Paper must be written in APA, original, correct in-text citation and good English. Please pay keen attention to the questions asked. Answer all question asked sensibly.

For this assignment, write a 1,000-1,250 word paper in which you

1. Select a clinically based patient problem in which using a database management approach provides clear benefit potential.

2. Consider how a hypothetical database could be created to assist with this clinically based patient problem. Identify and describe the data needed to manage this patient problem using information from the electronic health record (EHR).

3. Include a brief description of the patient problem that incorporates information needed to manage the specific problem. Describe what information is required for the patient to manage the condition and how the database and health care provider can be incorporated into the approach for better health outcomes.

4. Describe each entity (data or attribute) that will be pulled from the EHR as either structured or unstructured and provide an operational definition for each. Structured data is more easily searchable and specifically defined. For example, structured data can be placed in a drop-down menu like hair color: brown, black, grey, salt and pepper, blonde, platinum, etc. Unstructured data is data that would be included in a nurse’s notes. An operational definition is how a researcher or informatics specialist decides to measure a variable. For example, when the nurses enter height into the EHR, do they enter height as measured in inches or centimeters or in feet and inches?

5. Provide a complete description of data entities (the objects for which you seek information, i.e., patients) and their relationships to the attributes collected for each entity (data collected for each entity, i.e., gender, birthdate, first name, last name, etc.) that apply to the hypothetical database. You can use a concept map similar to the “Database Concept Map” resource, to help you describe the relationships between each entity and its attributes.

1. Bioethics Case Study: This assignment asks you to examine a current ethical controversy case study. The paper is informal, but should be in APA style, and does not need an abstract or cover page. With a minimum of two pages and a maximum of four pages A reference page is needed. In-text citations should be in APA format. Papers will be graded on a 0 to 25-point scale.

Case Study in Primary care:

One hypothetical case study involves Jim a 54, year old patient who has recently diagnose with hypertension and his Creatinine and BUN laboratory results are elevated, if left untreated, will result in kidney failure. The patient refuses to take the medication because he said it will affect his sex life The NP must work with the patient to respect the fact that he doesn’t want the medication (autonomy), and needs to find a solution that would prevent him from going into kidney failure and other complications, which is in his best interest (beneficence). Although medications are the best choice, forcing the patient to accept the medication will result in probably patient leaving the care (non-maleficence). Finally, the NP needs to consider the impact that the patient’s choices might have on others if he starts to go into preventable kidney failure, he’ll need dialysis, which affects other people who need the same treatment (justice). So before making the final decision the NP must consider all four principles of health care ethics, which will help the NP make the choice that will have the best possible benefits for both the patient and society.

Questions?

1. What are the skills necessary for the provider to identify, address, and assess this clinical ethical issue?

2. What are the provider’s obligations when a patient discloses does he not intent to follow the treatment?

3. What are the ethical considerations in evaluating a patient’s failure to adhere to a prescribed therapy?

4. Will you terminate care for this patient? What are the implications?

Assignment 2:

Assignment 2: Health Policy Proposal Analysis (Policy Brief)

Nurses engaged in the policy arena often are asked to provide information on a health care topic of interest to policy makers. This is frequently accomplished through developing a policy brief. A policy brief advocates for a particular recommendation (prior to the enactment of a policy). Learning how to write a policy brief in a clear, succinct, scholarly, and professional manner is an essential skill for advanced practice nurses.

For this Assignment, you will assess one of the recommendations from the Institute of Medicine’s The Future of Nursing: Leading Change, Advancing Health: Report Recommendations. You will then develop a policy brief to advocate for this recommendation (the written policy brief is due in Week 7).

To prepare:

• Review      the Lavis et al. article on preparing and writing policy briefs provided      in the Learning Resources (See attached      file).
• Select      one of the recommendations within the IOM The Future of Nursing:      Leading Change, Advancing Health: Report Recommendations to focus      on for this assignment.
• Research      the history of the problem behind the recommendation and what has been      done to try to solve the problem.
• What      does the recommendation say should be done? Are there any groups, nursing      and others, currently supporting work to implement the recommendation      (e.g., Kaiser Family Foundation, professional organizations)? Does the      recommendation suggest specific groups that should be involved in the      implementation? Think critically about how the recommendation should be      implemented – did the IOM get it right? What other strategies are possible      to consider?

