public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.
Delivering Client Centered Care
kaffy
Shared decision-making (SDM) is a vital component of contemporary healthcare, transforming the landscape of patient-centered care across the lifespan. A significant body of evidence, such as the peer-reviewed article titled “Shared decision-making in primary care: A systematic review and meta-analysis of its effects on patient outcomes” by Stacey J. Pereira et al. published in the Annals of Family Medicine in 2021, underscores the merits of SDM in promoting health and delivering client-centered care.
SDM epitomizes a collaborative process where patients and healthcare providers harmoniously engage in making healthcare decisions. This process revolves around the amalgamation of the best available clinical evidence with the unique values and preferences of the patient. The systematic review and meta-analysis examined 57 randomized controlled trials (RCTs), offering compelling insights into the affirmative influence of SDM on various patient outcomes. These encompassed heightened patient satisfaction, an improved quality of life, reduced decisional regret, greater adherence to treatment regimens, and superior clinical outcomes such as enhanced blood pressure control, glucose management, and cholesterol levels.
There are two overarching reasons that substantiate SDM as an essential and exemplary healthcare practice. Firstly, SDM is rooted in the principle of respecting the autonomy and right to self-determination of patients. It elevates the patient to an active, informed decision-maker in their care, ensuring that their voice is both heard and honored in the decision-making process. Secondly, SDM consistently demonstrates its prowess in enhancing patient outcomes. This patient-centered approach fosters an environment where patients feel valued and involved, leading to increased satisfaction, a better quality of life, and a notable reduction in decisional regret. Moreover, it fortifies patient adherence to treatment plans and significantly betters clinical outcomes.
In the realm of healthcare, SDM transcends being a mere process; it becomes a conduit for the realization of optimal care and health promotion. It effectively personalizes care delivery, ensuring that interventions align with each patient's unique needs, values, and preferences. Importantly, SDM nurtures trust and rapport between patients and healthcare providers, serving as the bedrock of effective communication. When patients feel heard and respected, it paves the way for open and honest dialogues, which, in turn, bolster healthcare decisions and ultimately lead to improved health outcomes. Additionally, SDM is instrumental in empowering patients to be active participants in their health journeys. It fosters a sense of ownership and responsibility for their well-being, thus propelling health promotion efforts to new heights.
In conclusion, the evidence gleaned from the systematic review and meta-analysis by Stacey J. Pereira et al. underscores the pivotal role of SDM in modern healthcare. By respecting patient autonomy and consistently yielding positive patient outcomes, SDM epitomizes a best practice that is integral to the delivery of client-centered care and the promotion of health across the life span. Its capacity to personalize care, foster trust, and empower patients underscores its status as a cornerstone of contemporary healthcare delivery.
Okafor Aboh
he/him/his
19 hours ago, at 10:45 PM
Top of Form
In healthcare allowing the patient to have the autonomy over their own healthcare decisions is an important part in delivering client center care and promoting health. It is important that all parties of the healthcare team work together to achieve the desired needs of the patient. An important “best practice technique” to perform to achieve this is to provide patient centered communication. This means that the patients care is centered around the clients values, health concerns, and beliefs. It is also important for the patient to have an effective trustworthy relationship with nurse or provider on their team so they can effectively establish any possible personal or behavioral related barriers that may interfere with the care of the client.
Patient centered care reflects strictly on the specific needs of the individual patient and the best effective ways to provide them. Providing healthcare services that reflect and respect the needs of the patient results in positive outcomes for the clients health outside of the facility. Patient centered care requires the healthcare team to show respect towards the client, their needs, preferences, and values. When all parties are on the same page it makes an easier recovery process for the client and a smoother visit for the healthcare professionals.
