peer responses

peer responses

The professional journal topic “Preventing and managing catheter-associated urinary tract infections.” Since the Foley catheters were introduced in the 1930s, it has become one of the primary sources of hospital-acquired infections, and long term urinary catheters used in community-based patients account for some 4% of community nurses’ time. This burden is likely to increase given the projected rise in life expectancy and the size of the aging population. This article considers the current literature around indwelling urinary catheterization and its management with a focus on long term catheterization in the community. My choice is the best option for disseminating new knowledge because “the authors discuss contemporary strategies to manage or prevent CAUTI that based on best practice guidelines.” However, it is clear from the dearth of empirical evidence that there is an urgent need to establish constructed research studies to investigate the prevalence of long term urinary catheterization in the community and the prevention and management of CAUTI.

The next topic nursing health conference journal topic is “Reducing catheter-associated urinary tract infections” As this piece states “Catheter-associated urinary tract infections (CAUTIs) are the most frequent type of healthcare-acquired infection, accounting for up to 80% of hospital-acquired infections. CAUTIs can lengthen hospital stays, increase morbidity and mortality, and raise healthcare costs. The Centers for Medicare & Medicaid Services no longer reimburses hospitals for additional costs generated by CAUTIs. My choice is the best option for disseminating new knowledge because this article reports on a pilot study of an evidence-based intervention to reduce CAUTIs.

2————- In order to disseminate evidence-based practice and research on SBIRT (screening, brief intervention, and referral to treatment), this nurse would like to inform other nurses by writing an article for a nursing journal, for example, the American Journal of Nursing (AJN). Sharing evidence-based research can help others improve SBIRT in their practice by sharing workflows and best practices. Nursing journals are read by many nurses online and many receive subscriptions to journals like AJN. In order to disseminate research, the nurse wants to share it with as many nurses as possible, and nurses from different disciplines read nursing journals. The American Journal of Nursing is well-known, peer-reviewed, and discusses the latest information on nursing practice. Sharing information helps improve nursing practice and patient care. SBIRT can be used in any practice and substance abuse impacts many patients, so this topic can benefit any nurse.

According to Christenbery & Latham (2013), “… an abstract, poster, and podium presentation can be used to support the translation of nursing evidence into effective nursing practice” (p. 22). For example, this nurse could share her project at an Indian Health Service (IHS) conference that is dedicated to educating other Native American clinics on best practices for GPRA (Government Performance Results Act). Key leaders of IHS would need to be contacted in order to present at the next IHS conference. Sometimes best practices are shared in a webinar, which can be more cost effective for some clinics because staff do not have to travel. Facilities, who have done well meeting GPRA indicators, can share workflows and best practices with other Indian Health clinics in this way. “Instead of independently exploring evidence, nurse leaders can utilize evidence-based recommendations from clinical practice guidelines and tailor them to the organization, population, or setting” (Cullen, Dawson, Hanrahan, & Dole, 2014, p. 288). Using evidence-based practices that work will save a facility time and money because staff members do not have to do the research, they just need to make a few changes so that the new practice fits into their workflow.

3—-In dissemination of my change project, I will focus on the journal that will reach and target a bigger audience. Pressure of ulcers is easily preventable yet, the problem remains a major concern in healthcare facility. As a result, I opt to use the Nursing Research and Practice Journal. The journal is majorly in used in the publication of the nursing researches as well as practices. Also, this is an open access journal which has a great probability of making the journal available to a large audience addressed in the change project (Nursing Research and Practice, 2019).

Furthermore, publishing my research using this journal is important since the whole columns of the publications in this journal are read by a great percentage of the population. The publications in this journal are not comprehensive in terms of the number of pages which makes them suitable to be read by even those people who are in a hurry. Pressure of ulcers is as result of insufficient information to address the problem, capitalizing on dissemination of information to the general public will increase the likelihood of addressing the patients or patient’s family hence, preventing escalating levels of pressure of ulcers (Cai, Rahman, & Intrator, 2014).

My opted healthcare conference is the World Nursing and Health Care Conference the conference is offered in an international venue and is universally identified as one among the most inventive and knowledge-intensive areas in universe and a top provider of products and solutions in vital segments like ICT, Cleantech, and Life Science (The conference, 2017).

4———–Evidence-based practice (EBP) is the conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health care decisions. According to the authors of the book Evidence-based practice in nursing & healthcare, the movement of healthcare organizations to involve nurses in decision-making has prompted employers to seek a larger percentage of employees who have furthered their education and earned a Bachelor of Science in Nursing (BSN) degree. Also, “as healthcare evolves to meet changing market dynamics, evidence-based practice in nursing, which is taught in baccalaureate programs, has become a key component in improving patient care and outcomes” (Melnyk, & Fineout-Overholt, (Eds.), 2014).

Therefore, EBP is an essential component of the practice of a BSN-prepared RN for many reasons among them being a decrease in the cost of healthcare and reduction of medical errors experienced across diverse healthcare facility around the country.

Barriers

Although EBP is associated with significant clinical practice, there are barriers which hinders its implementation in the healthcare facility. One barrier I have personally noted in the implementation of EBP is the time taken to implement and cause change within the facility. In this case, EBP is time consuming and what is more, there might be less evidence to support the change. This can be a challenge as most of the management might not support the EBP (Hanberg, & Brown, 2016). Lack of management support is a great impediment that can demotivate the nurses to complete EBP. However, involving the management in the EBP implementation process can greatly help in involving them in the change proposal

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Proper Healthcare Delivery Practices Discusison

Proper Healthcare Delivery Practices Discusison

Remember to provide citations from scholarly sources to support your responses.

1.) The Institute of Medicine report To Err is Human(1999) introduced an era in healthcare increasing scrutiny of the quality and safety of patient care delivery. Over the years since the publication of this and subsequent reports, what do you think are the most important developments that have occurred in our healthcare system to safeguard patients and create a culture of safety as a result of this increased focus.

2.) Contributors to increased risk for patient errors occurring include, but are not limited to, discontinuity of patient information, information silos, inconsistent staff work patterns, non-acuity based staffing ratios, ineffective or absent policies/ procedures, and lack of teamwork. Discuss how you see these factors and others that may be prevalent in your facility affecting your ability to deliver quality, safe patient care. How are these issues being addressed?

3.) Currently we are working in an environment with multi-generations. What are some issues that you have discovered at work related to misunderstandings between generations and how can we learn from each other in order to improve conditions in the workplace?

NOTE: I work in an operating room as a nurse. This information may help when answering questions. Need at least 2 sources. thank you!!

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Community Care in Health Promotion Discussion

Community Care in Health Promotion Discussion

Please use 2 sources, along with in text citations. thank you!

The care of communities is vital to promoting health and preventing disease. Discuss the meaning of community as client.

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Academy for Practical Nursing Obese and Overweight Adolescents Summary

Academy for Practical Nursing Obese and Overweight Adolescents Summary

Scholarly Activity Summary

This document describes the scholarly activity elements that should be included in a five paragraph summary. You may use this resource to help guide the preparation of the Scholarly Activities assignment, due in Topic 10.

Overview

This section consists of a single paragraph that succinctly describes the scholarly activity that you attended/participated in, the target market for the activity, and the benefit of the activity to you.

Problem

This section consists of either a short narrative or a list of bullet points that concisely identifies the problems the scholarly activity is designed to solve. Educate: What is the current state of the activity topic? Explain why this is a problem, and for whom is it a problem? Inspire: What could a nurse achieve by participating in the scholarly activity? Use declarative sentences with simple words to communicate each point. Less is more.

Solution

This section consists of either a short paragraph or a list of bullet points that concisely describes the solution to a proposed practice problem that the scholarly activity addressed and how it addresses the problem outlined in the previous section.

Opportunity

This section consists of short paragraphs that define the opportunity that the scholarly activity is designed to capture. It is important to cover the objectives and goals that were met. How will attending/participating in this scholarly activity help you grow as a nurse?

Program Competencies Addressed

This section consists of a list of program competencies that were addressed in this scholarly activity. Please use the list from the ISP.

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Indiana University East Maslow Theory of Human Motivation Discussion

Indiana University East Maslow Theory of Human Motivation Discussion

Develop a step-by-step program to decrease the frequency of medical mistakes in a healthcare practice setting. Cite the principles or key concepts from your chosen learning theory that back each step of the program you develop. The learning theory that I have chosen from the assigned reading is Maslow’s Theory of Human Motivation. “There are at least five sets of goals, which we may call basic needs. These are briefly physiological, safety, love, esteem, and self-actualization.” (Zhou, Brown, &, 2015, p. 114) According to Maslow, once a goal is attained then a human can focus on another goal. (Zhou, Brown, &, 2015) For example, once someone has food and water then they can focus on safety and so on. I feel like this particular theory applies easily to a program that could decrease medical mistakes. Much of what medical professionals do relies on higher thinking and the ability to use sound clinical judgement. It makes sense that if a person is caught up in being hungry, fatigued, not in safe environment…etc. that their attention will split to those other concerns and not solely focused on the medical problem at hand. So, providers should: 1. Have a required 8 hours off between shifts and shifts should not exceed 12 hours- Maslow’s physiological needs 2. Providers should have sufficient time off throughout the day to eat and use the restroom-Maslow’s physiologic needs 3. There should be adequate security within a facility so a provider doesn’t have worry about his/her safety- Maslow’s safety needs 4. Providers should be recognized when their hard work leads to good patient outcomes- Maslow’s esteem needs These steps should help to ensure that providers can focus on the job at hand not on other factors that could contribute to splitting focus. 2. Reply 2 What are the 4 criteria presented here needed to finalize the diagnosis? The presentation of at least 4 of the 11 criteria for SLE has a LR+ 40 with a 98% specificity. This patient already presents with: (1) malar rash, (2) arthritis, (3) hematologic disorder (thrombocytopenia 120,000). Neurologic disorder is listed as a criteria but headache, seizures, or psychosis is listed as qualifiers. The patient presents with memory loss so to error on the side of caution this will be excluded. It would be most cost effective to further evaluate the patient for photosensitivity, oral ulcers. Sending a urinalysis and comprehensive metabolic panel can help identify renal disorder which is a criteria. The patient experiences dyspnea which could be a result of serositis (criteria) and could be identified by chest x ray. Also, a positive ANA is one of the eleven criteria (Stern et al., 2015).
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peer response

peer response

Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Identify two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What obstacles could challenge this plan, and what steps will you take to minimize their impact?

EBP is an essential component of the practice of a BSN prepared RN. “EBP unifies research evidence with clinical expertise and encourages individualization of care through inclusion of patient preferences” (Nursing World, 2013). The purpose of EBP is to standardize healthcare practices to science and best evidence. This is to make nursing practices a standard and eliminates confusion. With standardized and evidence based care, nurses can continue to improve patient and have quality outcomes.

There are two way that I can continue to integrate evidence into my practice. They are both ways of communication. It is important to have ongoing communication with nurse leaders and managers. They are important resources within the institution. If there is a new initiative that needs to be discussed, they would have the means of obtaining approvals by management (Agency for Healthcare Research and Quality, 2014). Additionally it is important to maintain rapport with the floor nurses. They are the frontline staff and will give you the honest feedback you need to be able to tell if the outcomes are improving.

Obstacles that could challenge this plan are lack of time and resistance. I have found that even though a new practice has been proven to be more effective, faster, and has a better outcome, people will resist the change for the better. They would rather continue practice the old way because it’s what they know. Even if it takes them longer to do so. They do not want to take the time from their already busy day to learn something new. To overcome this, you may have to reintroduce the practice to the staff multiple times and have an open discussion about reasons and rationale of why they are resistant. Change takes time and you have to be patient.

2 J———“Increasingly, research findings are being used as the basis for clinical decisions” (McLaughlin & Sanchez, 2017, p. 91). Changes in nursing include using evidence-based research to care for patients in order to improve safety and provide quality care, while reducing health care costs. Bachelor prepared nurses are taught about the importance of using evidence-based practice, how to critically appraise research, and how to find the most up to date research for nursing practice. “Evidence-based practice has been highlighted recently because of changes in the health care environment, and it is imperative to educate nurses and future nurses to have competency in the EBP environment” (Oh et al., n.d., p. 390). Nurses need to have a bachelor’s degree or higher for this reason.

In order to integrate evidence into nursing practice, this nurse will need to continue learning throughout her career. Things are always changing in health care, so this nurse will need to read evidence-based journals and keep up with changes in nursing practice. Another way to integrate evidence into practice would be to stay involved with the American Nurses Association (ANA). The ANA provides webinars and important information regarding nursing practice. As this nurse learns about new evidence-based practices that could help her facility, she can share them with her fellow coworkers and leaders within the clinic. Now that this nurse has some practice writing proposals, she could submit a proposal to make a practice change to improve patient care.

Obstacles include the lack of support by leadership and funding for a research project. This nurse has a medical director that supports evidence-based practice and research at the clinic. If he thought that a project would improve patient care, he would help gather support for the project from leadership and medical staff. According to Cullen, Dawson, Hanrahan, & Dole (2014), “…. leadership support for evidence-based practice can be leveraged by outlining the similarities between evidence-based practice and existing quality improvement processes and structures and then synergistically blending them” (p. 278). Funding can be an issue but writing grants or asking for donations from the local tribes could be an option. “Obtaining money for research is becoming increasingly competitive, thus voluntary foundations and private and community-based organizations should be investigated as possible funding sources” (McLaughlin, R.A., & Sanchez, Z.V., 2017, p. 93).

The clinic staff know that change is ongoing and is needed to improve patient care. If a change is needed, it will be important to educate, answer questions, develop written polices and workflows, and perform a pilot study on the change. Staff will need continuous support and frequent meetings to monitor compliance with the change.

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Discussion Question. Discuss the use of Evidence-based Guidelines in Practice by Patient Provider, Healthcare Agency

Discussion Question. Discuss the use of Evidence-based Guidelines in Practice by Patient Provider, Healthcare Agency

3. Discussion Question. Discuss the use of Evidence-based Guidelines in Practice by Patient Provider, Healthcare Agency. (2 hours) • 250-word minimum • At least 1 reference (the course textbook must be a reference

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Florida National University Epidural Anesthesia Brochure

