)ASK A PROBING QUESTION, SUBSTANTIATED WITH ADDITIONAL BACKGROUND INFORMATION, EVIDENCE, OR RESEARCH USING AN IN-TEXT CITATION IN APA FORMAT. 2))
)ASK A PROBING QUESTION, SUBSTANTIATED WITH ADDITIONAL BACKGROUND INFORMATION, EVIDENCE, OR RESEARCH USING AN IN-TEXT CITATION IN APA FORMAT. 2))
SHARE AN INSIGHT FROM HAVING READ YOUR COLLEAGUES’ POSTINGS, SYNTHESIZING THE INFORMATION TO PROVIDE NEW PERSPECTIVES. 3))VALIDATE AN IDEA WITH YOUR OWN EXPERIENCE AND ADDITIONAL RESEARCH.
Half of the page per response to my peers, with references, use the first person, be nice and respectful. Posts attached.
Respond in one or more of the following ways:
1))Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.
2))Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
3))Validate an idea with your own experience and additional research.
(GARRETT)
Organizational Change
A little over one year ago, my organization transitioned from one form of health information technology to an upgraded health information technology. The transition was from a paperless charting system to a fully functional paperless system, including physician ordering. This task was to be completed in regard to the government’s involvement with meaningful use, and reimbursement for Medicare and Medicaid patients who are prevalent in the rural area I work in. All in all, the financial incentive was a driving factor, but my facility recognized that by implementing this new system we could improve the care and overall wellbeing of our patients. We could assist as well in tracking vital statistics that could be applied for research and best practice implementation. It was truly a winning situation for everyone!
From a nursing standpoint, the transition was demanding, because anything new is demanding in the midst of taking care of sick human beings. However, since we had already been utilizing computerized charting for patient charting and medication administration, the toughest task was figuring out the geographies of the new system. Through support of peers and change leaders, the task was successfully launched and now off and running. The government tasked organizations with being up and running to meet certain goals by certain dates. These dates were set in three sections, and I am proud to say that by the deadline of each event, we were at the mark expected. As of recent, we met our third deadline with success! At this point we are now modifying and fixing problems as we encounter them. We are far from mastering this new system, but we have come leaps and bounds since day one.
Management of Change
My facility utilizes a Line model business system. The order generally come from the top down. We are very fortunate to have a leadership who is educated, and has foresight. They are well versed and believe strongly in proactive planning and management rather than reactive management. Proactive planning takes into account the organizations past, present and future. This allows for the group to plan for the future, rather than reacting to it (Marquis & Huston, 2015, p. 143).
Proactive planning still takes preparation, adoption and implementation. This can only occur by leaders bridging and meeting needs by compromise between higher level decision makers and the staff carrying out daily duties (Laureate Education, 2012). It is important to find champions for change, from all departments involved. The champions need to be able to see the change vision, the positive yield it carries, and then have these people lead the way for change (Marquis & Huston, 2015). Even with the best of leaders, there needs to be a formal planned change theory. The choice of most facilities is Lewins Theory of Planned Change.
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Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.
nursing coursework
Order Description
Half of page per response with one reference, use first person, thank you. Discussion attached.
Respond in one or more of the following ways:
Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Validate an idea with your own experience and additional research.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
Binge Drinking as a Behavioral Risk Factor
After reading that Binge Drinking was a choice of risk factors, my first thought was of a guy I met in college when I obtained my first undergraduate degree. He was a junior when I was a freshman. We were not close, but I considered him a friend. My friend devised a system to study and excel in his classwork that enabled him to binge drink as well. He would study intensely during the first part of the week until 11 PM on Thursday night. When asked if he wanted to join our group for flag football or some other extra-curricular activity, he would always give the same reply, “Nope. I’m saving it for the weekend, baby!” Come 11 PM on every Thursday night, he put his textbooks away. Then, he would shower, dress to go out, and commence to binge drinking. He would party all weekend. Unless he was sick, this was his routine week in and week out. He could consume massive amounts of alcohol from Thursday night through Sunday evening. Our group of friends affectionately referred to him as “Brainiac” during the week and “Maniac” on the weekends.
