HEALTH 300 UMGC How ARRA and HITECH Act Promote and Regulate the Use of HIT Analysis So base on my memo; I recieved some feedback from professor. Base on that and the assignment requirement and rubric screenshoted. Analyze how ARRA and the HITECH Act promote and regulate the use of HIT; Assess the benefits that widespread HIT may bring to the health care system; Evaluate legal and ethical issues associated with the planning and delivery of health care services. All assignments must target the content application while using two variables: the job choice which is a healthcare consultant and the case assigned by the faulty Memo
Peter Wright, Supervising Manager
Kadi AMAH, Healthcare consultant
Alexian Bridget, Nursing Representative
Predisposing Factors Facing Healthcare Services
Qualitative and quantitative research conducted in the nursing department in our healthcare
revealed there are predisposing factors to the healthcare services. Due to these challenges, our
department calls for intervention to enhance the delivery of excellent services to the patients. The
problems increase the risk factors of both the patients and nurses suffering from extreme health
conditions. We, as nurse practitioners in the nursing department, work under various pressures or
constraints that pose a threat in their lives and may also undermine the quality of care given to
the patients. We have some cases reported in the health care facilities which can be prevented
through the mitigation of such risk or predisposing factors in the nursing department to avoid
various issues such as deaths 0f patients, health adversities in nurses. We, therefore, have a
request for the management to consider these problems and apply the appropriate redress to
promote good health services.
Night shift and long working hours
We agree that the nurses are involved in night shift works and long durations lasting more than 8
hours that have consequences on their psychological and physical health. It leads to disruption of
the circadian rhythms of the personnel’s hence causing an alteration of biological functions in the
body (Hunsaker et al., 2015). There is a maladaptation system that leads to impairment in
sleeping, cardiovascular diseases, and the so-called “night shift work disorder.” Cardiovascular
diseases are more prevalent in the night shift workers and gastrointestinal illnesses such as
appetite disorders, heartburn, flatulence, gastroduodenitis due to alterations of the circadian
rhythms of gastric functions. We affirm that it triggers fatigue that hinders nurses’ performance
due to a lack of alertness. There are cases of mental disorders due to sleep disturbance leading to
a lack of concentration, discomfort. We have also witnessed increased errors in the performance
of the nurses leading to injuries or deaths of patients affecting the quality of care. We contend
that fatigue trigger job absenteeism, sicknesses, turnovers, or job attritions, making the nurses
use psychotropic drugs. The night shift workers lack satisfaction in their jobs due to job stress
and mental problems. They are prone to conditions such as irritability, anxiety, paranoia, and
We agree that there are numerous technological advancements in healthcare which most nurses
are not conversant with due to the dynamics of the field and the growth and development of
technology day by day. There is a global trend in the implementation of technological
advancements for improvements and delivery of quality and efficient healthcare services.
However, there is a challenge in working with the new and dynamic technology among the
nursing practitioners resulting in errors that affect a patient’s health or nurse’s health (Prang &
Jelsness-Jørgensen, 2014). We, therefore, have challenges in promoting good healthcare due to
the poor technological designs, interface with patients, inadequate plan. Technology use is
asserted to cognitive, social, and psychological changes and gender issues more so in women as
they are the majority in the nursing. Women’s integration to technology is low due to cultural
factors, for instance, masculine identity technologies, whereas women are linked to focus on
human relationships. However, the 21st century is characterized by technological integration in
healthcare, for instance, in biometrics, robotics, and genetics in the provision of support to
coordinate patient care. We have a big question in the nursing profession between the high tech
or high touch in promoting effective and quality care of patients.
Shortage of nurses
We affirm that we have inadequate nurses’ practitioners in healthcare to offer quality patients
care due to the increase in the aging population who require more medical attention than younger
individuals. Nurses are critical in caring for patients with chronic conditions such as diabetes,
arthritis, cancer, some of who need intensive care. Most of our aging workforce propagates the
shortage as the majority of nurses are almost at their retirement ages. We also have workloads in
healthcare due to reduced staffing leading to overtime policies to ensure the availability of RNs
due to the increase of patients admitted (Levesque, Harris & Russell, 2013). We also have a
challenge of hospital acuity that limits the healthcare services to the patients. We do not have
good incentives in the nursing profession, hence the prevalence of turnovers among some of our
nurses and the urge to look for greener pasture. Our current low nurse staffing will, therefore,
affect the rescue of the patients suffering from health complications. We have high patient-nurse
ratios leading to job stress due to the heavy workloads triggering job dissatisfaction.
