Discuss the pros and cons of this type of health care. Do you think this is the best method to provide health insurance for this country?

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Health insurance

A majority of the adult population younger than 65 years old have employer sponsored health care, which means that their health insurance is provided through their place of employment. Discuss the pros and cons of this type of health care. Do you think this is the best method to provide health insurance for this country? Students must (a) post 1 (one) original post (minimum of 200 words with a minimum of 2 scholarly reference published within five (5) years; APA 7th style must be used.

 

Discuss the medications prescribed during each ShadowHealth© Focused Exam and an alternative for each medication in the case studies. After each case study, you will describe evidence-based practice guidelines for each condition and will briefly share your findings.

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APharmA#8

The following specifications are required for this assignment:
Length: Minimum 22 slides; answers must thoroughly address the questions in a clear, concise manner

Structure:
o Title slide (1 slide)
o UTI (3-4 slides)
o Community Acquired Pneumonia (3-4 slides)
o COPD (3-4 slides)
o Hypertension (3-4 slides)
o Type 2 Diabetes Mellitus (3-4 slides)
o Pain management (3-4 slides)
o References (1 slide)
o Additionally, because a good presentation has speaker notes, include speaker notes on each slide with the verbiage you would say when presenting; speaker notes should be a minimum of 50 words per slide.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include a minimum of four (4) scholarly sources to support your claims.
Format: Save your assignments PowerPoint® (Microsoft Office) or Impress® (Open Office) presentation.
Review the following ShadowHealth© Focused Exams assignments:
• UTI with Antibiotic Sensitivity
• Community-Acquired Pneumonia
• COPD
• Hypertension and Type 2 Diabetes
• Pain management

Discuss the medications prescribed during each ShadowHealth© Focused Exam and an alternative for each medication in the case studies. After each case study, you will describe evidence-based practice guidelines for each condition and will briefly share your findings. Your presentation should include:

• Prescribed drug:
o Name, drug class, pharmacokinetics, pharmacodynamics, and uses
o Diagram mechanism of action in the body
o Possible drug interactions and pharmacogenomic considerations
o Monitoring parameters and understanding of success with medication
o Possible side effects and patient education

• Alternative Drug:
o Name, drug class, pharmacokinetics, pharmacodynamics, and uses
o Diagram mechanism of action in the body
o Possible drug interactions and pharmacogenomic considerations
o Monitoring parameters and understanding of success with medication
o Possible side effects and patient education

Locate at least one scholarly article, written within the last 5 years, that discusses the most recent recommendations/guidelines for the treatment of each case study and briefly discuss your findings and implications for clinical practice.

Explain why you chose to watch this particular theorist’s video. Describe the parts of your personal philosophy where you agree or disagree with this theorist. Is there anything that surprised you in the video? If so, what surprised you?

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Nursing theorist video reflection on Dorothy Johnson: Behavioral Systems Model

Complete a nursing theorist video analysis/reflection of one of the nursing theorist videos provided in the course. We highly recommend that you watch as many of these videos as you can throughout the course. This is a great opportunity for you to see and hear directly from the actual theorists that you are reading about in the text.

After watching one of the theorist videos, reflect on what you have learned.

Compose a paper that addresses the following:

  • Explain why you chose to watch this particular theorist’s video.
  • Describe the parts of your personal philosophy where you agree or disagree with this theorist.
  • Is there anything that surprised you in the video? If so, what surprised you?
  • Would you recommend this video to another student? If so, why would you recommend it?
  • What value did you receive from watching it?

Complete a nursing theorist video analysis/reflection of one of the nursing theorist videos provided in the course. Include why this theorist was chosen and parts of the personal philosophy where there is agree or disagree with this theorist. In addition, discuss what came as a surprise from the video, recommendations to future students and what value was received after watching the video.

Afterward, discussed why this theorist was chosen and parts of the personal philosophy where there was agree or disagree with this theorist. In addition, mention what came as a surprise from the video, recommendations to future students and what value was received after watching the video.

 

Describe one health-related positive social change area or topic that is most important to you and how you are working to positively impact this area or topic.

