Interventions For Health Promotion

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Interventions For Health Promotion

Case 

S.M. is a nurse practitioner in a large midwestern city. Today she is participating in a health fair at the Islamic Cultural Center. She is anticipating attendance by many families of Arab-American descent. Interventions For Health Promotion

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S.M. knows common health issues in Arab Americans include cardiovascular disease and diabetes. Her goals today are to gain the trust of the families she meets, learn about their health behaviors, provide education about healthy lifestyles, and arrange any follow-up care that may be needed. Interventions For Health Promotion

Questions for the case

During the health fair, S.M. assesses her clients’ risk factors, including person-dependent factors and
environmental-dependent factors. List at least 3 examples of a person-dependent factors and environmental dependent-factors.

Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:

  1. Define and describe the primary goals of screening.
  2. Discuss your thoughts on the relationship between economics and nutrition. How would you advise people of low socioeconomic status to eat healthy on a budget? How would you respond to patients whose financial restraints limit their access to food?
  3. Identify potential barriers to patient teaching and how you would address these barriers.

Your initial post should be at least 550 words, formatted and cited in current APA style with support from at least 3 academic sources.

Nursing homework help

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Nursing homework help

#1: Describe one internal and one external method for the dissemination of your evidence-based change proposal. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your change proposal to both of these groups. How will your communication strategies change for each group?

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#2: In order to evaluate an evidence-based practice project, it is important to be able to determine the effectiveness of your change. Discuss one way you will be able to evaluate whether your project made a difference in practice.

#3: Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? Why?

#4: Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project? Nursing homework help

#5: In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

  1. Background
  2. Clinical problem statement.
  3. Purpose of the change proposal in relation to providing patient care in the changing health care system.
  4. PICOT question.
  5. Literature search strategy employed.
  6. Evaluation of the literature.
  7. Applicable change or nursing theory utilized.
  8. Proposed implementation plan with outcome measures.
  9. Discussion of how evidence-based practice was used in creating the intervention plan.
  10. Plan for evaluating the proposed nursing intervention.
  11. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
  12. Appendix section, if tables, graphs, surveys, educational materials, etc. are created.

Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting. Nursing homework help

The Case Study/Scenario

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The Case Study/Scenario

The Case Study/Scenario:

Jason, a 13-year-old male comes in with Mom complaining of painful swallowing. Started yesterday as a “really bad sore throat” made worse with swallowing. He reports feeling very tired. His Mom gave him over-the-counter Children’s Motrin which made his fever better but did not help his sore throat. He reports his symptoms are especially, worse during nighttime. His tonsils are 2+ and erythematous, tonsil stones are present on the right side. He has white patches on his tongue

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The Question

In this Case Study

  1. Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study.
  2. Consider case studies of abnormal findings from patients in a clinical setting.
  3. Determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted.
  4. How would the results be used to make a diagnosis?
  5. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case.
  6. Formulate at least Five differential diagnoses with several possible conditions and justify why you selected each.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby. The Case Study/Scenario

 

  • Chapter 6, “Vital Signs and Pain Assessment”

    This chapter describes the experience of pain and its causes. The authors also describe the process of pain assessment.

 

  • Chapter 18, “Abdomen”

    In this chapter, the authors summarize the anatomy and physiology of the abdomen. The authors also explain how to conduct an assessment of the abdomen.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.

Chapter 3, “Abdominal Pain”
This chapter outlines how to collect a focused history on abdominal pain. This is followed by what to look for in a physical examination in order to make an accurate diagnosis.

Chapter 10, “Constipation”
The focus of this chapter is on identifying the causes of constipation through taking a focused history, conducting physical examinations, and performing laboratory tests.

Chapter 12, “Diarrhea”
In this chapter, the authors focus on diagnosing the cause of diarrhea. The chapter includes questions to ask patients about the condition, things to look for in a physical exam, and suggested laboratory or diagnostic studies to perform.

Chapter 29, “Rectal Pain, Itching, and Bleeding”
This chapter focuses on how to diagnose rectal bleeding and pain. It includes a table containing possible diagnoses, the accompanying physical signs, and suggested diagnostic studies.

 

Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F. A. Davis.

Credit Line: Advanced practice nursing procedures, 1st Edition by Colyar, M. R. Copyright 2015 by F. A. Davis Company. Reprinted by permission of F. A. Davis Company via the Copyright Clearance Center.

 

These sections below explain the procedural knowledge needed to perform gastrointestinal procedures.

Chapter 115, “X-Ray Interpretation of Abdomen” (pp. 514–520)

 

Note: Download this Student Checklist and Abdomen Key Points to use during your practice abdominal examination.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Abdomen: Student checklist. In Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Abdomen: Key points. In Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.

Chabok, A., Thorisson, A., Nikberg, M., Schultz, J. K., & Sallinen, V. (2021). Changing paradigms in the management of acute uncomplicated diverticulitis. Scandinavian Journal of Surgery, 110(2), 180–186. https://doi.org/10.1177/14574969211011032

Hussein, A., Arena, A., Yu, C., Cirilli, A., & Kurkowski, E. (2021). Abdominal pain in the elderly patient: Point-of-care ultrasound diagnosis of small bowel obstruction. Clinical Practice and Cases in Emergency Medicine, 5(1), 127–128. https://doi.org/10.5811/cpcem.2020.11.50029

 

 

.

