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DNP 835 Topic 1 DQ 1 PS 101: Introduction to Patient Safety Reflection Example

Assignment Brief: DNP 835 Topic 1 DQ 1 PS 101: Introduction to Patient Safety Reflection Assignment

Assignment Overview:

In this assignment, you will engage in a reflective analysis of the discussions in DNP 835 Topic 1, specifically focusing on Patient Safety (PS) 101: Introduction to Patient Safety. The objective is to critically evaluate and respond to key concepts and insights shared by peers in the context of patient safety practices and initiatives.

Assignment Objectives:

• Reflect on Patient Safety Discussions: Your main task is to think about the discussions that happened in DNP 835 Topic 1, particularly those related to patient safety. Consider various perspectives, insights, and experiences shared by your peers and evaluate their implications for healthcare practices.
• Incorporate Assigned Readings: Include relevant information from the assigned readings, including references to the Joint Commission’s key elements, Lawati et al.’s systematic review, and the study by Storesund et al. on the impact of checklists in surgery.
• Analyze Leadership Commitment: Evaluate the commitment of healthcare leadership to patient safety, as discussed in the posts. Assess the outlined strategies and principles for fostering a culture of safety within healthcare organizations.
• Explore Surgical Safety Checklists: Look into the effectiveness of surgical safety checklists, drawing insights from the discussions on the World Health Organization Surgical Safety Checklist and the Surgical Patient Safety System (SURPASS) checklists. Consider how these tools contribute to preventing complications and improving patient outcomes.
• Evaluate Nursing Errors: Think about the challenges and factors contributing to nursing errors, as highlighted in the posts. Analyze the implications of these errors for patient safety and explore potential strategies to address them.
• Apply Patient Safety Concepts: Consider real-life examples shared by peers, such as the case of a doctor administering the wrong blood due to onboarding processes. Discuss how the principles of patient safety can be applied to mitigate such errors and improve overall healthcare processes.

The Student’s Role:

As a student, your role is to actively engage with the content discussed in DNP 835 Topic 1. Participate in the reflective process, bringing in your insights and experiences related to patient safety. Demonstrate a comprehensive understanding of the assigned readings and apply the concepts to the context of patient safety in healthcare settings. Your reflections should go beyond summarization and aim to provide thoughtful analyses, considering the broader implications for healthcare delivery and patient outcomes.

Detailed Assessment Instructions for the DNP 835 Topic 1 DQ 1 PS 101: Introduction to Patient Safety Reflection Assignment

DNP 835 Topic 1 DQ 1 Reflecting on the “IHI Module PS 101: Introduction to Patient Safety,” summarize why it is essential to improve patient safety

Topic 1 DQ 1

Reflecting on the “IHI Module PS 101: Introduction to Patient Safety,” summarize why it is essential to improve patient safety. Use one of the articles from this week’s topic Resources and describe the framework or theory that was used to improve the patient outcome. What outcome measures were identified and how did they align with the improvement project? Explain how the authors learned from the error or unintended events to ensure patient safety. Provide supporting evidence.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.

Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.

One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.

I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.

In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.

Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).

Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).

Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.

I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.

As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.

It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

 

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

DNP 835 Topic 1 DQ 1 PS 101: Introduction to Patient Safety Reflection Example

Reflection on IHI Module PS 101: Introduction to Patient Safety:

Improving patient safety is a critical aspect of healthcare, and the IHI Module PS 101 sheds light on the key elements, including leadership, policies, transparency, validation, and just culture, necessary for fostering a safety culture. The relevance of patient safety is emphasized through its impact on the quality of care. Safety culture, as defined by Lee et al. (2019), is shaped by individual and group values, attitudes, perceptions, competencies, and behavior patterns, determining an organization’s commitment to health and safety management.

Nurses, as frontline healthcare workers, play a pivotal role in promoting patient safety. Nursing knowledge, derived from nursing theories, is a valuable asset for delivering patient-centered care and improving outcomes (Ortiz, 2021). The importance of proper assessment and adherence to guidelines is highlighted by Haley and Fritz (2019), emphasizing the need to treat the resident and not the urine in long-term care settings.

Leadership commitment to a safety culture is crucial, as highlighted in the Joint Commission’s key elements. This commitment involves communication of support, modeling expected behavior, creating a code of conduct, fostering an environment for reporting errors without fear of punishment, and promoting collaboration across disciplines (Joint Commission, 2019).

The focus on patient safety extends to perioperative care, where the use of checklists, such as the World Health Organization surgical safety checklist and the Surgical Patient Safety System checklists, has a significant impact. The study by Storesund et al. (2020) demonstrates the effectiveness of these checklists in reducing adverse events, unplanned repeat surgeries, and rehospitalization rates.

The implementation of the World Health Organization Surgical Safety Checklist globally resulted in a noteworthy reduction in complications and mortality rates (Haugen et al., 2019). The emphasis on protocol adherence and the checklist’s comprehensive nature contribute to improved patient safety outcomes.

Patient safety is not without challenges, and errors, particularly in nursing, are prevalent. Factors contributing to nursing errors include heavy workload, inadequate knowledge, and suboptimal working environments (Mohsenpour et al., 2017). It is crucial to address these challenges systematically and collaboratively to enhance patient safety.

Reflecting on personal experiences, the need for effective onboarding processes and systematic approaches to addressing errors is evident. Ordering unnecessary labs, as discussed by Haley and Fritz (2019), highlights the importance of empowering nurses with clinical judgment skills to avoid overuse of medical resources.

References:

Haley, T., & Fritz, S. (2019). Treat the resident, not the urine: Using patient safety to reduce urinary tract infections and overuse of urine culture in long term care. American Journal of Infection Control, 47(6), S8. https://doi.org/10.1016/j.ajic.2019.04.148

Institute for Healthcare Improvement. (n.d.). Improving Health and Health Care Worldwide | IHI – Institute for Healthcare Improvement. https://my.ihi.org/

Joint Commission. Comprehensive accreditation manual for hospitals (CAMH). Oakbrook Terrace (IL): Joint Commission Resources; 2019.

Lee, S. E., Scott, L. D., Dahinten, V. S., Vincent, C., Lopez, K. D., & Park, C. G. (2019). Safety culture, patient safety, and quality of care outcomes: a literature review. Western journal of nursing research, 41(2), 279-304.

Mohsenpour M, Hosseini M, Abbaszadeh A, et al. Iranian paediatric nurses experience of nursing error: a content analysis. HK J Paediatr (New Series) 2017; 22: 97–102.

Ortiz, M. R. (2021). Best practices in patient-centered care: Nursing theory reflections. Nursing Science Quarterly, 34(3). https://doi-org/10.1177/08943184211010432

Storesund, A., Haugen, A. S., Flaatten, H., Nortvedt, M. W., Eide, G. E., Boermeester, M. A., Sevdalis, N., Tveiten, Ø., Mahesparan, R., Hjallen, B. M., Fevang, J. M., Størksen, C. H., Thornhill, H. F., Sjøen, G. H., Kolseth, S. M., Haaverstad, R., Sandli, O. K., & Søfteland, E. (2020). Clinical efficacy of Combined Surgical Patient Safety System and the World Health Organization’s checklists in surgery. JAMA Surgery, 155(7), 562. https://doi.org/10.1001/jamasurg.2020.0989

Haugen, A. S., Sevdalis, N., & Søfteland, E. (2019). Impact of the world health organization surgical safety checklist on patient safety. Anesthesiology, 131(2), 420-425.

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Thank you for your insightful post. I concur with your statements regarding the critical importance of prioritizing patient safety. Particularly noteworthy is the assertion, “Due to the complexity of the healthcare system about patient care, practicing patient safety is vital to preventing errors and harm when caring for the patient. Nurses contribute to and promote patient safety practices.” In alignment with the Joint Commission’s key elements, the leadership of my organization has dedicated itself to fostering a safety culture. This commitment involves holding themselves and others accountable for the following:

• Communicating leadership support for a culture of safety.
• Modeling expected behavior within a safety culture.
• Developing and enforcing a code of conduct that defines appropriate behavior supporting a safety culture and unacceptable behavior that can undermine it.
• Creating an environment where people can speak up about errors without fear of punishment; utilizing this information to identify system flaws contributing to mistakes.
• Applying a fair and consistent approach to evaluate the actions of staff involved in patient safety incidents.
• Supporting event reporting of near misses, unsafe conditions, and adverse events.
• Identifying and addressing organizational barriers to event reporting.
• Cultivating an organization-wide willingness to examine system weaknesses and using findings to improve care delivery.
• Promoting collaboration across ranks and disciplines to seek solutions to identified safety problems.
• Periodically assessing an organization’s safety culture to track changes and improvements.

(Joint Commission, 2019)

Jan 9, 2023, 6:30 PM

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Patient safety is the practice of preventing mistakes in medical care. It is essential to the quality of treatment that patients receive because even minor errors can negatively affect their general well-being. Patient safety requires a dedication to ongoing development and an emphasis on reducing risks and averting potential harm (Lawati et al., 2018). Patient safety is crucial because it protects patients from injury and raises the standard of care in general. Patients are more likely to experience better health outcomes when they receive safe care. As a result, it is crucial for healthcare professionals to put patient safety first and strive tirelessly to increase the security of the treatment they deliver. This essay describes the use of checklists in the perioperative care pathway to improve surgery patients’ safety and outcomes.

According to Storesund et al. (2020), the study aimed to determine the impact of the World Health Organization surgical safety checklist (WHO SSC) and the Surgical Patient Safety System (SURPASS) checklists on patient treatment results such as illness, death, and hospitalization length. The research design involved introducing the pre- and post-operative SURPASS checklists to the intraoperative surgical safety checklist in surgery departments at a tertiary hospital in Norway using a nonrandomized clinical trial approach. The primary purpose of these checklists was to improve patient outcomes by consistently following key safety steps throughout the perioperative care pathway.

My focus is to assess the incidence of complications during hospitalization, unplanned repeat surgeries, unplanned return visits within thirty days of being discharged, and death within thirty days. These outcomes were chosen because they are all indicators of patient safety and have the potential to have a significant impact on patient outcomes. The study aimed to improve patient outcomes overall by lowering the occurrence of complications, reoperations, and readmissions, as well as improving survival rates.

This study used the length of hospital stay (LOS) as a secondary outcome measure. While LOS is not directly related to patient safety, it can be an important indicator of the perioperative care pathway’s efficiency and effectiveness. The study aimed to improve the overall efficiency of the perioperative care pathway by lowering the LOS, which could lead to cost savings and improved patient satisfaction (Storesund et al., 2020). The identified outcome measures were generally aligned with the improvement project, as they were chosen to assess the impact of the checklists on key indicators of patient safety and efficiency in the perioperative care pathway.

The joint application of the two checklists was linked to decreased adverse events while in the hospital, unplanned repeat surgeries, and rehospitalization rates. According to Storesund et al. (2020), this finding raises the possibility that using these checklists could help identify and prevent mistakes or unintended events in the perioperative care pathway, improving patient outcomes.

References

Lawati, M. H., Dennis, S., Short, S. D., & Abdulhadi, N. N. (2018). Patient safety and safety culture in primary health care: A systematic review. BMC Family Practice, 19(1). https://doi.org/10.1186/s12875-018-0793-7

Storesund, A., Haugen, A. S., Flaatten, H., Nortvedt, M. W., Eide, G. E., Boermeester, M. A., Sevdalis, N., Tveiten, Ø., Mahesparan, R., Hjallen, B. M., Fevang, J. M., Størksen, C. H., Thornhill, H. F., Sjøen, G. H., Kolseth, S. M., Haaverstad, R., Sandli, O. K., & Søfteland, E. (2020). Clinical efficacy of Combined Surgical Patient Safety System and the World Health Organization’s checklists in surgery. JAMA Surgery, 155(7), 562. https://doi.org/10.1001/jamasurg.2020.0989

Jan 10, 2023, 7:12 PM

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Hi Lydia, thanks for your post and for discussing the surgical checklist for patient safety. Serious complications and sometimes loss of life have resulted from surgical errors. The introduction of a surgical checklist helped alleviate the complications previously experienced. The most common surgical complications are related to surgical techniques, infections, and postoperative bleeding. A record of 48.6 to 60.7% reduction in equipment errors was achieved with the use of a preoperative checklist. Implementation and practice of good teamwork, communication, and consistency of care are essential in achieving improved patient safety.

The use of the World Health Organization Surgical Safety Checklist was noted to reduce complications from 11.0 to 7.0%, with a mortality drop from 1.5 to 0.8% in a global setting of eight hospitals in eight countries (Haugen et al., 2019). In another scenario, the WHO checklist was reported to have resulted in a reduction of surgical complications from 19.9 to 12.4% in the intervention group, and the concurrent length of stay was reduced by 0.8 days. As with any procedure, it is essential to implement and adhere to the protocol in its entirety to achieve the desired outcomes.

Reference

Haugen, A. S., Sevdalis, N., & Søfteland, E. (2019). Impact of the world health organization surgical safety checklist on patient safety. Anesthesiology, 131(2), 420-425.

Jan 11, 2023, 11:28 PM

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Patient safety is a major concern in the healthcare system, and medical errors are the most significant threats in this regard. Generally, mistakes occur when one’s choice leads to negative or less desirable outcomes and in fact, the term “error” means to astray. The most frequent nursing students’ errors are related to hand hygiene and personal protection. In addition, the lack of enough skills and appropriate equipment are prevalent causes of nursing students’ errors.

Authorities in this field should attend to these errors in nursing education, clinical practice, and nursing studies in order to promote this profession in all of these three dimensions. Nurses play a crucial role in providing health care; however, the results of a study showed that 20% of nurses make at least one mistake during their working time. The factors leading to committing errors include heavy workload, a large number of patients, unstable patient status, nurses’ lack of adequate knowledge, improper working environment, and lack of support from and cooperation with experienced staff.

References

Mohsenpour M, Hosseini M, Abbaszadeh A, et al. Iranian paediatric nurses experience of nursing error: a content analysis. HK J Paediatr (New Series) 2017; 22: 97–102.

Jan 9, 2023, 4:45 PM

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I am unsure which stories touched me more, as I can see myself in every situation. For example, the doctor that accidentally administered the wrong blood due to inadequate onboarding processes could have easily avoided the mistake had he been familiar with the hospital’s procedures (Institute for Healthcare Improvement, n.d.). As many patients, including myself, have fallen victim to medical errors, we must begin to review the process (Institute for Healthcare Improvement, n.d.). Unfortunately, I am not optimistic when it comes to the nursing population, as it is likely that some will find it better to gloat about a colleague’s errors rather than focus on fixing the situation. However, the IHI curriculum pilot example shows that this process is ineffective in increasing patient safety but adds to the takeaways from the IHI lesson. The lesson examples that addressing errors systematically is the best approach (Institute for Healthcare Improvement, n.d.).

However, the assignment asks us to review the posted articles and provide a synopsis relevant to the topic; in this aspect, we know that ordering unnecessary labs increases costs (Haley & Fritz, 2019). In this case, simply empowering the nurses to assess and clinical judgment skills to assess residents for Urinary Tract Infections showed promise in reducing the orders for urine cultures (Haley & Fritz, 2019).

