Environmental health issues paper

Most environmental health issues involve a variety of elements with overlapping or distinct causes, stakeholder groups, and solutions. Selecting an important, specific element of the issue is essential when formulating realistic ways to address and improve the environmental issue. This specific aspect of the issue is known as the problem and can be defined in a concise problem statement. The problem statement includes the purpose of the problem-solving effort, defines its scope, and states the specific objective of the problem-solving effort in the form of a question.

The three elements of the statement are—explaining how things should be; identifying a significant gap; and asking a question about one major way to improve the current situation. For example:

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• The food you purchase should be free from levels of pesticide residues that are hazardous to human health, but many commercially used pesticides have not been tested using newer techniques to detect harm that they may cause during prenatal development or childhood. Should the EPA require that pesticides used on food crops be reevaluated using the new tests to ensure that children are fully protected, and if so, which tests?
• Employees who work with lead have a right to expect that their health will be protected if their workplace adheres to the OSHA lead standard, but the OSHA lead standard has not been updated since 1978, despite a great deal of new epidemiologic and toxicologic research about lead toxicity. Should the OSHA lead standard be revised, and if so, what should the new provisions be?
• Consumers often trust that products and services that they purchase are safe unless they are advised otherwise. Recently, nail salons have been the focus of worker safety initiatives because they use hazardous chemicals such as methacrylates, acetates, toluene, and formaldehydes. Are consumers adequately protected from hazardous chemicals when they receive services in nail salons?

The process of developing a problem statement is extremely useful because you will choose a defined focus, which will guide the rest of the work leading to a proposed solution to the problem.

For this assignment:

• Choose a specific aspect of the topic that you selected last week as your problem.
• Define the environmental or occupational problem affecting human populations that you will analyze for your final project.
• Write your problem statement in 2–3 sentences in a Microsoft Word document. These sentences should be questions that you intend to explore in your research paper.
• Justify, in 3 to 5 double-spaced pages, why you chose to focus your analysis of this multifaceted issue to the specific problem as stated in your problem statement.

NURS 6640 – Psychotherapy With Individuals Essay Assignment Papers and Exams

Psychotherapy involves giving more than “good advice.” For the psychiatric mental health nurse practitioner (PMHNP) to be effective, deliberate approaches to therapy must be used that are consistent with evidence-based practices.

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Learners in this course are introduced to a variety of therapeutic techniques that can be used during psychotherapy sessions with individuals across the lifespan. Emphasis is placed on evidence-based applications of various therapeutic approaches for a wide range of psychiatric issues. The focus of the practicum experience is on psychotherapeutic approaches with individuals.

NURS 6640 – Psychotherapy With Individuals Essay Assignment Papers and Exams

NURS 3005 – The Context of Healthcare Delivery Discussion Essay Assignments

Improvement of healthcare delivery in the United States relies on many factors, such as effective nurse advocacy through politics, policy, and professional associations. But advocacy depends on the ability to fully understand current issues, systems, policies, and related contexts. In this course, students engage in a systems-level analysis of the implications of healthcare policy on issues of access, equity, affordability, and social justice in healthcare delivery. They examine legislative, regulatory, and financial processes relevant to the organization and provision of healthcare services. Students also assess and consider the impact of these processes on quality and safety in the practice environment and disparities in the healthcare system.

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(Prerequisite(s): NURS 3000.)

NURS 3005 – The Context of Healthcare Delivery Discussion Essay Assignments

NURS 3005 – The Context of Healthcare Delivery Required Course Readings

NURS 3005 – The Context of Healthcare Delivery Discussion Essay Assignments

NURS 4006 Topics in Clinical Nursing Study Guides & Discussion Essay Assignment Papers

In this course, students learn about the major acute and chronic health problems and leading causes of death across the lifespan, including etiology, pathogenesis, clinical presentation, and implications for treatment and disease management. They also explore the relationship of genetics and genomics to health and illness; infection-control issues, such as drug-resistant organisms; accidents or injuries; common geriatric syndromes; palliative and end-of-life care; and complementary and alternative therapies. Students apply course concepts and demonstrate understanding of nursing intervention through the development of an action plan based on best practices and a teaching plan designed to prevent accidents and injuries.

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NURS 4006 Topics in Clinical Nursing Study Guides & Discussion Essay Assignment Papers

NURS 4006 Topics in Clinical Nursing Course Readings

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Aldridge, M. D., Hasselaar, J., Garralda, E., van der Eerden, M., Stevenson, D., McKendrick, K., & … Meier, D. E. (2016). Education, implementation, and policy barriers to greater integration of palliative care: A literature review. Palliative Medicine, 30(3), 224-239.

Amin, A.N., Hofmann, H., Owen, M.M. Tran, H., Tucker, S & Kaplan, S.H. (2014). Reduce readmissions with service-based care management. Professional Case Management, 19(6), 255-262.

