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health care outcomes

Overview: As a community of practice, your task for this week is to  collaborate with professionals across the health care system. With your  community of practice, in the Discussion, find a gap in care or social  determinant that often results in poor health care outcomes. You will  begin to take the lead in advocating for and collaborating with others  to improve the health care outcomes for populations at risk.

Practicum Discussion: During this week, you will identify a  population at risk in your community. This population will be the basis  for your Practicum Discussions and your individual presentations over  the next 6 weeks, as well as the focus of your final PowerPoint  presentation in Week 6. To review, a population is a group of  individuals who share a common environmental or personal characteristic,  such as obese individuals who are at risk for diabetes or  cardiovascular disease (populations at risk) or those individuals who  are otherwise healthy and could stay healthy if they do not develop  risky behaviors (populations of interest). An example of this is  teenagers who don’t yet smoke but might consider it due to peer pressure  (Stanhope & Lancaster, 2016). Some of the topics you might consider  are vaccination compliance, obesity rates among children and adults,  teenage pregnancy, or infectious diseases such as Norwalk virus, genital  warts, or sexually transmitted diseases/infections. You might look also  at emerging public health problems such as Chagas or the Zika virus.  Some of the places you might consider looking for information to  substantiate and support your ideas about populations at risk in your  communities are your local health department, the CDC, and the many  evidence-based websites that the CDC supports, such as the CDC Wonder  (http://wonder.cdc.gov/). You may also review the work of other  community groups that focus on improving health care outcomes for your  community. You should begin to support your selection of population and  ideas about their health care problems through the use of health data  and scholarly literature.

Please address the following points in your Practicum Discussion:

  • Briefly describe your community and then describe your practice setting.
  • What are the determinants of health in your community?  (https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health)
  • What are the most prevalent health problems in your community or in your practice?
  • Choose a population at risk and describe the health problem specific to that population. Remember t

Middle  East respiratory syndrome coronavirus

Report Regarding Middle  East respiratory syndrome coronavirus in Saudi Arabia Please make sure to  follow the instructions in the attached file.

• Four to five pages in length, not including the cover or reference pages.

• Be sure to use in-text citations

• Provide support for your statements with in-text citations from a minimum of six scholarly articles. As referred below, two of these sources may be from the class readings, textbook, but the others must be external.

• Follow APA referencing and writing standards

metaparadigms of nursing theory

 Need a scholarly paper completed by 1/28/2020 with as below:

The paper should follow a format that includes:

The Four Metaparadigms: Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment.

 

Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.

 

List of Propositions: A numbered list of at least five propositions or assumption statements that clearly connect the concepts described.

 

Consider the following questions as you complete your various tasks related to this assignment.

1.

How do I define and employ the four basic metaparadigms of nursing theory in my professional practice?

2.

What are the major concepts I employ that are unique to my professional practice?

3.

What philosophies and theories from the literature of nursing and other disciplines/domains are consistent with these concepts?

4.

How are the concepts of transcultural nursing, the health promotion model, skill acquisition, role theory, and change theory specifically integrated into  my philosophy and practice?

5.

What research supports these theories and concepts?

6.

How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice?

The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper.

 

Sources should focus on references from nursing theory. 

References MUST be no more than 5 years old.

APA formatted

The paper, excluding references or appendices, is to be limited to 6-10 pages. 

Writing should be succinct and well organized.

PAPER IS DUE NO LATER THAN MONDAY 1/28/2020 AT 5PM EASTERN TIME

Community health

Community health nurses practice in a variety of settings. The purpose of this paper is to describe the community setting and analyze the role of a nurse in the assigned setting. Health promotion nursing interventions and a professional nursing organization related to this role will also be examined.

The topic for this paper is the role of a nurse in a faith community setting. 

Course Outcomes

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

· CO5: Analyze the nursing roles in providing comprehensive care in a variety of community health settings. (PO 1)

· CO6: Utilize a systems-based and collaborative approach to address factors that influence the health of a community and population health problems. (PO 2)

Due Date

Submit by 11:59 p.m. MT Sunday of Week 4.

Points: 200 Points

Directions

Watch the tutorial on tips for completing the Community Settings and Community Health Nursing Roles assignment.

This APA paper is expected to be no more than four pages in length (not including the title page and reference list). Below are the requirements for successful completion of this paper. Please use the recommended APA Template linked below, which incorporates the following categories as the first level headings on your paper. APA formatting helps you to organize your paper in a professional manner and provides consistent methods for citing your sources and completing your reference page. See the documents in the APA category in Course Resources for assistance with APA formatting. The Student Success Strategies resource has great sections on writing scholarly papers and APA formatting.

1. The  community health setting for this paper must be a faith community such as a church/parish, or other congregation.

