Challenges in Telehealth Adoption

Challenges in Telehealth Adoption

Question: Why has telehealth adoption taken so long in the health-care industry when Skype, cell phones, and other video conferencing applications have been used in personal and business interactions for decades?
(Challenges in Telehealth Adoption)
Challenges in Telehealth Adoption
The adoption of telehealth in the health care industry has faced a slower trajectory than many other sectors, despite the widespread availability and use of video conferencing technologies like Skype and cell phones for personal and business purposes. Several factors explain this delay, ranging from regulatory barriers to infrastructure challenges and concerns regarding patient privacy. By looking into the key reasons behind this delay, it becomes clear that the complexity of health care, unlike other industries, requires solutions that go beyond basic video conferencing tools.

Regulatory and Legal Barriers

One of the most significant barriers to telehealth adoption has been regulatory issues. Health care is a heavily regulated industry, with strict requirements to ensure patient safety, care standards, and confidentiality. In many countries, health care providers must comply with local, national, and even international regulations regarding licensing and practice. For example, a doctor in one state or country may not be allowed to provide telehealth services to a patient in another state or country without the proper licensing. This fragmented system of licensure has made it difficult for providers to offer telehealth services across regions.

Furthermore, telehealth must comply with privacy laws such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States. HIPAA sets stringent rules for the handling and transmission of patient information, including during telehealth interactions. Many consumer video conferencing tools do not meet these strict privacy standards, making their use in medical consultations risky. As a result, health care organizations have been hesitant to adopt technologies that could potentially expose them to legal liabilities.

Technology Infrastructure and Access

Another factor slowing down telehealth adoption is the technological infrastructure required to deliver quality care remotely. While video conferencing tools like Skype can handle casual conversations, telehealth often involves the sharing of sensitive and complex health data. Many telehealth services require high-quality video and audio, reliable internet connections, and the ability to integrate with electronic health record (EHR) systems. In some rural or underserved areas, patients may not have access to the high-speed internet needed for smooth video consultations.

Additionally, telehealth platforms need to be compatible with medical devices such as digital stethoscopes, otoscopes, or blood pressure monitors. These technologies allow health care providers to conduct thorough examinations remotely, ensuring patients receive the same standard of care they would in person. The lack of such integration in early video conferencing platforms slowed the development and widespread adoption of telehealth.

Provider and Patient Acceptance

Another reason for the slow adoption of telehealth in health care is the hesitation from both health care providers and patients. Many providers have been slow to embrace telehealth due to concerns about its effectiveness. Health care is traditionally seen as a hands-on profession, with physical examinations playing a key role in diagnosis and treatment. This mindset has created skepticism about the ability of telehealth to provide the same level of care.

Moreover, telehealth requires providers to adapt to new ways of interacting with patients, managing workflows, and documenting care. The transition to telehealth may require additional training, which some providers have been reluctant to undertake, particularly if they are uncertain about the long-term value of these services.

Patients, on the other hand, may also be hesitant to adopt telehealth, particularly older populations or those unfamiliar with technology. Concerns about the quality of care, trust in remote consultations, and the ability to navigate telehealth platforms have contributed to slower patient uptake.
(Challenges in Telehealth Adoption)

Financial and Reimbursement Issues

Financial and reimbursement challenges also contribute to the slow adoption of telehealth. Health care systems and providers need to be compensated for telehealth services just as they are for in-person visits. However, reimbursement policies for telehealth have historically been inconsistent. Some insurance providers and government programs have been slow to recognize telehealth as a reimbursable service, limiting its financial viability for many providers.

Before the COVID-19 pandemic, many telehealth services were either not covered or only partially covered by insurance, leading providers to favor in-person visits where reimbursement was more straightforward. The pandemic led to changes in these policies, with many insurers temporarily expanding coverage for telehealth, but the long-term sustainability of these changes remains uncertain.

Cultural and Workflow Shifts

Health care organizations have deeply entrenched workflows, and integrating telehealth requires significant changes to these established processes. Health care providers are accustomed to specific routines, including in-person patient interactions, physical examinations, and traditional documentation practices. Telehealth necessitates the rethinking of these processes, from appointment scheduling to follow-up care.

Moreover, health care culture places a strong emphasis on face-to-face interaction between patients and providers. This has been a fundamental aspect of medical care for centuries. Shifting to a model where care can be provided remotely challenges this deeply ingrained tradition and has met resistance from both patients and providers.

For some providers, telehealth represents an added burden to their already full schedules. Incorporating telehealth requires providers to learn new systems, change their workflow, and adopt new communication methods. Some health care professionals may also feel less confident about providing accurate diagnoses and treatments when physical examinations are not possible.

Privacy and Security Concerns

Privacy concerns are particularly critical in the health care sector, given the sensitive nature of medical data. The use of video conferencing tools must comply with stringent privacy and security requirements. Skype and other video conferencing tools are not designed to handle health information securely according to health care industry standards. Ensuring that patient information remains confidential during telehealth sessions requires specialized platforms that encrypt data and protect against unauthorized access.