Anderson, J.G.& Taylor, A.G. (2012). Use of complementary therapies for cancer symptom management: Results of the 2007 National Health Interview survey. The Journal of Alternative and Complementary Medicine, 18(3), 235-241.

Brown, D. S., Aydin, C. E., & Donaldson, N. (2008). Quartile dashboards: Translating large data sets into performance improvement priorities. Journal of Healthcare Quality, 30(6), 18–30

Buijck, B.I., Zuidema, S.U., Spruit-van Eijk, M., Bor, H., Gerritsen, D.L. & Koopmans, R. (2014). Determinants of geriatric patients’ quality of life after stroke rehabilitation. Aging & Mental Health, 18(8), 980-985.

Cole, C., Wellard, S. & Mummery, J. (2014). Problematising autonomy and advocacy in nursing. Nursing Ethics, 21(5), 576-582.

Coleman, B., Calzone, K.A., Jenkins, J., Paniagua, C., Rivera, R., Hong, O.S….Bonham, V. (2014). Multi-ethnic minority nurses’ knowledge and practice of genetics and genomics. Journal of Nursing Scholarship, 46(4), 235-244

Dabney, B.W. & Tzeng, H.M. (2013). Service quality and patient-centered care. MedSurg Nursing, 22(6), 359-364.

De Jonge, K.E., Jamshed, N., Gilden, D., Kubisiak, J., Bruce, S.R. & Taler, G. (2014).  Effects of home-based primary care on Medicare costs in high-risk elders. Journal of the American Geriatrics Society, 62(10), 1825-1831.

Forster, A.J., Dervin, G., Martin, C. & Papp, S. (2012). Improving patient safety through the systematic evaluation of patient outcomes. Canadian Journal of Surgery, 55(6), 419-425.

Frazao, S. L., Correia, A.M., Norton, P. & Magalhaes, T. (2015). Physical abuse against  elderly persons in institutional settings. Journal of Forensic and Legal Medicine, 36, 54-60.

Garrard, L., Boyle, D. K., Simon, M., Dunton, N., & Gajewski, B. (2016). Reliability and validity of the NDNQI® injury falls measure. Western Journal Of Nursing Research, 38(1), 111-128.

Gaskin, D.J., Thorpe, R.J., McGinty, E.E., Bower, K., Rohde, C., Young, J.H.,…Dubay, L. (2013). Disparities in diabetes: The nexus of race, poverty, and place. American Journal of Public Health,e1-e9.

Giancarlo, C., Comparcini, D., & Simonetti, V. (2014). Workplace empowerment and nurses’ job satisfaction: A systematic literature review. Journal of Nursing Management, 22(7), 855-871.

Gonsalves, G., B.S., Staley, P. (2014). Panic, paranoia, and public health – The AIDS epidemic’s lessons for Ebola. New England Journal of Medicine, 371(25), 2348-2349.

Guglielmi, C.L., Stratton, M., Healy, G.B., Shapiro, D., Duffy, W.J., Dean B.L. & Groah, L. K. (2014). The growing role of patient engagement: relationship-based care in a changing health care system. AORN, 99(4), 517-528.

Halm, M.A. & O’Connor, M.A. (2014). Do system-based interventions affect catheter- associated urinary tract infection? American Journal of Critical Care, 23(6), 505-509.

Haugan, G., Innstrand, S.T. & Moksnes, U.K. (2013). The effect of nurse-patient interaction on anxiety and depression in cognitively intact nursing home patients. Journal of Clinical Nursing, 22, 2192-2205.

Johansen, M.L. (2014). Conflicting priorities: Emergency nurses perceived disconnect between patient satisfaction and the delivery of quality patient care. Journal of Emergency Nursing, 40(1), 13-19.

Liu, C. H. & Tronick, E. (2013). Rates and predictors of postpartum depression by race and ethnicity: Results from the 2004 to 2007 New York City PRAMS Survey (Pregnancy Risk Assessment Monitoring System). Maternal Child Health Journal, 17, 1599-1610.

McDowell, D. S. & McComb, S.A. (2014). Safety checklist briefings: A systematic review of the literature. AORN, 99(1), 125-137.e12.

Mehrian-Shai, R., & Reichardt, J. V. (2015). Genomics is changing personal healthcare and medicine: The dawn of IPH (individualized preventive healthcare). Human Genomics, 9, 29

Moir, C., Roberts, R., Martz, K., Perry, J., & Tivis, L. J. (2015). Communicating with patients and their families about palliative and end-of-life care: comfort and educational needs of nurses.

Payne, D. (2014). Elderly care: Reflecting on the ultimate ‘never event’. British Journal of Nursing, 23(13). 702.

Petlin, A., Schallom, M., Prentice, D., Sona, C., Mantia, P., McMullen, K. & Landholt, C.  (2014). Chlorhexidine gluconate bathing to reduce methicillin-resistant Staphylococcus aureus acquisition. Critical Care Nurse, 34(5), 17-26.

