NR 443 RN Week 5 Social Media Discussion: Healthcare Policies and Population Health

NR 443 RN Week 5 Social Media Discussion: Healthcare Policies and Population Health

NR 443 RN Week 5 Social Media Discussion: Healthcare Policies and Population Health

I manage three family practice offices in a large healthcare system and have seen many changes to healthcare over the last 20 years including the implementation of telehealth visits.  My healthcare organization was practicing telehealth but not fully, only a few of our 22 providers in our market were utilizing virtual health.  Once COVID hit, telehealth became an extremely important option for our patients to be seen safely.  Providers were able to perform virtual visits by using smart phones or ipads  from the comfort of their own home and the patient could get a full visit by using their smart phone or ipad from their own home too.  Virtual visits have a huge impact on patient care during this time and allow patients to feel like their health care needs are being met while remaining safe.  Policy regarding virtual health quickly escalated in primary care offices and with insurance companies.  Policies regarding payment and legal concerns were addressed quickly by organization and insurance companies to ensure virtual visits could be done while managing to still perform good care.

Interdisciplinary collaboration is extremely important when promoting virtual healthcare.  Healthcare organizations, providers, insurance companies, and patients all need to work together to ensure virtual health is as safe and effective as an in-person visit.  Of course privacy and security are important factor as well.  Virtual health is a key component of our future of health vision and will help meet patient’s needs by improving efficiency and saves time and enhances patient experience (Modern Healthcare, 2020).  Modern Healthcare noted that an average of two hours of time is saved for a patient by performing a virtual visit compared to an in-person visit.  Providers and patients must have a basic knowledge of technology to be able to perform a telehealth visit appropriately. 

Providers have an ethical responsibility to maintain during virtual visits just as they would with in-person visits and still provide competent care to patient’s and take steps to ensure continuity of care (AMA).  Nurses too must become invested in virtual healthcare and competent in health policy (Nies, 2019).  I have very mixed feelings regarding virtual health.  I have worked in family medicine for twenty years and it has been embedded in my brain the importance of using our senses, especially touch, while caring for a patient.  Providers are unable to listen to the heart, lungs, palpate, or get a blood pressure while performing a virtual visit.  In my rural farm community, some patients feel like they aren’t getting a complete thorough exam while being examined in a video visit.  I think the elderly population has had the most difficult time in my area adjusting to virtual visits.  The millennial generation and younger have adapted well, But that is the culture of those generations.  “Nurses knowledge of culture and cultural concepts improves the health of the community by enhancing their ability to provide culturally competent care” (Nies, 2019).  Virtual health is for sure transforming healthcare.

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Virtual Care-24/7 Care in the comfort of your own Home. A Better Way to Get Well and Stay Safe. #videovisit  #convenientandsafe #Comfortofhome   https://livehealthonline.com/Links to an external site.

Nies, M.A., & McEwen, M. (2019). Community/Public Health Nursing: Promoting the health of populations (7^th ed.). Saunders/Elsevier.

Fera, B., Korba, C., & Shukla, M. (2020,May 27). The future of virtual health. Modern Healthcare. https://www.modernhealthcare.com/technology/future-virtual-healthLinks to an external site.

AMA. (n.d.). Ethical Practice in Telemedicine.  Retrieved September 29, 2020, from https://www.ama-assn.org/delivering-care/ethics/ethical-practice-telemedicineLinks to an external site.

Discussion Question

Healthcare policies impact all populations. Now, with the use of social media, policies involvement and awareness are rising.

1. Take a moment to review the Twitter feed for compelling Tweets that are related to healthcare policy and are directly impacting your community or those you care for.
2. Give an overview of the policy or potential policy. Include how it could impact your community or those you care for positively
3. Next, discuss the importance that interdisciplinary collaboration would have related to the
4. Then, identify any ethical concerns it raises for you and
5. Compose a 280-character or fewer Tweet that describes what you have shared with the class. Remember Twitter only allows 280 characters (this include spaces, etc.) so you will need to be concise. It should include a hashtag. Include a reference URL if applicable. Share this Tweet in the discussion. (Note: A Twitter account is not required).
6. Your discussion post should look like:
   • Paragraph one: overview of the policy or potential policy. Include how it could impact your community or those you care for positively
   • Paragraph two: Discuss the importance that interdisciplinary collaboration would have related to the
   • Paragraph three: Identify any ethical concerns it raises for you and why
   • Paragraph four: Compose a Tweet that describes what you have shared with the
   • Resources: Where did you find your data?
7. Example Tweet: Medications should be affordable. #pharmaceuticaltransparency #nursesunit #advocate https://cms.gov/newsroom/press-releases/cms-takes-action-lower- prescription-drug-prices-and-increase-transparency

SOLUTION  

Alcohol use is a big problem in the city of Milwaukee. 25% of Milwaukee residents drink excessively (“How Healthy is your County? | County Health Rankings”, 2020). In 2011, more than 19 million people were in need for but did not receive substance use treatment and 95% of those people did not know they had a problem (Substance Abuse and Mental Health Services Administration, 2013, p. 11). When a patient is admitted to the hospital, part of the admission process is asking their alcohol intake but I feel as though it can be bypassed by those doing the admission, or some patients may hide their alcohol intake. When I used to work outpatient at a clinic, there was no policy or process in place for screening at routine visits. A better, more universal policy should be in place for alcohol use screening in a healthcare setting to improve patient outcomes.