Florida National University Epidural Anesthesia Brochure

The Nursing Role in Providing Comfort During Labor and Birth For additional ancillary materials related to this chapter, please visit thePoint. Jonny Baranca is a primipara in early labor whom you admit to a birthing unit. Her cervix is 3 cm dilated. She tells you her sister had epidural anesthesia that completely obliterated her pain in labor for the birth of her baby 3 months ago. Based on her sister’s experience, Jonny expected to be given epidural anesthesia as soon as she arrived at the hospital as she “is in early labor.” Her physician, however, asked her to wait until she is 4 cm dilated. When you enter her room, you find her lying on her back in a birthing bed, crying. Her husband shouts his “wife deserves better care than this.” The previous chapter discussed the process of labor and birth and nursing care responsibilities. This chapter adds information to your knowledge base about how to promote comfort during labor. Effective pain management in labor can change labor from an experience so negative it can result in a posttraumatic stress syndrome to a positive, forward-moving experience. Was the information Jonny received from her sister realistic? What are some immediate interventions you could do to help Jonny better cope with her pain? KEY TERMS analgesia anesthesia doula endorphins epidural anesthesia pain pressure anesthesia pudendal nerve block reflexology OBJECTIVES After mastering the contents of this chapter, you should be able to: 1. Describe the physiologic basis of contractions during labor and how nonpharmacologic therapies, as well as analgesia and anesthesia, can be used to promote a woman’s comfort during labor and birth. 2. Identify 2020 National Health Goals related to comfort and drug-free pain management measures effective in childbirth that nurses can help the nation achieve. 3. Assess the degree and type of discomfort a woman is experiencing during labor and birth, including her ability to cope with pain effectively and the maternal and fetal impact of pain management, including side effects and safety. 4. Formulate nursing diagnoses related to the effect of pain or pain management during labor and birth. 5. Establish expected outcomes to meet the needs of a woman experiencing discomfort during labor and birth and manage seamless transitions across differing healthcare settings. 6. Using the nursing process, plan nursing care that includes the six competencies of Quality & Safety Education for Nurses (QSEN): Patient-Centered Care, Teamwork & Collaboration, Evidence-Based Practice (EBP), Quality Improvement (QI), Safety, and Informatics. 7. Implement common complementary and pharmacologic measures for pain management during labor and birth. 8. Evaluate expected outcomes for effectiveness and achievement of care. 9. Integrate knowledge of pain management during labor and birth with the interplay of nursing process, the six competencies of QSEN, and Family Nursing to promote quality maternal and child health nursing care. Concerns about the discomfort and pain that accompany labor and birth can dominate a pregnant woman’s or couple’s thoughts during pregnancy; these can become particularly strong as the baby’s due date approaches. As discussed in Chapter 14, prepared childbirth classes provide couples with an opportunity to learn and practice a variety of pain management techniques, such as breathing patterns, to help reduce pain in labor. Often, however, the labor experience is so intense it becomes overwhelming, so administration of an analgesic or a regional anesthetic may be necessary to reduce discomfort sufficiently to allow a woman to regain control over herself and use breathing patterns. If the use of regional anesthesia makes labor a satisfying, positive experience, the intervention can ultimately promote the entire family’s health. Some women, however, may feel they have let down themselves, a partner, or childbirth educator by asking for anesthesia; if this happens, asking for pain medication can make labor a negative experience. Much has been written in nursing literature about using the neutral term contraction or other alternative reference instead of labor pain to keep from reminding a woman contractions are painful. The theory is a sound one, not only because a woman is experiencing a contracting sensation but also because calling it pain could magnify fear and tension; tension, in turn, magnifies pain. Remember, however, renaming it will not change its basic nature. Discomfort accompanies labor regardless of what term is used for it. Fortunately, many nursing interventions can help reduce pain, so labor is as fulfilling and rewarding an experience as a woman hoped it would be. Making labor and birth a memorable experience for families is so important that 2020 National Health Goals have been established to address this topic. These are shown in Box 16.1. BOX 16.1 Nursing Care Planning Based on 2020 National Health Goals Because administration of either analgesia or anesthesia during labor can prolong labor and can possibly increase the number of instruments used or risk for cesarean birth, several 2020 National Health Goals are related to the types of pain relief used in labor. Examples include: • Reduce the maternal mortality rate to no more than 11.4 deaths per 100,000 live births from a baseline of 12.7 per 100,000. • Reduce the fetal/newborn death rate during the perinatal period (28 weeks of gestation to 7 days after birth) to no more than 5.9 per 1,000 live births from a baseline of 6.6 per 1,000 live births (U.S. Department of Health and Human Services, 2010; see www.healthypeople.gov). Nurses can help the nation achieve these goals by educating women about the advantages of preparing for childbirth, helping them to use breathing patterns or other complementary and alternative therapies and techniques during labor so they need a minimum of analgesia and anesthesia, and conscientiously monitoring women who receive analgesics and anesthesia. Nursing Process Overview FOR PAIN RELIEF DURING LABOR AND CHILDBIRTH ASSESSMENT Pain, the sensation of discomfort, is a subjective, personal symptom; it is what the experiencing person says it is and present when the experiencing person says it is present (McCaffery, 1972). It is unique to each individual, so a woman is the only person who can describe or know the extent of her pain. To assess the amount of discomfort a woman is having in labor, listen carefully to not only what she says but also how she rates her discomfort level on a pain assessment scale. Also look for subtle signs such as facial tenseness, flushing or paleness, hands clenched in fists, rapid breathing, or rapid pulse rate. NURSING DIAGNOSIS Although pain related to labor contractions is the most obvious nursing diagnosis applicable to labor, it is not the only relevant one because pain can create other problems for the laboring woman that can negatively affect the childbirth experience. If not resolved, these problems can intensify pain. Some women, for example, may become more concerned with their reaction to the pain than to the pain itself. Because of this, applicable nursing diagnoses might include: Pain related to labor contractions Powerlessness related to the duration and intensity of labor Anxiety related to lack of knowledge about “normal” labor process Risk for situational low self-esteem related to ineffectiveness of prepared childbirth breathing exercises Decisional conflict related to use of analgesia or anesthesia during labor OUTCOME IDENTIFICATION AND PLANNING When developing realistic outcomes and planning interventions to manage discomfort during labor, consider the woman’s perceptions about childbirth, her past childbirth experiences (if any), and the amount and type of childbirth preparation she and her partner have made. For example, if a woman is using breathing exercises well, expecting she will need medication late in labor is probably not realistic. However, if a woman has not made any preparation as to how she will manage labor contractions, expecting that no medication will be used might be inappropriate. Be aware that pharmacologic agents used during labor and birth may pose risks for both the woman, such as hypotension, as well as the fetus or neonate, such as bradycardia or respiratory issues at birth. Therefore, when considering use of pharmacologic intervention, the benefit to the woman and the fetus must outweigh the risks of medication use. In addition, a decision to use analgesia or anesthesia may also affect family functioning if the method chosen limits the partner’s participation in the birth. Contrarily, the use of a pharmacologic agent may be what a woman could most benefit from, particularly if she has a history of sexual trauma (Nerum, Halvorsen, Straume, et al., 2013). IMPLEMENTATION Keeping a woman and her support person informed about their options and how they differ as labor progresses is important. For instance, simply knowing that birth is getting closer can make the next few contractions easier to withstand. Supporting and encouraging a woman to use methods of complementary and alternative therapies for pain management, such as a birthing ball, ambulation, relaxation, and breathing techniques, also are helpful. Offering analgesia or assisting with anesthesia administration during