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Analysis United Kingdom And United States Healthcare, Joyce K. Kutin Jan 2013

Analysis United Kingdom And United States Healthcare, Joyce K. Kutin

Joyce K Kutin RN, MSN, MOL

United Kingdom and the United States are two dissimilar health systems each having uniquely differing focuses, where the primary differences are a parliamentary verses a republic government application toward the socioeconomic requirements of the populace. The United Kingdom’s National Health Service interprets health care as a public service rather than the commodity. The United States healthcare system is riddled with disparities regarding quality, access and cost. The socioeconomic poor and or homeless are less likely to utilize the healthcare system when compared to others who are more fortunate. Health care systems are facing the same challenges around the world with …


Retention Of New Graduate Gen Y Nurses, Joyce K. Kutin Jan 2013

Retention Of New Graduate Gen Y Nurses, Joyce K. Kutin

Joyce K Kutin RN, MSN, MOL

The purpose of this paper is to review the research of new residency programs on Generation Y retention and the quality implications that influence the organization. General orientation of all nurses upon hire has been the standard practice with preceptoring of senior nurses from the individual units. The process of each unit’s orientation and standards was different without respect to the individual nurse’s experience. Prior to the implementation of the Nurse Residency program for new graduate generation y nurses, the turnover rate within the first year was greater than 50 percent. Health care organizations and their leaders need to anticipate …


Intergrative Review Of Palliative Care In End Stage Heart Failure, Joyce K. Kutin Jan 2013

Intergrative Review Of Palliative Care In End Stage Heart Failure, Joyce K. Kutin

Joyce K Kutin RN, MSN, MOL

The aim of this integrative literature review is to explore and discuss palliative care placement within the trajectory of heart failure in the end stage process. After an extensive search through 200 peer-reviewed studies published from 2009-2013 in the following databases: CINAHL, Academic Search Elite, Health Source Consumer Source Edition, Health Source: Nursing/Academic Edition, MEDLINE, Academic Collection (EBSCOhost), seven articles meeting the constraints were chosen.. Common themes of these studies concern symptom management, medication administration, and decision-making tools for assessing patient centered needs and future research regarding effective implementation of palliative care integration in end stage heart failure patients. Nurses …


Four Distinct Generations Of Workers Makes Leadership Challenging, Joyce K. Kutin Dec 2011

Four Distinct Generations Of Workers Makes Leadership Challenging, Joyce K. Kutin

Joyce K Kutin RN, MSN, MOL

The Bureau of Labor Statistics for the year 2000 stated that Baby Boomers (age thirty-six through fifty-four) represented fifty percent of the United States labor force while Generation X (age twenty to thirty-five) represented some thirty-three percent, a significant decline in workforce. This demographic, time bomb indicates the urgency for many organizations in developed countries to prepare for and cope with the imminent retirement of their aging workforce.


Leaders Of Today Are Challenged By Generation X Workforce Retention, Joyce K. Kutin Sep 2011

Leaders Of Today Are Challenged By Generation X Workforce Retention, Joyce K. Kutin

Joyce K Kutin RN, MSN, MOL

Many organizations today are comprised of a culturally diverse workforce. In addition to organizational diversity related to gender, ethnicity, race, or religious beliefs, there are also four different generations working side by side. Today’s workforce includes the Silent Generation, the Baby Boomers, Generation X, and Generation Y. The Silent Generation is known for their lifestyle approach of consistency, uniformity, conformity, law and order, hard work and playing by the rules. Baby Boomers were the first generation to grow up with television; they were the first to have broad access to news, issues, advertising, and a variety of programming. Generation X …