Culturally competent is defined as providing care within the context of patient’s culture and beliefs (Huber, M 2009). Due to large number of immigrants in the USA, the Community Health Nurses(CHN) need to be sensitive to cultural diversity, life circumstances and numerous dynamics that identify a person. CHN nurses need to continually acquire knowledge, skills and assess themselves as cultural competent is an ongoing process. It is important to maintain open mind, and nonjudgmental attitude when providing care for patients coming from different cultural background. By doing this the CHN would know what to expect and be more accepting of other culture beliefs (CDC, 2017). The CHN should find a way to communicate with patients if they do not speak English like finding an interpreter, this will help in creating rapport between them, and the nurse should be able to understand the nonverbal communication like facial expression and gestures which means differently in different cultures. After assessment is completed, the provider will emphasize on the similarities of the treatment to cultural practices (Huber, M 2009).

Cultural preservation-is maintaining the patient’s culture when providing care. Example is where patients wrap onion slices on a sprained ankle to decrease swelling and pain. The nurse can incorporate the practice by requesting the patient to alternate the onions with topical analgesic. Barrier include the patient not believing in pharmaceutical remedies or the medication being expensive for the patient.

Cultural accommodation- is accommodating the use of cultural practices that are not harmful. Example is within Hispanic where they place a coin over the umbilicus of a newborn which is believed helps in healing (Huber, C 2009). Barrier includes if the baby has to undergo procedures where the coin has been placed thus it has to be removed. The coin might cause infection too on the unhealed umbilical cord.

Cultural repatterning-Is where as a CHN, help a patient change the cultural practices that seem harmful. Example in Bulgaria there meals consists of mostly carbohydrates. Its CHN responsibility to teach a newly diagnosed patient with diabetes. The patient needs to be educated on health eating, to avoid high carbohydrates foods like rice, pasta, potatoes. Barrier include the patient wanting to maintain eating their staple food and not understanding how harmful it is.

“Cultural brokering- is advocating, mediating and intervening between the healthcare culture and the client’s culture on behalf of the client”, (Johnson, 2009). The cultural brokers help a lot especially for nurses or providers who work in more densely populated areas of cultural diversity. Brokers help patients to be comfortable knowing they have someone to represent them. Example is within Latinos where they are like health navigators helping in clinics like the planned parenthood, helping out when educating patients about diabetic, cardiovascular. Barrier is the broker not being available when needed. And lack of funding to accommodate the brokers.

Center for Disease Control. (2017). Cultural Diversity Considerations. Retrieved from https://www.cdc.gov/tb/education/skillscourse/participant/slidehandouts/day2/day2_cultural_and_diversity_considerations.pd

Huber, M. (2009). Making community health care culturally correct, 4(5), Retrieved from https://www.americannursetoday.com/making-community-health-care-culturally-correct/

Johnson, S. (2009). Making Connections: Cultural Brokering Programs Help Bridge the Gap between Providers and the Community. Retrieved from http://www.mdmag.com/journals/focus-multiculturalhealthcare/2009/mar2009/fmch_making_connections

This topic is a touchy subject laced with politics and policies, and makes for an uneasy conversation at times. But from a health care provider perspective, I personal feel that for the United States to be the United States and unable or unwilling to provide universal health care is a travesty. I know that there is the ACA (Affordable Care Act) and it has some flaws that need to be worked out in order for the majority of the population to be covered.  However, due to the architect of this legislation being who he is, and the country still being so divided, instead of trying to find solutions to remedy the situation, the government in office now wants to dismantle the entire ACA bill out of spite. Putting millions of U.S. citizens in the same situation they were in before ACA, and that is uninsured and unable to get proper medical attention. Just my opinion. This country was built and is sustained on the backs of the working middle class, and for them not to be able to have access to affordable health insurance coverage is just wrong. The U.S. health care system in context of delivery of health care is only to treat symptoms, not to cure. Because there is no money in curing an ailment, but if you can live a long life on the medications available and you can afford it, then that’s what it’s going to be. Because I could never understand how would have medications to prolong someone’s life with an illness, but there is no cure.

The US health care system is struggling with a mismatch between the large, simple (low-information) financial flow and the complex (high-information) treatment of individual patients. Efforts to implement cost controls and industrial efficiency that are appropriate for repetitive tasks but not high-complexity tasks lead to poor quality of care.

Multiscale complex systems analysis suggests that an important step toward relieving this structural problem is a separation of responsibility for 2 distinct types of tasks: medical care of individual patients and prevention/population health. These distinct tasks require qualitatively different organizational structures. The current use of care providers and organizations for both purposes leads to compromises in organizational process that adversely affect the ability of health care organizations to provide either individual or prevention/population services.

Thus, the overall system can be dramatically improved by establishing 2 separate but linked systems with distinct organizational forms: (a) a high-efficiency system performing large-scale repetitive tasks such as screening tests, inoculations, and generic health care, and (b) a high-complexity system treating complex medical problems of individual patients.

A Report from Senator Sheldon Whitehouse for the U.S. Senate Committee on Health, Education, Labor & Pensions outline the underlying silent fact that this report is that the drivers of unnecessary and excess cost in the U.S. health care system result from systemic causes. Public insurance programs, private insurance coverage, military and veterans’ care, even corporate self-insurance, all are seeing dramatic and continuing cost increases. The problem is system-wide, and the solution must be too.

If these issues are not addressed, policymakers will face increasingly unpleasant and difficult threats to the insurance coverage, both private and public, of millions of Americans. Gail Wilensky, who oversaw Medicare and Medicaid under President George H.W. Bush, said, “If we don’t redesign what we are doing, we can’t just cut unit reimbursement and think we are somehow going to get a better system.”3 The ACA offers solutions that do not cut benefits or increase premiums, but instead reform systems of health care delivery to improve health outcomes and cost efficiency. The key challenge facing the United States is how quickly, thoroughly, and efficiently the reform of our health care delivery system can be implemented.

