Ambulatory Care

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Discussion Board Assignment 

 Assigned Readings:  Chapter 5

Answer the following questions:

1.       Identify the major factors that have resulted in the shift in utilization from inpatient hospitalization to ambulatory care services. Describe the implications of this shift for hospitals, consumers, and the health care delivery system as a whole.

2.       In what ways have private practice physicians responded to the expansion of hospital, health plans’ and other organization-sponsored ambulatory services?  What are the implications of those responses for the patient, for the consumer, and for the health care industry as a whole?

3.       Hospital emergency departments continue to be used as an ever more important source of primary medical care by large numbers of the community’s medically underserved population. What are the implications of this practice for the patients, and on health care costs and quality of care? What would you propose as a means to change this situation?

4.        Almost two-thirds of all surgical procedures are now performed in ambulatory surgery facilities. Discuss the reasons for this shift of surgery from the inpatient setting and its effect on hospitals and consumers.

5.       Some people support the role of public health departments in providing preventive and treatment services as necessary to fill gaps in the system for the medically needy. Others believe these services are more efficiently and effectively provided through private organizations. What is your position on this issue and why?

IMPACT OF NUCLEAR WEAPONS

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Title:    Refer to “Impact of Small Nuclear Weapons on Washington, DC: Outcomes and Emergency Response Recommendation” in your assigned readings. Choose three issues that are considered critical according to the report and analyze how your community measures up, esp

Paper type    Essay,  Deadline  29th May 2016 @ 03:44:50 AM

Paper format    APA,     Course level    Master

pages    1   ( or 275 words Minimum)

Spacing    Double Spacing,  sources    2

Paper Details

This is a discussion board question and I have provided both sources please only use those

Below is a discussion board question and I have provided two sources please cite from them one is the peer reviewed scholarly article and the book chap 20

Refer to “Impact of Small Nuclear Weapons on Washington, DC: Outcomes and Emergency Response Recommendation” in your assigned readings. Choose three issues that are considered critical according to the report and analyze how your community measures up, especially in the realm of health care response preparedness.

Impact of Small Nuclear Weapons on Washington, DC: Outcomes and Emergency Response Recommendation
Read “Impact of Small Nuclear Weapons on Washington, DC: Outcomes and Emergency Response Recommendation,” located on the Senate Committee on Homeland Security & Governmental Affairs website.
http://www.hsgac.senate.gov//imo/media/doc/041508Dallas.pdf?attempt=2

1. Health Organizations: Theory, Behavior, and Development
Johnson, J. A. (2009). Health organizations: Theory, behavior, and development. Boston, MA: Jones and Bartlett Publishers. ISBN-13: 9780763750534 (Available as eBook)
Read chapter 20.
http://gcumedia.com/digital-resources/jonesandbartlett/2009/health-organizations_-theory-behavior-and-development_ebook_1e.php

VISION OF NURSING FUTURE

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 1-Do you think it is important for nurses to be involved in their professional organizations? Why or why not?

2. The Affordable Care Act (“ObamaCare”) has been both praised and vilified. Debate the pros and cons of this legislation and of health-care reform in general.

3. What is your vision of nursing’s future? How will you contribute to shaping it?

4. Interview a nurse educated in a diploma program at least 20 years ago.

a-How did that nurse’s education differ from your education today?

5. Locate the website of a professional organization related to nursing. Bring a copy of the organization’s mission, membership criteria, and standards of practice.

6. Ask five people of different ages and gender who do not work in the health-care field what they think most nurses do. Compile their answers with the answers your classmates collected and summarize them. Compare the summary to what you know nurses actually do.

a-Were the answers realistic?

b-Did they over- or underestimate the responsibilities most nurses have?

c-Did they recognize the wide variety of things nurses do?

d-Was there a difference by age or gender of the person answering the question?

e-What do the results tell you about the public’s image of nursing?

f-What do you think influences their image the most? Explain your answer.

7. Describe the nurse of the future.

a-What does he or she do?

b-Do you think nursing will become a more powerful force in health care?

c-Why or why not?

TEACHING PLAN

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This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

  1. Summary of teaching plan
  2. Epidemiological rationale for topic
  3. Evaluation of teaching experience
  4. Community response to teaching
  5. Areas of strengths and areas of improvement

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

1
Unsatisfactory
0.00%

2
Less than Satisfactory
75.00%

3
Satisfactory
83.00%

4
Good
94.00%

5
Excellent
100.00%

80.0 %Content

30.0 %Comprehensive Summary of Teaching Plan With Epidemiological Rationale for Topic

Summary of community teaching plan is not identified or missing.

