Study Document
...Caring Scientific Merit Paper
This paper will analyze Doekhie and coworkers’ 2018 research work titled “The different perspectives of patients, informal caregivers, and professionals on patient involvement in primary care teams. A qualitative study”. This analysis will entail an evaluation of how the research work contributes to scientific knowledge and research theory, its dependability and credibility, approaches to deal with any ethical concerns relating to the research, and how the researchers applied different techniques of inquiry.
Advancement of the scientific knowledge base
The research work adds to the literature on the subject through examining the issue of patient participation in the health-related decision?making process in the course of primary care team interactions with patients and their informal caregivers within the primary patient care setting. Here, patient participation is no explicitly established idea; instead, the concept is coproduced using interactions and discussions of primary patient care practitioners, reciprocally, with patients and their……
References
Brook, R. H., & Vaiana, M. E. (2015). Using the knowledge base of health services research to redefine health care systems. Journal of general internal medicine, 30(10), 1547-1556.
Cutcliffe, J. R., & McKenna, H. P. (1999). Establishing the credibility of qualitative research findings: the plot thickens. Journal of advanced nursing, 30(2), 374-380.
Doekhie, K. D., Strating, M. M., Buljac?Samardzic, M., van de Bovenkamp, H. M., & Paauwe, J. (2018). The different perspectives of patients, informal caregivers, and professionals on patient involvement in primary care teams. A qualitative study. Health Expectations, 21(6), 1171-1182.
Eccles, M., Grimshaw, J., Walker, A., Johnston, M., & Pitts, N. (2005). Changing the behavior of healthcare professionals: the use of theory in promoting the uptake of research findings. Journal of clinical epidemiology, 58(2), 107-112.
Leedy, P.D. & Ormrod, J. E. (2019). Practical research: Planning and design, 12th edition. Pearson Education, Hudson Street, NY.
Sanjari, M., Bahramnezhad, F., Fomani, F. K., Shoghi, M., & Cheraghi, M. A. (2014). Ethical challenges of researchers in qualitative studies: The necessity to develop a specific guideline. Journal of medical ethics and history of medicine, 7.
Swan, J., Clarke, A., Nicolini, D., Powell, J., Scarbrough, H., Roginski, C., ... & Taylor-Phillips, S. (2012). Evidence in Management Decisions (EMD): advancing knowledge utilization in healthcare management.
Thomas, D. R. (2017). Feedback from research participants: are member checks useful in qualitative research?. Qualitative Research in Psychology, 14(1), 23-41.
Study Document
...Caring Introduction
The concept of healthcare reform has to do with the process of changing health systems in the US so as to make it accessible to all American citizens. As it is at the moment, it still faults and faces numerous challenges. The reform is not going to happen like magic. It will take time. In fact the reform process itself is likely to face lots of challenges including stiff opposition. However, the size and dynamic of reform involved necessitates that the process is started and measures put in place to safeguard the little steps made towards great and positive change in future. Private companies control the US healthcare system; that is a fact that makes reform all the more challenging (Nikolai, 2019). In order to fix the broken healthcare system, many problems will have to be addressed. The main problems can be split into three. The quality of the……
Bibliography
Barrett, S., & Hammond, J. (2009, September 20). Key Elements of Healthcare Reform. Retrieved from Insurance Reform Watch: https://www.insurancereformwatch.org/basic/key.shtml
Nikolai. (2019, November 20). Healthcare Reform: What It Is and Why We Need It. Retrieved from National Institute of Health Policy: https://www.nihp.org/healthcare-reform-what-it-is-and-why-we-need-it/
Study Document
...Caring One of the most significant challenges in healthcare today is the shortage of health care workers, of all types. This shortage is noticed in wealthier countries, but those nations can import health workers from poorer countries, leaving the world’s least developed countries with the most significant shortages of health care workers (GHWN, 2015).
