Study Document
Section Seven: Implications and LimitationsImplications to Practice/Policy Changes· The project seeks to promote changes in nursing practice with regards to pain management and improving communication of pain medication schedule in the postpartum setting.Essential I: Scientific Underpinnings· Kristen Swanson’s Theory … and improving communication of pain medication schedule in the postpartum setting.Essential I: Scientific Underpinnings· Kristen Swanson’s Theory of Caring.· Relationship-based Care model.· Changing nursing role from task-centered care to relationship-based care.· Application of the five process of care described in Swanson’s Theory of Caring in the postpartum setting.· Promoting effective pain management nursing practice through the five process of care to help enhance patient outcomes.Essential II: Organizational and Systems Leadership· Development of clinical practice guidelines with regards to pain management in … Promoting the use of evidence-based interventions in pain management in the postpartum setting.· Through this project, evidence-based practice will become the basis of nursing practice in the postpartum……
Study Document
… experts with the capability and responsibility to have an influence not only in the prevailing but also future healthcare delivery systems. Imperatively, the nursing line of work is founded on the skill of human health and caring. It functions from a structure that values all persons in ……
References
Burke, S. A. (2016). Influence through policy: Nurses have a unique role. Reflections on Nursing Leadership. Retrieved from: https://www.reflectionsonnursingleadership.org/commentary/more-commentary/Vol42_2_nurses-have-a-unique-role
Chilton, L. (2015). Nurse Practitioners Have an Essential Role in Health Policy. The Journal for Nurse Practitioners, 11(2), A19.
Hughes, A. (2010). The challenge of contributing to policy making in primary care: the gendered experiences and strategies of nurses. Sociology of health & illness, 32(7), 977-992.
Shariff, N. (2014). Factors that act as facilitators and barriers to nurse leaders’ participation in health policy development. BMC nursing, 13(1), 20.
Study Document
… with primary care physicians to develop interventions for patients depending on the specific factors relating to the development of the infection. During this process, nurse practitioners conduct follow-up as part of tertiary interventions for HBV management. They provide screening results to primary care physicians for further research ……
References
American Association of Nurse Practitioners. (2019, January 28). Nurse Practitioner Role Grows to More Than 270,000. Retrieved July 23, 2020, from https://www.aanp.org/news-feed/nurse-practitioner-role-continues-to-grow-to-meet-primary-care-provider-shortages-and-patient-demands
Greene, K.M., Duffus, W.A., Xing, J., & King, H. (2017). Social Determinants of Health Associated with HBV Testing and Access to Care among Foreign-born Persons Residing in the United States: 2009-2012. Journal of Health Disparities Research and Practice, 10(2), 1-20.
Healthy People. (2020). Determinants of Health. Retrieved from U.S. Department of Health and Human Services website: https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health
Kim, H. & Kim, W.R. (2018, August 22). Epidemiology of Hepatitis B Virus Infection in the United States. Clinical Liver Disease, 12(1), 1-4.
Kim, W.R. (2012, March 1). Epidemiology of Hepatitis B in the United States. Hepatology, 49(5), S28-S34.
MacLachlan, J.H. & Cowie, B.C. (2015, May). Hepatitis B Virus Epidemiology. Cold Spring Harbor Perspectives in Medicine, 5(5). doi: 10.1101/cshperspect.a021410
World Health Organization. (2019, July 18). Hepatitis B. Retrieved July 23, 2020, from https://www.who.int/news-room/fact-sheets/detail/hepatitis-b
Zhang, Z., Wang, C., Liu, Z., Zou, G., Li, J. & Lu, M. (2019, August 13). Host Genetic Determinants of Hepatitis B Virus Infection. Frontiers in Genetics, 10(696),1-24.
Study Document
… re-admission of CHF-diagnosed persons. Hence, the chosen PICO question is, “Does in-home monitoring (I) of CHF patients (P), reduce re-hospitalization rates (O)?”
