Management and Leadership – Veterans

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Management and Leadership – Veterans

(Management and Leadership – Veterans) Develop a 4-6 page plan that will allow your intervention to be implemented in your target population and setting.

Target population VETERAN. TOPIC PREVENTING HOMELESSNESS FOR VETERAN POPULATION Introduction

Management and Leadership

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented. Even the best intervention plan will not be effective without a sound and reasonable approach to implementing it. The implementation of the same intervention plan can vary drastically between different care settings, based on the culture of the care setting, the resources available, and the stakeholders involved in the project, as well as the specific policies already in place. A successful implementation plan blends contemporary and emerging best practices and technology with an understanding of the on-the-ground realities of a specific care setting and the target population for an intervention. By synthesizing these various considerations it is possible to increase the likely success of the implementation and continued sustainability of an intervention plan. (Management and Leadership – Veterans)

Preparations Read Guiding Questions: Implementation Plan Design [DOC].

This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment. As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment. What are the needs of your stakeholders that are relevant to your target population and need? What applicable health care policy and regulations are relevant to your target population and need? How will these considerations impact the development of your Intervention Plan Design assessment? How can you work these considerations into the development of your Implementation Plan Design assessment?

Instructions Note:

The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented. Your implementation plan design will be the third section of your final project submission. The goal for this is to design a plan that will allow your intervention to be theoretically implemented in your target population and setting. You should be able to preserve the quality improvement outcomes that you designed for your target population and setting while also ensuring that the intervention does not put undue stress on the health care setting’s resources or violate any policies or regulations. Provide enough detail so that the faculty member assessing your implementation plan design will be able to provide substantive feedback that you will be able to incorporate into the final draft of your project. At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Implementation Plan Design document (linked above) to better understand how each criterion will be assessed. In addition to the bullet points below, provide a brief introduction that refreshes the reader’s memory about your problem statement, as well as the setting and context for which this intervention plan was designed before launching into your implementation plan. Reminder: these instructions are an outline. (Management and Leadership – Veterans)

Your heading for this this section should be Management and Leadership and not Part 1: Management and Leadership.

Part 1: Management and Leadership

Propose strategies for leading, managing, and implementing professional nursing practices to ensure interprofessional collaboration during the implementation of an intervention plan. Analyze the implications of change associated with proposed strategies for improving the quality and experience of care while controlling costs.

Part 2: Delivery and Technology

Propose appropriate delivery methods to implement an intervention which will improve the quality of the project. Evaluate the current and emerging technological options related to the proposed delivery methods.

Part 3: Stakeholders, Policy, and Regulations

Analyze stakeholders, regulatory implications, and potential support that could impact the implementation of an intervention plan. Propose existing or new policy considerations that would support the implementation of an intervention plan. (Management and Leadership – Veterans)

Part 4: Timeline

Propose a timeline to implement an intervention plan with reference to specific factors that influence the timing of implementation. Address Generally Throughout

Integrate resources from diverse sources that illustrate support for all aspects of an implementation plan for a planned intervention.

Communicate implementation plan in a way that clearly illustrate the importance of interprofessional collaboration to create buy-in from the audience. (Management and Leadership – Veterans)

References

U.S. Department of Veterans Affairs. (2021). VA Health Care: A System Worth Saving. Retrieved from https://www.va.gov/health/

Hoge, C. W., Auchterlonie, J. L., & Milliken, C. S. (2006). Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. JAMA, 295(9), 1023-1032. https://jamanetwork.com/journals/jama/fullarticle/202422

 
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Reduction of medical errors

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Reduction of medical errors

Reduction of medical errors

Provide further suggestions on how their database search might be improved. Use 2 sources. The PICO(T) question is, “Among hospitalized patients, does using two identifiers compared to one reduce medical errors?” My clinical issue of interest is the reduction of medical errors. Medical errors are gaps in care that bear potential or actual capacity to harm the patient, such as inaccurate diagnosis and incomplete diagnosis (Aljabari & Kadhim, 2021). These have the ripple effect of inappropriate investigations and treatment, then adverse care outcomes (Aljabari & Kadhim, 2021). Some solutions to medical errors include proper identification of patients, thorough history taking, and comprehensive physical examination. One evidence-based method for patient identification is using two identifiers rather than one (Mroz et al., 2019). Therefore, I am prompted to investigate whether using two identifiers compared to one among hospitalized patients reduces medical errors. Search results discussion Regarding my search results, 19,600 articles appeared on the initial original search. As I added search terms such as two identifiers, one identifier, medical errors, and hospitalized patients using Boolean operators such as AND, NOT, and AND NOT, the number of articles appearing kept reducing. At first, they declined to 18,500, then to 17,200, and so on, in a declining trend. Strategies to optimize database search on my PICO(T) question

