Identify and challenge unjust practices in local and global systems

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Social Justice Assignment: Unjust practices at a personal, local, national and global level

Assignment Value: Pass or Fail                                          Assignment Due Date:  Week 8

This assignment is to be submitted through Turnitin®

Confidentiality must be maintained. Please refer to the 2019 CNO Standards of Practice “Confidentiality and Privacy – Personal Health Information” before beginning this assignment.  Real names, including names of agencies, must not be included on any part of this assignment.

Assignment Purpose is to address the following GC&E learning outcomes:

#5 Identify and challenge unjust practices in local and global systems

#6 Support personal and social responsibility initiatives at the local, national or global level

Students will focus on COVID-19 as the topic for this assignment and then complete the below questions in paragraph format using APA referencing (in text citation) based on the topic. Students will be required to support their answers with evidence using a minimum of 4 references (1 for each question). This evidence can include the following provided examples, textbooks or scholarly journal articles

Topic:

Please complete your assignment on an unjust practice related to COVID-19 in your clinical setting.

Questions:

  1. Identify if and how your clinical organization addresses the above topic. For example, organizational policies (related to mandatory reporting legislation and supports). If the organization does not address this how could they address this topic?
  2. Identify how this topic is addressed at both a provincial and federal level. You can look at professional regulatory bodies (CNO), best practice guidelines (RNAO), Canadian Nurses Association (CNA) and Canadian government sites.
  3. Identify how this topic is addressed at a global level. For example, the World Health Organization (WHO), Canadian Nurses Association (CNA) and the International Council of Nurses (ICN).
  4. Think about and identify your personal, social and professional responsibilities for this topic and how this may impact the nurse client therapeutic relationship. How would one’s personal values, beliefs and experiences impact this topic? Were these responsibilities identified and outlined within your clinical organization? Were they addressed by the other organization’s that you researched (nursing professional bodies or Canadian government)?

This assignment is subject to all policies of Centennial College and the Practical Nursing Program Student Handbook. Please refer to the library and learning resources (accessible through our course shell) for APA style guidelines.

A Failing grade will be given for any assignment that contains confidential information about the agency or the client, lack of appropriate references, and/or significant formatting, spelling and grammatical errors.

 

Explain how the environmental factor you selected can potentially affect the health or safety of infants.

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Research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregiversThe growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers. Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end. In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored. Include the following in your presentation: Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants. Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants. Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource. Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Identify the reading level and results of Fleisch-Kincaid tool

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Go to
• Click on Health Topics
• Choose a body location, disorder or health/wellness
• Narrow your option by choosing a specific disease, disorder, etc
• Scroll down to Patient Handouts and choose one
• Copy and paste the handout into a Word document
• Use the Fleisch-Kincaid tool to identify the reading level of the patient handout
• Submit the patient handout word document, the results of the Fleisch-Kincaid.
Discuss whether the reading level is appropriate for patients (no higher than 6th
grade). If the reading level is higher (more difficult), talk about how you would
revise the document for easier readability.
• This should be a 3-4-page paper in APA 7
th ed. format.

COVID-19 was selected.
Key components of the paper should included
Clearly state the topic and how search was narrowed

Explain why the handout was chosen

Identify the reading level and results of Fleisch-Kincaid tool

Discuss if reading level is appropriate for patients

Ideas for revisions

Summarize findings

Write 3-page essay comparing OSHA with other government agencies that were created to ensure occupational health and safety for employees in the pucblic and private sector is enforced.

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Write 3-page essay comparing OSHA with other government agencies that were created to ensure occupational health and safety for employees in the pucblic and private sector is enforced.

Evaluate the ways in which this article is important and has helped you focus your understanding.

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Pick 5 sources that are usable in attachment

First, return to your topic chosen in the week three assignment.

