Category: Healthcare

Instructions
Week 8 Assignment: Research Paper
Using the topic you selected and the outline you followed in week 3 assignment, please write a 7-10 page research paper using APA Format.  Your research paper must include an extensive explanation and have a thesis statement.  A thesis statement is a strong statement that you can support with evidence.  The research paper should have a abstract, literature review and discussion (body of the paper addressing the issues listed below), recommendation, a well-defined conclusion, and reference pages.  You must use at least 5 resources. 
Please see the attached template for more information. 
In your paper, you must address the following:
An overview of the issue
Why is this issue a concern from a health care economics perspective?
Who are the major parties involved in this issue?
Which market forces have an impact on this issue?
How is demand illustrated in this issue?
How is supply illustrated in this issue?
How has the affordable care act impacted this issue?
How are health disparities demonstrated in this issue?
How has this issue been improved in other global markets?
What is your recommendation for making improvements based on economic principles.
APA Style refers to the editorial guide for academic documents published by the American Psychological Association.  APA released the newest 7th edition in October 2019.  The APA Style rules and guidelines are presented in the seventh edition of the Publication Manual of the American Psychological Association. The major changes from the 6th edition include:
An updated title page for student papers
The elimination of the running head in student papers
Updated DOI and URL guidelines when citing electronic resources
The use of the singular “they” pronoun for bias-free, inclusive language
Please ensure you cite your references in APA format with a minimum of 5 references including 2 peer-reviewed journal articles).
The Final Paper must have a minimum of 10 pages for a Undergraduate level course (excluding the title, abstract, and reference pages). The paper must be typed, double-spaced with 1-inch margins in 12-point Times New Roman font with all references cited.  As always, Wikipedia, Wikianswers, and Answers.com are NOT academic/scholarly sources. Papers will be graded based on the following areas: Foundation and synthesis of knowledge, application of knowledge critical thinking, writing skills, use of computer technology and application, and organization of ideas and format.
A Grade Papers = ABOVE COURSE STANDARDS (ACS)
The principle characteristic of the ACS paper is rich content; teaching the reader sentence after sentence, paragraph after paragraph. In composition, it is marked by stylistic finesse: the title and opening paragraph are engaging; the transitions are artful; the phrasing is tight, fresh, and highly specific; the sentence structure is varied; the tone enhances the purposes of the paper. Finally, the ACS paper, because of its careful organization, development, and logic imparts a sense of completeness and unusual clarity. An ACS paper is highly instructive for other (and future) members of the course; as a result, it is publishable.

Assignment Directions:
Assignment Details
Assume that you have met with a small team previously to design a quality improvement project and have developed a plan. Using the knowledge of your previous assignments, outline the following:
the reason for the project (the why)
the impact to your patient population
a discussion of health disparities within this population as it pertains to the project
your plan, including data collection and potential barriers to the project
Requirements
Your submission is created in a Microsoft PowerPoint presentation or other video presentation tool.
To meet the objective requirements, your presentation is at least six content slides in length, excluding the title and reference slides, and is an audio/visual presentation. It can contain speaker’s notes that you can reference.
Your submission includes specific examples of concepts, topics, definitions, and other elements to demonstrate mastery of the objective.
Your submission includes a highly developed viewpoint and purpose.
Your response is in Standard English and demonstrates superior organization.
Your communication is highly ordered, logical, and unified as well as original and insightful.
Your submission displays exceptional content, organization, style, and mechanics.
A separate slide at the end of your presentation contains a list of references.
In-text citations are included where appropriate, and references are listed for all sources used, following proper APA style.
Please review the APA formatting and citation style in Academic Tools – Academic Writer.

Recall the process for scheduling a visit to a health care facility. List the data elements that are used or generated in this process, then,  discussion the following:
What data elements did you identify?
Where does the data value for each data element come from (practice database or the patient or elsewhere?
What information does the receptionist (or web-based system) need in order to schedule the visit?

