Health Care Delivery System Questions

For this assignment you will be interviewing a nurse. It can be any current licensed nurse still practicing in any type of nursing (not a nursing student, a retired nurse or someone who left nursing to pursue another career/profession). The goal is to gain insight into nursing practice today and how it has evolved.

Ask the interviewee the following questions:

1. How long have you been a nurse?

2. What health care delivery system do you work in?

3. What historical, societal, political and/or economic events have had an impact on nursing practice?

4. Since you became a nurse what is one major challenge you have faced in the delivery of quality patient care?

5. Do you have any words of wisdom for a brand new nursing student to survive nursing school or the transition to nursing practice? Health Care Delivery System Questions

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For this assignment submit the following:

1. A transcript of the interview.

2. Obtain 1 scholarly article in a nursing journal that supports the practice change identified by the interviewee. Summarize the findings of the article as it relates to the practice change identified.

3. Provide personal insights on how evidenced-based practice impacts the profession of nursing and nursing practice.

Grading = 35 points (each element is worth 10 points, spelling/grammar/APA format worth 5 points).

NSG110 Week 2 Erika Warnick, MSN, RN, CPN Chapter 2: The Health Care Delivery System IOM ❑Institute of Medicine ▪ Health Care Deliver System: oSafe oEffective oPatient-Centered oTimely oEfficient oEquitable IOM & Impact on Nursing ❑Challenge nurses to provide EB, compassionate care and continue in the role as patient advocate ❑Transformation through: ▪ Practicing to full extent of their education and training ▪ Achieving higher levels of education and training through an improved education system that provides seamless progression ▪ Becoming full partners with physicians and other health care providers in redesigning the health care system ▪ Improving data collection and information infrastructure for effective workforce planning and policy making Health Care Regulation & Reform ❑Health Care Regulation ▪ Goal = Control Health Care $ oUR oCapitation oManaged Care oNever Events (Sentinel event) Health Care Delivery System Questions

❑Health Care Reform ▪ Goals =  access,  costs,  quality Patient Safety & Quality Care Never Event • Preventable • Considered a Sentinel event • Examples: – Surgery on wrong limb – Wrong type of blood transfused – Baby sent home with wrong family Sentinel Even • Unexpected event • Causes severe injury or risk thereof • Must be reported • Examples: – Transfusion reaction – Unexplained death of full term newborn – All Never Events Curative Care vs. Preventive Care ❑Focus shifting to Preventive Care in US ▪ Managing Health versus Managing Illness ❑Goal = Improve Healthcare Health Services Pyramid Examples of Healthcare Services ❑Primary Care ❑Preventive Care ❑Secondary Care ❑Tertiary Care ❑Restorative Care ❑Continuing Care When does DISCHARGE planning begin? Nursing Shortage Quality & Safety ❑Healthcare = IOM ❑Nursing = QSEN Magnet Recognition Program ❑American Nurses Credential Center ▪ HCO that achieve excellence in nursing practice NDNQI Nursing Informatics Chapter 3: Community-Based Nursing Practice Social Determinants of Health ❑Factors that contribute to a person’s current state of health ❑Examples ▪ Biology & Genetics ▪ Individual Behavior ▪ Social Environment ▪ Physical Environment ▪ Health Services Health Disparities Community Health Nursing ❑Nursing Practice in the Community ▪ Focus on healthcare of individuals, families and groups within the community ▪ Goal = preserve, protect, promote or maintain health ❑NOT Public Health Nursing = understanding the needs of a population Community-Based Nursing ❑Nursing care provided in community setting focuses on needs of family or individual ▪ Home or Clinic Vulnerable Populations ❑Groups of patients more likely to develop health problems as result of excess health risks, who are limited in access or depend on others for care Chapter 5: Evidence-Based Practice Evidence-Based Practice (EBP) Steps of EBP PICOT Question Finding Evidence ❑Scientific Databases ❑Search terms Evidence Appraisal ❑Is it scholarly? ▪ Scientific Literature ▪ Discipline Relevant ▪ Peer-Reviewed ❑Is it relevant? ▪ Time ▪ Discipline/Applicable What is Scientific Literature? ❑Follows scientific method ❑Research-based ▪ Validity, Reliability and Generalizability ❑Types of Research ▪ Quantitative Research ▪ Qualitative Research ▪ Mixed-Method Research Types of Research Studies ❑Historical ❑Exploratory ❑Evaluation ❑Descriptive ❑Experimental ▪ Randomized Control Trial ❑Correlational Applying Nursing Process to Research Process Chapter 6: Health & Wellness Healthy People What is Health? ❑According to WHO (World Health Organization, 1947): Health Care Delivery System Questions

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▪ “A state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity” ❑Models of Health ▪ Health Belief Model ▪ Health Promotion Model ▪ Maslow’s Hierarchy ▪ Holistic Health Models Maslow’s Hierarchy of Needs Variables Influencing Health Internal ❑ Developmental Stage External ❑ Family Practice ❑ Intellectual Background ❑ Psychosocial & SES ❑ Perception of Functioning ❑ Emotional Factors ❑ Spiritual Factors ❑ Cultural Background Health Promotion, Wellness & Illness Prevention ❑Health Promotion ▪ Activities to maintain or enhance present level of health ❑Wellness ▪ Help people achieve a new understanding and control of their lives ❑Illness Prevention ▪ Activities to protect patients from actual or potential threats to health Levels of Preventive Care ❑Primary Prevention ▪ Precedes disease or illness ❑Secondary Prevention ▪ Those experiencing problems/illness and are at risk for complications/worsening of condition ❑Tertiary Prevention ▪ Defect or disability is permanent and irreversible Risk Factors ❑Genetic & Physiological Factors ❑Age ❑Environment ❑Lifestyle Illness ❑Acute ❑Chronic Impact of Illness ❑Behavioral & Emotional Changes ❑Impact on Body Image ❑Impact on Self-Concept ❑Impact on Family Roles ❑Impact on Family Dynamics Health Care Delivery System Questions