The influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning

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Purpose

This week’s graded topics relate to the following Course Outcome (CO).

  • CO 2 – Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO #1)

The Assignment

This week you have two options for your initial discussion post. Select the option that is best for you! Please remember to use and credit the lesson or required NIH website (there was not a textbook reading this week), AND one outside scholarly source.

Option #1 – Case Study to Consider

Ann and Michael have been married for 55 years. Ann is 80 years-old, and suffers from lung cancer and advanced Alzheimer’s disease. She currently resides in a nursing home, and often does not recognize Michael when he visits. Last night she was admitted to the hospital with difficulty breathing. Today, you are the nurse caring for Ann, and her physician is suggesting surgery to remove part of her lung to potentially slow the progression of her cancer. Michael is feeling unsure about this course of treatment, and asks for your advice and guidance.

How would you respond to Michael and serve as advocate for your patient?

Option #2 – Share a Related Experience

Share with your classmates a time when you cared for a patient at the end of their life. This may be a time when you assisted the patient (or their support system) with decisions related to end of life care; or a time when you were present for the death of a patient.

What were your observations related to this experience? Do you believe it was a peaceful death? What went well? Can you think of anything that could have made the experience better for the patient and/or family?

How could you involve the representatives from the target population in designing the program

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Stakeholder Involvement

 For a program to be effective, it is essential for members of the target population to be involved in developing the mission, goals, and objectives.
 

Who would you reach out to for developing your program? Are there other community organizations or business partners that you would like to connect with during this process? How would you facilitate the involvement of various stakeholders? What challenges do you think you might encounter?
 

In this Discussion, you and your colleagues address the myriad issues related to stakeholder involvement during the creation of a program’s mission, goals, and objectives.
 

To prepare:

  • Review      the information presented in this week’s Learning Resources and conduct      additional research of your own to learn about programs that have      successfully involved various stakeholders in the target population.

     

By tomorrow Wednesday 12/26/18 2 pm, write a minimum of 550 words essay in APA format with at least 3 references from the list of required readings below (Please also refer to previous attached paper). Include all headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) Why is it important for representatives from the target population (breast cancer in African American women in the USA) to be involved in developing the goals and objectives for the program?

2) How could you involve the representatives from the target population in designing the program?

3) What strategies could be used to navigate disagreements or lack of interest?

Required Readings

Hodges, B. C., & Videto, D. M. (2011). Assessment and planning in health programs (2nd ed.). Sudbury, MA: Jones & Bartlett Learning.

· Chapter 7, “Identifying and Writing Mission Statements, Goals, and Objectives”

The authors provide guidance for developing a mission statement, program goals, and objectives in this chapter.

Kettner, P. M., Moroney, R. M., & Martin, L. L. (2017). Designing and managing programs: An effectiveness-based approach (5th ed.). Thousand Oaks, CA: Sage.

· Chapter 6, “Selecting the Appropriate Intervention Strategy”

· Chapter 7, “Setting Goals and Objectives”

Chapter 6 introduces the notion of developing the program hypothesis as a critical feature of program design and a precursor to setting goals and objectives, which is addressed in Chapter 7. Both of these topics serve as a critical link between the earlier phases of problem analysis and needs assessment and the forthcoming design of services and program evaluation.

De-Regil, L.M., Pena-Rosasa, J.P., Flores-Ayala, R., & Jefferds, M.E. (2013). Development and use of the generic WHO/CDC logic model for vitamin and mineral interventions in public health programmes. Public Health Nutrition, 17(3), 634–639 doi:10.1017/S1368980013000554

Gervais, C., de Montigny, F., Lacharite, C., & Debeau, D. (2015). The father friendly initiative within families: Using a logic model to develop program theory for a father support program. Evaluation and Program Planning, 52, 133–141 doi.org/10.1016/j.evalprogplan.2015.04.006 0149-7189/Crown 

Huye, H. F., Connell, C.L., Crook, L.B., Yadrick, K., & Zoellner, J. (2014). Using the RE-AIM framework in formative evaluation and program planning for a nutrition intervention in the lower Mississippi delta. Journal of Nutrition Education and Behavior 46(1), 34–42 doi.org/10.1016/j.jneb.2013.09.006

Fawcett, J., & Ellenbecker, C. H. (2015, JUNE). A proposed conceptual model of nursing and population health. Nursing Outlook, 63(3), 288–298. http://dx.doi.org/10.1016/j.outlook.2015.01.009.

