Write a 4-6 page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.

Introduction

IN YOUR HEALTH CARE CAREER, YOU WILL BE CONFRONTED WITH MANY PROBLEMS THAT DEMAND A SOLUTION. BY USING RESEARCH SKILLS, YOU CAN LEARN WHAT OTHERS ARE DOING AND SAYING ABOUT SIMILAR PROBLEMS. THEN, YOU CAN ANALYZE THE PROBLEM AND THE PEOPLE AND SYSTEMS IT AFFECTS. YOU CAN ALSO EXAMINE POTENTIAL SOLUTIONS AND THEIR RAMIFICATIONS. THIS ASSESSMENT ALLOWS YOU TO PRACTICE THIS APPROACH WITH A REAL-WORLD PROBLEM.

Instructions

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NOTE: THE REQUIREMENTS OUTLINED BELOW CORRESPOND TO THE SCORING GUIDE’S GRADING CRITERIA. AT LEAST, MAKE SURE TO ADDRESS EACH POINT. YOU ARE ALSO ENCOURAGED TO REVIEW THE PERFORMANCE-LEVEL DESCRIPTIONS FOR EACH CRITERION TO SEE HOW YOUR WORK WILL BE EVALUATED.

Describe and provide details about the health care problem or issue you chose for use in Assessment 2 (from the Assessment Topic Areas media piece).

POST

Topic of evaluation

Introduction

It can be difficult to choose a topic for your written assessments, but it is critical to do so carefully.

Choose a topic of interest to you from the list of suggested topics in this media piece. This topic will be used to complete Assessments 2 and 3. Make sure to choose a topic that will be manageable for a written exam. You should use the Socratic Problem-Solving Approach to investigate the chosen topic, focusing on the sections specifically mentioned in the assessment guidelines. Topic 1: Limited Healthcare Access Consumers face barriers to healthcare access for a variety of reasons. Due to geographic location, provider availability, transportation issues, and mobility, for example. Potential Intervention Strategies: – Online healthcare information – Telemedicine – Home healthcare services Online health information seeking, health care access, health information systems, consumer health information, chronic disease, health information search, health seeking behavior, rural nursing are some of the keywords for articles. N. Bhandari’s Bibliography (2014). Does limited healthcare access matter when looking for health information online? JAMIA: Journal of the American Medical Informatics Association (1067-5027), 21 (6), p. 1113. Lee, K., Hoti, K., Hughes, J. D., and Emmerton, L. https://www-ncbi-nlm-nih-gov.library.capella.edu/pmc/articles/PMC4215038/ (2014). Dr. Google and the Consumer: A Qualitative Study of Consumers with Chronic Health Conditions’ Navigational Needs and Online Health Information-Seeking Behaviors e262 in Journal of Medical Internet Research, 16(12). http://doi.org.library.capella.edu/10.2196/jmir.37… Ware, P., S. J. Bartlett, G. Paré, I. Symeonidis, C. Tannenbaum, G. Bartlett,… S. Ahmed (2017). Using eHealth Technologies: Older Adults’ Interests, Preferences, and Concerns 6(1), e3. Interactive Journal of Medical Research

http://doi.org.library.capella.edu/10.2196/ijmr.44… D. Pratt (2015). Telemedicine and telehealth (1059-4280), Albany Law Journal of Science and Technology, 25 (3), p. 495. http://www.lexisnexis.com.library.capella.edu/hott… Disparities in Healthcare Brief Description: The Federal Department of Human and Health Services (DHHS) launched the Healthy People 2020 goals in 2010, which included the goal of eliminating health inequality/disparity. A health disparity is defined by Healthy People 2020 as “a specific type of health difference that is closely linked with social, economic, and/or environmental disadvantage.” Health disparities disproportionately affect people 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 associated with discrimination or exclusion” (Office of Disease Prevention and Health Promotion, 2017, p.1). Potential Intervention Strategies: – Federal objectives – Plans for community health improvement – Patient advocacy initiatives – Population “Triple Aim” Health disparities, community health assessment, community health improvement plan, strategic planning, local health departments, health inequities are all keywords for articles. Office for Disease Prevention and Health Promotion (2017). Disparities. Obtainable from https://www.healthypeople.gov/2020/about/foundatio … G.H. Shah and J.P. Sheahan (2016). Local health departments’ efforts to address health disparities and inequities: Are we making progress? 13(1):44, International Journal of Environmental Research and Public Health, 2016. http://www.mdpi.com/1660-4601/13/1/44 Healthcare Improvement Institute (2017). Populations should have three goals. http://www.ihi.org/Topics/TripleAim/Pages/Overview… Topic 3: Medication Mistakes A medication error is a preventable adverse effect caused by a patient taking the incorrect medication or dosage, whether or not it is visible or harmful to the patient. Medication errors can cause serious harm to patients, including death. Potential Intervention Strategies: – Medical staff training – Packaging enhancements – Medication safety training for patients Article Keywords: medication administration, medication errors, medication safety M. Cohen’s Bibliography (2016). Medication mistakes (miscellaneous). February 2016, Nursing 46(2):72. Institute for Healthcare Improvement, DOI: 10.1097/01.NURSE.0000476239.09094.06 (2017). Enhance the core processes for medication administration. http://www.ihi.org/resources/Pages/Changes/Improve … AHRQ stands for Agency for Healthcare Research and Quality (2012). Table 6: Medication Error Classification Categories. http://www.ahrq.gov/professionals/quality-patient-… K. Schmidt, A. Taylor, and A. Pearson (2017). A novel approach to reducing medication errors. Nursing Care Quality, 32(2), April/June 2017, pp. 150-156. Errors in the Healthcare System Brief Description: The United States’ health-care system has been the subject of much debate as experts try to figure out the best way to provide high-quality care. The Institute of Medicine (2001) called for the redesign of health care delivery systems and their external environments in Crossing the Quality Chasm to promote care that is safe, effective, patient-centered, timely, efficient, and equitable. Potential Intervention Strategies: – Overall system transformation – Redesign of processes – Electronic health records Article Keywords: multi-stakeholder collaboration, healthcare system redesign References: Institute of Medicine (US) Committee on Health Care Quality in America. (2001). Crossing the Quality Divide: A New Health System for the Twenty-First Century National Academies Press, Washington, DC (US). AHRQ stands for Agency for Healthcare Research and Quality (2017). Hospitals and Health-Care Facilities http://www.ahrq.gov/professionals/systems/index.ht… B. Roberts (2017). Relationship-based care: Putting the Institute of Medicine’s core competencies into practice. 22/05/2016, Creative Nursing (2).