T2 Advocacy Flashcards
What is advocacy
Changing the policies that affect our lives
frequently used to describe the nurse-client relationship. …
the support of an individual to promote his or her own well-being, as understood by that individual.
preserving human dignity, promoting patient equality, and providing freedom from suffering. It’s also about ensuring that patients have the right to make decisions about their own health.
Barriers to advocating
“I may make someone mad
“They won’t listen to me
“I don’t have time
“I don’t know enough
“ scared - these are VIPs
How to advocate
Define the problem
Find the answer
Identify the target
Create a plan
Implement
Evaluate
Future plans
Legislative advocacy
Patience , perspective
Understand and respect the system
Create relationships
Offer solutions
Recruit champion the do what they tell you
ANA
?
it is important to look at the types of healthcare organizations that exist. Why
Because Most nurses work as employees
Characteristics and Types of Organizations
-Institutional providers: Types of services Length of direct care services Ownership Teaching status Accreditation
Consolidated systems and networks
Ambulatory based
For profit vs non profit organization
Other organizations Community services Subacute facilities Home health Long-term care and residential facilities Hospice Nurse-owned and nurse-organized services Self-help voluntary organizations
-Supportive and ancillary organizations Regulatory agencies Accrediting bodies Third-party financing organizations Pharmaceutical and medical equipment Professional, educational, and training
Organizational relationships
Integration
Acquisitions and mergers
For-Profit vs. Not-For-Profit
Teaching status
Location
Bed size
Corporate affiliation
Controlled by voluntary boards or trustees
Provide care to a mix of paying and nonpaying patients
Excess revenue over expenses is redirected into the organization for maintenance and growth.
Not for profit
Operate with specific intent of earning a profit by providing healthcare services to individuals who can afford to pay.
May receive supplementary funds for special services and research, and to provide assistance for those with catastrophic occurrences.
For profit
What are the forces that drive organizations
Economic
Social
Demographic
With regard to economics,
we read in the papers and in online news that the percentage of the gross domestic product devoted to health care continues to rise. We also see a growing population of people needing healthcare services, whether through survival of people who a century ago would have died, through increased population numbers, or through changes in employment benefits that limit the amount of coverage or direct the conditions under which a health benefit can be used. General factors such as inflation also make wages and products more expensive in health care and thus may influence people in their choices about spending. Finally, a direct reduction in governmental payments influences how organizations can operate.
Social is the next area.
As the baby boomer generation retires, they are likely to become activists about the conditions and quality of services in health care. Patients in general are becoming more proactive and often come with a predetermined diagnosis and treatment plan. The issue of whether health care is a privilege or a right has not been resolved and will continue as a social issue.
Geographic distribution
of the population and of services has long been an issue. The struggle of rural hospitals to survive and the intensity with which rural communities recruit a primary care provider are two examples of how geographic distribution is a force in healthcare delivery. Disparity of care based on income is well documented. The numbers of immigrants in the United States also pose challenges, especially in terms of providing culturally competent care. Increasing numbers of uninsured populations are clustered around particular healthcare provider organizations. Also, we already are aware of the influence of older adults, both from the numbers who will expect services and from their activism.
If you think of a local healthcare organization, you may be able to see how these forces play out directly in shaping the services provided, the hours of access, the costs and availability of products, and so forth.
Theoretical Perspective
- Systems theory
- Chaos theory
-Systems theory Structure Technology People Environment - -Chaos theory Universe filled with unpredictable and random events
Economic Forces Influencing Health Care
Increasing numbers of uninsured patients
Decreasing reimbursement
Social Factors Influencing Health Care
Focus of society that is changing from illness to health (wellness)
Increasing demand by individuals that they participate in designing their own customized care plans
Demographic Factors Influencing Health Care
Increasing percentage of society that is composed of elderly individuals
Increasing percentage of uninsured
Inability of communities to provide access to needed health services
