REVIEW OF CURRENT HEALTHCARE ISSUES NURS 6053
REVIEW OF CURRENT HEALTHCARE ISSUES NURS 6053
COVD-19 pandemic currently has greatly impact Healthcare. According to the COVID-19 In December 2019, a pneumonia caused by a novel coronavirus (SARS-CoV-2) emerged in Wuhan, China and has rapidly spread around the world since then.
Stressor to focus on
According to the COVID-19 surges have stressed hospital systems and negatively affected health care and public health infrastructures and national critical functions. Resource limitations, such as available hospital space, staffing, and supplies led some facilities to adopt crisis standards of care, the most extreme operating condition for hospitals, in which the focus of medical decision-making shifted from achieving the best outcomes for individual patients to addressing the immediate care needs of larger groups of patients. When hospitals deviated from conventional standards of care, many preventive and elective procedures were suspended, leading to the progression of serious conditions among some persons who would have benefitted from earlier diagnosis and intervention.
The conditions of hospital strain during July 2020–July 2021, which included the presence of SARS-CoV-2 B.1.617.2 (Delta) variant, predicted that intensive care unit bed use at 75% capacity is associated with an estimated additional 12,000 excess deaths 2 weeks later. As hospitals exceed 100% ICU bed capacity, 80,000 excess deaths would be expected 2 weeks later.
According to Vahedian-Azimi, et al., (2017) stress has a negative impact on both nurses and patient outcomes; with a greater impact to those working in critical care areas. Hospitals reported a range of strategies to address their challenges and identified areas in which further government support could help as they continue responding to the pandemic. Broadly, the areas of government support included enhancing knowledge and guidance on the prevention and treatment COVID-19, including safe means to discharge patients with COVID-19; helping to fill gaps in hospital staffing, especially for nurses and certain specialists; continuing financial relief, especially to increase care to rural and underserved communities; and, encouraging widespread vaccinations to reduce the circulation of the virus.
Beyond the immediate needs in responding to COVID-19, the pulse survey documents hospitals’ perspectives about longer-term opportunities for improvement to address challenges that existed before, and were exacerbated by, the pandemic. These include reducing disparities in access to health care and in health outcomes; building and maintaining a more robust health care workforce; and strengthening the resiliency of our health care system to respond to pandemics and other public health emergencies and disasters.
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Reducing Stress on Healthcare
According to the ANA The balance of safety and efficacy and the perception of personal risk versus overall benefit are at the core of acceptability of immunization practices. The known and potential benefits of a COVID-19 vaccine must outweigh the known and potential risks. ANA strongly recommends that registered nurses be vaccinated against COVID-19. All health care personnel (HCP), including registered nurses (RNs), should be vaccinated according to current recommendations for immunization of HCP by the CDC and Association for Professionals in Infection Control and Epidemiology (APIC). ANA also believes that it is imperative for everyone to receive immunizations for vaccine-preventable diseases as vaccines are critical to infectious disease control and prevention. Moreover, nurses have a professional and ethical obligation to model the same health care standards they prescribe to their patients. There is now significant clinical evidence on the safety and effectiveness with approved COVID-19 vaccines being administered under the Food and Drug Administration’s (FDA) Emergency Use Authorization process.
Annals of Internal Medicine stated We need to be more aggressive about respiratory hygiene and placing restrictions on patients,
visitors, and health care workers with even mild symptoms of upper respiratory tract infection. Potential policies to consider include the following: 1) screening all visitors for any respiratory symptoms that may be related to a virus, including fever, myalgias, pharyngitis, rhinorrhea, and cough, and excluding them from visiting until they are better; 2) restricting health care workers from working if they have any upper respiratory tract symptoms, even in the absence of fever; and 3) screening all patients, testing for all respiratory viruses (including SARS-CoV-2) in those with positive screening results regardless of illness severity, and using precautions (single rooms, contact precautions, droplet precautions, and eye protection) for patients with respiratory syndromes for the duration of their symptoms regardless of viral test results. A collateral benefit is that if a patient is subsequently diagnosed with COVID-19, staff who used these precautions will be considered minimally exposed and will be able to continue working.
REVIEW OF CURRENT HEALTHCARE ISSUES NURS 6053 Conclusion
Laureate education (2015) states, that one thing that individuals and leaders can do to be prepared for healthcare challenges of the future is to develop cultural competency, gain skills to view multiple perspectives, and develop greater understanding the survival side of any healthcare organization. Having Beyond the immediate needs in responding to COVID-19, the pulse survey documents hospitals’ perspectives about longer-term opportunities for improvement to address challenges that existed before, and were exacerbated by, the pandemic. These include reducing disparities in access to health care and in health outcomes; building and maintaining a more robust health care workforce; and strengthening the resiliency of our health care system to respond to pandemics and other public health emergencies and disasters.