By Thursday 04/12/2018 3pm, 

To complete:

• Develop      a scholarly and professionally written 2- to 3-page single-spaced policy      brief on the recommendation you selected from the IOM report following the format presented in the Lavis      et al. article. (See attached file for the article). Include the      following:
  1. Short       introduction with statement of the problem.
  2. The       selected recommendation (from the IOM Report)
  3. Background
  4. Current       characteristics
  5. The       impact of the recommendation from the perspective of consumers, nurses,       other health professionals, and additional stakeholders
  6. Current       solutions
  7. Current       status in the health policy arena
  8. Final       conclusions
  9. Resources       used to create the policy brief

Required Readings

Hyder, A., Syed, S., Puvanachandra, P., Bloom, G., Sundaram, S., Mahmood, S., … Peters, D. (2010). Stakeholder analysis for health research: case studies from low- and middle-income countries. Public Health, 124(3), 159–166.

This study demonstrates how the engagement of stakeholders in research and policy making can assist in the successful implementation of policy proposals. The authors propose that by engaging stakeholders, researchers and policy makers are provided with multiple perspectives on proposed policies, which can lead to greater success with policy adoption and implementation.

Lavis, J. N., Permanand, G., Oxman, A. D., Lewin, S., & Fretheim, A. (2009). SUPPORT Tools for evidence-informed health Policymaking (STP) 13: Preparing and using policy briefs to support evidence-informed policymaking. Health Research Policy & Systems, 71–79. doi: 10.1186/1478-4505-7-S1-S13

The purpose of a policy brief is to communicate an issue clearly and definitively to policy makers. The authors of this article propose an outline for policy briefs and also stress the importance of using research when creating a policy brief (SEE ATTACHED FILE).

Lowery, B. (2009). Obesity, bariatric nursing, and the policy process: The connecting points for patient advocacy. Bariatric Nursing & Surgical Patient Care, 4(2), 133–138.

This article provides an example of nurse involvement in policy making by examining a bariatric nursing issue. The author stresses that nurses, in their patient-advocacy role, have a responsibility to be involved in the health care policy process.

Moore, K. (2006). How can basic research on children and families be useful for the policy process? Merrill-Palmer Quarterly, 52(2), 365–375.

Institute of Medicine. (2010). The future of nursing: Leading change, advancing health: Report recommendations. Retrieved from http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Recommendations.pdf

Introduced in Week 2, this IOM report highlights four key recommendations in its proposal for the future directions of the nursing profession. These recommendations focus on nursing practice, education and training, partnerships with other healthcare professionals, and workforce planning and policymaking.

National Center for Policy Analysis (2010). Ideas changing the world: Free-market health care policy. Retrieved from http://www.ncpa.org/healthcare/

The NCPA is a nonprofit, nonpartisan organization that promotes private sector solutions to public policy issues.

Slack, B. (2011). The policy Process. Retrieved from http://people.hofstra.edu/geotrans/eng/methods/ch9c2en.html 

The author presents a policy-making framework and provides details on the four steps of that process: problem definition, policy objectives and options, policy implementation, and policy evaluation and maintenance.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Healthcare policy and advocacy: Agenda setting and the policy process. Baltimore: Author. 

Note: The approximate length of this media piece is 17 minutes.

Dr. Kathleen White and Dr. Joan Stanley share their insights into agenda setting and how issues are moved forward into the policy process.

Optional Resources

Barnes, M., Hanson, C., Novilla, L., Meacham, A., McIntyre, E., & Erickson, B. (2008). Analysis of media agenda setting during and after Hurricane Katrina: Implications for emergency preparedness, disaster response, and disaster policy. American Journal of Public Health, 98(4), 604–610.

Jennings, C. (2002). The power of the policy brief. Policy, Politics & Nursing Practice, 3(3), 261–263. doi: 10.1177/152715440200300310

Neumann, P. J., Palmer, J. A., Daniels, N., Quigley, K., Gold, M. R., & Chao, S. (2008). A strategic plan for integrating cost-effectiveness analysis into the US health care system. American Journal of Managed Care, 14(4), 185-188.

