Study Document
Personal Changes
A major change among RNs that challenged them and was difficult for them to make focused on implementing a transcultural care model among the nurses that required the nurses to become more educated about different cultures and how to respond to patients of these … and sociological components: managers must be aware of the risk of resistance and of ways to mitigate that risk. If managers in a health care setting can incorporate the views of nurses and physicians into the change process they will benefit from involving stakeholders at the earliest stages ……
References
Doll, G. A., Cornelison, L. J., Rath, H., & Syme, M. L. (2017). Actualizing culture change: The Promoting Excellent Alternatives in Kansas Nursing Homes (PEAK 2.0) program. Psychological services, 14(3), 307.
Joshi.(2014). Change is Constant, but Improvement is Rapid. H and HN: Hospitals and Health Networks (2014).
Kodama, Y., & Fukahori, H. (2017). Nurse managers’ attributes to promote change in their wards: A qualitative study. Nursing open, 4(4), 209-217.
Kotter’s 8 Step Change Model. (2018). Retrieved from https://www.toolshero.com/change-management/8-step-change-model-kotter/
NHS. (2011). Overview – Change Management – the Systems and Tools for Managing Change. Retrieved from https://www.england.nhs.uk/improvement-hub/wp-content/uploads/sites/44/2017/11/Overview-Change-management.pdf
Tobias, R. M. (2015). Why do so many organizational change efforts fail?. Public Manager, 44(1), 35
Study Document
… knee. In such a situation, the lower leg often kicks forward. Ultimately, an improper related patellar reflex may mainly indicate a central nervous system (CNS) injury.
The sensory input specifically from the quadriceps usually activates local interneurons which release the inhibitory associated neurotransmitter glycine onto the motor ……
References
Goldberger, J. J., Arora, R., Buckley, U., & Shivkumar, K. (2019). Autonomic nervous system dysfunction: JACC focus seminar. Journal of the American College of Cardiology, 73(10), 1189-1206.
Horn, C. C., Ardell, J. L., & Fisher, L. E. (2019). Electroceutical targeting of the autonomic nervous system. Physiology, 34(2), 150-162.
Kenneth, S. S. (2017). Anatomy & Physiology: The unity of form and function. McGraw-Hill.
Marieb, E. & Hoehn, K. (2018). Human Anatomy & Physiology (11th ed). Boston, MA: Pearson. ISBN: 9780134756363
Steinman, K. J., Spence, S. J., Ramocki, M. B., Proud, M. B., Kessler, S. K., Marco, E. J., ... & Sherr, E. H. (2016). 16p11. 2 deletions and duplication: Characterizing neurologic phenotypes in a large clinically ascertained cohort. American journal of medical genetics Part A, 170(11), 2943-2955.
Study Document
Cleveland Clinic Case Study
Introduction
The Cleveland Clinic is a large health care provider based in Cleveland, but with some expansion under its belt already. The Clinic has in recent years been an innovator in a … of the differentiated strategy is an approach that places a premium on service and product excellence, and doing things differently than competitors. In health care, where there is a vast body of literature and practice that informs the best approaches to each type of ailment, disease or injury, … low end of the market, services are likely to be more standardized.
One element of the differentiated strategy is to improve the patient care experience. The Cleveland Clinic has been a leader in this over the past several years. When Cogrove became the CEO, improving the patient … CEO, improving the patient experience was a key initiative, and a new executive role was created……
Study Document
Telemedicine: How does it impact patient care?
Introduction
The modern health care system better and considerably more complex than what the situation previously was a decade and several decades ago. According to various researchers, the … better and considerably more complex than what the situation previously was a decade and several decades ago. According to various researchers, the modern health care system a managed one, and it widely uses technology in contrast to previous health care systems (Conklin, 2002). The many uses of technology in the modern health care system the use of technology for diagnosis, for minimally invasive treatments, and better monitoring of vital signs and other signs. Moreover, technology is … Moreover, technology is now also being used to consult with medical experts from all over the world remotely. This has led to improved health and has enhanced patent experience.
Furthermore, many mobile applications have……
References
Meyers, A. J., Pontarelli, E., Dutta, S. K., Grinberg, G., & Yenumula, P. R. (2018). Telemedicine Follow-up After Bariatric Surgery. Surgery for Obesity and Related Diseases, 14(11), S168.
Tiago, M. T. B., Tiago, F., Amaral, F. E. B., & Silva, S. (2016). Healthy 3.0: Healthcare digital dimensions. In Reshaping medical practice and care with health information systems (pp. 287-322). IGI Global.
Conklin, T. P. (2002). Health care in the United States: An evolving system. Michigan Family Review, 7(1).
Board on Health Care Services; Institute of Medicine. (2012). \\\\\\\\\\\\"3The Evolution of Telehealth: Where Have We Been and Where Are We Going?\\\\\\\\\\\\" in The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. National Academies Press, Washington (DC).
