Monthly Archives: May 2023

View the scenario called “Critical Decision Making for Providers” found in the Allied Health Community media.

In a 1,000-1,250-word paper, examine the scenario involving Mike, the lab technician, and discuss the following:

1. Discuss the consequences of a failure to report.
2. Explain the impact his decision had on patient safety and organizational performance (risk for litigation, organization’s quality metrics, workload of other hospital departments, etc.).
3. As Mike’s manager, describe how you would address the issue with him and steps you would take to ensure other staff members do not repeat the same kind of mistake.
4. Reflect on the scenario and describe what underlying aspects or issues may be contributing to workplace dilemmas such as this.
5. Consider the manner in which most health care organizations function (structure, people, technology, environment). As a leader, discuss what principles of organizational behavior and development can be applied to effectively contribute to the success of a health care organization. How could these principles be applied to this scenario?

A minimum of three academic references from credible sources are required for this assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

Formulate one new comment of your own. It must be a logical and thoughtful response that synthesizes the comments of at least 3 classmates into one comment. Be sure to synthesize; do not simply reply to each of the 3 classmates.

1. Ashley Homme posted Sep 24, 2020 5:48 AMSubscribe

The United States is one of many developed countries. Based on the Commonwealth Fund (2017), the US is ranked last on performance and access, even though they spend the most on healthcare each year. The Commonwealth Fund (2017) has also outlined ranking of other countries compared to the US in 5 categories: care process, access, administration efficiency, equity, and health care outcomes. As mentioned above, the United States spends significantly more each year on healthcare. According to data charts, in 2014 the US spent about 16.5% of their yearly budget on healthcare. That same year, Switzerland was a close second with 11.4%, followed by Sweden, France, and then Germany (The Commonwealth Fund, 2017). With 11 countries total, the US ranked 11th for overall healthcare system performance. The top country for overall performance was the United Kingdom followed by Australia. The care process was the first of the five categories. The United Kingdom was ranked first and the United States was ranked at number (The Commonwealth Fund, 2017)5. The US fell last in access to care. The first with the best access was the Netherlands. Administrative efficiency was highest in Australia and the US was the 10 (The Commonwealth Fund, 2017). Equity showed up best in the UK and the US was last. Finally, Australia was first in health care outcomes and the US was, once again, last (The Commonwealth Fund, 2017). In Australia and the UK, healthcare spending was lower while also offering better quality healthcare performance. Even with lower costs, these countries came in first for overall, compared to the US that spent a lot on healthcare with poor quality. This goes to show that spending more on healthcare does not directly correlate to better healthcare rendered to the persons. 

The Commonwealth Fund. (2017). Mirror, Mirror 2017: International Comparison Reflects Flaws and Opportunities for Better U.S. Health Care. Retrieved September 21, 2020, from https://interactives.commonwealthfund.org/2017/july/mirror-mirror/

2. It is not a shock that the U.S. spends more on healthcare than any other country because of new and emerging technology in the country, but the U.S is currently ranked last in health care system performance and acquires poorer health. Schneider et al. (2014) state that “poor access to primary care has contributed to inadequate prevention and management of chronic diseases, delayed diagnoses, incomplete adherence to treatments, wasteful overuse of drugs and technologies, and coordination and safety problems” (para 2). Overall, the U.K. ranks the highest in system performance, ranking number 1 in the care process and equity, and number 3 in access and administrative efficiency; although it is ranked number 10 in health care outcomes, one less than the U.S. Schneider et al. (2014) mentions, “in contrast to the U.S., over the past decade the U.K. saw a larger decline in mortality amenable to health care (i.e., a greater improvement in the measure) than the other countries studied” and “(the U.S. has had the smallest decline or lowest level of improvement)” (para 22). Thanks to the UK’s National Health Service (NHS), health services are not paid for through insurance premiums and have more government impact on delivering health care, unlike the U.S. The U.S. health care system is unique because the expenditure does not match up to the outcomes in this country, compared to other countries.   

