of . ★ Get The High Profile, Bollywood Queens , Well Educated , Good Looking , Full Cooperative Model Services. You Can See Me at My Comfortable Hotels or I Can Visit You In hotel Our Service Available IN All SERVICE, 3/4/5 STAR HOTEL , In Call /Out Call Services.24 hrs ,$P13 ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • Models • Vip Models • Russian Models • Foreigner Models • TV Actress and Celebrities • Receptionist • Air Hostess • Call Center Working Girls/Women • Hi-Tech Co. Girls/Women • Housewife • Collage Going Girls. • Travelling Escorts. • Ramp-Models • Foreigner And Many More.. Incall & Outcall Available… • INDEPENDENT GIRLS / HOUSE WIFES ★ I Guarantee You To Have An Unforgettable Experience With Me.A Curvy Body, long Hair and Silky Smooth Skin. She Is an Independent Escorts Model Will Give You More Pleasure & Full Satisfaction. Call Now Seema:- 9332606886
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
call girls hydrabad
Explore the fundamentals of the human reproductive system in this concise presentation, suitable for medical students and professionals alike. Covering anatomy, physiology, and Pregnancy, it offers essential knowledge for understanding reproductive health.
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
Swetaba Besh
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of High Profile Jaipur Call Girls | Party Escorts Booking Details Are here 05-May-2024(king) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days!
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
TanyaAhuja34
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun WhatsApp Chat: ☎️ +91-8854095900 Call Girls Dehradun offer you everything from intimate moments to wild nights - be it intimate or wild. Their girls are always prepared to meet all your needs and desires so you're assured a memorable experience with them. Beautiful Babes are sure to turn heads wherever they go, captivating men with their seductive personalities and captivating looks - not to mention their sensually alluring bodies that are sure to satisfy all your naughty fantasies, from blowjobs to anal massages; not forgetting BDSM and orgies as well. Show them some appreciation when the time is right. Call Girl Dehradun that their clients can be very demanding. To maintain their reputation and gain more clients, these sexy call girls always work tirelessly to provide exceptional service that ensures each customer's happiness - so much so that many men seek them out to have an unforgettable experience with Passionate about providing erotic pleasure for their clients - fulfilling all sexy fantasies while offering role play services such as BDSM. ★OUR BEST SERVICES: - FOR BOOKING ★ A-Level (5-star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob) ★ Spending time in my rooms ★ BJ (Blowjob Without a Condom) ★. Extra ball (Have ride many times) ☛ ☛ ☛ ✔✔ secure✔✔ 100% safe WHATSAPP CALL ME💥✨✨⭐⭐⚡💦💦💨🔥💫💫 Their services range from erotic encounters and movie dates to in-call and out-call services, making this option available 24/7. Available for services including NSA, threesomes and foursomes sessions as well as massage services and casual foreplay - they even provide real girlfriend experience. Find one online or visit local women's clubs, hotels or restaurants. Hiring a Dehradun call girl for an evening or day out can be the perfect addition to your social gathering or office event, or you could arrange for her to visit your home or hotel room. Not only are these women gorgeous, they're intelligent as well, with great senses of humor - sure to please and leave you wanting more. If you want a cheap escort in Dehradun, look for someone who is either a student or works part time so that she will always be available when you need her. In addition to this, look for housewives as this ensures they have stable lives that can keep you satisfied for extended periods. These beautiful ladies will capture your attention at first sight with stunning eyes and full, seductive lips; not to mention a seductive personality that makes you want to spend more time with them; moreover they are discreet enough to meet up anywhere nearby! Hiring a call girl in Dehradun can be done through either the internet or calling her directly, with services like massage or sex sessions offered to request from specific agencies within a few hours of making contact. Furthermore, text the girl directly for price quotes!
