NURS 6053 Reducing the demand on primary healthcare and the strain on the healthcare system

In order to sustain and improve healthcare, the Quadruple Aim covers a wide range of objectives. There are numerous challenges within each aim that, if correctly addressed, could have a favorable impact on the final results. Health care leaders are being pushed to transition from a focus on disease treatment to health promotion and disease prevention in primary care settings, for instance Reducing the demand on primary healthcare and the strain on the healthcare system are two of the many benefits that can be reaped from these efforts.

When I think of this question about how to integrate appropriate information, I essentially think of having good advertising and marketing. You have to think of the populations you are trying to reach. I think it’s important to target two main populations younger people 30-45 that may need earlier screening because of high risk and then 45-75 that should be already getting regular screenings. Commercials are great. I am sure we have all heard of Cologuard because of their commercials. Cologuard is an additional way to screen for colorectal cancer but not a replacement for colonoscopies. Social media is also a great way to educate and advertise. But most importantly anytime you go to your primary care physician’s office the nurses, providers, and staff should be discussing regular screenings with the patients and have handouts around the offices with information that people can read while they wait. Also nurses or medical assistants pointing out to providers that a patient is a certain age and has not had a colonoscopy yet. Being the eyes and ears for patients is so important. Another thing for people to know is that insurance should cover these type of screenings at a 100%. This was one great thing about the Affordable Care Act. The Affordable Care Act requires both private insurers and Medicare to cover the costs of colorectal cancer screening tests, because these tests are recommended by the United States Preventive Services Task Force (USPSTF) (Centers for Disease Control and Prevention, 2022). The law stipulates that there should be no out-of-pocket costs for patients, such as co-pays or deductibles, for these screening tests (CDC, 2022). So for people with medical coverage, they should be taking advantage of these benefits.

What has always been true is that healthcare has always faced significant issues, and that efforts to improve healthcare involve diverse stakeholders, independent of commercial developments. Given the circumstances, this should come as no surprise. However, factors such as rising healthcare costs and the constraints of caring for an aging population do play an impact. It is not unexpected that the healthcare industry faces a wide range of changing difficulties.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):

Also Read: NURS 6053 Developing Organizational Policies and Practices Essay

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare NURS 6053 Reducing the demand on primary healthcare and the strain on the healthcare system issue/stressor and how it is impacting your work setting. Be sure to address the following:

Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data toquantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

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Looking Ahead

The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment instructions for Module 2 to prepare for your revised paper

From a general perspective, healthcare provision involves identifying health problems affecting the populace and developing practical intervention measures. As this happens, policies are made to streamline care delivery as healthcare providers keep learning to improve outcomes. The overall mandate of care providers is to enhance patient safety while striving to optimize quality always. However, everything does not occur smoothly as envisioned since many healthcare stressors affect care delivery and prevent healthcare providers from meeting the set goals. This paper assesses the impacts of nursing shortage as a pertinent healthcare issue at the organizational level and summarizes evidence-based interventions applied by other organizations.

The Nursing Shortage Problem

In practice, healthcare providers should be kept free from exhaustion. The care providers to patient ratio should be manageable such that healthcare providers are not physically and mentally drained. Nursing shortage occurs when the number of patients is high to the extent that care providers cannot provide satisfactory services. The problem creates an environment where care providers are highly dissatisfied and ready to leave (Chang et al., 2017). In response, it has been the cause of 25% nurse turnover in the organization, with 10% of the care providers leaving the profession entirely. This data shows a lack of motivation to continue offering healthcare services irrespective of other measures such as rewards the organization applies to inspire employees.

Undeniably, this proportion of turnover is high and implies two things. Firstly, the organization will continue using massive resources to replace the lost workforce. Doing so leads to a scenario where some areas are underserved since resources are used wrongly. Secondly, turnover increases the healthcare burden to the employees left serving. Since the ones left behind are overworked, they are easily frustrated and can quit too. Eventually, a cycle where patients are underserved and dissatisfied ensues. Such instances reduce the overall quality of care and make it challenging to achieve the set objectives.

