Please, write a response to the following discussion in one paragraph. APA format needed without cover page, one reference from peer-reviewed Nursing Journal required.

 

             Minorities such as the Hispanic population are having to deal with chronic conditions without the ability to access healthcare. They lack healthcare access because they are unable to afford a healthcare plan nor are they able to pay for doctor visits. In addition, they are unable to afford their daily medications that are needed to help control their health conditions. Many of the low-income Hispanics on average have an income of less than 25, 000 per year. They are financially unstable and worried about their finances. Because of this low income, they are unable to afford the costs associated with their illnesses leading to a lack of follow-up visits, lack of adherence to the medication regimen and many simply do not see a doctor. For the Hispanic population, diabetes is the most common chronic health condition affecting their family (Saulsberry, Blendon, & Benson, 2016).

            A program that has helped many people in the United States to obtain healthcare coverage is the Affordable Care Act. When ACA was signed into law in 2010, it allowed for the largest number of people to obtain coverage in fifty years (Sommers, Maylone, Blendon, Orav & Epstein, 2017). Because of ACA, there have been increased primary care visits, improved blood pressure control and PAP testing rates. Under the healthcare law, healthcare companies cannot refuse to insure people with pre-existing conditions. People with pre-existing chronic conditions have the most to gain because they are covered and will not be denied care. ACA has provided medical adherence, open communication with healthcare providers and it has improved access to healthcare and services to low income Hispanic communities. I hope that ACA continues to be a law, one providing better healthcare and access to all in the United States.

 

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please, write one paragraph response to the following discussion by using one reference from peer-reviewed Nursing Journal not older than 5 years.

 

 

How Client’s Values Are Used to Provide Framework of Care

One of the most important things to remember when providing care for an individual is to listen. Being a patient advocate means that not only are you providing care, but you are also keeping the patient and their family involved in the care. Client centered care is an approach that values the patient as a whole and not just focusing on the health issues that needs to be addressed. Communication is key because it gives the opportunity for the patient to voice their concerns and to state what makes them comfortable which gives them autonomy. In order to have a proper plan that will deliver positive outcomes there needs to be exchange of dialogue between the patient and the healthcare provider, this will aide in creating the best plan of care. The values and beliefs of the patient need to be acknowledged because it can make the process of care more satisfying. When healthcare professionals are culturally competent it provides building blocks to create a plan of care that will be of great quality. This means that the provider will take into consideration that patient’s values and beliefs when deciding what treatments meet that needs (Henderson, Horne, Hills, & Kendall, 2018).  

  

References

Henderson, S., Horne, M., Hills, R., & Kendall, E. (2018). Cultural competence in healthcare in

the community: A concept analysis. Health & Social Care in the Community, 26(4), 590–

603. https://doi-org.db03.linccweb.org/10.1111/hsc.12556

 

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Please, write one paragraph response to the following Discussion by using one reference from peer-reviewed Nursing Journal not older than 5 years.

 

Evidence based practice plays a major role in nursing, EBN is any practice that relies on scientific evidence for guidance and decision making. Organizations with forthcoming leadership reinforce staff will boost the use of evidence based practice. Informal and formal leadership is necessary across all organizational levels and nursing roles when implementing evidence based practice (Huber, 2018). Nurse Managers can ease and support EBP work in ways like setting up unit expectations, discussing the importance of EBP, promote staff questioning, track progress and much more. Encouraging nurse to attend project work conferences will promote the use of evidence based practice. Economics do affect nursing practice

 We all agree that finding a large amount of research support Evidence based practice ameliorate quality and safety of health care which amplify health outcomes and decreased variation I care and reduces costs. A lot of money is spent on healthcare in the United States than any western country. Nurse’s work 12 hours shift, patient are awaken every 2-4 hours for vitals, patient with indwelling catheter ends up with infection. In the United States EBP has been the Triple Aim in healthcare. EBP has been found to license clinicians and result in higher job satisfaction. Although it has brought many positives outcomes it is not used throughout the United States or the rest of the world due to multiple barriers that have continued to persist over the past decades. Study shows there is a gap between the research evidence available and the implementation of it in clinical practice. The reason for that is because clinicians can overwhelmed with information or lack skills to assess information , sometimes it is reviewed but not apply to clinical decision-making (Stephen-Haynes,2014). Not having many research evidence available, nurses tend to make decisions based what was already available and not any updated information. While sometimes it provides positive outcomes, sometimes it ends on costing the facility when the effects are not so positive. Patients are concerned about achieving better outcomes while controlling the cost of medications and treatment. It can cause patient not to seek help until it’s too late. The more research we find the more we can implement into our practice and the more it can decreased cost for patients and also the hospitals.

In summary we talked how evidence-based practice (EBP) improves healthcare quality, patient outcomes, and cost reductions, and abundance barriers persist in healthcare settings that need to be rapidly overcome. We talk about how the cost of treatment affects nursing care and how clinicians sometimes may not review any new research due to being burn out.

 

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Complete a rough draft of the transitions paper and then the actual paper. The guidelines for this paper are in the attached paper (in the RUA:transitions paper folder). You can use the library website (library.chamberlain.edu) to research your articles. This paper needs to be in APA format. You can use your APA manual for assistance. I have also created an APA files folder with some resources. In addition, the Purdue Owl website for APA is a great resource too: https://owl.english.purdue.edu/owl/resource/560/01/

 

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