References:

Schneider, E. C., Sharnak, D. O., Squries, D., Shah, A., & Doty, M. M. (2014, July 14). Mirror, Mirror 2017: International Comparison Reflects Flaws and Opportunities for Better U.S. Health Care. Retrieved September 22, 2020, from https://interactives.commonwealthfund.org/2017/july/mirror-mirror/

3. Research shows that the U.S. spends the most money on health care compared to other high-income countries. Although the United States spends more money, United States citizens’ health quality is lower.

The United States is the lowest ranking for overall quality of health out of the eleven high income countries. Canada is ranked number 9 out of 11. The United States and Canada are similar when comparing aspects of their healthcare system. For example, both countries are ranked below average for access to health care, equity, and health care outcomes. Additionally, Canada and the United States are ranked above average for care processes related to prevention, safety, and engagement from patients and doctors. For administrative efficiency, Canada ranks above the average while the U.S. remains below average. (The Commonwealth Fund 2017)

One major difference between Canada and the United States is that Canada provides universal health care and the U.S. does not. Non-citizens living in the United States may not qualify to receive health care. As for Canada, temporary visitors and immigrants are eligible for limited health care benefits. (American Institute of Medical Sciences & Education 2018)

References

American Institute of Medical Sciences & Education. (2020, June 24). US vs Canadian Healthcare: What Are the Differences? Retrieved September 21, 2020, from https://aimseducation.edu/blog/us-vs-canadian-healthcare-differences

The Commonwealth Fund. (2017). Mirror, Mirror 2017: International Comparison Reflects Flaws and Opportunities for Better U.S. Health Care. Retrieved September 21, 2020, from https://interactives.commonwealthfund.org/2017/july/mirror-mirror/

Chapter 24: Palliative and End-of-Life Care

The hospice nurse has a unique role in the provision of end of life services. 

1. Mention important roles (at least 3) of the nurse while providing quality end -of-life care to seriously ill persons and their families. Explain your answer.

Paper to include: Name of the Culture,(Italian)

Country of Origin

Language spoken, include any statically

information,

Nutritional staples of their diet and food

preparation process,

Health Issues / Care / Any cultural challenges

Nursing considerations in caring for client

Traditional / History / Customs

Religious / Beliefs / Values

Family Structure

Each student will have

Create a 3-5-page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you.

Introduction

In your professional life, you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need. For this assessment, you will review the Assessment Topic Areas media piece and select one of the health care problems or issues to research a current health care problem or issue faced by a health care organization that is of interest to you.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
  • Identify academic peer-reviewed journal articles relevant to a health care problem or issue and describe the criteria used for the literature search.
• Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.
  • Assess the credibility and relevance of information sources.
  • Summarize what was learned from developing an annotated bibliography.
  • Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.
• Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.
  • Summarize a health care problem or issue and describe a personal interest in it and experience with it.
  • Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
  • Write following APA style for in-text citations, quotes, and references.

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

For this assessment, research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking.

1. View the Assessment Topic Areas media piece and select one of the health care problems or issues in the media piece to research. Write a brief overview of the selected topic. In your overview:
   • Summarize the health care problem or issue.
   • Describe your interest in the topic.
   • Describe any professional experience you have with this topic.
2. Identify peer-reviewed articles relevant to health care issue or problem.
   • Conduct a search for scholarly or academic peer-reviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. You will select four current scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic.
     • You will want to access the applicable Undergraduate Library Research Guide related to your degree (found at the NHS Learner Success Lab) for tips to help you in your search.
   • Use keywords related to the health care problem or issue you are researching to select relevant articles.
3. Assess the credibility and explain relevance of the information sources you find.
   • Determine if the source is from an academic peer-reviewed journal.
   • Determine if the publication is current.
   • Determine if information in the academic peer-reviewed journal article is still relevant.
4. Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format. Provide rationale for inclusion of each selected article. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:
   • Identify the purpose of the article.
   • Summarize the information.
   • Provide rationale for inclusion of each article.
   • Include the conclusions and findings of the article.
   • Write your annotated bibliography in a paragraph form. The annotated bibliography should be approximately 150 words (1–3 paragraphs) in length.
   • List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography.
   • Make sure the references are listed in alphabetical order, are double-spaced, and use hanging indents.
5. Summarize what you have learned from developing an annotated bibliography.
   • Summarize what you learned from your research in a separate paragraph or two at the end of the paper.
   • List the main points you learned from your research.
   • Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

• Assessment 2 Example [PDF].

