Case Study Analysis  

For this assignment, conduct a thorough analysis of the healthcare system within Saudi Arabia. Specifically, focus on the development and implementation of technology over the last several decades within the Kingdom.

1. How has technology impacted cost, quality, and access to health services?
2. Does Vision 2030 rely heavily on technology?

Your final submission will be 3 pages in length, excluding the cover and reference pages. Be sure to include:

1. Analysis of the specific healthcare system.
2. Technology impact on cost, quality, and access.
3. Predict the KSA vision 2030 impact on technology.
4. Summary of findings (conclusion)

Your paper should meet the following structural requirements:

1. The paper should be formatted according to APA writing standards.
2. Provide support for your statements with in-text citations from a minimum of 4 scholarly articles.
3. Two of these sources may be from the class readings, textbook, or lectures, but two must be external.
4. No pliagiarism

  

Assignment: Project Selection and Approval

You will identify a specific evidence-based practice proposal topic for the project. Consider the clinical environment in which you are currently working or have recently worked. The project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting.

Write a 500-750 word description of your proposed project topic. Make sure to include the following:

1. The      problem, issue, suggestion, initiative, or educational need that will be      the focus of the project
2. The      setting or context in which the problem, issue, suggestion, initiative, or      educational need can be observed.
3. A      description providing a high level of detail regarding the problem, issue,      suggestion, initiative, or educational need.
4. Impact      of the problem, issue, suggestion, initiative, or educational need on the      work environment, the quality of care provided by staff, and patient      outcomes.
5. Significance      of the problem, issue, suggestion, initiative, or educational need and its      implications to nursing.
6. A      proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8 peer-reviewed articles.  Please note that all project written assignments in this class will be about the topic that you choose this week.

Answers by topic

Problem: Many patients refuses to receive the flu vaccine when influenza vaccination related to substantial reductions in the risk of hospitalization for pneumonia or influenza. 

Issue. The infection diseases have a higher incidence in Homestead, Florida. Influenza increase a risk to developing pneumonia in general population during flu season.

Initiative: In my study I will make a survey in 30 patient where they tell me if they getting the getting a flu vaccine, in case that they say NO, I make the survey about their knowledge in advantage the patient in get the vaccine that lead change their opinion in this preventive action, and then make educative program and I will expose in the community.

Context: Community Setting conducted in homestead, Fl population 69, 907, with 60 % of Hispanic mainly agricultural community. Reviewed zip code 33033. https://www.census.gov/quickfacts/fact/table/homesteadcityflorida,US/PST045217

Propose solution: 

Solution: Based in patient uncertain and doubt relate to lack of knowledge referent to advantages to get flu vaccine, I will made educative program oriented to eliminate the lack of knowledge regarding the preventive action of the flu vaccine like method to avoid spread infection diseases.

Impact of problem

Center for Diseases Control and Prevention (2018) “recommends a yearly flu vaccine as the first and most important step in protecting against influenza and its potentially serious complications”

· Annual seasonal flu vaccine is the best way to help protect against flu.

· Flu vaccination reduce severity of illness in people who get vaccinated but still get sick.

· Getting vaccinated yourself protect people around you, including the vulnerable population, like babies and young children, older people, pregnant women and people with certain chronic health conditions.

SOME REFERENCES, THE OTHER ONE ARE IN PDF, I ATTACHED IN THE PAGE.

Alberta Health. (2015). Vaccine uptake following a measles outbreak in Alberta, Health System  Accountability and Performance, Surveillance and Assessment Branch. Retrieved from 

http://www.health.alberta.ca/documents/HTA-2015-04-14-Measles-Vaccine-Outbreak.pdf

Atkinson, P. (1984). Training for certainty. Social Science & Medicine, 19(9), 949–956. doi:10.1016/0277-9536(84)90324-1.

Center of Diseases Control and Prevention (2013). Understanding How Vaccines Work.

Manca, T. (2016). Health professionals and vaccine narrative: “the power of the personal story’ and the management of medical uncertain”. Department of Sociology, University of Alberta, Edmonton, Canada.

On the bias of estimates of influenza vaccine effectiveness from test-negative studies.

Ainslie KEC, Shi M, Haber M, Orenstein WA.

Vaccine. 2017 Dec 19;35(52):7297-7301. doi: 10.1016/j.vaccine.2017.10.107. Epub 2017 Nov 13.

N Engl J Med. 2007 Oct 4;357(14):1373-81.

Effectiveness of influenza vaccine in the community-dwelling elderly.

Nichol KL1, Nordin JD, Nelson DB, Mullooly JP, Hak E.

United States Census bureaus

https://www.census.gov/quickfacts/fact/table/homesteadcityflorida,US/PST045217

Center for Diseases Control and Prevention (2018). Preventive Steps. Seasonal Influenza (FLU). Retrieved by www.cdc.gov

Center for Diseases Control and Prevention (2018). Preventing the Flu: Good Health Habits Can Help the Stop Germs. Seasonal Influenza (FLU). Retrieved by www.cdc.gov

This assignment provides documentation of student ability to meet the following course outcomes: 

– This course will enable the student to identify and apply components of the different cultures (ACCN Essential I, II, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration and patient-centered care).  

– The students will be able to determine the impact of culture in health care (ACCN Essential I, II, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration and patient-centered care).

