Capella University Healthcare Problem or Issue and Challenges Thesis Paper

Write a 4-6-page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications. Capella University Healthcare Problem or Issue and Challenges Thesis Paper

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Assessment 3 Instructions: Analyzing a Current Health Care Problem or Issue

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Write a 4-6-page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.

Introduction

In your health care career, you will be confronted with many problems that demand a solution. By using research skills, you can learn what others are doing and saying about similar problems. Then you can analyze the problem and the people and systems it affects. You can examine potential solutions and their ramifications. This assessment allows you to practice this approach with a real-world problem.

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Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

- Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.

- - Use scholarly information to describe and explain a health care problem or issue and identify possible causes for it.
- Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.

- - Analyze a health care problem or issue by describing the context, explaining why it is important and identifying populations affected by it.
  - Discuss potential solutions for a health care problem or issue and describe what would be required to implement a solution.
- Competency 3: Apply ethical principles and academic standards to the study of health care.

- - Analyze the ethical implications if a potential solution to a health care problem or issue was implemented.
- Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.

- - Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
  - Write following APA style for in-text citations, quotes, and references.

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

Describe the health care problem or issue you selected for use in Assessment 2 (from the Assessment Topic Areas | Transcript media piece) and provide details about it.

1. - Explore your chosen topic. For this, you should use the first four steps of the Socratic Problem-Solving Approach to aid your critical thinking. This approach was introduced in Assessment 2.
  - Identify possible causes for the problem or issue.

Use scholarly information to describe and explain the health care problem or issue and identify possible causes for it.

1. - Identify at least three scholarly or academic peer-reviewed journal articles about the topic.

1. - - You may find the How Do I Find Peer-Reviewed Articles? library guide helpful in locating appropriate references.
    - You may use articles you found while working on Assessment 2 or you may search the Capella library for other articles.
    - You may find the applicable Undergraduate Library Research Guide helpful in your search.
  - Review the Think Critically About Source Quality to help you complete the following:

1. - - Assess the credibility of the information sources.
    - Assess the relevance of the information sources.

Analyze the health care problem or issue.

1. - Describe the setting or context for the problems or issues.
  - Describe why the problem or issue is important to you.
  - Identify groups of people affected by the problem or issue.
  - Provide examples that support your analysis of the problem or issue.

Discuss potential solutions for the health care problem or issue.

1. - Describe what would be required to implement a solution.
  - Describe potential consequences of ignoring the problem or issue class=”ice-no-decoration” data-ice-class=”848587″>.
  - Provide the pros and cons for one of the solutions you are proposing.

Analyze the ethical implications if the potential solution (the one for which you provide pros and cons) were to be implemented.

1. - Provide examples from the literature to support the points you are making.
  - Discuss the pros and cons of implementing the proposed solution from an ethical principle point of view.
  - Describe what would be required to implement the proposed solution.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

- Assessment 3 Example [PDF].

Additional Requirements

Your assessment should also meet the following requirements:

- Length: 4–6 typed, double-spaced pages, not including the title page and reference page.
- Font and font size: Times New Roman, 12 point.
- APA template: Use the APA Style Paper Template [DOCX] as the paper format and the APA Style Paper Tutorial [DOC] for guidance.
- Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
- Using outside sources: Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
- References: Integrate information from outside sources to include at least three scholarly or academic peer-reviewed journal articles and three in-text citations within the paper.
- APA format: Follow current APA guidelines for in-text citations of outside sources in the body of your paper and also on the reference page.

Organize your paper using the following structure and headings:

- Title page. A separate page.
- Introduction. A brief one-paragraph statement about the purpose of the paper.
- Elements of the problem/issue. Identify the elements of the problem or issue or question.
- Analysis. Analyze, define, and frame the problem or issue.
- Considering options. Consider solutions, responses, or answers.
- Solution. Choose a solution, response, or answer.
- Ethical implications. Ethical implications of implementing the solution.
- Implementation. Implementation of the potential solution.
- Conclusion. One paragraph.

If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, do not hesitate to ask faculty or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions.

Socratic Problem-Solving Approach

The Socratic Method is a teaching style in which teachers ask students questions designed to stimulate more complete thinking and deeper insight. It also relates to the steps of performing scientific research. When the Socratic approach is applied, students are prompted to look more closely at your ideas, question your assumptions and accepted premises, and view your choices through a rigorous lens.

Apply the Socratic approach

Applying the Socratic approach to problem solving helps you identify gaps and improve your thinking when writing papers or completing projects. The questions may be used to spark new insights when responding to discussion topics and posts.

Think Critically About Source Quality

The questions below will help you determine if a source is credible. If your instructor allows non-scholarly sources, such as trade publications or magazine articles, look for sources that resemble scholarly articles in evidence, audience, and content.