 

 

Natural and Applied Sciences and Social Sciences

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Natural and Applied Sciences and Social Sciences

IDS 402 Milestone Four Guidelines and Rubric
Analyzing an Issue or Event in Wellness Through the Lenses of the Natural and Applied Sciences and Social Sciences
Overview: For the first part of your final project, the critical analysis portfolio, you will select an issue or event in wellness and critically analyze it through the
four general education lenses: history, humanities, natural and applied sciences, and social sciences. By viewing the issue or event through these lenses, you will
gain insight into how the interconnected nature of wellness affects society as well as both your own individual framework of perception and the choices,
attitudes, and behaviors of others in the world around you. Natural and Applied Sciences and Social Sciences

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For this fourth milestone, due in Module Six, you will analyze your issue/event in wellness through the lenses of the natural and applied sciences and the social
sciences. Like Milestone Two, this task provides you with an opportunity to dive deeper into your analysis of the issue/event through these two lenses. This will
provide you with a chance to practice analyzing your issue/event through these lenses and receive feedback on this practice attempt.
Prompt: First, review your work in Modules Five and Six, as well as the IDS Four General Education Lenses document in the Reading and Resources section of
Module One.

Next, analyze your issue/event through the lens of the natural and applied sciences by exploring the following questions:
 How does this issue/event provide a social commentary through the natural and applied sciences?
 In what ways can science help resolve or enhance your issue/event?
Next, analyze your issue/event through the lens of the social sciences, and address the following:
 How does this issue/event interact with the social sciences lens and impact social issues?
 In what ways does the social science lens help articulate a deeper understanding of the social issue(s) that inform your issue/event?
Note: You are completing two separate analyses: one from the natural and applied sciences and one from the social sciences. You must submit two papers in a
single Word document.
Be sure to use evidence from research to support your analysis. Refer to course resources, the IDS 402 Research LibGuide (linked in the Start Here section of your
course), and any other pertinent resources to support your responses. Relevant current news sources may be used with instructor approval. Incorporate
instructor feedback into Final Project Part One.
Specifically, the following critical elements must be addressed: Natural and Applied Sciences and Social Sciences

 

 

 

 

 

I. Lens Analysis: In this section of your assignment, you will analyze your issue/event through two of the four general education lenses.
A. Analyze your issue/event through the lens of the natural and applied sciences for determining its impact on various institutions. Utilize evidence
from research to support your analysis.
B. Analyze your issue/event through the lens of the social sciences for determining its impact on various institutions. Utilize evidence from research
to support your analysis.
Rubric
Guidelines for Submission: Milestone Four should be submitted as two papers in a single Word document. The entire submission should be 2 to 4
pages in length. Use double-spacing, 12-point Times New Roman font, and one-inch margins. Support your responses with at least two sources for each lens from
the assigned course resources, or other scholarly sources located independently via the Shapiro Library. Cite your supporting sources in APA style.
Please note that the grading rubric for this milestone submission is not identical to that of the final project. The Final Project Part One Rubric will include an
additional “Exemplary” category that provides guidance as to how you can go above and beyond “Proficient” in your final submission, as well as additional
elements to address.
Critical Elements Proficient (100%) Needs Improvement (75%) Not Evident (0%) Value
Lens Analysis: Natural and
Applied Sciences
Analyzesissue/event through the lens of
the natural and applied sciencesfor
determining itsimpact on various
institutions, using evidence from
research to support analysis
Analyzesissue/event through the lens of
the natural and applied sciences, but
analysisis cursory or illogical, or
supporting evidence is inappropriate or
nonexistent
Does not analyze issue/event through
the lens of the natural and applied
sciences, using evidence from research
to support analysis
40
Lens Analysis: Social
Sciences
Analyzes issue/event through the lens of
the social sciences for determining its
impact on various institutions, using
evidence from research to support
analysis
Analyzes issue/event through the lens of
the social sciences, but analysis is
cursory or illogical, or supporting
evidence is inappropriate or nonexistent
Does not analyze issue/event through
the lens of the social sciences, using
evidence from research to support
analysis
40
Articulation of Response Submission has no major errors related
to citations, grammar, spelling, syntax, or
organization
Submission has major errors related to
citations, grammar, spelling, syntax, or
organization that negatively impact
readability and articulation of main ideas
Submission has critical errors related to
citations, grammar, spelling, syntax, or
organization that prevent understanding
of ideas
20
Total 100%

Assisting A Patient With Cardiovascular Conditions

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Assisting A Patient With Cardiovascular Conditions

Name: __________________________________________________

 

 

Assignment: Cardiac Clinical Reasoning

 

Data Collection:

Patient History

 

 

  1. What is the relationship of the patient’spast medical historyand his current medications?

 

Complete the table on page 2 for this patient’s home medications.

(2 points each = 8 pts total)

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Classification: List the medication’s therapeutic and pharmacologicclassification that is appropriate to the condition from the patient’s medical history.

 

Indications: Of Mr. Hart’s homemedications listed in the table, identify the condition(s) that it is treating from this list belowfrom the patient’s medical history.There may be more than one answer. (In other words, why is this patient taking this medication?)

Assisting A Patient With Cardiovascular Conditions

 

Past Medical History for Mr. Hart:

 

Hypertension

 

Heart Failure

 

Hyperlipidemia

 

Myocardial infarction

 

Coronary Artery Disease

 

 

 

 

 

Medication a.    Therapeutic Classification

b.    Pharmacologic Classification of the medication

 Indications
 

simvastatin/Zocor

 

 

 

 

 

 

 

 

 a.

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
b.
 

sacubitril/valsartan/Entresto

 

 

 

 

 

 

 

 

 

 

 

 a.  
b.
 

acetylsalicylic acid/aspirin

 

 

 

 

 

 

 

 

 

 

 

 

 

 a.  
b.
 

eplerenone/Inspra

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 a.  
b.