Summary of community teaching plan is incomplete.

Summary of community teaching plan is offered but some elements are vague.

Focus of community teaching is clear with a detailed summary of each component. Rationale is not provided.

Focus of community teaching is clear, consistent with Functional Health Patterns (FHP) assessment findings and supported by explanation of epidemiological rationale.

50.0 %Evaluation of Teaching Experience With Discussion of Community Response to Teaching Provided. Areas of Strength and Areas of Improvement Described

Evaluation of teaching experience is omitted or incomplete.

Evaluation of teaching experience is unclear and/or discussion of community response to teaching is missing.

Evaluation of teaching experience is provided with a brief discussion of community response to teaching.

A detailed evaluation of teaching experience with discussion of community response to teaching and areas of strength/improvement is provided.

Comprehensive evaluation of teaching experience with discussion of community response provided along with a detailed description of barriers and strategies to overcome barriers is provided.

15.0 %Organization and Effectiveness

5.0 %Thesis Development and Purpose

Paper lacks any discernible overall purpose or organizing claim.

Thesis is insufficiently developed and/or vague; purpose is not clear.

Thesis is apparent and appropriate to purpose.

Thesis is clear and forecasts the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis is comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.

5.0 %Paragraph Development and Transitions

Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.

Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.

Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.

A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.

There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.

5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.

Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

Writer is clearly in command of standard, written, academic English.

5.0 %Format

2.0 %Paper Format

Template is not used appropriately or documentation format is rarely followed correctly.

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

Template is used, and formatting is correct, although some minor errors may be present.

Template is fully used; There are virtually no errors in formatting style.

All format elements are correct.

3.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)

No reference page is included. No citations are used.

Reference page is present. Citations are inconsistently used.

Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.

Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and style guide is usually correct.

In-text citations and a reference page are complete. The documentation of cited sources is free of error.

100 %Total Weightage

RESUME AND JOB INTERVIEW

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1. What are three questions you should ask yourself when you begin your job search?

2. What are the most common mistakes people make in preparing their résumés?

3. What should you know about your prospective employer before the job interview?

4. What should the interviewee try to achieve during a job interview? What should you look for? What red flags should you watch for?

5. What can you do in advance to prepare for the changes during the first year of employment?

6. Create your own SWOT analysis. How would you respond to your personal strengths and weaknesses if you were a prospective employer? How can you enhance your strengths and improve in areas of weakness?

7. Draw a career path for yourself, beginning with the present year and extending to the age of retirement. Be sure to include any “twists and turns” of the path you expect to experience along the way and any barriers you expect to encounter. How will you handle these experiences?

Do an online nationwide search for information about current job prospects in nursing.Compare opportunities in various regions of the country. Why do you think these opportunities are the same or different?

5. Develop a list of questions that you should ask a potential employer. What “homework” will you need to do to prepare for an interview? 

Antibiotic Stewardship

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Construct a professional paper that outlines the advanced practice role – a nurse practitioner – to advance the CDC’s antibiotic resistance initiative.

Assignment Requirements

  1. Introduction that identifies your advanced practice role and your view of how that role will be able to impact the antibiotic resistance dilemma.  Support your discussion with at least two references from the literature. 
  2. Review the CDC’s goals and identify one of the CDC’s key strategies that you will be able to promote/support in your advanced practice role. Support your discussion with at least two references from the literature. 
  3. Discuss three activities/actions that you will develop to support the promotion of the key strategy that you identified in item 2 above.  Each action/activity needs to be well designed and supported with at least one reference from the literature. For example, if you are a:  
    • nurse practitioner student – what prescribing practices, patient education practices, monitoring programs, etc., will you engage with, and provide justification for your strategies, etc.

Instructions 

  • Prepare and submit a minimum of a 6 page paper pages [excluding title and reference pages].
  • Format consistent with APA style without an abstract page. 
  • Answer all the questions above. 
  • Support your position with examples.
  • Please review the rubric to ensure that your assignment meets criteria.
  • Submit the following documents to the Submit Assignments/Assessments area:

Population Health Problem

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Section 5 of Major Assessment 7: Using an Epidemiological Approach to Critically Analyze a Population Health Problem

DNP-prepared nurses are expected to effectively use research methods to analyze data, “design evidence-based interventions, [and] predict and analyze outcomes…,” (AACN, 2006, p. 11).

