Factors That Impact Population Health

  

Factors That Impact Population Health

In this Discussion, you bring together the concepts that have been presented throughout this course by analyzing a current population health topic from an epidemiological approach. Consider the cultural, ethical, regulatory, and legal factors that may influence your selected topic.

To prepare: Review      the case study, presented on page 411 of your course text, Population      Health: Creating a Culture of Wellness. Consider the cultural,      ethical, and legal factors presented in the case study and how they influence      the Michigan Primary Care Transformation Project. With      these thoughts in mind, select a current public health initiative that has      been discussed in the popular press or available at the CDC website or      your state’s health department website. Consider      this initiative through the lens of an epidemiologist and identify what      you think are the three most important issues related to culture, ethics,      regulatory, or legal aspects of the public health initiative. Consider      how current health care legislation might impact your selected public      health initiative. Conduct additional research as necessary.

By tomorrow 05/09/2018 12 pm, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”

Post a cohesive response that addresses the following:

1) Provide a summary of your selected public health initiative and include a reference to the article (and URL to the article).

2) Analyze the cultural, ethical, regulatory, and legal factors that influence your specified population health topic.

3) Evaluate how current health care legislation may positively or negatively impact your selected public health initiative.

Required Readings

Nash, D. B., Fabius, R. J., Skoufalos, A., Clarke, J. L. & Horowitz, M. R. (2016). Population health: Creating a culture of wellness (2nd ed). Burlington, MA: Jones & Bartlett Learning.

Chapter 15, “Risk Management and Law”

This chapter discusses the role of the U.S. legal system to foster the health of populations with emphasis on the U.S. Supreme Court’s decision on the Patient Protection and Affordable Care Act.

Chapter 16, “Making the Case for Population Health Management: The Business Value of Better Health”

This chapter explores why good health is good business, the cost of good health and the potential provide to be realized when workforce health is improved.

Chapter 3, “Policy Implications for Population Health: Health Promotion and Wellness”

The chapter provides an overview of the intricacies of federal policy making and the key policy components necessary to advance the health of populations.

Chapter 5, “The Political Landscape in Relation to the Health and Wealth of Nations”

The chapter describes the relationship between national health and population health and the constitutional structures that influence health policy.

Chapter 20, “The Future of Population Health at the Workplace: Moving Upstream”

This chapter focuses on the future of population health in the workplace and the new knowledge that is driving future trends in population health.

Admi, H., Eilon, Y., Hyams, G., & Utitz, L. (2011). Management of mass casualty events: The Israeli experience. Journal of Nursing Scholarship, 43(2), 211–219.

This article examines the Israeli model of emergency preparedness and management, including nurses’ clinical and managerial involvement in mass casualty events.

Beam, E. L., Boulter, K. C., Freihaut, F., Schwedhelm, S., & Smith, P. W. (2010). The Nebraska experience in biocontainment patient care. Public Health Nursing, 27(2), 140–147.

Nurses are often on the front lines when emergencies happen. This article examines public health planning and management strategies for infectious disease outbreaks and bioterrorism attacks.

Honoré, P. A., Wright, D., Berwick, D. M., Clancy, C. M., Lee, P., Nowinski, J., & Koh, H. K. (2011). Creating a framework for getting quality into the public health system. Health Affairs, 30(4), 737–745.

In this article, the authors examine health care reform and the Affordable Care Act in light of public health’s priorities of improving population health.

Sprung, C. L., Cohen, R., & Adini, B. (2010). Chapter 1. Introduction. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster. Intensive Care Medicine, 36(Supplement 1), S4–S10.

This reading describes the efforts put forth as a result of a task force established by the European Society of Intensive Care Medicine in December 2007. The chapter examines the purpose and development of standard operating procedures (SOPs) to better address population needs during an infectious disease breakout or disaster.

Richards, G. A., & Sprung, C. L. (2010). Chapter 9. Educational process. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster. Intensive Care Medicine, 36(Supplement 1), S70–S79.

As noted in this chapter, planning and education are imperative to adequately prepare intensive care units (ICUs) and hospitals for an influenza pandemic or mass disaster. The authors provide standard operating procedures (SOPs) and recommendations.

