REPLY:to another student-one page/three references

  

  Registered nurses and Advanced practice nurses, mold and shape health care and policies, in a big way. Most RNs and APRNS, join health care organizations like the American Nurses Association

(ANA), to make a big difference. Being apart of a bigger organization gives them advantage, by being with similar thinking individuals. Additionally, health care organizations are mostly inthe favor of

the nurse. With that, a  push for policy changes, would makes it more in their favor. Another way nurses make an impact, is by expressing their beliefs and ideas, at their workplace. As a nurse, you are

mostly looked as a role model. So when it comes to nursing students, or techs, they come to you for advise and help. Making them leaders and giants in their industry. With this, they can push for

change and help with hospital programs in their workplace if needed. Like helping to develop fall programs for patients, or creating a charge nurse committee for the units. 

    With these advantages, comes greater obstacles. One of the issues, would be to try and get accepted into a health careorganization. Sometimes membership fees, issues with your nursing license

in the past, or the simple fact of getting chosen, becomes burdens. Sometimes trying to become a member is not a very task and it becomes a complex process. Another issue, would be on trying to

voice your opinion at work, and not being heard. For example, what is the point of fighting for your unit, when the staff it self, only looks out for themselves and it does not make you feel like you are

part of a team. To add, having bad management leaders who only care about the unit numbers and the unit budget, would push for more tension in the workplace. Making you feel like no matter how

hard you try, you can always be replaced. 

    In order to overcome these challenges, like any good relationship, their has to be trust and above all, communication. Voicing your opinion on items or procedures you do not agree with. If you are

not heard by your own manager, then take it to upper management. Working hard to achieve your nursing license, is not worth the risk to do something that is not ethical. With it, more training for

veteran and future nurses, should be also implemented. To be given the opportunity to be aware of new changes or medications, that will affect their place of work. Additionally, having great

leadership and courage to speak up for the unit staff and the safety of patients. 

ZERO PLAGIARISM

FOUR REFERENCES

Personal reflection and discussion with colleagues is essential to your development as a psychiatric mental health nurse practitioner. In Week 8, you collaborated with colleagues as you participated in your first Clinical Supervision. This week, you have the opportunity to continue your collaboration as you reflect on and discuss your experiences with counseling older adults. Keep in mind that although there may be challenges to counseling this population, these clients offer unique learning opportunities. For this Clinical Supervision, consider an older client you are counseling whom you do not think is adequately progressing according to expected clinical outcomes.

Learning Objectives

Students will:

• Assess clients presenting for psychotherapy
• Evaluate effectiveness of therapeutic approaches for clients receiving psychotherapy

To prepare:

• Reflect on the clients you are currently counseling at your practicum site.

 

For this assignment, you will identify a pathogen in a newspaper article or publication of your choice, apply principles learned in BIOS 242, and research the pathogen for its connection to nursing/health care. 

The pathogen can be a bacteria, fungus, protozoa, or virus. In addition to the article, information to include in the paper should include, morphology, gram stain characteristics, virulence factors, susceptibility to antibiotics, host cells, nutritional needs, growth conditions, mechanisms used to evade the immune system, and invasion into the host(s), interactions with the hosts and diseases caused and affected body systems. Additionally, students should explain symptoms when the pathogen infects a host, as well as a diagnosis and the therapeutic intervention needed after infection. You may also add information on statistics related to infection (epidemiology) and any new research findings related to the pathogen.

Writing Requirements (APA format)

• Length: 2 pages (not including title page or references page) 
• 1-inch margin
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (minimum of 2 scholarly sources)

REPLY1

For a long time health care was all about health care professionals taking control of a patients care, lacking involvement of the patient, which only enabled the patient once they were discharged from care. The last decade or so patients have been hearing the continuous message from health care professionals about getting involved in their care (Vahdat et al., 2014). Patients with chronic conditions should especially be taking control of their own health care, which includes taking medications properly and being on top of scheduling and attending appointments. I think what has changed mostly in patients having control of their own health care, is that health care professionals provide education and information to patients that uses involvement of health care professional and patient. This empowers patients to take control and see positive outcomes with their health. Doctors are known to be the point of contact of all the information, which is why I think for many years patients just had the health care professional take full control of their care because they had full trust in their knowledge and experience. Patients having control of their own health care is important when it comes to decision making about their health care. If the patient has always relies on health care professionals, they won’t have the knowledge of what decisions must be made to better their care (Flavo, 2011).

