Assignment: Holistic Health Assessment
Assignment: Holistic Health Assessment
Follow Discussion board attachment and paraphrase article and post replies to post 1 and 2.
POST 1
Cultural diversity has an impact on all of us. Differences between and within cultures can cause problems. This is not to say that there is a right or wrong culture; rather, we need to do a better job of understanding one another and being culturally aware and sensitive.
Theoretical frameworks can be applied to this situation to assist nurses in breaking down and clarifying the problem areas. Almutairi’s Critical Cultural Competence is one such framework. This aids in the categorization of data into critical awareness, critical knowledge, critical skills, and critical empowerment.
Nurses who care for patients born in the same geographic area had higher levels of cultural competence. The reasoning behind this appears to be self-evident. However, response rates and willingness to participate in the study severely limited the scope of this study.
POST 2: Discussion Board for Holistic Health Assessment Module 5
Cultural and religious beliefs and values, and their impact on preferences for end-of-life care among four ethnic groups of community-
dwelling older people, is the article I chose to summarize. This study’s age range was 65-92 years old. This group included 17 different countries and four different ethnic groups: Anglo-Celtic, Mediterranean, Eastern European, and Asia/Pacific. The participants were asked about their beliefs about death and dying, telling the truth, advance care planning, and their preferences for end-of-life care in the article. The article breaks down the questions by ethnicity and also looks at how the participants responded as a whole (Ohr, Jeong, & Saul, 2017).
According to the study, 92 percent of participants believe that dying is a natural part of life, and 70 percent are comfortable discussing death. Almost half of those polled believed that death should be avoided at all costs. In terms of “truth telling,” 74 percent of participants wanted doctors to tell them they were dying, and 80 percent said they would inform their family. Sixty percent said they have considered what kind of medical care they would like when they die. 60% said they do not want to live as long as possible if they are on life support, breathing machines, brain dead, have a feeding tube, or are in severe pain. Almost 80% of the group agreed that being comfortable and pain-free was more important than living longer if they couldn’t be cured. Furthermore, 60% said they would rather be at home than in the hospital if they had an incurable disease (Ohr, Jeong, & Saul, 2017).
Source: Holistic Health Assessment Module 5 Discussion Board
S. Ohr, S. Jeong, and P. Saul (2017). Cultural and religious beliefs and values, as well as their impact on end-of-life care preferences among four ethnic groups of community-dwelling older people. 1681-1689 in Journal of Clinical Nursing, 26(11-12). doi:10.1111/jocn.13572
Holistic Health Assessment is an assignment.
Holistic Health Assessment is an assignment.
Week 5 Instructions Culture and Healthcare
Learning about culture is fascinating and enjoyable…but how does it relate to assessment? We want you to be able to consider the entire patient, including cultural aspects, because this is a HOLISTIC health assessment class. How will knowing about culture benefit the nurse? This week, find a professional article from the UTA library website or Google Scholar from the last 5 years that addresses cultural beliefs and health care in some way on the discussion board. Summarize/paraphrase the article, cite it using APA guidelines, and place the reference at the bottom of the page.
This should take no more than 2 to 3 paragraphs. COPY and PASTE your work into a discussion board entry—opening attachment after attachment quickly becomes tiresome. Put your name and the topic of the discussion in the title, for example, “Doe, Jane: Preterm birth and culture.” This week, you will earn points based on the rubric and instruction template by posting your summary and responding to two other students with a substantive comment.
2017 UTA School of Nursing Rubric 1st of 2 pages
Levels of Achievement Criteria for NURS 3315 Holistic Health Assessment
Novice Proficient Competent 75 percent submits a post that has some value but is not lacking in substance, understanding, or quality. depth. 75% of the time a quarter a hundred percent Few (1 to 3) Minimal (3 to 5) There are no spelling, spelling, spelling, grammatical, or grammatical, or punctuation errors. Errors in punctuation Errors in punctuation High-level application of Excellent application of Low-level vocabulary and word vocabulary, as well as vocabulary and choice. word selection. word selection. a hundred percent Post(s) and comments 60% of the time, 20% of the time, there is evidence of Post(s). Post(s) demonstrate little knowledge and evidence of evidence of comprehension of knowledge and knowledge and course content and comprehension of comprehension of applicability to course content and course content and professional practice. applicability to applicability to applicability to Other professional professional resources that extend practice are included. community learning a hundred percent Submits two or more thoughtful peer 50 percent responses that demonstrate submits one 25% evidence of thoughtfulness Submits responses with little understanding of a response or two. Course content and applicability to professional practice of moderate quality Work is missing. 100 percent Submits one preliminary Timeliness and quality of response Weight 25.00 percent in the session on Wednesday. 0% Late or incomplete submission Mechanics and Spelling Weight 25.00% 0 percent Demonstrates knowledge and understanding of the content as well as its relevance to professional practice. Weight 25.00 percent Other responses by Saturday night at 2359 25% of the total weight ©2017 UTA Nursing School zero percent zero percent There was no response or only a comment with no educational value. Submitting late or not at all Page two of two…
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Health outcomes, at the organizational and national levels, depend on the practicality and productivity of health interventions. Central in health care economics is the efficiency of health interventions since it affects the overall nation’s health spending. In the past decade, health care spending has surged to $4.3 trillion in 2021 (CMS.gov, 2022). As a result, governments and stakeholders in the health industry should be aware of the issues hampering cost-effectiveness locally and nationally. The purpose of this paper is to identify a local health care economic issue, rationale, influence, and the gap contributing to the need to address it.
