Tag Archive for: nursing

Centers for Disease Control and Prevention

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Submit a research paper that focuses on a potential practicum project.  (Centers for Disease Control and Prevention). The project should focus on the background of the public health issue, essential services of public health, purpose of addressing this issue, application of theory, and projected outcomes.

Write a 15–20-page, double-spaced paper in Word format. Apply APA standards to citation of sources.

Utilize at least 7–10 scholarly sources in your research and be sure to include a references page. Write in a clear, concise, and organized manner; demonstrate ethical scholarship in accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation.

Note: Information on the practicum process was provided to you in Week 1. (Practicum packet attached)

Submit your response as a Microsoft Word document

Assignment 2 Grading Criteria
Maximum Points
Provided a background of the public health issue and the purpose of addressing this issue.
75
Identified the essential services of public health relevant to the selected public health issue.
90
Applied appropriate theories to the public health issue.
90
Discussed the projected outcomes.
85
Presented a structured document free of spelling and grammatical errors.
20
Used at least 7-10 current references for support.
20
Properly cited sources using APA format.
20
Total:
400

 

Peer 1 

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Peer 1

 

The state where I plan to practice as a nurse practitioner is Florida. In terms of contraceptives under the Comprehensive Family Planning Act, statue 381.0051, states that their “access to service prohibitions except as otherwise provided that no medical agency or institution of this state or unit of local government shall interfere with the right of any patient or physician to use medically acceptable contraceptive” (Daley, 2016, p. 34). Furthermore, the act further claims that there are also allowances made and highlighted inside the statue that enables to treat medical complications apart from pregnancy that may be attributed toward to using contraceptive methods (Daley, 2016).

The laws and regulations that govern abortion in Florida tend to be more severe and restrictive compared to other states. “In 2013 Governor Ron Scott signed legislation requiring that doctors performing an abortion offer emergency health care when the baby is in some way born alive. This law is really a first degree misdemeanor that’s punishable with a year in prison along with a fine of $1000” (Sharma, Frederiksen, Malcolm, Rollison & Carter, 2018). Health care professionals and employees must highlight and report all instances towards the department of health. This can be a prime illustration of the significance and the seriousness of the laws and regulations that govern abortion in Florida. These laws and regulations broadly cover patients with and without use of insurance. The condition of Florida comes with an infant and mortality rate of 6 for each 1000 live births as stated by the connected press.  The bond between contraceptive access and also the infant mortality rate appear to become congruent.  But, there’s no definitive conclusion the two are associated.

Poverty is linked to the maternal and infant mortality, and issues such as diabetes, obesity, asthma and depression. The rates in Florida were 6.0 in 2016 for infant mortality compared to 7.2 as the national rate.

Peer 2

After having conducted a detailed investigation regarding the selected case, it turned out that Florida experiences a high increase in the aspect of infant and maternal mortality rates. Without a doubt, this statistic cannot be underestimated under any pretext, as such situation remains rather alarming. Comparing this data with the general numbers received within other states, it is worth admitting that infant and maternal mortality rates in Florida are 1.5 times higher than in any other state or region of the U.S (March of Dimes Foundation, 2018). That is why there is a growing necessity in analyzing such state of things from different perspectives and providing a comprehensive understanding of such a dramatic situation.

According to the resented investigation, such medical program as Medicaid appears to regulate the nursing sphere and cover the healthcare expenditures of the low-income patients. It is worth remarking that around 65% of patients use this insurance, while around 30% of them are women (Hajizadeh, 2014). Relatively speaking, the program covers only 1/3 risks and dangers among the women related to the contraception and abortion (Hajizadeh, 2014, p. 301). Subsequently, the medical treatment of women with and without an appropriate insurance differs significantly on a daily basis.

As a result, the risks concerning the high mortality among infants have a tendency to augment. Conventionally, this state of things is interdependent with the number of regulating external factors, including healthcare environment, clinical setting and economic well-being of the patients (Hajizadeh, 2014, p. 280). Due to such a complicated situation, the local government is called to take into an accurate consideration the dependence of infant mortality rates on the inefficient healthcare system and on the lack of proper medical services.

All in all, it can be stated that the external factors and a scarcity of financial funding provoke numerous difficulties not only in the context of preventive strategies related to contraception and abortion among the women but also aggravate the medical situation in this state in general.

-I need a respond for these 2 classmates. Response posts must be minimum 150 words each. Double space. References must be cited in APA format (6th)

This is the original activity if you needed

Select the state where you plan to practice as a nurse practitioner and/or nurse leader and investigate the state’s policies on access to contraception and abortion for women with insurance and those without. What are the state’s infant and maternal mortality rates? Discuss the possible relationship between these factors.

End of Life Decisions

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The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.

Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.

Provide a 1,500-2,000-word ethical analysis while answering the following questions:

  1. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
  2. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
  3. As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
  4. What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
  5. Given the above, what options would be morally justified in the Christian worldview for George and why?
  6. Based on your worldview, what decision would you make if you were in George’s situation?

