Health Care Policy

Complete this week’s assigned readings, chapters 39-43 of this book:

– Policy and Politics in Nursing and Health Care

-Seventh Edition

-Author: Diana Mason, Deborah Gardner, Freida Outlaw, Eileen O’Grady

-Year: 2016

-ISBN 13: 978-0323241441

-ISBN: 0323241441

After completing the readings, post a short reflection, approximately 1 paragraph in length more than 250 word, discussing your thoughts and opinions about one or several of the specific topics covered in the textbook readings. Identify which one MSN Essential most relates to your selected topic in your discussion.

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Nursing homework help

Why do you think there has been an interest in ethics with respect to the institutional aspects of healthcare by organizations such as The Joint Commission and others?

Books Required Health Care Ethics: Critical Issues for the 21st Century 3rd Edition Author: Morrison, E.E. & Furlong, B. ISBN: 978-1449665357 Publisher: Jones & Bartlett Learning, (2014)

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Comment 1

Imago dei means the image of God. It is a Christian concept of how man or human being was created in the image of God, and it bestows honor and dignity of each person irrespective of their social, mental and physical status (Shelly, 2006). Imago dei or the image of God is a theological term, and it applies to a human being only. The concept has its roots in Genesis. The concept of imago dei does not imply that we reflect the image of God in the real or literal sense but His intellectual, spiritual and moral nature.

Mother Teresa was driven by the concept of imago dei to care for the poor, the sick and also dying in Calcutta. This concept has motivated many Christians to care for the sick, the poor and the disenfranchised. Having an understanding that other human beings are created in the image of God is an important aspect that drives healthcare employees to care for a sick patient and also give those who are about to die a comforting and peaceful death (Shelly, 2006). The concept also help people in the societies to help each other in times of need. There is a saying in the healthcare sector that for the caregiver (nurse, physician, psychologist, social worker, etc.) the client or patient no longer remain a fellow human being in distress but the likeliness of eternal God. This awareness transform relationship between patients and caregivers to the recognition of the sanctity of other (Grove, 2015). The concept of imago dei is important in healthcare because it is the basis of the Western society’s comprehension of human rights as well as undergirds of the legal system. It also helps them understand the social service and healthcare agencies.

Comment 2

The readings from Meilaender made an interesting distinction between procreation and reproduction as well as between that of being begotten and being made. Procreation refers to the world as designed or given by the Creator, whereas Meilaender defines reproduction as the work of humans to, “master and reshape our world” (2013, p.10) or, stated another way, by conceiving through man-made technologies (2013).

The term “begotten” goes along with procreation. If one is begotten, they have been naturally conceived. The child who is begotten is the union of his father and mother in physical, bodily form. This child has not been reproduced by human means. Their parents’ act of love has resulted in life being given to the child. Our text describes the begotten child as being different but equal to his parents because he is created of their flesh. To quote Meilaender, “The Father gives all that he is and has to the son. He begets him” (2013, p.15).

Conversely, “made” refers to a child who is conceived through human means, such as in vitro fertilization, surrogacy, artificial insemination, or some other technology developed by humans. This child is described as being created through our own reason and will, as opposed to God’s reason and will. The “made” child is not conceived through the human act of love, and thus, the most foundational component of human equality is absent (Meilaender, 2013).

I had not considered the difference between either procreation and reproduction or begotten and made, and I can very much see the validity in the argument put forth my Meilaender. However, I do not know that I completely agree or disagree. Like so many topics in ethics, I see a grey area. I do not think it’s as simple as agreeing or disagreeing. I feel that if I agree, I’m saying that the parents who love and cherish their children who were conceived through technological means were “wrong” in doing so, but the parents who had children through naturally conception but do not love and care for their children are “right.” To me that doesn’t seem right. At the same time, I also understand that, if this is truly God’s plan, I need not completely understand it in order to have faith in it.