2. Click to view and download the Community Settings APA Template (Links to an external site.)Links to an external site. to complete your paper. The template is formatted with the appropriate running head, title page, page numbers, paragraph formatting, and most of the headings. Please edit the headers and title page with your specific information. You are also encouraged to view the Week 4 assignment tutorial found at the end of the Academic Integrity Reminder.

3. Read the chapter of your textbook on the  assigned community health setting and take notes based on the outline below.

4. Locate and read at least one scholarly peer-reviewed journal article that is not assigned in the course related to a nurse’s role in health promotion in this setting. Go to the library at http:/library.chamberlain.edu (Links to an external site.)Links to an external site.. Search peer reviewed journals to find a scholarly article on this topic. The article must be less than 10 years old (less than 5 years is best).

5. Thoroughly address the following categories using the APA Template that is provided.

· Introduction (one paragraph):

o  The introduction should be interesting and capture the reader’s attention.

o  Introduce the assigned community setting

o  Briefly identify CHN role(s) in this setting

o  Identify vulnerable population(s) served in this setting

o  Include a purpose statement

· Community Setting (two to three paragraphs)

o  Describe the assigned community setting, including vulnerable population(s) served.

o  Discuss three health services provided by the a CHN in the assigned setting.

o  Use your textbook or an outside scholarly source to address these sub-points.

· Health Promotion Nursing Intervention (two to three paragraphs) 

o  Describe in detail health promotion intervention(s) that a CHN could implement in the assigned community setting.

o  Identify people/organizations/community members this CHN role may collaborate with in health promotion interventions.

o  Utilize at least one peer-reviewed scholarly article related to a health promotion intervention.

· Professional Nursing Organization (two paragraphs)

o  Provide a detailed description of a professional nursing organization related to the assigned community setting. Search the text, your article, or the Internet for one professional organization that supports nurses in this role. If you can’t find an organization specific to this group, search the American Nurses Association (ANA) website for information on this role. Cite the organization in the body of the text with (organization name, year), and include a complete reference on the reference page.

o  Discuss one professional issue that this organization is addressing related to the assigned community setting.

· Summary (one paragraph)

The summary reiterates key points about:

o  The community setting and the CHN role(s)

o  Health promotion intervention

o  Professional organization

o  Includes a concluding statement.

· Reference Page: The reference page should start on a new page (insert a page break). All references should be cited within the body of the paper as (author or organization, year), and the full reference should be included in APA format on the reference page. A URL link alone is not an adequate reference. See the Chamberlain Guidelines for Professional Writing in the APA Folder in Program Resources for examples of properly formatted references.

Guidelines

The setting for this paper must be a faith community.

· Application: Use Microsoft Word 2010™ or later to create this assignment on the template provided.

· We highly recommend that you used the specific APA paper template for this assignment linked above as the headings are already included.

· Scholarly Writing: APA format is required. Review APA documents in Program Resources, and use the free resources of tutor.com for writing tutors.

· Length: This paper is expected to be no more than 4 pages in length (not including the title page and reference list).

· Quotations should be minimal—please paraphrase your sources. A maximum of one quotation should be used for this paper.

· Save your paper with your last name in the document title (e.g., Smith Community Settings).

· Submission: Submit your paper by 11:59 p.m. MT Sunday of Week 4.

· Late Submission: See the course policy on late submissions.

Best Practices in Preparing the Paper

The following are best practices in preparing this project.

· Follow the guidelines above carefully.

· Use only the assigned community setting.

· Complete you own work.

· Use the provided APA assignment specific template.

· Ask you instructor if you have any questions.

· Visit the SSPRNBSN Student Success resource for help with writing a scholarly paper, APA formatting, and library navigation. This should be one of your course tiles.

· Use the 1st column of the grading rubric to make sure all elements of the paper are addressed.

· Cite all sources within the paper as well as on the reference page.

· Proofread prior to final submission.

· Check for spelling and grammar errors prior to final submission with Grammarly.com or the free tutor available through the Tutoring link in the course.

**Academic Integrity Reminder**

College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

low birth weight

Describe the effect of extremely low birth weight babies on the family and community. Consider short-term and long-term impacts, socioeconomic implications, the need for ongoing care, and comorbidities associated with prematurity.

Explain how disparities relative to ethnic and cultural groups may contribute to low birth weight babies.

Identify one support service within your community to assist with preterm infants and their families and explain how the service adequately addresses the needs of the community, or a population in your community. Provide the link to the resource in your post.

Consider the following patient scenario:

A mother comes in with 9-month-old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart), weighs 6.75kg (5th percentile per CDC growth chart), and has a head circumference of 43cm (25th percentile per CDC growth chart).

