Response to Jazmin Bueno

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Response to Jazmin Bueno

Healthy nutrition takes many forms and is understood differently in different countries and among different cultures. In general, healthy nutrition should be an integral part of daily life that contributes to the physiological, mental and social well-being of individuals It is the combined effect of food, health and care. Nutritional well-being is determined by consuming safe food as part of an appropriate and balanced diet that contains adequate amounts of nutrients in relation to bodily requirements. The health and lifestyle of an individual influences the extent to which food contributes to good social, mental and physical well-being. Care is shown by providing time, attention and support in the household and the community to meet the food and health needs of the child and other family members. Furthermore, social ties are validated and maintained by the exchange of food since offering food is associated with offering love, affection and friendship.

Today, the global nutrition situation is a picture of extremes. Of fasting and feasting, of wasting, stunting, and obesity. At one end, undernutrition, and more specifically, deficiencies in essential nutrients, are the underlying causes of an estimated 3.5 million deaths each year. At the other end, we have a global epidemic of obesity, increasingly starting in childhood. We have millions of people at increased risk of developing diet-related chronic diseases, like heart disease, cancer and diabetes. A balanced diet with sufficient essential nutritional elements is critical for maintaining a healthy body. On the other hand, deficiencies in essential nutrients can lead to stunted growth, poor immune function and classical conditions such as scurvy, osteoporosis, depression and xeropththalmia.

https://www.who.int/school_youth_health/media/en/428.pdf

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC56917…

******please respond to the discussion above with a paragraph add citation and references :)******

Walden University Texas Practice agreements

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Walden University Texas Practice agreements

This week you will have an opportunity to evaluate state practice agreements in your state (Texas) and examine issues related to NP practice.

To prepare:
  • Review practice agreements in your state(Texas)
  • Identify at least two physician collaboration issues in your state(Texas)

BY DAY 3

Post a brief description of the practice agreements for NPs in Texas and the two physician collaboration issues that you identified. Explain what you think are the barriers to NPs practicing independently in your state (texas). Finally, outline a plan for how you might address NP practice issues in your state.

3 References Required.

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Advance Directive

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Advance Directive

1. State reasons why Advance Directives are important

2. What’s the difference between Advance Directive and Living Will with example

3. What does case management involve?

You must find all the information in the internet.

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NR360 Chamberlain We can, but Dare We?

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NR360 Chamberlain We can, but Dare We?

As healthcare providers, we look more and more to technology to improve patient outcomes, streamline operations, and lower costs. Sometimes, technology can be used in ways that have ethical, moral, and legal considerations too. You will be writing about the use of personal devices and social media and its use in healthcare. We can do it, but dare we?

IMPORTANT CLICK >>> Requirements

 

Attachment preview 

Required Uniform Assignment: We Can, but Dare We?

PURPOSE
The purpose of this assignment is to investigate smartphone and social media use in healthcare and to apply professional, ethical, and legal principles to their appropriate use in healthcare technology.

Course Outcomes
This assignment enables the student to meet the following course outcomes.

• CO #4: Investigate safeguards and decision?making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers. (PO 4)

• CO #6: Discuss the principles of data integrity, professional ethics, and legal
requirements related to data security, regulatory requirements, confidentiality, and client’s right to privacy. (PO 6)

• CO #8: Discuss the value of best evidence as a driving force to institute change in the delivery of nursing care (PO 8)

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Week 3 Assignment – Strategic Planning and Development

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Week 3 Assignment – Strategic Planning and Development

Week 3 Assignment – Strategic Planning and Development

Introduction

Within the last 10 years, the health care industry has seen big changes, not only in philosophy, but also with the implementation of the Affordable Care Act. There have been changes in political, economic, social, technological, legal, and environmental factors that influence strategic planning. Americans desire increased quality patient care, wellness, and prevention programs. Health care organizations are seeing changes in volume and demographics related to their patients, along with labor and technologies related to the health care organization. Week 3 Assignment – Strategic Planning and Development

For this assignment, select a health care organization from the following list:

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Imagine you have been selected by the facility’s executive committee to develop a strategic plan that aligns to the organization’s mission and vision. Use critical thinking skills and research current events of your chosen organization to prepare your assignment.

