What are the biophysical, psychological, sociocultural, behavioral and health system factors operating in this situation? Women’s Health

What are the biophysical, psychological, sociocultural, behavioral and health system factors operating in this situation?
Women’s Health

Read the scenario below.
Respond to the questions in full sentences. Be sure to use standard English grammar and spelling
What are the biophysical, psychological, sociocultural, behavioral and health system factors operating in this situation?
What actions would you take to provide more sensitive and effective care for women who are lesbian, bisexual, or transgender?
Describe the major health concerns of this woman and what role the community health nurse might play in this situation?
Scenario:
Betty is 45 years old, self-employed, divorced three times, and mother of three boys and one daughter. Two years ago, her last husband died of lung cancer at age 54.

She was referred to the local clinic because she has been feeling depressed. During the interview, Betty informs the community health nurse that she is tired of living the old way, and she is now involved with a woman and considers herself a lesbian. She admits that she has been sexually involved with both men and women during the past three years. She indicates that she is afraid she might have cancer because her mother died of breast cancer five years ago at the age of 67. She does not have health insurance. Betty stated that she is embarrassed to get a pap smear because she heard that to gay women do not need get a pap smear since they are not having “real sex” vaginally.


 

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ANALYZE GOOD HEALTH HOSPITAL’S RECORDS AND ITEMIZE RECENT NOSOCOMIAL INFECTIONS THAT OCCURRED WITHIN THE PAST YEAR.

ANALYZE GOOD HEALTH HOSPITAL’S RECORDS AND ITEMIZE RECENT NOSOCOMIAL INFECTIONS THAT OCCURRED WITHIN THE PAST YEAR.

The situation at Good Health Hospital has become a bit overwhelming ever since the outbreak of E. coli in Ward 10 on the second floor. It appears that there are six (6) cases of the disease. To better understand the situation, communication with the CDC has revealed that this particular bacterium can be found in many everyday items. The CDC recommends that investigation begins in the hospital kitchens, since E. coli can be transmitted via contaminated vegetables, as well as delicatessen meats such as salami and other cold cuts. The following table shows the number of cases identified so far:

Case Age Gender
1 23 M
2 21 F
3 15 M
4 42 F
After meeting yesterday with chief administrator Joe Wellborn, it has been decided that the litigation issues with one (1) of the patients may need further information to determine if the patient was already symptomatic with the bacteria prior to admission.

Research has indicated that hospitals operating in the Tampa Bay area have been known to have cases of E. coli contamination. This substantiates the need for further investigations by the County Health Department.

Due to the severity of the cases, and the potential for further spread, it is recommended that the hospital seek alternate vending services since the present suppliers cannot verify sanitation protocols for their products.

In conclusion, the study done at Good Health Hospital has indicated that the E. coli outbreak was in fact caused by spoil food from the cafeteria.

As a social science researcher working for a regional hospital, you are placed in charge of contacting the DOH from your home state, as well as the CDC for statistical data on nosocomial diseases that frequently cause illness at your health care facility. Using information from both agencies, evaluate the data on common nosocomial diseases and compile a treatment contingency plan for dealing with the hospital infections.

Write a 4-5 page evaluation report in which you:

Analyze Good Health Hospital’s records and itemize recent nosocomial infections that occurred within the past year. In your report, categorize the different parameters (i.e., person, time, place, ethnicity, and gender) used in the compilation of data into the information summative.
Propose at least six (6) questions for the health care administrator at Good Health Hospital, regarding potential litigation issues with infections from the nosocomial diseases. Rationalize, in your report, the logic behind your six (6) questions.
Identify a targeted audience within Good Health Hospital, and prepare an implementation plan based on your hypothetical meeting with the hospital health care administrator. Propose four (4) steps that will be useful in the final implementation plan.
Suggest at least five (5) recommendations to your department head based on the steps taken in the implementation plan. Provide rationale for your suggestions.
Using these approved recommendations, design a safety protocol itinerary that must be placed in public access areas of the hospital.
Use at least four (4) peer-reviewed academic resources in this assignment. These must come from journal sources. Note: Fact Sheets, Wikipedia, and non-academic Websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.


 

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evaluate weather educational outcomes of nurse education meet the requirements of nursing practice to find competence areas contributing to the acknowledged practice-theory gap.

evaluate weather educational outcomes of nurse education meet the requirements of nursing practice to find competence areas contributing to the acknowledged practice-theory gap.

LITERATURE REVIEW TABLE
NAME: DATE __
: The gap between nursing education and clinical skills
Authors
Title/Journal/ Year Volume/ Issue and pages
Purpose of Study
Type of Study
Qual/Quan
Sample
Framework
Design

Statistical Test
Results of studyRaurell-Torred et al.
Case-based learning and simulation: useful tools to enhance nurses education? nonrandomized controlled trial. Journal Of Nursing Scholarship 2015 47(1) 34-42.
To compare skills demonstrated by students with no previous clinical practice (undergraduates) and nurses with clinical experience enrolled in continuing professional education (CPE)
Quantitative
101 undergraduates and 59 CPE nurses as a comparison group
The impact of case-based learning on the skills of nursing students
A nonrandomized clinical trial
Chi-square descriptive statistics Students
T test Mann-Whitney
U
Test ANOVA and Dunnetts test.
The CPE nurses committed more rules-based errors than did undergraduates such as checking allergies before administering medication.McAllister M. Happell B. & Flynn T.
Learning essentials: What graduates of mental health nursing programmes need to know from an industry perspective. Journal of Clinical Nursing 2014 23(24) 3449-3459
To explore the perspectives of nursing directors in mental health regarding the skills and attributes of graduate nurses to provide an industry perspective
Qualitative
18 nursing directors

