Nurses as Change Agents in the Community

Nurses as Change Agents in the CommunityAs in all assignments, cite your sources in your work and provide references for the citations in APA format..In the chapter, “How Community-Based Organizatio

Nurses as Change Agents in the Community

As in all assignments, cite your sources in your work and provide references for the citations in APA format.

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In the chapter, “How Community-Based Organizations Are Addressing Nursing’s Role in Transforming Health Care,”(SEE ATTACHED DOCUMENT HAVE THE CHAPTER TO READ))))) the authors describe the community as the focus of advocacy action for change. They list a series of questions that help community teams develop organizing principles to guide their interventions, and the aim is to attack social determinants of health to make community change.

Suppose a community team identifies lack of access to exercise modalities as a public health issue. If the team were to determine that pedestrian walkways need to be constructed, discuss at least two factors that would facilitate the development of the walkways and two that would hinder the development. For the hindrances, discuss ways that the team might work to overcome those hindrances.

Continue to read daily from one of the policy briefs that are included in your weekly readings list. POLITICO Pulse is a daily briefing from POLITICO, and the Kaiser Health News Morning Briefing is a daily briefing from the Kaiser Family Foundation. Both focus on health care. Either one will keep you abreast of what is happening in health care policies and politics.

In addition, subscribe to the “HealthCetera” podcast and listen to the podcast weekly. This is a production of WBAI, free speech radio of Pacifica Foundation Radio in New York City. Diana Mason and Barbara Glickstein are founders and codirectors of the Center for Health Media Policy (CHMP). Both are recognized as experts in media, nursing, health, and health policy. They have a longstanding relationship as producers and moderators of HealthCetera, a live, award-winning radio program on public radio and iTunes. They are bloggers for Disruptive Women in Health Care and for the American Journal of Nursing (AJN). The CHMP is an interdisciplinary initiative for advancing the health of the public and healthy public policies through media, research, education, and public forums. Listen to the podcast throughout the course and think on the topics that are discussed, especially as they relate to how we advocate for issues of importance in this contemporary political environment.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and les

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format. 

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

  • Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
  • Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. 

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

  • Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)
  • Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 55–92

Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80. https://doi.org/10.18438/B8WS5N. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144 

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010a). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61. 

doi:10.1097/01.NAJ.0000368959.11129.79. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2010/03000/Evidence_Based_Practice,_Step_by_Step__Asking_the.28.aspx

Se,_Step_by_Step__Searching.24.aspx 

Post your PICO(T) question, the search terms used, and the names of at least two databases used for your PICO(T) question. Then, describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

Leadership Change project:

ASSIGNMENT DETAILS/ GRADING CRITERIA: 1. Evidenced-based Leadership Change project: Instructions for Leadership Change Paper: Observe your environment in the health care facility where you have clinic

ASSIGNMENT DETAILS/ GRADING CRITERIA: 1. Evidenced-based Leadership Change project: Instructions for Leadership Change Paper: Observe your environment in the health care facility where you have clinical and monitor the site for signs and symptoms of the need for change. Look at the nursing processes in place: do they work efficiently, are infection control practices being done routinely. Anything can be a catalyst for change as long as it adds something positive to the establishment. Then, diagnose the problem that indicates a need for change:1.Pick a change theory. Lewin’s change theory is used widely in nursing. Despite this fact, there are many other change theories you can use like Spradley’s theory of change, Lippitts change theory or Roger’s theory of change. Pick the ones that best suit the change you are trying to bring about. 2.  Put a plan together. Using your selected change theory, develop a plan based on each step of the theory you have chosen. Your plan should address what you will do to solve the problem you have diagnosed. It should include activities that will combat the problem and bring about change, a method to measure the success of the plan such as a quiz and a way to make the change permanent. Be sure to include a timeline or timetable for your change project. It needs to have a beginning and an end. 3.Type a 4-5 page double-spaced, APA formatted professional paper that describes your project and submit to your instructor at the end of the semester. The paper has to include:   An introduction: Brief description of the issue & Purpose of the paper  Assessment of the environment which needs to be changed: Current practice, organizational structure, deriving and restraining forces, advantages of change, cost and resources for implementing the change. Planning: Goals of change, phases of change, timeline, how you will mobilize the driving forces and minimize the restraining forces and plan of evaluation Implementation: Needed training and education and methods Evaluation. Conclusion 4. Discuss the change theory you applied to the problem you diagnosed and all the activities you planned for bringing about change. 

Ask them if they think that this would be an important aspect for a nurse to incorporate into his or her practice and have them explain why or why not.

