Given that we have limited resources, what is the best use of our healthcare dollars? Should expensive treatments be provided to everyone who would benefit from them? If so, who should bear the costs—for instance, should it be third-party insurance, Medicare, Medicaid, or the individuals themselves paying out-of-pocket? There are other important facets to this issue. Should resources be used to provide basic services to the greatest number of people, such as through immunization? Should the drugs be rationed in any way, to keep costs down?
Select an ethical issue such as one of those described above and provide a pro/con comparison of related to the ethics of payment.
Suggested 2 to 4 pages. APA formatting is required. A minimum of 2 academic references are required.
Topic: In Hispanic patients living in South Florida with diabetes type
II, does lifestyle modification such as diet and physical activity
help lower HBA1C compared to those who do not make life style changes.
Stakeholder: Sanitas medical center- primary care and
Florida Blue health insurance
Part A: 1 page
Develop your project aims, values, and desired outcomes portion of your paper using a clinical microsystem approach.
1. Describe the project aim: The project aim should include examples of features and functions that will occur as a result of implementing your change project.
2. Describe the project value: The value should describe the benefits of the change project implementation to the stakeholders, the organization, and the nursing profession.
3.Describe the desired outcomes: Specifically, state the purpose, quality focus, and viewpoint of the project as well as its expected accomplishments. A project goal should reference the project’s business benefits in terms of cost, time, and/or quality that address individual and family healthcare needs or changes, results, impacts, or consequences that the project has on people, programs, or institutions. Goals and objectives should be measurable, shared, and agreed on by all key stakeholders. They are directly linked to the concept of project success factors.
The project, aims, values, and desired outcomes are well-developed. They are clear and thorough, and there is evidence that a clinical microsystems approach is used. Aims include examples of projected features and functions. Values include implementation benefits for specific stakeholders. Desired outcomes state the purpose, have a quality focus, and describe the benefits that will occur as a result of implementation.
Part B: Theoretical framework- 4 pages
For this section of your paper, you must specifically identify and address two independent theories or conceptual models that relate directly to your change project in addition to the Plan-Do-Study-Act (PDSA) cycle. Keep in mind that your theoretical framework provides the structure for your change project. Think of it as a frame for a new home that is being built. The framework is what guides and directs your change project. Basically, it will help make sense of your change project. Make sure to describe how you will apply these theories and models to your change project.
This paper should be at least four pages in length, not including the cover or reference pages.
nswer the questions with Reference
Explain important ethical issues related to nurses’ relationships with patients, families, and colleagues.
Discuss the concept of patient rights in healthcare.
Describe the difference between direct costs and variable costs.
2. Consider how a healthcare manager might use this information in making decisions.
3. How might you, as a healthcare manager use cost allocation method to assign costs to support activities to patient services?
List four areas of negligence for allied health professionals. Discuss the standard of care in each area, and how that standard can be applied to the healthcare facility.
The three types of qualitative research are phenomenological, grounded theory, and ethnographic research. What are the differences and similarities between two of the three types of studies?
In each case, answer the questions at the end of the case and give researched references to support your assertions; also, explain what would be the ethical course of action and the legal requirements for action in the case.
Mrs. Lewis was head nurse on a medical surgical floor in a community hospital with 250 beds. Over the course of 6 months, she noticed that all patients admitted from the Shady Rest Nursing Home had signs of severe injuries other than those connected with the admitting diagnosis. There appeared to be patient abuse in the nursing home. Mrs. Lewis investigated discreetly and found no explanation possible except abuse. In accord with the obligations of the law in her state, she reported the matter to the Department of Welfare Bureau of Inspection.
The Welfare Department investigated immediately, found proof of abuse, and threatened to close down Shady Rest if there were any more recurrences. Mrs. Lewis was overjoyed until her hospital administrator, bypassing the director of nursing, called her in and warned her that she would be fired if she reported any other instances of abuse. Shady Rest sent the hospital a lot of business, and good relations had to be maintained.
Mrs. Lewis was even more shocked when she discovered that the administrator was a golf partner of the owner of Shady Rest and was doing an old buddy a favor. Despite fears of retaliation, Mrs. Lewis consulted a lawyer, who threatened the hospital with exposure and with penalties that would follow if one of its employees failed to follow the reporting provisions of the law on abuse in nursing homes.
Did Mrs. Lewis act correctly? What should she have done if she could not have afforded to consult with a lawyer? In what ways can whistle-blowers protect themselves? Must the art of intimidation be part of the toolbox of healthcare professionals in order to protect their patients? Is power an appropriate consideration in healthcare ethics?
On a July weekend, Mrs. Allesfertig, nursing supervisor of the whole hospital, discovered that the intensive care unit was seriously understaffed. She pulled two nurses with previous ICU experience off other floors to bring the unit up to strength in view of the extreme level of acute care needed. On the following Monday, Dr. Bestknabe, who has overall responsibility for the ICU unit, closed the unit for further admissions until the staffing had been worked out on a permanent basis.
Should the new staffing policy give the nurses authority to refuse to admit patients when the staff is not sufficient to handle them? (In some hospitals, nurses have this authority.) Can any policy take precedence over the professional judgment of trained ICU nurses?
Describe the cultural health customs of the Egyptian and Filipino cultures and how they influence the delivery community health care. As you can see I’m giving you one question to elaborate. As stated in the syllabus present your assignment in an APA format on an Arial 12 font word document attached to th threat in the discussion tab of the blackboard. A minimum of 2 evidence based practice references are required and 2 replies to one of your peers sustained with the proper references are required. A minimum of 500 words are required