Sada, A., Asaad, M., Reidt, W. S., Kellogg, T. A., Kendrick, M. L., McKenzie, T. J., & Habermann, E. B. (2019). Are In-Person Post-operative Clinic Visits Necessary to Detect Complications Among Bariatric Surgery Patients?. Obesity Surgery, 1-4.
Krupka, D. C., Sandberg, W. S., & Weeks, W. B. (2012). The impact on hospitals of reducing surgical complications suggests many will need shared savings programs with payers. Health Affairs, 31(11), 2571-2578.
Fasano, P. (2013). Transforming health care: The financial impact of technology, electronic tools, and data mining. John Wiley & Sons.
Burch, S., Gray, D., & Sharp, J. (2017). The power and potential of telehealth what health systems should know: proposed legislation in Congress offers the promise that the nation\\\\\\\\\\\\'s healthcare policy will support the expansion of telehealth, allowing hospitals and health systems to fully realize the benefits of this important emerging approach to care. Healthcare Financial Management, 71(2), 46-50.
Study Document
… full extent and scope of their education and training (IOM, 2010). In doing so, the belief was that this would increase access to care and provide nurses with the opportunity to practice as they were trained. O’Brien (2003) notes, after all, that the whole reason APRNs began … reason APRNs began being trained in the latter half of the 20th century was to fill the gap being left behind by primary care physicians as they left their primary care practice to go work for specialized medicine. Today, however, nurses are still bound by regulations that require them in many states to work … this indeed comes about in Oklahoma and in other states across the country, the practice of nursing will grow and change. Continuity of care, accountable care organizations (ACOs), medical homes and nurse-managed health clinics—all of these will be impacted.
By growing the field of nursing, continuity……
References
American Nurses Association. (2010). New care delivery models in health system reform: Opportunities for nurses and their patients. Kansas City, MO: Author.
IOM. (2010). The future of nursing. Retrieved from http://nacns.org/wp-content/uploads/2016/11/5-IOM-Report.pdf " target="_blank" REL="NOFOLLOW">
Study Document
Introduction
Nurse Informaticists (NIs) are responsible for aiding computer programmers who develop nursing systems in planning and implementing computerized nursing systems. NIs ought to assist computer technocrats with analyzing issues, and put forward a computerized solution with desired results. SDLC (System Development Life Cycle) represents discrete steps followed by system developers for designing, troubleshooting and executing systems needed by clients (McGonigle and Mastrian, 2015). Within the health domain, system development encompasses needs evaluation that involves doctors and other health practitioners, legal aspects, environmental challenges, and technological elements impacting the domain of health.
Planning and requirements definition
Planning represents the ideal instrument for guaranteeing the success of all operations. The nursing leader within the context of …
Planning and requirements definition
Planning represents the ideal instrument for guaranteeing the success of all operations. The nursing leader within the context of system development presents system developers with the intended system plan. Developers……
References
Massey, V., & Satao, K. J. (2012). Evolving a new software development life cycle model (SDLC) incorporated with release management. International Journal of Engineering and Advanced Technology (IJEAT), 1(4).
McCormick, K., & Saba, V. (2015). Essentials of nursing informatics. McGraw-Hill Education.
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Study Document
Literature Review
The Use of Clinical Systems to Improve Outcomes and Efficiencies: Special Focus on Patient Portals in Diabetes Management
Patient portals come in handy in seeking to promote the … on Patient Portals in Diabetes Management
Patient portals come in handy in seeking to promote the access that patents have to their personal health data. Of relevance on this front could be patient lab results, doctor notes, prescriptions, billing, the relevant information regarding the next appointment, etc. … next appointment, etc. It is also important to note that in some instances, patient portals do permit patients to actively communicate with their health providers. Thus, from a general perspective, patient portals could be described as online tools designed to promote the health and wellbeing of patients by offering patients access to their personal health information (Sun, Korytkowski, Sereike, Saul, Li, and Burke, 2018). In essence, there is need for a……
References
Amante, D.J., Hogan, T.P., Pagoto, S.L. & English, T.M. (2014). A Systematic Review of Electronic Portal Usage among Patients with Diabetes. Diabetes Technology & Therapeutics, 16(11), 112-118.
Jackson, S.L., DesRoaches, C.M., Frosch, D.L., Peacock, S., Oster, N.V. & Elmore, J.G. (2018). Will Use of Patient Portals Help to Educate and Communicate With Patients With Diabetes? Patient Educ Couns., 101(5), 956-959.