REVIEW OF CURRENT HEALTHCARE ISSUES NURS 6053 References
ANA Board of Directors September 2020 www.NursingWorld.org/COVID19Vaccines/
Annals of Internal Medicine https://doi.org/10.7326/M20-0751
Centers for Disease Control and Prevention. (2020). Daily updates of totals by week and state. Retrieved June 2, 2020 from, https://www.cdc.gov/nchs/nvss/vsrr/covid19/index.htm
Vahedian-Azimi, A., Hajiesmaeili, M., Kangasniemi, M., Fornes-Vives, J., Hunsucker, R. L., Rahimibashar, F., … Miller, A. C. (2017). Effects of Stress on Critical Care Nurses: A National Cross-Sectional Study. Journal of Intensive Care Medicine, 34(4), 311–322. doi: 10.1177/0885066617696853
Great post Ayeshia. Coronavirus COVID-19 is caused by a novel coronavirus called SARS-CoV-2. It was first discovered in China and within 4month spread worldwide with over 3.5million confirmed cases as of May,2020. COVID 19 is an infectious disease that is transmitted through droplet of saliva or nasal discharge from person -to-person contact. (WHO,2021). The Virus can remain dormant in a host carrier for up to 14days, making a contagious for weeks without showing symptoms. This created a situation where mass quarantine was implemented to stop the spread of the virus. COVID-19 affects individuals of all ages and those with preexisting conditions like respiratory, heart disease and diabetes. Covid 19 as a current national healthcare affected most healthcare with unsafe level of nurse staffing. It has impacted my work setting whereby nurses are having huge workloads to contend with because of the increasing volume of patients who are seeking health care services leading to shortage of nurses and the increasing volume of patient’s ratio to nurses which in turn lead to burnout among nurses and high staffing turnover (Scibilia et al, 2022). In my workplace, staffing shortage negatively impacts the quality of nursing outcomes and jeopardizes patients’ safety. A nurse suffering from burnout is likely to cause medication errors, which puts the life of patients at great risk. Such nurses are also likely to be less productive. Staffing shortage forces nurses to work for longer periods. This means that they will not have adequate time to think about new ideas and integrate evidence into their practice. The nurses, therefore, become less creative (Ravens-Sieberer et al, 2022). Within the health care organization where I work, we have numerous solutions to the shortage of nurse staffing. First, the organization set aside funds to employ and train more staff to help bridge the shortage of nurses. The organization gives a very attractive salary package/ incentives to nurses. This has helped to promote retention. They hire more nurses through contracts with nursing agencies, travel nurses and this has helped to immediately replace those who are retiring or leaving for other assignments. The organization created flexible scheduling of nurses, which has enabled most of us to juggle our busy schedules. This reduces stress and the emotional demands associated with the profession.
REVIEW OF CURRENT HEALTHCARE ISSUES NURS 6053 References
Ravens-Sieberer, U., Kaman, A., Erhart, M., Devine, J., Schlack, R., & Otto, C. (2022). Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany. European Child & Adolescent Psychiatry, 31(6), 879–889. https://doi.org/10.1007/s00787-021-01726-5
Scibilia, S. J., Gendreau, S. K., Towbin, R. T., & Happ, M. B. (2022). Impact of COVID-19 on Patient-Provider Communication in Critical Care: Case Reports. Critical Care Nurse, 45(4), 38–46. https://doi.org/10.4037/ccn2022405
World Health Organization (WHO). (2021). World Health Organization
RE: Instructor’s Discussion – Week 1: Reviewing Health Care Trends
I enjoyed the information that you posted. I agree that COVID has caused much strain on the hospitals. There should be things in place that help with the stress COVID has caused, especially regarding staffing. Some background information, I currently work weekend options at the hospital. The weekend people are only allowed three call-ins before they lose the weekend incentive. I believe this causes nurses who work those shifts less likely to call off when they have respiratory symptoms. They may not be able to, or they may be saving their call-ins for something else. People do not constantly get tested for COVID and do not always have the “classic symptoms.” I believe that is why I got COVID this week.
That said, as long as you test through employee health, the quarantine does not count against you. Nurses who test positive through employee health get seven days of quarantine. As long as they no longer have a fever without medication and do not have any fatigue after those seven days are allowed to come back to work. We isolate our patients longer than we isolate our nurses.