Additionally, health care organizations must ensure that telehealth interactions are not vulnerable to cyberattacks, which could compromise patient information. As cyber threats have grown in recent years, security has become a significant concern for both patients and providers. This focus on privacy and security has slowed the adoption of telehealth, as organizations must invest in compliant and secure systems.

Pandemic Acceleration and Future Outlook

The COVID-19 pandemic was a turning point for telehealth. With in-person visits limited, many health care systems were forced to adopt telehealth solutions quickly. Temporary changes to reimbursement policies, relaxed licensing requirements, and improvements in telehealth platforms helped increase adoption. As a result, both providers and patients became more familiar with telehealth, and its potential for long-term use became more evident.

However, the question remains whether telehealth adoption will continue at the same pace post-pandemic. Health care organizations need to continue investing in the infrastructure, training, and regulatory compliance needed to make telehealth a sustainable part of the industry. Additionally, policymakers must work to create consistent and supportive frameworks for telehealth reimbursement and licensing to ensure its long-term viability.

Conclusion

Telehealth adoption has taken longer in the health care industry due to a combination of regulatory, financial, cultural, and technological barriers. Health care’s complex nature requires solutions that go beyond basic video conferencing tools like Skype, ensuring patient safety, privacy, and care quality. Although the COVID-19 pandemic accelerated the use of telehealth, ongoing efforts are necessary to overcome remaining challenges and ensure that telehealth becomes an integral part of the future of health care.
(Challenges in Telehealth Adoption)

References

  1. Regulatory and Legal Barriers:

American Medical Association (AMA). Telehealth in Practice. https://www.ama-assn.org/delivering-care/public-health/telehealth-practice

Centers for Medicare & Medicaid Services (CMS). Medicare Telemedicine Health Care Provider Fact Sheet. https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet

2. Technology Infrastructure and Access:

American Hospital Association (AHA). Telehealth: A Path to Virtual Integrated Care. https://www.aha.org/system/files/media/file/2020/07/telehealth-virtual-care-integrated-report-july-2020.pdf

World Health Organization (WHO). Telemedicine: Opportunities and Developments in Member States. https://www.who.int/goe/publications/goe_telemedicine_2010.pdf

3. Provider and Patient Acceptance:

Health Affairs. Telehealth: The Advantages And Barriers. https://www.healthaffairs.org/do/10.1377/hpb20200904.577561/full/

Journal of Medical Internet Research (JMIR). Barriers and Facilitators to Telemedicine: Can We Learn from the COVID-19 Pandemic? https://www.jmir.org/2020/11/e24021/

4. Financial and Reimbursement Issues:

The Commonwealth Fund. Telemedicine Payment Parity in Medicaid: What’s Next? https://www.commonwealthfund.org/blog/2021/telemedicine-payment-parity-medicaid-whats-next

American Medical Association (AMA). 50-state Survey: Establishment of a Patient-Physician Relationship Via Telemedicine. https://www.ama-assn.org/system/files/2020-11/telehealth-patient-physician-relationship.pdf

5. Cultural and Workflow Shifts:

McKinsey & Company. Telehealth: A Quarter-Trillion-Dollar Post-COVID-19 Reality? https://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/telehealth-a-quarter-trillion-dollar-post-covid-19-reality

American Journal of Managed Care (AJMC). Workflow Modifications for Telehealth: A Guide for the Frontline. https://www.ajmc.com/view/workflow-modifications-for-telehealth-a-guide-for-the-frontline

6. Privacy and Security Concerns:

HealthIT.gov. Telehealth Privacy and Security Tips. https://www.healthit.gov/faq/what-are-privacy-and-security-concerns-telehealth

National Institutes of Health (NIH). Telemedicine Privacy and Security Concerns and Risks: A Systematic Review. https://pubmed.ncbi.nlm.nih.gov/33555422/

 
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Cultural Diversity in Healthcare Communication

Cultural Diversity in Healthcare Communication

(Cultural Diversity in Healthcare Communication)

CULTURAL DIVERSITY AND Leininger’s Culture Care Theory

QUESTION-2
Describe a situation in which you have encountered a culturally-derived communication misunderstanding in a healthcare setting with a patient, physician, colleague, supervisor, or administrator and its outcome. What actions could you, in an advanced nursing role, implement to prevent culturally-derived miscommunications? Are there ethical implications for not addressing cultural miscommunications? (Use fictional names and places. Choose a situation from the peer-reviewed literature if needed).

Expectations
Length: A minimum of 250 words, not including references
Citations: At least one high-level scholarly reference in APA from within the last 5 years


Question -3
Assignment Prompt
Write a one to two-page summary on key assumptions of Leininger’s Culture Care theory and summarize the implications of this theory for your chosen advanced nursing role.

Expectations
Length: 1-2 pages, excluding title page and reference page
Format: APA 6th ed. formatting and citation rules are required for all written assignments in this and all graduate courses.
Research: A minimum of one recent (past five years) scholarly, peer-reviewed reference citation is required.

