Patient Outcome Essays (Examples)
Study Document
Culturally Competent Patient Care Advanced Practice Nursing
… competent nurses can assess the psychological, spiritual, physiological, social, environmental, and epidemiological data on a particular cultural group to provide culturally sensitive and patient-centered care. Since Madeleine Leininger first proposed that cultural competency was essential to nursing, various means of incorporating cultural learning and assessment have been … attitudes, behaviors, beliefs, and expectations.
Cultural competency becomes relevant to advanced nursing practice on the individual level (such as nurses working with individual patient) and also on the organizational level (built into healthcare policy or institutional policies). For the advanced practice nurse, cultural competency involves self-efficacy along … 2019, p. 1). The nurse practitioner asks the right questions, conducts research, and uses scholarly means to conduct cultural assessments of a particular patient population. Similarly, the advanced practice nurse reviews the literature for evidence-based practice models for working with specific patient populations in clinical care. Cultural competency also includes an affective domain,……
References
References
Coats, H., Crist, J. D., Berger, A., Sternberg, E., & Rosenfeld, A. G. (2016). African American Elders’ Serious Illness Experiences. Qualitative Health Research, 27(5), 634–648. doi:10.1177/1049732315620153
“Cultural Awareness and Influences on Health: NCLEX-RN,” (2020). Registered Nursing. Retrieved from: https://www.registerednursing.org/nclex/cultural-awareness-influences-health/
Marion, L., Douglas, M., Lavin, M., Barr, N., Gazaway, S., Thomas, L., Bickford, C., (November 18, 2016) \\\\\\\\\\\\"Implementing the New ANA Standard 8: Culturally Congruent Practice\\\\\\\\\\\\" OJIN: The Online Journal of Issues in Nursing Vol. 22 No. 1.
Smith, L.S. (2018). A nurse educator\\\\\\\\\\\\'s guide to cultural competence. Nursing Made Incredibly Easy 16(2): 19-23.
Spector, R.E. (2016). Cultural diversity in health and illness. 9th Edition
Wagner, J. (2019). Cultural competency. Medicine Libre Texts. Retrieved from: https://med.libretexts.org/Bookshelves/Nursing/Book%3A_Leadership_and_Influencing_Change_in_Nursing_(Wagner)/03%3A_Diversity_in_Health_Care_Organizations/3.04%3A_Cultural_Competency
Williams, M.T., Duque, G., Wetterneck, C.T., et al. (2018). Ethnic identity and regional differences in mental health in a national sample of African American young adults. Journal of Racial and Ethnic Health Disparities 5(2018): 312-321.
Young, S., & Guo, K. L. (2016). Cultural diversity training: the necessity of cultural competence for health care providers and in nursing practice. The health care manager, 35(2), 94-102.
Study Document
Patient Safety Nursing Skills And COPD
According to a study by Aiken (et al., 2017), there is a direct correlation between a more highly skilled nursing workforce and lower patient mortality, higher patient satisfaction, better quality of care, patient safety, and a reduced rate of other poor medical outcome. To gather the quantitative data to establish this association, the researchers used representative samples from acute care hospitals in Belgium, Finland and Switzerland. … data to establish this association, the researchers used representative samples from acute care hospitals in Belgium, Finland and Switzerland. They controlled for unrelated patient and hospital variables which could have impacted the results. In all of the wards, nurses were responsible for providing direct care to patient.
The findings are interesting, because despite the fact that different nations have different educational standards for their nurses, the link between quality of … provide healthcare, at least in the type of acute settings profiled in……
References
Reference
Aiken, L.H., Sloane, D., Griffiths, P., Rafferty, A., Bruynee, L., McHugh, M. …Sermeus, W. (et al., 2017). Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Quality & Safety, 26:559-568.
Study Document
Patient Scenario Metastatic Prostate Adenocarcinoma
patient Scenario
1. What are the components of physical examination? Describe each component. (See Module 1, Commentary, Topic 8. Disease Categories, Part B. Steps in … as skin color changes, stimuli responsiveness, alertness, mobility, facial expression, posture, etc. Next, there is the taking of the vital signs of the patient which could in this case be inclusive of the patient’s breathing rate, heart rate, blood pressure, etc. Third, yet another key component of physical examination is auscultation. In this case, a physician makes … Third, yet another key component of physical examination is auscultation. In this case, a physician makes use of a stethoscope to listen a patient’s bowel movements as well as well as heart and lungs for abnormalities. Fourth is a procedure referred to as percussion. It is important … (diastolic) of 90 or higher.
