The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature.
SOCIAL DETERMINANTS OF HEALTH
Introduction: Use Walden White paper or the CDC
According to the Centers for Disease Control and Prevention (2022), “Social determinants of health (SDOH) are the nonmedical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life… SDOH are one of three priority areas for Healthy People 2030, along with health equity and health literacy. Healthy People 2030 sets data-driven national objectives in five key areas of SDOH: healthcare access and quality, education access and quality, social and community context, economic stability, and neighborhood and built environment. Some examples of SDOH included in Healthy People 2030 are safe housing, transportation, and neighborhoods; polluted air and water; and access to nutritious foods and physical health opportunities”.
https://www.cdc.gov/about/sdoh/index.html
To Prepare:
· Reflect on the concept of social determinants of health as presented in the resources.
· Contemplate whether digital inclusion or broadband access should be added to the 5 key areas of social determinants of health.
· Using the optional outside resources or other peer reviewed journal articles, consider how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health.
Post a description of your views on whether or not digital inclusion or broadband access should be added as a key area to the social determinants of health. Be specific and provide examples that support your position. Explain how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health. Support your explanation with the required or optional resources.
LEARNING RESOURCES
· McGonigle, D., & Mastrian, K. G. (2022).
Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
· Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 293–316)
· Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)
· Chapter 16, “Patient Engagement and Connected Health” (pp. 357–378)
· Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 383–397)
· Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 403–432)
· Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020).
Broadband internet access is a social determinant of health!Links to an external site..
American Journal of Public Health,
110(8), 1123-1125. https://doi.org/10.2105/AJPH.2020.305784
· Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017).
Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study
Download Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study.
Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449
· HealthIT.gov. (2018c).
What is an electronic health record (EHR)?Links to an external site.
Retrieved from
https://www.healthit.gov/faq/what-electronic-health-record-ehr
· Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018).
Leveraging interactive patient care technology to Improve pain management engagementLinks to an external site..
Pain Management Nursing, 19(3), 212–221.
· Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021).
Digital inclusion as a social determinant of healthLinks to an external site..
NPJ Digital Medicine,
4(1), 52. https://doi.org/10.1038/s41746-021-00413-8
· Skiba, D. (2017).
Evaluation tools to appraise social media and mobile applicationsLinks to an external site..
Informatics, 4(3), 32–40.
· Sharma, P., & Patten, C. A. (2022).
A need for digitally inclusive health care service in the United States: Recommendations for clinicians and health care systemsLinks to an external site..
Permanente Journal,
26(3). https://doi.org/10.7812/TPP/21.156
Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities, and you may need to discuss the other diseases impact on the pathophysiology and care of the patient. Three (3) resources after 2008 are required along with APA format. Add questions to paper
CASE STUDY:
Asthma
Patient Profile:
Miss Winters, age 25, comes to the emergency department with severe wheezing, dyspnea, and anxiety. She was in the ED only 6 hours ago with an acute asthma attack, which resolved with nebulized albuteral treatments.
Subjective Data:
-Admits to use of albuterol inhaler several times weekly for the last few months
-Asthma symptoms occasionally awaken her at night (about 3 times a week), and she has cancelled several outings with her family due to her symptoms
-Can now only speak in one to three word sentences
-Is allergic to cigarette smoke
-Began to experience increased shortness of breath and chest tightness when she returned home
-Used albuterol inhaler repeatedly at home without relief
-History of pruritic skin lesions that have come and gone since childhood.
Objective Data:
Physical Examination:
-Using accessory muscles to breath
-Audible inspiratory and expiratory wheezing to auscultation with no air movement in lower lobes of l
lungs
-HR = 126/min; Resp = 40/min
-Areas of dry, scaling skin in antecubital areas bilaterally with evidence of scratching
Diagnostic Studies:
ABGs: PO2 = 80 mm Hg
PCO2 = 35mm Hg
HCO3 = 24 mEq/L
pH = 7.48
PEFR: 150 L/min (Personal best: 400 L/min)
Continuous pulse oximetry: 82-85
CRITICAL THINKING QUESTIONS:
1. Why did Ms. W. return to the ED? Explain the pathophysiology of this second exacerbation of asthma.
2. Describe the progression of breath sounds auscultated from early in an asthma attack through very severe respiratory impairment. How do the sounds change as the patient improves?