Optional Resources

National Institute of Mental Health. (2007). The National Institute of Mental Health strategic plan. Retrieved from http://www.nimh.nih.gov/about/strategic-planning-reports/index.shtml

The National Institute of Mental Health conducts research to help work toward the treatment and prevention of mental illnesses. Its strategic plan offers an example of the importance and intricacies of vision, mission, goals, and objectives.

The Evidence-Nursing Practice Connection

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Week 8: The Evidence-Nursing Practice Connection

Textbook:

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4 th ed.). Sudbury, MA: Jones and Bartlett.

Reading:

Chapter 1: The Importance of Research as Evidence in Nursing

Chapter 16: Translating Research into Practice

Assignment:

Improving patient care and outcomes is paramount to the practice of nursing. As we conclude our learning journey through our world of research and evidence-based practice, it is important to reflect upon your time spent in the course:

1)Think about nursing practice and describe one barrier that you feel prohibits nurses from engaging in EBP; share one strategy you could use to facilitate the use of evidence to help improve nursing care for patients.

2)Reflect back over your time in the course and describe how your thinking has changed about nursing research and evidence-based practice; describe one new learning during this course that you believe was the most helpful.

Please use APA format, citations and references. Cite 1 scholarly resource and cite textbook to earn full credit.

INTRODUCTION TO THE U.S. HEALTH CARE DELIVERY SYSTEM

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Module 1 – SLP

INTRODUCTION TO THE U.S. HEALTH CARE DELIVERY SYSTEM 

The overall goal of the Session Long Project is to examine health care delivery in the United States from a strategic perspective.

The Patient Protection and Affordable Care Act, or in short Affordable Care Act, changed the landscape of the health care industry. For this assignment, read the article “Information asymmetries and risk management in healthcare markets: The U.S. Affordable Care Act (ACA) in retrospect” by Mendoza, and write a paper to respond to the following questions:

  1. Discuss the “moral theory” contained in this article.
  2. Explain whether you agree or disagree with the author that the ACA was an answer to health care accessibility.
  3. Explain whether you believe or do not believe that ACA will improve patient care.
  4. Discuss what you think President Trump should do with the ACA.
  5. Discuss what strategies you would recommend to deal with economic realities of health care based on your own research.

Length: Submit a 3-page paper, not including the cover page and the reference list.

SLP Assignment Expectations

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric. You can view it under Assessments at the top of the page. Review it before you begin working on the assignment. Your work should also follow these Assignment Expectations.

The importance of self-assessment and reflection

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Details:

This assignment focuses on the importance of self-assessment and reflection.

Self-Assessment

Self-awareness is essential for developing leadership skills. Recognizing your own strengths, weaknesses, and values, and understanding emotional intelligence and learning styles can help you to be a more effective nurse leader.

For this assignment, you have the opportunity to take a variety of self-assessments to learn more about yourself and identify your assets and weaknesses as a leader. This will assist you in discovering how you can improve your own self-leadership skills. You will be asked to think critically about your results and submit a reflection as directed below.

Complete each of the following self-assessments. Be sure to document the results of each assessment to assist you in completing the reflection portion of the assignment below.

  1. Emotional Intelligence Assessment: “Emotional Intelligence Test”: http://testyourself.psychtests.com/testid/3038
  2. Personality Assessment: “Personality Traits Test”: http://testyourself.psychtests.com/bin/transfer?req=MnwyMjk2fDE5NTM1MTV8MXwxfDE=&refempt
  3. Learning Styles Assessment: “The VARK Questionnaire: How Do I Learn Best?”: http://vark-learn.com/the-vark-questionnaire/
  4. Values Assessment: “Values Profile”: http://testyourself.psychtests.com/bin/transfer?req=MnwzMzE5fDE5NTM1MTV8MXwxfDE=&refempt
  5. Values Assessment: “Rokeach Values Survey”: http://faculty.wwu.edu/tyrank/Rokeach%20Value%20Survey.pdf
  6. Diversity Assessment: “Cultural Competence Self-Test”: http://www.healthystartpinellas.org/pdf/Self_Assess_5.pdf

Self-Assessment Reflection

Becoming self-aware is an ongoing process requiring introspection. The more often people practice self-reflection, the more opportunities they have to understand their own behaviors and adapt their approaches to working with other people, which can improve both your own and other’s abilities to meet their professional goals.

