2 separate questions 2 separate responses for each question. Do not Critique Please respond .One reference for each response 5 years old or less. Please add reference at the end of each response to make it easy to decipher which reference is for the specific question.
Respond to the following in a minimum of 200 words:
What representations of the varying definitions of health have you encountered?
How is it different for different people?
#1 S MurrayTop of Form
In our text we have several examples of definitions of health. “Health is “being sound in body, mind, and spirit: freedom from physical disease or pain” (Neis & McEwen, 2019, p 158). The WHO defines health as “a state of complete physical, mental, and social well-being, and not merely the absence of disease” (Neis & McEwen, 2019, p 158). Our text also states their is a shift from a curative model to multidimensional to focus on social, cultural, and environmental factors involving health (Neis & McEwen, 2019, p 158).
Some people view health as simply “the absence of disease” while others really do take a more holistic approach. Most people I think realize that your mindset, stress level, emotional status, and your environment can affect your health. I have taken care of people with a new diagnosis of cancer and they gave up before anything really even started, and it is difficult to get it back. I have also seen patients with a cancer diagnosis with a poor prognosis do very well because they wanted to get better and wanted to be around for their family. My brother was diagnosed with stage 4 rectal cancer at age 38, he viewed it as a death sentence. He was very ill, looked ill and I’m sure felt ill. He just started spending all his money and being wasteful because he was told he would live 18 months. After that 18 month mark he started to change his mindset and looked more towards the future and there was almost an immediate change in his overall health. You could see it. He is still alive at that was 9 years ago. A positive mindset, taking better care of your soul, and being aware of your environment can really affect your overall health.
References:
Neis, M.A. & McEwen, M. (2019). Community Public Health Nursing: Promoting the Health of Populations. 7th Edition, Elsevier. https://bibliu.com/app/#/view/books/9780323544016/epub/OEBPS/XHTML/B9780323528948000048/B9780323528948000048.html#page_158
#2 K Beckman
and McEwen cite several definitions, from the dictionary to the WHO, all centering on overall well-being and freedom from pain and disease. They point out that the definition of health has evolved over time to include cultural, environmental and social aspects. Perhaps the most poignant definition they cite is from the WHO: “…health is the extent to which an individual or group is able to realize aspirations, to satisfy needs, and to change or cope with the environment. In this aspect, health is viewed not only as an important goal but also as a resource for living.” (Nies, M.A. & McEwen, M., 2019)
All of us who have worked as practicing nurses in various capacities have encountered sick people. Disease, whether acute or chronic, hobbles a person’s ability to live their life and achieve their dreams. It robs people of their physical, mental, emotional and financial resources. So in that sense, I would agree that being in good health means not just total well-being and freedom from disease, but the capacity to live one’s life and achieve aspirations.
Not everyone is capable of being free from disease, whether it be congenital, acquired, or a chronic condition, however. So, I would say that those people who live with their disease daily, while challenged with conditions that may impair their ability to be “sound in mind, body and spirit” as Merriam-Webster states, CAN still achieve good health. (Nies, M.A. & McEwen, M., 2019) That is to say, they can maximize the extent to which that disease prevents them from satisfying their needs and realizing their aspirations.
Reference:
Nies, M. A., McEwen, M. (2019). Community/public health nursing: Promoting the health of populations (7th ed.) Elsevier.
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Respond to the following in a minimum of 200 words:
How does the management of quality drive patient safety in your organization or one that you’re most interested in working? How do you think it is or could improve health care systems?
#1B Salazar
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Among the organization that I am employed with the way the management works is by collaborating closely with healthcare individuals to provide high quality care while delivering safe practice. However, there will always be room for improvement. There are systems put in place to prevent medication errors. According to (Sherwood & Barneteiner, 2017, p. 5), medication errors are the third leading cause in the United States that contributes to patient’s death. For instance, there are certain medications especially those with black box warnings that will alert the nurse to make a double and even triple verification before administering the medication. Nevertheless, there are still nurses that will administer the medication without following certain steps.
The way the organization attempts to eliminate these medication errors from occurring is by providing the staff with continue education, yearly testing on medication administration, monthly health learning models, second nurse verification sign in on the computer and continuous staff monitoring. However, staff should be held accountable if error was to reach the patient with all the barriers in place to prevent harming from occurring. The way the organization can improve could be by proving assistance and reference to staff in order to improve certain skills within the organization and continuous supervisor support.
Reference, Sherwood, G., & Barnsteiner, J. (2017). Quality and safety in nursing (2nd ed.). Wiley.
#2 A Cornell
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In my previous professional nursing position, I worked for an organization that primarily used Root Cause Analysis (RCA)to evaluate sentential events and formulate quality improvement plans. Learning by way of RCA is a reactive form of healthcare quality improvement, we are defining what caused an event and then enlisting new or improved safety protocols to decrease that chance of another similar event. As stated by Dr. Mike Evans, healthcare needs to make the shift from reactive to proactive, true quality is evident when safety measures are in place to prevent sentinel events from occurring (IHI, 2021). Quality improvement teams should involve nurses for a more proactive approach to process improvement. Nurses are involved in every aspect of the patients care from admission to discharge; this allows them to have a clear perspective of the gaps encountered. Nurses are often trained and experienced in critical thinking skills, which allows them to have what Dr. Mike Evans calls a “systems thinking” approach to problem solving (IHI, 2021). Breaking down the steps of a hospital systems process and recognizing areas in need of improvement prior to a complete process failure will decrease the number of unnecessary deaths and harm to patients. The system needs improvement, but lacks the necessary leadership (Harvey, 2013). Nurses if encouraged and incentivized to participate can provide substantial input to an organizations QI process.
Harvey, Maurene & RN, MPH. (2014). Quality Improvement Processes: Drilling Down and Stepping Back*. Critical Care Medicine, 42, 984-985. https://doi.org/10.1097/CCM.0000000000000095
Institute for Healthcare Improvement. (2021). Science of Improvement: How to improve. http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementHowtoImprove.aspx
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