Every research design requires you to evaluate your results. Epidemiologic studies are no different. In Week 7, you explored how using causal models can assist with evaluating the data analysis section of a study. In this week’s Discussion, you explored how epidemiological data are used to substantiate or negate the need for screening programs; evaluation is critical to ensure the data are sound and suitable as the basis for such decisions. As these experiences demonstrate, if the results of a study are not evaluated, they cannot be used to improve population health.

As you begin working on Assignment 4, Section 5 of the Major Assessment 7 paper, consider how you would evaluate the anticipated results of your population health intervention developed in Sections 3 and 4 of Assignment 4. As noted in the AACN Essentials of Doctoral Education for Advanced Nursing Practice, as a DNP-prepared nurse, you are expected to predict and analyze outcomes and then design evidence-based interventions based on your analysis. This Assignment provides you with an opportunity to practice that skill.

Begin developing Section 5, which is due by Friday 4/27/18 at 5pm

  • Review      the Major Assessment Overview (see attached file, section 5 highlighted in      yellow).
  • Review      Exhibit 8–7: The Four Stages of Evaluation on page 400 of Epidemiology      for Public Health Practice. In addition, review the articles in the      Learning Resources that describe program evaluation in various settings.

The four stages of evaluation are:

Formative Evaluation

Process Evaluation

Impact Evaluation

Outcome Evaluation

Section 5: Evaluation

To Complete:

In 3-page, write the following section of your paper:

1) An Introduction ending with a purpose statement (e.g. the purpose of this paper is…)

2) An evaluation plan based upon the health outcome that you have chosen and your anticipated results (please select the best method for evaluating the effect of the intervention out of the 4 methods mentioned above).

3)  A conclusion. 

APA format required and minimum of 4 scholarly required from the list of required readings below

P.S. The content must be of a professional portfolio quality; it must address every major subsection in the assignment; selects most appropriate evaluation method for the project and fully and clearly describes the method for evaluating the effect of the intervention using advanced critical thinking skills; demonstrates an applied level of understanding through reflections supported by the literature about the content area. Excels in meeting expectations for graduate-level work.

Required Readings

Friis, R. H., & Sellers, T. A. (2014). Epidemiology for public health practice (5th ed.). Sudbury, MA: Jones & Bartlett.

Chapter 10, “Data Interpretation Issues”

Chapter 11, “Screening for Disease in the Community”

Chapter 11 examines aspects of screening for disease, including characteristics of a good screening test and how screening programs can be evaluated.

Nash, D. B., Fabius, R. J., Skoufalos, A., Clarke, J. L. & Horowitz, M. R. (2016). Population health: Creating a culture of wellness (2nd ed). Burlington, MA: Jones & Bartlett Learning.

Chapter 13, “Decision Support”

This chapter addresses measurement and analysis tools used to support decision making for improvement, accountability, and research related to population health. The three main purposes of measurement in population health (improvement, accountability, research) provide the framework for this chapter.

Centers for Disease Control and Prevention. (2011). A framework for program evaluation. Retrieved from http://www.cdc.gov/eval/framework/index.htm

The CDC provides this framework for program evaluation. Review the information presented as you prepare for Assignment 4.

Association for Community Health Improvement. (2006). Planning, assessment, outcomes & evaluation resources. Retrieved from https://web.archive.org/web/20130709124030/http://www.communityhlth.org/

communityhlth/resources/planning.html

Explore the many resources available for program evaluation. These resources will inform for Assignment 4.

Rural Health Information Hub. Retrieved from: fromhttps://www.ruralhealthinfo.org/toolkits/health-promotion/4/types-of-evaluation

ENVIRONMENT ASSESSMENT

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Develop a proposed evidence-based change-project plan specific to the environment you are using to implement your change project. Your environmental assessment will include a work breakdown structure, a budget plan, and a measurement tool.

This week, you will design a plan that is at least four pages in length and includes all the information listed in the instructions below to discuss the elements of your proposed plan.

  • Develop an environmental assessment of your change project area and its readiness for the specific change project you are going to implement.
    • Include a work breakdown structure. For example, you could create a (timeline/task list/Gantt chart)—a hierarchical definition of the planned tasks and activities of a project that normally begins with the highest-level activities and works downward into the individual tasks.
    • Include a proposed project budget (table or spreadsheet) for the project that addresses the needed personnel, equipment, and supplies that may have associated costs. Click this link for a sample budget template .
    • Include your measurable evaluation methods (indicators/metrics). Include the actual measurement tool you will use and describe any of the following that are applicable to your project: cost savings, improved efficiencies, access to care (visits/procedures/admissions), patient/family satisfaction, associate satisfaction, associate engagement, retention, clinical outcomes, injury prevention, and risk reduction.

