What behavioural or lifestyle factors contribute to the health problem? What population groups are most at risk of behaviours and lifestyle factors that contribute to the health problem?

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Primary Health care

Assessment Instructions

Your written submission will provide the background for the health problem statement which will inform your development of a comprehensive primary health care initiative

This assessment will provide you with the skills and knowledge required as part of the background work prior to a comprehensive primary health care initiative. You will learn how to describe a health problem and write a health problem statement, which is a key task to assist with focusing any health initiative.

A.     ASSIGNMENT HEADINGS, please answer the questions using the headings and subheadings provided below:

Identifying and analysing of the health problem (summarise in approximately 400-450 words)

1.1       What is the health problem?

1.2       Where is this health problem located?

1.3       What is the population and/or community health data reporting about this problem?

1.4       What do we know about the health problem from research and evidence?

Defining the target group (summarise in approximately 100-150 words)

2.1       Who is affected or impacted by the health problem? (such as, vulnerable population group, age or gender etc )

2.2       How much of the target population group is affected by this health problem? (Prevalence, for example: total number of cases of health problem existing in a population).

Defining the causes of the causes (summarise in approximately 400- 450 words)

3.1. Identify and analyse the contributing factors – What are the causes of the health problem?

  1. What behavioural or lifestyle factors contribute to the health problem?
  2. What population groups are most at risk of behaviours and lifestyle factors that contribute to the health problem? Please use data on needs assessment using resources provided within the course learning material (for example, population-at-risk)

 3.2. Identify and analyse the determinants of health. What are the causes of the causes of the health problem?

  1. What are the social, economic and environmental factors and conditions that are leading to each of these contributing factors?
  2. What are the population and/or community social, economic and environmental data stating about each of these contributing factors? (for example, the continuum of risk, which is also apparent of for many social and environmental circumstances)

State the access to health care issues (summarise in approximately 200-250 words)

4.1 What factors may affect the target group’s ability to reach out for support?

State the partnership opportunities (summarise in approximately 150-200 words)

5.1 List a minimum of five people, team(s) or organisation(s) who the Registered nurse could partner with to work on addressing this health problem? (for example, partnership opportunities)

5.2 Briefly state the purpose/rationale of collaborating and/or partnering with that stakeholder (for example, partnership level).

State your health problem statement (in approximately 50-100 words)

SUBMISSION FORMAT 

Submitted your assignment in a Microsoft word document via gradebook. Ensure that you:

Correctly reference information, using Harvard referencing guide.
Your assignment should include the following headings and subheadings:

  1. Identifying and analysing of the problem
  2. Defining the target group
  3. Defining the causes of the causes

3.1. The contributing factors

3.2. The determinants of health and social determinants of health

  1. State the access to health care issues
  2. State the partnerships opportunities
  3. State your problem statement
  4. Reference List

ASSESSMENT CRITERIA 

Your assessment (ePortfolio Part One: Developing a health problem statement) will be assessed on the following criteria:

  • Identifying and analysing the health problem
  • Defining the target group
  • Defining the causes of the causes
  • Discuss the access to health care
  • State the collaboration and partnerships opportunities
  • State your problem statement focusing the comprehensive primary health care initiative, (please note: the comprehensive primary health care initiative will be developed in Assessment 2).
  • Presentation, writing style and referencing

What do you do? What is the ethical approach in this situation? How do you treat the community knowing that you may have to watch some die while you reserve treatment for specific individuals?

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The Ethics of Triage

You are a nurse in a Third World country in a small village of 150 people (adults and children – roughly equal in numbers). There is an outbreak of a deadly infection which is easily treated with a specific antibiotic. Untreated, the mortality rate is close to 100%. However, you only have enough to treat 25 adults or 50 children. Additional dosages are on their way but are not expected to arrive before the disease will run its course.

Note that anyone over 11 is considered an adult and you are in as much danger from the infection as everyone else.

What do you do? What is the ethical approach in this situation? How do you treat the community knowing that you may have to watch some die while you reserve treatment for specific individuals?

You MUST choose an action. If you waffle or refuse to state who gets treated and why you will receive a 0 for this assignment. The same is true if you write about this issue as if it is a matter of vaccination rather than treatment!

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?

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EBP Guideline/Position Statement Paper:

Poor management of clinical depression within the oncologic population negatively impacts patient outcomes and quality of life.

