The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal, and suggest ways in which identified barriers may be addressed.

APA styles. At least 1 reference. 200-300 words. 

Isleidy Alvarez 1 postsRe: Topic 4 DQ 1

The methods used to finance health care service is a major concern in America and it plays a major role in shaping a country’s health care system. Health care services include such as hospital care, physician care, dental services, and drugs that are provided directly to individuals.

The question of how to sustain, finance and manage healthcare involves a deeply ideological and political question, who is going to pay for it and how? Green (2018) discusses how the health profession continues to evolve, including various reforms in the United States public health policies, and the need for the development of plans to improve public health.

When evaluating healthcare and insurance companies’ clinical effectiveness, compared to their financial sustainability, one can see that as far as the stakeholder/patient is concerned, companies do not want you to know about the practice of “covert rationing”. This practice by insurance companies, often limits availability of treatments, as a cost savings measure, and to preserve profits or raise salaries to company staff (Torrey,2018).

These issues of cost-effectiveness and rationed care can directly affect the quality and availability of care needed to obtain positive patient outcomes. I believe a reform solution to improve effectiveness in this area of concern, would be the greater need for transparency of coverage on the healthcare providers side, and increasing competitiveness among provider companies.

I believe that plans for universal healthcare need careful reconsideration. Also, I feel that the influx of millions of immigrants to the united states does nothing to improve this healthcare crisis. Again, who is going to pay for it, and how? This raises the concerns that reliance on taxation may be associated with higher private payments, especially during economic downturns (Evans,2002). It is all about freedom of choice, personal responsibility and required political and social involvement.

References

Evans RG. Financing health care: taxation and the alternatives. In: Mossialos EDA, Figueras J, Kutzin J,

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?

  Mass Casuality

1. Provide the reason why you chose this project – what needs did you see?

2. Create a SMART goal for your project – what should the learner achieve? If you need help with SMART goals, pull out your fundamentals textbook and go to pages 284-285 for help (I will help as well, but this is a great starting point).

3. Identify your target population.

4. Identify what you expect at the end of your presentation (student will be comfortable with insertion of a foley catheter on a manequin). 

5. Write in APA format

a. Title page with all group members listed

b. In text citation

c. Third person

d. Reference page

Discuss number 2 and 4

APA format 1 page long 3 references 2 from the discussions references please

need ASAP

Simulated Learning Experiences

            Simulated clinical experiences enhance learning. A simulated learning environment provides a safe and efficient acquisition of clinical skills (Mendoza-Maldonado & Barria-Pailaquilen, 2018). It also serves as an efficient alternative when there may be limitations to for clinical practice in certain areas (Mendoza-Maldonado & Barria-Pailaquilen, 2018). In this week’s discussion, implementing simulation learning experiences will be explored.

Past Learning Experience

 In nursing school, I can remember being taught the respiratory and cardiac units in class. The objectives were identifying abnormal breath sounds and heart tones respectively.  In the respiratory unit, I can recall the instructors telling us to auscultate each other’s lung sounds. She stated that we had to know what normal breath sounds sounded like before we could identify abnormal breath sounds. That statement is true but we could have benefited more from high-fidelity patient simulators (HFPs). According to Bradshaw and Hultquist (2017), HFPs generate observable responses from a mannequin and allow students to interact with the simulator as they would an actual patient. Additionally, the cardiac unit could have benefitted from a simulation lab. As a nursing student, having HFPs would have enhance the heart tones. I was not able to identify abnormal heart tone until I graduated from nursing school. I found myself “googling” abnormal heart tone to refresh my recollection of what was taught in nursing school and how to identify them.

Utilizing Simulated Clinical Labs

 In retrospect, I believe that HFPs would have prepared me more for the clinical experience. “Simulation may be useful to precede, complement, or replace actual clinical experiences” (Bradshaw & Hultquist, 2017, p. 248). Simulated learning experiences are beneficial to learning. Nurse educators can use simulations to educate future nurses using the latest technology. The future will provide us with advances in technology that will improve realism and a thorough learning experience (Bristol & Zerwekh, 2011).

Bradshaw, M. J., & Hultquist, B. L. (2017). Innovative teaching strategies in nursing and related health professions (7th ed.). Burlington, MA:  Jones and Bartlett

Bristol, T. J., & Zerwekh, J. (2011). Essentials of e-learning for nurse educators. Philadelphia, PA:  F. A. Davis Company

Mendoza-Maldonado, Y., & Barría-Pailaquilén, R. M. (2018). Simulated learning environment experience in nursing students for paediatric practice. Enfermería Clínica (English Edition), 28(3), 205–209. doi: 10.1016/j.enfcle.2018.02.003