The following are the two HIPAA regulations: First, the HIPAA privacy rule explains the policy that requires healthcare providers to notify patients about the use of their health information. The rule, according to Bhandari, Hunter, Phillips, Keyser, and Morrow (2013), establishes national standards to protect patient health information held by health plans, business associates, healthcare clearinghouses, and healthcare providers who use electronic means to perform healthcare transactions. Second, the HIPAA security rule includes security standards for protecting patient health information that entities or business associates transfer or store electronically. The rule supplements the privacy rule by defining methods for protecting its information.
Patient health information is used in public health practices such as program evaluation to identify and respond to issues such as disease, death, and disability in the population (Bhandari, Hunter, Phillips, Keyser & Morrow, 2013). In a program evaluation, the evaluator should protect and preserve a person’s confidentiality. Furthermore, in order for evaluators to maintain the quality and integrity of health data collected for evaluation, they must recognize and consider the importance of protecting an individual’s privacy and dignity. Similarly, the evaluator must strictly adhere to the regulations in order to protect the patient’s medical information. Due to HIPAA’s privacy and security rules, the evaluator will only be able to look at a small set of data, unless the agreement says otherwise.
References
M. W. Bhandari, K. M. Hunter, K. Phillips, B. B. Keyser, and M. J. Morrow (2013).
Entry-level health education skills are put into practice. Jones & Bartlett Learning, Burlington, MA.
This paper requires you to create a SWOT analysis based on a long-term healthcare facility. However, the focus would be on nursing shortages and patient satisfaction, with a particular emphasis on nursing shortages. As a result, SWOT analysis entails conducting an examination of the internal strengths, weaknesses, and opportunities for health care, as well as the external threats (ManzanoGarca, & AyalaCalvo, 2014). A long-term healthcare facility’s mission is to provide a variety of services, including medical and personal care. It primarily targets individuals in society who lack the ability to manage on their own. Threats, on the other hand, are external conditions that can have a negative impact on a healthcare facility’s goals. Specifically, the paper will examine one threat for each of the external environmental factors listed below. Technology, politics, competition, regulation, economics, and social factors are among them. The examination of external environmental factors will aid in the generation of new solutions to the problems. It will also help hospital managers achieve their main goals, which are to fix the shortage of nurses and make patients happier.
Increased demand for expensive technology is the threat posed by this factor. These technologies, however, are not cost-effective. Advanced technologies are required for both nurses and patients to ensure a safe operation. When a healthcare facility is unable to provide sophisticated technology, nurses will find it difficult to work there. It will result in a nurse shortage because nurses prefer to work in an environment where information flows efficiently and is always up-to-date. Nurses face difficult working conditions due to technological backwardness. Many hospitals have attempted to attract nurses by improving the working environment in terms of technology, but their efforts have yielded no results. It is because the technology they are attempting to implement does not favor the demand for nurses or the complexity of the work. Also, many healthcare facilities don’t have enough money to keep up-to-date technology and keep nurses.
One of the threats depicted under this factor is the complexity of documentation caused by regulatory agencies. The regulatory bodies have mandated that nurses fill out a plethora of paperwork during their practice time. However, nurses are dissatisfied with the complexity of the paperwork because it leaves them with less time to see their families and care for patients. Such circumstances are likely to cause nurses to leave direct care positions. As a result, there will be a nursing shortage, particularly in acute care settings. Similarly, nurses would prefer not to work in the future under such constraints and tiresome practices. Nurses would like the freedom to spend the majority of their time with patients and their families, which they are denied.
The threat posed by social factors is an increasing uninsured population. Because of the large population, healthcare utilization would be high. In addition, new cases of chronic diseases may emerge, posing a challenge to hospitals. It would be difficult for a small number of nurses to manage a large population. As a result, changes in demography indicate the need for a sufficient number of nurses. Future nurse shortages are likely due to population growth and the emergence of chronic diseases. Additionally, the aging population necessitates the need for more nurses. According to Nielsen, Noone, Voss, and Mathews (2013), the elderly population is expected to decline by 40% between 2015 and 2030. Unless the nurse-patient ratio is changed, population changes will limit access to health care services.
