Discussion: Review of Current Healthcare Issues

Discussion: Review of Current Healthcare Issues

Discussion: Review of Current Healthcare Issues

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).

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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.

nursing masters

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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.

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

I enjoyed reading your post. The shortage of nurses is a significant national healthcare issue that can impact various healthcare settings, including hospitals, nursing homes, and clinics. I have been a nurse for 6 years in the same hospital, and we have not seen the critical shortage we have now in many years. Most days and night, nurses stay over 16 to 20 hours to alleviate the shortage and care for the patients. According to American Nurses Association (2022), The shortage is primarily due to many nurses leaving the profession, increased demand for the aging population, a high nurse turnover rate, and social determinants of education and income. In March 2022, the American Nurses Foundation and the American Nurses Association released results that found that 52% of nurses are considering leaving their current position due primarily to insufficient staffing. In addition, 60% of acute care nurses report feeling burnt out, and 75% report feeling stressed, frustrated, and exhausted (AACN Fact Sheet – Nursing Shortage, n.d.) Unless this is addressed promptly and mitigated the root cause properly, the shortage will continue in a vicious cycle.

Most Healthcare systems have responded to the shortage of nurses by implementing multiple approaches. In my workplace, they have instituted various strategies, such as offering sign-on bonuses, increasing salaries, and providing professional development opportunities. They have also implemented innovative recruitment and retention programs, such as offering tuition reimbursement, flexible scheduling, and mentorship programs. However, many nurses have left already, and they must fill the gap. Currently, we have almost half of our staff filled with travelers, which also has a huge impact. Decreasing dependency on outside contractors and hiring more staff by facilitating flexible positions may help support this shortage.

References:

 AACN Fact Sheet (n.d.) – Nursing Shortage. (n.d.). https://www.aacnnursing.org/News-Information/Fact-Sheets/Nursing-Shortage

American Nurses Association (2022). Nursing shortages.  https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/nursing-shortage/

If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating
If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption?

These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.

In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Discussion: Review of Current Healthcare Issues

To Prepare:

· Review the Resources and select one current national healthcare issue/stressor to focus on.

· Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.

Assignment: Analysis of a Pertinent Healthcare Issue

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

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 writes 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 the 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.

RE: Discussion – Week 1

      The national healthcare issue faced by every organization today is the emergence of the COVID-19 pandemic. As of April 24, 2020, the case-fatality rate of COVID-19 is about 7.0%, with 193,671 deaths and 2,761,121 confirmed cases around the world (Undela & Gudi, 2020, p. 5180). This pandemic brought uncertainty, panic, and fear in the healthcare industry. Nurses and medical practitioners became scared for their safety while caring for patients diagnosed with the COVID-19 virus, with presenting symptoms due to shortages in personal protective equipment.

However, our organization was not exempted from this national crisis as surgeries were put on hold to rationalize the use of ventilators. The leadership team implemented several changes to tackle the crisis by following CDC guidelines.

Which entails; “reducing the number of patients going to the hospital or outpatient settings,

excluding HCP not directly involved in patient care, reducing face-to-face HCP encounters with patients and excluding visitors to patients with confirmed or suspected COVID-19 and maximizing the use of telemedicine (Coronavirus disease 2019, COVID-19, 2020).”

The reusing of N95 mask for days until visibly soiled, providing gowns that could be worn all day in the COVID-19 designated area, was part of a leadership strategy to maximize supplies. The said gowns were sent to a unique laundry, cleaned, and returned to staff daily. N95 mask was sent to special cleaning/sterilization and deemed safe so long the process does not exceed ten sterilization processes. These were some of the measures employed to maximize personal protective equipment amongst staff during the COVID-19 crisis.

Furthermore, this pandemic was unprecedented and devastating. Nurses had to sacrifice their safety for humanity with compromised personal protective equipment. The organization took a step further to convert the surgical intensive care unit to COVID-19 designated unit so they could confine the virus to a specific location. Visiting was prohibited, except there was a patient actively dying. The most challenging part is when a patient must die alone, or family members could only say goodbye via a glass door. I am sure there are other worse stories out there, but the bottom line remains, which was an unprecedented event and terrible experience.

Lastly, the organization had to improvise measures to rationalize work hours for nursing staff that was unable to function in the intensive care unit by making them runners for critical care nurses. Managers took a 10% pay cut and were asked to work from home. These interventions kept most nurses at float as many stayed home with nothing to do. Operating rooms were closed, whereby affecting work hours for OR nurses and PACU nurses. Cath lab and other surgical units were closed with minimal medical-surgical units opened for business

Reference

Coronavirus disease 2019 (COVID-19). (2020, May 8). Centers for Disease Control and

Prevention.

https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/isolation- gowns.html

Undela, K., & Gudi, S. K. (2020). Assumptions for disparities in case-fatality rates of

coronavirus disease (COVID-19) across the globe. European Review for Medical and 

           Pharmacological Sciences24(9), 5180–5182.

https://doi-org.ezp.waldenulibrary.org/10.26355/eurrev_202005_21215

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare 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 to quantify 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.

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.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Nursing Shortages

Nursing shortages continue to be an ongoing issue for the United States’ health care systems. The pandemic intensified the

existing problems of staffing shortages (Udod, S. 2023). Even prior to the pandemic, nursing shortages and nursing retention

has been a struggle across healthcare. Professional nurses are the largest occupational group in the healthcare sector,

accounting for 59% of healthcare workers worldwide (World Health Organization, 2020). The demand for healthcare needs

continue to outgrow the number of nurses and healthcare providers needed to take care of the growing and upcoming aging

population.

The chronic nursing shortages cause social determinates for people who live in rural areas are outside of the metropolitan

areas. People who live in rural areas have limited access to healthcare due to transportation issues, technology issues and

financial issues. Nursing can assist to bridge the gap by providing home health or virtual visits to those in need in rural areas. A

plan to focus on the recruitment and retention of the rural health work force in advanced economies identified the divisions of

health professionals to stay or leave rural practices (Crosgrave et al., 2019).

Nursing retention is implemented within my place of work by providing adequate preceptorship and a supportive environment.

Nurses who have safe and manageable work environments have shown to support nursing retention.

Reference:

Cosgrave, C., Malatzky, C., & Gillespie, J. (2019). Social determinants of Rural Health Workforce Retention: A scoping review. International Journal of Environmental Research and Public Health16(3), 314. https://doi.org/10.3390/ijerph16030314

Udod, S. (2023). A call for urgent action: Innovations for nurse retention in addressing the nursing shortage. Nursing Reports13(1), 145–147. https://doi.org/10.3390/nursrep13010015

World Health Organization. (1970, January 1). State of the world’s nursing 2020: Executive summary. World Health Organization. Retrieved March 1, 2023, from https://apps.who.int/iris/handle/10665/331673

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