Assignment Instructions

Write a paper strategic plan. Your plan must include the elements listed below. Note that the instructions correspond to the grading criteria for this assignment. You may also want to review the performance-level descriptions for each criterion in the scoring guide to see how your work will be assessed:

  1. Differentiate between strategic management, strategic thinking, strategic planning, and managing strategic momentum.
  2. Propose one specific analytical tool suitable for use as an adaptive strategy that will be the most effective in helping an organization achieve its strategic plan.
  3. Propose the manner and provide an example of how the selected analytical tool will be used to support the strategic proposal. Week 3 Assignment – Strategic Planning and Development
  4. Research three internal and three external factors that could become barriers to the success of the proposed strategic plan.
  5. Recommend at least one solution to each of the possible barriers to implementing your proposed strategic plan.
  6. Determine the specific segment of the market that your organization’s strategic plan will target.
  7. Recommend the most effective approach to marketing your strategic plan and provide examples.
  8. Use at least three quality academic resources.
  2. Meet requirements for clarity, writing mechanics, and formatting. Week 3 Assignment – Strategic Planning and Development

 

 

Nursing Practice Experience Project Activities

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Nursing Practice Experience Project Activities

SMART Nursing Goals Assignment Category Description What is your proposed The management of service delivery in healthcare facilities has project for this course? become very important. As such healthcare providers and

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managers are keen to make each and every change that they believe will help them attain the results they want to see. One of the ways that these managers have opted for in order to attain their goals for improved services is the adoption of technology (Datamate Infosolutions LLC, 2018). Various scholars such as Ortiz and Clancy (2003) have pointed out how the use of technology such as IT is instrumental in improving the healthcare quality in the USA. This has seen many facilities rush to adopt the said technology. However even as managers of various facilities invest heavily on these technologies, the results have not been as fruitful as expected and the implementation process has been quite challenging (Rouleau, Gagnon and Côté, 2015). In the hospital where I work for such technology has been adopted but the results leaves a lot to be desired since the projections made have not been attained. For the next fourteen weeks I aim to undertake a project which seeks to maximize the effectiveness of the Hospital Management System by identifying areas of failures and coming up with recommendations to improve the results. Provide your specific learning objectives (goals) you want to achieve for this course. The objectives of this project will be to; 1. By the end of the course’s semester 4/21/19 streamline the system at the health care facility to provide improved care for the patients as evidenced by use the Management Information System for all patient processes which will help the facility to offer patients services in an effective and efficient manner 2. By the end of the course’s semester 4/21/19 provide the department within the facility with better coordination as evidenced by use the Information management system for coordination between the departments with a quick flow and exchange of information which will help the facility to improve service delivery as different department share information required for patients care 3. By the end of the course’s semester 4/21/19 ensure the management information system generates reports as per the demand which is evidenced by use of information system reports in decision making and supports management decision making to improve service delivery and patients’ care. Provide how your preceptor will help you meet the outlined objectives for this course. My preceptor will be very instrumental in the attainment of these objectives because of the guidelines they will provide. Through the instruction process they will equip m with the insight I need to successfully utilize the knowledge acquired to make a difference in my work environment. Further in order to attain these objectives I need to investigate which will help determine the areas of weakness that have affected the adoption and implementation process and come up with solutions and strategies which need to be employed to successfully carry out the objective. The preceptors insight and guidance will see that I attain this goal. References Datamate Infosolutions LLC (2018). Hospital Management System-Features, Objectives. Retrieved from https://medium.com/@datamateuaecrescent/hospital-management- system-features-objectives-62eeb13f4fc4 Ortiz, E. and M Clancy, C. (2003). Use of Information Technology to Improve the Quality of Health Care in the United States. Health Serv Res. 2003 Apr; 38(2): xi–xxii.Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1360897/ Rouleau, G,, Gagnon, M. P and Côté, J. (2015). Impacts of information and communication technologies on nursing care: an overview of systematic reviews (protocol. Syst Rev. 2015; 4: 75. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4449960/ Running head: YOUR TITLE HERE 1 YOUR TITLE HERE Project Status Update #1 Student First and Last Name Chatham University YOUR TITLE HERE 2 Your Title Here Project Update # 1 Provide a high-level narrative overview of your project here. Provide references in APA format anywhere in this document where you are providing information that needs to be supported (i.e., literature that supports an intervention or a statistic, etc.). This section needs to be at least 1-2 paragraphs. *Think of this section as an abstract. Table 1. Narrative of Project Update Update Elements Narrative Practice Experience Site Describe your PE Site. Who is your preceptor, what is their & Preceptor Information experience and what role do they have at your PE Site? 2-3 paragraphs Problem Identification What is the problem you have identified at the PE site? 1-2 paragraphs Project Plan What is your plan to fix it? What interventions did you find in the literature to support your project? 2-3 paragraphs Evaluation Process How will you evaluate success? Establishing this now allows for reflection and evaluation of project success in future assignments. 2-3 paragraphs Table 2. Timeline for Preceptor-Project Activities: Weeks 1-6 Date (Week #) Week # 1 – XX/XX/XXXX Week # 2 – XX/XX/XXXX Week # 3 – XX/XX/XXXX Key Dates and Target Milestones YOUR TITLE HERE 3 Week # 4 – XX/XX/XXXX Week # 5 – XX/XX/XXXX Week # 6 – XX/XX/XXXX Week # 7 – XX/XX/XXXX References *Provide your APA references here.
Purchase answer to see full attachment

