Assignment Content
- Resource: Annotated Bibliography Template
Finalize your sustainability initiative by combining parts 1 through 5 of the sustainability initiative assignments:
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Sustainability initiative proposal
Analysis of the costs and benefits associated with your initiative
Evaluation of how your initiative will improve patient care and outcomes
Evaluation of how your initiative will reduce waste
Suggestions for community partnerships and education programs
Petition to the leadership for resources to enact the initiative
Compile a 6- to 8-page paper of your sustainability initiative. Include diagrams, flowcharts, and other visuals that support your initiative.
Create an annotated bibliography that contains each article you identified in the Weeks Two through Five Article Search assignments and include it in your paper.
Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).
Format your assignment according to APA guidelines.
Running head: INITIATIVE ON LED LIGHTING USE IN NURSING HOMES 1
INITIATIVE ON LED LIGHTING USE IN NURSING HOMES 5
Sustainability Initiative: Use of LED Lighting in Nursing Homes
Britnie Greene
Dr.Gigliotti
MHA/560
March 1, 2021
Sustainability Initiative: Improving Lighting in Nursing Homes
Overview of the Nursing Home Setting
There are two categories of long-term nursing home institutions for elderly residents, namely, the traditional nursing homes and modern version of the classic nursing care facilities like foster homes centers, assisted-living homes, or family homes. Conventional nursing centers entail the basic providers of facility-based care for elderly ill individuals. For instance, skilled and intermediate nursing homes are over 20,000 (Hickman et al.,2016). Additionally, the board and care nursing home is another type of classic nursing home facility. Unlike the intermediate and skilled nursing home, the latter excludes continuous care issued by licensed professionals (den Ouden et al.,2015). The board and care facility has an estimate size of 15 beds.
The recent alternatives to residential care models include several state-licensed home care living environments. The dynamics are possible due to absent federal guidelines that standardize long-term care. There are over 1.5 million residents under the supervision of about 1.2 million full-time employees daily. Research shows that nearly 700,000 full-time staff offer some nursing care. Nursing aides, orderlies, nurse and nursing assistants represent above 40 per cent of the full-time employees (Glette et al.,2018). The nursing staff’s primary role is to determine the optimal residents’ quality of life and staff interaction.
One of the major concerns that face the provision of quality nursing care is institutional long-standing care funding. The 1987 reform act of nursing homes shows that there has been about a $1.50 average increase in reimbursement per resident. However, the nursing home industry is seeking ways to compromise the OBRA standards, for instance, through the staffing of RNs. Survey shows that increased market price for nursing services contributes to efficient labour-saving techniques. Relevant technology adoption reduces burnout and expensive turnover. Automating repetitive tasks is another beneficial approach in minimizing costs in nursing homes. The support of upcoming remote technology in-home care is also paramount.
Initiative: An Upgrade of LED Lighting in Nursing Homes
The LED lighting initiative aims to promote practical and sustainable lighting energy within nursing homes in the US. The upgrade shows a comprehensive and transparent viewpoint of LED lighting’s improved technology and the expected outcomes and improvements.
The fulfilment of the vision of sustainable lighting in nursing homes requires optimizing a homely feeling among residents. Research shows that LED lighting enhances the quality of life of the elderly and has a favourable effect on the working environment. One of the options includes circadian lighting. The design regulates lighting to the daily rhythm, resulting in a positive impact on insomnia, human health, and productivity (Lumega, 2021). It excludes the constant exposure of residents to bright and monotonous light. LED lighting ensures the rendering of manually-adjusted colour and brightness in the day. Moreover, the alterations occur according to specific circumstances.
Some of the advantages of LED lighting include economic and environmental benefits. The improved lighting is linked to increased longevity and minimal maintenance as compared to alternative lighting sources. At the nursing home facilities, the LED lighting initiative offers the best conditions.
Other real-life LED lighting advantages in the nursing facilities include improved eating patterns, level of eating, and feeling of satiety and fulfilment. It ultimately enhances the resident’s quality of life. Besides, the employees also benefit from this kind of lighting. Various studies show that employees notice an enhancement when working at night. They report increased productivity and energy level (Lumega, 2021). Additionally, there is minimal sleep hormone production and less tiredness while utilizing the LED remedy as to a lighting source at the nursing care facilities.
References
den Ouden, M., Bleijlevens, M. H., Meijers, J. M., Zwakhalen, S. M., Braun, S. M., Tan, F. E.,
& Hamers, J. P. (2015). Daily (in) activities of nursing home residents in their wards: an observation study. Journal of the American Medical Directors Association, 16(11), 963-968.