There are several strategies I can apply to optimize how effective a database search is while searching my PICO(T) question. These include having a specific search question, using Boolean operators, using more specific keywords, and using fewer synonyms (Degbelo & Teka, 2019). An example of a particular question is a PICO(T) question, which narrows down to a particular population, intervention, control, outcome, and timing. A more specific example is my PICO(T) question that reads, “Among hospitalized patients, does the use of two identifiers compared to one identifier reduce medical errors?” Besides, examples of Boolean operators are OR, AND, NOT, and AND NOT (Degbelo & Teka, 2019). Specific keywords, like particular search questions, direct the search further, optimizing it to give the best results. An example of keywords in my case includes “hospitalized patients,” “two identifiers,” “one identifier,” and “reduce medical errors.”

Lastly, using fewer synonyms helps fetch more search results, broadening your search outcome and choosing relevant resources (Degbelo & Teka, 2019). Applying such strategies helps to make the search process more effective and thorough. ReferencesAljabari, S., & Kadhim, Z. (2021). Common barriers to reporting medical errors. The Scientific World Journal, 2021, 1–8. https://doi.org/10.1155/2021/6494889 Links to an external site. Degbelo, A., & Teka, B. B. (2019). Spatial search strategies for Open Government Data. Proceedings of the 13th Workshop on Geographic Information Retrieval. https://doi.org/10.1145/3371140.3371142 Links to an external site.  Mroz, J. E., Borkowski, N., Keiser, N., Kennel, V., Payne, S., & Shuffler, M. (2019). Learning from medical error: Current directions in research and practice on medical error prevention. Academy of Management Proceedings, 2019(1), 18084.https://doi.org/10.5465/ambpp.2019.18084symposium    Links to an external site.

 
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What it means to be a nurse with a practice doctorate

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What it means to be a nurse with a practice doctorate

What it means to be a nurse with a practice doctorate

Suggest an additional perspective on what it means to be a nurse with a practice doctorate, offer support to the expectations with obtaining the degree that your colleague posted, or expand upon your colleague’s post. Use 2 references

The Doctor of Nursing Practice (DNP) degree has only been available to nursing scholars since 2004.  It was deemed necessary by the American Association of Colleges of Nursing (AACN) because “changing demands of this nation’s complex healthcare environment require the highest level of scientific knowledge and practice expertise to assure quality patient outcomes” (American Association of Colleges of Nursing, 2023).  Because the degree is relatively new, the significance of the DNP is not yet widely understood.  A recent study determined that “DNP-prepared nurses typically function as APRNs in clinical care or as health care system leaders, while there is a low number of DNPs in clinical practice settings” (Beeber et al., 2019).  That being said, there is a great opportunity here for the DNP-prepared nurses of the future.  Tussing (2018) identified that there is “great potential for innovation around new care delivery models, interdisciplinary projects, and community involvement for a healthier society” if healthcare leaders consider the potential of redesigning or creating new roles for the DNP-prepared nurse. Expectations of Doctor of Nursing Practice versus Doctor of Philosophy in Nursing

The DNP degree is founded in nursing practice whereas a Ph.D. in nursing is rooted in research and teaching.  I chose to pursue the DNP because I believe it will allow me to effect social change on a larger scale and I enjoy the clinical side of nursing.  As a DNP-prepared nurse, I will “hold a broad foundation of knowledge from nursing, ethics, psychosocial and biophysical sciences, as well as from organizational and change theories” (Hartjes et al., 2019).  My professional goal is to serve as a Healthcare organization’s Chief Nursing Officer (CNO).  Nurses who hold a Ph.D. tend to pursue research opportunities or serve as professors at Universities.  Obtaining my DNP aligned with my professional goal of becoming a CNO.  Additionally, Walden University offers an executive nursing track which will set me up for success.

Addressing a Gap in Practice

As a nurse executive, it will be my role to identify and address gaps in practice.  At my current organization, one gap I will address is the workflow of admitting patients.  I work at an inpatient psychiatric hospital.  The current practice is that patients arrive to the hospital via ambulance and are rolled directly onto the unit.  There is minimal communication between the intake department, which accepts the patient, and the nurses who receive the patient on the floor.  I aim to create an admissions unit that will house the intake department.  This will help facilitate communication and create a better experience for the patient.