Remember: Nearly every library search tool has an option to check a box that says “Scholarly, peer-reviewed.” This option instantly weeds out less academic results such as: magazines, newspapers, etc. It saves you time by retrieving only results from peer-reviewed journals.

For additional tips on the strengths and weaknesses of different types of sources, see Sources: What can I use for my research?

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Assessment 3 Instructions: Analyzing a Current Health Care Problem or Issue

Write a 4-6-page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.

Introduction

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
- Use scholarly information to describe and explain a health care problem or issue and identify possible causes for it.
Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.
- Analyze a health care problem or issue by describing the context, explaining why it is important and identifying populations affected by it.
- Discuss potential solutions for a health care problem or issue and describe what would be required to implement a solution.
Competency 3: Apply ethical principles and academic standards to the study of health care.
- Analyze the ethical implications if a potential solution to a health care problem or issue was implemented.
Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.
- Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
- Write following APA style for in-text citations, quotes, and references.

Instructions

Describe the health care problem or issue you selected for use in Assessment 2 “Applying Research Skills: Medical Errors”(from the Assessment Topic Areas | Transcript media piece) and provide details about it.
- Explore your chosen topic. For this, you should use the first four steps of the Socratic Problem-Solving Approachto aid your critical thinking. This approach was introduced in Assessment 2.
- Identify possible causes for the problem or issue.
Use scholarly information to describe and explain the health care problem or issue and identify possible causes for it.
- Identify at least three scholarly or academic peer-reviewed journal articles about the topic.
  - You may find the How Do I Find Peer-Reviewed Articles?library guide helpful in locating appropriate references.
  - You may use articles you found while working on Assessment 2 or you may search the Capella library for other articles.
  - You may find the applicable Undergraduate Library Research Guide helpful in your search.
- Review the Think Critically About Source Qualityto help you complete the following:
  - Assess the credibility of the information sources.
  - Assess the relevance of the information sources.

Analyze the health care problem or issue.
- Describe the setting or context for the problems or issues.
- Describe why the problem or issue is important to you.
- Identify groups of people affected by the problem or issue.
- Provide examples that support your analysis of the problem or issue.
Discuss potential solutions for the health care problem or issue.
- Describe what would be required to implement a solution.
- Describe potential consequences of ignoring the problem or issue class=”ice-no-decoration” data-ice-class=”848587″>.
- Provide the pros and cons for one of the solutions you are proposing.
Analyze the ethical implications if the potential solution (the one for which you provide pros and cons) were to be implemented.
- Provide examples from the literature to support the points you are making.
- Discuss the pros and cons of implementing the proposed solution from an ethical principle point of view.
- Describe what would be required to implement the proposed solution.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Assessment 3 Example [PDF].

Additional Requirements

Your assessment should also meet the following requirements:

Length: 4–6 typed, double-spaced pages, not including the title page and reference page.
Font and font size: Times New Roman, 12 point.
APA template: Use the APA Style Paper Template [DOCX]as the paper format and the APA Style Paper Tutorial [DOC] for guidance.
Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Using outside sources: Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
References: Integrate information from outside sources to include at least three scholarly or academic peer-reviewed journal articles and three in-text citations within the paper.
APA format: Follow current APA guidelines for in-text citations of outside sources in the body of your paper and also on the reference page.

Organize your paper using the following structure and headings:

Title page. A separate page.
Introduction. A brief one-paragraph statement about the purpose of the paper.
Elements of the problem/issue. Identify the elements of the problem or issue or question.
Analysis. Analyze, define, and frame the problem or issue.
Considering options. Consider solutions, responses, or answers.
Solution. Choose a solution, response, or answer.
Ethical implications. Ethical implications of implementing the solution.
Implementation. Implementation of the potential solution.
Conclusion. One paragraph.

If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, do not hesitate to ask faculty or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions. Capella University Health Care Problem or Issue and Challenges Thesis Paper

attachment_4Socratic Problem-Solving Approach

Apply the Socratic approach

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Applying Research Skills

Yailin Mur Fernandez

Capella University

Developing a Health Care Perspective

Applying Research Skills

September, 2020

Introduction

As in all other professions, errors are inevitable. The effects may be more so adverse in the medical field as the burden of human life weighs upon medical professionals. Though unintended, medical personnel may sometimes make mistakes that influence both the patient and the medical practitioner. While the immediate effect may fall onto the patient, the latter may feel a sense of guilt and self-doubt after they have made mistakes. This may cause a drop in their efficiency in the workplace and sometimes even feeling like they don’t deserve the privileges they bear. It is therefore important to note that all human is prone to error.

Identifying Academic Peer-Reviewed Journal Articles

I used search engines including Google, Internet Archive, and The Take Away to identify peer-reviewed studies and articles. I used keywords such as medical errors, medical mistakes, and preventable deaths in health care to sift through the many available articles. I used the advanced search option to further limit the search to scholarly and peer-reviewed articles looking for articles related to medical errors and published since 2016.