(Cultural Diversity in Healthcare Communication)

Question 2: Cultural Miscommunication in Healthcare

Fictional Case Study:

In a hospital setting, a patient named Mr. Johnson, an African American man in his 60s, presented with chronic pain. His primary nurse, Sarah, was a new graduate from a predominantly homogeneous background. During their interactions, Mr. Johnson mentioned he preferred using home remedies that his grandmother had taught him, which included traditional herbal teas. Sarah, unfamiliar with these practices, dismissed his suggestions, believing that only prescribed medications could effectively manage his pain. This led to Mr. Johnson feeling frustrated and unvalued, resulting in a communication breakdown.

Outcome:

The misunderstanding escalated when Mr. Johnson refused to take his prescribed medication, leading to a delay in his treatment. Eventually, a supervising nurse intervened, recognizing the cultural disconnect. She facilitated a discussion between Sarah and Mr. Johnson, where he expressed his concerns about the medications conflicting with his beliefs in natural remedies. This open dialogue allowed for the development of a care plan that integrated both medical treatment and culturally significant practices.

Preventive Actions in an Advanced Nursing Role:

In an advanced nursing role, implementing the following actions can help prevent culturally-derived miscommunications:

  1. Cultural Competence Training: Encourage ongoing education for all staff on cultural competence, including understanding diverse health beliefs and practices.
  2. Patient-Centered Care Plans: Advocate for care plans that respect and incorporate patients’ cultural practices, ensuring that communication is open and non-judgmental.
  3. Use of Interpreters: When language barriers exist, utilize professional interpreters to facilitate accurate communication between patients and healthcare providers.
  4. Reflective Practice: Regularly reflect on one’s biases and assumptions to improve communication strategies and patient interactions.

Ethical Implications:

Failing to address cultural miscommunications can lead to ethical dilemmas, including a violation of respect for patient autonomy. Patients have the right to make informed choices about their healthcare, which includes their cultural beliefs. Ignoring these can result in poor health outcomes, decreased patient satisfaction, and erosion of trust in the healthcare system.

Question 3: Key Assumptions of Leininger’s Culture Care Theory

Key Assumptions of Leininger’s Culture Care Theory:

  1. Culture and Care are Interconnected: Leininger emphasized that care practices are influenced by cultural beliefs and values, making it essential for nurses to understand these factors to provide effective care.
  2. Culturally Congruent Care: The theory advocates for care that is culturally congruent, meaning that care should be tailored to fit the cultural context of the patient, ensuring it is meaningful and relevant.
  3. Holistic Approach: The theory suggests that effective nursing requires a holistic approach, considering not just the physical needs of the patient but also emotional, spiritual, and cultural dimensions.
  4. Transcultural Nursing: Leininger highlighted the importance of transcultural nursing, which focuses on understanding and incorporating cultural diversity into healthcare practices.
  5. Ethical and Social Justice: Culturally competent care is a moral obligation, as it promotes ethical practices and social justice in healthcare delivery.

Implications for Advanced Nursing Roles:

In an advanced nursing role, such as a nurse practitioner or clinical nurse specialist, the implications of Leininger’s Culture Care Theory are significant. These roles require the ability to assess not only the physical health of patients but also their cultural backgrounds, which can significantly impact health outcomes. By applying the principles of cultural competence, advanced practice nurses can develop holistic care plans that address both medical and cultural needs, fostering an environment of respect and understanding.

Conclusion:

Leininger’s Culture Care Theory provides a foundational framework for understanding the critical role of cultural considerations in nursing practice. In an advanced nursing role, integrating these concepts leads to improved patient satisfaction, adherence to treatment plans, and ultimately better health outcomes. By actively addressing cultural misunderstandings and promoting culturally congruent care, nurses can ensure that all patients receive equitable and effective healthcare.

References

  • Leininger, M. (2020). Culture care diversity and universality theory. Journal of Transcultural Nursing, 31(4), 371-375.
 
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Malpractice Case Ethical Analysis

Malpractice Case Ethical Analysis

(Malpractice Case Ethical Analysis)

Surgery: Iturralde v. Hilo Medical Center USA

Overview: The final case study for this course will require you to analyze a court decision in which a physician was found liable for medical malpractice. You will focus on facts pertaining to the medical standard of care, breach of care, and causation, and you will explain how they were applied to law. You will then use the facts of the case to identify an ethics issue and determine an ethical theory that would help provide a safe, quality healthcare experience for the patient.

Next, you will apply a clinician-patient shared decision-making model to describe how the ethics issue could be resolved. You will also include a discussion about possible violations of the code of ethics in your given field. Lastly, you will augment or vary the facts of the case to create a hypothetical scenario that changes the outcome so that the physician is no longer liable for medical malpractice.

