Paragraph- Follow Instructions

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Paragraph- Follow Instructions

Please write a long Paragraph answering to this discussion below with your opinion. Please include citations and references in alphabetical order in case of another source.

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Child abuse and maltreatment is not limited to a particular age and can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups (infant, toddler, preschool, or school age) and discuss the types of abuse that are most often seen in this age. Discuss warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse.

long Paragraph – Follow instructions

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long Paragraph – Follow instructions

Please write a long Paragraph answering to this discussion below with your opinion. Please include citations and references in alphabetical order in case of another source.

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Research children’s health issues, focusing on environmental factors and links to poverty. The assessment of environmental processes includes agents and factors that predispose communities and populations to injury, illness, and death. What correlations did your research show between environmental and health issues in the school-aged child? Make sure to include references to the article(s) you consulted.

Topic 3 DQ1

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Topic 3 DQ1

PLEASE WRITE PARAGRAPH WITH YOUR OPINION BASE ON THE TEXT BELOW. PLESE INCLDU SITATIONS AND REFERENCES IN CASE YOU NEED TO USE IT FOR THE QUESTION.

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Bringing up Kelly Johnson, Miss Colorado, is a perfect example. For those of you who are unaware or don’t remember, see the link below. These women on “the view” were obviously ignorant. They tried to say the comments were taken out of context, but they weren’t. Nurses in NO TIME were bombarding the TV station. Some nurses were politely trying to educate these women AND the public and some not so politely. I was impressed Johnson and Johnson who supported “the view” withdrew after the incident. Johnson and Johnson has always been very supportive of nurses.

Below is the link of the unfortunate “why is she wearing a doctor’s stethoscope” and another link from ZDoggMD making some fun of it too.

topic 3 DQ 2

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topic 3 DQ 2

Please i would need this questions to be answered by Thursday. words between 150-200. with references as well.

What factors need to be considered when determining whether or not identified actions are within the domain of nursing practice? Be sure to cite current literature in your response.

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Literature Review

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Literature Review

In this assignment, students will pull together the change proposal project components they have been working on

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throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

Background
Problem statement
Purpose of the change proposal
PICOT
Literature search strategy employed
Evaluation of the literature
Applicable change or nursing theory utilized
Proposed implementation plan with outcome measures
Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
Appendix section, if tables, graphs, surveys, educational materials, etc. are created
Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

Background section is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Problem statement is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Purpose of change proposal is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

PICOT is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Literature search strategy is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Literature evaluation is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Theory utilization content is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Implementation plan is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Identification of potential barriers to plan implementation with a discussion component is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Appendices are present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Writer is clearly in command of standard, written, academic English.

All format elements are correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