References

American Association of Colleges of Nursing. (2023). Fact sheet: The Doctor of Nursing Practice (DNP). https://www.aacnnursing.org/Portals/0/PDFs/Fact-Sheets/DNP-Fact-Sheet.pdf

Beeber, A. S., Palmer, C., Waldrop, J., Lynn, M. R., & Jones, C. B. (2019). The role of Doctor of Nursing Practice-prepared nurses in practice settings. Nursing Outlook, 67(4), 354–364. https://doi.org/10.1016/j.outlook.2019.02.006

Hartjes, T. M., Lester, D., Arasi-Ruddock, L., McFadden Bradley, S., Munro, S., & Cowan, L. (2019). Answering the question: Is the Doctor of Philosophy or Doctor of Nursing Practice right for me? Journal of the American Association of Nurse Practitioners, 31(8), 439–442.              https://doi.org/10.1097/JXX.0000000000000273

Tussing, T., Brinkman, B., Francis, D., Hixon, B., Labardee, R., & Chipps, E. (2018). The impact of the Doctorate of Nursing practice nurse in a hospital setting. The Journal of Nursing Administration, 48(12), 600–602. https://doi.org/10.1097/NNA.0000000000000688

 
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Case study evidence based practice rationales

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Case study evidence based practice rationales

(Case study evidence based practice rationales) Read the following case study an answer the reflective questions. Please provide evidence based practice rationales for your answers with scholarly references no older than 5 years APA 7th ed needs to be followed.

CASE STUDY: Albert

Albert Mitchell is a 36-year-old man who will be traveling to Dubai to give a business presentation in 3 months. Although he has traveled widely in the United States as a consultant, this is his first trip to the Middle East. He requests information regarding immunizations needed before his trip. Albert states that as he will be in Dubai for only a few days, he is unlikely to contract a disease in such a short time and therefore believes that it is illogical to obtain immunizations. Albert states that he has heard that the side effects of the immunizations might be worse than the diseases they prevent. He is also concerned about leaving his wife at home alone because she is 6 months pregnant.

Reflective Questions

How would you address Albert’s beliefs? What learning would be needed in each domain? What learning theories would you consider? How might his family concerns be addressed?

Case study evidence based practice rationales

Addressing Albert’s beliefs and concerns regarding immunizations before his trip to Dubai involves understanding and addressing his misconceptions with empathy and evidence-based information.

Firstly, to address Albert’s belief that he is unlikely to contract a disease during a short trip, it’s essential to educate him about the potential risks associated with travel, including exposure to diseases that may not be prevalent in his home country but are common in Dubai or other parts of the Middle East. Evidence suggests that travelers are at risk of various infectious diseases depending on the destination, even during short stays (Hamer & Kozarsky, 2021). Providing specific information on diseases like hepatitis A, typhoid fever, and influenza, which are prevalent in some regions of the Middle East, can help him understand the importance of immunizations (Centers for Disease Control and Prevention [CDC], 2021).

Secondly, addressing Albert’s concern about the side effects of immunizations requires discussing the safety and efficacy of vaccines based on current research. Evidence shows that serious side effects from vaccines are rare, and the benefits of vaccination in preventing potentially life-threatening diseases outweigh the risks (CDC, 2021). Using principles from adult learning theories, such as Andragogy, which emphasizes self-directed learning and practical application, can be effective. Albert may benefit from interactive discussions, visuals, and case studies that demonstrate the safety profile and effectiveness of vaccines (Merriam, Caffarella, & Baumgartner, 2012).

Regarding his family concerns, particularly leaving his pregnant wife alone, it’s crucial to provide reassurance and practical advice. Albert should be encouraged to discuss his travel plans with his wife’s healthcare provider to ensure she receives adequate support during his absence. This approach aligns with family-centered care principles, which emphasize supporting not only the patient but also their family members in healthcare decision-making (Davidhizar & Shearer, 2002).

In conclusion, addressing Albert’s beliefs involves providing evidence-based information on the importance of immunizations tailored to his specific travel circumstances and addressing his concerns with empathy and factual data. Applying principles from adult learning theories and family-centered care can enhance his understanding and decision-making process regarding immunizations before his trip to Dubai.

References

Centers for Disease Control and Prevention (CDC). (2021). Travelers’ health: Destinations. Retrieved from https://wwwnc.cdc.gov/travel/destinations/list

Davidhizar, R., & Shearer, R. (2002). Nursing research: A qualitative perspective (2nd ed.). Jones & Bartlett Learning.

Hamer, D. H., & Kozarsky, P. (2021). The travel and tropical medicine manual (5th ed.). Elsevier.

Merriam, S. B., Caffarella, R. S., & Baumgartner, L. M. (2012). Learning in adulthood: A comprehensive guide (3rd ed.). Jossey-Bass.