Additional Requirements

Your assessment should also meet the following requirements:

• Length: 3–5 typed, double-spaced pages, not including the title page and reference page.
• Font and font size: Times New Roman, 12 point.
• APA template: Use the APA Style Paper Template [DOCX] as the paper format and the APA Style Paper Tutorial [DOCX] for guidance.
• Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
• Content: Provide a title page and reference page following APA style.
• References: Use at least four scholarly or academic peer-reviewed journal articles.
• APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

TOPIC

Short Description:

Consumers face barriers to healthcare access for assorted reasons. For example: due to geographic location, provider availability, transportation issues and mobility.

Potential Intervention Approaches:

• Healthcare information online
• Telemedicine
• In–home healthcare services

Keywords for Articles:

online health information seeking, health care access, health information systems, consumer health information, chronic disease, health information search, health seeking behavior, rural nursing

References:

Bhandari, N. (2014). Seeking health information online: does limited healthcare access matter? Journal of the American Medical Informatics Association: JAMIA (1067-5027), 21 (6), p. 1113. https://www-ncbi-nlm-nih-gov.library.capella.edu/pmc/articles/PMC4215038/

Lee, K., Hoti, K., Hughes, J. D., & Emmerton, L. (2014). Dr Google and the Consumer: A Qualitative Study Exploring the Navigational Needs and Online Health Information-Seeking Behaviors of Consumers with Chronic Health Conditions. Journal of Medical Internet Research, 16(12), e262. http://doi.org.library.capella.edu/10.2196/jmir.3706

Ware, P., Bartlett, S. J., Paré, G., Symeonidis, I., Tannenbaum, C., Bartlett, G., … Ahmed, S. (2017). Using eHealth Technologies: Interests, Preferences, and Concerns of Older Adults. Interactive Journal of Medical Research, 6(1), e3. http://doi.org.library.capella.edu/10.2196/ijmr.4447

Pratt, D. (2015). Telehealth and telemedicine. Albany Law Journal of Science & Technology. (1059-4280), 25 (3), p. 495. http://www.lexisnexis.com.library.capella.edu/hottopics/lnacademic/?shr=t&csi=148364&sr=TITLE(%22Telehealth+telemedicine+in+2015%22)+and+date+is+2015

Formal Research Article Critique Paper

For the critique, choose a faculty approved peer

reviewed article from a journal with a focus on nursing.



Please follow the APA (6 ed.) format, the critique template, and the 

grading rubric

 2-3 pages (not including title page and references

PLEASE USE THE ARTICLE THAT IS ATTACHED

Mike is a 46-year-old who presents with a complaint of “heartburn” for 3 months. He describes the pain as burning and it is located in the epigastric area. The pain improves after he takes an antacid or drinks milk. He has been taking either over-the-counter (OTC) famotidine or ranitidine off and on for the past 2 months and he still has recurring epigastric pain. He has lost 6 lb since his last visit.

Assessment

His examination is unremarkable. His blood pressure (BP) is 118/72. Laboratory values are normal complete blood count (CBC) and a positive serum Helicobacter pylori test.

1. What would you prescribe initially?
2. How long would you prescribe these medications?
3. What other possible meds could you prescribe to assist with the side effects from the medications prescribed?
4. How would the treatment vary if the patient has GERD instead?

Discussion Question 2

List differential diagnosis that would help confirm GERD while ruling out other diagnosis. Which medication is the best medication for treatment of GERD and why? What labs or other diagnostic tests that are used to confirm GERD? Your response should be at least 350 words.

Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics 

4 pages

no plagiarism

Good references

A+ work

What impact has policy had on informatics? Describe the current impact and provide recommendations for future public policy informatics initiatives that would improve patient outcomes and healthcare equality.