Ronda, M.C., Dijkhorst-Oei, L., Vos, R.C. & Rutten, G.E. (2018). Diabetes Care Providers’ Opinions and Working Methods after Four Years of Experience with a Diabetes Patient Web Portal; A Survey among Health Care Providers in General Practices and an Outpatient Clinic. BMC Family Practice, 19(94), 79-84.
Sun, R., Korytkowski, M.T., Sereike, S.M., Saul, M.L., Li, D. & Burke, L.E. (2018). Patient Portal Use in Diabetes Management: Literature Review. JMIR Diabetes, 3(4), 41-48.
Dendere, R., Sade, C., Burton-Jones, A., Sullivan, C., Staib, A. & Janda, M. (2019). Patient Portals Facilitating Engagement with Inpatient Electronic Medical Records: A Systematic Review. J Med Internet Res, 21(4), 60-66.
Study Document
A Gap in Equity Related to Mental health Access for Veterans
Describe a specific gap in the delivery of health. Include the specific population affected by the gap
A specific gap that is existent in the delivery of health takes into account a shortfall in equity that is associated with mental health accessibility for veterans.
Briefly describe the history of this gap in access to health. Has this been an issue historically, or is it a modern issue?
A gap in accessibility to mental care has been a historical issue that has protracted into the present times. This gap in equity goes back to the mid-20th century during … war developed symptoms of post-traumatic stress disorder (PTSD) after the culmination of their military duties. In definition, post-traumatic stress disorder is a mental health illness caused by the undergoing and coming into contact with petrifying events (Hester, 2017). Some of the……
References
American Public Health Association. (2014). Removing barriers to mental health services for veterans. Policy, 201411.
Hester, R. D. (2017). Lack of access to mental health services contributing to the high suicide rates among veterans. International journal of mental health systems, 11(1), 47.
Tsai, J., Desai, M. U., Cheng, A. W., & Chang, J. (2014). The effects of race and other socioeconomic factors on health service use among American military veterans. Psychiatric Quarterly, 85(1), 35-47.
Study Document
PPACA
Two provisions in the PPACA (Patient Protection and Affordable care Act) that impact my current nursing practice are 1) the call for increased access to care and 2) the call for more preventive care. The Institute of Medicine (IOM) in its Future of Nursing report stated that nurse practitioners should be allowed to practice to the full … O’Brien (2003) pointed out, Advanced Practice Nurse Practitioners (APRNs) were trained to take the place of the physicians who were leaving the primary care field for specialized medicine. Nurses were trained and educated to be able to provide primary care—the same kind of care that physicians provide. And yet in many states they are not permitted to practice independently of physicians. As a result there is a … in many states they are not permitted to practice independently of physicians. As a result there is a serious limitation on access to……
References
IOM. (2010). The future of nursing. Retrieved from http://nacns.org/wp-content/uploads/2016/11/5-IOM-Report.pdf " target="_blank" REL="NOFOLLOW">
Study Document
Case Study and care Plan: High-risk Obstetrics for Women in Rural America.
Introduction
High-risk pregnancies are a risk to the health of both the mother and her fetus. A pregnancy turns to a high-risk if the mother is suffering from existing health conditions, for example, high blood pressure, being HIV-positive, or diabetes. Other factors that promote high-risk pregnancy include obesity and overweight, early or old … The problem of high-risk pregnancies is exacerbated by the rurality of the region a woman lives. Americans in rural America often have worse health as compared to the general population. The reason for this disparity is because rural populations are geographically isolated, have low socioeconomic status, limited … to high-risk pregnant women living in rural America. This paper, therefore, explores the case of high-risk pregnancies in rural America and proposes a care plan that is driven by health solutions.
The case for high-risk pregnancies……
References
American College of Obstetricians and Gynecologists. (2015). ACOG Practice Bulletin No. 156: Obesity in pregnancy. Obstetrics and Gynecology, 126(6), e112–126.
Gallardo, A. & Martin, N. (2017, Sept. 5). Another Thing Disappearing From Rural America: Maternal Care. ProPublica. Retrieved from https://www.propublica.org/article/another-thing-disappearing-from-rural-america-maternal-care
Healy, J. (2018, July 17). It’s 4 A.M. The Baby’s Coming. But the Hospital Is 100 Miles Away. The New York Times. Retrieved from https://www.nytimes.com/2018/07/17/us/hospital-closing-missouri-pregnant.html
Hung, P., Henning-Smith, C. E., Casey, M. M., & Kozhimannil, K. B. (2017). Access to obstetric services in rural counties still declining, with 9 percent losing services, 2004–14. Health Affairs, 36(9), 1663-1671.
Lowery, C. (2018). “Chapter 6: High-Risk Obstetrics and Telehealth,” in Rheuban, K.S. & Krupinski, E.A., Understanding Telehealth. McGraw-Hill Education.
National Institutes of Health, (2017). What is a high-risk pregnancy? Retrieved from https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/high-risk
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