Con quest 1 rochelle

  

Part One Due Sept 25th 

Design Thinking Script (This Script will be the beginning of my capstone project)

Reflect on the content covered throughout the entire course.

Utilizing what you learned about design thinking this week, create a script that can be used to create a voice-over presentation or video in Week Six.

Review the Capstone rubric and Capstone: It’s Not Scary slide presentation. Your script should include:

• During this course, I came across x.
• I see opportunity for improvement at my organization in      x.
• I might want to focus my capstone on these one to three      areas.
• How will this relate to the end user? Consider      consumer-centrism.

Click the Assignment Files tab to submit your assignment. 

Materials

· Capstone Rubric ATTACHED

· Capstone: It’s Not Scary ATTACHED

THEN

Design Thinking” from the Harvard Business Review (HBR) Explainer

Watch the video “Design Thinking” from the HBR Explainer series 

( Video Link: https://hbr.org/video/4443548301001/the-explainer-design-thinking )

Post a response to the following question on separate sheet of paper

• How will you use      design thinking to begin to brainstorm about your capstone?

You can add at the end of paper I will cut and paste on separate sheet

Part Two Due Oct 2nd

Design Presentation (MY Capstone project 

Create a 5- to 6-slide voice-over presentation or video using your script from Week Five.

• Incorporate feedback from      faculty and any additional new learnings from the course.
• Presentation should be 3 to 4      minutes with a clear and professional voice-over presentation of      information.

Cite at least 5 peer-reviewed, scholarly, or similar references.

Format your citations according to APA guidelines.

Subjects covered throughout this class

system thinking locally and on a national level,  the three C’s (Creativity, chaos and complexity), feedback loops, leverage points, different types of traps and opportunities such as Trap of escalation, tragedy of the commons, success to the successful, Drift to low Performance ,and  he trap of Shifting the Burden to the Intervenor among others Flow, Fulfillment, Creativity, and Respect, Gemba walk

Please answer to this discussion post. No less than 150 words. Reference and APA style needed. Please no plagiarism. Similarity is <20%. Thanks 

The most interesting thing about this chapter is that it helps people and scholars to develop skills to influence strategy in nowadays changing healthcare environment. The topic also contributes an extensive range of themes in strategies and politics, offering more complete contextual that can be in other policies textbook in the market (Mason, Leavitt, & Chaffee, 2013). The topics also entail up-to-date updates concerning conflict organization, health economics, politicization, use of media as well as working with societies for change.  Reviewed copy take account of new supplement with coverage of advanced reasonably priced care act. According to this perceptions and strategies, every individual will be equipped and ready to play a leadership role under four spheres where nurses are governmentally efficient, the workstation, government, specialized organization as well as the community (American Nurses Association, 2010). The topic has helped me to know more of nursing and healthcare policies and politics.

 In thus, have understood that the concept of nursing policies influences can be defined as a nursing ability to have active, effective on decision making as well as affairs connected to health care by use of power, support, and strategy capability, and establishing or strengthening images. The nursing policy and politics within a healthcare connect to my clinical practices because as a nurse, I should view myself as a professional with the ability and being responsible for influencing recent and forthcoming health care conveyance system. But to attain this, there must be the presence of policies that define and assimilate suitable standards for healthcare delivery as well as addressing essential conditions for that care to happen.  

References

American Nurses Association. (2010). Nursing’s social policy statement: The essence of the profession. Nursesbooks. org.

Mason, D. J., Leavitt, J. K., & Chaffee, M. W. (2013). Policy and Politics in Nursing and Healthcare-Revised Reprint. Elsevier Health Sciences.

 

 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS

 

When nurses go to work, their patients should be their priority. The nurse should be focused on patient care, doing no harm to their patient and attempt to use critical thinking and interventions in attempts to spend their 12-hour shift to improve the wellbeing of the patient. We should be asking ourselves, how can I improve the outcome of my patient today?

Unfortunately, nurses today are placed under tremendous pressure to accomplish more in less time, with less staff and less resources. The days of being able to spend quality time with your patient and addressing needs is cut short. Patients and families notice the nursing shortage as well, nurses are often too busy to talk to their patients/families, address psychological and education needs (Poulton, 2013). With staff cuts/shortage the impact of service is effected, the quality of care, and increase in medical errors, etc. This not only affects hospitalized patients, but also care in outpatient clinics and other health care services.

There have been many studies which show when nurse to patient ratios are increased and nurse burn out happens, patients die, increase in injuries, increase infections, and discharged too soon with improper patient education (Truth about nursing, n.d.).

 AACN expanded the nation’s centralized application service for RN programs, the primary reasons for launching NursingCAS was to make sure that all empty seats in nursing schools are filled to better meet the demand. In 2016, more than 38,800 vacant seats were identified in baccalaureate and graduate nursing programs. NursingCAS provides a way to fill these seats and maximize the educational capacity of schools of nursing (AACN, 2017).

American Association of Colleges of Nursing. (2017). Nursing Shortage Fact Sheet, Strategies to Address the Nursing Shortage. Retrieved from http://www.aacnnursing.org/News-Information/Fact-Sheets/Nursing-Shortage

Poulton, L. (2013). Falling nursing numbers are impacting patient care. British Journal of Nursing. 22(18) S3. Retrieved from GCU Library http://eds.a.ebscohost.com.lopes.idm.oclc.org/eds/pdfviewer

The Truth about Nursing. (n.d.). What happens to patients when nurses are short-staffed or work with a high nurse-to-patient ratio? Retrieved from http://www.truthaboutnursing.org/faq/short-staffed.html