Assume that you have knowledge that the nurse working with you on your unit has been illegally using drugs. Discuss your professional obligations and institutional obligations to disclose this. Discuss the referral sources for impaired nurses in your state. Analyze the impact of this issue on your advanced practice role as a practitioner/administrator/educator.
- Discuss a grand theory that would provide a framework to address a clinical topic that interests you.
- Include in your discussion an example of how this theory has been used as a framework in nursing research. Include a scholarly article as a reference to support your example.
As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?
Scenario #5 A 17-year-old boy has come in for a check-up after a head injury during a football game. He has indicated that he would like to be able to play in the next game, which is in 3 days.
Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least 5 different references from current evidence based literature.
Access to quality healthcare is a major social issue in the United States and around the world. In fact, healthcare reform and access to affordable health insurance is a hotly debated political issue. Many advocates of healthcare reform point to the high level of spending on healthcare in the United Sates and the relatively poor health outcomes in the U.S. as compared to other countries. In 2010, the Patient Protection and Affordable Care Act (PPACA) passed, and was later upheld by the Supreme Court. While this controversial policy greatly decreased the number of U.S. citizens without health insurance, the United States still stands more or less alone among wealthy industrialized democracies in this approach to healthcare. For this discussion, you will take an in-depth look at access to healthcare as a social problem by comparing the U.S. healthcare system to another country of your choice.
For this discussion review each of the following resources:
- Poor and Uninsured (Links to an external site.)Links to an external site.
- Key Facts about the Uninsured (Links to an external site.)Links to an external site.
- Mirror, Mirror on the Wall: How the Performance of the U.S. Health Care System Compares Internationally (Links to an external site.)Links to an external site.
- Here’s a Map of the Countries that Provide Universal Health Care (Links to an external site.)Links to an external site.
- Recommended: U.S. Health Care from a Global Perspective: Spending, Use of Services, Prices, and Health in 13 Countries (Links to an external site.)Links to an external site.
Based on these resources, please address each of the following:
- In general, who comprises the uninsured population in the United States? Since the passage of the 2010 Affordable Care Act, what are the most common reasons that people still lack health insurance?
- Describe how healthcare spending in the U.S. compares to other countries. Describe how healthcare outcomes in the U.S. compare to other countries. Based on the resources you reviewed, are healthcare spending and health outcomes related to one another? In other words, does spending more on health care lead to better health outcomes (i.e. a healthier population) and vice versa?
- What is universal health care? Describe the healthcare system in at least one country that guarantees universal health coverage to all of its citizens (you can find a list of such countries in the resources provided).
- How does a universal health care system compare to the system currently in place in the U.S.? In your informed opinion, why is the U.S. one of the only wealthy industrialized democracies that does not have university healthcare coverage?
- According to the Commonwealth Fund reports, how is the performance of the United States’ healthcare system related to equity? Which social groups have the least access to quality healthcare? Why?
- Locate a public health communication website, blog, or podcast and evaluate it according to the National Library of Medicine Tutorial https://medlineplus.gov/webeval/webeval.html. Review the examples provided in the Learning Resources.
- Consider how the website, blog, or podcast could be adapted for use in a different region, state, and country. Think about how the cultural and literacy differences between the locations may impact the adaptation process. Review Simply Put: A Guide for Creating Easy to Understand Materials available at https://www.cdc.gov/healthliteracy/pdf/Simply_Put.pdf for tips on designing for lower literacy populations.
Post the following:
- Describe the public health communication website, blog, or podcast you selected. Include the URL in your posting.
- Evaluate the accuracy, authority, objectivity, currency, and coverage of the health information presented.
- Provide a detailed explanation of the tool you selected and describe how it could be adapted for another population or group. Explain how this adaptation addresses cultural as well as literacy differences.
Support your posting with information from the Learning Resources. Be sure to cite references in APA format.