NHS-FPX 4000 Assessment 4 Analyzing a Current Health Care Problem or Issue

NHS-FPX 4000 Assessment 3 Analyzing a Current Health Care Problem or Issue

NHS-FPX 4000 Assessment 3 Analyzing a Current Health Care Problem or Issue

Potential Solutions

A number of interventions can be adopted to address the issue of medication errors. One of the strategies recommended by Gorgich et al., (2016) in their study is easing the workplace pressure by hiring more providers of care. Increasing the workforce would lower the workload and the risk of healthcare providers providing unsafe care to the patients. Technology can also be incorporated into healthcare to manage and prevent medication errors in healthcare. For example, the use of electronic health records can enable the detection of overdose and under dose of medical prescriptions, hence, minimizing the risk of medication errors (Santos et al., 2019). The use of bar code and automated systems for dispensing medications also promise to reduce the risk of medication errors in health. These technologies keep an accurate drug inventory and coding of medications to minimize the risk of dispensing errors by healthcare providers (Godshall & Riehl, 2018). Training healthcare providers on medication safety is also an effective approach to preventing and reducing rates of medication errors. Training equips the healthcare providers with knowledge and skills needed for safe use of medications. Prior to training, needs assessment should be performed to determine the critical needs of the providers to aid the development of the training program (Di Simone et al., 2016). The resources that are needed for the above solutions to be implemented include institutional support, technology adoption, and continuous monitoring from the management.

The proposed intervention that should be utilized to address the issue of medication errors is training healthcare providers. Healthcare providers should be trained on safe medication practices. They should also be trained on the importance of speaking up if a medication error occurs (Di Simone et al., 2016). Training is associated with advantages that include sustained behavioral change from the healthcare providers. However, it might be costly for health organizations to train all their healthcare providers. ineffective use of data from needs assessment might also lead to the training failing to address the critical needs of the patients. The potential consequences of ignoring the issue of medication errors include high morbidity and mortality rates, increased costs of healthcare, and ineffective realization of safety and quality targets in health.

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Ethical Implications if a Potential Solution was Implemented

The above section proposed the provision of training opportunities to healthcare providers on medication safety. The implementation of the proposal is associated with a number of ethical issues. One of them is behavioral transformation. The providers will embrace behaviors that strengthen safety and quality in medication administration. The implementation of the solution will also result in the improvement in the quality of care. Training providers on medication safety creates organizational culture that prioritizes safety needs of the patients.  Healthcare providers incorporate safety practices into their routine, leading to safety in medication administration. One of the benefits of implementing the proposed solution from an ethical point of view is promotion of public safety and trust towards care given in an organization. A reduction and prevention of medication errors will translate into the enhanced quality and safety of care, hence, patient outcomes (Di Simone et al., 2016). The implementation of the solution however is associated with the ethical disadvantage of causing financial harm to the organization. Providing training to providers require a significant use of financial resources to acquire the needed training materials and technologies for use. Therefore, health organizations have to weigh between the financial gains and risks of providing training to providers on medication safety. The requirements for implementing the solution include expert trainers, incentives for healthcare providers, training materials, and technologies for medication administration.

Conclusion

Medication errors have significant adverse outcomes to patients and health organizations. Medication errors increase the risk of harm to patients. The harm increase hospital stay and costs incurred by patients in seeking additional care due to harms from the errors. Health organizations also incur extra costs in providing care to patients affected by medication errors. Medication errors arise from factors that include high workload, ineffective communication among healthcare providers and wrong calculation of medication dosages. A number of interventions can be utilized to address the issue of medication errors in health. The interventions include provider training, use of technology and increasing workforce to reduce workload and burnout among healthcare providers. The proposed intervention for use in this research paper is the provision of medication safety training to the healthcare providers. The training will equip them with the knowledge and skills on safe use of medications, hence, minimizing behaviors that increase the risk of errors in practice. Through this intervention, the desired culture of medication safety will be created in the organization.