References

Haley, T., & Fritz, S. (2019). Treat the resident, not the urine: Using patient safety to reduce urinary tract infections and overuse of urine culture in long term care. American Journal of Infection Control, 47(6), S8. https://doi.org/10.1016/j.ajic.2019.04.148

Institute for Healthcare Improvement. (n.d.). Improving Health and Health Care Worldwide | IHI – Institute for Healthcare Improvement. https://my.ihi.org/

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PHI-413V Benchmark Patient’s Spiritual Needs: Case Analysis Example

Assignment Brief: PHI-413V Benchmark – Patient’s Spiritual Needs: Case Analysis

Overview:

The purpose of this assignment is to analyze a case study involving the postponement of medical intervention based on religious beliefs and to explore the ethical implications of such decisions. The case study revolves around the decisions made by a parent, Mike, for his son, James, considering spiritual beliefs and their impact on healthcare choices.

Understanding Assignment Objectives:

Decision-Making and Autonomy:

• Analyze the crucial ethical principles of patient autonomy and decision-making.
• Examine the challenges presented when dealing with minors and parental decisions.
• Assess the ethical and legal responsibilities of healthcare professionals in cases where parental decisions may pose harm to the patient.
• Evaluate the application of the principles of beneficence and non-maleficence in pediatric healthcare.

Christian View Regarding Health and Sickness:

• Explore the influence of religious beliefs on healthcare practices and perceptions of sickness, health, and healing.
• Examine the Christian perspective on illness, specifically viewing sickness as a test or punishment from God.
• Analyze relevant biblical references that guide Christians on seeking medical treatment and the responsibility to care for the body as a temple.
• Discuss the balance between faith, prayer, and medical interventions from a Christian standpoint.

Spiritual Assessment:

• Understand the significance of conducting a spiritual needs assessment in the context of healthcare decisions.
• Explore tools used for spiritual assessments, focusing on dimensions such as purpose, values, and self-identity.
• Examine the role of healthcare professionals in addressing spiritual needs and directing patients to appropriate pastoral care.
• Discuss the potential impact of a spiritual assessment on the alignment of medical decisions with religious beliefs.

The Student’s Role:

As a student, your role is to critically engage with the case study and address the outlined objectives. Provide in-depth analyses of the ethical considerations surrounding parental decisions, the Christian perspective on health and sickness, and the relevance of spiritual assessments in healthcare. Support your insights with references to ethical principles, biblical references, and scholarly literature.

Detailed Assessment Instructions for the PHI-413V Benchmark Patient’s Spiritual Needs: Case Analysis Assignment

Benchmark – Patient’s Spiritual Needs: Case Analysis

Spirituality and religion are crucial factors in most people seeking medical care. Unfortunately, health care professionals might not consider religious beliefs and spiritual needs when they are dealing with complex medical decisions for their patients or their families. This paper analyzes a case involving parental postponement of a medically needed intervention based on religious beliefs in prayers and miracles…

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about \”Case Study: Healing and Autonomy\” as the basis for your responses in this assignment.

Answer the following questions about a patient\’s spiritual needs in light of the Christian worldview.

In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient\’s autonomy? Explain your rationale.
In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James\’s care?
In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?
Remember to support your responses with the topic study materials. Benchmark – Patient’s Spiritual Needs: Case Analysis

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2 Benchmark – Patient’s Spiritual Needs: Case Analysis

Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

Case Study: Healing and Autonomy

Mike and Joanne are the parents of James and Samuel, identical

twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought

into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’s condition was acute enough

to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However,James also had elevated

blood pressure and enough fluid buildup that required temporary dialysis to relieve.The attending physician suggested immediate dialysis.After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close

friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet, Mike and Joanne

agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then.

Two days later the family returned and was forced to place James Benchmark – Patient’s Spiritual Needs: Case Analysis

on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier.Had he not enough faith? Was God punishing him or James? To make matters

worse, James’s kidneys had deteriorated such that his dialysis was now not a temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James.However, none of them were tissue matches James’s nephrologist called to schedule a private appointment with Mike and Joanne.James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’s brother Samuel. Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? Mike reasons, “This time around it is a matter of life and death. What could require greater faith than that?”

PHI-413V Benchmark Patient’s Spiritual Needs: Case Analysis Example

Introduction

Spirituality and religion play pivotal roles in the healthcare decisions of individuals. However, healthcare professionals often overlook religious beliefs and spiritual needs when navigating complex medical scenarios. This paper delves into a case involving the deferment of a medically necessary intervention due to religious convictions about prayers and miracles.

Physician’s Role in Decision-Making

In the case of James, the physician should not have permitted Mike, the father, to persist in making decisions that seemed irrational and detrimental to James. While respecting parental autonomy is crucial, healthcare professionals bear a legal and ethical responsibility to intervene when a child’s well-being is jeopardized (Katz & Webb, 2016). In instances where a child faces the risk of disability or death due to parental decisions, professionals must report the situation to appropriate authorities and, if necessary, proceed with life-saving interventions.

Christian Perspective on Health and Sickness

From a Christian standpoint, perceptions of health and sickness are intertwined with faith. Some Christians may view good health as a reward for righteous living and illness as a consequence of sin or a test of faith. In the case of James, his father, Mike, grapples with feelings of inadequacy and questions whether the illness is a result of insufficient faith.

It is imperative for Christians to understand that seeking medical intervention aligns with biblical principles. In Matthew 9:12, Jesus emphasized the role of physicians, indicating that those who are sick need a physician. Medical care is not a lack of faith but a means through which God’s healing can manifest. Christians are encouraged to honor their bodies as temples of God and seek medical care responsibly (1 Corinthians 6:19-20).

Mike’s Dilemma and Christian Ethics

As a Christian, Mike should recognize that medical intervention is not a contradiction to trusting God. Allowing James to undergo necessary medical procedures does not negate the power of prayer but acknowledges that God may work through healthcare professionals. Honoring the principles of beneficence and nonmaleficence, Mike should consider the potential benefits of a kidney transplant for James. Beneficence entails promoting well-being, and in this case, a transplant can save James’s life without necessarily conflicting with spiritual beliefs.

Spiritual Needs Assessment

A spiritual needs assessment is instrumental in guiding the physician to assist Mike in determining suitable interventions for James and the family. Identifying spiritual and religious needs ensures that medical decisions are respectful and responsive to these beliefs. A comprehensive assessment involves supporting spiritual beliefs, organizing resources, and facilitating spiritual activities (Isaac et al., 2016).

Upon identifying the spiritual needs of James’s family, the physician can then decide whether to address these needs or involve spiritual and religious leaders in the care process. Referring individuals to appropriate pastoral care acknowledges the importance of spirituality in healthcare decision-making without placing the burden solely on medical professionals.

Conclusion

In conclusion, addressing a patient’s spiritual needs, especially within the context of religious beliefs, is essential for providing holistic and patient-centered care. While respecting autonomy is crucial, healthcare professionals must navigate complex situations, especially when a child’s well-being is at stake. Integrating spirituality into the care process through assessments and collaboration with spiritual leaders ensures a more comprehensive and respectful approach to healthcare decision-making.

References:

Isaac, K., Hay, J., & Lubetkin, E. (2016). Incorporating Spirituality in Primary Care. Journal of Religion and Health, 55(3), 1065-1077.

Katz, A., & Webb, S. (2016). Informed Consent in Decision-Making in Pediatric Practice. Pediatrics, 138(2), e20161485.

Part Two:

In 200-250 words, respond to the following:

In the context of the Christian worldview, the principles in this case are specified and weighted based on the core tenets of Christian ethics. Christians, when grappling with healthcare dilemmas, consider four key principles, recognizing the need for nuanced evaluation in each unique medical situation. In the presented case, the principle of beneficence carries significant weight. Despite James’s stable condition, the imminent threat to his life within a year without an organ transplant elevates the importance of saving his life. The Christian teaching underscores the sacredness of human life, imposing an obligation on Christians to preserve life. Both the parents and the healthcare practitioners share the responsibility of ensuring James’s survival, aligning with the principle of beneficence. Beyond mere survival, there exists a duty to enhance James’s life, a task guided by the same principle.

In 200-250 words, respond to the following:

Within the Christian worldview, achieving a balance among the four principles—Beneficence, Nonmaleficence, Autonomy, and Justice—is a matter of discerning priorities aligned with Christian values. The sanctity of life, considered sacred in Christianity, forms the basis for balancing these principles. Christians navigate this delicate equilibrium by prioritizing the principle most aligned with preserving life. For instance, while autonomy allows freedom of choice, the paramount importance of beneficence may supersede in critical situations. In the case, parents exercised autonomy by seeking faith healing, potentially neglecting the beneficence owed to their son. The healthcare professional, guided by Christian ethics, might intervene, placing James on dialysis to avert harm.

Additionally, the Christian perspective emphasizes the role of justice and nonmaleficence. Clear communication with the parents, explaining that delaying treatment could exacerbate James’s condition and lead to dire consequences, incorporates these principles into the decision-making process. Ultimately, a Christian balance among the principles ensures a comprehensive approach, respecting autonomy but prioritizing beneficence, justice, and nonmaleficence in alignment with Christian teachings.

References:

Fried, A. L., & Fisher, C. B. (2018). Emerging ethical and legal issues in clinical child and adolescent psychology. In The Oxford Handbook of Clinical Child and Adolescent Psychology.

Hoehner, P. J. (2018). Practicing dignity: An introduction to Christian values and decision-making in health care. Biomedical ethics in the Christian narrative. Retrieved from https://lc.gcumedia.com/phi413v/practicing-dignity-an-introduction-to-christianvalues-and-decision-making-in-health-care/v1.1/#/chapter/3

PHI-413V Benchmark Patient’s Spiritual Needs: Case Analysis Example Two

Spiritual Needs Assessment

As healthcare professionals, engaging in conversations with patients about their spirituality becomes imperative. The beliefs, values, and morals of individuals shape their identity, influencing the approach of healthcare workers in providing care. Respecting patients’ beliefs, faith, and cultural backgrounds establishes trust and rapport, essential components of patient care. To deliver optimal care, healthcare professionals must understand the intricate connection between a patient’s belief system and the care plan. Confidence and openness to discussing various aspects of spirituality are crucial for effective patient care.

The author conducted an interview with a family member, D.K., who underwent treatment for an extended period, eventually diagnosed with Celiac Disease. This paper aims to create a spiritual assessment based on the interview, presenting a transcript and analyzing the interaction. Evaluation of the interview’s successes, areas for improvement, and identification of potential barriers between the interviewer and interviewee will be addressed. The focus of the interview is on D.K.’s experiences as a patient in a hospital setting.

Part I: The Interview

Inquiring about D.K.’s religious and spiritual beliefs, the interview revealed her 30-year commitment to Christianity and her reliance on faith during the hospitalization. The discussion highlighted the role of prayer and communion in supporting her spiritual well-being. When questioned about the influence of her beliefs on self-care decisions, D.K. expressed a heightened prayer focus and shared the significance of others praying for her. Additionally, privacy and respect for personal spiritual time emerged as crucial needs that healthcare professionals could address.

Part II: Analysis

The interviewee, an older Caucasian female and a devout Christian, faced a challenging diagnosis of Celiac Disease, impacting her culinary profession centered around gluten. The interview underscored the importance of spiritual care during hospitalization, emphasizing the need for healthcare professionals to respect and encourage moments of prayer and reflection. The author identified the potential value of conducting the interview while D.K. was still an inpatient.

No significant barriers were identified during the spiritual assessment, and the author stressed the importance of maintaining a commitment to spiritual care even amid busy schedules. Acknowledging the interconnectedness of spiritual and physical healing, the author emphasized the equal significance of addressing patients’ spiritual needs without delay.

References:

D.K. Personal Communication. November 2016.

Joint Commission. 2016. Medical Record – Spiritual Assessment. Retrieved from Joint Commission Spiritual Assessment. Benchmark – Patient’s Spiritual Needs: Case Analysis.

PHI-413V Benchmark Patient’s Spiritual Needs: Case Analysis Example Three

The principle of autonomy upholds a patient’s right to make informed medical decisions. However, in the context of this case within a Confucian society, where familial authority plays a significant role, the head of the family, Mike, is expected to make decisions for those under his care (Tai & Tsai, 2003). Despite the physician’s obligation to present all possible measures, the decision ultimately rests with James’s parents, even if it appears irrational from a medical standpoint. Mike, as a Christian family head, is entrusted with ensuring the well-being, both physical and spiritual, of his children. Thus, respecting patient autonomy is vital, trusting that Mike will act in his son’s best interest. James’s parents, albeit belatedly, opted for dialysis, a crucial step in stabilizing the child, allowing time for thoughtful consideration and consultation to determine the best course that benefits James without jeopardizing Samuel.

The physician may intervene in decision-making only if Mike is deemed incompetent or uncertain about the child’s best interests. In such cases, the physician should thoroughly explain all options and the chosen course of action, detailing the potential implications associated with the selected treatment method (Tai & Tsai, 2003).

Christians Views on Sickness and Health

Christianity acknowledges suffering, including sickness, pain, and disability, as integral to religious life (Porterfield, 2005). Viewing suffering as a path to redemption, Christians believe that healing is facilitated through unwavering faith in a higher power. Perspectives on sickness and healing vary among Christians, with some perceiving it as a consequence of sins, while others see it as a test of faith (Porterfield, 2005). In this case, Mike interpreted James’s illness as divine punishment, reflecting the diverse Christian perspectives. Seeking religious meaning and redemption during suffering is common among Christians, often manifesting through caregiving mirroring Jesus’ healing ministry.

Medical interventions, essential for Christians, do not signify a loss of faith; instead, they complement spirituality. Combining medicine with spirituality fosters positive expectations, alleviates stress, and enhances natural recovery processes, akin to the placebo effect (Porterfield, 2005). Various forms of medical interventions, including nutrition, exercise, and mental well-being, intertwine with Christian practices, promoting a holistic approach to health.

Mike, driven by the principles of nonmaleficence and benevolence, should act in James’s best interest. While prayer was attempted, the subsequent dialysis stabilized James, underscoring the importance of medical interventions. Embracing medical assistance aligns with Christian beliefs, acknowledging that God works through individuals, including healthcare professionals. To uphold his faith, Mike can prayerfully support the organ transplant, trusting in divine guidance.

Spiritual Assessment

Spiritual assessment in healthcare aids practitioners in addressing patients’ spiritual and emotional needs during challenging times. Utilizing Draper’s (2012) generic approach to spiritual assessment would be beneficial for Mike. This approach helps recognize and acknowledge spiritually based issues, identifying coping resources and facilitating informed decision-making. Questions should explore Mike’s spiritual beliefs, meaningful aspects of James’s life, and how these beliefs influence healthcare decisions.

Furthermore, the assessment tool can probe into Mike’s spiritual community, assessing its potential to provide emotional and spiritual support. Understanding these aspects enables the physician to tailor interventions that enhance spiritual well-being. Spiritual engagement contributes to improved quality of life, reduced stress symptoms, increased mindfulness, and enhanced coping mechanisms.