The Issue and Impacts on a Specific Population
Patients require adequate attention to receive comprehensive care. Unfortunately, inadequate staffing characterized by a nursing shortage is an issue of massive concern at all levels. Inadequate staffing implies a higher patient volume than the available workforce (Gaines, 2022). Impacts vary across populations. According to Waldrop and Gee (2022), the rural population is significantly affected by inadequate staffing, considering that rural settings account for two-thirds of the professional workforce shortage in primary care. Such a shortage expands the health gap between rural and urban populations and increases the health burden in rural areas.
Rationale for Choosing the Health Care Economics Issue
Inadequate staffing is a significant health economic issue that predicts health care management challenges if not adequately addressed. As Waldrop and Gee (2022) observed, the current U.S. health care system requires an additional 14,858 health care professionals to address the shortage across the country. The massive shortage implies a similar gap between the achieved and desirable health outcomes. Considering that rural people are significantly affected by this shortage, the problem of health disparities will persist as the shortage intensifies.
Impact on Work, Organization, Colleagues, and Community
Employee shortage significantly affects the nursing staff, workplaces, and communities. At a personal level, inadequate staffing increases the daily workload and is a leading cause of job dissatisfaction. Over time, it limits overall productivity. In the organization, inadequate staffing increases spending due to temporary staff hiring and implementing programs to help nurses overcome the detrimental effects of a workforce shortage. For instance, self-care programs to help nurses cope with burnout increase organizational expenses. To my colleagues, inadequate staffing causes nurse burnout, characterized by fatigue and emotional exhaustion (Shah et al., 2021). Its persistence reduces the work efficacy of nurses. At the community level, inadequate staffing hampers health care providers’ ability to address health inequities. The illness burden increases since patients do not get timely and sufficient care.
Gap Contributing to the Need to Address the Issue
Nurse turnover is the main gap that necessitates a prompt and practical response to inadequate staffing. It is a significant gap since nurse turnover, and staffing shortage have a bi-directional relationship. In this case, each influences the other. Marć et al. (2019) found that increasing rates of chronic illnesses due to aging are a leading cause of the nursing shortage. Failure to address this shortage will increase the overall illness burdens among individuals, health care organizations, and communities. Health care organizations will be overwhelmed, and their ability to provide competent care will dwindle over time.
Conclusion
Health care organizations should design cost-effective interventions to save costs and enhance efficiency. However, this critical goal can only be achieved if issues that increase health care spending are adequately addressed. Inadequate staffing is a significant health care economics issue that affects outcomes at all levels. Nurse turnover and an increase in chronic health conditions are the leading causes. Rural populations are unfairly affected by inadequate staffing due to the shortage of primary care providers in rural areas.
References
CMS.gov. (2022). Historical. https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/nationalhealthaccountshistorical#:~:text=U.S.%20health%20care%20spending%20grew,For%20additional%20information%2C%20see%20below.
Gaines, K. (2022). What’s really behind the nursing shortage? 1,500 nurses share their stories. nurse.org. https://nurse.org/articles/nursing-shortage-study/
Marć, M., Bartosiewicz, A., Burzyńska, J., Chmiel, Z., & Januszewicz, P. (2019). A nursing shortage–a prospect of global and local policies. International Nursing Review, 66(1), 9-16. https://doi.org/10.1111/inr.12473
Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and factors associated with nurse burnout in the US. JAMA Network Open, 4(2), e2036469-e2036469. doi:10.1001/jamanetworkopen.2020.36469
Waldrop, T., & Gee, E. (2022). How states can expand health care access in rural communities. CAP. https://www.americanprogress.org/article/how-states-can-expand-health-care-access-in-rural-communities/