At the global level, human resources management for health care means attracting more people into the profession, finding ways to train them, and then ensuring that there is sufficient distribution of health care talent around the world. For any given organization, the precise challenges might be different, but there is opportunity to put some of these concepts into practice. An example might be to design jobs in a way that people with fewer formal qualifications can perform more work, and those with qualifications – who tend to be in shorter supply – are focused on the tasks……
References
GHWH (2015). Health #Workforce2030 [Video file]. Retrieved from https://www.youtube.com/watch?v=QXpp4kmUCLU (3:55)
Hayden, M. (2014). The Future of Healthcare: Where will we be in 2023? Retrieved from https://tune.pk/video/4445260/the-future-of-healthcare-where-will-we-be-in-2023 (6:54)
Study Document
...Caring Research Article Chart
Criteria and Defining Characteristics
Article 1:
Abraham, R. P., Denton, D. A., Al?Assaf, A. S., Rutjes, A. W., Chong, L. Y., Malik, M. A., & Tabet, N. (2015). Vitamin and mineral supplementation for prevention of dementia or delaying cognitive decline in people with mild cognitive impairment. Cochrane Database of Systematic Reviews, (10).
Article 2:
Kwok, T. C. Y., Lam, L. C. W., Sea, M. M. M., Goggins, W., & Woo, J. (2012). A randomized controlled trial of dietetic interventions to prevent cognitive decline in old age hostel residents. European journal of clinical nutrition, 66(10), 1135.
Article 3:
Dangour, A. D., Whitehouse, P. J., Rafferty, K., Mitchell, S. A., Smith, L., Hawkesworth, S., & Vellas, B. (2010). B-vitamins and fatty acids in the prevention and treatment of Alzheimer's disease and dementia: a systematic review. Journal of Alzheimer's disease, 22(1), 205-224.
Abstract
After reading the abstract what do you expect to learn from the……
References
Abraham, R. P., Denton, D. A., Al?Assaf, A. S., Rutjes, A. W., Chong, L. Y., Malik, M. A., & Tabet, N. (2015). Vitamin and mineral supplementation for prevention of dementia or delaying cognitive decline in people with mild cognitive impairment. Cochrane Database of Systematic Reviews, (10).
Kwok, T. C. Y., Lam, L. C. W., Sea, M. M. M., Goggins, W., & Woo, J. (2012). A randomized controlled trial of dietetic interventions to prevent cognitive decline in old age hostel residents. European journal of clinical nutrition, 66(10), 1135.
Dangour, A. D., Whitehouse, P. J., Rafferty, K., Mitchell, S. A., Smith, L., Hawkesworth, S., & Vellas, B. (2010). B-vitamins and fatty acids in the prevention and treatment of Alzheimer\\'s disease and dementia: a systematic review. Journal of Alzheimer\\'s disease, 22(1), 205-224.
Study Document
...Caring Facts and Court Holding
Karen Ann Quinlan attracted national attention following her slipping into a comma in 1975. In essence, the Quinlan case remains a key reference point in discussions revolving around the right to die. According to Drane (1994) Ms. Quinlan fell into a comma on the night of April 15, 1975 following her an evening birthday party of one of her friends. It was reported that during the party, Quinlan took a cocktail of alcoholic beverages. In additional to alcohol, it was also reported that she took a tranquilizer (Valium to be specific) (Drane, 1994). She promptly slid into a comma. Soon, her friends realized she was not breathing and called an ambulance which rushed her to Newton Memorial Hospital. Efforts to resuscitate Quinlan were unsuccessful and after it became apparent that her comma was irreversible, she was transferred to another medical facility, i.e. St. Clare’s in Danville.……
References
Drane, J.F. (1994). Clinical Bioethics: Theory and Practice in Medical Ethical Decision-making. New York, NY: Rowman & Littlefield.
Holland, S., Kitzinger, C. & Kitzinger, J. (2014). Death, treatment decisions and the permanent vegetative state: evidence from families and experts. Med Health Care Philos., 17(3), 413-423.
Karen Ann Quinlan Hospice (2019). The Story of Karen Ann Quinlan Made Headlines! Retrieved from https://www.karenannquinlanhospice.org/about/history/
Mizzoni, J. (2011). Ethics: The Basics. Hoboken, NJ: John Wiley & Sons.
Rosenthal, M.S. (2018). Clinical Ethics on Film: A Guide for Medical Educators. New York, NY: Springer.