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Critical Factors in Implementing an IT system in Health Facilities

Assignment 1: Critical Factors in Implementing an IT System in Health Facilities 

Due Week 6 and worth 300 points

Write a six to eight (6–8) page paper in which you:

  1. Provide at least three (3) various reasons why some health care organizations have been reluctant to implement electronic medical records.
  2. Discuss the essential manner in which the Health Insurance Portability and Accountability Act (HIPAA) impacts patient’s medical records.
  3. Determine the main advantages and disadvantages of the adoption of The HITECH (the Health Information Technology for Economic and Clinical Health) Act for health care professionals. Next, suggest one (1) strategy that the medical staff members could use in order to mitigate the main disadvantages in question.
  4. Review the typical workflow processes within health organizations, and decide the single most significant process that the health organization must eliminate in order to improve the service. Provide a rationale to support your response.
  5. Analyze the primary ways in which the key federal initiatives impact the standards of health care information for patient privacy, safety, and confidentially.
  6. Specify the fundamental advantages of applying an IT system within health care organizations. Predict new IT developments in the health care industry for the next two (2) decades. Justify your response.
  7. Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and similar websites do not qualify as academic resources.

Your assignment must follow these formatting guidelines:

  • This course requires use of new Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details.
  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow SWS or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Examine the impact technologies have on health care information systems.
  • Examine the systems development life cycle of a custom application and the selection of proprietary systems.
  • Use technology and information resources to research issues in health information systems.
  • Write clearly and concisely about health information systems using proper writing mechanics.

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Nursing homework help

Respond to this post with a positive response :

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use  references

INITIAL POST

Diet and Overweight in Tennessee

A significant behavioral risk factor affecting our nation’s population is unhealthy diet resulting in obesity (Knickman & Kovner, 2015).  Unfortunately, this health issue significantly influenced the great state of Tennessee.  Tennessee is ranked 15th out of all the states for highest obesity rates in adults and ranked 20th for ages 10-17 (The State of Obesity, 2018). Tennessee’s obesity rate has increased dramatically in the past few decades.  In 1990, the obesity rate for the state was 11.1%, rose to 20.9% in 2000, and 32.8% in 2017 (The State of Obesity, 2018).  This obesity has affected a rise in health conditions such as diabetes with a current rate of 13.1%, hypertension with a current rate of 38.7%, and heart disease with a current rate of 38.7% (The State of Obesity, 2018).  If the trend of obesity continues at this rate, disease is going to increase substantially in Tennessee.  To stop the trend of poor diet and obesity in Tennessee, drastic interventions are needed.

Population-Based Intervention Model Examples

According to the Population-Based Intervention Model, effective interventions include downstream, midstream, and upstream (Knickman & Kovner, 2015).  Downstream interventions include interventions based on an individual.  Providers in my community should focus on BMI at well-visits with individuals.  As part of the well-visit, the provider needs to provide education on the individual’s BMI.  Specifically, discussion regarding what it means and how to decrease it or prevent it from elevation is imperative.  The provider should review the patient’s regular diet, make suggestions on improvements, and provide resources related to healthy eating.  In small southern Tennessee towns, education on healthy nutrition is lacking.  However, people seem to trust their doctors in the rural community.  Individual focus on diet by the providers would be beneficial.

Midstream interventions of the Population-Based Intervention Model are interventions focused on communities (Knickman & Kovner, 2015).  When traveling through Tennessee, the importance of southern cooking and fast food is announced all over the interstate billboards.  Manchester, TN is no exception as Interstate 24 runs straight through it creating the nickname, Interstate Town.  Manchester is the main town in Coffee County with even smaller towns surrounding it.  This is the community in which I live, full of fast food and very limited healthy restaurant options.   The United States Department of Agriculture (2017) reported 38 fast food restaurants in 2014, making 0.71 fast food restaurants for every 1,000 people.  Restaurants with healthy options in Manchester, TN are nearly non-existent.  An example of an effective midstream intervention in Manchester would be to bring in healthier restaurants.  This busy, working-class community full of families eats out a lot while focusing on church events, sports, and volunteering.   Having quick, healthy restaurant options would be helpful in improving health and decreasing obesity in this area.

Upstream interventions of the Population-Based Intervention Model are interventions made by policies at the state and national levels (Knickman and Kovner, 2015).  According to The State of Obesity (2018), Tennessee has yet to make any laws concerning the requirement of posting caloric information in restaurants.  Perhaps, if individuals saw this information on their regularly eaten food options, they would get accustomed to choosing the lesser calorie options.  Also, this policy may help to inform community members as to why eating at home or having healthier restaurants would be beneficial to their health.