 

 

 

Data Collection:

Patient’s Primary Symptoms, Vital Signs, and Diagnostic Tests

 

2.

 

PrimarySymptoms:

 

Patient comes to the clinic concerned that is experiencing episodes of chest tightness and a rapid heartbeat on exertion, has developed a persistent cough, and is increasingly fatigued with occasional dizziness. He reports that he is noticing shortness of breath on exertion with some chest discomfort and is becoming increasingly SOB even at rest. He has had to sleep with 3 pillows to keep from becoming SOB at night the last 2 weeks. He reports difficulty getting his shoes on the last month because of increased swelling around his ankles. He weighs himself once a week and today his weight has increased from 255 lbs. to 264 lbs. over the last 7 days.

 

  1. Which findings in this patient indicate Left-sided failure and which indicate Right-sided failure? (4 points)

 

Left-sided failure findings in this patient:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Right-sided failure findings in this patient:

 

 

  1. Explain what is happening physiologically to this patient and how it is resulting in his symptoms. Be specific and complete.

(1 point)

 

 

 

 

 

 

 

 

  1. Of these patient’s reported signs and symptoms in his history and in the Nurse’s Notes, which3findings require the most immediateattentionby the nurse? (1 point)

 

_______ Weight gain

 

_______ Ankle swelling

 

_______Persistent cough

 

_______ Increasing fatigue

 

_______Irregular heart rhythm

 

_______ Chest tightness, Chest discomfort

 

_______ Shortness of breath on exertion and rest

 

 

 

 

 

 

 

 

 

 

 

 

  1. What is the relationship or clinical significancebetween this patient’s vital signs and theproblem of heart failure?

(a. and b. 3 points each = 6 points total).

 

RelevantVital Signs:

 

 

 

a. Heart rateand character

What is normal:

 

 

 

 

 

The patient’s data (rate, character):

 

 

 

 

 

b.  Respirations: Rateandlung sounds

 

What is normal:

Rate:

 

Sounds:

 

 

The patient’s data:

Rate:

 

Sounds:

 

 

 Relationship or clinical significance to Heart Failure:

(What is causing the abnormality in thispatient? Or is it normal?)

 

 

a.

 

 

 

 

 

 

 

 

 

 

 

 

b.

 

 

 

 

 

 

 

 

 

 

 

 

 

  1. What is the relationship or clinical significance between this patient’sdiagnostic test resultsandhisheart failure?

(a., b. c. and d = 3 points each= 12 total pts)

 

Diagnostic test results:

 

 Clinical significance of these results and the relationship to the patient’s Heart Failure or to the patient’s symptoms:

(Why were these tests ordered? What do the tests reveal about this patient’s condition? What do the tests mean for this patient?)
 

a.  BNP

 

What is normal:

 

 

The patient’s data:

 

 

 

 

 

b. Ejection fraction

 

What is normal:

 

 

 

 

 

The patient’s data:

 

 

 

 

 

 

 

 

 

c. Troponins

What is normal:

 

 

 

 

The patient’s data:

 

 

  

a.

 

 

 

 

 

 

 

 

 

 

b.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c.

 

 

 

 

 

 

 

 

 

 

d.    Electrocardiogram:

 

Rhythm: Is it Regular or Irregular? ___________________________

 

P wave present (yes or no)? ______________________________________

 

 
What is the interpretation of this rhythm:

 

 

 

 

 

 

 

Identifying the problem

(2 points)

 

  1. Based on the data collection findings, the primary medical diagnosis for Mr. Hart is:

 

  • An exacerbation of heart failure.

 

The nurse notes the patient’s problems of activity intolerance and fluid volume overload.

 

 

  1. Based on the data collection findings, these symptoms are the result of a decreased:

 

Choose one

 

________ Blood pressure

 

_________Cardiac output

 

_________ Heart rate

 

 

  1. Understanding the primary physiological problem for this patient currently, the client is at highest risk of:

 

Choose one

 

________Dysrhythmia

 

________ Pulmonary edema

 

________ Myocardial Infarction

 

 

As evidenced by the patient’s:

 

Choose one

 

_______ EKG

 

_______ BNP level

 

_______ Troponins

 

_______ Chest x-ray

 

 

 

 

Collaborative Care/ Nursing:

Interventions

(2 points)

 

  2. Of these potential nursing interventions, choose if the intervention is indicated at this time or non-essential (not necessary) or contraindicated for this patient.

 

Place an X or checkmark in the appropriate column. (1 point)

 

 

Nursing intervention Indicated Non-essential Contraindicated
Place client in Semi-Fowlers or high Fowler’s position  

 

    
Keep a water pitcher and ice chips at the client’s bedside

 

      
Reposition every 2 hours when in bed

 

      
Schedule activities with frequent periods of rest      

 
 Observe patient for nausea, anorexia, or visual disturbances      

 

  1. Choose one expected outcome for the patient problem. Not all outcomes will be used. (1 point)

 

Patient problem                                                                                                      Expected outcome

 

Activity intolerance__________                                                                a. Respiratory rate and oxygen saturation within normal range

 

Increased fluid volume_________                                                           b. The client performs activities without fatigue

 

  1. Intake and output equal with no peripheral edema

 

  1. The patient reports no dizziness when standing.

 

Collaborative Care/ Medical Management:

Interventions

 

  1. What is rationale for the healthcare provider’s prescriptions? How is each order helping to resolve or address the problems associated with Heart Failure?

