Phillip September 17, 2023 No Comments

NHS FPX 4000 Assessment 4 – Analyzing a Current Health Care Problem or Issue

NHS FPX 4000 Assessment 4– Analyzing a Current Health Care Problem or Issue Name Capella university NHS FPX4000 Developing a Health Care Perspective Prof. Name Date Analyzing a Current Health Care Problem or Issue Globally, healthcare systems encounter various health challenges which require concerted efforts to bring positive outcomes. These challenges are significant to healthcare organizations as they impose negative impacts on people’s health and their lives. This scholarly paper covers one of the major healthcare issues which is limited access to healthcare. The reason for choosing this healthcare issue is that I identified that people in rural areas of our country have minimal or no access to healthcare facilities which makes them vulnerable to various diseases and their complications. Hence, this issue must be addressed effectively to minimize the global burden of diseases.  Healthcare Issue – Limited Access to Healthcare Facilities  The World Health Organization explicitly considers healthcare as a basic human right. It explains that it is the responsibility of governmental bodies to provide basic health to every resident of the country (Zegeye et al., 2021). Access to healthcare is defined as the use of healthcare services to achieve positive health outcomes at a time of need. Healthcare access is further divided into four categories – coverage (healthcare facilities), services, timeliness (healthcare in the time of need), and workforce (qualified healthcare providers) (AHRQ, 2018). A study analyzed that more than 86% of health practitioners work in public sectors of urban areas while more than 96% are employed in private sectors. This migration of healthcare providers in urban areas makes the rural population deprived of medical personnel (Brusnahan et al., 2022). Another study identifies that approximately 400 million people are deprived of healthcare due to limited access. Moreover, 8 million people die because of preventable diseases but the lack of facilities hinders prevention (Zegeye et al., 2021). The common causes highlighted for limited healthcare accessibility are a lack of qualified professionals, economical disparities, cultural and social norms, lack of investment by the government, and minimum awareness about the importance of health (Coombs et al., 2022).  The reasons for choosing above mentioned scholarly articles are that they generously explain the importance of access to healthcare, reveal the prevalence of people who have limited accessibility, identifies the reasons for this healthcare problem thus enabling practitioners and policymakers to propose effective solutions for providing every individual their basic human right.  Analyze the Issue of Limited Healthcare Access Limited access to healthcare is a prevalent problem in many countries of the world specifically in rural areas. It is essential for healthcare providers to comprehensively understand the problem and analyze it based on causes and impacts so that an insightful and evidence-based intervention plan can be developed.  To understand limited access to healthcare it is important to define access to healthcare. Healthcare access is defined as the ability of a person to avail services related to healthcare like preventive care, diagnostic tests, treatment of a health issue, and/or management of various diseases regularly. This also means the maintenance of healthcare quality which is done by providing care through qualified professionals in worthy environments (AHRQ, 2018). The limited access to healthcare is the opposite of this where people are deprived of all these healthcare services due to various reasons.  Causes of Limited Healthcare Access  The factors which lead to limited access to healthcare services are individualized factors and others are generalized for the population. Individualized causes include demographic factors for example gender. Research identifies that females are more likely to have minimal access to healthcare in low or middle-income areas. Another individualized factor is a lack of education and awareness related to healthcare needs (Dawkins et al., 2021). Structural barriers like disparities in urban-rural areas are another important cause of limited healthcare access. Study reveals that, in the US, only 10% of healthcare resources are invested in rural areas as compared to urban areas. This difference in resource allocation deprives the rural population of most of the healthcare facilities (Coombs et al., 2022). Some of the other barriers are acceptability issues. People from various cultures and social norms do not accept medical treatments, most of these people live in rural communities and hence are underprivileged (Coombs et al., 2022). Other causes are a lack of financial resources, transportation problems, and the cost of insurance.  People Involved in the Problem People who are part of this healthcare problem are mainly the communities that have limited access to healthcare facilities and healthcare professionals who are part of deprived communities. Limited access to healthcare deprives people of healthcare facilities which increases the burden of diseases causing high morbidity and mortality. Moreover, healthcare professionals who are living in those communities get minimal opportunities to excel in their careers thus either they migrate to urban areas or leave their professions. These healthcare disparities impose a challenge on healthcare systems in most countries worldwide.  Potential Solutions for Healthcare Accessibility It is essential to address the causes of the limited accessibility so that effective outcomes are achieved. Some of the solutions proposed by the studies are; the availability of telehealth services, governmental resources allocation, and enhancement of health education and literacy.  Telehealth: Evolvement of telemedicine has continued to provide care out of the hospitals within the patient’s homes or community centers. This healthcare model reduces the barriers of transportation and location differences which leads to improved healthcare access (Barbosa et al., 2021). Moreover, available clinics in the communities can easily reach specialists in various medical fields using different telecommunication tools which makes it easy for people to access quality healthcare (Toscos et al., 2018).  Allocation of Resources: The incorporation of the concept of healthcare equity is an important aspect for governmental and international organizations. Allocation of resources in an equitable way and also monitoring the use of these resources within the principle of equity significantly improve healthcare access. These resources include financial, human as well as organizational resources (Love-Koh et al., 2020).  Health Education and Literacy: The U.S. Department of Health