Plan, Policy, Procedure Relationship Diagram. (n.d.). Retrieved from http://www.informationsecurityintel.com/docs/Fig.%204.3.pdf

Nurses engaged in the policy arena often are asked to provide information on a health care topic of interest to policy makers. This is frequently accomplished through developing a policy brief. A policy brief advocates for a particular recommendation (prior to the enactment of a policy). Learning how to write a policy brief in a clear, succinct, scholarly, and professional manner is an essential skill for advanced practice nurses.

For this Assignment, you will assess one of the recommendations from the Institute of Medicine’s The Future of Nursing: Leading Change, Advancing Health: Report Recommendations. You will then develop a policy brief to advocate for this recommendation (the written policy brief is due in Week 7).

To prepare:

• Review      the Lavis et al. article on preparing and writing policy briefs provided      in the Learning Resources (See attached      file).
• Select      one of the recommendations within the IOM The Future of Nursing:      Leading Change, Advancing Health: Report Recommendations to focus      on for this assignment.
• Research      the history of the problem behind the recommendation and what has been      done to try to solve the problem.
• What      does the recommendation say should be done? Are there any groups, nursing      and others, currently supporting work to implement the recommendation      (e.g., Kaiser Family Foundation, professional organizations)? Does the      recommendation suggest specific groups that should be involved in the      implementation? Think critically about how the recommendation should be      implemented – did the IOM get it right? What other strategies are possible      to consider?

By Thursday 04/12/2018 3pm, 

To complete:

• Develop      a scholarly and professionally written 2- to 3-page single-spaced policy      brief on the recommendation you selected from the IOM report following the format presented in the Lavis      et al. article. (See attached file for the article). Include the      following:
  1. Short       introduction with statement of the problem.
  2. The       selected recommendation (from the IOM Report)
  3. Background
  4. Current       characteristics
  5. The       impact of the recommendation from the perspective of consumers, nurses,       other health professionals, and additional stakeholders
  6. Current       solutions
  7. Current       status in the health policy arena
  8. Final       conclusions
  9. Resources       used to create the policy brief

Required Readings

Hyder, A., Syed, S., Puvanachandra, P., Bloom, G., Sundaram, S., Mahmood, S., … Peters, D. (2010). Stakeholder analysis for health research: case studies from low- and middle-income countries. Public Health, 124(3), 159–166.

This study demonstrates how the engagement of stakeholders in research and policy making can assist in the successful implementation of policy proposals. The authors propose that by engaging stakeholders, researchers and policy makers are provided with multiple perspectives on proposed policies, which can lead to greater success with policy adoption and implementation.

Lavis, J. N., Permanand, G., Oxman, A. D., Lewin, S., & Fretheim, A. (2009). SUPPORT Tools for evidence-informed health Policymaking (STP) 13: Preparing and using policy briefs to support evidence-informed policymaking. Health Research Policy & Systems, 71–79. doi: 10.1186/1478-4505-7-S1-S13

The purpose of a policy brief is to communicate an issue clearly and definitively to policy makers. The authors of this article propose an outline for policy briefs and also stress the importance of using research when creating a policy brief (SEE ATTACHED FILE).

Lowery, B. (2009). Obesity, bariatric nursing, and the policy process: The connecting points for patient advocacy. Bariatric Nursing & Surgical Patient Care, 4(2), 133–138.

This article provides an example of nurse involvement in policy making by examining a bariatric nursing issue. The author stresses that nurses, in their patient-advocacy role, have a responsibility to be involved in the health care policy process.

Moore, K. (2006). How can basic research on children and families be useful for the policy process? Merrill-Palmer Quarterly, 52(2), 365–375.

Institute of Medicine. (2010). The future of nursing: Leading change, advancing health: Report recommendations. Retrieved from http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Recommendations.pdf

Introduced in Week 2, this IOM report highlights four key recommendations in its proposal for the future directions of the nursing profession. These recommendations focus on nursing practice, education and training, partnerships with other healthcare professionals, and workforce planning and policymaking.

National Center for Policy Analysis (2010). Ideas changing the world: Free-market health care policy. Retrieved from http://www.ncpa.org/healthcare/

The NCPA is a nonprofit, nonpartisan organization that promotes private sector solutions to public policy issues.