The economic factor is an increase in the federal budget deficit. When the federal government’s budget falls short, there is a chance that nurses will receive low-wage jobs. Furthermore, the government may not raise their pay. Most nurses will be forced to leave their profession or work in private hospitals where pay is higher. Similarly, the high wages demanded by registered nurses (RNs) and other nursing department personnel have had a significant impact on the hospital’s demand for RNs. Many RN education programs are funded by the government, and they are unable to increase nurse graduation rates because the government is incurring a budget deficit. It will pose a long-term threat to the number of nurses required to care for a large number of patients. A country’s economic inefficiency would result in an inability to attract and retain nurses.
The political factor is the reduction in government reimbursement. There will be pressure on physicians if the government reduces the medical reimbursement it provides to the healthcare sector. The physicians’ costs of running an independent practice would rise, and the majority of them would be kicked off Medicare and Medicaid (Nielsen, Noone, Voss, & Mathews, 2013). Others may choose to leave medicine or join larger organizations. The rising cost of nursing will result in a nursing shortage.
The threat associated with this factor is competition for specialty physicians. Healthcare facilities compete for doctors who are experts in specific fields. As a result, government hospitals will suffer greatly as more physicians are expected to move to the private sector. Furthermore, the federal government competes with foreign countries for highly qualified registered nurses (RNs). The competition is a threat because not all nurses will migrate to the United States to work. Likewise, even if the number of international nurses decreases, there will still be a shortage. So, because of competition, the plan to hire nurses from other countries wouldn’t work in the long run.
References
G. ManzanoGarca and J. C. AyalaCalvo (2014).A SWOT analysis of the nursing profession in Europe, 358–367 in Nursing Inquiry.
Nielsen, A. E., Noone, J., Voss, H., and L. R. Mathews (2013). A novel approach to clinical education for preparing nursing students for the future is found in 301-309 in Nurse Education in Practice, 13(4).
Linking Community Resources in Diabetes Care: Can Technology Help?
One of the most difficult challenges in diabetes care is developing and implementing effective lifestyle modification strategies. Historically, programs have focused on changing individual behaviors with little or no attempt to integrate change within a larger social framework or community context. However, these environmental factors have been linked to poor diabetes outcomes, particularly in low-income minority populations. Recent evidence suggests that matching patient needs to existing community resources is one way to address these disparities. This not only positions patients to adapt behavior more quickly in a practical way, but it also refers patients back to their local communities where a support mechanism is in place to sustain healthy behavior. Technology provides a new and promising platform for connecting patients to valuable resources (also known as “assets”). This paper summarises several notable innovations that use technology to provide a practical link between healthcare and community-based resources that promote diabetes self-care.
Nursing Informatics — Trends Diffusion of Innovation Health Informatics — Trends
American Recovery and Reinvestment Act; Meaningful Use; Health Policy; Policy Making
Healthcare Informatics is defined as “the integration of health-care sciences, computer science, information science, and cognitive science to assist in the management of healthcare information” (Saba & McCormick, 2015, p. 232). Nursing Informatics is a subset of informatics, specific to the field and the role of the nurse in the healthcare setting. The American Nurses Association (ANA) identified nursing informatics as “a specialty that integrates nursing, science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice” (ANA, 2001, p.17). Healthcare and nursing informatics are both vastly growing fields within the medical field and are continuously incorporating new and evolving technology. Both have been around for the past three decades, at least. The technology boom at the turn of the century has helped informatics and information systems further evolve. Enhanced delivery of care, improved health outcomes, and advanced patient education are just a few aspects that have improved. With any new technology or innovation there are implications, some foreseeable and some that come to light after the unveiling of the new process or product: some impacts that are most notable are clinical, managerial, and policy implications. This paper explores the implications, (both constructive and adverse), that are the most notable in today’s healthcare world within the healthcare and nursing informatics fields.
