Health Outcome Essays (Examples)
Study Document
Care Plan
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 … 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 in rural America
According to the……
References
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
Study Document
Design And Implementation Of Collaborative Care Model
… is a low-income area and individuals who live here struggle to make ends meet. This makes it hard for them to access premium health care that is offered at private hospitals. Therefore, most of them have to rely on the community health center. Poor people have been associated with numerous chronic health problems that are as a result of their lifestyles and a lack of viable income. The community is underserved in terms of social … the area is not conducive for physical activity. This makes people have sedentary lifestyles that contribute towards them developing chronic diseases. Access to health care is reduced and the few who are able to access the community health center have to contend with receiving substandard service. While the nurses and doctors who work in the facility mean well, the sheer lack … made the services being offered to seem lackluster. With increasing numbers……
References
References
LaBelle, C. T., Han, S. C., Bergeron, A., & Samet, J. H. (2016). Office-based opioid treatment with buprenorphine (OBOT-B): statewide implementation of the Massachusetts collaborative care model in community health centers. Journal of substance abuse treatment, 60, 6-13.
Overbeck, G., Kousgaard, M. B., & Davidsen, A. S. (2018). The work and challenges of care managers in the implementation of collaborative care: A qualitative study. Journal of psychiatric and mental health nursing, 25(3), 167-175.
Sanchez, K. (2017). Collaborative care in real-world settings: barriers and opportunities for sustainability. Patient preference and adherence, 11, 71.
Smith, S. N., Almirall, D., Prenovost, K., Liebrecht, C., Kyle, J., Eisenberg, D., . . . Kilbourne, A. M. (2019). Change in Patient Outcomes After Augmenting a Low-level Implementation Strategy in Community Practices That are Slow to Adopt a Collaborative Chronic Care Model: A Cluster Randomized Implementation Trial. Medical Care.
Unützer, J., Harbin, H., Schoenbaum, M., & Druss, B. (2013). The collaborative care model: An approach for integrating physical and mental health care in Medicaid health homes. HEALTH HOME, Information Resource Center, 1-13.
Study Document
Medicare Access And CHIP Reauthorization Act
The Medicare Access and CHIP Reauthorization Act (MACRA) changed the way health care providers are reimbursed through Medicare, provided an increase in funding, and extended the Children’s health Insurance Program (CHIP). MACRA placed conditions upon care providers in order for them to receive reimbursement: care must be quality care, i.e., care … through the revolving door of medicine without every actually helping them. The type of quality care required by MACRA is preventive medicine and health literacy promotion. As Licthenfeld (2011) pointed out, too many doctors are diagnosing patients with health problems that are insignificant and do not need treatment—but because Medicare was always willing to bankroll treatment it made good business sense to … increasing the quantity of care. Likewise, Glasziou, Moynihan Richards and Godlee (2013) have noted that too much testing and not enough care “worsens health inequalities and drains professionalism, harming both those who need treatment and those who……
References
References
Glasziou, P., Moynihan, R., Richards, T., & Godlee, F. (2013). Too much medicine; too little care. BMJ, 347, f4247.
Lichtenfeld, L. (2011). Overdiagnosed: Making people sick in the pursuit of health. The Journal of Clinical Investigation, 121(8), 2954-2954.
Moynihan, R. (2015). Preventing overdiagnosis: the myth, the music, and the medical meeting. BMJ: British Medical Journal (Online), 350.
Welch, H., Schwartz, L. & Woloshin, S. (2011). Overdiagnosed. Beacon Hill.
Study Document
Role Of Descriptive Epidemiology In Nursing Science
Introduction
Public health as a field comprises the convictions, science, and skills relating to the preservation and improvement of the health of the general public through preventative endeavors instead of curative ones. One of the basic sciences that are critical to promoting public health is epidemiology. As a tool, epidemiology is useful in the protection and promotion of public health through the application of common sense as well as scientific reasoning (Stanhope & Lancaster, 2015). One of the main areas of epidemiology is … the differences that exist in the frequency of occurrence of diseases in a given geographical area over time. It also looks at how health differs among people based on factors such as place, time, and person. It is useful in the identification of trends in health and diseases and helps stakeholders organize resources effectively to fight diseases. Also, it is very useful in the formulation of……
References
References
Liu, L., (2018). “Chapter 1 – Introduction.” In Heart Failure: Epidemiology and Research Methods. Elsevier Health Sciences. p. 1-12.
