Healthcare stressors

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Analysis of a Pertinent Healthcare Issue

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

 

To Prepare:

  • Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
  • Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
  • Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

 

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

  • Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
  • Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
  • Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

 

Clinical-Community Engagement

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Write a 3-4 page critical response paper on Clinical-Community Engagement in which you reflect on the readings, class discussions from the unit. You should incorporate your own personal experiences and/or observations, but they must be interwoven with ideas, excerpts, theories, references from the readings/focus groups. Your paper should NOT be a summary of the arguments, but critical response to 2-3 themes from the unit that most resonated with you.

The discussion should be about clinical community engagement and the importance of understanding the community hospitals and health care facilities are working with. Vulnerable communities have often lacked trust in large healthcare systems because of mistreatment.

Understanding that clinical community engagement should focus on the patient and not motives that hospitals think that the community needs. Community Health Workers are important because these workers are able to form a relationship with patients and often time can meet the needs of the patients.

I believe that hospitals can play a major role in stemming these inequities in health in vulnerable populations by understanding the needs of the community. Identifying that health is larger than a hospital visit or meeting with a physician but the identifying structural barriers to health like food insecurity, lack of insurance, access to hospitals.

White hospitals and Black communities must share power. The ideology driving the course is that health equity cannot be achieved without engagement between individuals and communities in the context of social determinants of health, and the researchers, policy-makers, and clinicians who work in those spaces.

Reflection on Your Personal Philosophy

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Reflection on Your Personal Philosophy

The field of philosophy comprises many powerful ideas and beliefs, from what is right and wrong to what is the nature of reality and truth. You also had the opportunity to think about your own beliefs and ideas. This Reflection is an invitation for you to continue to examine your beliefs and to think critically about the world and the big questions covered in this course.

It is also an opportunity for you to capture how your learning will enhance positive social change. Walden University defines positive social change as a deliberate process of creating and applying ideas, strategies, and actions to promote the worth, dignity, and development of individuals, communities, organizations, institutions, cultures, and societies. Positive social change results in the improvement of human and social conditions.

To prepare for this Final Reflection:

Review your “What Is Philosophy?” survey from Week 1 and think about how your knowledge has evolved and improved.
Take note of what you have learned in the course.
Take note of the challenging aspects of the course.
Take note of what you can do with what you have learned.
Take note of how your beliefs have changed or have been strengthened as a result of this course.
List areas of your life this learning would impact.
Review Walden’s definition of social change as described above.

Respond to the following questions in a 500-word paper that is no longer than 2 pages in length:

  • What have you learned about philosophy?
  • How has your knowledge of the field of philosophy improved?
  • How do you think what you have learned will change or improve your life?
  • How do you think what you have learned will help you engage in social change?
    Guidelines

Covid-19 and Students’ Mental Health 

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Covid-19 and Students’ Mental Health
How did Covid-19 and online exams and quarantine affect the student mental health during that time and now?

Blood Pressure Control and Hypertension

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Blood Pressure Control and Hypertension

Describe the physiology of blood pressure control. Causes of Primary Hypertension may include overactivity of the SNS; overactivity of the RAAS; alterations in other neurohumoral mediators of blood volume and vasomotor tones such as ANP, BNP, and adrenomedullin; inflammation; a complex interaction involving insulin resistance and endothelial function; and obesity-related hormonal changes

Select 3 of the above potential causes and explain the pathophysiologic mechanisms of primary hypertension

Mental Status Examination

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Mental Status Examination (MSE) is a critical neurological and psychiatric practice diagnostic tool.

case study

Mr Fred Robinson is a 24-year-old man from Derby (2392 km from Perth) in the Kimberley Region of Western Australia. He has a supportive family consisting of his father, mother, three brothers, and friends. Fred is usually presented well. when found, he is dishevelled, unwashed, wearing one shoe, a woollen jumper, beany, and boardshorts.

The police escorted him to the local public hospital after he was observed muttering to himself and pacing near the railing of a bridge next to the railway yard. They found a bag of ripped clothing and papers, a bible, a wallet, and an unlabeled medicine bottle containing numerous coloured tablets near him.

Initially, Fred was uncooperative when questioned by the police, and he accused them of trying to take thoughts from his head. He subsequently became aggressive and displayed violent behaviour by attempting to punch a police officer and shouting at the others. He was restless, overactive, singing loudly, and it was difficult to calm him.

Following scrutiny of his bag, the hospital staff contacted Fred’s parents and informed them of his whereabouts. They reported that Fred had been missing for five days, and they feared for his safety as he recently revealed to them that he had been hearing voices telling him to jump from the bridge that was located near the town.