Federal Emergency Management Agency. (2011). Retrieved from http://www.fema.gov/

Explore the Federal Emergency Management Agency website, whose mission is to “support our citizens and first responders to ensure that as a nation we work together to build, sustain, and improve our capability to prepare for, protect against, respond to, recover from, and mitigate all hazards.”

Required Media

Laureate Education (Producer). (2012). Epidemiology and population health: Population health issues, part 1 [Video file]. Baltimore, MD: Author.

In part 1 of this week’s media, the presenters discuss how epidemiology can be utilized to improve population health.

Laureate Education (Producer). (2012). Epidemiology and population health: Population health issues, part 2 [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 3 minutes.

In part 2, Dr. Hull discusses lessons learned from global efforts to eradicate polio.

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Discussion Comment week 9

Comment using your own words but please provide at least one reference for each comment.

Do a half page for discussion #1 and another half page for discussion #2 for a total of one page.

Provide the comment for each discussion separate.

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Charandry project only

As agreed via inbox

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Post-jessica- EBP

 

Respond  using one or more of the following approaches:

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional sources.

Make a suggestion based on additional evidence drawn from readings, or after synthesizing multiple postings.

 

                                                  INITIAL POST 

             Using evidence-based practice (EBP) is an essential tenant of nursing  practice. Therefore it is imperative to develop the skills necessary to  gather, interpret, and evaluate scientifically based data. To begin my  research for this week’s assignment, I first did a Google search of  nursing research topics to help myself generate ideas and narrow down a  problem that interested me. After considering several topics, I decided  to write about delirium in acutely ill patients.  Acute Delirium is  something that I have a lot of experience with, both personally and  professionally. The aim of my research will be to find out how  non-pharmacological interventions compare to pharmacological treatment  of acute delirium.

Search Results Analysis

             Once my topic was selected, I went to the Walden library to search for  evidence-based literature on delirium management. According to Walden  University (2018), the levels of evidence pyramid determines the quality  and amount of evidence available. The top three sections of the pyramid  are referred to as filtered results. Filtered results are comprised of  systematic reviews at the pinnacle of the pyramid, followed by  critically appraised topics, and critically appraised individual  articles. The next three sections of the pyramid are referred to as  unfiltered results and include randomized controlled trials, cohort  studies, and case-controlled studies. Background information and expert  opinions make up the base of the pyramid (Walden University, 2018). 

           I began searching for resources from the top of the evidentiary  pyramid, systematic reviews. I used the Joanna Briggs Institute EBP  Database, and then limited my search results to systematic reviews, and  set a date range of 2014 to current. I used the keywords “delirium” and  “interventions” this search yielded four systematic reviews. When I  search the term “acute confusion” I found three results. I also utilized  the Cochrane Database of Systematic Reviews, and found two systematic  reviews by searching for “delirium” in the first text box, and “nursing  interventions” in the second text box, again searches were limited to  full text with a date range of 2014 to current. I also used the Joanna  Briggs Institute EBP Database to search for critically appraised topics.  My search for “delirium interventions” yielded just one result.  However, when I searched for “delirium” I found ten results. I also  searched those same terms on Guideline Central and found four critically  appraised topics results. Finally, I searched for critically appraised  individual articles using the Evidence Alerts database, and the terms  “delirium and acute confusion” this search yielded 23 critically  appraised individual articles.

Next,  I searched for nonfiltered resources utilizing the CINAHL Plus  database. I first looked for randomized controlled trials by searching  for the terms “delirium” and “nursing interventions” in the first and  second text boxes respectively; this search query yielded four  randomized controlled trials. To find cohort studies, I typed “delirium”  in the first text box, “interventions” in the second text box, and  “cohort studies” in the third text box, this search resulted in 27  articles. I searched for case studies using the same search terms in the  first and second text boxes and limited the publications to case  studies, this search yielded 56 results.  However, when I adjusted the  filters to include case studies published within the past five years,  the number of results reduced to 14 case studies.  

Comparative Value

             I found congruency between the evidentiary pyramid and my  search results; the further down the pyramid, the more resources I  found; but, the quality of the information decreased concurrently. While  the systematic reviews were not as numerous, they are superior in terms  of scientific rigor and evidentiary support. Moreover, the information I  found within the systematic reviews were very consistent with my chosen  topic compared to information further down the period like cohort and  case studies. When search terms were altered, for example, searching for  “delirium” versus “acute confusion,” the results remained more  consistent when searching for the higher level filtered results whereas  alteration of search terms would create a wide variation in results  further down the pyramid, in the unfiltered resources. 