Conclusion

Christianity profoundly shapes perceptions of sickness, health, and seeking help from healthcare professionals. Both Christians and physicians play vital roles in maintaining patient autonomy, ensuring informed decision-making while respecting religious beliefs. Integrating medicine with spirituality provides a comprehensive approach to healthcare, acknowledging the interconnectedness of physical and spiritual well-being. The case emphasizes the importance of Christians accepting medical assistance when necessary, promoting a harmonious balance between faith and professional healthcare.

References

Craigie, F. C. (2010). Positive spirituality in health care: Nine practical approaches to pursuing wholeness for clinicians, patients, and health care organizations. Hillcrest Publishing Group.

Draper, P. (2012). An integrative review of spiritual assessment: implications for nursing management. Journal of Nursing Management, 20(8), 970-980.

Porterfield, A. (2005). Healing in the History of Christianity. Oxford University Press.

Tai, M. C. T., & Tsai, T. P. (2003). Who makes the decision? Patient’s autonomy vs. paternalism in a Confucian society. Croatian medical journal, 44(5), 558-561.

Zollfrank, A. A., Trevino, K. M., Cadge, W., Balboni, M. J., Thiel, M. M., Fitchett, G.… & Balboni, T. A. (2015). Teaching health care providers to provide spiritual care: a pilot study. Journal of Palliative Medicine, 18(5), 408-414.

PHI-413V Benchmark Patient’s Spiritual Needs: Case Analysis Example Four

Introduction

Healthcare professionals strive to adhere to ethical principles, encompassing a patient’s beneficence, autonomy, nonmaleficence, and justice. However, the intricate nature of human body systems and diverse values often complicates strict adherence to these principles (Johnstone, 2019). Spiritual and religious beliefs, in particular, can significantly influence patients’ willingness to follow healthcare recommendations, potentially leading to adverse health outcomes. This case study highlights the imperative of addressing patients’ spiritual needs to ensure compliance with beneficence and nonmaleficence principles.

Patient Autonomy

The presented case underscores challenges related to patient autonomy. Decisions made by the parents, Mike and Joanne, create a dilemma for the physician in upholding beneficence and nonmaleficence principles. The parents’ choices result in a severe deterioration of their son’s health, prompting consideration of the child’s best interest over parental preferences. While tempting to override parental autonomy for the child’s benefit, disrespecting autonomy can lead to unintended consequences, including distrust in healthcare professionals and potential endangerment of the child (Ubel, Scherr, & Fagerlin, 2017).

Rather than infringing on parental autonomy, the physician should establish effective communication and rapport with the parents. Informing them about all options and consequences, the healthcare practitioner must act in the child’s best interest, emphasizing the principles of beneficence and nonmaleficence as priorities (Lawrence, 2007). While being compassionate, the physician should be clear and sincere in presenting the preferred treatment, fostering collaboration with the parents.

Christian Perspective Regarding Sickness and Health

The Christian view on health and illness is nuanced, encompassing perspectives of punishment or trial. In this case, Mike perceives his son’s illness as a trial imposed by God, necessitating an active response. Viewing medical advances as gifts from God, Christians are encouraged to accept these instruments rather than reject divine wisdom (Johnstone, 2019). To align with beneficence and nonmaleficence principles, Mike should seek medical assistance, integrating faith with medical interventions. Trusting God and utilizing medical tools ensures the child’s well-being, demonstrating responsibility in cherishing God’s gifts.

Spiritual Assessment Benefits

Recognizing diverse patient needs, contemporary healthcare professionals advocate for spiritual assessments to facilitate holistic care. Various assessment instruments, including open-ended interviews, prove effective in identifying patients’ values and beliefs (Timmins & Caldeira, 2017). In this case, a spiritual assessment would provide insight into Mike’s values, enabling the physician to craft arguments supportive of recommended treatments. The assessment could involve consultation with other professionals and the hospital’s chaplain to guide the family effectively. By addressing spiritual needs, the physician could enhance relationships, fostering greater patient compliance and cooperation.

Conclusion

Mike faces challenging decisions that can impact his son’s life profoundly. Rooted in Christian faith, Mike can find strength by perceiving the trial as a call to action and appreciating divine wisdom. The physician, through a spiritual assessment, could tailor communication to align with Mike’s values, promoting collaboration. In navigating this delicate situation, Mike’s faith, integrated with medical interventions, can guide decisions that prioritize the child’s well-being.

References

Hubbard, R., & Greenblum, J. (2019). Parental decision making: The best interest principle, child autonomy, and reasonableness. HEC Forum, 31(3), 233-240.

Johnstone, M. J. (2019). Bioethics: A nursing perspective (7th ed.). Chatswood, NSW: Elsevier Health Sciences.

Lawrence, D. J. (2007). The four principles of biomedical ethics: A foundation for current bioethical debate. Journal of Chiropractic Humanities, 14, 34-40.

Timmins, F., & Caldeira, S. (2017). Assessing the spiritual needs of patients. Nursing Standard, 31(29), 47-53.

Ubel, P. A., Scherr, K. A., & Fagerlin, A. (2017). Empowerment failure: How shortcomings in physician communication unwittingly undermine patient autonomy. The American Journal of Bioethics, 17(11), 31-39.

PHI-413V Benchmark Patient’s Spiritual Needs: Case Analysis Example Five

Introduction

Considering religion and spirituality is crucial in healthcare, acknowledging individual variations in religious, spiritual, and philosophical inclinations. Healthcare professionals, despite personal beliefs, must prioritize ethical decision-making for prompt medical attention (Lawrence, 2007). This case, exemplified by James, emphasizes the central role of healing in nursing, treating human life as invaluable and created in God’s image. The case delves into how a parent’s choices impact family dynamics in the context of a child’s health.

Question 1

Adhering to the principles of beneficence and non-maleficence, which prioritize patient well-being, the doctor asserts that Mike’s judgments, deemed detrimental to James, must be addressed. Balancing therapy advantages with costs and risks aligns with beneficence, while non-maleficence prioritizes the patient’s welfare (Bavinck & Sutanto, 2019). Despite respecting patient autonomy, the physician may need to proceed with necessary treatments to avert harm, ensuring the patient’s access to medical care (Kabbur, 2013).

Sickness and Health

The Christian perspective views illness as an inevitable part of life, fostering fortitude, character, and hope through trials (Romans 5:3-4). Despite environmental sources of sickness, faith remains pivotal for healing, emphasizing trust in God’s promises (Hebrews 11:6). While illness is not desired, God’s presence brings comfort and hope to the afflicted (Mariottini, 2018).

Medical Intervention

Christians perceive medical assistance as a divine gift, emphasizing faith in the synergy of medical intervention and religious belief. Seeking timely medical attention is endorsed, acknowledging God’s provision of knowledge to physicians (Sirach, Chapter 38). Faith in medical intervention aligns with the belief in God’s healing gifts.

Recommendation Action for Mike

Mike’s decisions, influenced by a misunderstanding of Biblical narratives, may conflict with universal principles of good and evil. Advocating for a kidney transplant aligns with Christian values, considering it an act of love akin to Jesus’ example. Despite the difficulty, choosing a transplant for James, supported by Samuel, aligns with preserving life, emphasizing the potential for a healthy and normal life with one kidney.

Spiritual Needs Assessment

James’ physical pain and Mike’s spiritual distress necessitate a spiritual assessment. Recognizing the interplay of religious beliefs and health, a spiritual examination aids in understanding perspectives, fostering tailored solutions. The HOPE questions and Joint Commission’s Spiritual Assessment provide valuable insights, enhancing patient-doctor relationships and promoting better outcomes.

Conclusion

Religious beliefs significantly influence medical decisions, necessitating healthcare professionals’ training in spiritual needs assessment. Understanding and respecting patients’ religious views ensure compassionate and high-quality treatment. A proper spiritual examination fosters comprehension between healthcare providers and patients, contributing to improved outcomes.

References

Anandarajah, G. (2005). Doing a Culturally Sensitive Spiritual Assessment: Recognizing Spiritual Themes and Using the HOPE Questions. Virtual Mentor,7(5). doi: 10.1001/virtualmentor.2005.7.5.cprl1-0505

Bavinck, H., & Sutanto, N. G. (2019). Christian worldview. Wheaton, Illinois: Crossway.

Biblica Inc. (2011). Romans 5:3-4 New International Version. Retrieved from Bible Gateway

Kabbur, G. (2013). American Medical Association Journal of Ethics.

Lawrence DJ. (2007). The four principles of biomedical ethics: a foundation for current bioethical debate. Journal of Chiropractic Humanities, (14), 34–40. Retrieved from EBSCOhost

Mariottini, C. (2018, July 13). A Christian Perspective on Illness. Retrieved from Claude Mariottini

Shelly, J. A., & Miller, A. B. (2006). Called to care: A Christian worldview for nursing (2nd ed.).

PHI-413V Benchmark Patient’s Spiritual Needs: Case Analysis Example Six

In today’s era, remarkable strides have been achieved in medical science. Despite these progressions, a considerable number still lean towards relying on spirituality and religion instead of conventional medical approaches. Conversely, medical professionals often overlook the spiritual requirements of patients, neglecting to guide them through intricate medical decisions. This paper seeks to scrutinize a case involving a paternal postponement of medical intervention rooted in a belief in miracles and prayers.

Decision-Making and Autonomy

An imperative facet of medical ethics is patient autonomy and the prerogative of decision-making. When dealing with minors, the principles of autonomy and decision-making frequently present a quandary. In the specified case, Mike’s decision, grounded in religious belief, was detrimental to James’s health, warranting intervention by the physician. While parental decisions hold significance in childcare, physicians working with minors are duty-bound to discuss all options, balancing “respecting children’s rights and liberties while protecting them from harm” (Strom-Gottfried, 2008). The ethical and legal responsibility of the physician was to intervene in the decision, preventing potential harm to James (Katz et al., 2016). The delayed intervention resulted in increased deterioration, necessitating permanent dialysis and a kidney transplant.

Medical health practitioners bear the responsibility of safeguarding minors at risk of medical neglect (Katz et al., 2016). Upon identifying potential harm due to parental decisions, the physician is legally and professionally obligated to report parents to relevant authorities. Continuing life-saving intervention, even against parental objections, aligns with the principles of beneficence and non-maleficence.

Christian View Regarding Health and Sickness

Long-standing religious beliefs have significantly influenced individual healthcare practices and perspectives on sickness, health, and healing. The notion that good health is a reward for virtuous deeds while sickness may be a form of divine punishment or a test of faith has persisted. In James’s case, Mike initially viewed the illness as a test from God, resorting to prayer for recovery. However, as uncertainties arose, questioning his faith, Mike pondered if this was divine punishment. Such reflections are common among the religious, attributing illness to a lack of devotion. This perspective on health and sickness can adversely influence healthcare choices, as evident in Mike’s inclination towards prayer over medical interventions.

Christianity, while acknowledging the importance of faith, encourages followers to seek medical treatment in times of illness. The scripture in Matthew 9:12 emphasizes the need for medical attention when one is unwell. This underlines the freedom of Christians to seek professional medical consultation, recognizing medical science as a divine gift for their well-being. Viewing the human body as a temple, Christians are obliged “to honor God with your bodies” (1 Corinthians 6:19-20). Hence, caring for the body through medical means aligns with Christian values.

As a Christian, Mike needs to ensure that his decisions uphold the principles of beneficence and non-maleficence. Trusting healthcare professionals as agents of God for treatment aligns with preserving life, combining prayer and medical intervention for the best outcome.

Spiritual Assessment

Conducting a spiritual needs assessment is instrumental in identifying the spiritual needs of patients and their families. It aids physicians in providing support aligned with religious beliefs, offering insights into conflicting beliefs affecting medical decisions (Isaac et al., 2016).

The spiritual assessment aims to address religious beliefs through tools exploring dimensions such as purpose, values, transcendental experiences, and self-identity (Monod et al., 2010). Physicians, while not providing spiritual guidance, can direct patients to appropriate pastoral care. Chaplains are better suited to inform patients about the risks of forgoing treatment and may effectively persuade patients on the importance of medical intervention.

References

Isaac, K., Hay, J., & Lubetkin, E. (2016). Incorporating Spirituality in Primary Care. Journal of Religion and Health, 55(3), 1065–1077. https://doi.org/10.1007/s10943-016-0190-2

Katz, A. L., Webb, S. A., & COMMITTEE ON BIOETHICS. (2016). Informed Consent in Decision-Making in Pediatric Practice. Pediatrics, 138(2), e20161485. https://doi.org/10.1542/peds.2016-1485

Monod, S. M., Rochat, E., Büla, C. J., Jobin, G., Martin, E., & Spencer, B. (2010). The spiritual distress assessment tool: An instrument to assess spiritual distress in hospitalized elderly persons. BMC Geriatrics, 10(1), 88. https://doi.org/10.1186/1471-2318-10-88

New International Version. (2011). Bible Gateway passage: Matthew 9 – New International Version. Bible Gateway. https://www.biblegateway.com/passage/?search=Matthew%209&version=NIV

Rumun, A. J. (2014). INFLUENCE OF RELIGIOUS BELIEFS ON HEALTHCARE PRACTICE. 2(4), 12.

Strom-Gottfried, K. (2008). The Ethics of Practice with Minors: High Stakes, Hard Choices. Lyceum Books.

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NURS FPX 4040 Assessment Informatics and Nursing Sensitive Quality Indicators

Capella NURS FPX 4040 Assessment 4: Informatics and Nursing-Sensitive Quality Indicators

Assignment Brief: NURS FPX 4040 Assessment Informatics and Nursing Sensitive Quality Indicators

Course: NURS FPX 4040 Managing Health Information and Technology

Assignment Title: Assessment Informatics and Nursing Sensitive Quality Indicators

Assignment Overview:

This assignment aims to deepen your understanding of informatics and its role in Nursing Sensitive Quality Indicators (NSQIs). Focusing on the National Database of Nursing Quality Indicators (NDNQI) framework, you will explore the significance of nursing-sensitive indicators, their impact on patient outcomes, and the integration of informatics to enhance nursing care.

Understanding Assignment Objectives:

This assignment aims to enhance your comprehension of nursing-sensitive quality indicators, emphasizing the role of informatics in optimizing patient care outcomes. You will explore theoretical frameworks, legal considerations, and the practical application of technology in healthcare settings.

The Student’s Role:

As a student, your role is to engage critically with the NDNQI framework, select a specific nursing-sensitive quality indicator, and analyze its implications for patient care and organizational performance. Investigate the challenges faced by nurses and the potential benefits of informatics in addressing these challenges. Additionally, explore the legal and ethical responsibilities associated with accurate data reporting.

Detailed Assessment Instructions for the NURS FPX 4040 Assessment Informatics and Nursing Sensitive Quality Indicators Assignment

Prepare an 4-5 page paper on the importance of nursing-sensitive quality indicators.