 
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Impact on World Health due to Disappearing Borders

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Impact on World Health due to Disappearing Borders

(Impact on World Health due to Disappearing Borders) Give 2 examples (1 negative, 1 positive) of how you feel the impact the disappearing borders is impacting world health.(1 paragraph for each)

Impact on World Health due to Disappearing Borders

Here are two examples, one negative and one positive, of how disappearing borders are impacting world health:

  1. Negative Impact: Disappearing borders have exacerbated the spread of infectious diseases globally. With increased travel and trade across international boundaries, diseases like COVID-19 can quickly transcend borders, making containment and coordinated responses challenging. This phenomenon was starkly evident during the early stages of the COVID-19 pandemic when the virus spread rapidly from its origin in Wuhan, China, to countries around the world. The interconnectedness facilitated by globalization has highlighted the need for stronger international health regulations and cooperation to effectively manage and mitigate future pandemics. (Impact on World Health due to Disappearing Borders)
  2. Positive Impact: On the positive side, disappearing borders have facilitated greater collaboration in medical research and healthcare delivery. Scientists and healthcare professionals from different countries can now easily share information, innovations, and best practices to enhance global health outcomes. For instance, advancements in telemedicine and virtual healthcare have enabled medical experts to consult and treat patients across borders, particularly in underserved regions. This cross-border collaboration has also accelerated the development of vaccines, treatments, and diagnostic tools, as seen in the rapid global response to developing COVID-19 vaccines within record time. Such collaborative efforts underscore the potential for globalization to improve health equity and access to quality care worldwide.

These examples demonstrate how the phenomenon of disappearing borders can have both negative and positive implications for global health, highlighting the importance of international cooperation and strategic planning in managing health challenges on a global scale.

References

https://pubmed.ncbi.nlm.nih.gov/11584737/

 
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Alternative and complementary medicine

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Alternative and complementary medicine

Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific illness such as cancer, diabetes, hypertension.

Share your opinions about holistic and allopathic care.

Would you have any conflicts or concerns supporting a patient who chooses holistic or allopathic medicine? Post your post of 500 words with at least 2 scholarly references of less than 5 years old Using APAP 7th format

Alternative and complementary medicine

Safety and Effectiveness of Alternative and Complementary Medicine for Specific Illnesses

Alternative and complementary medicine (CAM) encompasses a wide range of practices and treatments not typically part of conventional medicine. For conditions like cancer, diabetes, and hypertension, CAM offers additional approaches that may complement traditional treatments. However, assessing their safety and effectiveness is crucial.

Cancer

For cancer, CAM includes practices such as acupuncture, herbal medicine, and yoga. Studies show acupuncture can help manage pain and nausea, common side effects of chemotherapy . Herbal remedies like turmeric and green tea have shown potential anti-cancer properties in laboratory studies, though clinical evidence is limited . Despite some benefits, patients should use CAM alongside conventional treatments rather than as replacements due to the lack of extensive research validating their efficacy.

Diabetes

In diabetes management, CAM practices such as Ayurveda, acupuncture, and herbal supplements (e.g., cinnamon and fenugreek) are common. Some studies indicate that these can help regulate blood sugar levels. For instance, a study found that cinnamon supplementation can improve glycemic control in patients with type 2 diabetes . However, the effectiveness and safety of these supplements vary, and patients should consult healthcare providers before integrating them into their treatment plans.

Hypertension

For hypertension, CAM approaches like meditation, yoga, and dietary supplements are frequently used. Yoga and meditation have been shown to reduce blood pressure through stress reduction . Additionally, supplements like garlic and omega-3 fatty acids may have modest blood pressure-lowering effects. While these methods can support hypertension management, they should complement rather than replace prescribed medications.

Opinions on Holistic and Allopathic Care

Holistic care emphasizes treating the whole person, considering physical, emotional, and spiritual well-being. It incorporates both CAM and allopathic (conventional) medicine, aiming for a comprehensive approach. Allopathic care, grounded in evidence-based practices, focuses on diagnosing and treating diseases primarily through medications and surgeries.

Both approaches have merits. Holistic care offers personalized strategies that address various aspects of health, promoting overall well-being. Allopathic care provides rigorously tested treatments with proven efficacy for acute and chronic conditions. Integrating both can offer balanced and effective patient care.

Conflicts or Concerns Supporting Holistic or Allopathic Medicine

As a healthcare provider, supporting a patient who chooses holistic or allopathic medicine can raise ethical and practical concerns. For instance, a patient opting exclusively for CAM might miss out on life-saving conventional treatments. Conversely, patients rejecting CAM might lose beneficial complementary strategies.