Following examination by a doctor at the hospital, he was sedated and restrained and referred via the Royal Flying Doctor Service, with a nurse and police escort for admission to a medium-security ward at an ‘approved hospital’ in Perth.

Based on the above case scenario, address the following questions:

An introductory paragraph Presents a brief overview of the main presenting issues outlined in the case scenario. Briefly describe what the psycho-social issues pertaining to this client are that need to be taken into account by the nurses to ensure that Fred receives the most therapeutic care and outcome. In your answer, you need to consider issues of safety, the consumer (Fred) focus, and self-efficacy.

 

MSE: Gather the available information (evidence) from the case scenario, and document the client’s Mental State Examination in the form of progress notes (medical record) under the appropriate MSE headings (Present your information in the MSE format using the provided sequencing).

Explain why the MSE is important in capturing a ‘picture’ of the patient at the time of the assessment. Provide a provisional diagnose(s) that could be made (based on the MSE) as to Fred’s possible presenting condition (s) in the way of a critical discussion.

Risk Assessment: Based on your MSE of Fred’s presentation (in Derby) in the above case scenario, clearly list and briefly describe THREE potential risks (in order of priority) that Fred is likely to pose over the next 24 hours when admitted to the ‘authorized hospital’ in Perth.

Describe Fred’s management plan based on your identified (3) risks within the 24 hours in the approved hospital in Perth.

Conclusion: Effectively and comprehensively summarises main points within the report – highlighting key areas.

Emotional intelligence (EI)

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Emotional intelligence (EI) is one of the leading skillsets that any professional must illustrate in their line of work.
This assignment assesses the following course student learning outcomes:
1. Demonstrate skill in using communication processes to quality improvement and patient
safety initiatives in health care systems. (DNP SLO #4)
2. Incorporate business, economics, and financial principles to redesign effective and
realistic care delivery strategies for risk and improvement of health care outcomes. (DNP
SLO #3)Criteria:
Select an area of interest related to leadership that they wish to explore in
depth.
a. Possible topics include:
Emotional Intelligence
Appreciative Inquiry
Emotional Competence
Noble Purpose
Mindfulness
Toxic Behavior

PICOT question In psychiatric nursing

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PICOT question In psychiatric nursing

Form a PICOT question including the following:

  • Patient Population of interest: What populations are you interested in?
  • Intervention/Issue: What intervention are you interested in?
  • Comparison Intervention: What will the intervention be compared to?
  • Outcomes: What outcome do you want to see?
  • Time: What time frame for or duration of the study?

PICOT question: In psychiatric nursing (P), how effective is the integration of support programs (I) compared to the lack of these programs (C) in reducing nurse burnout rates (O) over one year (T).

Advanced Practice Nursing Philosophy

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Advanced Practice Nursing Philosophy Paper
The goal of this assignment is for you to present your views, values, and beliefs about;

  • the four concepts of the nursing metaparadigm (person/client, nursing, health, and environment)
  • their interrelationship to one another in your current practice of nursing (RN Geriatrics).

You will add to these views, values, and beliefs and compare your current practice to how you envision the advanced practice role you aspire (Family nurse practitioner) to in the future.

 

Your new knowledge is expected to be evidence-based.  The purpose of this exercise is:

  • to identify your personal philosophy of nursing,
  • re-examine, affirm, and validate this philosophy as the course progresses,
  • foster professional and personal growth to transition into the role of the advanced practice registered nurse.
    (Show how you feel your role will change as you move into an APRN role within those 4 concepts: person/client, nursing, health, and environment)Discussion of the topic section.
    In this section develop your main points of your philosophical statement.
  • Introduction: provide overall synopsis of the thought processes used to articulate a philosophy of advanced practice nursing. Describe the advanced practice nursing role you aspire and briefly share the experiences and/or qualities you have that have influenced your decision.
  • The discussion should present a synthesis of your valued personal beliefs.
  • Discussion of Valued Personal Concepts Metaparadigm concepts such as person/client, nursing, health, and environment.
  • Additional concepts you may find valuable to advanced practice, such as IOM Future of Nursing, accountability, leadership, inter-professional collaboration, ethics, cultural and global diversity, and professionalism.
  • Definition of each concept selected Relationships between and among concepts within your personal philosophy as applied to your current practice. Clearly elucidates areas of discussion Provides depth to area of discussion
  • Summary Clear synopsis of discussion points

 

 

Importance of nursing education and discuss your overall educational goals

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The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education.

In 1,000-1,250 words, examine the importance of nursing education and discuss your overall educational goals.
Include the following:

  • Discuss your options in the job market based on your educational level
  • Review the IOM Future of Nursing Recommendations for achieving higher levels of education.
  • Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals. Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing.
  • Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics. Discuss whether continuing nursing education should be mandatory. Provide support for your response.

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