Description
I HAVE TO REPLY TO 3 POSTS, COULD HAVE PLEASE HAVE ANY ONE OF THEM READY TODAY BEFORE 12 AM EASTERN TIME. THANKS.
FIRST POST
This is the link to the article: http://search.proquest.com.ezproxylocal.library.no…
DOI: 10.1007/s00134-018-5349-8
Conflict of Interest Overview
As conflicts of interest are a normal part of any human-to-human debate or social interactions, they can become disputable between those participating in conversation. The Institute of Medicine (IOM) defined a conflict of interest as either an individual or institute have an additional interest that can create a risk on decisions or actions that affect the primary interest. Conflicts of interest can be personal, financial or professional. When these conflicts become unmanaged, they become a source of bias which can place either the professional or organizations interests before the patients. It has been reported that these are increasing in frequency, harm patients, damage trust and defraud our health system. A total of fifteen recommendation have been created to minimalize these conflicts (Bion et al., 2018). This white paper can be related to my policy brief on the Right to Try Act (Right to Try Act, 2017). This policy brief can have conflicting interest between the physician and or organization against the patients wishes.
Improve Health Outcomes
Based on one of the fifteen recommendation described in this paper under Distance, role separation, the recommendation of having a best practice guideline panel that includes individuals with conflicts of interest in their topic area of subject of expertise but must not be allowed to vote on any recommendations of their conflict (Bion et al., 2018). By having this panel, their opinions can be heard but voted on by other professionals who have no conflict.
Legal Process Impact
As stated earlier, the defrauding of our health system can be avoided with one of their recommendations. In the Code of Conduct, governance section a recommendation if proven research fraud, a maximum penalty of either employment termination or removal of license in the practice for healthcare professionals (Bion et al., 2018).
Best Regards,
Brittany
References
Bion, J., Antonelli, M., Blanch, L. L., Curtis, J. R., Druml, C., Du, B., Machado, F. R., Gomersall, C., Hartog, C., Levy, M., Myburgh, J., Rubenfeld, G., & Sprung, C. (2018). White paper: statement on conflicts of interest. Intensive Care Medicine, 44(10), 16571668. https://doi.org/10.1007/s00134-018-5349-8
H.R.2368 – 115th Congress (2017-2018): Right to Try Act. (2017, May 4). Congress.Gov | Library of Congress. https://www.congress.gov/bill/115th-congress/house…
SECOND POST
The White Paper that I chose is titled Quality of Care, Nurses Work Schedules, and Fatigue
The link for this white paper is: https://cdn.wsna.org/assets/entry-assets/17/Fatigue-White-Paper.pdf (Links to an external site.)
This White Paper titled Quality of Care, Nurses Work Schedules, and Fatigue discusses the issue of nurses, work schedules and fatigue. In this White Paper there is discussion on this issue of patient and staff safety, as well as the issue of nursing shortage. The safety of the patient and the staff should be top priority, even when there is an increase in acuity and a decrease in staff. Ellis (2008) mentions how fatigue can lead to increase in medical errors. One recommendation that was mentioned in this paper was to have periods of rest and education on noticing fatigue and taking action to help with this (Ellis, 2008). This relates to my chosen policy on nurse breaks and rest periods, which led to the implementation of the House Bill 1155. The main issue in relation to this policy and bill was that healthcare workers, including nurses, were not getting the proper breaks and rest periods needed for both their health and safety of all. This White Paper can help advance current health systems, practice, and/or organizations to improve health outcomes by providing education on the issues at hand, as well as recommendations to help. Per Brown et al. (2020), it can be seen as an ethical responsibility to help with recommendations for proper safety and states how the American Nurses Association has even made statements about nurse fatigue being a hazard in the workplace. As stated earlier, the White Paper provides evidence on medical errors and patient safety in relation to fatigue. The evidence and description provide even more reason to take action towards better working conditions and breaks. To add, legally there are implications for change in work schedules and breaks so that a decrease in errors and increase in retention of staff. One recommendation by Caruso et al. (2019) was for fifteen to thirty minute naps during ones shift to help with alertness. The cost vs benefit of providing this time for healthcare workers is definitely key. There is also discussion on having the State Board of Nursing involved in investigating the amount of hours worked prior to an error (Caruso et al., 2019).