RISK MANAGEMENT IN HEALTH CARE SETTING

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Throughout this course, you have identified, examined, and provided individual as well as collaborative analysis on multiple facets of risk management in the health care setting.

Addressing the knowledge you have gained, and building on that knowledge to add your evaluation of the role that the managed care organization (MCO) plays in today’s health care environment, develop a 250-500 word reflection to incorporate the following:

  1. What is a health care organization’s administrative role regarding oversight of risk management policies and ensuring compliance with managed care organization (MCOs) standards?
  2. What is your assessment of the value provided to an organization that stems from the regulatory statutes of a typical MCO? Consider the establishment of conflict resolution and risk management strategies within the health care organization from the employer/employee perspective as well as in regards to patient conflict circumstances.
  3. What MCO responsibilities pertain to the Patient Protection and Affordable Care Act (PPACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

LIMITING GENDER NARRATIVES

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Case Assignment

Note: Module 2 SLP should be completed before the Module 2 Case.

No secondary sources are to be used in the process of writing this first paper; it is to be entirely written based on one’s point of view and supported with body points and details.

Reflecting on the four gender-related videos for Module 2 (see below), write a well-organized and well-supported essay in which you help challenge society’s limiting gender narratives.

A well-organized essay has a beginning, middle, and an end. The beginning, or introduction, should include an opening sentence to grab your reader’s attention. Follow the opening sentence with a brief background on the topic or situation. In this case, it would be an explanation of gender roles, stereotypes, myths, and/or controls in society today. The last sentence of the introduction is the thesis statement. The thesis states the main point of the essay, which in this case, would be a statement affirming what needs to be done to limit gender narratives in society today.

A well-supported essay includes supporting points, details, and examples. For this essay, you must decide the best way to organize the body of the paper. Will you have a paragraph for each change? Will you divide the body of your paper into three or more paragraphs, one for each point? In any case, each body paragraph must support (explain) your reasoning (rationale) using specific details. Each body paragraph must have a topic sentence that states the main point of the paragraph.

The conclusion typically summarizes the main points of the essay and/or closes with a lasting impression that connects the reader to their world. In this case, where is our society headed? Is it too late for change?

Be sure to proofread your essay and edit for proper grammar, punctuation, diction (word choice), and spelling, as errors in sentence skills will lower a final grade. A grade will be determined based on the Module 2 Case expectations and the Trident University General Education rubric for English.

Papers must be double-spaced in Times or Times New Roman font (12 cpi) with standard one-inch margins.

The first person “I” is not used in a formal essay.

This essay must include no less than SIX citations from the assigned background material for module 2. Citations are to be a combination of direct quotations and paraphrased quotations with or without the author’s name. No other sources are to be used for this assignment.

Assignment Expectations

  • Write an essay (no less than four pages in length) that states and supports an original thesis statement in which you help challenge society’s limiting gender narratives.
  • Demonstrate the ability to identify credible and reliable sources for use in a well-supported and cohesive essay.
  • Demonstrate the ability to write a direct quote, paraphrased, or summary citation in APA Style

Module 2

Argumentation, Trident University International

Integrating Sources and Intro to APA, Trident University International

How to evaluate sources: Introduction. (n.d.). The Bedford Research Room: Retrieved December 13, 2017, from http://bcs.bedfordstmartins.com/webpub/Ektron/ReWriting2e/ReWriting/Evaluate%20sources/evaluate_index.htm

4 Ladies get the ‘cover model’ makeover of their dreams … And then hate the results. (n.d.). Upworthy. Retrieved February 22, 2014, from http://www.upworthy.com/4-ladies-get-the-cover-model-makeover-of-their-dreams-and-then-hate-the-results-11113?c=reccon1

Miss representation. (n.d.). Miss Representation. Retrieved February 21, 2014, from http://film.missrepresentation.org/

The mask you live in. (n.d.). The Representation Project. Retrieved February 22, 2014, from http://therepresentationproject.org/films/the-mask-you-live-in/

Watch these 4 girls destroy the female stereotype like the monsters they are. (n.d.). Upworthy. Retrieved February 22, 2014, from http://www.upworthy.com/watch-these-4-girls-destroy-the-female-stereotype-like-the-monsters-they-are-rw1-9b