Phillip September 17, 2023 No Comments

NURS FPX 4900 Assessment 2 – Assessing the Problem: Quality, Safety, and Cost Considerations

NURS FPX 4900 Assessment 2 –  Assessing the Problem: Quality, Safety, and Cost Considerations Student Name Capella University NURS-FPX4900: Capstone Project for Nursing Prof. Date Assessing the Problem: Quality, Safety, and Cost Considerations In this capstone project analysis, we will delve deeply into the case of John, a 10-year-old clinically obese patient, to understand the widespread implications of obesity on the quality of care, patient safety, and costs incurred by the patient and the healthcare system. The primary goal of this assessment is to scrutinize obesity from multiple dimensions, such as quality, safety, and economic viewpoints. Furthermore, we will explore the standards of nursing practice and organizational or governmental policies that influence obesity’s impact on care, safety, and financial considerations. It is imperative to grasp how these standards and policies shape the treatment provided to patients like John and the problems they might pose. Lastly, we will propose purposeful strategies to enhance the quality of care, escalate patient safety, and diminish costs for the patient and the healthcare organization, hoping to address cases similar to John’s better. By providing comprehensive, evidence-based care to our patients, we aim to improve their health outcomes and quality of life significantly. The Impact of Obesity on Care Quality, Patient Safety, and Costs John’s clinical obesity significantly impacts the quality of care, patient safety, and costs to the healthcare system and his expenses. Indeed, let us delve into a more detailed analysis of this.  Quality of Care John’s clinical obesity challenges healthcare providers to deliver high-quality care. Obesity often comes with comorbidities such as hypertension, diabetes, and heart disease, requiring a specialized care approach and more comprehensive management strategies (Safaei et al., 2021). This complexity can lead to inconsistencies or delays in care. Furthermore, obesity is often linked to psychosocial issues, including depression and anxiety, inhibiting medical care effectiveness. Research also highlights barriers to accessing care for obese patients, including stigma, discrimination, and inadequately equipped medical facilities (Talumaa et al., 2022). These factors can impede regular check-ups, early diagnosis, and preventive care vital for optimal health.  Patient Safety  Patient safety is significantly compromised with obesity. Obese individuals like John have a higher risk for adverse events such as misdiagnosis due to physical examination limitations, inaccurate drug dosing, complications from surgeries, and increased susceptibility to falls (Appeadu & Bordoni, 2023). A concrete example would be the issues around correct medication dosing. An obese patient may receive an inaccurate dosage due to complexities accounting for body fat, potentially leading to overdosing or underdosing.  System and Individual Costs   The economic burden of clinical obesity is enormous on both healthcare systems and individual patients. Direct medical costs tied to obesity include preventive, diagnostic, and treatment services (Ling et al., 2022). Obesity-related illnesses increase hospital admissions and extended hospital stays, straining healthcare resources. Individually, patients like John bear the burden of high out-of-pocket expenses, including medication costs, additional co-pays, and surcharges on premiums for their increased risk status. Nursing Practice Standards and Policy Impact on Quality of