APNs must determine the strength of the recommendations and guidelines to regulate whether policy changes are warranted. Through this process the APN may begin with a clinical question in mind before searching the literature on the proposed changes needed.

Step 1: Introduction
A good introduction grabbing the reader’s attention providing insight to the POI and significance to the APN’s role. Need strong thesis or 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.

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..

Step 4 Tool Completion:
To provide an overview of the guideline OR position statement use the tool

Evaluation tool for Guideline OR Position statement PDF

Evaluation Tool for Guideline OR Position Statement Word Document

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:

(1) purpose/aim of the recommendation/postition 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 resoruces/studies? Are those individual studies/resources of strong or weak on the evidence hierarchy? How do you know and does it influence the overall recommentation 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?

Step 6 Quality Improvement:
Explain how this guideline or position statement would impact quality improvement by addressing 2 of the bioethical principles: justice, autonomy, beneficience, or nonmalficence. Students must demonstrate full understanding of each principle discussed.

Step 7 Conclusion

Step 8 Guideline/Position Statement Link or Attachment:

Include a copy of the full guideline or position statement as an attachment or merged to the paper after the resources.

Analyze and draw conclusion as a  professional nurse looks at the data available to our patients. After you have reviewed this information and made your interpretation. Discuss how you as a nurse leader could/would use this information?

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Pursuing the Triple Aim

Part 1

This discussion is to look at, analyze and draw conclusion as a  professional nurse looks at the data available to our patients.  Some of you may be familiar with Value Based Purchasing..or ‘pay for performance’.  Care such as the quality bundles for ventilator patients or hospital acquired infections fall under this work and this get reported publically.  Also one the Aims is the patient experience.  There are many questions about how the patient perceives their experience.

For this part of the discussion (#1 above), you will go out to the CMS website following this link. 

https://www.medicare.gov/hospitalcompare/search.html?

  1. Enter the zip code you are interested in and then look around at the data you can find.
  2. Select 3 hospitals to ‘compare’.  This will take you to a results page.  There will be a series of tabs at the top, with listings such as ‘Survey of Patient Experience” or “Timely & Effective Care”.  Pursue the data.
  3. Using the specific data, write up in 1-2 paragraphs what were the most surprising information you found and why.  Include the specific data and end with how you think patients might interpret this.

This is alot of information so focus on one area.  You may include any information from within this week or other weeks.

Part 2: 

After you have reviewed this information and made your interpretation. Discuss how you as a nurse leader could/would use this information?  Compose a 500 word or less response.  Use references please

Do a quantitative investigation of the stress and recent onset psychological impact of delivering health care services during COViD-19 in kashmir.

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Healthcare Providers on the Frontline

Do a quantitative investigation of the stress and recent onset psychological impact of delivering health care services during COViD-19 in kashmir.

If MR C is assigned to Shana, what resources are available to help her? Do you think there is overlapping of roles in this scenario? If Melissa considered the assignment to be inappropriate, what should she do?

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Case Study Assignment 1: The Three Factor Framework in Acute Care

Read the case below and answer all the questions that follow.

Case Scenario

There are two RN’s and four RPN’s working in a medical floor on a day shift in a hospital. All nurses are assigned four patients each. One RN has been assigned to two complex patients out of the four. The other RN, Shana has just started working in the hospital and is a new grad. The new Grad RN, Shana, is working with an RPN Melissa. Melissa has been working on the same floor from the last five years. The hospital has adequate support system, including support nurses, registered therapists, doctors on call and PSW’s to help. There is another RN present who is working as charge nurse.

Patient 1

Mr B has paraplegia from last 10 years. He has muscular contractures and is total care. He has been admitted for a week with diagnosis of left leg cellulitis. Mr B has family members that stay with him during the day and night. Mr B. is receiving IV antibiotics for his cellulitis. Mr B. is also scheduled to have daily dressing for his left leg cellulitis. MR B needs turning and repositioning every 2 hrs and as needed. His vital signs have been stable. The plan is to discharge him with PO antibiotics once the course of IV antibiotics is done. The patient is otherwise medically stable.

Patient 2

Mr C is just admitted from emergency today with diagnosis of acute heart failure and lower GI bleed. The Hgb is 75, the patient is ordered to have 2 units of PRBC. The patient gets SOB on minimal exertion and is on 5 L of oxygen. The oxygen saturations are between 94-95% on 5 L of oxygen. The patient is very anxious and is calling for help often.

