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Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Preventive Healthcare Services01:30

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
Asepsis01:28

Asepsis

The condition of being free from disease-causing living pathogens is asepsis. Aseptic techniques include a set of standard practices to achieve asepsis. An example is the regular environmental cleaning of all parts of the healthcare facility and hand hygiene at home before preparing or eating food. Medical and surgical asepsis in healthcare practice protects patients from harmful pathogens, minimizes the risk of contamination of susceptible sites, and reduces the risk of infection transmission.
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Obedience01:08

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
Traditional Level Of Health Care System01:26

Traditional Level Of Health Care System

The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...

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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Doing away with doctors.

Clare Lomas

    Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
    |August 25, 2012
    PubMed
    Summary
    This summary is machine-generated.

    Conflicting evidence exists on the benefits of nurse-led care versus physician-led care. Critical appraisal of research is essential, especially when healthcare systems face workforce cost pressures.

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    Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
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    Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

    Published on: October 31, 2010

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    E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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    Published on: August 1, 2019

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    Area of Science:

    • Healthcare workforce
    • Nursing research
    • Evidence-based practice

    Background:

    • Healthcare organizations, including the National Health Service (NHS), face significant pressure to reduce operational costs.
    • The potential for task-shifting and workforce substitution within healthcare settings is a recurring topic of discussion.
    • Conflicting research findings complicate decisions regarding optimal healthcare staffing models.

    Purpose of the Study:

    • To highlight the critical need for rigorous evidence appraisal in healthcare workforce decisions.
    • To address the complexities arising from conflicting research on nurse versus doctor roles.
    • To emphasize the importance of evidence-based decision-making amidst financial pressures.

    Main Methods:

    • Review of existing literature on nurse versus doctor roles in patient care.
    • Analysis of the implications of conflicting evidence for healthcare policy.
    • Expert commentary from leading nurse researchers on evidence interpretation.

    Main Results:

    • The evidence regarding the benefits of substituting nurses for doctors is inconsistent.
    • A critical approach to evaluating research is crucial for informed decision-making.
    • Current economic pressures on healthcare systems amplify the need for sound evidence.

    Conclusions:

    • Healthcare managers and policymakers must critically evaluate research to ensure effective and efficient workforce strategies.
    • The ambiguity in current evidence necessitates a cautious approach to significant workforce restructuring.
    • Prioritizing critical appraisal skills is vital for navigating complex healthcare workforce challenges.