Polit  and Beck (2017), contend that systematic reviews are the best resources  for EBP because they contained synthesized information about a topic  from numerous evidenced-based studies. However, it is important to  recognize that the quality of evidence can vary significantly regardless  of its position within the evidentiary hierarchy (Pilot & Beck,  2017). Overall, I found greater quality and consistency of information  within the systematic reviews and critically appraised topics and  articles. Nonetheless, I found several high quality randomized  controlled trials and cohort studies that provide high-quality  information for making a comparison between pharmacological and  non-pharmacological interventions for managing delirium. 

Helpful Tips for Literature Reviews

             I found the course guide for this discussion post extremely helpful. I  followed the guide to conduct my searches, find my articles, and  evaluate the information. I also like to use Google Scholar because the  search algorithm pulls a lot of information, it does have some  drawbacks, the main one being that the articles are not always available  in full text. But, it is very user-friendly, and because it casts a  wide net, I can easily find pertinent information. If I see an article  that peaks my interest that is not available in full text, I copy the  title or other vital information and then plug that information into the  Walden University Library. I have always been able to find the article I  want using this method. I also find it helpful to organize my search  results within folders, and to tag my articles with the types of  studies. I also find that the National Center for Biotechnology  Information (2019) is a great resource for locating free, full text,  peer-reviewed, scholarly articles (National Center for Biotechnology  Information, 2019). If I find a study I know that I definitely want to  use in my work, I will create a citation and save it in a word document.  When I begin writing, I can use my reference list that I started during  my literature review as a guide. I have found that this method of  source organization is both helpful and time-saving. 

References 

National Center for Biotechnology Information. (2019). Retrieved March 4, 2019, from https://www.ncbi.nlm.nih.gov/

Polit, D. F., & Beck, C. T. (2017). Nursing research generating and assessing evidence for nursing practice. Philadelphia: Wolters Kluwer.

Walden  University. (2018). Evidence-Based Practice Research: Levels of  Evidence Pyramid. Retrieved from  https://academicguides.waldenu.edu/healthevidence/evidencepyramid#s-lg-box-8700027

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Case Study of Immunology I

Good morning, I need to complete this work by 04/03/2018. I offer $ 20.

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Implemention Plan

Create an Implementation Plan —outline your implementation steps 1-2-3 pertaining to the PICOT question:

 

PICOT: (P)  In elderly patients with chronic diseases, (I) does patient education  intervention, (C) compared with only medication treatments, (O) increase  their health knowledge and improve their health status (T) in a period  of 6 months?

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Access to Healthcare

According to HealthyPeople.gov, access to comprehensive quality healthcare services is important for the achievement of health equity and for increasing the quality of a healthy life for everyone. Healthy People 2020 focuses on four components of access to care: coverage, services, timeliness, and workforce.

Create a 4- to 5-page Microsoft Word document that addresses the following:

Explain the Healthy People 2020 components of access to care pertaining to

Coverage

Services

Timeliness

Workforce

Identify at least one consequence that a lack of access to healthcare has on women and girls.

Explain why access to care issues will need to be monitored even more closely within the U.S. healthcare system beginning 2014.

Find at least two scholarly journal articles that discuss all or at least one of the topic areas related to access to care as defined by Healthy People 2020. Provide a synopsis of each article.

Explain what type of barrier(s) (structural, financial, or socio-cultural) each article examines? 

Describe at least two policies or strategies that can be implemented to improve access to healthcare services as they relate to the articles you reviewed.

Submission Details:

Support your responses with examples.

Cite any sources in APA format

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Project Valuation

  Project Valuation

Although there are many different methods for selecting projects, they may be grouped into two fundamental types for the purpose of determining their value to the organization: Non-numeric. Numeric.

The former does not use numbers for valuation, but the latter does. Some process improvement or software installation projects can be hard to quantify when the project seeks to increase the satisfaction of physicians, staff, and patients. Instructions

Discuss how you will determine the expected value of the project. Explain whether your proposed project is easily quantified or whether you will need to use some non-numeric information for calculating the value of the project.

Include the following: Examine the sources of information that can be used for budgeting. Determine the probability that the information is correct. Would simulation increase the accuracy? Why or why not?

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