Barriers to Healthcare for Women and Minorities

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Barriers to Healthcare for Women and Minorities

Poverty and lack of education are two big barriers to healthcare for women and minorities. Low levels of education are associated with low life expectancies and high mortality rates. People living in poverty often lack education about when, why, and where to access healthcare. There have been various legislative activities in the US to improve public health.

On the basis of your understanding of the access to healthcare facilities and impacts of barriers to healthcare access, answer the following questions:

  • Explain at least three public health campaigns targeting access to healthcare for women and/or minorities. Describe at least two aspects of their advertising strategies that have addressed income and education.
  • Abortion has been the subject of numerous legislative activities in the United States. How have various legislations affected low-income and minority women?
  • Describe the legal battle over birth control devices in the United States. Include how access to healthcare has been affected by the legal decisions Barriers to Healthcare for Women and Minorities.
  • Describe the legal barriers to healthcare access for low-income immigrant minorities.
  • Review the articles, “Ethnic and gender disparities in needed adolescent mental health care”, and “Overlooked and underserved: Improving the health of men of color”. Explain what it means to be “overlooked” by the healthcare system.

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  • Discuss at least two examples that illustrate why minorities are often overlooked in the healthcare system. Do you agree or disagree with these reasons, why or why not?
  • Despite the fact that school-based psychological counseling is available to all students, Thomas et al., report that ethnic disparities in mental healthcare access and utilization still persist. Explain why this disparity exists. What can be done to decrease mental health access and utilization barriers for low-income and minority students?
  • What strategies does former U.S. Surgeon General, David Satcher, M.D., discuss that will decrease the potential for minorities to be overlooked by the healthcare system?
  • at the end  Participate in the discussion by asking two or more questions, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion Barriers to Healthcare for Women and Minorities.

Role of Technology in Long-Term Care

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Role of Technology in Long-Term Care

Using the South University Online Library and the Internet, find three articles describing the role technology will play in addressing the challenges ahead in long-term care. Summarize your findings and based on your learning, respond to the following questions:

  • Which challenges in long-term care system remain unmet? Why?
  • What changes can we expect to occur with the influx of baby boomers entering into the long-term care system?
  • Why do you think technology is important to long-term care? Support your answer with relevant examples.
  • What are the pros and cons of the implementation of technology in long-term care? Consider both providers and consumers while describing.
  • How does technology improve the type and quality of care received by long-term care consumers?
  • How important is the commitment by top management for the use of information technology in long-term care to be successful? Why?
  • How can the challenges be proactively addressed as opposed to being reactive? Role of Technology in Long-Term Care

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Legal and Ethical Issues: Case Study

Cathy Smith, an eighty-eight-year-old woman, was admitted to the emergency room from the nursing facility with acute respiratory distress. Although Smith does not have a living will, her daughter Rose, a health care professional, has the power of attorney (POA) to make her mother’s health decisions.

Smith suffers from end-stage Alzheimer’s disease and recently experienced congestive heart failure. Her condition is alarming. The doctors want to place her on life-support equipment, including a ventilator. Smith’s son, Andrew, agrees with the doctor’s decision. However, Rose states her mother would never want to be placed on life-support machines to prolong her life.

Analyze the scenario and answer the following questions:

  • What are the autonomy-beneficial conflicts between Rose and Andrew related to placing their mother on life support in this case? Who has the right to make the decision on behalf of the client? Why?
  • What are the ethical issues related to the competency and decision-making capacity of the client while making the health care decisions? Do these issues impact the services offered in long-term care? How?
  • What are some of the critical issues related to informed consent? Who has the right to assume this responsibility? Why? Role of Technology in Long-Term Care

Application: Developing a Health Advocacy Campaign (continued): Ethical Considerations

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Application: Developing a Health Advocacy Campaign (continued): Ethical Considerations

The final application builds upon the applications (Parts One and Two) completed in weeks 4 and 7.

Week 10 Application

To complete the final section of your paper:

  • Review provisions 7, 8, and 9 of the ANA Code of Ethics in relation to advocacy for population health.
  • Reflect on the ethical considerations you may need to take into account in your advocacy campaign.

  • Research the ethical considerations and lobbying laws relevant to the location where your advocacy campaign will occur.
  • Consider potential ethical dilemmas you might face in your campaign.

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To complete: Revise and combine Part one (week 4 application) and Part Two (week 7 application) with Part Three below.

  • Explain any ethical dilemmas that could arise during your advocacy campaign, and how you would resolve them.
  • Describe the ethics and lobbying laws that are applicable to your advocacy campaign.
  • Evaluate the special ethical challenges that are unique to the population you are addressing.
  • Provide a cohesive summary for your paper.