References

Assiri, G. A., Shebl, N. A., Mahmoud, M. A., Aloudah, N., Grant, E., Aljadhey, H., & Sheikh, A. (2018). What is the epidemiology of medication errors, error-related adverse events and risk factors for errors in adults managed in community care contexts? A systematic review of the international literature. BMJ Open, 8(5), e019101. https://doi.org/10.1136/bmjopen-2017-019101

Di Simone, E., Tartaglini, D., Fiorini, S., Petriglieri, S., Plocco, C., & Di Muzio, M. (2016). Medication errors in intensive care units: Nurses’ training needs. Emergency Nurse, 24(4).

Godshall, M., & Riehl, M. (2018). Preventing medication errors in the information age. Nursing2020, 48(9), 56–58. https://doi.org/10.1097/01.NURSE.0000544230.51598.38

Gorgich, E. A. C., Barfroshan, S., Ghoreishi, G., & Yaghoobi, M. (2016). Investigating the Causes of Medication Errors and Strategies to Prevention of Them from Nurses and Nursing Student Viewpoint. Global Journal of Health Science, 8(8), 220–227. https://doi.org/10.5539/gjhs.v8n8p220

Izadpanah, F., Nikfar, S., Bakhshi Imcheh, F., Amini, M., & Zargaran, M. (2018). Assessment of Frequency and Causes of Medication Errors in Pediatrics and Emergency Wards of Teaching Hospitals Affiliated to Tehran University of Medical Sciences (24 Hospitals). Journal of Medicine and Life, 11(4), 299–305. https://doi.org/10.25122/jml-2018-0046

Krzyzaniak, N., & Bajorek, B. (2016). Medication safety in neonatal care: A review of medication errors among neonates. Therapeutic Advances in Drug Safety, 7(3), 102–119. https://doi.org/10.1177/2042098616642231

Piroozi, B., Mohamadi-Bolbanabad, A., Safari, H., Amerzadeh, M., Moradi, G., Usefi, D., Azadnia, A., & Gray, S. (2019). Frequency and potential causes of medication errors from nurses’ viewpoint in hospitals affiliated to a medical sciences University in Iran. International Journal of Human Rights in Healthcare, 12(4), 267–275. https://doi.org/10.1108/IJHRH-11-2018-0072

Santos, H. D. P. d, Ulbrich, A. H. D. P. S., Woloszyn, V., & Vieira, R. (2019). DDC-Outlier: Preventing Medication Errors Using Unsupervised Learning. IEEE Journal of Biomedical and Health Informatics, 23(2), 874–881. https://doi.org/10.1109/JBHI.2018.2828028

Shitu, Z., Aung, M. M. T., Tuan Kamauzaman, T. H., & Ab Rahman, A. F. (2020). Prevalence and characteristics of medication errors at an emergency department of a teaching hospital in Malaysia. BMC Health Services Research, 20(1), 56. https://doi.org/10.1186/s12913-020-4921-4

Stewart, D., Thomas, B., MacLure, K., Pallivalapila, A., Kassem, W. E., Awaisu, A., McLay, J. S., Wilbur, K., Wilby, K., Ryan, C., Dijkstra, A., Singh, R., & Hail, M. A. (2018). Perspectives of healthcare professionals in Qatar on causes of medication errors: A mixed methods study of safety culture. PLOS ONE, 13(9), e0204801. https://doi.org/10.1371/journal.pone.0204801

Assessment 3 Instructions: Analyzing a Current Health Care Problem or Issue.

  • Write a 4-6 page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.

Introduction

In your health care career, you will be confronted with many problems that demand a solution. By using research skills, you can learn what others are doing and saying about similar problems. Then, you can analyze the problem and the people and systems it affects. You can also examine potential solutions and their ramifications. This assessment allows you to practice this approach with a real-world problem.

