Choose a cultural group within your community and examine the health data for your community. What data are available for the cultural group of interest? What are the differences in morbidity and mortality rates for whites and members of the community you’re interested in? What factors influence the health outcomes for the group of interest?

Present your paper in a 300 word APA formatted summary.

Professional Development Assignments: 

1. Public health efforts and those of private medicine complement each other and together serve the spectrum of health service needs of American society. Why, then, has their relationship been so contentious?
    
2. The Institute of Medicine report of 1999 cites two major studies that establish medical errors as one of the leading causes of death and disability in the United States. Should the federal government take the necessary steps to monitor the status of this high-risk situation, as it does with other epidemics, or should the government continue to trust the providers of health care to deal forthrightly with the problem?
    
3. Analyze why legislative attempts to address only one of the trio of rising costs, lack of universal access, or variable quality of health care only worsens the remaining two.
    

Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook. Sultz, H. A., & Young, K. A. (2017). Health care USA: Understanding its organization and delivery (9th ed.). Boston: Jones & Bartlett. (Chapter 11).

World Health Organization. (2014). “Health Systems for health and wealth in the context of Health 2020: Follow-up to the 2008 Tallinn Charter”

Write a three (3) to four (4) page double spaced paper in APA format discussing the findings on your specific topic in your own words. Note – paper length does not include cover page or References page.

iv. Structure your paper as follows:

a. Cover page

b. Overview describing the importance of the research topic in your own words

c. Purpose of Research of the article in your own words

d. Review of the Literature summarized in your own words

Comment1

According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interaction with clients. How do you see this being applied in your workplace?

Sepsis is a major cause of hospitalization and death throughout the world, the hospital I work out has a screening process that we as nurse must assess the patients every 4 hours for signs of sepsis. The symptoms can be easily overlooked, and death rates continues to increase for septic shock. The point of the screening is to recognize early signs of septic shock and initial treatment right away. Patients, BP, heart rate, respirations, temperature and wbc indicates to the nurse if patient has a positive screen for sepsis, once the test is positive the nurse must obtain a lactated acid, blood cultures, and informed the doctor.

According to Birriel, 2013, Early treatment of sepsis, severe sepsis, or septic shock with quantitative fluid resuscitation has been shown to improve patient outcomes in multiple studies,(4,5) as has early treatment with antibiotics(5-8); however, to attain the greatest benefit from these therapies, sepsis must be identified as early as possible in its course.

Comment2

Few years ago, the facility that I work wanted all nurses to do hands off communication at bedside.  A lot of nurses were very reluctant to this change.  At some point the facility became very serious about it and wanted all the nurses to implement it. Now not only we have to give report at bedside, we have to wake patients and families up, so they can participate.  I found it very interesting and proficient.  It takes less time to give report, good for patient safety, patients and families are less anxious and ask less questions afterward because they know the plan of care for that specific day, and help nurses not to forget to pass on any relevant information to the patients’ cases.  This is what two authors have to say about bedside report:  “In traditional shift to shift reporting, nurses spend the end of their shift (and often into overtime) transcribing or taping a report for the oncoming nurse, who then spends the first portion of his or her shift reading the notes or listening to the tape.  Bedside shift reporting saves time and allows the incoming nurse to ask questions. It also improves patient safety by involving the patient and ensuring patient and caregivers are on the same page.” (Hendren, 2010).  “Conducting nurse-to-nurse shift report at the bedside, in the presence of the patient puts the patient central to all care activity information (Anderson & Mangino, 2006).  It allows the introduction of the incoming nurse by the outgoing nurse to the patient and the family.  Being in the room, helps incoming nurse to ask questions, visually see all medicines that the patient is having.  Bedside reports also provide the opportunity to reassess the patient’s goals from the prior period and update the goals as needed. Anderson and Mangino (2006) observed increased patient, staff, and physician satisfaction as well as financial savings after implementing bedside shift report.” (Manning, 20036).