nursing research

*Health Finance (HCM565)
*Homework: critical thickening 
*notes: please read the articles and look for the textbook recommended,  
1-  book: Gapenski, L. C., & Pink, G. H. (2015). Understanding  healthcare financial management (7th ed.). Chicago: Association of  University Programs in Health Administration and Health Administration  Press. ISBN 9781567937060
2- articles :Islam, M. S.  (2015). Introducing modern technology to promote transparency in health  services. International Journal of Health Care Quality Assurance, 28(6),  611-620. Retrieved from https://csuglobal.idm.oclc.org/login?url=https://search-proquestcom.csuglobal.idm.oclc.org/docview/1694933814?accountid=38569  • Ivan, M., & Velicanu, M. (2015). Healthcare industry improvement  with business intelligence. Informatica Economica, 19(2), 81-89.  Retrieved from https://csuglobal.idm.oclc.org/login?url=https://search-proquestcom.csuglobal.idm.oclc.org/docview/1696718099?accountid=38569  • Poba-nzaou, P., Uwizeyemungu, S., Raymond, L., & Paré, G. (2014).  Motivations underlying the adoption of ERP systems in healthcare  organizations: Insights from online stories. Information Systems  Frontiers, 16(4), 591-605. Retrieved from http://dx.doi.org.csuglobal.idm.oclc.org/10.1007/s10796-012-9361-1
3-Need the plagiarism below 18%

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Assignment :
Critical Thinking: Case Study Analysis (100 points) 

For  this assignment, after reading the course materials for the Module,  conduct a thorough analysis of the healthcare system within Saudi  Arabia. Specifically focus on the development and implementation of  technology over the last several decades within the Kingdom.  

• How has technology impacted cost, quality, and access to health services?  • Does Vision 2030 rely heavily on technology?  

Your final submission will be 2-3 pages in length, excluding the cover and reference pages. Be sure to include: 
•  Analysis of the specific healthcare system. • Technology impact on  cost, quality, and access. • Predict the KSA vision 2030 impact on  technology. • Summary of findings.
Your paper should meet the following structural requirements: 
•  The paper should be formatted according to APA and Saudi Electronic  University writing standards. • Provide support for your statements with  in-text citations from a minimum of 2 scholarly articles. • Two of  these sources may be from the class readings, textbook, or lectures, but  two must be external. • The Saudi Digital Library is a good place to  find these references.

Develop a 6–8 page, APA-formatted article on a global health topic for publication. Describe the factors that impact health and health care delivery, and the interventions that have been implemented. Explain the influence of altruism on global health, and identify evidence-based interventions to address the global health topic.

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

• Competency 1: Explain the factors that affect the health of communities.       
  • (IMPORTANT) -Describe the factors that impact health and health care delivery associated with a global health care issue.
  • (IMPORTANT) -Explain the influence of altruistic organizations on health and health care practices associated with a global health care issue.
  • (IMPORTANT) -Explain how health care decisions and practices at a local level relate to health and health care delivery on a global scale.
• Competency 2: Apply evidence-based interventions to promote health and disease prevention and respond to community health issues.       
  • (IMPORTANT) -Describe interventions implemented to address a global health care issue.
  • (IMPORTANT) -Identify evidence-based interventions to promote wellness and disease prevention associated with a global health care issue.
• Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.       
  • (IMPORTANT) -Provide background information and statistics on a global health care issue.
  • (IMPORTANT) -Write content clearly and logically with correct use of grammar, punctuation, and mechanics.
  • (IMPORTANT) -Correctly format paper, citations, and references, using current APA style. 

Assessment Instructions 

Preparation

Suppose you have been asked to submit an article for publication in your organization’s newsletter, about a global health topic and how policies and practices at the local level can affect global health. Choose one global health topic from the list (or use another of your choice):

• Mental health.
• Communicable diseases (HIV/AIDS, influenza, malaria, tuberculosis).
• Non-communicable diseases (cancer, lung, and heart disease).
• Maternal and child health (prenatal care, midwife education, childhood vaccinations).
• LGBT health.
• Disabilities.
• Global water supply and safety (GlobalHealth.gov, n.d.).

Look in the Capella library and on the Internet for very recent peer-reviewed articles, statistics, and professional nursing information on the global health topic you selected.

