NURS4000 University of Florida Health Care Problem Analysis Assessment 3 Instructions: Analyze a Current Health Care Problem or Issue Content I only need

NURS4000 University of Florida Health Care Problem Analysis Assessment 3 Instructions: Analyze a Current Health Care Problem or Issue
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I only need the minimum pages please

Write a 4-6-page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications. 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.
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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.
Top
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 examine potential solutions and their ramifications. This assessment allows you to
practice this approach with a real world problem.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the
following course competencies and assessment criteria:
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Competency 1: Apply information literacy and library research skills to obtain scholarly
information in the field of health care.
Use scholarly information to describe and explain a health care problem or issue and
identify possible causes for it.
Competency 2: Apply scholarly information through critical thinking to solve problems in
the field of health care.
Analyze a health care problem or issue by describing the context, explaining why it is
important, and identifying populations affected by it.
Discuss potential solutions for a health care problem or issue and describe what would be
required to implement a solution.
Competency 3: Apply ethical principles and academic standards to the study of health care.
Analyze the ethical implications if a potential solution to a health care problem or issue was
implemented.
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.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and
mechanics.
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.
1. Describe the health care problem or issue you selected for use in Assessment 2 (from the
Assessment Topic Areas | Transcript media piece) and provide details about it.
2. To explore your chosen topic, you should use the first four steps of the Socratic ProblemSolving Approach to aid your critical thinking. This approach was introduced in the second
assessment.
3. Identify possible causes for the problem or issue.
4. Use scholarly information to explain the health care problem or issue.
5. Identify at least three scholarly or academic peer-reviewed journal articles about the topic.
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You may use articles you found while working on Assessment 2 or you may search the
Capella Library for other articles.
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You may find the applicable Undergraduate Library Research Guide helpful in your search.
6. Assess the credibility of the information sources.
7. Assess the relevance of the information sources.
8. Analyze the problem or issue.
0. Describe the setting or context for the problems or issues.
1. Describe why the problem or issue is important to you.
2. Identify groups of people affected by the problem or issue.
9. Discuss potential solutions for the problem or issue.
0. Compare your opinion with other opinions you find in sources from the Capella Library.
1. Provide the pros and cons for one of the solutions you are proposing.
10. Analyze the ethical implications if the potential solution (the one for which you provide
pros and cons) were to be implemented.
0. Discuss the pros and cons of implementing the proposed solution from an ethical principle
point of view.
1. Provide examples from the literature to support the points you are making.
11. Describe what would be necessary to implement the proposed solution.
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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 3 Example [PDF].
Additional Requirements
1. Length: At least 4–6 typed, double-spaced pages, not including the title page and reference
page.
2. Font and font size: Times New Roman, 12 point.
3. APA Template: Use the APA Style Paper Template [DOCX] as the paper format and the APA
Style Paper Tutorial [DOC] for guidance.
4. Written communication: Write clearly and logically, with correct use of spelling, grammar,
punctuation, and mechanics.
5. Using outside sources: Integrate information from outside sources into academic writing
by appropriately quoting, paraphrasing, and summarizing, following APA style.
6. References: Integrate information from outside sources to include at least three scholarly
or academic peer-reviewed journal articles and three in-text citations within the paper.
7. APA format: Follow current APA guidelines for in-text citations of outside sources in the
body of your paper and also on the reference page.
Organize your paper using the following structure and headings:
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Title page. A separate page.
Introduction. A brief one-paragraph statement about the purpose of the paper.
Elements of the problem/issue. Identify the elements of the problem or issue or question.
Analysis. Analyze, define, and frame the problem or issue.
Considering options. Consider solutions, responses, or answers.
Solution. Choose a solution, response, or answer.
Ethical implications. Ethical implications of implementing the solution.
Implementation. Implementation of the potential solution.
Conclusion. One paragraph.
Note: Read the Analyze a Current Health Care Problem or Issue Scoring Guide to fully
understand how your paper will be graded.
If you would like assistance in organizing your assessment, or if you simply have a question
about your assessment, 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.
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:
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– 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:
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– 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
CONTINUE TO
Topic 3: Medication Errors
Short Description:
A medication error is a preventable adverse effect of a patient taking the wrong medication
or dosage, whether or not it is evident or harmful to the patient. Medication errors can be a
source of serious patient harm, including death.
Potential Intervention Approaches:
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– Medical staff education
– Packaging improvements
– Patient medication safety training
Keywords for Articles:
medication administration, medication errors, medication safety
References:
Cohen, M. (2016). Medication errors (miscellaneous). Nursing. 46(2):72, February 2016. DOI:
10.1097/01.NURSE.0000476239.09094.06
Institute for Healthcare Improvement. (2017). Improve Core Processes for Administering Medications.
http://www.ihi.org/resources/Pages/Changes/ImproveCoreProcessesforAdministeringMedications.as
px
Agency for Healthcare Research and Quality. (2012). Table 6: Categories of Medication Error
Classification. http://www.ahrq.gov/professionals/quality-patient-safety/patient-safetyresources/resources/match/matchtab6.html
Schmidt, K., Taylor, A., & Pearson, A. (2017). Reduction of medication errors: A unique approach. Journal
of Nursing Care Quality. 32(2), April/June 2017, 150–156.
Topic 4: Healthcare System Errors
Short Description:
The health care system in the United States has been the subject of much debate as experts
try to determine the best way to deliver high-quality care. In Crossing the Quality Chasm,
the Institute of Medicine (2001) called for the redesign of health care delivery systems and
their external environments to promote care that is safe, effective, patient-centered, timely,
efficient, and equitable.