Answer this question: What are the personal and/or communal ethical factors that may be involved in determining the moral position of either side in that debate?
Next, articulate and then evaluate the ethical positions using Kantian ethics (that is, the categorical imperative) relative to the long standing debate (that is your topic chosen in the week three assignment).
Finally, create a complete annotated bibliography for 5 academic scholarly sources. You will annotate each source. The sources should be relevant to your topic chosen in the week three assignment.
Include the following:

Publication details
Annotation (a detailed reading of the source)
Each annotation section should include the following:

Summarize key points and identify key terms (using quotation marks, and citing a page in parentheses).
Describe the controversies or “problems” raised by the articles.
State whether you agree or disagree and give reasons.

Locate one or two quotations to be used in the final research project.

Evaluate the ways in which this article is important and has helped you focus your understanding.
Use the following as a model:

APA Reference
Mezirow, J. (2003). Transformative learning as discourse. Journal of Transformative Education, 1(1), 58-63.

Annotation Example
In this article, Mezirow (2003) makes a distinction between “instrumental” and “communicative” learning. “Instrumental learning” refers to those processes which measure and gauge learning, such as tests, grades, comments, quizzes, attendance records and the like. “Communicative learning,” on the other hand, refers to understanding created over time between individuals in what Mezirow calls “critical-dialectical-discourse,” (p. 59) which is a fancy way of saying, important conversation between 2 or more speakers. Another key idea Mezirow discusses is “transformative learning,” (p. 61) which changes the mind, the heart, the values and beliefs of people so that they may act better in the world. Mezirow argues that “hungry, desperate, homeless, sick, destitute, and intimidated people obviously cannot participate fully and freely in discourse” (p. 59). On the one hand, he is right: there are some people who cannot fully engage because their crisis is so long and deep, they are prevented. But, I don’t think Mezirow should make the blanket assumption that everyone in unfortunate circumstances is incapable of entering the discourse meaningfully. One thing is certain: if we gave as much attention to the non-instrumental forms of intelligence–like goodness, compassion, forgiveness, wonder, self-motivation, creativity, humor, love, and other non-measured forms of intelligence in our school curriculums, we’d see better people, actors in the world, and interested investigators than we currently have graduating high school.

Writing Requirements (APA format)

Length: 4-7 pages (not including title page or references page)
1-inch margins
Double spaced
12-point Times New Roman font
Title page

Clearly identify and accurately describe in detail at least two strategies that you would use that you found to be effective in finding peer-reviewed research.

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Using the ‘Week 4 | Part 4’ section of your Academic Success and Professional Development Plan Template presented in the Resources, conduct an analysis of the elements of the research article you identified. Be sure to include the following:

Clearly identify the topic of interest you have selected. Improving ER workflow and wait time during Flu Season Surge)
Provide an accurate and complete APA formatted citation of the article you selected, along with link or search details.
Clearly identify and describe in detail a professional practice use of the theories/concepts presented in the article.
Provide a clear and accurate analysis of the article using the Research Analysis Matrix section of the template.

Write a 1-paragraph justification that clearly and accurately explains in detail whether you would recommend the use of this article to inform professional practice. Note: You can use the CARP method as presented in the Resources for this week on evaluating resources.
Write a 2- to 3-paragraph summary that you will add to your Academic Success and Professional Development Plan that includes the following:
Clearly and accurately describe in detail your approach to identifying and analyzing peer-reviewed research.
Clearly identify and accurately describe in detail at least two strategies that you would use that you found to be effective in finding peer-reviewed research.
Provide a complete, detailed, and specific synthesis of at least one resource you intend to use in the future to find peer-reviewed research.
Integrate at least one outside resource and 2-3 course specific resources to fully support your summary.

Explain how you would disseminate the results of your project to an audience.

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The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.
To Prepare:
• Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.
• Consider the best method of disseminating the results of your presentation to an audience.
To Complete:
Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project of Hourly Rounding
• Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
• Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected.

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Assignment: Policy/Regulation Fact Sheet
As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.
With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.
In this Assignment, you will study a recent nursing informatics-related healthcare policy , and you will share the relevant details via a fact sheet designed to inform and educate.
To Prepare:
• Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.

• Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).

• Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

• Briefly and generally explain the policy or regulation you selected.

• Address the impact of the policy or regulation you selected on system implementation.

• Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
• Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.

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Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.
The Assignment: (2-3 pages)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

Planning and requirements definition
Analysis
Design of the new system
Implementation
Post-implementation support

Demonstrate a comprehensive and critical understanding of adult patient pathways of care within surgical and medical nursing both with the hospital and the community.

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Patient Pathways of Care in Adult Nursing 1: Level 7Types of Assessment:

  • A 15 – minute summative presentation of a case study on a client/patient you have cared for in practice. A transcript of the presentation must be uploaded onto the Moodle shell by the same date the reflective essay is submitted. (This presentation has a weighting of 50%, and the pass mark is 50% at level 7).
  • A 2,500 words summative reflective essay submitted via turnitin referring to the case study presented in class (the weighting is 50%, and the pass mark is 50% at level 7)
  • Practice Assessment Document – PAD (to be handed to the Faculty Office with a Header sheet on the date specified).

The 5 Learning Outcomes that are assessed include:

  1. Demonstrate a comprehensive and critical understanding of adult patient pathways of care within surgical and medical nursing both with the hospital and the community.
  2. Apply the principles of surgical and medical nursing to assess and develop care plans in partnership with the multi-agency team for various medical and surgical conditions within the hospital and the community setting.
  3. Demonstrate explicit knowledge and critical understanding of the implementation of national policies and local strategies and the impact they can have on the individual patient.
  4. Demonstrate the ability to apply national and local guidance and strategies to support practice within the students’ own sphere of professional practice.
  5. Critically evaluate the principles of surgical and medical adult nursing care, applying insight into discharge planning whilst minimising risk of harm and promoting health at all times.
  • A 15 – minute presentation (with 5 minutes for questions at the end)

The student must:

  • Select a patient they have cared for on a medical, surgical ward/unit or community placement. Anonymise patient details in accordance to NMC (2015).
  • Identify the patient journey, to include the admission route to hospital or the community and specific details about their presenting complaint and the pathway they were admitted under. E.g. Acute Cellulitis Pathway NICE (2015).
  • Discuss the overarching nursing assessment used to identify the patients’ problems on admission.
  • Critically analyse one element of nursing care (activity of daily living) delivered to the patient during their admission.
  • Ensure the discussion refers to relevant local & national policies and frameworks or strategies of care. Also discuss the other multi professionals involved in the patients’ care.

SUGGESTED LAYOUT 15 MINUTE ORAL/VISUAL PRESENTATION

Introduction: Be clear and concise, briefly state what you are going to cover in your presentation. Make sure you refer to all the learning outcomes and state that the patients name and personal details have been changed in line with NMC confidentiality guidelines.

Case Study: Introduce your chosen patient, explain how and why they presented to the hospital/community. (Remember your chosen patient has to have a medical or surgical condition and a reason for admission to hospital/community nursing team).

Specify the following information (you should be able to derive this information from the patients medical and nursing admission notes):

1)What was their admission pathway? Were they referred by their GP, via A+E, via outpatients or another route? Did they come by ambulance or public transport?

2) What was there presenting complaint and associated symptoms? Why do they need admission, what is the definitive diagnosis and medical plan of care?

3) Who was involved in their admission process? Who were they admitted under? E.g. surgeon. What type of ward were they admitted to, was this the correct clinical area? Were they transferred from one ward to another before arriving with you? Why was this?

Main Discussion: State which nursing assessment tool was used to assess the patient on admission, the most likely one you will see is Roper, Logan and Tierney. From the nursing assessment pick one element of care (activity of daily living) the patient required assistance with on admission and provide a rationale for this choice.

Critically analyse this one element of care, discussing how it was delivered in accordance to local policy/frameworks/procedures and guidelines. E.g. As the patient was admitted and kept nil by mouth then you could determine that eating and drinking was the most important element of care that needed to be immediately managed. Make sure that you focus on the nursing rather than medical management as this has to be relevant to your sphere of practice.