In a 750-1,000 word reflective essay, address the following:

  1. Briefly summarize the results of each self-assessment.
  2. Identify the leadership style that closely aligns to your philosophy of care, and explain what appeals to you about that style.
  3. Reflect on how you might incorporate elements of that particular style as you exercise leadership in a practice or health care organization setting.
  4. Discuss any particular areas for improvement the assessments helped you identify and some steps for improving your leadership capabilities.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Essential Related Individualized Practicum Objectives

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Individualized Practicum Objectives:

The individualized practicum objectives should be based on the course objectives and the AACN Doctoral Essentials. (See attached file) USE THIS TEMPLATE BELOW FOR WRITING YOUR PRACTICUM OBJECTIVES (due end of week 1). THERE IS AN EXAMPLE OF ANOTHER STUDENTS’ OBJECTIVES AT THE BOTTOM OF THIS DOCUMENT—PLEASE REVIEW (See attached file).

WEEK 1 OBJECTIVES TEMPLATE

OBJECTIVES

a.     OBJECTIVE 1: EBP Problem Related Individualized Practicum Objective (pick one and individualize it): 

  i.     Evaluate an evidence-based practice problem (in parenthesis, name the EBP problem you will be working on w/ your preceptor/mentor in practicum) within a specialty setting (name your setting in parenthesis [Hospital setting]) (related Course Learning Outcome=2). See below for course outcomes

 ii.     Synthesize literature related to a defined evidence-based practice problem (in parenthesis, name the EBP problem you will be working on w/ your preceptor/mentor in practicum [ please select anything related to nursing informatics]) (related Course Learning Outcome=3). See below for course outcomes

iii.     Formulate an intervention to address a practice problem (in parenthesis, name the EBP problem you will be working on w/ your preceptor/mentor in practicum [ please select anything related to nursing informatics]) (related Course Learning Outcome=6). See below for course outcomes

b.     OBJECTIVE 2: Practice Area Specialty Competencies Individualized Practicum Objective (pick one and individualize it): (MY AREA OF SPECIALTY IS NURSING INFORMATICS

i.     Apply practice guidelines (name the practice guideline—from National Guideline Clearinghouse, RNAO, or a specialty organization) into an area of expertise (name the area…e.g., diabetic care [ for nursing informatics the organization is HIMSS; check himss.org]) (related Course Learning Outcome=4). (for nursing informatics, the organization is HIMSS check (https://www.himss.org/).

 ii.      Utilize advanced competencies (name the competencies, e.g. AONE CNLM competencies [himss.org for competencies]) for practice and leadership roles related to (name the area…e.g., diabetic care) (related Course Learning Outcome=5). See below for course outcomes

c.      OBJECTIVE 3: Essential Related Individualized Practicum Objectives (individualize it):

  1. Demonstrate        achievement of learning objectives related to the AACN        DNP Essentials (note which DNP essential in parenthesis [see attached file on ACCN]) by        ____________ (lay out how you will do this) (Course        Learning Outcome 6). See below for course outcomes

TIMELINE

I plan to complete X hours per week of practicum over the next X weeks (must be 10 weeks or less). This will allow a total of 72 on-site hours with my preceptor.

Below is an example of a student objective, you can refer to it but customize it for my area of specialization which is nursing informatics

Timeline 

I plan to complete 8 hours per week of practicum over the next 9 weeks. This will allow

a total of 72 on-site hours with my preceptor.

Course Learning Outcomes

1. By the conclusion of this course, you should be able to:

  1. Evaluate an      evidence-based practice problem or issue within a specialty setting
  2. Synthesize      literature related to a defined evidence-based practice problem or issue
  3. Apply      appropriate practice guidelines into an area of expertise
  4. Utilize      advanced competencies for practice and leadership roles
  5. Formulate an      intervention to address a practice problem or issue
  6. Demonstrate      achievement of learning objectives related to the AACN DNP Essentials and      specialty competencies for the practicum experience

A Treatment regime, including pharmacology, for the disease or health condition you selected, along with how the treatment regime may affect a client's lifestyle

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PLEASE CHECK THE COMPETENCES AT THE END; THIS IS HOW I GET THE POINTS!!!