3. Based on the data provided, what laboratory tests were performed and what samples……
References
References
American Heart Association (2020). Understanding Blood Pressure Readings. Retrieved from https://www.heart.org/en/health-topics/high-blood-pressure/understanding-blood-pressure-reading s
Davis, C.P. (2018). CT Scan vs. MRI Differences between Machines, Costs, Uses. Retrieved from https://www.medicinenet.com/ct_scan_vs_mri/article.htm
Palmer, A. (2005). A Simple Guide to Blood Pressure. Mason, OH: CSF Medical Communications.
Sawyers, T. (2019). CT Scan vs. MRI. Retrieved from https://www.healthline.com/health/ct-scan-vs-mri
Taylor, R. (2002). Family Medicine: Principles and Practice. New York, NY: Springer Science & Business Media.
Study Document
Effectiveness Of In Home Monitoring Of CHF Patients
… that approximately one million hospitalizations linked to congestive heart failure occur annually. Most of these hospitalizations arise from worsened congestion among already diagnosed patient. The United States spends approximately $32.7 billion on congestive heart failure annually. Martirosyan et al. (2017) states that readmission rates for this condition … billion on congestive heart failure annually. Martirosyan et al. (2017) states that readmission rates for this condition remain high as nearly 20% of patient are readmitted within 30 days and nearly 50% within 6 months. This paper aims to present a quality improvement project toward lessening re-hospitalization … within 30 days and nearly 50% within 6 months. This paper aims to present a quality improvement project toward lessening re-hospitalization rates of patient diagnosed with congestive heart failure.
Problem Discussion
Congestive heart failure (CHF) is a cardiovascular disorder characterized by periods of stability and instability (Martirosyan … Deterioration of CHF is linked……
References
References
Bashi, N., Karunanithi, M., Fatehi, F., Ding, H. & Walters, D. (2017, January). Remote Monitoring of Patients with Heart Failure: An Overview of Systematic Reviews. Journal of Medical Internet Research, 19(1). DOI: 10.2196/jmir.6571
Conn, N.J., Schwarz, K.Q. & Borkholder, D.A. (2019). In-Home Cardiovascular Monitoring System for Heart Failure: Comparative Study. Journal of Medical Internet Research, 7(1). DOI: 10.2196/12419
Gonzalo, A. (2019, August 22). Nola Pender: Health Promotion Model. Retrieved May 18, 2020, from https://nurseslabs.com/nola-pender-health-promotion-model/
Idris, S., Degheim, G., Ghalayini, W., Larsen, T.R., Nejad, D. & David, S. (2015). Home Telemedicine in Heart Failure: A Pilot Study of Integrated Telemonitoring and Virtual Provider Appointments. Reviews in Cardiovascular Medicine, 16(2), 156-162.
Khodaveisi, M., Omidi, A., Farokhi, S. & Soltanian, A.R. (2017, April). The Effect of Pender’s Health Promotion Model in Improving the Nutritional Behavior of Overweight and Obese Women. International Journal of Community-based Nursing and Midwifery, 5(2), 165-174.
Kohn, M. S., Haggard, J., Kreindler, J., Birkeland, K., Kedan, L., Zimmer, R., & Khandwalla, R. (2017). Implementation of a home monitoring system for heart failure patients: A feasibility study. JMIR Res Protoc, 6(3). DOI: 10.2196/resprot.5744
Martirosyan, M., Caliskan, K., Theuns, D., & Szili-Torok, T. (2017). Remote monitoring of heart failure: Benefits for therapeutic decision making. Expert Review of Cardiovascular Therapy, 15(7), 503-515. DOI: 10.1080/14779072.2017.1348229
Ong et al. (2016, March). Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients with Heart Failure. JAMA Internal Medicine, 176(3), 310-318.
Study Document
The Use Of Clinical Systems To Improve Outcomes And Efficiencies
Literature Review
The Use of Clinical Systems to Improve outcome and Efficiencies: Special Focus on patient Portals in Diabetes Management
patient portals come in handy in seeking to promote the access that patents have to their personal healthcare data. Of relevance on this front … in handy in seeking to promote the access that patents have to their personal healthcare data. Of relevance on this front could be patient lab results, doctor notes, prescriptions, billing, the relevant information regarding the next appointment, etc. It is also important to note that in some … results, doctor notes, prescriptions, billing, the relevant information regarding the next appointment, etc. It is also important to note that in some instances, patient portals do permit patient to actively communicate with their healthcare providers. Thus, from a general perspective, patient portals could be described as online tools designed to promote the health and wellbeing of patient……
References
References
Amante, D.J., Hogan, T.P., Pagoto, S.L. & English, T.M. (2014). A Systematic Review of Electronic Portal Usage among Patients with Diabetes. Diabetes Technology & Therapeutics, 16(11), 112-118.
