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HCM425 DB3

Write 400–600 words in APA 7 format, 11 pt. Calibri font., with proper in-text citations. Include two to three (2–3) scholarly references published within the last 5 years to substantiate your work. Please provide a copy of all references, A.I., and plagiarism reports.  

Assignment Details:  

** Using Hypertension, African Americans, and the state of Georgia as the subjects for this assignment. *** 

Peruse the following Web sites:

The concept behind the 3-4-50 model is that there are three unhealthy behaviors that influence four chronic diseases, which leads to 50% of all deaths. The percentage of deaths can vary by community or place. For example, in some communities, this can be 3-4-63 or 3-4-45.

As you peruse the Web sites above, respond to the following questions:

  • How do the 3 behaviors in the 3-4-50 model impact the 4 diseases in your community?
  • Can you find the mortality of these 4 diseases in your community?
    • If you can, what is the percentage of deaths caused by these 4 diseases for your community?
  • What are the underlying social determinants of health that impact the 3 behaviors in the 3-4-50 model?
  • What are the health disparities observed from the data in your community (city or county)?
  • Physical activity, or lack thereof, is 1 of the 3 behaviors that impacts the 4 diseases. What is the walkability index for your neighborhood (area)?
    • Does this support the data as they relate to health conditions that are impacted by physical activity?
  • From the data and the information you gathered, what recommendations might you have for your community?

    D6

    Research healthcare issues that have been identified in your local community. Select one problem for which you will complete a healthcare policy analysis. 

    Include the following sections

    1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail. 
      • Identify and define the local problem you will address in your analysis.  
      • Include background information about the problem.  
      • Describe why the topic is important.
      • Explain why the topic needs to be addressed now.  

    *Note: Peer responses should provide options for addressing healthcare problems identified by peers.  

    • Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.
    1. Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
    2. No Plagiarism 

      HCM425 IP3

      Write 2-3 pages in APA 7 format.11 pt. Calibri font., with proper in-text citations. Include two to three (2–3) scholarly references published within the last 5 years to substantiate your work. Please provide a copy of all references, A.I., and plagiarism reports. 

      Assignment Details: 

      In your discussion this week, you examined a few Web sites from which you can make inferences about the health status of your community. This week, you will write a brief report on the risk factors and social determinants of health that impact your community. In your report, answer the following:

      **Using Hypertension, African Americans and the state of Georgia as the subjects for this assignment. **

      • What are the risk factors that promote health conditions in your community?
      • What are the social determinants of health in your community?
      • Which diseases or health conditions are most prevalent in your community?  
      • What is the difference between social determinants of health, health disparities, and health inequities?
      • What are the health disparities and inequities that you have observed in your community?
      • What recommendations might you make to the decision or policymakers in your community to address these?

        D6 Presentation

         Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions. 

        General instructions  

        Research healthcare issues that have been identified in your local community. Create a PowerPoint Presentation and address the following requirements: 

        1. Review Wilensky, S. E., & Teitelbaum, J. B. (2023). Essentials of health policy and law (5th ed.). Jones & Bartlett Learning. Chapter 14: The Art of Structuring and Writing a Health Policy Analysis 
        2. Use Microsoft PowerPoint to create the presentation. Submit the presentation as a .ppt or .pptx file to the Week 6 Dropbox. 
        3. The presentation should total 7-15 slides (excluding title and reference slides).  
        4. Create slides that are professional in appearance and tone and balanced spatially including words and graphics.  
        5. Follow APA rules for grammar, spelling, word usage, and punctuation consistent with formal, scholarly writing. 
        6. Include speaker notes for all slides except the title and reference slides. Use complete sentences. 
        7. Include in-text citations in APA format when applicable. Use the Notes Page view feature in PowerPoint to include speaker notes. 
        8. Create a Kaltura video presentation based on the PowerPoint slideshow. Use of the Kaltura camera feature is optional. The presentation length should be between 7-10 minutes.  
        9. Use the Kaltura resources found under the Resources tab in the courseLinks to an external site.. If you have difficulty using Kaltura Capture Space, reach out to IT first (please obtain a ticket number). If you are still unable to record using Kaltura, reach out to your instructor for alternate recording options.   
        10. Abide by Chamberlain University's academic integrity policy. 

        In a PowerPoint slide presentation, structure a health policy analysis presentation that addresses the following topics particular to your health problem.  All slides except the title and reference slides should include speaker’s notes using complete sentences.   

