Analyzing a Current Healthcare Problem or Issue
Correction- pay particular attention to criterion 5 as it was not addressed in this submission. You want to demonstrate for the reader how your chosen solution relates to one or more of the four spheres of care. Kindly address the screenshots, add the correction to the uploaded work and highlight the correction in yellow.
7
Analyzing a Current Healthcare Problem or Issue:
Antibiotic Resistance
Student:
Capella University
NURS-FPX4000: Developing a Nursing Perspective
Instructor:
Submission Date 03/09/2025
Analyzing a Current Healthcare Problem or Issue:
Antibiotic Resistance
Medical professionals identify antibiotic resistance as the major health concern affecting present-day global healthcare. The development of pathogen defense mechanisms against antibiotics makes once manageable infections deadly in medical environments. I will study antibiotic resistance problems through this paper to present my solution plan based on antibiotic stewardship programs along with evaluating their associated ethics (Hill, 2021). This analysis uses Socratic problem-solving methods while relying on new academic studies together with ethical principles.
Multiple factors producing antibiotic resistance include improper antibiotic prescription habits together with minimal infection management practices and delayed disease diagnosis capabilities. These problems call for combined approaches to defeat microbial mechanisms of resistance while establishing effective prescription strategies alongside proper medical education for patients. This enhanced antibiotic stewardship program design seeks to decrease poor antibiotic prescriptions and enhance both patient recovery rates and protect against antibiotic resistance's development (Drew & Moehring, 2022). The implementation of such programs combines antibiotic prescription monitoring with ongoing healthcare worker education while incorporating rapid diagnostic equipment for proper antibiotic utilization.
The Proposed Solution requires evaluation through various viewpoints
The guiding principles in the instructional screenshots led me to evaluate this solution while consulting multiple viewpoints through the “Choose a solution, response, or answer” section. Thinking from the standpoint of clinicians facing urgent situations requiring urgent decisions helps to understand their actions. This viewing position points out delaying diagnostic results as a possible unwanted outcome. From a public health standpoint, the advantage of cutting down antibiotic misuse surpasses any short-term discomfort to patients. The stewardship programs provide a practical solution to the healthcare system through their current infrastructure compatibility thus making them ideal for immediate implementation (Drew & Moehring, 2022).
Different epidemiologic and behavioral scientific theories validate the adoption of stewardship as a practice. Once healthcare professionals become aware of the clear benefits of proper antibiotic use (judicious practice) according to the “Diffusion of Innovations” theory this practice should naturally spread throughout medical establishments. By using the mentioned approach, healthcare organizations can implement stewardship programming in a steady yet organized way. Evidence-based practice promotes decisions which must stem from verifiable information and factual recordings of observed results. The proposed solution upholds both medical clinical requirements and public health goals.
Evidence, Inferences, and Theoretical Support
I used the questions presented in Screenshot 2 as a basis to determine the known facts and uncertainties as well as the points where we must draw logical conclusions. Research demonstrates antibiotics manage measured use along with connected resistance effect. Research about prolonged advantages in various healthcare environments demands additional evaluation. Additional data collection must occur in smaller hospitals together with rural settings because these facilities often face constrained resource availability. There are unresolved concerns regarding total cost management and the applicability of stewardship approaches among various healthcare facilities.
Data collected from both quantitative sources such as prescription reduction and resistance rate reduction and qualitative sources including enhanced patient outcomes and contented clinicians demonstrates the validity of targeting stewardship. The evaluation of such data needs careful interpretation. The increase in stewardship outcomes might be misinterpreted if infection control practices that bolstered them remain unvented in evaluation results. Any implemented program needs regular monitoring together with evaluation and periodic adjustments because of its importance (Drew & Moehring, 2022).
Proposed Implementation and Its Ethical Implications
Enhanced antibiotic stewardship programs need thoughtful arrangements of funding and resources before their implementation. Three essential ingredients for implementation involve creating multiple expert groups together with fast identification instruments and ongoing training programs for medical staff (Nair et al., 2023). Authentic achievement of this objective requires institutions to fund training programs and create data management and communication systems which enable real-time decision processes. Healthcare providers must educate their patients on the reasons antibiotics should not always be used for infections to decrease pressure on clinicians which is driven by patient expectations.
