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Technology is providing increasingly rich and credible resources for staying abreast of the latest trends and issues in health care. Many recognized organizations provide regularly disseminated updates via their websites, and offer this information free to subscribers. As you proceed through the DNP program, you will find that receiving these updates will support your professional growth as a scholar practitioner.
To prepare:
Explore the following resources found in this week’s Learning Resources:
AHRQ Patient Safety Network
Modern Healthcare Alerts
RWJ Nursing News Digest
The Commonwealth Fund
The Henry J. Kaiser Family Foundation
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Sample Answer for NURS 8100 Staying Current Online Resources
Having equal access to care opportunities for all citizens to lead healthy lives, translates to achieving health equity, the “attainment of the highest level of health for all people” (Gómez et al., 2021). The toxic combination of poor social policies, unfair economics, and bad politics created health inequities, requiring health policies to be enacted, to alleviate societal health disparities, and favorably influence health outcomes for most Americans. The health policy passed by President Obama was to address longstanding structural drivers of health inequities, caused by precarious and adverse working conditions, growing economic disparities, anti-democratic political processes, institutions, breaches, racial and social inequities, disparities in health delivery, especially in the minority communities (Paremoer et al., 2021).
There are multiple notable features of the U.S. health care system, and telehealth medicine is interesting to me. It has been described as a gamechanger in care delivery, however, remained underutilized in healthcare, due to limited reimbursement, to rural providers and those in two-sided risk models. These virtual visits are usually short to the point, eliminate driving time, and are fully accessible to all populations, especially the vulnerable ones, more so in rural areas, minorities, seniors with comorbidities, with top spending tiers for health care expenditures. The Covid-19 pandemic fundamentally shifted the ground, and crystallized the need for new reimbursement policies, for a broader array of ambulatory services, regardless of geography, leading to dramatic uptake. The Premier data indicates that due to COVID-19, the virtual visits in the ambulatory setting increased by a factor of 30 year over a year (Smith & Raskin, 2021), reaching at-risk populations in 2021. It is becoming an integral strategy for population health management, by improving access, adherence, and overall wellbeing.
The act makes health-care coverage more equitable by providing subsidies, premium tax credits, and cost-sharing reductions. However, payers must cover preventive services, immunizations, annual examinations, and screenings. It allowed young adults to remain on their parents’ health insurance plans until they turned twenty-six. This means that payers must cover these medical costs in the patients’ policies, which is a concern because it raises costs for payers, who can then pass the costs on to consumers. This results in very high deductibles, “narrow provider networks, and enriched drug firms, medical conglomerates, and insurers” for the covered families (Himmelstein & Woolhandler, 2017). There are also mandates requiring eligible citizens to have healthcare coverage or face penalties, so self-employed individuals have no choice but to purchase expensive plans through the health insurance marketplaces. The ACA also imposes price ceilings on Medicare payments to providers, which eventually leads to fewer health care options and lower quality of care for the Medicare population (Hammer et al., 2010). The Trump Administration had a goal of repealing the ACA, which was supported by a number of Republican-led states that filed law-suits for the law’s ineligibility based on their opinions (Vogenberg, 2019). They were united in their desire to undo what Obama had done; however, drafting the replacement act became extremely complicated, and going halfway, or repealing without a better replacement, would cost thousands of lives (Himmelstein & Woolhandler, 2017). They required health reform legislation that included provisions for foundational health services as well as sufficient access to benefit the nation, given the value of tax dollars spent on healthcare (Stephens & Ledlow, 2010). Changes to health plans, Medicare payments, Medicaid expansion coverage, readmission penalties, and increased payments to primary care physicians and community health centers will all have an impact on providers (Hammer et al., 2010). All of these issues must be addressed through legislation, and ongoing squabbles among legislators put millions of Americans at risk of losing their health insurance (HeatlhCare.gov). Healthcare reforms will also necessitate bipartisan agreement in Congress, with specific, articulated health policy goals from each party, an extremely difficult task given that both the Republicans and Democrats disagree and have different priorities. Republicans prioritize lowering costs and smaller government over all other goals, whereas Democrats prioritize improving health and equity, resulting in fundamental conflict, the government’s role in health care provision, and subsidizing tradeoffs between lowering costs and increasing access (Pagel et al., 2017).
References:
Devore, S. (2021). Health Care In 2020: Five Trends to watch. Health Affairs.
Gómez, C. A., Kleinman, D. V., Pronk, N., Wrenn Gordon, G. L., Ochiai, E., Blakey, C., Johnson, A., & Brewer, K. H. (2021). Addressing Health Equity and Social Determinants of Health Through Healthy People 2030. Journal of Public Health Management & Practice, 27, S249–S257. https://doi.org/10.1097/PHH.0000000000001297
Hammer, D., Phillips, B., & Schmidt, T. L. (2010). The intended and unintended consequences of healthcare reform. Healthcare Financial Management: Journal of the Healthcare Financial Management Association, 64(10), 50–55.
