Capstone Chapter 2

Capstone Chapter 2

CapstoneChapter 2

BostonChildren’s Hospital

BostonChildren’s Hospital

Literaturesearch

Literaturesearch is a process that allows researchers to conduct a thorough anda systematic search for different types of published literature. Theaim of literature search is to review the existing theories, currentresearch findings, and research methods (Sheppard-Worlock Library,2012). Articles to be reviewed in this paper will be obtained fromonline databases and offline libraries. The online literature searchwill be accomplished by suing key words and phrases, such as“shortage of pediatricians”, shortage of research funds inpediatric care centers”, and “staff training in pediatrichospitals”.

Trainingof more health care specialists

Schell,J., Lavieri, S., Toriello, A., Martyn, K. &amp Freed, G. (2014).Strategicmodeling of the pediatric nurse practitioner workforce.Ann Arbor, MI: University of Michigan.

Thearticle “Strategic modeling of the pediatric nurse practitionersworkforce” was authored by Greggory Schell, Xiang Li, MarielLavieri, Kristy Martyn, Alejandro Toriello, and Gary Freed. Thepurpose of the article was to evaluate the current status of thepediatric practitioner workforce and strategies taken to address theanticipated shortage.

Currently,the health care industry expects a significant shortage ofpediatricians over the next 13 years. Since the lack of adequatenumber of trained pediatricians is the primary cause of the shortage,the viable solution should focus on bottlenecks affecting the processof training health care professionals. Schell, Lavieri, Toriello,Martyn &amp Freed (2014) identified the health care facilitiesespecially those that have the training campuses can address theshortage of pediatricians by increasing specialization rates by 4 %.Other effective measures include an increase in the rate ofenrollment in a master’s program by 36 % and an exam passage rateto 96 % from the current rate of 86.9 % (Schell etal.,2014). Therefore, attracting a larger number students specializing inpediatrician can help hospitals with medical training campusesresolve their own shortage and supply trained pediatricians to otherhealth care facilities.

Importanceof research and evidence-based practices in pediatric hospitals

Simon,D., Starmer, J. Conway, H., Landrigan, P., Shah, S., Shen, W.,Sectish, C., Spector, D., Tieder, S., Srivastava, R., Willis, E., andWilson, M. (2013). Quality improvement research in pediatric hospitalmedicine and the role of the pediatric research in inpatient settingsnetwork. AcademicPediatrics,13 (6), 54-60.

Thearticle “Quality improvement research in pediatric hospitalmedicine and the role of the pediatric research in inpatient settingsnetwork” was authored by Tamara Simon, Amy Starmer, ChristopherLandrigan, Patrick Conway, Mark Shen, Nancy Spector, TheodoreSactish,and Rajendu Srivastava. The article was published in 2013 by theAcademic Pediatric Association. The purpose of the article was toassess the role of research in quality improvement within pediatrichealth care settings.

Thelack of adequate research, which can be attributed to insufficiencyof research funds, is among the key factors reducing the capacity ofhealth care facilities to offer quality services. Hospitals that donot invest in research lack sufficient evidence to treat common andunique diseases (Simon etal.,2013). Consequently, research should be considered as one of theelements of quality improvement in pediatric hospitals (Simon etal.,2013). Although pediatric hospitals have many opportunities forquality improvement, the lack of funds to finance research hasreduced their capacity to exploit these opportunities. The termquality improvement in the health care sector means that pediatrichospitals should focus on standardizing the process of deliveringcare, learning through the process of implementing different conceptsand testing different theories. Therefore, the lack of researchfunds limits the capacity of pediatric hospitals to deliver safe,quality, cost effective, and evidence-based health care.

Comparativecompany analysis

Increasingresearch funds, Franciscan Hospital for Children

TravisRoy Foundation (2014). Franciscan Hospital, Travis Roy Foundationjointly raised $ 120 k. TravisRoy Foundation.Retrieved September 22, 2015, from&lthttp://www.travisroyfoundation.org/franciscan-hospital-travis-roy-foundation-jointly-raise-120k/&gt

Thearticle “Franciscan Hospital, Travis Roy Foundation jointly raised$ 120 k. Travis Roy Foundation” was written by Travis RoyFoundation and published in 2014. The main purpose of the article isto emphasize on the significance of increasing the funds allocatedfor research in pediatric hospitals. The author supported the idea ofcollaborating with other organizations in an effort to raise morefunds that the hospitals can use to finance their researchactivities.

