<p> Duties performed by staff Registered Nurses (RNs), and Nurse Managers (NMs) require a different skill set to be effective. Nursing leadership is responsible for guiding staff RNs in providing quality, effective, and cost-efficient care. Incompetent leadership may lead to decreased retention and negative patient outcomes. Quality nursing leadership positively influences professional development of staff RNs and patient care. A literature review exposed a gap in leadership training that assists new NMs to function independently and efficiently. The purpose of this original basic qualitative study, which employed Husserl and Heidegger&rsquo;s approach of phenomenology, was to explore the experiences of staff RNs who transitioned into the NM role within the last five years and practice in either a small rural hospital or large urban medical center in southeastern North Carolina. Semi-structured interviews using open-ended questions were utilized to collect rich, contextual data until data saturation occurred. Open and axial coding of the data, documented in a code/theme frequency table, facilitated the discovery of central themes within the data including: the benefit of having performed managerial duties while in a staff RN role; leadership training to introduced a broader view of NM responsibilities and techniques needed to accomplish these duties; and a dedicated mentor who provided intimate guidance during the transition. The evidence from this study aligns with the published literature regarding the transition from a staff RN role into a NM role and supports making a proposal to the hospital&rsquo;s administration for a systems-oriented NM training opportunity such as a 90-day nursing leadership orientation that included formal classes on budgeting, common human resource management issues, and how to evaluate staff. This formalized training, in concert with one-on-one mentoring with experienced NM, would ensure a smoother transition from the staff RN role into the NM role and would produce more efficient, more satisfied nursing leadership professionals who are more inclined to stay with the organization that helped their career growth.</p><p>

<p> Through community assessment and health needs analysis of the Central Orange County region, specifically the City of Garden Grove and its 92843 ZIP code neighborhoods, the Health Students Garden Grove (HSGG) seeks to identify and address the physical, mental, and emotional health needs of students and provide a comprehensive, collaborative approach to providing quality health care services. HSGG aims to reduce barriers to care by providing mobile medical clinics at school site throughout Garden Grove Unified School District (GGUSD). This business plan evaluates the feasibility of mobile school-based health clinics within these neighborhoods, with the goal of increasing the health of the student population and the quality of life for all residents of the community.</p><p>

<p> A nurse&rsquo;s job is to tend to the need of those who are unwell and need assistance. With how overwhelming and demanding the job is, it becomes more difficult for a nurse to manage his or her own health. </p><p> As more and more health issues surface and with the increase of population, nurse burnout is on the rise. Never Undervalue Recuperating, Sleeping, and Exercising (N.U.R.S.E.) has been created to assist nurses manage their overall health. N.U.R.S.E. is not only offering distinctive services, but also competitive pricing as the company believes in helping improve the health of caregiver is more important than raising capital gain. N.U.R.S.E. conducted a small sample size survey asking five nurses, with various years of experience, if they believe they would benefit from a program such as N.U.R.S.E., and each one of them said they would benefit this program. </p><p> With the combination of continuous career growth of nurses, low start-up and overhead costs, and being the only organization with these services, the success of the company appears to be positive.</p><p>

<p> Mobile phones especially smart phones have become increasingly more popular over the years. In 2016, the number of mobile phone users worldwide was 4.61 billion and it is projected by 2019 to pass the 5 billion mark. According to the 5^th Annual Makovsky/Kelton &ldquo;Pulse of Online Health&rdquo; Survey, 66 percent of Americans would use a mobile application or &ldquo;app&rdquo; to manage health-related issues. </p><p> The Senior Saver app is a mobile healthcare application targeted to coordinate care for seniors and make transition of care easier and smoother between family members and providers. The Senior Saver app is designed to be the &ldquo;lifesaver&rdquo; helping to save senior lives and saving the family members and providers from extra stress and/or problems.</p><p>

