Study Document
Education Plan for Nurse Burnout at North Mountain Medical
The current issue at North Mountain Medical is nursing burnout, which is caused by various factors including inadequate staffing, increased workload, long working hours, poor working environment, and inadequate time to complete … environment, and inadequate time to complete a task effectively. The proposed change project to address this issue is an educational plan that targets nursing burnout, particularly workplace stress management. In this regard, the practicum education project focuses on training nurses at North Mountain Medical on nursing burnout, particularly workplace stress management. Through the insights obtained from this course, nurses in this facility will be able to implement evidence-based strategies … insights obtained from this course, nurses in this facility will be able to implement evidence-based strategies on workplace stress management and preventing/dealing with nursing burnout.
Learning Objectives or Outcomes
As shown in the educational plan in Appendix A,……
References
Howe, D. (2018). Evidence-Based Education Program to Reduce Nurse Manager Burnout. Retrieved from Walden University website: https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=6757&context=dissertations
Hunt, P.A., Denieffe, S. & Gooney, M. (2017, March 8). Burnout and It’s Relationship to Empathy in Nursing: A Review of the Literature. Journal of Research in Nursing, 22(1-2), 7-22.
Khouri, R. (2011, June 29). Impact of an Educational Program on Nursing Students’ Caring and Self-Perception in Intensive Clinical Training in Jordan. Advances in Medical Education and Practice, 2, 173-185.
Mudallal, R.H., Othman, W.M. & Al Hassan, N.F. (2017, December). Nurses’ Burnout: The Influence of Leader Empowering Behaviors, Work Conditions, and Demographic Traits. Inquiry, 54. doi: 10.1177/0046958017724944
Rushton, C.H., Batcheller, J., Schroeder, K. & Donohue, P. (2015, September). Burnout and Resilience Among Nurse Practicing in High-intensity Settings. American Journal of Critical Care, 24(5), 412-421.
Study Document
… that the vulnerable elderly population faces (Brojeni, Ilali, Taraghi & Mousavinasab, 2019). As Yamada et al. (2015) point out, however, the issue of health disparity and health inequality of the elderly is one of the biggest issues because it underlines all the others: if the elderly population does not even … even have sufficient access to care, it is unlikely to be able to battle the effects of ageism, isolation or ignorance about gerontology. health costs have doubled since the 1990s (Yamada et al., 2015), and this puts an added burden on the elderly population, whose resources are … and this puts an added burden on the elderly population, whose resources are finite. Yamada et al. (2015) put it this way: “as health costs rises, more of the increasing costs are transferred to certain disadvantaged populations, and patients would have to spend a considerable share of … rises, more……
References
Brojeni, S. A., Ilali, E. S., Taraghi, Z., & Mousavinasab, N. (2019). Lifestyle and its related factors in elderly. Journal of Nursing and Midwifery Sciences, 6(1), 32.
Community Health Advocates. (2015). Helping New Yorkers get, keep, and use health coverage. Retrieved from: http://www.cssny.org/programs/entry/community-health-advocates
Davoodvand, S., Abbaszadeh, A., & Ahmadi, F. (2016). Patient advocacy from the clinical nurses' viewpoint: A qualitative study. Journal of Medical Ethics & History of Medicine, 9(5), 1-8.
Maryland, M. A., & Gonzalez, R. I. (2012). Patient advocacy in the community and legislative arena. Online Journal of Issues in Nursing, 17(1), 2.
Stainton, H. (2016). Horizon to fund new NJ healthcare advocacy organization. News, Issues, andIinsight for New Jersey. Retrieved from: http://www.njspotlight.com/stories/16/11/21/horizon-to-fund-new-nj-healthcare-advocacy-organization/
Yamada, T., Chen, C. C., Murata, C., Hirai, H., Ojima, T., & Kondo, K. (2015). Access disparity and health inequality of the elderly: unmet needs and delayed healthcare. International journal of environmental research and public health, 12(2), 1745-1772.