It is alarming that 19 million people needed substance use treatment and did not receive it. This can be fixed by utilizing interdisciplinary collaboration. By collaborating with providers to place referrals, social workers to help patients find treatment facilities and ensuring….

Hello Dr. Pearce and Classmates,

Paragraph one: Overview of the policy or potential policy. Include how it could impact your community or those you care for positively or negatively.

The CDC’s Strategic Framework consists of “using science and innovation to prevent, detect and respond to diseases and global pandemic threats, providing domestic preparedness and global health security” (Centers for Disease Control, 2019). Vaccines are crucial for public health and have significantly decreased the strain that infectious diseases perpetrate worldwide. However, despite the efforts of scientific experts emphasizing the importance and safety of vaccinations, hesitancy and refusals to receive vaccinations are increasing. Fear of vaccinations, lack of trust, inadequate education and misinformation are a few reasons for this trend. The CDC recommends that every person older than 6 months should receive the current flu vaccine. As the global COVID-19 pandemic continues, obtaining the seasonal flu vaccination is essential for communities to stay healthy and not overwhelm the hospital system. As some school districts have returned to in-person learning (partial or full), vaccinations are even more vital to limit the spread (Anupam and Worsham, 2020). Public health messaging supported by nurses can be an influencer. Recognizing educational and financial barriers when allocating resources is essential to achieve this goal.

Paragraph two: Discuss the importance that interdisciplinary collaboration would have related to the policy.

Interdisciplinary collaboration with other providers can improve patient outcomes. Sharing responsibility for problem solving and making decisions is necessary to achieve goals. Nurses can make a difference in the communities they serve by understanding policy and the problems of public concern surrounding vaccinations (Nies & McEwen, 2019). Addressing vaccine hesitancy and refusal requires a multifaceted approach, focusing on educational and financial barriers.

Paragraph three: Identify any ethical concerns it raises for you and why.

Ethical considerations for me are when parents refuse to vaccinate their children basing their rationale on nonmedical exceptions. Whether they feel there is no need for vaccines, citing that vaccines are unnatural or to the extreme, referencing conspiracy theories. It brings into question what is truly defensible if the child suffers harm because of not vaccinating. Addressing the informed-consent process with a more educationally intensive focus may need to be considered.

Paragraph four: Compose a Tweet that describes what you have shared with the class.

Vaccines are vital to prevent the spread of disease. They keep our communities safe. As children return to school, ensure you and your child(ren) are vaccinated. https://www.cdc.gov/flu/prevent/keyfacts.htmLinks to an external site. #GetVaccinated #LimittheSpread #PublicHealth #KeepCommunitiesSafe

Resources

Anupam, J. & Worksham, C. M. (2020). “If we want to beat COVID-19, we need to get a lot better at vaccinating people.” The Washington Post (Online), Washington, D.C.: WP Company LLC d/b/a The Washington Post. Jul 9, 2020. Retrieved on 30 September 2020 from ProQuest.

Centers for Disease Control (2019). CDC Strategic Framework. https://www.cdc.gov/about/organization/strategic-framework/index.htmlLinks to an external site.

Nies M. A. & McEwen, M. (2019). Community/Public health nursing: Promoting the health of

populations (7th ed.). Saunders/Elsevier. pg. 189.

Participation: RN-to-BSN

In discussions, you, as a student, will interact with your instructor and classmates to explore topics related to the content of this course. You will be graded for the following.

1. Attendance

Discussions (graded): Discussions are a critical learning experience in the online classroom. Participation in all discussions is required.

2. Guidelines and Rubric for Discussions

PURPOSE: Threaded discussions are designed to promote dialogue between faculty and students, and students and their peers. In the discussions students:

• Demonstrate understanding of concepts for the week
• Integrate scholarly resources
• Engage in meaningful dialogue with classmates
• Express opinions clearly and logically, in a professional manner

Participation Requirement: You are required to post a minimum of three (3) times in each graded discussion. These three (3) posts must be on a minimum of two (2) separate days. You must respond to the initial discussion question by 11:59 p.m. MT on Wednesday.