Create a 10–12-slide PowerPoint presentation to identify medications associated with a chosen disease or health condition, explain the actions and side effects of the medications, and discuss any controversies related to the medications. Explain a treatment regime, including pharmacology, for the disease or health condition you selected, along with how the treatment regime may affect a client’s lifestyle.

Imagine your supervisor has asked you to conduct a lunch and learn session to educate your fellow nursing staff on pharmacological interventions.

Preparation:

Select a disease or health condition that requires pharmacological intervention. You may choose any disease or health condition you wish, but the disease or health condition must be relevant to nurses from a variety of settings (for example: ER, pediatrics, public health, et cetera).

Requirements:

Once you have selected a disease or health condition, create a PowerPoint presentation you could use in your lunch and learn session, including the following:

· Identify the disease or health condition you have chosen, along with the areas where nurses are likely to see it. (Do this in the agenda slide or next slide after the agenda.)

· Identify the three drugs used most often in the treatment of the disease or health condition.

· Explain the types of actions, side effects, indications, and contraindications that could be expected from the pharmacological treatment.

· Describe the treatment regime most often prescribed for the disease or health condition. This should include pharmacology but not be limited to pharmacology.

· Explain how the treatment regime (including pharmacology) may impact a client’s lifestyle. Consider things such as finances, ease or complexity of administration, instructions (frequency, duration), et cetera.

· Describe how a nurse should monitor a client being treated for the disease or health condition in order to obtain a quality patient outcome.

· Explain any controversies associated with the drugs used in the treatment. For example, is there a black box warning with any of the drugs?

Use the notes section of each slide to expand your points or draft your mock oral presentation (or both) and reference your resources. Use at least 3 peer-reviewed or professional resources to support your work in this assessment. Be sure your PowerPoint includes a title slide, a slide with your agenda or list of topics to be covered, and a reference slide. Follow current APA style and formatting guidelines for your citations and references.

Additional Requirements

· Number of slides: 10–12, not including the title and reference slides.

· Be creative. Consider your intended audience.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Apply practice guidelines and standards of evidence-based practice related to pharmacology for safe and effective nursing practice. 

o Identify the pharmacological agents most often used in the treatment of a disease or health condition.

o Describe the treatment regime, including pharmacology, most often prescribed for a disease or health condition.

o Explain the controversies related to a pharmacological agent.

· Competency 2: Explain the relationship between quality patient outcomes, patient safety, and the appropriate use of pharmacology and psychopharmacology. 

o Explain the types of actions, side effects, indications, and contraindications that may be expected from a pharmacological treatment.

o Describe how a treatment regime, including pharmacology, may impact a client’s lifestyle.

o Describe how to monitor a client following a prescribed treatment regime, including pharmacology, in order to obtain a quality patient outcome.

· Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional. 

o Write content clearly and logically with correct use of grammar, punctuation, and mechanics.

o Correctly format citations and references using current APA style.  

Adding Structure and Transitions

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Assignment: Adding Structure and Transitions

For this Assignment, you will review the Learning Resources on transitions, paragraph development, and the MEAL plan. With the principles outlined in the Learning Resources in mind, you will add transitional phrases, words, or sentences that connect your three paraphrased main ideas from the Week 3 Assignment.

To prepare for this Assignment:

  • Review      the Learning Resources related to transitions, paragraph development, and      the MEAL plan.
  • Review      your three paraphrased main ideas from the Week 3      Assignment with the MEAL plan model in mind.

The Assignment: Max 550 words, APA format, 2 references.

Revise the three paraphrased main points from the Week 3 Assignment to align with MEAL plan guidelines (see attached filed for week 3 assignment).

To do so, separate each main point into its own paragraph. Add a topic sentence (the M in the MEAL plan), and add 2–3 sentences per paraphrased main point to create connection between the ideas. Be sure to review your Week 2 Assignment (see attached file for week 2 assignment) where you created a rationale for selecting each main point. That particular Assignment may help guide you in creating transitional phrases for better flow.

