If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption?

These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.

In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.

Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.

Lewin’s Change Theory has three concepts that includes “driving forces,” “restraining forces,” and “equilibrium.” As the driving force implies, there are forces that push or cause things to change, shifting the equilibrium. Restraining forces fight against the driving forces which also causes shifts in equilibrium. Equilibrium can be described when no changes occur due to equal amount of force applied. There are three stages in his theory and that is “unfreezing,” “change,” and “refreezing.” Unfreezing is getting out of the rut of behaviors that are not healthy or productive. This requires fortitude to break out of the individual mindset and group conformity. This can be accomplished by either increasing the driving forces that direct behaviors away from the current norm or by decreasing the restraining forces that negatively affect movement away from equilibrium. A third alternative would be a combination of both. The change stage is producing growth and moving to a new level. It is evidenced by new thought, feeling and/or behavior changes. The refreezing stage is making the new patterns set as the new normal. Once they are “frozen,” it helps to prevent falling back into old unhealthy patterns (Change Theory, 2011).

Imogene King: Goal Attainment Theory has an emphasis on interaction theory vs systems theory. The concepts are based on an open system framework that honors nursing as a major system within the health care system, and places high emphasis on interpersonal processes. In the conceptual framework are three systems; the Personal (individual), Interpersonal (individuals interacting with each other) and the Social where groups of people in a community or society share common goals, interests, and values and is studied as a whole vs isolated parts. The practice of nursing is differentiated from other healthcare professions in that interpersonal systems are in place and this is reflected in the nurse-client relationship. The individual is viewed as a spiritual being, rational thinker, and records own history through own language, and expresses individual needs, wants, and goals. Humans have three fundamental needs: access to health information, illness prevention, care in times of illness. Health is dependent on continuous adjustment to stressors in the internal and external environments with use of ones resources to achieve maximum potential (Gragera, 2013).

Theory for EBP Project

The Goal Attainment Theory seems to be the best fit for the Capstone project. Results of screening and referrals develop into IHPs and IEPs that are tailored to the individual’s needs. This would seem to fit best with engaging the entire intraprofessional team in working with the student and the family in implementing interventions.

Theory Used by Mentor 

“I suppose I engage some level of nursing theory with each response in the work setting, protocol development, policy revision, and the like. When looking at the two theories you shared, I would probably most closely align myself with Imogene King’s Goal Attainment Theory. Nursing is a major system within the health care system, with vast and significant impact on individuals, families/groups, and communities (local, regional, national, and world)” (P. Anderson, personal communication, August 19, 2019).

“I’ve consistently landed on the historical (and I think still relevant) dimensions of health: physical, social, emotional, intellectual, spiritual. The individual, embracing, reflecting, and continuously balancing these five dimensions, can engage in self-responsibility and decision-making relative to the three fundamental needs identified in King’ theory:  health information, illness prevention, and care in times of illness ~ expressing needs, wants, and goals” (P. Anderson, personal communication, August 19, 2019).

Change Theory. (2011). Retrieved from http://currentnursing.com/nursing_theory/change_theory.html

Gragera, Jen. Imogene King: Goal Attainment Theory. (2013). Retrieved from https://www.slideshare.net/jen316/imogene-king-23548267

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Paper details

Subject:

Health care

Topic:

Health Care Delivery Systems Essay

In this assignment, you will compose an essay of 750–1,000 words examining the similarities and differences among health care delivery systems that currently exist in the United States. Include the following in your assessment: Select two or three health care delivery systems to examine. Provide a description and relevant details of the selected delivery systems. Summarize the mission or philosophy statement for each of the health care delivery systems you selected. Formulate your own mission or philosophy statement, with rationale as to why you chose these elements to include. Support your statements with appropriate and scholarly sources from the GCU Library or other qualified sources. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Extras ordered: none

• Instructions
  For decades, relational databases remained essentially unchanged; data was segmented into specific chunks for columns, slots, and repositories, also called structured data. However, in this Internet of Things (IoT) era, databases need to be reengineered because the very nature of data has changed. Today’s databases need to be developed with the needs of IoT in mind and have the ability to perform real-time processing to manage workloads that are dynamic. For example, relational databases should be able to work with real-time data streaming and big data (an example was presented in the Unit III Lesson).
  Scenario: Falcon Security wants their customers to be able to view security video footage in real-time and provide customers with the ability to query video footage for viewing. Choosing a database solution such as MongoDB would allow Falcon Security to store customer video footage in the same database as the metadata.
  To do this, Falcon Security needs a way to manage the demands of real-time data streaming for real-time analytics. Conduct some research for a NoSQL database application, such as MongoDB or Cassandra, that could meet this need. How would switching to a real-time database solution help Falcon Security remain competitive? Create a PowerPoint presentation that includes the components listed below.
  • Provide a brief introduction to IoT.
  • Present the argument to the Falcon Security CEO that switching to a more dynamic database structure (NoSQL real-time database) will meet the demands of IoT.
  • Introduce some features of the database you chose, whether it is MongoDB, Cassandra, or another database.
  • Describe how switching to a more dynamic database will give Falcon Security a competitive advantage.
  • Your presentation must be a minimum of six slides in length (not counting the title and reference slides), and you must use at least two academic resources. Any information from a resource used must be cited and referenced in APA format.
    Submit Unit III PowerPoint Presentation »

Find a health care association you would be interested in joining on LinkedIn.

Gather details about membership fees and any discounts available with the membership.

Identify current association members and find out more about their experiences with and the benefits of having a membership.

Write a 700-word proposal to your employer outlining the benefits of joining the selected health care association and the benefits of attending a meeting, convention or conference in-person.

Provide a rationale of how your membership to the health care association and attending its event(s) will benefit your employer, contribute to your job responsibilities, and promote your own professional development. Include insight from the relationships you established to reinforce your rationale.