From the perspective of the future of healthcare and the professional nurse, discuss future trends in Healthcare. What are your thoughts about the Millennium Development goals? What are your thoughts about health and Healthcare in 2032?
Develop a personal nursing philosophy narrative as to how your life moved towards meeting that goal of becoming a nurse.
In a 3-4 page, double-spaced, typewritten document, please respond to the following:
• Begin your paper with why you wanted to become a nurse
• Develop a narrative as to how your life moved along towards meeting that goal of becoming a nurse.
Include any work experiences (volunteer work, hospital, MD office, healthcare facility) that reinforced your desire to become a nurse and why.
What educational preparation has already taken place in your life prior to entering a formal nursing program? Were there any particular people or nurses who influenced your decision to become a nurse and what was the nature of that influence?
What plans did you make to become a nurse that either were delayed or actually occurred as planned? What keeps you focused on completing the program especially when obstacles present themselves? What has been the greatest sacrifice you have made to become a nurse?
• In the time you have been involved in nursing activities, what has given you the greatest satisfaction and why?
• How has the current health care arena affected your feelings about being a nurse?
• Look at the QCC statement of philosophy of nursing.
• Write a statement of your philosophy of nursing that should include the four (4) metaparadigms of: client, health, environment, and nursing. What are your beliefs about the client? How do you define health? In your opinion, what makes up the environment? How does nursing impact all of these? NB. Philosophy of Nursing can be found in your STUDENT HANDBOOK located under “Course Information.”
• How is your philosophy the same as or different than the QCC philosophy of nursing? • What nursing theory/theorist has influenced your personal philosophy the most and why?
• What will finally becoming a professional registered nurse mean to you?
• Where do you see yourself five years after graduation?
Here is the nursing school’s Philosophy: Philosophy of the Department of Nursing The philosophy of the Department of Nursing is based upon the relationships among the concepts of the individual/ patient, environment, health, and nursing. The Individual is a biopsychosocial and spiritual being who functions within the context of the family, culture, and community.
Individuals have basic physiological, psychosocial, and developmental needs across their lifespan. These needs must be fulfilled in order for a state of health to exist. An individual or group of individuals becomes a Patient upon entry into a healthcare system for assistance in achieving maximum self-care potential.
The Environment is the aggregate of biological, physical, spiritual, social and cultural conditions that influence the life of the patient. The health of the patient is affected by the local and global environment. Health is living within one’s environment while achieving the greatest level of functioning.
Therapeutic support of the patient leads to a state of health, wholeness, well-being and integrity of the individual. The ability to maintain optimum wellness varies among individuals based on developmental stage, life experiences, health alterations, level of knowledge, values, culture and environment.
Alterations emerge when the individual cannot meet their needs as a result of disease, injury or life cycle events. When individuals cannot meet their own needs, they have the right to receive patient-centred assistance in moving towards their highest level of functioning and health.
Which of the following statements about hand hygiene in healthcare settings is true? A) Hand hygiene is only necessary before performing medical procedures. B) Hand hygiene should be practiced using soap and water only.
C) Hand sanitizer is an effective alternative when soap and water are not available.
D) Hand hygiene is optional for healthcare professionals if they wear gloves.
Describe the primary care nursing delivery model along with specific tenets or characteristics from a systems theory or thinking model that makes sense or best depicts the care delivery model. and Explain how the primary care nursing model utilizes tenets or principles of systems theory using descriptors listed below. (Choose 3 from the list below)
Healthcare insurance has been a relatively new innovation in the last century. As healthcare innovations have increased, the model of insurance has evolved as well. The acceptance of healthcare insurance is now widespread and affects practices from large hospitals to small clinics across the country. Explain how nurses with advanced degrees can affect change in this dynamic.
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Telehealth and telemedicine services have risen to prominence in the last few years. I have never personally used telehealth or telemedicine services but as a nurse, I have used them either with or on behalf of a patient. Those encounters, combined with research have been shown to result in positive outcomes for its use.
Telehealth services have grown in usage because so many different conditions can be diagnosed and treated via using these types of services. One area that was surprised to see in telehealth and telemedicine is rehabilitation. It is a field that is new and growing. It has the capacity to serve large city populations as well as those in underserved areas. Telerehabilitation can provide the same services as in-person visits can. That could include “evaluation, assessment, monitoring, prevention, intervention, supervision, education, consultation and coaching” (Kazuko, S., et al. 2022). These modalities have allowed fewer in-person visits which was a goal of many businesses and industries during the recent pandemic. These modalities can and are delivered by a wide range of professionals.
There are some challenges to providing care to underserved communities. Telehealth is not immune to that. One of the biggest obstacles to overcome is internet access. Patients need access to broadband internet access and fewer people in rural areas have access to it.
Telehealth medicine has its own set of practice standards. There are laws that vary depending on which state, jurisdiction, and country the prover and the recipient live An emphasis has been placed on practitioners understanding the laws and regulations that may affect them. All of the same issues that must be covered with in-person medicine need to be addressed in telehealth. First and foremost, HIPPA rules need to be followed and specific states have their own records requirements that must be followed to meet the standard (Faget, K. 2022).
There are some practice changes that will need to be implemented to encourage the success of telehealth services. Staff should provide patients with literature on what to expect during their appointment. They should also help patients to become acquainted with the electronic equipment that will be used to complete their appointment. Practice changes in my line of work may include increased usage of provider care through a digital platform in the ICU. A second practice change that I have experienced is receiving phone calls from radiology for critical image results. In the past, nurses would monitor the patient chart to see that the results are posted. Then we would call the provider to let them know they are available. Now that time is cut short when critical results need to be conveyed to the provider.
Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of chronic obstructive pulmonary disease (COPD). Today, he presents to the emergency department with reports of shortness of breath and difficulty breathing. He is in respiratory distress with retracting respirations of 26 breaths/min, BP is 154/76 mm Hg, pulse is 120 beats/min, and temperature is 37°C.
His skin color is pale gray, his chest is barrel-shaped, and he uses accessory muscles to breathe; he appears anxious and is sitting in a tripod position. His nail beds are bluish in color; his oxygen saturation by pulse oximetry is 72%.
Chest auscultation reveals wheezes and decreased-to-absent breath sounds in bilateral bases. Hyperresonance is noted upon chest wall percussion. Chest x-ray showed atelectasis bilaterally in the bases. Mr. Ritter coughs with minimal amounts of clear sputum. (Learning Objectives 5 and 8)
a. What findings from the given scenario are subjective data?
b. What findings from the given scenario represent objective data? Describe which is abnormal and why that is abnormal.
c. What is the pathophysiology related to this disease process in the aging adult patient?
d. Choose 3 nursing diagnoses and develop a care plan for this patient based upon the assessment and diagnoses using the concept map below.
Reply to this post, explaining nursing informatics and how it has changed the nursing whole.
In the last module, I documented my experiences locating published sources, such as articles and journals that have discussed all my field of study and work. There were highlights of all the problems encountered locating sources for my project, the article’s wording, and a brief mention of sites I have found resourceful. In this module, I will give conclusions based on my research on healthcare informatics and nursing’s final presentation topic.
My literature review required that I track out and utilize publications that had been evaluated by other academics, therefore I consulted two different sources of scholarly articles. One of them is the National Library of Medicine, which, in conjunction with the National Center for Biotechnology Information, maintains a database of various sources (NCBI). By facilitating access to biomedical and genetic information, NCBI contributes to the advancement of both research and health. The Journal of Medical Internet Research was the second source that was used. JMIR Publications is a resource center that produces medical publications that include eHealth and digital health. These journals are evaluated by medical professionals in the field. An article that I found in JMIR and utilized helped me better comprehend the experiences that nurses have had working with health information technology.
I have come to the following conclusions about the topic of my final presentation: what exactly is meant by the term “informatics,” how it should be introduced to and incorporated into nursing practice, the experiences that nurses have had, and the reasons why certain nursing practice adjustments are required for long-term improvements in healthcare. To begin, healthcare informatics is an interpersonal practice that combines nursing practice with information to use biomedical data, information, and knowledge for the purpose of scientific inquiry. This is an important step in improving skill sets such as problem-solving and decision-making, and it is at the heart of healthcare informatics. As a result, it serves as a driving force behind initiatives to promote general human health.
The second conclusion I have drawn from my investigation into the subject matter is that the adjustments made by nurses are essential to the successful deployment of healthcare informatics. To enhance the use of informatics and the quality of healthcare, it is vital to have an understanding of how nurses’ opinions of informatics have changed through time. According to the findings of a qualitative research that was carried out by Zadvinskis et al. (2018), thematic interconnectedness varied according to the worries and levels of satisfaction felt by nurses at various moments in time. According to the findings of the research, 18 months after the deployment of healthcare informatics, the attitudes of the nurses looked to be more balanced in each of the seven themes of the integration.
The seven themes of interest in the adoption and implementation of healthcare informatics are as follows: nurses’ interaction with informatics; nurses’ performance in regards to task accomplishment; nurses’ unit-specific teamwork; interdisciplinary teamwork; quality of care and nurse satisfaction; adaptation of nurses over time; and the organizational factors, such as policies, requirements, and decisions made by leadership. The areas of interest have the potential to contribute to the positive enhancement and improvement of the use of healthcare by nurses in the delivery of healthcare.
My third and last conclusion based on this line of inquiry is that the current nursing practice must undergo certain modifications to realize the potential long-term advantages. Imagine for a moment that healthcare institutions spend money on nursing practice improvement initiatives such as informatics, equipment, and policy. If this is the case, it will enhance systems that prioritize the safety of patients or the overall quality of healthcare, as well as the contentment of nurses in the performance of their professional obligations. In the context of healthcare informatics, potential areas for development in nursing practice include the development of healthcare informatics equipment with improved functionality, the enhancement of nursing content within informatics, an adequately improved human-computer interface and integration, nurses’ training on the adoption of informatics, and, as a final step, the modification of clinical workflow involving informatics in order to make it consistent with the policies and procedures of hospitals. If these proposed modifications in nursing practice are implemented, then nurses and other health practitioners will have a higher level of work satisfaction, which will eventually lead to an improvement in the quality of care provi
Identify major components of the Medicare and Medicaid programs and, based on these components, identify at least two patient coverage gaps for each of the programs. Be clear when you describe the coverage and the gaps as they may relate to specific ages, patient populations, or disease entities. Use primary sources to identify the components and the gaps. Additionally, discuss your stand (criticize or defend) regarding the relevance of the Social Security program to the American public. Should the program be left alone, modified, drastically changed, or eliminated? Provide the rationale and use facts to defend your position.
Part 1 -Introduction of evolved scenario with clinical judgment framework application and issue to address (20% b. Part 2 – Evidence-based alternatives approach for issue and decision for practice situation (20%) c. Part 3 – Application of communication models to advocate for safe and ethical clinical decision made (20%) d. part 4 – Entire group engagement with class – Interactive dialogue with class – questions and answers (20%) (NOTE: if you (as an individual) do not attend other group presentations (weeks 12-13-14) you will not receive this 20% (does not affect all members of group) e. audio/ visual presentation (20%)
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