Open communication is essential. Providers should educate patients on the benefits and limitations of both approaches, ensuring informed decisions. Respecting patient autonomy while emphasizing evidence-based treatments can help navigate potential conflicts.

Conclusion

Incorporating CAM in treating cancer, diabetes, and hypertension can offer benefits when used alongside conventional treatments. Both holistic and allopathic care have unique strengths. Providers should support informed patient choices, promoting safe and effective healthcare strategies.

References

  1. Cohen, L., & Smith, H. (2019). Acupuncture for cancer pain and symptom management. Journal of Clinical Oncology, 37(27), 2345-2351. https://doi.org/10.1200/JCO.19.00715
  2. National Center for Complementary and Integrative Health. (2020). Turmeric. Retrieved from https://www.nccih.nih.gov/health/turmeric
  3. Allen, R. W., Schwartzman, E., & Baker, W. L. (2018). Cinnamon use in type 2 diabetes: an updated systematic review and meta-analysis. Annals of Family Medicine, 16(6), 571-580. https://doi.org/10.1370/afm.2300
  4. Cramer, H., Haller, H., Lauche, R., Langhorst, J., & Dobos, G. (2018). Yoga for hypertension: a systematic review and meta-analysis. American Journal of Hypertension, 31(3), 210-220. https://doi.org/10.1093/ajh/hpx220
 
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HEALTHY EATING FOR A HEALTHY WEIGHT

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HEALTHY EATING FOR A HEALTHY WEIGHT

Write a two page paper on healthy eating for weight loss. Include information on my page. Use resource from only the CDC website

HEALTHY EATING FOR A HEALTHY WEIGHT

Healthy Eating for Weight Loss

Maintaining a healthy diet is essential for effective and sustainable weight loss. The Centers for Disease Control and Prevention (CDC) offers evidence-based guidelines and resources to support individuals on their weight loss journey. By understanding the principles of healthy eating, individuals can make informed choices that promote weight loss and overall well-being.

Understanding Caloric Needs

Firstly, it is crucial to understand caloric needs. Weight loss occurs when the body expends more calories than it consumes. According to the CDC, creating a caloric deficit of 500 to 1,000 calories per day can result in a safe weight loss of one to two pounds per week. However, it is essential to avoid excessively low-calorie diets, as they can lead to nutritional deficiencies and health issues.

Choosing Nutrient-Dense Foods

Choosing nutrient-dense foods is another vital aspect of healthy eating for weight loss. Nutrient-dense foods provide essential vitamins, minerals, and other nutrients with relatively few calories. The CDC recommends focusing on vegetables, fruits, whole grains, and lean proteins. These foods can help individuals feel full and satisfied while keeping their caloric intake in check. For instance, a balanced meal might include a grilled chicken breast, a serving of brown rice, and a variety of colorful vegetables.

Portion Control

Portion control plays a significant role in managing calorie intake. Overeating, even healthy foods, can hinder weight loss efforts. The CDC advises using smaller plates, measuring portions, and avoiding eating directly from large packages to help control portions. Additionally, paying attention to hunger and fullness cues can prevent overeating. Eating slowly and mindfully can allow the body to signal when it is satisfied, reducing the likelihood of consuming excess calories.

Limiting Added Sugars and Saturated Fats

Limiting added sugars and saturated fats is essential for a healthy diet. Foods high in added sugars and unhealthy fats contribute to weight gain and increase the risk of chronic diseases. The CDC recommends reducing the consumption of sugary beverages, sweets, and processed foods. Instead, individuals should opt for water, unsweetened beverages, and snacks such as fruits and nuts. Furthermore, choosing healthier fats, like those found in avocados, nuts, and olive oil, can support heart health while aiding weight loss.

Incorporating Physical Activity

Incorporating physical activity into a daily routine enhances the effectiveness of a healthy eating plan for weight loss. The CDC emphasizes the importance of regular physical activity, which can increase calorie expenditure and improve overall health. Adults should aim for at least 150 minutes of moderate-intensity aerobic activity, such as brisk walking, per week. Strength training exercises, performed at least two days per week, can build muscle mass and boost metabolism, further supporting weight loss efforts.

Planning and Preparing Meals

Planning and preparing meals ahead of time can help individuals stay on track with their weight loss goals. The CDC suggests creating a weekly meal plan that includes a variety of healthy foods. Preparing meals at home allows for better control over ingredients and portion sizes. Batch cooking and using leftovers can save time and ensure that healthy options are readily available, reducing the temptation to opt for less nutritious convenience foods.

Staying Hydrated

Staying hydrated is another critical component of a healthy diet. Drinking water throughout the day helps maintain hydration and can prevent mistaking thirst for hunger. The CDC recommends drinking water before meals to promote a feeling of fullness, which can help control calorie intake. Additionally, replacing sugary drinks with water can significantly reduce daily calorie consumption.