labor or birth requires nursing judgment and a caring presence to help one woman accept analgesia when she needs it and to encourage another to experience childbirth without pharmacologic intervention when that is what she desires. OUTCOME EVALUATION Evaluations are ongoing and typically must occur within a short time frame. Examples of short-term expected outcomes that would indicate successful achievement during labor are: Patient states pain during labor is within a tolerable level for her. Couple reports they feel control throughout the labor process. Patient and fetus remain physiologically stable with use of pharmacologic interventions. Patient verbalizes satisfaction with current pain control measures. A long-term evaluation should reveal a woman found labor and birth to be an experience not only endurable but also that it allowed her to grow in self-esteem and the family to grow through a shared experience. Asking a woman to describe her labor experience afterward in relation to pain not only aids an evaluation of whether pain management was adequate but also helps her work through this emotional period of life and integrate it into her previous experiences as well. Experience of Pain During Childbirth Pain accompanies labor contractions for several different reasons and manifests itself in different ways for each woman (Box 16.2). BOX 16.2 Nursing Care Planning Using Assessment ASSESSING A WOMAN FOR SYMPTOMS OF PAIN DURING LABOR AND CHILDBIRTH ETIOLOGY OF PAIN DURING LABOR AND BIRTH Normally, contractions of involuntary muscles, such as the heart, stomach, and intestine, do not cause pain. This concept makes uterine contractions unique because they do cause pain. Several explanations exist for why this happens. During contractions, blood vessels constrict, reducing the blood supply to uterine and cervical cells, resulting in anoxia to muscle fibers. This anoxia can cause pain in the same way blockage of the cardiac arteries causes the pain of a heart attack. As labor progresses and contractions become longer and more intense, the ischemia to cells increases, the anoxia increases, and the pain intensifies. Pain also probably results from stretching of the cervix and perineum. This phenomenon is the same as the intestinal pain that results when accumulating gas stretches the intestines. At the end of the transitional phase in labor, when stretching of the cervix is complete and the woman feels she has to push, pain from the contractions often disappears as long as the woman is pushing, until the fetal presenting part causes a final stretching of the perineum. Additional discomfort in labor may stem from the pressure of the fetal presenting part on tissues, including pressure on surrounding organs, such as the bladder, the urethra, and the lower colon. In addition to these factors, cultural expectations effect how pain is perceived (Box 16.3). All these factors make nursing support, in addition to a doula or a partner, important as it can have a positive influence on pain relief in all situations of labor. BOX 16.3 Nursing Care Planning to Respect Cultural Diversity Some women believe their expected role during labor is to be stoic and nonverbal even in the face of intense pain. Others believe expressing their discomfort by screaming or verbalizing their discomfort is what is expected. If a woman is not proficient in English, it may be particularly difficult for her to describe her level of discomfort and that she needs some assistance. Assess each woman individually to determine not only what level of comfort she feels is right for her during labor but also the manner in which she feels most able to express discomfort. Assessing individuals in this way rather than relying on a list of “typical” ways Hispanic women, Asian women, and so forth, react to pain achieves better individual care. Because of Americanization, a woman’s surname or her appearance may be not be indicative at all of how she wants to manage pain. The amount of analgesia women desire or will accept is dependent both on the situation and her culture. In a culture in which birth is seen as a “natural” process or if a woman has attended a class to prepare for birth, the less analgesia is generally desired. Any woman who has an effective support person with her generally needs less pharmacologic pain relief than one who does not. PHYSIOLOGY OF PAIN Pain is a basic protective mechanism that alerts a person that something threatening is happening somewhere in the body. The Melzack–Wall gate control theory of pain (Melzack & Wall, 1965), the most widely accepted theory of pain response, proposes pain can be halted at three points: • The peripheral end terminals • The synapse points in the dorsal horn of the spinal cord • The point at which the impulse is interpreted as pain in the brain cortex Pain in peripheral terminals is automatically reduced by the production of endorphins and encephalins, naturally occurring opiates that limit transmission of pain from the end terminals. Pain can be reduced further at these end points by mechanically irritating nerve fibers through an action such as rubbing the skin, which blocks nerve transmission. A major way to block spinal cord neurotransmitters (i.e., never allowing the pain impulse to cross to a spinal nerve) is by the administration of pain medications. In addition, the brain cortex can be distracted from sensing impulses as pain by such techniques as imagery, thought stopping, and perhaps aromatherapy or yoga. Sensory impulses of pain from the uterus and cervix synapse at the spinal column at the level of T10 through L1, whereas motor impulses register higher in the cord at T5 through T10. Anesthetic pain relief measures for the first stage of labor, therefore, are designed to stop pain by blocking the lower sensory sites, but not the upper motor sites, so strong contractions can continue. Sensory impulses from the perineum, which is involved in the second stage of labor, are carried by the pudendal nerve to join the spinal column at S2, S3, and S4. When the perineum is initiating the pain, anesthetic pain relief must block these lower receptor sites. This is an important point to remember when talking to a woman in labor about pain relief. Some interventions relieve pain for both the first and second stages of labor, whereas others work for one stage but not both. PERCEPTION OF PAIN The amount of discomfort a woman experiences during contractions differs according to her expectations of and preparation for labor; the length of her labor; the position of her fetus; the presence of fear, anxiety, worry, body image, and self-efficacy; and the availability of meaningful people around her to offer support (Fig. 16.1). As a rule, women who believe they can control their situation (have self-efficacy) are more apt to report a satisfactory birth experience than those who do not feel in control (Howarth, Swain, & Treharne, 2011). Figure 16.1 The discomfort a woman experiences during childbirth is related to the amount of support she receives from her family and healthcare providers. Here, the woman’s support person uses the palm of his hand to apply counter pressure to her lower back, helping to ease back pain. Fetal position is a physical variable that influences the degree of pain a woman experiences. If the fetus is in an occiput posterior position, the woman often reports intense or nagging back pain, even between contractions, much more than if a fetus is in an occipitoanterior position (Impey & Child, 2012). Pain is perceived differently by different individuals because of psychosocial, physiologic, and cultural responses. The body’s ability to produce and maintain endorphins may influence a person’s overall pain threshold and the amount of pain a person perceives at any given time. Women who come into the labor experience believing the pain will be horrible are usually surprised afterward to realize the agony they expected never materialized. However, women who thought pain would be minimal can be overwhelmed by its intensity. Unrealistic expectations of labor pain can make a woman so tense during labor her pain feels worse than it would have if she had been relaxed. A woman cannot relax simply because she is instructed to do so by another person, however. Some additional interventions must be used. Comfort and Nonpharmacologic Pain Relief Measures The pattern of interventions to promote comfort and manage pain in labor has swung from a philosophy of no intervention (none given because pain in labor was expected), to a philosophy that drug intervention was always required (excessive amounts were given), to the modern approach of empowering women and their partners with information so they can choose how to best relieve pain during labor within the limits of medical safety. Nurses play a key role in educating women and their support persons about the numerous comfort and pain relief strategies available and making sure certain couples understand the choices available to them along with the benefits and risks (L. Jones, Othman, Dowswell, et al., 2012). Throughout their decision-making process, couples need support for their choices so they can feel confident in the method they choose. SUPPORT FROM A DOULA OR COACH Although, historically, women have always attended other women in childbirth, in the past 45 years or so, the father or pa