References
Brown, S. R., Purviance, D., & Southard, E. P. (2020). Nurse fatigue: Short on sleep, short on safety. American Nurse Today.
Caruso, C. C., Baldwin, C. M., Berger, A., Chasens, E. R., Edmonson, J. C., Gobel, B. H., Landis, C. A., Patrician, P. A., Redeker, N. S., Scott, L. D., Todero, C., Trinkoff, A., & Tucker, S. (2019). Policy brief: Nurse fatigue, sleep, and health, and ensuring patient and public safety. Nursing Outlook, 67(5), 615-619.
Ellis, J. R. (2008). Quality of care, nurses work scchedules, and fatigue: A white paper. Washington State Nurses Association. https://cdn.wsna.org/assets/entry-assets/17/Fatigue-White-Paper.pdf
THIRD POST
The White Paper that I chose is Healthcare 2.0 The Future of Telehealth & Telemedicine
The link for this white paper is: https://prognocis.com/whitepaper-healthcare-2-0-th…
The health policy of interest focuses on the importance of helping individuals who are suffering from mental health disorders and substance abuse during or in connection to the Coronavirus pandemic (Coronavirus Mental Health and Addiction Assistance Act, 2021). The bill proposes various programs to aide those affected such as telehealth, support groups, and telephone help lines. Due to COVID-19, telehealth is now one of the main sources of connection between healthcare providers and patients. According to Hayhurst (2020) telehealth eliminates the danger that clinicians might be infected by patients who are COVID-19 positive, and it protects patients themselves from contracting the coronavirus during an in-person visit. The white paper attached discusses the advantages of telehealth and its impact on the future. Telehealth is a virtual visit and or a telephone communication in which is now being commonly used by physicians for patients who cannot be at their physical location (PrognoCIS Department of Bizmatics, 2020). Currently, telemedicine is being used primarily to prevent the spread of COVID-19 and it allows better access to care at home in between visits. Benefits of telehealth include convenience, increased efficiency, and improvement in accessing patients (PrognoCIS Department of Bizmatics, 2020). For those suffering from mental health and substance abuse communicating is of huge importance. Telehealth can offer virtual visits from phycologist, physiatrist, and medical doctors to aide individuals affected. Research shows that telemental health provided to individuals demonstrated to be as effective as in person services (Reay et al., 2020). While continuing to provide care through telehealth services, it has resulted in a decrease in the spread of COVID-19 and maintained a safe environment for both patient and physician. This technological advancement has led in an improvement in efficiency and cost. Telemedicine has shown to reduce hospital and visit cost as the need for a surplus of supplies has decreased (PrognoCIS Department of Bizmatics, 2020). Overall, telehealth has proven to be beneficial in numerous standpoints including economical and regulatory processes.
Kind Regards,
Bianca Hernandez
References
Coronavirus Mental Health and Addiction Assistance Act, H.R. 593, 117th Cong. (2021) https://www.congress.gov/bill/117th-congress/house…
Hayhurst, C. (2020). A turning point for telehealth: COVID-19 spurs rapid uptake of connected care. Biomedical Instrumentation & Technology, 54(4), 242250. https://doi.org/10.2345/0899-8205-54.4.242
Reay, R. E., Looi, J. C., & Keightley, P. (2020). Telehealth mental health services during COVID-19: summary of evidence and clinical practice. Australasian Psychiatry, 28(5), 514516. https://doi-org.ezproxylocal.library.nova.edu/10.1…
PrognoCIS Department of Bizmatics. (2020) .Healthcare 2.0 The future of telehealth & telemedicine[White Paper]. PrognoCIS EHR. https://prognocis.com/whitepaper-healthcare-2-0-th…