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UNFORMATTED ATTACHMENT PREVIEW
Running head: PICOT STATEMENT 1 Running head is not in correct APA format, it must be in the same font (Times New Roman 12 preferred) and must be no longer than 50 characters and should say Running head: TITLEINALLCAPS no spaces PICOT Statement May 6, 2018 PICOT STATEMENT 2 PICOT statement: One of the main challenges in healthcare has been lack of coordination. Nurses are one of the main professionals when it comes to healthcare, they, therefore, have a huge role to play since they are in charge of taking significant care of patients. Care coordination refers to having better communication as well as the interaction of care across all the professionals in healthcare. All the patient needs have to be addressed and every medical condition attended to. when patients get to the hospitals they end up spending a lot of time while others leave even without being attended to because the providers do not know what exactly they are supposed to be doing. However, if there is better coordination this is likely to change. The PICOT question, in this case, is: Will improving coordination of health care result in better patient care? How will it improve the mental health and lead to healthier people by the year 2020? Population- the population for the study are the patients suffering from mental health. Using these patients will be good because mentally ill patients require a lot of care and attention. It will then be possible to identify where the professionals are falling short. Intervention- this is the coordination of care. The hospital will have to come up with ways in which the health professionals can be better organized. Comparison- this is the unattended patients and the long hours spent in the waiting areas or in the hospitals in general. Outcome- the outcome here will be improved care. If the nurses and the other healthcare providers are able to work together and communicate well then, the patients will be well taken care of. Time- the period for this intervention is 2020. If there is proper coordination of care will there be healthier people come 2020? This period is enough to know if the intervention and other programs put in place really work. 3 PICOT STATEMENT There are quite many reasons why the coordination should be improved. To start with, the healthcare facility can get sued after the Patient Protection and Affordable Care Act was passed. This is going to assist in improving the care that the patients get and also ensure the satisfaction of the patient as well. The time in which they spend in the hospitals will also be reduced since there will be someone to attend to them immediately after they get to the facilities (Hofmarcher et al., 2007). Many things have changed in health care, for instance, the medical practices have advanced, there is the use of technology, and the delivery is now sophisticated so there is no reason as to why healthcare should be lagging behind when it comes to coordination. One of the things that can be done is to use an electronic health record. This will help in a great way in reducing the fragmentation of care. The patient’s information will be well organized and it can be retrieved easily upon the patient’s arrival to the hospital. This will also ensure that all the providers have the same information about the patient. With care coordination, there will be no misdiagnosis. The patients are also going to receive all the information that they need for their treatment (O’Malley et al., 2009). The healthcare providers are able to know the needs of the patients and they are communicating with the others in good time leading to the patient receiving the best care they need. All APA papers should have a formal conclusion, please remember this going forward. References PICOT STATEMENT 4 Hofmarcher, M. M., Oxley, H., & Rusticelli, E. (2007). Improved health system performance through better care coordination. OECD Health Working Papers, (30), 0_1. O’Malley, A. S., Tynan, A., Cohen, G. R., Kemper, N., & Davis, M. M. (2009). Coordination of care by primary care practices: strategies, lessons, and implications. Research briefs: center for studying health system change, (12), 1-16. The assignment instructions asked you address the following in this paper: 1. 2. 3. 4. 5. Evidence-Based Solution Nursing Intervention Patient Care Health Care Agency Nursing Practice Each of these components should have been a separate heading in your paper and thoroughly addressed using the rubric as your guide. Please note that even though there are errors in your paper, I am aware you are trying to implement Coordination of Care, but to get full points, you have to meet all the requirements of the rubric. Also, since Week 9 the student is graded on having implemented instructor feedback from weeks 1-8, make sure to read each area so you can improve and write an effective paper in Week 9. Thank you & keep working, you will see how it comes together at the end. Running head: NURSING LITERATURE REVIEW Nursing Literature Review May 27, 2018 Introduction 1 NURSING LITERATURE REVIEW 2 Children with special health care needs have not fully met the requirements for care coordination. Coordination among the nurses for mental health patients has been the concern for various stakeholders including the federal government. A need to have a system in which patients’ data can be transferred from one healthcare delivery setting to another electronically in an efficient way to ensure relevant and accurate clinical decisions. With an efficient care coordination system, the resources of the healthcare provider as well as the patient’s time are preserved. Efficient and accurate sharing of patient data facilitates diagnosis and treatment from all the providers involved. Incentives to the primary care practices are offered to encourage all efforts required towards the improvement of the patient care coordination (Foster et al., 2018). Children diagnosed with anxiety are mainly victims of unmet need for care coordination. This vulnerable population will best be if an intervention embarks on the identification and enhancement of the family-based supported in addition to a coordinated care system of the healthcare practitioners. The result of the uncoordinated care is poor patient outcomes. Concerns are also raised on the use of technology in healthcare as a focus on the effectiveness of care coordination (McAllister et al., 2018). The focus of the literature review is on the comparison of the various research questions raised and the limitations established for the effective implementation of policies for coordinated care. Comparison of Research Questions There is a clear distinction between children with mental health conditions who receive a coordinated care and those who don’t. The further focus on research is not whether coordination is essential but rather on how to implement it effectively. With an approximate of 40% of the children who express the need for care coordination not receiving