RW week 3
Your understanding of influences that can impact care delivery has likely been brought into better focus and perhaps even expanded from engaging with the learning resources in the week 2 module.
Through prior course learning resources, and enforcement from this week’s learning resources you have should have a firm foundation in locating and appraising ‘data’ that can serve as an aid to inform practice decisions.
attaching week 2
Based on your appraisal of the literature about the identified critical need and potential solutions:
Nursing: Addressing A Critical Need
Nursing: Addressing A Critical Need
A critical need I have observed in my healthcare setting is the need for proper training on mental health illnesses in a medical-surgical unit. I have observed a lack of care for psychiatric disorders in med-surg patients. Psychiatric emergencies are a routine occurrence in my healthcare setting, with psychosis ranking as the third-highest-volume diagnostic-related group. This diagnostic-related group includes major personality disorders such as “schizophrenia, bipolar affective disorders, and paranoia.” Mental health illnesses extend beyond patients with preexisting mental disorders, as even individuals without prior conditions experience heightened anxiety and apprehension during hospitalization that leads to altered behavior (Tesfa et al., 2020). This causes aberrant social behaviors to escalate in the hospital setting. The only people best equipped to intervene are those who are proficient in early assessment of these diseases. This shows a need for proper training on mental health illness in a medical-surgical unit.
This critical need correlates with the "Improving the patients' experience of care" element in the IHI's Triple Aim. Patients with mental health concerns require specialized care to ensure their well-being and address potential behavioral changes during hospitalization. Proper training for healthcare professionals in a medical-surgical setting is essential to create a more comprehensive and satisfying patient experience. In addition, by addressing mental health needs, this initiative contributes to the broader goals of population health improvement, as individuals with psychiatric disorders are at risk for similar health problems as any other subset of the population. Therefore, investing in training for medical-surgical staff aligns with the Triple Aim's objective of enhancing patient experience and overall population health.
An actual barrier to addressing the need for proper training on mental health illnesses in a medical-surgical unit is the gap in educational resources and curriculum for healthcare professionals working in medical-surgical settings. This gap is noticeable since many training programs predominantly focus on general medical-surgical care and leave mental health education as a secondary consideration. This lack of specialized training can result in a workforce ill-equipped to handle psychiatric emergencies and contribute to suboptimal patient care. Another actual barrier is resource allocation. Many healthcare organizations contend with limited resources in terms of time and funding. The high demand for resources across various healthcare priorities often leads to competing interests and makes it challenging to prioritize and invest in comprehensive mental health training initiatives (Endale et al., 2020).
Another actual barrier is institutional resistance to adopting new practices and integrating mental health training into existing workflows. Healthcare systems may resist change due to entrenched practices and prioritize other initiatives perceived as more immediate or aligned with established routines. The resistance can also be due to the general stigma surrounding mental health issues. This can hinder open discussions and prioritization of training in this area and impede progress in addressing the need. Furthermore, a potential barrier is a lack of awareness or advocacy for mental health training within the healthcare community. Although there is an increasing recognition of mental health's importance, there is still insufficient awareness regarding the specific needs and challenges faced by medical-surgical professionals. This lack of awareness could result in limited advocacy efforts to prioritize mental health training within broader healthcare agendas.
Endale, T., Qureshi, O., Ryan, G. K., Esponda, G. M., Verhey, R., Eaton, J., De Silva, M., & Murphy, J. (2020). Barriers and drivers to capacity-building in Global Mental Health Projects. International Journal of Mental Health Systems, 14(1). https://doi.org/10.1186/s13033-020-00420-4
Tesfa, S., Giru, B. W., & Bedada, T. (2020). Mental Distress and Associated Factors among Hospitalized Medical Surgical Adult Inpatients in Public Hospitals, Addis Ababa, Ethiopia, 2020. Cross-Sectional Study. https://doi.org/10.21203/rs.3.rs-97696/v1
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