Discussion board post!!
Discussion board post!!
SWER QUESTION IN 2 PARAGRAPHS AND SUPPORT WITH REFERENCES APA FORMAT and IN TEXT CITATION
Tags: nursing community health nursing Nursing BSN
please respond to the following post, with a long paragraph with your opinion add citations and references.
/in Nursing Essay Help /by Bernard Innocentplease respond to the following post, with a long paragraph with your opinion add citations and references.
please respond to the following post, with a long paragraph with your opinion add citations and references.
What is the role of health care reform in shifting the focus from a disease-oriented health care system toward one of wellness and prevention, and how does nursing fit into this shift?
The role of the health care reform in shifting the focus from a disease-oriented health care system toward one of wellness and prevention by presenting a guideline of measures that creates a healthy lifestyle. This includes creating healthy living environments, safe communities, better access to community and preventive measures such as screenings and immunizations and elimination of health disparities. Other areas of priority include: healthy eating and exercise, mental health, reproductive health and a drug and tobacco free lifestyle (Benjamin, 2011).
The nurse fits into this shift by educating the patient about health and wellness measures. Explaining the benefits of a healthy lifestyle and what interventions can be taken that is obtainable by the patient such as a proper diet. They also have the ability to assess the needs of the patient and refer them to programs and resources within the
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community. Resources such as home aids to prevent falls, dieticians to help with healthy eating, AA meetings or clinics that offer educational programs or screening for diabetes etc. In addition, nurses are the patient’s advocate and work closely with the patient more than any other health team member. Nurses can join their concerns together and become a voice to change polices or create improvement in their facilities, hospitals, communities or even their state.
References:
Tags: nursing Grand canyon trend please help citations and references
Ohio State University Mod 1 Delaying Newborn Initial Bath Project
/in Nursing Essay Help /by Bernard InnocentOhio State University Mod 1 Delaying Newborn Initial Bath Project
Clinical Practice Project (CPP) Goals and Objectives: Module 1 Assignment Objectives: • Students will identify QSEN’s competencies for nursing. • Students will have the opportunity to synthesize knowledge and apply skills acquired in the nursing academic and practice settings. • Students will extend their academic experience into areas of nursing practice interest, working with new ideas, issues, organizations, and individuals. • Students will demonstrate the ability to think and act critically and creatively about nursing practice issues and will further develop their analytical and ethical leadership skills necessary to address and help solve these issues. • Students will refine the ability to
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utilize evidence based research and demonstrate proficiency in written and communication skills. Assignment Instructions: The CP is the culminating academic endeavor of nursing students who earn a baccalaureate degree in nursing. The project provides students with the opportunity to explore a problem or issue of particular professional interest that is somehow related to one of the following nursing QSEN competencies: patient-centered care, teamwork/ collaboration, evidence based practice, quality improvement, safety or informatics (QSEN: http://www.qsen.org). Each of the QSEN competencies somehow link to nursing excellence. You will actually implement your project during this five week course. For your project you will need to: 1. Select an issue/problem that you have a professional interest in. Example: Creation of a patient education tool to prevent falls 2. Select a QSEN competency that relates to that problem. Example: Example: Safety 3. Select a health care organization that can help support your issue: Example: The CDC 4. Develop a global objective: Example: At the completion of this project I will have developed a patient educational tool to present to staff on 1-South to be distributed to all patients on 1South to prevent falls. 5. Develop at least four project objectives: Example: a. Research current literature on the prevention of falls and patient educational material content. b. Seek falls data from ABC Hospital quality department and specifically from the 1South Unit. c. Review data results and evaluate for trends. d. Develop a patient educational tool on fall prevention. e. Educate staff on use of the patient educational tool f. Implement patient educational tool and present to at least ten patients on 1-South. 