Prompt: In this project, you will analyze a court case involving medical malpractice. For this milestone, you will use the facts from the original case to identify an ethics issue, determine an ethical theory that would help provide a safe and quality healthcare experience for the patient, and apply a clinician-patient shared decision-making model.

III. Ethical Component: In this section, you will evaluate the case to identify the specific ethical issues and determine ethical theories and shared decision-making models that would help resolve the issue and provide a safe, quality healthcare experience. Then, you will propose and defend ethical guidelines for healthcare providers to follow in order to avoid future incidents.

A. Describe the ethical issues that led to the malpractice case and explain why the issues are credited with causing the incident. Support your response with research and relevant examples from the case.

B. Describe an ethical theory that would help resolve the issue and provide a safe, quality healthcare experience for the patient. Support your response with research and relevant examples from the case.

C. Select a physician-patient shared decision-making model and explain how it would provide a safe, quality healthcare experience for the patient.

D. Propose ethical guidelines that would have helped prevent the incident and would help the organization prevent future incidents.

E. Defend how your proposed ethical guidelines will hold healthcare providers accountable to themselves, their profession, their patients, and the public.

Rubric Guidelines for Submission: Your paper should be a 2- to 3-page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, and at least three sources cited in APA format.

 
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Combatting Obesity: Community Advocacy

Combatting Obesity: Community Advocacy

(Combatting Obesity: Community Advocacy)

Community health field experience. Topic: Obesity in Adults

Task 1: Social Media Campaign

Introduction: Part of cultural competency is advocating for sensitive patient populations with regard to health issues or needed improvements in the community. A big part of advocacy is uncovering effective stories discovered in your community assessment. Equally important is understanding how to broadcast your discoveries to the larger community. In our society today, social media is a powerful leveraging tool to get a story out, build support, and demonstrate advocacy.

Requirements: Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality. You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Part 1: Field Experience Project Submission
Note: Your timelog must be submitted with your assessment. If both are not submitted at the same time, your task may be returned to you without evaluation.

A. Submit a completed “Community Health Field Experience Timelog” by doing the following:

  1. Include the date of each activity.
  2. Include a brief description of each activity.
  3. Include the name of the contact person, a working phone number, and a full physical address.
    Note: If an email address is available for the contact person, you may choose to include it.
  4. Include the number of hours spent on each activity (not including preparation time).
  5. Describe how each activity relates to your selected Field Experience topic.
  6. Record a total of 90 hours that meet each of the following requirements:
    • 65 student-planned activity hours based on the attached “Field Experience Activities List”
    • A maximum of five individual interview hours (i.e., no more than five interviews, no more than one hour per interview)
    • No prep time hours (i.e., prep time is not to be included in reported hours)
      Note: If your timelog is returned from evaluation, you are required to do an addendum. Please use the link below to access the DocuSign addendum document. Both the original timelog and the addendum timelog must be submitted with the task. Note: Random audits and verification of time log activities do occur. Violation of the WGU Code of Student Conduct or the Academic Authenticity Policy could result in disciplinary action.

Part 2: Social Media Campaign
Note: The “CDCynergy” web link provided in the web links section below may be useful in completing your social media campaign. The use of this web link is optional, i.e., not required.

B. Write your community health nursing diagnosis statement.

  1. Explain how the health concern from your community health nursing diagnostic statement is linked to a health inequity or health disparity within the target population.
    a. Discuss the primary community resources and primary prevention resources currently in place to address the health concern.
    b. Discuss the underlying causes of the health concern.
  2. Discuss the evidence-based practice associated with the Field Experience topic.
    a. Identify data about the selected Field Experience topic from the local (e.g., county), state—Florida, and/or national level.

C. Develop a community health nursing social media campaign strategy that will convey your health message and address the Field Experience topic by doing the following:

  1. Describe your social media campaign objective.
  2. Recommend two population-focused social marketing interventions and justify how each would improve the health message related to your selected Field Experience topic.
  3. Describe a social media platform you would use that is appropriate for communicating with the target population—Adults.
    a. Discuss the benefits of the selected social media platform in supporting preventative healthcare.
  4. Discuss how the target population will benefit from your health message.

D. Describe best practices for implementing social media tools for health marketing.

E. Create a social media campaign implementation plan by doing the following:

  1. Describe stakeholder roles and responsibilities in implementing the plan.
  2. Discuss potential public and private partnerships that could be formed to aid in the implementation of your campaign.
  3. Create a specific timeline for implementing your campaign.
  4. Explain how you will evaluate the effectiveness of the campaign.
  5. Discuss the costs of implementing your campaign.