You should also refer to the other multi professionals involved in the patients care in regards to your chosen element. For example, if you chose eating and drinking you may wish to discuss the importance of determining a MUST score, and referring the patient to the dietician to ensure their nutritional needs were managed appropriately. Make sure you use contemporary references to support your arguments and discussion.

Conclusion: This needs to be a summary of your findings in relation to the nursing care given to your chosen patient for the one element of care you identified. There should be nothing new here and no new references.

  • REFLECTIVE ESSAY, REFERRING TO THE CASE STUDY PRESENTED IN CLASS

(2,500 WORDS)

The student is required to write a reflective essay 2,500 words in length. This will be based on the same patient discussed in the presentation. The student will critically reflect on the outcome of the care given to the patient, providing theoretical explanations and critical insights into the pathway followed, the MDT involvement, the implementation of national and local policy/guidance and finally applying insight into the discharge planning whilst minimising harm and promoting health at all times.

The student must:

Use a recognised model of reflection. For example: Kolb’s experiential learning cycle, Gibbs Model of reflection, Schön, Johns etc. …

Write an introduction, stating which reflective tool you have chosen and why? (don’t forget to reference it) and what you will be addressing in your essay (see above). Be clear and concise.

Briefly summarise your chosen patients presenting condition/complaint remembering to anonymise your patient.

EXAMPLE: Introduction

This reflective essay will focus on the care I provided for a patient during a placement on an acute surgical ward. I will be using Kolb’s (1984) four stage experiential learning cycle to help me carefully reflect on the experience. This cycle has been chosen because it focuses on observation as well as abstract conceptualisation which further demonstrates learning (Kolb, 1974). This essay will critically discuss the patient’s pathway of care, the implementation of local and national policies which influenced the care delivered as well as the contribution made by other members of the multi disciplinary team.  Finally, the patients discharge plan will be analysed with consideration given to health promotion opportunities that were presented.

In order to adhere to the Nursing and Midwifery Council (NMC) code of conduct (2015) regarding confidentiality, I have chosen the pseudonym of ‘Mr Hamill’ for my patient. Mr Hamill is a 64-year-old gentleman who presented to his GP with a 3-day history of constipation, nausea, vomiting and abdominal distention. He was referred to the on call surgeon at his local hospital and asked to attend the surgical assessment unit for further assessment. Mr Hamill was then admitted to an acute surgical ward under the ‘acute large bowel obstruction’ care pathway NICE (2014), for further examination and diagnostic investigations.

You can then continue to present your essay in accordance with the reflective tool/cycle you have chosen. Just ensure the discussion flows logically and you critically analyse the care given. You must remember to address the following learning outcomes:

  • Using a recognised model of reflection, critically analyse the care given to the patient within the context of medical/surgical/community nursing.
  • Provide critical explanations and insights into the care pathway followed, the MDT involvement, the implementation of national and local policy/guidance with reference to contemporary literature.
  • Apply insight into the discharge planning process whilst minimising harm and promoting health at all times.

Don’t forget to write a conclusion at the end of your reflective essay which will just be a short summary of how the reflective essay has helped you develop your understanding of the nursing care given in relation to the learning outcomes.

  • Practice Assessment Document (PAD) hand in date: TBC

Your PAD will be scrutinised by your personal tutor and is not marked specifically as part of this module. It is however, recorded on Banner whether the PAD was a pass or a technical fail. Please speak to your personal tutor for more details as required.

The student should remember:

  • These are guidance notes and should be read in conjunction with the assessment specification found in your module handbook and assessment lecture slides.
  • For this module you will need to ensure you clearly cover all learning outcomes. Remember to be critical in your writing at level 7. Seek support from the academic skills workshops if necessary.
  • Do not breach confidentiality of your Trust or the patient.
  • Make sure your arguments are underpinned by relevant and contemporary evidence. You will need to read widely around your patients underlying condition demonstrating best practice and an understanding of the care delivered.
  • A draft can be seen by the course leader. Please arrange this at least 4 weeks in advance of the hand in date. No drafts will be read two weeks prior to hand in date, in accordance with university guidelines.
  • Do not copy the example text in this guidance, all work will be assessed for plagiarism.