Computer/Information Science; Core Nursing; Nursing; Peer Reviewed; USA
Healthcare Informatics is defined as “the integration of health-care sciences, computer science, information science, and cognitive science to assist in the management of healthcare information” (Saba & McCormick, 2015, p. 232). Nursing Informatics is a subset of informatics, specific to the field and the role of the nurse in the healthcare setting. The American Nurses Association (ANA) identified nursing informatics as “a specialty that integrates nursing, science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice” (ANA, 2001, p.17). Healthcare and nursing informatics are both vastly growing fields within the medical field and are continuously incorporating new and evolving technology. Both have been around for the past three decades, at least. The technology boom at the turn of the century has helped informatics and information systems further evolve. Enhanced delivery of care, improved health outcomes, and advanced patient education are just a few aspects that have improved. With any new technology or innovation there are implications, some foreseeable and some that come to light after the unveiling of the new process or product: some impacts that are most notable are clinical, managerial, and policy implications. This paper explores the implications, (both constructive and adverse), that are the most notable in today’s healthcare world within the healthcare and nursing informatics fields.
Citation Sweeney, J. (Feb, 2017). Healthcare Informatics. Online Journal of Nursing Informatics (OJNI), 21( 1), Available at http://www.himss.org/ojni
Introduction Healthcare Informatics is defined as “the integration of health-care sciences, computer science, information science, and cognitive science to assist in the management of healthcare information” (Saba & McCormick, 2015, Pg. 232). Nursing Informatics is a subset of informatics, specific to the field and the roll of the nurse in the healthcare setting. The American Nurses Association (ANA) identified nursing informatics as “a specialty that integrates nursing, science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice” (ANA, 2001, Pg.17). Healthcare and nursing informatics are both vastly growing fields within the medical field and are continuously incorporating new and evolving technology. Both have been around for the past three decades, at least. The technology boom at the turn of the century has helped informatics and information systems further evolve. Enhanced delivery of care, improved health outcomes, and advanced patient education are just a few aspects that have improved. With any new technology or innovation there are implications, some foreseeable and some that come to light after the unveiling of the new process or product. Some impacts that are most notable are clinical, managerial, and policy implications. This paper will explore the implications, both constructive and adverse, most notable in today’s healthcare world within the healthcare informatics and nursing informatics fields.
Clinical Implications The use of informatics is seen in a multitude of processes within the clinical setting. Whether inpatient or outpatient, clinicians and patients utilize online portal systems, electronic medical records, data collection devices such as vital sign machines and glucometers, as well as personal data devices and email, to name a few. When considering these systems and how they effect the process and flow of the clinical setting, it is important to not only consider the technology at hand but also the workflow and the data collection process. Norris, Hinrichs, & Brown, tell us “gaps are present between the technology and the process. Informatics can help bridge that gap. Skills needed include understanding of data collection, storage, and extraction, in addition to an appreciation for the power of data to drive and inform practice” (2015, p. 11-12). Healthcare informaticists, especially nursing informaticists, are the prime group to help bridge that gap. Without a strong
clinician presence in the building and implementation process, gaps will remain. With healthcare informaticists involved in the development, a strong product can be delivered that is usable to all members of the healthcare team.
President Obama signed the American Recovery and Reinvestment Act (ARRA) into law in 2009. This law includes the Health Information and Technology for Economic Clinical Health Act (HITECH). HITECH formulated the Meaningful Use (MU) program under the Centers for Medicare and Medicaid Services (CMS). Meaningful Use incentivizes providers to use their Electronic Health Records (EHR) by financially rewarding them when demonstrating their use, but also poses a threat by penalizing them if not used in the future (Norris, Hinrichs, & Brown, 2015). These Acts greatly impact both nursing and the healthcare field clinically. Providers who do not typically use an EHR are now finding themselves in a learning curve while still maintaining their patient caseload, and providing comprehensive care. However this vast amount of data collection across a multitude of healthcare settings has provided opportunity in enhancements of care. While the initial roll out of these initiatives may cause chaos, the benefits of these initiatives will allow clinicians to provide comprehensive, safe, evidence-based care to all of their patients. Health care staff will be able to quickly and safely access pertinent information on their patients throughout the health institution and beyond.
In addition to enhancements in care and improved evidence-based practice, the increased amount of data collected by EHRs and other data systems has created a massive amount of data that hospitals and health care organizations now have to manage and analyze. “This has led to increased demand for professionals who are well versed in both informatics and medicine. To meet this demand, the American Medical Informatics Association spearheaded the establishment of professional-level education and certification for physicians in informatics” (Simpao, Ahumada, Galvez, & Rehman, 2014, p. 45). We are now seeing a new influx of healthcare professionals entering this sub-specialty. The needs for these professionals to collect, interpret, and study the data and the operation of information systems is crucial to the success and usability of these systems. Lehman, Shorte, & Gundlapalli (2013) stated that “it is reasonable to predict that the number of leadership positions in clinical informatics with titles and roles such as chief medical informatics officer, chief health informatics officer, directors of clinical informatics, and lead of EHR implementation, etc., will increase in the near future” (p. 528).