Use the following questions to guide the writing of your paragraphs:

1) Does each paragraph begin with a clearly stated topic sentence?

2) Does each paragraph include a paraphrased main point?

3) Does each paragraph incorporate transitional phrases to flow from one idea to the next?

Required Readings

Laureate Education. (2015). MEAL plan for paragraph development [Infographic]. Baltimore, MD: Author.

Walden University Writing Center. (2015i). Walden templates: General templates: APA course paper template (6th ed.). Retrieved from http://academicguides.waldenu.edu/writingcenter/templates/general

Arneson, B. K. (2014, May 11). Breaking down the MEAL plan: Wrapping up with lead out sentences [Blog post]. Retrieved from http://waldenwritingcenter.blogspot.com/2014/05/breaking-down-meal-plan-wrapping-up.html

Oyler, B. (2014, April 21). Breaking down the MEAL plan: Beginning with the main idea [Blog post]. Retrieved from http://waldenwritingcenter.blogspot.com/2014/04/developing-paragraphs-with-meal-plan.html

Skarbakka, K. (2013, January 10). Steer your reader right with effective transitions [Blog post]. Retrieved from http://waldenwritingcenter.blogspot.com/2013/01/steer-your-reader-right-with-effective.html

Required Media

Walden University Writing Center (Producer). (2013, July 1). WriteCast: Creating a successful paragraph (Episode 3) [Audio file]. Retrieved from https://soundcloud.com/writecast/creating-a-successful

Note: The approximate length of this media piece is 21 minutes.

Transcript: http://academicguides.waldenu.edu/writingcenter/transcripts/podcasts/ep003 

Walden University Writing Center. (2015). Transitions video playlist [Video files]. Retrieved from http://academicguides.waldenu.edu/writingcenter/paragraphs/transitions#s-lg-box-10235918

Note: View the entire playlist of videos on this web page. The approximate combined length is 6 minutes.

How would you be a social agent for change

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 Instructions:
    For this Project Assignment, think about common trends in public health leadership, or critical areas of need for leadership in the field.
    Prepare a literature review of scholarly articles related to your topic in public health leadership. This review should contain a minimum of 10 peer-reviewed or scholarly resources.
    Based on what you find in the current public health leadership literature, Create a problem statement, It must address:
         Identified gaps while incorporating implications for positive social change.
The Literature Review section should be written in the narrative form integrating concepts from the articles you find. The section should include:

    A synthesis of a minimum of 10 peer-reviewed, scholarly resources that give the reader a good overview of the issue. The section should show the reader  common trends in public health leadership, or critical areas of need for leadership in the field
    A description of theoretical gaps in the research area – Based on the research you just did in leadership, what seems to be missing (Theoretical gaps)?
    Problem Statement should include:
        An explanation of the specific problem that addresses identified gaps within the literature
        An explanation of how your problem statement incorporates implications for positive social change – As students, “We” are preparing to become agents of social change, based on your leadership topic, the research you just did and the gaps you found how would you be a social agent for change?

Number of Pages: 5 Pages

Deadline: 2 days

Academic Level: College

Paper Format: APA 

Personal Philosophy of Nursing

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Personal Philosophy of Nursing

In a 6- to 7-page paper in APA format describe your personal approach to professional nursing practice. Be sure to address the following:

  • Which philosophy/conceptual framework/theory/middle-range theory describes nursing in the way you think about it? Discuss how you could utilize the philosophy/conceptual framework/theory/middle-range theory to organize your thoughts for critical thinking and decision making in nursing practice.
  • Formulate and discuss your personal definition of nursing, person, health, and environment.
  • Discuss a minimum of two beliefs and/or values about nursing that guide your own practice.
  • Analyze your communication style using one of the tools presented in the course. In your paper, discuss the strengths and weaknesses associated with your style of communication and the impact on your ability to collaborate as part of an interdisciplinary team.
  • On a separate references page, cite all sources using APA format.
    • Use this APA Citation Helper as a convenient reference for properly citing resources.
    • This handout will provide you the details of formatting your essay using APA style.
    • You may create your essay in this APA-formatted template.