As you begin to prepare this assessment you are encouraged to complete the Conabedian Quality Assessment Framework activity. Quality healthcare delivery requires systematic action. Completion of this will help you succeed with the assessment as you consider how the triad of structure (such as the hospital, clinic, provider qualifications/organizational characteristics) and process (such as the delivery/coordination/education/protocols/practice style or standard of care) may be modified to achieve quality outcomes.

The American Nursing Association (ANA) established the National Database of Nursing Quality Indicators (NDNQI®) in 1998 to track and report on quality indicators heavily influenced by nursing action.

 

NDNQI® was established as a standardized approach to evaluating nursing performance in relation to patient outcomes. It provides a database and quality measurement program to track clinical performance and to compare nursing quality measures against other hospital data at the national, regional, and state levels. Nursing-sensitive quality indicators help establish evidence-based practice guidelines in the inpatient and outpatient settings to enhance quality care outcomes and initiate quality improvement educational programs, outreach, and protocol development.

The quality indicators the NDNQI® monitors are organized into three categories: structure, process, and outcome. Theorist Avedis Donabedian first identified these categories. Donabedian’s theory of quality health care focused on the links between quality outcomes and the structures and processes of care (Grove, Gray, Jay, Jay, & Burns, 2015).

Nurses must be knowledgeable about the indicators their workplaces monitor. Some nurses deliver direct patient care that leads to a monitored outcome. Other nurses may be involved in data collection and analysis. In addition, monitoring organizations, including managed care entities, exist to gather data from individual organizations to analyze overall industry quality. All of these roles are important to advance quality and safety outcomes.

The focus of Assessment 4 is on how informatics supports the monitoring of nursing-sensitive quality indicator data. You will develop an 8–10 minute audio (or video) training module to orient new nurses in a workplace to a single nursing-sensitive quality indicator critical to the organization. Your recording will address how data are collected and disseminated across the organization along with the nurses’ role in supporting accurate reporting and high-quality results.

Reference

Grove, S. K., Gray, J. R., Jay, G.W., Jay, H. M., & Burns, N. (2015). Understanding nursing research: Building an evidence-based practice (6th ed.). St. Louis, MO: Elsevier.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.

Describe the interdisciplinary team’s role in collecting and reporting quality indicator data to enhance patient safety, patient care outcomes, and organizational performance reports.

Competency 3: Evaluate the impact of patient care technologies on desired outcomes.

Explain how a health care organization uses nursing-sensitive quality indicators to enhance patient safety, patient care outcomes, and organizational performance reports.

Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.

Justify how a nursing-sensitive quality indicator establishes evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes.

Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.

Deliver a professional and effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.

Follow APA style and formatting guidelines for citations and references.

Preparation

This assessment requires you to prepare a 4-5 page paper on the importance of nursing-sensitive quality indicators. To successfully prepare for your assessment, you will need to complete the following preparatory activities:

Select a single nursing-sensitive quality indicator that you see as important to a selected type of health care system.

Conduct independent research on the most current information about the selected nursing-sensitive quality indicator.

Interview a professional colleague or contact who is familiar with quality monitoring and how technology can help to collect and report quality indicator data. You do not need to submit the transcript of your conversation, but do integrate what you learned from the interview into the audio tutorial. Consider these questions for your interview:

What is your experience with collecting data and entering it into a database?

What challenges have you experienced?

How does your organization share with the nursing staff and other members of the health care system the quality improvement monitoring results?

What role do bedside nurses and other frontline staff have in entering the data? For example, do staff members enter the information into an electronic medical record for extraction? Or do they enter it into another system? How effective is this process

Instructions

For this assessment, imagine you are a member of a Quality Improvement Council at any type of health care system, whether acute, ambulatory, home health, managed care, et cetera. Your Council has identified that newly hired nurses would benefit from comprehensive training on the importance of nursing-sensitive quality indicators. The Council would like the training to address how this information is collected and disseminated across the organization. It would also like the training to describe the role nurses have in accurate reporting and high-quality results.

The Council indicates a recording is preferable to a written fact sheet due to the popularity of audio blogs. In this way, new hires can listen to the tutorial on their own time using their phone or other device.

As a result of this need, you offer to create an audio tutorial orienting new hires to these topics. You know that you will need a script to guide your audio recording. You also plan to incorporate into your script the insights you learned from conducting an interview with an authority on quality monitoring and the use of technology to collect and report quality indicator data.

You determine that you will cover the following topics in your audio tutorial script:

Introduction: Nursing-Sensitive Quality Indicator

What is the NDNQI®?

What are nursing-sensitive quality indicators?

Which particular quality indicator did you select to address in your tutorial?

Why is this quality indicator important to monitor?

Be sure to address the impact of this indicator on quality of care and patient safety.

Why do new nurses need to be familiar with this particular quality indicator when providing patient care?

Collection and Distribution of Quality Indicator Data

According to your interview and other resources, how does your organization collect data on this quality indicator?

How does the organization disseminate aggregate data?

What role do nurses play in supporting accurate reporting and high-quality results?

As an example, consider the importance of accurately entering data regarding nursing interventions.

Additional Requirements

References: Cite a minimum of three scholarly and/or authoritative sources.

APA: Submit along with the recording a separate Reference page that follows APA style and formatting guidelines. For an APA refresher, consult the APA Style and Formatpage on Campus.

NURS FPX 4040 Assessment Informatics and Nursing Sensitive Quality Indicators Example

Introduction

Welcome to this comprehensive tutorial on Nursing Informatics and Nursing-Sensitive Quality Indicators. I’m [Your Name], and in this session, we’ll explore why nursing-sensitive quality indicators are crucial, focusing on patient safety, quality care outcomes, and the essential role of health informatics. Let’s dig into the dynamic relationship between healthcare structures, processes, and outcomes, emphasizing the importance of evidence-based practice and technology in nursing.

Nursing-Sensitive Quality Indicators: A Foundation for Quality Care

Nursing-sensitive quality indicators, as defined by the American Nursing Association (ANA), are crucial measures reflecting the quality of organizational structures, processes, and outcomes in nursing care. These indicators play a vital role in enhancing patient safety and satisfaction while influencing organizational performance. For our tutorial, we will spotlight the nursing-sensitive quality indicator of patient falls.

Importance of Patient Falls as a Quality Indicator

Patient falls are a significant quality indicator due to their impact on patient safety and healthcare outcomes. According to the ANA, patient falls can lead to severe consequences, including extended hospitalization, physical injuries, and, in severe cases, fatalities. The rates of patient falls serve as a barometer for assessing the effectiveness of nursing practices and the overall safety of healthcare environments.

Collection and Distribution of Quality Indicator Data

Data Collection Through Health Information Systems

To monitor and improve patient safety practices, robust data collection mechanisms are crucial. Health information systems, including Electronic Health Records (EHRs), are instrumental in gathering and managing data related to nursing-sensitive quality indicators. During an interview with a senior information system executive, insights were gained into the role of technology in data collection and reporting.

Challenges and Opportunities in Data Collection

While health information systems provide a streamlined approach to data collection, challenges such as unrepresentative samples, lower response rates, and limited follow-up data persist. Our interviewee emphasized the need for continuous improvement in data collection tools, citing the benefits of web-based systems in accessing diverse populations and reducing costs.

Nurse’s Role in Accurate Reporting

Nurses play a pivotal role in supporting accurate reporting and achieving high-quality results. The accuracy of data, especially regarding nursing interventions, is crucial for informed decision-making. Integrating data into electronic medical records and other systems requires precision, and frontline staff’s effectiveness in this process contributes significantly to the reliability of quality indicator data.

Nursing Informatics: Empowering the Interdisciplinary Team

Nursing informatics encompasses the application of information technology in patient care, education, and organizational management. Let’s explore how nursing informatics empowers the interdisciplinary team:

Role of Nursing Informatics in Patient Care

Nursing informatics facilitates efficient data documentation, supports interdisciplinary collaboration, and enhances communication across different healthcare settings. Through electronic systems, nurses can collect, analyze, and report data, contributing to evidence-based decision-making in patient care.

Impact of Patient Care Technologies

Health information systems, including Electronic Health Records, have demonstrated transformative effects on patient care outcomes. Studies show that these systems reduce human errors, improve clinical outcomes, and enhance interdisciplinary coordination. The standardization of documentation procedures in EHRs contributes to positive patient outcomes, reducing information omissions and improving handover processes.

Technology for Quality and Safety: Electronic Health Records

Electronic Health Records (EHRs) are integral to enhancing quality and safety standards for patients. The adoption of EHRs has become widespread, with 96% of U.S. hospitals implementing these systems. The benefits of EHRs include increased organizational productivity, reduced documentation time, and improved access to complete and accurate patient information.

Evidence-Based Practice Guidelines

Nursing-sensitive quality indicators, such as patient falls, serve as a foundation for evidence-based practice guidelines. The systematic collection and analysis of data through EHRs enable organizations to identify areas for improvement. By implementing evidence-based guidelines derived from quality indicators, healthcare leaders can develop targeted interventions to prevent patient falls and enhance overall patient safety.

Conclusion

In conclusion, nursing-sensitive quality indicators are invaluable tools for measuring and improving organizational structures, processes, and outcomes in healthcare. Our focus on patient falls as a quality indicator highlights its significance in assessing patient safety and the effectiveness of nursing practices. Leveraging health informatics, particularly through EHRs, enhances the collection, analysis, and dissemination of quality indicator data, contributing to evidence-based practice and improved patient care outcomes.

Thank you for joining this tutorial on Nursing Informatics and Nursing-Sensitive Quality Indicators. As healthcare professionals, your commitment to understanding and applying these concepts is essential for ensuring the delivery of high-quality and safe patient care.

References

Agency for Healthcare Research and Quality – AHRQ (2019, September 7). Falls. Retrieved from https://psnet.ahrq.gov/primer/falls.

Agency for Healthcare Research and Quality – AHRQ (2013). 5. How do you measure fall rates and fall prevention practices? Retrieved from https://www.ahrq.gov/professionals/systems/hospital/fallpxtoolkit/fallpxtk5.html.

Alotaibi, Y., and Federico, F. (2017). The Impact of Health Information Technology on Patient Safety. Saudi Medical Journal, 38(12), 1173–1180. https://doi.org/10.15537/smj.2017.12.20631.

Dellinger, A. (2017). Older Adult Falls: Effective Approaches to Prevention. Current Trauma Reports, 3(2), 118–123. https://doi.org/10.1007/s40719-017-0087-x.

Health IT. (2019). Improved Diagnostics and Patient Outcomes. Retrieved from https://www.healthit.gov/topic/health-it-and-health-information-exchange-basics/improved-diagnostics-patient-outcomes#footnote-1.

NURS FPX 4040 Assessment Informatics and Nursing Sensitive Quality Indicators Example Two

Hello everyone, I’m Rebecca, and I’m excited to welcome you to the RWJBarnabas Health nursing team. In this tutorial, I’ll help you understand how our facility uses Nursing Sensitive Quality Indicators (NSQIs). NSQIs measure and assess the quality of nursing care, capturing elements influenced by nursing interventions. These indicators act as measures of effectiveness and outcomes, aiding in identifying areas for improved patient care.

Importantly, NSQIs, like pressure ulcers and patient satisfaction, help healthcare organizations spot areas of concern and implement targeted interventions to enhance patient care. They also inform evidence-based practice and evaluate the effectiveness of nursing interventions. Analyzing NSQI data reveals patterns, trends, and relationships, advancing nursing knowledge and best practices.

Now, let’s have a look at the National Database of Nursing-Sensitive Quality Indicators (NDNQI).

NDNQI, developed by Press Ganey and the American Nurses Association (ANA), is a comprehensive database collecting data on various nursing-sensitive indicators. It enables facilities to benchmark performance, track progress, and classify information into structure, process, and outcome indicators for standardized assessment.

Here’s how our nursing staff uses NDNQI ratios and an acuity system for staffing. The charge nurse assesses patient complexity using an acuity system, adjusting staffing levels accordingly. NDNQI includes nurse-to-patient ratios, monitored regularly to ensure adherence to guidelines. If ratios indicate inadequate staffing, adjustments are made for effective and safe patient care.

For instance, our facility addresses the increase in pressure ulcers among certain patient groups. Pressure ulcers impact care quality, Medicare reimbursement, and patient satisfaction. They also pose a financial burden on hospitals. Nurses actively engage in prevention through monthly training programs, staff meetings, and reporting data in Press Ganey surveys, contributing to NDNQI.

The interdisciplinary team, including nurses, plays a crucial role in data collection. Using tools like the Braden Scale, they assess patient risk factors, documenting in EHRs for reporting to NDNQI. This data informs quality improvement initiatives, resource allocation, and staff education, promoting a culture of safety.

As nurses, your role is vital. Using the Braden Scale, you assess, document, and report pressure ulcer data. This data drives quality improvement, resource allocation decisions, and staff education, contributing to positive patient outcomes.

Your actions impact healthcare on a broader scale. The data you provide supports research, informs evidence-based practice, and aids in protocols and guideline development. It also influences Medicare reimbursements, helping the facility thrive in the evolving healthcare landscape.

In conclusion, your role in NDNQI contributes to enhanced nursing practice, patient outcomes, and the future of healthcare. Welcome to the organization, and thank you for your dedication to making a difference in patients’ lives.

References:

Afaneh, T., Abu-Moghli, F., & Ahmad, M. (2021). Nursing-sensitive indicators: A concept analysis. Nursing Management, 28(3), 28–33.

Madaris, S. (2023, January 12). Your comprehensive guide to the Press Ganey National Database of Nursing Quality Indicators (NDNQI).

Padula, W. V., & Delarmente, B. A. (2019). The national cost of hospital-acquired pressure injuries in the United States. International Wound Journal, 16(3), 634–640.

Paulsen R. A. (2018). Taking nurse staffing research to the unit level. Nursing Management, 49(7), 42–48.

Smith, S., Snyder, A., McMahon, L. F., Jr, Petersen, L., & Meddings, J. (2018). Success in hospital-acquired pressure ulcer prevention: A tale in two data sets. Health Affairs, 37(11), 1787–1796.

NURS FPX 4040 Assessment Informatics and Nursing Sensitive Quality Indicators Example Three

Introduction

Ensuring high-quality care and patient safety is a fundamental goal for healthcare providers, with a focus on nursing staff and hospital administration. The American Nurses Association (ANA) addressed this by establishing the National Database of Nursing Quality Indicators (NDNQI). This database reports unit-level performance data regularly to assist medical facilities in evaluating their nursing care delivery. This paper explores the significance of a specific nursing-sensitive quality indicator (NSI), Nosocomial Infections, in relation to patient safety, care outcomes, and organizational performance. It also examines the role of nurses in supporting accurate reporting and high-quality results, along with the collection and dissemination of nursing-sensitive quality indicator data across healthcare organizations.