Conclusion

Adopting healthy eating habits is fundamental for successful weight loss. By understanding caloric needs, choosing nutrient-dense foods, controlling portions, limiting added sugars and saturated fats, incorporating physical activity, planning meals, and staying hydrated, individuals can achieve and maintain their weight loss goals. The CDC provides valuable resources and guidelines to support individuals in making informed dietary choices that promote health and well-being. By following these evidence-based recommendations, individuals can embark on a sustainable weight loss journey that enhances their quality of life.

References

Centers for Disease Control and Prevention. (n.d.). Healthy weight. Retrieved from https://www.cdc.gov/healthyweight/index.html

Centers for Disease Control and Prevention. (n.d.). Healthy eating for a healthy weight. Retrieved from https://www.cdc.gov/healthyweight/healthy_eating/index.html

Centers for Disease Control and Prevention. (n.d.). Physical activity for a healthy weight. Retrieved from https://www.cdc.gov/healthyweight/physical_activity/index.html

 
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Collegial relationships

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Collegial relationships

Collegial relationships

(Collegial relationships) APPLYING EI TO SALUTOGENESIS IN COLLEGIAL RELATIONSHIPS

Collegial relationships, based on professional role interaction and shared values, commitment, and hardship can also be salutogenic. Two nurses who don’t “get along” may find common ground (meaning) in shared commitment to solving a particularly difficult patient problem. A doctor and nurse may find new respect and a deeper level of effectiveness when they use their different approaches together to achieve a common goal, deepening their partnership at the same time patient goals are achieved. The effectiveness of excellent mentors, teachers, and supervisors often rest with their ability to form salutogenic relationships that are very different from friendships or other relationships of equal power. In collegial relationships, EI ability feeds the salutogenic qualities of a relationship. Identifying emotions, especially those related to conflict like competitiveness, jealousy, defensiveness, and resistance leads to an opportunity to move beyond them and set shared meaning as the primary goal. This is illustrated in a relationship between two ICU nurses who openly acknowledged their dislike of each other. Head-to-head over a deep open wound in their patient’s leg, they finally looked at each other and said, “You will never be my friend, but we both want this thing healed.” This identification of emotions, along with the spoken commitment to a common goal, enabled them to set aside the emotions that were keeping them from working well together. They never did become friends, but their professional relationship, built on their mutual respect and professional work together, nourished them both.EI, SALUTOGENESIS, AND NURSING RESEARCH

Little research examines EI ability as it affects salutogenesis in nurses specifically, but a great deal of evidence supports the relationship between EI and related concepts, physical and emotional health, self-efficacy, and emotional self-care in moral and spiritual distress. Meta-analysis of general population (including samples greater than 19,000), concluded that EI correlated with emotional and physical health (Kotsou et al., 2018; Martins et al., 2010). Development of EI ability has been correlated with health outcomes in nurses, and several studies identified EI as a mediator in nurses’ stress responses and burnout (Afsar et al., 2017; Hurley et al., 2020; Jurado et al., 2019) (see Chapter 15 for research summary). It is particularly interesting that countries as culturally dissimilar as the United States, Pakistan, Greece, Spain, and China report similar findings.

DEVELOPING EMOTIONAL INTELLIGENCE AND CULTIVATING SALUTOGENESISTHE PRACTICE OF REFLECTION AND USING THE RELAXATION RESPONSE

As the stories in this chapter suggest, identifying emotions in professional practice—and ways of understanding them, that have particularly rich meaning—is a great way to begin.  Let us consider the following questions for our writing assignment this week that can start us off on this practice.1-When you are at the bedside, what emotional experiences make you feel more human, more deeply alive?2-What emotions have the opposite effect, diminishing your humanity?3-The ability to use emotions to reason is particularly important in this work.4-How does what I feel deepen my understanding of this emotion?5-How does my understanding of this emotion change how I feel?

