University of Florida NURS4000 Health Care Problem Analysis

Assessment 3 Instructions: Analyze a Current Health Care Problem or Issue

Content

• I only need the minimum pages please
• Write a 4-6-page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications. University of Florida NURS4000 Health Care Problem Analysis

Topic 1: Limited Access to Healthcare

Short Description:

Consumers face barriers to healthcare access for assorted reasons. For example: due to geographic location, provider availability, transportation issues and mobility.

Potential Intervention Approaches:

• – Healthcare information online
• – Telemedicine
• – In–home healthcare services

Keywords for Articles:

online health information seeking, health care access, health information systems, consumer health information, chronic disease, health information search, health seeking behavior, rural nursing

References:

Bhandari, N. (2014). Seeking health information online: does limited healthcare access matter? Journal of the American Medical Informatics Association: JAMIA (1067-5027), 21 (6), p. 1113. https://www-ncbi-nlm-nih-gov.library.capella.edu/pmc/articles/PMC4215038/

Lee, K., Hoti, K., Hughes, J. D., & Emmerton, L. (2014). Dr Google and the Consumer: A Qualitative Study Exploring the Navigational Needs and Online Health Information-Seeking Behaviors of Consumers with Chronic Health Conditions. Journal of Medical Internet Research, 16(12), e262. http://doi.org.library.capella.edu/10.2196/jmir.3706

Ware, P., Bartlett, S. J., Paré, G., Symeonidis, I., Tannenbaum, C., Bartlett, G., … Ahmed, S. (2017). Using eHealth Technologies: Interests, Preferences, and Concerns of Older Adults. Interactive Journal of Medical Research, 6(1), e3. http://doi.org.library.capella.edu/10.2196/ijmr.4447

Pratt, D. (2015). Telehealth and telemedicine. Albany Law Journal of Science & Technology. (1059-4280), 25 (3), p. 495. http://www.lexisnexis.com.library.capella.edu/hottopics/lnacademic/?shr=t&csi=148364&sr=TITLE(%22Telehealth+telemedicine+in+2015%22)+and+date+is+2015

Topic 2: Healthcare Disparities

Short Description:

In 2010, the Federal Department of Human and Health Service (DHHS) launched the Healthy People 2020 goals to include a goal to eliminate health inequality/disparity. Healthy People 2020 defines a health disparity as “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion” (Office of Disease Prevention and Health Promotion, 2017, p.1).

Potential Intervention Approaches:

• – Federal goals
• – Community health improvement plans
• – Patient advocacy efforts
• – “Triple Aim” for populations

Keywords for Articles:

health disparities, community health assessment, community health improvement plan, strategic planning, local health departments, health inequities

References:

Office of Disease Prevention and Health Promotion. (2017). Disparities. Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/disparities

Shah G.H., & Sheahan J.P. (2016). Local health departments’ activities to address health disparities and inequities: Are we moving in the right direction? International Journal of Environmental Research and Public Health. 2016; 13(1):44. http://www.mdpi.com/1660-4601/13/1/44

Institute for Healthcare Improvement. (2017). Triple Aim for Populations. http://www.ihi.org/Topics/TripleAim/Pages/Overview.aspx

Topic 3: Medication Errors

Short Description:

A medication error is a preventable adverse effect of a patient taking the wrong medication or dosage, whether or not it is evident or harmful to the patient. Medication errors can be a source of serious patient harm, including death. University of Florida NURS4000 Health Care Problem Analysis

Potential Intervention Approaches:

• – Medical staff education
• – Packaging improvements
• – Patient medication safety training

Keywords for Articles:

medication administration, medication errors, medication safety

References:

Cohen, M. (2016). Medication errors (miscellaneous). Nursing. 46(2):72, February 2016. DOI: 10.1097/01.NURSE.0000476239.09094.06

Institute for Healthcare Improvement. (2017). Improve Core Processes for Administering Medications. http://www.ihi.org/resources/Pages/Changes/ImproveCoreProcessesforAdministeringMedications.aspx

Agency for Healthcare Research and Quality. (2012). Table 6: Categories of Medication Error Classification. http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/match/matchtab6.html

Schmidt, K., Taylor, A., & Pearson, A. (2017). Reduction of medication errors: A unique approach. Journal of Nursing Care Quality. 32(2), April/June 2017, 150–156.

Topic 4: Healthcare System Errors

Short Description:

The health care system in the United States has been the subject of much debate as experts try to determine the best way to deliver high-quality care. In Crossing the Quality Chasm, the Institute of Medicine (2001) called for the redesign of health care delivery systems and their external environments to promote care that is safe, effective, patient-centered, timely, efficient, and equitable.