There are many different issues facing healthcare today. These issues often lead to the adjustment in the healthcare processes as well as the approaches that need to be undertaken to enhance the quality of healthcare delivery and efficient outcomes. Technology disruption is one of the main healthcare issues that is experienced by most healthcare institutions. With the increase in the use of different technologies, more healthcare institutions often face challenges associated with the complexities brought about by the computerized systems (Ford et al., 2017). Technological disruption is changing different aspects of future healthcare from the diagnosis processes to how patients are treated. The advanced technologies such as the artificial intelligence, 3D printing, Internet of Things are no longer sci-fi fantasy. In other words, these technological innovations are going to enter healthcare industry sooner. As a result, they will bring a lot of disruptions in the normal operational processes.
Technological disruption is more likely to impact different healthcare settings. In my case, technological disruption may enhance the diagnosis and treatment processes. In most cases, there are always problems encountered by both patients and healthcare professionals in the management of different patients (Herrmann et al., 2018). For instance, medication error is one of the main issue that can be solved by the technological innovations. Further, technological disruption is more likely to render many healthcare professionals jobless. For example, with the incorporation of the artificial intelligence in the healthcare system, most of the healthcare activities will be undertaken by the computerized programs in a more accurate fashion. Technological innovation/disruption may enhance quality delivery and facilitate patient’s safety in different healthcare processes.
My organization has responded to the issue of technological innovation through the reorganization of the work environment as well as working approaches to ensure the realization of quality outcomes. Further, in my healthcare institution, there are training processes to ensure that healthcare professionals understand different aspect of this healthcare issue and how to enhance the implementation processes.
REVIEW OF CURRENT HEALTHCARE ISSUES NURS 6053 References
Ford, G., Compton, M., Millett, G., & Tzortzis, A. (2017). The role of digital disruption in healthcare service innovation. In Service business model innovation in healthcare and hospital management (pp. 57-70). Springer, Cham. https://doi/10.1007/978-3-319-46412-1_4
Herrmann, M., Boehme, P., Mondritzki, T., Ehlers, J. P., Kavadias, S., & Truebel, H. (2018). Digital transformation and disruption of the health care sector: internet-based observational study. Journal of medical internet research, 20(3), e104. https//doi/org/2018/3/e104/
Review of Current Healthcare Issues
The perennial nursing shortage is a national healthcare issue of concern. Statistics at national and international levels show that the shortage of healthcare worker (HCWs) is profound and affects effective and quality service delivery. The World Health Organization (WHO) projects that the nursing shortage could hit 12.9 million by 2035 (Marc et al., 2018). Nursing shortage creates unsafe working environment and increases fatigue, high turnover rates, and make nurses susceptible to medication administration errors. The ongoing COVID-19 pandemic has exacerbated the situation as the demand for healthcare services has increased, leading to more strain and burden on nurses, especially those working in critical care settings and others with elderly patient populations with chronic and terminal conditions.
Nursing shortage has impacted my work setting negatively as we enhance efforts to provide care to a patient diversity coming to the facility. Low staff retention, reduced levels of patient’s satisfaction, and a rise in hospital acquired infections are some of the negative effects of nursing shortage in our facility. When patient workload exceeds the available shift nurses, patients experience low levels of satisfaction. Unsafe staffing ratios contribute to burnout and high turnover rates (Alenezi et al., 2018). Further, increased length of stay happens due to higher nurse-to-patient ratios lead to more complications and a rise of hospital acquired infections.
Many healthcare settings are struggling in responding to nursing shortage because of the few options available (Marshall & Broome, 2017). Our facility is now leveraging technologies like telehealth to enhance access and quality for patients with chronic conditions like diabetes and hypertension who require constant monitoring. While studies show that nursing supply may exceed demand in the near future, using technologies and innovative models like increased training and flexibility can help organizations mitigate the adverse effects of nursing shortage.
REVIEW OF CURRENT HEALTHCARE ISSUES NURS 6053 References
Alenezi, A. M., Aboshaiqah, A., & Baker, O. (2018). Work‐related stress among nursing staff
working in government hospitals and primary health care centers. International Journal of Nursing Practice, 24(5). https://doi.org/10.1111/ijn.12676
Marc, M., Bartosiewicz, A., Burzynska, J., Chmiel, Z., & Januszewicz, P. (2018). A
nursing shortage – a prospect of global and local policies. International Nursing Review, 66(1), 9-16. https://doi.org/10.1111/inr.12473.
Marshall, E. S., & Broome, M. E. (2017). Transformational leadership in nursing: From expert
clinician to influential leader (2nd ed.). New York, NY: Springer
Global healthcare systems are facing unprecedented times and uncertain future based on the current situation of Covid-19 pandemic. This has prompted quick adoption of technology in healthcare systems from booking of appointments to billing. Therefore, I believe one of the major current healthcare issues is on technology disruption. Much questions have been raised on the big data usage, incorporation of telehealth, synchronization of the national health data systems and on the confidentiality and security of the patient’s health records as cases of cybersecurity have soared with increased adoption of information technology in healthcare (Sittig et al., 2018).