Care, Safety, and Costs: A Literature Synthesis The Board of Registered Nursing (BRN) in California has outlined comprehensive standards that significantly influence the quality of care, patient safety, and the costs associated with healthcare. BRN emphasizes the active involvement of registered nurses in preventing and managing diseases in collaboration with other healthcare teams. In the context of obesity, for instance, BRN suggests that nurses maintain ongoing nutrition and weight management education. Still, it also highlights the need to detect obesity-related complications like diabetes or cardiac issues competently (Backstrom, 2019). These standards thus aim to improve the quality of care provided to obese patients while ensuring safety by preventing or managing potential complications. Financial costs can also be maintained, avoiding expensive procedures arising from unmanaged complications.  The Affordable Care Act (ACA) has significantly reduced the financial burdens associated with obesity-related diseases by focusing more on preventive care and chronic disease management. It mandates that insurance covers preventative services, lightening patients’ financial load. ACA also promotes healthy living in individuals, which can prevent the development of severe conditions linked to obesity. Focusing on preventive care directly impacts cost reduction by averting expensive treatments and hospitalizations later (Rdesinski et al., 2023). Research supports these policies’ effectiveness; Mylona et al. (2020) documented a decline in obesity-related healthcare costs after ACA implementation, underscoring the benefits of concentrating on preventative care and management.  This policy shift has influenced nursing practice by providing a cornerstone for a more comprehensive, cost-effective patient care strategy. Considering a patient like John, this could entail regular health monitoring, mental health support, patient education on self-management, and preventive measures to improve care quality and safety and reduce costs. These standards and policies help shape nursing practice by guiding patient relationships, enforcing competency standards, and regulating clinical decision-making. The standards set by Nurse’s Practice Act dictate the scope of practice, while federal laws, such as ACA, influence the delivery of preventive care, reimbursement rates and respect patient rights, all of which have a profound impact on the quality of care, patient safety, and the cost to the system and the individual. These combined influences provide a direction for nurses to offer patients efficient, preventive, and sustainable healthcare. Effective Strategies for Enhancing Care Quality, Patient Safety, and Cost Efficiency The strategies that can improve the quality of care, enhance patient safety, and reduce costs to the system and individual for John’s clinical obesity could include: Personalized Care  The concept of Personalized Care plays a critical role in improving patient care, safety, and cost-effectiveness in the healthcare system. Combating patient problems, like obesity in John’s case, requires a multifaceted approach involving individualized weight loss goals, dietary changes, a structured and safe physical activity plan, and psychological support. As the American Heart Association emphasizes, personalized care plans consider each individual’s unique health circumstances and requirements. For a non-communicable disease like obesity, this approach could include recommendations for a dietary shift towards lower saturated fats and higher fruits and vegetables. Regular and progressive physical activity recommended by a physical

