CULTURAL COMPETENCE

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No Plegarism please, 

Will need minimum of 250 words, APA Style, double spaced, times new romans, font 12, and and  (3 references – intext citations) per discussion topic. 

There are 2 discussions: Topic 1 & Topic 2 (They both require references please)  

Topic 1: Getting to Know You and Cultural Competence

First, provide a brief introduction of your professional background. (ME)

Next, review the Office of Minority Health, National CLAS Standards located in the Web Resources area.  (see  link:   

· The Office of Minority Health. The National CLAS Standards. Retrieved from http://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=53 

  1. Discuss your ethnic/cultural background (health perception and practices).   ( I am Hispanic) 
  2. Choose a different culture or ethnic group and discuss potential cultural/linguistic needs. Consider your food preferences, rituals, health beliefs, and any religious orientations that may influence patient care.
  3. Apply at least one CLAS Standard that supports the identified need and discuss the role of the advanced practice nurse in promoting culturally sensitive care.
  4. Please list references in APA format.

Topic 2:  Healthy People 2020

Healthy People 2020’s commitment to promote health and prevent disease encourages individuals to make healthy lifestyle choices for themselves and their families. Conceptual models and theories play a major role in health promotion and disease prevention. In addition, epidemiological data, such as morbidity and mortality statistics, helps identify health problems common to a particular population.

Select one of the Healthy People 2020 initiatives and discuss available preventative health services (immunizations, health screenings, etc.) relevant to the initiative, as well as health promotion strategies to be implemented by the advanced practice nurse for a selected population/age/ethnic group (neonates, children, adults, pregnant female, older adult). Please consider theoretical concepts and epidemiological data while discussing health promotion strategies.

No Plegarism please,

Will need minimum of 250 words, APA Style, double spaced, times new romans, font 12, and and  (3 references – intext citations) per discussion topic. 

EFFECTIVE COMMUNICATION IN THE INTER PROFESSIONAL HEALTH CARE TEAM

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Read Chapter 6 & 7

APA FORMAT AND REFERENCE

1. Discuss the importance of effective communication in the personal relationship, the therapeutic relationship, and the relationship within the interprofessional health-care team.

2. What similarities and differences can you identify among the above interactions? 

3. Explain the concept of congruence between verbal and nonverbal communication.

4. There are many pitfalls to electronic communication. Identify a situation in which an electronic form of communication may result in a miscommunication. What other method of communication would have been more effective? 

5. How have you seen ISBAR used during your clinical experiences? 

6- Develop a hand-off report for yourself. Include items that you believe are pertinent for safe and effective nursing care. Refer to the information in the chapter for creating this report form. Using the information from the chapter, determine the effectiveness of the system currently in use on your unit for communicating shift-to-shift reports. 

7-Dr. Roberts comes into the nurses’ station demanding, “Where are Mr. Adams’s lab reports? I ordered these stat, and they’re not here! Who’s responsible for this patient?” How would you, as the nurse, respond? 

8-Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?

9. Dennie and Elias arrive in the unit for the 7:00 p.m. to 7:00 a.m. shift. Both nurses completed orientation 4 weeks ago. They find that they will be the only two RNs on the floor that night. There is a census of 48 clients. The remaining staff consists of two NAPs/UAPs and one LPN. What are the responsibilities of the RN, NAP/UAP, and LPN? Can Dennie and Elias effectively delegate client care tasks and care safely for all 48 clients? Use the Delegation Tree to make your decisions.

10. Discuss the differences between direct delegation and indirect delegation. 

1. You have to observe delegation procedures in your assigned unit:

A-What considerations does the RN take into account when delegating patient care? 

2-You have to look at the unit census and prioritize the patient care:

A- Give the rationale foryour choices.

3.Answer the following questions during your clinical experiences:

a. What specific tasks did your patients require that you might have been able to delegate?

b. How effective was your nurse/preceptor in delegating tasks to others? 

c. How did your nurse/preceptor ensure that the tasks were completed safely and appropriately?

PRINCIPLES OF COMMUNICATION

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directions for part 1   

As you learn more about the health care industry, you will find that it is a highly collaborative environment. All systems within health care must collaborate and communicate effectively to serve their consumers.