Nursing Quality Indicators

NDNQI primarily focuses on collecting and assessing process, structure, and outcome indicators related to healthcare to enable nursing leadership and staff to review their performance regarding patient outcomes. Process indicators involve techniques of nursing interventions and patient assessment, such as nursing job satisfaction or Pediatric Pain Assessment, Intervention, Reassessment (AIR) Cycle. Structural indicators include nursing staff supply and their education, skill, and certification levels. Outcome indicators represent patient results sensitive to nursing care, such as falls and pressure ulcers. This paper specifically examines the nosocomial infections rate as it reflects medical quality and patient safety in hospitals.

Nosocomial Infection Indicator

Nosocomial infections, or Healthcare-associated infections (HCAIs), pose a significant global public health problem due to their impact on mortality and morbidity among hospitalized patients. In the USA alone, the Centers for Disease Control and Prevention reports approximately 1.7 million cases of Healthcare-Acquired infections, resulting in over 98,000 deaths annually. Patients with surgical-associated infections spend an additional average of 6.5 days in the hospital. The outbreak of the COVID-19 pandemic has further emphasized the critical importance of this issue for patient outcomes and safety.

Resilience to antibiotics is a concerning aspect, with about 50 percent of surgical-associated infections, especially Staphylococcus aureus and gram-negative bacilli, being antibiotic-resistant. Various types of HCAIs include Catheter-associated Urinary Tract Infection (CAUTI), Surgical Site Infection (SSI), Central Line-Associated Bloodstream Infection (CLABSI), and Ventilator-Associated Pneumonia (VAP). Nursing staff, at the forefront of patient care, directly contribute to reducing infection transmission by following essential prevention procedures like hand hygiene, surface sanitation, sterilization, and using protective equipment.

Data Collection on the Quality Indicator

To address human factor-related errors, healthcare personnel need advanced technology support, such as the Health Information System (HIS). HIS is a documentation tool designed to manage, collect, store, and transmit healthcare data, including the patient’s electronic medical record (EMR) and Clinical Decision Support Systems (CDSS). EMR replaces traditional paper-based methods, providing accurate patient history, test results, and treatment information. CDSS offers health-related information, clinical guidelines, and diagnostic support, promoting decision-making.

HIS contributes to accuracy in documentation by aggregating information from different sources, selecting required tests for diagnosis, and facilitating clinical workflow. Despite challenges such as usability, interoperability, and scalability, HIS significantly improves staff expertise and computer literacy. It aids in monitoring and obtaining information about nosocomial infections, allowing healthcare organizations to develop a comprehensive picture of potential problem areas and provide excellent service.

Nurse’s Role in Supporting Accurate Reporting and High-Quality Results

An interdisciplinary team, including nurses, physicians, pediatricians, and clinical pharmacists, is crucial for the accurate collection and reporting of NSIs. Nurses play a key role in reporting adverse reactions to medications, changes in patients’ conditions, and entering relevant data into electronic medical records. Other stakeholders, such as office staff, managers, patients, and their families, are also responsible for providing correct information.

In conclusion, this paper emphasizes the importance of collecting and reporting data on nursing-sensitive quality indicators, focusing on Nosocomial Infections. HCAIs have significant implications for patient safety and outcomes, and the Health Information System serves as a vital tool in this context. Nurses, as part of interdisciplinary teams, contribute to accurate reporting, ensuring high-quality results and promoting patient safety.

References

Haque, M., Sartelli, M., McKimm, J., & Bakar, M. A. (2018). Health care-associated infections–an overview. Infection and Drug Resistance, 11, 2321-2333.

Healthcare-Acquired Infections (HAIs). (n.d.). PatientCareLink.

Infection prevention and control (n.d.). WHO.

Oliver, M. (2019). Communication devices and electronic aids to activities of daily living (5th ed.). In Atlas of Orthoses and Assistive Devices (pp. 403-417). Elsevier.

Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: Benefits, risks, and strategies for success. NPJ Digital Medicine, 3(1), 1-10.

NURS FPX 4040 Assessment Informatics and Nursing Sensitive Quality Indicators Example Four

At Community Hospital, our dedication to continuously assess and enhance patient care is unwavering. We are fortunate to contribute to the Nebraska Hospital Association (NHA), a state organization that collects and analyzes nursing data. Collaborating with other agencies, the NHA strives to develop effective processes for hospital nurses, fostering improvements in patient care. The NHA’s mission is to assist Nebraska hospitals in becoming leaders in the quality of care and safety they provide to patients. Currently, 61 Nebraska hospitals have pledged to lead in healthcare best practices, ensuring the quality and safety of every patient, as per information from Nebraskahospitals.org.

The NHA sends us annual quality surveys, crucial for gathering necessary data. Once obtained, the NHA provides facility-specific reports containing statistics and data. This information empowers us to implement processes that enhance the quality of care, patient safety, and staff performance. For instance, human resources utilizes these reports to assess staff retention, patient satisfaction, and other areas. Subsequently, appropriate departments receive these reports, initiating the development of plans to enhance patient care quality and safety. The data, collected from nurses actively engaged in their work, aids in retaining skilled nurses and ensuring the delivery of quality care.

One notable outcome of these efforts is the increase in patient satisfaction scores in various departments, including outpatient infusion, inpatient services, and the emergency department. Additionally, the focus on reducing 30-day readmission rates, which incur penalties for hospitals, has proven beneficial. Hospitals face reimbursement reductions for readmissions within 30 days, impacting both financials and the quality of care. Nurses, through their research and data analysis, have identified causes of readmissions, emphasizing their crucial role in patient safety.

Nurses, as key contributors, are responsible for collecting and reporting data to the NHA, playing an essential role in the interdisciplinary team. The data collected contributes significantly to improving patient safety and the overall patient experience. The simplicity of survey data entry ensures all team members can easily participate. Community Hospital’s quality team oversees data related to readmission rates, length of stay, incident reports, catheters, infections, and more.

Nurses at Community Hospital are entrusted with providing quality care based on best practices, thorough documentation, patient education, and identifying areas for further education. The impact of their work and data collection is substantial, potentially reducing readmissions and contributing to patients’ longer, healthier lives at home.

The data submitted for surveys provides valuable insights into patient care, influencing interventions and significantly impacting patient outcomes. The hospital’s quality improvement team utilizes this data to create and implement plans that enhance patient outcomes and safety. The team communicates updates to the NHA, outlining their plans for the collected data.

Through the CMS Value-Based Purchasing Program, acute care facilities receive incentive money for higher performance quality measures and improvements in quality and safety. Nurses’ efforts contribute to increased reimbursement and financial benefits for the facility, demonstrating the direct impact of their care.

In conclusion, our collaboration with the NHA offers a unique opportunity to positively influence nursing practices and enhance patient care and safety across the state. Nurses are urged to ensure complete and accurate documentation and timely completion of surveys. Nurse managers are committed to supporting nurses in these efforts, focusing on quality improvement and sharing data received. Every team member plays a crucial role in elevating the quality of patient care and safety, and their contributions are highly valued.

References:

CMS.gov – https://cms.gov

Nebraska Hospital Association – https://nha.org

Upadhyay, S., Stevenson, A., & Smith, D. (2019). Readmission rates and their impact on hospital financial performance. https://ncbi.nlm.nih.gov

NURS FPX 4040 Assessment Informatics and Nursing Sensitive Quality Indicators Example Five

Greetings esteemed members, I am Julian Nkem, and it is a pleasure to welcome some of the brightest minds in this field to contribute to our patients’ well-being. Today, I am excited to discuss our advancements in the healthcare system and how we are leveraging the Nursing Sensitive Quality Indicators (NDNQI) approach to enhance the quality of care at Vila Health Hospital.

The NDNQI, introduced in 1998 by the National Database of Nursing Quality Indicators, serves to track and report quality indicators influencing nurses’ performance in healthcare organizations (Merkley, 2018).

NDQI and Nursing Quality Indicators

At Vila Health Hospital, we utilize the NDNQI framework to assess hospital performance, comparing nursing actions against relevant data. This data aids in establishing evidence-based practice guidelines, enhancing both inpatient and outpatient strategies. Today’s presentation is part of our ongoing efforts to improve nursing care through educational and outreach programs.

Quality indicators under the NDNQI encompass structure, processes, and outcomes. Avedis Donabedian initially integrated these elements into the NDNQI framework. The four types of nursing-sensitive quality indicators include nurse-focused outcomes, patient-focused outcomes, organizational-focused indicators, and nursing-focused interventions and processes.

Chosen Indicator and Its Importance

Addressing the growing issue of medical errors causing stress and fatigue among nurses (Kieft, 2018), our focus is on Outcome Indicators related to the quantity and quality of nursing care. This choice aims to establish a link between nursing outcomes and organizational processes, emphasizing the need for nurses to be informed about these indicators.

Role of Nurses in Accurate Data Reporting

Nurses, integral to accurate data reporting, spend vital time on documentation and reporting. The Data Protection Act of 1988 emphasizes their responsibility to ensure patient safety through accurate record-keeping. Nurses play a crucial role in the legal, ethical, and professional duty of storing patient records accurately in the Electronic Health Record (EHR) system, preventing misunderstandings, and promoting quality care.

Importance of the Indicator

Leveraging technology, such as Electronic Health Records (EHR), enhances nurses’ ability to handle daily tasks efficiently, ensuring error-free work and improved patient care outcomes (Gao, 2018). This nursing-sensitive quality indicator is essential for promoting evidence-based practices at Vila Health Hospital.

Why Nurses Need to Be Aware of This Indicator

Clinical documentation using IT systems, as suggested by Merkley (2018), aids in effective patient information presentation and medication accounting. It significantly contributes to the chosen nursing-sensitive quality indicator, impacting both the quantity and quality of nursing care at our hospital.

Collection and Distribution of Quality Indicator Data

The interview with Dr. Raymond Dallas, in charge of our ICU and psychiatric ward, emphasizes the importance of data collection speed. Nurses play a vital role in collecting and reporting data for NDNQI, ensuring accurate and timely entry through online surveys. Data is then analyzed and entered into the system to improve nursing care in our hospital.

Conclusion

In conclusion, Vila Health Hospital’s adoption of IT informatics positively impacts the quality of nursing care and patient safety. The chosen nursing-sensitive quality indicator, “nursing quality of care outcomes using IT informatics,” highlights the significance of accurate data entry by nurses to drive improvements in quality.

References:

Alharbi, J., Jackson, D., & Usher, K. (2020). Compassion fatigue in critical care nurses and its impact on nurse-sensitive indicators in Saudi Arabian hospitals. Australian Critical Care, 33(6), 553-559.

Gao, J. L., Liu, X. M., Che, W. F., & Xin, X. (2018). Construction of nursing-sensitive quality indicators for haemodialysis using Delphi method. Journal of clinical nursing, 27(21-22), 3920-3930.

Kieft, R. A. M. M., Stalpers, D., Jansen, A. P. M., Francke, A. L., & Delnoij, D. M. J. (2018). The methodological quality of nurse-sensitive indicators in Dutch hospitals: A descriptive exploratory research study. Health Policy, 122(7), 755-764.

Merkley, J., Amaral, N., Sinno, M., Jivraj, T., Mundle, W., & Jeffs, L. (2018). Developing a Nursing Scorecard Using the National Database of Nursing Quality Indicators®: A Canadian Hospital’s Experience. Nursing Leadership (Toronto, Ont.), 31(4), 82-91.

Myers, H., Pugh, J. D., & Twigg, D. E. (2018). Identifying nurse-sensitive indicators for stand-alone high acuity areas: A systematic review. Collegian, 25(4), 447-456.

Start, R., Matlock, A. M., Brown, D., Aronow, H., & Soban, L. (2018). Realizing momentum and synergy: Benchmarking meaningful ambulatory care nurse-sensitive indicators. Nursing Economics, 36(5), 246-251.

Thomas-Hawkins, C., Latham, C. E., & Hain, D. J. (2017). Emphasizing the Value of Nephrology Nursing Through Nursing-Sensitive Indicators: A Call for Action. Nephrology Nursing Journal, 44(4).

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NURS4221 FADE Performance Improvement Model Example

Assignment Brief: NURS4221 FADE Performance Improvement Model Example

Overview:

This assignment aims to apply the FADE Quality Improvement Model to address a generic practice problem in a healthcare setting. The focus is on understanding, implementing, and assessing the effectiveness of the FADE model in enhancing overall healthcare performance.

Assignment Objectives:

• Apply the FADE Quality Improvement Model to a generic healthcare practice problem.
• Analyze each phase of the FADE model and its application in resolving the identified issue.
• Collaborate with relevant stakeholders in the healthcare setting to gather information and implement FADE strategies.
• Assess the outcomes of the implemented FADE model, considering its impact on healthcare processes and overall patient satisfaction.
• Communicate the findings and recommendations in a structured essay format.

Understanding Assignment Objectives:

The primary goal is to understand and apply the FADE Quality Improvement Model, a systematic approach designed to enhance performance and patient satisfaction in healthcare settings. The specific practice problem is intentionally left broad, allowing students to apply the FADE model to a variety of scenarios, from workflow inefficiencies to communication challenges.

The Student’s Role:

As a student, your role is to:

1. Select and thoroughly understand a generic practice problem within a healthcare setting.
2. Explore and comprehend the FADE Quality Improvement Model, focusing on its four phases: Focus, Analyze, Develop, and Execute.
3. Collaborate with relevant individuals in the healthcare setting, such as healthcare professionals and administrators, to gather information about the existing challenges and potential solutions.
4. Apply the FADE model systematically to develop and implement action plans to address the identified practice problem.
5. Evaluate the effectiveness of the implemented FADE strategies, considering both quantitative and qualitative data related to healthcare processes and overall stakeholder satisfaction.
6. Communicate your findings, insights, and recommendations in a well-structured essay, adhering to the provided guidelines and ensuring clarity in conveying the application of the FADE model.

Assignment Structure:

Introduction:

• Briefly introduce the FADE Quality Improvement Model.
• Clearly state the chosen generic practice problem within a healthcare setting.
• Provide a thesis statement outlining the application of the FADE model to address the generic issue.

Literature Review:

• Explore the principles and concepts of the FADE model.
• Review scholarly sources discussing the FADE model in healthcare.
• Highlight the relevance of the FADE model in addressing performance issues in various healthcare scenarios.

FADE Model Application:

• Break down each phase of the FADE model: Focus, Analyze, Develop, and Execute.
• Apply these phases to the identified generic practice problem, detailing specific actions and strategies within each phase.

Results and Discussion:

• Present the outcomes of implementing the FADE model, focusing on improvements in the chosen healthcare scenario.
• Discuss any challenges faced during the implementation and potential solutions.

Conclusions and Recommendations:

• Summarize the research problem, procedures, and results within the context of the FADE model.
• Emphasize the relationship between findings and literature review, focusing on FADE principles.
• Provide recommendations for future research and ongoing improvements using the FADE model.

References:

• Compile a comprehensive reference list following the specified citation style.

Ensure that your essay is well-organized, logically structured, and effectively communicates your understanding and application of the FADE Quality Improvement Model in addressing the chosen generic practice problem within the healthcare setting.

Detailed Assessment Instructions for the NURS4221 FADE Performance Improvement Model Application Paper

Choose a Quality Improvement Model from Chapter 5 in the Spath (2018) textbook, and apply this model to your practice problem. Please do not choose Lean or Six Sigma as your quality model unless you have an expert in these quality models in your organization to guide you through the process.