Requirements

For this assessment, develop an APA-formatted research review article that covers one global health topic of your choice. In this assessment:

• Identify your topic. Provide background information and statistics on the topic, including the global areas most affected by the topic and the types of health care issues most often associated with the topic.
• Describe the factors that impact health and health care delivery in the global areas most affected by the topic you selected. These factors may include not only culture and tradition, but also politics, economics, and social attitude.
• Explain the influence of altruistic organizations (Peace Corps, Project Hope, religious and non-religious missions, and so on) on health and health care practices in the global area specifically associated with the topic.
• Describe the interventions implemented to address the health care issues associated with the topic. Include both conventional and unconventional interventions.
• Explain how the health care decisions and practices at the local level (the area most impacted by the topic) relate to health and health care delivery in other global areas. This is not limited only to best practices, but could include poor health care decisions and practices.
• Identify evidence-based interventions that are effective, efficient, cost-effective, and equitable for promoting wellness and disease prevention in the specific area and population.

Additional Requirements

Complete your assessment using the following specifications:

• Title page and reference page.
• Number of pages: 6–8 (not  including the title and reference pages).
• At least 3 current scholarly or professional resources.
• APA format for citations and references.
• Times New Roman font, 12-point, double-spaced.

Question Description

Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”

References:

• Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.

Words Limits

• Response posts: Minimum 100 words excluding references.

Peer discussion 1

This week’s assignment focuses on gerontological reminiscence. Included in the assigned readings and viewings is the film “Tuesdays with Morrie”. In this discussion post, I will discuss the modalities of reminiscence and life review and the significance of the life story of an elder. I will also discuss what I believe can be improved upon for effective communication, in addition to identifying the impact of culture and family values in care provided for the elderly.

“Tuesday’s with Morrie” involved a heavy amount of reminiscence from Morrie, as he discusses life lessons and how he personally learned them. Morrie makes it a point to tell his friend, Mitch, these life lessons that he learned, in an effort to help Mitch better his own life. By trying to help the younger generation understand that they could potentially die at any time, he urges Mitch to work to lead the life he wants to live, and try to avoid making some of the same mistakes that he did. Morrie feels that reminiscing validates his life, by remembering both the good times and the bad. He reminisces on his regrets of pride, vanity, and hardness of heart, and urges to forgive, so you can die surrounded by love and peace. Throughout the film, we see Morrie continually works to teach Mitch that shouldn’t be afraid to love, and don’t be afraid of giving himself to someone he may lose. Reminiscing about one’s life as an elder, especially those who are battling chronic diseases, can decrease depression (Syed Elias, Neville, Scott, 2015). Morrie is dying from ALS, and talks about how he lost the ability to use his legs first; this is something that haunts him, as he often reminisces about how much he loved to dance. Since many chronic and progressive diseases often come with the inability to do the things they love, it is important to allow the elderly to reminisce as part of a healthy coping process.

When it comes to improving communication strategies with the elderly, I feel that Morrie was trying to tell Mitch that it is important to listen to the lessons he was trying to teach. He strives to make Mitch understand that it is important not to pretend that the elderly don’t have feelings, and tells him that communication should be open and honest. It is silly to pretend that disease and death do not exist. He also discusses with Mitch the importance of touch…when we are infants, we yearn for it, yet we shun it as we age. Sometimes, as the elderly enter their final stages of life, they begin to yearn for touch again, even if it is as simple as holding their hand. This is something that I did when I sat by my grandmother’s hospice bed for a week, almost three years ago today as I write this post. I typed my papers for my very first nursing class of my BSN with one hand, while holding her hand with the other. Even though she wasn’t able to see me, I know on some level, she was comforted by my touch. We can even use music as a way to help communicate, and even help someone reminisce and cope with a disease process (Maruszewski, Bonk, Karcz, Retowski, 2017). Finally, Morrie tells Mitch not to be afraid of silence, as sometimes another’s presence alone is comforting enough. I feel that through active listening, touch, and presence, we can overcome many barriers to those with deficits during their final years.

In the film, Morrie has a funeral while he is still alive, so that he can see all of his family and close friends, and hear all of the nice things they have to say about him. Later on, he tells Mitch about his perfect day, which involves spending the day with those same close friends and family members. His day is nothing extravagant, simply walking in the park after a light lunch and then a big pasta dinner, followed by dancing. It is the simple things that meant the most to him, that he truly cherished, and wanted to do on his one perfect day. In the end of the film, he passes away at home (like he wanted), surrounded by his family and friends. When our loved one is dying, I believe it is imperative that we do the best we can to honor their wishes, and make their last bit of time as comfortable as possible.

