Research the incidence and impact of the problem among the specified population. Propose two relevant population-based strategies at each level of prevention. Summarize your findings and intervention proposals.

/in /by

The health needs of men or the elderly

Choose a health need to investigate.
From the following list, choose one health need to focus on for this assignment:

Health needs of men: prostate health, cardiovascular health, sexual dysfunction, alcohol abuse Health needs of elderly: bone health, stroke care, cancer, social isolation

Step 2: Research the incidence and impact of this health need.
Research the incidence and impact of the problem among the specified population. Use at least three scholarly sources (that is, peer-reviewed journal articles or websites written by a group that has expertise and strong credentials in the field of interest). Make sure that you use APA format to properly cite sources used.

Step 3: Propose prevention strategies.
Propose two relevant population-based strategies at each level of prevention (primary, secondary, and tertiary).

Step 4: Summarize your findings and intervention proposals. Write a three-four page paper that includes:

The incidence and impact of this health problem on the population
Two relevant population-based strategies at each level of prevention (for a total of six) A hypothesis of which strategy would lead to the greatest impact on health outcomes for this population. Explain your answer and include evidence supporting your decision

How has MMCI/Allina Health used EBP? Are most other hospital systems in the United States using EBP in similar ways or are there difference in the adoption of EBP? Based on your own knowledge and possibly your own community, what impacts do healthcare mergers have on patient care and EBP?

/in /by

Economics and Ethics

Evidence-Based Practice Case Study

The coordination of care through integrated delivery systems is at the foundation of health care delivery in the United States. Often a primary goal of government officials, public health professionals, and health care administrators, measuring care coordination is a key performance indicator that directly correlates with the overall success of the health system (Johnson ” Stokopf, 2010).
Northwestern Hospital first opened its doors back 1882 in Minneapolis, Minnesota. Early hospitals were small, often with fewer than 50 beds, unsanitary, and nonscientific compared to their modern counterparts (Allina Health). Moreover, they mainly served the poorest members of the community or patients who were mentally ill or facing life-threating illnesses. Northwestern Hospital was an early pioneer in the establishment of what would eventually become evidence-based practice (EBP) and featured one of the first schools of nursing in the United States (Allina Health).

Introduction
For over a century Northwestern Hospital’s use of EBP has enabled clinicians and practitioners to incorporate best treatment practices at the point of patient care in both their hospital and ambulatory organizations. For example, Northwestern’s goal to enhance quality delivery and overall patient care hastened the formation of a new entity, Minneapolis Medical Center Incorporated (MMCI). In 1966, Northwestern Hospital, along with other health care facilities in the Minneapolis area, formed the nucleus of an organization that would significantly master care coordination and delivery in the ensuing decades. Ultimately, an EBP environment created a standard of patient care that enabled MMCI to advance care delivery and health care education and lay the foundations of a modern health care delivery system.

Case Report
MMCI established a culture of continuous quality improvement (CQI). Wenke, Jongwha, LaClair, and Paz (2013) have linked CQI to better clinical quality and improved patient satisfaction. The best practice in EBP methodology is to ensure that patient care is coordinated and of high quality through the use of objective clinical data from credible sources and references. By the 1980s, a desire to add resources and support services for the coordinated care of patients such as physical rehabilitation helped lead an evolution from Northwestern Hospital to MMCI and then formation of Abbott Northwestern Hospital. Since that time, the hospital’s health services offerings have grown into a primary health system, supporting cardiovascular care, medical education, and health plans.

Conclusion
MMCI recently went through a merger and is now part of a larger health system called Allina Health that serves patients in locations across the Midwest. It has significantly expanded its portfolio of services that utilize EBP to guide care including mental health services, neuroscience, orthopedic care, and cancer treatment. Additionally, decision makers in nursing and medicine throughout this newly formed health system must understand and master each care component to maximize system efficiency and effectiveness.

Assignment
Write a 3-page paper answering the following questions. Please include at least 2 scholarly resources to further support your positions.

