Respond to this post with a positive response :

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use  references

EXAMPLE OF A REFERENCE:

If you cannot locate a doi number, this is how the reference should look: 

Quelly, S. B. (2017). Characteristics Associated with School Nurse Childhood Obesity Prevention Practices. Pediatric Nursing, 43(4). Retrieved from https://www.pediatricnursing.net/issues/17julaug/abstr5.html

                                                  Main Post

My experience with using Grammarly and Safe Assign were not as daunting as I expected.  Grammarly is an app-based program that can be attached to Office 365 and Firefox.  The link for Grammarly was found on the academic guides page.  I used the site search box to find the app’s location. From there it was as easy as following directions and downloading the app.  I copy and pasted the paraphrased assignment and received an 83/100 for performance.  Other scores given were for word and sentence length, those scores were a 4.9 and a10.9.  The only issue found was the “Go Premium” offer that was $11.99 a month or $139.95a year.  There will not be a subscription ordered.  Grammarly will be used in my Word program on a trial basis. It can’t hurt to see what needs to be fixed in real time.  Another academic integrity tool is Safe Assign.  This tool is defined in the academic answers portion of the academic guide by stating, “SafeAssign is a tool that helps students prevent plagiarism and aids in identifying opportunities to add properly cited sources rather than just paraphrasing.” (Walden, 2011) Finding Safe Assign in Blackboard was very easy.  It is in the toolbar on the bottom left-hand side of the page.  Once on the site, it is as easy as browsing your computer for the document and simply upload it.   The only issue I have with Safe Assign is it is not in real time, you must wait for the site to review your work then make the changes needed.  In my opinion, Grammarly is a better tool for writing and having a real-time view of the paper being written.

A resource that I would recommend is the Online Writing Lab (OWL).  It is the base from where the American Psychological Association (APA) is explained in detail.  In the APA overview and workshop section of the OWL, it states, “Establish your credibility or ethos in the field by demonstrating an awareness of your audience and their needs as fellow researchers.” (Purdue Writing Lab, 2018) This is why we should use APA when scholarly writing.  Credibility is key when writing anything at a master’s level.  When using APA, we research ideas and information from scientific journals, and at the same time distribute that knowledge in the form of scholarly writings.  Using the OWL for any APA formatting question creates a solid base for building an educational publication to be reviewed by your peers. (APA, 2010, pg.9)

Grammar in its basic form decides how a writer will be received by the reader.  Incorrect grammar sidetracks the reader from the tone an author has set.  A format that I constantly work on is the use of parallel construction.  On page 84 of, the “Publication Manual of the American Psychological Association (6th ed.)” parallel construction is covered.  This is two ideas covered in a sentence that will improve the reader’s comprehension.  (APA, 2010, pg.84) Another format important to consider is the explanation of abbreviations.  Abbreviations in scientific writing are used to shorten long drawn out titles. The key in using abbreviations is to initially explain what the abbreviation is and use it at least four times.  There is a balance that must be attained.  Using too many abbreviations jumbles up the sentence and make it difficult to read, but not using enough causes the reader to lose interest with repetitive phrasing. (APA, 2010, pg.106-107)

References

American Psychological Association. (2010, pg.9,84). Publication Manual of the American Psychological Association (6th ed.). Washington, DC: American Psychological Association.

Purdue Writing Lab. (2018). APA Style Introduction // Purdue Writing Lab. [online] Available at: https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_style_introduction.html [Accessed 10 Dec. 2018].

Walden University. (2012d).  Walden University: APA style. Retrieved from http://writingcenter.waldenu.edu/APA.ht

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I think the one issue I have struggled with regarding obesity is the nutritional aspect!  Healthy foods that could foster weight loss may or may not be available for these individuals and if they are available, they may be very expensive.  What strategies do you feel we can use to combat this issue?

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I need a positive argument  based in this discussion question. Respond to this argument in one or more of the following ways:

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use references 

                                                         Main Post

While the US spends more money per capita on health care than other country with little to no change in life expectancy, the rising cost continues to be directly related to the medical treatment of disease rather than prevention.  For many chronic disease processes, acute care is synonymous to a band aid on a decubitus ulcer.  This analogy can also be applied to the governments’ current approach to the delivery of healthcare.

An enormous opportunity for economic reform exists in healthcare from the Federal, State, and Local levels of government to the individual healthcare provider.  We can effect change not just by prevention, but also by considering new and dynamic methods to improve what is clearly a privileged system that caters mostly to the “haves” not the “have not’s”.  The poorer, less educated, and disabled (usually pre-existing) without resources are likely to be repeatedly hospitalized, without insurance and with costs defrayed to the private insurance sector causing private pay to be more expensive and limited in scope.  In the United States, insurance is a privilege, but access to healthcare is a right.