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Limited Access to Healthcare Paper

Limited Access to Healthcare Paper

Socratic Problem-Solving Approach The Socratic Method is a teaching style in which teachers ask students questions designed to stimulate more complete thinking and deeper insight. It also relates to the steps of performing scientific research. When the Socratic approach is applied, students are prompted to look more closely at your ideas, question your assumptions and accepted premises, and view your choices through a rigorous lens. Apply the Socratic approach Applying the Socratic approach to problem solving helps you identify gaps and improve your thinking when writing papers or completing projects. The questions may be used to spark new insights when responding to discussion topics and posts. • • • • • • Identify the elements of the problem, issue, or question Analyze, define, and frame the problem, issue, or question Consider solutions, responses, or answers Choose a solution, response, or answer Implement your choice Evaluate the results Socratic problem-solving references Paul, R., & Elder., L. (2006) The miniature guide to critical thinking concepts & tools (4th ed.). Dillon Beach, CA: The Foundation for Critical Thinking. Wertheim, E. G. (n.d.). A model for case analysis and problem solving. College of Business Administration, Northeastern University. Retrieved August 7, 2007, from http://web.cba.neu.edu/ewertheim/introd/cases.htm (Material no longer available at this link.) *Source: Dictionary.com RELATED RESOURCES Apply critical thinking Learn more about applying the Socratic approach when creating discussion posts. Socratic problem-solving approach Identify gaps and improve your thinking when writing a course paper or completing a project. Practice Activity Use the Socratic approach when responding to a discussion question. Running head: APPLYING RESEARCH SKILLS Applying Research Skills Learner’s Name Capella University Developing a Health Care Perspective Applying Research Skills February, 2018 Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. 1 Comment [A1]: You effectively used the APA Template paper format. APPLYING RESEARCH SKILLS 2 Applying Research Skills With the advent of new technologies and treatment methods, health care organizations are facing many challenges. Patient safety is one such challenge that needs to be addressed not only by health care professionals but also by other stakeholders in the business. Ensuring patient safety is essential for providing quality health care. As a medical transcriptionist, I am responsible for converting voice-recorded reports of health care professionals into text. Although I am not directly involved in treating patients, any errors that occur during the transcription process could result in inaccurate documentation of medical data. For example, one of my colleagues documented the dosage of Lasix as 400 mg instead of 40 mg in a discharge summary. When the health care professional who had dictated the report reviewed it, he was able to spot the error in the dosage and correct it, which helped prevent the patient from having a dangerous reaction to the incorrect dosage. This incident helped me realize the importance of preparing accurate documents for ensuring patient safety and delivering quality care. I developed a keen interest in issues relating to patient safety ever since. Identifying Academic Peer-Reviewed Journal Articles Using Summon, Capella University Library’s search engine, I accessed databases relating to health care, such as ProQuest Central and PubMed Central. I used keywords such as health care issues, patient safety, and quality of care to search for peer-reviewed literature relevant to patient safety. Using the advanced search option, I limited my search to scholarly and peerreviewed journals, choosing journal article as the publication type, medicine and nursing as the subjects, and articles published within the last five years as the publication date range. Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. Comment [A2]: You effectively summarized a health care problem and described an interest in the topic, and provided an informative example. APPLYING RESEARCH SKILLS 3 Assessing Credibility and Relevance of Information Sources Comment [A3]: Sub-headers are a helpful resource to use to organize your writing! To ensure credibility, I selected peer-reviewed journal articles that were published within the past five years. I made sure that the selected sources were published by authors who were well-known in the field of health care and had extensive professional experience. Comment [A4]: As you noted, it is best to select current peer-reviewed academic journal articles to ensure current practices. To ensure that the chosen sources of information were relevant to the topic, I confirmed that they contained accepted facts and opinions on issues relating to patient safety and quality care. I also checked whether each information source had a clearly defined purpose and contained pertinent information about patient safety and quality care. Annotated Bibliography Kronick, R., Arnold, S., & Brady, J. (2016, August 2). Improving safety for hospitalized patients: Much progress but many challenges remain. The JAMA Network, 316(5), 489–490. Retrieved from https://jamanetworkcom.library.capella.edu/journals/jama/fullarticle/2528945 This article provides a viewpoint on the progress that hospitals have made toward reducing patient harm and understand the factors that have led to this progress. The authors cite reports released by the Agency for Healthcare Research and Quality (AHRQ) and the National Healthcare Safety Network (NHSN) to analyze the occurrence of issues relating to patient safety in hospitals. The authors hypothesize that improvement in health care safety for hospitalized patients may have been possible because of reasons such as an awareness of the importance of improving safety culture with evidence-based suggestions. The authors conclude by expressing the need for finding ways to maintain or accelerate the rate of decline in adverse events relating to patient harm. They believe that Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. Comment [A5]: In your annotation, you effectively identified the purpose of the article. APPLYING RESEARCH SKILLS 4 investing in patient safety research programs and ensuring that patient safety remains a high priority for hospital leadership teams can help reduce the number of adverse events. This article is relevant to patient safety because it examines evidence of reduction in patient harms in hospitals and offers approaches to reduce such harms. Morris, S., Otto, N. C., & Golemboski, K. (2013). Improving patient safety and healthcare quality in the 21st century—Competencies required of future medical laboratory science practitioners. Clinical Laboratory Science, 26(4), 200–204. Retrieved from https://searchproquestcom.library.capella.edu/docview/1530677721/fulltextPDF/CF6F9C5B900402CPQ/1?acc ountid=27965 In this article, the authors express their concern about health care professionals, particularly medical laboratory science (MLS) practitioners, being insufficiently trained to achieve the five core competencies that the Institute of Medicine (IOM) identified in 2002. The authors discuss ways to incorporate patient safety practices and concepts in the MLS curricula to ensure that future MLS practitioners are well-versed in the abovementioned competencies identified by the IOM. The authors conclude that by focusing on the aims and competencies identified by the IOM, future practitioners will be better equipped to deal with patient safety concerns while practicing MLS. This article was chosen because it offers a solution for dealing with patient safety issues and explains how patient safety concepts can be incorporated in the curricula for courses pertaining to Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. Comment [A6]: In your annotation, you clearly summarized the main argument and the topics covered. APPLYING RESEARCH SKILLS 5 health care, such as MLS, to enable future health care practitioners to provide effective health care. Parand, A., Dopson, S., Renz, A., & Vincent, C. (2014). The role of hospital managers in quality and patient safety: A systematic review. BMJ Open, 4(9). http://dx.doi.org/ 10.1136/bmjopen-2014-005055 This article provides a systematic review of available empirical literature to understand how health care managers are involved in delivering quality health care and ensuring patient safety. Based on the literature review, the authors suggest that board-level managers should spend more than 25% of their time on patient safety and quality to ensure positive outcomes; however, most of the reviewed studies indicate that they spend much less time than that. The authors also present a quality management input process output (IPO) model, a framework that will help managers function effectively and achieve health care quality and safety. The authors conclude that there is a need to make certain changes in hospitals to ensure the active involvement of managers in quality improvement. The article is relevant to patient safety because it discusses the role of health care managers in influencing patient safety and quality care outcomes and also Comment [A7]: In your annotation, you effectively included the conclusions and findings of the article. proposes a model to help managers understand this role. Ulrich, B., & Kear, T. (2014). Patient safety and patient safety culture: Foundations of excellent health care delivery. Nephrology Nursing Journal, 41(5), 447–456, 505. Retrieved from https://search-proquest- Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. Comment [A8]: You listed the full reference for the source in APA format (author, date, title, publisher, et cetera) and used APA format for the annotated bibliography. An impressive application of APA formatting! APPLYING RESEARCH SKILLS 6 com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?ac countid=27965 This article provides a general understanding of the concepts of patient safety and patient safety culture. The authors explain that the health care system is complex and patient safety is the responsibility of every individual in a health care organization. They discuss some tools that can be used to measure patient safety culture, for example, the Safety Attitudes Questionnaire and the Patient Safety Culture Improvement Tool. They also examine several strategies to encourage a patient safety culture, such as ensuring that patient safety is given as much importance as other core business functions. This article was chosen because it offers strategies for preventing adverse events relating to patient safety and emphasizes the importance of teamwork within a health care organization to ensure safe patient care. Learnings From the Research I gathered important facts and scholarly opinions about patient safety by going through peer-reviewed journal articles. This research enriched my knowledge about patient safety. For Comment [A9]: Peer-reviewed journal articles are validated sources. Outstanding article choices! example, after reading the article on improving safety for hospitalized patients by Kronick, Arnold, and Brady (2016), I learned about patient harms (such as catheter-associated urinary tract infections and pressure ulcers) that I was unaware of before this research. Further, by creating an annotated bibliography, I was able to build a repository of scholarly resources relating to patient safety. This will make it easier for me to choose relevant resources while writing the paper on issues concerning patient safety. Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. Comment [A10]: You effectively summarized the main points learned from your research. APPLYING RESEARCH SKILLS 7 References Kronick, R., Arnold, S., & Brady, J. (2016, August 2). Improving safety for hospitalized patients: Much progress but many challenges remain. The JAMA Network, 316(5), 489–490. Retrieved from https://jamanetworkcom.library.capella.edu/journals/jama/fullarticle/2528945 Morris, S., Otto, N. C., & Golemboski, K. (2013). Improving patient safety and healthcare quality in the 21st century—Competencies required of future medical laboratory science practitioners. Clinical Laboratory Science, 26(4), 200–204. Retrieved from https://searchproquestcom.library.capella.edu/docview/1530677721/fulltextPDF/CF6F9C5B900402CPQ/1?acc ountid=27965 Parand, A., Dopson, S., Renz, A., & Vincent, C. (2014). The role of hospital managers in quality and patient safety: A systematic review. BMJ Open, 4(9). http://dx.doi.org/ 10.1136/bmjopen-2014-005055 Ulrich, B., & Kear, T. (2014). Patient safety and patient safety culture: Foundations of excellent health care delivery. Nephrology Nursing Journal, 41(5), 447–456, 505. Retrieved from https://search-proquestcom.