The Community Based Education Nursing Essay

The Community Based Education Nursing Essay Health literacy is an on-going problem in the United States. For more than twenty years health literacy has been a barrier to self-management of health care needs, compliance, and understanding. Nurses must be more effective in utilizing teachable moments, with each patient encounter. Traditional patient teaching strategies may no longer be adequate in providing the needed education and support to patients, families and caregivers. Nurses will need to employ multiple strategies of patient teaching and avail themselves in various settings, to meet the ever-changing needs of our patients. Implementing new strategies, for patient specific teaching, will certainly meet resistance, as it will require a commitment from all stakeholders. Nurses provide a valuable service through patient education. The change proposed, within this paper, is specific to the education of patients, in the community, for their on-going health care management. Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions (National Network of Libraries in Medicine, 2012, Â ¶ 1). The National Safety Foundations, Ask Me 3 Health Literacy report states, the health of 90 million people in the U.S. may be at risk because of the difficulty some patients experience in understanding and acting upon health information (Kirsh, et al, 2011, Â ¶ 1). Literacy is one of the strongest predictors of health status. In fact, all of the studies that investigated the issue report that literacy is a stronger predictor of an individuals health status than income, employment status, education level, and racial or ethnic group (Weis, 2009, p. 13). Proposed Change The call to educate patients is certainly not new to health care; in fact, the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) has mandated that client and family education be a part of comprehensive care since 1993. (Freda, 2004, Â ¶1). However, patients continue to lack basic health care knowledge competence, strategies for effective implementation of the information, and confidence in self-management. Patient education can help promote well-being through compliance and prompt detection of significant manifestations. Through establishment of community-based educational opportunities and resources, patients, families and caregivers can access, gain knowledge, and build confidence in managing their health care needs. Stakeholders Patients, families, and caregivers will be able to increase their understanding and working knowledge of health care issues as they navigate through times of wellness and illness. Physicians and Nurse Practitioners will be able to refer patients to the Community-Based Education Project for patient specific plans for educational programs and one-on-one time with a health care educator. The community, at large, will be able to utilize the Community-Based Education Project to strengthen their knowledge and understanding and will find the project to be a useful resource in their lives. Financial supporters would be able to demonstrate their commitment to the community and health and wellness. A project director, designated to oversee the legal and financial aspects of the project, is to be appointed. Health care educators, and support staff, would establish, maintain, and update resources, programs, and access to health information. Strategies for Change The Community-Based Education Project, depending on the community needs, size, and funding, would be the hub for a variety of educational materials, resources, and educators. The community would access the project, much like a library. Within the facility, computers, books, brochures, and teaching tools are available. A schedule of on-site or telehealth teaching classes will be provide teaching of current health care issues affecting the community. Nurses will be onsite for scheduled appointments for patient-specific teaching. These appointments provide physician-designated teaching strategies, such as anticoagulant or diabetic monitoring and management strategies. I addition, nurses will provide encouragement and support to the community members. Computer animated software programs, internet access to health-related websites and resources, and up-to-date medication information demonstrates the type of education promoted at the site. Barriers Obstacles With any change, there is resistance. Marquis Huston writes, many forces are driving change in contemporary healthcare, including rising health-care costs, declining reimbursement, workforce shortages, increasing technology, the dynamic nature of knowledge, and a growing elderly population (2012, p. 163). Financial aspects seem to be the most dramatic barrier or obstacle to implementing the Community-Based Education Project. There are federal, state, and local programs that may be accessible for assisting to fund and maintain the project. Insurance companies often require that patient care and health promotion teaching, as a component to outpatient nursing services, like home health, thus may be willing to provide support. Housing of the Community-Based Education Project could prompt an obstacle to implementation, however each community could determine the best location for their unique needs- some may choose to have the project within the community health department, or as a sub-se rvice of the library, health care institution or facility, even a local church may be willing to house the project. Strategic planning meetings will be conducted, to promote open communication of needs, expectations and to promote awareness. Whenever possible, all those who may be affected by change should be involved in planning for that change (Marquis Huston, p. 171). Anticipating the potential for abuse of online services, the project would consider limiting access to networking sites or email accounts, and other sites that are not in keeping with the purpose of the project. Nurses Role Education has been a component of nursing all throughout history. Nurses would serve an integral role of marketing the project and services to physician, hospitals, health promoters, and the community. Nurses would survey the stakeholders of each community to find the most common health care needs and tailor the schedule of events according to those needs. Scheduled appointments would help determine the nursing work force needed to meet the requests for one-on-one education, as well as group opportunities. The nurses would be responsible to report the community involvement, needs, and usefulness of the project to the Project Director (based on the original structure and financial support). Conclusion A community-based education project would provide on-going teaching to not only patients, families, and caregivers, but it would provide health information and promote wellness within the community that it serves. The change would require the health care community to join forces and support the neighborhoods to which they serve. Making resources available through a variety of media meets various literacy levels, ages, and educational needs may reduce hospitalization, re-hospitalization, and unnecessary emergency department visits. Patients who have a clear understanding of their after-hospital care instructions, including how to take their medicines and when to make follow-up appointments, are 30 percent less likely to be readmitted or visit the emergency department than patients who lack this information, according to a study funded by the Agency for Healthcare Research and Quality (AHRQ) and published in the February 3, 2009, issue of the Annals of Internal Medicine. (Krames, n.d., p. 2) Nurses can efficiently and effectively evaluate, monitor, and provide on-going and pertinent health education to patients. Learning is more readily facilitated, and accepted, in non-threatening environments as well as when they are experiencing less stress. Allowing patients to remain in their community, work with their own schedule, and develop a nurturing and therapeutic relationship with the project nurses will enhance wellness.