it an alternative to reinforce the care coordination such as extensive family support and its effectiveness become paramount NURSING LITERATURE REVIEW 3 to the children (Brown et al., 2014). What factors hinder the care coordination? Many efforts made by the various stakeholders including incentives to the practitioner’s care coordination remain a phenomenon in policy development. Difficulties sending and receiving information electronically is a barrier for the effective coordination among the health care practitioners (Cohen, & Adler-Milstein, 2015). Other such as competing priorities and the financial costs involved significantly hinder the coordination. Care coordination effectiveness is dependent on the investment that is affected in the whole process. The entire process requires highly informed health practitioners with other unpaid caregivers who must integrate efficiently to provide highquality healthcare. This defines the need to have efficient systems as coordinated care almost demand the practitioners and the unpaid caregivers to make personal costs toward its effectiveness (Daveson et al., 2014). Comparison of Sample Population To determine the need for care coordination the population choice was on the children aged between 2 to 17 was chosen. This represents the population that would extensively seek medical attention on every mental issue that the parents identified. Using a population of 57500000 children the outcome measures are reliable. It represents what is best for a diversified community seeking coordinated care. 43.2% of the people with a need for care coordination providing an outcome of 41.2 % as unmet need mean then that 1 million of the population within that year did not efficiently meet the care coordination needs even when they prevalently sought for them. To determine the barriers that the health practitioners encounter in focus for care coordination (Cohen, & Adler-Milstein, 2015) use 328 primary care practices and the outcome between October 2013 and March 2014. One of the focuses to the practitioners was the use of electronic measures to transfer information to other practitioners. Using the practitioners to 4 NURSING LITERATURE REVIEW conduct the survey reinforce the research done earlier by Brown et al., 2014 on the patients. To determine the factors that would enhance care coordination the population integrated 56patients to 27 unpaid caregivers. Through this population, coordination must be deliberate, and the stakeholders must show full commitment and sacrifice to achieve the desired results. Comparison of the Limitations of the Study According to the research conducted by Brown et al., (2014) on the need for care coordination the research fails to identify what is the alternative approach and its outcome to the population that has no prevalence for care coordination. This research focuses on the population in which care coordination is prevalence and not the one to which it’s available and inefficient. The outcome of the results in general and has no specific platform for further research and the factors that hinder care coordination. (Cohen, & Adler-Milstein, 2015) emphasizes the need for information and not the actual commitment by the health practitioners to give efficient healthcare to the patients. The population choice was limited to a single state while the different state has different mechanisms of coordination. Davison et al., 2014 research is limited to the observational data that would enhance the trustworthiness of the findings. The study would have been enhanced more with a more significant contribution by the unpaid caregivers. The research outcome has limitations on the actual investment required for a given population that would provide adequate information. Conclusion The care coordination of healthcare services dramatically improves the patient’s outcome and help save time and other resources. It’s even more useful when dealing with a large population of patients such as children who must significantly seek care (Wu et al., 2017). One NURSING LITERATURE REVIEW of the solutions established in the previous research is the electronic health records systems. Having up to date patient data as well as the outcome of discoveries will improve the efficiency of the services by the caregivers. From the research outcome care coordination would require a voluntary commitment by the caregivers. Policy makers need to standardize the operations to incorporate care coordination as the primary approach to health care providing the resources required. I recommend research to correctly identify the current efforts to care coordination and the quantifiable results. The basis for further research is to improve the efficiency of the care coordination practices. References 5 NURSING LITERATURE REVIEW 6 Brown, N. M., Green, J. C., Desai, M. M., Weitzman, C. C., & Rosenthal, M. S. (2014). Need an unmet need for care coordination among children with mental health conditions. Pediatrics, 133(3), e530-e537. Cohen, G. R., & Adler-Milstein, J. (2015). Meaningful use care coordination criteria: Perceived barriers and benefits among primary care providers. Journal of the American Medical Informatics Association, 23(e1), e146-e151. Daveson, B. A., Harding, R., Shipman, C., Mason, B. L., Epiphaniou, E., Higginson, I. J., & Dale, J. R. (2014). The real-world problem of care coordination: a longitudinal qualitative study with patients living with advanced progressive illness and their unpaid caregivers. PloS one, 9(5), e95523. Foster, S. D., Hart, K., Lindsell, C. J., Miller, C. N., & Lyons, M. S. (2018). Impact of a low intensity and broadly inclusive ED care-coordination intervention on linkage to primary care and ED utilization. The American Journal of Emergency Medicine. McAllister, J. W., McNally, R. K., Rodgers, R., Mpofu, P. B., Monahan, P. O., & Lock, T. M. (2018). Effects of a Care Coordination Intervention with Children with Neurodevelopmental Disabilities and Their Families. Journal of developmental and behavioral pediatrics: JDBP. Wu, F. M., Shortell, S. M., Rundall, T. G., & Bloom, J. R. (2017). The role of health information technology in advancing care management and coordination in accountable care organizations. Health care management review, 42(4), 282-291. I see multiple errors in the paper which are repetitive errors which I have already given you feedback on in previous assignments. Is there a reason why you are choosing to ignore instructor feedback NURSING LITERATURE REVIEW for integration into your assignments? I try to give students as much feedback as possible on how to write these papers and cover all the elements in the first eight weeks of the class so the Week 9 paper is a successful compilation of all of your work because that paper is worth 30 percent of your grade for the class or 300 points. Please review all feedback above and make sure going forward you use the feedback to create your future assignments. Thank you. 7
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Critique Quantitative Research