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

    1. Describe the health care problem or issue you selected for use in Assessment 2 (from the Assessment Topic Areas media piece) and provide details about it.
      • Explore your chosen topic. For this, you should use the first four steps of the Socratic Problem-Solving Approach to aid your critical thinking. This approach was introduced in Assessment 2.
      • Identify possible causes for the problem or issue.
    1. Use scholarly information to describe and explain the health care problem or issue and identify possible causes for it.
      • Identify at least three scholarly or academic peer-reviewed journal articles about the topic.
        • You may find the How Do I Find Peer-Reviewed Articles? library guide helpful in locating appropriate references.
        • You may use articles you found while working on Assessment 2 or you may search the Capella library for other articles.
        • You may find the applicable Undergraduate Library Research Guide helpful in your search.
      • Review the Think Critically About Source Quality to help you complete the following:
        • Assess the credibility of the information sources.
        • Assess the relevance of the information sources.
    1. Analyze the health care problem or issue.
      • Describe the setting or context for the problem or issue.
      • Describe why the problem or issue is important to you.
      • Identify groups of people affected by the problem or issue.
      • Provide examples that support your analysis of the problem or issue.
    1. Discuss potential solutions for the health care problem or issue.
      • Describe what would be required to implement a solution.
      • Describe potential consequences of ignoring the problem or issue.
      • Provide the pros and cons for one of the solutions you are proposing.
    1. Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented.
      • Describe what would be necessary to implement the proposed solution.
      • Explain the ethical principles that need to be considered (Beneficence, Nonmaleficence, Autonomy, and Justice) if the potential solution was implemented.
      • Provide examples from the literature to support the points you are making.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Additional Requirements

Your assessment should also meet the following requirements:

    • Length: 4–6 typed, double-spaced pages, not including the title page and reference page.
    • Font and font size: Times New Roman, 12 point.
    • APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
    • Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
    • Using outside sources: Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
    • References: Integrate information from outside sources to include at least three scholarly or academic peer-reviewed journal articles and three in-text citations within the paper.
    • APA format: Follow current APA guidelines for in-text citations of outside sources in the body of your paper and also on the reference page.

Organize your paper using the following structure and headings:

    • Title page. A separate page.
    • Introduction. A brief one-paragraph statement about the purpose of the paper.
    • Elements of the problem/issue. Identify the elements of the problem or issue or question.
    • Analysis. Analyze, define, and frame the problem or issue.
    • Considering options. Consider solutions, responses, or answers.
    • Solution. Choose a solution, response, or answer.
    • Ethical implications. Ethical implications of implementing the solution.
    • Implementation. Implementation of the potential solution.
    • Conclusion. One paragraph.

Competencies Measured:

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

    • Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
      • Use scholarly information to describe and explain a health care problem or issue and identify possible causes for it.
    • Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.
      • Analyze a health care problem or issue by describing the context, explaining why it is important and identifying populations affected by it.
      • Discuss potential solutions for a health care problem or issue and describe what would be required to implement a solution.
    • Competency 3: Apply ethical principles and academic standards to the study of health care.
      • Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented
    • Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.
      • Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
      • Write following APA style for in-text citations, quotes, and references.
  • SCORING GUIDE

Use the scoring guide to understand how your assessment will be evaluated.

VIEW SCORING GUIDE

Analyzing 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. Does not use scholarly information to describe or explain a health care problem or issue or 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, and 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, and 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. 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, describes what would be required to implement a solution, and describes potential consequences of ignoring the problem or issue.
Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented Does not mention ethical principles if the potential solution was implemented. Mentions ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) that need to be considered if the potential solution was implemented but does not explain them. Explains the ethical principles that need to be considered (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented. Explains the ethical principles that need to be considered if potential solution was implemented and enriches the analysis with examples from the readings.
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 and ensures 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. 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.

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APA Writing Checklist

NHS-FPX 4000 Assessment 3 Analyzing a Current Health Care Problem or Issue
NHS-FPX 4000 Assessment 3 Analyzing a Current Health Care Problem or Issue

Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.

Read Also: NHS-FPX 4000 Assessment 1 Applying Ethical Principles

☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.

☐  The title page is present. APA format is applied correctly. There are no errors.

☐ The introduction is present. APA format is applied correctly. There are no errors.

☐ Topic is well defined.

☐ Strong thesis statement is included in the introduction of the paper.

☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.

☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.

☐ All sources are cited. APA style and format are correctly applied and are free from error.

☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.

Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.

Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.

Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.

Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.

Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.

☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.

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