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?ac countid=27965 Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. Chose one of the following topic, For this assessment, you will research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. Topic 1: Limited Access to Healthcare Short Description: Consumers face barriers to healthcare access for assorted reasons. For example: due to geographic location, provider availability, transportation issues and mobility. Potential Intervention Approaches: • • • – Healthcare information online – Telemedicine – In–home healthcare services Keywords for Articles: online health information seeking, health care access, health information systems, consumer health information, chronic disease, health information search, health seeking behavior, rural nursing References: Bhandari, N. (2014). Seeking health information online: does limited healthcare access matter? Journal of the American Medical Informatics Association: JAMIA (1067-5027), 21 (6), p. 1113. https://wwwncbi-nlm-nih-gov.library.capella.edu/pmc/articles/PMC4215038/ Lee, K., Hoti, K., Hughes, J. D., & Emmerton, L. (2014). Dr Google and the Consumer: A Qualitative Study Exploring the Navigational Needs and Online Health Information-Seeking Behaviors of Consumers with Chronic Health Conditions. Journal of Medical Internet Research, 16(12), e262. http://doi.org.library.capella.edu/10.2196/jmir.3706 Ware, P., Bartlett, S. J., Paré, G., Symeonidis, I., Tannenbaum, C., Bartlett, G., … Ahmed, S. (2017). Using eHealth Technologies: Interests, Preferences, and Concerns of Older Adults. Interactive Journal of Medical Research, 6(1), e3. http://doi.org.library.capella.edu/10.2196/ijmr.4447 Pratt, D. (2015). Telehealth and telemedicine. Albany Law Journal of Science & Technology. (10594280), 25 (3), p. 495. http://www.lexisnexis.com.library.capella.edu/hottopics/lnacademic/?shr=t&csi=148364&sr=TITLE( %22Telehealth+telemedicine+in+2015%22)+and+date+is+2015 Topic 2: Healthcare Disparities Short Description: In 2010, the Federal Department of Human and Health Service (DHHS) launched the Healthy People 2020 goals to include a goal to eliminate health inequality/disparity. Healthy People 2020 defines a health disparity as “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion” (Office of Disease Prevention and Health Promotion, 2017, p.1). Potential Intervention Approaches: • • • • – Federal goals – Community health improvement plans – Patient advocacy efforts – “Triple Aim” for populations Keywords for Articles: health disparities, community health assessment, community health improvement plan, strategic planning, local health departments, health inequities References: Office of Disease Prevention and Health Promotion. (2017). Disparities. Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/disparities Shah G.H., & Sheahan J.P. (2016). Local health departments’ activities to address health disparities and inequities: Are we moving in the right direction? International Journal of Environmental Research and Public Health. 2016; 13(1):44. http://www.mdpi.com/1660-4601/13/1/44 Institute for Healthcare Improvement. (2017). Triple Aim for Populations. http://www.ihi.org/Topics/TripleAim/Pages/Overview.aspx Assessment 2 Instructions: Applying Research Skills Content • PRINT • Create a 3-5-page annotated bibliography and summary based on your research related to best practices addressing a current health care problem or issue of interest to you. Introduction In your professional life you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need. For this assessment, you will select and research a current health care problem or issue faced by a health care organization. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: • Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care. Identify academic peer-reviewed journal articles relevant to a health care problem or issue and describe the criteria used for the literature search. Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care. o Assess the credibility and relevance of information sources. o Summarize what was learned from developing an annotated bibliography. o Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format. Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others, and that is consistent with expectations for health care professionals. o Summarize a health care problem or issue and describe a personal interest in it and experience with it. o Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics. o Write following APA style for in-text citations, quotes, and references. o • • Instructions Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed. For this assessment, you will research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking. 4. View the Assessment Topic Areas | Transcript media piece and select one of the health care problems or issues in the media piece to research. Write a brief overview of the selected topic. In your overview: 0. Describe the health care problem or issue. 1. Describe your interest in the topic. 2. Describe any professional experience you have with this topic. 5. Conduct a search for scholarly or academic peerreviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. 0. You will want to access the applicable Undergraduate Library Research Guide related to your degree (found at the NHS Learner Success Lab) for tips to help you in your search. 1. Use keywords related to the health care problem or issue you are researching to select relevant articles. 6. Assess the credibility of the information sources you find. 0. Determine if the source is from an academic peer-reviewed journal. 1. Determine if the publication is current. 2. Determine if information in the academic peer-reviewed journal article is still relevant. 7. Select four current scholarly or academic peer-reviewed journal articles published during the past three to five years that relate to your topic. 8. Explain the relevance of the information sources. 0. Describe how the health care problem or issue is addressed in each source. 1. Discuss what kind of contribution each source provides on your selected topic. 9. Analyze the scholarly literature or academic peerreviewed journal articles using the annotated bibliography organizational format. 0. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. 1. List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography. 2. Make sure the references are listed in alphabetical order, are doublespaced, and use hanging indents. 3. Follow the reference with the annotation. 10. In your annotation: 0. Identify the purpose of the article. 1. Summarize the source: o What are the main arguments? o What topics are covered? 2. Include the conclusions and findings of the article. 3. Write your annotation in a paragraph form. The annotation should be approximately 150 words (1 to 3 paragraphs) in length. 11. In a separate paragraph or two at the end of the paper, summarize what you learned from your research. 0. List the main points you learned from your research. 1. Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic. Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like: • Assessment 2 Example [PDF]. Additional Requirements 13. Length: At least 3–5 typed, double-spaced pages, not including the title page and reference page. 14. Font and font size: Times New Roman, 12 point. 15. APA Template: Use the APA template linked in the resources. Use the APA Style Paper Template [DOCX] as the paper format and the APA Style Paper Tutorial [DOCX] for guidance. 16. Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics. 17. Content: Provide a title page and reference page following APA style. 18. References: Use at least four scholarly or academic peer-reviewed journal articles. 19. APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page. Note: Review the Applying Research Skills Scoring Guide for the grading criteria applied to this assessment. If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, please do not hesitate to ask faculty or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions. Note: Your instructor may also use the Writing Feedback Tool to provide feedback on your writing. In the tool, click the linked resources for helpful writing information. • SCORING GUIDE Use the scoring guide to understand how your assessment will be evaluated. Assessment 2 Instructions: Applying Research Skills Content • PRINT • Create a 3-5-page annotated bibliography and summary based on your research related to best practices addressing a current health care problem or issue of interest to you. Introduction In your professional life you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need. For this assessment, you will select and research a current health care problem or issue faced by a health care organization. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: • Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care. o Identify academic peer-reviewed journal articles relevant to a health care problem or issue and describe • • the criteria used for the literature search. Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care. o Assess the credibility and relevance of information sources. o Summarize what was learned from developing an annotated bibliography. o Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format. Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others, and that is consistent with expectations for health care professionals. o Summarize a health care problem or issue and describe a personal interest in it and experience with it. o Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics. o Write following APA style for in-text citations, quotes, and references. Instructions Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed. For this assessment, you will research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking. 4. View the Assessment Topic Areas | Transcript media piece and select one of the health care problems or issues in the media piece to research. Write a brief overview of the selected topic. In your overview: 0. Describe the health care problem or issue. 1. Describe your interest in the topic. 2. Describe any professional experience you have with this topic. 5. Conduct a search for scholarly or academic peerreviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. 0. You will want to access the applicable Undergraduate Library Research Guide related to your degree (found at the NHS Learner Success Lab) for tips to help you in your search. 1. Use keywords related to the health care problem or issue you are researching to select relevant articles. 6. Assess the credibility of the information sources you find. 0. Determine if the source is from an academic peer-reviewed journal. 1. Determine if the publication is current. 2. Determine if information in the academic peer-reviewed journal article is still relevant. 7. Select four current scholarly or academic peer-reviewed journal articles published during the past three to five years that relate to your topic. 8. Explain the relevance of the information sources. 0. Describe how the health care problem or issue is addressed in each source. 1. Discuss what kind of contribution each source provides on your selected topic. 9. Analyze the scholarly literature or academic peerreviewed journal articles using the annotated bibliography organizational format. 0. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. 1. List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography. 2. Make sure the references are listed in alphabetical order, are doublespaced, and use hanging indents. 3. Follow the reference with the annotation. 10. In your annotation: 0. Identify the purpose of the article. 1. Summarize the source: o What are the main arguments? o What topics are covered? 2. Include the conclusions and findings of the article. 3. Write your annotation in a paragraph form. The annotation should be approximately 150 words (1 to 3 paragraphs) in length. 11. In a separate paragraph or two at the end of the paper, summarize what you learned from your research. 0. List the main points you learned from your research. 1. Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic. Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like: • Assessment 2 Example [PDF]. Additional Requirements 13. Length: At least 3–5 typed, double-spaced pages, not including the title page and reference page. 14. Font and font size: Times New Roman, 12 point. 15. APA Template: Use the APA template linked in the resources. Use the APA Style Paper Template [DOCX] as the paper format and the APA Style Paper Tutorial [DOCX] for guidance. 16. Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics. 17. Content: Provide a title page and reference page following APA style. 18. References: Use at least four scholarly or academic peer-reviewed journal articles. 19. APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page. Note: Review the Applying Research Skills Scoring Guide for the grading criteria applied to this assessment. If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, please do not hesitate to ask faculty or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions. Note: Your instructor may also use the Writing Feedback Tool to provide feedback on your writing. In the tool, click the linked resources for helpful writing information.
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3 pages annotated bibliography

