Quality Care Essays (Examples)
Study Document
Dorothea Orem S Self Care Deficit Theory
My specialty area of NP practice is family nurse practitioner. My choice of nursing theory on this front is the Dorothea Orem’s self-care deficit theory. To a large extent, this happens to be one of the most popular nursing theories owing to its succinct description of … their health and wellbeing by embracing the various practices associated with not only health maintenance, but also health promotion. In its basic format, self-care - as White (2013) notes - incorporates the patient in his wholeness (i.e. emotionally, mentally, and physically).
The self-care theory was first introduced by Orem in the 1960s. It was, however, not until 1971 that Orem outlined the theory in one of … Practice. As Simmons (2009) observes, Orem was convinced that the focus of nursing should be on how to affect people’s natural ability for self-care. Therefore, in practice settings, Simmons (2009) is of the opinion that nurses……
References
References
Asadi, P., Ahmadi, S., Abdi, A., Shareef, O.H., Mahamadyari, T. Miri, J. (2019). Relationship between self-care behaviors and quality of life in patients with heart failure. Heliyon, 5(9), 71-83.
Blum, C.A. (2014). Practicing Self-Care for Nurses: A Nursing Program Initiative. Journal of Issues in Nursing, 19(3), 40-47.
Fawcett, J. (2016). Applying Conceptual Models of Nursing: Quality Improvement, Research, and Practice. Mason, OH: Cengage Learning.
Gross, R. Kinnison, N. (2017). Psychology for Nurses and Health Professionals (2nd ed.). New York, NY: CRC Press.
McFarland, M.R. Wehbe-Alamah, H.B. (2018). Leininger\\\\\\'s Transcultural Nursing: Concepts, Theories, Research & Practice (4th ed.). New York, NY: McGraw Hill Professional.
Stein-Parbury, J. (2017). Patient and Person: Interpersonal Skills in Nursing (6th ed.). New York, NY: Elsevier Health Sciences.
Study Document
Gender And Veterans Differences In Access To Mental Health Care Services
GENDER DIFFERENCE AMONG VETERANS
Does Gender Affect the Utilization of Mental Health care Services among Veterans?
The decision one takes when choosing a care poses a lifelong effect on his own life as well as of his family members. The deployment decision of a care that the person has to face sometimes harms his mental health and family both (Brooks & Chopik, 2020). For example, if the person … areas of life has been largely increased, and the same stands true for the army. Generally, it is observed that women need special care for small illnesses and therefore require outpatient health care services more frequently as compared to men; the same stands true for reproductive and depression care as well. So, per person, the medical costs of women are higher than men in general.
If women are deployed in conflict areas … of the army. The thesis statement of the……
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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
Culturally Competent Patient Care Advanced Practice Nursing
… nurses can assess the psychological, spiritual, physiological, social, environmental, and epidemiological data 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 … also include subcultural domains, age, socioeconomic status, and political affiliations. Advanced practice nurses have a moral and legal obligation to provide culturally competent care, outlined in Standard 8 of the American Nurses Association (ANA) Standards of Practice. Cultural assessment strategies enable the advanced practice nurse to understand the … incorporated into advanced nursing practice. Cultural competency is important in nursing because “culture affects people’s health and illness experiences as well as nursing care delivery,” (Wagner, 2019, p. 1). Cultural variables impact attitudes and social norms, values, beliefs, lifestyle habits, and more. Advanced practitioners need to remember … more. Advanced practitioners need to……
References
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
Creating A Culture Of Diversity Healthcare For Veterans
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 and … Services
The focus of my dissertation is toward the aged American population, particularly the elderly veterans. I 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 … which are potential triggers for suicidal behavior/tendency with increasing age (Reid, 2018). Also, there is an increasing sense of hopelessness associated with the care facilities/provisions for the elderly American population. The concept of the American dream at that stage of life has significantly been altered and replaced … American dream at that stage of life has significantly been altered and replaced with an uneasiness about affording the cost of……
References
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
Patient Protection And Affordable Care Act
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
References
IOM. (2010). The future of nursing. Retrieved from http://nacns.org/wp-content/uploads/2016/11/5-IOM-Report.pdf
O’Brien, J. (2003). How nurse practitioners obtained provider status: Lessons for pharmacists. American Journal of Health-System Pharmacy, 60(22), 2301-2307.
Study Document
Lifelong Learning Plan For A Healthcare Administrator
… 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 with … 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 in … of staying up to date on current literature and evidence based practice in the field of management and administration as well as in care advances in treating substance abuse clients and their providing……
References
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
Health Care Institutional Organization And Management
Health care Institutional Organization and Management
Question 1: Critical Thinking and Blooms Taxonomy Revised
1. What are the pros and cons of this approach to … and Management
Question 1: Critical Thinking and Blooms Taxonomy Revised
1. What are the pros and cons of this approach to learning about care?
Bloom’s Taxonomy revised comprises of the following six dimensions as illustrated below:
There are advantages to Revised Bloom’s Taxonomy as an approach to … comprises of the following six dimensions as illustrated below:
There are advantages to Revised Bloom’s Taxonomy as an approach to learning about health care. One of the benefits is that it is purposed to enable the educators to ascertain the logical and knowledgeable level at which the … the learners get prepared to attain such levels. Bloom’s taxonomy is a significantly potent tool that can be effortlessly applied in the health care profession. Greater cognitive thinking……
References
References
Booker, M. J. (2007). A roof without walls: Benjamin Bloom’s taxonomy and the misdirection of American education. Academic Questions, 20(4), 347-355.
