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Educational Program to Reduce Health Risks:

Where Telemedicine Falls Short

Information Technology has driven advances and changes in health care for several years currently. Telemedicine has increasingly grown in the US, and the move towards remote care aligned with the recent COVID-19 physical guidelines driving the growth further (Jumreornvong et al., 2020). Providers’ fears on telemedicine include reduced quality of care in comparison with physical visits, reduced security and privacy of patients’ health information, and the likely absence of personal connection between patients and providers in telemedicine visits. Telehealth is a viable solution for offering healthcare to individuals unable to physically receives the care and is crucial in reducing health disparities. Several critics of telemedicine are worried about the adverse it could bring in the continuity of care, suggesting that impersonal and online interactions are the avenue for adverse patient outcomes (Smith et al.,2020). This article provides useful information on barriers to effective telehealth which is important in developing an educational program to minimizes telehealth risks (Blumenthal, 2021). Developing educational programs that advance community health is a crucial function of an advanced nurse practitioner. In developing a short-term educational program for nurses to receive telehealth skills that intend to reduce health risks telemedicine, it is important to have data that offers both barriers and advantages of a healthcare issue. As an advanced practice nurse, I would utilize the literacy concern issues from the article to create an educational program with clear objectives. To understand the efficiency and module of a particular educational program nurses should have background information on a particular health issue. For instance, this article elaborates on the importance of telemedicine literacy to minimize health risks. Besides it also suggests the nurses’ perceptions of telehealth which is vital in creating tangible objections. Additionally, the clear explanations of telehealth challenges will be vital in developing the major theme and goals of every module in the educational program.

References

Blumenthal, D. (2021). Where Telemedicine Falls Short. Commonwealthfund.org. Retrieved 25 May 2021, from https://www.commonwealthfund.org/blog/2020/where-telemedicine-falls-short.

Jumreornvong, O., Yang, E., Race, J., & Appel, J. (2020). Telemedicine and Medical Education in the Age of COVID-19. Academic Medicine.

Smith, A. C., Thomas, E., Snoswell, C. L., Haydon, H., Mehrotra, A., Clemensen, J., & Caffery, L. J. (2020). Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19). Journal of telemedicine and telecare, 26(5), 309-313.    

SECOND POST    

The Commonwealth Fund states that health disparities are based on the legacy of racism that is engraved in the health care system. However, they can be reduced through education along with coordination of community services. Through data provided by the Commonwealth Fund (2019) it was identified that thirteen percent of adults age eighteen and older went without care due to cost of coverage alone. The underlying health care disparities are linked to educational inequalities and programs that support resources for high-risk communities are important to plan recourse centers that can provide for communities that aim in education enhancement and health care access. Advance practice nurses play a pivotal role in education within communities to reduce health care risk such as diabetes reviewing primary care providers and knowledge of guidelines. One example is that of Marcial and Graves (2019) and the review of the importance of evidence-based clinical practice guidelines to improve diabetes outcome within the Hispanic community (p.142). The study identified that importance of treatment solutions and management technique provided by primary care providers. The success of this study supports the importance of evidence-based clinical practice guideline use to achieve better diabetes outcomes. Therefore, it is strongly recommended that advance practice nurses implement the American Diabetes Association (ADA) Standards of Medical Care in Diabetes to improve patient (Marica and Graves, 2019, p.149). Furthermore, the cost of care is associated with higher risks as people with diabetes who are uninsured and have lower income are much more likely to encounter problems paying for their medications. Thus, the importance and success of educational programs to reduce health risk is important to advance practice nurses as they provide direct care with lower income communities and can identify socioeconomic factors and can provide patient education material that address low health literacy and improve patient comprehension. Advance practice nurses can utilize information provided by the Commonwealth Fund to strengthen the academic practice and the identification of knowledge and skills need for current and future rural providers (Gibson et. al, 2021, p.97).

