healthcare delivery models

· Directly reference the TITLE of the assignments you have referenced, provide 2-3 sentences with the knowledge you gained from it. and provide 3-4 sentences of how this knowledge was applied in your own nursing practice. This is your ‘evidence’ of HOW you met this Essential.

· DO NOT give a full explanation from your original paper to avoid duplication of information. Please DO NOT Copy & Paste your previous assignments within the reflection paper. (Just a quick reflective lookback/overview is all that is needed).

NURS 561 Health Promotion & Disease Prevention

Discussion 1

How should you respond if your health promotion values conflict with a client’s values?

Discussion 2

What ethical issue have you recently encountered when teaching health promotion strategies to a patient? What ethical decision-making process did you use?

Prompt #1

In a time when my health promotion values conflict with that of the patients, there are things that I may do to ensure that the values serve the interest of both parties. For one, I wound engage in an educative and informative session with the client to convince and show the relevance of my health promotion values such as body exercise. This would play a role to change the perspective of the client towards the health promotion programs that I might have suggested to the client. However, this could take some time as the client would require an environment and room to get convinced after having a taste for both of the health promotions.

Also, I would opt to adopt the client’s values and improve on them to avoid conflicts. This would ensure that the client benefits from the health values and avoid conflicts. The act of improving the client’s wishes and values creates a friendly environment between the client and me, thus a better way of achieving the objectives of the health promotion values.

I would do this with the hopes of improving and correcting the necessary areas in the health promotion values of the patient. In this case, I will have a chance to include my health promotions values in the patient’s suggestion.

Besides I would totally adopt my health promotion program that is professionally acceptable in the field of medical and health system. This would ensure that the patient receive the acceptable services for the health program. However, there might rise some conflicts between what the patient suggest and the health practitioner promotion programs which ends as the patient recovers from the ailment.

Prompt# 2

One of the ethical issues that I have encountered while teaching health promotion strategies is the lack of a common language of communication as the patient background happened to have the knowledge of only one local language. In some instances I would mention and explain a medical element while in using the language that the patient would not understand. I lacked the knowledge of the same language she used, created a scenario of an ethical issue as I had to do things regarding her health without proper communication.

Therefore, I decided to seek an interpreter to ensure that the client got the information concerning health promotion values. The interpreter had the knowledge of both the local language and my language, creating a better communication environment. Having him around ensured that the patient could understand the medical terminologies and other explanations.

1.Choose two emerging populations, such as Latino/Hispanic Americans, Asian Americans/Pacific Islanders, or Black/African Americans. How do health issues differ between the two populations?

1. Latino/Hispanic Americans versus Asian Americans/Pacific Islanders Heath Issues

There are various emerging populations in the U.S. with adequate evidence of disparities among ethnic groups. Healthcare disparities are the leading in the United States of America since people are discriminated against their origins, race, and ethnic groups. Response to health problems is different because most ethnic groups differ in the extend at which they are affected by risk factors and the degree of health problems. Some ethnic groups suffer from health problems that seem normal to the other community depending on ancestry and quality of health care administered. Unequal treatment widens the ethnic disparities among various populations (Sevelius et al, 2019). This paper discusses how health issues differ between Latino/Hispanic Americans and Asian/Pacific Islanders.

Descendants of Latin Americans and Spain are called Hispanic and Latino Americans respectively. Asian/Pacific islanders are people that originated from the Far East, Southeast Asia, and other Indian subcontinents. The two populations identified above differ in the way they respond to various healthcare issues. Hispanic/Latino groups have better scores by having all the components of the SF-12 as compared to Pacific islanders.

In terms of access to health care facilities and services, the Mexican population in the Hispanic/Latino group has the highest rate of uninsurance and do not think insurance is the best method to accessing quality health care system in the country. Other groups include the Puerto Rican category with the lowest rate of uninsurance at 17.6 percent. The Pacific islanders depend on insurance covers to cater for their medical expenses in the United States of America. Besides both pacific islanders and Hispanic American populations growing too fast, they still lack proper medical covers to cater for their healthcare problems. Hispanic Americans acknowledge diseases such as cancer, mental problems, low birth weight, Asthma, and cardiovascular health as opposed to their counterparts, Asian/pacific islanders.

Reference

Sevelius, J., Chakravarty, D., Neilands, T. B., Keatley, J., Shade, S. B., Johnson, M. O., & Rebchook, G. (2019). Evidence for the model of gender affirmation: the role of gender affirmation and healthcare empowerment in viral suppression among transgender women of color living with HIV. AIDS and Behavior, 1-8.

NURS 350 Research in Nursing,

How does the registered nurse use guided research in the clinical setting?

Research nurses always play a very crucial role in supporting the research teams, safety, and information of participants and ensuring that the research studies run smoothly. The nurses have a very vital task in research, which comes with the opportunities to learn and develop new skills in the guided study. The nurses are responsible for the development of new skills and different skills in the area of research. They are very critical in finding new treatments and in the improvement of patient care. The nurses, therefore, always need a thorough understanding of the specialty under investigation.

It is the role of the nurses to act as advocates for the patient. The research nurses have to ensure that they support and protect the patient throughout the guided research process. Each participating nurse has to ensure involvement in there using their corresponding broad range of skills. (Siedlecki and Albert, 2017. The skills may include project management mentoring, information, and communication sharing in the research process. They are often required to work across specialties and in very complex situations. Also, the nurses must work with the other researchers employing both teamwork and multidiscipline to ensure the success of the research. The research nurse must work in the various clinical trials concerning the area of the research.

Nurses in guided research are responsible for responding to the change in the healthcare environment, concerns on the patient, and government regulation. The nurse is accountable for making discoveries to bring beneficial changes to the nursing field. Every nurse knows the importance of the research and has to work to achieve the task. It is the role of the nurses to come up with the best nursing practices and improve patient care. The discoveries made through the guided research are attributed to the nurses working in the research.

Reference

Siedlecki, S. L., & Albert, N. M. (2017). Research‐active clinical nurses: against all odds. Journal of clinical nursing, 26(5-6), 766-773.

It is essential to provide time to take a breath for nursing students before a simulation session as the researchers take care of the dependent variable. This experience gives them a chance to learn and improve their clinical and in making decisions on ways they approach different patients without interfering with the well-being of a patient in real-life situations. The importance of such a study would be to find out the effect of size simulation-based education. Theoretical knowledge from books and study rooms is more enhanced in practice during that simulation based education.

Nursing students were given with breathing sessions would increase their awareness of the simulation experience as it forms a base to attentiveness and focus. According to BMC Medical education on the effectiveness of simulation-based education to nursing students, it depends on the facility that ranges from a low to high fidelity. Effectiveness of the given simulation varies according to the level of the simulator in use; several researchers such as Issenberge et al. suggested that HSF had a positive effect on medicine-related study students.

Student satisfaction was met effectively as simulation-based education is practiced as one of the interventions to meet the education goal, one being the ability to improve the skills to solve problems related to the medical field of study. This simulation-based education is preferable as little interference with the well-being of humans is limited, ethics, and codes of work (Kim, 2014). Mindful meditation and relaxation before such an educational simulation would enhance its effectiveness.

References

Kim, J., Park, J. H., & Shin, S. (2016). Effectiveness of simulation-based nursing education depending on fidelity: a meta-analysis. BMC medical education, 16(1), 152.