HLT 308 Grand Canyon University The Hospital Safety Committee Discussion
HLT 308 Grand Canyon University The Hospital Safety Committee Discussion
HLT 308 DQ1
Describe one of the safety committees your organization uses and how it reduces risk within your organization. Who are the general members of the group, how often do they meet, and is there a regulatory requirement that they report or publish notes? Is this a good use of the staff’s time or would another method that still addresses the safety goal of this group be more efficient?
HLT 308 DQ2
The Occupational Safety and Health Administration (OSHA), the Centers for Medicaid and Medicare Services (CMS), and the Joint Commission (JC) require that health care organizations maintain risk management programs to address infection control. Detail three measures that your health care organization (or any health care organization) could implement, beyond what is currently in practice, to support the delivery of safe health care services and avoid the spread of infection (e.g., placing hand washing devices at all of the public entrances of the health care facility). Support your response with a minimum of two peer-reviewed references.
HLT 308 Topic 2 Week 2 Assignment Example
Risk Management Strategy: Reduction of Tobacco Smoking in the Adolescent Population
Adolescence is a vulnerable stage of growth and development due to the significant physical, emotional, physiological, and sexual changes that occur. This stage represents a unique phase of development in which adolescents are confronted with new realities about their bodies and are curious about much in their surroundings, including trying new things. Adolescents may begin smoking cigarettes and other tobacco products depending on the influence they have in their lives and surroundings. According to the CDC (2022), approximately 5.6 million Americans under the age of 18 will die as a result of a smoking-related illness in the United States, equaling one in every 13 Americans aged 17 or younger.
Furthermore, initiation of tobacco use is primarily established during adolescence, with statistics indicating that 9 out of 10 adults who smoke cigarettes daily first try smoking by the age of 18 (CDC, 2022). To compound the issue, 1600 new youth in the United States smoke their first cigarette every day, and approximately 200 youth start smoking every day (CDC, 2022). In addition to the health risks associated with smoking, such as lung cancer, cardiovascular disease, and the effects on adolescent neurocognitive development, a risk management strategy must be developed to reduce smoking in this population. The chosen strategy, which will be revealed in greater detail in the following discussion, is a primary care-feasible behavioral intervention aimed at school-aged children and adolescents under the age of 18.
Rationale
This discussion will make reference to a hospital with which I am affiliated, which I will refer to as the ZN facility, for the sake of anonymity. Even though the hospital has a preventative health division, the emphasis is on the elderly population, who are predisposed to chronic illnesses. As a result, the hospital places little emphasis on the adolescent population’s health risks; thus, there is a greater need to emphasize adolescent health and develop risk management strategies, such as the proposed primary care-feasible behavioral interventions. Implementing the risk management strategy will aid in lowering the number of adolescent populations who begin smoking and those who already smoke. Furthermore, it would reduce the health complications associated with cigarette smoking at all levels, including the local community and state, and the impact would be felt nationally if several other facilities in many states implement the intervention.
Support: Data that indicate the Need for the Proposed Risk Management Initiative
To justify the need for the proposed risk management strategy, it is critical to review the statistics on the harm caused by smoking in the target population, as well as to support the initiative’s effectiveness with evidence-based research studies. The CDC (2022) statistics indicating that 5.6 million Americans under the age of 18 will die from a smoking-related illness are already a visible indicator of the severity of the problem. Current tobacco product use among high school-aged children and adolescents was 13.4% overall in 2021, with girls at 13.8% and boys at 13.0%, and e-cigarettes accounting for the highest percentage of tobacco product use at 11.3% (CDC, 2022).
Among middle school-aged students, the overall tobacco product use rate was 4.0%, girls (4.4%) and boys (3.6%), with e-cigarettes accounting for the highest tobacco product use rate at 2.8% (CDC, 2022). The statistics provide sufficient impetus for the quest for a risk management strategy that reduces smoking in this population to protect the health, education, and future of these school-aged children. Furthermore, the US Preventative Services Task Force et al. (2020) conclude with a moderate degree of certainty that primary care-accessible behavioral interventions such as brief counseling and education sessions have a moderate net benefit in preventing tobacco use among school-aged children and adolescents. With this certainty, the ZN facility is eager to implement the strategy.
Implementation
Before delving into the implementation phases, it is critical to understand what tobacco use entails. Tobacco use refers to the habitual consumption of a tobacco plant and its products. The US Food and Drug Administration (2020) defines tobacco products as any product made from tobacco intended for human consumption, including but not limited to cigarettes, cigars, Hookahs, nicotine gels, smokeless tobacco, e-cigarettes, vapes, and so on. In this context, smoking refers to the act of inhaling and exhaling smoke produced by combustible tobacco products (US PSTS et al., 2020).