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Powerful Caring Leads to Social Change

Module 02 Pre Assessment

Address the following in your response:

Describe one health-related positive social change area or topic that is most important to you and how you are working to positively impact this area or topic.

Read the study Six Distinct Types of Social Change Agents. Explain how the current social change agent types reflect your current social change efforts. Explain how the current social change agent types might reflect your future social change goals.

Defend the following statement: Advocating for social change is the responsibility of the nursing professional.

 

What is the National Database of Nursing-Sensitive Quality Indicators? What are nursing-sensitive quality indicators? Which particular quality indicator did you select to address in your tutorial? Why is this quality indicator important to monitor?

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Informatics and Nursing Sensitive Quality Indicators

Prepare a 4-6 page training tutorial for new nurses on the importance of nursing-sensitive quality indicators.

The focus of Assessment 4 is on how informatics support monitoring of nursing-sensitive quality indicator data. You will develop a 4-6 page paper/ training module to orient new nurses in a workplace to a single nursing-sensitive quality indicator critical to the organization.

Your recording will address how data are collected and disseminated across the organization along with the nurses’ role in supporting accurate reporting and high quality results.

For this assessment, imagine you are a member of a Quality Improvement Council at any type of health care system, whether acute, ambulatory, home health, managed care, et cetera. Your Council has identified that newly hired nurses would benefit from comprehensive training on the importance of nursing-sensitive quality indicators. The Council would like the training to address how this information is collected and disseminated across the organization. It would also like the training to describe the role nurses have in accurate reporting and high-quality results.

You also plan to incorporate into your script the insights you learned from conducting an interview with an authority on quality monitoring and the use of technology to collect and report quality indicator data.

You determine that you will cover the following topics:

Introduction: Nursing-Sensitive Quality Indicator

  • What is the National Database of Nursing-Sensitive Quality Indicators?
  • What are nursing-sensitive quality indicators?
  • Which particular quality indicator did you select to address in your tutorial?
  • Why is this quality indicator important to monitor?
  • Be sure to address the impact of this indicator on the quality of care and patient safety.
  • Why do new nurses need to be familiar with this particular quality indicator when providing patient care?

Collection and Distribution of Quality Indicator Data

  • According to your interview and other resources, how does your organization collect data on this quality indicator?
  • How does the organization disseminate aggregate data?
  • What role do nurses play in supporting accurate reporting and high-quality results?
  • As an example, consider the importance of accurately entering data regarding nursing interventions.
  • After completing your script, practice delivering your tutorial several times before recording it.

 

What are privacy, security, and confidentiality? Define and provide examples of privacy, security, and confidentiality concerns related to the use of technology in health care. Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.

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Protected Health Information (PHI): Privacy, Security, and Confidentiality Best Practices

Prepare a 2-page interprofessional staff update on HIPAA and appropriate social media use in health care.

In this assessment, assume you are a nurse in an acute care, community, school, nursing home, or other health care setting. Before your shift begins, you scroll through Facebook and notice that a coworker has posted a photo of herself and a patient on Facebook. The post states, “I am so happy Jane is feeling better. She is just the best patient I’ve ever had, and I am excited that she is on the road to recovery.”

You have recently completed your annual continuing education requirements at work and realize this is a breach of your organization’s social media policy. Your organization requires employees to immediately report such breaches to the privacy officer to ensure the post is removed immediately and that the nurse responsible receives appropriate corrective action.

You follow appropriate organizational protocols and report the breach to the privacy officer. The privacy officer takes swift action to remove the post. Due to the severity of the breach, the organization terminates the nurse.

Based on this incident’s severity, your organization has established a task force with two main goals:

Educate staff on HIPAA and appropriate social media use in health care.

Prevent confidentiality, security, and privacy breaches.

The task force has been charged with creating a series of interprofessional staff updates on the following topics:

  • Social media best practices.
  • What not to do: Social media.
  • Social media risks to patient information.

Steps to take if a breach occurs.

You are asked to select one or more of the topics and create the content for a staff update containing a maximum of two content pages. This assessment is not a traditional essay. It is a staff educational update about PHI. Remember it should not be more than two pages (excluding a title and a reference page).

