Discussion Topic: Managed Care

In what way does managed care actually manage cost? Does it do so without diminishing the quality of care? If so, how does it accomplish this?

“How can a nurse (RN) avoid legal actions against him/her?”

Introduction

            Research articles are beneficial in expanding the knowledge base and improving clinical experimentation. Reading relevant studies every week enhances the comprehension of relative nursing topics. Besides, it provides a more updated insight into newly discovered research. Nevertheless, the process of identifying and analyzing the articles can be overwhelming and challenging. In my experience reading research articles, I have encountered useful and impractical studies that impact clinical practice.

My Experience with Locating and Reading Weekly Research Articles

            My experience with locating and reading research articles has been a challenge. It is because identifying satisfactory nursing articles is time-consuming. It becomes discouraging at some point during the research. However, I managed to address this issue by narrowing the extensiveness of my research topic. Searching for less information regarding interest helps in finding the most suitable article. In addition, the library management and functioning sometimes fail in accessing the proper complete research articles. In this case, I focused more on articles published on the internet since they are more updated. Even though, browsing the internet can be overwhelming because of the vastness of the information present. I tackled this matter by focusing the research on nursing articles addressing GI illnesses (Bahadori et al., 2016).

            The identified article’s focus can either be too broad or narrow; thus, effectively conducting the research may not be manageable. This challenge can be addressed by developing a doable topic that will be resource intensive. In other instances, I encountered an excellent article focusing on the relevant subject, but the information presented was out of date or incomplete. These issues were addressed by searching for related articles with similar information. Despite the challenges, the experience of locating and reading weekly research articles has been very engaging and exciting. It has expanded on my nursing knowledge base on specific areas of practice. Increased nursing research provides new discoveries made in laboratory settings.

An Example of An Article That Has Been Useful and Applicable to Your Practice

            An example of an article that I located and was useful to me is presented by Spiegel et al. 2015 on Understanding gastrointestinal distress. There is little research on GI distress since most studies focus on the gastrointestinal disease more than the effects. This article was universally applicable to my nursing practice in caring for patients with GI illnesses. According to Spiegel et al. 2015, the recommended approach to managing GI distress results from all domains, including physical, cognitive, and emotional symptoms. Therefore, as a nurse I began screening all the framework components to facilitate a more patient-centered approach to deliver quality care. The study presented adequate and precise information to use in assessing the symptoms affecting gastrointestinal patients that may cause distress (Spiegel et al., 2015). Besides, the research also sufficiently covered all the stress domains that may impact a patient without being biased on a particular area. I successfully applied the article in my nursing scope of practice while analyzing gastrointestinal diseases. This article enabled me to evaluate the relative impact of GI physical symptoms, cognition and emotions that result in distress among the patient.

An Example of An Article (Or Information) That Was Not Helpful

            On the other hand, an article I located on hepatology disease focused on the impact of physical activity on liver diseases. According to Berzigotti, Saran, and Dufour, physical activities positively affect the risk of onset hepatological illnesses. However, the evidence of the theory presented in the article was scarce and relatively recent. Minimal data was used to indicate the essence of physical activities in managing this condition. The evidence showed far from complete and adequate, which influences the research’s usefulness in clinical practice. More clinical and experimental data should have been used to support the framework of the study. Otherwise, incomplete data questions the value and accuracy of the findings reported. Besides, most of the research only focused on non-alcoholic liver diseases, which narrows the study’s scope (Berzigotti, Saran, and Dufour, 2016). It provides inadequate and limited information for researchers and readers interested in other informs of liver or hepatological illnesses.

Conclusion

The challenges encountered in locating and reading relevant research articles in nursing practice can be vast. Some of the issues include time consumption, identifying studies with narrow, extensive, or incomplete information. These aspects of reading research studies can be discouraging for students or nurses to apply in clinical practice. Nonetheless, the benefit of frequent research findings and analysis is that it expands and improves one’s knowledge scope.

