The role of the community clinic in assisting undocumented patients in covering the cost of TB treatment

1. Conduct an evidence-based literature search to identify the most recent standards of care/treatment modalities from peer-reviewed articles and professional association guidelines (www.guideline.gov). 

Cite a minimum of three resources. 

Answer the following questions:

1. What is the transmission and pathophysiology of TB?
2. What are the clinical manifestations? 
3. After considering this scenario, what are the primary identified medical concerns for this patient?
4. What are the primary psychosocial concerns? The role of the community clinic in assisting undocumented patients in covering the cost of TB treatment
5. What are the implications of the treatment regimen, as far as likelihood of compliance and outcomes? Search the Internet to research rates of patient compliance in treatment of TB, as well as drug resistant TB.
6. Identify the role of the community clinic in assisting patients, particularly undocumented patients, in covering the cost of TB treatment. What resources exist for TB treatment in community health centers around the United States? Compare the cost for treatment between, subsidized as it would be for a community health center, and unsubsidized.
7. What are the implications of TB for critical care and advanced practice nurses?

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Your paper should be 4 pages, (excluding cover page and reference page).

Your resources must include research articles as well as reference to non-research evidence-based guidelines.  

Use APA format to style your paper and to cite your sources.  The role of the community clinic in assisting undocumented patients in covering the cost of TB treatment

How the quantitative and qualitative data would complement one another

Many clinical practice issues are sufficiently complicated that neither a purely quantitative or qualitative approach can generate a comprehensive perspective of the issue. Particularly for investigating evaluative questions—such as the effectiveness of a program or treatment or the impact of a policy—some combination of quantitative and qualitative methods can be much more illuminating than relying on one method alone.

In this Discussion, you consider the use of a mixed-methods design in health care research studies.

To prepare:

• With      the Learning Resources in mind, and reflecting on what you have explored      throughout this course, consider the benefits of using a mixed-methods      research approach.
• Brainstorm      nursing practice situations in which using a      mixed-methods design would be beneficial. Select one situation to focus on      for the purposes of this Discussion. Consider how the quantitative and      qualitative data would complement one another to provide a richer analysis      and conclusion.
• Also      consider the challenges you might encounter in using a mixed-methods      approach: data collection, analysis, or synthesis of qualitative and      quantitative findings. How the quantitative and qualitative data would complement one another

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By tomorrow November 7, 2017 write 550 words essay in APA format with at least 3 references from the list below. Apply the level one headings as numbered below:

Post a cohesive response to the following:

1. Briefly      explain your selected situation and why utilizing a mixed-methods approach      would be beneficial.
2. Evaluate      how the quantitative and qualitative data would complement one another.
3. Discuss      the challenges you might encounter in using mixed methods for the      situation you selected and how would you address these challenges.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Research methods for evidence-based practice: Mixed methods: An example. Baltimore, MD: Author. 

Note: The approximate length of this media piece is 12 minutes.

In this week’s video, the presenter discusses the benefits of using mixed methods research and shares examples of studies she has conducted.

Required Readings

Chow, M. Y., Quine, S., & Li, M. (2010). The benefit of using a mixed methods approach—quantitative with qualitative—to identify client satisfaction and unmet needs in an HIV healthcare centre. AIDS Care, 22(4), 491–498.

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This article offers insight into a cross-sectional study that utilizes both quantitative and qualitative research to assess HIV client satisfaction with health care.

Esposito, D., Taylor E. F., & Gold, M. (2009). Using qualitative and quantitative methods to evaluate small-scale disease management pilot program. Population Health Management, 12(1), 3–15.

This article describes a multi-method approach to stimulate interest in disease management programs by seeking to improve the quality of care for Medicaid beneficiaries with multiple chronic conditions.