6. Develop possible resources needed to help meet your goals/objectives. a. Meet with unit manager and seek approval on project implementation. b. Review the CDC web site for current references and resources on fall prevention. c. Create patient educational tool, copy and prepare to distribute. d. Create a timeline to implement the patient educational tool. This week’s assignment is the first of five assignments to complete your Clinical Practice Project (CPP). Each weekly assignment will build upon the last one. It is very important that you follow the directions carefully and review your teachers document/grading rubric for comments so that you can improve each week. To complete this assignment type in the boxes below, the boxes will expand as you type. Be sure to save your document frequently. Points will be deducted for incomplete work, spelling/grammar errors, lack of thought and use of abbreviations. All content must be in your own words, not directly quoted; however you must provide supportive details by using in text citations (Journal Article references at the end of the form-please see your rubric for an explanation of refereed Journals). This assignment is worth 25 points…be sure your work reflects 25 points. Module 1: Clinical Practice Project Goals and Objectives Student Name Date: Jennifer Rubrecht 6/20/19 Project Topic: Give a brief explanation of your topic. QSEN Competency: (example, Patient-centered Care) Delay a newborns initial bath until 12-24hours of age Evidence Based Practice QSEN Definition: Define your QSEN Competency in your own words (paraphrase) using the QSEN.org web site>competencies>graduate KSAS, (example: for competency Patient-Centered Care the definition on the web site is Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs—take this information then write your definition in your own words (paraphrasing, remember to cite the QSEN site). Delaying an infants initial bath to promote skin protection and breast feeding, as well as reducing the risk for hypoglycemia. List two Knowledge/Skills/Attitudes (KSAs)- use two each (Knowledge/skills/attitudes) from the QSEN.org web site which are listed under your chosen competency that you think will help you to meet your selected competency. Then write your KSAS in your own words (paraphrasing/editing related to your specific project —remember to cite the QSEN site). Knowledge Skills Attitudes Discuss Health Care Organization (this is not the facility/organization where you are implementing your project, may be a nursing organization, or any organization which sets standards, conducts research, or publishes evidence based literature in relation to your topic) that will help support your project. Discussion should include the mission/values of the organization (in your own words). Provide citations and references (no direct quotes). Global Objective: the purpose of a global objective is to provide a vision for your overall project-what are you developing and implementing-what is your expected impact on patient outcome? It should be broadly statedin one sentence. (Do Not Use Any Abbreviations) Project Objectives: Now your global objective should be broken down into more focused steps. Be sure your Project Objectives support your Global Objective! How will you achieve your global objective? Be specific. Write 4 Project Objectives…objectives should start with an action verb! (Do Not Use Any Abbreviations) For example; Research on…Develop a tool/guide/protocol/policy/process to…Develop and present education to staff on new tool…Implement new tool on ___number (the number should be adequate to meet your minimum of 1-2 log hours in direct patient contact) of patients to improve (how will your project impact patient outcomes)… Possible Steps to Assist Me in Completing My Project: List at least 4 steps in your project (Do Not Use Any Abbreviations) Example: 1. Talk with manager on unit to discuss project. Date I hope to accomplish by, Provide hopeful completion date for each 1. Complete by 1/16/15 Direct patient engagement: Describe in a one or two sentences how you will provide direct engagement in your clinical practice project and how this will impact patient outcomes. Be specific. Log update: Begin typing documentation on your Clinical Log, provide here a brief explanation of time you have completed this week – you will need to document on your clinical log in addition to the templates, this update does NOT take the place of completing your required log. This is a non-graded item. — Do not include: Orientation off the Unit, Observation, writing or researching papers/assignments, Lunch or Break time. — Do include: A total over the course includes a Minimum of 3 hours with preceptor, Maximum of 6 hours on research of topic, a minimum of 1-2 hours in direct patient engagement and the remainder- 10-11 hours in implementation of your project, Total of 21 true hours. Type Date Time (ex: 1:00pm-2:0 0pm) Total Time Spent (ex: 1 hour) Description (describe specifically what you did in one or two sentences) Preceptor (a minimum of 3 hours is required for the course) Research on topic (a maximum of 6 hours is allowed for the course) Direct Patient Engagement Time (a minimum of 1-2 hours, Specify number of patients) Implementation (the remainder should be spent in implementation, 10-11 hours) Total Time spent this week (by the end of the course you should spend at least 21 true hours) Total for this week = References (double-space and use correct APA format)
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peer response essay
/in Nursing Essay Help /by Bernard Innocentpeer response essay
1—– Implementing an evidence-based practice or program (EBP) increases the likelihood that students’ performance will improve. An EBP is one that is supported by rigorous research demonstrating its effectiveness and changes, even the most effective EBPs do not work for all or students. Further, the more practice or program implemented with fidelity as intended by the researchers or developers a higher likelihood that it will produce positive student outcomes. To judge my project made a difference in practice.
