week 4

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Write the background/ introduction 

TOPIC:  hospital readmission after being discharged to homecare services 
1. Background knowledge-brief summary of current knowledge of problem being addressed, and
characteristics of the organization(s) in which it occurs.
2. Local problem-nature and severity of the problem.
3. Intended improvement – describes the changes and improvements in care processes and
patient outcomes of the proposed interventions
4. Study questions-clearly states precisely the primary improvement-related question that the
study intervention is designed to answer 

Cite any sources in APA format.

Nursing

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Health Disparities Assignment.html

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Health Disparities Assignment

Population health is shaped by the social and economic conditions in which we are born, live, and work. Statistics indicate that many of us are one paycheck away from a financial crisis, especially since past recessions and the current state of inflation. In this module, you will explore the impact of poverty on health. In your professional roles and perhaps your own personal lives, you have all been exposed to the issues to some extent. The intent of this module will be to explore in more detail the prevalence of poverty, its impact on health, and barriers to attaining healthy outcomes. 

Resources:

Use the following resources to complete this assignment:

  • Read Nies & McEwen (2019) Chapters 21-23; 25; 28
  • Format your paper using 7th ed. APA formatting (i.e., Title page, headings, Reference page, etc.)

Instructions:

  1. Students will submit answers to the following questions using 3 headings, General Poverty, Food Security, and Homelessness into the appropriate NURS 410 assignment dropbox, using 7th ed. APA formatting.

    Activities  

    1. General Poverty (4 points)  

    1. Play Spent Activity:  

    The Urban Ministries of Durham have a great online poverty simulation that goes through a month in the life of a person living in poverty. To access the simulation, go to this website:  playspent.org  Summarize your experience with this simulation activity  

    • Did you have money left over?  

    • What difficult decisions did you need to make?  

    • What was your overall feeling when the month was over?  

    • Have you experienced similar financial challenges in your life?  

    • What safety nets were there to support you during this time?  

      

    1. Go to Poverty USA website at
      http://www.povertyusa.org/   

    Poverty Tour USA –Read the various information sections – What surprises you?  

    1. Interactive Poverty Map   

    1. Compare the state you live in with at least one other state.  

    1. Poverty Facts   

    1.  What is the definition of poverty and who lives in poverty?  

    1. Snapshots of Poverty   

    1.  Review at least one of the “Stories of Hope”– What are possible health implications?  

      

    1. Food Security (3 points)  

    Click on
    United States Food Drug Administration– Household Food Security  

    • USDA  

    • How is food insecurity defined?  

    • Which populations are most at risk for food insecurity?   

    • What programs are available to improve food access? Consider Supplemental Nutrition Assistance Program (SNAP)  

        

    1. Homelessness (3 points)  

    1. Who are the Homeless and why are they homeless?   

    Go to the website of the National Coalition for the Homeless.  

    • Click on Issues – Read about 2 topics that interest you.  

    • Click on Populations – read about one population.  

    • Click on Public Policy Recommendation – read about one policy recommendation  

      

    1. Describe the face of “homeless”  

    1. What are the numbers?  

    1. Who is homeless?  

    1. Why are they homeless?  

    1. How are health and homelessness related?  

    1. Identify and describe one policy project to reduce/end homelessness.  

      

    1. Go to Minnesota Interagency Council on Homelessness:  

    https://mn.gov/dhs/heading-home-minnesota/   

    1. What is purpose of this organization?  

     

     

     

Nursing

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Reflection # 7

Often, after a class is done for the week, we drop it and move on. The goal of reflection assignments is to encourage you to reflect on what we did in class that week, after the class to consolidate your learning. There will be specific prompts for you to answer; sometimes this is a reflective assignment, and other times it is more of an application assignment (e.g., given a case example and having to apply something from class). The hope is that this will help you to use what you have learned to ensure concepts “stick” or to think critically about your response to what was learned.

Task

Respond to the following prompt and upload your Word document. It should be 1-2 pages and will be due
11:59 p.m. Friday.


Module 6 Reflection

Please watch the brief (3 minute) news clip

Facing Down the Fears of the I-35W Bridge CollapseLinks to an external site.
 mentioned during Dr. Hertig's TF-CBT presentation (if interested [
not required], there is also this

brief articleLinks to an external site.
 on the same story). After watching the clip and reflecting on course materials for this week, please answer the following questions:

1. What are some factors that may have maintained Saiku's PTSD symptoms?

2. How do you think this trauma (and subsequent symptoms) impacted this child's beliefs about himself, other people, or the world in general?

3. Based on the clip, what are some of the TF-CBT strategies Saiku's therapist, Dr. Hong, used to support his recovery? See slide 55 of Dr.Hertig's lecture materials if you need a reminder of TF-CBT treatment components.