Big data in healthcare systems refers to the accumulation of large sets of digital information about the patients’ biodata, medical history, clinical interventions, current and past medical concerns of the patients. This data is accumulated overtime rather than that which is received in small amounts and not stored for future references (Thew, 2016). This prompts the healthcare nurse informatics to employ the use of data analytics and data mining tools so that they can extract meaningful patterns, study the correlation and develop predictions (McGonigle & Mastrian, 2018). Use big data has proved to be essential in healthcare management especially when analyzed and used to inform critical decision-making points and even guide future evidence-based change projects (Byrd et al, 2018). This information is used by managers and administrators to identify patterns and areas of strength and weakness within the system and help plan in resource allocation.
However, big data faces one of the greatest security challenges especially on the confidentiality of the patient’s information. Cases of cyber insecurity have been rising since most healthcare facilities and organizations adopted use of technology to manage the spread of Covid-19 pandemic. The patient’s confidential data may be easily accessed if the systems security checks are not well enforced. In some of the online platforms like Amazon, for online shopping, the systems put in adequate security checks and user authentication and verification steps. The breech of patient’s confidential medical information could have adverse effects on the healthcare facility or organization hence incur a lot of expenses in terms of compensation and in the end the reputation of the organization will also be severely damaged.
Therefore, it is imperative for healthcare organizations and systems that procure any digital platform for managing healthcare records to invest heavily on ensuring the system is safe and secure from cyber security threats and phishing on patient’s data (Bibhuranjan, 2019). Moreover, there is need to improve the software technology to develop systems that are less susceptible to hacking. It is also essential to ensure that patients are well educated on ways of safely using the digital platforms and there should be readily accessible customer care agent to help patient’s carry out proper verification and maintain safety of their data.
Increased usage of digital platforms and information technology poses another safety threat to the patients as they are likely to seek for medical advice from online blogs and unverified media sources that could be misleading to the patients. This information collected on such blogs has no scientifically proven or evidence-based data to support the claims or the medical advice offered. Moreover, the information could be provided by individuals who have no professional training in the areas that they are providing the medical information. There has been rapid increase in blogs from unregistered dietician and fitness coaches whose methods are not scientifically viable to rely on as professional medical procedures. Many patients have fallen prey to such misleading information that even sometimes discourages the use of conventional medication and clinical intervention measures (Young, 2016).
In conclusion, it is imperative for the federal and state government to come up with strict measures, laws and policies that govern the use of information technology in healthcare. The guidelines should be clear and the regulations must be standardized to enhance security of the patients’ data and also safeguard them from unverified and unethical practices and information availed to them on social media platforms. Any digital platforms or media engaging in medical or clinical information must have passed the licensure criteria that would be guided by strict conformity to the ethical issues in healthcare and meets the set standards.
REVIEW OF CURRENT HEALTHCARE ISSUES NURS 6053 References
Bibhuranjan. (2019). Big data analytics – How beneficial is it for healthcare? Technofaq. https://technofaq.org/posts/2019/05/big-data-analytics-how-beneficial-is-it-for-healthcare/#:~:text=%20Big%20Data%20Analytics-%20Benefits%20in%20the%20Healthcare,is%20very%20important%20for%20any%20organization…%20More
Byrd, T.A., Kung, L., & Wang, Y. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3-13. doi:10. 1016/j.techfore.2015.12.019
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Sittig, D. F., Wright, A., Coiera, E., Magrabi, F., Ratwani, R., Bates, D. W., & Singh, H. (2018). Current challenges in health information technology–related patient safety. Health Informatics Journal, 26(1), 146045821881489. https://doi.org/10.1177/1460458218814893
Thew, J. (2016). Big data means big potential, changes for nurse execs. HealthLeaders. https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs
Young, A. (2016). The pros and cons of big data in the healthcare industry. HealthCareZone. https://www.healthtechzone.com/topics/healthcare/articles/2016/11/18/427248-pros-cons-big-data-the-healthcare-industry.htm
The selected national healthcare issue or stressor is the rising cost of care for millions of Americans that makes it difficult for them to access quality and affordable care. Despite the federal government’s efforts to lower the cost of care through the enactment of the Affordable Care Act in 2010 and other related healthcare reforms, the cost of care remains prohibitively high for different health populations and individuals across different states in the country (Park et al., 2018). According to Montero et al. (2022), Americans continue experiencing challenges with the cost of care which increases the healthcare burden for families and the decisions to have coverage as well as seek care for different condition. Close to half of adults in the country opine that they have challenges affording care costs. The cost of care also prevents them from getting the required care or filling prescriptions. The COVID-19 pandemic exacerbated the issue of healthcare costs (Jacobs et al., 2018). Many attribute the rise in cost of care to different issues that include the increase in the price of medical and health care spending, an aging population that places more demands on the care system, and deployment of health technology that requires more investment in equipment and training of personnel.