Logic indicates follow-up care and access to long-term treatment will lessen the need for hospitalization and improve patient health and quality of life.  It stands to reason the primary care takers of the chronically and terminally ill also experience a negative impact on their physical well-being and are silently hidden cost secondary to lack of appropriate resources and a disease centered model of healthcare.

The Population Health Model (Organization for Economic Co-operation and Development (OECD), (2013) suggests one might be able to extrapolate a similar model when considering how our government and the resulting bipartisanship limits, if not completely paralyses, the effective provision and advancement of health care to our Nation’s citizens. 

In summary, it isn’t only the health-related behaviors of individuals; it is the inaccessibility to resources that limits effective change because of the political agendas and the subsequent inertia.  The resulting bureaucracy continues to facilitate the rising cost of healthcare while simultaneously precipitating the decrease in the American life-expectancy.  As practitioners, are we simply willing to accept the fact that our government is spending more money to live less years? Healthcare is a right and as such access to care is also right, so why are more people dying sooner?  The current provision of healthcare is seriously flawed. If our Nation continues to remain stagnant (bipartisan) rather than humanitarian on these issues we will continue to experience a rise in health care that is directly proportional to an unhealthier population and decreased life expectancy.  The ineffective and unequal provision of health care in this country remains a conundrum for which we seem incapable of finding a solution. 

References:

World Health Organization. (1948). Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948. Retrieved from http://www.who.int/about/definition/en/print.html

Knickman, J.R, & Kovner, A.R. (Eds). (2015). Health care delivery in the United States (4th ed.). New York, NY: Springer Publishing.

Healthcare.gov Plans – 2018 Trump Care Health Plans. Quote. First Quote Health. Com/? Campain_source.

American Nurses Association.  Health System Reform.  Retrieved March 22, 2012, from NURS://www.nursingworld.org/Main/Menu?Catagories/Policy-Advocacy/Health System Reform.

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Respond to the post bellow, offering additional/alternative ideas regarding opportunities and risks related to the observations shared. 

Initial Post

There  is no doubt that the use of technology is increasing all around us. The  health care field is no different. Technology now plays a major role in  the health care profession. It is almost guaranteed to continue to  develop at a rapid rate (Horn, 2017). From electronic heath records to  patient portals, I have utilized technology since becoming a nurse,  increasing significantly over the last decade. However, at my most  current place of employment, we do not use much technology at all. In  fact, much of technology is prohibited as I work in a prison. After  relying on technology so heavily, it has been a major adjustment to  return to the era of very limited technology use. In fact, the only  technology we utilize is telehealth.

             Telehealth is the “delivery of  health care services, where distance is  a critical factor, by all healthcare professionals using information  and communication technologies for the exchange of valid information for  diagnosis, treatment and prevention of disease and injuries, research  and evaluation, and for the continuing education of health care  providers, all in the interest of advancing the health of individuals  and their communities” (Koivunen, & Saranto, 2018). This method of  health care delivery is seen as a means in which to improve  communication and enhance patient-centered care (Cipriano, 2011; Virji,  Yarnall, Krause, Pollak, Scannell, Gradison, & Ostbye, 2006). As  with all technology, there are both facilitators and barriers present  with the use of telehealth.

According  to the study conducted by Koivunen & Saranto (2018), nurses’ skills  in telehealth application were seen as a facilitator to telehealth  utilization. However, the same study identified some barriers present.  Some of those barriers included nursing’s discomfort with the equipment  utilized with telehealth as well as lack of basic computer skills  present amongst nurses (Koivunen, & Saranto, 2018). In addition,  negative attitudes along with lack of support and training were  identified barriers (Koivunen, & Saranto, 2018). It is obvious that  the change from traditional face-to-face nursing practice to telehealth  requires much support for its users. There is certainly a learning curve  with any new technology with experience and attitudes playing a major  role in the successful implementation. However, if the proper steps are  taken, telehealth can be a  cost-effective way to address health care needs and has been shown to  improve clinical indicators (Shulver, Killington, & Crotty, 2016). 

             In addition to the barriers present, there is also negative attitudes  by some clinicians in regards to telehealth. While some health care  providers believe that telehealth could offer enhanced and expanded  services to many, other clinicians voiced reservations about the  potential safety and suitability of this service (Shulver et al., 2016).  However, in the case of rural patients, many can agree that a service  is better than no service. According to Shulver et al. (2016),  clinicians agreed that any perceived risks associated with telehealth  could be alleviated by having a person “on the ground” with the patient  during telehealth conferences. This is exactly how telehealth is  utilized at my current place of employment. The inmates are seen by a  distance provider as the nurse remains in the room with the patient to  perform any assessments requested and provide information from records  as needed. 

