Measures to Prevent Cancere
due 10- 6-23 @ 10 am
due 10- 6-23 @ 10 am
ACOG Practice Guideline # 4 & 5
Clinical Presentation of topic/ issue
Diagnosing ( labs, diagnostics, & why)
Management options
Discussion 10 minutes – notes to read
Imagine that over the past few months you have participated in several organizational projects and met many new people. The opportunities to collaborate and demonstrate your emerging skills as a leader prompted you to think about applying for a new position. After exploring online job postings, you prepared a resume and submitted the application to Western Medical Enterprises. A few days later you received the following email:
Dear applicant, Thank you for your interest in employment at Western Medical Enterprises. We have received your application packet. The next step for all potential employees is to provide a narrative response to the questions in the attached document. Please return your completed document to me by replying to this email. Once we receive your responses, we will review them and notify you of the next steps. Good luck! Sincerely, Thomas Hardy Human Resources Recruiter Western Medical Enterprises
Respond to the scenario by completing the Western Medical Enterprises Questionnaire [DOCX]. Be sure to follow the prompts in the document and, when complete, submit it for this assignment.You will use one of the following to complete Section 2 of the questionnaire:
For this assessment, you will create a 2-4 page plan proposal for an interprofessional team to collaborate and work toward driving improvements in the organizational issue you identified in the second assessment.
Collapse All
The health care industry is always striving to improve patient outcomes and attain organizational goals. Nurses can play a critical role in achieving these goals; one way to encourage nurse participation in larger organizational efforts is to create a shared vision and team goals (Mulvale et al., 2016). Participation in interdisciplinary teams can also offer nurses opportunities to share their expertise and leadership skills, fostering a sense of ownership and collegiality.
You are encouraged to complete the Budgeting for Nurses activity before you develop the plan proposal. The activity consists of seven questions that will allow you the opportunity to check your knowledge of budgeting basics and as well as the value of financial resource management. The information gained from completing this formative will promote success with the Interdisciplinary Plan Proposal. Completing this activity also demonstrates your engagement in the course, requires just a few minutes of your time, and is not graded.
Mulvale, G., Embrett, M., & Shaghayegh, D. R. (2016). ‘Gearing up’ to improve interprofessional collaboration in primary care: A systematic review and conceptual framework. BMC Family Practice, 17.
This assessment will allow you to describe a plan proposal that includes an analysis of best practices of interprofessional collaboration, change theory, leadership strategies, and organizational resources with a financial budget that can be used to solve the problem identified through the interview you conducted in the prior assessment.
Having reviewed the information gleaned from your professional interview and identified the issue, you will determine and present an objective for an interdisciplinary intervention to address the issue.
Note: You will not be expected to implement the plan during this course. However, the plan should be evidence-based and realistic within the context of the issue and your interviewee’s organization.
For this assessment, use the context of the organization where you conducted your interview to develop a viable plan for an interdisciplinary team to address the issue you identified. Define a specific patient or organizational outcome or objective based on the information gathered in your interview.
The goal of this assessment is to clearly lay out the improvement objective for your planned interdisciplinary intervention of the issue you identified. Additionally, be sure to further build on the leadership, change, and collaboration research you completed in the previous assessment. Look for specific, real-world ways in which those strategies and best practices could be applied to encourage buy-in for the plan or facilitate the implementation of the plan for the best possible outcome.
Using the Interdisciplinary Plan Proposal Template [DOCX] Download Interdisciplinary Plan Proposal Template [DOCX]will help you stay organized and concise. As you complete each section of the template, make sure you apply APA format to in-text citations for the evidence and best practices that inform your plan, as well as the reference list at the end.
Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.
Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Home-Based Telemental Health Care Act of 2023
The role of policy in health is inseparable. Politics significantly dictate an array of interventions in healthcare. The government incorporates the population’s power bestowed upon them to produce policies that influence public health interventions to safeguard a community’s health and welfare. Most recently, on 30th March 2023, the Senate introduced the Home-Based Telemental Health Care Act of 2023 (Congress.gov, n.d.). The bill aims to protect and improve the mental wellness of underserved individuals in the suburban regions who depend on income from farming, fishing, and forestry. This bill establishes grants to support the development of mental health and substance use services within rural regions. According to Mongelli et al. (2020), underserved individuals in the United States face various challenges to access mental health services, including social stigma, unavailable mental health units and services, inaccessible hospitals, unaffordable services, lack of medical insurance, and delays in treatment. Mental health and wellness are a basic need and a public health concern globally. Therefore, necessary efforts toward ensuring healthcare for all and reducing disparities in access are crucial.