Role Of The Professional Nurse In Health Policy

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Role Of The Professional Nurse In Health Policy

Write an assignment on the role of the professional nurse in health policy.

  1. Discuss the professional nurse’s role in health policy.
  2. Identify and articulate an action plan for nurses to increase involvement.

Submission Instructions:

  • The work is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
  • The work is to be no shorter than 5 pages; nor longer than 7 pages in length, excluding the title, abstract and references page. Role Of The Professional Nurse In Health Policy
  • Your work  should be formatted per APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions).
  • Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA style (the library (Links to an external site.) has a copy of the APA Manual).

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Visit the American Nurses Association: Healthy Policy for more information: https://www.nursingworld.org/practice-policy/health-policy/

Role of the Professional Nurse in Health Policy Guide Form 

Directions

This form is used to guide your paper on the role of the professional nurse in health policy. Please refer to grading rubric.

 

Points to Consider Comments
Introduction Write an introduction on the purpose of your paper.
Health Policy and Professional Nurse Provide a brief description of health policy and how it impacts professional nurses. Give at least one example.
Action Plan for Nurses Involvement Provide an action plan of how you, as a BSN-prepared nurse, can influence health policy:

·         Identifying a nursing practice problem (ex: staffing shortages)

·         Researching evidence-based interventions (ex: improving health, patient experience, reducing cost, etc.)

·         Networking (ex: joining a nursing organization, nursing committees, etc.)

·         Advocacy – (ex: writing to your community government officials, writing/meeting with policymakers, forming an advocacy group, etc.)
Conclusion Provide a conclusion summarizing all your main points and action plan.

Role of the Professional Nurse in Health Policy

 

Role of the Professional Nurse in Health Policy

Type your introduction here (and remove these instructions). Although the first paragraph after the paper title is the introduction, no heading labeled “Introduction” is used. The best practice for a concise introduction is to (a) introduce the paper’s topic and establish its importance, (b) express a clear purpose statement for the paper (usually one that mirrors the assignment purpose), and (c) provide a mini-outline of the paper’s content in sentence format (often reflecting the Level 1 headings). See the American Psychological Association’s (APA, 2020) Publication Manual of the American Psychological Association (7th edition) for further guidance in standard English writing style and formatting a professional paper.

Health Policy

Begin to type the body of your paper here. Use as many paragraphs as needed to cover the content appropriately. Often the content can be guided by the assignment’s grading rubric and the assignment guidelines. The best practice for constructing a paragraph is to build each one using the MEAL Plan format. The four components of the MEAL Plan paragraph are (a) Main idea (only one per paragraph), (b) Evidence (scholarly reference citation, experience, etc.), (c) Analysis (discussion or explanation of the main idea and the evidence), and (d) Link (connect to the main idea, the paper’s topic, or the next paragraph’s content). Note that the Link component may not always be needed or used.