Jackson, S.L., DesRoaches, C.M., Frosch, D.L., Peacock, S., Oster, N.V. & Elmore, J.G. (2018). Will Use of Patient Portals Help to Educate and Communicate With Patients With Diabetes? Patient Educ Couns., 101(5), 956-959.
Ronda, M.C., Dijkhorst-Oei, L., Vos, R.C. & Rutten, G.E. (2018). Diabetes Care Providers’ Opinions and Working Methods after Four Years of Experience with a Diabetes Patient Web Portal; A Survey among Health Care Providers in General Practices and an Outpatient Clinic. BMC Family Practice, 19(94), 79-84.
Sun, R., Korytkowski, M.T., Sereike, S.M., Saul, M.L., Li, D. & Burke, L.E. (2018). Patient Portal Use in Diabetes Management: Literature Review. JMIR Diabetes, 3(4), 41-48.
Dendere, R., Sade, C., Burton-Jones, A., Sullivan, C., Staib, A. & Janda, M. (2019). Patient Portals Facilitating Engagement with Inpatient Electronic Medical Records: A Systematic Review. J Med Internet Res, 21(4), 60-66.
Study Document
Telemedicine And Its Impact On Patient Care
Telemedicine: How does it impact patient care?
Introduction
The modern health care system is better and considerably more complex than what the situation previously was a decade and several … world remotely. This has led to improved healthcare and has enhanced patent experience.
Furthermore, many mobile applications have been invented to help both patient and doctors specifically. Moreover, they are not only helping patient recover but also improving their quality of life (Tiago et al., 2016). This paper investigates how a special technology, Telemedicine, affects patient care. The investigation will primarily be through reviewing a journal article titled Telemedicine Follow-up After Bariatric Surgery.
Background
For over thirty years, health … where there is a separation between the participants (Conklin, 2002; Tiago et al., 2016). In other words, Telemedicine connects health care providers with patient in cases where there is a distance between them. In addition to being a way in……
References
References
Meyers, A. J., Pontarelli, E., Dutta, S. K., Grinberg, G., & Yenumula, P. R. (2018). Telemedicine Follow-up After Bariatric Surgery. Surgery for Obesity and Related Diseases, 14(11), S168.
Tiago, M. T. B., Tiago, F., Amaral, F. E. B., & Silva, S. (2016). Healthy 3.0: Healthcare digital dimensions. In Reshaping medical practice and care with health information systems (pp. 287-322). IGI Global.
Conklin, T. P. (2002). Health care in the United States: An evolving system. Michigan Family Review, 7(1).
Board on Health Care Services; Institute of Medicine. (2012). \\\\\\\\\\\\"3The Evolution of Telehealth: Where Have We Been and Where Are We Going?\\\\\\\\\\\\" in The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. National Academies Press, Washington (DC).
Sada, A., Asaad, M., Reidt, W. S., Kellogg, T. A., Kendrick, M. L., McKenzie, T. J., & Habermann, E. B. (2019). Are In-Person Post-operative Clinic Visits Necessary to Detect Complications Among Bariatric Surgery Patients?. Obesity Surgery, 1-4.
Krupka, D. C., Sandberg, W. S., & Weeks, W. B. (2012). The impact on hospitals of reducing surgical complications suggests many will need shared savings programs with payers. Health Affairs, 31(11), 2571-2578.
Fasano, P. (2013). Transforming health care: The financial impact of technology, electronic tools, and data mining. John Wiley & Sons.
Burch, S., Gray, D., & Sharp, J. (2017). The power and potential of telehealth what health systems should know: proposed legislation in Congress offers the promise that the nation\\\\\\\\\\\\'s healthcare policy will support the expansion of telehealth, allowing hospitals and health systems to fully realize the benefits of this important emerging approach to care. Healthcare Financial Management, 71(2), 46-50.