        Include the following sections (detailed criteria listed below and in the grading rubric):

        1. Title Slide 
        2. Introduction (1 slide): Identify the purpose of the presentation.  
        3. Problem Statement (1 slide): Define the problem you will address in your analysis in a succinct, 1-2 sentence statement. Write the problem statement in the form of a question. You may reuse the problem you identified for this week’s collaboration café.  
        4. Background (1-3 slides): Provide factual information to define the problem. Include general information about the topic. Describe why the topic is important. Explain why the topic needs to be addressed now. Provide in-text citations from a scholarly source. You may reuse the information you wrote for this week’s collaboration café.  
        5. Landscape (1-3 slides): Identify relevant stakeholders. Explain stakeholder concerns related to the problem. Identify key factors that must be considered when analyzing the problem. Discuss the relevance of each key factor. Provide in-text citations from a scholarly source.  
        6. Options (1-3 slides): Identify at least three evidence-based options to address the problem. Discuss the pros and cons of each option. Provide in-text citations from a scholarly source. Recommendation (1-3 slides): Identify the best option to address the problem. Explain why your recommendation is the best choice. Discuss mitigating strategies for any cons identified for the selected option. Provide in-text citations from a scholarly source. 
        7. Conclusion (1 slide): Provide a summary points of presentation.  
        8. References: Provide complete reference in APA format, may use bullets. Hanging indents are not required. 
        9. Kaltura Recording: Provide an 8-15 minute presentation. The slides must be displayed on the screen in the video presentation. Use of the Kaltura camera feature is optional.  Include a clear audio presentation of the content. 

          week 6

           

          For this discussion prompt, please post your PowerPoint Presentation from Unit 5 as your initial response. Please introduce the protocol or procedure you have centered your presentation on in a short paragraph along with the attachment. Remember to integrate a resource into the paragraph by using an in-text citation as well as a full reference.

          Catheter-associated Urinary Tract Infection (CAUTI) Prevention

          Carmen Guzman

          Galen College of Nursing

          Prof. Monica Jo Ptacek

          August 8,2024

          Introduction

          Purpose of the Presentation

          Overview of the CAUTI prevention protocol

          Establish a professional tone

          The goal of this meeting is to introduce and analyze the protocol on catheter-associated urinary tract infection (CAUTI) prevention in our healthcare institution. The overview would involve the rationale for CAUTI prevention and its consequences on patient results (Yeruva et al., 2023). To present the importance of the protocol and the associated technologies, it is important to achieve a professional approach to the framework of the article. This slide provides a general background knowledge about the technologies used and an insight into their efficiency in the protocol.

          2

          General Description and Significance of the Protocol

          CAUTI prevention protocol

          Importance in patient care

          Background on CAUTI

          Key objectives: reduce infection rates

          Expected outcomes: fewer infections, shorter hospital stays

          The CAUTI prevention protocol is an effective strategy to minimize the infection incidence in patients with urinary catheters. This protocol is relevant as it affects patient care directly since it focuses on eradicating urinary tract infections that are linked with the use of catheters. Knowing more about CAUTI enables one to comprehend several goals of the protocol like reducing the infection risks, among other benefits (Alqarni, 2021). This way, by establishing these objectives, the protocol seeks to attain practical outcomes such as reduced infections and shortest possible hospitalization period which are beneficial in terms of patient wellbeing and effective healthcare systems.

          3

          Evidence-Based Practice Alignment

          Definition of evidence-based practice (EBP)

          Importance of EBP in nursing

          Scholarly article 1 summary supporting CAUTI prevention

          Scholarly article 2 summary supporting CAUTI prevention

          How CAUTI prevention protocol aligns with EBP

          EBP in nursing the application of research-based knowledge, clinical experience, and cooperation with patients to make the best decision in patient care Delivery. Thus, EBP contributes high quality of care to patients, better outcomes, and optimized operations in healthcare organizations. Alqarni (2021) discussed the implementation of the CAUTI challenges in the ICU and proposed the plan-do-study-act methodology in the in the overall process of applying the infection control measures leads to a reduction in CAUTI. Yeruva, West & Powell (2023) highlight the STIs related with HAI and call for effective approaches to reducing CAUTI rates. They found that these approaches comprehensively call for patient safety improvement evidence based interventions. Through the implementation of CAUTI prevention protocol, it adheres to EBP through the use of multiple features such as proper catheter insertion techniques, continuous monitoring, and use of antimicrobial catheters, to reduce the infection rates and improve patient outcomes by deploying current evidence based practices.

