Discussion Question 1
Shifting Nursing Practice to Health Promotion and Partnerships
Step 1 In your initial post, answer the following prompts:
- Describe an example from your practice or your own healthcareexperiences in which there has been a shift from the medical model ofdisease prevention to health promotion in health care.
- Describe the shift from the individual to the community setting.
- Explain the role that the nurse assumes in this transition to mergepartnerships in the transition from individual health promotion to thecommunity model of health promotion.
Step 2 Read other students’ posts and respond to at least two of them
Use your personal experience, if it’s relevant, to support or debateother students’ posts. If differences of opinion occur, debate theissues professionally and provide examples to support opinions
Your initial post should be 2-3 paragraphs long and follow therequirements outlined in the discussion rubric. Please add to thediscussion in your peer responses with informative responses, instead ofposts similar to great idea! I really agree with you. The initialpost and the peer responses have different deadlines. Make sure thatyour discussion adheres to these deadlines.
APA guidelines and plagiarism prevention matter in discussion postsjust like with other scholarly assignments. Cite all referencesappropriately using APA format.
Discussion response1 Philetha
A shift from Medical models diseases prevention to healthcare promotion
According to the World Health Organization, healthcare promotioninvolves enabling people to control their health (Rural HealthInformation Hub, 2020). It encompasses different areas of social andenvironmental interventions aimed at benefiting and protectingindividual peoples health. Also, by promoting good health, the qualityof life is improved by addressing and preventing the root cause of illhealth. This shift from the medical model of disease prevention mostlyfocuses on treatment and cure (U.S. Department of Health and HumanServices, 2020). Also, medical models mostly focus on the specificefforts to reduce the development and severity of an illness and othermorbidities (Rural Health Information Hub, 2020). Such an area thatexperienced a paradigm shift from medical prevention to healthcarepromotion controls diabetes.
In the recent approach, healthcare providers have stressed changingthe attitude and educating the people on a healthy lifestyle to avoidgetting diabetes. This has, in turn, allowed the people at risk ofcontracting this chronic illness to be able to make active decisionsthat contribute to positive healthcare behavior and outcomes. Also, thehealthcare promotional programs have targeted individual persons and thecommunity at large (Rural Health Information Hub, 2020). From acommunity perspective, the nurses have strived to improve communication,which raises awareness on healthy behaviors for the general public.However, individual persons have been targeted by educating andempowering them on behavior change and actions through increasedknowledge. These educational strategies have included tailor-madediabetic courses, training, and support groups (U.S. Department ofHealth and Human Services, 2020). The nurses have been at the forefrontof this transition, where they ensure that they can locate thevulnerable populations and provide them with the necessary training andmaterials needed to make informed decisions.
Rural Health Information Hub. (2020). Defining health promotion anddisease prevention – RHIhub toolkit. Retrieved fromhttps://www.ruralhealthinfo.org/toolkits/health-pr…
U.S. Department of Health and Human Services. (2020). Diabetes |Healthy people 2020. Retrieved fromhttps://www.healthypeople.gov/2020/topics-objectiv…
Discussion response 2 Donna
Healthpromotion is very relevant today. There is a global acceptance thathealth and social wellbeing are determined by many factors outside thehealth system, which include socioeconomic conditions, patterns ofconsumption associated with food and communication, demographicpatterns, learning environments, family patterns, the cultural andsocial fabric of societies; sociopolitical and economic changes,including commercialization and trade and global environmental change(Kumar & Preetha, 2012). In such a situation, health issues can beeffectively addressed by adopting a holistic approach by empoweringindividuals and communities to take action for their health, fosterleadership for public health, promote intersectoral action to buildhealthy public policies in all sectors, and create sustainable healthsystems (Kumar & Preetha, 2012).
Nurses are positioned to contribute to and lead thetransformative changes occurring in healthcare by being a fullycontributing member of the interprofessional team as we shift fromepisodic, provider-based, fee-for-service care to team-based,patient-centered care across the continuum that provides seamless,affordable, and quality care (Salmond & Echevarria, 2017). Theseshifts require a new or an enhanced set of knowledge, skills, andattitudes around wellness and population care with a renewed focus onpatient-centered care, care coordination, data analytics, and qualityimprovement (Salmond & Echevarria, 2017).