Good Relationships

Good Relationships Many people have different prospective on good relationships. Relationships are not just two people who are in love and are married. A relationship can be shared between parents and child, best friends, and couples. To have an understanding or good relationship there should be trust, good communication, and respect. Trust is a key ingredient in building a good relationship. Loyalty and honesty fall into the trust category; they play a huge part in trust. Trust is something that has to be earned in any relationship. It takes time to build trust; it is not given to anyone overnight it has to be earned overtime.Many people do not know that communication plays the biggest part in a relationship. Not having communication in a relationship can be a huge problem. It can lead to a lot of misunderstanding. In order to have a healthy relationship, there must be communication. Talking your problems or situations out will resolve many issues and conflicts. For example to resol ve most of the issue try spending a day together, going out, or having a dinner. In communicating you have to listen and get an understanding for one another. Respect is what we extend understanding to another person. In any relationship respect should be extended.If respect is not shown, or a lack of respect is given in the relationship; it should be bought to a discussion, and made clear. Effective communication, trusting each other, and having or giving respect are the main keys in building a good and effective relationship. If you are having problems in your relationship look at the three keys and ask yourself if any are ineffective, or needs to be worked on more. If yes, then work toward trying to change and fix the problem and to eliminate whatever the situation maybe. In building and rerouting your relationship keep these keys in mind. You will be sure to have a great relationship.

Evo:Case Study Essay

Do you think Evo’s decision not to set up any physical operation overseas is a good one? Why or why not? I have a mixed opinion on this question. I feel that there is a lot of potential missed business by not going international. The cost of setting up a business internationally is highly expensive, but the revenue made would make that up in a short amount of time. With being based in the United States, they can still reach a large market of the international business. They need to focus on what it is they are trying to achieve. If they are really looking to dive into the international mark, they need to concentrate on being able to be accessible when the customers need them. This means hiring more staff to be available longer hours for customer service. Once the sales start going up they will need to hire more employees in other department’s to fill orders and ship them, along with the many other needs of the company. What political and economic challenges could Evotrip encounter in other countries? Some challenges for Evotrip will be the true market for the service, the means for this type of service, and finding willing participants. The type of vacations that they are marketing is very expensive and can only be affordable if you are among the upper class. They aren’t for everyday Joe’s that want a ski vacation. Politically this might hurt them in the long run; however, by customers wanting revenge. If not everyone can afford these luxury vacations then someone is going to get upset over it any make an issue. Would you recommend that Evo expand the international side of it business? If so, how, and if not, why not? I feel that if they concentrated on their U.S. based business right now, and with continued support geared towards customer service, then international business will get stronger in the next few years, intern giving the opportunity for international growth to happen.

Writers of the 1920s Essay - 485 Words

Writers of the 1920s The 1920s had many influential writers in literature. While reaching this time period it is almost certain that the names William Faulkner, Earnest Hemingway, and F. Scott Fitzgerald will be found. Each of the writers has their own personal style of writing and each one of the lives has influenced what they write about to even the way they each portray their literature. William Cuthbert Faulkner was born into a financially stable family from New Albany, Mississippi. Faulkner dropped out of high school to work in his grandfathers store. While at the store Faulkner found out he enjoyed writing. Faulkner enrolled at U of Mississippi to pursue his his passion of writing. (William Faulkner,Discovering Authors)†¦show more content†¦Hemingway was a very effective writer. He gets his point across to his readers in a very direct way. His novels included incidences from his life that he had encountered on a daily basis. (Earnest Hemingway, Discovering Authors) F. Scott Fitzgerald was an incredible writer. He often uses incidences from his life in his writings. Fitzgerald fell in love with Zelda Sayre and married her. They lived all over the United States and Europe.(Eble 22) In his writings his life with Zelda is highly portrayed. In the writing of The Basil and Duke Lee Stories there are a lot of similarities to his life. These stories are almost a diary of his life in a fictional form.(Eble 22-24) The most popular of Fitzgeralds writings is The Great Gatsby. This is because Fitzgeralds writing style had matured so much from his earlier works. The book offers great insight in to his adult life, showing how truely unhappy he was. (Eble 86-88) Each of these writers have contributed a great deal to American literature. Faulkner, Hemingway, and Fitzgeralds lives had a great impact on their fiction. Through their writing, readers can begin to understand the happenings of that decade. The twenties are always going to be remembered through their works. Works Cited Ernest Hemingway Discovering Authors, Gale Research, Inc., 1993 William Faulkner Discovering Authors, Gale Research, Inc.,1993 F. Scott Fitzgerald DiscoveringShow MoreRelated Paris in the 1920’s – â€Å"The Lost Generation† Essay1084 Words   |  5 PagesParis in the 1920’s – â€Å"The Lost Generation† Between the end of the First World War and Hitlers seizure of power a cultural explosion occurred in Paris that altered our notions of art and reality and shaped our way of viewing the world ever since. In the 1920s, Paris became the undisputed international capital of pleasure and was regarded as the cultural and artistic center of Europe with a reputation for staging one of its most glamorous eras, as well as some of the most spectacularRead MoreThe Great Gatsby By F. Scott Fitzgerald1138 Words   |  5 Pages The Roaring 20’s â€Å"There are only the pursued, the pursuing, the busy and the tired.† (F. 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