Assignment Overview
In this assignment, you will conduct a critical case review and appraisal using APRN Outcomes and Performance Improvement Research.
Before you start the assignment – Read and understand the assigned readings as it will help you with the assignment.
1. Review Chapter 8, 19, and 21 of the Hamric & Hanson’s textbook. The chapter readings will serve as a guide as you conduct the critical case review.
2. Review the article “Quality of Nurse Practitioner Practice” https://www.aanp.org/advocacy/advocacy-resource/position-statements/quality-of-nurse-practitioner-practice
3. Healthcare Rationing https://www.healthinsurance.org/glossary/healthcare-rationing.
4. Review https://nurseledcare.phmc.org/advocacy/policy-blog/item/1007-three-ways-nurse-practitioners-can-improve-healthcare-in-your-state.html
5. The Ethics and Reality of Rationing medicine in health care https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3415127
Case Scenario:
Healthcare rationing: Aryan is a 17-year-old male with Duchenne muscular dystrophy (DMD) who lives with his mother, father, and 14-year-old sister. Aryan’s DMD is progressing and he was recently hospitalized for pneumonia. At discharge, home hospice services were initiated due to Aryan’s advanced DMD with cardiomyopathy and pneumonia complications. Aryan’s family has had to reduce the recommended services out of financial constraints and they are struggling with the terminal nature of his disease.
(Archetype Innovations, LLC)
Guidelines
Perform a Critical review and appraisal of the case scenario. Apply standards for APN performance and quality of care.
Explain how the behavior of healthcare rationing will impact quality of care and outcome for Aryan.
What potential role does APN reimbursement play in healthcare rationing and quality?
Propose and evaluate actions for improving practice performance quality benchmarks (selected) related healthcare rationing for this family. Include considerations for standards of care and practice that would potentially impact the APN approach in this case.
Explain the role of EBP in quality performance and quality improvement in APN and implications for care at the end of life.