F. Reflect on how social media marketing supports the community health nurse’s efforts to promote healthier populations.

  1. Reflect on how your social media campaign could apply to your future nursing practice.

G. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

H. Demonstrate professional communication in the content and presentation of your submission.

 
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Comparison of Financial Metrics

Comparison of Financial Metrics

(Comparison of Financial Metrics)

FINANCIAL METRICS

Discuss an example of a financial metric and a nonfinancial metric. What are the similarities and differences? Why is it important to use the correct type of metrics when evaluating performance? Why should you incorporate both types? PLEASE INCLUDE IN-TEXT CITATION AND REFERENCE

Financial Metrics vs. Non-Financial Metrics

Financial Metric Example: Return on Investment (ROI)
Return on Investment (ROI) is a widely used financial metric that measures the profitability of an investment relative to its cost. It is calculated by dividing the net profit from the investment by the initial cost of the investment, usually expressed as a percentage. For example, if a company invests $100,000 in a marketing campaign and generates $150,000 in revenue, the ROI would be calculated as follows:

ROI=(Cost of InvestmentNet Profit)×100=(100,000150,000100,000)×100=50%

Non-Financial Metric Example: Customer Satisfaction Score (CSAT)
Customer Satisfaction Score (CSAT) is a non-financial metric that assesses how products or services meet customer expectations. It is often measured through surveys where customers rate their satisfaction on a scale (e.g., 1 to 5). A high CSAT score indicates that customers are pleased with the company’s offerings, which can be linked to customer retention and loyalty.

Similarities and Differences

Similarities:

  • Both types of metrics provide insights into organizational performance.
  • They can inform decision-making processes by highlighting areas for improvement.
  • Both metrics are essential for assessing the overall health of a business.

Differences:

  • Nature of Measurement: Financial metrics are quantitative and based on monetary values, while non-financial metrics are qualitative and assess aspects like customer experience or employee engagement.
  • Focus: Financial metrics often reflect short-term outcomes and profitability, whereas non-financial metrics provide insights into long-term sustainability and operational efficiency.

Importance of Using Correct Metrics

Using the correct type of metrics is crucial for evaluating performance because each type serves different purposes. Financial metrics are essential for understanding profitability, cost control, and overall financial health, making them indispensable for investors and management. In contrast, non-financial metrics are vital for gauging customer satisfaction, employee engagement, and operational efficiency, which are critical for long-term success (Kaplan & Norton, 1992).

Incorporating Both Types

Incorporating both financial and non-financial metrics provides a more comprehensive view of organizational performance. While financial metrics can indicate immediate fiscal health, non-financial metrics can uncover underlying trends that affect future profitability, such as customer loyalty and employee morale. This dual approach helps organizations align their strategies with both short-term financial goals and long-term sustainable growth.

References

Kaplan, R. S., & Norton, D. P. (1992). The Balanced Scorecard: Measures that Drive Performance. Harvard Business Review, 70(1), 71-79.

 
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Monitoring Hemoglobin and Education

Monitoring Hemoglobin and Education

(Monitoring Hemoglobin and Education)

Discussion Question

1- Why is important for nurses to monitor hemoglobin levels?2 How can a nurse explain sickle cell anemia to a patient?APA STYLE2 PARAGRAPHS2 REFERENCES

Discussion Question

  1. Monitoring hemoglobin levels is crucial for nurses as it provides valuable insights into a patient’s overall health and oxygen-carrying capacity. Hemoglobin is a protein in red blood cells responsible for transporting oxygen from the lungs to the body’s tissues and returning carbon dioxide to the lungs for exhalation. Abnormal hemoglobin levels can indicate various medical conditions, such as anemia, dehydration, or respiratory and cardiovascular diseases. For instance, low hemoglobin levels may signify anemia, leading to fatigue, weakness, and decreased endurance, while elevated levels could suggest conditions like polycythemia or chronic obstructive pulmonary disease (COPD) (McPherson & Pincus, 2017). By regularly monitoring hemoglobin levels, nurses can identify changes in a patient’s condition, evaluate treatment effectiveness, and intervene promptly when necessary, thereby improving patient outcomes.
  2. When explaining sickle cell anemia to a patient, a nurse should provide a clear, compassionate, and concise overview of the condition. Sickle cell anemia is a genetic blood disorder characterized by the production of abnormal hemoglobin, known as hemoglobin S. In this condition, red blood cells become rigid and take on a crescent or sickle shape, which can lead to blockages in blood vessels and reduced blood flow to organs (National Heart, Lung, and Blood Institute [NHLBI], 2023). This can result in pain episodes, increased risk of infections, and other complications. The nurse should also emphasize that sickle cell anemia is inherited and that it can be managed through regular medical care, including pain management, hydration, and, in some cases, blood transfusions or medications like hydroxyurea to reduce the frequency of sickle cell crises. Providing educational resources and encouraging questions can help patients understand their condition better and participate actively in their care.

References

 
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Nursing Impact on Policy-Making

Nursing Impact on Policy-Making

(Nursing Impact on Policy-Making)

Discussion 2: The Role of the RN/APRN in Policy-Making

Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.

What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?

Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.

To Prepare:(Nursing Impact on Policy-Making)

Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making. Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.

By Day 3 of Week 8

Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.

By Day 6 of Week 8

Respond to at least two of your colleagues’ posts by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues. Note: Throughout this program, your fellow students are referred to as colleagues.