Transformative changes occur in healthcare for which nurses,because of their role, education, and respect they have earned, arewell-positioned to contribute to and lead (Salmond & Echevarria,2017). To be a major player in shaping these changes, nurses mustunderstand the factors driving the change, the mandates for practicechange, and the competencies (knowledge, skills, and attitudes) neededfor personal and systemwide success (Salmond & Echevarria, 2017).This article discusses the driving factors leading to healthcaretransformation and the role of the registered nurse (RN) in leading andbeing a fully contributing member of the interprofessional team as weshift from episodic, provider-based, fee-for-service care to team-based,patient-centered care across the continuum that provides seamless,affordable, and quality care (Salmond & Echevarria, 2017). This newhealth paradigm requires the nurse to be a full partner in relentlessefforts to achieve the triple aim of an improved patient experience ofcare (including quality and satisfaction), improved outcomes or healthof populations, and reduced per capita cost of healthcare (Salmond &Echevarria, 2017).
Kumar, S., & Preetha, G. S. (2012). Health promotion: an effective tool for global health. Indian Journal of Community Medicine, 31(1), 512. https://doi.org/https://dx.doi.org/10.4103%2F0970-0218.94009 (Links to an external site.)
Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopedic Nursing, 31(1), 1225. https://doi.org/https://dx.doi.org/10.1097%2FNOR.0…
Discussion question 2
Recovery Following a Disaster
Respond to the following question based on this weeks lesson and, if it’s relevant, include your own personal experience.
- Describe at least two ways data from health care informatics systems can be saved for retrieval following a disaster.
- Describeat least one financial and one nonfinancial cost associated with adisaster that affects health care informatics systems.
Read other students’ posts and respond to at least two of them.
Discussion response 1 Morgan
Oneway that data from the health care informatics system can be saved is adata backup, either cloud based or on a backup server in-house (O’Dowd,2018). Saving to a backup can be effortless, as it can be done inreal-time with no real concerns or issues, but the backup would have tobe HIPAA compliant as well as secured against possible hacking (O’Dowd,2018). Retrieval would be easy as the backup can be accessed from thehealth care facility and all the information re-installed on computers,which may take time, but can be done (O’Dowd, 2018). Another way thatdata can be saved is through printing it out and having paper chartssaved in an area that is secure, although this is more time-consuming asthings have to be printed out and stored, and can only be accessed bypulling the charts and getting the papers (Becker’s Health IT, 2012).One non-financial cost associated with a disaster would be the amount oftime that it would take to recover the data, reinstall things oncomputers, possibly have to wait for new computers to be delivereddepending on the disaster (O’Dowd, 2018). The financial concern would bethe amount of money that it would take to have an off-site or otherdata backup, the amount of money paid to those that maintain it, etc.
O’Dowd, E. (2018). Planning for data backup, recovery in Health IT infrastructure. HIT infrastructure. https://hitinfrastructure.com/features/planning-for-data-backup-recovery-in-health-it-infrastructure (Links to an external site.)
Becker’s Health IT. (2012). 4 tips to strengthen hospital datarecovery plans for natural disasters.https://www.beckershospitalreview.com/healthcare-i…
Discussion response 2 Erin
Planningfor data back-up recovery in healthcare is crucial for when cyberattacks and natural disasters strike. One way data can be saved forretrieval following a disaster is by implementing a cloud based datasystem. These services allow for data to be stored and recovered on aremote cloud based platform. Files are easy to access and maintain inthe cloud. It is also very important to choose a cloud computing servicethat has a strong data secure center. Another way in which data can besaved for retrieval following a disaster is by utilizing secondarymarket hardware. Organizations can save from 30 percent to 70 percent if they choose to use secondary-market (Links to an external site.) products such as previous generation backup systems, switches and routers (5 Steps for Saving Your Data in a Disaster, 2020).
One financial cost associated with a disaster that affectshealth care informatics systems would be the cost of having IT personneltrying to safeguard the community infrastructure. There are manydevices that use informatics in a healthcare system like tablets, smartphones, digital assistants, and handheld computers. All of these deviceshave wireless local area networks that would need to be assessed as faras recovery of data goes. A non financial cost in this situation wouldpertain to the re-booting of all patient medical devices, hospitalcomputers, etc. This may take a while which unfortunately could delaypatient care and resources.