1. Systematically monitor one’s learning outcomes: The purpose of monitoring progress is to determine whether individuals are improving. One of the best ways to measure improvement is progress monitoring, a type of formative assessment in which learning evaluated regularly. Example, each week, comments and grades received from my professor.
2. Systematically monitor the reliability of implementation: The purpose of monitoring fidelity is to ensure that the EBP is being implemented as intended, which will increase the likelihood of improved younger student outcomes.
3. Examine the relation between learner outcomes and fidelity of implementation: The purpose of comparing the two sets of data is to determine whether the EBP is useful for students with whom you are working (vanderbilt.edu).
If commitment is high, increases in performance can be attributed to the evidence-based practice or project. Likewise, if fidelity is high and there is no change in performance, it can be inferred that the plan was not effective for those students. However, if loyalty is low, the relation between the practices of student outcome data would be unclear.
2—-One major thing to review is to see if the nurse navigation staff are actually doing the task to make the difference. Making the mini diabetic assessment a mandatory fill in area in the EMR would help with this compliance. Having a meeting after several weeks of implementation with the navigation staff would look at areas of difficulty and concerns with the new assessment. Getting nursing feedback would determine barriers and open the door to questions and concerns.
One way to evaluate whether the project made a difference is to look at the patient satisfaction ratings. We send each patient a survey after they’ve been discharged to describe their experience. If patients feel as though their needs have been met then one would see an increase in the satisfaction rating. One ratings system we review is the Press Ganey scores. They are reviewed every three months.
Additionally, we can look at the readmission rates. At lot of our patients get readmitted for wound complications. This could be contributed to a low immune system and lack of nutritional intake due to their cancer diagnosis and if they are in active treatment with chemo and/or radiation. Having uncontrolled or poorly managed diabetes can further complicate this issue.
3– “Outcome standards and measures refer to whether the services provided by the organization make any difference: Were they effective?” (Pelletier, 2014, p. 297). In order to see an effective change in practice using the SBIRT (screening, brief intervention, and referral to treatment) model, the change agent can look at patient and staff satisfaction. Many patients have never used behavioral health services before, so performing a survey on patient experiences (when providing SBIRT services) can provide information on how well the clinic is providing care. Positive survey responses would show that patients are more likely to use behavioral health services after the practice changes were made. “Collaborations are needed with patients and families to better understand their preferences and ways to engage them in making healthcare decisions and improving health behaviors”, according to Cullen, Hanrahan, and Kleiber (2018, p. 7). If responses are negative, then changes should be made in the new practice to include patient preferences. In addition, it is important to see how staff view the results of the project by asking for feedback in a meeting or through a staff survey. Removing barriers for SBIRT can decrease staff frustration, thus, improving staff satisfaction. A survey can provide information on barriers.
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The most important part of evaluating the project is making sure that those patients who have positive screenings, get a brief intervention or keep an appointment for a referral to treatment. Because the medical department has access to behavioral health’s schedules, the referral team can see if patients kept appointments in behavioral health. It is important to track the number of screenings, the number of brief interventions, and the number of referrals to treatment. If the number of brief interventions increase for positive screenings, it means that patients may be getting education on substance abuse that could potentially help them abstain from using drugs or alcohol. If the number of kept appointments for referrals to treatment have increased, it means that patients may be more comfortable scheduling appointments in behavioral health and may be more likely to get treatment for alcohol and drug abuse. These changes would show that the SBIRT project is making a difference at Indian Health, since these issues have been barriers for providing SBIRT services in the past.
peer response should be minimum of 60 words with proper citation and references.
HIV Infections Worldwide Ethical Conduct of Research
/in Nursing Essay Help /by Bernard InnocentHIV Infections Worldwide Ethical Conduct of Research
• Select a healthcare related research study. Identify the sample population. Analyze and critique the study to identify if sampling method reflects ethical principles including consent, conditions of the participants, study approved by IRB,
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• Minimum 15 pages excluding title and reference page. • APA format
Papers MAY NOT show evidence of similarity beyond 20% excluding reference pages!