Reminder: You will submit one cogent paper that combines the previous applications from weeks 4 and 7 plus the new material mentioned in the week 8 application. Your paper should be about 10 pages of content, not including the title page and references. Be sure to paste the rubric at the end of your paper Application: Developing a Health Advocacy Campaign (continued): Ethical Considerations.

Curriculum Development

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Curriculum Development

Develop a 2,100-word paper including a lesson plan (lesson plan is included in word count) for an education program that is intended for a particular target audience.  Include learning needs and characteristics of the target audience, outcome objectives including two of the three categories from Bloom’s Taxonomy of analysis, synthesis or evaluation levels.  Include content that will be taught, teaching methods/strategies, evaluation of these methods, and rationale for using each of the teaching methods and evaluation methods. — Use attached week 2 assignment in developing the word paper and lesson plan Curriculum Development.

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Include in your paper:

a)    Identification of the educational need and rationale.

b)    Identification and discussion of instructional design methods, learner characteristics, and learning theory to support the methods chosen

c)     Identification and discussion of outcome objectives from Bloom’s Taxonomy

d)    Identification and discussion of competencies needed to achieve the identified outcomes

e)    Identification and discussion of evaluation methods.

Include  your lesson plan: (use the table format as shown below)

a) Well formulated outcome objective using higher cognitive outcomes from Bloom’s Taxonomy

b) Goals/learner outcomes for the lesson that relate to the learning objective

c) Instructional methods to be used for delivery.

d)    Instructional materials and resources to be used (articles, videos, handouts, etc).

e)Time frame allocated for teaching each learning objective Curriculum Development

Outcome objective: Write your higher level objective here 
Learner Goals/Outcomes Write your learner goals here Content Outline Provide an outline of the content you plan to teach here Method of Instruction Identify what method of instruction you will use to teach here Time Frame Identify how much time each segment of teaching will take Resources  What resources will you use to aid in your teaching? Method of Evaluation How will you evaluate whether your learners met their objectives?

ROLE OF HEALTH ADMINISTRATION

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ROLE OF HEALTH ADMINISTRATION

Working on the same two facilities that you identified in W3 Assignment 2, prepare a 8- to 10-page report in a Microsoft Word document including the following:

  • Describe the roles and responsibilities of the administration in each department of your chosen facilities.
  • Identify and list the sources of financing available to consumers for the various programs provided by your chosen facilities. Identify the key public and private sources of reimbursement available. Also discuss the role played by managed care and its impact on long-term care reimbursement.
  • Describe the various government and private resources available that assist in developing and maintaining quality improvement programs in your chosen facilities. Describe the ways in which quality and cost are controlled in your chosen facilities. Also discuss the ethical aspect of access to care in the facilities, including rationing ROLE OF HEALTH ADMINISTRATION.

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Based on your observations and learning from the two facilities, discuss the changes brought in the long-term care system to make it reach full status as a competition-driven system. You may include the following points in your discussion:

  • Discuss the changes made in the control mechanisms (external and internal) in order to control the management, financing, and quality in the long-term care systems.
  • Discuss the changes taking place in long-term care reimbursement system in order to provide better reimbursement options both to consumers and providers.
  • Discuss the changes made in the efforts of providers to accommodate changing magnitude of the day-to-day needs of long-term care consumers.

Support your responses with examples.

Cite any sources in APA format ROLE OF HEALTH ADMINISTRATION.

Healthcare for Women

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Healthcare for Women

In a 4- to 5-page Microsoft Word document, express your views on the following:

  • Describe at least three (community, state, or national) organizations that are committed to improving access to healthcare for women and minorities. Also, identify the primary stakeholders of each organization as well as their target audiences.
  • Describe the mission statement of each organization and discuss the activities that each organization practices to decrease the barriers to healthcare access for women and/or minorities.
  • Are these strategies effective? Why or why not? If you were to design an intervention to address barriers to healthcare access who would your target audience be and why? What strategies would your intervention include? Healthcare for Women

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Support your responses with examples.

Cite any sources in APA format.

Understanding cultural phenomena is essential to the completion of an accurate and holistic health assessment. Please review a cultural group from Table 2-3 (p. 20) from your text and describe the cultural differences pertinent to that group (you may have to do some additional searching). Remember, the table may not include all cultural groups. Let’s try to include all the countries within the groups listed in the discussion, so please do not choose a group that has already been done. To expedite this, please use the group name in the title of your post.

Reference Require:

Jarvis, C. (2016). Physical examination & health assessment (7th ed.). Philadelphia, PA: Saunders.

  • Chapter 1: Evidence-Based Assessment 
  • Chapter 2: Cultural Competence: Cultural Care 
  • Chapter 4: The Complete Health History

Healthy People 2020: http://www.healthypeople.gov Healthcare for Women

HEALTH CARE QUALITY

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Assume that you are a Quality Officer who is responsible for one of the state’s largest healthcare organizations. You have been told that the quality of patient care has decreased, and you have been assigned a project that is geared toward increasing quality of care for the patients. Your Chief Executive Officer has requested a six to eight-page summary of your recommended initiatives.