Reference

Bahadori, M., Raadabadi, M., Ravangard, R., & Mahaki, B. (2016). The barriers to applying the research findings from the nurses’ perspective: A case study in a teaching hospital. Journal of education and health promotion, 5.

Berzigotti, A., Saran, U., & Dufour, J. F. (2016). Physical activity and liver diseases. Hepatology, 63(3), 1026-1040.

Spiegel, B. M., Khanna, D., Bolus, R., Agarwal, N., Khanna, P., & Chang, L. (2015). Understanding gastrointestinal distress: a framework for clinical practice. The American journal of gastroenterology, 106(3), 380.

REPLY 2

 This article is proving how nurses risking their life in this pandemic of COVID-19 as a frontline nurse (Y Zhang, Lili Wei June,2020). Mainly affecting New-Grads nurses. As students come fresh from school into being an actual nurse with all the serious responsibility that co-joins the nurse right away. New-Grads nurses does not get enough hands-on real experience and with this pandemic is making it worse. The nurse carries on stress of doing her best and following guidelines as well as, trying to carry the load in which is given to each nurse because of shortage they each must complete double the responsibility alone. Its essential that nurses have a foundation, a backup system where they can get help, the support needed to be rounded and level, so that nurses can be productive also manage well with their duties. While their stress level is being managed by the backup system, which in this pandemic, it has been proven that we do not have it. In these pandemic nurses are being worked two or three shifts straight.  The nurse’s schedules should be normal eight hour shifts and maintain nurses to be burned out (PNC, Z Gesundh Wiss, June 2020). The nurses load per shift should be lighten by having two nurses per team working together. Nurses will be able to provide better quality care and efficient to the patients in need. This consideration will be a huge progress for future health care management. There will be enormous change and better care all around. Keeping the stress level at a minimum will help manage their load responsibility at work, also take care their own health so that they may provide better care to others. Nurses in stress may cause anxiety, obesity and so on until there health starts deteriorating to the point that it can affect their caregiving abilities. 

The pandemic has caused the health care system to crash due to lack of nurses, to be able to give quality care to patients with the overflow in hospitals and rehabilitation facilities (PSNET Jne,2020). The health care system needs to bring on board nurses willing to work and to be on call ready to relieve other nurses from their shifts. Therefore, they will support each other in any adverse circumstances. 

  Example of Article Applicable in Work Practice (not helpful)

 This article was not helpful because it shows how nurses were being put on the frontline without having all necessary experience or knowledge to handle a crisis and not getting enough rest. 

 Example of Useful Article in my Work Practice

  An article about infection control always it going to be helpful in any environment, particularly in a healthcare facility CDC 2020). To prevent any disease the first barrier is hand washing, for a least 20 seconds with soap and water will prevent the spread of any virus or respiratory disease as COVID-19 and COPD. 

 References 

  Center of Diseases Control and Prevention (CDC 2020)

https://www.cdc.gov/handwashing/when-how-handwashing.html

 Yan Zhang MSN, RN, Lili Wie PhD, RN 

https://www.tandfonline.com/doi/full/10.1080/01612840.2020.1752865

 National Institute of Health

 Z Gesundh Wiss. 2021 Jan 8: 1–3. doi: 10.1007/s10389-020-01433-6

PMCID: PMC7793385

 Patient Safety Network (PSNET) 

https://psnet.ahrq.gov/issue/coronavirus-pandemics-wider-health-care-crisis

1)  Submit 1 document per part

 Symptoms or diagnoses such as “normal” or “abnormal” are not allowed, you must address ROS and physical examination comprehensively.

Part 1: Complete the file 1  taking into account the following information:

     Diagnosis:    Endometriosis 

      Female

      29 Years

Part 2:  Complete the file 1  taking into account the following information: 

 Diagnosis:    Uterine Fibroids 

      Female

      42 Years

Part 3:  Complete the file 1  taking into account the following information: 

        Diagnosis:   Cystitis 

         Female

         28 years

Part 4:  Complete the file 1  taking into account the following information: 

        Diagnosis:  Sexually Transmitted Diseases 

         Female

         22 years

2)¨******APA norms, please use headers

          All Diagnosis and differential diagnosis must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

         Submit 1 document per part

3) It will NOT be verified by Turnitin or SafeAssign

4) Minimum 3 references per part not older than 5 years

5) Symptoms or diagnoses such as “normal” or “abnormal” are not allowed, you must address ROS and physical examination comprehensively.