At least 5 references, of this at least 3 within 5 years old and 2 within 10 years.
Align Public Policy Options to Meet the Needs of Various Stakeholders
/in Nursing Essay Help /by Bernard InnocentAlign Public Policy Options to Meet the Needs of Various Stakeholders
Align public policy options to meet the needs of various stakeholders. Directions: For this Assignment, you will create a slide and audio presentation in which you will present information to support the passage of HR 5223. You may use PowerPoint, Google Slides, or another presentation software of your choosing. Your audio presentation should put forth a convincing argument based on your research and should be designed as if you were addressing a group of legislators whose support you are trying to obtain. Your slide and audio presentation must address: • A description of current risks that healthcare providers face from violence in the workplace. • Information from professional nursing associations which support your argument for minimizing the risk of
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violence in the healthcare setting. • Identification of a theoretical or regulatory model which would be applicable to the passage of HR 5223. • Identification of stakeholders who will benefit from the passage of HR 5223 and how they would benefit. • Potential barriers to passage of HR 5223 and how they can be overcome. • Include a minimum of 8 slides (not counting the title or reference slide). • Your slides should contain speaker notes, to assist in your audio delivery. • Your slides should be professional in appearance and tone, and reflect a thoughtful and meaningful application of your research to your argument. Speak clearly and convincingly. Your presentation should not be longer than 10 minutes. • You must include a minimum of (5) different scholarly references. Assignment Requirements Before finalizing your work, you should: • be sure to read the Assignment description carefully (as displayed above); • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and • utilize spelling and grammar check to minimize errors. Your writing Assignment should: • follow the conventions of Standard English (correct grammar, punctuation, etc.); • be well ordered, logical, and unified, as well as original and insightful; • display superior content, organization, style, and mechanics; and • use APA formatting and citation style.
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Diabetes in Older Adults on Signs Discussion
/in Nursing Essay Help /by Bernard InnocentDiabetes in Older Adults on Signs Discussion
- Create a simple one-page handout on the signs and symptoms of a disease of your choice that is prevalent in your population chosen for this assignment.
POPULATION FOCUS – OLDER CLIENTS
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- 1.Cardiovascular disease
- 2. Diabetes
OR
PICK 1 OF THESE 2 DISEASES AND MAKE ONE PAGE HANDOUT ON SIGNS AND SYMPTOMS( PLEASE USE MINIMUM OF 2 REFERENCES WITH IN TEXT CITATIONS AS NEEDED) PLEASE REFER TO LINK AS A GUIDE FOR MAKING HANDOUT
Florida National Hindu and Polish Heritage Culture Comparison PPT
/in Nursing Essay Help /by Bernard InnocentFlorida National Hindu and Polish Heritage Culture Comparison PPT
By the end of this week (May 25, 2019 @ 11:59 PM) you should choose from the list of cultural and sociocultural groups below and prepare a PowerPoint presentation that is due at the end of week 8. Preparation for the presentation will include synthesizing the information from readings, scientific literature, Internet resources and other sources. NO PLAGIARISM ALLOWED, SUBMITTED THROUGH TURNITIN.COM
This presentation should address the following:
History, values, and worldview, language and communication patterns, art and other expressive forms, norms and rules, lifestyle characteristics, relationship patterns, rituals, the degree of assimilation or marginalization from mainstream society, and health behavior and practices.
In addition to describing these characteristics, the presentation must include:
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a) a comparative and contrast analysis of common characteristics and distinguishing traits between the groups
b) a discussion of differential approaches needed by health care professionals
This is the only special assignment in this course and as I stated above it is due at the end of week 8. The assignment will be posted in Turnitin for grading and verify originality and in the discussion tab of the blackboard for your peers to view and comment. The assignment must be presented in an APA format, PowerPoint, Times New Roman 12 font attached to the forum in the assignment tab and discussion board title “Population presentation”. A rubric will be used to grade the assignment.