4. How did Dr. Hong make the client comfortable in the process of facing his fears?

Grading Criteria

I'm really not looking to take off points for the reflection assignments. I don't have specific rubrics for them, but if you do not seem to be engaging with the prompt or answering the questions, I may take off points. Each reflection assignment is worth
5 points.

Response

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Respond using at least two scholarly references/ APA format

 

Current National Healthcare Issue and its Impact on the Work Setting

            One of the most significant healthcare issues to date is the lack of insurance coverage for patients and the continued high costs of healthcare.  As a whole society needs healthcare, but fewer can afford it even with working full-time jobs. Here in the U.S., our method for paying for healthcare is where patients pay a fee for the services provided. When doing this, it devalues the primary care aspect of healthcare and supports a more volumed-based system so that the providers can increase the monetary gain for a payment model system (Park et al., 2018). There is no consistent way to make things perfect across the board, but there are ways to help such as bundling care and treatments and implementing monthly payments (Park et al., 2018). The social determinant that most affects this issue is the ability to have access to quality healthcare. Multiple inequalities affect patients in healthcare such as ethnic groups, social status, and economic (Broome, M., & Marshall, E. S.,2021). In 2020, the United States healthcare costs reached 4.1 trillion dollars (AAMC, 2023). “Nearly one in five Americans has medical debt, and affordability is still an issue for a large proportion of the population, whether uninsured or insured, which suggests that policymakers should focus on patients’ costs.” (Association of American Medical Colleagues, 2023). With that number of Americans being in debt due to healthcare, we need to focus on how to change the way we are billing our services as providers, offering insurance to the public as a country, and a way to offer more affordable services.

How the National Healthcare Issue Affects the Work Setting

In the clinic where I work our patients often must reschedule the procedures that they are scheduled for their pain management treatments due to insurance denying them. They will either pay out of pocket or reschedule. This impacts the practice as a whole: the nursing staff must rearrange the whole schedule, and change the documentation, and the patients will miss their much-needed treatments. Our case manager then works closely with the insurance companies to see what we can do to get the patient’s procedures approved. It has often taken up to 6 months to get just one injection approved. This process often makes the patient feel depressed and angered and leaves the staff feeling hopeless.

ANA

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Part 1: ANA Competencies and Standards Identification

REGULATION FOR NURSING PRACTICE

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REGULATION FOR NURSING PRACTICE STAFF DEVELOPMENT MEETING

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

Resources:

· Milstead, J. A., & Short, N. M. (2019). 
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.

· Chapter 4, “Government Response: Regulation” (pp. 57–84)

· American Nurses Association. (n.d.). 


ANA enterprise

Links to an external site.
. Retrieved September 20, 2018, from http://www.nursingworld.org

· Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). 

Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary careLinks to an external site.
. 
Nursing Outlook, 65(6), 761–765.

· Halm, M. A. (2018). 

Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing


 Download Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing
. 
Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291

·

National Council of State Boards of Nursing (NCSBN)Links to an external site.
. (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm

· Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). 

The impact of nurse practitioner regulations on population access to careLinks to an external site.
. 
Nursing Outlook, 66(4), 379–385.

· Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). 

mHealth: Don’t forget all the stakeholders in the business caseLinks to an external site.
. 
Medicine 2.0, 4(2), e4.

To Prepare:

· Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.

· Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (8- to 9-slide PowerPoint presentation)

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

· Describe the differences between a board of nursing and a professional nurse association.

· Describe the board for your specific region/area.

· Who is on the board?

· How does one become a member of the board?

· Describe at least one state regulation related to general nurse scope of practice.

· How does this regulation influence the nurse’s role?

· How does this regulation influence delivery, cost, and access to healthcare?

· If a patient is from another culture, how would this regulation impact the nurse's care/education?

· Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).

· How does this regulation influence the nurse’s role?

· How does this regulation influence delivery, cost, and access to healthcare?

· Has there been any change to the regulation within the past 5 years? Explain.  

· Include Speaker Notes on Each Slide (except on the title page and reference page)

Submit your Regulation for Nursing Practice Staff Development Meeting Presentation.