(a.- d., 2 points each = 8pts)

 

 

HCP Prescription Rationale for this order/ How it helps resolve or address primary problems associated with Heart Failure:
a.    Daily weights, I & O, anti-embolism stockings, fluid restriction a.

 

 

 

 

 

 
b.    The daily dose of eplerenone/Inspra b.

 

 

 

 

 
c.    The one-timestat dose of furosemide/Lasix

 

 c.

 

 

 

 

 
d.    The consult for possible cardioversion d.

 

 

 

 

 

Evaluation

(5 points)

 

 

  1. The patient is stabilized and ready for discharge.

 

 

  1. Explain the classification, purpose, and intended therapeutic effect of adding warfarin/Coumadinto Mr. Hart’s medications:

 

  1. Classification of warfarin and its purpose for Mr. Hart:

 

 

 

  1. In reviewing Mr. Hart’s medications, what must be brought to the attention of the HCP?

 

 

 

 

  1. Explain the classification, purpose, and monitoring required when adding digoxin/Lanoxinto Mr. Hart’s medications:

 

  1. Classification of digoxin and its purpose for Mr. Hart:

 

 

 

 

 

  1. What specifically is monitored by the nurse in a patient taking digoxin?

 

 

 

 

 

 

 

 

 

 

Evaluation, cont.

 

 

 

  1. Which statements by the client indicates that he understands the evidence-based follow-up activities and observations required to promote health and wellness, even with his chronic condition of heart failure?(1 point)

 

Select all that apply

 

            _________ “I will take a daily walk and rest as needed.”

 

_________ “I should add more leafy greens into my diet.”

 

_________ “I will eat my normal diet as long as I do not add table salt.”

 

________ “I will read the labels on all foods to ensure my diet in low in sodium.”

 

_________ “I will take a laxative to make sure that I have a bowel movement every day.”

 

_________ “I will contact my health care provider if I gain more than 3 pounds in a week.”

 

_________ “I may include red wine in my diet occasionally to prevent further damage to my heart.”

 

_________ “I will return to the clinic to have my blood checked for potassium and for my digoxin level.”

 

_________ “I will check my radial pulse every day and hold my heart medication if my pulse is below 65.”

 

_________ “I will weigh myself once every week on the same scale and at the same time to monitor for changes.”

 

 

 

 

 

 

 

Quantitative Research Critique and Ethical Considerations

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Quantitative Research Critique and Ethical Considerations

Rough Draft Quantitative Research Critique and Ethical Considerations

Assessment Description

Write a critical appraisal that demonstrates comprehension of two quantitative research studies from the attached Literature Evaluation Table (see attachment 2).Use the “Research Critique Guidelines – Part II”(see attachment 3) document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses. Quantitative Research Critique and Ethical Considerations

Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Literature Evaluation Table to complete this assignment.

In a 1,000–1,250 word essay, summarize the two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

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

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

Literature Evaluation Table

Student Name: Daniel Nweke

Summary of Clinical Issue

The corona virus pandemic has killed many people and caused an economic downturn unprecedented in history. People living in rural areas have been disproportionately affected by this pandemic and are among those most at risk; however, there has been insufficient information disseminated to this vulnerable group of people. The corona virus, like all other viruses, is an obligate parasite that cannot reproduce outside of the host. Because the virus lacks bodies to grow in, it can only spread by hijacking the host’s body. Viruses cause infection by invading the body’s cells and multiplying within the host. This virus has a brief intracellular period before infecting cells and a prolonged intracellular period during replication. The virus can suppress the host’s immune response, allowing it to overcome or minimize the host’s defense. The Centers for Disease Control and Prevention developed a social distancing policy with guidelines that will be implemented throughout the United States. This is intended to aid in the prevention of disease transmission. COVID-19. The Corona Virus is a mild infection that most people will recover from. The government has implemented several measures to keep people safe from the disease and reduce the risk of infection. Aside from creating a safe environment, the policy aims to educate the public about the dangers associated with this disease. Quantitative Research Critique and Ethical Considerations

 

My picot question therefore is: Will the spread of Covid-19 in PG county reduce after the Implementation of Early preventive measures of social Distancing, mask-wearing, and Nursing education, compared to Neighboring counties with more cases where such actions were not implemented to reduce the spread of the virus over the next few months?

 

 

PICOT Question:

 

Criteria Article 1 Article 2 Article 3
APA-Formatted Article Citation with Permalink “Teslya, A., Pham, T. M., Godijk, N. G., Kretzschmar, M. E., Bootsma, M. C., &Rozhnova, G. (2020). Impact of self-imposed prevention measures and short-term government-imposed social distancing on mitigating and delaying a COVID-19 epidemic: A modelling study. PLoS medicine, 17(7), e1003166.Impact of self-imposed prevention measures and short-term government-imposed social distancing on mitigating and delaying a COVID-19 epidemic: A modelling study (plos.org)”

 