Study Document
The Role Of Quality And Safety In Nursing Science
Quality and Sustainability Paper
Introduction
Quality and safety are paramount for patient experiencing illness and seeking treatment. The role of the nurse is complex, requiring effectiveness, efficiency, compassion, and understanding. Some aspects of nursing science … compassion, and understanding. Some aspects of nursing science involve research and use of evidence-based practice to provide the high quality and safety standards patient deserve. How are quality and safety measures adopted and implemented? This essays aims to look at the role quality and safety play in … using a contemporary example, and seeing how real world strategies aim to test and assess standards of care to deliver the positive health outcome patient need. By delving into real-world application of quality and safety measures, one can determine the process from cultivation of concepts, implementation, and assessment.
… determine the process from cultivation of concepts, implementation, and assessment.
Quality measures in nursing science
Often a……
References
References
Brasait?, I., Kaunonen, M., Martink?nas, A., Mockien?, V., & Suominen, T. (2016). Health care professionals’ skills regarding patient safety. Medicina, 52(4), 250-256. doi:10.1016/j.medici.2016.05.004
Jones, T. L., Hamilton, P., & Murry, N. (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52(6), 1121-1137. doi:10.1016/j.ijnurstu.2015.02.012
Lood, Q., Kirkevold, M., Sjögren, K., Bergland, Å., Sandman, P., & Edvardsson, D. (2019). Associations between person?centred climate and perceived quality of care in nursing homes: A cross?sectional study of relatives’ experiences. Journal of Advanced Nursing. doi:10.1111/jan.14011
Murray, M., Sundin, D., & Cope, V. (2017). New graduate registered nurses’ knowledge of patient safety and practice: A literature review. Journal of Clinical Nursing, 27(1-2), 31-47. doi:10.1111/jocn.13785
Sahlström, M., Partanen, P., Rathert, C., & Turunen, H. (2016). Patient participation in patient safety still missing: Patient safety experts\\' views. International Journal of Nursing Practice, 22(5), 461-469. doi:10.1111/ijn.12476
Smeds-Alenius, L., Tishelman, C., Lindqvist, R., Runesdotter, S., & McHugh, M. D. (2016). RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: A national cross-sectional study of acute-care hospitals. International Journal of Nursing Studies, 61, 117-124. doi:10.1016/j.ijnurstu.2016.06.005
Tobiano, G., Marshall, A., Bucknall, T., & Chaboyer, W. (2015). Patient participation in nursing care on medical wards: An integrative review. International Journal of Nursing Studies, 52(6), 1107-1120. doi:10.1016/j.ijnurstu.2015.02.010
Twigg, D. E., Pugh, J. D., Gelder, L., & Myers, H. (2016). Foundations of a nursing-sensitive outcome indicator suite for monitoring public patient safety in Western Australia. Collegian, 23(2), 167-181. doi:10.1016/j.colegn.2015.03.007
Study Document
Optimizing Health Information Systems
… and Privacy regulatory requirements. To this end, a discussion and analysis of health information systems, a description concerning how a system will affect patient care and documentation and an explanation concerning how using a system to access information will affect the quality and delivery of nursing care … and documentation and an explanation concerning how using a system to access information will affect the quality and delivery of nursing care and patient outcome are followed by a discuss about how a system will benefit the merged organization. Finally, a description of four essential stakeholder roles needed … and capabilities, they typically share some common features that are related to improving the ability of health care organizations to more effectively manage patient-related data to identify problem areas and opportunities for improvement. For instance, according to Shahmoradi and Habibi-Koolaee (2016), the primary advantages of health information … are typically inter-related, though,……
References
References
Abouzhar, C. & Boerma, T. (2009, August). Health information systems: The foundations of public health. Bulletin of the World Health Organization, 83(8), 578-583.
Cresswell, K. & Aziz, S. (2013, May). Organizational issues in the implementation and adoption of health information technology innovations: An interpretative review. International Journal of Medical Informatics, 87(5), 73-86.
Drazen, E. L. (2006, February). Maximizing the benefits of health care information systems. Journal of Medical Systems, 10(1), 51-56.
Kruse, C. S. & Smith, D. (2017, July). Security techniques for the electronic health records. Journal of Medical Systems, 41(8), 127.
Kumar, V. (2011). Impact of health information systems on organizational health communication and behavior. The Internet Journal of Allied Health Sciences and Practice, 9(2), 37-44.
McGrail, K. M. & Black, C. (2009, August). Access to data in health information systems. Bulletin of the World Health Organization, 83(8), 563-569.
