ANSWER
First Discussion Assignment: Homeless People’s Health Needs
Identification of the Article:
The chosen article is:
Banerjee, S., Ramesh, S., and O’Connell, J. J. (2020). A community health nursing framework for addressing the health needs of the homeless. Community Health Nursing Journal, 37(3), 120–130. 10.1080/07370016.2020.1785921 https://doi.org
Synopsis of the Article:
This article highlights the special health issues that homeless people in the United States confront and the contribution that community health nurses (CHNs) make to enhancing access to care. Chronic illnesses, mental health concerns, and substance use disorders are among the common health issues identified in this population by the study. Qualitative interviews with CHNs and homeless people were used to gather data. The evidence demonstrates how health disparities are made worse by social determinants of health, such as unstable housing, restricted access to wholesome food, and inadequate healthcare. The authors contend that attaining significant healthcare results requires developing trust and providing care that is sensitive to cultural differences.
According to the article’s conclusion, CHNs play a critical role in providing homeless clients with integrated, patient-centered care. Interdisciplinary cooperation, telehealth consultations, and mobile health units were found to be workable ways to enhance healthcare delivery. The conclusions are reasonable and backed by data, and they are consistent with the larger body of research on lowering health inequalities in marginalised groups.
Proposed Population-Based Intervention: Setting up community-based mobile health units (MHUs) with mental health professionals and CHNs on duty would be a workable intervention.
Details: These units would include preventive services like immunisations, chronic illness management, mental health counselling, and basic medical treatment.
Details: Plan regular outreach visits in coordination with neighbourhood food banks and shelters. For continuity of care, keep track of patient information and referrals using electronic health record systems.
In addition to meeting the homeless population’s overall health requirements, this intervention closes access gaps.
Citations:
Banerjee, S., Ramesh, S., and O’Connell, J. J. (2020). A community health nursing framework for addressing the health needs of the homeless. Community Health Nursing Journal, 37(3), 120–130. 10.1080/07370016.2020.1785921 https://doi.org
The National Council on Health Care for the Homeless (2019). What is the relationship between health and homelessness? taken from the website https://nhchc.org
Assignment #2 for Discussion
Why Nursing Services Cannot Be Billed Separately by Healthcare Organisations
Because nursing services are usually included in the total hospital or facility charge under bundled payment methods, they cannot be billed individually. These models view nursing care as an operational expense and concentrate on paying doctors and certain operations. This categorisation has historically resulted from the idea that nursing is an auxiliary function rather than a separate, lucrative career.
Effect on Nurse Leaders: Nurse leaders have financial difficulties as a result of this system. In the absence of direct nursing care revenue, they must promote sufficient personnel and resources. Nurse leaders are frequently under pressure to cut nursing expenses, which could have an effect on staff morale and patient outcomes.
Nursing Leaders’ Approach to Solving the Problem:
Advocacy for Policy Changes: Value-based reimbursement models that acknowledge the contributions of nurses to patient outcomes can be promoted by nursing leaders and associations like the American Nurses Association (ANA).
Nursing Impact Quantification: Research showing how nurse care enhances important metrics, such fewer readmissions, lower infection rates, and shorter hospital stays, should be encouraged by leaders. Reforming payment models can be aided by these insights.
Cooperation with Multidisciplinary Groups: Emphasising the significance of nursing in accomplishing organisational objectives, such quality metrics and patient happiness, serves to further emphasise the necessity of sufficient funding.
The Reasons Nursing Services Are Priced
Because nursing services are seen as a component of a facility’s operating infrastructure rather than as directly billable services, they are regarded as an expense. Nursing care includes a variety of tasks that are challenging to measure for billing purposes, such as patient education, monitoring, and holistic care, in contrast to doctors who bill for distinct interventions.
Personal Experience: I’ve found that nursing interventions, such patient education and discharge planning, have a big influence on patient outcomes and lower readmission rates. But because they aren’t linked to a particular billable service, their efforts are frequently underappreciated, which emphasises the need for structural reform.
Citations:
Hassmiller, S., and J. Needleman (2009). Real-world outcomes of nurses’ contributions to enhancing hospital effectiveness and quality. W625–W633 in Health Affairs, 28(4). 10.1377/hlthaff.28.4.w625 https://doi.org
(2019) American Nurses Association. The role of nursing in the change of healthcare. taken from the website https://www.nursingworld.org
QUESTION
Discussion assignment #1
Step 1: Find an article. Identify one peer-reviewed article from a nursing journal focused on the health needs of one of the following populations in the United States:
· People with disabilities
· People who are incarcerated (in jail or prison)
· People who are refugees
· People who are homeless
Step 2: Read the article. Critically read the article. While you read, note the purpose of the article, the methodology of data collection, how evidence is incorporated into the nursing implications, the major ideas of the article, whether the article makes sense, whether the conclusions are logical, and so on.
Step 3: Summarize the article and propose a population-based intervention Summarize the article, including the evidence and conclusions, as well as the implications for population-based nursing.
Based on your reading, propose one population-focused intervention to improve on the issue raised in the article. Provide details and specifics for the intervention.
The discussion assignment must have at least 250 words in length. Respond to the following prompts using at least TWO reliable evidence-based and professional sources research integrated with your own personal experience. You must prove your research in your writing using in-text citations that match your references, and format using 7th ed. APA.
Discussion assignment #2
Currently, nursing services are considered an expense for which healthcare organizations cannot bill separately. Respond to the following questions and, if appropriate, include personal experience as part of your answers:
· Why are healthcare organizations unable to bill separately for nursing services, and what is the impact on nurse leaders?
· What can the nursing profession, and specifically nursing leaders, do to change this issue?
· Why are nursing services considered an expense and not an income generator?
The discussion assignment must have at least 250 words in length. Respond to the following prompts using at least TWO reliable evidence-based and professional sources research integrated with your own personal experience. You must prove your research in your writing using in-text citations that match your references, and format using 7th ed. APA.