 “Chiu, N. C., Chi, H., Tai, Y. L., Peng, C. C., Tseng, C. Y., Chen, C. C., … & Lin, C. Y. (2020). Impact of wearing masks, hand hygiene, and social distancing on influenza, enterovirus, and all-cause pneumonia during the coronavirus pandemic: Retrospective national epidemiological surveillance study. Journal of Medical Internet Research, 22(8), e21257.JMIR – Impact of Wearing Masks, Hand Hygiene, and Social Distancing on Influenza, Enterovirus, and All-Cause Pneumonia During the Coronavirus Pandemic: Retrospective National Epidemiological Surveillance Study | Chiu | Journal of Medical Internet Research” “Bundgaard, H., Bundgaard, J. S., Raaschou-Pedersen, D. E. T., von Buchwald, C., Todsen, T., Norsk, J. B., … & Iversen, K. (2020). Effectiveness of adding a mask recommendation to other public health measures to prevent SARS-CoV-2 infection in Danish mask wearers: a randomized controlled trial. Annals of Internal Medicine.Effectiveness of Adding a Mask Recommendation to Other Public Health Measures to Prevent SARS-CoV-2 Infection in Danish Mask Wearers: A Randomized Controlled Trial: Annals of Internal Medicine: Vol 0, No 0 (acpjournals.org)”
How Does the Article Relate to the PICOT Question? This article directly supports the PICOT as it highlights measures that can help in reducing COVID 19 This study is very significant in supporting my PICOT since it shows the role that the various measures that have been put in place can help not only in reducing the spread of Covid 19 but also other respiratory disease. This article highlights some of the measures that can help in checking the spread of this Virus and therefore it is directly related to my PICOT question.
Quantitative, Qualitative (How do you know?) This is a qualitative study because it uses non numerical data in analyzing the study results This is a qualitative study because it uses non numerical data in analyzing the study results This is a qualitative study
Purpose Statement The study compared the effectiveness of the various prevention measures and their effects on fighting Covid This study was aimed at investigating the impact of the implemented infectious control strategies This study was aimed at assessing whether surgical mask recommendation use outside home decreases the risk of Covid 19
Research Question Do prevention measures imposed by the government and social distancing mitigate or delay covid 19. What is the impact of the infectious control strategies that that have been implemented during this pandemic? Does wearing surgical mask outside the home reduce the risk of the wearer for COVID 19?
Outcome It was found that all the measures like hand washing, social distancing and mask wearing influence the dynamics of COVID 19 It was found that the control measures that have been implemented have greatly played a big role in helping control the pandemic. most infections came from outside the home setting
Setting

(Where did the study take place?)

 Hospitals, long term care facilities and nursing homes.   home setting

 
Sample Sample not provided   3030 participants
Method The researchers developed a deterministic compartment model to describe SARS-CoV-2. The patients were classified basing of their susceptibility and transmission observed The study used Taiwan National infectious Disease electronic database statistics.  the authors then extracted COVID 19 incidences and all al- cause pneumonia and compared these incidences The participants were enrolled, and data was registered using REDCap software. Patients who were eligible were assigned masks
Key Findings of the Study The patients were classified basing of their susceptibility and transmission observed It was found that the control measures that have been implemented have greatly played a big role in helping control the pandemic. It was observed that most infections came from outside the home setting.
Recommendations of the Researcher Using self-imposed measures and government-imposed measures will help this community to reduce the virus wearing of masks social distancing ad hand hygiene may help a lot in the prevention of covid 19 and decrease the spread of other respiratory disease This was an indication that wearing mask outside the home setting was very important as it helped in checking the spread of the virus

 

Criteria Article 4 Article 5 Article 6
APA-Formatted Article Citation with Permalink “Li, T., Liu, Y., Li, M., Qian, X., & Dai, S. Y. (2020). Mask or no mask for COVID-19: A public health and market study. PloS one, 15(8), e0237691.Mask or no mask for COVID-19: A public health and market study (plos.org)” “Gray, D. J., Kurscheid, J., Mationg, M. L., Williams, G. M., Gordon, C., Kelly, M., … & McManus, D. P. (2020). Health-education to prevent COVID-19 in schoolchildren: a call to action. Infectious diseases of poverty, 9(1), 1-3.Health-education to prevent COVID-19 in schoolchildren: a call to action | Infectious Diseases of Poverty | Full Text (biomedcentral.com)” “Hornik, R., Kikut, A., Jesch, E., Woko, C., Siegel, L., & Kim, K. (2021). Association of COVID-19 misinformation with face mask wearing and social distancing in a nationally representative US sample. Health communication, 36(1), 6-14.Full article: Association of COVID-19 Misinformation with Face Mask Wearing and Social Distancing in a Nationally Representative US Sample (tandfonline.com)”
How Does the Article Relate to the PICOT Question? This article has a direct support in my project since it elaborates the ways that mask wearing as a protective measure can help in mitigating the spread of the Virus. This article is very significant in supporting my PICCOT sine it illustrates the significance o education on trying to decrease the spread of this virus in the society. This study is crucial in supporting my PICCOT question since it illustrates the significance of offering education to the people regarding the significance of these measures to help fight the pandemic
Quantitative, Qualitative (How do you know?) This is a simulated qualitative study This is qualitative research since it does not use numerical data in the result analysis This is qualitative research that uses non numerical statistics
Purpose Statement This study was aimed at assessing whether the use of face masks is capable of delaying an influenza pandemic. This study was aimed at assessing whether the TV programs such as cartoons can help in passing covid 19 prevention messages among the children The study was aimed at assessing how misinformation on face mask wearing and social distancing affected the adherence of people to the measures put in place
Research Question What is the likely effect of the mask utilization in public spaces to combat COVID 19 pandemic Does positive health messages and television programs help in reinforcing positive influence on hand washing procedures and social distancing What is the association of misinformation of wearing face mask and social distancing in U.S and adherence?

 
Outcome The research found out that wearing mask since the masks had a considerable promise of containing the pandemic. This study illustrated that cartoon concepts allows the children to identify with characters and this reinforces the need of good hygiene The study found out that social distance was observed outside but it was not adhered at homes. There was however an increase in observance of these measures
Setting

(Where did the study take place?)