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Sheetaleventcompany
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Advance Cash On Delivery Service Booking Details Are here: just visit website: https://hotbabe24.com #Call Girl In Pune, #Punecallgirls #CallgirlservicePune, #CallgirlsinPune Website on rent : mailto:indiancallgirl4rent@gmail.com "Call Girls Pune VIP Call Girls Service Pune.. Booking Open Now We Are Providing Safe & Secure High Class girl women sucking men Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/ women seeking men in royal call girl High class luxury and premium call girl agency. ✔️High class luxury and premium escorts agency We Provide Well Educated, Royal Class Female, High-class Escorts agency offering a top high class escort service in the royal Escorts ✔️ Get High Profile queens , Well Educated , Good Looking , Full Cooperative Model Services. you can see me at my comfortable Hotels or I can visit you in hotel Our Service Available IN All Services 3/5/7 Star Hotels, In call /Out call Service 24/7.. ✔️ All Meetings We Provide Hottest Female With Me Are Safe And Consensual With Most Limits Respected Complete Satisfaction Guaranteed...Service Available In:- 24/7 3 * 5 *7 *Star Hotel Service In. In Call Out call service Avilable also. ✔️ I guarantee you to have an unforgettable experience with me A curvy body, long hair and silky smooth skin. She is an independent royal Escorts/Women Seeking Men model will give you more pleasure & Full satisfaction. ✔️ I am very sensual and flirtatious with charming personality! I love to laugh and my bright smile is ever Present. ,Hotel & Home Services CALL PLZZ ✔️Available Near All 3* 4* 5* 7* Hotels Of I Want Only Hotel Name , Guest Name , Room No. Only For Confirmation.✔️ Nandani... agency...⭐⭐⭐⭐⭐ VIP...Service ✣ ✤ ✥ ✦ TIME WASTERS AND BARGAINERS ARE PLEASE EXCUSE, WE RESPECT YOUR SAFETY AND PRIVACY AND EXPECT TH WHATSAPP: 9xx000xx09 CALL ME" 9xx000xx09
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Sheetaleventcompany
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangalore Karnataka Booking Details Are here: just visit website: https://girlsinbangalore.com #Call Girl In Bangalore, #Bangalorecallgirls #CallgirlserviceBangalore, #CallgirlsinBangalore 12-May-2024( Mj) Click On WhatsApp Chat +91-9179660964 Bangalore Escorts Make You Feel Like Royalty Bangalore Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Sheetaleventcompany
5-year survival of GCP after radical procedures significantly depended on: 1) PT “early-invasive cancer”; 2) PT N0--N12; 3) Cell Ratio Factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) GC cell dynamics; 9) GC characteristics; 10) tumor localization; 11) anthropometric data; 12) surgery type. Optimal diagnosis and treatment strategies for GC are: 1) screening and early detection of GC; 2) availability of sufficient quantity of experienced abdominal surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunotherapy for GCP with unfavorable prognosis.
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Oleg Kshivets
These are simplified slides discussing the regulation of cardiac output and venous return. Learning objectives: 1. Comprehend the determinants of cardiac output and factors affecting cardiac output 2. Comprehend the factors affecting stroke volume and heart rate and total peripheral resistance 3. Identify the factors regulating venous return 4. Discuss the causes of high and low output cardiac failure 5. Enlist the functions of veins and recognise the significance of venous reservoirs Study Resources: 1. Chapter 20, Guyton and Hall Textbook of Medical Physiology, 14th edition 2. Chapter 30 and 32, Ganong’s Review of Medical Physiology, 26th edition 3. Chapter 10, Human Physiology by Lauralee Sherwood, 9th edition 4. Physiology, Cardiac Output - StatPearls https://www.ncbi.nlm.nih.gov/books/NBK470455/
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
MedicoseAcademics
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available WhatsApp Chat : +91-8854095900 Get More Information About Mussoorie Escorts Service Mussoorie Escorts offer their services to their clients at any time of day or night - including sex, travel and tours. Contact them via telephone or the internet. Hire an escort as your movie partner, date or party companion - they're sure to exceed all your expectations. Girls available 24/7 make for great companions who offer sensual body massages and drinks/food service during your time together. Find one who fits with your personality or budget - these girls have you covered.
