Indiana University East Maslow Theory of Human Motivation Discussion
DB 1 Reply b. Develop a step-by-step program to decrease the frequency of medical mistakes in a healthcare practice setting. Cite the principles or key concepts from your chosen learning theory that back each step of the program you develop. The learning theory that I have chosen from the assigned reading is Maslow’s Theory of Human Motivation. “There are at least five sets of goals, which we may call basic needs. These are briefly physiological, safety, love, esteem, and self-actualization.” (Zhou, Brown, &, 2015, p. 114) According to Maslow, once a goal is attained then a human can focus on another goal. (Zhou, Brown, &, 2015) For example, once someone has food and water then they can focus on safety and so on. I feel like this particular theory applies easily to a program that could decrease medical mistakes. Much of what medical professionals do relies on higher thinking and the ability to use sound clinical judgement. It makes sense that if a person is caught up in being hungry, fatigued, not in safe environment…etc. that their attention will split to those other concerns and not solely focused on the medical problem at hand. So, providers should: 1. Have a required 8 hours off between shifts and shifts should not exceed 12 hours- Maslow’s physiological needs 2. Providers should have sufficient time off throughout the day to eat and use the restroom-Maslow’s physiologic needs 3. There should be adequate security within a facility so a provider doesn’t have worry about his/her safety- Maslow’s safety needs 4. Providers should be recognized when their hard work leads to good patient outcomes- Maslow’s esteem needs These steps should help to ensure that providers can focus on the job at hand not on other factors that could contribute to splitting focus. 2. Reply 2 What are the 4 criteria presented here needed to finalize the diagnosis? The presentation of at least 4 of the 11 criteria for SLE has a LR+ 40 with a 98% specificity. This patient already presents with: (1) malar rash, (2) arthritis, (3) hematologic disorder (thrombocytopenia 120,000). Neurologic disorder is listed as a criteria but headache, seizures, or psychosis is listed as qualifiers. The patient presents with memory loss so to error on the side of caution this will be excluded. It would be most cost effective to further evaluate the patient for photosensitivity, oral ulcers. Sending a urinalysis and comprehensive metabolic panel can help identify renal disorder which is a criteria. The patient experiences dyspnea which could be a result of serositis (criteria) and could be identified by chest x ray. Also, a positive ANA is one of the eleven criteria (Stern et al., 2015).