Closed settings (household and aircraft) Home environment.

 

 Home environment in the United States
Sample sample not given Sample not given 1074 adults
Method The study used equation in predicting the basic reproduction number.

B is the risk of transmission per contact and k the contact rate ad d the duration of infectivity

 The intervention was trying to inform children on the transmission of disease. This was done by using cartoon concepts An online survey was conducted where the participants were asked various questions regarding Covid 19 behaviors such as social distancing and faces mask wearing.
Key Findings of the Study The key findings illustrated that there was a great significance of wearing masks since the masks had a considerable promise of containing the pandemic. It was found that these cartoon concepts allow the children to identify with characters and they can be able to visualize intestinal parasitic worms and their eggs in people and the environment. this reinforces the need of good hygiene It was found that the wearing of face masks varied depending on the behavior. Social distance was observed outside but it was not adhered at homes. There was however an increase in observance of these measures
Recommendations of the Researcher Face masks is one of the most important measures that can play a significant role in cutting the spread of the virus. However, the masks should be properly worn for efficacy. Education is very significant in helping curb the spread of Covid 19. This should be done even to the children so that they are aware of the dangers and how to keep themselves safe It is important that more education on these measures is done. This study illustrate that although there is an increase in adherence of these measures, there is still a great importance of educating people on why this should also be done in our homes

 

 

Leading Change

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Leading Change

PICOT Question:

In adult oncology patients at an infusion Center at Queens Hospital Center, does the implementation of a music therapy program compared to current practice impact pain scores during chemotherapy over 8-10 weeks?

Please discuss your leadership skills with both interprofessional and inter-professional teams to support changes in nursing, and healthcare, at your place of employment. How have you used those skills as the leader and change agent for your DNP Project?

In the era of healthcare reform, there is high demand for system redesign by implementing QI projects to improve health outcomes (Hoyle & Johnson, 2015). The DNP curriculum prepares the nursing scholar in system leadership, scientific underpinning, advanced clinical practice, analytical methods, and interprofessional collaboration. This intense education and training prepare the nurse leader to serve as a change agent and fill the gap between evidence and practice ( Lackey, S., 2017). As innovation in healthcare is inevitable, nurse leaders must take the initiative and active engagement and are responsible for creating a changing culture. So nurse leaders should develop special innovation leadership skills in addition to the essential competencies of a leader. Innovation leaders should acquire an array of unique competencies in communication, creating a positive work culture in favor of change projects, trust development, and interdisciplinary collaboration ( Weatherford et al., 2018).

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 I believe I possess an open attitude to change, willing to think differently about how to improve outcomes for patients. I also value my perseverance in getting into details and reaching out to many potential resources to obtain expert advice. I developed communication and networking skills and taught how to keep the enthusiasm and momentum among the stakeholders. This helped me to get the needed support at the practicum site. I also realized how important it is to involve the perspectives of stakeholders and staff before finalizing the plans. I experienced episodes of immense happiness and excitement and felt discouraged and confused during the initial stages of project planning. But I consistently worked to remove the barriers and maintained optimism. Through close communication and collaboration with the involved stakeholders, I developed a sense of trust and created a supportive work environment at the site.

What leadership skills do you need to develop? Share your professional identity formation/role development plan to attain these skills.

I felt the need to develop skills and confidence in public speaking. Another important skill I am attempting to establish is advocacy skills and the ability to make risky decisions. I plan to attend seminars or training sessions for public speaking and advocacy. Accepting a challenging leadership position will be an excellent example of making risky decisions!

Provide your instructor and student colleagues with an update on your implementation plans for your DNP Project. Share any successes, challenges, or barriers you experienced this week.

My preceptor was always available to respond to my questions, concerns, and clarifications. The preceptor is a role model to me by conducting many meetings, advocating for nurse practitioners during board meetings, arranging empowering sessions for NPs, and acting as a liaison between nurse practitioners and union delegates. The preceptor suggested ways to manage the workload and use resources effectively.

The project implementation plan is actively progressing, regularly communicating with the stakeholders and staff and preparing the tools and other documents needed for the project. I foresee some personal barriers that may bring tremendous stress to the coursework. I am so grateful for our professor’s immense support and kind understanding.

References

Hoyle, & Johnson, G. (2015). Building skills in organizational and systems changes: A DNP-FNP clinical curriculum. The Nurse Practitioner, 40(4), 14–23. https://doi.org/10.1097/01.NPR.0000461948.38539.fc (Links to an external site.)

Lackey.S., (2017). DNP Preparation in Supporting Critical Skills for Magnet® Program Directors. The Journal of Nursing Administration, 47(6), 303–304. https://doi.org/10.1097/NNA.0000000000000484 (Links to an external site.)

Weatherford, B., Bower, K., & Vitello-Cicciu, J. (2018). The CNO and leading Innovation: Competencies for the future. Nursing administration quarterly, 42(1), 76–82. https://doi.org/10.1097/NAQ.0000000000000263

I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND USE 3 SOURCES NO LATER THAN 5 YEARS.

Nursing homework help

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Nursing homework help

Comments

Responses such as “I agree”, “thanks for that information – I didn’t know that”, “I experienced that also”, etc. will not receive participation credit. Please do not repeat what is already mentioned in the post. Responses should be a minimum of 150 words and minimum of 2 peer reviewed or scholarly sources with 5 years

Please do not to “cut and paste” answers from your references such as lists, bullet points, etc. This will not receive points for responses that are “cut and paste” even if you provide a citation.