Binge drinking is rampant on college campuses today. Having more than four drinks in one instance is classified as binge drinking for males. Drinking more than three drinks in one incident is regarded as binge drinking for females (Jennison, 2004). Overindulging introduces numerous possibilities for immediate harm to students such as drinking and driving, alcohol poisoning, potential violence, and unsafe sexual activity. Long term effects of binge drinking may develop into alcohol dependence (Jennison, 2004). Chronic alcohol abuse has been shown to cause brain damage, cirrhosis or other forms of liver damage such as liver cancer. In Georgia, 51,000 youths age 12-17 participate in binge drinking, approximately 6% of the population. In stark contrast, 35% or 376,000 of Georgia’s 18-25-year-olds binge drink (“KIDS,” 2014).
Interventions
Downstream or individual interventions for binge drinking include encouraging attendance at Alcoholics Anonymous support groups. These self-help groups can be cathartic and impactful. Providing evidence-based information on the effects of alcohol can be another intervention. Frank discussion of the harmful effects of binge drinking is a valuable technique to decrease risky behavior. Discussion can originate from reading hardcopy pamphlets, television and radio commercials, or viewing blurbs via social media networking (Kovner, Knickman, Weisfeld, & Jonas, 2011). Discussing alcohol consumption with your physician is an under-utilized downstream interventional technique. “Only 10.5% of adults seen in primary care settings were screened for alcohol misuse and referred for treatment” (Kovner et al., 2011, p. 141). This account regarding physician interaction was paraphrased from a McGlynn et al. study published in 2003 (McGlynn et al., 2003). Creating a dialog about drinking with your primary care provider is certainly beneficial. The exchange of ideas may prevent misuse or result in seeking treatment for dependence if needed.
Population-level inhibition of behavioral risk factors is referred to as midstream interventions (Kovner et al., 2011). Many elementary and middle schools in Georgia implement Drug Abuse Resistance Education (DARE) programs. These programs are examples of midstream interventions that can prevent alcohol misuse. The cognitive and behavioral ideals taught to children in the DARE program will hopefully be carried into adulthood.
Upstream interventions are broad scale. These interventions work on the state or national level (Kovner et al., 2011). Television commercials condemning the effects of alcohol represent effective means of upstream mediation. Every original container of alcohol has a government warning printed somewhere on the labeling of the bottle or can. This warning has advice from the United States Surgeon General in reference to the harmful effects of alcohol. A final example of upstream intervention would be the state of Georgia placing a substantial tax on alcoholic beverages similar to the tax imposed upon tobacco products. Markedly increasing the price for alcohol would be an effective deterrent to consumption.
References
Binge alcohol drinking among youths by age group. (2014). Retrieved from https://datacenter.kidscount.org/data/tables/38-binge-alcohol-drinking-among-youths-by-age-group?loc=1#detailed/2/2-52/false/909,857,105,118,104/30,31/14407,315
Jennison, K. M. (2004, August 1). The short-term effects and unintended long-term consequences of binge drinking in college: a 10-year follow-up study. The American Journal Of Drug And Alcohol Abuse, 30(3), 659-684. Retrieved from https://web.a.ebscohost.com.ezp.waldenulibrary.org/ehost/detail/detail?vid=3&sid=9d2441b6-3211-4af6-a4ba-a21ebd281c3a%40sessionmgr4003&hid=4107&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=mnh&AN=15540499
Kovner, A. R., Knickman, J. R., Weisfeld, V. D., & Jonas, S. (Eds.). (2011). Jonas & Kovner’s Health care delivery in the United States (10 ed.). New York, NY: Springer Publishing Company.
McGlynn, E. A., Asch, S. M., Adams, J., Keesey, J., Hicks, J., DeCristafaro, A., & Kerr, E. A. (2003, June 26). The Quality of Health Care Delivered to Adults in the United States. The New England Journal of Medicine, 348(26), 2635-45. https://dx.doi.org/10.1056/NEJMsa022615
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