Goboury, I., Boon, H., Verhoef, M., Bujold, M., Lapierre, L. M., & Moher, D. (2010). Practitioners’ validation of framework of team-oriented practice models in integrative health care: A mixed methods study. BMC Health Services Research, 10, 289. How the quantitative and qualitative data would complement one another

This article discusses the methods and results of an empirical study attempting to validate the Models of Team Health Care Practice (MTHP) framework through the use of both qualitative and quantitative research techniques.

Onwuegbuzie, A. J., Johnson, R. B., & Collins, K. M. (2009). Call for mixed analysis: A philosophical framework for combining qualitative and quantitative approaches. International Journal of Multiple Research Approaches, 3(2), 114–139.

This article provides a philosophical justification of the use of mixed methods in research studies. The article compares solely qualitative or quantitative works to mixed research approaches to illustrate how mixed methods promote richer results and deeper analyses.

Ostlund, U., Kidd, L., Wengstrom, Y., & Neneh, R. (2011). Combining qualitative and quantitative research within mixed method research designs: A methodological review. International Journal of Nursing Studies, 48(3), 369–383. doi: 10.1016/j.ihnurstu.2010.10.005

This study explores the many popular approaches to mixed methods of health care research studies. These approaches are used to bridge the gap between theory and empirical findings and include parallel analysis, concurrent analysis, and sequential analysis.

Polit, D. F., & Tatano-Beck, C. (2010). Generalization in quantitative and qualitative research: Myths and strategies. International Journal of Nursing Studies, 47(11), 1451–1458. doi: 10.1016/j.inurstu.2010.06.004

This article discusses three models of generalization in both quantitative and qualitative research, including classic sample-to-population, analytics generalization, and case-to-case transfer. The article also recommends other approaches, such as planned replication, systematic reviews, and thick description.

Uhlig, T., Fongen, C., Steen, E., Christie, A., & Odegard, S. (2010). Exploring Tai Chi in rheumatoid arthritis: A quantitative and qualitative study. BMC Musculoskeletal Disorders, 11, 43.

This article explains the results of a mixed-methods study on the results of Tai Chi on the overall health of female rheumatoid arthritis patients. The results indicated improved muscle function as well as increased confidence in moving and balance and less pain in daily life among the 15 subjects studied. How the quantitative and qualitative data would complement one another

How the differences in best practices might impact women’s health

For over 20 years, the Women’s Health Initiative (WHI) study has conducted research trials to examine factors that impact risks and development of conditions that impact women such as heart disease, breast and colorectal cancer, and osteoporotic fractures in postmenopausal women. Health care providers use results from these trials to develop guidelines for delivering care to patients. In your role in clinical settings, you must be familiar with these guidelines, and you must be aware that through clinical practice, guidelines frequently evolve and change. Often, what is considered a best practice today might not be a best practice in the future. For this Assignment, you compare guidelines outlined in the WHI study to current best practices for assessing and managing conditions  How the differences in best practices might impact women’s health.

By Day 7 of Week 11

To Prepare:

• Review the Women’s Health Initiative article in this week’s Learning Resources. Select one disorder presented in this study.  Link for article: http://www.nhlbi.nih.gov/whi/background.htm
• Locate and select a research article that addresses current best practices for assessing and managing the disorder you selected. Be sure that the research article you select is from a reputable source.
• Consider the similarities and differences between the best practices presented in the WHI study and the article you selected. Think about the potential impact of differences in best practices on women’s health.
• Consider whether the best practices in the article you selected should be used in clinical practice.

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To Complete:

Write a 2- to 3-page paper that addresses the following:

• Describe the disorder you selected from the Women’s Health Initiative study.
• Explain the current best practices for assessing and managing this disorder as suggested in the research article you selected.
• Compare the best practices presented in the WHI study to the current best practices presented in the article. Explain how the differences in best practices might impact women’s health.
• Explain whether you think the current best practices in the article you selected should be used in clinical practice. Support your position with evidence-based research.

Note:The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available athttp://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting. How the differences in best practices might impact women’s health

1) Discuss at least two implications of health care reform on the health care organization’s goals and strategic plan. How will processes and operations need to be adjusted to meet the requirements of health care reform legislation?