The first step in implementation is determining whether or not youth use tobacco. This data is available at the county, state, and federal levels, but it can also be reported by parents or teachers who care for the adolescents. The second step entails strategies aimed at youth who do not use tobacco. Face-to-face counseling, telephone counseling, and computer-based and print-based interventions delivered by healthcare providers are all effective behavioral interventions for preventing tobacco smoking initiation in this population (Villanti et al., 2019). In the case of youths who are already using tobacco, a healthcare provider will use clinical judgment to determine which of the aforementioned interventions will be most beneficial to the individuals.
The hospital’s preventative health division will create variable prints such as stickers, activity books or guides, and newsletters with information about tobacco addiction, smokeless tobacco, and adverse health consequences. The face-to-face strategy will be the primary or component of the multimodal interventions employed. The healthcare providers can also organize a community talk attended by adolescents to educate them on the dangers of tobacco use and assign each to a peer counselor (Choi et al., 2021). The telephone call is most effective when combined with other interventions such as face-to-face and material print counseling (Karekla & Savvides, 2021). The phone calls are made weekly, say three times a week, and contact with either the parent or the youth suffices. Most studies recommend computers for intervention recipients aged 10 to 17, who can learn through interactive or web-based programs and computer screenshots.
Challenges
ZN facility may face a few challenges in implementing the risk management strategy. To begin, financial and human resources are required to facilitate the process. This may necessitate the facility to write a proposal to interested stakeholders to finance the project, which could take a long time or fail. Second, the facility’s staff is insufficient for the fieldwork, so more staff, particularly nurses, will need to be recruited to perform the behavioral counseling; this necessitates adequate funding, which is a challenge for the facility. Third, school-aged children have a busy schedule during the week and are only free on weekends. This may necessitate staff working on weekends when they are supposed to be resting.
Evaluation and Opportunities
To assess the success of the risk management initiative, a smoking health indicator report has proven to be useful. Quantitative measurements are required, for example, if the intervention lasts six months, the total number of students at the start of the intervention and the end is obtained. Any discrepancy is noted, and the reasons for the discrepancy are discovered. Every month, the number of students who smoked cigarettes in one or more of the previous 30 days is recorded.
This serves as the numerator, while the total number of students surveyed serves as the denominator. The value obtained equals the percentage of students who smoked cigarettes on one or more occasions in the previous 30 days. This can be used to determine whether the intervention’s progress is positive or negative. Other recommended risk management improvement strategies, according to USPSTF et al. (2020), include behavioral and pharmacology. In addition, the facility may consider behavioral interventions to reduce the use of illicit drugs and non-medical pharmaceuticals in children and adolescents.
Conclusion
Adolescence is a critical stage of development, and this population requires close guidance from parents, teachers, or anyone else in their immediate environment. Teenagers are curious to try new things at this age, and statistics show that is when the majority of future cigarette smokers begin smoking. It is therefore critical to provide risk management strategies to prevent smoking initiation or help those who have begun to smoke quit. The primary care-feasible behavioral intervention proposed in this paper provides a strategy with a broad scope to help teens avoid initiating and those who have begun to stop.
References
Centers for Disease Control and Prevention. (2022, April 14). Youth and tobacco use. Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/tobacco/data_statistics/fact_sheets/youth_data/tobacco_use/index.htm
Choi, Y., Lee, C. M., Cho, B., Lee, E. S., Oh, S.-W., Lee, N., & Yun, J. M. (2021). Behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force. Osong Public Health and Research Perspectives, 12(3), 177–186. https://doi.org/10.24171/j.phrp.2021.0018
Karekla, M., & Savvides, S. N. (2021). Smoking cessation avatar-led Acceptance and Commitment Therapy digital intervention: feasibility and acceptability in young adults. Translational Behavioral Medicine, 11(1), 198–205. https://doi.org/10.1093/tbm/ibz128
US Food and Drug Administration. (2020). Tobacco products, ingredients, and components. U.S. Food and Drug Administration; FDA. Retrieved from https://www.fda.gov/tobacco-products/products-guidance-regulations/products-ingredients-components
US Preventive Services Task Force, Owens, D. K., Davidson, K. W., Krist, A. H., Barry, M. J., Cabana, M., Caughey, A. B., Curry, S. J., Donahue, K., Doubeni, C. A., Epling, J. W., Jr, Kubik, M., Ogedegbe, G., Pbert, L., Silverstein, M., Simon, M. A., Tseng, C.-W., & Wong, J. B. (2020). Primary care interventions for prevention and cessation of tobacco use in children and adolescents: US preventive services task force recommendation statement: US preventive services task force recommendation statement. JAMA: The Journal of the American Medical Association, 323(16), 1590–1598. https://doi.org/10.1001/jama.2020.4679
Villanti, A. C., Niaura, R. S., Abrams, D. B., & Mermelstein, R. (2019). Preventing smoking progression in young adults: The concept of prevescalation. Prevention Science: The Official Journal of the Society for Prevention Research, 20(3), 377–384. https://doi.org/10.1007/s11121-018-0880-y
HLT 308 V Week 2 Educational Program on Risk Management – Part One: Outline of Topic Instructions
The purpose of this assignment is to create an educational program that supports the implementation of risk management strategies in a health care organization.
