Study Document
… nursing science (Twigg, Pugh, Gelder, & Myers, 2016). In part 2, analysis and application of safety programs were explored and Kenneth E. Waldenberg Health Care facility was used as a model in the analysis. The findings of the paper was that leadership plays a key role in … model in the analysis. The findings of the paper was that leadership plays a key role in sustaining quality improvement programs in any health care organization (Stetler, Ritchie, Rycroft-Malone, & Charns, 2014). In this third part of the quality and sustainability paper, a change theory that will … quality and sustainability paper, a change theory that will support the implementation of a quality and safety program will be discussed.
Change Theory
Healthcare facilitates are required to implement new process or technologies that improve patient safety and quality of care (Hughes, 2007). There exists a formula … technologies that improve patient safety……
References
Alenius-Smeds, L., Tishelman, C., Lindqvist, R. Runesdotter, S. & McHugh, M.D. (2016). RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: A national cross-sectional study of acute-care hospitals. International Journal of Nursing Studies. Retrieved from http://dx.doi.org/10.1016/j.ijnurstu.2016 (06)005
Brasait?, I., Kaunonen, M., Martink?nas, A., Mockien?, V., & Suominen, T. (2016). Health care professionals’ skills regarding patient safety. Medicina, 52(4), 250-256. doi:10.1016/j.medici.2016.05.004
Campbell, R. J. (2008). Change Management in Health Care. The Health Care Manager, 27(1), 23-39. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/18510142
Hughes, R.G. (2007). "3 Barriers to quality improvement and quality improvement research." Institute of Medicine (IOM). Advancing quality improvement research: Challenges and opportunities: Workshop summary. doi:10.17226/11884.x
Lennox, L., Maher, L., & Reed, J. (2018). Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare. Implementation science: IS, 13(1), 27. doi:10.1186/s13012-017-0707-4
Stetler C.B., Ritchie J.A., Rycroft-Malone J. & Charns M.P. (2014) Leadership for evidence-based practice: strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence Based Nursing 11(4), 219–226.
Twigg, D. E., Pugh, J. D., Gelder, L., & Myers, H. (2016). Foundations of a nursing-sensitive outcome indicator suite for monitoring public patient safety in Western Australia. Collegian, 23(2), 167-181. doi:10.1016/j.colegn.2015.03.007
Study Document
… near the Army post at Fort Campbell, Kentucky and am currently a federal employee—but my goal is, upon completing my Master Degree in Health Care Administration, to work in the Army Substance Abuse program. This is my goal because in my childhood I saw my mother struggle … need to take to achieve this goal are to complete my Master Degree program and then move on to obtaining my PHD in Health Care Administration. This will help me to focus on the current and developing issues in both general management and health care administration. It will also help me to form good habits of staying up to date on current literature and evidence based practice … of staying up to date on current literature and evidence based practice in the field of management and administration as well as in healthcare advances in treating substance abuse clients and their providing……
References
Freeman, E. (2001). Substance Abuse Intervention, Prevention, Rehabilitation, and Systems Change: Helping Individuals, Families, and Groups to Empower Themselves. Columbia University Press.
Maxwell, J. (1998). The 21 Irrefutable Laws of Leadership. Nashville, TN: Thomas Nelson Publishers.
Northouse, P. G. (2016). Leadership: Theory and practice (7th ed.). Thousand Oaks: CA: Sage Publications.
Stogdill, R. M. (1948). Personal factors associated with leadership: A survey of the literature. Journal of Psychology, 25, 35–71.
Study Document
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 … 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 … 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 … and may lead to family problems like divorce, social dysfunction, substance abuse, difficulties in future employment, legal complications,……
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
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 … 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 and practiced should be improved qualitatively (Taylor, 2015).……
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
Optimizing Merged Health Information Systems
Although the merger of two comparably sized companies competing in the same industry is a relatively commonplace business strategy, the process … information systems involved that must also be merged successfully. The purpose of this paper is to explicate the responsibilities involved in implementing a health information system (HIS) that meets current Health Information Technology for Economic and Clinical Health (HITECH) Act and the Health Insurance Portability and Accountability Act (HIPAA) Security and Privacy regulatory requirements. To this end, a discussion and analysis of health information systems, a description concerning how a system will affect patient care and documentation and an explanation concerning how using a system to … of the research and important findings about the challenges and issues involved are presented in the paper’s conclusion..