TRANSLATION MODELS AND FRAMEWORKS
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Criterion (Questions should be answered specifically for the chosen case study) |
Points |
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1. What key criteria will the PHN need to consider for a successful first visit with this client? |
2 |
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2. How will the PHN establish professional boundaries with this client? |
2 |
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3. How will the PHN communicate confidentiality with the client? |
2 |
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4. What may some ethical challenges be during this home visit with the client? |
2 |
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5. How does the ANA Scope and Standards of Public Health (2013) nursing practice guide the responsibilities of the public health nurse in this case study? Cite this resource within your answer. |
2 |
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6. Identify key communication skills to assure respectful interaction with this client. |
1 |
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7. Describe the components of the nursing process in the planned home visit with this client. |
1 |
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8. Identify priority problems for this individual/family. |
1 |
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9. Identify plan and nursing interventions for this individual/family. Expand on what was written in the case study. |
1 |
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10. Identify plan to evaluate problem outcome. |
.5 |
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11. Professionally written using APA formatting and writing mechanics. |
.5 |
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Total Points |
15 points |
EVIDENCE BASE IN DESIGN
When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.
In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
· Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.
o Chapter 5, “Public Policy Design” (pp. 87–95 only)
o Chapter 8, “The Impact of EHRs, Big Data, and Evidence-Informed Practice” (pp. 137–146)
o Chapter 9, “Interprofessional Practice” (pp. 152–160 only)
o Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 183–191 only)
· American Nurses Association (ANA). (n.d.). AdvocacyLinks to an external site.. Retrieved September 20, 2018, from https://www.nursingworld.org/practice-policy/advocacy/
· Centers for Disease Control and Prevention (CDC). (n.d.). Step by step: Evaluating violence and injury prevention policies: Brief 4: Evaluating policy implementationLinks to an external site.. Retrieved from https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf
· Congress.govLinks to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/
· Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementationLinks to an external site.. Academy of Management Review, 21(4), 1055–1080.
· Sacristán, J., & Dilla, T. D. (2015). No big data without small data: Learning health care systems begin and end with the individual patientLinks to an external site.. Journal of Evaluation in Clinical Practice, 21(6), 1014–1017.
· Tummers, L., & Bekkers, V. (2014). Policy implementation, street level bureaucracy, and the importance of discretionLinks to an external site.. Public Management Review, 16(4), 527–547.
To Prepare:
· Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.
· Review the health policy you identified and reflect on the background and development of this health policy.
· Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Which social determinant most affects this policy? Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.
AGENDA COMPARISON GRID AND FACT SHEET
It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.
Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.
As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.
In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.
To Prepare:
· Review the agenda priorities of the current/sitting U.S. president and at least one previous presidential administration.
· Select an issue related to healthcare that was addressed by two U.S. presidential administrations (current and previous).
· Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.
· Use your Week 1 Discussion post to help with this assignment.
The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page narrative) with a title page. This is an APA paper. Use 2-3 course resources and at least 2 outside resources.
Part 1: Agenda Comparison Grid
Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the previous president, and their agendas related to the population health concern you selected. Be sure to address the following:
· Identify and provide a brief description of the population health concern you selected.
· Explain how each of the presidential administrations approached the issue.
· Identify the allocation of resources that the presidents dedicated to this issue.
Part 2: Agenda Comparison Grid Analysis
Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:
· Which administrative agency (like HHS, CDC, FDA, OHSA) would most likely be responsible for helping you address the healthcare issue you selected and why is this agency the most helpful for the issue?
· How do you think your selected healthcare issue might get on the presidential agenda? How does it stay there?
· An entrepreneur/champion/sponsor helps to move the issue forward. Who would you choose to be the entrepreneur/champion/sponsor (this can be a celebrity, a legislator, an agency director, or others) of the healthcare issue you selected and why would this person be a good entrepreneur/ champion/sponsor? An example is Michael J. Fox is champion for Parkinson’s disease.
Part 3: Fact Sheet
Using the information recorded on the template in Parts 1 and 2, develop a 1-page fact sheet that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following:
· Summarize why this healthcare issue is important and should be included in the agenda for legislation.
· Justify the role of the nurse in agenda setting for healthcare issues.