Note: It is important to complete this assignment prior to working on the Importance of Communication: Part 2.

Read the scenario provided.

Write a 350- to 525-word paper that discusses the principles of communication presented in the scenario.

  • Describe verbal and nonverbal cues from the scenario.
  • Based on the description of each group member, speculate as to how well this group will collaborate.
  • How can verbal and nonverbal communication be perceived as defensive?
    • How can this affect relationships in the work place?

Submit your assignment to the University of Phoenix Center for Writing Excellence plagiarism checker Turnitin® and WritePoint® powered by Grammarly®.

Include the report from Turnitin® and from WritePoint® with your assignment.

Note: Follow the Turnitin® and WritePoint® tutorials to learn how to open, save, and submit the reports with your assignment. 

Cite at least 1 peer-reviewed, scholarly, or similar reference.

Format your assignment according to APA guidelines.

Directions for part 2

As the meeting drew to a close, it was clear that the members still did not agree on the marketing plan addressed. Robert is frustrated by the end of the meeting and tells the group that they can just work it out on their own. The group leader asks the other members to create their own marketing plan to bring back to the group at a later date.

Write a 350- to 525-word paper that discusses important collaborative skills and the significance of effective communication when working in groups. Include the following:

  • Describe collaborative skills you would use to create a more positive atmosphere.
  • Explain the importance of effective communication and the drawbacks of the ineffective communication used in this scenario.
    • Consider the email and the face-to-face meeting.
  • Explain the role active listening could have played in this scenario.

Submit your assignment to the University of Phoenix Center for Writing Excellence plagiarism checker Turnitin® and WritePoint® powered by Grammarly®.

Include the report from Turnitin® and from WritePoint® with your assignment.

Cite at least 1 peer-reviewed, scholarly, or similar reference or your textbook.

Format your assignment according to APA guidelines.

I WILL DO THE Turnitin and WritePoint

Quality Improvement Initiative

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 When attempting to garner support for a quality improvement initiative, it is important to demonstrate how the initiative supports the organization’s mission, vision, and values, as well as external factors that influence an organization’s priorities. Delivering a proposal for a quality improvement initiative requires clear, concise communication of the plan.

By tomorrow Tuesday 01/09/18 by 10 pm, write a minimum of 550 words essay with at least 2 references in APA format. Include the level one headings as numbered below:

1) Choose a QI initiative which has been the subject of focus in any healthcare setting. Explain the rationale that your senior leaders used in selecting this initiative for attention and focus.

2) Explain how adverse events are handled in your organization from the public’s perspective and well as internally.

3) Find a scholarly article or one from the public press, published within the last 5 years which recounts a serious error. Relate this error to any organization with which you have some familiarity.

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

Chapter 11: “Patient Safety and Medical Errors”

Clarke, C. M., & Persaud, D. D. (2011). Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. Journal of Patient Safety, 7(1), 11–18. doi:10.1097/PTS.0b013e31820c98a8

Designed for leaders who want to improve quality care, this article focuses on clinical handovers that occur within acute care facilities. It provides a model for improvement and is intended to be a supplemental resource that can be used with the existing research and literature on this topic.

Sennett, C. (2010). Healthcare reform: Quality outcomes measurement and reporting. American Health & Drug Benefits. Retrieved from http://www.ahdbonline.com/article/healthcare-reform-quality-outcomes-measurement-and-reporting 

The article on this website discusses features of the Patient Protection and Affordable Care Act (PPACA), focusing on the outcomes and implications for quality outcomes measuring and reporting.

Lazarus, I.R. (2011). What will It take? Exploiting trends in strategic planning to prepare for reform. Journal of Healthcare Management, 56(2), 89–93.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: Organizational priorities for quality improvement. Baltimore: Author.

Note: The approximate length of this media piece is 9 minutes.

This video provides an overview of organizational factors that influence quality. Lillee Gelinas discusses the importance of teamwork and enlisting leadership to help move quality initiatives forward. Other topics addressed include the role of stakeholders in improving patient safety and the responsibility of hospital board members in setting the quality and safety agenda.