In this assignment, you will develop an outline for an “in‐service”‐style educational risk management program for employees of a particular health care organization that will then form the basis for a PowerPoint presentation in Topic 5. Select your topic for this educational session from one of the proposed recommendations or changes you suggested in the Risk Management Program Analysis – Part One assignment to enhance, improve, or secure compliance standards in your chosen risk management plan example.
Create a 500‐750-word comprehensive outline that communicates the following about your chosen topic:
- Introduction: Identify the risk management topic you have chosen to address and why it is important within your health care sector.
- Rationale: Illustrate how this risk management strategy is lacking within your selected organization’s current risk management plan and explain how its implementation will better meet local, state, and federal compliance standards.
- Support: Provide data that indicate the need for this proposed risk management initiative and demonstrate how it falls under the organization’s legal responsibility to provide a safe health care facility and work environment.
- Implementation: Describe the steps to implement the proposed strategy in your selected health care organization.
- Challenges: Predict obstacles the health care organization may face in executing this risk management strategy and propose solutions to navigate or preempt these potentially difficult outcomes.
- Evaluation: Outline your plan to evaluate the success of the proposed risk management program and how well it meets the organization’s short-term, long-term, and end goals.
- Opportunities: Recommend additional risk management improvements in adjacent areas of influence that the organization could or should address moving forward.
You are required to incorporate all instructor feedback from this assignment into Educational Program on Risk Management Part Two ‐ Slide Presentation assignment in Topic 5. To save time later in the course, consider addressing any feedback soon after this assignment has been graded and returned to you. It may be helpful to preview the requirements for the Topic 5 assignment to ensure that your outline addresses all required elements for submission of the final presentation.
You are required to support your statements with a minimum of six citations from appropriate credible sources.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
HLT 308 Topic 2 RUBRIC
Rubric Criteria
Introduction
13 points
Criteria Description
Introduction
- 5: Excellent
13 points
An introduction is comprehensive. The submission incorporates analysis of supporting evidence as to why increased attention to the proposed risk management strategy is needed and provides specific examples of why it is important within the specified health care sector. Level of detail is appropriate.
Rationale
13 points
Criteria Description
Rationale
- 5: Excellent
13 points
A rationale is comprehensive. The submission provides specific examples of where the proposed risk management strategy is lacking in the selected plan and provides insightful supporting evidence as to how its implementation will better meet compliance standards. Level of detail is appropriate.
Support
13 points
Criteria Description
Support
- 5: Excellent
13 points
Support data are comprehensive. The submission incorporates an analysis of how the data indicate a need for the proposed risk management initiative. Level of detail is appropriate.
Implementation
13 points
Criteria Description
Implementation
- 5: Excellent
13 points
Implementation strategies are comprehensive. The submission provides specific actionable steps by which the selected health care organization can implement the proposed risk management initiative. Level of detail is appropriate.
Challenges
13 points
Criteria Description
Challenges
- 5: Excellent
13 points
Possible challenges to the risk management implementation are comprehensive. The submission provides specific relevant examples of solutions for navigating or preempting predicted obstacles. Level of detail is appropriate.
Evaluation
13 points
Criteria Description
Evaluation
- 5: Excellent
13 points
Evaluation strategies are comprehensive. The submission provides specific examples of how the evaluation plan will assess alignment with the short-term, long-term, and end goals of the risk management program. Level of detail is appropriate.
Opportunities
19.5 points
Criteria Description
Opportunities
- 5: Excellent
19.5 points
Additional risk management opportunities are described comprehensively, with detailed support for the recommended changes. Level of detail is appropriate.
Thesis Development and Purpose
6.5 points
Criteria Description
Thesis Development and Purpose
- 5: Excellent
6.5 points
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction
6.5 points
Criteria Description
Argument Logic and Construction
- 5: Excellent
6.5 points
Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, and language use)
6.5 points
Criteria Description
Mechanics of Writing (includes spelling, punctuation, grammar, and language use)
- 5: Excellent
6.5 points
The writer is clearly in command of standard, written, academic English.
Paper Format (use of appropriate style for the major and assignment)
6.5 points
Criteria Description
Paper Format (use of appropriate style for the major and assignment)
- 5: Excellent
6.5 points
All format elements are correct.
Documentation of Sources
6.5 points
Criteria Description
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style
- 5: Excellent
6.5 points
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Research and citations are supportive of the rationale presented. Sources are distinctive. Addresses all of the issues stated in the assignment criteria.