The biggest change I have seen with patients being able to have more control over their health care is patients now have full access to their own medical records which includes doctors notes, labs, and other results (Vahdat et al., 2014). Another reason why this change of patients having control of their health care has made an impact on medical costs according to a study in 2013. Patients who were encouraged to take control of their own health care were seen to have an overall of 5.3% lower medical costs, 12.5% fewer hospital admission and fewer elective surgeries (Vahdat et al., 2014). Of course, patient involvement is not new but it is becoming more of a necessity in the health care system. Overall, the best part about this change, is that empowers patients to stay healthy and have an easier access to their results and communication with their providers.

References

Falvo, D. (2011) Effective Patient Education: A guide to Increased Adherence. Retrieved from

REPLY2

The 21st Century Healthcare System has seen a shift from a paternalistic focus to a more collaborative approach with the health professional and the patient working together to plan the patient’s care. In the traditional health provider-patient relationship the physician is regarded as the authority figure with the knowledge and expertise having the sole responsibility for developing a treatment plan that was rarely challenged by the recipients. However, the healthcare system has evolved to give patients more autonomy to manage chronic conditions proactively and make informed decisions about treatment options. Research indicates that shared decision-making leads to better treatment outcomes, fewer elective surgeries, hospital admissions, and lower health costs. According to Falvo, (2011), the concept of patient-centered care has expanded to all areas of healthcare and is linked to increased patient satisfaction and increased quality of care as well as patient adherence to treatment. Patient-centered care is fostered by a partnership between the health professional and the patient that is built on mutual respect and incorporates the patient’s wishes and active participation.

Research done by the Agency for Healthcare Research and Quality indicates that when patients are engaged in their care it can lead to measurable improvements in safety and quality and has developed an evidence-based resource guide known as ‘A Guide to Patient and Family Engagement in Hospital Quality & Safety,’ that can be used to help nurses work in partnership with patients and their families. (Sherman, 2014). Health institutions stand to benefit from productive relationships with patients and families because the Centers for Medicare and Medicaid Services has also shifted its reimbursement system to a value-based program linked to patient outcomes and patient satisfaction. The ability of patients and their families to effectively engage in their healthcare is contingent on factors such as their knowledge, attitudes, and health literacy. Many patients are hesitant about taking the responsibility of participating in health decision making because they feel overwhelmed by the prospect. There are some health professionals who are also resisting the change to the new model of patient-provider partnership. The nurse is in a unique position to create an environment conducive to this model of patient partnership. 

The old model of health teaching limited to brief instructions and a few handouts at discharge is inadequate and many patients have begun to demand answers and express their dissatisfaction. Since patients are now expected to assume more personal responsibility for their health decisions, effective patient teaching requires that the health professional thinks beyond merely providing information but focus on customizing recommendations to meet the patient’s specific needs.(Falvo,2011). When patients are given adequate knowledge and the rationale for treatment, they develop the confidence and sense of control that empowers them to make health decisions that result in improved treatment outcomes. Computer technology has greatly enhanced patients’ knowledge and ability to take charge of their health and become familiar with a vast array of therapeutic options, disease prevention, and disease management methods. As nurses, we must embrace health care reform that facilitates patient engagement and assist patients in their healthcare journey throughout the continuum of care.

References

Falvo, D. (2011). Effective patient education. A guide to increased adherence. https://viewer.gcu.edu/RQBKXW

Sherman, R. (2014). The patient engagement imperative. American Nurse Today. https://reasearchgate.net/publication/200036096_The_patient_engagement_imperative/link

https://viewer.gcu.edu/RQBKXW

Vahdat, S., Hamzehgardeshi, L., Hessam, S., & Hamzehgardeshi, Z. (2014). Patient involvement in health care decision making: a review. Iranian Red Crescent medical journal, 16(1), e12454. https://doi.org/10.5812/ircmj.12454

Assignment: Assessing a Healthcare Program/Policy Evaluation

Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.

To Prepare:

• Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
• Select an existing healthcare program or policy evaluation or choose one of interest to you.
• Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

• Describe the healthcare program or policy outcomes.
• How was the success of the program or policy measured?
• How many people were reached by the program or policy selected?
• How much of an impact was realized with the program or policy selected?
• At what point in program implementation was the program or policy evaluation conducted?
• What data was used to conduct the program or policy evaluation?
• What specific information on unintended consequences was identified?
• What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
• Did the program or policy meet the original intent and objectives? Why or why not?
• Would you recommend implementing this program or policy in your place of work? Why or why not?
• Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.