Reply to my peers

Peer 1

Telenursing and Telemedicine

Telenursing and telemedicine will only be successful if patients engage in the program. You have been asked by your manager to pilot a program aimed at improving transitions of care using the new telemedicine system recently implemented at your hospital. 

• What are some of the ways that you can encourage both patient and provider engagement to ensure the pilot program success?

One of the ways that could help to ensure the success of the pilot program would be to offer mandatory skills fairs that include hands on participation and requires all team members to be checked off in particular areas of the telemedicine system education. There should be continued training throughout the process as well as resources available at all times to include super users of the telemedicine to assist with any technical issues that may cause frustration. Another important way to ensure success to be to allow any feedback from everybody participating, whether it be from a group discussion or personal surveys it allows everybody to participate and feel that they can include their own input and ideas. 

• What barriers or challenges would you anticipate?

A major barrier or challenge that I would anticipate would be that everybody has their own opinions and that may arise during the program. Of course with any technology IT issues arise whether it be from technical difficulties due to poor internet connection or glitches in the system it happens but can cause some resistance when people are busy and don’t have time to deal with those type of difficulties. Some may just resist the use of telemedicine because they just simply don’t feel comfortable with the technology. Especially those who are older and set in their ways computer literacy is a challenge and that could pose a barrier to the program. Many believe there are some privacy concerns with telemedicine and some may be challenged to use the technology based on hipaa violations under their care.

Peer 2

Telenursing is defined as “the use of tele commuincations and information technology to provide nursing services in healthcare and enhance care whenever a physical distance exists between a patient and a nurse (McGonigle,2017), and telemedicine is defined as ” health service delivered by telecommunication ready tools, supervised or directed by a physician” (McGonigle,2017). Knowing the definition of both I would first start with education to both the patient and the physician. I would explain their roles in telehealth. I would then move on to discuss some of the beneits of telehealth to include; the ability to provide better healthcare access, proven and timely responce to patient need, and reduction of hospital visits. I would allow time for questions and concerns. I would provide a live demonstration . I would then initiate incentives for patient and physician groups for compliance and feedback. 

       As with anything new their will be barriers and challenges. The biggest anticipated barrier would be access to internet or smartphone to conduct the virtual program. The next barrier would be cost to facility to start program up. The third barrier would be getting patients to trust how well virtual care would benefit them. The greatest challenge would be physician not physically next to patient so misdiagnosis and treatment pose a ris

 

The purpose of this assignment is to gain real-world insight into how risk management programs operate within health care organizations.

Select a local health care organization where you can conduct an interview with an employee who is involved in risk management processes. This organization can be your current employer or a different health care facility in your community. Acute care, urgent care, large multi‐provider private medical clinics, assisted living facilities, and community/public health clinical facilities are all ideal options to complete the requirements of this assignment. Select an individual who can provide sufficient information regarding how their organization manages risk within its facility to answer the questions below.

In your interview, address the following:

1. Risk management strategies used in the organization’s risk control program, along with specific examples.
2. How the facility’s educational risk management program addresses key professional, legal, and ethical issues, such as prevention of negligence, malpractice litigation, and vicarious liability.
3. Policies the facility has implemented that address how to manage emergency triage in high‐risk areas of health care service delivery (e.g., narcotics inventories, declared pregnancy policies, blood-borne disease sector, etc.).
4. Challenges the organization faces in managing and controlling high-risk health care (e.g., infectious diseases, nuclear medicine, abortion, class 4 narcotics/opioids, etc.).
5. Strategies the facility utilizes to monitor, evaluate, and maintain compliance within its risk management program.

After conducting the interview, compose a 750‐1,000 word summary analysis of the interview that includes the questions above, in conjunction with the interviewee’s responses. In addition, include the following elements in your response:

1. An assessment of the organization’s risk management program, including how it attends to high-risk health care and legal concerns.
2. Action steps you would take to improve one area of the organization’s risk management program, along with your rationale for doing so.

Cite appropriate references as needed to support your statements and rationale.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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.

Discussion Question

Clinical practice guidelines use available evidence to develop recommendations that guide practice to improve patient care. 

Select a clinical practice guideline, based on your area of interest, from one of the web sites below or another site. Describe the following information from the guideline you selected.  

• Identify the name of the clinical guideline and date developed 
• Identify the population
• Identify 3 recommendations found in the guideline
• Identify the grade or level of recommendation for the three recomendations identified and describe what the assigned grade or level means.
• How can you use the information from the guideline in your practice?

Suggested Clinical Practice Guideline sites:

https://www.guidelinecentral.com/summaries/specialties/nursing/

https://www.ena.org/practice-resources/resource-library/clinical-practice-guidelines

https://www.uspreventiveservicestaskforce.org/BrowseRec/Index

https://guidelines.ecri.org/

 

Two registered professional nurses are attending a meeting where the focus is examining teaching methods that enable them to share information with newly diagnosed diabetic patients. One nurse initiates a discussion on the use of social media in teaching patients and the use of social media for all health care providers.

1. Discuss actions the nurse should take before using social media as a teaching tool.

2. What types of social media could benefit health care providers and patients?

3. What are the pitfalls to utilizing social media for both patients and health care providers? 

The influence of poverty on health is a problem that transcends national borders. This week’s readings discussed some of the political, economic, and ethical issues that lead to health disparities in developed and developing countries. In addition, in this week’s first media presentation, Dr. Mancuso and Dr. Huijer shared insights on working within political systems to bring about positive changes in health care. Think about the importance of nurses in addressing these needs and in bringing about change.

To prepare for this Discussion:

• Review the case study “Improving the Health of the Poor in Mexico.” Then, prepare your response to the following questions:
  • How do politics and economics influence health and health care?
  • What might the benefits be of awarding the mothers cash grants?
  • What social problems might be created by giving the mothers cash grants?
  • Do you think the resources were ethically distributed? (Think about stereotyping.)
  • What changes do you think should be made to the program, if any?
  • If the program were to be discontinued for any reason, what could you, as a nurse, say that might help to maintain funding?
  • Do you think a similar program might work in your community? Why or why not?

By Day 3

Post your response to the following prompts:

Explain how politics and economics may influence health and the health care system from your own perspective. Analyze whether the political and/or economic systems play a major role in your or your family’s access to health and explain why. Then, describe how government intervention might benefit a health care system. Be specific and provide examples.

Support your response with references from the professional nursing literature.

Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).