Phillip September 15, 2023 No Comments

NURS FPX 4040 Assessment 3 – Annotated Bibliography on Technology in Nursing

NURS FPX 4040 Assessment 3 – Annotated Bibliography on Technology in Nursing Student Name Capella University NURS-FPX4040 Managing Health Information and Technology Prof. Date Annotated Bibliography on Technology in Nursing The technology chosen for this annotated bibliography is Telehealth in Nursing. The thought of technology revolutionising healthcare delivery, especially nursing care, has excited me to uncover its potential impact on patient care and our nursing methods. Telehealth’s promise to connect healthcare providers and patients across distances through virtual consultations and monitoring intrigued me, offering a new way to overcome barriers (Paterson et al., 2020). I plunged into trusted databases like PubMed, CINAHL, and Google Scholar using selected search terms like “benefits of telehealth,” “challenges of telehealth in nursing,” and “its broader impact on patient care.” Annotated Bibliography Bellantoni, J., Clark, E., Wilson, J., Pendergast, J., Pavon, J. M., White, H. K., Malone, D., Knechtle, W., & Jolly Graham, A. (2022). Implementation of a telehealth videoconference to improve hospital‐to‐skilled nursing care transitions: Preliminary data. Journal of the American Geriatrics Society, 70(6), 1828–1837. https://doi.org/10.1111/jgs.17751 This study dives into telehealth videoconferencing and its potential to enhance the process of transferring patients from hospitals to skilled nursing care facilities. The main goal is to use technology to bridge the gaps that often arise when older adults move from acute care settings to qualified nursing centres. What’s exciting is how much this technology can improve patient safety and the overall quality of care. Telehealth videoconferencing could make handoffs between different care settings much smoother, reduce communication mistakes, and help healthcare teams work together better. And that means when patients make these transitions, they’re safer, and their care is even better. Bringing telehealth into the mix benefits nursing practices, too – it ensures that patient care is always steady and well-coordinated, no matter where they’re moving. The whole healthcare team, from the hospital to the skilled nursing care staff, also gains from this improved communication and collaboration. Teamwork is essential for giving patients the best care possible and avoiding any mistakes that could hurt them. The article addresses a big concern in senior care: making sure those transitions from one care place to another are smooth and safe. And by studying how telehealth fits into all of this, the article gives healthcare professionals like us some beneficial info. It helps us see the good sides, the challenges, and the strategies we should consider when bringing telehealth technology into these critical moments of healthcare. This article is like a guide for us, backed up by evidence, so we can make good choices, work together well, and ensure patients get the best results when moving between care settings. Gifford, A. H., Ong, T., Dowd, C., Van Citters, A. D., Scalia, P., Sabadosa, K. A., & Sawicki, G. S. (2021). Evaluating barriers to and promoters of telehealth during the COVID-19 pandemic at U.S. cystic fibrosis programs. Journal of Cystic Fibrosis, 20(9-13), 9–13. https://doi.org/10.1016/j.jcf.2021.08.034 This study delves deep into telehealth and how it became a lifeline for U.S. cystic fibrosis programs during the challenging times of the COVID-19 pandemic. What shines through in this article is how telehealth transformed the safety and quality of care for patients dealing with cystic fibrosis. It’s like a lifeline that lets these patients have constant check-ins, consultations, and disease management without having to leave their homes. This kept them safer from infections and improved how they talked to their healthcare providers. Nurses played a significant role in this, too, being able to keep an eye on patients from a distance, educate them on their conditions, and make sure they followed their treatment plans. Even more impressive is how this whole system worked because of the strong teamwork among healthcare professionals – from nurses to doctors and all the support staff. This article stands out because it focuses on telehealth in cystic fibrosis programs, a very specialised area that could have lessons for healthcare in general. By diving into the challenges, solutions, and ways to make telehealth work, this research paints a complete picture of how to bring telehealth into healthcare settings. It’s a goldmine of insights for healthcare workers, giving a full view of how telehealth gets adopted, how it changes patient safety and care quality, what nurses do, and how different parts of the healthcare team work together. Kobeissi, M. M., & Hickey, J. V. (2023). An infrastructure to provide safer, higher quality, and more equitable telehealth. The Joint Commission Journal on Quality and Patient Safety, 49(7). https://doi.org/10.1016/j.jcjq.2023.01.006 Kobeissi and Hickey’s (2023) research is about setting the stage for a strong foundation in telehealth services that prioritise safety, quality, and fairness. Their study revolves around weaving telehealth seamlessly into the healthcare landscape to ensure better patient outcomes and equal access to care. What stands out is their emphasis on integrating telehealth into current practices while recognising its challenges and potential benefits. What echoes through their work is their firm belief that a well-thought-out approach to implementing telehealth can lead to positive changes in patient safety and the overall quality of care. They stress the need for structured telehealth systems that adhere to the highest security and quality standards. The authors highlight how telehealth can enhance patient safety and care quality by providing timely access to healthcare, minimising unnecessary delays, and improving communication between patients and providers. This resource is vital for nurses as it showcases their pivotal role in effectively rolling out telehealth services. They’re depicted as essential in remote patient monitoring, education, and follow-up care, ensuring patients receive comprehensive support. Furthermore, the article emphasises the importance of teamwork among healthcare providers to seamlessly integrate telehealth. It underscores the crucial need for collaboration between players – including nurses, doctors, and administrators – to successfully implement telehealth. What sets this publication apart is its thorough exploration of the essential elements needed for successful telehealth implementation. It doesn’t just focus on the positive aspects; it delves into potential challenges and provides strategies to overcome them. Notably, the article strongly emphasises delivering telehealth equitably, which

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