Role of the Professional Nurse in Health Policy

When required by the paper’s content or the assignment guidelines, use a level 2 heading to organize the ideas or material within the level 1 heading’s section. Each paragraph within the section should conform to the MEAL Plan format.

 

Action Plan for Nurses’ Involvement in Health Policy

When required by the paper’s content or the assignment guidelines, use a level 2 heading to organize the ideas or material within the level 1 heading’s section. Each paragraph within the section should conform to the MEAL Plan format.

Conclusion

Papers should end with a conclusion or summary. The assignment directions will specify which is required; if not specified, use the heading, “Conclusion.” The conclusion should be concise and contain no new information or details. The best conclusions will recap the paper’s purpose, reflecting the purpose statement in the introduction. Conclusions will also remind the reader of the paper’s organization (or mini-outline from the introduction). Typically, it will draw major conclusions from the body of your paper and summarize the importance of the topic.

No matter how much space remains on the page, the references always start on a separate page. In most Microsoft Word programs, you can insert a page break after the conclusion so that the references will begin on a new page. One easy way to do this is to press “CTRL + Enter” simultaneously after the conclusion is finished.

 

 

References

Type your references in alphabetical order here using hanging indentions. See the APA (2020) Manual for reference formatting.

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.).

American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). http://doi.org/10.1037/0000165-000

Note: An APA (2020) 7th edition reference has four ordered components: (a) author, (b) publication date, (c) title of work, and (d) source (the retrieval information for the work). If the author is the source, it is not relisted. Geographical locations are not listed. Hard copy sources without a doi or http addresses will not include these (See APA 7th edition listing above). Role Of The Professional Nurse In Health Policy

Assignment: Legal And Ethical Issues Related To Psychiatric Emergencies

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Assignment: Legal And Ethical Issues Related To Psychiatric Emergencies

Photo Credit: Getty Images

The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors. Regardless of care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations. In their role, PMHNPs can ensure a smooth transition from emergency mental health care to follow-up care, and also bridge the physical–mental health divide in healthcare.

In this week’s Assignment, you explore legal and ethical issues surrounding psychiatric emergencies, and identify evidence-based suicide and violence risk assessments.

To Prepare

The Assignment

In 2–3 pages, address the following:

  • Explain your state laws for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released.
  • Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.
  • Explain the difference between capacity and competency in mental health contexts.
  • Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source.
  • Identify one evidence-based suicide risk assessment that you could use to screen patients.
  • Identify one evidence-based violence risk assessment that you could use to screen patients.

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Rubric Detail

 

Select Grid View or List View to change the rubric’s layout.

Name: NRNP_6675_Week8_Assignment_Rubric

  Excellent

90%–100%

 Good

80%–89%

 Fair

70%–79%

 Poor

0%–69%
In 2–3 pages, address the following:

• Explain your state laws for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released.

 14 (14%) – 15 (15%)

The response includes a thorough and well-organized explanation of student’s state laws for involuntary psychiatric holds for child and adult emergencies.

 12 (12%) – 13 (13%)

The response includes an accurate explanation of student’s state laws for involuntary psychiatric holds for child and adult emergencies.

 11 (11%) – 11 (11%)

The response includes a somewhat vague or inaccurate explanation of student’s state laws for involuntary psychiatric holds for child and adult emergencies.

 0 (0%) – 10 (10%)

The response includes a vague or inaccurate explanation of student’s state laws for involuntary psychiatric holds for child and adult emergencies. Or the response is missing.
• Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state. 14 (14%) – 15 (15%)

The response includes an accurate and concise explanation of the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.

 12 (12%) – 13 (13%)

The response includes a well-organized explanation of the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.

 11 (11%) – 11 (11%)

The response includes a somewhat vague explanation of the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.

 0 (0%) – 10 (10%)

The response includes a vague explanation of the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state. Or the response is missing.
• Explain the difference between capacity and competency in mental health contexts. 9 (9%) – 10 (10%)

The response includes an accurate and concise explanation of the difference between capacity and competency in mental health contexts.