Glette, M. K., Røise, O., Kringeland, T., Churruca, K., Braithwaite, J., & Wiig, S. (2018).
Nursing home leaders’ and nurses’ experiences of resources, staffing and competence levels and the relation to hospital readmissions–a case study. BMC health services research, 18(1), 1-15.
Hickman, S. E., Unroe, K. T., Ersek, M. T., Buente, B., Nazir, A., & Sachs, G. A. (2016). An
interim analysis of an advance care planning intervention in the nursing home setting. Journal of the American Geriatrics Society, 64(11), 2385-2392.
Lumega. 2021. LED Lighting Nursing Homes. [online] Available at:
[Accessed 1 March 2021].
1
Running head:
PATIENTS
5
PATIENTS
Britnie Greene
Dr.Gigliotti
MHA/560
March 20, 2021
Patient services offered
Listed below are some of the patient care services offered at the hospital;
1. Laboratory and X-ray imaging- The hospital offers laboratory tests, like blood and urine tests. It also offers X-ray imaging.
2. Physical and speech therapy- The hospital has various professional physical and speech therapists.
3. Pharmacy and Diagnosis- The hospital has its pharmacy where prescriptions and medicines can be accessed quickly.
4. Intensive Care Unit(ICU)- The hospital has five ICU units equipped with modern technological equipment’s and skilled doctors to care for patients suffering from severe health conditions.
5. Outpatient Department(OPD)- The hospital also offers Outpatient services for patients who are not critically ill.
6. Ward Facilities- There are various wards for patients who need Inpatient services for them to be monitored by doctors.
7. Maternity services—The hospital also provides both maternity services, pre-natal and anti-natal services.
8. Nursing home care services—the hospital has a nursing home facility where patients are cared for 24 hours, especially the older and disabled.
Services affected by my sustainability initiative
My sustainability initiative is based on nursing home care services. They include; wound dressing, administering medication, ostomy care, and monitoring the patients’ general health condition. Nursing homes provide the best care and attention who patients who can be cared for outside a health centre (Smets et al., 2018). It provides aid with custodial care services like bathing, dressing patients, and feeding them. A nursing home will improve patient care services through the following ways;
1. Improving the quality and competency of nursing home staff
According to Wang et al. (2017), nursing homes have patients that deserve skilled care and attention. This means they need to be run by health care specialists who take pride in their duties and offer excellent care. My sustainability initiative will help ensure that the nursing home team have the best mix of practice skills and exposure and can give patients the care they deserve. This means that patients can rely on them and have faith that there is always someone around who knows them well and compassionately care about them. This will definitely improve patient care.
2. Professional coaching and training
As stated above, nursing home care needs professionals with trained skills. These skills can only be acquired through professional training and real-life coaching. Besides, not all these skills and talents can be developed through formal classes, but through real-life exposure and interaction with patients. The initiative will also allow other nurses to practice and improve their skills by interacting with patients. This will make them more competent and skilled enough to take care of their patients. This means that patients will be cared for by people who not only hold degree nursing certifications but people who have actively interacted with patients and understand the care that patient deserves.
3. Increased transparency about the quality of care
Increasing transparency about the quality of care is one of the best strategies to improve patient care. This can help others when they are choosing a nursing home. Through my initiative, the information will be published on the internet about nursing home’s services and the nursing home’s importance. We have very many patients across the world suffering simply because they cannot access nursing homes, nor do they even know if they exist. Through my initiative, I will create awareness in the community and educate people on nursing homes’ importance. This will make more patients visit nursing homes and get access to better care.
4. Patients will be able to manage their care and support plans
In nursing homes, nurses are closer to patients and even show them how to take care of themselves. With time, the patients will be able to manage their medical conditions and plans. This means they will also make informed decisions about their treatment and medication, which will definitely improve patient outcome (Gilissen et al., 2017).