Insufficiencyof research funds is mainly caused by overreliance on internalbudgetary allocations and government funding. Travis Roy Foundation(2014) documented a case in which a hospital, Franciscan Hospital,collaborated with a non-government organization to raise $ 120,000 byorganizing fundraising events. The fundraising option opens a viablechannel through which pediatric hospitals can expand their researchfund amidst persistent federal budget cuts and sequestration.Therefore, Travis Roy Foundation (2014) informs more aboutalternative methods of raising funds through collaboration andfundraising events. Similarly, Boston Children’s Hospital cancollaborate with other organization to raise funders for research.

Addressingthe shortage of pediatricians and physicians through collaborationand training

McManus,P., Fox, H., Limb, S., &amp Bell, A. (2006). Promisingstate and regional approaches for extending access to pediatricsubspecialty care and coordination with primary care.Washington, DC: Maternal and Child Health Policy Research Center.

Thearticle “Promising state and regional approaches for extendingaccess to pediatric subspecialty care and coordination with primarycare” was written by Peggy McManus, Limb Stephanie, Harriette Fox,and Alyssa Bell. The main purpose of the article was to analyze theissue of shortage of pediatrician and physicians in the children`shospitals and measures taken by different children`s hospitalsaddress the issue.

Accordingto McManus (et al., 2006) getting a timely access to pediatricians ofdifferent sub-specialties has become difficult following the shortageof qualified specialists. The increase in demand for pediatricservices has put pressure on the current body of pediatricianworkforce, which has forced the stakeholders to look for alternativeways of delivering care to children. The two and most commonalternatives used by American pediatric centers (such as ShrinersHospitals for Children and Floating Hospital for Children) includethe extension of regional networks and strengthening the capacity ofprimary health care providers (McManus etal.,2006). This means that hospitals with more than one campus oftreatment center allocate duties to their pediatrician in more thanone facility. Alternatively, providers of primary care are givenadditional training to empower them to address some medical servicesthat are otherwise offered to pediatrician specialists. Similarly,Boston Children’s Hospital can allocate duties to its limitednumber of pediatricians and physicians in different campuses andexpand the scope of primary care providers.

Summary

Theshortage of pediatricians and qualified physicians is a commonchallenge affecting all health care facilities that serve children.The challenge can be attributed to many factors, with the lack of asufficient number of trained professionals being the major cause. Inaddition, investment in research gives the heath care professionalsan opportunity to try different theories. This helps them improve thequality of care and enhance the patient safety. Most importantly,research increases the knowledge and skills of pediatricians andother professionals, which increases their efficiency, thus reducingthe challenges that are associated with the shortage of professionalhealth care providers. Competitors of the Boston Children’sHospital have been using collaborative measures and training primarycare providers in order to address the issue of shortage ofpediatricians.

References

McManus,P., Fox, H., Limb, S., &amp Bell, A. (2006). Promisingstate and regional approaches for extending access to pediatricsubspecialty care and coordination with primary care.Washington, DC: Maternal and Child Health Policy Research Center.

Schell,J., Lavieri, S., Toriello, A., Martyn, K. &amp Freed, G. (2014).Strategicmodeling of the pediatric nurse practitioners workforce.Ann Arbor, MI: University of Michigan.

Sheppard-WorlockLibrary (2012). Doinga literature search: A step by step guide.Merseyside: Liverpool Hope University.

Simon,D., Starmer, J. Conway, H., Landrigan, P., Shah, S., Shen, W.,Sectish, C., Spector, D., Tieder, S., Srivastava, R., Willis, E., andWilson, M. (2013). Quality improvement research in pediatric hospitalmedicine and the role of the pediatric research in inpatient settingsnetwork. AcademicPediatrics,13 (6), 54-60.

TravisRoy Foundation (2014). Franciscan Hospital, Travis Roy Foundationjointly raised $ 120 k. TravisRoy Foundation.Retrieved September 22, 2015, fromhttp://www.travisroyfoundation.org/franciscan-hospital-travis-roy-foundation-jointly-raise-120k/