Response

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PLEASE RESPOND IN 50 WORDS OR MORE TO THE FOLLOWING:

1. What staffing model is implemented at the facility where you work?  What would you recommend for modifying the staffing model where you work, what is you recommendation based on and how would you implement the change?  (Support your thoughts/ideas with academic literature OR required readings) 

The staffing model the facility where I work is a nursing home. We use a census as our staffing model. On my floor there is a total of 23 rooms and 2 clients per room. Most of the time we are short staffed, and as a result there are only 2 nurses and we each have 23 patients sometimes less if patients get discharged. Per facility each nurse is suppose to have 9 patients. When dividing patients among nurses I think it is important to take into account patient acuity, some patients require more intense care than others. Meaning if the patients are equally divided the workload may not be. I believe that it is important to talk to your coworkers about this concern to prevent placing patients at risk and create a positive environment where the workload is shared. A lot of times coworkers are not willing to change assignments and that is where I think the unit manager should step in. To fix this problem more staff should be hired to keep the 9:1 ratio and the unit nurse should review assignments, before they are given. Most nurses experience substantial fatigue, with high acuity patients having an overall greater impact. We recommend that NPAs shall contain fewer high acuity patients than lower acuity patients. Additionally, The OFER acute fatigue scale (OPER-AF) suggests that assignments should contain no more than five patients to mitigate fatigue (Mollica and Schwerha, 2021).

Reference

Mollica, & Schwerha, D. (2021). Exploring the Relationship between Patient Acuity, Patient Assignments and Fatigue among Nurses. Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 65(1), 1200–1204. https://doi.org/10.1177/1071181321651016

Nursing Cultural APA Assignment 3

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 Discussion Post Topic #3: Conduct an evaluation of your current neighborhood or place of work. Are there any population shifts? If so, what are the cultural demographics, and has healthcare made transitions to address these transitions.

Sections of the assignment must include:

  • Introduction
  • Focus points covered in the discussion posts
  • Any arguments and rationales for your stance
  • Conclusion or Summary

The components of your APA Assignment includes the following:

  • The assignment must be completed on a word document.
  • Your APA  Assignment must include a title page (Refer to Purdue OWL).
  • All in-text citations must be used when paraphrasing or quoting a previous author.
  • All references must reflect the in-text citations used.
  • All reference sources must be within the past 5 years unless it is the works of a nurse theorist or a significant reference material.
  • The length of the assignment must be 750-1000 words. Please pay attention to spelling and grammar. Points are deducted for repeat offenders.
  • Upon completion of the assignment, you must submit the assignment via Turnitin.com, and please note that your plagiarism score should be no more than 20%. If you score higher, please make adjustments.
  • (Please refer to the APA Grading rubric for additional assistance in completing your assignment).
  • You may reach out to the College Writing Center for further assistance.
  • Please refer to the course grading rubric on your syllabus for assignment specifics.

Disscusion Boards

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Discussion Board 1.

Week 6 Discussion 1

Citing scholarly resources in your work is required throughout your program. This week, you will support your organizational ethics presentation using at least two sources. Share your chosen topic and the key words and search strategies you used with your peers so that you can review each other’s work and provide peer-to-peer feedback. Also, describe what you think are the most important search features when narrowing down topics in the databases and why.

Visit the 

Library’s Research Basics: Search Tips Guide
.——- document attached as pdf.

This discussion Board is related to the presentation

1. Chose a topic from this list bellow and the keyworks and search strategies did you use. (guide yourself from the pdf attached about search strategies)

2. Find out scholarly resources for this topic at least two.( you will use them for the presentation power point on the other assignment for this week )

3. Also, describe what you think are the most important search features when narrowing down topics in the databases and why.

A list of words on a white background Description automatically generated

Compose at least 2-3 paragraphs all in APA format with proper references.

Week 6 Discussion 2

Betty, the chief nursing officer, had to make a decision about buying 120 new hospital beds for patient rooms. After she interviewed nurse mangers at the units where the beds were going to be placed, Betty compiled her findings and decided to contact a well-known equipment company to obtain prices and contracts. The equipment company’s executive salesperson, Jim, discussed options at length with her and invited her and her significant other to an upcoming all-expenses-paid lavish retreat at a five-star hotel in Hawaii to see demonstrations of the beds and to hear a comprehensive sales pitch. Betty thought to herself, “We badly need some relaxation and stress relief. Hawaii would be so much fun. Would it be wrong for us to go?”

· If you were Betty, what would you do? Give your rationale. Justify your answer with an ethical framework—a theory, approach, or principle.

· Do you consider this situation a conflict of interest? Why or why not? Give your rationale.

· What policies, if any, should be in place regarding a scenario such as this one? Do you have any such policies in place at work for similar situations? Do such policies impact day-to-day activities in any way? Explain.

Compose at least 2-3 paragraphs all in APA format with proper references.

image1.png

DUE 9/26/2022….Please complete template….NO PLAGARISM

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Patient: 26 year-old female came into the office for her yearly physical with a diagnosis of cystitis

******Please use OLDCARTS  for the history of the present illness*****

answer everything and remove all instructions on the template

ADD IN COMPLETED DIPSTICK WITH RESULTS