HealthcareCare.gov. (n.d.). Understanding the Affordable Care Act. https://www.hhs.gov/healthcare/about-the-aca/index.html
Himmelstein, D. U., & Woolhandler, S. (2017). Trumpcare or Transformation. American journal of public health, 107(5), 660–661. https://doi.org/10.2105/AJPH.2017.303729
Pagel, C., Bates, D. W., Goldmann, D., & Koller, C. F. (2017). A Way Forward for Bipartisan Health Reform? Democrat and Republican State Legislator Priorities for the Goals of Health Policy. American journal of public health, 107(10), 1601–1603. https://doi.org/10.2105/AJPH.2017.304023
Stephens, J. H., & Ledlow, G. R. (2010). Real healthcare reform: focus on primary care access. Hospital Topics, 88(4), 98–106. https://doi.org/10.1080/00185868.2010.528259
Smith, S. & Raskin, S. (2021). Achieving Health Equity! Examining Telehealth in Response to a Pandemic. The Journal for Nurse Practitioners, 17 (2): 214-217
Paremoer L, Nandi S, Serag H, Baum F. (2021). Covid-19 pandemic and the social determinants of health BMJ; 372: n129 doi:10.1136/bmj. n129
Vogenberg, F. (2019). US healthcare tends and contradictions in 2019. American Health & Drug Benefits, 21 (1): 40-4
Sample Answer 2 for NURS 8100 Staying Current Online Resources
Online Resources in the Public Health Field
While looking for this article, the primary focus was to search using journal as the surest way of checking if the article is in complete text. However, the issue, volume, and year also encompass critical features to know. For example, the article identified is;
Black, A. T., Balneaves, L. G., Garossino, C., Puyat, J. H., & Qian, H. (2015). Promoting evidence-based practice through a research training program for point-of-care clinicians. The Journal of Nursing Administration, 45(1), 14.
The search was conducted by use of the title of the journal which is, The Journal of Nursing Administration in this case. The first step is to go to the home page and then locate search space indicated journals. The journal title is entered and search option is clicked. Consequently, the journal needed is located. The plus sign located at the face of Full Text Access is then clicked to locate the database where the article is incorporated. The link in the database captures vital information such as publications containing the full article. The dates are checked and the database that entails the year needed in the article of interest is identified. Using the citation information identified, the researcher then browses the journal guided by the year, issues, and volume to get the exact article. The preferred article is then searched using title or page number. The full text is finally obtained by clicking the HTML link.
Identification of Peer-Reviewed Articles
Essentially, there are many ways to identify whether or not the article is peer-reviewed. However, for this case, the article is identified as peer-reviewed by simply looking at the credentials of the scholars who authored it. Essentially, the authors have advanced credentials such as Ph.D. and M.D. Besides, they have affiliations since they either work in hospitals, universities or affiliated knowledge-based firms.
Summary of the Article
This article sought to advance the idea that support from the healthcare organizations in utilizing and carrying out research is vital for nurses to implement evidence-based practice (EBP). In particular, the article aimed at assessing the effect of research training initiatives on the attitudes, practices, and knowledge of the clinicians regarding EBP (Black et al., 2015). Consequently, the study concluded that giving research training chances to the clinicians is potential strategy for healthcare industry to foster EBP, empower healthcare professional, and hold potential for superiority in clinical research.
Knowledge Expansion on Important Issue Healthcare
Essentially, the healthcare industry is increasingly becoming dynamic in the current world (Khan et al., 2017). As such, it is imperative for healthcare professionals to continue finding innovative ways of dealing with this rapid evolution witnessed in the healthcare industry (Groves, Kayyali, Knott & Kuiken, 2016). Similarly, EBP has been proven to be one of such effective ways that can be utilized in the healthcare field to enhance care and outcomes of the patients (LoBiondo-Wood & Haber, 2017). This article has, therefore, expanded the knowledge on the need for more training opportunities to clinicians to facilitate the implementation of the EBP. Most importantly, the article has stressed on the need for introducing innovative approaches to counter possible impediments to the successful implementation of the EBP.
Insights Utilizing the Learning Resources
Learning resources are critical for clinicians because they substantially enhance the achievement by supporting the learning (Bradshaw & Hultquist, 2016). For instance, training clinicians on EBP may avail crucial opportunities to acquire new skills. The skills help the student in the learning process by enabling them to explore the practical skills independently and providing repetition. In a nutshell, learning resources have certain function in the learning process of the students.
References
Black, A. T., Balneaves, L. G., Garossino, C., Puyat, J. H., & Qian, H. (2015). Promoting evidence-based practice through a research training program for point-of-care clinicians. The Journal of Nursing Administration, 45(1), 14.
Bradshaw, M., & Hultquist, B. L. (2016). Innovative teaching strategies in nursing and related health professions. Jones & Bartlett Learning.
Groves, P., Kayyali, B., Knott, D., & Kuiken, S. V. (2016). The’big data’revolution in healthcare: Accelerating value and innovation.
Khan, I. D., Gupta, R. M., Sen, S., Rajmohan, K. S., Jindal, A. K., Makkar, A., … & Kulhari, K. (2017). Emerging antimicrobial resistance and evolving healthcare: Dangerous crossroads for the community and the military. Journal of Archives in Military Medicine, 5(3).
LoBiondo-Wood, G., & Haber, J. (2017). Nursing research-E-book: methods and critical appraisal for evidence-based practice. Elsevier Health Sciences.
Also Read:
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NURS 8100 With Posting Instructions in Mind, Select Either the Individual Mandate or Accountable Care Organizations as the Focus of your Discussion This Week
NURS 8100 Identify a State or National Politician (State Representative or Legislator, Senator, Congressman, Governor, etc.), or Aide, Whom You would Like to Interview