Managerial Implications The use of healthcare informatics is not only prevalent in the clinical setting but also in the managerial setting. In our society, communication comes in a multitude of applications: verbal, physical, and now electronic. We often find that individuals can contact us by using various applications such as telephone, fax, pager, instant messenger, email, and so on. It is crucial for those in managerial positions to utilize these information systems to aid their work and the work of their staff while being mindful to set limits and standards. Time management is a prevalent issue in the healthcare setting, thus the use of informatics to aid and organize and not create barriers is essential. However, these expansive communication tools can create stress and feelings of intake overload. Marquis & Huston (2013) suggested “to reduce interruptions and distractions, individuals should shut off their email, isolate themselves, and make sure the environment around them is working to strengthen their willpower and focus” (p. 189). Healthcare professionals need to ensure that they are utilizing informatics to aid their work and time management, not impeding them. Marquis & Huston (2013) go on to note that “creating a workspace that has a desk with enough clear space to do your work, good lighting, and a comfortable chair” is crucial (p.190).
Information systems in the managerial role often consist of interpreting information and modifying data to be utilized in decision-making processes. Managerial programs facilitate payroll functions, streamline material
control, and assist with financial and administrative factors of their role (Pacheco de Souza, Santiago & Izu, 2015, p.7284). As seen in clinical implications, Meaningful Use also plays a role in the role of the manager. It is important for “nurse managers to utilize information from the EHR to show Meaningful Use and are important to the process of determining how information is organized and categorized within the EHR” (Biddle & Milstead, 2016, p.12). Without nurse manager and other administrator identification of how to best capture and report Meaningful Use information, the healthcare organization may not be compliant with this aspect of the HITECH Act.
The continuously growing field of informatics is of great benefit to healthcare managers at all levels. Using this growing technology can greatly benefit their role and improve the function of their staff. Pacheco de Souza, Santiago, & Izu (2015) go on to acknowledge that this advancing technology “should be utilized as a management tool, giving power and autonomy to nurse managers in more efficient use of available technological resources” (p.7285). One example of this is where a unit may identify incomplete documentation on a given point of care. The nurse manager can then construct a work group of colleagues who are involved in the process including an IT specialist. Once this group identifies the issues and improved processes, they can present their recommendations to administration, ultimately improving documentation in the EHR (Biddle & Milstead, 2016). Thus, healthcare information systems can improve communication, time-management, and delivery of information amongst staff and patients.
Policy Implications As previously noted in clinical implications and managerial implications, the amount of data that is now available from EHRs and other forms of information systems, is larger than healthcare providers have ever dealt with. Policy makers are now able to utilize this data to inform their decision-making about public-health issues. It is crucial now, more than ever, that epublic health staff are available at various levels of the health system to develop skills and knowledge to better utilize existing datasets. Adair (2012) identified guidelines to help public health officials understand, interpret, and best utilize this influx of information. “These guidelines were developed to assist public health officials assess the quality of existing health data, and effectively utilize such data to compute indicators to inform health sector policy-making” (p. 53). If policymakers are not able to thoroughly understand data derived from the utilization of electronic health records, patient portals, and other data sources, then people cannot expect them to make sound judgments when voting on new laws.
In this age of technology it is important that healthcare providers, managers, and informaticists are mindful of adhering to HIPAA regulations to ensure that growing technology is incorporated in current policies. With the use of EHRs and mobile health applications there is an increased “liability for healthcare organizations if there is a breach in patient confidentiality or privacy, which is why organizations must have policies in place that guide the use of telehealth and communication” (Biddle & Milstead, 2016). Ensuring proper policy is in place and that changes are made as needed when new technology is introduced is crucial.