Note: You may create and /or make all necessary assumptions needed for the completion of this assignment.

Write a 6-8 page paper in which you:

  1. Analyze three (3) quality initiatives for your organization.
  2. Determine the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients.
  3. Differentiate between quality in a free market healthcare system and in single payer government system with three (3) examples for each.
  4. Specify three (3) common law quality initiatives that are still found in 21st century healthcare organizations.
  5. Defend your position on the importance of healthcare quality for your organization. Provide support with at least three (3) examples that illustrate your position.
  6. Assemble a plan to protect patient information that complies with all legal requirements.
  7. Use at least three (3) quality references. Note: Wikipedia and other Websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Describe the evolution of hospitals and sources of law.
  • Examine tort law and the criminal aspects of health care.
  • Analyze the impact of healthcare financing and health insurance on healthcare access, quality, and cost.
  • Determine the factors that affect healthcare quality in healthcare organizations.
  • Examine information management and health care records and how the legal reporting requirements impact health care. 
  • Assess the legal implications of ethical decisions that impact consent for treatment, right-to-die, and patient rights and responsibilities.
  • Use technology and information resources to research issues in healthcare policy, law, and ethics.
  • Write clearly and concisely about healthcare policy and law using proper writing mechanics.

HEALTH CARE SERVICES

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Select one of the health care service providers identified in your Week Three assignment, Health Care Providers and Products.

Providers of Service Options:

  • Preventive care or public health
  • Ambulatory or primary care
  • Subacute or long-term care
  • Acute care
  • Auxiliary services
  • Rehabilitative services
  • End-of-life care
  • Mental health services
  • Emergency management or disaster preparedness
  • Dental services
  • Military and veteran services
  • Indian health services

Prepare an 8- to 10-slide Microsoft® PowerPoint® presentation with detailed speaker notes that discusses the health care service provider selected.

Include the following in your presentation:

  • Identify the selected health care service provider selected.
  • Identify two additional services and products he or she provides.
  • Identify the roles of various stakeholders and emerging roles within the health care service provider selected.
  • Explain how the services and products are financed or paid for.
  • Identify current and future trends that may have an impact on this provider of health care services.

Cite at least 3 peer-reviewed or scholarly reference and your textbook to support your information. For additional information on how to properly cite your sources, log on to theReference and Citation Generator resource in the Center for Writing Excellence.

Format your presentation according to APA guidelines. Your presentation must include an introduction slide, conclusion slide, and a reference slide.

Weighing the Evidence

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When conducting original research, the final step researchers must complete is weighing the evidence and interpreting the meanings of their data, statistics, and analyses. This is the culmination of the research process in which all of the research methods and designs can be synthesized into a meaningful conclusion. In this stage, researchers should formulate explanations for what their data indicates, determine whether the data answers their initial research question, identify areas of uncertainty, and consider directions for further research.

In this Discussion, you focus on one of the research articles that you identified for Part 2 of the Course Project (Literature Review). You then explore the process of how the researchers generated conclusions based on their data, consider other possible interpretations of their data, and formulate ideas for further research.

To prepare:

  • Review this week’s Learning Resources, focusing on how researchers find meaning in their data and generate sound conclusions. Pay particular attention to Table 2 in the article, “Study Design in Medical Research.”
  • Revisit the 5 articles that you identified in Part 2 of the Course Project. Select one to consider for the purpose of this Discussion. Refer to article below: Al-Khawaldeh, O., Al-Hussami, M., & Darawad, M. (2015). Influence of Nursing Students Handwashing Knowledge, Beliefs, and Attitudes on Their Handwashing Compliance. Scientific Research Publishing. Doi: http://dx.doi.org.ezp.waldenulibrary.org/10.4236/health.2015.75068    
  • Read sections of the chosen article where the data is presented, analyzed, and interpreted for meaning. What reasoning process did the researchers use to formulate their conclusions? What explanation did they give to support their conclusions? Were there any weaknesses in their analysis or conclusions?
  • Consider possible alternate conclusions that the researchers could have drawn based on their data.
  • Examine the findings that the article presents and consider how well they addressed the researcher’s initial question(s). What additional research could be done to build on these findings and gain a fuller understanding of the question?Post : 1) An APA citation and brief summary of the research article that you selected. 2) Describe the data and the results of any statistical tests or analyses presented in the article. 3) Explain how the researchers formulated their conclusion, any weaknesses in their analysis or conclusions, and offer at least one alternate interpretation of their data.4) Propose at least one additional research study that could be done to further investigate this research topic. 

