Systematic Review of Dactors Adoption †Free Samples to Students

Question: Discuss about the Systematic Review of Dactors Adoption. Answer: Introduction: There are several factors that determine the type of healthcare experts who are supposed to be involved in a healthcare team. Firstly, is the team make up, like having the required size or the need to reduce lower impacts of status difference between for instance nurses as well as the clinicians. The second factor is the team process which includes conflict management, communication structures as well as leadership that reinforces progress and provides clear expectations and objectives. Thirdly, is the type of the teams task of matching type and training to the extent of complexity as well as promoting cohesiveness. Lastly, is the environmental aspect which entails acquiring of the needed resource as well as establishing the required resources (Bechtel and Ness, 2010). According to Doctor Robert Wah, an American Medical Association President, doctors should lead the healthcare team. He further argues that families and patients need a healthcare provider who is well prepared and in the best interest to meet the preferences or needs to lead a healthcare team. Besides, the role of a leader can change from time to time so at times, a physician, a nurse, a nutritionist or a pharmacist can be the leader (Ciccone et al., 2010). The most important member of the healthcare team is the patient. According to (Gagnon et al., 2012), safety is ideal for the doctors and the entire team caring for the patient. Besides, they (patients) can play a crucial role in their care by being an informed or active member of the healthcare team The key issue in the situation of Mr. Hughes is likely to be the incidence or the prevalence of behavioral disturbances as a result of Dementia. Statistically, at some point in life, over 90 % of individuals with dementia are expected to develop behavioral problems (Gravlin and Bittner, 2010). This is witnessed in the case of Mr. Hughes where he has been engaging in verbally aggressive outbursts towards staff and other patients during his hospitalization. Also, his mother has reached a point where she cannot look after him and has been admitted to the rehabilitation unit. The people who should be in the healthcare team for the case of Robert and their functions include; clinical decision makers whose function is to manage the clinical aspects of care and technical consultant whose function is to provide information regarding specialized aspects of care (Lluch, 2011). However, the support services will enhance, support or boost the primary care services and the coordination point organizes all efforts. The work of a resource manager will be to deal with the economic aspect of care, and lastly, the information coordinator will manage information from different sources. The question on delegation of staff to the patients by a registered nurse calls for first understanding the role and functions of every person in the healthcare sector. In the case scenario presented, we are provided with five personnels who include one registered nurse one enrolled nurse and three assistant in nursing (AIN) who are on duty. An AIN must support registered nurses and enrolled nurses in the delivery of care to the patients. According to Martinez et al., (2011) RN registered nurse who has the assessment of the client and delegates the responsibility for the scope of the nursing practice decision-making framework. The duties of an AIN include but not limited to patient meals and activities of living (AOL), patient mobility and toileting, communication, and documentation. The enrolled nurses works in the team under guidance by a registered nurse (Nutting et al., 2011). In the surgical wards, EN works in unison with the RNs to plan as well as deliver nursing care. Although their scope is wide, they also provide education in the hospital settings apart from undertaking other nursing responsibilities such as monitoring change to the client situation, and administration of drugs among other functions (Potter et al., 2010). However, for the case scenario presented, the best way to allocate the staff would be 50/50. This implies that one RN would deal with 11 patients, one enrolled nurse and one assistant in nursing. On the other RN, he/she would deal with 11 patients and two AINs. Notably, since ten patients had gone for surgery, it does not necessarily imply that they will be served and released at the same time. The best way forward for an RN is to prioritize the patients as they come back to the unit one after the other. Also, one RN cannot serve all the clients, so they have to be shared equally between the two RNs and ENs /AINs. References Bechtel, C., Ness, D. L. (2010). If you build it, will they come? Designing truly patient-centered health care. Health Affairs, 29(5), 914-920. Ciccone, M. M., Aquilino, A., Cortese, F., Scicchitano, P., Sassara, M., Mola, E., ... Bux, F. (2010). Feasibility and effectiveness of a disease and care management model in the primary health care system for patients with heart failure and diabetes (Project Leonardo). Vascular health and risk management, 6, 297. Gagnon, M. P., Desmartis, M., Labrecque, M., Car, J., Pagliari, C., Pluye, P., ... Lgar, F. (2012). Systematic review of factors influencing the adoption of information and communication technologies by healthcare professionals. Journal of medical systems, 36(1), 241-277. Gravlin, G., Bittner, N. P. (2010). Nurses' and nursing assistants' reports of missed care and delegation. Journal of Nursing Administration, 40(7/8), 329-335. Lluch, M. (2011). Healthcare professionals organisational barriers to health information technologiesA literature review. International journal of medical informatics, 80(12), 849-862. Martinez, J., Ro, M., William Villa, N., Powell, W., Knickman, J. R. (2011). Transforming the delivery of care in the posthealth reform era: what role will community health workers play?. American Journal of Public Health, 101(12), e1-e5. Nutting, P. A., Crabtree, B. F., Miller, W. L., Stange, K. C., Stewart, E., Jan, C. (2011). Transforming physician practices to patient-centered medical homes: lessons from the national demonstration project. Health affairs, 30(3), 439-445. Potter, P., Deshields, T., Kuhrik, M. (2010). Delegation practices between registered nurses and nursing assistive personnel. Journal of nursing management, 18(2), 157-165.