McGowan, Cusack, and Bloomrosen (2012) wrote, “since 2006, the American Medical Informatics Association (AMIA) has convened an annual investigational Health Policy meeting to examine Cutting edge issues in healthcare and health-information technology (health IT) policy” (p. 460). These meetings will identify and discuss potential issues with health IT and informatics as well as develop a plan and report to present to our nation’s policymakers so they are well informed when making and voting for pertinent policies and laws (McGowan, Cusack, & Bloomrosen, 2012). It is important that health professionals, information technology developers, and policymakers are able to communicate and work together in the interest of delivering the most efficient and safest patient care.
Meaningful Use is one example of health policy and health informatics working together. The initiative behind Meaningful Use was to encourage the use of Electronic Health Records in all health systems nationwide. However with this initiative, some providers may find themselves not being truthful in their documentation in order to meet the incentives set by the HITECH legislation. McGowan, Cusack, and Bloomrosen (2012), identified that “with the mandate for meaningful use of health IT by providers, there is ample opportunity for inappropriate and even fraudulent or illegal activities, ranging from lack of oversight to deliberate misrepresentation” (p. 461). Although dishonorable, some providers may lie to ensure their practice is able to receive the best monetary incentive by adhering to Meaningful Use measures and may alter their documentation to fit the criteria.
McGowan, Cusack, and Bloomrosen (2012) also identified policy concerns with health IT and informatics when discussing federal and state roles. Often federal and state regulations and health IT initiatives lack coordination. “Without explicit guidelines, proprietary state systems may be created, with many not being able to connect to the national health information infrastructure and some not acknowledging the healthcare systems that cross state lines” (McGowan, Cusack, and Bloomrosen, 2012, p.462). It is crucial that not only health professionals and government coordinate their objectives and policy, but also governing officials of the state and federal government. Conflicting or uncoordinated health initiatives may lead to patient and public mistrust as well as financial complications with both the government and health organizations.
Summary Health informatics and Nursing Informatics are very relevant in evolving health systems. New technology and initiatives are constantly being developed. These new innovations do not go without implications in the clinical setting, managerial setting, and the policy setting. It is crucial that all participants whether it is the nurse, manager, provider, politician, lobbyist, or President of the United States remain coordinated. Multidisciplinary unity is crucial to ensure public trust in our health systems and to provide safe and effective patient care.
References Adair, T. (2012). Building the evidence base for health policy: guidelines for understanding and utilizing basic health information. Pacific Health Dialog, 18(1), 53-62
American Nurses Association. (2001). Scope and Standards of Nursing Informatics Practice. Washington, DC: American Nurses Publishing.
Biddle, S. & Milstead, J. (2016). Nursing informatics. The intersection of policy and informatics. Nursing Management, 47(2), 12-13 2p. doi:10.1097/01.NUMA.0000479453.73651.89
Lehmann, C. U., Shorte, V. & Gundlapalli, A. V. (2013). Clinical informatics sub-specialty board certification. Pediatrics In Review, 34(11), 525-530. doi:10.1542/pir.34-11-525
Marquis, B. L. & Huston, C. J. (2012). Leadership roles and management functions in nursing: Theory and application (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
McGowan, J. J., Cusack, C. M. & Bloomrosen, M. (2012). The future of health IT innovation and informatics: a report from AMIA’s 2010 policy meeting. Journal Of The American Medical Informatics Association: JAMIA, 19(3), 460-467. doi:10.1136/amiajnl-2011-000522
Norris, B. J., Hinrichs, D. J., & Brown, D. A. (2015). Meaningful Use Clinical Quality Measures and Beyond: Meeting the Challenges of eMeasurement. Nursing Informatics Today, 30(1), 8-12 5p
Pacheco de Souza, R., Santiago, L. C., & Izu, M. (2015). Use of an electronic information system in professional practice nurse management. Journal Of Nursing UFPE / Revista De Enfermagem UFPE, 9(4), 7281-7288 8p. doi:10.5205/reuol.7275-62744-1-SM.0904201513
Saba, V. K. & McCormick, K. A. (2015). Essentials of nursing informatics (6th ed.). New York: McGraw-Hill.
Simpao, A., Ahumada, L. & Gálvez, J., & Rehman, M. (2014). A Review of Analytics and Clinical Informatics in Health Care. Journal Of Medical Systems, 38(4), 1-7 7p. doi:10.1007/s10916-014-0045-x
~~~~~~~~ By Julianne Sweeney, BSN, RN
My name is Julianne Sweeney and I am a baccalaureate prepared registered nurse who is currently enrolled in the MSN program at Regis College: Masters of Nursing Leadership and Informatics, located in Weston Massachusetts. I currently work in the RN capacity at the Department of Veteran Affairs in Jamaica Plain, Massachusetts. At the VA I work in the primary care department and am involved in a number of committees and organizations that have a main focus on nursing and healthcare informatics. 15 Virgil Rd. West Roxbury, MA 02132 Phone: 508-397-5454 Julianne.sweeney@gmail.com
This article is copyrighted. All rights reserved. Source: Online Journal of Nursing Informatics
Choose two concepts in the theory you choose last week and describe:
How are the concepts defined in general (from other references)?
How does the theorist define each of the concepts you have chosen?
How do those concepts apply to your clinical practice? Give concrete examples. To support your work, use the textbooks from your course and also use the South University Online Library, citing your sources in your work and providing references for the citations in APA format.
Remember to list two concepts – and remember that theories are derived from conceptual models and are comprised of concepts and propositions. The only concepts that are common to all nursing theories, in some shape or form, are patient, nurse, health, and environment – which we discussed last week.
This week, select two concepts that are unique to your selected theory from last week – but they CANNOT be one of the four metaparadigm concepts – person, nurse, health or environment.
please do it on Florence nightingales environmental theory and make sure to use two concepts my teacher is deducting points if the two concepts aren’t mentioned in the discussio. Thanks
There should be two main sections, one for each bullet below. Separate each section with a clear heading. Support ideas with at least three (3) sources using citations. APA citations.
Explore the history of nursing and choose two events/topics from history related to nursing (ie education, practices, important people, etc.) and explain each one in detail and why they are important to the nursing profession.
Research two professional nursing organizations and discuss the following for each organization chosen:
The name of the organization and why this organization is important to nursing
What resources they provide to members
Cost of membership and how many members are part of the organization
Current issues the organization is working on
Finally, after researching this question answer in detail: Why are Professional Organizations in general important to nursing as a profession?
the NCP is the problems, interventions and evaluation.
can nurses use cognitive behaviour therapy as an intervention?
Joan: No
Is Acceptance and Commitment Therapy (ACT) considered as part of CBT? (Cognitive-Behavioral Therapy)
Joan : ACT is a different therapy to CBT.
When considering your nursing interventions please consider what are your priorities and what may need to be in place prior to a person receiving psychotherapy. Additionally, I ask you to consider when delivering CBT or any other therapy if it is within scope of the nurse and what kind of context should it be delivered in.
As you answered that we can’t use Cognitive behaviral therapy.. I wonder if mindfulness meditation is considered as a CBT?
Joan: you need to research if mindfulness is CBT
I am a bit confused about the nursing interventions. Does trauma informed care belongs to the nursing interventions?
Joan: all our interventions come under the umbrella of TIC so you cannot state you will apply TIC as a specific intervention
Do we need to incorporate tools of how we would evaluate the assessment data which would indicate success for our interventions. Or is it just identifying what assessment data would indicate its success.
Joan: the second answer – what assessment data indicates success
For q4 are we allowed to use motivational interviewing as an intervention?
Joan: I am not going to say yes or no to any interventions, it is up to you to decide this.
All interventions need to be nursing interventions, relevant to the identified problem or issue and supported with literature.
Should we discuss one assessment data for each of the interventions we have identified for our priority problem or can we mention just one assessment data that can be used the evaluate the effectiveness of the two priority problems we have identified.
Joan: you are asked for assessment data that will show positive impact – it is up to you how you approach this. There is no set number, one thing might indicate success in both or many things might indicate success.
I am bit confused about this sentence: (Each intervention must identify how it will address the priority care area within a recovery orientated framework). I am not sure whether I am on the right track. Does the task mean that we need to describe how our nursing interventions address the priority problem by doing something, which make the client become more hopeful or self-management etc?
Joan: firstly, we cannot ‘make’ the client do anything – we encourage, support, assist etc but using the word ‘make’ implies we are forcing them.
“describe how our nursing interventions address the priority” – yes, with evidence to show that your approach/action/intervention such as communication style, will help the client. More hopeful and self-mgt are good goals to have.