Submit your final version of Part 1: Agenda Comparison Grid, Part 2: Agenda Comparison Grid Analysis, and Part 3: Narrative.
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
1. To submit your completed assignment, save your Assignment as WK2Assgn+LastName+Firstinitial
2. Then, click on Start Assignment near the top of the page.
3. Next, click on Upload File and select Submit Assignment for review.
As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.
Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.
In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.
Discussion: Write at least 2 paragraph with citations in APA format.
Explain the meaning of an asset-based approach to health improvement.
· Provide an example of how positive resources available to individuals and communities enable them to gain more control over their lives and circumstances.
· Describe two to three implications for nursing practice including the cultural aspects.
Reply to the two discussions below (You do not need to use the same citation in the responses to the discussions.
Discussion #1
Hi Angelica, I agree with your view of the asset-based approach and its significance in healthcare. I think it means focusing on community resources that could promote health and well-being. Cassetti et al. (2019) explain that health assets are resources such as skills that improve people’s ability to maintain health. I have also thought that resources are a primary strength in communities that empower individuals and help in overcoming health promotion obstacles. Your example of using written or visual communication to overcome language barriers demonstrates the significance of utilizing community resources. In this scenario, some community members could have the ability to translate health promotion materials using local language. Nurses should build healthy relationships with such individuals to effectively advance individual well-being. I agree with your suggestions for nursing practice—practitioners should understand and respect communities’ communication styles. Do you think cultural competence is a vital element in an asset-based approach?
References
Cassetti, V., Powell, K., Barnes, A., & Sanders, T. (2019). A systematic scoping review of asset-based approaches to promote health in communities: Development of a framework.
Global Health Promotion,
27(3), 175797591984892. https://doi.org/10.1177/1757975919848925
Discussion #2
Asset-based approaches to health promotion have become increasingly popular to tackle health inequalities by empowering people in more disadvantaged communities to use local resources and increase control over health and its determinants (Cassetti et al, 2019). This approach focuses on resources available in the community and using those resources to address healthcare disparities facing the underserved communities.
I moved to Salt Lake City, UT from another country about 15 years ago; one of the resources I got connected early on and found very successful across the immigrants’ communities is a community gardening program run by local nonprofit, county, and city government. It is called ‘New Roots’ program (New roots in Salt Lake City, n.d.). It provides garden plots, technical support, seeds and other resources for local refugee and immigrants community to grow seasonal vegetables and help them sell those in local farmers’ markets. Fresh produces are sold weekly; individuals who have Supplemental Nutritional Assistance Program (SNAP) will be able to use it to buy double the produce than in local markets through match from grants. This asset-based approach provides immigrants with sense of ownership of gardens, sense of community, physical and mental exercises, fresh produces, and an ability to earn some money through selling produces.
Mental health, social work, and nursing embrace an asset-based approach to assessment within the health promotion context (Edelman & Kudzma, 2021, p. 146). Nurses can use asset-based approach in identifying gaps in services for the patients/families we are caring for and connect them to available resources to address their needs. Nurses are members of the community, and it is very crucial for us as nurses to be aware of the health care context, service gaps and resources in our community, especially when we are working with individuals from underserved communities.
References
Cassetti, V., Powell, K., Barnes, A., & Sanders, T. (2019). A systematic scoping review of asset-based approaches to promote health in communities: development of a framework.
Global Health Promotion,
27(3), 15–23.
https://doi.org/10.1177/1757975919848925Links to an external site.
Edelman, C., & Kudzma, E. C. (2021).
Health Promotion Throughout the Life Span – E-Book. Elsevier Health Sciences.
New roots in Salt Lake City. (n.d.). The IRC.
https://www.rescue.org/announcement/new-roots-salt-lake-cityLinks to an external site.
Challenges to Completion
See attached . Please ensure the there is an introduction and conclusion. Three pages without the cover page and reference page with a minimum of five journal articles. Assignment should be written in APA 7 format to include subtitles.
