4 replies
4 replies
Jamesha
Disscussion 4.docx
My experience with locating weekly articles has been fairly simple. I typically use three search engines to find articles that relate to my work environment. After browsing articles, I choose two articles. I read both articles and decide which article has better content. I am however having an issue with finding articles that aren’t similar in content. I am currently searching for better key terms to use during my search.
An article that has been useful and applicable to my practice was Exploring nurses’ perception about the care needs of patients with COVID-19: a qualitive study. this article shared the challenges faced by patients battling COVID-19. Many patients diagnosed with COVID-19 were dealing with depression and anxiety. The lack of education coupled with the environment increased these feelings.
One nurse mentioned after patients learned someone died on the unit, they immediately began to worry that they would die next. A nurse also mentioned a patient are more likely to be complaint with their treatment regime, when families call and check on them. A patient was noncompliant with medication, nurses tried to encourage him to cooperate with treatment. The patient expressed that none of his family members called to check on him and it meant no one cared. After receiving a phone call from a family member, the nurse noticed a change in the patient’s behavior. He began to willingly take medication and participate in his care. (Galehdar et al., 2020, p. 1)
After reading the interviews of the nurses I began to reflect on the care I provide to my patients. I came to the conclusion that I was so focused on their physical health that I hadn’t given much thought about their mental well-being. Throughout my shift I can inquire multiple times about how they feel physically but never stopped to ask, “How are you coping with this illness?’. Patients are isolated from their families and friends for weeks. Their interaction with other humans is limited to their nurses and personal care assistants.
So now when I make my rounds to provide care, I make sure that I inquire about their mental well-being. I ask about their family support, coping strategies, and religious beliefs. After discussing these things, I provide Chaplin and support group information.
Most recently I had a patient thank me for spending the time to converse with him. He stated, “Thank you for stopping to speak to me, most nurses come in here give me my medication and run out before I have the opportunity to ask them anything”.
I am glad I had the opportunity to read the article, it definitely reminded me to treat my patients a bit better.
Ermanie
Your Experience & Weekly Research Article
The experience with locating weekly articles and reading the weekly articles was challenging. Starting the weekly article search by using the search engine in the CINAHL in the St. Thomas University online library's home page. Finding the right keyword to find the exact topic was challenging for starting the article search. Navigated through different search engines, making it easier to start the search. The key to finding a research article is to type in a research article in the search engine. To limit the search results, type in a specific word like Quality care provided by Travel nurse versus staff nurse.
One article used and useful to current practice was the article on travel nurses' quality care versus staff nurses. This article was interesting because, as a novice, the nurse just starting a first travel nurse assignment and wanted to explore and learn about travel nurses. As reading these articles, one can discover a comparison made regarding providing quality care between travel nurses and staff nurses. Nursing should be universal across the board when approaching nursing perception regardless of which facility or specialty practice. There is a saying that people always say that once a nurse will always be a nurse until one dies.
The article on bedside that was not helpful was the article on nurse bedside shift report. The disadvantages of nurse bedside shift reports are the medical jargon, lack of privacy, information overload, and information being repeated multiple time, which can cause anxiety or tiredness for the Patient (Mardis, Davis, & al, 2016). Another disadvantage is privacy practice for facilities that do not make the hospital or facilities all private room where the patients have to share rooms with their roommate where the exchange of information can be overheard. This article was not useful because when a patient is admitted to a hospital, they already feel violated by giving up their street clothes for a hospital gown. During the admission process, two nurses must strip the patient to do a complete skin assessment upon arrival to the unit. Having a stranger on the next bed listening to the patient's whole life health history can make the patient feel violated. Even the patient can opt-out of the bedside shift report, some patients might feel like it is part of the nurse job that they must do the bedside shift report and will go along with it, or some culture has much respect for doctors and nurse that they will agree with anything the nurse or doctor says.
Experience with locating and reading the weekly articles has been very educational and clarifies some misconceptions about travel nurses and nurse bedside shift reports. Reading and research should be incorporated into everyone's daily schedule because the more is power.