The task force has asked team members assigned to the topics to include the following content in their updates in addition to content on their selected topics:

  • What is protected health information (PHI)?  Be sure to include essential HIPAA information.
  • What are privacy, security, and confidentiality?
  • Define and provide examples of privacy, security, and confidentiality concerns related to the use of technology in health care.
  • Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.
  • What evidence relating to social media usage and PHI do interprofessional team members need to be aware of? For example:
  • How many nurses have been terminated for inappropriate social media use in the United States?
  • What types of sanctions have health care organizations imposed on interdisciplinary team members who have violated social media policies?
  • What have been the financial penalties assessed against health care organizations for inappropriate social media use?
  • What evidence-based strategies have health care organizations employed to prevent or reduce confidentiality, privacy, and security breaches, particularly related to social media usage?

Notes

Your staff update is limited to two double-spaced content pages. Be selective about the content you choose to include in your update so you can meet the page length requirement. Include need-to-know information. Omit nice-to-know information.

Many times people do not read staff updates, do not read them carefully, or do not read them to the end. Ensure your staff update piques staff members’ interest, highlights key points, and is easy to read. Avoid overcrowding the update with too much content.

Also, supply a separate reference page that includes two or three peer-reviewed and one or two non-peer-reviewed resources (for a total of 3–5 resources) to support the staff update content.

 

What levels of evidence were these resources/studies? Are those individual studies/resources of strong or weak on the evidence hierarchy? How do you know and does it influence the overall recommendation or guideline?

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Diabetes self-management education and support

Step 1: Introduction

A good introduction should be no more than 1 paragraph grabbing the reader’s attention providing insight to the POI and significance to the APN’s role. End with a strong thesis or purpose statement. Note: the thesis should be condensed to 1 brief purpose statement.

Step 2: POI Significance:

Discuss why this POI is significant to your role as an APN. How will it change practice? Why did you select this topic? Next, discuss all 3 measures: structural, process and outcomes by comparing them to one another or identifying how/what is different. What expected structural, process OR outcome measures are you hoping to see with instituting a change in practice? You must clearly identify the measure you are evaluating in this example and it should relate directly to your POI. To see a more thorough discussion on these measures, review the following information. (2-3 paragraphs)

AHRQ Structural, Process or Outcome Measures- (Links to an external site.)this link provides an overview of process, structural and outcome measures. Be sure to specify the type of measure you would expect with your implementation of EBP into practice. You must show understanding of the measure itself in your discussion.

Step 3 PICO :

You will include a PICO framework AND the clinical question in this section. Follow these directions as specified.

Outline the PICO framework by listing (do not write in a paragraph format) P-population or patients, I-intervention, C-comparison, and O-outcomes as it relates to your POI. Then develop the clinical question by including all parts of the PICO framework in the question. Be as specific as possible in both the PICO framework development and clinical question and avoid phrases such as: “compared to the standard practice” , or “compared to the current practice” because faculty do not know what the normal practice or standard practice is at your facility.

EXAMPLE: Be sure to include a heading for this section i.e. PICO/Clinical Question.

PICO -center this heading p. 48-49 APA book

P: children in the acute care setting that are between 3 and 18 years of age, not including non-verbal children

I: implementation of non-pharmacologic pain interventions i.e. (art therapy, music, dim lights, etc.).

C: pharmacologic interventions (Tylenol, motrin, narcotics)

O: more effective at reducing pain as measured by decreased pain ratings on approved pain scales, stable vital signs, behavior

Clinical Question: In pediatric patients aged 3 years to 18 years (P) is the implementation of non-pharmacologic pain interventions (I) more effective (O) than pharmacologic interventions (C ) in reducing pain as evidence by: decreased pain ratings, stable vital signs, behavior assessments?

Step 4 Tool Completion:

To provide an overview of the guideline OR position statement use the tool below. You will need to address each question or section of the tool as it applies to the required information; missing information may cause you to lose points. You must submit the completed tool with the assignment. Attach the completed tool separately to the assignment area. Faculty need to see your analysis of the guideline for full credit. Use the link below to complete. You can save the document as a pdf, use the edit function to fill in or handwrite and scan back into the assignment area.