Study Document
Executive Summary
The health sector in the United States is facing shortage of health providers, particularly in rural settings. One of the most affected areas in the country is rural Maryland, especially Allegany County, which has been … especially Allegany County, which has been selected as the location for this project. The proposed plan seeks to help lessen the shortage of health providers in the county using MedChi, an organization that provides public health resources in Maryland. MedChi could help address the problem through promoting adoption of technologies like telemedicine and expansion of the scope of practice … of practice of non-physician providers. To realize this objective, the organization needs to establish partnerships with relevant stakeholders within and outside the county’s health sector including policymakers. These partnerships should focus on identifying necessary resources for implementation of the proposed solution.
Provider Shortage Proposal
Shortage of providers … including policymakers. These partnerships……
References
Antonelli, A.F. (2019, May 14). Does America Have a Physician Shortage – or Are Our Doctors ‘Just Bad at Managing Time’? Retrieved August 5, 2019, https://www.advisory.com/daily-briefing/2019/05/14/physician-shortage
Daly, R. (2018, May 22). Healthcare Workforce Shortage Worsening: Senators. Retrieved August 5, 2019, from https://www.hfma.org/topics/news/2018/05/60811.html
Desmon, S. (2019, March 1). Doctors in Short Supply in Rural Maryland. Baltimore Sun. Retrieved August 5, 2019, from https://www.baltimoresun.com/bal-id.rural01mar01-story.html
Heath, S. (2019, July 11). What Clinician Recruitment Tactics Say About the Physician Shortage. Retrieved August 5, 2019, from https://patientengagementhit.com/news/what-clinician-recruitment-tactics-say-about-the-physician-shortage
Merritt Hawkins. (2019). 2019 Review of Physician and Advanced Practitioner Recruiting Incentives. Retrieved August 5, 2019, from https://www.merritthawkins.com/uploadedFiles/merritthawkins_2019_incentivereview.pdf
Western Maryland Health System and Allegany County Health Department. (2011, November). Allegany County Community Health Needs Assessment. Retrieved August 5, 2019, from http://www.alleganyhealthplanningcoalition.com/pdf/ACHD%20Community%20Health%20Needs%20Assessment.pdf
Wolford, H.B. (2018, May 28). Allegany County Sees Shortage of Health Care Workers. Time News. Retrieved August 5, 2019, from https://www.times-news.com/news/local_news/allegany-county-sees-shortage-of-health-care-workers/article_28b1030d-4403-5d84-aa26-fe17d61b8561.html
Study Document
...Health nursing Introduction
Adaptive response refers to how the human body protects itself from injury or infection. It is the third line of defense after inflammatory response and innate immunity (Huether & McCance, 2017). Advanced practice nurses should understand patient’s adaptive responses to alterations caused by disease processes. This paper explains the pathophysiology of tonsillitis, irritant contact dermatitis (ICD), and stress responses as determined from scenario 1, 2 and 3 (see Appendix A). In addition, it presents the mind map of tonsillitis that shows epidemiology, pathophysiology, risk factors, clinical presentation, diagnosis, and adaptive responses.
Scenario 1: Acute Tonsillitis
The conclusion from scenario 1 (see Appendix A) is a 2-years-old female patient suffering from on and off fever, sore throat, and swallowing pain for three days. Physical examination shows the patient’s throat is red with 4 tonsils, diffuse exudates, and palpable tender anterior cervical nodes. Patient's vital signs reveal a heart rate of……
Study Document
Comparing the U.S. health Care System to Other Countries
The US health care system compares favorably to some other countries in terms of long-term costs but unfavorably to others in terms of quality of care. … because there are administrative costs and long-term care costs; there are also tax payer costs in countries like the UK and Japan, where health care has been nationalized. So household expenses may seem high in the US but in the UK they are also high if one … are also high if one takes into consideration how much they are taxed to pay for universal coverage. This paper will compare the health care systems of the US, UK, Japan, France and India to see how they well they stack up.