Participation points: It is expected that you will meet the minimum participation requirement described above. If not:

• You will receive a 10% point deduction in a thread if your response to the initial question is not posted by 11:59 p.m. MT on Wednesday
• You will also receive a 10% point deduction in a thread if you do not post at least three (3) times in each thread on at least two (2) separate days.

3. Threaded Discussion Guiding Principles

The ideas and beliefs underpinning the threaded discussions (TDs) guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The use of TDs provides students with opportunities to contribute level-appropriate knowledge and experience to the topic in a safe, caring, and fluid environment that models professional and social interaction. The TD’s ebb and flow is based upon the composition of student and faculty interaction in the quest for relevant scholarship. Participation in the TDs generates opportunities for students to actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty. TDs foster the development of members into a community of learners as they share ideas and inquiries, consider perspectives that may be different from their own, and integrate knowledge from other disciplines.

4. Participation Guidelines

You are required to post a minimum of three (3) times in each graded discussion. These three (3) posts must be on a minimum of two (2) separate days. You must respond to the initial discussion question by 11:59 p.m. MT on Wednesday. Discussions for each week close on Sunday at 11:59 p.m. Mountain Time (MT). To receive credit for a week’s discussion, students may begin posting no earlier than the Sunday immediately before each week opens. For courses with Week 8 graded discussions, the threads will close on Wednesday at 11:59 p.m. MT. All discussion requirements must be met by that deadline.

5. Grading Rubric

Discussion Criteria	 A (100%) Outstanding or highest level of performance 	B (87%) Very good or high level of performance	C (76%) Competent or satisfactory level of performance	F (0) Poor or failing or unsatisfactory level of performance
Answers the initial graded threaded discussion question(s)/topic(s), demonstrating knowledge and understanding of concepts for the week. 16 points	Addresses all aspects of the initial discussion question(s) applying experiences, knowledge, and understanding regarding all weekly concepts.16 points	Addresses most aspects of the initial discussion question(s) applying experiences, knowledge, and understanding of most of the weekly concepts.14 points	Addresses some aspects of the initial discussion question(s) applying experiences, knowledge, and understanding of some of the weekly concepts.12 points	Minimally addresses the initial discussion question(s) or does not address the initial question(s).0 points
Integrates evidence to support discussion. Sources are credited.* ( APA format not required) 12 points	Integrates evidence to support your discussion from:assigned readings** OR online lessons, ANDat least one outside scholarly source.***Sources are credited.*12 points	Integrates evidence to support discussion from:assigned readings OR online lesson.Sources are credited.*10 points	Integrates evidence to support discussion only from an outside source with no mention of assigned reading or lesson.Sources are credited.*9 points	Does not integrate any evidence.0 points
Engages in meaningful dialogue with classmates or instructor before the end of the week. 14 points	Responds to a classmate and/or instructor’s post furthering the dialogue by providing more information and clarification, thereby adding much depth to the discussion.14 points	Responds to a classmate and/or instructor furthering the dialogue by adding some depth to the discussion.12 points	Responds to a classmate and/or instructor but does not further the discussion.10 points	No response post to another student or instructor.0 points
Communicates in a professional manner. 8 points	Presents information using clear and concise language in an organized manner (minimal errors in English grammar, spelling, syntax, and punctuation).8 points	Presents information in an organized manner (few errors in English grammar, spelling, syntax, and punctuation).7 points	Presents information using understandable language but is somewhat disorganized (some errors in English grammar, spelling, syntax, and punctuation).6 points	Presents information that is not clear, logical, professional or organized to the point that the reader has difficulty understanding the message (numerous errors in English grammar, spelling, syntax, and/or punctuation).0 points
PARTICIPATION: Response to initial question: Responds to initial discussion question(s) by Wednesday, 11:59 p.m. M.T.	0 points lostStudent posts an answer to the initial discussion question(s) by Wednesday, 11:59 p . m. MT.		-5 pointsStudent does not post an answer to the initial discussion question(s) by Wednesday, 11:59 p . m. MT.
PARTICIPATION Total posts: Participates in the discussion thread at least three times on at least two different days.	0 points lostPosts in the discussion at least three times AND on two different days.		-5 pointsPosts fewer than three times OR does not participate on at least two different days.
NOTES: * Credited means stating where the information came from (specific article, text, or lesson). Examples: Our text discusses…. The information from our lesson states…, Smith (2010) claimed that…, Mary Manners (personal communication, November 17, 2011)…. APA formatting is not required.
** Assigned readings are those listed on the syllabus or assignments page as required reading. This may include text readings, required articles, or required websites.
*** Scholarly source – per the APA Guidelines in Course Resources, only scholarly sources should be used in assignments. These include peer reviewed publications, government reports, or sources written by a professional or scholar in the field. Wikipedia, Wikis, .com website or blogs should not be used as anyone can add to these. For the discussions, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. Outside sources do not include assigned required readings.
NOTE: A zero is the lowest score that a student can be assigned.