Remember to support your responses with the topic study materials.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

This assignment uses a rubric (LOCATED IN ATTACHMENTS). 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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

evidence-based practice projects

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UNIT 1

DQ 1

What is the difference between research- and evidence-based practice projects? Provide an example of each one and the reason for the difference. Why should nurses be interested in learning about EBP? And how can EBP change the way you practice as a professional nurse?

DQ 2

There are many roles in nursing but how would a nurse practitioner and a nurse manager differ about how they use and incorporate EBP in their areas of practice?

What paradigm does the nurse leader have that the nurse practitioner may not have?  Why is the focus of the nurse Practioner so different and is that good or bad?

                                                           UNIT 2

DQ 1

Review the “General Appraisal Overview for All Studies,” available in Appendix B in the textbook. You should save this tool and use it throughout the development of the PICOT question, problem description, and literature review.

Begin the development of your PICOT question, using the following resources:

1. “Appendix A: Template for Asking Clinical Questions,” available in the textbook appendix

2. Text readings

Formulate your PICOT question and post it to the main forum. Respond to at least four other statements, providing feedback. Review the statements to see if the clinical issue is clearly defined and that all aspects are identified. Also refer to the “PICOT: Components of an Answerable, Searchable Question” table, located in chapter 2 of the text. If one PICOT statement has at least three feedback posts, move to another statement.

You will be using the feedback to make revisions to your PICOT question before using it in your “Section B: Problem Description” assignment.

Here is something to think about.

· Population/ Patient Problem: Who is your patient? (Disease or Health status, age, race, sex)

· Intervention: What do you plan to do for the patient? (Specific tests, therapies, medications)

· Comparison: What is the alternative to your plan? (ie. No treatment, different type of treatment, etc.)

· Outcome: What outcome do you seek? (Less symptoms, no symptoms, full health, etc.)

· Time:  What is the time frame? (This element is not always included.)

Example: 

Prevention:

For________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)?

In acute care cancer patients, does the use of scheduled pain medication regimes reduce the risk of uncontrolled pain compared with non-scheduled pain medication regimes.

DQ 2

What strategies will you use in your new practice as an advance practice nurse to review and critique literature pertinent to your practice?

As a Christian nurse will you focus on one particular genre of literature more than others. or will you be looking at specific topics related to your practice.

                                                      UNIT 3

DQ 1

Discovering the right information to answer a given question often requires using more than one resource. When nurses explore only one resource and find no evidence, they may incorrectly assume that there is no evidence to answer their question. Additionally, when nurses search for randomized control studies to answer a clinical question, and use only web-based search engines they will not find the information they need and miss evidence that is crucial to their research.  Therefore, when searching for answers to clinical questions, all evidence should be considered; however, caution must be used when deciding about practice changes that are based solely on evidence that may have substantial bias.

What levels of evidence are present in relation to research and practice, and why it is important regardless of the method you use?

DQ 2

In addition to the knowledge gained from clinical practice, nurses are compelled to create and use evidence from research when determining effective strategies for implementing change for improving care practices and patient outcomes.

What factors must be assessed when critically appraising quantitative studies (e.g., validity, reliability, and applicability)? Which is the most important? Why?

                                                          UNIT 4

DQ 1

What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information.

Can you think of possibly a different paradigm (the other side of the story) for the barriers or obstacles you identified?  Or have you found additional barriers or obstacles in your readings that could be pertinent to your organization?

DQ 2

Conducting research projects while ensuring the protection of human subjects is necessary. What are some methods to protect personal rights of someone in one of the groups that is labeled as vulnerable? Justify your rationale.

Do you think that human subjects are needing protection as they did maybe in the 1930-1970’s?  And why would you think this?

UNIT 5

DQ 1

Why is it important to incorporate a theory or model related to change when implementing practice changes? Does the benefit of incorporating a change model outweigh the time and effort it took to include it?

DQ 2

Consider an obstacle or barrier to the implementation of evidence-based practice you identified in last week’s discussion. What are two ways to address this problem?

RESOURCES

Textbook

1. Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice

literature review

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While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

  1. Title page
  2. Introduction section
  3. A comparison of research questions
  4. A comparison of sample populations
  5. A comparison of the limitations of the study
  6. A conclusion section, incorporating recommendations for further research

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.