Telehealth  is only one of many promising trends in health care that offer many  benefits. Other up-and-coming health technology trends include  artificial intelligence, Internet of Medical Things (IoMT),  blockchains, and virtual/augmented reality. These trends have many  benefits to offer. For example, artificial intelligence is now capable  of diagnosing skin cancer more accurately and more efficiently than a  board-certified dermatologist (Rigby, 2019). But, as previously  mentioned, all technology can bring added risks. Such use of technology  has the potential to threaten patient safety, preference, and privacy  (Rigby, 2019). Informed consent remains of utmost importance, as with  any medical procedure, when utilizing technology in providing health  care to patients. All the risks associated with the technology must  remain transparent to the patient. 

             Technology has already advanced quickly all around us and its use in  health care is no exception. By utilizing technology, the practice of  medicine is revolutionized, transforming the patients’ experiences and  the providers’ daily routines. These up-and-coming health care trends  are aimed at preventative care while enhancing patient experiences,  lowered expenses, and big data processing. Cutting-edge technology is  being utilized by many providers to assist their patients. We can only  expect the current trend to continue with more amazing discoveries to  come.

References

Cipriano P. (2011). The future of nursing and health IT: the quality elixir. Nursing Economics, 29(5), 286–90. Retrieved from https://www.researchgate.net/publication/221868226_The_Future_of_Nursing_and_Health_IT_The_Quality_Elixir

Horn, H. (2017). Predicting the Future of Healthcare Technology. Biomedical Instrumentation & Technology, 51(3), 203. Retrieved from https://doi-org.ezp.waldenulibrary.org/10.2345/0899-8205-51.3.203

Koivunen,  M., & Saranto, K. (2018). Nursing professionals’ experiences of the  facilitators and barriers to the use of telehealth applications: a  systematic review of qualitative studies. Scandinavian Journal of Caring Sciences, 32(1), 24–44. Retrieved from https://doi-org.ezp.waldenulibrary.org/10.1111/scs.12445

Rigby, M.J. (2019). Ethical Dimensions of Using Artificial Intelligence in Health Care. AMA Journal of Ethics, 21(2), 121–124. Retrieved from https://doi-org.ezp.waldenulibrary.org/10.1001/amajethics.2019.121

Shulver,  W., Killington, M., & Crotty, M. (2016). “Massive potential” or  “safety risk”? Health worker views on telehealth in the care of older  people and implications for successful normalization. BMC Medical Informatics And Decision Making, 16(1),  131. Retrieved from  https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=27733195&site=eds-live&scope=site

Virji,  A., Yarnall, K., Krause, K., Pollak, K., Scannell, M., Gradison, M.,  & Ostbye ,T. (2006). Use of email in a family practice setting:  opportunities and challenges in patient- and physician-initiated  communication. BMC Med, 4(18), 1-7. Retrieved from https://bmcmedicine.biomedcentral.com/articles/10.1186/1741-7015-4-18

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                       Respond to this post with a positive response :

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use  references

                                                       Initial Post

            Upon reviewing this week’s lesson, it involves patient safety and how healthcare providers delivery it. The Institute of Medication (IOM) designed a model for patients which involved effectiveness, safety, patient-centered, timely, equitable, and efficiency(Agency for Healthcare Research and Quality, n.d.). One problem I have found is reporting near misses that were caught but could have resulted in errors while delivering patient care. Healthcare professionals are still afraid of corrective actions when reporting, including near misses. The article I found, showed how reporting improves patient safety and how to improve the delivery of care (Howell et al., 2015). As a nursing leader, I would encourage my staff to report near misses along with actual occurrences. I would explain that by reporting near misses it helps future patients by learning from the near misses. Patient safety should be an expected value, not something that hospitals deal with after something happens (Laureate Education, 2012i). At my work, we have safeguards that we can do anonymously. We can also fill out our name to report safety issues. As a nursing leader, I would meet with staff to remind them to choose the anonymous tab when reporting safeguards for patient safety if they were still concerned about corrective actions. I would explain that it is not about them getting in trouble but continuing improving safety to protect patients.

Reference

Agency for Healthcare Research and Quality. (n.d.). Model public report elements: A sampler. Retreived from http://archive.ahrq.gov/professionals/quality-patient-safe-ty/quality-resources/value/pubrptsample2b.html#Presentation

Howell, A., Burns, E. M., Bouras, G., Donaldson, L., Athanasiou, T., & Darzi, A. (2015, December 9). Can Patient Safety Incident Reports Be Used to Compare Hospital Safety? Results from a Quantitative Analysis of the English National Reporting and Learning System Data. Ebsco, 10(12), 1-15.

Laureate Education (Producer). (2012i). Quality improvement and safety. Baltimore, MD: Author.

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