You are working with the chief financial officer and his team on two types of statistics related to Medicare reimbursement initiatives:
Medicare spending per beneficiary (MSPB)
Hospital readmission rates
You will be working with the finance team to prepare a presentation for the CEO and executive leadership team to help them understand these requirements. Your presentation should be 5-7 slides (100-150 words per slide, not including the title and reference slides) with APA formatting. Cite at least 2 scholarly reference articles or government publications that were published within the last 3-5 years.
Your presentation should address the following for both the MSPB and hospital readmission rate statistics:
Describe the Medicare program or initiative that uses the statistic.
Is it an incentive- or penalty-type program related to the rate of Medicare reimbursement?
Are the statistics and the program or initiative tied to performance, for example improving quality of care? If so, how?
Which legislation is authorizing the Centers for Medicare and Medicaid Services (CMS) to initiate these programs?
Define the statistic and how it is calculated.
Provide examples of these statistics from publications or government sites. For many of the CMS initiatives, data for health care institutions is made available through the CMS Hospital Compare Web site.
Cite all references using APA formatting.

For this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature.
Supporting Evidence
Support your care coordination plan with peer-reviewed articles, course study resources, and Healthy People 2030 resources. Cite at least three credible sources.
Design patient-centered health interventions and timelines for a selected health care problem.
Address three health care issues.
Design an intervention for each health issue.
Identify three community resources for each health intervention.
Consider ethical decisions in designing patient-centered health interventions.
Consider the practical effects of specific decisions.
Include the ethical questions that generate uncertainty about the decisions you have made.
Identify relevant health policy implications for the coordination and continuum of care.
Cite specific health policy provisions.
Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice.
Clearly explain the need for changes to the plan.
Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2030 document.
Use the literature on evaluation as guide to compare learning session content with best practices.
Align teaching sessions to the Healthy People 2030 document.

Provide a detailed explanation of health and healthcare. Explain the three types of prevention and the significance of primary care.
Support your perspective using evidence-based information from your research with at least two outside scholarly sources.

Deducing the Diagnosis, how much is enough?  Research and create a post based on a possible medical diagnosis that could be diagnosed with brevity and which would need a more thorough diagnosis process.  What issues can arise when an exam is not as thorough as necessary? Post a unique discussion post.

