¶ … honored to meet a delegation of nurses from ten different countries, because I feel we have a lot to learn from each other in terms of different philosophies of nursing. At the same time, we are all shifting more to evidence-based practice, which transcends linguistic and cultural differences. One of the most difficult things to explain would be access to care, as the United States has the top equipment and doctors in the world but the highest cost of care, too. I would try to explain that although many Americans support the Affordable Care concept, and would even like to see Obamacare taken a step further to improve access and quality of care, many citizens remain uninformed and believe that the current profit-driven model is acceptable.
Most problems can be framed as a policy issue, because policy has real implications for day-to-day practice. Longest's policy framework demonstrates how American policymaking is a "continuous, highly dynamic cycle," containing three main phases including policy formulation, implementation, and modification (Mason, Gardner, Outlaw & O'Brady, 2015, p. 65). For example, we are currently facing a staff shortage that could be remedied by policy. Therefore, we are at the policy formulation stage.
The policy and advocacy component of the American Nurses Association offers a treasure trove of information helpful to nurses who wish to become more effective leaders. We are the largest group of health professionals, according to the ANA (2016), which is why we need to recognize and wield our power effectively. One of the ways we can serve as advocates would be to learn how to write more effective letters to editors, leaders, and politicians. In the tips for writing letters, we learn that letters to the editor should clearly identify the speaker and concisely address the issue as follows.
I am thrilled to find out that a new clinic for geriatric ambulatory care has opened in our community. As a nurse working for the local hospital, I understand the need for improved care services for seniors. Many seniors enter the emergency room with non-emergencies, burdening the hospital unnecessarily, and those patients can be diverted to the ambulatory...
I am writing to express my sincere appreciation to the city council and mayor for their support.
My topic of interest in geriatrics has yielded several databases, some with tremendous datasets like the Health and Retirement Study with more than 26,000 samples. Data is collected on information ranging from income and pension plans to health care expenditures. The University of Michigan's Health and Retirement study offers graphics, charts, and other means of visualizing data, which is collected every two years. With a study this large, there are few methodological weaknesses in terms of external validity. Reports include issues from multiple subject areas like severe depression, which is evident in about twenty percent of all persons over the age of 85 (Health and Retirement Study).
Increasing healthcare costs are due to a number of factors, many of which are complex and more within the province of economics than healthcare such as inflation and labor costs. However, there is a lot of wastefulness and redundancy in the system, which is profit-driven and therefore based on the motivation to sell products and services that may not be entirely necessary. Nursing has been impacted by efforts to contain costs, seen in our staff shortages in particular.
Healthy People 2020 goals include reducing health disparities, with a focus on identifying the "determinants of health." Those determinants include access to education, which is linked to health, as is access to nutritious food, good housing that is affordable, clean water and air, and health insurance. Many disparity measures focusing primarily on ethnicity fail to take into account economic issues too. This is not to say that ethnic and cultural factors are not important in improving overall wellbeing, as nurses are becoming more culturally competent. In terms of maternal, infant, and child health, Healthy People 2020 acknowledges that disparities exist and are largely due to affordability and accessibility. The disparities can be minimized through effective healthcare policy.
H.R. 2: Medicare Access and CHIP Reauthorization Act of 2015 is pending in the U.S. House…
Nursing Mentor Scenario Introduction- Just as the theoretical and practical backgrounds of nursing have changed over the past several decades, so has the nursing education environment itself. . Students now entering the field are diverse in culture, educational background, and most especially age and experience. Traditional undergraduates coming directly from High School or Junior College often interact with more mature and experienced students. In addition, nursing instructors remain challenged to recognize
When there is a conflict between any employees within the organization, the employees can go to HR for advice on how to proceed, either through company-based mediation or to seek other legal channels of redress if necessary. HR staff must be well-versed in the laws pertaining to employee conduct as well as the psychology of how persons interact daily in a hospital environment. Another important component of HR leveraging its
Nursing Case Study Case Discussion This case scenario is a classic case of professional misconduct carried out by Nurse X. The nurse did not have enough medical or chemical knowledge and therefore she made this mistake. It is common sense for any health care professional to realize that nasogastric or endoscopic route is very different to an IV route. All nurses and health care providers must be extra careful when administering to
Task 2.3 Step 1: Use your experience identified with the lowest scores as the basis for reflective analysis. Step 2: Write about this experience using the following frame (painting the picture). It is important to me to continue to discuss the Pediatric Unit, because so much of what I do occurs there. In comparison to my high score as the mentor, I automatically shift into the service/provider role at times rather than the
Nursing Informatics / Annotated Bibliography & Brief Critique Harris, R., Bennett, J., and Ross. F. (2013). Leadership and innovation in nursing seen through a historical lens. Journal of Advanced Nursing, 70(7. 1629-1638. Aim of the Article and Main Findings There was a time when technology was a distant vision in the minds of healthcare professionals, but the values that emerged from nurses nearly a hundred years ago are values that should be alive
Nursing Practicum Summary of evidence based on nursing seizure disorder assessment skills Murray, J. (1996). The Benevolent Overreaction. Journal of Neuroscience Nursing 28 (4), 252 -- 258. The article from Murray (1996), discusses how many family members of epileptics will often engage in overreactions to patients suffering from the disease (the benevolent overreaction). This is when the family will try to show increased amounts of sympathy for the patient (which could affect their