Coverage
Coverage in the US … and Medicaid, ut it also comes from private insurers, who are funded by individuals or by companies that……
References
Carroll, A. & Frakt, A. (2017). Best health care system. Retrieved from https://www.nytimes.com/interactive/2017/09/18/upshot/best-health-care-system-country-bracket.html
CMS. (2010). Annual statistics. Retrieved from https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/downloads/proj2008.pdf
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
When it comes to health marketing there are certain restrictions that have to be followed under U.S. law. For example, the FDA has rules for companies that want … to disseminate ideas about news and what brands to trust. As Hawn (2009) points out, social media itself is changing the nature of health care by altering where patients go for information about health and healing. In this new complex landscape of regulations and changing technology, health marketing faces new challenges. Fortunately, old formulas can still apply. This paper will describe the strategies and tools that can still be effective … faces new challenges. Fortunately, old formulas can still apply. This paper will describe the strategies and tools that can still be effective in health marketing while allowing marketers to navigate the rules and laws that can lead one into pitfalls if not careful.
Ethics, Rules and Regulations
… the……
References
Arnold, D. G., & Oakley, J. L. (2013). The politics and strategy of industry self-regulation: the pharmaceutical industry's principles for ethical direct-to-consumer advertising as a deceptive blocking strategy. Journal of Health Politics, Policy and Law, 38(3), 505-544.
Blythe, J. (2009). Key Concepts in Marketing. Los Angeles: SAGE Publications Ltd.
Chand, S. (2019). Target Marketing: Four Generic Target Marketing Strategies. Retrieved from http://www.yourarticlelibrary.com/marketing/target-marketing-four-generic-target-marketing-strategies/13400
Dolliver, M. (2009). Take care when targeting the younger generations. Retrieved from https://www.adweek.com/digital/take-care-when-targeting-the younger generations-online-113643/
Goi, C. L. (2009). A review of marketing mix: 4Ps or more?. International journal of marketing studies, 1(1), 2.
Hartley, K. & Rudelius, W. (2001). Marketing, The Core, 4th Ed., McGraw-Hill.
Hawn, C. (2009). Take two aspirin and tweet me in the morning: how Twitter, Facebook, and other social media are reshaping health care. Health affairs, 28(2), 361-368.
Lane, T. (2019). Healthcare marketing laws. Retrieved from https://smallbusiness.chron.com/healthcare-marketing-laws-67307.html
Study Document
Current Issue in nursing: nursing Shortage
nursing quality and adequate staffing are intertwined. Adequate levels of nurses, lower nurse to patient ratios, and also more highly trained nurses are associated … adequate staffing are intertwined. Adequate levels of nurses, lower nurse to patient ratios, and also more highly trained nurses are associated with better health outcomes and lower mortality rates. But despite the fact that there is high demand for nurses, and also increased interest in entering this … are often unwilling, despite evidence-based research supporting higher staffing ratios as leading to lower-cost and superior patient outcomes, to hire more nurses as health staffing makes up as much as 40% of all intuitional operating costs (“nursing Shortage,” 2019).
The attempt to cut costs by reducing staff levels reflects an unfortunately misguided view of the value of the nursing profession. It also reflects a misguided view of an aging patient population……
References
ANA health care economist Peter McMenamin on the nursing shortage outlook. (2019). Nursing
World. Retrieved from: https://www.nursingworld.org/~4afb8f/globalassets/practiceandpolicy/health-and- safety/rnjobmkt_peterminterview_final_030713.pdf
Bond, D. (2017). Will BSN students consider a future nursing faculty role? Nursing Education Perspectives, 38(1):9–17.
