Visit the Healthy People 2020 website, Topics and Objectives page https://www.healthypeople.gov/2020/topics-objectives and explore some topics. Discuss how epidemiological methods are used to evaluate Healthy People 2020 objectives. Provide examples.

THE FUTURE OF NURSING PRACTICE

Role of a nurse in the Emerging Health-care Environment

Martha Gomez

Florida National University

Introduction

• The current times are highly exciting in the healthcare industry. Healthcare today is marked by a high number of changes in delivery of care, increased use and advancement in technology, high patient expectations, and changes in the workplace resulting in growing and evolving role of nurses (Luz, Shadmi & Drach-Zahavy, 2019). Due to the changes occurring in the healthcare industry and elsewhere in the community, nurses of the future need to prepare for a shift in role as new challenges and opportunities changes nursing.

Statement of Issue  

• Changes in the healthcare sector and in the society have had significant impacts on role of nurses today. While critical thinking, clinical skills, compassion and people skills have always been critical in nursing, today they need to be practiced in a complex environment with new challenges and opportunities. Nurses have always been at the front line of trends in healthcare, often requiring to have improvements in education in order to lead the changes. As such, these changes will affect the way nurses carry out their work in the future.

Evidence supporting the issue  

There are several areas where nurses have been affected by the changing healthcare environment which will continue to significantly affect nursing. These include:

• Health quality initiatives and promotion of patient outcomes: As the most direct patient caregivers, nurses play a critical role in the process of improving care quality and patient outcomes (Amiri et al., 2019). Throughout the US safety records and satisfaction rates are available easily due to efforts of nurses
• Promotion of use of technology in healthcare: Nurses have had to stay sharp and keep up with technology. Nurses are the first healthcare receptors of such innovations as electronic health records and remote monitoring tools used by patients (Dorsey et al., 2020).
• Changes in healthcare delivery systems: Changes in areas of nurse practice such as the introduction of ambulatory surgery centers where patients can get services out of hospitals have increased job opportunities for nurses. Research shows that newly licensed nurses have embraced jobs in nursing homes, home health and ambulatory settings (Parker, 2019).
• Changes in patient: Demographic shifts, improved consumer education and increased access to healthcare services are changing interactions between nurses and patients (Dorsey et al., 2020). Other factors such as increase in older people also affect nurses.
• Increased need for education: Most nurses today has opted to go back to school to respond to changes and new challenges in healthcare.

Prediction      

• Nurses of the Future will take up healthcare leadership and redesign care in the society. With nurses being involved in all aspects of the increasingly complex healthcare system, they are the glue that will hold together healthcare in the future. Moreover, large number of nurses today are going for higher education to achieve bachelors and doctorate degrees hence position themselves for huge responsibilities. 
• Future Nurses will be involved in community health practices with emphasis on disease prevention. Legislations such as the Affordable Care Act (ACA), promote healthcare education to reduce rates of hospital admissions.
• Nurses of the future will require to be highly accountable and responsible in providing care. There has been an increase in healthcare consumer education owing to technology and the internet where information is readily available (Dorsey et al., 2020). Mistakes in the healthcare may therefore results legal claims and reimbursement which means extra care has to be observed by nurses to prevent such challenges
• Nurses will work in collaborative teams with other healthcare professionals. Increased teamwork and multi-professional teams are expected in future.

Conclusion

Change is inevitable and nurses have to be ready for massive shifts in the healthcare industry that will affect them. If properly positioned, nurses will be at the forefront of the healthcare system, leading and guiding other healthcare professionals.

References

Amiri, A., Solankallio-Vahteri, T., & Tuomi, S. (2019). Role of nurses in improving patient safety: evidence from surgical complications in 21 countries. International journal of nursing sciences, 6(3), 239-246.

Dorsey, J. D., Hill, P., Moran, N., Nations Azzari, C., Reshadi, F., Shanks, I., & Williams, J. D. (2020). Leveraging the Existing US Healthcare Structure for Consumer Financial Well‐Being: Barriers, Opportunities, and a Framework toward Future Research. Journal of Consumer Affairs, 54(1), 70-99.

Luz, S., Shadmi, E., & Drach-Zahavy, A. (2019). Nursing innovation: The joint effects of championship behaviors, project types, and initiation levels. Nursing outlook, 67(4), 404-418.

Parker, D. K. (2019). Improving Job Retention among Registered Nurses in Hospital Settings: A Multiple Case Study (Doctoral dissertation, Northcentral University).

Reply to this discussion post (site sources if applicable)

My evidence-based practice project is to improve workplace violence by increasing awareness, responding to incidents and improving policies in place. With these new measures in place, the Emergency Department will be a safe place to work. To make my project successful, variables play an important part in improving the process and how to evaluate it.

     I will need to determine the independent and dependent variables to improve the safety of the Emergency Department. Workplace violence on the Emergency Department staff is the dependent variable and the independent variable is the number of workplace violence incidents they encounter. I would evaluate independent variables by collecting data from workplace incidents that had occurred in the last year and interview ED staff to collect data from as many members as possible about workplace incidents.

     The dependent variable is workplace violence (verbal, physical and emotional abuse) on Emergency Department on staff. Studies show that the Emergency Department has higher statistics of violence because of independent variables like stress, long wait times, unpredictable and challenging situations.

     If a process or improved policy is made, it can help improve other departments of hospitals and clinics where WPV occurs. Other dependent variables can include workplace violence in different departments on different staff members that are a part of psychiatric facilities, floors amongst the hospitals and outpatient clinics. When the evaluation of current policies and responses to “Code Greys” are reviewed and analyzed, we can implement changes depending on the variables that are collected.