The issue impacts the work setting since it means that more patients cannot have access to services because they cannot afford them and the facility loses revenue as a result of low volumes in patients. Secondly, the increased cost of care implies that many patients postpone or ignore critical medical and healthcare procedures since they lack medical insurance or out-of-pocket funds to cater to their treatment and other routine procedures and reviews (Whitman et al., 2022). Again, the issue affects the quality of care delivered to patients since they may not afford other procedures due to cost constraints.
Social determinants of health denote nonmedical factors that have significant effect on one’s overall health and health outcomes. These factors include one’s level of education, income, neighborhood and other social conditions where they are born and raised or live. These determinants affect one’s access to healthcare. For instance, income levels, and education are critical factors that may affect one’s ability to access healthcare and address the cost of care issues (Daniel et al., 2018). While the Affordable Care led to increased enrollment of individuals in health insurance schemes based on its conditions at state level, millions of Americans, especially from low-income households lack health insurance and this affects their ability to access care and reduce the overall cost.
Organizations, like the current work setting, have responded to this issue through increased education of patients and encouraging them to have healthcare coverage. Healthcare costs are a huge challenge to low-income individuals who cannot afford the payment of insurance premiums to have medical coverage. The out-of-pocket payment is costly and this implores the organization as well as its nursing staff to advocate patients’ need to take health insurance coverage (Marshall et al., 2019). The implication is that through patient education and awareness the organization implores patients and their families to consider taking health insurance coverage to reduce the cost of care and enable them access quality care. Again, as patient advocates, nurses develop innovative means to deliver care that is cost-effective to patients, especially those with chronic conditions who require close monitoring. Through these strategies, the organization tackles the issue of rising cost of care that prohibits patients from access better services.
References
Marshall, E., & Broome, M. (2019). Transformational leadership in nursing: From expert
clinician to influential leader (3rd ed.). New York, NY: Springer.
Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-
being: Moving from the Triple Aim to the Quadruple Aim. Nursing Administration Quarterly, 42(3), 231–245. doi:10.1097/NAQ.0000000000000303
Park, B., Gold, S. B., Bazemore, A., & Liaw, W. (2018). How evolving United States payment
models influence primary care and its impact on the Quadruple Aim. Journal of the American Board of Family Medicine, 31(4), 588–604. doi:10.3122/jabfm.2018.04.170388
Montero, A., Kearney, A., Hamel, L. & Brodie, M. (2022 July 14). Americans’ Challenges with
Health Care Costs. https://www.kff.org/health-costs/issue-brief/americans-challenges-with-health-care-costs/
Daniel, H., Bornstein, S. S., Kane, G. C., & Health and Public Policy Committee of the
American College of Physicians (2018). Addressing social determinants to improve patient care and promote health equity: An American College of Physicians position paper. Annals of internal medicine, 168(8), 577-578. https://doi.org/10.7326/M17-2441
Whitman, A., De Lew, N., Chappel, A., Aysola, V., Zuckerman, R., & Sommers, B. D. (2022).
Addressing social determinants of health: Examples of successful evidence-based strategies and current federal efforts. Washington, DC: US Department of Health and Human Services, Office of Health Policy. https://aspe.hhs.gov/sites/default/files/documents/e2b650cd64cf84aae8ff0fae7474af82/SDOH-Evidence-Review.pdf
REVIEW OF CURRENT HEALTHCARE ISSUES NURS 6053 Grading Rubric
| Performance Category | 100% or highest level of performance
100% 16 points |
Very good or high level of performance
88% 14 points |
Acceptable level of performance
81% 13 points |
Inadequate demonstration of expectations
68% 11 points |
Deficient level of performance
56% 9 points
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Failing level
of performance 55% or less 0 points |
| Total Points Possible= 50 | 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic topics. |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in all of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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| Application of Course Knowledge
Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in the all of the following elements:
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| Interactive Dialogue
Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic. |
Demonstrated all of the following:
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| Grammar, Syntax, APA
Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error. |
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| Participation
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| Due Date Requirements | Demonstrated all of the following:
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |
Demonstrates one or less of the following.
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |