comment1

Healthcare providers are expected to do no harm and provide care at patients’ best interest. However, over the past 150 years, health care has become more of a business, than a public service. The access to, the cost of, and quality of health care has gone in the wrong direction. I have a Medical Director that gets bonuses from all 5’s Press Ganey surveys telling the Risk Management Director that leaving peripheral IV accesses for patients that are going to be directly admitted into hospitals via private car from our Immediate Care Centers should have that option as a patient satisfier. Even though, our legal department stands against it as a patient safety issue. Medicine and technology has evolved so much that organizations are challenged to sustain the expensive equipment, training to handle the equipment, etc. That is a result of many factors including the variability of charges.“In the Dallas market, a knee replacement could cost between $16,772 and $61,585 (267% cost variation) depending on the hospital” (Salmond, S. & Echevarria, M., 2017). Instead of, focusing on expensive ways to cure diseases, a shift is needed for much more reasonable focus on prevention of diseases. Nursing has a critical contribution in healthcare reform and the demands for a safe, quality, patient-centered, accessible, and affordable healthcare system and require a new or enhanced skill set on wellness and population care, with a renewed focus on patient-centered care, care coordination, data analytics, and quality improvement.

comment2

The ultimate goals of healthcare reform are to increase the number of insured and to increase the quality of care while trying to stabilize or reduce costs.  People are suffering from chronic disease conditions and their costs.  The number of the people with chronic disease and death rates are increasing each year (Medical Mutual, 2017). Most of the risk factors of these chronic conditions are preventable.  Studies show that disease prevention can effectively reduce health care spending.  If the health care system concentrates on prevention and wellness programs it could substantially reduce the incidence of chronic disease, contribute to healthier lives and save money spent on treatment.  A recent study indicates that just a one percent reduction in adult smoking rates could result in 30,000 fewer heart attacks, 16,000 fewer strokes and save more than $1.5 billion over five years (Democratic Policy Committee, 2009).  Shifting our nation’s focus toward preventive health will improve the health and productivity of the people as well as in cost savings.

Topic: Skin Integrity/ Wound Care 

-Paper must be APA format and at least 750 words not to exceed 1000 words.

 -Double spaced and use Times New Roman standard 12-point font.

 – A minimum of two (2) references must be used. The two references will include the required class textbook(Fundamentals Of Nursing 10th Edition) and at least one outside scholarly source (ex. journal article). APA format must be used citing and referencing sources.

 Textbook Info: Fundamentals of Nursing 10th Edition, Author: Potter Perry, Publisher: Elsevier- Health Sciences Division. 

The topic must be related to the specific given patient. The paper must be written in the 3rd person with the exception of reflection which has to be done in the 1st person. All descriptions analysis, interventions, etc, must be on skin integrity/ wound care topic. 

Assignment:

• Why is it important to provide evidence-based care? Discuss some of the challenges nurse administrators face in creating an environment in which bedside nurses use evidence-based care.
• Discuss the use of run charts and control charts to improve quality.
• Discuss how Lean thinking and Six Sigma can be used together to improve healthcare quality.
• What are ways to promote employee safety?
• Describe how complexity theory applies to your practice.
• Explain reasons that chaos theory offers hope for the future of health care.

This PowerPoint® (Microsoft Office) or Impress® (Open Office) presentation should be a minimum of 20 slides, including a title and reference slide, with detailed speaker notes on content slides. Use at least four scholarly sources.

  

Module 2 DQ 1 and DQ 2

Tutor MUST have a good command of the English language

These are two discussion questions

Your DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please

Tutor MUST have a good command of the English language

These are two discussion questions

Your DQ 1 and DQ 2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please

DQ 1

Define the process of theory building. Discuss the differences in approach based on inductive versus deductive reasoning. Describe how you would build and test the theory in your practice area.

DQ 2

Select a nursing model or theory described in your textbook.  What are the key concepts and components of the example you selected, and how are they defined? Create an example describing the application to an area of nursing practice.

Based on “Case Study: Fetal Abnormality” and other required topic study materials, write a 750-1,000-word reflection that answers the following questions:

1. What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
2. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
3. How does the theory determine or influence each of their recommendations for action?
4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.