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles and four boxes approach.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart 

This chart will formalize the four principles and four boxes approach and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

APA style is not required, but solid academic writing is expected.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

• Develop a 4–7-page business case for the initiative you proposed in Assessment 1. Examine feasibility and cost-benefit considerations over a 5-year period, analyze ways to mitigate risks, and complete a cost-benefit analysis.
  Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.
  SHOW LESSAs a master’s-level health care practitioner, you are expected to consider a number of factors when analyzing the feasibility of a new initiative. For example, you must consider the various types of risk (such as patient safety, physical plant, financial, or reputation), as well as the present and future value of the service line or economic opportunity in which you are investing. You must also balance your ethical and moral responsibility to provide quality care to patients and populations with your responsibility to protect your organization’s assets and economic viability in the near and long terms.
  Competency Map
  CHECK YOUR PROGRESSUse this online tool to track your performance and progress through your course.
• Toggle DrawerResources
• Assessment InstructionsDevelop a business case for the economic initiative you proposed in Assessment 1. Examine the feasibility and cost-benefit considerations of implementing your proposed initiative over the next five years. Analyze ways to mitigate risks and complete a cost-benefit analysis.
  Note: Remember that you can submit all, or a portion of, your draft business case to Smarthinking for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
  Requirements
  The requirements for your business case, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.
  • Analyze the potential economic opportunities and risks associated with your proposed initiative. 
    • How do the potential opportunities benefit your organization or care setting?
    • How could potential risks pose a threat to the financial security of your organization or care setting?
    • How do the potential economic opportunities compare to the potential economic risks?
  • Propose ethical and culturally sensitive solutions that address the risks associated with your initiative to the future economic security of your organization or care setting. 
    • Which risks are potentially the most significant for your organization or care setting? 
      • How could you modify your proposed initiative to mitigate those risks?
      • How have other organizations and experts in the field dealt with similar risks?
    • How do ethics and equality factor into your proposed solutions? 
      • Are your solutions unfairly burdening or disadvantaging any specific groups?
    • How will this proposal affect community health care delivery outcomes? 
      • What makes this a great opportunity for economic growth?
      • What potential issues should be considered?
  • Analyze the economic costs and benefits of your proposed initiative over a five-year period. 
    • Use the Cost-Benefit Analysis Template [XLSX] for your calculations. Add the worksheet to your business case as an appendix.
    • Does your analysis warn against specific aspects of your proposed initiative?
    • How would you recommend that your findings be incorporated into decisions about the feasibility of your proposed initiative?
  • Propose ethical and culturally equitable ways of keeping costs under control, while maximizing the benefits of your initiative. 
    • What costs are you most likely to be able to control or reduce? 
      • How would you go about ensuring this?
    • How could controlling or reducing these costs affect the benefits of your proposed initiative? 
      • What strategies could you employ to maintain or maximize these benefits, while controlling or reducing costs?
    • How do you plan to ensure that any cost controls or benefit reductions are ethical and equitable?
  • Justify the relevance and significance of the quantitative and qualitative economic, financial, and scholarly evidence you used to support your business case. 
    • This criterion applies to any evidence you cited throughout your business case. Your evidence should be persuasive and relevant to your findings, proposals, and recommendations. Consider one or more of the following questions when citing support evidence: 
      • How is the evidence relevant to your organization or care setting?
      • How is the evidence relevant to your proposed economic initiative?
      • How does the evidence illustrate a solution that has been successful in the past?
      • How does the evidence illustrate that an initiative or solution is likely to be a net benefit to the organization or care setting?
  • Write concisely and directly, using active voice. 
    • Proofread your document before you submit it to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your business case.
  • Apply current APA formatting to in-text citations and references.
  • 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 2 Example [PDF].
  • ADDITIONAL REQUIREMENTS
    Your assessment should also meet the following requirements:
  • Format: Format your business case using APA current style. Use the APA Style Paper Template [DOCX]. An APA Style Paper Tutorial [DOCX] is also provided to help you in writing and formatting your business case. Be sure to include: 
    • A title page and references page. An abstract is not required.
    • A running head on all pages.
    • Appropriate section headings.
  • Length: Your business case should be 4–7 pages in length, not including the title page and references page.
  • Supporting evidence: Cite 4–5 authoritative and scholarly resources to support your business case. Be sure that your sources include specific economic data.
  • 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, after your work has been evaluated.
    Portfolio Prompt: You may choose to save your business case to your ePortfolio.
    Competencies Measured
    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment scoring guide criteria:
  • Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation. 
    • Analyze the potential economic opportunities and risks associated with a proposed initiative.
    • Analyze the economic costs and benefits of a proposed initiative over a five-year period.
  • Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered. 
    • Propose ethical and culturally equitable ways of keeping costs under control, while maximizing the benefits of an initiative.
  • Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues. 
    • Justify the relevance and significance of the quantitative and qualitative economic, financial, and scholarly evidence used to support a business case.
  • Competency 4: Develop ethical and culturally equitable economic strategies to address dynamic environmental forces and ensure the future security of an organization’s resources and its ability to provide quality care. 
    • Propose ethical and culturally sensitive solutions that address the risks associated with an initiative to the future economic security of the organization or care setting.
  • Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards. 
    • Write concisely and directly using active voice.
    • Apply APA formatting to in-text citations and references.