          4

          Technologies Used in CAUTI Prevention Protocol

          Electronic Health Records (EHR)

          Bladder Scanners

          Antimicrobial Catheters

          Catheter Securement Devices

          Continuous Monitoring Systems

          The CAUTI prevention protocol leverage several technologies to improve the quality of care and safety of patient. EHRs are employed for the documentation of all the client records and for quick retrieval of information. Given that Bladder Scanners are a way to obtain non-invasive measurements of bladder volume, they can be effectively used to minimize the number of catheterizations. Antimicrobial Catheters are manufactured, with antimicrobial agents, to reduce bacteria adhesion (Pai et al., 2021). Catheter Securement Devices anchor the catheter, which limits the catheter movement and, therefore, the likelihood of infection. CMSs monitor patient’s condition and catheter usage for continuous real-time feed to identify the early signs of an emerging issue or complication. All the technologies are important and make equal contributions towards the efficiency of the protocol.

          5

          Description of Electronic Health Records (EHR)

          Digital version of patients' charts

          Documentation of patient information

          Access to patient data

          Integration with other technologies

          Role in improving patient outcomes

          Electronic Health Records (EHR) are digital copies of traditional paper charts, storing important data about a patient in one central location. This is important in the maintenance of records of the patient such as notes regarding the use of catheters. EHRs interconnect with other technologies, enabling smooth information interchange and enhancing interdisciplinary cooperation. It also assists in enhancing patient care since all necessary information about patients is within reach, thus enhancing better decision making. EHRs are essential for use in the framework of the CAUTI prevention process since they offer an easily searchable and accessible source of information on patients.

          6

          Description of Bladder Scanners

          Non-invasive device to measure bladder volume

          Reduces unnecessary catheterizations

          Integration with EHR for documentation

          Immediate results for decision-making

          Role in CAUTI prevention

          Bladder Scanners are imprecise and easy to use equipment that is utilized to measure the volume of the bladder and hence avoid frequent catheterisation. These devices offer rapid readings that can enable the healthcare providers to make some quick and informed decisions regarding catheter utilization. Bladder scanner data must be incorporated into the EHR so that all data entered is well-documented and easily retrievable. The aim is to avoid unwarranted catheterization through application of bladder scanner as part of the protocol greatly reducing the incidences of CAUTI. Their use demonstrates some of best forms of technology focusing on patient safety and care organization for improved efficiency.

          7

          Description of Antimicrobial Catheters

          Catheters coated with antimicrobial agents

          Prevents bacterial colonization

          Reduces risk of infection

          Integration with continuous monitoring systems

          Role in CAUTI prevention

          Antimicrobial catheters are expected to prevent bacterial growth due to their surface being coated with antimicrobial compounds. These catheters minimize the potential for infections; a crucial element of the overall CAUTI prevention regime. These are especially integrated with continuous monitoring systems to assess the performance of the device and also the patient’s response. Such information includes status and maintenance of antimicrobial catheters where details will be recorded in the EHR for review. This inclusion into the protocol points to the need of applying new material and technology in improving the safety of the patient and also reducing infectivity rates.

          8

          Description of Catheter Securement Devices

          Devices to secure catheter in place

          Reduces movement and potential infection

          Ensures stability of catheter

          Documentation in EHR

          Role in CAUTI prevention

          Catheter securement devices refers to devices that are employed to limit the mobility of catheters, hence minimizing the possibility of acquiring an infection. These devices help in encouraging the steadiness of the catheter to avoid being removed accidentally, and to minimize contact with the environment. They are very important in ensuring that there is no displacement or contamination of the catheter site of which details are put in the EHR for monitoring and checkup (Rowe et al., 2020). Given that all of these devices reduces the amount of catheter manipulation, the devices are central to the CAUTI prevention plan showing how correct catheter use greatly reduces infection rates and enhances the quality of patient care.

          9

          Communication Among Technologies

          EHR and Bladder Scanners: integration for documentation

          Antimicrobial Catheters and Monitoring Systems: monitoring effectiveness

          Securement Devices and EHR: recording maintenance checks

          Data flow between EHR and monitoring systems

          Challenges in technology integration

          Nurses depend on EHR as a single source for all the patient data pertinent to CAUTI prevention protocol. Bladder scanner findings are then automatically saved in the EHR for quick and convenient review of essential data. The EHR also captures the status of the antimicrobial catheters and securement devices so that there are no missing details when the residents need care. Monitoring systems are fully automated and offer nurses real-time data to work with so that they can address changes as they occur. This integration of technologies ensures that nurses have the information they need to effectively implement the protocol before attending to the patients.

