Cost-Effectiveness of Nurse-Led Disease Management for Heart Failure in an Ethnically Diverse Urban Community - Nursing Assignment Help

Assignment Task

Task Description
Over the course of your degree, we have explored leadership, decision making and health economics. To be an effective advocate for your patients a fundamental understanding of the components of health economics and leadership is essential.
In this task, you will be exploring the application of health economics and the principles of authentic leadership by answering a two-part question. To undertake this assessment, you will need to draw on the content from module one.
To help you complete this assessment, the task has been dived into two parts with step-by-step instructions as follows:

Part A
Step 1: Read the case study scenario
Step 2: Choose one of the following three research papers (from the options listed below) to critically evaluate the
economic benefit of the intervention (nurse-led clinic).
Option A: The outcome and cost-effectiveness of nurse-led care in people with rheumatoid arthritis: a multicentre randomised controlled trial
Option B: A cost-effectiveness analysis of two community models of care for patients with venous leg ulcers
Option C: Cost-Effectiveness of Nurse-Led Disease Management for Heart Failure in an Ethnically Diverse Urban Community

Step 3: You decide to speak with your NUM and she asks you to consider the following questions (you will recognise that questions 1- 3 are part of an economic evaluation using CASP):
(Qn.1) Was a well-defined question posed?
In responding to this question please consider:
i. if it is clear what the authors are trying to achieve
ii. what the economic perspective is
iii. how many options are compared, are both costs and consequences considered
iv. what the time horizon is(eg 12 weeks)

(Qn.2) Was a comprehensive description of the competing alternatives given?
In responding to this question please consider:
i. if you can tell who did what, to whom, where and how often

(Qn.3) Were all important and relevant resourcesrequired, and health outcome costsfor each alternative identified, measured in appropriate units and valued credibly?
In responding to this question:
i. please remember the perspective being taken, wasit measured accurately?
ii. Appropriate units may be hours of nursing time, number of physician visits, years-of-life gained etc.
iii. Valued credibly? Are the valuesrealistic, how have they been derived, have opportunity costs been considered

(Qn.4) Discussthe applicability of the evidence (eg the strength of the evidence for the safety, efficacy and sustainability of the intervention) to the local context.
Do you still believe the intervention should orshould not be funded / pursued, if not what further evidence would you require?

Part B
Step 1: Read the statement about complexity in healthcare.
Nurses are at the forefront of implementing and managing change, given constantly changing and complex healthcare services, there is an increase demand for health care. Therefore, it is important to identify the best style of leadership to engage in nurses implementing service led improvements.

Step 2: Provide a response to the two questions asked.
Question 1. Drawing on your experience on PEP describe a situation whereby having an understanding of the components of health economics (eg scarcity and opportunity costs) as a nurse is essential? You will need to draw upon the literature to support your suggestions.
Question 2. Describe and critically reflect upon an incident from PEP whereby understanding the dimension/s of authentic leadership may have provided a better outcome (this could be to you, preceptor, patient or identified other). To do this you will need to reflect on how understanding authentic leadership could assist you to navigate the complexity in health care in your role as a registered nurse. Provide your rationale with support from the literature.

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