<p> The purpose of this qualitative phenomenological study was to explore emergency nurses&rsquo; perception of patient-initiated violence in eastern Tennessee. Twenty-four rural eastern Tennessee nurses participated in the study. The 24 participants were assigned to one of four gender specific focus groups. The focus groups offered qualitative data associated with the phenomenon. Themes and subthemes emerged from the analysis of participants responses using Colaizzi&rsquo;s (1978) strategies. The responses were segmented and compared to identify similar phrases or words. The data analysis detected five themes. Victimization manifested as participants&rsquo; feelings and a lack of executive leadership support. Re-victimization due to rural nurses&rsquo; continual exposure to patients who previously committed violent acts. A lack of executive leadership support was identified. Self-care deficit resulting from the participants&rsquo; post-exposure symptoms. Distinct gender differences were evident in this study. Implications include exploring an open dialogue between emergency nurses, nursing leadership, and executive leadership to develop policies that support the rural emergency nurse and establish policies that mitigate violence. Gender differences can be explored through individual discussion with emergency leadership leading to an individualized action plan that can foster self-care, employee engagement, and retain staff at the bedside.</p><p>

<p> The medical literature is replete with studies on the issues of quality of care and patient safety. Several initiatives have been undertaken nationally to improve the quality of care and reduce the incidence of in-hospital adverse events. The report <i>Crossing the Quality Chasm: Building a Healthcare System for the 21^st Century</i>, posited to transform the healthcare system and improve the quality of care required a paradigm shift from a paternalistic to a patient-centric healthcare delivery model. It was further reiterated in the report that safety is a systems property and patients should be safe from harms and injuries caused by the system. The report envisioned a retooled, realigned and a coordinated health care delivery system where health information technology (HIT) would provide new and improved channels for information flow and communication between all stakeholders involved in healthcare delivery. To accelerate the adoption of health information technology, the American Recovery and Reinvestment Act (ARRA) of 2009 included a Health Information Technology for Economic and Clinical Health (HITECH) component and $27 billion in incentives for eligible providers and eligible hospitals through the Centers for Medicare and Medicaid Services (CMS). Beginning in 2011, the CMS has paid a total of $35,663,068,148 in incentives to eligible providers and hospitals. Hence, it is essential to evaluate whether this investment in incentives for meeting the requirements for meaningful use has translated into improved outcomes of care in acute care hospitals, which have met the requirements for meaningful use of electronic health record (EHRs). The purpose of this study is to determine the effects of meeting the requirements for meaningful use on clinical outcomes of care in acute care hospitals and to examine if there is a statistically significant difference in the clinical outcomes of care between acute care hospitals, which have met the requirements for meaningful use (MU) and acute care hospitals, which have not met the requirements for meaningful use. </p><p> A cross-sectional descriptive study was conducted to determine the effects of meeting the requirements for meaningful use on the quality and safety of patient care delivered in acute care hospitals in the all fifty states and the District of Columbia. The data, for the study, was obtained from 2014&ndash;2015 CMS Hospital Compare database, CMS EHR Incentive Program, CMS Inpatient Prospective Payment System (IPPS) database, and American Hospital Association (AHA) database. The unit of analysis for the study was acute care hospital. </p><p> Principal Findings: There is a positive association between acute care hospital meeting the requirements for meaningful use and its clinical outcome measures for common conditions (AMI, CHF, &amp;PN) as measured by 30-day readmission and 30-day mortality rates, when controlling for organizational characteristics (size, type, teaching status, and location) and case mix index (CMI). There is also a positive association between an acute care hospital meeting the requirements for MU and patient safety as measured by PSI-90 and hospital-acquired infections (HAI). Two one-way ANOVA test was conducted to measure the difference between groups. The results of the one-way ANOVA did not reveal a main effect of meeting the requirements for meaningful use on quality of care between hospitals, which have met the requirements for meaningful use and acute care hospitals which have not met the requirements for meaningful use. The main effect, MUSTAGE was not significant at the 95% confidence level, <i> F</i>(2, 1647) = 0.94, <i>p</i> = .389, indicating there were no significant differences in Quality by MUSTAGE levels. However, the results of one-way ANOVA for safety were significant, <i>F</i>(2, 2019) = 5.24, <i>p</i> = .005, indicating there were significant differences in patient safety among the levels of MUSTAGE. The eta squared was 0.01 indicating MUSTAGE explains approximately 1% of the variance in patient safety between acute care hospital which has met the requirements for meaningful use, and acute care hospital that has not met the requirements for meaningful use. Conclusions: The HITECH Act and the incentives included for meeting the requirements for meaningful use has promoted increased adoption of advanced capabilities of EHRs to meet the requirements for MU2 as the majority of the hospitals in the United States had met the requirements for MU2 in 2016. This increase in the adoption and use of EHRs had a positive effect on quality of care and patient safety. The increase in the adoption and use of EHRs has also led to the increased creation of structured and standardized medical records which will be easier to exchange with providers involved in care. (Abstract shortened by ProQuest.) </p><p>