2)Evaluate the “Comprehensive Organizational Plan” presented by Oetjen and Rotarius. Is this model suitable for any type of health care organization? Discuss the implications of the model on the ability of health care managers to contain cost, preserve quality, and promote universal access. Implications of health care reform on the health care organization’s goals and strategic plan

3)Compare and contrast at least two methods of assessing health care organizations’ operational needs and explain how they differ based upon a particular health care setting.

4)What is the purpose of a balanced scorecard? How is the balanced scorecard used to lead and manage an organization? How can the balanced scorecard be linked to organizational effectiveness as well as individual performance evaluation?

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5)Describe the effect of higher levels of medical spending, profitability, and fiscal margins on process quality for health care organizations. Indicate the role of financial stability in health care organizations on their ability to adequately resource the staffing, equipment, and infrastructure that support care delivery. Specifically, what is the effect of financial flexibility in increased use of preventative and wellness measures and lower length of stay?

6)Discuss Pettigrew’s theory on the contextual dependency of strategic change. Explain the concept of the disciplining context and why medical professionals accepted and used it. Also, explain why the internal market system, which was implemented to solve financial problems, was abandoned Implications of health care reform on the health care organization’s goals and strategic plan

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The usefulness of international comparisons for quality assessment and improvement

Quality Improvement Milestones

Throughout history, major events have influenced quality improvement efforts in health care. For example, the Institute of Medicine’s report To Err is Human: Building a Safer Health System revealed statistics about errors in patient safety that result in thousands of deaths annually. Health care providers must be cognizant of the purpose and philosophy of quality improvement efforts as they lead the charge for improving health outcomes and patient safety. This Discussion is intended to help you understand how various developments have shaped contemporary perspectives and approaches to promoting health care quality.

By tomorrow 11/28/17, write a minimum of 550 words essay in APA format with 3 references from the list below which addresses the level one headings as numbered below:

Post a cohesive scholarly response that addresses the following:

When “To Err is Human” was published in 1999, it marked an important milestone in Quality Improvement Science.

1) Analyze how this milestone has influenced the health care delivery system and nursing practice.

2) Provide an example from your own work history and experience as to how the patient safety movement has affected your practice.  The usefulness of international comparisons for quality assessment and improvement

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Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

• Chapter      1: “Healthcare Quality and the Patient”
• Chapter      2: “Basic Concepts of Healthcare Quality”

Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds). (2000). To err is human: Building a safer health system. Washington, D.C.: National Academy Press. 

Executive summary: Released in 1999, this groundbreaking report provides the rationale for implementing comprehensive improvements in patient safety, an important subset of health care quality. Although only the executive summary is required this week, you are strongly encouraged to read additional sections of this report as you proceed through the course.

Institute of Medicine, Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press. 

Executive summary: This report was published by the Institute of Medicine in 2001 to highlight the significant gap between the state of health care quality and where it should be. The report draws attention to the need to improve the U.S. health care delivery system as a whole, and identifies six areas for improvement: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. Although only the executive summary is required this week, you are strongly encouraged to read additional sections of this report as you proceed through the course.

Wachter, R. M. (2010). Patient safety at ten: Unmistakable progress, troubling gaps. Health Affairs, 29(1), 165–173.

This article presents an analysis of progress in patient safety since the publication of the IOM report, To Err is Human. As you read this article, evaluate the author’s critique, and consider recent developments that continue to shape patient safety efforts in health care. The usefulness of international comparisons for quality assessment and improvement

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: Concepts of quality and patient safety. Baltimore: Author. 

This video examines the recent history of the quality improvement movement, including two pivotal IOM reports, To Err is Human and Crossing the Quality Chasm. Dr. Donald Berwick introduces six dimensions of quality: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. Other topics addressed include transparency, the prevention of adverse events, and the usefulness of international comparisons for quality assessment and improvement.