Assessing Credibility and Relevance of Information Sources

I ensured that all the peer-reviewed journals I used had been published within the last 4 years to ensure the credibility of my analysis. I verified that the authors of all the journals were respected in the medical field and were professionally experienced in healthcare. I double-checked the information in the articles I selected to ensure all the facts were up to date and correct. I ensured that the purpose of each study had some relation to my topic area and that all the information in the articles was relevant to the topic.

Annotated Bibliography

Berlin, L. (2017). Medical errors, malpractice, and defensive medicine: an ill-fated triad. Diagnosis, 4(3), 133-139.

This article explains the background in medical errors and the shifts that have occurred over the centuries. For almost two decades after the founding of the US, it was very rare for medical practitioners to be sued for medical malpractice. Any allegation of negligence filed against physicians were errors of commission; the physicians did something that was wrong from all standpoints. They made errors such as mistreating fractures, complications or death after surgery, prescribing the wrong medication and when the X-ray was discovered in 1895, doctors were accused of causing radiation burns. By the mid-twentieth century, allegations of malpractice started to change from errors of commission and become mainly errors of omission meaning the healthcare providers failed to do the right thing such as failing to make a diagnosis. The malpractice lawsuits increased substantially from the early 1960s to the 1970s as physicians began practicing defensive medicine that resulted in medical professionals asking for radiology exams and tests that weren’t required. The past two decades have seen a decrease in malpractice cases, however, physicians continue to use defensive medicine. They continue to order unnecessary tests and exams which increases the probability of overtreatment and over-diagnosis; this has become the new error of commission. This paper discusses the dangers of defensive medicine and how they cause medical errors. Capella University Health Care Problem or Issue and Challenges Thesis Paper

Scott, S. S., & Henneman, E. (2017). Underreporting of medical errors. MedSurg Nursing, 26(3), 211-214.

The article discusses the reason why many medical errors go unreported through an in-depth look at the history of medical errors. The Institute of Medicine’s (IOM) landmark report “To Err is Human” was established about two decades ago. Approximately 98,000 people die from medical errors annually according to Khon, Corrigan, Donaldson (2000). When the IOM, report was released, many sources stated that 98,000 deaths per year were an understatement, they suggested that the number of deaths resulting from medical errors is in the hundreds of thousands. Undercounting medical errors is mainly because not all medical errors lead to the patient’s death. Additionally, the actual number of medical errors is difficult to determine as many medical errors are unreported. The article discusses complex reasons that contribute to medical errors.

Charles, R., Hood, B., Derosier, J. M., Gosbee, J. W., Li, Y., Caird, M. S., … & Hake, M. E. (2016). How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient safety in surgery, 10(1), 20.

In this article, the authors discuss the steps that can be taken in order to reduce medical errors and their importance. Medical professionals should strive to provide their patients with quality care. The paper discusses The Patient Safety Committee of the American Academy of Orthopedic Surgeons (AAOS) that have been implemented to ensure surgical care is of high quality and to reduce medical errors. Structured Root Cause Analysis (RCA) has been looked at as a method of reducing medical errors if performed thoroughly. The research on the process of RCA and its effective implementation is insufficient. The article provides a structured approach on how a RCA can be conducted; a method that can be effective in preventing medical errors.

Pereira-Lima, K., Mata, D. A., Loureiro, S. R., Crippa, J. A., Bolsoni, L. M., & Sen, S. (2019). Association between physician depressive symptoms and medical errors: A systematic review and meta-analysis. JAMA network open, 2(11), e1916097-e1916097.

The article explores the effects of depression in physicians and their association with increase in the incidence of medical errors. It seeks to determine the magnitude and temporal direction of the association between depression and medical errors. The authors seek to summarize the relative risk estimates for the association. They use a systematic search of different resources including; Scopus, Web of Science, ERIC, Embrace, PsycINFO, and PubMed to analyze data from inception to December 2018. The studies selected were peer-reviewed studies that included a valid measure of physician depression and medical errors.

Learnings from the Research

I performed extensive research on medical errors, their causes, and methods of reducing the incidence of medical errors. The research added to my knowledge base on medical errors. I now have extensive knowledge of the background and history of medical errors as well as their prevalence in the current healthcare system. Using a RCA to reduce medical errors is a concept I had not heard of before my research and is something I find quite promising and requires a more in-depth look. Creating an annotated bibliography provides a clear and easier method of acquiring information about medical errors.

References

Berlin, L. (2017). Medical errors, malpractice, and defensive medicine: an ill-fated triad. Diagnosis, 4(3), 133-139.

Scott, S. S., & Henneman, E. (2017). Underreporting of medical errors. MedSurg Nursing, 26(3), 211-214.