<p> More than one third of all Americans are obese, causing a myriad of health ailments that put excessive strains upon the U.S. healthcare system. It is estimated that medical costs attributed to these health complications such as heart disease, stroke and diabetes, are nearly $150 billion dollars. These statistics, along with the increasing amount of older adults due to the aging Baby Boomer generation, will only continue to increase these costs. Fitness initiatives are instrumental in lowering the rates of obesity and increasing overall health and wellness for these individuals. </p><p> Long Beach Mobile Fitness, LLC will provide on-site athletic training services to assisted living communities and business districts that provide adapted CrossFit techniques, along with other athletic training programming to clients within the City of Long Beach and the surrounding areas. Low start-up and monthly costs, along with the ease of transporting a mobile gym facility, allows Long Beach Mobile Fitness, LLC the flexibility to provide fitness programming to a wide range of clientele with ease.</p><p>

<p>ABSTRACT The current increase in the population of older adults has created a high demand for more informal caregivers. Informal caregivers complain of many problems in providing care including psychological stresses and anxieties, as well as physical, emotional, financial, and other social burdens. The purpose of this phenomenological study was to understand and describe the essence of the lived experiences of informal caregivers. The study was also intended to make health professionals and policy makers aware of such problems. The study adopted a qualitative methodology and a hermeneutical phenomenological design. Purposeful sampling was used in selecting participants with informal caregiving experience. Eleven informal caregivers were interviewed via telephone for data collection. Data was analyzed using Nvivo 11 for the identification and description of patterns and themes from the perspectives of participants. Eight themes that emerged from data analysis were: (a) Gender, many females engaging in caregiving, (b) Caregivers feeling stressful, (c) Love played a crucial role in caregiving, (d) Need for training for caregivers, (e) Being cared for by loved family members, (f) Impacts on job performance, (g) Living arrangements between caregiver and care receiver, and (h) Lack of support from family, community or state agencies. The conclusions focused on the need for support to informal caregivers such as caregiver training, adult day care services, care leave or respite care, increased access to services, care payments, and expansion in the informal caregiver workforce.

<p> Due to the mounting rate of patients suffering from PTSD starting at a young age, there have been many studies and guidelines to help improve the conditions of these patients. Though there are many hospitals focusing on treatment of patients suffering from mental diseases, none of these hospitals or clinics concentrate on the welfare of the children suffering from PTSD specifically. The business plan discussed here addresses this concern. It is a healing center &ldquo;Golden Circle&rdquo; providing care and treatment to young adults aged between 13&ndash;25 years suffering from PTSD especially after road traffic accidents located in Los Angeles County. Golden Circle business plan is proposed to help identify the market trends and areas of concern by studying the company analysis, market potential and demand, competitor analysis, customer analysis, marketing strategy, feasibility and SWOT analysis, legal and regulatory issues and finally the financial analysis. Golden Circle is anticipated to help the society as well as generate good profit.</p><p>

<p> The rigors of labor and childbirth are incredibly demanding on the mother's body physically, emotionally, and psychology. Most new mothers deliver in a hospital setting where they are discharged after approximately two days. However, the mother's health and well-being does not improve that drastically within those two days of post-delivery recovery. Common struggles that new mothers face include postpartum depression, intimate partner violence, mood and body changes, as well as nutrition and sleep deprivation. Therefore, it is not only important to be attentive to the newborn but to the mother's recuperation as she adjusts to postnatal life. While there are many options for new mothers to deliver their baby through hospitals or birth centers, there is a lack of postnatal care facilities in comparison. </p><p> Pamper Partum, LLC is a private company with an organizational mission to offer quality service and care that eases the transition to motherhood, to empower a new mother through education and community support, and to reduce any preventable risks associated with the postnatal period. Pamper Partum, LLC is an all-inclusive healthcare facility that provides services such as breastfeeding assistance, peer-support groups, private counseling, nutrition, general health care, and 24/7 infant monitoring in a state-of-the-art nursery. Pamper Partum, LLC will seek to be the first postnatal care facility that serves Orange County.</p><p>