American health care system

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Book Review #2- “The Spirit Catches You and You Fall Down”

Chapters 4-6

  1. According to chapter 4 in the book, what perceptions of American physicians may have affected Hmong refugees’ ability to feel that they could trust the American health care system?
  2. How did Dwight Conquergood make some headway in working to promote public health among Hmong refugees at Ban Vanai camp?
  3. How may some of the negative perceptions of Foua and Nao Kao by staff affected how they cared for Lia and her family?
  4. How did you find yourself feeling about Foua and Nao Kao’s continual “noncompliance” with Lia’s medication regimen?
  5. Describe how Merced’s public health department effectively handled a public health situation regarding a Hmong family raising rats in the home and how could this communication have easily broken down?

analyzing an argument

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Initial Post Instructions
Evidence-based practice requires…evidence. The careful collection of evidence is the first job of every medical practitioner, not least the nurse, who has the most extensive and intimate contact with the patient. However, it does not stop with the nurse. Whatever your role – social worker, hospital administration, human services – whether your problem is the allocation of scarce resources, where to add or cut staff, or the treatment plan for a patient, you will need to present and defend your position in a clearly structured argument

For this discussion, address the following:

  • Explain how applying the methods of analyzing an argument can help you make and win your point.
  • As you collect and prepare to present your evidence-based argument, how might diagramming your findings be helpful in clearly and accurately conveying your findings?
  • Provide an example of how you might diagram your findings.

Follow-Up Post Instructions
Respond to at least two peers or one peer and the instructor. Further the dialogue by providing more information and clarification.

Writing Requirements

  • Minimum of 3 posts (1 initial & 2 follow-up)
  • APA format for in-text citations and list of references

Evidence-based practice requires…evidence. The careful collection of evidence is the first job of every medical practitioner, not least the nurse, who has the most extensive and intimate contact with the patient. However, it does not stop with the nurse. Whatever your role – social worker, hospital administration, human services – whether your problem is the allocation of scarce resources, where to add or cut staff, or the treatment plan for a patient, you will need to present and defend your position in a clearly structured argument

For this discussion, address the following:

  • Explain how applying the methods of analyzing an argument can help you make and win your point.
  • As you collect and prepare to present your evidence-based argument, how might diagramming your findings be helpful in clearly and accurately conveying your findings?
  • Provide an example of how you might diagram your findings.

Follow-Up Post Instructions
Respond to at least two peers or one peer and the instructor. Further the dialogue by providing more information and clarification.

legislation

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here are many reasons why a bill is introduced into legislation, helping a select group of people to make sure that everyone in the country is being protected. It is important as a healthcare provider to understand, how different bills effect the healthcare profession.

Select a current health care bill that addresses one or more of the components of healthcare. You will use three to five academic sources to write this paper.

Write a 1,250-1,500-word paper about how the bill affects health care services in the community in which you live. Include the following:

  1. Summarize the components of the health care bill.
  2. Describe the health care components that are addressed in this bill.
  3. Who sponsored this bill? Who are the proponents of the bill and who opposes this legislation? What is their position (i.e., why do they disagree?).
  4. Does this bill helps or hinders health care services in the community. Describe how it may affect allied health professionals.
  5. Does this bill affect the health care and allied health care professionals?

Review the American Psychological Association

Respiratory Issues Complicated by Economic Disadvantage

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Topic: Respiratory Issues Complicated by Economic Disadvantage

A mother brings her 8-year-old child to the clinic, stating the child “just isn’t breathing right, doesn’t want to play, just lies on the couch — this happens all the time.”

The appearance of both mother and child is disheveled. The child’s wheezing can be heard across the room. When asked if the child is better at any certain time of the day, the mother responds, “It’s like this all the time and has been for the past year — we saw a doctor last year who diagnosed asthma but we don’t have any money for drugs or to come back to the clinic.”

Directions:

Present this Assignment as a PowerPoint presentation with at least 10 slides

Be sure to complete the assignment as the NP treating this family, not as a third party.

You will use the Narrative notes section of the presentation to include the majority of your evidentiary support of your treatment choices and education of family complete with in-text citations using APA formatting, remember if you use photos from outside sources, they must be cited below within the PowerPoint.

  • Identify the resources currently available in your state to support this family in the care of this child, including assistance programs for costs of health care follow-up and pharmaceutical treatment agents.
  • Create a communication plan for mother and child for both prescriptive and non-prescriptive drug therapies.

Utilize your textbook to answer the above questions. Research resources available in your area to assist this family.                                                 Title: Edition: Author: Publisher: Book ISBN: Ebook ISBN:

Pharmacotherapeutics for Advanced Practice Nurse Prescribers 4th (2015)

Robinson, Marylou and Woo, Teri

F.A. Davis

978-0-8036-3827-3       

healthcare setting

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You are requested to give a presentation on your organization’s changes for improvement, learning methods employed in the change process, and what innovations your organization used for the improvements.

You are presented with the following details to complete your presentation.

  1. Explain the concepts of organizational learning in a healthcare setting. Cover at least three concepts with an example of each.
  2. Outline steps used to create innovation in a healthcare setting in the face of a recessive marketplace. Provide a minimum of three steps with examples.
  3. Discuss the overwhelming need for continuous change in a healthcare setting; provide examples.

On a separate slide, provide references in APA format.

Explain 2 concepts of organizational learning in a healthcare setting.

Provided 2 examples.Outline 2 steps for innovations. Provided 2 examples of innovation in a healthcare organization setting.

Discussed 2 overwhelming needs for continuous change in a healthcare setting. Provided 2 examples.