The following source for this case is based on a “real world” problem. Departmen

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The following source for this case is based on a “real world” problem.
Departmen

The following source for this case is based on a “real world” problem.
Department of Veterans Affairs (VA), Office of Inspector General (OIG), Office of Healthcare Inspections (January 26, 2023). Mistreatment and care concerns for a patient at the VA Montana Healthcare System in Miles City and Fort Harrison. No. 22-01341-43. Washington, DC. Retrieved from Real World Problem 
Submit a written report (800-1000 words; APA format with minimum of 5 references cited) focusing on the following six questions:
Describe the case, all aspects that would be of concern/problem. (The description should be concise and provide evidence as noted in the sources; setting the stage for analysis.)
Analyze each of the problems you identified in #1. (This should be a description of why this is a problem, how it was handled, and what could have been done to prevent the problem. Indicate if the problem is primarily QI either clinical and/or management, ethical, or legal issue or a combination; provide a rationale for your decisions.)
For each of the problems, discuss steps that should be taken to respond to the problem, to improve.
Discuss the roles of the nurses in this case. How did the nurses handle the problems? What should they have done? What might have been responses to what they might have done? What is your reaction to the nursing actions?
What is your overall response to what has happened in this healthcare organization?
Consider that this hospital is part of a nationwide healthcare system for veterans. Do some further research to find out more about the VA healthcare system and its current problems.
When responding to these questions, cite any references used (APA format). Consider content in the textbook that would apply.

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