course materials

1. Healthcare Policy and Systems Discussion HW
Healthcare Policy and Systems Discussion HW ON Healthcare Policy and Systems
Discussion
HWattachment_1attachment_2attachment_3attachment_4attachment_5attachment_6Unfor
matted Attachment PreviewRunning head: REFLECTIVE JOURNAL Reflective Journal Aynur
Kabota Grand Canyon University 1 REFLECTIVE JOURNAL 2 Week 1 This week’s main task
was to assess my healthcare setting’s needs, and the community served. I completed the
task collaboratively with my preceptor, who offered guidance on the healthcare
organization’s current state and the most urgent needs in the community. One of the core
competencies demonstrated during this week’s practice was knowledge and skills in
identifying and responding to health disparities. A health disparity may be defined as the
burden of illness, mortality, or injury that one group of people experiences relative to others
(Ubri & Artiga, 2016). This week, my practice typically looked at existing health disparities
among community groups and people in the hospital to determine the current health and
health care gaps. For instance, I identified that older patients were experiencing high rates
of falls compared to other patients. I identified some factors associated with the disparity,
including frailty and comorbidity. Therefore, my practicum, especially when identifying
potential topics, included knowledge and understanding of health disparities and how they
affect health outcomes. Additionally, I demonstrated inter-professional collaboration by
working with my preceptor in the needs assessment and topic choices. This week was
productive, and I achieved the goals of needs assessment and listing the potential capstone
practicum project topics. REFLECTIVE JOURNAL 3 Reference Ubri, P., & Artiga, S. (2016).
Disparities in health and health care: Five key questions and answers. The Henry J. Kaiser
Family Foundation. https://www.kff.org/racial-equity-andhealth-policy/issue-
brief/disparities-in-health-and-health-care-five-key-questions-andanswers/ Benchmark –
Professional Capstone and Practicum Reflective Journal Students maintained and submitted
weekly reflective narratives throughout the course to explore the personal knowledge and
skills gained throughout this course. Healthcare Policy and Systems Discussion HWThis
assignment combines those entries into one course-long reflective journal that integrates
leadership and inquiry into current practice as it applies to the Professional Capstone and
Practicum course. This final submission should also outline what students have discovered
about their professional practice, personal strengths and weaknesses that surfaced during
the process, additional resources and abilities that could be introduced to a given situation
to influence optimal outcomes, and, finally, how the student met the competencies aligned

2. to this course. The final journal should address a variable combination of the following,
while incorporating your specific clinical practice experiences: 1. New practice approaches
2. Interprofessional collaboration 3. Health care delivery and clinical systems 4. Ethical
considerations in health care 5. Practices of culturally sensitive care 6. Ensuring the
integrity of human dignity in the care of all patients 7. Population health concerns 8. The
role of technology in improving health care outcomes 9. Health policy 10. Leadership and
economic models 11. Health disparities While APA style is not required for the body of this
assignment, solid academic writing is expected, and in-text citations and references should
be presented using APA documentation guidelines, which can be found in the APA Style
Guide, located in the Student Success Center. This assignment uses a rubric. Please review
the rubric prior to beginning the assignment to become familiar with the expectations for
successful completion. You are required to submit this assignment to LopesWrite. Refer to
the LopesWrite Technical articles for assistance. Benchmark Information This benchmark
assignment assesses the following programmatic competencies: RN to BSN 2.3: Understand
and value the processes of critical thinking, ethical reasoning, and decision making. 4.1:
Utilize patient care technology and information management systems. 4.3: Promote
interprofessional collaborative communication with health care teams to provide safe and
effective care. 5.3: Healthcare Policy and Systems Discussion HWProvide culturally sensitive
care. 5.4: Preserve the integrity and human dignity in the care of all patients. Running head:
REFLECTIVE JOURNAL Reflective Journal Aynur Kabota Grand Canyon University 1
REFLECTIVE JOURNAL 2 Week 1 This week’s main task was to assess my healthcare
setting’s needs, and the community served. I completed the task collaboratively with my
preceptor, who offered guidance on the healthcare organization’s current state and the
most urgent needs in the community. One of the core competencies demonstrated during
this week’s practice was knowledge and skills in identifying and responding to health
disparities. A health disparity may be defined as the burden of illness, mortality, or injury
that one group of people experiences relative to others (Ubri & Artiga, 2016). This week, my
practice typically looked at existing health disparities among community groups and people
in the hospital to determine the current health and health care gaps. For instance, I
identified that older patients were experiencing high rates of falls compared to other
patients. I identified some factors associated with the disparity, including frailty and
comorbidity. Therefore, my practicum, especially when identifying potential topics,
included knowledge and understanding of health disparities and how they affect health
outcomes. Additionally, I demonstrated inter-professional collaboration by working with
my preceptor in the needs assessment and topic choices. This week was productive, and I
achieved the goals of needs assessment and listing the potential capstone practicum project
topics. REFLECTIVE JOURNAL 3 Reference Ubri, P., & Artiga, S. (2016). Disparities in health
and health care: Five key questions and answers. The Henry J. Kaiser Family Foundation.
https://www.kff.org/racial-equity-andhealth-policy/issue-brief/disparities-in-health-and-
health-care-five-key-questions-andanswers/ Running head: WEEK 3 REFLECTIVE JOURNAL
Week 3 Reflective Journal Aynur Kabota Grand Canyon University NRS-493 10/11/2020 1
WEEK 3 REFLECTIVE JOURNAL 2 This week’s work and deliverables were the capstone
project topic objectives I created for the negative pressure wound therapy (NPWT)