Nurses who hold a bachelor degree or higher are expected to make up at least 80% of all registered nurses by 2020, according to Gerardi, Farmer, and Hoffman (2018). The responsibility for finding and developing effective strategies for training and providing assistance to nurses so that they can further their education is being taken on by hospitals around the country. In the last few years, the hospital where I work has started hiring nurses with advanced degrees rather than those with merely a high school education to care for patients. To encourage those who are already employed to get a higher degree, there are leaflets on several bulletins. In order to prevent nurses from being discouraged from attending or dropping out of school due to financial concerns, the facility reimburses some of their tuition costs for those who apply to the bachelor’s degree.

There are also fast-track diploma programs for nurses who have already completed an Associates degree. This 15-month curriculum is available in RN and BSN concentrations. In light of the increasing diversity of the patient population, it is vital that nurses have a thorough understanding of non-medical issues that may affect their patients. In order to get a basic understanding of the cultural origins, religious affiliations, and racial distinctions in the healthcare system, for example (Marzuki, Hassan, Wichaikhum, & Nantsupawat, 2012). Because of the rapid pace of change in our environment, nurses must have more skills, knowledge, and competencies than ever before.

A healthcare facility and its patients can suffer as a result of having inept nurses on staff (Marshall, E., & Broome, 2017). It’s because nurses aren’t up-to-date on the current state of the nursing profession, and this results in poor patient care, miscommunication, misguidance, and misconceptions. The quality of patient care might be jeopardized, safety measures may be jeopardized, and untrained staff means more mistakes could be made with drugs, equipment operations, and so on if the workforce is degraded and nurses do not comprehend the current patient population.

By Day 7 of Week 2

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Also Read:

NURS 6053 Discussion Reducing Stress on Healthcare

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This paper is determined to analyze Obesity and its impacts as a pertinent national issue in the United States. It will also explain how the health issue is being addressed in other organizations. Obesity is a treatable health disease that is a worldwide concern, associated with excess fat in the body. It is genetically and environmentally caused. It is diagnosed by a healthcare provider and is classified as having a body mass index (BMI) of 30 or greater (Fryar et al, 2018).

Obesity is a serious healthcare problem associated with reduced quality of life and more impoverished mental health conditions. Similarly, it is also associated with an increase in the number of complications such as diabetes, high blood pressure, heart diseases, stroke, and other types of cancers (Cipriani et al., 2016). Moreover, Obesity is a serious healthcare problem associated with reduced quality of life and more impoverished mental health conditions. Similarly, it is also associated with an increase in the number of deaths in the United States. (Chiao et al., 2015). Obesity is a nutritional disorder that is related to unhealthy eating.

There are different risk factors of Obesity, including overeating, overconsumption of junk foods, reduced physical activities, and genetic inheritance (Werneck et al., 2018). The main problem is the increasing cases of Obesity among the population. Among the most concerning chronic health conditions is Obesity. Irrespective of whether an adult or a child experiences the condition, Obesity has been connected to poor life quality and various numerous killer comorbid conditions such as some types of cancer, stroke, heart disease, and diabetes (Chiao et al., 2015). Even though the disease has devastating effects on the population, it remains a complex health concern caused by a combination of individual factors like genetics and behavior and various other causes like physical activity, environment, food, skills, and education. Multiple factors such as exposures, medication use, dietary pattern, and lack of physical activity have also been shown to contribute (Werneck et al., 2018). Even though various interventions have been used to prevent and manage Obesity, the condition seems to be increasing among the population. (Fryar et al, 2018).

The Impact of Obesity on the Nursing Professionals.

Nursing professionals face different problems in the healthcare system. These problems may be associated with the work environment as well as the treatment issues. Obesity has both mental and physical health complications for people of all ages. The complications related to Obesity range from medical conditions such as hypertension, diabetes, some types of cancer, stroke, and heart disease. Also, Obesity is associated with reduced self-esteem, social isolation, as well as depression.