Jensen, M. C., & Heckling, W. H. (1995). Specific and general knowledge and organizational structure. Journal of applied corporate finance, 8(2), 4-18.
Katzenbach, J. R., & Smith, D. K. (2003). The Wisdom of Teams (lst ed.). New York: First Harper Business.
McGrath, R. G. (2013). The end of competitive advantage: How to keep your strategy moving as fast as your business. Harvard Business Review Press.
Taylor, N., Clay-Williams, R., Hogden, E., Braithwaite, J., & Groene, O. (2015). High performing hospitals: a qualitative systematic review of associated factors and practical strategies for improvement. BMC health services research, 15(1), 244.
Verenna, A. M. A., Noble, K. A., Pearson, H. E., & Miller, S. M. (2018). Role of comprehension on performance at higher levels of Bloom\\\\\\'s taxonomy: Findings from assessments of healthcare professional students. Anatomical sciences education, 11(5), 433-444.
Zelman, W. N., Pink, G. H., & Matthias, C. B. (2003). Use of the balanced scorecard in health care. Journal of health care finance, 29(4), 1-16
Source Link: https://www.researchgate.net/figure/Organizational-Chart-of-Leadership-at-the-Mayo-Clinic-the-parent-organization-changed_fig2_234069825
Study Document
Improving Medication Safety And Nursing Care
Patient safety is one of the key aspects of care delivery and a critical component in determining the quality of care services. Patient safety is influenced by many factors including medication safety, which is identified as one of the most common type of errors … & 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 care 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 of interruptions in nursing work is vital to … interruptions in their work including during medication administration. Therefore, reduction of interruptions in nursing work is vital to improve medication safety and nursing care. This quality improvement project demonstrates how this can be achieved by using Plan-Do-Study-Act methodology.
Problem Statement……
References
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.
Study Document
Medicare Access And CHIP Reauthorization Act
The care Access and CHIP Reauthorization Act (MACRA) changed the way health care providers are reimbursed through care, 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 that helps them to keep from having to come back for more treatment—rather than just treatment after treatment, keeping patients coming back through … than just treatment after treatment, keeping patients coming back 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 … As Licthenfeld (2011) pointed out, too many doctors are diagnosing patients with health problems that are insignificant and do not need treatment—but because care was always……
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
End Of Life Decision Making Ethics
Introduction
When a family has to decide how much is too much, as Plakovic (2016) puts it during end-of-life care, there is a clear ethical dilemma that crops up for family members and care providers. That dilemma is related to the issue of how to approach end-of-life treatment. For instance, some individual have strict preferences when it … whether or not they want to be resuscitated or kept alive by a machine. Others have no instructions set aside before hand for care providers and family to go by. The ethical dilemma is complicated by the fact that care providers have an oath to care for all life—but at the end-of-the-life, what is the line between postponing the inevitable inhumanely and giving as much humane care as is possible? That blurred line is a complicated one to walk. The two major points that this paper will address when it … That……
References
References
Bronzino, J. D., & Peterson, D. R. (2016). Bene?cence, Nonmale?cence, and Medical Technology. In Tissue Engineering and Artificial Organs (pp. 1259-1266). CRC Press.
Garrido, M. M., Balboni, T. A., Maciejewski, P. K., Bao, Y., & Prigerson, H. G. (2015). Quality of life and cost of care at the end of life: the role of advance directives. Journal of pain and symptom management, 49(5), 828-835.
Karnik, S., & Kanekar, A. (2016). Ethical issues surrounding end-of-life care: a narrative review. In Healthcare (Vol. 4, No. 2, p. 24). Multidisciplinary Digital Publishing Institute.
Marijic, P., Buss, A., & Strupeit, S. (2017). Autonomy and social participation of nursing home residents: nurses’perspectives. Innovation in Aging, 1(Suppl 1), 886.
Plakovic, K. (2016). Burdens Versus Benefits: When Family Has to Decide How Much Is Too Much. Journal of Hospice & Palliative Nursing, 18(5), 382-387.
Sen, A. (1983). Evaluator relativity and consequential evaluation. Philosophy & Public Affairs, 113-132.
Weissman, D. E. (1999). Do not resuscitate orders: a call for reform. Journal of Palliative Medicine, 2(2), 149-152.
Yuen, J. K., Reid, M. C., & Fetters, M. D. (2011). Hospital do-not-resuscitate orders: why they have failed and how to fix them. Journal of General Internal Medicine, 26(7), 791-797.
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