Plavskin, A. (2016). CNE SERIES. Genetics and Genomics of Pathogens: Fighting infections with genome-sequencing. MEDSURG Nursing, 25(2), 91-96.

Pokrywka, M., Feigel, J., Douglas, B., Grossberger, S., Hensler, A. & Weber, D. (2014). A  bundle strategy including patient hand hygiene to decrease clostridium difficile infections. MedSurg Nursing, 23(3), 145-164.

Rock, M.J. & Hoebeke, R. (2014). Informed consent: Whose duty to inform? MedSurg Nursing, 23(3), 189-194.

Shaw, R.J., McDuffie, J.R., Hendrix, C.C., Edie, A., Lindsey-Davis, L., Nagi, A….Williams,  J.W. (2014). Effects of nurse-managed protocols in the outpatient management of adults with chronic conditions: a systematic review and meta-analysis

Smeulers, M., Lucas, C., & Vermeulen, H. (2014). Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. The Cochrane Database Of Systematic Reviews, (6), CD009979

Spilman, S., Smith, H., Schirmer, L., & Tonui, P. (2015). Evaluation and treatment of depression in adult trauma patients. Journal of Trauma Nursing, 22(1), 17-22.

Thornlow, D.K. & Merwin, E. (2009). Managing to improve quality: The relationship between accreditation standards, safety practices, and patient outcomes. Health Care Management Review, 34(3), 261-272

NURS 4006 Topics in Clinical Nursing Study Guides & Discussion Essay Assignment Papers

Healthcare landscape paper

This week, you will describe the landscape in which the problem exists, including the key stakeholders in the issue and the political climate. Healthcare landscape paper

Stakeholders in a health services problem include:

• Consumers (patients and their families)
• Clinicians (individuals in a variety of disciplines, practice groups, and hospitals)
• Payers (insurers)
• Businesses (e.g., pharmaceutical or medical device manufacturers)
• Policymakers (e.g., medical organizations and government)
• Advocacy and education groups (e.g., patient advocacy groups, societies devoted to a specific health issue, such as the Leukemia and Lymphoma Society or the March of Dimes).
• Others

in an environmental problem, the same general categories of stakeholders are represented, although the members of the consumer and other groups are specific to the environmental problem.

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The political climate can be loosely defined as the combination of past and present public stances, often conflicting, of the key stakeholder groups as well as the prior attempts to solve the problem.

When planning to begin a program or to conduct an intervention to address a public problem, a certain intervention may be effective from a technical standpoint but unpopular with stakeholders. If stakeholders’ needs and concerns are not addressed, the program will fail on various levels.

For this assignment:

• Review the following example of stakeholder involvement in addressing an environmental concern—the Amchitka Island site:

A military airbase was established on this Alaskan island during World War II and underground nuclear bomb testing was conducted during 1965–1971 (Giblin, Stahl, & Bechtel, 2002). These events and subsequent stakeholder participation are summarized by Rutgers University faculty members in the abstracts of several journal articles. Healthcare landscape paper

• Using the South University Online Library, review the following two abstracts:
  • Burger, J., Gochfeld, M., & Pletnikoff, K. (2009). Collaboration
    versus communication: The Department of Energy’s
    Amchitka Island and the Aleut Community. Environmental
               Research, 109(4), 503–510.
  • Burger, J., & Gochfeld, M. (2009). Changes in Aleut concerns
    following the stakeholder-driven Amchitka independent
    science assessment. Risk Analysis, 29(8), 1156–1169.

One of the stakeholder involvement activities was participation in sampling of wildlife and other biota at the site during an independent external scientific assessment of the site by the Consortium for Risk Evaluation with Stakeholder Participation (CRESP) (access photos at http://www.cresp.org/amchitka_photos/amchitka_phase2/apia/index.html).
An advocacy group involved in the controversy was GreenPeace. GreenPeace was founded in 1971 during a voyage to protest nuclear weapons testing on Amchitka (accessible at http://www.greenpeace.org/international/en/
about/history/amchitka-hunter/).

• Write a 3- to 5-page landscape paper in a Microsoft Word document addressing the following:
  • State the 2- to 3-sentence problem statement that you submitted in Week 2.
  • Identify and describe key stakeholders and the factors that must be considered when analyzing your project’s environmental problem. Include the public, business, government, and scientific stakeholders and, if applicable, stakeholder groups of workers and other nations (landscape). Determine if other stakeholder groups should be included and describe them.
  • Justify briefly why each of your listed groups may be considered stakeholders. The tone of this section should be neutral, even if you disagree with a stakeholder group’s position.
  • Summarize the political landscape of your environmental problem, including public stances of key stakeholder groups, conflicts between stakeholder groups, and past attempts to resolve the environmental problem.
  • Provide and justify your conclusions about how stakeholder groups and political issues should guide the development of solutions to your problem. Healthcare landscape paper