In conclusion, I felt this film was a great window into essentially the dying process. Morrie discusses some of the most important moments in his life, while accomplishing his goal of teaching one more class to Mitch. He does all of this while reminiscing on his life, and teaching Mitch that “if you learn how to die, you will learn how to live” (Forte, Heyer, Ogden, Winfrey, 1999).

References

Forte, K. (Producer), Heyer, S. (Producer), Ogden, J. (Producer), Winfrey, O. (Producer), & Jackson, M. (Director). (1999). Tuesday’s with Morrie [Motion picture].United States of America: American Broadcasting Company.

Maruszewski, T., Bonk, E., Karcz, B., & Retowski, S. (2017 November). Elderly peoples preferences regarding reminiscence material. Educational Gerontology, 43(11): 531-539. Retrieved from: https://eds-b-ebscohost-com.proxy.library.ohio.edu…

Syed Elias, S. M., Neville, C., & Scott, T. (2015 September-October). The effectiveness of group reminiscence therapy for loneliness, anxiety, and depression in older adults in long-term care: a systematic review. Geriatric Nursing, 36(5): 372-380. doi: 10.1016/j.gerinurse.2015.05.004

Peer discussion 2

A person’s life story is important because it gives a history of a person’s past, providing insight into that person’s present circumstances. The purpose of this discussion post is to discuss how life review and reminiscence therapy facilitates and highlights an elderly person’s life story, improvements that can be made to effectively communicate with geriatric patients with sensory impairments, and identifying the impacts that cultural and family values have in providing quality care for older patients.

For elderly people especially struggling with depression and loneliness, reminiscence therapy is a non-pharmacological intervention aimed at increasing a person’s self-esteem by relieving feelings of depression, anxiety, and loneliness (Elias, Neville, & Scott, 2015). Likewise, life review is a form of reminiscence therapy (called spiritual reminiscence therapy) that involves the person finding meaning in their past and future life (Elias et al., 2015). This form of reminiscence therapy focuses on a person’s life, and a person can find meaning and have positive self-esteem as they recount their life story. Furthermore, when this therapy is conducted in a group setting, the elderly patient benefits by establishing social connections, new relationships, and enhanced communication skills, thereby increasing self-esteem and reducing loneliness and depression (Elias et al., 2015).

To improve effective communication strategies for older adults with speech, hearing, vision, language, and cognitive impairments, investing extra time alone into each elderly patient interaction can greatly improve communication. Elderly patients are typically slower to respond, need information repeated, may take longer to process information, and desire to be treated as a valued human, and allowing for extra time can augment these interactions. Also, respectfully addressing the patient by their name, utilizing large-font written instructions, pictures, or diagrams, and providing audio instructions for patients who have difficulty seeing or reading can decrease communication barriers. Additionally, ensuring the patient is wearing their hearing aid and it is on, speaking slowly, and facing the patient directly at eye level can reduce hearing barriers (“Understanding Older Patients,” n.d.). For me, the biggest inference I can gain from the videos and articles of this week’s module is to have patience and empathy for elderly patients while giving them extra time. I think this is the most effective method for improving communication. In my practice, when I have a geriatric patient, I have to remind myself to slow down in my interview process, listen closely to them, and answer their questions slowly while making eye contact. It is my goal to provide respectful and empathetic care.

Finally, family and cultural values impact a person’s principles, life, and preferences, and these factors need to be considered to provide quality, appropriate care. Being aware of a patient’s family and cultural differences can direct the nurse to have cultural humility, which is an open-minded acceptance of differences, and this attitude helps one to provide culturally competent care (Andrews & Boyle, 2016).

In summary, the importance that reminiscence and life review therapy has on geriatric patients’ depression, anxiety, and loneliness have been analyzed related to recounting one’s life story. Effective communication improvements for elderly patients with impairments have also been discussed, as well and how one’s family and cultural values influence their care and preferences.

References

Andrews, M. M., & Boyle, J. S. (2016). Transcultural concepts in nursing care (7th ed.). Philadelphia, PA: Wolters Kluwer.

Elias, S. M. S., Neville, C., & Scott, T. (2015). The effectiveness of group reminiscence therapy for loneliness, anxiety and depression in older adults in long-term care: A systematic review. Geriatric Nursing, 36(5), 372–380. https://doi.org/10.1016/j.gerinurse.2015.05.004

Understanding Older Patients. (n.d.). Retrieved October 16, 2018, from