Potential Intervention Approaches:

• – Systemwide transformation
• – Process redesign
• – Electronic health records

Keywords for Articles:

multi-stakeholder collaboration, healthcare system redesign

References:

Institute of Medicine (US) Committee on Quality of Health Care in America. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington (DC): National Academies Press (US).Agency for Healthcare Research and Quality. (2017). Hospitals and Health Systems. http://www.ahrq.gov/professionals/systems/index.html

Socratic Problem-Solving Approach

The Socratic Method is a teaching style in which teachers ask students questions designed to stimulate more complete thinking and deeper insight. It also relates to the steps of performing scientific research. When the Socratic approach is applied, students are prompted to look more closely at your ideas, question your assumptions and accepted premises, and view your choices through a rigorous lens.

Apply the Socratic approach – University of Florida NURS4000 Health Care Problem Analysis

Applying the Socratic approach to problem solving helps you identify gaps and improve your thinking when writing papers or completing projects. The questions may be used to spark new insights when responding to discussion topics and posts.

Supporting actions:

• • Break the problem down into pieces, elements, or components.
  • Recognize how the pieces or components are related to each other.
  • Look for missing information or gaps in what you know.
  • Note the information that you do not have, cannot find, or is unavailable.
  • Separate symptoms from underlying causes.
  • Avoid judgments and premature solutions.
  • Gather information.

Supporting questions:

• • What problem am I trying to solve?
  • What are the key issues in this problem?
  • What facts do I have? A fact is “something that actually exists; reality; truth; a truth known by actual experience or observation; something known to be true.”*
  • What evidence do I have? Evidence is “that which tends to prove or disprove something; grounds for belief; proof.”*
  • Which pieces of information are opinions? Opinion is “a belief or judgment that rests on grounds insufficient to produce complete certainty; a personal view, attitude, or appraisal.”*
  • Which pieces of information are inferences? To infer is “to derive by reasoning; conclude or judge from premises or evidence.”*
  • Are the inferences well or poorly reasoned? Can alternative inferences be drawn from the same facts or observations?
  • Which pieces of the information are theories? A theory is “a more or less verified or established explanation accounting for known facts or phenomena.”*
  • What do I not know?
  • What information is missing, and is it possible to get the information I do not have?
  • What are the possible sources of information?
  • What must remain unknown for now?

Supporting actions:

• • Gather information that you need to know more about the context surrounding this problem.
  • Decide which pieces of information are important.
  • Identify your point of view.
  • Consider how your cultural values shape your perception of the problem.
  • Evaluate conflicting evidence.
  • Separate symptoms from underlying causes.
  • Avoid value judgments and premature solutions.
  • Analyze arguments.
  • Identify what you do not understand and the complexities of the problem.
  • Define a research problem. University of Florida NURS4000 Health Care Problem Analysis

Supporting questions:

• • What are my goals? What am I trying to accomplish?
  • Which pieces of information are the most important in relationship to this problem?
  • Is the information, or presented evidence, relevant to the problem? Are there other ways to interpret the information?
  • How does the information relate to:
    • What I already know?
    • My personal and professional experiences?
  • How does this information support or match my experiences?
  • How does it contradict or differ from my experiences?
  • What information opposes my position?
  • What theories in my discipline shed light on this problem?
  • What are the values, beliefs, and assumptions (i.e. or the things that are taken for granted and usually unstated) implied in the problem statement?
  • What are my values and beliefs in relationship to this problem?
  • Am I ignoring evidence that does not fit with my beliefs?
  • Am I failing to consider or investigate evidence that may contradict the theory I support?
  • What are my assumptions in relationship to this problem?
  • What support or evidence do I have to back up these assumptions?
  • What are the values, beliefs, and assumptions of my sources of information and references in relationship to this problem?
  • How does my culture or my world view shape my approach to this problem?
  • How would someone from another culture or world view approach this problem?
  • What are the possible causes of this problem?
  • What blind spots are keeping me from seeing additional causes?
  • What evidence supports my assertions? How reliable is this evidence?
  • What evidence supports others’ assertions?
  • How reliable is this evidence?
  • What other issues relate to this problem?
  • Am I considering the complexities of this problem?
  • How important is the problem relative to other problems?

Supporting actions:

• • Consider the evidence for and against:
    • Your theory or viewpoint.
    • Others’ theories or viewpoints.
  • Analyze arguments.
  • Imagine the implications of each possible solution.
  • Formulate research questions or hypotheses.

Supporting questions:

• • What theories relate to these solutions?
  • What are the possible expert views that may be held on this problem?
  • Which views are best supported by evidence?
  • What are all the possible solutions, resources, and constraints to this problem?
  • Additional solutions
    • What blind spots are keeping me from seeing them?
    • What are the implications of these?
    • What might be the consequences of these?
    • What world view does each imply?