Post 1:

The public health nurse works to provide healthcare and disease prevention. They collaborate with other disciplines and key community stakeholders. These stakeholders are persons who are both involved and/or directly affected by the plans, actions, and outcomes of population health care. Stakeholders may be local government officials, community groups, faith-based organizations, or local business owners. (Green, 2018)  Nursing homework help

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Community health centers (CHCs) are nonprofit, community-focused primary care providers that treat all patients regardless of ability to pay and are well positioned to address their patients’ social needs. CHCs provide primary care to more than 27 million patients annually, many of whom have complex medical conditions and high needs. Participation in projects with community-based organizations was associated with providing services on-site. On-site provision was associated with better performance on measures of health care quality. CHCs can also provide social services on-site, and with this association there is better performance of health care quality outcomes. (Kranz, 2017) Nursing homework help

 

The scope of community orientated nursing practice in the 21st century is much wider, and it is aimed at improving the health of families, groups, and populations. Community/public health nurses assist families and communities to support special and vulnerable populations. (Maurer, 2009)

 

Public health nursing is a specialized practice of professional nursing that focuses on the intentional care of the spirit as part of the process of promoting holistic health care and preventing or minimizing illness in the faith community (ANA, 2012). South Carolina Faith Community Nurses Association purpose is to strengthen and engage nurses and health promoters interested in health ministry and faith community nursing (Parish Nursing) through basic and advanced education to promote physical, mental, and spiritual health in faith communities. (ANA, 2012)  Nursing homework help

 

Reference:

American Nurses Association and Health Ministries Association. (2012), Faith Community Nursing. Scope and Standards of Practice Scope and Standards of Practice 2nd ed. Silver Spring, MD: American Nurses Association.

Green, S. Community and Public Health, The Future of Health Care. Populations as Clients. lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/#/chapter/1

 

Kranz, A., PhD, Mahmud, A.,MPH, Agniel, D.,PhD, Damberg, C., PhD, and  Timbie, J., PhD. Provision of Social Services and Health Care Quality in US Community Health Centers, 2017. Am J Public Health. 2020;110:567–573. doi:10.2105/AJPH.2019.305519

 

Maurer, F., and Smith, c., Community/Public Health Nursing Practice RRP: S128.95 (inc GST) Publisher: Elsevier St Louis. Missouri, USA, 2008 ISBN: 9781416050049 www.el5evier.c0m.au

 

Post 2:

Like primary nurses in public health organizations, community health nurses (CHNs) understand challenges or factors that limit patients to adequate and quality care in the community. Typically, CHNs understand the areas and resources required to increase the efficiency of community health nursing. Therefore, the role of CHNs in partnership with community stakeholders for population health promotion is that guide health stakeholders on effective approaches leading to healthy practices with an underlying rationale to achieve healthy living among community members. CHNs advise stakeholders on areas of weakness and create sophisticated health promotions that target the well-being of health of every community member (Cicognani&Prati, 2020). Besides, CHNs advise community stakeholders on dangers or health threats facing community health and develop strategies that help mitigate such risk factors. For example, CHNs point out issues such as increased drug abuse trends among youth as a future health threat. Significantly, the role of CHNs in partnership with community health stakeholders in population health is to advise stakeholders on tailored approaches for healthy living and identify areas of weakness that need corrections to integrate quality health.

It is important to appraise community health resources as it plays a significant role in identifying missing and available community care resources. Assessment of resources takes practitioners to scrutinize the availability of resources such as community care facilities or religious centers as spiritual care resources. Community health resources are important in population health promotion as it creates an excellent environment allowing care practitioners to maximize their efforts of achieving top-notch quality (Fraser &Amendola, 2021). For instance, religious organizations such as Catholic church community hospitals play a significant role in delivering spiritual care to Christians, helping mano recover quickly from chronic illnesses. Significantly, community care resources are important since they allow care practitioners to achieve high-quality care in health promotion.

References

Cicognani, E., Albanesi, C., Valletta, L., &Prati, G. (2020). Quality of collaboration within health promotion partnerships: Impact on sense of community, empowerment, and perceived projects’ outcomes. Journal of community psychology, 48(2), 323-336.

Fraser, H., Adedeji, T., &Amendola, P. (2021). The importance of primary care records in low-and middle-income settings for care, resource management and disease surveillance: A review. TIC SAÚDE, 273.

 

 

Post 3:

Community health nursing involves the health promotion of individuals and families, providing care in settings such as occupational or educational systems (Green, 2018). Community health nurses mainly have the functional role of providing restorative care and ensuring the good health of the community. Community health nurses provide healthcare to individuals who have a hard time obtaining or affording it. They also improve people’s health by recognizing their health problems, primarily through education and screening.

Community stakeholders in healthcare are organizations or individuals with an interest in issues relating to the healthcare industry, such as health program organizations and social care. Their participation in the healthcare industry is critical to the organization’s success. The community health nurse, in collaboration with community stakeholders, coaches them on healthy living habits. The community health nurse can with the help of the community stakeholders educate the community about healthy and safe habits like not smoking, exercising regularly, eating well, and maintaining environmental and food hygiene. This is a form of primary prevention for health promotion that usually addresses behavioral risk factors. They can also make use of these community stakeholders for instance the pharmacy to educate the people about deviant behaviors such as drug abuse and its bodily and psychological effects. Additionally, the teenagers and other vulnerable residents in the community can be sensitized to the need to abstain from premarital sex through sex education and regularly screened for sexually transmitted infections to reduce the spread.