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Janvi Singh
Dr Assadawy lectures
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacy
DrMohamed Assadawy
❤️Chandigarh Escorts Service☎️8868886958☎️ Call Girl service in Chandigarh☎️ Chandigarh Call Girls Service ☎️ Call Girls In Chandigarh BEST Call Girls in CHANDIGARH Escort Service provide Cute Nice sweet and Sexy Models in beautiful CHANDIGARH city cash in hand to hand call girl in CHANDIGARH and CHANDIGARH escorts. HOT & SEXY MODELS // COLLEGE GIRLS IN CHANDIGARH AVAILABLE FOR COMPLETE ENJOYMENT WITH HIGH PROFILE INDIAN MODEL AVAILABLE HOTEL & HOME ★ SAFE AND SECURE HIGH CLASS SERVICE AFFORDABLE RATE ★ 100% SATISFACTION,UNLIMITED ENJOYMENT. ★ All Meetings are confidential and no information is provided to any one at any cost. ★ EXCLUSIVE Profiles Are Safe and Consensual with Most Limits Respected ★ Service Available In: - HOME & 24x7 :: 3 * 5 *7 *Star Hotel Service .In Call & Out call Services : ★ A-Level (5 star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)Receive advanced sexual techniques in different mode make their life more pleasurable. ★ Spending time in hotel rooms ★ BJ (Blowjob Without a Condom) ★ Completion (Oral to completion) ★ Covered (Covered blowjob Without a Condom)Chandigarh Call Girls
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
Sheetaleventcompany
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun WhatsApp Chat: ☎️ +91-8854095900 Call Girls Dehradun offer you everything from intimate moments to wild nights - be it intimate or wild. Their girls are always prepared to meet all your needs and desires so you're assured a memorable experience with them. Beautiful Babes are sure to turn heads wherever they go, captivating men with their seductive personalities and captivating looks - not to mention their sensually alluring bodies that are sure to satisfy all your naughty fantasies, from blowjobs to anal massages; not forgetting BDSM and orgies as well. Show them some appreciation when the time is right. Call Girl Dehradun that their clients can be very demanding. To maintain their reputation and gain more clients, these sexy call girls always work tirelessly to provide exceptional service that ensures each customer's happiness - so much so that many men seek them out to have an unforgettable experience with Passionate about providing erotic pleasure for their clients - fulfilling all sexy fantasies while offering role play services such as BDSM. ★OUR BEST SERVICES: - FOR BOOKING ★ A-Level (5-star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob) ★ Spending time in my rooms ★ BJ (Blowjob Without a Condom) ★. Extra ball (Have ride many times) ☛ ☛ ☛ ✔✔ secure✔✔ 100% safe WHATSAPP CALL ME💥✨✨⭐⭐⚡💦💦💨🔥💫💫 Their services range from erotic encounters and movie dates to in-call and out-call services, making this option available 24/7. Available for services including NSA, threesomes and foursomes sessions as well as massage services and casual foreplay - they even provide real girlfriend experience. Find one online or visit local women's clubs, hotels or restaurants. Hiring a Dehradun call girl for an evening or day out can be the perfect addition to your social gathering or office event, or you could arrange for her to visit your home or hotel room. Not only are these women gorgeous, they're intelligent as well, with great senses of humor - sure to please and leave you wanting more. If you want a cheap escort in Dehradun, look for someone who is either a student or works part time so that she will always be available when you need her. In addition to this, look for housewives as this ensures they have stable lives that can keep you satisfied for extended periods. These beautiful ladies will capture your attention at first sight with stunning eyes and full, seductive lips; not to mention a seductive personality that makes you want to spend more time with them; moreover they are discreet enough to meet up anywhere nearby! Hiring a call girl in Dehradun can be done through either the internet or calling her directly, with services like massage or sex sessions offered to request from specific agencies within a few hours of making contact. Furthermore, text the girl directly for price quotes!