Supporting actions:

• • Evaluate your choice from alternative viewpoints, or put yourself in someone else’s shoes.
  • Question and consider the problems that may arise from your choice.
  • Choose research questions or hypotheses.

Supporting questions:

• • What theories in the discipline provide support for this solution?
  • How did I reach this conclusion?
  • Is this solution aligned with my goals? Does this solution address the problem’s most critical aspects?
  • Why do I prefer this solution, response, or answer?
  • How is this solution, response, or answer supported by, or dependent upon,:
    • Data, facts, and evidence?
    • Opinions or inferences?
  • What are the costs of this solution?
  • What are the possible risks of this solution? How likely are those risks?
  • What are the possible benefits of this solution? How likely are those benefits?
  • How do my biases affect my choice? What alternative biases might be held by others, and how would these affect their choices?
  • What assumptions, values, and goals does my choice imply?

Supporting actions:

• • Develop an action plan.
  • Test research questions or hypotheses.

Supporting questions:

• • Is the implementation supported by theory?
  • Is the implementation supported by the facts?
  • Is the implementation consistent with my purpose?

Supporting actions:

• • Analyze the results of your actions.
  • Analyze research data and formulate new questions based on the results.

Supporting questions:

• • Did I make progress toward solving the problem?
  • What did I learn?
  • How do the results relate to existing theories?
  • How do the results shed light on the existing body of evidence?
  • What new questions are raised by the results?

Socratic problem-solving references

Paul, R., & Elder., L. (2006) The miniature guide to critical thinking concepts & tools (4th ed.). Dillon Beach, CA: The Foundation for Critical Thinking.

Wertheim, E. G. (n.d.). A model for case analysis and problem solving. College of Business Administration, Northeastern University. Retrieved August 7, 2007, from http://web.cba.neu.edu/ewertheim/introd/cases.htm (Material no longer available at this link.)

*Source:

Related Resources

Learn more about applying the Socratic approach when creating discussion posts.

Identify gaps and improve your thinking when writing a course paper or completing a project.

Use the Socratic approach when responding to a discussion question.

Analyze a Current Health Care Problem or Issue Scoring Guide

Criteria	Non-performance	Basic	Proficient	Distinguished
Use scholarly information to describe and explain a health care problem or issue and identify possible causes for it. University of Florida NURS4000 Health Care Problem Analysis	Does not use scholarly information to describe and explain a health care problem or issue and identify possible causes for it.	Describes a health care problem or issue but does not explain it or identifies possible causes for a problem or issues but the identification is incomplete or inaccurate.	Uses scholarly information to describe and explain a health care problem or issue and identify possible causes for it.	Uses scholarly information to describe and explain a health care problem or issue and identify possible causes for it. Indicates which causes are the most likely.
Analyze a health care problem or issue by describing the context, explaining why it is important, and identifying populations affected by it.	Does not analyze a health care problem or issue by describing the context, explaining why it is important, and identifying populations affected by it.	Identifies a health care problem or issue but does not analyze it.	Analyzes a health care problem or issue by describing the context, explaining why it is important, and identifying populations affected by it.	Analyzes a health care problem or issue by describing the context, explaining why it is important, and identifying populations affected by it. Provides examples that support the analysis.
Discuss potential solutions for a health care problem or issue and describe what would be required to implement a solution.	Does not discuss potential solutions for a health care problem or issue and describe what would be required to implement a solution. University of Florida NURS4000 Health Care Problem Analysis	Incompletely or inaccurately discusses potential solutions for a health care problem or issue and what would be required to implement a solution.	Discusses potential solutions for a health care problem or issue and describes what would be required to implement a solution.	Discusses potential solutions for a health care problem or issue and describes what would be required to implement a solution and describes potential consequences of ignoring the problem or issue.
Analyze the ethical implications if a potential solution to a health care problem or issue was implemented.	Does not analyze the ethical implications if a potential solution to a health care problem or issue was implemented.	Identifies ethical implications if a potential solution to a health care problem or issue was implemented but does not analyze the implications.	Analyzes the ethical implications if a potential solution to a health care problem or issue was implemented.	Analyzes the ethical implications if a potential solution to a health care problem or issue was implemented and uses examples from the literature to support the analysis.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.	Does not write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.	Writes clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics with some errors and lapses.	Writes clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.	Writes clearly and logically, using evidence to support a central idea, with correct use of spelling, grammar, punctuation, and mechanics; the paper contains supporting examples for the main points.
Write following APA style for in-text citations, quotes, and references.	Does not write following APA style for in-text citations, quotes, and references.	Writes following APA style for in-text citations, quotes, and references with some errors and lapses. University of Florida NURS4000 Health Care Problem Analysis	Writes following APA style for in-text citations, quotes, and references.	Writes following APA style for in-text citations, quotes, and references without errors, and uses current reference sources.