Assignment 2: Choosing a Core Value and Healing vs. Curing

review the core values of holistic nursing listed in the text. Determine which one you personally rank as the most important. Explore this core value further on the Web, in the text, and on the online library. State your rationale of why you see this value as being important for a holistic nurse to incorporate into his or her practice.

Interview 3 people (family, friends, coworkers) according to the following guidelines:

  • Explain the selected core value to them in your own words.
  • Ask them if they think that this would be an important aspect for a nurse to incorporate into his or her practice and have them explain why or why not.

Also, review your text and lecture and explore the Web for descriptions of the terms healing and cure. Describe a case from your clinical practice in which there was no cure but there was healing. Describe the details of the healing experienced by the person interviewed.

Post a summary in a 3-4 page Word document 

What is the role of committees, task forces, and councils in the organization, and who is invited to join? Consider how this relates to formal and informal leadership.

Organizational Structures and Leadership

Organizational Structures and Leadership

In most health care settings, it is unlikely that you would hear the terms “ad hoc” or “matrix” as you walk down the hallway. Although it is helpful for any organization to delineate pathways of responsibility and authority in an organizational chart, the lived experience of these structures is most apparent through the inquiries and behaviors people share everyday.

In your own workplace, you may find yourself wondering, who should I turn to when I have a practice dilemma? or Where can I go to learn more about this issue? These questions speak to the intricacies of formal and informal organizational structure and leadership.

To prepare:

  • Review the information presented in Chapter 12 of the course text. Focus on the information about formal versus informal structure as well as the types of organizational structures.
  • Consider the overall structure or hierarchy of your organization or one with which you are familiar. Which organizational structure best describes your organization—line (or bureaucratic), ad hoc, matrix, service line, or flat? Note: It is possible to have a combination of structures in one organization. Is decision making centralized or decentralized in this organization?
  • What is the role of committees, task forces, and councils in the organization, and who is invited to join? Consider how this relates to formal and informal leadership.
  • Reflect on how decisions are made within a specific department or unit. Which stakeholders provide input or influence the decision-making process? Assess this in terms of formal and informal leadership.
  • To support your analysis, consider your own experiences and investigate these matters by speaking with others at the organization and reviewing available documents. Be sure to consider how the concepts of formal and informal structure and leadership relate to one another and are demonstrated in the organization and in the particular department or unit.

By Day 3

Post a depiction of your organization’s formal structure, indicating whether it is best described as line, ad hoc, matrix, service line, flat, or a combination. Describe how decisions are made within the organization and within one department or unit in particular, noting relevant attributes of centralized/decentralized decision making. Explain the influence of formal and informal leadership on decision making within this department or unit.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

  • Ask a probing question, substantiated with additional background information, evidence, or research.
  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

  • Chapter 2, “Classical Views of Leadership and Management”The information introduced through this chapter relates to this week’s Discussion, and will also be referred to in future weeks of the course.
  • Chapter 3, “Twenty-First Century Thinking About Leadership and Management”This chapter examines new thinking about leadership and management and how this may influence the future of nursing.
  • Review Chapter 12, “Organizational Structure”

Allmark, P., Baxter, S., Goyder, E., Guillaume, L. & Crofton-Martin, G. (2013), Assessing the health benefits of advice services: Using research evidence and logic model methods to explore complex pathways. Health & Social Care in the Community, 21, 59–68. doi:10.1111/j.1365-2524.2012.01087.x

This manuscript examines causal pathways between the provision of advice services and improvements in health. It may also be useful to commissioners and practitioners in making decisions regarding development and commissioning of advice services.

Downey, M., Parslow, S., & Smart, M. (2011). The hidden treasure in nursing leadership: Informal leaders. Journal of Nursing Management, 19(4), 517–521.

Retrieved from the Walden Library databases.

Informal leaders can have a strong impact in the workplace. This article explores the value informal leaders can provide.

discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way? Does this seem like a valid process for you to apply in your practice?

i need TWO

Consider the “Four Topics Approach” (or Four Box method) to ethical decision making .  Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.

In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way?  Does this seem like a valid process for you to apply in your practice? 

Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.

Review the rubric for further information on how your assignment will be graded.

complete it using correct grammar and APA, and submit it as your assignment in lieu of writing a paper. *You will need Adobe Acrobat in order to utilize this fillable .pdf form.

TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Case

Consider the “Four Topics Approach” (or Four Box method) to ethical decision making .  Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.

In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way?  Does this seem like a valid process for you to apply in your practice? 

Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.

Review the rubric for further information on how your assignment will be graded.

complete it using correct grammar and APA, and submit it as your assignment in lieu of writing a paper. *You will need Adobe Acrobat in order to utilize this fillable .pdf form.

TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases

Write a 3-page paper on how the disease process is different in the older adult population as compared to younger adults.

3 pages paper in APA format

Hi, I need 3 pages APA format paper. The topic is: Osteoporosis in older adult Vs young adult

Write a 3-page paper on how the disease process is different in the older adult population as compared to younger adults. The paper should discuss differences in signs and symptoms, assessment, interventions, and potential outcomes (ie. the nursing process). Also include a brief discussion on appropriate older assessment tools that are available. The ConsultGeriRN.org website has a complete listing of such assessments. Attach a copy of the tool(s) discussed.

Please be concise and accurate, 100% should be your own words. My teacher catches any copy and paste  and gives 0 point incase of plagiarism. We should submit this assignment through safe assign that check for any matches, i want you to check the website my professor provided for appropirate assessment you mentioned in paper and i need a copy of that page to submit to my teacher. Also i need good resourses for writing this 3 pages paper.

Writing should be concise and clear, using proper APA format and appropriate references to support your discussion.  Please before agree to do this homework, read all instructions i provided.  Thank you

Hi, I need 3 pages APA format paper. The topic is: Osteoporosis in older adult Vs young adult

Write a 3-page paper on how the disease process is different in the older adult population as compared to younger adults. The paper should discuss differences in signs and symptoms, assessment, interventions, and potential outcomes (ie. the nursing process). Also include a brief discussion on appropriate older assessment tools that are available. The ConsultGeriRN.org website has a complete listing of such assessments. Attach a copy of the tool(s) discussed.

Please be concise and accurate, 100% should be your own words. My teacher catches any copy and paste  and gives 0 point incase of plagiarism. We should submit this assignment through safe assign that check for any matches, i want you to check the website my professor provided for appropirate assessment you mentioned in paper and i need a copy of that page to submit to my teacher. Also i need good resourses for writing this 3 pages paper.

Writing should be concise and clear, using proper APA format and appropriate references to support your discussion.  Please before agree to do this homework, read all instructions i provided.  Thank you

Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability.

Assignment

In 500-750 words, develop an evaluation plan to be included in your final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

  1. Describe the rationale for the methods used in collecting the outcome data.
  2. Describe the ways in which the outcome measures evaluate the extent to which the project objectives are achieved.
  3. Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability.
  4. Describe strategies to take if outcomes do not provide positive results.
  5. Describe implications for practice and future research.

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.

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

Consider the twelve-year-old and the seventy-five-year-old have a chronic illness. How does the chronically ill patient's illness trajectory influence the plan of care?

Discussion QuestionThere are many factors that affect chronic illness—chronic pain, stigma, social isolation, altered mobility, or fatigue. Utilizing your learning from your readings and the South U

Discussion Question

There are many factors that affect chronic illness—chronic pain, stigma, social isolation, altered mobility, or fatigue. Utilizing your learning from your readings and the South University Online Library resources, respond to one the following questions:

  • Based on the research, which of these factors have the greatest impact on a patient? Why? Contrast at least two ways the factors would affect a twelve-year-old with the way they would affect a seventy-five-year-old.
  • Consider the twelve-year-old and the seventy-five-year-old have a chronic illness. How does the chronically ill patient’s illness trajectory influence the plan of care?
  • Review Healthypeople.gov website. Discuss how you feel these goals will impact the health of the nation. Briefly discuss how you could incorporate these goals/objectives into your day-to-day nursing practice.

Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.

A. CARING FOR SELF PAPER

A. CARING FOR SELF PAPERThe purpose of this assignment is to explore knowing self as caring person, to examine the literature on caring for self and integrate it into a broad understanding of carin

A.    CARING FOR SELF PAPER

The purpose of this assignment is to explore knowing self as caring person, to examine the literature on caring for self and integrate it into a broad understanding of caring for self. Process: a. Make a date with yourself to engage in an activity that highlights your importance to you. Engage fully in this activity, taking as much time as you need, and then write your reflections as a 2 page paper (excluding title page and reference page) using the following (1 – 4) in the rubric below as your headings. Remember to use APA format.

b. Evaluation of Caring for Self-Paper:

1. Describe the activity.

2. Discuss why you picked this activity.

3. Describe what is the meaning of caring for self, integrate the literature on caring for self from your current readings of Mayeroff, Roach, Boykin & Schoenhofer, and 2 other manuscript references from the vast scholarly nursing literature on caring for self. Total 5 references minimum.

4. Describe how this activity nurtured your wholeness and well-being.

5. Use APA format; title page and reference page.