Singer, P. (2013). A Companion to Ethics. Hoboken, NJ: John Wiley & Sons.
Study Document
...Caring GENDER DIFFERENCE AMONG VETERANS
Does Gender Affect the Utilization of Mental Health Care Services among Veterans?
The decision one takes when choosing a career poses a lifelong effect on his own life as well as of his family members. The deployment decision of a career that the person has to face sometimes harms his mental health and family both (Brooks & Chopik, 2020). For example, if the person belongs to the army, he might be deployed in a war zone, which later would have disastrous impacts on his mental health in the form of stress, depression, and excessive use of alcohol, etc. The intensity of trauma might increase if the diagnosis is not done on time and may lead to family problems like divorce, social dysfunction, substance abuse, difficulties in future employment, legal complications, and, most of all, physical health troubles.
Recently, women's inclusion in almost all areas of life……
References
Adams, R.E., Urosevich, T.G., Hoffman, S.N., Kirchner, H.L., Figley, C.R., Withey, C.A., Boscarino, J.J., Dugan, R.J. & Boscarino, J.A. (2019). Social and psychological risk and protective factors for veteran well-being: The role of veteran identity and its implications for intervention. Military Behavioral Health, 7(3), 304-314. https://doi.org/10.1080/21635781.2019.1580642
Allore, H.G., Ning, Y., Brandt, C.A., & Goulet, J.L. (2013). Accounting for the hierarchical structure in veterans’ health administration data: Differences in healthcare utilization between men and women veterans. International Journal of Statistics in Medical Research, 2(2), 94-103. DOI: 10.6000/1929-6029.2013.02.02.03
Brooks, C. & Chopik, W. (2010, June 17). Research finds deployment affects mental health of veterans differently. Michigan State University. https://msutoday.msu.edu/news/2020/research-finds-deployment-affects-mental-health-of-veterans-differently/
Duggal, M., Goulet, J.L., Womack, J., Gordon, K., Mattocks, K., Haskell, S.G., Justice, A.C. & Brandt, C.A. (2010). Comparison of outpatient health care utilization among returning women and men veterans from Afghanistan and Iraq. BMS Health Services Research, 10 (175). https://doi.org/10.1186/1472-6963-10-175
Harpaz-Rotem, I. & Rosenheck, R.A. (2011). Serving those who served: Retention of newly returning veterans from Iraq and Afghanistan in mental health treatment. Psychiatric Services, 62(1), 22-27. DOI: 10.1176/ps.62.1.pss6201_0022.
Haskel, S.G., Brandt, C.A., Krebs, E.E., Skanderson, M., Kerns, R.D., & Goulet, J.L. (2009). Pain among veterans of operations enduring freedom and Iraqi freedom: Do women and men differ? Pain Medicine, 10(7), 1167-1173. https://doi.org/10.1111/j.1526- 4637.2009.00714.x
Kaur, S., Stechuchak, K.M., Coffman, C.J., Allen, K.D., & Bastain, L.A. (2007). Gender differences in health care utilization among veterans with chronic pain. Journal of General Internal Medicine, 22(2), 228-233. DOI: 10.1007/s11606-006-0048-5
Koo, K.H., Madden, E. & Maguen, S. (2015). Race, ethnicity, and gender differences in V.A. health care service utilization among U.S. veterans of recent conflicts. Psychiatric Services, 66(5), 507-513. https://doi.org/10.1176/appi.ps.201300498
Study Document
...Caring A Self Care Plan for Preventing Burnout at Work
Abstract/Summary
An action plan is a way to establish a step-by-step guide for oneself to follow in order to achieve a goal. The main goal for this action plan is self-care. There are six areas of self-care that this action plan focuses on: physical, emotional, cognitive, social, financial and spiritual. The action plan identifies three sub goals within each area and describes the steps that I will take to reach those goals. This specific action plan was chosen to prevent me from becoming burned out at work. Self-care is important as psychologists and even the bible have shown. This paper provides support for the plan using scholarly sources, books, and other reference material, and the action plan shows why the goals and steps described are helpful in my self-care plan.