Stanhope, M., & Lancaster, J. (2015). Public health nursing-e-book: Population-centered health care in the community. Elsevier Health Sciences.
Richards, E. A., & Cai, Y. (2016). Integrative review of nurse-delivered physical activity interventions in primary care. Western Journal of Nursing Research, 38(4), 484-507.
Katzmarzyk, P. T., Lee, I. M., Martin, C. K., & Blair, S. N. (2017). Epidemiology of physical activity and exercise training in the United States. Progress in Cardiovascular Diseases, 60(1), 3-10.
Mandl, M., Halfens, R. J., & Lohrmann, C. (2015). Incontinence care in nursing homes: a cross?sectional study. Journal of advanced nursing, 71(9), 2142-2152.
Oyesanya, T. O., Bowers, B. J., Royer, H. R., & Turkstra, L. S. (2018). Nurses’ concerns about caring for patients with acute and chronic traumatic brain injury. Journal of clinical nursing, 27(7-8), 1408-1419.
Heavey, E. (2018). Statistics for nursing: A practical approach. Jones & Bartlett Learning.
Colditz, G., Nguyen, N., & Dart, H. (2016). Physical activity and health. In International Encyclopedia of Public Health (pp. 463-472). Elsevier Inc.
Study Document
Examining Sampling Methods
… bioethicists and show why they are essentially wrong-footed in their approach to the subject of obesity and why their “superficial readings of public health research” are cause for alarm (Mayes, 2015, p. 217).
The issue of inclusion and exclusion criteria is not specifically addressed in the critique, … (2015) points out, Singer and Callahan, “in attempting to activate the harm principle both Singer and Callahan rely on superficial readings of public health research to amplify the harm caused by obese individuals and ignore pertinent epidemiological research on the social determinants of obesity” (p. 218). This ……
References
References
Mayes, C. (2015). The harm of bioethics: A critique of Singer and Callahan on obesity. Bioethics, 29(3), 217-221.
Pause, C. (2017). Borderline: The ethics of fat stigma in public health. Journal of Law, Medicine & Ethics, 45, 510-517.
Wetter, S., Hodge, J. (2016). Taxing sugar-sweetened beverages to lower childhood obesity. Ethical and Legal Issues in Pediatrics, 44, 359-363.
Study Document
Management Of Type 2 Diabetes Literature Review
… In Whitehead et al. (2017), the intervention is not led by nurses and it not only limited to T2D but also includes mental health. Guo et al. (2019) have a research question that is not clear on whether the intervention sought to affect medication adherence. In the ……
References
References
Balducci, S., D’Errico, V., Haxhi, J., Sacchetti, M., Orlando, G., Cardelli, P., ... & Lucisano, G. (2019). Effect of a Behavioral Intervention Strategy on Sustained Change in Physical Activity and Sedentary Behavior in Patients With Type 2 Diabetes: The IDES_2 Randomized Clinical Trial. Jama, 321(9), 880-890.
Costa, E., Giardini, A., Savin, M., Menditto, E., Lehane, E., Laosa, O., ... & Marengoni, A. (2015). Interventional tools to improve medication adherence: review of literature. Patient preference and adherence, 9, 1303.
Guo, Z., Liu, J., Zeng, H., He, G., Ren, X., & Guo, J. (2019). Feasibility and efficacy of nurse-led team management intervention for improving the self-management of type 2 diabetes patients in a Chinese community: a randomized controlled trial. Patient preference and adherence, 13, 1353.
Johansen, M. Y., MacDonald, C. S., Hansen, K. B., Karstoft, K., Christensen, R., Pedersen, M., ... & Iepsen, U. W. (2017). Effect of an intensive lifestyle intervention on glycemic control in patients with type 2 diabetes: a randomized clinical trial. Jama, 318(7), 637-646.