5 Steps for Saving Your Data in a Disaster (2020, January 15). 5Steps for Saving Your Data in a Disaster: StorageCraft. Retrieved fromhttps://blog.storagecraft.com/surviving-disaster/
Discussion question 3
The Future of Health Care
1414 unread replies.1414 replies.
Respond to at least two of your fellow students posts
Step 1 Conduct Research.
Select one of the topics discussed in the course and researchopinions about how it will be shaped in the future. Include at least twoscholarly articles in your research.
Step 2 Post a response to the discussion board.
In your post, address the following prompts:
- Summarize the topic and the different opinions that you found duringyour research. Is there consensus to the opinions or are theredifferent views about the topic’s future?
- Discuss the impact of these potential outcomes on either health carequality, health care costs, or the status of health care professionals(Select One).
Step 3 Read and respond to two other students’ posts
Read other students’ posts and respond to at least two of them. Useyour personal experience, if it’s relevant, to help support or debateother students’ posts. If differences of opinion occur, debate theissues professionally and provide examples to support your opinions.
In addition to your original post, be sure to provide a meaningfulresponse to at least two of your peer’s posts. Cite any sources in APA format.
Discussion response 1 lexina
The adoption of new medical technology almost invariably increaseshealth care costs. Yet, Americans strongly favor ongoing innovation,availability, and use of new technology (Shi & Singh, 2019). Tappinginto technology such as telehealth and or telemedicine will affect allpopulations but will continue to enhance care coordination for eachpopulation if current demographic trends resume. We are driven byinstant access to healthcare information and its convenience. Medicinewill eventually adapt to new technology where patients will be satisfiedwith access to care and physicians can be expedient with their timemanagement but still retain the therapeutic relationship with theirpatients (Cox, 2019). Of course, we run the risk of equipmentmalfunction, safety breech and complexity, along with the cost ofresearch and development but technology solutions allow constantsupport. Implementing remote monitoring and providing faster moreefficient health care options/services for patients. In the future, thehealth care system is likely to focus on those technologies that promotea greater degree of self-reliance and self-care for patients, withremote monitoring to ensure effectiveness and safety (Shi & Singh,2019).
Cox, Elaine. (2019). Is Technology the Health-Care Wave or Tsunami of the Future. U.S. News. https://health.usnews.com/health-care/for-better/articles/pros-and-cons-of-technology-in-health-care (Links to an external site.)
Shi, L., Singh, D. A. (2019). Essentials of the U.S. healthcare system(5thed.). Jones &Bartlett Learning
Discussion response 2 Wendy
Today I watched as the first American received the vaccine for
COVID-19. She was an RN. The second, was an ED doctor. Both have had
up close and personal experiences during this pandemic. I have watched
several nurses plead with communities to take this virus seriously. All
are at their breaking points. All have seen how deadly this virus can
be. Many doctors and nurses are pulling in shifts that can go as long
as 24 hours all too many times. Health care professionals are burned
out. This is not a myth. It is the reality for so many across the
country (Yong, 2020).
Burn out is not just because of the pandemic. Health care burn outwas an issue before the corona virus reared its ugly head here in thestates. Providers are the first line of detection for many seriousphysical and mental health issues. They strive to keep patients out ofhospitals by helping treat issues early on. However, there is ashortage of providers. Education is an expense that fewer and fewer arewilling to take on. This shortage is contributing to a related issue:burnout (Plante, 2020).
A shortage of medical professionals is not the only reasonfor burnout. Another cause of this is the fact that with every hour ofpatient care, there are two more hours of paperwork that must be done inorder for reimbursements to come through for hospitals and physicians.This allows for fewer hours dedicated to patients. Without thisconnection, patients are not receiving the care that they are in need of(Plante, 2020). This problem actually goes past what the ACA can do.As a nation, we need to figure this out. Otherwise, the nation willreally be in a place that needless and unnecessary.
Plante, J. (2020). 3 tips for innovating in health care with 2020 vision. Christian Institute. https://www.christenseninstitute.org/blog/3-tips-for-innovating-in-healthcare-with-2020-vision/?gclid=CjwKCAiAlNf-BRB_EiwA2osbxQSB_Z3RO4inSKgnVvPFZQ6lIC3fmfRf6ai_Qrly5tvTszfMqrGYOBoCFDMQAvD_BwE (Links to an external site.)
Yong, E. (2020). No one is listening to us. The Atlantic. https://www.theatlantic.com/health/archive/2020/11…
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