Diversity and Health Assessments 2025

In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Case 1 JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. He has a hx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter.” Case 2 TJ, a 32-year-old pregnant lesbian, is being seen for an annual physical exam and has been having vaginal discharge. Her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. She is currently taking prenatal vitamins and takes Tylenol over the counter for aches and pains on occasion. She a strong family history of diabetes. Gravida 1; Para 0; Abortions 0. Case 3 MR, a 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking “pot” and says he drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism. To prepare: · Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments. · Select one of the three case studies. Reflect on the provided patient information. · Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected. · Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks. · Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information? Post Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you selected. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks. This work should have Introduction and conclusion – This work should have at 3 to 5current references (Year 2013 and up) – Use at least 2 references from class Learning Resources The following Resources are not acceptable : 1. Wikipedia 2. Cdc.gov- nonhealthcare professionals section 3. Webmd.com CLASS LEARNING RESOURCES **Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby. Chapter 1, “The History and Interviewing Process” (pp. 1-20) This chapter highlights history and interviewing processes. The authors explore a variety of communication techniques, professionalism, and functional assessment concepts when developing relationships with patients. Chapter 2, “Cultural Competency” (pp. 21–29) This chapter highlights the importance of cultural awareness when conducting health assessments. The authors explore the impact of culture on health beliefs and practices. **Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby. Chapter 2, “Evidenced- Based Health Screening” (pp. 6-9) **Melton, C., Graff, C., Holmes, G., Brown, L., & Bailey, J. (2014). Health literacy and asthma management among African-American adults: An interpretative phenomenological analysis. Journal of Asthma, 51(7), 703–713. doi: 10.3109/02770903.2014.906605 Retrieved from the Walden Library Databases. The authors of this study discuss the relationship between health literacy and health outcomes in African American patients with asthma. **Centers for Disease Control and Prevention (2015). Cultural competence . Retrieved from https://npin.cdc.gov/pages/cultural-competence This website discusses cultural competence as defined by the Center for Disease Control and Prevention (CDC). Understanding the difference between cultural competence, awareness, and sensitivity can be obtained on this website. **United States Department of Human & Health Services. Office of Minority Health. (2016). A physician’s practical guide to culturally competent care . Retrieved from https://cccm.thinkculturalhealth.hhs.gov/ From the Office of Minority Health, the Website offers CME and CEU credit and equips health care professionals with awareness, knowledge, and skills to better treat the increasingly diverse U.S. population they serve. **Espey, D., Jim, M., Cobb, N., Bartholomew, M., Becker, T., Haverkamp, D., & Plescia, M. (2014). Leading causes of death and all-cause mortality in American Indians and Alaska Natives. American Journal of Public Health, 104 (S3), S303-S311. The authors of this article present patterns and trends in all-cause mortality and leading cause of death in American Indians and Alaskan Natives. **Wannasirikul, P., Termsirikulchai, L., Sujirarat, D., Benjakul, S., Tanasugarn, C. (2016). Health literacy, medication adherence, and blood pressure level among hypertension older adults treated at primary health care centers. Southeast Asian J Trop Med Public Health. , 47(1):109-20. The authors of this study explore the causal relationships between health literacy, individual characteristics, literacy, culture and society, cognitive ability, medication adherence, and the blood pressure levels of hypertensive older adults receiving health care services at Primary Health Care Centers.

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Case study in Nursing 2025

Case Study Analysis The purpose of this assignment is to challenge students to think critically and strategically by analyzing the case assigned. After reading the case, the students should answer the questions at the end of the case. The questions should stimulate thought-provoking responses and showcase the students’ ability to provide theory to application. Answers should be succinct, but sufficiently address the concerns. The typical number of suggested pages is 4-6 pages, depending on the complexity of the case and the number of questions asked. Outside sources are not required, but welcomed. If using outside sources, remember to cite them in APA format. The paper should be double-spaced with 12 pt. font. Please make sure all criteria is correct and fully understood.

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HCA 255 Week 2 Analysis of a Stakeholder Presentation 2025

Health Care Reform Debate ppt As the health care reform debate moves forward, there has been a lot of discussion about stakeholders and potential winners and losers. Prepare a PowerPoint presentation containing 10-15 slides in which you: Select a stakeholder from among the stakeholder groups described in class. Describe the stakeholder’s position on health care reform. Provide rationale. Explain why the stakeholder has taken this position. While GCU format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using GCU documentation guidelines, which can be found in the GCU Style Guide, located in the Student Success Center. This assignment uses a grading rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are not required to submit this assignment to Turnitin.