3. technology proposal. The objectives highlighted the project’s main aim to improve patient
outcomes and safety through the use of new approaches to care. Therefore, I demonstrated
the achievement of competence in the role of technology in improving health care
outcomes. Through my objectives, I showed that NPWT technology could improve patient
experience in healthcare and safety by reducing hospital time and the risk of healthcare-
acquired infections. By providing a rationale for the three objectives, I achieved competence
in highlighting the connection between technology and improved care outcomes. Moreover,
as a practitioner, I should set objectives that are specific, achievable, and measurable.
Therefore, the objective-setting process enlightened me on the necessary process of
identifying the aims of a project and defining how the project will achieve them. A challenge
I encountered this week was identifying how my project may encourage social justice for
diverse populations. Nevertheless, I highlighted equal access to care as the primary
approach to enhancing social justice. Running head: WEEK 2 JOURNAL 1 Week 2 Journal
Aynur Kabota Grand Canyon University NRS-493I WEEK 2 JOURNAL 2 An interesting aspect
of practicing in healthcare is discovering new approaches and practices. This week, I
worked with my preceptor on the project topic and need in the healthcare organization. I
ended up picking wound care and suggesting the use of negative pressure wound therapy
(NPWT) as the preferred solution for wound care. By observing patient experiences and
proposing this project, I demonstrated the competence of new practice approaches. One of
the methods used to discover new practice approaches is a review of existing literature
suggesting solutions to existing standard care. To discover NPWT, I searched the literature
on wound care and came up with several suggestions. I realized that NPWT is applicable to
many types of wounds and some of the literature suggest that it is more effective than
standard wound dressing (Liu et al., 2018). Therefore, I proposed this approach as a new
practice in the organization. Healthcare Policy and Systems Discussion HWThe experience
equipped me with the skills to identify problems in a healthcare setting and searching for
solutions through changes to status quo. New practice approaches allow nurses to
understand the diversity of nursing practice approaches and integrate different approaches
to optimize care delivered to their patients. The week’s practice equipped me with
knowledge on new approaches and this reflects growth in my nursing practice knowledge.
WEEK 2 JOURNAL 3 References Liu, Z., Dumville, J. C., Hinchliffe, R. J., Cullum, N., Game, F.,
Stubbs, N., … & Peinemann, F. (2018). Negative pressure wound therapy for treating foot
wounds in people with diabetes mellitus. Cochrane Database of Systematic Reviews, (10).
https://doi.org/10.1002/14651858.CD010318.pub3 Running head: WEEK 4 1 Week 4
Reflective Journal: Telehealth Aynur Kabota Grand Canyon University NRS-493 10/18/2020
WEEK 4 2 Week 4 Reflective Journal: Telehealth Continuous learning is a very important
aspect of modern-day nursing. Nurses have to keep researching and discovering new
aspects of nursing to ensure that they remain updated in the new laws, technologies, and
competencies that develop. This week, one of the new nursing approaches that I discussed
with my preceptor is telehealth nursing. Telehealth nursing has become a very important
aspect of nursing currently, especially because of COVID-19 it has led to patients’ need to
seek healthcare from home. Telehealth technologies allow people to access nursing and
other healthcare services without having to attend physical sessions. For telehealth to be

4. effective, it needs good collaboration between nurses and physicians. In telehealth, patients
may need prescriptions from physicians and care from nurses who are both not physically
present. Therefore, various professionals must work together to ensure that patients are
not confused. While, in some cases, nurses maybe with the patients but doctors be away, the
communication between the two professionals is very important. Failure to communicate
effectively may be a barrier to the process of delivering care (van Houwelingen et al., 2016).
The collaboration should also include aspects that affect the relationships between patients
and professionals like privacy and confidentiality. Nurses must always ensure that the
technology used in communication does not allow information to reach people. Therefore
should be adequate security of the data shared between nurses and the patients to ensure
that ethical bounds are maintained and that the patients’ rights are not violated. The use of
telehealth nursing is meant to ensure that even though people may have problems
physically attending to their healthcare needs by visiting professionals in their offices, they
still get dignified treatment via ICT. Recently, the CMS has changed its policy to allow
medical professionals’ reimbursement for services offered via telehealth services. It WEEK
4 3 is important to consider the laws to avoid suits (Park et al., 2016). The new policy has
allowed patients across the country to benefit from services they would have missed due to
the ongoing coronavirus pandemic. The pandemic that spreads easily led to social
distancing and therefore made it impossible for the traditional means of healthcare delivery
to be effective. Therefore, telehealth has filled the gap that resulted and ensured that people
still get services without going to hospitals where their risk of getting Coronavirus may be
high. Also, telehealth only works for services that do not need a physical presence. For
instance, telehealth can be effective for checkups where the nurse or doctor may ask the
patient questions via video calls or phone calls to know their progress and prescribe
medication for their conditions. In conclusion, nurses have to continuously consider new
developments and apply them to benefit their patients. From recent literature, telehealth is
among the most recent developments that have been effective in combating Coronavirus.
Nurses must consider using the new model of care, especially for patients who are not high-
risk cases, to reduce the congestion in practices and ensure that their services are accessible
to all the people in need because the CMS now considers telehealth as seriously as in-person
services. WEEK 4 4 References Park, H. J., Cho, D. Y., Park, Y. S., Kim, S. W., Park, J. H., & Park,
N. C. (2016). Controlling legal risk for effective hospital management. The world journal of
men’s health, 34(1), 56-63. van Houwelingen, C. T., Moerman, A. H., Ettema, R. G., Kort, H. S.,
& ten Cate, O. (2016). Competencies required for nursing telehealth activities: A Delphi-
study. Nurse education today, 39, 50-62. …Healthcare Policy and Systems Discussion HW