Tag: Health Medical

I’m studying for my Health & Medical class and need an explanation.

• Identify two to three scholarly resources, that evaluate the impact of leadership behaviors in creating healthy work environments.
• Reflect on the leadership behaviors presented in the three resources that you selected for review.

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course.

By Day 3 of Week 4

Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

Diane was an 80-year-old resident who was returning to the nursing home from the hospital following a left hip fracture on Friday evening. She has a history of congestive heart failure with frequent exacerbations. Her hospital discharge medication list was different than the prior medication list at the nursing home, specifically relating to her Lasix prescription. Diane was already taking Lasix at the nursing home before her hip fracture. All of her medication orders were transcribed by hand onto a new medication administration record (MAR). The old MAR, prior to the hospital stay, was not removed. The nurse checked Diane’s new orders and wrote “repeat” next to the new Lasix order and yellowed out the line. She was interrupted and was not able to finish reviewing the orders so she asked another nurse to review it for her. The second nurse reviewed the order and saw that the old MAR was still there. She removed the old MAR and finished reviewing the new MAR.

On Sunday, the medication nurse passed meds for Diane, as she had done for the past three days. She saw the yellowed line through the Lasix order and thought that the medication had been discontinued. She sent the medication back to pharmacy. Pharmacy picked up the medication on Monday. On Monday, it was noted that Diane weighed three pounds more since being discharged from the hospital. The nurse recorded the weight and placed a call to the physician, who failed to respond. At 2:00 a.m. Tuesday morning, Diane began to have difficulty breathing. Assessment findings included +4 pitting edema, a BP of 190/110, a HR of 120, and respirations at 28. Crackles were heard through her lungs. The on-call physician was consulted and an order was placed to transfer Diane back to the hospital. She went into cardiac arrest while waiting for the ambulance and was not able to be resuscitated.

Provide your risk analysis for this event. Develop an action plan for the prevention of events like this one in the future. Which theory or model would you apply in developing your action plan?

Each student will post an example of a system ‘workaround’ to this page. When explaining the ‘workaround’ please post a specific example(s) of what you have experienced or what you have seen happen in your institution and/or clinical experience.

When reply to your classmates include the following:

• How work flow influences the posted ‘workaround’.
• How the ‘workaround’ impacts patient safety.
• List any potential ‘fixes’ to the ‘workaround’.

As always, make sure your reply is supported with evidence and cited correctly (i.e. textbook, journal articles, etc)

I’m working on a nursing discussion question and need a sample draft to help me understand better.

Healthcare is an ever-changing business that is constantly adapting new research and evidence-based practice to better suit the needs of the patients as well as staff. There are many competing needs and limited resources associated with healthcare that can help shape the development of a healthcare policy. A large competing need of healthcare is the cost of healthcare services and the access to healthcare, following the start and continuing of the COVID-19 pandemic.

Healthcare policy development is largely shaped by the field of nursing. Nurses are the front-line workers in the field of healthcare and can stand as nurse leaders, giving new ideas and ways to do things more efficiently and effectively (Thomas, Seifert, & Joyner, 2016). Innovative ideas are to be used to improve the quality of care being delivered to patients as well as being able to utilize advancing health technologies and developing healthcare polices to provide evidence-based patient-centered care (Thomas, Seifert, & Joyner, 2016).

The national healthcare stressor I am choosing to identify for this discussion post is technology disruption related to telemedicine. Technology disruption related to telemedicine has multiple challenges and competing needs that stand in the way of delivering healthcare services. Some of these competing needs related to telemedicine include lack of education to staff members, lack of patient’s technical skills while using telemedicine, privacy concerns for protected medical information, the expensive cost of telemedicine services as well as the difficulty with insurance reimbursement for services (Lustig, 2012). Lack of education for the staff as well as lack of technical skills (such as lack of broadband internet services) to set up telemedicine is a huge barrier that first must be addressed in order to utilize telemedicine to its full potential.

Nursing burnout is another huge competing factor that can impact the development of health policy (Mudallal et al., 2017). In my field of work, we are feeling the effects of the ongoing health pandemic related to burnout and it affects patient-care in a negative way (Mudallal et al., 2017). The shortage of nurses affects the development of health care policy as well as the amount of effort and concern that nurses have for the desired subject. However, on the other hand, nurse burnout is a major reason that I want to get involved in health policy as a nurse; I feel that due to the overwhelming demands that have been placed on the shoulders of nurses since the pandemic, it has made me want to be involved more in my organization’s healthcare policy development, in order to attempt to make things better for the staff. Having a policy developed about how to use telemedicine with the regulations for reimbursement and education for the staff who are using this technology included will help to address competing needs that arise with the use of telemedicine.

Potential next steps for healthcare workers and policy makers are the involvement across federal and private programs (Mudallal et al., 2017). Areas lacking in broadband connectivity need further assessment and development in order to adequately utilize telemedicine (Mudallal et al., 2017).

References

Lustig, T. A. (2012). The role of telehealth in an evolving health care environment: workshop summary. NCBI. National Academies Press. https://www.ncbi.nlm.nih.gov/books/NBK207146/.

Mudallal, R. H., Othman, W. M., & Al Hassan, N. F. (2017). Nurses’ Burnout: The Influence of Leader Empowering Behaviors, Work Conditions, and Demographic Traits. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 54, 004695801772494. https://doi.org/10.1177/0046958017724944

Thomas, T. W., Seifert, P. C., & Joyner, J. C. (2016). Registered Nurses Leading Innovative Changes. Online Journal of Issues in Nursing, 21(3). https://doi.org/10.3912/OJIN.Vol21No03Man03

Hearing & Eye Age-Related Diseases 

After studying Module 5: Lecture Materials & Resources, discuss the following:

• Define presbycusis, name signs and symptoms, etiology and differential diagnosis.
• Create 3 interventions-education measures with a patient with Presbycusis.
• List, define and elaborate on three different retinal and macular diseases age-related.

Directions: Healthcare policy impacts nursing professionals and the broader public. Regardless of where the registered nurse practices, healthcare policy is an important aspect of professional nursing and guides how nurses will practice, “amplifies the views of nursing, and educates consumers and decision-makers” (American Nurses Association, n.d.).

For this assignment, you will review and analyze one of the ANA Official Position Statements

My selected topic is

• Drug and Alcohol Abuse
  • Abuse of Prescription Drugs

Visit http://www.aha.org/advocacy-issues/communicatingpts/pt-care-partnership.shtml and review the American Hospital Association’s Patients’ Bill of Rights .

Instructions:

Discuss how health care professionals can ensure that patients’ rights are upheld and protected.

Use APA , Word limit 500 words, Please Reply to at least two other student posts like if you were responding to your same reflection of their response.

What factors must be assessed when critically appraising quantitative studies (e.g., validity, reliability, and applicability)? Which is the most important? Why?