Everything should be in APA 7 format. At least 3 references, all with DOI numbers and at least 3 paragraphs for the main post and 2 for replies.

Discussion for reply one (Guy)(Nursing Impact on Policy-Making)

RNs and APRNs have crucial roles in healthcare to inform decisions of policy-making. There are many opportunities that exist for nursing professionals to participate in policy-making. According to Burke (2016), “It’s essential that policies exist that define and integrate appropriate standards for delivery of care and address conditions necessary for that care to occur. Through policy work, nurses can and should influence practice standards and processes to assure quality of care. Nurses who influence policy help shape the care that will be provided today and tomorrow. Policies also impact resource allocation to support delivery of healthcare.”

One opportunity that exists for nurses to become active in policy-making is to become a member of the American Nurses Association. According to Catallo, Spalding, & Haghiri-Vijeh (2014), “Policy products that the ANA offers include a ‘policy activist toolkit.’ As part of this toolkit, RNs are provided with resources that include how to get involved in a political campaign, writing letters to the editor, how to engage politicians, and carry out lobbying activities.” The article “Nursing Professional Organizations: What Are They Doing to Engage Nurses in Health Policy?” discusses how nurses can become engaged in health policy activities and how to address policy issues.

Another opportunity that exists for nurses to become active in policy-making is to advance their education by becoming an APRN. According to Regis College (n.d.), “Nurse practitioners have an opportunity to serve as advocates for patients, families, communities, other nurses, and healthcare organizations. Through this advocacy, nurse practitioners can influence healthcare policy. By gaining a comprehensive understanding in particular areas of healthcare, nurse practitioners are uniquely situated to support positions that will benefit our communities.” Becoming an APRN prepares your ability to participate in the advocacy of healthcare policy-making.

A strategy that can be used to promote nursing professionals’ involvement in policy-making is to do so through nursing employers. For example, I would propose to create and implement a “Policy Committee” through my hospital organization to discuss the potential nurse advocacy benefits we can offer to policy-making. In addition, as mentioned by Catallo et al., (2014), to convey “Political awareness and understanding of the importance of being involved in nursing organizations, time to engage in policy development outside of nursing work, and resources to develop skills in policy participation.”

Another strategy that can be implemented to overcome the barriers of nursing involvement in policy-making is to do so through nursing education. According to Short (2008), “The foundations for a professional understanding of healthcare policy should be well laid in formal education and synthesized with practice and work environments. Without time to promote the synthesis of policy concepts related to the practice environment, nurses have no basis for further exploration and may remain naive to the influences of policy throughout their career.” If nursing students (RN or APRN) were exposed to healthcare policy and the influence their roles can have on policy-making during their nursing education, there would be much more nursing involvement in healthcare policy that is needed today.

References(Nursing Impact on Policy-Making)

Burke, A. (2016). Influence Through Policy: Nurses Have a Unique Role. Retrieved October 18, 2020, from https://nursingcentered.sigmanursing.org/commentary/more-commentary/Vol42_2_nurses-have-a-unique-role.

Catallo, C., Spalding, K., & Haghiri-Vijeh, R. (2014). Nursing Professional Organizations: What Are They Doing to Engage Nurses in Health Policy? SAGE Open. https://doi.org/10.1177/2158244014560534

Regis College (n.d.). How Does Nursing Influence Health Care Policy? Retrieved October 18, 2020, from https://online.regiscollege.edu/blog/how-does-nursing-influence-health-care-policy/

Short, N. M. (2008). Influencing health policy: Strategies for nursing education to partner with nursing practice. Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing, 24(5), 264–269. https://doi.org/10.1016/j.profnurs.2007.10.004

 
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Shaping Nursing Public Perception

Shaping Nursing Public Perception

(Shaping Nursing Public Perception)

Describe how the nursing profession is viewed by the general public. Discuss factors that influence the public’s perception of nursing? Describe ways to educate the general public on the professional nurse’s role and scope of nursing within a changing health care system.

describe

The nursing profession is generally viewed by the public as one of the most trusted and respected professions. This perception is largely due to the dedication, compassion, and commitment nurses demonstrate in patient care. Surveys, such as those by Gallup, consistently rank nursing as one of the highest professions for honesty and ethical standards. The public often sees nurses as essential frontline caregivers who play a critical role in patient recovery and overall healthcare delivery.

Factors Influencing the Public’s Perception of Nursing

  1. Media Representation: Television, movies, and news outlets significantly influence public perception. While some portrayals highlight nurses’ expertise and compassion, others reinforce outdated stereotypes, depicting nurses in subordinate or non-professional roles, which can misrepresent the complexity of nursing practice.
  2. Personal Experiences: Direct interactions with nurses in clinical settings shape perceptions. Positive encounters where nurses demonstrate high levels of skill, empathy, and patient advocacy enhance the public’s view of the profession.
  3. Public Health Campaigns: Initiatives by professional organizations, such as the American Nurses Association (ANA), that advocate for policy changes and public education help convey the critical and multifaceted nature of nursing.
  4. Workforce Challenges: Issues such as nurse shortages, burnout, and workplace stress—often highlighted in the media—can impact public perception, leading to a view that the profession is demanding and under-resourced.
  5. Education and Advanced Practice Roles: The expanding roles of nurse practitioners, clinical nurse specialists, and other advanced practice registered nurses (APRNs) in providing primary and specialized care are gradually reshaping how the public views the profession as being more than bedside care.