Readings

  • Polit, D. F., & Beck, C. T. (2012).  Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.).Philadelphia, PA: Lippincott Williams & Wilkins.
    • Review Chapter 2, Fig. 2.1
    • Chapter 27, “Systematic Reviews of Research Evidence: Meta-analysis, Metasynthesis, and Mixed Studies Review”

      This chapter focuses on the different types of systematic reviews. The chapter discusses the advantages of this type of analysis and the steps for conducting a meta-analysis or metasynthesis.
  • Dingle, P. (2011). Statin statistics: Lies and deception. Positive Health, 180, 1.
    Retrieved from the Walden Library databases.

    In this article, the author outlines how misleading statistics are used to make false claims about the positive use of statin drugs in order to retain a market share of sales for pharmaceutical firms.
  • Katapodi, M. C., & Northouse, L. L. (2011). Comparative effectiveness research: Using systematic reviews and meta-analyses to synthesize empirical evidence. Research & Theory for Nursing Practice, 25(3), 191–209.
    Retrieved from the Walden Library databases.

    The authors of this article assert that more comparative effectiveness research (CER) is necessary to accommodate the elevated demand for evidence-based health care practices. The article supplies a summary of methodological issues relevant to systematic reviews and meta-analyses used in the process of CER.
  • Stichler, J. F. (2010). Evaluating the evidence in evidence-based design. Journal of Nursing Administration, 40(9), 348–351.
    Retrieved from the Walden Library databases.

    The quality of evidence used in EBP can vary considerably. This article highlights the necessity of critically appraising facility design research articles and using a hierarchical model to rate the strength of evidence.
  • Bernd, R., du Prel, J.-B., & Blettner, M. (2009). Study design in medical research: Part 2 of a series on the evaluation of scientific publications. Deutsches Aerzteblatt International, 106(11), 184–189. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2695375/pdf/Dtsch_Arztebl_Int-106-0184.pdf

    This article provides guidance in evaluating the study design of scientific publications for reliability and credibility. The authors suggest that the most important elements to consider are the question to be answered, the study population, the unit of analysis, the type of study, the measuring technique, and the calculation of sample size.
  • Walden University. (n.d.a). Paper templates. Retrieved July 23, 2012, from http://writingcenter.waldenu.edu/57.htm (for review)

    This website provides you access to the School of Nursing Sample Paper, which will serve as a template for formatting your papers. Media
  • Laureate Education, Inc. (Executive Producer). (2012g). Hierarchy of evidence pyramid. Baltimore, MD: Author.  (for review)

    This multimedia piece explains the hierarchy of evidence pyramid. The piece offers definitions and key information for each level of the pyramid.
  • Laureate Education, Inc. (Executive Producer). (2012n). Weighing the evidence. Baltimore, MD: Author. 

    Note: The approximate length of this media piece is 6 minutes.

    In this video, Dr. Kristen Mauk provides insight about how she analyzed her data and interpreted meanings of what the data showed. She describes how she drew conclusions based on the results and how she explained unexpected findings that were contrary to her initial hypotheses 

Job Search, Application, and Interview Processes

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Throughout your program of study, you have been encouraged to think about your strengths, values, and professional aspirations, as well as the opportunities you have to create positive impact as a nurse leader-manager or nurse informaticist.

How would you most like to leverage your knowledge and expertise going forward? What types of professional positions could you see yourself in, now and further along in your career? What steps could you take to identify a job that appeals to you and to secure a position that you find intellectually challenging and rewarding?

In this Discussion, you examine strategies for conducting an effective job search and assess how you could convey your qualifications for a position of interest to you.

To prepare:

  • Reflect on your strengths, values, and professional aspirations. How will these inform the next stage of your career?
  • Consider what you have learned through your experiences in the practicum about professional roles and functions in your specialty area.
  • Review the information in the Learning Resources, and think about the process of conducting a job search. If possible, speak with individuals in your practicum setting as well as other nursing professionals about how they have identified positions that align with their needs and ambitions. Ask for advice about conducting a successful job search.
  • Search postings of open positions that appeal to you, and identify one for which you would like to apply. If you have difficulty finding such a position, for the purposes of this Discussion you may select one that has already been filled or is in a different region. (Note: If you are not interested in finding a new position, please approach this activity as an opportunity to explore the field. If you are interested in changing positions, please use this activity for that purpose.) 
  • What steps would you take to apply for and secure an interview for this position? Write a cover letter and target your résumé or Curriculum Vitae (CV) to this position. (Note: You are not required to complete the job application for this Discussion.)
  • How would you prepare for an interview for this position? What questions do you think would be posed, and what information would you like to learn about the position and the organization? Ask a colleague or friend to conduct a practice interview with you.
  • Consider how you might use your Professional Portfolio (submitted this week) to demonstrate your capabilities during the interview process.