Treating Childhood Abuse

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In 2012, statistics in the United States indicated that state CPS agencies received 3.4 million referrals for child abuse and neglect. Of these, nearly 700,000 children were found to be victims of maltreatment: 18% were victims of physical abuse and 78% were victims of neglect (CDC, 2014). Child sexual abuse makes up roughly 10% of child maltreatment cases in the United States (CDC, 2014).

The CDC considers sexual abuse at any age a form of violence. Child abuse of any kind can lead to an increased state of inflammatory markers in adulthood, as well as multiple physical illnesses and high-risk behavior such as alcoholism and drug abuse. If a PMHNP identifies child abuse, there may be a need to report the abuse to authorities.

Once able to provide treatment, the PMHNP can be instrumental in reducing the long-term effects of child abuse.

In this Discussion, you recommend strategies for assessing for abuse and analyze influences of media and social media on mental health. You also evaluate the need for mandatory reporting of abuse.

                                                                             Assignment

· What strategies would you employ to assess the patient (Child) for abuse?   

   Explain why you selected these strategies.

· How might exposure to the media and/or social media affect the patient?

· What type of mandatory reporting (if any) is required in this case? Why?

PLEASE, INCLUDE INTRODUCTION, CONCLUSION, 3 OR MORE REFERENCES LESS THAN 5 YEARS OLD, AND ANSWER ALL THE QUESTIONS AS INSTRUCTED.

                                                            Learning Resources

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

  • Chapter 31, “Child Psychiatry” (pp. 1216–1226)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

  • “Trauma- and      Stressor-related Disorders”

Pfefferbaum, B., & Shaw, J. A. (2013). Practice parameter on disaster preparedness. Journal of the American Academy of Child & Adolescent Psychiatry, 52(11), 1224–1238. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00550-9/pdf 

American Psychiatric Nurses Association. (2017). Childhood and adolescent trauma. Retrieved from http://www.apna.org/i4a/pages/index.cfm?pageID=4545

Document: Childhood Abuse Case Study (PDF). REVIEW THE ATTACHED DOCUMENT

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press. 

To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

                                                  Optional Resources

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Hoboken, NJ: Wiley Blackwell. 

  • Chapter 50, “Provision of      Intensive Treatment: Intensive Outreach, Day Units, and In-Patient Units”      (pp. 648–664)
  • Chapter 58, “Disorders of      Attachment and Social Engagement Related to Deprivation” (pp. 795–805)
  • Chapter 59, “Post Traumatic      Stress Disorder” (pp. 806–821)
  • Chapter 64, “Suicidal Behavior and Self-Harm”      (pp. 893–912)

PLANNED CHANGE IN A DEPARTMENT

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To prepare:

Review Chapter 8 in the course text. Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies.

Reflect on problems, inefficiencies, and critical issues within a specific department, unit, or area in your organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue.

Think about how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.

Using one of the change models or strategies discussed in Chapter 8, begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected.

Determine who should be involved in initiating and managing the change. Consider the skills and characteristics that are necessary to facilitate this change effort.

To complete:

By Day 7

Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:

  1. Identify a problem, inefficiency, or issue within a specific department/unit.
  2. Describe a specific, realistic change that could be made to address the issue.
  3. Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.
  4. Identify a change model or strategy to guide your planning for implementing the change. Provide a rationale for your selection.
  5. Outline the steps that you and/or others would follow to facilitate the change. Align these steps to your selected change model or strategy.
  6. Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort.

only scholarly references at least 4

see sample paper attached

HEALTH BEHAVIORS

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Watch this video https://www.youtube.com/watch?v=BFZ1TEDJlqI

Read this scenario: 

You have been hired as Assistant Manager of a Home Health Care Agency. The agency offers a wide range of skilled medical services such as nursing care, physical therapy, occupational therapy from qualified medical professionals. The agency also provides home health aide services including assistance with activities of daily living, such as bathing and eating.

Your supervisor told you that she recently received a call from an advocate whom an employee consulted via the Employee Assistance Program because the employee felt that she had been treated unfairly after contracting an illness. She explained that a few months ago, one of your agency’s home health aides, Sara, became ill. Sara had been coughing for approximately six weeks, lost weight without trying, had no appetite, was having difficulty sleeping, and had an intermittent fever. She became concerned and went to see a healthcare professional who diagnosed her with active tuberculosis (TB).