Murphy, M. L. (2019, March). Mastering accounting for business combinations: Mergers and acquisitions present challenges that finance can overcome by staying involved with the deal and preparing in advance of the closing. Journal of Accountancy, 227(3), 24-27.
NAHQ code of ethics for healthcare quality. (2019). National Association for Healthcare Quality. Retrieved from https://nahq.org/about/code-of-ethics .
Study Document
Staffing For Nurses In Hospitals
… challenge for nurses. If there are too few nurses on staff it can lead to nurse burnout. The right ratio of nurses to patient is required to prevent nurses from being overburdened (Martin, 2015). The reason I selected this policy is because it is clearly important to … ensure that nurses feel confident about their work (Martin, 2015). As Martin (2015) shows, better staffing ratios helps to improve quality care for patient. And as Laschinger and Fida (2015) show, when nurses feel they are giving quality care they are happier in their jobs and are … of hospital costs (Reiter et al., 2012). Twigg, Myers, Duffield, Giles and Evans (2015).point out that increased staffing with a 4:1 ratio of patient to nurses can have a $40,000 cost per life saved for the hospital. Second, however, is the long-term savings. Twigg et al. (2015) … however, is the long-term savings.……
References
References
ANA. (2019). Nurse staffing. Retrieved from https://www.nursingworld.org/practice-policy/advocacy/state/nurse-staffing/
Dousay, T., Childers, B., Cole, M., Hill, T., & Rogers, C. (2016). Lower Nurse-to-Patient Ratio: Higher Patient Satisfaction. Retrieved from https://scholarworks.moreheadstate.edu/cgi/viewcontent.cgi?article=1105&context=student_scholarship_posters
Fowler, D., & Comeaux, Y. (2017). The legislative role in nurse staffing ratios. MedSurg Nursing, 26(2), 12-14.
Laschinger, H. K. S., & Fida, R. (2015). Linking nurses’ perceptions of patient care quality to job satisfaction: the role of authentic leadership and empowering professional practice environments. Journal of Nursing Administration, 45(5), 276-283.
Martin, C. J. (2015). The effects of nurse staffing on quality of care. MedSurg Nursing, 24(2), S4-S4.
Reiter, K. L., Harless, D. W., Pink, G. H., & Mark, B. A. (2012). Minimum Nurse Staffing Legislation and the Financial Performance of C alifornia Hospitals. Health Services Research, 47(3pt1), 1030-1050.
Rondeau, K. V., & Wagar, T. H. (2016). Human resource management practices and nursing turnover. Journal of Nursing Education and Practice, 6(10), 101.
Twigg, D. E., Myers, H., Duffield, C., Giles, M., & Evans, G. (2015). Is there an economic case for investing in nursing care–what does the literature tell us?. Journal of advanced nursing, 71(5), 975-990.
Study Document
Developing Organizational Practices And Policies
… ought to effectively manage these needs so as to ensure that an organization is able to fulfill its obligations to various stakeholders, i.e. patient and employees. To a large extent, this involves not only prudent allocation of resources, but also proper establishment of priorities.
Competing Needs
The … of resources, but also proper establishment of priorities.
Competing Needs
The competing needs in the organizational setting are: the need to promote better outcome via the acquisition and implementation of new technology and the need to raise the minimum wage of employees as a motivation and retention … wellbeing while at the same time saving lives. My organization recognizes the relevance of the implementation of technology so as to ensure better outcome and remain relevant in an increasingly competitive healthcare marketplace. Towards this end, it has in the past been quick to embrace new technology … embrace new technology and innovations……
References
References
Agah, A. (Ed.). (2013). Medical Applications of Artificial Intelligence. New York, NY: CRC Press.
Barlow, J. (2016). Managing Innovation in Healthcare. Hackensack, NJ: World Scientific Publishing Company.
Cherry, B. & Jacob, S.R. (2018). Contemporary Nursing: Issues, Trends, & Management (8th ed.). St Louis, MO: Elsevier Health.
Jones, C.B. & Gates, M. (2007). The Costs and Benefits of Nurse Turnover: A Business Case for Nurse Retention. Online Journal of Issues in Nursing, 12(3).
Littlejohn, L., Campbell, J., Collins-McNeil, J. & Khayile, T. (2012). Nursing Shortage: A Comparative Analysis. International Journal of Nursing, 1(1), 22-27.
Kruse, C.S. & Beane, A. (2018). Health Information Technology Continues to Show Positive Effect on Medical Outcomes: Systematic Review. J Med Internet Res, 20(2).
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