Literature Search process
The process of reviewing existing literature on this topic begins with a literature search using the Chamberlain College of nursing library. The terms “heart failure” “congestive heart failure” “rehospitalization rates”, “health promotion using mHealth”, and “in-home monitoring” were utilized to commence the literature … The terms “heart failure” “congestive heart failure” “rehospitalization rates”, “health promotion using mHealth”, and “in-home monitoring” were utilized to commence the literature search process. Through the university’s library, numerous databases were available to generate substantial peer-reviewed articles relating to impact in-home monitoring of CHF-diagnosed patient on rehospitalization … While the search produced numerous articles, six articles were selected to support the PICO question and quality improvement project. During the literature search process, specialty organizations like American Heart Association, Alliance for Heart……
References
Bashi, N., Karunanithi, M., Fatehi, F., Ding, H. & Walters, D. (2017, January). Remote Monitoring of Patients with Heart Failure: An Overview of Systematic Reviews. Journal of Medical Internet Research, 19(1). DOI: 10.2196/jmir.6571
Conn, N.J., Schwarz, K.Q. & Borkholder, D.A. (2019). In-Home Cardiovascular Monitoring System for Heart Failure: Comparative Study. Journal of Medical Internet Research, 7(1). DOI: 10.2196/12419
Gonzalo, A. (2019, August 22). Nola Pender: Health Promotion Model. Retrieved May 18, 2020, from https://nurseslabs.com/nola-pender-health-promotion-model/
Idris, S., Degheim, G., Ghalayini, W., Larsen, T.R., Nejad, D. & David, S. (2015). Home Telemedicine in Heart Failure: A Pilot Study of Integrated Telemonitoring and Virtual Provider Appointments. Reviews in Cardiovascular Medicine, 16(2), 156-162.
Khodaveisi, M., Omidi, A., Farokhi, S. & Soltanian, A.R. (2017, April). The Effect of Pender’s Health Promotion Model in Improving the Nutritional Behavior of Overweight and Obese Women. International Journal of Community-based Nursing and Midwifery, 5(2), 165-174.
Kohn, M. S., Haggard, J., Kreindler, J., Birkeland, K., Kedan, L., Zimmer, R., & Khandwalla, R. (2017). Implementation of a home monitoring system for heart failure patients: A feasibility study. JMIR Res Protoc, 6(3). DOI: 10.2196/resprot.5744
Martirosyan, M., Caliskan, K., Theuns, D., & Szili-Torok, T. (2017). Remote monitoring of heart failure: Benefits for therapeutic decision making. Expert Review of Cardiovascular Therapy, 15(7), 503-515. DOI: 10.1080/14779072.2017.1348229
Ong et al. (2016, March). Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients with Heart Failure. JAMA Internal Medicine, 176(3), 310-318.
Study Document
… feedback on program success and perceived improvement realms. This would be on the basis of my observation of the outcomes and the entre process of implementation. Next, I would also actively evaluate the policy to ensure that it matches evidence-based standards. This is more so the case … further improvement of public health undertakings. This is more so the case given that in most cases, the said evaluation makes use of process that are accurate. It is for this reason that the World Health Organization – WHO (2018) points out that “monitoring and evaluation of ……
References
Eberhart, N.K., Burnam, M.A., Berry, S.H., Collins, R.L., Ebener, P.A., Ramchand, R., Stein, B.D. & Woodbridge, M.W. (2015). Evaluation of California\\\\'s Statewide Mental Health Prevention and Early Intervention Programs: Summary of Key Year 2 Findings. Santa Monica, CA: RAND Corporation.
Study Document
… of affairs is split into different steps and every one of them is comprehensively analyzed to determine the error or risks in within process, human aspects and also equipment. These phases include the following:
1. Ascertain the incident to be analyzed
2. Form a team to be …
1. Ascertain the incident to be analyzed
2. Form a team to be responsible for conducting the RCA
3. Examine properly the work process
4. Gather the facts
5. Look for causes
6. Take action
7. Evaluate the actions taken (Charles et al., 2016).
Analyze the impact ……
References
Charles, R., Hood, B., Derosier, J. M., Gosbee, J. W., Li, Y., Caird, M. S., ... & Hake, M. E. (2016). How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient safety in surgery, 10(1), 20.
Johnson, A., Clay-Williams, R., & Lane, P. (2018). Framework for better care: reconciling approaches to patient safety and quality. Australian Health Review.
Study Document
… monthly assessment of the patient and make necessary changes to the treatment regimen depending on the patient’s progress and outcomes in the treatment process. Changes in the treatment process following monthly assessments help improve patient outcomes.
In conclusion, Body Dysmorphic Disorder is an example of a compulsive-obsessive disorder that is characterized by ……
References
Ahmed et al. (2019, October 3). Body Dysmorphic Disorder Treatment & Management. Retrieved October 10, 2019, from https://emedicine.medscape.com/article/291182-treatment#d12
Harris, P.M. & Drummond, L.M. (2016, October). Compliance of Community Teams with Specialist Service Recommendations for Obsessive-Compulsive and Body Dysmorphic Disorders. BJPsych Bulletin, 40(5), 245-248.