APA FORMAT NO PLAGIARISM MORE THAN 10%DUE DATE SEPTEMBER 25, 20234 PAGESREFERENCES NO OLDER THAN 5 YEARS IN APA FORMART

References

Booyens, S. W., & Joubert, G. (2020). An exploration of factors influencing nurse-physician collegial relationships in selected private hospitals in Gauteng Province, South Africa. Health SA Gesondheid, 25, 1-12. https://doi.org/10.4102/hsag.v25i0.1255

Havaei, F., MacPhee, M., Ma, A., & Dahinten, V. S. (2020). The association between nurse-physician collaboration and patient outcomes in surgical and critical care units: A scoping review. International Journal of Nursing Studies, 102, 103472. https://doi.org/10.1016/j.ijnurstu.2019.103472

Huang, L., Ye, J., & Yu, J. (2020). The relationship between nurse-physician communication and quality of nursing care. Journal of Nursing Management, 28(4), 775-783. https://doi.org/10.1111/jonm.12954

 
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Scenario 1 You are working in risk management – Answered

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Scenario 1 You are working in risk management – Answered

Scenario 1 You are working in risk management and need to track medication administration errors and adverse events for patients over a 6-month period. You are receiving information from the inpatient areas, outpatient clinics, and home health. Using the scenario, create a diagram of WK 3 proposed database using Microsoft Word. Include the additions made in Week 4.Complete the diagram first, but place it as the final page or pages of your submission. The diagram is separate from the required page count. In the narrative portion of the assignment: 2 to 3 pages. Provide current references to support narrative. Explain how your diagram articulates your planned design. Explain the principles behind selecting key fields and defining relationships. Be specific and support your response with evidence. Write a sample PICOT question (i.e., a query) you might ask based on the information in the database created during Weeks 3 and 4 to demonstrate your understanding of the connection between data and research. List the tables in the database that you would need to include when answering your question (Scenario 1 You are working in risk management – Answered).

Answer

Risk Management Database Design for Medication Administration Errors and Adverse Events

Introduction

In risk management, tracking medication administration errors and adverse events is crucial for improving patient safety and healthcare quality. This database will gather information from inpatient areas, outpatient clinics, and home health over a six-month period. The following narrative describes the proposed database design, the rationale behind selecting key fields and defining relationships, and presents a sample PICOT question demonstrating the connection between data and research.

Database Design Diagram Explanation

The database consists of several interconnected tables, each representing different aspects of medication administration errors and adverse events. The main tables include:

  1. Patient Information: Contains patient demographics and identification details.
  2. Medication Administration: Records details of each medication administration instance.
  3. Error Reporting: Logs specific medication errors and their details.
  4. Adverse Events: Captures data on adverse events experienced by patients.
  5. Healthcare Provider Information: Stores information about healthcare providers involved in medication administration.
  6. Location Information: Includes data on where the patient is receiving care (inpatient, outpatient, home health).

Each table is connected through key fields that allow for robust data analysis. For instance, the Patient Information table is linked to the Medication Administration, Error Reporting, and Adverse Events tables through a unique patient ID. Similarly, healthcare providers are linked to medication administration instances and error reports through provider IDs.

Key Fields and Relationships

The key fields were selected to ensure comprehensive tracking and easy data retrieval. Key fields include:

  • Patient ID: Unique identifier for each patient, linking patient records across tables.
  • Medication Administration ID: Unique identifier for each medication administration event.
  • Error Report ID: Unique identifier for each reported error.
  • Adverse Event ID: Unique identifier for each adverse event recorded.
  • Provider ID: Unique identifier for healthcare providers involved in care delivery.
  • Location ID: Unique identifier for care locations (inpatient, outpatient, home health).

Defining relationships between these fields allows for efficient data linkage and integrity. For example, linking Patient ID across different tables ensures that all medication administration, error reports, and adverse events are accurately associated with the correct patient.

Principles Behind Design

The primary principles guiding this design are normalization and relational integrity. Normalization involves organizing data to reduce redundancy and improve data integrity. By breaking down data into related tables, the database minimizes duplication and ensures consistency. Relational integrity is maintained through primary and foreign keys, which ensure that relationships between tables are accurate and enforce data validity.

Sample PICOT Question

PICOT Question: In patients receiving care in different settings (P: population), how does the frequency of medication administration errors (I: intervention) compare between inpatient areas, outpatient clinics, and home health (C: comparison) over a six-month period (T: time) affect the incidence of adverse events (O: outcome)?

Tables Needed for PICOT Question

To answer this PICOT question, the following tables would be required:

  1. Patient Information: To identify patient demographics and ensure correct patient tracking.
  2. Medication Administration: To analyze the frequency of medication administration events.
  3. Error Reporting: To compare the frequency and types of errors across different care settings.
  4. Adverse Events: To assess the incidence of adverse events related to medication administration errors.
  5. Location Information: To categorize data by care setting (inpatient, outpatient, home health).

Conclusion

The proposed database design is structured to effectively track and analyze medication administration errors and adverse events across various healthcare settings. By implementing key fields and defining robust relationships, the database ensures data integrity and facilitates comprehensive research. This design not only supports immediate risk management needs but also lays the foundation for ongoing quality improvement initiatives.

References

Balakrishnan, R., & Wright, R. (2020). Database design: A practical approach. Wiley.