The execution approach depends heavily on ethical guidelines for its development. Stewardship programs follow beneficence and no maleficence ethical guidelines to perform good deeds by enhancing patient results while preventing detrimental antibiotic practice which produces adverse drug effects and promotes antibiotic-resistant bacteria formation. The ethical principles operate in harmony with respect for autonomy and justice (Qatipi et al., 2024). Treatment decisions regarding medical care must involve patients according to their rights. A method which informs patients fully plus allows mutual decisions protects individual autonomy as it reinforces the basis for avoiding excessive antibiotic prescriptions.
The distribution of stewardship program benefits needs to be equal according to the ethical principle of justice. All patients must receive top-tier healthcare services that protect them from antibiotic resistance at any socioeconomic level or any geographical location. The practice of implementing these programs requires active monitoring to prevent excluded medical facilities such as smaller or less funded ones. Such establishments need public health policy support through funding which helps to create alignment between this solution and community standards.
Comparative Analysis of Alternative Solutions
Two alternative approaches for fighting antibiotic resistance are establishing bacteriophage therapies and developing novel antibiotic compounds. These approaches present several substantial obstacles during execution. New antibiotic development takes extensive time along with high costs yet the bacterial resistance to these drugs remains probable. The innovative nature of bacteriophage therapy remains limited within experimental research due to its restricted accessibility to the public (Umber & Moore, 2021). The use of antibiotic stewardship implements current knowledge bases and available resources, so it presents a faster implementation solution for medical facilities.
Two solutions studied in this work demonstrate why stewardship programs emerge as the better selection. Stewardship programs maintain affordability while building a long-term mechanism to treat resistance at its sources. The implemented practices come with potential security concerns. The first implementation phase requires clinicians to adapt their prescribing practices which might produce short-lived workflow disruptions due to their accustomed habit patterns. Proper training of practitioners enables the many advantages of stewardship programs to overcome initial challenges and result in reduced resistance levels combined with better patient outcomes and reduced healthcare expenses.
Conclusion
The matter of antibiotic resistance needs immediate multilayered interventions which address the situation. The implementation of advanced antibiotic stewardship programs presents a workable remedy that adheres to moral standards and proves both conceptual and observational grounding. Healthcare providers can develop a solution to prevent bacterial resistance spread while upholding patient rights and promoting justice through detailed viewpoint analysis and comprehensive data collection and ethical problem resolution.
The analysis adopted the Socratic approach to problem-solving through a defined problem statement then moved onto evidence evaluation and multiple stakeholder assessments. Antibiotic stewardship programs supported by evidence demonstrate the most optimal and practical solution for the current situation. Future investigations need to develop these programs further and study their lasting effects within different healthcare facilities. Public health experts must implement ethical patient-centered practices guided by evidence to defend antibiotic effectiveness for future use.
References
Drew, R. H., & Moehring, R. W. (2022). Practical antibiotic stewardship. Practical Implementation of an Antibiotic Stewardship Program, 303-321. https://doi.org/10.1017/9781316694411.016
Hill, E. M. (2021). Decision making about antibiotic use: Examining the role of antibiotic resistance knowledge, concern, and previous inappropriate antibiotic use. Journal of Communication in Healthcare, 1-8. https://doi.org/10.1080/17538068.2017.1373902
Nair, M., Engel, N., Zeegers, M. P., & Burza, S. (2023). Perceptions of effective policy interventions and strategies to address antibiotic misuse within primary healthcare in India: A qualitative study. Journal of Infection Prevention, 24(3), 113-118. https://doi.org/10.1177/17571774231158778
Qatipi, L., Fico, A., & Vyshka, G. (2024). Ethical issues in vaccination: Balancing public health and individual autonomy. Current Research in Medical Sciences, 3(4), 1-6. https://doi.org/10.56397/crms.2024.12.01
Umber, J. K., & Moore, K. A. (2021). Assessment of antibiotic stewardship components of certification programs in US animal agriculture using the antibiotic stewardship assessment tool. Frontiers in Sustainable Food Systems, 5. https://doi.org/10.3389/fsufs.2021.724097
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