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Question Description

Discussion question 1

Discussion: Supporting Health Promotion with Social Support Interventions

Step 1 In your initial post, respond to the following prompts.

  • Share an example when the social-support system of a client made a large effect on the health-promotion behavior of the client.
    • Describe the effect of social-support systems in health-promotioninterventions and the relationship those social systems have onhealth-behavior changes in clients.
    • Explain two methods to assist clients in identifying social-support systems.

Step 2 Read other students’ posts and respond to at least two of them.

In your response to each of your peers, recommend an additionalmethod of identifying a social-support system and explain when you woulduse this method by giving an example scenario. Use your personalexperience, if it’s relevant, to support or debate other students’posts. If differences of opinion occur, debate the issues professionallyand provide examples to support opinions.

Your initial post should be 2-3 paragraphs long and follow therequirements outlined in the discussion rubric. Please add to thediscussion in your peer responses with informative responses, instead ofposts similar to “great idea! I really agree with you.” The initialpost and the peer responses have different deadlines. Make sure thatyour discussion adheres to these deadlines.

APA guidelines and plagiarism prevention matter in discussion postsjust like with other scholarly assignments. Cite all references

Discussion response 1 Philetha

Social support system

A social support system is a network of friends and other people,such as the family that one can turn to in times of crisis or need togive a positive self-image and a broader focus. The support can takedifferent forms, including emotional, instrumental, informational, andappraisal (Mayoclinic staff, 2020) l. For example, a friend of 5 yearsdecided to work from home to help babysit their twins while the wifetakes some time off to sleep and attend her therapy after she sufferedfrom post-partum depression. As a result, the wife could sleep well andeat, thus focusing on their children while relaxed. Also, she healedfaster from the depression due to the emotional and instrumental supportthat she got from her husband.

Having family and close friends has far-reaching benefits in healthpromotion interventions, including enhanced self-esteem, promotinghealthy lifestyle behaviors, promoting lifelong good mental health, andencouraging adherence to a treatment plan. Also, it improves the abilityto cope with stressful situations, lowers cardiovascular risks such asblood pressure, and alleviating emotional distress effects (Reblin &Uchino, 2008). Further, social system support such as advicesuggestions and information, tangible aid and services, expression ofempathy, love, trust, and caring helps people to focus more on theirhealth and to engage in activities beneficial to their bodies such asexercises.

To identify a social system, a client may use the professionally ledmethod or the free form method. The professionally-led method includestaking the step of joining a professional organization which comprisesof people from the same field (University at Buffalo, 2019). In mostcases, friends from the same profession are likely to understand betterif one is stressed about work-related issues and are likely to offer thebest support. On the other hand, the free form method involves engagingin groups that one believes they fit in and feel that they are gettingmaximum support. For example, once one enters into parenthood, they maychoose to associate with other parents (University at Buffalo, 2019).Also, hobbies and activities may lead to deciding to associate withothers who share the same interest.


Discussion response 2 Baleigh

Socialsupport is vital when it comes to managing and healing someone’shealth. When the patient has social support there is a markedimprovement in their care and attitude. I have seen the decline of manypatients since the pandemic started and we restricted visitors. Sincelifting the restriction, many patients have started making improvementsand getting on the mend. There seem to be four types of social support,emotional, instrumental, informational, and appraisal (Social Support,n.d.). families often offer all forms of these supports but nurses canas well.

There are several different ways for patients to receive socialsupport. The obvious way is to involve the patient’s family and friendsin their care. These people are usually the ones they go home to andkeep supporting them when they get. If the patient does not have anyfamily or friends, nurses often give their patients the support theyneed. We lend a listening ear and cheer and support them when they meetmilestones. No matter where they get their support, it is important for the patient to have social support.

Social Support. (n.d.). Retrieved from Health Behavior andHealth Education:https://www.med.upenn.edu/hbhe4/part3-ch9-key-cons…

Discussion question 2

EHR and the Quality of Nursing

Respond to the following question based on this weeks lesson and, if it’s relevant, include your own personal experience

  • How can an EHR positively impact the quality of nursing care?
  • What are potential concerns that EHRs bring to nursing care quality? How can these concerns be addressed?

Read other students’ posts and respond to at least two of them.

Discussion response 1 Elizabeth

EHR Positively impact the quality of nursing care

Electronic medical records has had such a big impact on the qualityof nursing care. EMR help the quality of nursing care decrease themedication errors. EMR improve quality of care, patient outcomes, andsafety through improved management, reduction in unnecessaryinvestigations, and improve communication and interactions among primarycare providers, patients, and other team member and providers involvedin the patients care (Manca .D 2015, Do Electronic Medical Recordsimprove quality care?) EMR have been demonstrated to improveefficiencies in work flow through reducing the time required to pullcharts, improving access to comprehensive patient data, helping tomanage prescriptions, improving scheduling of patients appointments, andproviding remote access to patients’ charts (Manca .D 2015, DoElectronic Medical Records improve quality care?).

What are potential concerns that EHRs bring to nursing care quality? How can these concerns be addressed?

EHRs may cause several unintended consequences, such as increasedmedical errors, negative emotions, changes in power structure, andoverdependence on technology. Many healthcare providers depend on theEHR system (Menachemi, N & Collum,T ,2011 Benefits and drawbacks ofelectronic Health records system para 23-25). Potential drawback ofEHRs is the risk of patient privacy violations, which is an increasingconcern for patients due to the increasing amount of health informationexchanged electronically(Menachemi, N & Collum,T ,2011 Benefits anddrawbacks of electronic Health records system para 23-25). Financialissues, including adoption and implementation costs, ongoing maintenancecosts, loss of revenue associated with temporary loss of productivity,and declines in revenue, present a disincentive for hospitals andphysicians to adopt and implement an EHR (Menachemi, N & Collum,T,2011 Benefits and drawbacks of electronic Health records system para23-25). Theses concerns can be addresses by have a check point system inplace, having healthcare member do training regularly, and having aperson in place to check and make sure systems are not causing errors,and making sure repairs are done accordingly.


