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As O’Donnell and Bensky (2011) portray, the core focus is towards addressing the prevailing structural issues that have often hindered optimal outcomes. Optimal outcomes as I perceive, necessarily pertain to aspects such as better health care and lower medical cost/ expenditure. In line with this is the need of the nursing fraternity to aptly adapt to the expected dynamism within the healthcare system. Conformity subsequently necessitates various changes, in line with tackling influential structural issues like utility of contract medical employees, unit restructuring and foreclosure, nursing shortage and turnover rates, staffing ratios, magnet designation, patient satisfaction, and continuous improvement of quality healthcare provision (O’Donnell & Bensky, 2011).
A critical issue amongst the aforementioned would be patient satisfaction in terms of overall treatment and positive result outcomes. Towards tactfully addressing this issue, is the need of overall conformity that necessitates a variety of changes. Definitively, the optimal course of direction is towards evolving healthcare into a more patient-centered profession. In such contexts, optimal healthcare ought to be responsive to and respective of personal preferences, needs and values of the individual patient.
Through this, leadership and management can strategically strive towards ensuring that individual patient values do guide all forms of clinical decisions. Influential in this regard as Bohm (2012) alludes, is the fact that there has long lacked the incorporation of patient-centered care especially in terms of care quality assessments, as well as subsequent health outcomes. Rather, quality measurement has continuously focused on addressing preventive care and disease-specific processes instead.
Similarly, outcome measurement continuously has focused on condition-specific indicators in terms of overall,
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