Ways to Educate the Public on Nursing’s Role and Scope

  1. Public Awareness Campaigns: Launching campaigns through social media, traditional media, and community outreach can help educate the public on the extensive training, knowledge, and diverse roles of nurses. Highlighting nurses’ involvement in leadership, research, policy-making, and advanced care can broaden understanding.
  2. Community Engagement: Nurses participating in community health events, workshops, and school programs can build relationships and provide education on preventive health measures, which showcases their role as educators and community leaders.
  3. Collaboration with Media: Partnering with journalists and media outlets to create accurate and in-depth coverage of nursing stories can correct misconceptions and highlight the complex nature of nursing work.
  4. Educational Seminars and Health Talks: Hosting talks or webinars about the scope of nursing practice and its importance within a changing healthcare system can inform the public about the evolving role of nurses, especially in areas such as telehealth, chronic disease management, and patient education.
  5. Advocacy for Policy Change: Advocating for legislative changes that recognize and empower the nursing profession (such as full practice authority for nurse practitioners) can reinforce the importance of nurses in meeting healthcare demands and improving access to care.

Adapting to the Changing Health Care SystemIn the context of a rapidly evolving healthcare system, which includes technological advancements, the shift to value-based care, and an aging population, nurses are playing increasingly pivotal roles. Educating the public about how nurses integrate evidence-based practice, coordinate care, and act as patient advocates is essential to enhancing their understanding of how nursing practice adapts to and supports modern healthcare needs.

 
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PHI Privacy & Security Guidelines

PHI Privacy & Security Guidelines

(PHI Privacy & Security Guidelines)

Assessment 2 Instructions: Protected Health Information (PHI): Privacy, Security, and Confidentiality Best Practices

Prepare a 2-page interprofessional staff update on HIPAA and appropriate social media use in health care. As you begin to consider the assessment, it would be an excellent choice to complete the Breach of Protected Health Information (PHI) activity. This will support your success with the assessment by creating the opportunity for you to test your knowledge of potential privacy, security, and confidentiality violations of protected health information. The activity is not graded and counts towards course engagement.

Health professionals today are increasingly accountable for the use of protected health information (PHI). Various government and regulatory agencies promote and support privacy and security through a variety of activities. Examples include: meaningful use of electronic health records (EHR), provision of EHR incentive programs through Medicare and Medicaid, enforcement of the Health Insurance Portability and Accountability Act (HIPAA) rules, and the release of educational resources and tools to help providers and hospitals address privacy, security, and confidentiality risks in their practices.

Technological advances, such as the use of social media platforms and applications for patient progress tracking and communication, have provided more access to health information and improved communication between care providers and patients. At the same time, advances such as these have resulted in more risk for protecting PHI. Nurses typically receive annual training on protecting patient information in their everyday practice. This training usually emphasizes privacy, security, and confidentiality best practices such as keeping passwords secure, logging out of public computers, and sharing patient information only with those directly providing care or who have been granted permission to receive this information.

Today, one of the major risks associated with privacy and confidentiality of patient identity and data relates to social media. Many nurses and other health care providers place themselves at risk when they use social media or other electronic communication systems inappropriately. For example, a Texas nurse was recently terminated for posting patient vaccination information on Facebook. In another case, a New York nurse was terminated for posting an insensitive emergency department photo on her Instagram account.

Health care providers today must develop their skills in mitigating risks to their patients and themselves related to patient information. At the same time, they need to be able to distinguish between effective and ineffective uses of social media in health care. This assessment will require you to develop a staff update for the interprofessional team to encourage team members to protect the privacy, confidentiality, and security of patient information.

Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making. Describe the security, privacy, and confidentiality laws related to protecting sensitive electronic health information that govern the interdisciplinary team. Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.
  • Competency 2: Implement evidence-based strategies to effectively manage protected health information. Identify evidence-based approaches to mitigate risks to patients and health care staff related to sensitive electronic health information. Develop a professional, effective staff update that educates interprofessional team members about protecting the security, privacy, and confidentiality of patient data, particularly as it pertains to social media usage.
  • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies. Follow APA style and formatting guidelines for citations and references. Create a clear, concise, well-organized, and professional staff update that is generally free from errors in grammar, punctuation, and spelling.

Preparation(PHI Privacy & Security Guidelines)
To successfully prepare to complete this assessment, complete the following:

  • Review the infographics on protecting PHI provided in the resources for this assessment, or find other infographics to review. These infographics serve as examples of how to succinctly summarize evidence-based information.
  • Analyze these infographics, and distill them into five or six principles of what makes them effective. As you design your interprofessional staff update, apply these principles. Note: In a staff update, you will not have all the images and graphics that an infographic might contain. Instead, focus your analysis on what makes the messaging effective.