The list of the cultural groups and sociocultural-groups can be found in the table of contents of the class textbook unit 2 chapter 6 to 24.
interview project
/in Nursing Essay Help /by Bernard Innocentinterview project
Functional Health Patterns Community Assessment Guide Functional Health Pattern (FHP) Template Directions: This FHP template is to be used for organizing community assessment data in preparation for completion of the topic assignment. Address every bulleted statement in each section with data or rationale for deferral. You may also add additional bullet points if applicable to your community. Value/Belief Pattern • Predominant ethnic and cultural groups along with beliefs related to health. • Predominant spiritual beliefs in the community that may influence
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health. • Availability of spiritual resources within or near the community (churches/chapels, synagogues, chaplains, Bible studies, sacraments, self-help groups, support groups, etc.). • Do the community members value health promotion measures? What is the evidence that they do or do not (e.g., involvement in education, fundraising events, etc.)? • What does the community value? How is this evident? • On what do the community members spend their money? Are funds adequate? Health Perception/Management • Predominant health problems: Compare at least one health problem to a credible statistic (CDC, county, or state). • Immunization rates (age appropriate). • Appropriate death rates and causes, if applicable. • Prevention programs (dental, fire, fitness, safety, etc.): Does the community think these are sufficient? • Available health professionals, health resources within the community, and usage. • Common referrals to outside agencies. Nutrition/Metabolic • Indicators of nutrient deficiencies. • Obesity rates or percentages: Compare to CDC statistics. • Affordability of food/available discounts or food programs and usage (e.g., WIC, food boxes, soup kitchens, meals-on-wheels, food stamps, senior discounts, employee discounts, etc.). • Availability of water (e.g., number and quality of drinking fountains). • Fast food and junk food accessibility (vending machines). © 2011. Grand Canyon University. All Rights Reserved. • • • Evidence of healthy food consumption or unhealthy food consumption (trash, long lines, observations, etc.). Provisions for special diets, if applicable. For schools (in addition to above): o Nutritional content of food in cafeteria and vending machines: Compare to ARS 15-242/The Arizona Nutrition Standards (or other state standards based on residence) o Amount of free or reduced lunch Elimination (Environmental Health Concerns) • Common air contaminants’ impact on the community. • Noise. • Waste disposal. • Pest control: Is the community notified of pesticides usage? • Hygiene practices (laundry services, hand washing, etc.). • Bathrooms: Number of bathrooms; inspect for cleanliness, supplies, if possible. • Universal precaution practices of health providers, teachers, members (if applicable). • Temperature controls (e.g., within buildings, outside shade structures). • Safety (committee, security guards, crossing guards, badges, locked campuses). Activity/Exercise • Community fitness programs (gym discounts, P.E., recess, sports, access to YMCA, etc.). • Recreational facilities and usage (gym, playgrounds, bike paths, hiking trails, courts, pools, etc.). • Safety programs (rules and regulations, safety training, incentives, athletic trainers, etc.). • Injury statistics or most common injuries. • Evidence of sedentary leisure activities (amount of time watching TV, videos, and computer). • Means of transportation. Sleep/Rest • Sleep routines/hours of your community: Compare with sleep hour standards (from National Institutes of Health [NIH]). • Indicators of general “restedness” and energy levels. • Factors affecting sleep: o Shift work prevalence of community members o Environment (noise, lights, crowding, etc.) o Consumption of caffeine, nicotine, alcohol, and drugs o Homework/Extracurricular activities © 2011. Grand Canyon University. All Rights Reserved. o Health issues Cognitive/Perceptual • Primary language: Is this a communication barrier? • Educational levels: For geopolitical communities, use http://www.census.gov and compare the city in which your community belongs with the national statistics. • Opportunities/Programs: o Educational offerings (in-services, continuing education, GED, etc.) o Educational mandates (yearly in-services, continuing education, English learners, etc.) o Special education programs (e.g., learning disabled, emotionally disabled, physically disabled, and gifted) • Library or computer/Internet resources and usage. • Funding resources (tuition reimbursement, scholarships, etc.). Self-Perception/Self-Concept • Age levels. • Programs and activities related to community building (strengthening the community). • Community history. • Pride indicators: Self-esteem or caring behaviors. • Published description (pamphlets, Web sites, etc.). Role/Relationship • Interaction of community members (e.g., friendliness, openness, bullying, prejudices, etc.). • Vulnerable populations: o Why are they vulnerable? o How does this impact health? • Power groups (church council, student council, administration, PTA, and gangs): o How do they hold power? o Positive or negative influence on community? • Harassment policies/discrimination policies. • Relationship with broader community: o Police o Fire/EMS (response time) o Other (food drives, blood drives, missions, etc.) Sexuality/Reproductive • Relationships and behavior among community members. © 2011. Grand Canyon University. All Rights Reserved. • • • • Educational offerings/programs (e.g., growth and development, STD/AIDS education, contraception, abstinence, etc.). Access to birth control. Birth rates, abortions, and miscarriages (if applicable). Access to maternal child health programs and services (crisis pregnancy center, support groups, prenatal care, maternity leave, etc.). Coping/Stress • Delinquency/violence issues. • Crime issues/indicators. • Poverty issues/indicators. • CPS or APS abuse referrals: Compare with previous years. • Drug abuse rates, alcohol use, and abuse: Compare with previous years. • Stressors. • Stress management resources (e.g., hotlines, support groups, etc.). • Prevalent mental health issues/concerns: o How does the community deal with mental health issues o Mental health professionals within community and usage • Disaster planning: o Past disasters o Drills (what, how often) o Planning committee (members, roles) o Policies o Crisis intervention plan © 2011. Grand Canyon University. All Rights Reserved.
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HUM101 Chamberlain College Keto Diet Argumentative Essay
/in Nursing Essay Help /by Bernard InnocentHUM101 Chamberlain College Keto Diet Argumentative Essay
Required Resources
Read/review the following resources for this activity:
- Textbook: Chapter 8, 9
- Lesson
- Completed Week 5 Source Evaluation Worksheet
- Minimum of 5 sources (from Week 5)
Instructions
This week, you will complete your argumentative essay. Following the direction offered by Jackson and Newberry (2016) in Chapter 12, write an argumentative essay on the issue you chose in Week 2. Be sure your essay contains the following:
WEEK 2 Topic is Keto attached is some of the outline
- An introduction containing a thesis that states the issue, your position on the issue, what the paper will cover, and in what order
- At least 2 paragraphs that each contain a well-supported (and documented) claim or sub-argument that will provide strong support for your fallacy-free argument
- At least 1 paragraph discussing a documented, reasonable counterclaim to your position that needs to be a legitimate claim that someone has actually made as a counter-position on your issue
- At least 1 paragraph offering a reasonable, documented response to that counterclaim
- A conclusion that summarizes the argument and conclusion
Note: As you do your research, it is permissible to change your sources. Also, because of the recency and relevance of these issues, no sources older than 5 years should be used other than as historical information. Critical thinkers do the research first and then side with the preponderance of evidence. You might want to follow that principle.
Writing Requirements (APA format)
- Length: 750-1000 words – approx. 3-4 pages (not including title page or references page)
- 1-inch margins
- Double spaced
- 12-point Times New Roman font
- Title page
- References page (5 sources)
Grading
This activity will be graded using the Argumentative Essay Grading Rubric.
Course Outcomes (CO): 2, 3, 5, 6, 7
Due Date: By 11:59 p.m. MT on Sunday
Rubric
Argumentative Essay Grading Rubric – 150 pts
| Criteria | Ratings | Pts | |||||
|---|---|---|---|---|---|---|---|
| This criterion is linked to a Learning OutcomeIntro Paragraph: Thesis Preview of Argument |
|
10.0 pts | |||||
| This criterion is linked to a Learning OutcomeBody Paragraphs |
|
40.0 pts | |||||
| This criterion is linked to a Learning OutcomeOpposing View |
|
20.0 pts | |||||
| This criterion is linked to a Learning OutcomeConcluding Paragraph |
|
10.0 pts | |||||
| This criterion is linked to a Learning OutcomeOrganization |
|
20.0 pts | |||||
| This criterion is linked to a Learning OutcomeIntegration of Sources |
|
20.0 pts | |||||
| This criterion is linked to a Learning OutcomeFormatting of Sources |
|
10.0 pts | |||||
| This criterion is linked to a Learning OutcomeMechanics |
|
20.0 pts |
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