Describe the developmental markers a nurse should assess for a 9-month-old female infant. Discuss the recommendations you would give the mother. Explain why these recommendations are based on evidence-based practice.

Transcultural Perspective in the Nursing Care for Children

Transcultural Perspective in the Nursing Care for Children

Read chapter 6 of the class textbook and review the attached PowerPoint presentation, once done answer the following questions;

  1. Mention and discuss the cultural influences of child growth, development, health, and illness.
  2. Mention and discuss how poverty influences the children’s health status in your community.
  3. Conduct a Nursing  Cultural Assessment of any Family in your community.  The assessment must include the following;

Cultural background

Family belief systems

Mother maybe most influential

Family structures

Nuclear, single-parent, blended, extended

Please explain the five factors included above.

As stated in the syllabus, present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 6 discussion questions,” and the SafeAssign exercise in the assignment tab of the blackboard.   If you don’t post your assignment in any of the required forums, you will not get the points.  A minimum of 2 evidence-based references besides the class textbook no older than five years.  You must post two replies to any of your peers sustained with the proper references no older than five years and make sure that the references are properly quoted in your assignment.  A minimum of 700 words is required.  Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.

technology

Directions:

1. To complete this assignment:

· Read the case study above.

· Assume the role as the Public Relations Director for Purple Cross of North Carolina.

o The CEO directs you to interview the Telehealth Director regarding the use of Telehealth with Mrs. Smith. The CEO directs you to create one thought-provoking question for each of the following topics:

· Meeting the health needs of Mrs. Smith

· Decision-making process for technology selected for Mrs. Smith

· Benefits and risks in using Telehealth technology for Mrs. Smith

· Cost and staff involved in using Telehealth technology for Mrs. Smith

o Note: Your questions must be original; not copied or modified from any source, including your textbook. Your questions cannot simply rephrase the topic.

o For each question, the CEO requires that you provide your rationale. Describe how the question will yield a thorough response, and not simply a “yes” or “no” answer.

· Any cited sources to support your rationale statements must be identified, using APA formatting.

· Prior to submission, review your responses to ensure that they contain no spelling or grammatical errors.

2. Submit the Week 4 Assignment via Blackboard by clicking on the “Week 4 Assignment” link.

3. Include the proper file naming convention:

· CMP105_wk4_assn_jsmith_mmddyyyy.

For each topic, write your question and rationale.

Topic: Meeting the health needs for Mrs. Smith

Your question:

[Write your response here.]

Rationale:

[Write your response here.]

Topic: Decision-making process for technology selected for Mrs. Smith

Your question:

[Write your response here.]

Rationale:

[Write your response here.]

Topic: Benefits and risks in using Telehealth technology for Mrs. Smith

Your question:

[Write your response here.]

Rationale:

[Write your response here.]

Topic: Cost and staff involved in using Telehealth technology for Mrs. Smith

Your question:

[Write your response here.]

Rationale:

[Write your response here.]

Measurement Systems and Methods

Measurement Systems and Methods

The process of constructing a balanced scorecard for either financial goal setting or tracking of patient and employee satisfaction can be controversial. For example, a hospital’s financial scorecard provides a snapshot of gathered data for the hospital, but the data may be out of context, which makes it difficult to identify specific problems. It is evident that both scorecards and dashboards have a place in the health care setting; however, will all organizations and accrediting bodies agree on the aspects of implementation, data analysis, and levels of effectiveness?
To prepare:

  • Consider      the various uses of scorecards and dashboards presented in this week’s      Learning Resources and media presentation.
  • Reflect      on how these measurement systems and measurement methods impact      organizational goal setting in the areas of overall performance and      financial stability.
  • Explore      the key indicators involved with scorecards and dashboards as well as the      external quality standards to which they are compared.
  • Ask      yourself: What do the metrics used in the balanced scorecard and dashboard      mean to my organization and nursing practice? Has my organization      established goals for these metrics and are they currently being met?

By tomorrow Tuesday 12/19/17 12 pm, write a minimum of 550 words essay in APA format with 2 references from the list of required readings below. Include the level one as numbered below:

post a cohesive scholarly response that addresses the following:

1) Select any setting (Hospital) and describe the extent to which the patient’s experience of care is measured, tracked, and set for improvement goals.

2) Evaluate whether goals at your organization are established for these metrics and whether or not they are currently being met.

3) Describe some of the provocative issues that have or will emerge. For example, what has been the impact of CAHPS or HCAHPS in the setting described (if applicable).

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

  • Chapter      9: “Measuring and Improving Patient Experiences of Care”

Frith, K. H., Anderson, F., & Sewell, J. P. (2010). Assessing and selecting data for a nursing services dashboard. Journal of Nursing Administration, 40(1), 10–16. doi:10.1097/NNA.0b013e3181c47d45 

This article highlights the benefits of nurses using dashboards to help with staffing issues. It considers the sharing of data that dashboard can facilitate from the perspectives of nurses, units, hospitals, and patients.