Tunisia
Discussion 4
Reimbursement in the healthcare field refers to healthcare services and is dependent upon patients having healthcare insurance. Reimbursement is the healthcare term that refers
to the compensation or repayment for healthcare services. (Casto and Layman 2006) Services are usually provided before payment is actually made. There are two types of methods to obtain reimbursement fee-for-service and episode-of-care. Fee-for-service is when the insurance providers pay for each service that is rendered. Some patients may do self-pay and be reimbursed by their private insurance company later. Some patients do not have health insurance and just use the self-pay method. Episode-of-care reimbursement is a healthcare payment method in which providers receive one lump sum for all the services they provide related to a condition or disease. (Casto and Layman 2006) The complexity of modern medical decision-making and healthcare reimbursement models present many challenges for patients, providers, and payers alike. The healthcare industry’s continuing transformation presents opportunities to make significant, positive, long-lasting changes that improve the quality, efficiency, and accessibility of healthcare services for patients, providers, and payers. The framework’s four goals address family and primary care physicians’ principal concerns are better care, better health, smarter spending and increased efficiency and satisfaction for physicians. (University of Illinois Chicago 2021) There seems to be issues concerning reimbursement also. A "virtual battle" exists between insurers and hospitals. Insurers want to negotiate down what they pay the hospital, and the hospitals want to negotiate up what they are paid. (Fifer 2017) In today's healthcare industry, financial incentives and reimbursement have become so entwined with patient care and outcomes, that you cannot have one without considering the other. So, hospitals are putting more emphasis on patient care.
When it comes to nurses increasing their awareness, I believe they have to get more involved on a personal level. Nurses have resources at their disposure. They also have nurse managers and individuals in the facility they work in. There are conferences and seminars a nurse could sign up for. Nurses can also continue their education if they want to learn more about finances. The time is ripe for nurses to harness the power of a unique disciplinary perspective and enduring patient trust to advocate for the advancement of policy and continuation of quality research, evidence-based initiatives, and patient centered innovation. (Cleveland, K.A., Motter, T., Smith, Y., 2019)
Madelene
Heath Care Financing
The issue of reimbursement is a key subject for many registered nurse case managers. Given in this area, changes are often inevitable, hospitals have gotten better at devising effective strategies to communicate these changes to their nurses. Without this constant communication, it would be challenging for nurses to work with hospitals since they would rarely get notified of changes in reimbursement policies.
The most commonly used communication method is email (Riley, 2015). Certain emails are private, and most workers regularly check their emails, this is the best communication method between management and the nursing staff. The emails can be based on the institution's website or individual email addresses tied to a nurses' work profile. Whenever changes to the reimbursement policy are made, hospital management dispense emails to every affected party notifying them of the changes. This method is a fast and efficient communication method that is in use by most hospitals.
Another common communication channel for reimbursement changes is in-person meetings (Price et al., 2016). While most hospital operations are quickly becoming digital, the value of person-to-person meetings cannot be forgotten. In many healthcare institutions, meetings are a common occurrence in which important information is shared or discusses. The meetings can be one-to-one when the policy affects different staff members differently. Alternatively, common meetings can be used when the reimbursement changes affect many nurses. Unlike email, meetings are less efficient since multiple parties must meet, mostly abandoning their posts to attend the meetings. In addition, meetings are very hectic in cases where they must be carried individually, thus taking a lot of time and delaying communication of this vital information.
Nurses are at the core of health care delivery systems and are the best placed to help patients make sound financial decisions. Given their closeness to patients and health care institutions, all nurses need to know the basic information about health care financing since it affects clinical decision-making in both patients and health care institutions.
To learn about healthcare financing, nurses need to be proactive and seek information sources beyond hospital memos and webinars. A good source of information on healthcare financing is online medical journals and magazines that carry up-to-date information on these and other nursing topics. A quick search online can give any nurse vital information about financing in the healthcare industry. The main advantage of online nursing magazines is their efficiency since they can be read on the go with any internet-enabled device. Furthermore, most of these resources are free, and even those that come at a fee are cheap enough for every nurse to afford.
Another great resource for nurses to learn about healthcare financing is online short courses on healthcare financing (Moattari &Moosavinasab, 2016). In the internet age, there are many legitimate online sources that give nurses the information they need to understand healthcare financing. A quick online search will reveal multiple short courses on the topic that can be undertaken at any time. Although most of these courses come at a price, it is safe to say that the advantages of these courses far outweigh their costs. Additionally, unlike conventional courses, short courses take considerably short times to finish and can be done at the nurses' convenience. For many of these courses, a few minutes every day are sufficient to grasp the vital information about healthcare financing relevant to a nurse.