Evaluation Tool for Guideline OR Position Statement Word Document Download Evaluation Tool for Guideline OR Position Statement Word Document

Example of how to complete the tool- Download Example of how to complete the tool-do not use this document for your appraisal but as a guide only

Step 5 Critique of Guideline/Position Statement:

Critique the guideline or position statement by discussing ALL of the following and including appropriate support from your guideline/statement selection: (2-3 pages)

(1) purpose/aim of the recommendation/position statement-are they clear, current and relevant to your population?

(2) Recommendations or objectives of the guideline/statement

(3) Who (authors, groups, organizations) developed the guideline/position statement and what biases or funding did they receive? Did the authors, groups or organization have a valued interest in the guideline, why or why not? Remember to consider the author’s role professionally as part of your answer.

(4) Describe if they information is credible and justify your answer. What makes information credible? Is their truth in the data, interventions recommended, or studies used to support recommendations, how do you know?

(5) What levels of evidence were used to support each recommendation statement-look at the studies and resources used to develop the guideline or position statement. What levels of evidence were these resources/studies? Are those individual studies/resources of strong or weak on the evidence hierarchy? How do you know and does it influence the overall recommendation or guideline?

(6) Based on the level of evidence used to support the recommendation statements, is the overall quality of that evidence high/low and how does that influence your decision to implement this recommendation or practice guideline into your practice? Fully support with evidence from the literature.

Step 6 Quality Improvement:

Explain how this guideline or position statement would impact quality improvement by addressing 2 of the bioethical principles: justice, autonomy, beneficence, or non-maleficence. Students must demonstrate full understanding of each principle discussed. (1-2 paragraphs)

Step 7 Conclusion:

Conclude the entire paper by summarizing each section. Do not repeat what you did in the paper, but summarize the findings. Never include new findings in the conclusion. (1 paragraph)

Step 8 Guideline/Position Statement Attachment:

Include a copy of the full guideline or position statement as an attachment or merged to the paper after the resources. Faculty must be able to have full and direct access to your guideline or position statement to determine if you selected and analyzed accordingly on your tool to receive full credit. If you are reviewing a guideline or position statement that has been updated, than you must be sure to provide the full and original guideline/position statement for your faculty. Therefore, you may need to submit more than 1 document for step 8 to satisfy this rubric item.

Read Essential of Nursing Research Polit and Beck chap 4-5 pages 60-85

read Evidence-based practice Hall and Roussell chapters 7-11, 14, and 17: pagchoes 131-214, 251-266, and 291-309

 

What are three (3) strengths and three (3) weaknesses of the policy? What would you like to see added, removed, or changed about the policy? Should the community the policy impacts be expanded or changed and why?

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Health policy analysis summary

Summary Outline
I. Title Page

II. Summary of Analysis of Chosen Topic

III. Reflection on Analysis

What are three (3) strengths and three (3) weaknesses of the policy?
What would you like to see added, removed, or changed about the policy?
Should the community the policy impacts be expanded or changed and why?
What is your role as a Nurse Practitioner in ensuring the contents of the policy is known by the clients you serve?
Are there any other thoughts or observations about the policy that you would like to include?

IV. References in APA Format

Provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected.

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Literature Evaluation Table

The assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected.

The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles.

A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

 

Discuss assumptions of the Transpersonal Caring relationship. What is the nurse’s role? How is love, as defined by Watson, evident in this caring moment?

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Leininger and Watson

Write a 1500 word APA paper addressing each of the following points. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Case study #1

Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, “I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn’t think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He’s got more time at home now than I do since he lost his job. There isn’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That’ll set me right!”

Using Leininger’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient’s discharge?
Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?
Using Leininger’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.
Discuss the strengths and limits to Leininger’s Theory.

Case Study #2

Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff.

Discuss assumptions of the Transpersonal Caring relationship. What is the nurse’s role?
How is love, as defined by Watson, evident in this caring moment?
How can the nurse creatively use self to create a healing environment?
Discuss the strengths and limits to Watson’s Theory.