250 WORDS CITATION AND REFERENCES

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:

1. “About the Affordable Care Act”
2. “Health Care Transformation: The Affordable Care Act and More”

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

Instructor post

Today, seven in 10 deaths in the U.S. are related to chronic diseases such as obesity, diabetes, high blood pressure, heart disease, and cancer, which are largely preventable. Additionally, 86 percent of our health care dollars are spent treating such diseases. However, only three cents of each health care dollar spent in the U.S. go toward prevention (American Public Health Association, 2019).

Though the ACA provided coverage for 20 million Americans, there are still 29 million Americans out there that do not have coverage. Will those people focus their health care to preventative care? How can the Community health nurse help to change the focus to prevention if people can not afford insurance, can they afford out of pocket preventative care?

American Public Health Association.(2019) Health reform. Retrieved from https://www.apha.org/topics-and-issues/health-reform

 

Define Vulnerable Population.

Identify one vulnerable population and discuss

one physiological and one psychological factor that have contributed to their vulnerability.

The initial post requires one reference from a peer-reviewed NURSING journal less than 5 y/o. It also requires a reference from the course textbook.

Professional, governmental, or educational organizations (.org, .gov, or .edu) may be used as supplemental references.

APA format required.

References:

Fouka, G. & Mantzorou, M. (2011). What are the Major Ethical Issues in Conducting Research? 

Is there a Conflict between the Research Ethics and the Nature of Nursing? Health Science Journal, 5(1), 3-14. 

Furuya, Y., Dick, A., Perencevich, E., Pogorzelska, M., Goldman, D., & Stone, P. (2011). Central line bundle implementation in US intensive care units and impact on bloodstream infections. PLoS ONE, 6(1), 1-6. 

 Graling, P., & Vasaly, F. (2013). The effectiveness of 2% CHG Cloth Bathing for Reducing Surgical Site Infections. AORN Journal, 97(5): 547-551.

Jeanes, A., & Bitmead, J. (2015) Reducing bloodstream infection with a chlorhexidine gel IV dressing. British Journal of Nursing, 24, S14-S19.

Kim, J., Holtom, P., & Vigen, C. (2011). Reduction of catheter-related bloodstream infections through the use of a central venous line bundle: Epidemiologic and economic consequences. American Journal of Infection Control, 39(8), 640-646.

Klinworth, G., Stafford, J., O’Connor, M., Leong, T., Hamley, L., Watson, K., Kennon, J., Bass, P., Cheng, A. C., & Worth, L. (2014). Implementation of a successful hospital-wide initiative to reduce central line–associated bloodstream infections. American Journal of Infection Control, 42(6), 685-687.

Kramer, N. (2016). Monitoring Central Line-Associated Bloodstream Infections [CLABSI] in Home Infusion. Infusion, 22(4), 35-44.

McAlearney, A., Hefner, J., Robbins, J., Harrison, M., & Garman, A. (2013). Preventing central line-associated bloodstream infections: A Qualitative Study of Management Practices. Infection Control & Hospital Epidemiology, 36(5), 557-563. 

Mermel, L. (2014). MRSA and CLABSI Compendium updates offer additional focus on implementation. Patient Safety Monitor Journal, 15(9), 1-4. 

Power, J., Peed, J., Burns, L., & Davis, M. (2012). Chlorhexidine bathing and microbial contamination in patients’ basin. American Journal of Critical Care, 21(5), 338-342.

Pyrek, K. (2015). Experts Address the Promise and Challenges of CHG Bathing Interventions. Infection Control Today, 19(1), 32-36.

Quach, C., Milstone, A, Perpe, C., Bonenfant, M., Moore, D., & Perreault, T. (2014). Chlorhexidine Bathing in a tertiary care neonatal intensive care unit: Impact on central line–associated bloodstream infections. Infection Control & Hospital Epidemiology, 35(2), 158-163.

Richardson, J., & Tjoelker, R. (2012). Beyond the central line-associated bloodstream infection bundle: the value of the clinical nurse specialist in continuing evidence-based practice changes. The Journal of Advanced Nursing Practice, 26(4), 205-211. 

Sandoval, C. (2015). Three practice bundles to reduce CLABSIs. American Nurse Today, 10(11), 37-38. 

Scheithauer, S., Lewalter, K., Schroder, J., Koch, A., Hafner, H., Krizanovic, V., Nowicki, K., Hilgers, R.-D., & Lemmen, S. (2014). Reduction of central venous line-associated bloodstream infection rates by using a chlorhexidine-containing dressing. Infection, 42(1), 155-159. 

Wilder, K. A., Wall, B. Haggard, D. & Epperson, T. (2016). CLABSI Reduction Strategy: A Systematic Central Line Quality Improvement Initiative Integrating Line-Rounding Principles and a Team Approach. Advances in Neonatal Care, 16(3), 170-177. 

U.S. Department of Health and Human Services. (2011). Health-care-associated infection (HAI). Retrieved 10/21/2016 from http://www.hhs.gov/ash/initiatives/hai/index.html

References:

Fouka, G. & Mantzorou, M. (2011). What are the Major Ethical Issues in Conducting Research? 

Is there a Conflict between the Research Ethics and the Nature of Nursing? Health Science Journal, 5(1), 3-14. 