The dominance of Obesity was 42.4% in 2017-2018. Moreover, from 1999–2000 through 2017–2018, the bulk of Obesity increased from 30.5% to 42.4%, and the prevalence of severe Obesity risen from 4.7% to 9.2%. Its related conditions include heart disease, stroke, type 2 diabetes, and certain types of cancer that are leading causes of preventable, premature death. Similarly, the estimated annual medical cost of Obesity in the United States was $147 billion in 2008 U.S. dollars; the medical cost for people who have Obesity was $1,429 higher than those of normal weight. (NCHS 2017-2018). The working adults of non-Hispanic blacks (49.6%) had the highest age-adjusted higher number of Obesity. Similarly, working-age of Hispanic (44.8%) and non-Hispanic White adults (42.2%) (Fryar et al, 2018).

The age-adjusted dominance of Obesity among U.S. adults was 42.4% in 2017–2018. The prevalence was 40.0% among younger adults aged 20–39, 44.8% among middle-aged adults aged 40–59, and 42.8% among older adults aged 60 and over. There were no significant differences in prevalence by age group (Fryar et al, 2018).Among men, the prevalence of Obesity was 40.3% among those aged 20–39, 46.4% among those aged 40–59, and 42.2% among those aged 60 and over. Among women, the prevalence of Obesity was 39.7% among those aged 20–39, 43.3% among those aged 40–59, and 43.3% among those aged 60 and over. None of the differences by age were significant. There was no significant difference in the prevalence of Obesity between men and women overall or by age group (Fryar et al, 2018).

The health problem has had profound financial implications. It has a substantial economic burden on the USA economy and other world’s governments and States. The resulting poorer health outcomes for obese individuals means that such people have to use the health care services more frequently, implying a notable increase in health care costs and burn out of nurses. As of the year 2016, close to two billion adults were overweight. Over six hundred and fifty million were classified as obese globally—implying that close to forty percent of the adult population were overweight, with thirteen percent among them obese. As of 2019, the statistics for children under five were not better as thirty-eight million of this population were classified as obese or overweight.

Strategies Used in the Mitigation of Obesity

The management of Obesity often requires evidence-based practices that aim at increasing safety measures. Currently, there are training processes that aim at reducing the increasing rates of mortalities associated with Obesity. The training processes include management of eating habits, engagement in physical activities, and other healthy behaviors. Educational processes on eating patterns are also undertaken to reduce the cases of Obesity (Cipriani et al., 2016). Besides, the proposed solution to the health problem includes educational programs and behavioral change among the population. Educational and behavioral change interventions are essential in the management of Obesity.

Conclusion

Obesity is a serious healthcare issue associated with reduced quality of life and lower mental health conditions. Moreover, it is related to an increase in the number of complications such as diabetes, high blood pressure, heart diseases, stroke, and other types of cancers (Cipriani et al., 2016). There are different risk factors of Obesity, including overeating, overconsumption of junk foods, reduced physical activities, and genetic inheritance (Werneck et al., 2018). The main problem is the increasing cases of Obesity among the population. And this has negatively impacted nursing professionals. The proposed solution to the health problem includes educational programs and behavioral change among the population. Educational and behavioral change interventions are essential in the management of Obesity.

Reference

Cipriani, G., Lucetti, C., Danti, S., Carlesi, C., & Nuti, A. (2016). Violent and criminal manifestations in dementia patients. Geriatrics & gerontology international, 16(5), 541-549. doi.10.1111/ggi.12608

Chiao, C. Y., Wu, H. S., & Hsiao, C. Y. (2015). Caregiver burden for informal caregivers of patients with dementia: A systematic review. International Nursing Review, 62(3), 340-350.doi.10.1111/inr.12194

Fryar, C. D., Carroll, M. D., & Ogden, C. L. (2018). Prevalence of overweight, obesity, and severe obesity among children and adolescents aged 2–19 years: United States, 1963–1965 through 2015–2016. http://www.publicnow.com/view/57BFCB292A6D12A9A3EE633921C052DED8F0D94B

Werneck, A. O., Oyeyemi, A. L., Gerage, A. M., Cyrino, E. S., Szwarcwald, C. L., Sardinha, L. B., & Silva, D. R. (2018). Does leisure‐time physical activity attenuate or eliminate the positive association between Obesity and high blood pressure? The Journal of Clinical Hypertension, 20(5), 959-966. doi.10.1111/jch.13292