Healthcare system flaws during the pandemic

 

Refer to the required reading: COVID-19 and the Need for Health Care Reform (King, 2020)  NEJM. 

Identify 1 flaw in the US healthcare system that was made evident during the pandemic, and 1 innovation during the pandemic that improved healthcare.

** Add two (2) additional references to make a total of three references

Locating Credible Databases and Research

Assessment 4

Remote Collaboration and Evidence-Based Care

Create a 5-10 minute video of yourself, as a presenter, in which you will propose an evidence-based plan to improve the outcomes for the Vila Health patient and examine how remote collaboration provided benefits or challenges to designing and delivering the care.

Introduction

As technologies and the health care industry continue to evolve, remote care, diagnosis, and collaboration are becoming increasingly more regular methods by which nurses are expected to work. Learning the ways in which evidence-based models and care can help remote work produce better outcomes will become critical for success. Additionally, understanding how to leverage EBP principles in collaboration will be important in the success of institutions delivering quality, safe, and cost-effective care. It could also lead to better job satisfaction for those engaging in remote collaboration.

Instructions

Before beginning this assessment, make sure you have worked through the following media:

Vila Health: Remote Collaboration on Evidence-Based Care.

You may wish to review Selecting a model for evidence-based practice changes. [PDF] and Evidence-Based Practice Models, which help explain the various evidence-based nursing models.

For this assessment, you are a presenter! You will create a 5-10-minute video using Kaltura or similar software. In the video:

Propose your evidence-based care plan that you believe will improve the safety and outcomes of the patient in the Vila Health Remote Collaboration on Evidence-Based Care media scenario. Add your thoughts on what more could be done for the client and what more information may have been needed.

Discuss the ways in which an EBP model and relevant evidence helped you to develop and make decisions about the plan you proposed

Wrap up your video by identifying the benefits of the remote collaboration in the scenario, as well as discuss strategies you found in the literature or best practices that could help mitigate or overcome one or more of the collaboration challenges you observed in the scenario.

Be sure you mention any articles, authors, and other relevant sources of evidence that helped inform your video. Discuss why these sources of evidence are credible and relevant. Important: You are required to submit an APA-formatted reference list of the sources you cited specifically in your video or used to inform your presentation. You are required to submit a narrative of all your video content to this assessment and to SafeAssign.

The following media is an example learner submission in which the speaker successfully addresses all competencies in the assessment.

Exemplar Kaltura Reflection.

Please note that the scenario that the speaker discusses in the exemplar is different from the Vila Health scenario you should be addressing in your video. So, the type of communication expected is being model, but the details related to the scenario in your submission will be different.

Make sure that your video addresses the following grading criteria:

Propose your own evidence-based care plan to improve the safety and outcomes for a patient based on the Vila Health Remote Collaboration on Evidence-Care media scenario.

Explain the ways in which you used an EBP model to help develop your plan of care for the client.

Reflect on which evidence you found in your search that was most relevant and useful when making decisions regarding your care plan.

Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.

Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style.

Refer to Using Kaltura as needed to record and upload your video.

A screenshot of a computer  Description automatically generated

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ASSESSING THE GENITALIA AND RECTUM

 

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

  • Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  • Analyze the objective portion of the note. List additional information that should be included in the documentation.
  • Is the assessment supported by the subjective and objective information? Why or why not?
  • Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?
  • Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

part 3a 3b

Part 3A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3. ( Worksheet attached)

Article #1Zhou, X., Guo, J., Lu, G., Chen, C., Xie, Z., Liu, J., & Zhang, C. (2020). Effects of mindfulness-based stress reduction on anxiety symptoms in young people: A systematic review and meta-analysis. Psychiatry Research, 289, 113002. https://doi.org/10.1016/j.psychres.2020.113002

Article #2 Porter, B., Oyanadel, C., Sáez-Delgado, F., Andaur, A., & Peñate, W. (2022). Systematic review of mindfulness-based interventions in child-adolescent population: A developmental perspective. European Journal of Investigation in Health, Psychology and Education, 12(8), 1220–1243. https://doi.org/10.3390/ejihpe12080085

Article #3 Cohen, Z. P., Cosgrove, K. T., Akeman, E., Coffey, S., Teague, K., Hays-Grudo, J., Paulus, M. P., Aupperle, R. L., & Kirlic, N. (2021). The effect of a mindfulness-based stress intervention on neurobiological and symptom measures in adolescents with early life stress: a randomized feasibility study. BMC Complementary Medicine and Therapies, 21(1). https://doi.org/10.1186/s12906-021-03295-1