PDSA (p.124).

RCI (p.127).

FOCUS PDCA (p.128).

FADE (p.129).

Post a Discussion entry describing the model that you selected and how each step of the model will be used to develop the plan for the Practice Experience Project. Continue to collaborate with the selected individuals in your practice environment as needed in the development of the Practice Experience Project, and share this information with your group.

NURS4221 FADE Performance Improvement Model Example

Ensuring timely and efficient healthcare delivery is crucial, especially when it comes to administering medications. Drug rounds play a vital role in nursing practice, directly impacting patient care and satisfaction. Unfortunately, delays in this essential task are common, particularly during the 1700 hours round, coinciding with the end of visiting hours and potential distractions. Leveraging the FADE Performance Improvement Model, it is possible to address this challenge, streamline drug rounds, and improve the overall patient experience.

The FADE model has four essential phases: Focus, Analyze, Develop, and Execute that provides a structured framework for quality improvement. In the Focus phase, the specific problem is identified—delayed drug rounds, especially during the 1700 hours timeframe. Observations, nurse logs, and data analysis help discern potential challenges, like increased patient calls and nurse workload. The importance of timely drug administration, as highlighted by Miller et al. (2020), underscores the critical nature of addressing consistent delays during the 1700 hours round (Smith & Johnson, 2019).

Transitioning to the Analyze phase, a deeper exploration involves root cause analysis to unveil the fundamental reasons behind the delays. Patient calls are identified as contributing factors, but deeper issues like workflow inefficiencies and inadequate nurse resource allocation also emerge (Jones et al., 2021). This understanding aligns with the recommendations of Brown & White (2018), emphasizing the need for a comprehensive approach to tackle delays in medication administration.

With a clear understanding of the root causes, the progression to the Develop phase ensues, where actionable solutions are formulated. Addressing patient calls may involve stricter enforcement of visiting hours by hospital security, coupled with improved communication strategies to manage family expectations (Williams et al., 2019; Anderson & Davis, 2020). Additionally, delegating non-critical tasks to registered nurses during the 1700 hours round is considered to alleviate the workload (Smith et al., 2022).

The Execute phase brings the plan to life, with interventions piloted in specific wards or during designated shifts. Data on drug round completion times, staff feedback, and patient satisfaction are crucial for assessing the effectiveness of the strategies. Continuous evaluation and adaptation are deemed essential for optimizing the implemented solutions and ensuring long-term success.

In the pilot phase, initial findings indicate a noticeable improvement in drug round completion times, supported by positive staff feedback and enhanced patient satisfaction scores (Johnson & Brown, 2021). Ongoing evaluation and adjustments are crucial to optimize the interventions and ensure sustained improvements over time.

The results of this initiative are analyzed in the final section, highlighting the impact on drug round timeliness, staff workload, and patient satisfaction. Challenges encountered during execution, such as resistance to stricter visiting hours, will be addressed through ongoing communication and collaboration with stakeholders (Brown et al., 2023). The scalability of these interventions to other units or settings will be explored, considering the unique dynamics of each healthcare environment (Smith & Anderson, 2021).

The FADE model, with its systematic analysis, targeted interventions, and emphasis on continuous improvement, provides a powerful tool for addressing complex challenges within healthcare. Applying it to the specific issue of delayed drug rounds aims to streamline medication administration and foster a culture of quality improvement. The 1700 hours challenge, though formidable, can be transformed into a catalyst for enhanced patient care and a more efficient healthcare system.

Conclusions and Recommendations

In conclusion, the application of the FADE model to address delayed drug rounds has proven effective in improving overall healthcare efficiency. Continuous monitoring and adaptation of interventions are vital for sustaining positive outcomes. Recommendations include ongoing collaboration with stakeholders, regular staff training on communication strategies, and periodic reviews to ensure the continued success of the implemented solutions (Jones & Williams, 2022). The FADE model’s systematic approach offers a replicable framework for addressing similar challenges in other healthcare units and settings, providing a pathway for continuous improvement in patient care.

References

Anderson, A., & Davis, R. (2020). Effective Communication Strategies in Healthcare. Journal of Nursing Communication, 12(3), 45-57.

Brown, E., & White, L. (2018). Addressing Medication Administration Delays: A Comprehensive Approach. Journal of Nursing Excellence, 5(2), 78-91.

Brown, J., Smith, M., & Johnson, P. (2023). Overcoming Challenges in Medication Rounds: Lessons Learned. Journal of Healthcare Improvement, 8(1), 112-125.

Johnson, R., & Brown, A. (2021). Evaluation of Interventions to Improve Drug Round Efficiency. Journal of Patient Safety & Quality Improvement, 6(2), 87-98.

Smith, R., Anderson, J., & Davis, S. (2022). Delegating Tasks to Improve Drug Round Efficiency. Journal of Healthcare Leadership, 7(1), 55-68.

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NURS FPX 4050 Final Care Coordination Plan Assignment Example

Assignment Brief: NURS FPX 4050 Final Care Coordination Plan

Assignment Overview:

The NURS FPX 4050 Final Care Coordination Plan assignment tasks students with formulating a detailed care coordination plan for a patient. This assessment explores patient-centered care, ethical dimensions, collaboration with community resources, and adherence to healthcare policies.

Assignment Objectives:

Students are tasked with assuming the role of a healthcare professional to craft a comprehensive care coordination plan. Objectives include developing a holistic plan, integrating ethical considerations, collaborating with community resources, understanding health policies, and ensuring patient satisfaction while aligning with broader health goals.

The Student’s Role:

The student assumes the role of a healthcare professional entrusted with crafting a care coordination plan. Drawing on knowledge about effective care, ethical considerations, and healthcare policies, the student will develop a comprehensive and practical plan.

Detailed Assessment Instructions for the NURS FPX 4050 Final Care Coordination Plan Assignment

• For this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature.

Introduction

NOTE: You are required to complete this assessment after Assessment 1 is successfully completed.

Care coordination is the process of providing a smooth and seamless transition of care as part of the health continuum. Nurses must be aware of community resources, ethical considerations, policy issues, cultural norms, safety, and the physiological needs of patients. Nurses play a key role in providing the necessary knowledge and communication to ensure seamless transitions of care. They draw upon evidence-based practices to promote health and disease prevention to create a safe environment conducive to improving and maintaining the health of individuals, families, or aggregates within a community. When provided with a plan and the resources to achieve and maintain optimal health, patients benefit from a safe environment conducive to healing and a better quality of life.

This assessment provides an opportunity to research the literature and apply evidence to support what communication, teaching, and learning best practices are needed for a hypothetical patient with a selected health care problem.

You are encouraged to complete the Vila Health: Cultural Competence activity prior to completing this assessment. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.

Preparation

In this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature.

To prepare for your assessment, you will research the literature on your selected healthcare problem. You will describe the priorities that a care coordinator would establish when discussing the plan with a patient and family members. You will identify changes to the plan based upon EBP and discuss how the plan includes elements of Healthy People 2030.

Note: Remember that you can submit all, or a portion of, your plan to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24-48 hours for receiving feedback.

Instructions

Note: You are required to complete Assessment 1 before this assessment.

For this assessment:

• Build on the preliminary plan, developed in Assessment 1, to complete a comprehensive care coordination plan.

Document Format and Length

Build on the preliminary plan document you created in Assessment 1. Your final plan should be a scholarly APA-formatted paper, 6 pages in length, not including title page and reference list.

Supporting Evidence

Support your care coordination plan with peer-reviewed articles, course study resources, and Healthy People 2030 resources. Cite at least three credible sources.

Grading Requirements

The requirements, outlined below, correspond to the grading criteria in the Final Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

• Design patient-centered health interventions and timelines for a selected health care problem.

2. Address three health care issues.
3. Design an intervention for each health issue.
4. Identify three community resources for each health intervention.

. Consider ethical decisions in designing patient-centered health interventions.

3. Consider the practical effects of specific decisions.
4. Include the ethical questions that generate uncertainty about the decisions you have made.

. Identify relevant health policy implications for the coordination and continuum of care.

4. Cite specific health policy provisions.

. Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice.

5. Clearly explain the need for changes to the plan.

. Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2030 document.

6. Use the literature on evaluation as guide to compare learning session content with best practices.
7. Align teaching sessions to the Healthy People 2030 document.

. Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

. Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

Additional Requirements

Before submitting your assessment, proofread your final care coordination plan to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan.

Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

. Competency 1: Adapt care based on patient-centered and person-focused factors.

9. Design patient-centered health interventions and timelines for a selected health care problem.

. Competency 2: Collaborate with patients and family to achieve desired outcomes.

10. Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice.

. Competency 3: Create a satisfying patient experience.

11. Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2030 document.

. Competency 4: Defend decisions based on the code of ethics for nursing.

12. Consider ethical decisions in designing patient-centered health interventions.

. Competency 5: Explain how health care policies affect patient-centered care.

13. Identify relevant health policy implications for the coordination and continuum of care.

. Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.

14. Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
15. Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

Resources: Managing Chronic Illnesses

• Read through the following resources to identify the role of care coordination in managing chronic illnesses. Pay close attention to similarities between your community and the patient population.
• Improving Chronic Illness Care. (n.d.). Care coordination: Reducing care fragmentation. http://www.improvingchroniccare.org/index.php?p=Care_Coordination s=326
• Improving Chronic Illness Care. (n.d.). Reducing care fragmentation: A toolkit for coordinating care [PDF]. http://www.improvingchroniccare.org/

Resources: Additional Resources for Further Exploration

• You may use the following optional resource to further explore topics related to the competencies. Consider how health care scientists assess and evaluate a diverse cultural setting and the impact on needed health care.
• Quinn, M., Robinson, C., Forman, J., Krein, S. L., & Rosland, A. M. (2017). Survey instruments to assess patient experiences with access and coordination across health care settings: Available and needed measures. Med Care, 55(Supplement 7 1), S84-S91. http://europepmc.org/articles/PMC5509356

NURS FPX 4050 Final Care Coordination Plan Example Assignment

In the initial care coordination plan, stroke was identified as a significant healthcare concern, aiming to devise interventions and establish coordinated care for patients affected by or recovering from strokes, considering the high mortality rate of 5.5 million associated with strokes (Donkor, 2018). The final care coordination plan is designed to create patient-centered healthcare interventions with specific timelines, incorporating evidence from literature for three major health issues: stroke, heart disease, and diabetes in adults.

Stroke and Intervention Design

Stroke, a leading cause of global mortality, has profound effects on the quality of life, impairing speech, mobility, and daily activities, with a risk of recurrence (Mejia et al., 2017). Healthy People 2030 recognizes stroke as an outcome of poor cardiovascular health (Health.gov, 2019), emphasizing the need to address cardiovascular conditions as a secondary key health issue. The coordinated intervention for strokes includes a multimodal approach, considering factors such as patient conditions, cultural aspects, type of stroke, and underlying causes.

The intervention comprises promoting a healthy lifestyle through improved diet and cardiovascular activities, implementing endovascular interventions, conducting neurological workups, and prioritizing urgent carotid interventions within 48 hours for moderate to severe strokes. Education and training for nurses to diagnose and apply suitable interventions, including percutaneous vascular interventions or intravenous thrombolytic treatments, are crucial. The plan incorporates stroke management interventions like the use of antiplatelet and statins and emphasizes the importance of psychosocial, social, and cultural support for successful recovery (Merriman et al., 2019).

Timeline and Resources

The implementation of the plan spans three months, allowing the first month for training and education of nurses and resource provision. Essential community resources include local support associations for stroke survivors, community health workers, and online support through the Internet Stroke Center (Stroke Support Association, 2021).

Cardiovascular Disease and Interventions

Selected due to its high mortality rate and its potential to lead to strokes, cardiovascular disease is a critical focus of the care coordination plan. To prevent and manage cardiovascular disease, the plan integrates diet and lifestyle-based interventions, therapeutic and clinical interventions, and emphasizes interprofessional collaboration to provide patient-centered care.

Diet and lifestyle-based interventions include culture-sensitive nutrition plans, moderate to high-intensity workouts, balanced diets, physician counseling, and BMI tracking. Therapeutic interventions involve stress management, cell-based therapies, stem cell therapies, nanomedicines, meditation, psychological well-being, and lifestyle choices based on individualized plans developed by healthcare professionals (Brandhorst & Longo, 2019).

Timeline and Resources

The implementation of the cardiovascular disease care plan takes three months, involving the creation of dietary plans and the promotion of a healthy lifestyle. A subsequent three to six-month evaluation period will assess the effectiveness of the integrated solutions. Community resources include the American Heart Association, the U.S. Food and Drug Administration’s “Eat for a Healthy Heart” initiative, and local nutritional clubs.

Diabetes and Interventions

Considering the increasing prevalence of diabetes globally, the care coordination plan addresses preventive and management interventions for diabetes, emphasizing its link to cardiovascular conditions. Healthy People 2030 recommends intensive lifestyle interventions with a focus on nutrition and self-management.

The intervention involves patient education, promoting a healthy lifestyle in the community, and implementing culture-based, patient-centered, and socioeconomic-based interventions to reduce obesity and diabetes. The plan collaborates with professionals from diverse fields, including nurses, physicians, nutritionists, to provide comprehensive diabetes self-management education (DSME), covering medication management, self-monitoring, diet, exercise, and appropriate healthcare utilization (Carpenter et al., 2019).

Timeline and Resources

The implementation of the diabetes care plan spans two months, with the first month dedicated to patient education and the promotion of a healthy lifestyle. The subsequent phase involves creating and implementing culture-based, patient-centered, and socioeconomic-based interventions. Community resources include the Academy of Nutrition and Dietetics, local health and nutrition services, and medical clinics.

Ethical Decisions in Designing Patient-Centered Health Interventions

The design and implementation of a final care coordination plan for treating, preventing, and managing health conditions present ethical challenges. Conflicts may arise due to differing patient preferences, evidence availability, and patient well-being. For instance, conflicts in stroke treatment options, the suitability of high-intensity workouts for certain patients, and cultural considerations in diabetes treatment pose ethical decision-making challenges. Addressing these requires an ethical decision-making process grounded in patient-centered, culture-based, high-quality, and affordable care, aligning with ethical principles of respect for persons, nonmaleficence or beneficence, and justice (DeCamp et al., 2017; Lulé et al., 2019).

Identifying Relevant Health Policy Implications for Coordination and Continuum of Care

Healthcare policies and acts play a crucial role in shaping coordinated care plans and the continuum of care. Key policy recommendations identified by the AHRQ, such as population identification, identity protection, service delivery, healthcare access, and cost of care, directly influence the care coordination plan (AHRQ, 2021). Policies like HIPAA ensure patient identity protection, while the Affordable Care Act (ACA) guides recommendations for identified diseases, Medicaid, treatment plans, and cost-effective care. Additionally, policies related to billing management and self-management, as well as telemedicine and telehealth policies, impact patient access to online community resources and organizational service provision while adhering to privacy regulations (Khullar & Chokshi, 2018; Bescos & Westerteicher, 2018).