References

Baumgarter, J., Aboulafia, G., Geachew, Y., Radley, D., Collins, S., and Zephryin, L. (2021). Inequities in health and health care in black and latinx/hispanic communities: 23 charts. Retreived from: https://www.commonwealthfund.org/publications/2021/jun/inequities-health-care-black-latinx-hispanic-communities-23-charts (Links to an external site.)

Gibson, N. A., Pravecek, B., Burdette, L., & Lamb, L. (2021). ANEW Project to Develop and Support Rural Primary Practice. Online Journal of Rural Nursing & Health Care, 21(1), 85–99. doi:10.14574/ojrnhc.v21i1.649

Marcial, E., & Graves, B. A. (2019). Implementation and Evaluation of Diabetes Clinical Practice Guidelines in a Primary Care Clinic Serving a Hispanic Community. Worldviews on Evidence-Based Nursing, 16(2), 142–150. doi:10.1111/wvn.12345

The Commonwealth Fund. (2019). Adults who went without care because of cost. Retrieved from: https://datacenter.commonwealthfund.org/topics/adults-who-went-without-care-because-cost 

THIRD POST     

The Benefits of Telehealth During a Pandemic – and beyond

COVID – 19

The recent and on-going COVID – 19 pandemic has thrust the entire world into an entirely new revolution of healthcare. The United States along with countries such as Italy, France and now currently India suffered tremendous loss. This loss came in the form of casualties from the illness itself, financial ruin from the impact on markets and businesses and moral disaster. But what the pandemic did reveal is the need for Telehealth and the ability to assess, diagnose and treat patients remotely (Seervai & Shah, 2021). The debate of increasing public health awareness measures has largely been scrutinized. Many countries including the United States lack in making their populations aware of all available options when it comes to maintaining their health and preventing illness and disease. India experienced a similar series of events regarding the multiple waves of COVID -19 as the United States did. After the initial wave of COVID – 19 had seemingly passed us by, federal officials were quick to lift quarantine orders and get back to life as usual (Chowdhury et al., 2019). With elections underway in India like they were in the United States, these events drew large crowds of un-masked individuals eventually leading to mutations in the virus and a terrible resurgence in positive cases (Seervai & Shah, 2021). The populations of large countries around the world are paying the price for irresponsible governments mainly attributing the problem to lack equipment and preparedness. Upon further investigation, it was a lack of knowledge and healthcare delivery that increases deaths exponentially (Seervai & Shah, 2021). Now there are numerous methods that can be employed to increase awareness for future generations, telehealth being one of them. An advanced practice nurse, utilizing telehealth in rural, under-privileged populations can prove essential in the betterment of health disparities. The COVID – 19 virus is an extremely infectious agent as we’ve experienced and some of the major guidelines to controlling the spread was keeping your distance from individuals and wearing a mask (Agarwal et al., 2020). The former, can easily be practiced by an APRN through Telehealth. As an APRN, advocating for the setup of Telehealth in all communities for patients to be able to be seen by licensed practitioners in regardless of their location. At the same time, social distancing can be practiced thereby preventing the transmission of any airborne or droplet illness.

References

Seervai & Shah, 2021. The Benefits of Telehealth During a Pandemic – -and beyond. https://www.commonwealthfund.org/blog/2021/indias-failure-leadership-collapses-health-system-covid-19-surge (Links to an external site.)

Chowdhury, A., Hafeez-Baig, A., Gururajan, R., & Chakraborty, S. (2019). Conceptual framework for telehealth adoption in Indian healthcare. In 24th Annual Conference of the Asia Pacific Decision Sciences Institute: Full papers. Asia-Pacific Decision Sciences Institute (APDSI).

Agarwal, N., Jain, P., Pathak, R., & Gupta, R. (2020). Telemedicine in India: A tool for transforming health care in the era of COVID-19 pandemic. Journal of education and health promotion, 9, 190. https://doi.org/10.4103/jehp.jehp_472_20

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