Potential Intervention Approaches:
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– Systemwide transformation
– Process redesign
– Electronic health records
Keywords for Articles:
multi-stakeholder collaboration, healthcare system redesign
References:
Institute of Medicine (US) Committee on Quality of Health Care in America. (2001). Crossing the Quality
Chasm: A New Health System for the 21st Century. Washington (DC): National Academies Press
(US).Agency for Healthcare Research and Quality. (2017). Hospitals and Health Systems.
http://www.ahrq.gov/professionals/systems/index.html
Running head: ANALYZE A CURRENT HEALTH CARE PROBLEM OR ISSUE
Analyze a Current Health Care Problem or Issue
Learner’s Name
Capella University
Developing a Health Care Perspective
Analyze a Current Health Care Problem or Issue
March, 2018
Copyright ©2018 Capella University. Copy and distribution of this document are prohibited.
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ANALYZE A CURRENT HEALTH CARE PROBLEM OR ISSUE
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Analyze a Current Health Care Problem or Issue
Patient safety, as discussed in the previous assessment, is an important element of quality
health care. This assessment will expand upon patient safety issues that occur when patients are
exposed to inadvertent harm or injury while receiving medical care. Health care organizations
should maintain and develop a safety culture to prevent patient safety issues. Patient safety
culture is defined as a system that promotes safety by shared organizational values of what is
important and beliefs about how things work. It also encompasses how these values and beliefs
interact with the work unit, organizational structures, and systems to produce behavioral norms
(Ulrich & Kear, 2014). As such, care should be taken to improve the infrastructure of health care
organizations. Improving patient safety should be discussed and addressed by every individual
associated with public health care.
Elements of the Problem/Issue
Research shows that while getting treated at health care organizations, patients might be
at risk of experiencing the harm or injuries associated with medical care. The most likely causes
of patient safety issues are preventable adverse events, which are adverse events attributable to
error. These errors can be classified as diagnostic errors, contextual errors, and communication
errors (Ulrich & Kear, 2014).
Diagnostic errors take place when health care professionals provide a wrong or delayed
diagnosis or no diagnosis at all (James, 2013). An example of a wrong diagnosis is a health care
professional diagnosing a patient with gastric troubles when the patient is actually experiencing a
heart attack. An example of a delayed diagnosis is a patient not being notified of an abnormal
chest X-ray, thereby delaying diagnosis of a serious medical condition. An example of a missed
diagnosis is a patient not being diagnosed with heart failure despite warning symptoms.
Copyright ©2018 Capella University. Copy and distribution of this document are prohibited.
ANALYZE A CURRENT HEALTH CARE PROBLEM OR ISSUE
3
Contextual errors occur when health care professionals fail to consider their patients’
personal or psychological limitations while planning appropriate care for them. An example is a
health care professional’s failure to recognize that basic follow-up discharge instructions may not
be understood by patients with cognitive disabilities (James, 2013). It is important for health care
professionals to be aware of their patients’ mental and physical abilities before they formulate a
plan of care.
Communication errors occur when there is miscommunication or lack of communication
between health care professionals and patients (James, 2013). They can cause severe harm to
Comment [A1]: You provided a clear
explanation regarding the problem
investigated. The possible causes were
explored.
patients. An example of this is a nurse failing to tell a surgeon that a patient experienced
abdominal pain and had a drop in red blood cell count after an operation, resulting in the death of
the patient due to severe internal bleeding. Limited health care knowledge; language barriers;
and auditory, visual, and speech disabilities could also lead to communication errors and cause
safety issues.
Analysis
As a medical transcriptionist, it is important for me to be aware of potential transcription
errors and privacy standards, which affect patient safety. Errors like these pose dangerous risks;
therefore, it is necessary to have an overall quality evaluation of the transcribed documents.
Also, I must ensure that serious difficulties in transcription resulting from poor-quality voice
files are reported immediately to the manager, who will then convey this to the health care
professionals involved in the process. This will help ensure that patient safety is not
compromised.
Context for Patient Safety Issues
Copyright ©2018 Capella University. Copy and distribution of this document are prohibited.
Comment [A2]: Which error classification
describes these errors? Add this information to
add continuity.
ANALYZE A CURRENT HEALTH CARE PROBLEM OR ISSUE
4
With the advancement of medical technology, health care processes have become extremely
complex. Health care professionals are required to stay up-to-date with a lot of new knowledge
and innovations obtained from research. This often overburdens them as there is a need to apply
the learning from research in their practice. Also, at the individual level, there is a dearth of wellbalanced continuing education programs, which has resulted in a lack of attention to patient
safety among health care professionals. At the system level, organizations fail to deliver
optimum health care as a result of being understaffed, an inability to provide appropriate
technology, and ineffective execution of patient care transfer (James, 2013). Overcrowding and
understaffing delays initiation of treatment and puts critically ill patients at significant risk. All
of these factors contribute to a rise in patient safety issues.
Comment [A3]: You effectively indicated
which causes were the most likely to create
safety issues.
Populations Affected by Patient Safety Issues
Patients with a psychiatric history are also a vulnerable group of people who face patient
safety issues because their psychiatric records are often combined with their current symptoms.
Patients with a documented history of psychiatric illness may avoid seeking health care services
as they feel that their care will be based on their past record of illnesses and not their present
needs. Therefore, psychotherapists should implement measures such that their psychiatric data is
concealed from their medical record…
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