Slack, B. (2011). The policy Process. Retrieved from http://people.hofstra.edu/geotrans/eng/methods/ch9c2en.html 

The author presents a policy-making framework and provides details on the four steps of that process: problem definition, policy objectives and options, policy implementation, and policy evaluation and maintenance.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Healthcare policy and advocacy: Agenda setting and the policy process. Baltimore: Author. 

Note: The approximate length of this media piece is 17 minutes.

Dr. Kathleen White and Dr. Joan Stanley share their insights into agenda setting and how issues are moved forward into the policy process.

Optional Resources

Barnes, M., Hanson, C., Novilla, L., Meacham, A., McIntyre, E., & Erickson, B. (2008). Analysis of media agenda setting during and after Hurricane Katrina: Implications for emergency preparedness, disaster response, and disaster policy. American Journal of Public Health, 98(4), 604–610.

Jennings, C. (2002). The power of the policy brief. Policy, Politics & Nursing Practice, 3(3), 261–263. doi: 10.1177/152715440200300310

Neumann, P. J., Palmer, J. A., Daniels, N., Quigley, K., Gold, M. R., & Chao, S. (2008). A strategic plan for integrating cost-effectiveness analysis into the US health care system. American Journal of Managed Care, 14(4), 185-188.

Plan, Policy, Procedure Relationship Diagram. (n.d.). Retrieved from http://www.informationsecurityintel.com/docs/Fig.%204.3.pdf

For this project, you will select and critique a nursing theory of your choice.  You will:

1. Write an original paper.
2. Submit it to the dropbox for a grade based on the rubric.

The following are some conceptual models and theories you may choose from; however, you may choose any nurse theorist:

• Florence Nightengale’s Environmental Model
• Dorothy Johnson’s Behavioral System Model
• Hildegard Peplau’s Interpersonal Process Theory
• Dorothea Orem’s Self-Care Deficit Theory
• Ida Jean Orlando’s Nursing Process
• Sister Calista Roy’s Adaptation Model
• Madeleine Leininger’s Theory of Culture Care Diversity and Universality
• Jean Watson’s Nursing as Caring Theory
• Margaret Newman’s Health Expanding Consciousness
• Martha Roger’s Science of Unitary of Human Being
• Abdellah’s Patient-Centered Approaches Theory

Steps to follow to do your critique:

• You can visit the Fitne website to watch videos about the above mentioned theorist.
• You  can use the Internet to find a journal or articles that provides an  analysis and critique of a theory of nursing as a resource to start  working with your own critique.
• You need to login entering the following information:
  • Username: medical center campus
  • Password: medical
  • Under the Nurse Theorists: Portraits of Excellence (Volume I) link select the theorist of your choice
  • On the left navigation area select a topic to view
• You must use the criteria for analysis and critique of theories in Chapter 1 of the George text book.
• You  will select the link “Library Resources” found under the “NUR3846 –  Library” tab (located on left-side of screen) to do your research and  complete your literature review of the model/theory you selected.
• You may physically visit the library in person as well, and ask for help from the library staff.

Your critique must have the following headings and follow APA Guidelines.

Topic Description

Meaning

(30 pts.)

 

• Describe the main ideas of the theory (should include the assumptions under which the theory operates).
• What are the main concepts?
• What are the main relationships between the concepts?
• How do different concepts affect each other?

 

Origins of the Theory

(30 pts.)

 

• What was going on in the profession of nursing or in American society that may have influenced the theory?
• What values, theories, evidence, and/or existing knowledge did the theorist cite as support for the theory?
• What motivated the theorist to write the theory?
• What approach to theory development did the theorist use?

 

Usefulness

(20 pts.)

 

• How useful is this theory in practice?
• Is the theory practical and helpful to nursing?
• Does it contribute to understanding and predicting outcomes?
• Cite an example/case study where this theory could be used.

 

Testability

(10 pts.)

 

• How testable is this theory?
• Has this theory generated research? How many and what types of studies?
• Give one example of a study done using the theory
• What types of statements are the propositions?

 

Overall Evaluation

(10 pts.)

 

• Is the theory comprehensive and specific?
• How general is the theory?
• Summarize the strengths and weaknesses of the theory.
• Why  would you use or not use this theory in your own advanced practice?  (Begin to think about the your presentation “Synthesis of Nursing  Theory”).