The charge nurse assigns Mr. C to RPN Melissa RPN and Mr. B to Shana RN. The charge nurse thinks that Melissa has dealt with more complex situations in the past and is familiar with the routine and possesses more knowledge, skill and judgment.

Questions:

Is the assignment appropriate? Utilize the three-factor framework from the CNO guideline, the Nurse, the Client, the Environment to support your discussion.

If MR C is assigned to Shana, what resources are available to help her?

Do you think there is overlapping of roles in this scenario?

If Melissa considered the assignment to be inappropriate, what should she do?

 

Post your response in 250-500 words and use APA referencing for citations.

What advice should be given to nurses seeking employment as school nurses about their potential legal liability?

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School Nurse

In 300 words – What advice should be given to nurses seeking employment as school nurses about their potential legal liability?

Select one scenario and reflect on the material presented throughout this course. What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?

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WEEK 11 CASE STUDY 1

The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.

Assignment 1

As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?

In this Lab Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.

To Prepare
Review the scenarios provided by your instructor for this week’s Assignment. See the “Course Announcements” section of the classroom for your scenarios.

Based on the scenarios provided:
Select one scenario and reflect on the material presented throughout this course.
What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

The Lab Assignment
Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.

Write a detailed 1-page narrative (not a formal paper) addressing the following:

Explain the health assessment information required for a diagnosis of your selected patient (include the scenario number).

Explain the general importance of master’s-prepared nurses engaging in evidence-based projects related to nursing practice and profession. Provide speaker’s notes with additional detail and support from at least one outside scholarly source.

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Lifestyle Changes

For this presentation, select an area of nurse practitioner (NP) practice that is of interest to you and in which you would like to see a practice change occur. Conduct a review of literature to see what is currently known about the topic and to find research support for the practice change you are recommending. My area of interest is Life style changes (i.e. smoking cessation, increasing activity in teenagers). Be sure to provide speaker’s notes for all slides except the title and reference slides.

Create an 8-12 slide PowerPoint Presentation that includes the following:

Introduction: slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered.

Evidence-based projects: slide should explain the general importance of master’s-prepared nurses engaging in evidence-based projects related to nursing practice and profession. Provide speaker’s notes with additional detail and support from at least one outside scholarly source (not the textbook or course lesson).

Conceptual Model: slide should provide an illustration of a conceptual model that could be used to develop an evidence-based project. Possible models include The John’s Hopkins or Advancing Research and Clinical Practice through Close Collaboration (ARCC) Models or you may select another model you find in the literature. In the speaker’s notes, explain how the model would be applied to the development of an evidence-based project. Provide support from at least one outside scholarly source (not the textbook or course lesson).

Area of Interest: identify an area of interest related to NP practice in which a practice change may be needed. Slide should identify the area of interest and what is currently known on the topic. Speaker’s notes more fully explain what is currently known and should provide rationale for why the area of interest is important to NP practice. Provide support from at least one outside scholarly source (not the textbook or course lesson).

Issue/concern and recommendation for change: slide should identify a specific concern related to your general area of interest and your recommendation for a practice change. Speaker’s notes should more fully explain the recommended change and rationale for the change. Recommendation should be supported by at least one outside scholarly source (not the textbook or course lesson).

Factors Influencing Change: slide should identify at least 2 internal and external factors that could impact your ability to implement your recommended change. Speaker’s notes should more fully explain how the factors you’ve identified would support or impede the implementation of your recommendations. Factors may be based on personal experience or on information you found in your research. If the identified factors come from the literature, provide reference citations to support your ideas.

NONPF Competencies: slide identifies at least two NONPF Competencies that are relevant to an evidence-based project related to your area of interest. Speaker’s notes should explain how the competencies relate to your area of interest. Provide support from at least one outside scholarly source (not the textbook or course lesson).

Conclusion: slide provides summary points of presentation. Speaker’s notes provide final comments on the topic.

Discuss the significance of frameworks or models in guiding research or evidence-based practice projects. How can choosing an incorrect framework or model create bias in research?

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590 3DQ1-2

3DQ1-Discuss the significance of frameworks or models in guiding research or evidence-based practice projects. How can choosing an incorrect framework or model create bias in research?

3DQ2-Review the different models and frameworks that can be used to facilitate change. Compare two and explain which is best for your evidence-based practice proposal and why. Provide rationale.