3. What is the significance of her dry, scaling, pruritic skin lesions? What is your diagnosis (no nursing dx please)? How do these types of lesions relate to asthma? What is their physiologic cause ?
4. Analyze the ABG. What type of acid-base disorder is present? Why? Is there any compensation?
5. Discuss the four categories of asthma diagnosis advocated in the
Guidelines for the Diagnosis and Management of Asthma from the National Heart, Lung, and Blood Institute of the National Institutes of Health. Which classification best describes Ms. W.'s asthma?
6. According to the asthma treatment guidelines from #5: the “Step up-Step down” approach, what is the recommended treatment strategy for a patient currently at Ms. W.’s classification level once this current exacerbation is controlled? When would it be appropriate to reevaluate the interventions and possibly adjust the medications?
7. She lost her Peak Flow meter during a recent house move. Why would you want to order a new one for her? How is it used and how can it help increase her ability to control her asthma? Explain the red, yellow, and green zones. What is the significance of her PEFR level on her return to the Emergency Room?
By providing access to data-driven insights, supporting evidence-based practice, and streamlining healthcare workflows, health informatics plays a critical role in advancing nurse expertise and promoting patient care. It gives nurses the ability to make educated decisions, interact with patients, and contribute to the continual development of healthcare service.
Health informatics systems enable nurses to collect, store, and manage patient data efficiently. Electronic health records (EHRs) provide a centralized repository for patient information, making it easily accessible and reducing the risk of errors associated with paper records. Informatics is used by CDSSs to deliver evidence-based recommendations at the point of care. These technologies enable nurses to make more educated decisions regarding drugs, treatments, and interventions, ultimately increasing patient safety and results. Being honest i can say im good in general informatics, but when applying that knowledge to nursing i think i need to improve my skills. I'm positive i can start improving with the knowledge i will get from this course.
Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The role of nursing informatics on promoting quality of health care and the need for appropriate education.
Global journal of health science,
6(6), 11–18.
https://doi.org/10.5539/gjhs.v6n6p11
Staggers, N., & Thompson, C. B. (2002). The evolution of definitions for nursing informatics: a critical analysis and revised definition.
Journal of the American Medical Informatics Association : JAMIA,
9(3), 255–261. https://doi.org/10.1197/jamia.m0946
Reply
Angela Antonczak
10/17/23, 11:38 PM
Top of Form
Diet and weight control play a crucial role in health to stop risks for chronic diseases like diabetes. When you maintain a healthy diet full of essential nutrients and vitamins by eating an adequate amount of healthy foods the risk of any development of chronic diseases reduce. (The center of diseases (2018). The cardiovascular system is a major contributor for your body and eating more fruits and vegetables can help with maintaining a healthy heart. Exercise is very important for the body to maintain a healthy body weight status. Based on EBP, when you maintain a healthy lifestyle and get your essential daily intake in control the risks of becoming obese is very low. Developing a healthy lifestyle with good nutritional values helps the body with development over time as everybody ages. A lot of Americans and culture driven like the Hispanic people are becoming obese by following a high calorie, high processed foods, and a high sugar intake diet. People who drink pop, eat deli meats, cookies, and cakes are becoming overweight and developing diabetes and have hypertension. This is so important that we start to understand the importance of exercise, eating a balanced healthy meal containing vitamins and nutrients that break down fats from high sugars or processed foods. If we have a understanding about how we can make healthy lifestyle choices by eating right and maintaining a healthy weight status then we can lower any risk favors due to obesity and/or other chronic diseases.
Mixed methods research designs combine quantitative and qualitative research methods to answer research questions requiring both perspectives. Describe the pros and cons of a mixed method research design. Please include 400 words in your initial post with two scholarly references
Resources to use:
To Prepare:
Post your response to the discussion question: Consider a population health topic that rises to the presidential agenda level. Which social determinant most affects this health issue? How did two recent presidents handle the problem? What would you do differently?
taking into account internal and external criticism that is used to evaluate mid-range theories or their use in research. critique Self-Efficacy theory using the internal and external critique evaluation process
Please see the attachment for instructions
Sandra is a 27-year-old female admitted with a possible Deep Vein Thrombosis (DVT). She smokes one pack per day and is on birth control. She has a history of hypertension and obesity. She is admitted to the hospital and placed on bedrest. Heparin drip is started per protocol. The Provider is anticipating on sending her home with Coumadin.
