Reflection on Achievement of Outcomes-Patient Outcomes on a Global Basis

Reflection on Achievement of Outcomes-Patient Outcomes on a Global Basis

This class has widened my perspective on healthcare systems, politics, and health policies. Provisions from the class have enabled me to better understand political influences on healthcare systems across the globe and how policymakers can utilize policies to make a difference in healthcare operationalizations. The article “Crossing the Global Health Care Quality Chasm” gives an insight into the quality of healthcare across various healthcare systems across the globe. It enumerates aspects of global healthcare systems that still lag as far as quality and safety maintenance are concerned. These areas include access, equity, patient-centeredness, efficiency, effectiveness, and timeliness. The article attributes these issues to systems design across global systems and human factors.

These factors inform nurses’ clinical decision-making processes. By viewing presenting clinical challenges through the global lens, nurses and other caregivers can elucidate inherent factors within the healthcare systems in which they operate that may influence their clinical decision-making processes and ultimately affect the clinical outcomes. Adopting the fundamental principles of healthcare design in which a nurse operates in their clinical decision-making processes and understanding human factors that interplay in these care systems enables nurses and other caregivers to provide optimal care. Berwick et al. (2018) assert that the fundamental system design that enables optimal care provision and informs clinical decision-making processes includes a care process that reflects societal values, full transparency during care provision, and anticipatory rather than reactive care. This calls for nurses and other caregivers to have a broader perspective of the societies they operate to enable them to have a broader understanding of the demographic features of their patients as well as the sociopolitical factors that influence the healthcare system they operate.

Also significant during clinical decision-making through the global lens are policy frameworks established by the government of the jurisdiction in which a nurse is operating in. Healthcare is a regulated discipline subject to legislation and policy frameworks. Nurses and other caregivers must know various laws governing nursing practice where they practice. Campos & Reich (2019) report that policy mechanisms such as commitment to involving patients in governance and healthcare design are existing levers that can be leveraged to improve patient care quality. This further reinforces the need for nurses to have knowledge of healthcare policies and utilize them in their clinical decision-making processes.

Several provisions of this course apply to nursing practice. I intend to apply what I have learned in the course to better my nursing practice. Notably, provisions on policy mechanisms and healthcare design will inform my clinical decision-making processes and allow me to interact objectively with the healthcare system I will be operating in to maintain quality and safety safeguards for the patient population I will be serving. As Griese et al. (2020) report, the differences in the design of healthcare systems and healthcare approaches across the globe cast the burden on healthcare providers to understand the healthcare systems they are operating in to enable them to make informed decisions on patient interventions. I believe that this class has widened my perspective on how external factors influence care operationalizations. I intend to apply these provisions in my future practice to ensure that my patients benefit from my choices.

Provisions from the article have also given me insight into the existing healthcare system across the globe. I have learned how the Internet can be leveraged to bridge care gaps and assist in clinical decision-making. I intend to expand my technological knowledge to enable me to use the Internet and Internet devices to care for my patients.

References

Berwick, D., Snair, M., & Nishtar, S. (2018). Crossing the global healthcare quality chasm. JAMA, 320(13), 1317. https://doi.org/10.1001/jama.2018.13696

Campos, P. A., & Reich, M. R. (2019). Political Analysis for Health Policy Implementation. Health Systems & Reform, 5(3), 224–235. https://doi.org/10.1080/23288604.2019.1625251

Griese, L., Berens, E.-M., Nowak, P., Pelikan, J. M., & Schaeffer, D. (2020). Challenges in navigating the health care system: Development of an instrument measuring navigation health literacy. International Journal of Environmental Research and Public Health, 17(16), 5731. https://doi.org/10.3390/

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Week 8: Week 8: Reflection on Achievement of Outcomes (Orig Post due Wednesday, Responses due Saturday)
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Purpose
The final week will focus on Global Policy Reform and its impact on patient care. Students read the Berwick article and respond to the required discussions. In addition, students reflect on what they have learned in NR506NP and how it is applicable to their upcoming clinical courses.

Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:

Understand the role of advanced practice nursing in the International Context (CO2)
Research global aspects of healthcare and the effect on the US healthcare system (CO5)
Discuss the implications of global health on your clinical practice (CO5)
Due Date: Wednesday by 11:59 pm MT of week 8
Initial responses to the discussion topic must be posted by Wednesday 11:59 pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59 pm MT. Students are expected to submit assignments by the time they are due.

A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of week eight by 11:59 PM MST, regardless of the number of days late. NOTHING will be accepted after 11:59 pm MT on Saturday (i.e., student will receive an automatic 0). Week 8 discussion closes on Saturday at 11:59 pm MT.

Total Points Possible: 100
Requirements:
Berwick, D., Snair, M., & Nishtar, S. (2018). Crossing the global health care quality chasm: A key component of universal health coverage. Journal of American Medical Association, 320(13), 1317-1318.

Read the Berwick article and reflect on the concepts and practices you have learned in NR506 on healthcare systems, politics, and health policy. Reflections should include:

How to make informed decisions on nursing practice and patient outcomes on a global basis.  In addition, state how you will apply what you have learned in this course to your upcoming practicum experience.
Describe how one will apply content from NR506NP to the upcoming clinical courses.
DISCUSSION CONTENT

Category

Points

%

Description

Making informed decisions

40

40%

Provides relevant evidence of scholarly inquiry, sharing insights as to how to make informed decisions on nursing practice and patient outcomes on a global basis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.

Application to Clinical Practice

35

35%

Provides relevant evidence of scholarly inquiry stating how one may apply content learned in this course to future clinical practice. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.

Total CONTENT Points= 75 pts

DISCUSSION FORMAT

Category

Points

%

Description

Interactive Dialogue

20

20%

4 Required Elements:

Responds a minimum of two other posts to peers and/or faculty in the threaded discussion;
Responses to peer/faculty are substantive (add importance, depth, and meaningfulness to the discussion)
Respond to all direct questions from faculty (if no question was asked directly, the student responded to questions posed to the entire class)
Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts.
Grammar, Syntax, Spelling, & Punctuation

5

5%

Grammar, syntax, spelling, and punctuation are accurate.

Total FORMAT Points= 25 pts

DISCUSSION TOTAL=100 points