**Projeto de Inclusão e Bem-Estar: Fomentar a Partilha de Experiências Emocionais**
Resumo: O Projeto de Inclusão e Bem-Estar visa criar um ambiente inclusivo e acolhedor na comunidade universitária, onde os participantes possam partilhar suas experiências emocionais sem o estigma associado à saúde mental. O projeto promove compreensão mútua, empatia e solidariedade, além de fornecer apoio prático e educacional para o bem-estar emocional.
Bases Contextuais:
1. Finalidades:
– Estabelecer um ambiente inclusivo onde a partilha de experiências emocionais seja valorizada e incentivada.
– Reduzir o estigma e os preconceitos associados à saúde mental através de campanhas de sensibilização.
– Promover a empatia e a solidariedade entre os membros da comunidade universitária, facilitando um ambiente de apoio mútuo.
– Fornecer suporte educacional e prático para o bem-estar emocional, através de recursos e estratégias de enfrentamento.
2. Dinâmica Territorial:
– Localização estratégica no campus com cabines de apoio emocional em locais de fácil acesso aos estudantes e funcionários.
– Expansão futura para outros campus, caso o projeto inicial seja bem-sucedido.
3. Dinâmica Sectorial:
– Colaboração interdepartamental entre psicologia, serviço social, educação e saúde para garantir uma abordagem multidisciplinar.
– Envolvimento de organizações estudantis para mobilizar e engajar a comunidade universitária.
4. Relação com Outras Políticas:
– Alinhamento com as políticas de saúde mental da universidade e conformidade com diretrizes nacionais e internacionais.
– Parcerias com programas de apoio estudantil existentes para criar uma rede de suporte abrangente.
5. Origem-Antecedentes:
– Inspiração em projetos similares de sucesso como “Mind Matters” e “Let’s Talk”, que têm mostrado resultados positivos em ambientes universitários.
– Baseado em pesquisa científica sobre a importância do apoio emocional e a necessidade de combater o estigma associado à saúde mental.
Definição do Projeto:
6. Destinatários:
– Estudantes de graduação e pós-graduação, professores, e funcionários administrativos e técnicos da universidade.
7. Objetivos:
– Criar um ambiente inclusivo onde a partilha de experiências emocionais seja incentivada e valorizada.
– Reduzir o estigma e os preconceitos relacionados à saúde mental.
– Promover a compreensão mútua, empatia e solidariedade dentro da comunidade universitária.
– Fornecer apoio prático e educacional para o bem-estar emocional dos participantes.
8. Conteúdos:
– Espaços seguros para discussões confidenciais sobre experiências emocionais.
– Recursos educacionais, incluindo guias de autoajuda e informações sobre saúde mental e estratégias de enfrentamento.
– Sessões de grupo facilitadas por profissionais qualificados em saúde mental.
9. Linhas Estratégicas:
– Instalação de cabines de apoio emocional em locais estratégicos do campus.
– Realização de workshops e palestras educacionais regulares sobre saúde mental.
– Facilitação de grupos de apoio e discussão moderados por profissionais treinados.
– Desenvolvimento de campanhas de sensibilização e eventos comunitários para promover a saúde mental.
10. Ações:
– Instalação de cabines em locais estratégicos do campus para proporcionar um espaço seguro e acessível para discussões.
– Organização de workshops e palestras com especialistas em saúde mental para fornecer educação e recursos.
– Criação de grupos de apoio moderados por profissionais para facilitar a partilha de experiências e estratégias de enfrentamento.
– Implementação de campanhas de sensibilização para aumentar a conscientização sobre a importância da saúde mental.
11. Modelo de Gestão:
– Coordenação geral por uma equipe multidisciplinar composta por membros dos departamentos de psicologia, serviço social e educação.
– Facilitadores voluntários recrutados entre estudantes de psicologia e profissionais de saúde mental.
– Monitoramento contínuo e ajustes baseados em feedback para garantir a eficácia do projeto.
Produção do Projeto:
12. Planificação da Produção:
– Fase 1: Pesquisa e desenvolvimento do projeto (3 meses).
– Fase 2: Instalação das cabines e treinamento de facilitadores (2 meses).
– Fase 3: Lançamento e início das atividades (1 mês).
– Fase 4: Monitoramento contínuo e adaptação do projeto conforme necessário (contínuo).
13. Estrutura Organizativa e Recursos Humanos:
– Equipe central composta por membros dos departamentos de psicologia, serviço social e educação.
– Facilitadores voluntários responsáveis pela moderação das atividades.
– Parcerias com organizações estudantis para ampliar o alcance do projeto.
14. Comunicação:
– Campanha de comunicação interna para sensibilizar a comunidade universitária sobre o projeto.
– Utilização de redes sociais, newsletters e cartazes para promover as atividades e eventos do projeto.
– Organização de eventos de lançamento para envolver a comunidade universitária.
15. Necessidades de Infraestruturas e Técnicas:
– Instalação de cabines de apoio emocional e salas adequadas para workshops e sessões de grupo.
– Equipamentos audiovisuais para apresentações e eventos educacionais.
16. Aspetos Jurídicos:
– Conformidade com as leis de privacidade e proteção de dados para garantir o anonimato e a confidencialidade dos participantes.
– Formalização de acordos de colaboração com parceiros e organizações envolvidas no projeto.
17. Gestão Económica e Financeira:
– Orçamento detalhado dos custos de instalação das cabines, materiais educativos e honorários dos facilitadores.
– Identificação de fontes de financiamento, incluindo fundos universitários, patrocínios externos e doações.
– Monitoramento financeiro contínuo para garantir a sustentabilidade do projeto.
18. Outros Fatores:
– Avaliação contínua das necessidades e feedback da comunidade universitária para ajustar o projeto conforme necessário.
– Desenvolvimento de parcerias estratégicas para ampliar o alcance e impacto do projeto.
– Adaptação do projeto conforme as mudanças e necessidades identificadas.
Avaliação do Projeto:
19. Identificação de Instrumentos e Metodologia de Avaliação:
– Utilização de questionários de satisfação para avaliar o impacto das atividades e a experiência dos participantes.
– Análise quantitativa e qualitativa do impacto do projeto na comunidade universitária.
– Elaboração de relatórios periódicos para documentar os progressos e identificar áreas de melhoria.
Este projeto tem o potencial de transformar a percepção e a abordagem da saúde mental na comunidade universitária. Ao criar um ambiente onde todos se sintam seguros para compartilhar suas experiências emocionais, podemos promover um maior bem-estar emocional, reduzir o estigma associado à saúde mental e fortalecer os laços de solidariedade e apoio mútuo.