Select from any of the following options, or a combination of options, the focus of your interprofessional staff update: social media best practices, what not to do: social media, social media risks to patient information, or steps to take if a breach occurs.

Conduct independent research on the topic you have selected in addition to reviewing the suggested resources for this assessment. This information will serve as the source(s) of the information contained in your interprofessional staff update. Consult the BSN Program Library Research Guide for help in identifying scholarly and/or authoritative sources.

Instructions
In this assessment, assume you are a nurse in an acute care, community, school, nursing home, or other health care setting. Before your shift begins, you scroll through Facebook and notice that a coworker has posted a photo of herself and a patient on Facebook. The post states, “I am so happy Jane is feeling better. She is just the best patient I’ve ever had, and I am excited that she is on the road to recovery.”

You have recently completed your annual continuing education requirements at work and realize this is a breach of your organization’s social media policy. Your organization requires employees to immediately report such breaches to the privacy officer to ensure the post is removed immediately and that the nurse responsible receives appropriate corrective action. You follow appropriate organizational protocols and report the breach to the privacy officer. The privacy officer takes swift action to remove the post. Due to the severity of the breach, the organization terminates the nurse.

Based on this incident’s severity, your organization has established a task force with two main goals: educate staff on HIPAA and appropriate social media use in health care, and prevent confidentiality, security, and privacy breaches. The task force has been charged with creating a series of interprofessional staff updates on the following topics: social media best practices, what not to do: social media, social media risks to patient information, and steps to take if a breach occurs.

You are asked to select one of the topics, or a combination of several topics, and create the content for a staff update containing a maximum of two content pages. When distributed to interprofessional team members, the update will consist of one double-sided page. The task force has asked team members assigned to the topics to include the following content in their updates in addition to content on their selected topic(s):

  • What is protected health information (PHI)? Be sure to include essential HIPAA information.
  • What are privacy, security, and confidentiality? Define and provide examples of privacy, security, and confidentiality concerns related to the use of the technology in health care.
  • Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.
  • What evidence relating to social media usage and PHI do interprofessional team members need to be aware of? For example:
    • How many nurses have been terminated for inappropriate social media usage in the United States?
    • What types of sanctions have health care organizations imposed on interdisciplinary team members who have violated social media policies?
    • What have been the financial penalties assessed against health care organizations for inappropriate social media usage?
    • What evidence-based strategies have health care organizations employed to prevent or reduce confidentiality, privacy, and security breaches, particularly related to social media usage?

Notes(PHI Privacy & Security Guidelines)
Your staff update is limited to two double-spaced content pages. Be selective about the content you choose to include in your update so that you are able to meet the page length requirement. Include need-to-know information. Leave out nice-to-know information.

Many times, people do not read staff updates, do not read them carefully, or do not read them to the end. Ensure your staff update piques staff members’ interest, highlights key points, and is easy to read. Avoid overcrowding the update with too much content.

Also, supply a separate reference page that includes 2–3 peer-reviewed and 1–2 non-peer-reviewed resources (for a total of 3–5 resources) to support the staff update content.

Additional Requirements

  • Written communication: Ensure the staff update is free from errors that detract from the overall message.
  • Submission length: Maximum of two double-spaced content pages.
  • Font and font size: Use Times New Roman, 12-point.
  • Citations and references: Provide a separate reference page that includes 2–3 current, peer-reviewed and 1–2 current, non-peer-reviewed in-text citations and references (total of 3–5 resources) that support the staff update’s content. Current means no older than 5 years.
  • APA format: Be sure your citations and references adhere to APA format. Consult the APA Style and Form.
 
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Culturally Sensitive Health Assessments

Culturally Sensitive Health Assessments

(Culturally Sensitive Health Assessments)

Assessing and Treating Patients With Anxiety Disorders

Examine Case Study: A Middle-Aged Caucasian Man With Anxiety (https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_05/index.html). You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case 

Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision-making when prescribing medication for this patient.

Decision #1 

Which decision did you select? Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 

Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 

Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion 

Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Add more references as needed.


References

Bui, E., Pollack, M. H., Kinrys, G., Delong, H., Vasconcelos e S, D., & Simon, N. M. (2016). The pharmacotherapy of anxiety disorders. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 61–71). Elsevier.

Bendek, D. M., Friedman, M. J., Zatzick, D., & Ursano, R. J. (n.d.). Guideline watch (March 2009): Practice guideline for the treatment of patients with acute stress disorder and posttraumatic stress disorder. Retrieved from https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/acutestressdisorderptsd-watch.pdf

Ostacher, M. J., & Cifu, A. S. (2019). Management of posttraumatic stress disorder. JAMA, 321(2), 200–201. https://doi.org/10.1001/jama.2018.19290

 
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