(Manca .D 2015, Do Electronic Medical Records improve quality care?) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4607324

Discussion response 2 Sarah

How can EHR positively impact the quality of nursing.

Electronic Health Record (EHR) is alongitudinal electronic record of patient health information generatedby one or more encounters in any care delivery setting. Included in thisinformation are patient demographics, progress notes, problems,medications, vital signs past medical history immunizations, laboratorydata and radiology reports” (Health Information Management SystemSociety, 2013) Benefits as a nurse when using EHR systems are theflexibility of usage, sharing of information between providers andnurses. Patient previous stay information to compare to re-admission.Patient safety when caring for multiple patients at a time, being ableto view issues of medication interactions, and possible allergies. Beingable to organize care is a huge benefit because with EHR introduction,means increase in patient load and ability to care for more criticalpatients.

What are concerns that EHR bring to nursing care quality how can these concerns be addressed?

When increasing patient load, and acuity means more potential for

error, reliant to the computer system, sometimes depending on the

facility and the charting system it can become tedious and time

consuming. I feel like a very big issue especially for this time in

everyone’s lives with COVID. More Nurses are taking on more critical

patients and relying too much on the system, and not having enough time

to critically think. We are taken for granted and overworked a lot,

meaning are our patients really getting the care they need? Are we

missing things? Is this why we have a higher re-admission rate? We need

to bring the patient ratio’s down to a functioning level, so nurses can

do what they have been rained to do which is, improve patient outcomes,

education, critically think and enjoy their jobs

Discussion question 3

Health Care Distribution


Respond to at least two of your fellow students’ posts.

Step 1 Read the scenario.

While we would like to think that everyone has equal access to healthcare, as nurses it is important to consider the reality of how healthcare is distributed. Identification of distribution patterns contributesto an understanding of barriers to accessing health care that includegeographic realities (urban vs. rural) and socio-economic inequities(insured vs. uninsured).

Step 2 Post a response to the discussion board.

In your post, address the following prompts:

  • Discuss the meaning of distribution of health care within the health care delivery system.
  • Discuss how the distribution of health care affects access to care.

Step 3 Read and respond to two other students’ posts

Read other students’ posts and respond to at least two of them. Useyour personal experience, if it’s relevant, to help support or debateother students’ posts. If differences of opinion occur, debate theissues professionally and provide examples to support your opinions.

Discussion response 1 Amanda

The health care delivery system is an organization of individuals,institutions, and resources to provide health care services to meet thehealth needs of the target population. People use health-care servicesto diagnose, cure, or ameliorate disease or injury; to improve ormaintain function, or to obtain information about their health statusand prognosis (“Factors that affect health-care utilization -health-care utilization as a proxy in disability determination – NCBIbookshelf,” 2018, Para 2). Many people face obstacles that prohibit orrestrict access to needed health care services, which may increase therisk of poor health outcomes and health inequalities. Lack of healthinsurance, inconvenient or unreliable transportation, and limitedavailability of health care resources (physician/nurse shortages) allplay part in how the distribution of health care affects access tocare.


Factors that affect health-care utilization – health-care utilization as a proxy in disability determination – NCBI bookshelf. (2018, March 1). National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/books/NBK500097/

Discussion response 2 Donna

Discuss the meaning of distribution of health care within the health care delivery system

Recent and ongoing innovation in systems for delivering andreimbursement of health care in the United States has broadenedstakeholders’ need for standardized methods to describe, measure,compare and evaluate delivery system changes. A common taxonomy ofdelivery system characteristics would allow for improved communicationand transparency regarding these changes, potentially enhancing thequality of decisions and care for patients, providers, researchers,policymakers, payers, and other stakeholders. The comparativeeffectiveness of delivery system characteristics is ranked as a toppriority by the Institute of Medicine, which has defined comparativeeffectiveness research (CER) as the generation and synthesis of evidencethat compares the benefits and harms of alternative methods to prevent,diagnose, treat, and monitor a clinical condition or to improve thedelivery of care (Pina et al., 2015).

Discuss how the distribution of health care affects access to care

Access to health care impacts one’s overall physical, social,and mental health status and quality of life. Barriers to healthservices include high cost of care, inadequate or no insurance coverage,lack of availability of services, and lack of culturally competentcare. These barriers lead to unmet health needs, delays in receivingappropriate care, inability to get preventive services, financialburdens, and preventable hospitalizations (Access to Health Services,2020). Even as the number of uninsured has been significantly reduced,millions of Americans still lack coverage. Significant disparities inaccess to care by sex, age, race, ethnicity, education, and familyincome. These disparities exist with all levels of access to care,including health and dental insurance, having an ongoing source of care,and access to primary care. Disparities also exist by geography, asmillions of Americans living in rural areas lack access to primary careservices due to workforce shortages (Access to Health Services, 2020).


Access to health services. Access to Health Services | Healthy People 2020. (2020, October 8). https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services (Links to an external site.).

Piña, I. L., Cohen, P. D., Larson, D. B., Marion, L. N., Sills, M.R., Solberg, L. I., & Zerzan, J. (2015). A framework for describinghealth care delivery organizations and systems. American Journal of Public Health, 105(4), 670–679. https://doi.org/10.2105/ajph.2014.301926