Mohd, M. M. A. H., Phung, H., Sun, J., & Morisky, D. E. (2016). Improving adherence to medication in adults with diabetes in the United Arab Emirates. BMC public health, 16(1), 857.
Sapkota, S., Brien, J. A., Greenfield, J., & Aslani, P. (2015). A systematic review of interventions addressing adherence to anti-diabetic medications in patients with type 2 diabetes—impact on adherence. PloS one, 10(2), e0118296.
Supachaipanichpong, P., Vatanasomboon, P., Tansakul, S., & Chumchuen, P. (2018). An Education Intervention for Medication Adherence in Uncontrolled Diabetes in Thailand. Pacific Rim International Journal of Nursing Research, 22(2), 144-155.
Whitehead, L. C., Crowe, M. T., Carter, J. D., Maskill, V. R., Carlyle, D., Bugge, C., & Frampton, C. M. (2017). A nurse?led education and cognitive behaviour therapy?based intervention among adults with uncontrolled type 2 diabetes: A randomised controlled trial. Journal of evaluation in clinical practice, 23(4), 821-829.
Study Document
The Role Of Quality And Safety In Nursing Science
… science using a contemporary example, and seeing how real world strategies aim to test and assess standards of care to deliver the positive health outcome patients need. By delving into real-world application of quality and safety measures, one can determine the process from cultivation of concepts, implementation, and … measures in nursing science
Often a good way to understand if a patient is experiencing a high quality of care is through patient outcome and patient opinions on their experience during treatment. One study examined the effects of a more person-centered quality of care and saw a … et al., 2019, p. 1). Such results advance the understanding of the correlation between quality of care and person?centeredness nursing homes. The positive health outcome from those that participated in the study as perceived by relatives, demonstrated person?centered climate facets of hospitality and safety have a major role … major role in……
References
References
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
Jones, T. L., Hamilton, P., & Murry, N. (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52(6), 1121-1137. doi:10.1016/j.ijnurstu.2015.02.012
Lood, Q., Kirkevold, M., Sjögren, K., Bergland, Å., Sandman, P., & Edvardsson, D. (2019). Associations between person?centred climate and perceived quality of care in nursing homes: A cross?sectional study of relatives’ experiences. Journal of Advanced Nursing. doi:10.1111/jan.14011
Murray, M., Sundin, D., & Cope, V. (2017). New graduate registered nurses’ knowledge of patient safety and practice: A literature review. Journal of Clinical Nursing, 27(1-2), 31-47. doi:10.1111/jocn.13785
Sahlström, M., Partanen, P., Rathert, C., & Turunen, H. (2016). Patient participation in patient safety still missing: Patient safety experts\\' views. International Journal of Nursing Practice, 22(5), 461-469. doi:10.1111/ijn.12476
Smeds-Alenius, 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, 61, 117-124. doi:10.1016/j.ijnurstu.2016.06.005
Tobiano, G., Marshall, A., Bucknall, T., & Chaboyer, W. (2015). Patient participation in nursing care on medical wards: An integrative review. International Journal of Nursing Studies, 52(6), 1107-1120. doi:10.1016/j.ijnurstu.2015.02.010
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
Staffing For Nurses In Hospitals
… to prevent nurses from being overburdened (Martin, 2015). The reason I selected this policy is because it is clearly important to nurses’ own health and ability to do their jobs. It can also play a part in preventing turnover rates from going too high (Laschinger & Fida, … turnover rates from going too high (Laschinger & Fida, 2015). Therefore, this is an issue that can address a lot of problems in health care and improve community health.
Relevance
The policy on staffing ratios is relevant to nursing because it can be a solution to the problem of low quality care … of nurses to be on staff to treat patients. If there are too few nurses, patients do not receive the attention they deserve. health care should be about putting patients first. I believe in patient-centered care and that hospitals should have a patient-centered care approach. They should ………
References
References
ANA. (2019). Nurse staffing. Retrieved from https://www.nursingworld.org/practice-policy/advocacy/state/nurse-staffing/
Dousay, T., Childers, B., Cole, M., Hill, T., & Rogers, C. (2016). Lower Nurse-to-Patient Ratio: Higher Patient Satisfaction. Retrieved from https://scholarworks.moreheadstate.edu/cgi/viewcontent.cgi?article=1105&context=student_scholarship_posters
Fowler, D., & Comeaux, Y. (2017). The legislative role in nurse staffing ratios. MedSurg Nursing, 26(2), 12-14.