Furuya, Y., Dick, A., Perencevich, E., Pogorzelska, M., Goldman, D., & Stone, P. (2011). Central line bundle implementation in US intensive care units and impact on bloodstream infections. PLoS ONE, 6(1), 1-6. 

 Graling, P., & Vasaly, F. (2013). The effectiveness of 2% CHG Cloth Bathing for Reducing Surgical Site Infections. AORN Journal, 97(5): 547-551.

Jeanes, A., & Bitmead, J. (2015) Reducing bloodstream infection with a chlorhexidine gel IV dressing. British Journal of Nursing, 24, S14-S19.

Kim, J., Holtom, P., & Vigen, C. (2011). Reduction of catheter-related bloodstream infections through the use of a central venous line bundle: Epidemiologic and economic consequences. American Journal of Infection Control, 39(8), 640-646.

Klinworth, G., Stafford, J., O’Connor, M., Leong, T., Hamley, L., Watson, K., Kennon, J., Bass, P., Cheng, A. C., & Worth, L. (2014). Implementation of a successful hospital-wide initiative to reduce central line–associated bloodstream infections. American Journal of Infection Control, 42(6), 685-687.

Kramer, N. (2016). Monitoring Central Line-Associated Bloodstream Infections [CLABSI] in Home Infusion. Infusion, 22(4), 35-44.

McAlearney, A., Hefner, J., Robbins, J., Harrison, M., & Garman, A. (2013). Preventing central line-associated bloodstream infections: A Qualitative Study of Management Practices. Infection Control & Hospital Epidemiology, 36(5), 557-563.

Mermel, L. (2014). MRSA and CLABSI Compendium updates offer additional focus on implementation. Patient Safety Monitor Journal, 15(9), 1-4. 

Power, J., Peed, J., Burns, L., & Davis, M. (2012). Chlorhexidine bathing and microbial contamination in patients’ basin. American Journal of Critical Care, 21(5), 338-342.

Pyrek, K. (2015). Experts Address the Promise and Challenges of CHG Bathing Interventions. Infection Control Today, 19(1), 32-36.

Quach, C., Milstone, A, Perpe, C., Bonenfant, M., Moore, D., & Perreault, T. (2014). Chlorhexidine Bathing in a tertiary care neonatal intensive care unit: Impact on central line–associated bloodstream infections. Infection Control & Hospital Epidemiology, 35(2), 158-163.

Richardson, J., & Tjoelker, R. (2012). Beyond the central line-associated bloodstream infection bundle: the value of the clinical nurse specialist in continuing evidence-based practice changes. The Journal of Advanced Nursing Practice, 26(4), 205-211.

 

Sandoval, C. (2015). Three practice bundles to reduce CLABSIs. American Nurse Today, 10(11), 37-38. 

Scheithauer, S., Lewalter, K., Schroder, J., Koch, A., Hafner, H., Krizanovic, V., Nowicki, K., Hilgers, R.-D., & Lemmen, S. (2014). Reduction of central venous line-associated bloodstream infection rates by using a chlorhexidine-containing dressing. Infection, 42(1), 155-159. 

Wilder, K. A., Wall, B. Haggard, D. & Epperson, T. (2016). CLABSI Reduction Strategy: A Systematic Central Line Quality Improvement Initiative Integrating Line-Rounding Principles and a Team Approach. Advances in Neonatal Care, 16(3), 170-177. 

U.S. Department of Health and Human Services. (2011). Health-care-associated infection (HAI). Retrieved 10/21/2016 from http://www.hhs.gov/ash/initiatives/hai/index.html

 
 
 
 
 

 

Competency

Explain the basic models of quality improvement in healthcare.

Course Scenario

Chaparral Regional Hospital is a small, urban hospital of approximately 60 beds, and offers the following: 

• Geriatric services
• Consumer physician referral services

Recently, the CEO has been hearing complaints from both patients and staff, varying from long wait times to rude physicians. You have been hired to design and implement a Quality Improvement Plan to help uncover quality problems and to satisfactorily resolve them.

Scenario Continued

The CEO has met with you to let you know that some members of the Board of Directors are questioning the value of developing a quality improvement plan. She has asked you to create an executive summary and an information sheet to be included in the next Board packet.

Instructions

Topics for the executive summary should include: 

1. What is a Quality Improvement plan?
2. Why do healthcare facilities create improvement plans?
3. Why would you recommend the facility create and implement a QI plan?

NOTE – APA formatting for the reference list, and proper grammar, punctuation, and form required.

After completing the Executive Summary, you will create a one-page information sheet for the Board that they can use to answer questions about QI plans.

1. The information sheet should give your CEO and the Board of Directors enough information to have an educated conversation with patients and other stakeholders on the value of QI plans.
2. Make sure to use audience-specific language and tone on your information sheet. Remember, you are writing this information sheet for your CEO and the Board of Directors.
3. Be creative, and make your information sheet fun and organized.

• Emergency room services
• Intensive care
• Surgical care
• Obstetrics
• Diagnostic services
• Some rehabilitation therapies
• Inpatient pharmacy services

1. In “Cathedral,” how would you describe the relationship between the narrator and his wife? Do you think their relationship will change after this experience? What do you feel is the significance of the Robert’s lack of vision?250 word min

2. Look at Alice Walker’s “Everyday Use” and explain how the quilts in the story symbolize the family’s heritage.  How do Dee and Maggie view the significance of the family’s heritage, and how is that represented by the quilts in the story?250 word min

all on one document apa style