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Significant challenges exist related to women’s health during childbirth, including complications from pain management, emergency cesarean births due to complications, and effects of coexisting conditions. A literature search was conducted based on the PICO question, “If pregnant women add moderate exercise into their daily life, what impact does it have on the reduction of birth complications as compared to a lack of moderate daily exercise?” Overall, results show implementing a daily, moderate exercise program is beneficial for reducing labor complications in healthy women. Future research should focus on the effect of exercise during pregnancy in women with existing health conditions.
Within various healthcare environments worldwide, healthcare personnel and patients alike are often surprised by the prevalence of violent encounters. Healthcare organizations would seldom choose to be defined as facilities that are unsafe to care for their patients. Government data shows healthcare personnel account for 73% of violent related injuries that require time off to recover. It is important to recognize warning signs and provide support to organizations that appeal to lawmakers on behalf of healthcare workers. In understanding the repercussions of workplace violence, healthcare systems must implement effective changes to the training programs that are provided to their employees.
Mental health services must improve. A New Jersey law increased psychiatric involuntary commitment in emergency departments, delaying transfer to a psychiatric facility. Although this law was created with positive intent, it does not address the root issue: the inability of people to find adequate psychiatric care in their communities. Emergency department directors, staff, and patients agree that the emergency department lacks resources to provide specialized treatment for this population. Patients with longer stays are at greater risk for complications. The state should focus on increasing community funding to provide preventive care, psychiatric walk-in clinics, employment, and transportation.
Physician-assisted suicide or physician-assisted death (PAD) occurs when a healthcare professional aids in providing lethal medication to a patient with a terminal illness. Healthcare policy plays a vital role in shaping protocols related to this issue. North Carolina is 1 of 4 states that has no specific laws or policies regarding physician-assisted death. Whether or not policymakers believe physician-assisted suicide should be legal, there should be clear legislation to determine a physician's role in PAD to eliminate confusion for the physician and patient. Physician-assisted suicide is an ethical issue that requires legislation for the safety and legal practice of physicians.