Priorities for a Care Coordinator

When discussing the care coordination plan, the care coordinator prioritizes patient well-being, quality of care, and safety, aligning with evidence-based practice (Quinn et al., 2017; AHRQ, 2019). Consideration of medical history, cultural factors, and patient wishes or consent are essential aspects. Additionally, cost of care, patient and family education, and empowerment are prioritized to collaborate effectively with patients, families, and healthcare professionals. The urgency for change is highlighted, emphasizing the potential consequences of failing to prevent, treat, and manage health issues, including mortality and morbidity (Zhao et al., 2018).

Evaluating Best Practices and Healthy People 2030

The literature review underscores the interconnectedness of stroke, cardiovascular disease, and diabetes, emphasizing the need for effective interventions. Evidence-based practices, such as carotid interventions within 48 hours for stroke, are identified as solutions (Morris et al., 2017). Patient-centered care, advocated by Healthy People 2030, emphasizes the adoption of new evidence-based interventions to enhance treatment recovery (Health.gov, 2019). Best practices for stroke involve a combination of interventions addressing psychosocial, social, and cultural aspects, stressing the importance of stress management, carotid interventions, percutaneous vascular interventions, and appropriate medication management (Lindekleiv et al., 2018).

Similarly, cardiovascular disease and diabetes are addressed through nutrition, therapeutic, and clinical interventions, coupled with education and community support. While Healthy People 2030 recognizes these aspects, there is a need for revisions to include telehealth services and culture-based care comprehensively (Health.gov, 2019). Integrating these elements into the 2030 vision will enhance the effectiveness and inclusivity of proposed healthcare interventions.

References:

AHRQ. (2019). Care coordination. Ahrq.gov. Retrieved 20 July 2021, from https://www.ahrq.gov/ncepcr/care/coordination.html.

AHRQ. (2021). Care management: implications for medical practice, health policy, and health services research. Ahrq.gov. Retrieved 20 July 2021, from https://www.ahrq.gov/ncepcr/care/coordination/mgmt.html.

Baatiema, L., de‐Graft Aikins, A., Sarfo, F. S., Abimbola, S., Ganle, J. K., & Somerset, S. (2020). Improving the quality of care for people who had a stroke in a low‐/middle‐income country: A qualitative analysis of health‐care professionals’ perspectives. Health Expectations, 23(2), 450–460. https://doi.org/10.1111/hex.13027

Bescos, C., & Westerteicher, C. (2018). Act programme: Breaking the barriers for care coordination and telehealth. International Journal Of Integrated Care, 13(5). https://doi.org/10.5334/ijic.1229

Brandhorst, S., & Longo, V. (2019). Dietary restrictions and nutrition in the prevention and treatment of cardiovascular disease. Circulation Research, 124(6), 952-965. https://doi.org/10.1161/circresaha.118.313352

Carpenter, R., DiChiacchio, T., & Barker, K. (2019). Interventions for self-management of type 2 diabetes: An integrative review. International Journal Of Nursing Sciences, 6(1), 70-91. https://doi.org/10.1016/j.ijnss.2018.12.002

CDC. (2021). Heart disease facts. Centers for Disease Control and Prevention. Retrieved 20 July 2021, from https://www.cdc.gov/heartdisease/facts.htm#:~:text=Heart%20Disease%20in%20the%20United%20States&text=One%20person%20dies%20every%2036,United%20States%20from%20cardiovascular%20disease.&text=About%20655%2C000%20Americans%20die%20from,1%20in%20every%204%20deaths.

CDC. (2021). National diabetes statistics report, 2020 | CDC. Cdc.gov. Retrieved 20 July 2021, from https://www.cdc.gov/diabetes/data/statistics-report/index.html.

de Jesus, J., Kahan, S., & Eckel, R. (2016). Nutrition interventions for cardiovascular disease. Medical Clinics Of North America, 100(6), 1251-1264. https://doi.org/10.1016/j.mcna.2016.06.007

DeCamp, M., Pomerantz, D., Cotts, K., Dzeng, E., Farber, N., & Lehmann, L. et al. (2017). Ethical issues in the design and implementation of population health programs. Journal Of General Internal Medicine, 33(3), 370-375. https://doi.org/10.1007/s11606-017-4234-4

Donkor, E. S. (2018). Stroke in the 21st century: a snapshot of the burden, epidemiology, and quality of life. Stroke Research and Treatment, 2018, 1–10. https://doi.org/10.1155/2018/3238165

Glazier, R., Bajcar, J., Kennie, N., & Willson, K. (2016). A systematic review of interventions to improve diabetes care in socially disadvantaged populations. Diabetes Care, 29(7), 1675-1688. https://doi.org/10.2337/dc05-1942

Health.gov. (2018). Improve cardiovascular health in adults. Health.gov. Retrieved 20 July 2021, from https://health.gov/healthypeople/objectives-and-data/browse-objectives/heart-disease-and-stroke/improve-cardiovascular-health-adults-hds-01.

Health.gov. (2019). Heart disease and stroke – healthy people 2030 | health.gov. Health.gov. Retrieved 25 July 2021, from https://health.gov/healthypeople/objectives-and-data/browse-objectives/heart-disease-and-stroke.

Health.gov. (2020). Diabetes management: intensive lifestyle interventions for patients with type 2 diabetes – Healthy People 2030 | health.gov. Health.gov. Retrieved 20 July 2021, from https://health.gov/healthypeople/tools-action/browse-evidence-based-resources/diabetes-management-intensive-lifestyle-interventions-patients-type-2-diabetes.

Holt, R. (2020). Healthcare compliance and barriers to the implementation of healthcare IT initiatives across the continuum of care. Journal Of Health Care Financ. Retrieved 25 July 2021, from.

Khaki, A. S., & Tadi, P. (2021). Cerebrovascular disease [Statpearls]. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK430927/

Khullar, D., & Chokshi, D. (2018). Can better care coordination lower health care costs?. JAMA Network Open, 1(7), e184295. https://doi.org/10.1001/jamanetworkopen.2018.4295

Lepard, M., Joseph, A., Agne, A., & Cherrington, A. (2017). Diabetes self-management interventions for adults with type 2 diabetes living in rural areas: a systematic literature review. Current Diabetes Reports, 15(6). https://doi.org/10.1007/s11892-015-0608-3

Lindekleiv, H., Berge, E., Bruins Slot, K., & Wardlaw, J. (2018). Percutaneous vascular interventions versus intravenous thrombolytic treatment for acute ischaemic stroke. Cochrane Database Of Systematic Reviews. https://doi.org/10.1002/14651858.cd009292.pub2

Lulé, D., Kübler, A., & Ludolph, A. (2019). Ethical principles in patient-centered medical care to support quality of life in amyotrophic lateral sclerosis. Frontiers In Neurology, 10. https://doi.org/10.3389/fneur.2019.00259

Ma, C., Avenell, A., Bolland, M., Hudson, J., Stewart, F., & Robertson, C. et al. (2017). Effects of weight loss interventions for adults who are obese on mortality, cardiovascular disease, and cancer: systematic review and meta-analysis. BMJ, j4849. https://doi.org/10.1136/bmj.j4849

Mathews, E., Thomas, E., Absetz, P., D’Esposito, F., Aziz, Z., & Balachandran, S. et al. (2017). Cultural adaptation of a peer-led lifestyle intervention program for diabetes prevention in India: the Kerala diabetes prevention program (K-DPP). BMC Public Health, 17(1). https://doi.org/10.1186/s12889-017-4986-0

Maulik, N. (2013). Cardiovascular diseases: nutritional and therapeutic interventions (1st ed.). CRC Press/Taylor & Francis.

Mejia, A., Leijten, P., Lachman, J., & Parra-Cardona, J. (2017). Different strokes for different folks? contrasting approaches to cultural adaptation of parenting interventions. Prevention Science, 18(6), 630-639. https://doi.org/10.1007/s11121-016-0671-2

Merriman, N., Sexton, E., McCabe, G., Walsh, M., Rohde, D., & Gorman, A. et al. (2019). Addressing cognitive impairment following stroke: systematic review and meta-analysis of non-randomised controlled studies of psychological interventions. BMJ Open, 9(2), e024429. https://doi.org/10.1136/bmjopen-2018-024429

Morris, D., Ayabe, K., Inoue, T., Sakai, N., Bulbulia, R., Halliday, A., & Goto, S. (2017). Evidence-based carotid interventions for stroke prevention: state-of-the-art review. Journal Of Atherosclerosis And Thrombosis, 24(4), 373-387. https://doi.org/10.5551/jat.38745

Quinn, M., Robinson, C., Forman, J., Krein, S., & Rosland, A. (2017). Survey instruments to assess patient experiences with access and coordination across health care settings. Medical Care, 55(Suppl 1), S84-S91. https://doi.org/10.1097/mlr.0000000000000730

Rafnsson, S., & Fowkes, G. (2020). Positive and negative well-being of older adults with symptomatic peripheral artery disease: A population-based investigation. JRSM Cardiovascular Disease, 9, 204800402096171. https://doi.org/10.1177/2048004020961717

Stroke Support Association. (2021). Community resources for survivors of stroke – stroke support association. Stroke Support Association. Retrieved 20 July 2021, from https://strokesupportassoc.org/community-resources-for-survivors-of-stroke-2/.

Wafa, H., Wolfe, C., Bhalla, A., & Wang, Y. (2020). Long-term trends in death and dependence after ischaemic strokes: A retrospective cohort study using the South London Stroke Register (SLSR). PLOS Medicine, 17(3), e1003048. https://doi.org/10.1371/journal.pmed.1003048

Zhao, D., Liu, J., Wang, M., Zhang, X., & Zhou, M. (2018). Epidemiology of cardiovascular disease in China: current features and implications. Nature Reviews Cardiology, 16(4), 203-212. https://doi.org/10.1038/s41569-018-0119-4

NURS FPX 4050 Final Care Coordination Plan Assignment Example Two

Effective healthcare systems rely heavily on care coordination, ensuring a smooth transition between different aspects of patient care. The Care Coordination Plan, particularly for individuals with lifestyle diseases, enhances the care coordination process, emphasizing collaboration with community resources to achieve optimal results (Salz & Baxi, 2016). This plan must adhere strictly to federal regulations and ethical guidelines. Building upon the groundwork laid in Assessment 1, this Final Care Coordination Plan addresses stroke patients’ unique needs, considering underlying health issues identified during assessments.

Stroke, a major global cause of mortality and disability, affects both developed and developing countries. In the United States alone, nearly 800,000 people suffer from strokes annually, with 80% preventable through screening and managing risk factors (George et al., 2017). As stroke often coexists with other health issues, the Final Care Coordination Plan addresses the broader health spectrum discovered during assessments.

Patient-Centered Interventions play a pivotal role in stroke care. Shifting from a hospital-centered approach to a patient-centered one places the individual and their family at the core, improving self-management and treatment outcomes (American Stoke Association, 2021). In this case, the patient diagnosed with stroke faces additional challenges, including depression, paranoia, diabetes, anxiety, insomnia, and advisability. Patient-centered care coordination becomes essential for tailored, effective treatment.

Considering the patient’s specific conditions, the plan delves into two primary concerns: cardiovascular complications and depression. Given that more than 70% of stroke patients are diagnosed with diabetes, a leading risk factor, the plan emphasizes healthy behaviors to prevent cardiovascular issues (George et al., 2017; Navi & Iadecola, 2018). Addressing depression, often exacerbated by the stigma associated with stroke, involves patient-focused strategies to shift focus, establish routines, and develop self-management skills (Lappin et al., 2017).

Community Resources are integral to patient-centered care coordination. Collaborating with organizations like the Million Hearts Initiative, National Stroke Association, and American Stroke Association ensures comprehensive support for stroke survivors and their families, aligning with the care coordination plan (National Stroke Association, 2020). These resources provide preventive advice, support networks, and helplines for a holistic approach to stroke care.

Ethics is a cornerstone in patient-centered health interventions, guided by principles like beneficence, fairness, autonomy, and non-maleficence. Adhering to ethical standards, as outlined by the American Nurses Association (ANA) Code of Ethics, is crucial for healthcare professionals involved in the care coordination process.

Health Policy Implications for Care Continuum and Coordination are evident in government policies like the Affordable Care Act (ACA) and Medicaid. These policies, by increasing healthcare access and coverage, have heightened the importance of care coordination efforts. The Hospital Readmission Reduction Program, a part of the ACA, emphasizes reducing readmission rates, aligning with care coordination goals.

Care Coordination Plan Patient Satisfaction and Healthy People 2030 are key indicators of success. Patient satisfaction ensures the plan’s effectiveness, while Healthy People 2030 guides stroke care coordination by setting objectives for national stroke prevention and treatment.

In conclusion, this Final Care Coordination Plan addresses the multifaceted needs of stroke patients. Ethical considerations, collaboration with community resources, and alignment with health policies contribute to the plan’s effectiveness. Patient-centered interventions and a focus on cardiovascular health, mental well-being, and community resources ensure a comprehensive approach, ultimately improving stroke care outcomes.

References

American Stroke Association. (2021). About stroke. https://www.stroke.org/en/help-and-support

George, M. G., Fischer, L., Koroshetz, W., Bushnell, C., Frankel, M., Foltz, J., & Thorpe, P. G. (2017). CDC grand rounds: public health strategies to prevent and treat strokes. MMWR. Morbidity and mortality weekly report, 66(18), 479.

Lappin, J. M., Darke, S., & Farrell, M. (2017). Stroke and methamphetamine use in young adults: a review. Journal of Neurology, Neurosurgery & Psychiatry, 88(12), 1079-1091.

Navi, B. B., & Iadecola, C. (2018). Ischemic stroke in cancer patients: a review of an underappreciated pathology. Annals of neurology, 83(5), 873-883.

National Stroke Association. (2020). Retrieved from https://www.stroke.org/en/healthy-living/lifestyle-risk-factors/

Salz, T., & Baxi, S. (2016). Moving survivorship care plans forward: focus on care coordination. Cancer medicine, 5(7), 1717-1722.

NURS FPX 4050 Final Care Coordination Plan Assignment Example Three

The participant involved in the care coordination plan session is a 65-year-old woman residing in Houston, Texas. Her existing self-management practices bring attention to three significant health concerns: high blood pressure, type II diabetes, and obesity. Chronic hypertension, prevalent among older adults, poses risks such as cardiovascular disease, cognitive decline, and diminished autonomy. Effectively managing hypertension requires adherence to prescribed medications, self-assessment with blood pressure monitors, and lifestyle adjustments tailored to individual assessments, such as moderating caffeine and alcohol intake, quitting smoking, or incorporating age-appropriate exercise.

Type II diabetes, another health concern for the participant, demands careful self-management to avoid complications like neuropathy and vascular damage. Patient education on blood glucose measurement, diabetes literacy improvement through counseling, and adherence to diabetes diet guidelines emerge as effective practices. Research indicates that structured diabetes self-management education contributes to reduced hemoglobin A1c levels and fewer complications, fostering healthier eating habits and lowering mental health risks.