A. Discussion and analysis of health information systems
1. Summary of advantages and disadvantages of a system.
A……
References
Abouzhar, C. & Boerma, T. (2009, August). Health information systems: The foundations of public health. Bulletin of the World Health Organization, 83(8), 578-583.
Cresswell, K. & Aziz, S. (2013, May). Organizational issues in the implementation and adoption of health information technology innovations: An interpretative review. International Journal of Medical Informatics, 87(5), 73-86.
Drazen, E. L. (2006, February). Maximizing the benefits of health care information systems. Journal of Medical Systems, 10(1), 51-56.
Kruse, C. S. & Smith, D. (2017, July). Security techniques for the electronic health records. Journal of Medical Systems, 41(8), 127.
Kumar, V. (2011). Impact of health information systems on organizational health communication and behavior. The Internet Journal of Allied Health Sciences and Practice, 9(2), 37-44.
McGrail, K. M. & Black, C. (2009, August). Access to data in health information systems. Bulletin of the World Health Organization, 83(8), 563-569.
Murphy, M. L. (2019, March). Mastering accounting for business combinations: Mergers and acquisitions present challenges that finance can overcome by staying involved with the deal and preparing in advance of the closing. Journal of Accountancy, 227(3), 24-27.
NAHQ code of ethics for healthcare quality. (2019). National Association for Healthcare Quality. Retrieved from https://nahq.org/about/code-of-ethics .
Study Document
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 … in shorter supply – are focused on the tasks that are very specific to their training.
Another challenge going forward is that the health care industry is changing rapidly. In particular, new technologies are changing both the types of healthcare that……
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
… Quinlan be switched off (Rosenthal, 2018). Quinlan’s parents proceeded to seek the intervention of the court following the refusal by doctors at the healthcare facility to heed to their request. It is this move that set the stage for what came to be an intense national debate ……
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
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 … 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 … the American dream at that stage of life has significantly been altered and replaced with an uneasiness about affording the cost of housing, health care, and other necessities.
The aged veterans, who are a significant minority of this group, are even more vulnerable. It is on the … al., 2019). In the case of veteran care, its unique challenges for widespread adoption include things like “integration of veteran care into general health……
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.asp
Study Document
… as what is not being done is followed by an examination of gaps in the current initiatives. In addition, a discussion concerning the health advocacy groups that have attempted to advocate for this health issue and the possibility of collaboration with one of these groups is followed by an analysis concerning how collaboration with existing advocacy groups … is followed by an analysis concerning how collaboration with existing advocacy groups can further the efficacy of the program to address this public health issue. Likewise, a discussion concerning the public health theory/model/framework which can be used to guide a program and intervention of the public health issue and a description concerning the proposed intervention to address this public health issue is followed by a description concerning its administration and requisite resources. Finally, a discussion concerning the long-term requirements of the envisioned intervention … and Prevention;
· National Institute on Alcohol……
References
A public health-based approach. (2019). Rural Health. Retrieved from https://www.ruralhealth info.org/toolkits/substance-abuse/1/public-health-based-approach.
Barker, P. (2009). Psychiatric and mental health nursing: The craft of caring. London: Hodder Arnold.
Burrow-Sanchez, J. J. (2009, Summer). Understanding adolescent substance abuse: Prevalence, risk factors, and clinical implications. Journal of Counseling and Development, 84(3), 283-288.
Guy, X. & Slesnick, N. (2016, April). Changes in family relationships among substance abusing runaway adolescents: A comparison between family and individual therapies. Journal of Marital and Family Therapy, 42(2), 299-302.
National Institute on Drug Abuse. (2019). Principles of adolescent substance use disorder treatment: A research-based guide. Retrieved from https://www.drugabuse.gov/ publications/principles-adolescent-substance-use-disorder-treatment-research-based-guide/principles-adolescent-substance-use-disorder-treatment.
Schwartz, R. C. & Smith, S. D. (2009, October). Screening and assessing adolescent substance abuse: A primer for counselors. Journal of Addictions & Offender Counseling, 24(1), 23-26.
The United States war on drugs. (2017 ). Stanford University. Retrieved from https://web. stanford.edu/class/e297c/poverty_prejudice/paradox/htele.html.
Youth.gov. (2019). Substance abuse agencies. Retrieved from https://youth.gov/youth-topics/substance-abuse/prevalence-substance-use-abuse-and-dependence .
Study Document
… 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 ……
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
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