NR 443 RN Week 8 Discussion: Future Directions

NR 443 RN Week 8 Discussion: Future Directions

NR 443 RN Week 8 Discussion: Future Directions

For this discussion board, I will discuss a global concern that has impacted my community and those that I am caring for.  The global health concern I am going to discuss is COVID. I chose this health concern because it has caused the greatest effect on my healthcare setting and how we preform our jobs. Our entire routine in the emergency department has been disrupted, and we are constantly changing the way we do things to best fit the needs of every patient. Our largest change in the ED is the new position we have as a door nurse. A nurse is placed in front of the ED doors to screen every patient who comes in. The door nurse is responsible for taking temperatures, dictating what patients need to be placed in isolation, and only allowing one visitor per patient.  This position requires a nurse because assessment is required. We are also now required to staff a nurse for our isolation area. This has been a difficult task because we have one nurse who runs isolation for 12 hours. Anyone who has worked in isolation knows how draining this can be. Also, the nurse is required to do all of the work while the UAP is there to run bloodwork and EKG’s and collect the medication to bring back to the isolation nurse. The last change that I think is big in the department I work for is the wearing of N95 for 12 hours. Although I know this is important and protects not only staff but patients too, wearing this mask for long periods of time can be a difficult task.

COVID has greatly affected how we all work as nurses. In the department I work in, we use a system called IBEX. Here we are able to track patients based on symptoms and acuity and we are able to separate isolation patients from regular ER at patients. We also have a new indicator next to the patient’s name. This indicator can tell us if the patient has been COVID positive in the last 60 days, or if they have been tested in the last 14 days. A green arrow indicates COVID positive and a purple arrow indicates patient has been tested. This also can be helpful in deciding which patients need to go to an isolation room and who is okay to be placed in the regular ED beds. 

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COVID-19 in Ohio: State sets another record for new cases in single day.  I think this will impact future trends by continuing to see COVID 19 cases rise. With the trends continually rising over the past few days, I can imagine that this will continue to rise and eventually even out like it has over the past few months. 

MYTWEET: COVID-19 on the decline in Ohio, peak of pandemic is finally over.  #nomoremask #normalizegroupparties #quarantineisover

Katelyn, P. (2020). COVID 19 Tracking. Retrieved October 18, 2020, from https://twitter.com/COVID19TrackingLinks to an external site.

COVID-19 Info. (2020). Retrieved October 18, 2020, from https://www.lickingcohealth.org/COVID-19.html

With the current flu season in full swing, I have chosen vaccines as my last discussion topic, not as a global health concern but as a prevention to such preventable diseases. Vaccination has made an enormous contribution to global health (Greenwood, 2014). Influenza is a serious global health threat that impacts all countries: every year, there are an estimated 1 billion cases, 3-5 million severe cases, and 290 000-650 000 influenza-related respiratory deaths worldwide (WHO, 2020). While vaccines for the flu virus do not prevent the flu, they do lessen the symptoms and severity of the virus. The vaccine works by causing the body to develop antibodies within 2 weeks of receiving the vaccination. The annual flu vaccine is recommended vaccination for everyone 6 months and older with any flu vaccine that is appropriate for the recipients age and health status. The vaccine is recommended prior to the virus spreading through the community. Flu vaccine prevents tens of thousands of hospitalizations each year. For example, during 2018-2019 flu vaccination prevented an estimated 58,000 flu-related hospitalizations (CDC, 2020). In addition to preventing or reducing the flu it has also been show to reduce cardiac events for people with heart disease, reduce worsening and hospitalization for flu related chronic lung disease, and reduction in hospitalizations in people with diabetes.

Currently in my role as a home care nurse we monitor for flu like symptoms prior to and at every visit. There is tracking built into out visit noted that notify our supervisors and infection prevention nurses that work for the agency. We also use a form to track flu and pneumonia vaccines among our patients, and they are offered to all those that have not or unable to get out the home to receive them when they are available with physicians orders.

Vaccinations will always be a focus of community health nursing. With the current COVID pandemic, and the hopes of a vaccine on the horizon, to influenza and childhood vaccines the role of the community health nurse will always be crucial. They provide the needed education to schools, community centers, nursing homes and colleges.  They can also aid in the increase in vaccinations by providing reminders to adults for their vaccines as well as the vaccination of the younger generations, as well as practicing healthy habits that reduce preventable diseases.

 Only half of Americans receive the flu vaccine. The flu causes millions of illnesses, hundreds of thousands of hospitalizations, and tens of thousands of deaths. #vaccinatenow #protectyouandothers fromtheflu

References:

Greenwood, B. (2014, May 12). The contribution of vaccination to global health: Past, present and future. Retrieved October 19, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4024226/Links to an external site.

Influenza. (2020, October 07). Retrieved October 19, 2020, from https://www.who.int/influenza/en/Links to an external site.

Key Facts About Seasonal Flu Vaccine. (2020, September 11). Retrieved October 19, 2020, from https://www.cdc.gov/flu/prevent/keyfacts.htmLinks to an external site.

NR 443 RN Week 8 Discussion: Future Directions

NR 443 Week 8 Social Media Discussion: Past, Present, and Future

Instructions 

There are many factors that will continue to impact community and population health.

1. Consider the past achievements in public health as many have implications around the globe.
2. Describe a global health concern that has impacted your community or those you care for.
3. Discuss what surveillance data could be pulled from an electronic health record (EHR) you have used or currently use in your nursing practice.
4. Take a moment to review the Twitter feed for compelling Tweets that are … to informatics, global health, and population health outcomes.
5. Share an overview the Tweet and how it is likely to impact future collaborative trends in community health.
6. Compose a 280-character or fewer Tweet that describes what you would like to see as a Tweet in the next decade related to public health achievements. Please try to … realistic, but also … visionary. Remember Twitter only allows 280 characters (this includes spaces, etc.) so you will need to … 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 nor share your Tweet on social media).
7. Your discussion post should look like:

– Paragraph one: Describe a global health concern that has … your community or those you care for

– Paragraph two: Discuss what surveillance data could … from an electronic health record (EHR) you have used or currently use in your nursing practice.

– Paragraph three: Share information from a Tweet and how it is likely to impact future collaborative trends in community health.

– Paragraph four: Compose a 280-character Tweet that describes what you would like to see as a Tweet in the next decade related to public health achievements.

– Resources: Where did you find your data?

8. Example: New HIV infection rates at all-time low worldwide #primaryprevention #collaborationiskey #WeGotThis #RNsunite www.HIV.gov

SOLUTION  

Discussing global health has hit our living rooms, workplaces and places of leisure (if some are lucky enough to enjoy those again) around the world. It truly is amazing that so many people throughout the world are enduring the same global health crisis during the same time. Although COVID-19, is the most recent global health crisis, I wanted to dive into a different one that hit my workplace. H1N1 was considered a global health concern in 2009. During this time, I was a floor nurse in Brooklyn, New York. H1N1, otherwise known as swine flu, was a different strain of influenza. Patients infected with H1N1 could experience a fever, cough and even cases of death. According to the New York City Department of Health, over two thousand people were hospitalized for H1N1. This was over a period from April 2009 through March 2010. This made our flu season extra tricky. We had to be extra vigilant on precautions. Policies were changing daily and caution was added while performing emergency interventions.

When looking at some statistics when discussing H1N1 in the aforementioned paragraph I gained surveillance knowledge from the NYC department of Health and Mental Hygiene. More recently in my hospital for electronic health records we currently use Epic. Using these EHR could connect global health issues faster and with less money.

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.