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HIT Usability and Design Challenges 2025

HIT Usability and Design Challenges Reflect on your experiences with the integration of new technology. How have these implementations affected the procedures that you perform at work? As the end user, it can be easy to overlook all of the important decisions that went into the finished product that you see before you. In looking at the final data management screens, you may find yourself at the crossroads of two options. You may either 1) be ecstatic about the needed change that this system brought, or 2) frustrated because you feel the system brings new hurdles into your already busy day. If you have ever experienced the latter option, the comment “I could have implemented a better system than this” may resonate strongly with you. Though research agrees that user input assists HIT designers, the development and implementation of new systems is not as straightforward as it may appear. HIT development teams find themselves in constant phases of trial and error as they strive to meet the needs of all users within the proposed development timeline. Failure to achieve promised usability benefits can lead to increased costs and job complications. Applying effective strategies to overcome usability challenges is essential. In this week’s Discussion, you move from the standpoint of the “outsider looking in” (end user) and place yourself into a real-world implementation example. To complete this Discussion, you evaluate a case study to determine where the implementation process took a wrong turn. Use this week’s Learning Resources to propose changes that could have put this operation on the road to success. To prepare: Review the Learning Resources, focusing on the TIGER Usability and Clinical Application Design Collaborative. Consider the “Best Practice Exemplars” provided in the course text Nursing Informatics: Where Technology and Caring Meet . Review “Case Study 1: A Usability and Clinical Application Design Challenge” presented on page 238 of the course text Nursing Informatics: Where Technology and Caring Meet . (see bottom of this page for the case study) Determine the causes of the noted usability challenges (i.e., human factors, ergonomics, human-computer interaction), as well as potential usability concerns experienced by staff during implementation. Consider the possible design failures that lead to the usability challenges. What strategies might you employ to overcome these HIT usability challenges and concerns? By tomorrow Tuesday 10/03/17, 5 pm, write a minimum of 550 words essay in APA format with a minimum of 3 references from the list of Required Readings below. Include all level one headings as numbered below: post a cohesive response to the following: Place yourself in the role of the clinical administrator tasked with implementing the case study’s new health information technology system . 1) Evaluate the usability challenges that you faced during implementation as well as the factors that caused these challenges. 2) Determine whether these challenges were a result of implementation or design. 3) Formulate strategies for overcoming these usability challenges. Required Readings Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag. Chapter 14, “Usability and Clinical Application Design” This chapter begins by defining the terms usability and application design as they are used in the field of nursing informatics. The authors then describe the literature review and analytic process that the TIGER Collaborative group underwent to positively transform the development of HIT systems. Gruber, D., Cummings, G. G., LeBlanc, L., & Smith, D. L. (2009). Factors influencing outcomes of clinical information systems implementation: A systematic review. CIN: Computers, Informatics, Nursing, 27 (3), 151–163. The authors analyze the outcomes of prior IT implementations to determine if certain strategies can guarantee success when launching new clinical information systems. Kaufman, D., Roberts, W. D., Merrill, J., Lai, T., & Bakken, S. (2006). Applying an evaluation framework for health information system design, development, and implementation. Nursing Research, 55 (2, Suppl. 1), S37–S42. This article emphasizes the indispensable role of continuous evaluation throughout the development and real-time application of new information systems into the workplace. Schlotzer, A., & Madsen, M. (2010). Health information systems: Requirements and characteristics. Studies in Health Technology and Informatics, 151, 156–166. Use this article to examine the importance of focusing on sound design, interoperability of systems, and fulfillment of user needs when developing an effective database. Case Study 1: A Usability and Clinical Application Design Challenge A medical center implemented an EMR with orders, clinical documentation, and results retrieval to improve efficiencies and enhance patient safety in the perinatal units of a small medical center, including Labor and Delivery (L& D), NICU, and Newborn Nursery Selection process The system was installed elsewhere in this integrated delivery network The executives wanted a fast 6-month installation at the maximum Usability challenges Existing order sets and documents from other sites were not uploaded and tailored to this site. Clinicians were asked to input individual orders (not acceptable). Needed computer terminals were ordered late and arrived the day of go-live. Clinicians competed for working terminals at the nurses’ stations Workflow among units was not considered or tested. Shared information such as mother’s blood type and L& D information was not available to NICU or Newborn Nursery, causing confusion about potential patient safety issues Generic training was given because the site tailoring was not done. On go-live, users did not know where to locate information before it had changed in the lag between training and go-live Outcomes The clinicians had to endure an unnecessarily painful implementation and its potential patient safety impacts Working out usability issues took months after go-live The system was tested/ validated for usability, design, and practice needs Education included practice changes along with how to use the system Developed a methodology to respond rapidly to end users Outcomes Standardized practice in three different acute care hospitals in 15 months Significant improvement in core measures and nurse-sensitive outcomes.

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