Sara missed a lot of time from work while completing treatment for TB. Her physician cleared her to return to work after she was no longer contagious. Upon returning to work, Sara felt isolated because her boss and co-workers refused to spend time with her. She heard that someone from the agency’s Human Resources Department told her co-workers her diagnosis. The stressful circumstances at work became even worse when another home health aide started to display the same symptoms Sara had.

Your supervisor has asked you to review the entire situation and how it was handled by the agency.

Now, in a complete 600-800 words paper, address the following questions: (DO NOT WRITE QUESTIONS IN THE PAPER)

  1. Identify relevant “health behavior(s)” that contributes to increasing and/or decreasing risk factor for contracting the disease.
  2. Identify and describe a surveillance system that monitors disease or health-related risk factors in the United States.
  3. Was risk communication essential for Sara’s co-workers? Why or why not?
  4. Describe the key components in developing crisis and emergency risk communication messages.

Your paper must include:

  • · 100% originality
  • · 600-800 words count excluding title and reference page
  • · Proper introduction and conclusion
  • · 3 credible references cited in APA

PICOT STATEMENT AND LITERATURE SEARCH

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Qualitative data has been described as voluminous and sometimes overwhelming to the researcher. In what ways could a researcher manage and organize the data? 

Topic 2 DQ2 

Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Why should it be studied? Justify your rationale.

Assignment 1 PICOT Statement and Literature 

The first step of the EBP process is to develop a question from the nursing practice problem of interest. Select a practice problem of interest to use as the focus of your research. Start with the patient and identify the clinical problems or issues that arise from clinical care.

Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project. The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem. Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research.

Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts. Suggestions for locating qualitative and quantitative research articles from credible sources:

1. Use a library database such as CINAHL Complete for your search.

2. Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.

3. When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative. To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic.

For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. https://www.guideline.gov/(week 1) 

EMERGENCY DEPARTMENTS

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Primary Task Response: Within the Discussion Board area, write 250-350 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

How healthcare services are provided is constantly changing.  While historically, emergency departments (ED) was physically located within the hospital building, the standalone Emergency Department also referred to as the Free Standing Emergency Department (FSED) has become a new model for delivery of emergency services within communities. 

  Consider yourself in the role of a consultant to a healthcare organization, financial manager, or ED administrative director. You have been asked to provide the CEO and leadership with pros and cons of establishing a Free Standing Emergency Department.  You are aware of the news stories about these types of facilities, and you will want to review The Washington Post article at this link as you prepare your review.

Include in your discussion:

  • Differences between off campus emergency departments (OCEDs) and independent free standing emergency centers (IFECs).  What would be the advantage to the healthcare organization of an OCED?
  • How would services provided be reimbursed either by private insurance or Medicare/Medicaid?
  • What are the advantages or disadvantages to the community of an FSED?  Would members of the community favor an OCED or an IFEC?
  • Why are most of the FSEDs located in Texas, Colorado and Ohio?
  • Based on your research and the news stories about FSEDs, what would you recommend to the CEO and Board of Directors?

NOTE: Use at least two scholarly references and cite using APA format.

HOW A BILL BECOMES A LOW

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 Details:

As you have discovered through this course, nurses are influential members of the community and the political system. Therefore, for the purposes of this assignment you will identify a problem or concern in your community, organization, etc. that has the capacity to be legislated. You will conduct research and state a proposal. Through the legislative process, your proposal for the problem or concern may influence an idea for change into a law.

First, refer to the “How a Bill Becomes a Law” media.

http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs440v_how-a-bill-becomes-a-law-v2.1.php/.

Then, view the “Bill to Law Process” to watch the scenario.

After viewing the scenario, refer to the “Legislative Assignment.” You will need to save the document first in order to use it.

Submit the assignment to the instructor. You also reserve the right to submit your completed proposal to the respective government official. However, this is optional. If you select to submit your proposal as a part of the legislative process, refer to “Find Your Representative” or research the contact information on your own.

APA format is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.