Article #4

Peter, A., Srivastava, R., Agarwal, A., & Singh, A. P. (2022). The effect of mindfulness-based cognitive therapy on anxiety and resilience of the school-going early adolescents with anxiety. Journal of Indian Association for Child and Adolescent Mental Health, 18(2), 176–185. https://doi.org/10.1177/09731342221127959

Part 3B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

geopolitical and phenomenological

Discuss how geopolitical and phenomenological place influence the context of a population or community assessment and intervention. Describe how the nursing process is utilized to assist in identifying health issues (local or global in nature) and in creating an appropriate intervention, including screenings, referrals, resources and spiritual support for the community or population. Describe how community resources can aid in the implementation process of an intervention. How could the Christian worldview influence one’s perspective of human value and dignity in an intervention?

template

1

Title

Your Name

Chamberlain University College of Nursing

NR361 RN Information Systems in Healthcare

Instructor

Due Date

Your title here

This paragraph(s) provides a way to introduce the paper. Briefly explain the purpose of the paper. Remember, this is an APA, 7th edition scholarly paper. REMINDER: Remember to keep the
headings bolded and remove these directions beneath each heading when you start your paper. Please read the assignment directions, view the video, and check the rubric before beginning.

Patient Scenario

In this area, explain your identified topic from the Healthy People 2030 link in the guidelines and a clear and thorough patient scenario. Describe a patient with a health condition or health behavior who is wanting to maintain or achieve good health. Include a synopsis of your nursing assessment of learning needs and readiness to learn.
Include one scholarly peer-reviewed article citation related to your scenario and cite the source in APA 7th edition format.

Patient Education/Teaching Plan

In this section include a description of the details of your planned teaching for the patient. Be sure to use full sentences in your own words when describing the content of your plan in depth.

Description of mHealth app

For this part of the paper, identify and describe the mHealth app that would benefit the patient. Be sure to describe the app by name, purpose, intended audience, mobile device for operation, and where to download and obtain it. Include any other pertinent information about the app and the patient scenario. Be sure to add an
APA citation for the mHealth app in APA 7th edition format. If there is a working link to this app, please include this at the end of this section.

References

List the two required references here in APA 7th edition format. One reference will be associated with your chosen mHealth app (See page 340 in your APA Manual 7th edition) and the second will be from a scholarly journal related to your patient scenario. If you use additional optional sources in your paper, these must be cited in the body of the paper and listed here as a reference in APA format as well.

Preparing the Assignment

Select ONE of the
Health Conditions or
Health Behaviors for the focus of your assignment through the Healthy People 2030 link below:


https://health.gov/healthypeople/objectives-and-data/browse-objectives

Note:  It is important to choose your Health Condition or Health Behavior first, then develop a short, but detailed patient scenario (See the video tutorial, assignment directions, and rubric for details about the scenario.) Then explore a mobile health app (mHealth app) that fits the patient and the topic.

Note: You will use the same scenario you develop and same mHealth app you identify here in future assignments (Week 4 and 6).

Milestone 1 NR361 updated format DLP 8.2020

Discusssion

 Resources

To Prepare:

  • Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.
  • Review the health policy you identified and reflect on the background and development of this health policy.

Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Which social determinant most affects this policy? Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.

NEED AS SOON AS POSSIBLE PLEASE

Week 8 Discussion

  Resources

To Prepare:

  • Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.
  • Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.

Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.

Nursing Discussion assignment

Respond to the following prompts and, if it's relevant, include your own personal experience

· What are some barriers and challenges to the transition of care from one level to another? Describe at least two. Examples: transition from hospital to primary care follow-up or long-term care to home care.

· Give an example from your experience or the literature of a procedure aimed at improving the process of care transitions. What impact do you suppose it will have on patient safety?

Write at least 2 paragraphs with intext citations and references in APA 7th edition format.

· Choose 

one
 life stage (adolescents, middle age, or older adults). Based on your readings, personal experiences, and/or research of evidence-based practices, discuss the following:

· What are the priority health promotion assessments for those clients? How would you approach that assessment?

· Would you change your approach to 
teaching health promotion?

Write at least 2 paragraphs with intext citations and references in APA 7th edition format.


AKI

 

Acute Kidney Injury (AKI) is highly prevalent in ICU settings and requires significant consideration.  AKI is rarely attributed to a single factor, and most critically ill patients who develop AKI have coexisting conditions.

Many forms of AKI are preventable and patients at risk should be evaluated early according to clinical condition and biomarkers.  Discuss AKI prevention and pharmacological treatment strategies.  Include specific recommendations for preventing or treating drug-induced AKI. 

Instructions:

Post your discussion to the Moodle Discussion Forum.  Initial post must be made by Day #3.  Word limit 500 words.  Reply to at least two other student posts with a reflection of their response.  Please make sure to provide citations and references (in APA, 7th ed. format) for your work.