Is increasing medication adherence with non-pharmacological way considered pharmacological???? It is sort of confusing
Joan: if I am understanding your question correctly, actions you take that improve a client’s medication adherence are not considered pharmacological interventions.
Am I only talking about how interventions integrate the recovery-model framework? or Do I need to talk about nursing role in specific intervention and how nursing role integrate the recovery-model framework?
Joan: yes, this second approach is better, but essentially, they are the same thing
When writing Q4, I wonder if I should summarize the symptoms or conditions of the patient in the case. In the task sheet, Q4 is a nursing care plan, and it said, to base my care plan on the information identified in my MSE and Clinical formulation. If so, at the beginning of Q4, should I write a summary of the patient’s symptoms and conditions? Or should I just start mentioning the two priority issues without explaining any information about the patient?
Joan: follow what the question asks you to do – there is insufficient word count available to add unnecessary info.
Should we discuss our own assessment which might indicate a positive affect on the case, or do we need to find out a journal that shows improvement with certain assessments? and would group therapy can be a nursing intervention?
Joan: I assume are you asking about how to evaluate the success of your intervention? If your intervention is evidence based, indicating it would help address your identified problem, then this evidence would be sufficient for you to be able to describe what the positive impact would look like.
When it says to describe one ‘evidence-based nursing intervention’, does this mean to find studies that show the intervention improves our problem? Joan: Yes Or simply talk about a problem that is evidence-based (i.e. peer support)? Joan: peer support is not a problem.
The CRA states “high quality evidence based literature”. We do not state how many refs you need, however students always want a guide hence the number suggested. You may not get to that number – that is not a problem so long as each point you make is supported by high quality evidence based literature.
IHP 620 Final Project Milestone Two Guidelines and Rubric
Prompt: In the first part of the course, we have applied foundational economic principles to the healthcare industry. For the first part of your final project, you will analyze these same microeconomic and macroeconomic principles and their impact on healthcare markets, healthcare service, and organizations. In this milestone, you will apply the knowledge you have gained through the first half of the course, as well as research current economic environments and legislative changes to gauge the impact on the healthcare industry through a policy research report.
In Milestone Two, you will submit your draft of the policy research report. Based on instructor feedback and direction, you will revise your policy research report for the final submission of the policy research and organizational analysis report in Module Nine.
Your policy research report should address the following elements:
I. Economic Theories and Principles: A. Economic Disparities: Analyze the relationship between the financial well-being of the industry and availability of healthcare, in consideration of
market and demand theories. B. Economic Theories: What economic theories are most useful when applied to the healthcare industry and why? C. Use of Economic Principles: Why do organizations utilize economic principles to guide strategic short-term and long-term decision making?
II. For-Profit and Nonprofit: A. Financial Differentiation: What differentiates for-profit and nonprofit healthcare organizations financially? What characteristics of each type of
healthcare organization make the organizations different? B. Economic Differentiation: What differentiates for-profit and nonprofit healthcare in terms of economic policies and legislation? What key recent
and current economic policies impact each?
III. Policy, Changes, and Disparities: A. Economic Policy and Disparities in Care: Using current research and information (within the last five years), analyze the relationship between
economic policy and disparities in care. How are they connected? How do they differ? B. Policy Changes: What impact do recent legislative changes have on healthcare economic policy in general? C. Disparities Planning: Why are disparities of care factored into healthcare strategic planning? Explain your reasoning and provide examples for
support where appropriate.
Guidelines for Submission: Your report should be in APA format and all resources and references should be cited appropriately. A well-written, concise report will fall within the range of 4–6 pages, not including references and title page.