Grossmeier, J., Terry, P. E., Cipriotti, A., & Burtaine, J. E. (2010). Best practices in evaluating worksite health promotion programs. American Journal of Health Promotion, 24(3), TAHP 1–9.

In this article, the authors discuss how to measure success when analyzing worksite health promotion (WHP). They then cover how to organize these measurements, assess WHP programs, and determine factors related to best-practice evaluation frameworks.

Stanley, R., Lillis, K. A., Zuspan, S. J., Lichenstein, R., Ruddy, R. M., Gerardi, M. J., & Dean, J. M. (2010). Development and implementation of a performance measure tool in an academic pediatric research network. Contemporary Clinical Trials, 31(5), 429–437.

The details of this article focus on a multi-center research network that initiated an evaluation method using balanced scorecards. The first three years of the measurement tool’s implementation are covered, and the achievements and challenges are discussed.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: Benchmarking outcomes. Baltimore: Author.

Note: The approximate length of this media piece is 10 minutes.

In this program, Barbara Epke and Carrie Brady discuss methods that health care organizations use to gather data for measuring outcomes, and explain how data are used to measure key indicators of quality and safety.

The process of constructing a balanced scorecard for either financial goal setting or tracking of patient and employee satisfaction can be controversial. For example, a hospital’s financial scorecard provides a snapshot of gathered data for the hospital, but the data may be out of context, which makes it difficult to identify specific problems. It is evident that both scorecards and dashboards have a place in the health care setting; however, will all organizations and accrediting bodies agree on the aspects of implementation, data analysis, and levels of effectiveness?

To prepare:

Consider the various uses of scorecards and dashboards presented in this week’s Learning Resources and media presentation.
Reflect on how these measurement systems and measurement methods impact organizational goal setting in the areas of overall performance and financial stability.
Explore the key indicators involved with scorecards and dashboards as well as the external quality standards to which they are compared.
Ask yourself: What do the metrics used in the balanced scorecard and dashboard mean to my organization and nursing practice? Has my organization established goals for these metrics and are they currently being met?
By tomorrow Tuesday 12/19/17 12 pm, write a minimum of 550 words essay in APA format with 2 references from the list of required readings below. Include the level one as numbered below:

post a cohesive scholarly response that addresses the following:

1) Select any setting (Hospital) and describe the extent to which the patient’s experience of care is measured, tracked, and set for improvement goals.

2) Evaluate whether goals at your organization are established for these metrics and whether or not they are currently being met.

3) Describe some of the provocative issues that have or will emerge. For example, what has been the impact of CAHPS or HCAHPS in the setting described (if applicable).

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

Chapter 9: “Measuring and Improving Patient Experiences of Care”

Frith, K. H., Anderson, F., & Sewell, J. P. (2010). Assessing and selecting data for a nursing services dashboard. Journal of Nursing Administration, 40(1), 10–16. doi:10.1097/NNA.0b013e3181c47d45

This article highlights the benefits of nurses using dashboards to help with staffing issues. It considers the sharing of data that dashboard can facilitate from the perspectives of nurses, units, hospitals, and patients.

Grossmeier, J., Terry, P. E., Cipriotti, A., & Burtaine, J. E. (2010). Best practices in evaluating worksite health promotion programs. American Journal of Health Promotion, 24(3), TAHP 1–9.

In this article, the authors discuss how to measure success when analyzing worksite health promotion (WHP). They then cover how to organize these measurements, assess WHP programs, and determine factors related to best-practice evaluation frameworks.

Stanley, R., Lillis, K. A., Zuspan, S. J., Lichenstein, R., Ruddy, R. M., Gerardi, M. J., & Dean, J. M. (2010). Development and implementation of a performance measure tool in an academic pediatric research network. Contemporary Clinical Trials, 31(5), 429–437.

The details of this article focus on a multi-center research network that initiated an evaluation method using balanced scorecards. The first three years of the measurement tool’s implementation are covered, and the achievements and challenges are discussed.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: Benchmarking outcomes. Baltimore: Author.

Note: The approximate length of this media piece is 10 minutes.

In this program, Barbara Epke and Carrie Brady discuss methods that health care organizations use to gather data for measuring outcomes, and explain how data are used to measure key indicators of quality and safety.

Organizational Policies and Practices

Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

To Prepare:

Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.
The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

interview techniques

Assigned Patient:

16-year-old white pregnant female living in an inner-city neighborhood.

Consider the following:

How would your communication and interview techniques for building a health history differ with each patient?
How might you target your questions for building a health history based on the patient’s social determinants of health?
What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
WRITE a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.