Requirements

1. The Course Reflection is worth 100 points (10%) and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

2. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum under the Discussions tab. 

3. The length of the reflection is to be within three to six pages excluding title page and reference pages. 

4. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered): 

Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).

a. Course Reflection 

b. Conclusion

Preparing Your Reflection:

The BSN Essentials (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the NUR3655 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

  

1. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations.

2. Collaborate with other healthcare professionals and patients to provide spiritually and culturally appropriate health promotion and disease and injury prevention interventions 

3. Advocate for social justice, including a commitment to the health of vulnerable populations and the elimination of health disparities.

 

No plagiarism please.

Will need minimum of 150 words for each response, APA Style, double spaced, times new roman, font 12, and and Include: (1 reference for each response within years 2015-2018) with intext citations. 

 

An adolescent’s concerns about privacy can prevent them from seeking primary health care, especially for specific sensitive health care services such as STI screening and family planning issues. Those with privacy concerns are also less likely to talk openly with a health care clinician about important health issues, such as substance use, mental health, and risky sex. Recognizing that confidentiality is critical to high-quality care for adolescent women, professional health care organizations have adopted policy statements and practice guidelines that support the provision of confidential services. 

Discuss these guidelines and the laws in your state that address adolescent confidential health care.

Peer Response 1

 

This is a great discussion topic, because I have often thought about adolescent care and confidentiality, but have never gotten the chance to thoroughly investigate the topic. I have worked with adult populations and therefore it has never been a big issue in my professional career. We all know that adolescent brains are not fully developed and they require teaching, support and valid resources when they encounter problems in their lives. This is why laws were enacted to allow adolescents to see a provider confidentially and seek medical help from a professional without the repercussions from their parents who may disapprove of their actions or situation.

            In my state of Idaho, mental health services are confidential for adolescents after the age of 14 and cannot be shared with the parents without written consent of the adolescent unless they need to disclose information in order to bill insurance, carry out a treatment plan or prevent harm to the child or others or if they are ordered to by a court of law (Children’s Mental Health Services, 2018). Therefore, the clinician does have quite a bit of wiggle room in the statue because a majority of mental health issues can result in harm to the child or others. Either way, it’s good to understand that the age of 14 is the deciding factor. After 18 though, it is all confidential and no parents have rights to the individual’s medical records.

            

As for medical information. Every state allows adolescents to be seen, screened and treated for sexually transmitted infections and diseases without release of information to the parents. This law was passed as research was conducted that indicated that adolescents were MUCH less likely to seek medical help for STD’s if they knew their parents would find out. Therefore, in an attempt to decrease the prevalence of STD’s, no parental consent or notification is necessary (Bornstein, 2000). Even though confidentiality is attempted in this population with sensitive sexual or reproductive issues, obstacles to patient privacy remain. Overall, from what I can find, the provider in Idaho has the discretion to notify parents of any medical information of an adolescent.

Peer Response 2

 

When it comes to healthcare, Patient’s confidentiality is paramount, a sensitive issue, and is part of the law in many states.  When caring for adolescent patients, care is not any different.  If a minor is seeking care and fears his or her information would be disclosed to their parents, it might prevent them from seeking preventative care such as contraceptives, pregnancy testing, sexually transmitted infection testing, or even psychological help if needed.  Unless, the provider suspects neglect or abuse, confidentially should always be provided to adolescents.  Judgement by the provider regarding the best medical interest and safety of the patient should prevail (AAFP, 2013). 

In the state of Florida, the Florida Legislature (2017) there are some cases a minor could consent for their own care without a parent’s consent.  For example, if the minor is not married and pregnant or a mother, she could consent for herself and for her child; if the minor is seventeen years-old he could consent for blood donation; also, contraceptives and services of a nonsurgical nature; confidential medical services and counselling related to substance abuse and mental health outpatient counselling and treatment to minors, that does not need medications and other somatic treatments or less than two outpatient visits.

Healthcare providers must be familiar with their federal and state laws related to adolescent consent and confidentiality.  Respecting adolescent patient’s rights and privacy is essential, but as a provider encouraging the adolescent seeking care to talk to their parents regarding their health could promote better communication between child and parents.  In some facilities, the provider may make a verbal contract with the parents and teenager regarding confidentiality.  This would assure the patient that any information obtain during the visit will remain in strict confidence unless the provider thinks it could pose a danger to the patient or if the patient themselves want to share the information with their parents. 

Ultimately as a healthcare provider, it is important to protect patient’s privacy and confidentiality but, at the same time, we must be aware that in all states, a person needing emergency medical treatment they may be treated without consent if securing a consent would delay treatment and places the patient’s life or health at risk (Olson and Middleman, 2018).  Patient care should not be delayed under any circumstances that will pose harm to the patient or cause death.   

 

500 words CAUSE AND EFFECT Essay, MLA format,(no plagiarism please)

Prompt: Choose one of the following topics for your essay:

1- What impact does frequent violence (either from war or street violence)have on the community?

2- What effect does social media have on real-life communications?

3- What are the effects of modern technology on children?

4- What causes a person to become an excellent student?

Note: You must choose the Essay option I have provided for this assignment. If you submit an Essay that does not respond to one of the prompts, your Essay will not be accepted. Choose ONLY ONE OF THE TOPICS.