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NR-554 Week 1 DQ: Problem Identification for Public and Policy Decision Makers $7.99   Add to cart

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NR-554 Week 1 DQ: Problem Identification for Public and Policy Decision Makers

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NR-554 Week 1 DQ (with Peer Response): Problem Identification for Public and Policy Decision Makers Nursing leaders and bedside staff are often … with problems that affect their workflow and ability to deliver best practices to their patients. One example of a policy that has been adopted by man...

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  • July 30, 2022
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  • 2021/2022
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Running head: PROBLEM IDENTIFICATION FOR PUBLIC AND POLICY 1




Problem Identification for Public and Policy Decision Makers

Carole Bingley

Chamberlain College of Nursing

NR554: Nurse Leader and Healthcare Policy

March 2018




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, PROBLEM IDENTIFICATION FOR PUBLIC AND 2

Nursing leaders and bedside staff are often confronted with problems that affect their workflow and
ability to deliver best practices to their patients. One example of a policy that has been adopted by
many healthcare organizations to reduce confusion and improve efficiency in communication is the use
of the SBAR (Situation, Background, Assessment, & Recommendation) tool to ensure clear, concise, and
effective communication between professions. Describe a situation or issue that you see within your
work environment or local community related to a healthcare issue and describe what you believe the
solution would look like.

Week 1: Problem Identification for Public and Policy Decision Makers


Today the demand for public behavioral health services is extremely high as the crisis in

mental health care continues. According to the Agency for Healthcare Research & Quality

Statistics, "in 2007, one in eight people, or nearly 12 million hospital emergency department

visits, were for mental health disorders, substance use or both" (2010). Increasingly, emergency

departments are struggling with the increasing number of mentally ill patients falling through the

cracks due to lack of needed mental health services and supports. Patients requiring more

intensive psychiatric care are often “boarded” in the ED for additional hours to days as they wait

for the transfer process to complete or for beds to become available. This process frequently

results in ED overcrowding, which lowers the quality of care for mental health patients and

results in higher risks of adverse outcomes for all ED patients.

Mental health services delivered through the ED require more than twice the time as the

average medical protocol offered in the same setting. Psychiatric boarding can have a significant

impact on already scarce ED resources. Boarding mental health patients result in increased

nursing and security staffing, has a significant financial impact on ED reimbursement, increases

costs associated with unnecessary diagnostic and laboratory tests required by inpatient

psychiatric treatment programs prior to accepting a patient from the ED for admission and

transfer (The Joint Commision, 2015). Additionally, psychiatric boarding prevents ED beds from

being used for new patients and delaying treatment of other ED patients.




This study source was downloaded by 100000822824483 from CourseHero.com on 07-30-2022 10:10:11 GMT -


https://www.coursehero.com/file/30553994/Week-1-DQ-Problem-Identification-for-Public-and-Policy-Decision-

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