Questions
1. In your own words, what is EBP?
2. Is it a worthy goal for U.S. health care delivery? Why or why not?
3. How has MMCI/Allina Health used EBP? Are most other hospital systems in the United States using EBP in similar ways or are there difference in the adoption of EBP?
4. Based on your own knowledge and possibly your own community, what impacts do healthcare mergers have on patient care and EBP?

Provide a brief synopsis of the book. Choose one of the main mental health related concepts from the book and describe this concept in more detail.

/in /by

Mental illness and mental health nursing

The purpose of this assignment is to synthesize concepts applicable to mental illness and mental
health nursing.
Submit an essay, no more than 5 double spaced pages in length and written in APA format. Your paper will address the expectations below.

-Provide a brief synopsis of the book.

-Choose one of the main mental health related concepts from the book and describe this concept in more detail. Examples of concepts include recovery, brain development, brain plasticity, trauma, self- compassion, mindfulness, resilience, empathy and empowerment.

-Create a concrete example of a patient or personal situation and explore how the concept applies in that situation.

-Identify the role of a nurse in relation to the concept you have chosen

-Include at least two references from the nursing literature.

Discuss one example of when and how EBP impacted the quality of care delivered in nursing. How has EBP influenced overall health care delivery?

/in /by

Evidence-Based Practice in Health Care Delivery

Respond to the following prompts and, if it’s relevant, include your own personal experience:

Discuss one example of when and how EBP impacted the quality of care delivered in nursing.
How has EBP influenced overall health care delivery?

The method of health care in the US is despicable because it forces too many to choose between health and survival (medicine and eating). Given modern science, health care should be a right not a privilege. Discuss the ethical concepts referred to in this statement.

/in /by

Economics and Ethics

A: “The method of health care in the US is despicable because it forces too many to choose between health and survival (medicine and eating). Given modern science, health care should be a right not a privilege.”

Discussion: 1

Discuss the ethical concepts referred to in this statement.

B: “Economic inequality is the most destructive force in any society. However, any forcible means to equalize economic situations are destructive to both innovation and civic responsibility. Civic responsibility should mean that those who are at the extreme high end of the wealth bell curve willingly share their good fortune with those who are at the bottom of the wealth bell curve. Any failure to do so should be considered a betrayal of citizenship in favor of the self.”

Discussion: 2

Discuss the ethical ramifications of this statement.

Do a quick Internet search to locate the government website for the Administration on Aging. Explore the statistics on aging found on the AoA website. Choose two of the most interesting statistics regarding the elderly that have implications for population-based nursing.

/in /by

Epidemiology of the Elderly Population

Respond to the following prompts. Include personal and practice-related experiences or observations as examples that support your response:

Do a quick Internet search to locate the government website for the Administration on Aging (AoA). Explore the statistics on aging found on the AoA website. Choose two of the most interesting statistics (in your opinion) regarding the elderly that have implications for population-based nursing.

Post two statistics about aging

Describe one or more population-based nursing implications for each statistic.

Identify the importance of cultural considerations in shaping nursing care. Relate the importance of legal-ethical concepts to selected health care situations.

/in /by

Homelessness

Assignment Objectives: Recognize individual needs using a holistic approach.

  1. Identify the importance of cultural considerations in shaping nursing care.
  2. Relate the importance of legal-ethical concepts to selected health care situations.

Program Student Learning Outcome that relate to this assignment:

Collaborates with health care team members to provide safe, competent care to meet the patient’s biopsychosocial, spiritual, and cultural needs in a variety of health care Utilizes technology and a spirit of inquiry to examine resources to develop nursing judgment and guide evidence-based Manages patient-centered nursing care and promotes the health of patients within the family and community

Assignment:

Read chapter 5 on Care of Special Populations in the ATI Review Module RN Community Health Nursing Select a journal article related to the health care needs of a vulnerable population you have selected and was As noted in the readings, examples of vulnerable populations include people: who are living in poverty; who are homeless; who have immigrated; who are in abusive relationships; who are exposed to violence; who have substance use disorders; and those who have severe mental illness, as well as others.