Outline of the Action Plan
This Action Plan will go through……
References
Baumeister, R. F., Campbell, J. D., Krueger, J. I., &Vohs, K. D. (2003). Does high self-esteem cause better performance, interpersonal success, happiness, or healthier lifestyles? Psychological Science in the Public Interest, 4(1), 1–44.
Cosentino, B. W. (2020). Loving Yourself. How to raise your self-esteem.
Dall’Ora, C., Griffiths, P. & Ball, J. (2016). 12-hour shifts: burnout or job satisfaction? Nursing Times, 112(12/13), 1-2.
Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370.
National Academy of Medicine. (2019). Valid and Reliable Survey Instruments to Measure Burnout, Well-Being, and Other Work-Related Dimensions. Retrieved from https://nam.edu/valid-reliable-survey-instruments-measure-burnout-well-work-related-dimensions/
Nursing Theories. (2012). Retrieved from http://currentnursing.com/nursing_theory/self_care_deficit_theory.html
Orem, D.E. (1991). Nursing: Concepts of practice (4th ed.). St. Louis, MO: Mosby-Year Book Inc.
Robinson, R. B., & Frank, D. I. (1994). The relation between self-esteem, sexual activity, and pregnancy. Adolescence, 29(113), 27–35.
Study Document
...Caring Legal and Ethical Issues in Healthcare
Healthcare ethics have to do with the wide range of moral decisions that have to be made in medical practice. These are the other considerations that have to be made besides the regular policies and procedures designed for effective medical practice. Of the various aspects of the human body and life, none is as important as health. Technological advancements in the practice of medicine and healthcare, in general, emerge with their sets of moral dilemmas. Many of such issues arise from developments in genetic knowledge and reproductive health (Taylor, 2015).
The relationship between the patient and the healthcare expert, the human subject behavioral research, harvesting and transplanting of human organs, abortion, euthanasia, and allocation of healthcare resources and services are other areas that present moral dilemmas. In the clarification of moral issues in healthcare provision, and consequently, understood, healthcare quality as it is received……
References
Chen, Y. Y., Chu, T. S., Kao, Y. H., Tsai, P. R., Huang, T. S., &Ko, W. J. (2014). To evaluate the effectiveness of health care ethics consultation based on the goals of health care ethics consultation: a prospective cohort study with randomization. BMC medical ethics, 15(1), 1.
Morrison, E. E. (2011). Ethics in health administration: a practical approach for decision-makers. Jones & Bartlett Publishers.
Nora, C. R. D., Deodato, S., Vieira, M. M. D. S., &Zoboli, E. L. C. P. (2016). Elements and strategies for ethical decision-making in nursing. Texto&Contexto-Enfermagem, 25(2).
Reddy, M. S., &Mythri, S. V. (2016). Health-care Ethics and the Free Market Value System. Indian journal of psychological medicine, 38(5), 371–375. https://doi.org/10.4103/0253-7176.191387
Taylor, S. C. (2015). Health Care Ethics. Internet Encyclopedia of Philosophy. Retrieved from https://www.iep.utm.edu/h-c-ethi/#H2
Yip, C., Han, N. R., &Sng, B. L. (2016). Legal and ethical issues in research. Indian Journal of anesthesia, 60(9), 684–688. https://doi.org/10.4103/0019-5049.190627
Webster, G., Bayliss, F., Rubin, S., &Zoloth, L. (2000). Moral Residue. Margin of Error: The Ethics of Mistakes in the Practice of Medicine. Hagerstown, MD: University Publishing Group.
Study Document
...Caring Creating Diversity
Elder Veterans and Health Care Services
The focus of my dissertation is toward the aged American population, particularly the elderly veterans. I will be considering the type and quality of care they receive for the remainder of their old age. Currently, there are programs and health services targeted toward that group. I am interested in the approaches and activities of such programs and other similar programs that might need to be implemented through congressional deliberation and approval. Gerontology is receiving significant attention from researchers in the American space due to the steady incline of the aged American population.