 8 (8%) – 8 (8%)

The response includes an accurate explanation of the difference between capacity and competency in mental health contexts.

 7 (7%) – 7 (7%)

The response includes a somewhat vague or incomplete explanation of the difference between capacity and competency in mental health contexts.

 0 (0%) – 6 (6%)

The response includes a vague or inaccurate explanation of the difference between capacity and competency in mental health contexts. Or the response is missing.
• Select one of the following topics and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source. 14 (14%) – 15 (15%)

The response accurately and concisely explains one legal and one ethical issue related to the selected topic, within the context of treating psychiatric emergencies.

 12 (12%) – 13 (13%)

The response accurately explains one legal and one ethical issue related to the selected topic, within the context of treating psychiatric emergencies.

 11 (11%) – 11 (11%)

The response somewhat vaguely or innacurately explains one legal and one ethical issue related to the selected topic, within the context of treating psychiatric emergencies.

 0 (0%) – 10 (10%)

The response vaguely or innacurately explains one legal and one ethical issue related to the selected topic, within the context of treating psychiatric emergencies. Or, response is missing.
•Identify one evidence-based suicide risk assessment that you could use to screen patients. Attach a copy or a link to the assessment you identified. 14 (14%) – 15 (15%)

The response identifies and explains an appropriate, evidence-based suicide risk assessment that could be used to screen patients. A copy of or a link to the assessment is included.

 12 (12%) – 13 (13%)

The response identifies an appropriate, evidence-based suicide risk assessment that could be used to screen patients. A copy of or a link to the assessment is included.

 11 (11%) – 11 (11%)

The risk assessment identified is somewhat inappropriate for the intended use or dated. A copy of or a link to the assessment may be missing.

 0 (0%) – 10 (10%)

The risk assessment identified is inappropriate for the intended use, not evidence based, or dated. Or, response is missing.
• Identify one evidence-based violence risk assessment that you could use to screen patients. Attach a copy or a link to the assessment you identified. 14 (14%) – 15 (15%)

The response identifies and explains an appropriate, evidence-based violence risk assessment that could be used to screen patients. A copy of or a link to the assessment is included.

 12 (12%) – 13 (13%)

The response identifies an appropriate, evidence-based violence risk assessment that could be used to screen patients. A copy of or a link to the assessment is included.

 11 (11%) – 11 (11%)

The risk assessment identified is somewhat inappropriate for the intended use or dated. A copy of or a link to the assessment may be missing.

 0 (0%) – 10 (10%)

The risk assessment identified is inappropriate for the intended use, not evidence based, or dated. Or, response is missing.
Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.

 5 (5%) – 5 (5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

 4 (4%) – 4 (4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive.

 3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.

Purpose, introduction, and conclusion of the assignment are vague or off topic.

 0 (0%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion were provided.
Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation

 5 (5%) – 5 (5%)

Uses correct grammar, spelling, and punctuation with no errors

 4 (4%) – 4 (4%)

Contains 1-2 grammar, spelling, and punctuation errors

 3.5 (3.5%) – 3.5 (3.5%)

Contains 3-4 grammar, spelling, and punctuation errors

 0 (0%) – 3 (3%)

Contains five or more grammar, spelling, and punctuation errors that interfere with the reader’s understanding
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. 5 (5%) – 5 (5%)

Uses correct APA format with no errors

 4 (4%) – 4 (4%)

Contains 1-2 APA format errors

 3.5 (3.5%) – 3.5 (3.5%)

Contains 3-4 APA format errors

 0 (0%) – 3 (3%)

Contains five or more APA format errors
Total Points: 100  

Name: NRNP_6675_Week8_Assignment_Rubric

 

Nursing Concept Map Homework

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Nursing Concept Map Homework

Assignment: Concept Map (Assessment, critical thinking, patient safety) Formulate a concept map provided based on one of the scenarios provided. Be sure to include your references. This assignment is to stimulate critical thinking and foster student’s ability to prioritize in clinical situations.

