Well, we have reached our last reflection.
I was very intrigued by the case study. It was a somewhat random story, but it had very interesting repercussions. I’ll be honest it made me frightened to be a nurse leader because of all these difficult ethical dilemmas and legal issues. I also had an interesting finding on Modern healthcare. I wanted to share some of it: In Paradise, California there is only one acute-care hospital. They were force to evacuate as the Camp Fire closed in. There were about 600 staff members that had to pack into a conference room in the next time over. They people there revealed, “We asked the people in the room if they had lost their homes; almost everybody put their hand up in the air,” recalled Jill Kinney, a spokeswoman for the hospital, Adventist Health Feather River, which remains closed. Sadly they believe that the majority of the 100-bed hospital and 1,000 full and part time staff members lost their homes in the wildfire. There were more than 12,000 homes destroyed. It is unclear where these employees would live if they did return. People wonder, “where do they people go now?”. Further, “catastrophic wildfires like the Camp Fire can have the secondary effect of prompting long-term staffing shortages if the communities surrounding them are so devastated people decide to put down roots elsewhere”. There are many questions as to what will happen in California with the aftermath of the fire devastation.
So this week we talked about motivation as a part of our research. I liked finding ideas on how to motivate employees because one day we may be asked to do that as leaders of our own organization! Most significant to me was: Have opportunities for Continuous learning- If employees are engaged at work and have opportunities to improve their skills and increase their knowledge then they will be happier and more fulfilled. There should be a weekly newsletter or some sort of announcement that shows available trainings, education, classes, etc.
Also, I was very intrigued by my modern healthcare article that I read. It said that there was a discussion for American medical Association to talk about expanding preventative are coverage access to Canadian pharmacies. The House of Delegates will continue to debate a number of policies which will make it easier for patients to purchase drugs from licensed Canadian pharmacies. The conditions are “when product integrity can be assured”. The delegates also discussed out whether the physicians’ group should be allowed to call on private health plans to cover “evidence-based preventive services” without making patients pay an out-of-pocket expense such as a co-pay. Further discussion will talk about gun violence and whether concealed-carry permits should be allowed. I find this interesting because if we allowed guns it might make pharmacies and hospitals feel safer. Also, in terms of the expansion of care to Canada, I think that it is great. This is important to nursing because our health care system is different than any other one around the world. By universalizing our care I think it would have more positive than negative results.
This week I was really intrigued by the modern healthcare magazine article I read. I thought it was interesting talking about all of the bargaining and deciding where and how to cut costs. Still, I wouldn’t recommend that activity for the future because it was confusing, had little guidance, and frankly didn’t flow with what we had been learning. We definitely needed more education on that topic before assigning it. Anyway, I want to talk about the very interesting article that I read this week. It was about improving patient health literacy because there are some serious gaps in our healthcare system that are very concerning. In 2013 In Rio Grande Valley Health in McAllen, Texas it became apparent that the organization’s patients had trouble talking with the physicians about their health during doctors visits. With further depth into the problem they saw that the majority of the problem was the language barrier. Not only was it that about 7,500 of the patients in this Southern Texas border speak English as a second language. The bigger problem was that the patients felt very intimidated because their understanding of their health and the medial terminology was very minimal. Many times they would respond just “Yes, I understand”. In reality, they did not understand and many times were sent home with not any clue how to maintain their health or followup post-procedure. This is very concerning to me as a nurse because it is against my ethical values to send someone home without appropriate knowledge of their own health or how to take care of themselves. I think we need to be more wary about how much our patients actually understand. Instead of asking if they understand we should ask them to teach us back what they understand. This gives us better grasp if they truly are safe to return home with the knowledge they need.