Anesthetic Management of Patients with Post COVID-19 Syndrome- A Quality Impr ome- A Quality Improvement Project
The nursing scholar of Nurse Anaesthesia specialist concentrates on the clinical issue of post-COVID-19 syndrome patient management during the perioperative phase. Patients who have recovered from COVID-19 and are now presenting for elective surgical treatments make up the population of interest. More patients are enduring the after-effects of COVID-19 infection, which could affect anesthesia management and perioperative treatments. This clinical subject is critical to improving patient outcomes, and the scholar hopes to fill the knowledge gaps among anesthesia providers about the consequences of post-COVID-19 syndrome for anesthesia care1.
The nursing scholar’s study appears to be guided by a quality improvement approach as its conceptual framework. The researcher suggests a training program to improve anesthesiologists’ understanding of how to treat patients with post-COVID-19 syndrome 2. A thorough literature assessment on the COVID-19 infection’s after-effects and their implications for perioperative care served as the foundation for this intervention, guided by evidence-based practice principles. The scholar aims to apply a methodical methodology to augment anesthesia providers’ comprehension and elevate patient care outcomes using a quality improvement framework.
The quality improvement framework is relevant to the scholar’s work because it offers an organized approach to solving the clinical problem that has been discovered. To conclude from Study 3, quality improvement strategies are essential in healthcare environments to encourage systemic change, better patient outcomes, and enhanced procedures. The scholar hopes to close knowledge gaps among anesthesia practitioners by putting into practice an educational intervention based on evidence-based research, which would ultimately improve perioperative treatment for patients with post-COVID-19 syndrome. This strategy supports the researcher’s objective of improving patient safety and care quality in the specialty of nurse anesthesia.
My area of interest in clinical practice is managing chronic illness in low-income women. Chronic conditions like high blood pressure, diabetes, and heart disease disproportionately impact those from low-income origins and other socioeconomically disadvantaged backgrounds. This demographic has many obstacles when it comes to getting access to healthcare, following treatment plans, and successfully managing chronic illnesses 4. This issue is important because chronic illnesses can have a significant negative influence on low-income women’s general health and well-being, increasing morbidity, mortality, and healthcare inequities. Developing efficient interventions to enhance the management of chronic illness in this vulnerable group requires addressing the intricate interactions of socio-economic determinants, impediments to healthcare access, and individual health behaviors.
As I see it, the Social Ecological Model (SEM) is a theoretical concept that could direct research into that cause. As indicated by an SEM, the number of those levels can be named to illustrate behavior, patterns of health, and outcomes. These various potency variables comprise separate levels that range from individual to interpersonal, communal, and societal. SEM integrates a holistic approach that not only simplifies understanding of the complicated reality of pharmacotherapy but also teaches how to effectively deal with chronic illnesses in underprivileged women. The determinants of health structure have comprehensive aspects apart from individual-level ones, such as attitudes, knowledge, and self-efficacy, in addition to the broad socioeconomic aspects which would comprise social support systems, access to healthcare, and stressors 5. The SEM is thus an instrument used by researchers for an in-depth study of these spheres to identify how they become interrelated and how each factor plays an important role in a whole treatment that encompasses these complete socio-ecological spheres influencing chronic disorder.
The Social Ecological Model’s diverse and universal approach determines the whole matter of health behaviors and outcomes as important for the research of chronic illness management in low-income women. As four main sets of forces, including the individual, interpersonal, community, and societal dimensions of chronic illness management, contribute to the entire venture, the SEM plays a crucial role in laying the groundwork for comprehensive occurrence and nature-of-the-illness exploration 6. The SEM illustrates that we cannot ignore the tremendous role of socioeconomic determinants of health, which are the things that affect the overall health of low-income women: the level of access to health care, education, and poverty. Scientists would design drugs or therapies with minimal penetrating impact rates using the SEM as the guiding tool. Lastly, the research will empower more established ways of improving chronic disease management and narrow down the healthcare inequities gap for this population.
References
Hoyler MM, White RS, Tam CW, Thalappillil R. Anesthesia and th” “post-COVID syndro”e”: Perioperative considerations for patients with prior SARS-CoV-2 infection. Journal of Clinical Anesthesia. 2021; 72:110283. doi:https://doi.org/10.1016/j.jclinane.2021.110283
Dikobe JM, Moagi MM, Sehularo LA. Conceptual Framework for the Psychosocial Support of Nurses Caring for Patients Diagnosed with COVID-19 Infection in North West Province, South Africa. International Journal of Environmental Research and Public Health. 2023;20(6):5078. doi:https://doi.org/10.3390/ijerph20065078
Backhouse A, Ogunlayi F. Quality Improvement into Practice. BMJ. 2020;368(1). doi:https://doi.org/10.1136/bmj.m865
Schwarz T, Schmidt AE, Bobek J, Ladurner J. Barriers to Accessing Health Care for People with Chronic Conditions: a Qualitative Interview Study. BMC Health Services Research. 2022;22(1). doi:https://doi.org/10.1186/s12913-022-08426-z
Ngwenya N, Nkosi B, Mchunu LS, Ferguson J, Seeley J, Doyle AM. Behavioral and social factors that influence access and utilization of health services by young people living in rural KwaZulu-Natal, South Africa: Implications for intervention. Annunziato RA, ed. PLOS ONE. 2020;15(4):e0231080. doi:https://doi.org/10.1371/journal.pone.0231080
Nguyen KH, Cemballi AG, Fields JD, Brown W, Pantell MS, Lyles CR. Applying a socio-ecological framework to chronic disease management: implications for social informatics interventions in safety-net healthcare settings. JAMIA Open. 2022;5(1). doi:https://doi.org/10.1093/jamiaopen/
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Question 
AMA FORMAT- can you also include the Turnitin/AI report?
Conceptual Frameworks or Theories Relevant to Your Clinical Problem and Population of Interest
As change agents, Doctors of Nursing Practice identify clinical problems within the context of a population of interest. Your clinical problem of interest and identified population may lead to your establishing a program of research throughout your career.
Anesthetic Management of Patients with Post COVID-19 Syndrome- A Quality Impr ome- A Quality Improvement Project
Your clinical problem could be a disorder or condition (e.g., HIV/AIDS, hypertension, depression, chronic illness, adolescent pregnancy) or a psychosocial or physiological characteristic (e.g., social support, health-related quality of life, resilience, family communication patterns, mother-infant attachment, self-esteem).
Your target population could be a cultural group (e.g., Hispanic elders, African American women), a diverse group (e.g., urban/rural Cuban Americans, low-income women), or a vulnerable group (e.g., incarcerated adolescents, sex workers, IV drug abusers, severely mentally ill adults).
Identify a nursing scholar within your specialty area (A PAPER MADE BY A CRNA, INCLUDED THE ATTACHMENT) and identify their clinical topic/problem of interest and population of interest. (Use references). they have identified relative to the problem.
Identify the conceptual framework or theory that has guided the nursing scholar’s research of this clinical problem and evaluate the relevance of the theory in their work.
Identify your own clinical problem and population of interest with a discussion of the significance of this problem. (Use references).
Identify a conceptual framework or theory that you believe would guide your research of this clinical problem and evaluate the relevance of this theory for your work. (Use references).
AMA FORMAT- – can you also include the Turnitin/AI report?