Students will choose between two cases and then complete a concept map based on the scenario. Students will need to prioritize their nursing diagnosis: Remember ABC’s and safety first. For example: Acute pain is not always the priority. The concept map template will be provided to students.

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Grading will be scored based on the provided rubric:

Case 1: Mr. Jones is a 60 year-old-male with a history of hyperlipidemia, obesity, and aortic stenosis. He has a history of smoking 1 pack per day for 20 years. He states that he works from home and does not get around much. Mr. Jones presented with pain in the middle of his chest and radiates to his left shoulder. He states that is feels like pressure.

On assessment you note the following:

Client is alert and oriented, sweaty, pale, and SOB. Lungs are clear and bowel sounds present. Vital signs are as follows: T 36.9 C, HR 102, BP 162/84, RR 26, and O2 91% on RA. Client states pain is 8/10.  Nursing Concept Map Homework

Health Care System or Program that Would Improve Outcomes

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Health Care System or Program that Would Improve Outcomes

Propose a change to one aspect of your local or regional health care system or program that would improve outcomes. Then, conduct a comparative analysis of other, non-U.S. health care systems, focusing on the proposed change. Summarize the proposed change and your comparative analysis in a 4 page report.
Introduction
Note: Complete the assessments in the order in which they are presented.
Health care systems around the world provide useful models for analysis. Familiarity with different models and approaches to health care enables leaders to identify what works and what does not, as the basis for proposing a change. As we continue to evaluate the complex and fragmented system in the United States, it is important for nurse leaders to become familiar with the programs and systems that provide evidence-based quality care that is affordable and focused on continual improvement. Health Care System or Program that Would Improve Outcomes
This assessment provides an opportunity to examine a local or regional health care issue from a global perspective.

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Preparation
Your organization, in collaboration with the key stakeholders from the community, is funding an initiative to investigate potential improvements in the local or regional health care system. As a nurse leader attuned to the effects of health care policy and finance on the provision of affordable, high-quality care, you have been asked to join the task force conducting the study.
You know that an examination of other countries’ health care systems can provide a solid, evidence-based foundation for evaluating outcomes and identifying benchmarks. Consequently, you have decided to undertake an analysis of selected, non-U.S. health care systems and compare them to each other and to the existing local or regional U.S. system to help inform decision making as the task force considers proposed changes.
In this assessment, you will propose a change to one aspect of your local or regional health care system or program. Conduct a comparative analysis of different health care systems and summarize your proposed change and findings from your analysis in a report to executive leaders. To prepare for your assessment, you are encouraged to begin thinking about the non-U.S. health care systems you might like to examine. Health Care System or Program that Would Improve Outcomes
Requirements
Complete this assessment in three steps:
1. Propose a change to one aspect of your local or regional health care system or program that would improve outcomes.
2. Conduct a comparative analysis of different health care systems, focusing on one aspect of the system you are proposing to change.
3. Summarize your proposed change and the results of your comparative analysis in a report to executive leaders.
The summary report requirements outlined below, correspond to the grading criteria in the scoring guide for Proposing Evidence-Based Change, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Proposing Evidence-Based Change document provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence.
• Identify an aspect of a local or regional health care system or program that should be a focus for change.
• Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes.
• Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States.
o Choose one of the following options for selecting the two systems or programs:
o Option 1: Select two systems at opposite ends of the scale in terms of desirable outcomes for the issue reflected in your proposed change. Health Care System or Program that Would Improve Outcomes
o Option 2: Select two systems that both produce positive outcomes but take unique or innovative approaches to the problem.
o Compare the outcomes in each non-U.S. system with each other and with present outcomes in your local or regional health care system.
• Explain why specific changes will lead to improved outcomes.
• Determine the financial and health implications associated with the proposed changes.
o Address the implications of making the changes.
o Address the implications of not making the changes.
• Write clearly and concisely in a logically coherent and appropriate form and style.
• Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.
Document Format and Length
• Your summary report should be 4 pages in length, not including the title page and references page.
• Be sure to apply correct APA formatting to all source citations and references.
• Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your comparative analysis. Health Care System or Program that Would Improve Outcomes