3 pages annotated bibliography

Assessment 2 Instructions: Applying Research Skills Content • PRINT • Create a 3-5-page annotated bibliography and summary based on your research related to best practices addressing a current health care problem or issue of interest to you. Introduction In your professional life you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need. For this assessment, you will select and research a current health care problem or issue faced by a health care organization. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: • Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care. o Identify academic peer-reviewed journal articles relevant to a health care problem or issue and describe • • the criteria used for the literature search. Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care. o Assess the credibility and relevance of information sources. o Summarize what was learned from developing an annotated bibliography. o Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format. Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others, and that is consistent with expectations for health care professionals. o Summarize a health care problem or issue and describe a personal interest in it and experience with it. o Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics. o Write following APA style for in-text citations, quotes, and references. Instructions Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed. For this assessment, you will research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking. 4. View the Assessment Topic Areas | Transcript media piece and select one of the health care problems or issues in the media piece to research. Write a brief overview of the selected topic. In your overview: 0. Describe the health care problem or issue. 1. Describe your interest in the topic. 2. Describe any professional experience you have with this topic. 5. Conduct a search for scholarly or academic peerreviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. 0. You will want to access the applicable Undergraduate Library Research Guide related to your degree (found at the NHS Learner Success Lab) for tips to help you in your search. 1. Use keywords related to the health care problem or issue you are researching to select relevant articles. 6. Assess the credibility of the information sources you find. 0. Determine if the source is from an academic peer-reviewed journal. 1. Determine if the publication is current. 2. Determine if information in the academic peer-reviewed journal article is still relevant. 7. Select four current scholarly or academic peer-reviewed journal articles published during the past three to five years that relate to your topic. 8. Explain the relevance of the information sources. 0. Describe how the health care problem or issue is addressed in each source. 1. Discuss what kind of contribution each source provides on your selected topic. 9. Analyze the scholarly literature or academic peerreviewed journal articles using the annotated bibliography organizational format. 0. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. 1. List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography. 2. Make sure the references are listed in alphabetical order, are doublespaced, and use hanging indents. 3. Follow the reference with the annotation. 10. In your annotation: 0. Identify the purpose of the article. 1. Summarize the source: o What are the main arguments? o What topics are covered? 2. Include the conclusions and findings of the article. 3. Write your annotation in a paragraph form. The annotation should be approximately 150 words (1 to 3 paragraphs) in length. 11. In a separate paragraph or two at the end of the paper, summarize what you learned from your research. 0. List the main points you learned from your research. 1. Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic. Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like: • Assessment 2 Example [PDF]. Additional Requirements 13. Length: At least 3–5 typed, double-spaced pages, not including the title page and reference page. 14. Font and font size: Times New Roman, 12 point. 15. APA Template: Use the APA template linked in the resources. Use the APA Style Paper Template [DOCX] as the paper format and the APA Style Paper Tutorial [DOCX] for guidance. 16. Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics. 17. Content: Provide a title page and reference page following APA style. 18. References: Use at least four scholarly or academic peer-reviewed journal articles. 19. APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page. Note: Review the Applying Research Skills Scoring Guide for the grading criteria applied to this assessment. If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, please do not hesitate to ask faculty or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions. Note: Your instructor may also use the Writing Feedback Tool to provide feedback on your writing. In the tool, click the linked resources for helpful writing information. Socratic Problem-Solving Approach The Socratic Method is a teaching style in which teachers ask students questions designed to stimulate more complete thinking and deeper insight. It also relates to the steps of performing scientific research. When the Socratic approach is applied, students are prompted to look more closely at your ideas, question your assumptions and accepted premises, and view your choices through a rigorous lens. Apply the Socratic approach Applying the Socratic approach to problem solving helps you identify gaps and improve your thinking when writing papers or completing projects. The questions may be used to spark new insights when responding to discussion topics and posts. • • • • • • Identify the elements of the problem, issue, or question Analyze, define, and frame the problem, issue, or question Consider solutions, responses, or answers Choose a solution, response, or answer Implement your choice Evaluate the results Socratic problem-solving references Paul, R., & Elder., L. (2006) The miniature guide to critical thinking concepts & tools (4th ed.). Dillon Beach, CA: The Foundation for Critical Thinking. Wertheim, E. G. (n.d.). A model for case analysis and problem solving. College of Business Administration, Northeastern University. Retrieved August 7, 2007, from http://web.cba.neu.edu/ewertheim/introd/cases.htm (Material no longer available at this link.) *Source: Dictionary.com RELATED RESOURCES Apply critical thinking Learn more about applying the Socratic approach when creating discussion posts. Socratic problem-solving approach Identify gaps and improve your thinking when writing a course paper or completing a project. Practice Activity Use the Socratic approach when responding to a discussion question. Chose one of the following topic, For this assessment, you will research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. Topic 1: Limited Access to Healthcare Short Description: Consumers face barriers to healthcare access for assorted reasons. For example: due to geographic location, provider availability, transportation issues and mobility. Potential Intervention Approaches: • • • – Healthcare information online – Telemedicine – In–home healthcare services Keywords for Articles: online health information seeking, health care access, health information systems, consumer health information, chronic disease, health information search, health seeking behavior, rural nursing References: Bhandari, N. (2014). Seeking health information online: does limited healthcare access matter? Journal of the American Medical Informatics Association: JAMIA (1067-5027), 21 (6), p. 1113. https://wwwncbi-nlm-nih-gov.library.capella.edu/pmc/articles/PMC4215038/ Lee, K., Hoti, K., Hughes, J. D., & Emmerton, L. (2014). Dr Google and the Consumer: A Qualitative Study Exploring the Navigational Needs and Online Health Information-Seeking Behaviors of Consumers with Chronic Health Conditions. Journal of Medical Internet Research, 16(12), e262. http://doi.org.library.capella.edu/10.2196/jmir.3706 Ware, P., Bartlett, S. J., Paré, G., Symeonidis, I., Tannenbaum, C., Bartlett, G., … Ahmed, S. (2017). Using eHealth Technologies: Interests, Preferences, and Concerns of Older Adults. Interactive Journal of Medical Research, 6(1), e3. http://doi.org.library.capella.edu/10.2196/ijmr.4447 Pratt, D. (2015). Telehealth and telemedicine. Albany Law Journal of Science & Technology. (10594280), 25 (3), p. 495. http://www.lexisnexis.com.library.capella.edu/hottopics/lnacademic/?shr=t&csi=148364&sr=TITLE( %22Telehealth+telemedicine+in+2015%22)+and+date+is+2015 Topic 2: Healthcare Disparities Short Description: In 2010, the Federal Department of Human and Health Service (DHHS) launched the Healthy People 2020 goals to include a goal to eliminate health inequality/disparity. Healthy People 2020 defines a health disparity as “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion” (Office of Disease Prevention and Health Promotion, 2017, p.1). Potential Intervention Approaches: • • • • – Federal goals – Community health improvement plans – Patient advocacy efforts – “Triple Aim” for populations Keywords for Articles: health disparities, community health assessment, community health improvement plan, strategic planning, local health departments, health inequities References: Office of Disease Prevention and Health Promotion. (2017). Disparities. Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/disparities Shah G.H., & Sheahan J.P. (2016). Local health departments’ activities to address health disparities and inequities: Are we moving in the right direction? International Journal of Environmental Research and Public Health. 2016; 13(1):44. http://www.mdpi.com/1660-4601/13/1/44 Institute for Healthcare Improvement. (2017). Triple Aim for Populations. http://www.ihi.org/Topics/TripleAim/Pages/Overview.aspx Assessment 2 Instructions: Applying Research Skills Content • PRINT • Create a 3-5-page annotated bibliography and summary based on your research related to best practices addressing a current health care problem or issue of interest to you. Introduction In your professional life you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need. For this assessment, you will select and research a current health care problem or issue faced by a health care organization. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: • Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care. Identify academic peer-reviewed journal articles relevant to a health care problem or issue and describe the criteria used for the literature search. Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care. o Assess the credibility and relevance of information sources. o Summarize what was learned from developing an annotated bibliography. o Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format. Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others, and that is consistent with expectations for health care professionals. o Summarize a health care problem or issue and describe a personal interest in it and experience with it. o Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics. o Write following APA style for in-text citations, quotes, and references. o • • Instructions Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed. For this assessment, you will research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking. 4. View the Assessment Topic Areas | Transcript media piece and select one of the health care problems or issues in the media piece to research. Write a brief overview of the selected topic. In your overview: 0. Describe the health care problem or issue. 1. Describe your interest in the topic. 2. Describe any professional experience you have with this topic. 5. Conduct a search for scholarly or academic peerreviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. 0. You will want to access the applicable Undergraduate Library Research Guide related to your degree (found at the NHS Learner Success Lab) for tips to help you in your search. 1. Use keywords related to the health care problem or issue you are researching to select relevant articles. 6. Assess the credibility of the information sources you find. 0. Determine if the source is from an academic peer-reviewed journal. 1. Determine if the publication is current. 2. Determine if information in the academic peer-reviewed journal article is still relevant. 7. Select four current scholarly or academic peer-reviewed journal articles published during the past three to five years that relate to your topic. 8. Explain the relevance of the information sources. 0. Describe how the health care problem or issue is addressed in each source. 1. Discuss what kind of contribution each source provides on your selected topic. 9. Analyze the scholarly literature or academic peerreviewed journal articles using the annotated bibliography organizational format. 0. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. 1. List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography. 2. Make sure the references are listed in alphabetical order, are doublespaced, and use hanging indents. 