          10

          Nurse Access to Information

          EHR as central access point for patient data

          Bladder Scanner results integrated into EHR

          Antimicrobial Catheter status recorded in EHR

          Securement device checks documented in EHR

          Real-time data access via continuous monitoring systems

          Nurses depend on EHR as a single source for all the patient data pertinent to CAUTI prevention protocol. Bladder scanner findings are then automatically saved in the EHR for quick and convenient review of essential data. The EHR also captures the status of the antimicrobial catheters and securement devices so that there are no missing details when the residents need care. Monitoring systems are fully automated and offer nurses real-time data to work with so that they can address changes as they occur. This integration of technologies ensures that nurses have the information they need to effectively implement the protocol before attending to the patients.

          11

          Identified Gaps in Technology Communication

          Lack of seamless integration between devices

          Delayed data transfer from Bladder Scanners to EHR

          Compatibility issues between monitoring systems

          Limited interoperability of antimicrobial catheters

          Nurse feedback on communication inefficiencies

          Even with all these innovations in the technologies, there are some areas of communication that have been found to be lacking. Communications: there may be a problem of interoperability where data is not rapidly transferred from bladder scanners to the EHR. Interoperability between the various systems being used in monitoring can also present some challenges as well. Incomplete compatibility of antimicrobial catheters with monitoring systems may reduce the ability to gather useful information. Feedback from nurses provides insights into such issues pointing out some common communication breakdowns requiring enhancement. These gaps need to be closed to improve on the effectiveness of the CAUTI prevention protocol in practice.

          12

          Recommendations for Protocol Improvement

          Enhance integration of Bladder Scanners with EHR

          Improve real-time data transfer capabilities

          Standardize technology platforms for better interoperability

          Increase training on using integrated systems

          Regular review and update of technology protocols

          To further enhance the CAUTI prevention protocol, there should be an integration with the bladder scanners to help in the transfer of information to the EHR system. As for information transferring in real-time, their enhancement will guarantee quick access to important details. Stemming from this, there is likely to be harmonization of technology platforms across the healthcare system, thus eradicating compatibility concerns. Raising awareness and providing practice sessions on the application of integrated systems for the healthcare providers shall improve effectiveness and compliance with the set procedures. Evaluation and modification of these technologies must occur on a regular basis in order to implement better methods as they become available to reduce errors and better serve patients.

          13

          Summary

          Recap of key points discussed

          Importance of technology in CAUTI prevention

          Benefits of improved technology communication

          Continuous improvement of protocols

          Call to action for adopting recommendations

          This presentation was a summary of the points that were highlighted for the CAUTI prevention protocol and various related technologies. The role of technology in the prevention of CAUTI was emphasized and the way in which each technology helps in the fight against infections and the promotion of patients’ welfare was described. The advantages of technology communications were further underlined with a focus on how integrated systems improve protocol efficiency. Further, it was recommended for the protocols to be constantly reviewed and updated in order to experience continuous improvement. The authors urged the implementation of the proposed recommendations so as to maintain the protocol current with the advancements in the healthcare field.

          14

          References

          Alqarni, M. S. (2021). Catheter-associated urinary tract infection (CAUTI) in ICU patients. Middle East Journal of Nursing, 15(1). http://www.me-jn.com/February%202021/CAUTI.pdf

          Pai, M. M., Ganiga, R., Pai, R. M., & Sinha, R. K. (2021). Standard electronic health record (EHR) framework for Indian healthcare system. Health Services and Outcomes Research Methodology, 21(3), 339-362. https://link.springer.com/article/10.1007/s10742-020-00238-0

          Rowe, M. S., Arnold, K., & Spencer, T. R. (2020). Catheter securement impact on PICC-related CLABSI: a university hospital perspective. American Journal of Infection Control, 48(12), 1497-1500. https://www.sciencedirect.com/science/article/pii/S0196655320305605

          Yeruva, K., West, N., & Powell, W. (2023). An Eye on CAUTI Prevention: Bridging the Gap in the Prevention of Catheter-Associated Urinary Tract Infections. medRxiv, 2023-01. https://www.medrxiv.org/content/10.1101/2023.01.21.23284862.abstract

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          Evidence Base Practice 1

            

          Evidence-based practice is a key skill in the toolkit of the master's-prepared nurse. Its goal is that health care practitioners use the best available evidence to improve population health outcomes and make the best clinical decisions (Gallagher et al., 2020). In essence, evidence-based practice is all about ensuring quality care.

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