Assignment Details
Choose a health disparity that is relevant to your chosen health care setting and address the following:
Provide the background information on the health disparity and the patient population impacted.
Address the need — what the impact of the disparity is and why improvement is needed.
Discuss the staff you feel would be important to include in this work group.
Describe the PDSA cycle for your project. You will need to be creative in describing the “Study” section of the cycle; this will include what you expect to see in this phase of the cycle.
Make recommendations on next steps of the project.
Requirements
Your submission is composed in a Microsoft Word document.
To meet the objective requirements, your response is at least 3 to 4 pages in length, not including title or reference pages.
Your submission includes specific examples of concepts, topics, definitions, and other elements to demonstrate mastery of the objective.
Your submission includes a highly developed viewpoint and purpose.
Your response is in Standard English and demonstrates superior organization.
Your communication is highly ordered, logical, and unified as well as original and insightful.
Your submission displays exceptional content, organization, style, and mechanics.
A minimum of three references are used.
In-text citations are included where appropriate, and references are listed for all sources used, following proper APA citation style.
Please review the APA formatting and citation style in Academic Tools – Academic Writer.

As nursing students navigating the complex landscape of modern healthcare, you are undoubtedly confronted with various ethical dilemmas that challenge your moral compass and professional judgment. These dilemmas often require critical thinking, empathy, and adherence to ethical standards. For this discussion, please consider the following scenario and address each of the five components with thoughtful analysis, supported by APA citations to validate different points of view:
Scenario:
Imagine you are working in a busy urban hospital as a nurse, and you’re assigned to a patient who has been admitted with a life-threatening condition. The patient is elderly, frail, and has a poor prognosis. The patient’s family is emotionally distraught and holds differing opinions on the treatment plan. Some family members want the medical team to pursue aggressive treatment, including surgeries and interventions, while others believe that focusing on palliative care would be more appropriate, as it aligns with the patient’s previously expressed wishes.
Discussion Components:
1. Identify the Ethical Dilemma:
Clearly state the ethical dilemma presented in the scenario. What conflicting values and principles are at play?
2. Explore Stakeholder Perspectives:
Discuss the viewpoints of various stakeholders involved, including the patient, family members, medical team, and yourself as the nurse. How might each stakeholder’s perspective influence their opinions on the treatment plan?
3. Apply Ethical Theories:
Apply at least two ethical theories (see list of theories below) to analyze the scenario. How would these theories guide your decision-making process as a nurse facing this ethical dilemma?
Utilitarianism: This theory focuses on maximizing overall happiness or well-being. It suggests that the morally right action is the one that produces the greatest amount of good for the greatest number of people.
Deontology: Deontological ethics emphasizes the importance of following rules, principles, or duties. It suggests that certain actions are inherently right or wrong, regardless of their consequences.
Virtue Ethics: Virtue ethics centers around developing and embodying virtuous character traits. It suggests that moral actions stem from cultivating virtues such as honesty, courage, compassion, and integrity.
Rights-based Ethics: This theory is rooted in the concept of human rights. It asserts that individuals have inherent rights that must be respected and protected, and ethical decisions should uphold those rights.
Ethics of Care: The ethics of care theory emphasizes the importance of nurturing and maintaining relationships. It focuses on the interconnectedness of individuals and the moral obligation to care for others, especially in situations of vulnerability.
Principlism: Principlism involves the application of fundamental ethical principles, such as autonomy, beneficence, nonmaleficence, and justice, to guide ethical decision-making in complex situations.
Religious Ethics: Some individuals base their ethical decisions on religious beliefs and teachings. Different religious traditions offer distinct moral frameworks for addressing ethical dilemmas.
Cultural Relativism: This perspective holds that ethical standards are culturally determined, and what is considered morally acceptable varies across different cultures.
Feminist Ethics: Feminist ethics critiques traditional ethical theories for neglecting women’s perspectives and experiences. It focuses on addressing issues related to gender equality, oppression, and social justice.
Narrative Ethics: Narrative ethics emphasizes the importance of understanding individuals’ life stories and contexts in making ethical decisions. It focuses on the narrative aspects of human experience.
4. Professional Responsibilities:
Explain the professional responsibilities of nurses in advocating for patients’ best interests while respecting their autonomy and the values of the patient’s family. How can you balance these responsibilities in this particular situation?
5. Construct a Resolution Strategy:
Based on your analysis, propose a comprehensive strategy for addressing the ethical dilemma. What steps could be taken to facilitate a constructive dialogue among the family members and the medical team? How can you advocate for the patient’s well-being and dignity while maintaining a collaborative approach?
Please support your responses with relevant and reputable sources in APA format to validate your points of view and ethical analysis.