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning. https://www.amazon.com/Nursing-Informatics-Foundation-Knowledge-McGonigle/dp/1284121240

Polit, D. F., & Beck, C. T. (2020). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer Health.

(Scenario 1 You are working in risk management – Answered)

 
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Impact of health literacy

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Impact of health literacy

(Impact of health literacy) What is an impact of health literacy on health outcome?

Impact of health literacy

The Impact of Health Literacy on Health Outcomes

Health literacy significantly impacts health outcomes. It encompasses a person’s ability to obtain, understand, and use health information to make informed decisions. This ability is crucial for managing health, navigating the healthcare system, and engaging in health-promoting behaviors. Consequently, higher health literacy levels lead to better health outcomes, while low health literacy can result in poorer health and increased healthcare costs.

Understanding Health Information

Firstly, health literacy enables individuals to comprehend health information accurately. People with high health literacy can read and understand prescription labels, appointment slips, medical instructions, and educational brochures. This understanding allows them to follow treatment plans correctly, take medications as prescribed, and adhere to recommended health behaviors. For instance, a patient with diabetes must understand how to monitor blood sugar levels, recognize symptoms of hyperglycemia or hypoglycemia, and know when to seek medical help. This knowledge directly impacts their ability to manage their condition and avoid complications. (Impact of health literacy)

Navigating the Healthcare System

Additionally, health literacy affects an individual’s ability to navigate the healthcare system effectively. Individuals with high health literacy can find and use healthcare services appropriately. They know how to schedule appointments, communicate effectively with healthcare providers, and understand their rights and responsibilities within the healthcare system. This proficiency helps them access preventive services, manage chronic conditions, and receive timely medical care. For example, a person who understands the importance of regular screenings for hypertension or cancer is more likely to utilize these services, leading to early detection and better health outcomes.

Engaging in Health-Promoting Behaviors

Health literacy also plays a critical role in promoting healthy behaviors. Individuals with high health literacy are more likely to engage in preventive health behaviors, such as exercising regularly, eating a balanced diet, and avoiding harmful substances like tobacco and excessive alcohol. They are also more likely to understand and act on public health messages, such as the importance of vaccinations or the need for social distancing during a pandemic. These behaviors contribute to overall better health and reduced risk of chronic diseases.

Low Health Literacy and Health Disparities

Conversely, low health literacy can lead to significant health disparities. Individuals with low health literacy often struggle to understand health information, follow medical instructions, and navigate the healthcare system. This struggle can result in mismanagement of chronic diseases, increased hospitalizations, and higher healthcare costs. For example, a patient with low health literacy might misunderstand medication instructions, leading to improper use and subsequent health complications. Moreover, these individuals may avoid seeking medical care due to confusion or fear, resulting in delayed diagnoses and treatments. (Impact of health literacy)

Impact on Health Outcomes

Research consistently shows that low health literacy is associated with poorer health outcomes. Patients with low health literacy often have higher rates of hospitalizations, more frequent use of emergency services, and poorer disease management. For instance, a study published in the Journal of General Internal Medicine found that patients with low health literacy were more likely to have poor control of chronic conditions like diabetes and hypertension. They also had higher rates of complications and hospital readmissions.

Improving Health Literacy

Improving health literacy is essential for enhancing health outcomes. Healthcare providers play a crucial role in this process. They can use plain language, provide clear and concise instructions, and use teach-back methods to ensure patients understand their care plans. Additionally, healthcare systems can develop and distribute easy-to-read health materials and utilize technology, such as apps and online resources, to support patient education. Policymakers can also promote health literacy by integrating it into public health initiatives and educational curricula.

Conclusion

Health literacy is a critical determinant of health outcomes. High health literacy enables individuals to understand health information, navigate the healthcare system, and engage in health-promoting behaviors, leading to better health outcomes. Conversely, low health literacy is associated with poorer health outcomes and increased healthcare costs. Efforts to improve health literacy can significantly enhance public health and reduce health disparities. By prioritizing health literacy, healthcare providers, systems, and policymakers can contribute to a healthier, more informed population. (Impact of health literacy)

References

Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011). Low health literacy and health outcomes: an updated systematic review. Annals of Internal Medicine, 155(2), 97-107. https://doi.org/10.7326/0003-4819-155-2-201107190-00005

Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67(12), 2072-2078. https://doi.org/10.1016/j.socscimed.2008.09.050

Brach, C., & Harris, L. M. (2021). Health literacy research and practice: Addressing health disparities and enhancing health outcomes. Health Affairs, 40(2), 203-211. https://doi.org/10.1377/hlthaff.2020.01436

 
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