References
Gilissen, J., Pivodic, L., Smets, T., Gastmans, C., Vander Stichele, R., Deliens, L., & Van den Block, L. (2017). Preconditions for successful advance care planning in nursing homes: a systematic review. International journal of nursing studies, 66, 47-59.
https://doi.org/10.1016/j.ijnurstu.2016.12.003
Smets, T., Pivodic, L., Piers, R., Pasman, H. R. W., Engels, Y., Szczerbińska, K., & Van den Block, L. (2018). The palliative care knowledge of nursing home staff: the EU FP7 PACE cross-sectional survey in 322 nursing homes in six European countries. Palliative medicine, 32(9), 1487-1497.
https://doi.org/10.1177%2F0269216318785295
Wang, Y. C., Yu, H. W., Wu, S. C., Chan, S. Y., Yang, M. C., Lee, Y. C., & Chen, Y. M. (2021). The impact of different patterns of home-and community-based services on nursing home admission: National data from Taiwan. Social Science & Medicine, 270, 113679. https://doi.org/10.1016/j.socscimed.2021.113679
1
Running Head: PATIENT EDUCATION
4
PATIENT EDUACTION
Patient education
Britnie Greene
Dr.Gigliotti
MHA/560
April 2, 2021
Patient education
During the implementations and the execution of various activities and mandates in the healthcare industry, there are important aspects and circumstances that have great contributions in the welfare and the success of the respective executions and implementations realize din the particular environments (Anderson et.al 2017) Among the aspects that benefit from the implementation of the particular strategies include the reduction in cost and the improvement of the general services offered in healthcare institutions. The implementations realized include patient education, where the staff and personnel in charge of various implementations and activities in the healthcare institutions are educated and trained on the most efficient and successful manner sand ways to treat and accord the required and the effective services to their particular customers (Yen, 2019). The training and education on various implementations and requirements from the specific healthcare workers help to achieve the best ways and means to implement and relay the required services in the most convenient and customer friendly way while evading unnecessary costs.
Patient education helps to achieve effective implementations and execution of various activities and protocols in the most efficient and costless manner, where the end result services realized are commendable and of relatively cheap and affordable process. The education dwells on the maximization and effective use of every resources in the healthcare industry for the greatest benefit possible., thus cutting unnecessary costs in various aspects (Labrique et. Al 2018). Among the practices that can be implemented in the initiative include the implementation of IT and modern technology in various aspects and procedures related to the patient education in every healthcare facility. Such implementations and practices help to improve the efficiency and the reliability of the respective services in aspects such as time management, cost cutting and other various aspects.
Reference
Anderson, L., Brown, J. P., Clark, A. M., Dalal, H., Rossau, H. K. K., Bridges, C., & Taylor, R. S. (2017). Patient education in the management of coronary heart disease. Cochrane Database of Systematic Reviews, (6).
Yen, P. H., & Leasure, A. R. (2019). Use and effectiveness of the teach-back method in patient education and health outcomes. Federal Practitioner, 36(6), 284.
Labrique, A. B., Wadhwani, C., Williams, K. A., Lamptey, P., Hesp, C., Luk, R., & Aerts, A. (2018). Best practices in scaling digital health in low and middle income countries. Globalization and health, 14(1), 1-8.
Running Head: SUSTAINABILITY INITIATIVES
1
SUSTAINABILITY INITIATIVES
2
SUSTAINABILITY INITIATIVES
Britnie Greene
Dr.Gigliotti
MHA/560
April 2, 2021
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INITIATIVES 1
Initiatives
Britnie Greene
Dr.Gigliotti
MHA/560
March 26, 2021
Initiatives
A sustainability initiative focuses on meeting the present needs while still not impeding the capability of the people in the future to meet their necessitates and can be environmental, economic, or social initiatives. My initiative is environmental as it seeks to reduce waste in nursing homes through reformulating surgical kits. The articles I referenced were from
www.asahq.org
and
www.wastecare.com
.
The best practices for redeveloping surgical kits are managing the flow of fresh gas, surplus stream and reprocessing, green conferences and proceedings, use of inhaled anesthetics, OR scheme and management, and anesthesia gear choices. (American Society of Anesthesiologists. (2021). Managers, physicians, and nurses discover huge waste reduction by recognizing equipment that regularly goes unused in procedures and then eliminating them from the predilection card and picklist to avoid needless acquisition and then discarding these supplies. (Matt Kennedy. (2020). This is achieved by picking one regular procedure’s set and tracing outcomes, recognizing disposable objects within the kits that are seldom used, working together with sellers to acquire alternate products that are reusable and, establishing a response system to allow the OR team to report back on what is effective and what is not.
References
American Society of Anesthesiologists. (2021). Greening the operating room. Retrieved from
https://www.asahq.org/about-asa/governance-and-committees/asa-committees/committee-on-equipment-and-facilities/environmental-sustainability/greening-the-operating-room
.
Matt Kennedy. (2020). Waste reduction and recycling tips for nursing homes. Retrieved https://www.wastecare.com/Articles/Waste_Reduction_Recycling_Tips_Nursing_Homes.htm