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Critique Quantitative Research

Quantitative research article critique. 3 pages.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC46357

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People of French Canadian Heritage.

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People of French Canadian Heritage.

Transcultural Health Care: A Culturally Competent Approach, 4th Edition French Canadian Culture Larry Purnell, PhD,

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RN, FAAN Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Overview/Heritage ▪ More than 2.2 million people of French Canadian descent reside in the United States. ▪ Nowadays, French speaking Canadians, unlike those of the 19th century living in the USA, may have been raised within the French culture but descended from a variety of ethnicities. ▪ The Multiculturalism Canada Act of 1988 provides guidelines for implementing policies regarding multicultural diversity. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Overview/Heritage ▪ Before the latter half of the 18th century, most French immigrating to Canada were Catholics. ▪ French Protestants tended to come directly to the United States. ▪ After the French Revolution, more Catholics sought shelter in the US, most coming via Canada settled in the New England states and later dispersed throughout the United States. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Overview/Heritage ▪ The Métis, descendants of Native Americans and Europeans, are mainly, though not entirely, Frenchspeaking. ▪ Another major portion of Canada’s French-speaking population are the Acadians who are the descendants of the early French colonists. ▪ Canadians whose first language is French are called Francophones. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Overview/Heritage ▪ Canada has become an increasingly diverse society composed of various ethnocultural groups with more than 100 different languages as mother tongue. ▪ Much like that of the US, interethnic marriage patterns have dramatically changed from a multiethnic society to multiethnic individuals. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Communication ▪ Canada has two official languages, French and English. ▪ In many homes in the US and in Canada English and French may be used equally. ▪ The French-speaking population may lack sufficient knowledge of the English language to access the workforce and other material. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Communication ▪ Among French Canadians, a conversation may be conducted with high voice crescendos, which do not necessarily mean anger or violence. ▪ Volume can increase with the importance and the emotional charge invested in the content of the message. ▪ French Canadians encourage sharing thoughts and feelings. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Communication ▪ Using hand gestures for emphasis when speaking is common. ▪ Facial expressions for men and women of all ages are a part of communication, often replacing words. ▪ Spatial distancing for differs among family members, close friends, and the public. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Communication ▪ When in the intimacy zone, people may touch frequently and converse in close physical space; however, they tend to avoid physical contact in public. ▪ When greeting another person, men usually shake hands. ▪ Close female friends and family members may greet each other with an embrace. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Communication ▪ Maintaining eye contact is an important French Canadian value. ▪ Most French-speaking Canadians have a past, present, and future orientation in their worldview. ▪ More traditional people, and many from rural backgrounds, attach primary importance to living in the present. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Communication ▪ Until the late 1970s, women and children took the father’s surname. ▪ Today, under Quebec law, a woman keeps her maiden name throughout her lifetime, although in other parts of Canada this practice is decided between the spouses. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Communication ▪ Québécois family of two spouses and two children may well include four different surname combinations: one child may have the father’s surname or the mother’s surname alone or a hyphenated or non-hyphenated surname composed of those of the father and mother. For a second child, the surnames are the same, but in reverse order. ▪ The decision for using surnames rests entirely with the parents. Transcultural Health Care: A Culturally Competent Approach, 4th Edition ClickerCheck The Métis in Canada are a. Mostly English Speaking. b. Mostly speak an indigenous dialect. c. Descendants of Native Americans and Europeans. d. Descendents of French and Arabic. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Correct Answer Correct answer: C a. Descendants of Native Americans and Europeans. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Family Roles and Organization ▪ Many older people with a strong religious background maintain a future worldview regarding life after death. ▪ Many of the younger generation reject past traditions and attempt to maintain a balance by enjoying the present, working, and planning for their future. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Family Roles and Organization ▪ Traditionally, in French-speaking Canadian families, the man was seen as the moral authority and responsible for material wellbeing, such as economic provider and purveyor of affection and security. ▪ The woman served as the family mediator and social director as well as being responsible for household activities, child care, and health care. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Family Roles and Organization ▪ With more women working, family roles are becoming more egalitarian. ▪ French Canadians have always attributed great value to family relationships and obligations. ▪ Research reports that Francophones are less committed than Anglophones to with respect to marriage, sexual activity, and non-married parenthood. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Family Roles and Organization ▪ The greatest source of pride for French Canadian families is to see their children well established with a good education. ▪ The French Canadian family is more nuclear and autonomous than its counterpart in France. ▪ French-speaking Canadian family is known for its closeness, and some families are a “closed” family system. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Family Roles and Organization ▪ Traditionally, the Catholic Church dictated the parameters of sexual behavior for French Canadians. ▪ There is a growing trend for couples to live together without marrying. ▪ Many young couples answer that they cannot financially afford to get married. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Family Roles and Organization ▪ In 1996, the Canadian government extended health, relocation, and other job benefits to same-sex partners of federal employees. ▪ The Ontario Court of Appeals ruled that samesex couples must be treated as common-law couples under the Family Leave Act. ▪ Canada is one of the few countries in the world where same-sex marriage is legalized. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Workforce Issues ▪ Opportunities for Francophone nurses to function successfully outside Quebec and in the US are limited if they have not mastered the English language. ▪ Because Francophone culture is more collevistic than individualistic, some may initially have difficulty adapting to an environment where autonomous decision-making is required. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Biocultural Ecology ▪ Canadians of French descent are white or Caucasian; however, Francophones, as a linguistic group, represent a mosaic of ethnocultural characteristics, including racial differences prompted by acculturation, adoption, and the children of mixed marriages. ▪ Assess individuals for biological risks according to their racial and cultural heritage. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Biocultural Ecology ▪ Higher incidences of prostate and breast and ovarian cancers have been seen among Francophones. ▪ A high rate of suicide and suicidal ideation, particularly among Francophone adolescents and young adult males, is seen in Canada. It is unknown if this extends in the US. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Biocultural Ecology ▪ Genetic and hereditary diseases include spastic ataxia Charlevoix-Saguenay type, cystic fibrosis, tyrosinaemia, cytochrome lipase deficiency, familial chylomicronemia resulting from the lipoprotein lipase (LPL) deficiency, hyperlipoproteinemia type I which has been traced to migrants from the Perche region of France. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Biocultural Ecology ▪ An increased incidence of cystic fibrosis and muscular dystrophy occurs among Frenchspeaking Canadians. ▪ Sickle cell anemia is also higher among Francophones than the general population. Transcultural Health Care: A Culturally Competent Approach, 4th Edition High-Risk Health Behaviors ▪ Misuse of alcohol, tobacco, marijuana, and psychotropic drugs are major health problems. ▪ Tobacco and alcohol use is highest among French-speaking males and is associated with masculine sex roles, higher self-esteem, and an external locus of control. ▪ The rate of individuals who do not exercise on a regular basis has increased over the last decade. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Nutrition ▪ For French Canadians, food is associated with hospitality and warmth. Food is part of all meetings and celebrations. ▪ Common vegetables enjoyed by French Canadians include potatoes, turnips, carrots, asparagus, cabbage, lettuce, cucumbers, and tomatoes. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Nutrition ▪ Meat choices are mainly beef, pork, and poultry. Lately, however, lamb has gained popularity. ▪ In Acadia, due to the proximity of the coastal areas, fresh fish and seafood are part of the diet. ▪ Common foods include fricot (stew made with a special spice called summer savory). ▪ French Canadians do not escape the overall trend toward being overweight. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Pregnancy and Childbearing Practices ▪ Until the middle of the 20th century, French Canadians maintained high fertility rates, which is uncommon for a population living in an industrialized country. ▪ This phenomenon, called the “revenge of the cradles,” has never been explained. ▪ The number of children per family has been declining since the mid-1960s. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Pregnancy and Childbearing Practices ▪ Effective contraception and family planning methods such as the pill, intrauterine devices, and tubal ligation have become available to all women. ▪ The pill remains the primary reversible method for birth control. ▪ On the basis of relative frequency, tubal ligation and vasectomy follow the pill as nonreversible methods of fertility control. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Pregnancy and Childbearing Practices ▪ Diaphragms, foams, and creams are not commonly used for birth control, partially because perceptions imply that women are not supposed to, or do not like to, touch their genitals. ▪ The beliefs that condoms reduce the level of sexual feeling during intercourse, or that contraception is not a man’s responsibility, are inversely proportionate to the age of men. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Pregnancy and Childbearing Practices ▪ Few French Canadians practice natural childbirth. ▪ Men are welcomed and encouraged to be in the delivery room with their wives. ▪ Breastfeeding has regained importance after years of bottle feeding. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Pregnancy and Childbearing Practices ▪ In Canada, maternity and paternity leaves are available with pay for a period ranging from 6 to 20 weeks. ▪ Although the movement used in washing a floor resembles that of an exercise aimed at strengthening the perineal muscles, this activity in the past was associated with the onset of labor and early or preterm deliveries. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Pregnancy and Childbearing Practices ▪ French Canadians do not differ from Canadians and others of European origins on issues related to death and death rituals. Expectations are closely related to Christian religious practices, in particular, those of the Roman Catholic Church. ▪ Whether one is an active church-goer or not, religious funerals are the norm. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Death Rituals ▪ Cremation is an acceptable practice. ▪ Supports for those who have lost a family member include openly acknowledging the family’s right to express grief, being physically present, making referrals to appropriate religious leaders, and encouraging interpersonal relationships. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Spirituality ▪ While most French Canadians identify themselves as Roman Catholic and are baptized at birth, they may or may not remain active church members. ▪ Older adults are more inclined to use prayers for finding strength and adapting to difficult physical, psychological, and social health problems. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Spirituality ▪ In times of illness and tragedy, French-speaking Canadians use prayer to help recovery. ▪ Many of the younger generation are not strongly influenced by religious values, beliefs, and faith practices. ▪ The younger generations turn towards spirituality rather than religion. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Health-care Practices ▪ Canada’s ensures free, universal health coverage at any point of entry into the system. ▪ Many people in the upper socioeconomic classes call on their family physicians instead of the local community service centers. ▪ Many lower socioeconomic individuals many do not seek health care until their health becomes a crisis situation. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Health-care Practices ▪ French-speaking Canadians have joined the current trend toward over-the-counter drug use. ▪ Language differences may be a barrier to accessing health care. ▪ French-speaking subjects rate acute pain as more intense than chronic pain, and more affectively laden than the English-speaking subjects. Transcultural Health Care: A Culturally Competent Approach, 4th Edition ClickerCheck ▪ On issues of death and dying, which religion most influences French Canadian’s decision making? ▪ Baptist ▪ Methodist ▪ Catholic ▪ Islamic Transcultural Health Care: A Culturally Competent Approach, 4th Edition Correct Answer Correct answer: C The Catholic religion has the most influence on decision making for death and dying issues for French Canadians. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Health-care Practices ▪ As a cultural group, French Canadians have no official proscriptions against receiving blood or blood products. ▪ The decision to donate or receive an organ is an individual decision without cultural influence for French Canadians. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Health-care Practitioners ▪ Health-care providers hold a favorable status in the eyes of French Canadians, especially among older people. ▪ The universal health insurance system in Canada makes the folk practitioners less appealing. ▪ Professionals throughout Canada are vigilant in trying to avoid exploitation by traditional and folk healers, who are viewed as practicing outside the law. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German American Culture Larry Purnell, PhD, RN, FAAN Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition German American Overview/Heritage ▪ Over 50 million Americans are of Germans heritage. ▪ The first wave of German immigrants came to the USA for religious freedom. ▪ The second wave arrived between 1840 and 1860 and was fleeing political persecution, poverty, and starvation. ▪ Many worked as indentured servants. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition German American Overview/Heritage ▪ The 1930s and 1940s saw a third wave because of the rise of fascism in Germany. ▪ Germans receive a stronger education than Americans. ▪ The German undergraduate degree is equal to the American master’s degree, except for nursing which is at a lower level than that of the USA. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Communication ▪ German is the official language of Germany. ▪ German is a low-contextual language, with a greater emphasis on verbal than nonverbal communication. ▪ A high degree of social approval is shown to people whose verbal skill in expressing ideas and feelings is precise, explicit, and straightforward. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Communication ▪ For traditional Germans, sharing one’s feelings with others often creates a sense of vulnerability or is looked on as evidence of weakness. ▪ Expressing fear, concern, happiness, or sorrow allows others a view of the personal and private self, creating a sense of discomfort and uneasiness. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Communication ▪ “Being in control” includes harnessing one’s emotions and not revealing them to others. ▪ Newer generations are more demonstrative in sharing their thoughts, ideas, and feelings with others. ▪ In families where the father plays a dominant role, little touching occurs between the father and children. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Communication ▪ Affection between a mother and her children is more evident. ▪ Germans generally are careful not to touch people who are not family or close friends. ▪ Most individuals place a high value on privacy. People may live side by side in a neighborhood and never develop a close friendship. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Communication ▪ Germans would never consider dropping in on another German neighbor because this behavior is incongruent with their sense of order. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Communication ▪ Even looking into a room from the outside is considered a visual intrusion. ▪ Eye contact is maintained during conversations, but staring at strangers is considered rude. ▪ A closed door requires a knock and an invitation to enter, regardless of whether the door is encountered in the home, business, or in-patient facility. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Communication ▪ To focus on the present is to ensure the future. ▪ The past, however, is equally important, and Germans often begin their discussions with background information. ▪ There are rarely good excuses for tardiness, delays, or incompetence that disturbs the “schedule” of events. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Communication ▪ Those in authority, older people, and subordinates are always addressed formally. ▪ Younger generations or the more acculturated may be less formal in their interactions. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Family Roles and Organization ▪ Traditional families view the father as head of the household. ▪ In the USA, the husband and wife are more likely to make decisions mutually and share household duties. ▪ Older people are sought for their advice and counsel, although the advice may not always be followed. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Family Roles and Organization ▪ Helping parents or grandparents to remain in their own home is important to families. ▪ Prescriptive behaviors for children include using good table manners, being polite, doing what they are told, respecting their elders, sharing, paying attention in school, and doing their chores. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Family Roles and Organization ▪ Prescriptive behaviors for adolescents include staying away from bad influences, obeying the rules of the home, sitting like a lady, and wearing a robe over pajamas. ▪ Restrictive and taboo behaviors for children include talking back to adults, talking to strangers, touching another person’s possessions, and getting into trouble. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Family Roles and Organization ▪ Restrictive and taboo behaviors for adolescents include smoking, using drugs, chewing gum in public, having guests when parents are not at home, going without a slip (girls), and having run-ins with the law. ▪ One’s family reputation is considered part of a person’s identity and serves to preserve one’s social position. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Family Roles and Organization ▪ Because families are concerned about their reputations in the community, an unwed mother taints their reputation and may result in the family being ostracized by others. If marriage follows the pregnancy, less sanctioning occurs. ▪ The fact that pregnancy existed before marriage creates a stigma for the woman, and sometimes for the child, that may last the rest of their lives. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Family Roles and Organization ▪ Many older gays and lesbians may fear exposure because of the extreme discrimination homosexuals experienced in Nazi Germany. ▪ Younger generations of gays and lesbians are less likely to fear exposure of their sexuality. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Workforce Issues ▪ For Germans being on time is important. ▪ Business communication should remain formal: shaking hands daily, using the person’s title with the last name, and keeping niceties to a minimum. ▪ Employees are not addressed by their first names. Transcultural Health Care: A Culturally Competent Approach, 4th Edition ClickerCheck Common German cultural individualist is values include a. Timeliness and sharing emotions. b. Timeliness and direct communication. c. Smooth inexact communication and readily sharing emotions. d. Readily sharing emotions and present orientation. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Correct Answer Correct answer: B German and German Americans value direct communication and timeliness in work and in social engagements. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Biocultural Ecology ▪ Germans range from tall, blond, and blue-eyed to short, stocky, dark-haired, and brown-eyed. ▪ Common health conditions for German Americans include cardiovascular disease, stomach cancer, muscular dystrophy, hereditary hemochromatosis, sarcoidosis, Dupuytren’s disease, peyronie’s disease, cystic fibrosis, hemophilia, and cholelithiasis. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German High-Risk Health Behaviors ▪ Smoking and excessive alcohol consumption remain high-risk behaviors for most Germans. ▪ Most individuals enjoy the outdoors, fresh air, and exercise. ▪ Sports are played for exercise and the pleasure of participating in group activities. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Nutrition ▪ Food is a symbol of celebration for Germans and is often equated with love. ▪ Children are rewarded for good behavior with food. ▪ Real cream and butter are used. ▪ Gravies, sauces, fried foods, rich pastries, and sausages are only a few of the culinary favorites that are high in fat content. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Nutrition ▪ Foods are also fried in butter, bacon fat, lard, or margarine. ▪ Traditional food preparation methods use highfat ingredients that add to nutritional risks. ▪ Garlic and onions are eaten daily to prevent heart disease. ▪ Those who are ill receive egg custards, ginger ale, or tomato soup (without cream) to settle their stomach. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Nutrition ▪ Ginger ale or 7-Up relieves indigestion and settles an upset stomach. ▪ After gastrointestinal illnesses, a recuperative diet is administered to the sick family member beginning with sips of ginger ale over ice. ▪ Coddled eggs, a variation of scrambled eggs prepared with margarine and a little milk, is used for recuperation. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Pregnancy and Childbearing Practices ▪ Heterologous artificial insemination, use of contraceptive pills, and unnatural contraception are forbidden among strict Catholic Germans. ▪ Therapeutic or direct abortion is forbidden as the unjust taking of innocent life. ▪ Prescriptive practices during pregnancy include getting plenty of exercise and increasing the quantity of food to provide for the fetus. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Pregnancy and Childbearing Practices ▪ Restrictive practices during pregnancy include not stretching and not raising the arms above the head to minimize the risk of the cord wrapping around the baby’s neck. ▪ Prescriptive practices for the postpartum period include getting plenty of exercise and fresh air for the baby. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Death Rituals ▪ Death is a transition to life with God. ▪ Because illness is sometimes perceived as a punishment, the duration and intensity of the dying process may be seen as a result of the quality of the life led by the person. ▪ Careful selection of the clothes to be worn by the deceased and the flowers that represent the immediate family is important. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Death Rituals ▪ The body of the deceased is prepared and “laid out” in the home where support from family and friends is readily available ▪ A short service is held in the home before the body is taken to the church, where family and friends can attend a funeral service. After the church services, the body is taken to the cemetery for burial. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Death Rituals ▪ After a short graveside service, the minister invites everyone at the graveside service to go to the home of the deceased for food. ▪ The viewing provides an opportunity for family, friends, and acquaintances to view the body. ▪ Crying in public is permissible among some families, but in others the display of grief is private. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Death Rituals ▪ A tradition of wearing black or dark clothing when attending a viewing or a funeral may be expected of both family and friends. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Spirituality ▪ Major religions among Germans include Roman Catholicism, Methodism, and Lutheranism. ▪ Other religions, such as Judaism, Islam, and Buddhism, have substantial membership. ▪ Prayers are often recited at the bedside with all who are present joining hands, bowing their heads, and receiving the blessing from the clergy. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Spirituality ▪ Family and other loved ones are also sources of support in difficult times. ▪ Home, family, friends, work, church, and education provide meaning in life for individuals of German heritage. ▪ Family loyalty, duty, and honor to the family are strong values. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Health-care Practices ▪ In traditional families, the mother usually ensures that children receive check-ups, get immunizations, and take vitamins. ▪ Women in the family often administer folk/home remedies and treatments. ▪ German Americans use a variety of over-thecounter drugs, believing that individuals are responsible for their own health. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Health-care Practices ▪ Common, natural folk medicines include roots, herbs, soups, poultices, and medicinal agents such as camphor, peppermint, and spirits of ammonia. ▪ Folk medicine includes “powwowing,” use of special words, and wearing charms. ▪ Many value being stoic when experiencing pain. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Health-care Practices ▪ Mental illness may be viewed as a flaw, resulting in this group being slow to seek help because of the lack of acceptance and the stigma attached to needing help. ▪ Physical disabilities caused by injury are more acceptable than those caused by genetic problems. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Health-Care Practices ▪ Blood transfusions, organ donation, and organ trans-plants are acceptable medical interventions unless a religious choice contradicts them. Transcultural Health Care: A Culturally Competent Approach, 4th Edition German Health-care Practitioners ▪ Health-care providers hold a relatively high status among Germans. ▪ This admiration stems from the love of education and respect for authority. ▪ Most individuals accept care from either gender. Some younger and older, more traditional women prefer intimate care from a same-sex health-care provider.
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MN 520 Unit 4 Topic 1 discussion