Botha, E., Gwin, & Purpora, C. (2015). The effectiveness of mindfulness based programs in reducing stress experienced by nurses in adult hospital settings: a systematic review of quantitative evidence protocol. JBI Database of Systematic Reviews and Implementation Reports, 13(10):21–29. Retrieved from: https://insights.ovid.com/pubmed?pmid=26571279
Crawford, C. (2019). Addition of Advanced Practice Registered Nurses to the trauma team: An integrated systematic review of literature. Journal of Trauma Nursing. 26(3):141–146,
Gillespie, G. L., Grubb, P. L., Brown, K., Boesch, M. C., & Ulrich, D. (2017). ‘Nurses eat their young:’ A novel bullying educational program for student nurses. Journal of Nursing Education and Practice, 7(7), 11–21. doi:10.5430/jnep.v7n7P11
Haddad, L.M., Toney-Butler, T.J. (2019). Nursing shortage. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK493175/
Nurse staffing crisis. (2019). Nursing World. Retrieved from: https://www.nursingworld.org/practice-policy/nurse-staffing/nurse-staffing-crisis/
Study Document
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 … 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, … 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 nursing, various means of incorporating cultural learning and assessment have been……
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.
Study Document
Informatics health and the health Care Shortage
Snavely (2016) shows that the looming nursing shortage is due to hit America hard in the coming years, and that shortage is now evident more than ever with the arrival … America—especially in hard hit areas like New York City, where the hospitals are being overrun by patients infected by the virus. Shortages of health care providers is a major concern in the US, especially since the US is meant to be a world leader among other nations—and … the US, especially since the US is meant to be a world leader among other nations—and yet an element of its critical infrastructure, health care, is sorely lacking in support in the form of providers. Now that the country has gone into lockdown mode, it is only … of work and shuttering businesses right and left—potentially for good. If economic woes persist for the……
References
Clemmer, T. P. (1995). The role of medical informatics in telemedicine. Journal of Medical Systems, 19(1), 47-58.
Demiris, G. (2003). Integration of telemedicine in graduate medical informatics education. Journal of the American Medical Informatics Association, 10(4), 310-314.
Foster, M., & Sethares, K. (2017). Current strategies to implement informatics into the nursing curriculum: an integrative review. J Nurs Inform, 21(3).
Haddad, L. M., & Toney-Butler, T. J. (2019). Nursing shortage. In StatPearls [Internet]. StatPearls Publishing.
Hasbrouck, L. (2016). Strengthening local health department informatics capacity through advocacy, education, and workforce development. Journal of Public Health Management and Practice, 22(Suppl 6), S3.
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
Patient safety is one of the key aspects of health delivery and a critical component in determining the quality of health services. Patient safety is influenced by many factors including medication safety, which is identified as one of the most common type of errors … Patient safety is influenced by many factors including medication safety, which is identified as one of the most common type of errors in nursing practice (Getnet & Bifftu, 2017). Given the increased focus on patient safety and better outcomes, nurses face the need to enhance medication safety … (Getnet & Bifftu, 2017). Given the increased focus on patient safety and better outcomes, nurses face the need to enhance medication safety and nursing care. However, the health environment is characterized by numerous interruptions that could compromise medication safety and nursing care. Nurses experience different kinds of interruptions in their work including during medication administration. Therefore, reduction……
References
Getnet, M.A. & Bifftu, B.B. (2017, November 20). Work Interruption Experienced by Nurses during Medication Administration Process and Associated Factors, Northwest Ethiopia. Nursing Research and Practice. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5735655/
Monteiro, C., Avelar, A.F.M. & Pedreira, M.G. (2015, Jan-Feb). Interruptions of Nurses’ Activities and Patient Safety: An Integrative Literature Review. Revista Latino Americana de Enfermagem, 23(1), 169-179.
Taylor, M.J., McNicholas, C., Nicolay, C., Darzi, A., Bell, D. & Reed, J.E. (2013). Systematic Review of the Application of the Plan-Do-Study-Act Method to Improve Quality in Healthcare. BMJ Quality & Safety, 23(4), 290-298.
Westbrook, J.I., Li, L., Hooper, T.D., Raban, M.Z., Middleton, S. & Lehnbom, E.C. (2016). Effectiveness of a “Do not Interrupt” Bundled Intervention to Reduce Interruptions During Medication: A Cluster Randomized Controlled Feasibility Study. BMJ Quarterly & Safety, 26(9), 734-742.
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