• PRINT
• Write a 4-6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.
  Before you begin to develop the assessment you are encouraged to complete the Annotated Bibliography Formative Assessment. Completing this activity will help you succeed with the assessment and counts towards course engagement.
  Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. The following are only a few examples of how the health care field uses technology to provide care to patients across multiple settings:
  • Patient monitoring devices.
  • Robotics.
  • Electronic medical records.
  • Data management resources.
  • Ready access to current science.
  • Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.
    This assessment will give you the opportunity to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology. A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues.
    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 3: Evaluate the impact of patient care technologies on desired outcomes.
    • Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
    • Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.
  • Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.
    • Describe organizational factors influencing the selection of a technology in the health care setting.
    • Justify the implementation and use of a selected technology in a health care setting.
  • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
    • Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.
    • Follow APA style and formatting guidelines for all bibliographic entries.
  • Preparation
    To successfully complete this assessment, perform the following preparatory activities:
  • Select a single direct or indirect patient care technology that is relevant to your current practice or that is of interest to you. Direct patient care technologies require an interaction, or direct contact, between the nurse and patient. Nurses use direct patient care technologies every day when delivering care to patients. Electronic thermometers or pulse oximeters are examples of direct patient care technologies. Indirect patient care technologies, on the other hand, are those employed on behalf of the patient. They do not require interaction, or direct contact, between the nurse and patient. A handheld device for patient documentation is an example of an indirect patient care technology. Examples of topics to consider for your annotated bibliography include:
    • Delivery robots.
    • Electronic medication administration with barcoding.
    • Electronic clinical documentation with clinical decision support.
    • Patient sensor devices/wireless communication solutions.
    • Real-time location systems.
    • Telehealth.
    • Workflow management systems.
  • Conduct a library search using the various electronic databases available through the Capella University Library.
    • Consult the BSN Program Library Research Guide for help in identifying scholarly and/or authoritative sources.
    • Access the NHS Learner Success Lab, linked in the courseroom navigation menu, for additional resources.
  • Scan the search results related to your chosen technology.
  • Select four peer-reviewed publications focused on your selected topic that are the most interesting to you.
  • Evaluate the impact of patient care technologies on desired outcomes.
    • Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
    • Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.
  • Notes
  • Publications may be research studies or review articles from a professional source. Newspapers, magazines, and blogs are not considered professional sources.
  • Your selections need to be current—within the last five years.
  • Annotated Bibliography
    Prepare a 4–6 page annotated bibliography in which you identify and describe peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. Be sure that your annotated bibliography includes all of the following elements:
  • Introduction to the Selected Technology Topic
    • What is your rationale for selecting this particular technology topic? Why are you interested in this?
    • What research process did you employ?
      • What databases did you use?
      • What search terms did you use?
      • Note: In this section of your bibliography, you may use first person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.
  • Annotation Elements
    • For each resource, include the full reference followed by the annotation.
    • Explain the focus of the research or review article you chose.
    • Provide a summary overview of the publication.
      • According to this source, what is the impact of this technology on patient safety and quality of care?
      • According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?
      • Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.
  • Conclusion/Recommendation
    • How would you tie together the key learnings from each of the four publications you examined?
    • What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.
    • How would you justify the implementation and use of the technology in a health care setting? Consider the impact of the technology on the health care organization, patient care/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.
  • 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 3 Example [PDF].
  • Additional Requirements
  • Written communication: Ensure written communication is free of errors that detract from the overall message.
  • Length: 4–6-typed, double-spaced pages.
  • Number of resources: Cite a minimum of 4 peer-reviewed resources.
  • Font and font size: Use Times New Roman, 12 point.
  • APA: Follow APA style and formatting guidelines for all bibliographic entries.