The significant social determinants of health impacting the populations in the proposed Home-Based Telemental Health Care Act bill are economic instability, lack of education, lack of support system, and inefficient healthcare services. People living in rural areas are likely to have inadequate healthcare services owing to the limited number of clinicians willing to provide services to the region and low socioeconomic status (Coombs et al., 2021). Thus, in the event of sickness, they are predisposed to delays in accessing health services due to limited funds, lack of health insurance, long travel costs, and hours in search of appropriate care facilities.
Telehealth adoption in healthcare is extensive to narrow the barriers to access. Research by McBain et al. (2023) found that telehealth significantly improved access to specialized health services and mental health treatment in the United States during the COVID-19 pandemic, where in-person services were unavailable. Results in this study demonstrate that the intergration of telehealth to promote rural healthcare areas can result in a marked expansion of mental health and substance use services, bypassing the avoidable travel and expensive treatment costs and time wastage. Hence, supporting the Home-Based Telemental Health Care Act will significantly impact the health outcomes of individuals living in rural areas with blue-collar jobs.
Respond to this by either supporting or respectfully challenging this explanation on whether there is an evidence base to support the proposed health policy they described.
The surrogate role is not one that is frequently mentioned in recent nursing practice literature. Is that role as defined by Peplau relevant to nursing practice as currently experienced. If so, in what way. If not, why?
400 word, 1 reference
Hospitals have noises that are buzzing day and night. Emergency Rooms, ICU’s and monitored patient floors to mention a few, have high rates of noise saturation. The most common attribution to the noise is alarms. Alarms are designed to alert staff of a change or potential change in patient status (Hebda et al., 2019). Often, the alarm going off is false or has no patient threat. This is due to parameters not being set, patches not sticking, or positioning of a sensor. This can cause alarm fatigue, “The desensitization of a clinician to an alarm stimulus that results from sensory overload causing the response of an alarm to be delayed or missed” (West et al., 2014).
The result of alarm fatigue can lead to harmful patient situations. For example, if a nurse on a busy med-surg floor has several patients on beds with alarms, patients with IV pumps infusing and on telemetry monitoring, the alarm noise from all the devices could cause the nurse to tone out some of the sounds. If one of her patient’s bed alarms continues to go off repeatedly and every time she enters the patient’s room, finds the patient in bed, she determines the sensor is set to sensitive for the patient. But if the sensor is not reset, and the alarm continues to go off, the nurse may start to ignore the alarm. The last time the alarm sounds, the patient does get out of bed and falls, injuring his hip. This can turn into a legal issue as the safety measure was in place to protect the patient from harm, but due to a failure to change the bed setting, and the nurse’s desensitization of the alarm, the patient had a poor outcome. There is an ethical responsibility for the nurse to assess the injured patient, report the fall to appropriate change according to hospital policy and discuss the incident with the patient or family members. According to Kadivar et al., (2017), that despite measures put into place in the health care setting, there are still numerous threats posed to patient safety.
Evidence suggests that alarm fatigue is a patient safety and quality concern. As health care delivery becomes more digitalized, it is increasingly important to develop a safety culture to address alarm fatigue. The research suggests establishing safe alarm management and response processes. The use of multilevel sharing practices and prevention strategies is also a way to collaborate with multidisciplinary teams on strategies for reduction in alarm fatigue (Winter et al., 2021). By decreasing the number of false alarms with use of proper management, nurses can better care for patients needs without disruptions. Thus, reduce potential missed or ignored alarms resulting in poor patient outcomes.
References:
Kadivar, M., ManooKian, A., Asgharican., & Zarvani, A. (2017). Ethical and legal aspects of patient's safety: A clinical case report.
Journal of Medical Ethics and History of Medicine,
10, 15.
Winters, B., Slota, J., & Bilimoria, K. (2021). Safety Culture as a Patient Safety Practice for Alarm Fatigue.
Journal of the American Medical Association,
326(12), 1207-1208.
https://doi.org/chamberlainuniversity.idm.oclc.org/10.1001/jama.2021.8316
Hebda, T., Hunter, K., & Czar, P. (2018). Handbook of Informatics for Nurses & Healthcare Professionals (6th ed.). Pearson Learning Solutions.
https://ambassadored.vitalsource.com/books/9781323903148
West, P., Abbott, P., & Probst, P. (2014). Alarm fatigue: A concept analysis.
Online Journal of Nursing Informatics,
18(2), 1.
Amy, a 3 year old girl is brought to your office by her mother because she has a fever and complains that her ear hurts. She has no significant medical history. The child is not pleased to be in the provider’s office and has been crying. Her mother explains that she developed a “cold” about 3 days ago with sniffles. As she cries she continues to cough and has yellowish nasal discharge.
Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.
The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic Resources:
What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?