Summary

Poor diet and obesity are huge concerns in Tennessee as the increasing trends will only worsen disease rates in the future.  Ideas such as one-on-one nutritional attention by providers, healthier restaurant choices, and policies requiring posted nutritional information could increase the health of the Tennessee population.

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Respond to this post with a positive response :

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use  references

Main Post

Throughout my years as an ICU nurse, critical thinking has become a skill that I utilize on a daily basis in my clinical practice. Not only are critical thinking skills a part of my daily practice, but I also observe my colleagues putting their critical thinking skills to use in their every day clinical practice. One example of critical thinking skills being used in ICU clinical practice is when multiple drips are being titrated on a patient that is extremely ill. As an ICU nurse, it is essential and vital that you utilize critical thinking skills when choosing which drip to titrate up or down or which drip to start or stop. Another instance where I have observed critical thinking skills being used in the ICU is when I would attend a rapid response on one of the medical floors. As the critical care nurse, I must use my critical thinking skills to choose the right lab tests to run, determine what might be going on with the patient that is in distress, and choose the right treatment pathway.

 

I try to improve my clinical competence in every way I can, especially by employing my critical thinking strategies. Some of the strategies I use most often include listening, continuing to learn every chance I get, and explaining to my colleagues why I came to a specific conclusion. I use the strategy of listening to improve my clinical competence because it helps me find new solutions to everyday problems that I might face in the ICU. Learning helps improve my clinical competence because it makes me a better ICU nurse. The more I learn, the more proficient I can become. I like to explain my rationale for the conclusion I came to because another colleague might have something important to add that would aid in solving the problem at hand.

 

Clinical scholarship is defined as an approach that enables evidence-based nursing and the development of best practices to meet the needs of clients efficiently and effectively (Stanley et al., 1999).

Critical thinking is defined as the objective analysis and evaluation of an issue in order to form a judgment (Benner, Hughes, & Stuphen, 2008, p. [Page 120]).

Clinical practice is defined as either the field of principal professional clinical activity (Wilkes, Mannix, & Jackson, 2013).

 

After reviewing the definitions of clinical scholarship, critical thinking, and clinical practice I was able to see how each term is interconnected. In order to have a clinical scholarship like approach in clinical practice, it is essential that critical thinking tools be utilized. The development of the best practices in clinical nursing practice will not occur if there is no critical thinking involved in the process (Wilkes, Mannix, & Jackson, 2013).

These three terms should be looked at as a single unit; one cannot exist without the other.

 

 

 

Benner, P., Hughes, R. G., & Stuphen, M. (2008). Patient Safety and Quality: An

 

Evidence-Based Handbook for Nurses.Rockville, MD.

 

Stanley, J., PhD, Keating, S. B., EdD, Edwardson, S., PhD, Easley, C. E., PhD, Alichnie,

 

C., PhD, & Edwards, J., PhD. (1999, March 15). Defining Scholarship for the

 

Discipline of Nursing. Retrieved December 31, 2018, from

 

https://www.aacnnursing.org/News-Information/Position-Statements-White-

 

Papers/Defining-Scholarship

 

Wilkes, L., Mannix, J., & Jackson, D. (2013). Practicing nurses perspectives of clinical

 

scholarship: a qualitative study. BMC nursing, 12(1), 21. doi:10.1186/1472-6955-

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Nursing-Quality Indicators

Week 1: Integration of Nursing Informatics Skills and Competencies

66 unread replies.66 replies.

Reflect on your own practice. Discuss how informatics is used in your practice. What is your primary area where you would use informatics? From completing the Pre-TANIC TIGER assessment for this week, what do you plan to achieve in this course? How did you feel your competency level was compared to the assessment?

please just answer these two question  Discuss how informatics is used in your practice. What is your primary area where you would use informatics?

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Nursing

Choose one recent (within last 2 years) news story about genetic or genomic technology. Describe the issue presented. From the perspective as an RN or APRN, describe the ethical, cultural, religious, legal, fiscal, and societal implication.

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Cognitive Behavioral Therapy: Group Settings versus Family Settings

Post an explanation of how the use of CBT in groups compares to its use in family settings.

Provide specific examples from your own practicum experiences.

Then, explain at least two challenges counselors might encounter when using CBT in the group setting. Support your response with specific examples from this week’s media.

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discussion 2

Benefits of qualitative versus quantitative research

450 word minimum,APA format, at least 1 reference

Must address topic

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