Increase of chronic illnesses
We have seen that there is a rise of chronic diseases as most of the patients suffers from at least
one chronic disease, for instance, cancer, diabetes, hypertension, heart disease. They, therefore,
call for increased care as most of the deaths are from chronic illnesses too. It can also be linked
to the highest aging population in the US, and risk factors such as lack of physical activity, poor
nutrition, and drug abuse like tobacco, alcohol. Our current lifestyles or societal changes are
leading to infection of more people hence an increased need for healthcare.
Nightshift Work and Long Work Durations
We are in pursuit of a clockwise rotation program of the nurse in the night shift to prevent a high
degree of distractions of the circadian rhythms in the nurses and a maximum of 8 hours schedule
for work with a break to reduce fatigue in the workers. We disregard permanent night shift and
advocate for the provision of a proper diet to the nursing practitioners to prevent gastrointestinal
problems such as heartburns. We also hold that we need first aid services for the nurses and
supervision of the nurses in the night shift to avoid cases of fatigue. We are calling for a good
environment for the welfare of nurses, such as appropriate temperature, humidity created through
proper ventilation to ensure the nurses can work effectively. These measures are to promote the
nurse’s alertness to enhance quality care to patients and avoid errors.
We call for the training of the nurses, both men, and women on how to use the various
technologies to promote efficient and quality healthcare, for instance, telehealth, telemedicine.
Comprehensive training will ensure fewer errors, for example, using automated iv pumps to
measure the correct medication dosage. Our nurses should also be trained in using EHRs for
accuracy and clarity of records.
Shortage of Nurses
We propose for funding options, for instance, funding of nursing education by the government
directed to both the faculties and the students. It can also be achieved through a partnership of
the nursing schools and private supports to expand the student capacity through loan programs.
Higher wages can promote the palatability of the job and the retention of the RNs in the
workforce. We are, therefore, calling our healthcare to employ enough nurses to improve patientnurse ration to reduce the heavy workloads to the nurses.
We affirm that the nurses should encourage people to get regular screenings for various diseases,
for instance, cancer. People should also go to testing even when they are not sick to ensure the
diagnosis of the illnesses earlier for an effective treatment to prevent health complications at a
later stage. It is our responsibility to advice people on proper lifestyles, for instance, body
activities through exercises, good eating habits by consuming the required proportions of meals
(Mosadeghrad, 2014). Our nurses should also ensure proper care for patients with chronic
diseases and monitor their conditions regularly.
We profess that these risk factors in healthcare are undermining the nursing practitioner’s
performance. Our involvement in nightshift and long durations of work have a possibility in
limiting the efficiency of the services besides serving great multitudes of patients with a critical
condition such as hypertension, diabetes that require extensive care. We are calling for the
implementation of the recommended strategies to promote quality healthcare for the welfare of
the patients and nurses.
Final Report Approvals
Prepared By: Kadi AMAH
Approved By: Alexian Bridget
Approval Date: 10th Apr 2020
Hunsaker, S., Chen, H. C., Maughan, D., & Heaston, S. (2015). Factors influencing the
development of compassion fatigue, burnout, and compassion satisfaction in emergency
department nurses. Journal of Nursing Scholarship, 47(2), 186-194.
Levesque, J. F., Harris, M. F., & Russell, G. (2013). Patient-centered access to health care:
conceptualizing access at the interface of health systems and populations—international
journal for equity in health, 12(1), 18.
Mosadeghrad, A. M. (2014). Factors influencing healthcare service quality. International journal
of health policy and management, 3(2), 77.
Prang, I. W., & Jelsness-Jørgensen, L. P. (2014). Should I report? A qualitative study of barriers
to incident reporting among nurses working in nursing homes. Geriatric Nursing, 35(6),
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