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MN 520 Unit 4 Topic 1 discussion

Topic 1: Feasibility and Permission

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Building on work done in the clinical practicum setting this week, and looking toward work with the EBP, address the following questions:

Topic: Reduce CVC Rate in Hemodialysis Patients

What are the benefits, risks, and feasibility of your proposed change?
Must the governing entities grant permission to make your proposed changes
Please include subtitles to each paragraph, Use references less than 5 years old

MN 520 Unit 5 Assignment

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MN 520 Unit 5 Assignment

In this unit, submit the draft for Chapter III: Implementation. Select the icon at the bottom of the page to access the Final Project Template.

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You may not have all of your results but you should be able to submit a draft of your procedures/methods, artifacts, and initial findings.

Review the following Final Project Template.

Chapter III: Implementation Topic Reduce CVC Rate

Write a brief introduction to the chapter stating what it will include. Do not use a heading called “Introduction” as APA does not use that type of heading. Some suggestions for this chapter include reiterating the statement of the problem and briefly discussing what this chapter will include.

Procedures/Methods

Provide a summary of the steps taken to implement the change.

Results

Summarize the results.

Artifacts

Record and explain any policies, procedures, or programs that come as a result of your project.

Conclusion

Write the chapter summary here.

Master’s Prepared Nurse Interview Guide

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Master’s Prepared Nurse Interview Guide

Refer to the “Master’s Prepared Nurse Interview Guide_student” as you prepare this assignment.

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Interview a nurse who is master’s-prepared in nursing and is using this education in a present position. Preferably, select someone who is in a position similar to your chosen specialty track. The purpose of the interview is for you to gain insight into the interplay among education, career path, and opportunities. Be certain to identify specific competencies that the MSN-prepared nurse gained, and is presently using, that reflect advanced education. Organize your interview around the topics below:

Overview of the master’s-prepared nurse’s career
Reason for seeking graduate education
Description of present position and role
Usefulness of graduate education for present role
Pearls of wisdom he/she is willing to share
In 750-1,000 words, write the interview in a narrative format. Use the following guidelines:

Within the paper’s introduction, explain your interview selection.
Do not identify the individual by name.
Use centered headings to separate parts of the interview.
In the conclusion, identify one or more competencies from the interview that are consistent with GCU program competencies and/or AACN education essentials. In addition, provide a statement that reflects what you gained from the interview.
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.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.

 

Master’s-Prepared Nurse Interview

1
Unsatisfactory
0.00%

2
Less Than Satisfactory
80.00%

3
Satisfactory
88.00%

4
Good
92.00%

5
Excellent
100.00%

70.0 %Content

5.0 %Introduction

Introduction lacks any discernible overall purpose or organizing claim.

Introduction is insufficiently developed and/or vague. Purpose is not clear.

Introduction is clear, forecasting development of the paper.

Introduction is comprehensive; purpose of the paper is present.

Introduction is comprehensive and makes the purpose of the paper clear by restating the thesis.

15.0 %Career Overview

Omits major elements and is disorganized.

Describes but fails to paint a clear picture of the nurse’s career and/or progression in a logical order.

Addresses most of the primary elements of the individual’s career in a logical fashion.

Addresses the primary elements. Reader can easily see purpose.

Thoroughly presents all of the information to portray a clear chronology as well as richness of detail.

15.0 %Graduate Education

Omits major elements; is disorganized; and has no depth or detail.

Describes but fails to address some of the elements; lacks depth and detail.

Addresses the same elements but lacks depth and detail.

Necessary elements are present and clearly presented. Decision-making process is evident to the reader.

Thoroughly presents the process that led to the decision to seek graduate education as well as the program itself with clarity, order, and depth.

20.0 %Present Position (includes pearls of wisdom)

Omits major elements; information is tangential and disorganized.

Describes but fails to address most of the primary elements in any depth.

Addresses most of the primary elements of the present position with recognition of competencies but lacks detail.

All key elements are presented with clarity.

Thoroughly presents all of the key elements of the present position with emphasis on competencies required. Describes in rich detail, and includes advice given and original insights.

15.0 %Conclusion

Conclusion lacks any discernible purpose.

Conclusion is insufficiently developed and/or vague.

Conclusion is clear and identifies key points of interview but fails to draw inferences.

Conclusion is clearly evident to the reader. Career opportunities are present.

Conclusion is comprehensive; paints a clear picture of the potential outcomes and career opportunities of graduate education; identifies key points of the interview; and demonstrates insight and interpretation.

20.0 %Organization and Effectiveness

7.0 %Thesis Development and Purpose

Paper lacks any discernible overall purpose or organizing claim.

Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.

Thesis and/or main claim are apparent and appropriate to purpose.

Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.

8.0 %Argument Logic and Construction

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.

Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

Writer is clearly in command of standard, written, academic English.

10.0 %Format

5.0 %Paper Format (Use of appropriate style for the major and assignment)

Template is not used appropriately or documentation format is rarely followed correctly.

Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.

Appropriate template is used. Formatting is correct, although some minor errors may be present.

Appropriate template is fully used. There are virtually no errors in formatting style.

All format elements are correct.

5.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style)

No reference page is included. No citations are used.

Reference page is present. Citations are inconsistently used.

Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.

Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct.

In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error.

100 %Total Weightage