3. Follow the reference with the annotation. 10. In your annotation: 0. Identify the purpose of the article. 1. Summarize the source: o What are the main arguments? o What topics are covered? 2. Include the conclusions and findings of the article. 3. Write your annotation in a paragraph form. The annotation should be approximately 150 words (1 to 3 paragraphs) in length. 11. In a separate paragraph or two at the end of the paper, summarize what you learned from your research. 0. List the main points you learned from your research. 1. Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic. Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like: • Assessment 2 Example [PDF]. Additional Requirements 13. Length: At least 3–5 typed, double-spaced pages, not including the title page and reference page. 14. Font and font size: Times New Roman, 12 point. 15. APA Template: Use the APA template linked in the resources. Use the APA Style Paper Template [DOCX] as the paper format and the APA Style Paper Tutorial [DOCX] for guidance. 16. Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics. 17. Content: Provide a title page and reference page following APA style. 18. References: Use at least four scholarly or academic peer-reviewed journal articles. 19. APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page. Note: Review the Applying Research Skills Scoring Guide for the grading criteria applied to this assessment. If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, please do not hesitate to ask faculty or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions. Note: Your instructor may also use the Writing Feedback Tool to provide feedback on your writing. In the tool, click the linked resources for helpful writing information. • SCORING GUIDE Use the scoring guide to understand how your assessment will be evaluated. Running head: APPLYING RESEARCH SKILLS Applying Research Skills Learner’s Name Capella University Developing a Health Care Perspective Applying Research Skills February, 2018 Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. 1 Comment [A1]: You effectively used the APA Template paper format. APPLYING RESEARCH SKILLS 2 Applying Research Skills With the advent of new technologies and treatment methods, health care organizations are facing many challenges. Patient safety is one such challenge that needs to be addressed not only by health care professionals but also by other stakeholders in the business. Ensuring patient safety is essential for providing quality health care. As a medical transcriptionist, I am responsible for converting voice-recorded reports of health care professionals into text. Although I am not directly involved in treating patients, any errors that occur during the transcription process could result in inaccurate documentation of medical data. For example, one of my colleagues documented the dosage of Lasix as 400 mg instead of 40 mg in a discharge summary. When the health care professional who had dictated the report reviewed it, he was able to spot the error in the dosage and correct it, which helped prevent the patient from having a dangerous reaction to the incorrect dosage. This incident helped me realize the importance of preparing accurate documents for ensuring patient safety and delivering quality care. I developed a keen interest in issues relating to patient safety ever since. Identifying Academic Peer-Reviewed Journal Articles Using Summon, Capella University Library’s search engine, I accessed databases relating to health care, such as ProQuest Central and PubMed Central. I used keywords such as health care issues, patient safety, and quality of care to search for peer-reviewed literature relevant to patient safety. Using the advanced search option, I limited my search to scholarly and peerreviewed journals, choosing journal article as the publication type, medicine and nursing as the subjects, and articles published within the last five years as the publication date range. Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. Comment [A2]: You effectively summarized a health care problem and described an interest in the topic, and provided an informative example. APPLYING RESEARCH SKILLS 3 Assessing Credibility and Relevance of Information Sources Comment [A3]: Sub-headers are a helpful resource to use to organize your writing! To ensure credibility, I selected peer-reviewed journal articles that were published within the past five years. I made sure that the selected sources were published by authors who were well-known in the field of health care and had extensive professional experience. Comment [A4]: As you noted, it is best to select current peer-reviewed academic journal articles to ensure current practices. To ensure that the chosen sources of information were relevant to the topic, I confirmed that they contained accepted facts and opinions on issues relating to patient safety and quality care. I also checked whether each information source had a clearly defined purpose and contained pertinent information about patient safety and quality care. Annotated Bibliography Kronick, R., Arnold, S., & Brady, J. (2016, August 2). Improving safety for hospitalized patients: Much progress but many challenges remain. The JAMA Network, 316(5), 489–490. Retrieved from https://jamanetworkcom.library.capella.edu/journals/jama/fullarticle/2528945 This article provides a viewpoint on the progress that hospitals have made toward reducing patient harm and understand the factors that have led to this progress. The authors cite reports released by the Agency for Healthcare Research and Quality (AHRQ) and the National Healthcare Safety Network (NHSN) to analyze the occurrence of issues relating to patient safety in hospitals. The authors hypothesize that improvement in health care safety for hospitalized patients may have been possible because of reasons such as an awareness of the importance of improving safety culture with evidence-based suggestions. The authors conclude by expressing the need for finding ways to maintain or accelerate the rate of decline in adverse events relating to patient harm. They believe that Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. Comment [A5]: In your annotation, you effectively identified the purpose of the article. APPLYING RESEARCH SKILLS 4 investing in patient safety research programs and ensuring that patient safety remains a high priority for hospital leadership teams can help reduce the number of adverse events. This article is relevant to patient safety because it examines evidence of reduction in patient harms in hospitals and offers approaches to reduce such harms. Morris, S., Otto, N. C., & Golemboski, K. (2013). Improving patient safety and healthcare quality in the 21st century—Competencies required of future medical laboratory science practitioners. Clinical Laboratory Science, 26(4), 200–204. Retrieved from https://searchproquestcom.library.capella.edu/docview/1530677721/fulltextPDF/CF6F9C5B900402CPQ/1?acc ountid=27965 In this article, the authors express their concern about health care professionals, particularly medical laboratory science (MLS) practitioners, being insufficiently trained to achieve the five core competencies that the Institute of Medicine (IOM) identified in 2002. The authors discuss ways to incorporate patient safety practices and concepts in the MLS curricula to ensure that future MLS practitioners are well-versed in the abovementioned competencies identified by the IOM. The authors conclude that by focusing on the aims and competencies identified by the IOM, future practitioners will be better equipped to deal with patient safety concerns while practicing MLS. This article was chosen because it offers a solution for dealing with patient safety issues and explains how patient safety concepts can be incorporated in the curricula for courses pertaining to Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. Comment [A6]: In your annotation, you clearly summarized the main argument and the topics covered. APPLYING RESEARCH SKILLS 5 health care, such as MLS, to enable future health care practitioners to provide effective health care. Parand, A., Dopson, S., Renz, A., & Vincent, C. (2014). The role of hospital managers in quality and patient safety: A systematic review. BMJ Open, 4(9). http://dx.doi.org/ 10.1136/bmjopen-2014-005055 This article provides a systematic review of available empirical literature to understand how health care managers are involved in delivering quality health care and ensuring patient safety. Based on the literature review, the authors suggest that board-level managers should spend more than 25% of their time on patient safety and quality to ensure positive outcomes; however, most of the reviewed studies indicate that they spend much less time than that. The authors also present a quality management input process output (IPO) model, a framework that will help managers function effectively and achieve health care quality and safety. The authors conclude that there is a need to make certain changes in hospitals to ensure the active involvement of managers in quality improvement. The article is relevant to patient safety because it discusses the role of health care managers in influencing patient safety and quality care outcomes and also Comment [A7]: In your annotation, you effectively included the conclusions and findings of the article. proposes a model to help managers understand this role. Ulrich, B., & Kear, T. (2014). Patient safety and patient safety culture: Foundations of excellent health care delivery. Nephrology Nursing Journal, 41(5), 447–456, 505. Retrieved from https://search-proquest- Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. Comment [A8]: You listed the full reference for the source in APA format (author, date, title, publisher, et cetera) and used APA format for the annotated bibliography. An impressive application of APA formatting! APPLYING RESEARCH SKILLS 6 com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?ac countid=27965 This article provides a general understanding of the concepts of patient safety and patient safety culture. The authors explain that the health care system is complex and patient safety is the responsibility of every individual in a health care organization. They discuss some tools that can be used to measure patient safety culture, for example, the Safety Attitudes Questionnaire and the Patient Safety Culture Improvement Tool. They also examine several strategies to encourage a patient safety culture, such as ensuring that patient safety is given as much importance as other core business functions. This article was chosen because it offers strategies for preventing adverse events relating to patient safety and emphasizes the importance of teamwork within a health care organization to ensure safe patient care. Learnings From the Research I gathered important facts and scholarly opinions about patient safety by going through peer-reviewed journal articles. This research enriched my knowledge about patient safety. For Comment [A9]: Peer-reviewed journal articles are validated sources. Outstanding article choices! example, after reading the article on improving safety for hospitalized patients by Kronick, Arnold, and Brady (2016), I learned about patient harms (such as catheter-associated urinary tract infections and pressure ulcers) that I was unaware of before this research. Further, by creating an annotated bibliography, I was able to build a repository of scholarly resources relating to patient safety. This will make it easier for me to choose relevant resources while writing the paper on issues concerning patient safety. Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. Comment [A10]: You effectively summarized the main points learned from your research. APPLYING RESEARCH SKILLS 7 References Kronick, R., Arnold, S., & Brady, J. (2016, August 2). Improving safety for hospitalized patients: Much progress but many challenges remain. The JAMA Network, 316(5), 489–490. Retrieved from https://jamanetworkcom.library.capella.edu/journals/jama/fullarticle/2528945 Morris, S., Otto, N. C., & Golemboski, K. (2013). Improving patient safety and healthcare quality in the 21st century—Competencies required of future medical laboratory science practitioners. Clinical Laboratory Science, 26(4), 200–204. Retrieved from https://searchproquestcom.library.capella.edu/docview/1530677721/fulltextPDF/CF6F9C5B900402CPQ/1?acc ountid=27965 Parand, A., Dopson, S., Renz, A., & Vincent, C. (2014). The role of hospital managers in quality and patient safety: A systematic review. BMJ Open, 4(9). http://dx.doi.org/ 10.1136/bmjopen-2014-005055 Ulrich, B., & Kear, T. (2014). Patient safety and patient safety culture: Foundations of excellent health care delivery. Nephrology Nursing Journal, 41(5), 447–456, 505. Retrieved from https://search-proquestcom.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?ac countid=27965 Copyright ©2018 Capella University. Copy and distribution of this document are prohibited.
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