Rubric Critical Elements Exemplary (100%) Proficient (90%) Needs Improvement (75%) Not Evident (0%) Value
Economic Disparities Meets “Proficient” criteria and analysis demonstrates strong analytical skills through nuanced comparison of theories
Accurately analyzes the relationship between the financial well-being of the industry and availability of healthcare, using market and demand theories as support
Analyzes the relationship between the financial well-being of the industry and availability of healthcare, but without market and demand theory support or with gaps in accuracy
Does not analyze the relationship between the financial well-being of the industry and availability of healthcare
12
Economic Theories Meets “Proficient” criteria and the quality and detail of the conclusions evidences keen insight into the application of economic theory within the healthcare environment
Determines what economic theories are most applicable to the healthcare industry and explains conclusions in detail
Determines economic theories that are applicable and explains why, but lacks detail or accuracy
Does not determine economic theories that are applicable and explain why
12
Use of Economic Principles
Meets “Proficient” criteria and explanation evidences keen insight into the economic impact of organizational planning
Logically explains why individual organizations utilize economic principles for short-term and long-term strategic planning
Explains why individual organizations utilize economic principles for short-term and long-term strategic planning, but with gaps in logic or detail
Does not explain why individual organizations utilize economic principles for short-term and long-term strategic planning
12
Financial Differentiation
Meets “Proficient” criteria and comparison evidences keen insight into the financial needs, requirements, and impacts on and for the two types of organizations
Accurately differentiates between for-profit and not-for- profit healthcare organizations in terms of finances and organizational characteristics
Differentiates between for-profit and not-for-profit healthcare organizations, but not in terms of finances and organizational characteristics, or with gaps in accuracy
Does not differentiate between for-profit and not-for-profit healthcare organizations
10
Economic Differentiation
Meets “Proficient” criteria and comparison evidences keen insight into the nuanced relationships between the type of organizations and economic policies and legislation
Accurately differentiates between for-profit and not-for- profit healthcare organizations in terms of economic policies, legislation, and recent changes
Differentiates between for-profit and not-for-profit healthcare organizations, but not in terms of economic policies, legislation, and recent changes, or with gaps in accuracy
Does not differentiate between for-profit and not-for-profit healthcare organizations
10
Economic Policy and Disparities in Care
Meets “Proficient” criteria and analysis evidences keen insight into the nuances of and varied influences on the relationship between economic policy and care
Accurately analyzes the relationship between economic policy and disparities in care, using current data
Analyzes the relationship between economic policy and disparities in care, but with gaps in accuracy, or without using current data
Does not analyze the relationship between economic policy and disparities in care
12
Policy Changes Meets “Proficient” criteria and determinations provide a broad view of healthcare economic policy within the current environment
Accurately determines the impact recent legislation changes have had on economic healthcare policies in general
Determines the impacts recent legislation changes have had on economic healthcare policies, but with gaps in accuracy or detail
Does not determine the impact recent legislation changes have had on economic healthcare policies
12
Disparities Planning Meets “Proficient” criteria and description effectively ties the explanation to the real world using examples and relevant sources for support
Accurately describes why disparities of care are factored into healthcare strategic planning with examples for support
Describes why disparities of care are factored into healthcare strategic planning, but with gaps in accuracy or support
Does not describe why disparities of care are factored into healthcare strategic planning
10
Articulation of Response
Submission is free of errors related to citations, grammar, spelling, syntax, and organization and is presented in a professional and easy-to-read format
Submission has no major errors related to citations, grammar, spelling, syntax, or organization
Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas
Submission has critical errors related to citations, grammar, spelling, syntax, or organization that prevent understanding of ideas
10
Earned Total 100%
IHP 620 Final Project Milestone Two Guidelines and Rubric
Select a child/adolescent patient from your clinical experience that presents with a significant concern. Create a focused SOAP note for this patient using the template in the Resources.
Your presentation should include objectives for your audience, at least three possible discussion questions/prompts for your classmates to respond to, and at least five scholarly resources from 2018-2022 to support your diagnostic reasoning and treatment plan.
Be succinct in your presentation, and specifically address the following for the patient, using your SOAP note as a guide.
Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
Objective: What observations did you make during the psychiatric assessment?
Assessment: Discuss their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis, and why? Describe how your primary diagnosis aligns with DSM-5-TR diagnostic criteria and is supported by the patient’s symptoms.
Plan: What was your plan for psychotherapy (include one health promotion activity and patient education)? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Discuss an identified social determinate of health impacting this patient’s mental health status and provide your recommendation for a referral to assist this patient in meeting this identified need (students will need to conduct research on this topic both in the literature and for community resources).
Reflection notes: What would you do differently with this patient if you could conduct the session again? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow-up, discuss what your next intervention would be.
Case Formulation
REQUIRED LEARNING RESOURCES
Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.