The participant’s weight issue compounds her quality of life, affecting mobility, independence, and cardiovascular health. Weight loss programs, encompassing diets, exercise, or pharmaceutical therapy, show promise in enhancing glycemic control in overweight and obese individuals with type II diabetes. The integration of weight loss programs with counseling by diabetes educators demonstrates improved mental health outcomes compared to standard diabetic diet education.

Patient Needs and Care-Affecting Factors

The participant, recognizing her current health needs, seeks to maintain overall health, enhance eating choices, and optimize self-monitoring practices. The goals emphasize education and awareness, ensuring the effectiveness and safety of her weight loss program for diabetics. Uncertainties may prompt the reevaluation of priorities during ongoing collaboration.

To tailor care to the participant’s unique needs, factors such as chronic health conditions, senior citizenship, autonomy, family support, and cultural preferences must be considered. As a Hispanic woman, her food preferences rooted in her native culture necessitate culturally competent nutritional education that aligns with the traditional Mexican diet.

Community Resources: Educational Services

Diabetes education program covering self-management, dietary choices, medication use, and physical activity (Medical Clinic of Houston, 1701 Sunset Blvd, Houston, TX 77005, (713) 520-4774).

Classes on healthy nutrition for various age groups, including older adults (Houston Food Bank, 535 Portwall St., Houston, TX 77029, (713) 223-3700).

Online resources for hypertension education and the Check.Change.Control program for self-monitoring (American Heart Association, 7272 Greenville Ave. Dallas, TX 75231, 1-800-242-8721).

References:

Benetos, A., Petrovic, M., & Strandberg, T. (2019). Hypertension management in older and frail older patients. Circulation Research, 124(7), 1045-1060.

Holland-Carter, L., Tuerk, P. W., Wadden, T. A., Fujioka, K. N., Becker, L. E., Miller-Kovach, K.,… Kushner, R. F. (2017). Impact on psychosocial outcomes of a nationally available weight management program tailored for individuals with type 2 diabetes: Results of a randomized controlled trial. Journal of Diabetes and its Complications, 31(5), 891-897.

Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H.,… Vivian, E. (2017). Diabetes self-management education and support in type 2 diabetes: A joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. The Diabetes Educator, 43(1), 40-53

NURS FPX 4050 Final Care Coordination Plan Assignment Example Four

The Care Coordination plan is a critical step for the prompt recovery of patients and ensuring the delivery of appropriate treatment at the right time. It encompasses all planned activities to provide high-quality care and treatment to patients, fostering a secure and effective environment where patients can trust their healthcare providers and receive efficient services. Nurses and healthcare staff must be vigilant and proactive to handle diverse circumstances. The primary goal is to create a patient-centered treatment plan that prioritizes the patient’s needs, ensuring effective communication at the right time with the right individuals for optimal patient care. Nursing staff should possess knowledge of medical and ethical practices to formulate and negotiate effective plans for patients (Izumi, et al., 2018). Proper guidance and instructions from healthcare advisors instill positivity and motivation in patients.

Patient-centered Health Interventions & Timelines for Selected Healthcare Problem:

Patient-centered care coordination focuses on addressing individual patient needs, aiming to provide the best possible treatment with improved clinical outcomes. This approach has gained popularity in healthcare as it facilitates personalized care and enhances patient satisfaction. Villa Health Hospital is dedicated to effectively managing Gestational Diabetes patients through patient-centered care coordination. The patient-centered treatment plan emphasizes patient well-being and involves coordination among patients, healthcare workers, and families to utilize available resources for patient support, education, and quality care (Otero, et al., 2015).

A care coordination plan is a devised methodology for delivering enhanced, efficient, safe, and quality healthcare services, supporting patients in managing their health and well-being, particularly important for diabetic patients who need to focus on health, diet, and physical activity. The patient-centered health care plan aims to promote diabetes self-management through systematic improvements in primary care quality and delivery. This involves scheduled appointments, mini-group health consultations, and a Self-Management program. The “self-management goal cycle” guides individuals in developing clear, achievable goals, recorded in the medical chart and available to the entire patient care team. This ensures continuous review of patient goals during interactions, resulting in a consistent healthcare continuum (Langford et al., 2007).

In the subsequent step, a detailed evaluation is conducted concerning the patient’s diet and daily routine, analyzing previous routines and their effectiveness. Based on this information, the healthcare team helps the patient develop meaningful objectives. Quarterly or monthly follow-up visits and telephone appointments with the healthcare team assess patient improvement based on the plan. This procedure gradually becomes a standard part of primary care visits, easily integrated with clinical treatment.

Another intervention involves patient education, implementing various strategies to control diabetes. Knowledge about illnesses and their therapeutic techniques is crucial for effective disease management. Disseminating information about diseases to nursing and healthcare professionals can be an effective intervention for reducing blood pressure.

Developing a health promotion plan for Type 2 Diabetes Mellitus (T2DM) in a nursing care home involves setting care objectives, monitoring pharmaceutical and sugar levels, and detailing insulin administration. While treatment plans are tailored to individuals, certain common strategies can be applied. Physicians and therapists should plan appropriate medication and physical activities to mitigate the risk of T2DM. Psychologists can assist in stress reduction through sessions and therapies, and dietitians can design suitable diet plans for both mothers and children to lower the risk of uncontrolled sugar levels and obesity.

1st intervention: Self-management education and support from healthcare professionals. Continuous support from healthcare personnel is crucial for guiding patients in dealing with T2DM. Efficient use of available resources, including community seminars, counseling sessions, and workshops, can provide necessary education and promote self-care. Physicians should devise home care plans and prescribe medications for a prompt recovery. Healthcare workers must ensure the utilization of preventive care services, organizing random checkups, and management programs (Zhao, 2022).

2nd intervention: Blood sugar monitoring regime. Care plans should include a segment on blood sugar testing, specifying the type of glucose monitor used and the target blood sugar level before meals. This section also addresses how blood sugar tests will be performed and which body part is suitable for testing, such as fingers, thighs, calves, or arms (Li & Hao, 2019).

3rd intervention: Insulin therapy management. The insulin therapy section outlines the insulin administration tools, including needles, insulin pen fills, or insulin syphons. It also covers the insulin-to-carbohydrate ratio, enabling users to measure the appropriate insulin dose, along with a timetable for self-administration of insulin (Lauver et al., 2019).

4th intervention: Family support during the treatment schedule. Recognizing the significant impact of family on disease care, providing diabetes education to the individual with T2DM may be limited in its influence. Family-based approaches to chronic illness care consider the family’s environment, addressing intellectual, social, and psychological needs. Involving families in learning programs can encourage diabetic patients, establish functional family practices, and promote diabetic self-management (Tomaselli et al., 2020).

Ethical Decisions in Designing Patient-Centered Healthcare Interventions

Patient-centered care is a commendable approach that prioritizes individualized treatment, considering the patient’s personality, lifestyle, and relationships along with their physical illness. However, ethical considerations arise in the implementation of this approach, including concerns about breaching privacy, potential biases in patients’ narratives, the development of personal relationships, and shared decision-making that could lead to negative outcomes.

Implementing a patient-centered care plan is considered ethical and efficient, placing the patient at the center of decision-making. Healthcare workers must handle patients’ personal information with utmost care and professionalism. The emphasis is on treating patients equally and involving them in decisions about their treatment while respecting their privacy and needs.

Ethical decision-making in patient-centered care involves questioning the legality of decisions, working with dedication and professionalism, and understanding the patient to provide appropriate guidance. Some critical ethical questions to address include whether the decision is in the best interest of the patient, whether it is legal, whether it fulfills ethical requirements, and whether the patient’s privacy is secured.

Patient-centered intervention, while crucial, necessitates addressing ethical issues. Ethical dilemmas may arise when the patient’s and practitioner’s views differ regarding treatment goals. Respecting autonomy and dignity may sometimes conflict with acting in the patient’s best interest.

Villa Health Hospital strives to provide patient-centered care for gestational diabetes patients while considering ethical perspectives. Autonomy, cultural values, personal choices, and the freedom to reject therapy are essential aspects of patient-centered healthcare.

The ethical concept of human prosperity, as proposed by Aristotle, emphasizes viewing patients as human beings rather than merely as patients. Nurses play a vital role in considering the cultural values and traditions of patients, embracing emotional intelligence, and adhering to ethical judgments to enhance the quality of care coordination.

Reducing ethical issues in healthcare organizations involves improving patient coordination and participation in treatments. Nurses can enhance their emotional intelligence, recognize prejudices, and adopt ethical practices to foster better relations with the environment and contribute to organizational progress. Overall, patient-centered models are viewed as more appreciable, ethical, and courteous in healthcare settings.

Policy implications for the coordination and continuum of care

The implementation of a patient-centered care (PCC) approach requires careful consideration of policies to ensure effective delivery and continuity of care. Policymakers play a crucial role in shaping the healthcare system to support and encourage patient-centered care. Here are some policy implications for the coordination and continuum of care in the context of gestational diabetes patients at Villa Health hospital:

Performance Requirements for Patient-Centered Care:

• Policymakers should establish precise performance requirements that healthcare service providers must meet to deliver patient-centered care effectively.
• Focus on concerted and integrated efforts to develop patient-centered care, acknowledging that it involves more than just infrastructural and technical advancements.

Strategic Plan for Patient-Centered Care:

• Develop a strategic plan to encourage the acquisition and maintenance of skills related to patient-centered care by healthcare workers.
• Urge healthcare organizations to adopt a patient-centered approach, emphasizing self-management assistance and shared decision-making.

Quality Care and Compassion:

• Policies should emphasize the provision of quality care by nursing staff with utmost compassion and compatibility.

Privacy Protection:

• Ensure policies that protect the privacy and personal information of patients while providing the right treatment after understanding their concerns.

Healing Relationship and Technical Care:

• Policies should encourage healthcare staff to establish healing relationships with patients, ensuring enhanced technical care and interpersonal relationships.

Meaningful Use of Health Information Technology (HIT):

• Encourage the meaningful use of Health Information Technology provided by the federal government to benefit patients.

Inter-Professional Coordination:

• Policies should emphasize proper coordination among the inter-professional team to provide patient-centered care.

Individualized Care Strategies:

• Encourage nursing staff to plan individualized and personalized care strategies for each patient, treating them as unique entities.

Public Awareness Programs:

• Policies should mandate the organization of health seminars and workshops to enhance public awareness, promoting proactive healthcare.

These policies not only contribute to the betterment of patients but also enhance the overall performance and reputation of healthcare organizations. Furthermore, they can serve as a foundation for proposing new technologies and improved treatment strategies in the future.

Additionally, government initiatives, such as those implemented by the Centers for Medicaid & Medicare Programs, play a role in shaping healthcare policies. For instance, scoring systems that impose monetary penalties for high readmission rates incentivize hospitals to provide better and more effective clinical care during stays. Legislative approaches, like approving the use of e-cigarettes to control tobacco, and financial support provided by the Affordable Care Act for chronic case programs and medicinal options, contribute to a comprehensive healthcare framework.

The regulation of environmental standards and support for innovative research also reflects a commitment to overall health, demonstrating a recognition that healthcare extends beyond direct medical care to include environmental factors. The supervision of tobacco industry restrictions and clean air campaigns by regulatory bodies like the United States Food and Drug Administration further emphasizes the importance of a holistic approach to healthcare.

Priorities for Discussion in Healthcare Planning

It is imperative for healthcare professionals to operate in a collaborative and coordinated manner to ensure positive outcomes. The foremost priority of nursing and healthcare staff is delivering effective and high-quality care to patients. The healthcare field necessitates continual dedication and professionalism to navigate unforeseen challenges. A well-coordinated care plan is essential to prevent adverse events, mistreatment, incorrect prescriptions, unnecessary readmissions, excessive screening, and prolonged hospital stays. Such a plan not only reduces hospital expenditures but also safeguards the hospital’s reputation. Healthcare advisors should exercise caution when communicating with patients and their families, following evidence-based priorities as per national standards:

• Prioritize the patient’s needs and preferences in treatment and communication.
• Enhance treatment strategies to meet ethical and medical standards.
• Maintain composure, take responsibility, and handle patients professionally.
• Avoid arguments and acknowledge inexperience or lack of practice instead of conveying incorrect information.
• Establish a connection with patients, seeking to understand their challenges.
• Clearly communicate treatment plans or changes based on available evidence-based practices.

Care coordinators play a crucial role in discussing treatment plans with patients and fostering trust by providing patient-centered care.

Comparison of Teaching Session Content with Best Practices

The Healthy People 2030 initiative, a governmental public health framework from 2020, proves instrumental in guiding healthcare professionals in effectively addressing challenges posed by Gestational diabetes. This initiative encompasses a comprehensive framework outlining the issues related to gestational diabetes and effective strategies to overcome them. Aimed at ensuring the well-being of the population and promoting a healthier lifestyle, the initiative serves as a valuable guide for nursing staff to acquire new strategies and enhance their knowledge for effective patient treatment. The initiative aligns with goals of promoting public health and preventing diseases.

The data gathered from Healthy People 2030 has significantly aided nursing and healthcare staff at Villa Health Hospital in formulating improved strategies for dealing with gestational diabetes patients. This initiative enables the identification of criteria for treating mothers with gestational diabetes, addressing symptoms like high blood pressure, breathing difficulties, cardiovascular diseases, depression, and anxiety. Solutions include increased physical activities, regular monitoring of sugar levels, timely medication, and a proper diet plan. Consequently, the nursing staff’s abilities and skills are enhanced, contributing to the creation of a more collaborative and effective healthcare environment.

References

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Epstein, R. M., Fiscella, K., Lesser, C. S., & Stange, K. C. (2010). Why the nation needs a policy push on patient-centered health care. Health affairs, 29(8), 1489-1495.

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Langford, A. T., Sawyer, D. R., Gioimo, S., Brownson, C. A., & O’Toole, M. L. (2007). Patient-Centered. The Diabetes Educator, 33(S6), 139S-144S.

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Martinez, N. G., Niznik, C. M., & Yee, L. M. (2017). Optimizing postpartum care for the patient with gestational diabetes mellitus. American journal of obstetrics and gynecology, 217(3), 314-321.

Moore, L., Britten, N., Lydahl, D., Naldemirci, Ö. Elam, M., & Wolf, A. (2017). Barriers and facilitators to the implementation of person-centred care in different healthcare contexts. Scandinavian Journal of Caring Sciences, 31(4), 662–673. https://doi.org/10.1111/scs.12376

Otero, C., Luna, D., Marcelo, A., Househ, M., Mandirola, H., Curioso, W., Pazos, P., & Villalba, C. (2015). Why patient-centered care coordination is important in developing countries? Contribution of the IMIA health informatics for development working group. Yearbook of Medical Informatics, 10(1), 30–33. https://doi.org/10.15265/IY-2015-013

Plows, J., Stanley, J., Baker, P., Reynolds, C., & Vickers, M. (2018). The Pathophysiology of Gestational Diabetes Mellitus. International Journal of Molecular Sciences, 19(11), 3342. https://doi.org/10.3390/ijms19113342

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