Through the evaluation of certain tendencies within the group of elderly veterans, intervention measures can be provided. Known risk-factors within this group include mental illnesses and war-related disabilities/amputations, which are potential triggers for suicidal behavior/tendency with increasing age (Reid, 2018). Also, there is an increasing sense of hopelessness associated with……
References
Chamorro-Premuzic, T. (2017). Does diversity actually increase creativity? Retrieved from: https://hbr.org/2017/06/does-diversity-actually-increase-creativity
Feldman, S., Dickins, M., Browning, C., & DeSoysa, T. (2015). The health and service needs of older veterans: a qualitative analysis. Health Expect, 18(6), 2202-2212. DOI: 10.1111/hex.12190
Olenick, M., Flowers, M., & Diaz, V. (2015). US veterans and their unique issues: enhancing health care professional awareness. Adv Med Educ Pract, 6, 635-639. DOI: 10.2147/AMEP.S89479
Reid, S. (2018). Helping our older veterans. Retrieved from: https://www.apa.org/monitor/2018/12/job-karel
Taylor, S. L., Bolton, R., Huynh, A., Dvorin, K., Elwy, A., Kliger, B., Bokhour, B. G. (2019). What should health care systems consider when implementing complementary and integrative health: Lessons from Veterans Health Administration. The Journal of Alternative and Complementary Medicine, 25, S52-S60. DOI:10.1089/acm.2018.0445.
Veterans Health Administration Organizational Excellence. (2018). What’s the forecast for VA innovation in 2018? Retrieved from: https://www.va.gov/HEALTHCAREEXCELLENCE/diffusion-of-excellence/articles/innovation-forecast-2018.a sp
Study Document
...Caring Culture in Advanced Nursing Practice
Abstract
Culturally competent nurses can assess the psychological, spiritual, physiological, social, environmental, and epidemiological data on a particular cultural group to provide culturally sensitive and patient-centered care. Since Madeleine Leininger first proposed that cultural competency was essential to nursing, various means of incorporating cultural learning and assessment have been incorporated into advanced nursing practice. Culture includes but is not limited to ethnic, linguistic, religious, and national heritage, and can also include subcultural domains, age, socioeconomic status, and political affiliations. Advanced practice nurses have a moral and legal obligation to provide culturally competent care, outlined in Standard 8 of the American Nurses Association (ANA) Standards of Practice. Cultural assessment strategies enable the advanced practice nurse to understand the complex intersections between health status, cultural needs, disease prevalence, spirituality, agency, and more.
Culturally Competent Advanced Nursing Practice
Since Madeleine Leininger first proposed that cultural competency was essential to……
References
Coats, H., Crist, J. D., Berger, A., Sternberg, E., & Rosenfeld, A. G. (2016). African American Elders’ Serious Illness Experiences. Qualitative Health Research, 27(5), 634–648. doi:10.1177/1049732315620153
“Cultural Awareness and Influences on Health: NCLEX-RN,” (2020). Registered Nursing. Retrieved from: https://www.registerednursing.org/nclex/cultural-awareness-influences-health/
Marion, L., Douglas, M., Lavin, M., Barr, N., Gazaway, S., Thomas, L., Bickford, C., (November 18, 2016) \\\\\\\\\\\\"Implementing the New ANA Standard 8: Culturally Congruent Practice\\\\\\\\\\\\" OJIN: The Online Journal of Issues in Nursing Vol. 22 No. 1.
Smith, L.S. (2018). A nurse educator\\\\\\\\\\\\'s guide to cultural competence. Nursing Made Incredibly Easy 16(2): 19-23.
Spector, R.E. (2016). Cultural diversity in health and illness. 9th Edition
Wagner, J. (2019). Cultural competency. Medicine Libre Texts. Retrieved from: https://med.libretexts.org/Bookshelves/Nursing/Book%3A_Leadership_and_Influencing_Change_in_Nursing_(Wagner)/03%3A_Diversity_in_Health_Care_Organizations/3.04%3A_Cultural_Competency
Williams, M.T., Duque, G., Wetterneck, C.T., et al. (2018). Ethnic identity and regional differences in mental health in a national sample of African American young adults. Journal of Racial and Ethnic Health Disparities 5(2018): 312-321.
Young, S., & Guo, K. L. (2016). Cultural diversity training: the necessity of cultural competence for health care providers and in nursing practice. The health care manager, 35(2), 94-102.
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