The inadequacy of mental health content in undergraduate nursing program is identified as a gap between nursing education and clinical skills leading to the production of graduates inadequately prepared for practice.
Qualitative exploratory
None
The present educational preparation for nurses to work in mental health settings is inadequate in producing graduates nurses with the knowledge skills and attitudes to work effectively in the mental health practice; hence the need to review the gap.Numminen O. Laine T. Isoaho H. Hupli M. Leino-Kilpi H. & Meretoja R.
Do educational outcomes correspond with the requirements of nursing practice: educators and managers assessments of novice nurses professional competence? Scand J Caring Sci 2014 28(4) 812821.
To evaluate weather educational outcomes of nurse education meet the requirements of nursing practice to find competence areas contributing to the acknowledged practice-theory gap.
Quantitative
86 nurse educators and 141 nurse managers
Nurses assessment gauges the professional strengths and weaknesses of graduate nurse. Lack of standardized assessment is resulting in inadequately prepared nurses for practice

A cross-sectional comparative design
Descriptive and inferential statistics including Frequencies percentage Means standard deviations Two-way ANOVA Cronbachs coefficient and sample
t-test
a) Nurses instructors evaluated new nurses skills to a significantly higher level compared to nurse administrators in all skill areas.
b) The nurses instructors and nurse administrators do not cooperate during the evaluation of new nurses resulting in a gap between nursing education and clinical skills.
Saifan A. AbuRuz M. E. & Masadeh R.
Theory practice gaps in nursing education: a qualitative perspective. Journal of Social Sciences 2015 11(1) 20-29.
To explore how students behave in a clinical
setting according to what they learn in theory and
what are
the factors that influence the theory-practice gap
Qualitative
90 nursing students
The shifting of the nursing education from the hospitals toward the universities has made it more theoretical widening the gap between nursing education and practice.
Exploratory
None
a) The lack of qualified clinical instructors increases the gap between nursing education and clinical practice.
b) Lack of correspondence between the clinical instructors that taught theory and those that imparted practical skills widened the gap.
c) Nursing students lack support in clinical training leading to frustration and unpreparedness for the workplace.Watt E. & Pascoe E.
An exploration of graduate nurses perceptions of their preparedness for practice after undertaking the final year of their bachelor of nursing degree in a university-based clinical school of nursing. International Journal of Nursing Practic 2013 19(1) 23-30
To explored the impact of a university-based clinical school
of nursing experience on graduate nurses perceptions of their preparedness for practice

Qualitative
10 registered nurse
The impact of learning environment of nurses preparedness for the practice
Interpretive descriptive methodology
None
a) Nursing students who studied in a clinical school within a hospital felt they were ready for practice after graduating from nursing school.
b) Studying in a clinical school within a hospital reduced or eliminated the gap between nursing education and practice by proving the students with clinical practicumsEsmaeili M. Cheraghi M. A. Salsali M. & Ghiyasvandian S.
Nursing students expectations regarding effective clinical education: A qualitative study. International Journal of Nursing Practice 2014 20 (5) 460-467.
To describe students expectations regarding an effective clinical education
Qualitative
17 nursing students (11 females and 6 males) who were taking medicalsurgical training courses
Clinical education and its influence on students knowledge attitude and skill to perform their duties efficiently in the workplace
Interpretative Description
None
a) Appropriate communication and interaction between instructors and students can reduce the gap between nursing education and clinical skills
b) The incorporation of both theory and practice into clinical education can reduce the gap between nursing education and clinical skills
c) having specialized instructors who are also knowledgeable and motivated can minimize the gap between nursing education and clinical skillsYeh M.-C. & Yu S.
Job stress and intention to quit in newly graduated nurses during the first three months of work in Taiwan. Journal of Clinical Nursing 2009 18(24) 3450-3460.
To identify job stress and intention to quit in newly-graduated nurses during the first three months of their work
Quantitative
All newly-graduated nurses who worked in these three hospitals (AB and C) in the first three months after graduation
Job stress and intention to quit are closely correlated with graduate nurses unpreparedness for the practice
Cross-sectional research design
Logistic regressions Chi squares odd ratio
a) Job stress was the highest at 0-1 month.
b) The intention to quit was highest at 1-2 months.
c) The intention-to-quit group had significantly higher job stress with regard to roles/interpersonal relationships than the intention-to-stay group.
d) New graduate nurses that experience high job stress are twice likely to quit working in the first months in the workplace.
e) The nurses that lacked a clinical practicum in the working hospital were twice likely to quit working in their first two months in a new work environment.


 

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Provide at least one (1) aspect of the systems from each country selected to support your response.Compare and contrast the U.S. health care delivery system relative to spending capita and ranking of health care outcomes with the health care system of two (2) other countries.

Provide at least one (1) aspect of the systems from each country selected to support your response.Compare and contrast the U.S. health care delivery system relative to spending capita and ranking of health care outcomes with the health care system of two (2) other countries.

Field: Business Finance – Economics
Propose several current and future economic issues confronting and changing the health care system. Analyze the significant implications of the issues in question for market efficiency of the health care system. provide a rationale for your respons

2, Compare and contrast the U.S. health care delivery system relative to spending capita and ranking of health care outcomes with the health care system of two (2) other countries. Provide at least one (1) aspect of the systems from each country selected to support your response.


 

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