Laschinger, H. K. S., & Fida, R. (2015). Linking nurses’ perceptions of patient care quality to job satisfaction: the role of authentic leadership and empowering professional practice environments. Journal of Nursing Administration, 45(5), 276-283.
Martin, C. J. (2015). The effects of nurse staffing on quality of care. MedSurg Nursing, 24(2), S4-S4.
Reiter, K. L., Harless, D. W., Pink, G. H., & Mark, B. A. (2012). Minimum Nurse Staffing Legislation and the Financial Performance of C alifornia Hospitals. Health Services Research, 47(3pt1), 1030-1050.
Rondeau, K. V., & Wagar, T. H. (2016). Human resource management practices and nursing turnover. Journal of Nursing Education and Practice, 6(10), 101.
Twigg, D. E., Myers, H., Duffield, C., Giles, M., & Evans, G. (2015). Is there an economic case for investing in nursing care–what does the literature tell us?. Journal of advanced nursing, 71(5), 975-990.
Study Document
Teaching Sexual Education In Public School
… to have already had sex, and only 60% of those students claiming they used a condom, sexual education can be considered a public health imperative (National Conference of State Legislatures, 2019). Unwanted pregnancy and sexually transmitted diseases are the most important health-related reasons to teach sexual education in public schools. Research has shown that “when sex education is comprehensive, students feel more informed, make safer … sexual education in public schools. Research has shown that “when sex education is comprehensive, students feel more informed, make safer choices and have health outcome — resulting in fewer unplanned pregnancies and more protection against sexually transmitted diseases and infection,” (“America’s Sex Education: How We Are Failing Our … administrators (“America’s Sex Education: How We Are Failing Our Students,” 2017, p. 1).
Sexual education is about a lot more than just reproductive health and safe sex, though. Preventing teen pregnancy and the spread……
References
References
Abbott, K., Ellis, S. J., & Abbott, R. (2016). “We”ve got a lack of family values’: an examination of how teachers formulate and justify their approach to teaching sex and relationships education. Sex Education, 16(6), 678–691. doi:10.1080/14681811.2016.1169398
“America’s Sex Education: How We Are Failing Our Students,” (2017). USC Department of Nursing. Retrieved from https://nursing.usc.edu/blog/americas-sex-education/
Bauman, S.D. (2018). When sex ed pretends to be secular. Senior Independent Study Theses. Paper 8059. Retrieved from https://openworks.wooster.edu/independentstudy/8059
Kirby, D. B. (2008). The impact of abstinence and comprehensive sex and STD/HIV education programs on adolescent sexual behavior. Sexuality Research and Social Policy, 5(3), 18-27
Lepore, J. (2015). The facts of life. 94 Foreign Aff. 144 (2015).
National Conference of State Legislatures (2019). State policies on sex education in schools. Retrieved from http://www.ncsl.org/research/health/state-policies-on-sex-education-in-schools.aspx
Pardini, P. (2019). The history of sexuality education. Rethinking Schools. Retrieved from http://rethinkingschools.aidcvt.com/sex/sexhisto.shtml
Planned Parenthood (2019). What is sex education? Retrieved from https://www.plannedparenthood.org/learn/for-educators/what-sex-education
Study Document
Current Issue In Nursing Nursing Shortage
… adequate staffing are intertwined. Adequate levels of nurses, lower nurse to patient ratios, and also more highly trained nurses are associated with better health outcome and lower mortality rates. But despite the fact that there is high demand for nurses, and also increased interest in entering this very … desire to cut costs, many institutions are often unwilling, despite evidence-based research supporting higher staffing ratios as leading to lower-cost and superior patient outcome, 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 … with multiple chronic conditions, many of which must be managed with long-term care and guidance. Nursing has gained respect a profession within the health industry as a whole, as more nurses are performing functions once filled by physicians, but nurses must be treated with the respect……
References
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/
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