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Sheetaleventcompany
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Available 24*7 Book Chat On WhatsApp: +91-📞 7427069034 📞 Book A Meeting Now With Our Call Girls Chennai Call Girls Chennai are available for any special event from birthday parties to romantic dinners, and provide an unforgettable experience that will have you wanting more. Their seductive presence will leave you wanting more; these air hostesses escorts are guaranteed to get your kink on and provide hours of sexual fun - they will become your personal fantasy girl; making every event that much better. They truly stand out as some of the finest professionals available; their services cannot be rivalled. Call Now :- 📞 7427069034 📞 Independent Call Girls Chennai dance will leave #N06 you breathless with breathtaking performances that'll take away all your worries while making you feel like royalty - they're sure to leave an impactful impression that leaves you feeling empowered. From providing you with a romantic date night full of excitement and sex to just hanging out and talking, they're there for whatever it is you require. Listening attentively as you share stories or telling theirs, these ladies provide great conversation as well as delicious dinner or beverages to remember the experience by. Just one encounter with Call girls in Chennai will have you calling back for more. They're sure to transform any party into an unforgettable night of fun and adventure - you won't be the only one smitten. Don't miss this chance; arrange your next date with an exotic Foreign Escort today. Chennai offers many beautiful call girls Not only are they enjoyable companions, but travelling is something they truly love to do and will happily go on weekend tours with you. Additionally, businessmen can hire one of these young ladies as an escort during business trips. ★OUR BEST SERVICES: - FOR BOOKING ★ A-Level (5-star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob) ★ Spending time in my rooms ★ BJ (Blowjob Without a Condom) ★ COF (Come on Face) ★ Completion ★ (Oral to completion) noncovered ★ Special Massage ★ O-Level (Oral) ★ Blow Job; ★ Oral fun uncovered) ★ COB (Come on Body) ★. Extra ball (Have ride many times) ☛ ☛ ☛ ✔✔ secure✔✔ 100% safe
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
amritaverma53
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts service book now CALL WATTSAPP THE MOST BEAUTIFUL INDEPENDENT ESCORT CALL GIRL SERVICE, WE ARE PROVIDING GENUINE CALL GIRL SERVICE I AM A a NATURAL BRUNETTES, SLIM BODY, NATURAL LONG HAIR AND ALL TYPE OF HAIR IS A NATURAL BRUNETTE IN THE MOST BEAUTIFUL INDEPENDENT ESCORT GIRL I AM A NATURAL BRUNETTE WITH ROOM AND HOTEL AND A NATURAL BRUNETTE WITH A BODY MADE FOR SIN AND ALL TYPE OF ME ALL THE TIME I SEND YOU A HAIR, VERY SOCIABLE AND FUNNY, READY TO ENTERTAIN TO ENTERTAIN U AND MAKE FORGET ABOUT TO GET ENTERTAIN U AND MAKE FORGET ABOUT ALL THE PROBLEMS. LET'S HAVE A WONDERFUL TIME TOGETHER AND FORGET ABOUT EVERYTHING ALL TYPE SERVICE ENJOYMENT SAFE AND SECURE IN CALL OUT CALL HOME AND HOTEL ANYTIME AVAILABLE AND ALL TYPE SERVICE ENJOYMENT
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Dipal Arora
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalore Call Girls Service 💰 Call Girls In Bangalore Call Mrs Naina Ji +91-7304373326 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls,#J11 Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in bangalore Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In bangalore Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 7304373326 !! Thank you for Visiting.
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
Sheetaleventcompany
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi College Call Girls Virugambakkam No💰Advance Booking Details Are here: just visit website: https://www.loversbabe.com/ #Call Girl In Chennai, #Chennaicallgirls #CallgirlserviceChennai, #CallgirlsinChennai #locantoChennaicallgirls #Chennaicallgirls #Chennaicallgirlsimages #Chennaicallgirlskothrud #Chennaicallgirlslocanto #Chennaicallgirlsmobno #Chennaicallgirlsmobileno #Chennaicallgirlsmobilenumber #Chennaicallgirlspics #ChennaicallgirlsChennaiescorts #Chennaicallgirlsrates #Chennaicallgirlsservice #Chennaicallgirlsservices #Chennaicallgirlsskokka Click On WhatsApp Chat +91-7427069034 Chennai Escorts Make You Feel Like Royalty Chennai Escorts catering to high profile clients are available #S07 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completionx
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
rajnisinghkjn
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 Neha Thakur Call Mrs Naina Ji +91-6378878445 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls,#J11 Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in bangalore Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In bangalore Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 6378878445 !! Thank you for Visiting.
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
gragneelam30
Delve into valuable content elucidating the anatomy and physiology of the respiratory system, in line with the PCI syllabus for pharmacy and PharmD students.
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
Swetaba Besh
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escort Service 24x7 Cash Payment. Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escort Service 24x7 Cash Payment Call Mrs Naina Ji +91-7304373326 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls,#J11 Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in bangalore Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In bangalore Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 7304373326 !! Thank you for Visiting.
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Sheetaleventcompany
Último
(20)
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacy
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
The art of delegation version 1a
1.
Tips to successfully
share the work load in a busy work environment BMB 2010
2.
3.
Sponge +
eggs + flour + sugar = sponge cake!!
4.
Towels +
scissors = changed towels!!!!
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Descargar ahora