U.S. health care system

Research the delivery, finance, management, and sustainability methods of the U.S. health care system. Evaluate the effectiveness of one or more of these areas on quality patient care and health outcomes. Propose a potential health care reform solution to improve effectiveness in the area you evaluated and predict the expected effect. Describe the effect of health care reform on the U.S. health care system and its respective stakeholders. Support your post with a peer-reviewed journal article.

DB

Respond to this discussion using two scholarly references  APA format

 Nursing staffing shortages are among the most significant national stressors within the United States healthcare system. Specifically, the nursing shortage has increased dramatically following the COVID-19 outbreak due to a rise in demand for healthcare services. Nurses enhance patient care quality, safety, efficiency, and timeliness to achieve desired health outcomes (Bakhamis et al., 2019). Additionally, nurses transform healthcare organizations through leadership roles (Broome & Marshall, 2021). Therefore, the nursing shortage affects the US healthcare system adversely.

            The shortage of nurses has impacted our healthcare organization negatively. Nurses’ workload has increased substantially in the healthcare organization to meet the high demand for healthcare services. Studies show that healthcare outcomes in medical facilities significantly depend on nurses’ workload (Norful et al., 2018). Therefore, nurses’ job performance, productivity, and ability to provide high-quality and safe patient care have been compromised, resulting in adverse health outcomes. The social determinant with the most significant effect on the nursing shortage is the decrease in nursing graduates in the United States. A lower number of nurse graduates is a significant challenge facing the United States healthcare system (Chan et al., 2021). As a result, it is challenging to meet the high demand for nurses nationwide. 

            The management has introduced various measures to address the nursing shortage in the healthcare organization. First, the organization hires contract nurses to meet the high nurse demand. Additionally, nurses are hired depending on the demand for healthcare services. For instance, more critical care nurses are hired to meet the increased demand for healthcare services in the emergency department during the COVID-19 pandemic. These measures resolve nursing in the healthcare organization, improving the quality and safety of patient care.

                                                                                                                            References

Bakhamis, L., Paul, D.P., Smith, H., & Coustasse, A. (2019). Still an Epidemic: The Burnout Syndrome in Hospital Registered Nurses. Healthcare Management; 38(1):3-10

Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer.

Chan, G. K., Bitton, J. R., Allgeyer, R. L., Elliott, D., Hudson, L. R., & Burwell, P. M. (2021). The impact of COVID-19 on the nursing workforce: a national overview. Online Journal of Issues in Nursing26(2), 1–17.

Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner–physician comanagement: A theoretical model to alleviate primary care strain. Annals of Family Medicine, 16(3), 250–256.

Well child SOAP note- TEENAGER 16 y

Please see the attachment for the instructions

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Difference between ovens

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An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.

Answer the following questions:

  1. What else should you ask the client?
  2. What teaching would you reinforce to prevent the recurrence of otitis media?
  3. What expected outcomes would be specific to this situation?

Nursing Last Assignment

  • Students will select a Nursing Issue to debate. 
  • Selected topics should be relevant to the nursing profession, and both sides of the argument clearly and equally presented. 
  • A list of scholarly/academic references utilized to construct the debate must be turned in with APA formatting. 

DEBATE/DISCUSSION RULES:

  • Due to logistical challenges, this forum will be conducted in written format (not live). 
  • Please use APA 7th edition when writing your topic.
    • Title Page
    • Introduction
    • Pro Stance Related to the argument
    • Con Stance Related to the argument
    • Summary/Conclusion
    • References
  • You will discuss the arguments of the affirmative present in support of the resolution.
  • You will discuss the arguments of the opposition opposing the resolution.
  • The affirmative presents the rebuttal attempting to defend the affirmative arguments and defeat the supporting arguments without adding new information.
  • PLEASE be well-versed (Research the chosen topic and post references). Present a topic you are familiar with based on this course or your experiences.
  • Lack of participation will result in the failure of this assignment.

PLEASE FOLLOW EVERYTHING ABOVE! NO PLAGIARISM! PLEASE WATCH SPELLING/GRAMMAR

NU671 Clinical Decision-Making. Unit 2 Clinical Preparation Journal 800w. due 11-10-23

NU671 Clinical Decision-Making. Unit 2 Clinical Preparation Journal 800w. due 11-10-23

Instructions

Each week you will be given a prompt to write a reflective journal assignment that will allow you to investigate areas for clinical preparation in psychiatric mental health. The reflective journal should be substantive, containing a minimum of 500 words. Supporting evidence for your thoughts and ideas should come from a minimum of one scholarly source. Sources should have in-text citations where appropriate and be referenced on a reference page according to APA 7th Edition standards.

Watch the video related to a Psychiatric Mental Health Assessment: https://www.youtube.com/watch?v=hPQKpNy-Hm4&t=8s

1. Give a detailed summary of your thoughts about a psychiatric mental health initial assessment.

2. Why is this critical to the care of the mental health patient?

3. What areas were you surprised to see on a psychiatric mental health initial assessment?

4. Summarize one evidence based article that pertains to Psychiatric Mental Health Assessment.

Week 2 Reflections NR501NP

Weekly objective

  1. Explore an area of interest through patterns of knowing (CO 1)
  2. Examine the components of the nursing metaparadigm.
  3. Examine different patterns of knowing in nursing. (CO 2)
  4. Analyze the benefits of reflection for shaping and understanding theory. (CO 2)
  5. Differentiate between the received and perceived schools of scientific thought. (CO 2)

Course Outcomes

  1. Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO 2 and 5)
  2. Apply nursing theory as a framework to guide the development of new knowledge and implementation of evidence-based practice in future professional settings. (PO 1 and 4)

The above is just additional information for the question below.

 Write 1-2 paragraphs reflecting on ways of knowing and the use of metaparadigm in the NP role 

  • Provide one specific example of how you achieved the weekly objectives.
  • What do you value most about your learning this week?
  • What else about the weekly topics do you need to explore to grow further as a future NP?

social determinants of health

What are social determinants of health? Explain how social determinants of health contribute to the development of disease. Describe the fundamental idea that the communicable disease chain model is designed to represent. Evaluate the steps a nurse can take to break the link within the communicable disease chain.

Resources within your text covering international/global health, and the websites in the topic Resources, will assist you in answering this discussion question.

Leader vs. Manager

 

Explain, with concrete examples, the differences among leadership, management, and followership. Then, discuss the following:

  • At times, do the examples overlap with a nurse acting in all three capacities at the same time?
  • Are two of the three capacities more likely to overlap? If yes, which two capacities?
  • Pick a current local, state, or national political leader and differentiate the leadership and management qualities of the leader. Who are these leaders and followers?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.