The article must be from a professional peer reviewed journal published within the past five years. It is highly recommended that you utilize the assistance of the reference librarian in the Warner Library if you are unfamiliar with using the research databases.

You will also find an 8 minutes video on using these databases for this assignment posted in Moodle as a panopto recording. The link for that is:

http://coursecast.cotc.edu/Panopto/Pages/Viewer.aspx?id＝fc3f07f4-dab5-4455-838b-1ce9b03b58f5

Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.

/in /by

Family Health Assessment Part I

Assessment Description
Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.

This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3.

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

Values/Health Perception
Nutrition
Sleep/Rest
Elimination
Activity/Exercise
Cognitive
Sensory-Perception
Self-Perception
Role Relationship
Sexuality
Coping

Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.

Include the following in your paper:

Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.

Summarize the overall health behaviors of the family. Describe the current health of the family.

Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.

Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Summarize the methods, results (often referred to as findings), the discussion of the findings, and the authors/researchers conclusions, limitations, and if included the implications for nursing, and recommendations for future research OF both articles.

/in /by

Literature Review

For this assignment, students will combine the information from Writing Assignment 1 and 2 into ONE document.

Note: this is not a simple matter of copying and pasting the information into a new document. The goal is to work on synthesizing the information from the two assignments into ONE well-written, well-developed, and logical paper.

The paper will consist of the following:

A brief overview (5-7 sentences) describing the authors’/researchers’ research plan (from the introduction/background of the articles). This will be the ‘introduction’ section to your assignment.

Your goal here is to weave the information into one paragraph that succinctly conveys what the two groups of authors/researchers are planning to do.

Summarize the methods, results (often referred to as findings), the discussion of the findings, and the authors/researchers conclusions, limitations, and if included the implications for nursing, and recommendations for future research OF both articles.

Again, work to blend and merge the information from the two articles into a flowing, logical process.

Discuss the methods of one, and then the methods of the other… in one paragraph! Here’s an example.
Smith and Jones (2007) conducted a retrospective study of causes of readmission to the hospital following discharge to home hospice for the years 2005-2006. They included diagnosis at previous discharge, admission diagnosis, comorbidities, admission to ICU (yes or no), length of stay in ICU, the total length of stay until discharge (discharge home, discharge to another facility, or death), and insurance status. Samuel, et al. (2009) conducted a prospective study from 2003 to 2007 of patients readmitted to the hospital after a terminal diagnosis, Diagnostic codes for readmission, length of stay until discharge (discharge home, discharge to another facility, or death), admission to ICU (yes or no) and length of stay in ICU were evaluated. The mean age of the subjects in the study by Samuel et al., was 72 and the mean age in the study by Smith and Jones was 81. Smith and Jones conducted a power analysis prior to selecting charts and determined that the best number of records for reliable statistical analysis was 419 charts. Unfortunately, they were only able to retrieve and use 280 charts for the two-year period. Samuel et al. did not conduct a power analysis and their study consisted of only 18 patients over the 4 year period. …. and so on

A short conclusion to the paper consisting of any issues or concerns you developed as you read the studies. The key is to write in an objective fashion without the use of personal pronouns. This would not be an opinion, but clear concerns or observations.

How did they resolve the barriers encountered and what lessons did they learn? Discuss how it related to Chapter 4 Role Transitions, from Novice to Expert (pg. 82 of your book), and the role concepts (pg. 84 of your Book).

/in /by

Advanced practice nursing

Book: Tracy, M.F., & O’Grady, E.T. (2019). Hamric and Hanson’s Advanced practice nursing; An integrative approach, (6th edition). St. Louis, MO, Elsevier.

Interview an APN about their roles, transition, and the role development phases that they have experienced. Identify their current role in the organization that they work for. Ask for specific descriptions of specific situations at different points in their practice. For example, discuss a problem when they first began practicing in an APN role, another at six months, another at one year, and so on. Compare these descriptions with the role development phases described in the chapter (Novice to Expert). How did they resolve the barriers encountered and what lessons did they learn? Discuss how it related to Chapter 4 Role Transitions, from Novice to Expert (pg. 82 of your book), and the role concepts (pg. 84 of your Book).