Community resources must be analyzed to combine previously existing resources and work together to meet a community’s health goals. Existing resources will have people with whom they are currently collaborating. Community assessment helps to identify the needs and the resources available to meet the problems specified by a state or tribe through a systematic analysis. The nursing process can be used as a tool by the nurses to identify and analyze the problems of the community, health inequalities, and resources for the population. Public health nurses and community health nurses must collaborate closely. The community health nurse “serves as a liaison between health and social services and the community to facilitate access to services and to improve the quality and cultural competence of service delivery” (NCCDPHP Community Health Worker Workgroup, 2016). Interplay is the appropriate way to meet the community’s health needs.

References

Lundy, K.S., & Bender, K.W. (2017) History of community health and public health nursing, in Community Health Nursing: Caring for the Public’s Health. Sudbury, MA: Jones and Bartlett.

NCCDPHP Community Health Worker Workgroup. (2016, August 18). Community health worker resources. Retrieved from CDC: https://www.cdc.gov/publichealthgateway/chw/index.html

 

Post 4:

Health promotion and disease prevention require a collaborative effort among healthcare workers, families, and other societal stakeholders. A community health nurse is a crucial figure and link between the health of the people in the community and health facilities (St John, 2020). The primary role of community health nurses is to collaborate closely with societal influencers and individual families in preventing diseases, treating illnesses, maintaining and restoring health.

Community health nurses take on several roles that sum up to extensively promote health and prevent diseases. The nurse surveys the community to identify potential health problems that are common and unique to the community. The nurse also notes the sources of the health problems. As a health educator, the nurse educates individual families and caregivers on their health issues and home care for the health problems identified (Austin-Evelyn et al., 2017). The community also benefits from health education on lifestyle diseases, nutritional habits, hygiene, water and sanitation, drug abuse, violence, and family planning. The nurse distributes medications and vaccines among target populations during routine immunizations and community outreach. Community health nurses also link families with chronic illness patients and those who require rehabilitative services to community sources that offer them support.

Offering solutions to the community requires holistic care to address the integrated needs of the community. Therefore, the nurse must collaborate with influential figures in the community, such as community administrative leaders, spiritual leaders, non-profit organizations, and schools. The collaborative parties aid in sensitization of health programs, policymaking and support community initiatives. For example, non-profit organizations may offer financial support to health projects, while schools and churches amplify health education goals. Community health nurses are vital icons in achieving populations with improved health.

References

Austin-Evelyn, K., Rabkin, M., Macheka, T., Mutiti, A., Mwansa-Kambafwile, J., Dlamini, T., & El-Sadr, W. M. (2017). Community health worker perspectives on a new primary health care initiative in the Eastern Cape of South Africa. PLoS One, 12(3), e0173863. https://doi.org/10.1371/journal.pone.0173863

St John, W. (2020). Context and roles in community nursing practice. In Community Nursing Practice (pp. 3-17). Routledge. https://www.taylorfrancis.com/chapters/edit/10.4324/9781003115229-2/context-roles-community-nursing-practice-winsome-st-john

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Strategic Plan Natural disaster

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Research Paper

The Research Paper is a ten- to twelve-page paper (excluding title and references pages) that provides the student the opportunity to investigate a specific natural disaster topic, apply graduate-level critical thinking to the presentation of the information, and utilize and synthesize appropriate current research for your selected topic. The Research Paper utilizes professional health care knowledge and skills and applies those proficiencies to the context of quality improvement and risk management by developing a natural disaster strategic plan for community health: Mobilizing For Action Through Planning and Partnerships (MAPP) Process. The three-part Strategic Disaster Plan will be developed in Weeks Two, Four, and Six. Review Chapter 3 in the textbook. In this final part, the students will take the strategic issues identified in Part II (Week Four) and formulate goal statements and strategies for addressing issues, resulting in development and adoption of an interrelated set of strategy statements. Lastly, an action plan with an evaluation timeline that identifies outcomes to be reached and what steps would be taken to ensuing adjustments in the strategy plan if needed. The final draft with all three parts will be posted together for a final grade.

Writing the Research Paper The Research Paper:

1. Must be ten to twelve double-spaced pages in length (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center.

2. Must include a title page with the following:

a. Title of paper

b. Student’s name

c. Course name and number

d. Instructor’s name

e. Date submitted

3. Must include an introductory paragraph with a succinct thesis statement.

4. Must address the topic of the paper with critical thought.

5. Must end with a conclusion that reaffirms your thesis.

Preview the document

6. Must use at least ten scholarly and/or peer-reviewed sources  published within the last five years, including a minimum of three from the Ashford University Library.

7. Must document all sources in APA style as outlined in the Ashford Writing Center.

8. Must include a separate reference page that is formatted according

infectious diseases of global concern.

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  1. Select an online article (professional health care source) or professional website which focuses on infectious diseases of global concern.
  2. Summarize the article, and explain its significance to the course content and global health. Include the link or citation. No abstract is needed. Please include a reference page and attach your work as WORD document.
  3. Your paper should be 2-3 pages long excluding the title page and reference page.
  4. Your paper must:
    • Be a minimum of one typed page for the summary and one typed page for the significance.  
    • Use two headings: Summary of article and Significance to course content and global health.
    • Refer to course syllabus and module objectives. Include a minimum of 3 course/modular objectives. You can cite the syllabus or the modules/lessons. 
    • The resource must be one that is not included in the course modules or library references. 
    • Reference must be less than 5 years old. Infectious Disease must be of global concern.  Be sure the link is active on the reference page. No duplicate articles will be accepted.
  5. Review the submitted work before you post. Be sure to include your name on the paper or a Title page.