Mayo Clinic Staff. (2016, April 28). Body Dysmorphic Disorder. Retrieved October 10, 2019, from https://www.mayoclinic.org/diseases-conditions/body-dysmorphic-disorder/diagnosis-treatment/drc-20353944
Phillips, K.A. & Hollander, E. (2008, March). Treating Body Dysmorphic Disorder with Medication: Evidence, Misconceptions, and a Suggested Approach. Body Image, 5(1), 13-27.
Phillips, K.A. (2006, July). The Presentation of Body Dysmorphic Disorder in Medical Settings. Primary Psychiatry, 13(7), 51-59.
Study Document
… dependent on the surge capacity of the nurse workforce” (p. 188).
Finally, the interviewee made the point that disaster planning is an ongoing process that requires diligence in determining what changes have taken place in the medical center that require corresponding changes in disaster preparedness planning. This ……
References
Blake, N. & Wilson, E. (2019, September/October). Disaster preparedness: Mitigation, response, and recovery to ensure staffing excellence in Los Angeles County. Nursing Economics, 37(5), 231-233.
Labrague, L. J. & Yboa, B. C. (2016, January). Disaster preparedness in Philippine nurses. Journal of Nursing Scholarship, 48(1), 98-102.
Natural disasters and severe weather. (2020). Centers for Disease Control and Prevention. Retrieved from https://emergency.cdc.gov/planning/index.asp .
VA fast facts. (2019). U.S. Department of Veterans Affairs. Retrieved from https://www.va. gov/health/aboutvha.asp.
Veenema, T. G. & Griffin, A. (2016, March). Nurses as leaders in disaster preparedness and response - A call to action. Journal of Nursing Scholarship, 48(2), 187-192.
Study Document
… problems is through the utilization of more, advanced technology for delivering an all-inclusive healthcare experience to allow diverse entities participating in the healthcare process (namely physicians, patients, and healthcare insurance and scheme providers) to exchange patient data in a secure and timely manner.
Brief literature review
Federico … capable of influencing via policies. Digital healthcare services are highly diverse in their types. The term ‘monitoring’ may be described as “the continuous process of collecting and analyzing data to compare how well an intervention is being implemented against expected results”. Therefore, this involves “the routine collection, … towards achieving intervention objectives”. The content of, and part played by, assessment as well as monitoring alters when an intervention develops further. The process of monitoring may be perceived to be a process of checking whether or not the evaluation-established ‘right thing’ is being properly done. While some interventions may continue to be……
Bibliography
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Amit, M. (2019, January 28). 5 Problems Which Healthcare Technology Can Solve for a Healthier World. Retrieved from Net Solutions: https://www.netsolutions.com/insights/5-healthcare-problems-which-digital-technologies-can-solve-for-a-fit-and-healthy-world/
DeSanctis, G., & Poole, M. S. (1994). Capturing the Complexity in Advanced Technology Use: Adaptive Structuration Theory. Organization Science, 5(2), 121-147.
Feldman, S. S., Buchalter, S., & Hayes, L. W. (2018). Health Information Technology in Healthcare Quality and Patient Safety: Literature Review. JMIR Med Inform, 6(2).
Halamka, J., Mandl, K., & Tang, P. (2008). Early Experiences with Personal Health Records. Journal of the American Medical Informatics Association, 15(1), 1-7.
IOM. (1999). To Err is Human: Building a Safer Health System. National Academy of Sciences.
Singh, H., & Sittig, D. (2016). Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Quality & Safety, 25, 226-232.
Weigel, F., Hall, D. J., & Landrum, W. H. (2009). Human/Technology Adaptation Fit Theory for Healthcare. SAIS 2009 Proceedings.
Study Document
… to note that “because peak heterophile antibody levels are seen between 2 to 6 weeks from infection, testing too early in the disease process may lead to increased rates of false negative testing” (Stuempfig and Seroy, 2019). In the case study, we are told that the patient ……
References
Balfour, H.H., Dunmire, S.K. & Hogguist, K.A. (2015). Infectious Mononucleosis. Clin Transl Immunology, 4(2), 33-39.
Centers for Disease Control and Prevention – CDC (2018). About Epstein-Barr Virus (EBV). Retrieved from https://www.cdc.gov/epstein-barr/about-ebv.html
Dunmire, S.K., Hugguist, K.A. & Balfour, H.H. (2015). Infectious Mononucleosis. Curr Top Microbiol Immunol, 390, 211-240.
Stuempfig, N.D. & Seroy, J. (2019). Monospot Test. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK539739
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