Examine the healthcare delivery system in the United States and its effects on community health nursing with appropriate nursing actions, reflective of legal, political, geographic, economic, ethical, and social influence.

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Week 1 journal

Information obtained (what I learned-CLO):

Course Learning Outcomes (Address 2 CLOs each week):

  1. Utilize theoretical and empirical knowledge from previous nursing courses to gain an understanding of individuals, families, groups, and communities, and their health care needs.
  2. Incorporate evidence-based nursing practices that will demonstrate ethnic identity, cultural awareness strategies, and sociocultural practices of clients in the community.
  3. Examine the healthcare delivery system in the United States and its effects on community health nursing with appropriate nursing actions, reflective of legal, political, geographic, economic, ethical, and social influence.
  4. Utilize leadership behaviors in collaborating with health team members in the community to identify the need for planned change, education of the change, and facilitation of the change with the community through cooperative participation and education.
  5. Analyze the roles of community health nurses and other members of the community health team (e.g., healthcare providers, community groups).
  6. Discuss primary and preventive healthcare nursing in the context of primary, secondary, and tertiary settings with the levels of prevention.

 

Explain the possible risks for using SSRI or SNRI first line with family history of bipolar illness.

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Risks for using SSRI or SNRI

Explain the possible risks for using SSRI or SNRI first line with family history of bipolar illness.

What information would be most critical for you to collect in the first visit? What is the primary goal for the treatment of this patient? Identify potential obstacles for change. Which educational approach would the PMHNP provide to overcome these obstacles?

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Discussion 7-Hip fracture

The patient is a 71-year-old widowed man who is seen regularly in the clinic for health maintenance and follow-up of his chronic insomnia and anxiety. He has regular prescriptions for triazolam (Halcion) and clonazepam (Klonopin) for these problems. Recently he has been reporting frequent episodes of losing his balance and falling, and eight weeks ago was hospitalized for a hip fracture sustained during one of these falls resulting in hip surgery. On this visit, he also complains of becoming increasingly confused.

  • What information would be most critical for you to collect in the first visit?
  • What is the primary goal for the treatment of this patient?
  • Identify potential obstacles for change. Which educational approach would the PMHNP provide to overcome these obstacles?
  • How would you teach the patient about the Beers list and Halcion?
  • Discuss a medication in detail that could be safely substituted to treat insomnia in geriatric patients.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style.
  • Provide support for your work from at least 2 academic sources less than 5 years old.

What is their name and their current position in healthcare? What type of technology do they use to do their job? What is their history with technology? Do they have required education/training related to technology they use during their shift? If so, explain what technology and what type of training or education.

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Project 2 parts

1. Choose one of the following topics listed below to discuss in your project paper. Please use 2-3 Scholarly articles (Within last 10 years) to complete your research on selected topic.

  • Types of technology within healthcare, benefits/downfalls to each type, What are some improvements that need to be made to the current technology we are using in healthcare?
  • What is telemedicine? Benefits/downfalls to using telemedicine?
  • Electronic Health Records, benefits/downfalls, legal/ethical issues related to EHR’s
  • Ethical/Legal issues related to nursing informatics, What can we do to improve these issues?

2. Interview a healthcare worker (can be anyone within the healthcare field)

  • What is their name and their current position in healthcare?
  • What type of technology do they use to do their job? What is their history with technology?
  • Do they have required education/training related to technology they use during their shift? If so, explain what technology and what type of training or education.
  • How often do they have to complete education/training to stay up to date on all technology used to do their job?

Identify the prescription drug monitoring program in your state (Florida), addressing how this might advocate for the NP and patients in advance of prescribing.

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Preparing for Practice as a Nurse Practitioner in Florida

Address the specific steps you will do to sit for the national certification exam (with AANP), including any forms or documents you will need to obtain. What are the fees of the certifying body?

Then comment on the national provider identifier (NPI) and the DEA number. Include why you need them, the fees, and when you should obtain them.

Identify the prescription drug monitoring program in your state (Florida), addressing how this might advocate for the NP and patients in advance of prescribing.

Moving forward, after becoming certified, what do you need to do to recertify and how often?

Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues.

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THE INCLUSION OF NURSES IN THE SYSTEMS DEVELOPMENT LIFE CYCLE

To Prepare:

Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources.

Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system.

Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology.

Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples.

Respond to at least two of your colleagues*, by offering additional thoughts regarding the examples shared, SDLC-related issues, and ideas on how the inclusion of nurses might have impacted the example described by your colleagues.

As an art and a science, how has your personal nursing philosophy unfolded? Have there been ideas that have challenged your personal values or assumptions?

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Personal Nursing Philosophy, Part 2

As you finish this course, your philosophy of nursing has probably changed. As a final review, polish your philosophy of nursing based on your newly acquired knowledge.

Also, write a summary reflection answering the following questions based on the readings and discussions throughout the course:

  • As an art and a science, how has your personal nursing philosophy unfolded?
  • Have there been ideas that have challenged your personal values or assumptions?
  • Have there been ideas that have caused you personal conflict and may lead to deconstructing those dispositions in a critical manner?
  • What actions have you taken that illustrate your personal nursing philosophy?
  • Describe your own definition of the concepts involving the meta-paradigm of nursing.
  • Has your first written philosophy of nursing changed? In what ways?

Your paper that includes both your philosophy and reflection together should be 2–3 pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1″ margins. If outside sources are used, they must be cited appropriately.

 

 

What agencies are responsible for those resources?Who are the clients in Community Health nursing? What government resources might they be eligible for? What agencies are responsible for those resources?

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Community Health Nursing

  • Who are the clients in Community Health nursing?
  • What government resources might they be eligible for?
  • What agencies are responsible for those resources?Who are the clients in Community Health nursing? What government resources might they be eligible for? What agencies are responsible for those resources?

Describe different ways that social media use can violate ethical nursing practices. How can ethical social media use be beneficial to healthcare professionals and their patients?

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NURS 521 Week 8 Discussion

Discussion 1

Describe a clinical situation in which a registered nurse may encounter moral distress. Answer the AACN’s Four A’s found on page 84 in your Butts and Rich textbook to further explain the situation and the possible mitigation strategies.

Discussion 2

Describe different ways that social media use can violate ethical nursing practices. How can ethical social media use be beneficial to healthcare professionals and their patients?

Discussion Forum

Select one of the future issues presented this week. Examine the issue in terms of cultural diversity, health promotion, and communication methods. Discuss in detail how this issue affects healthcare delivery and advanced nursing.

What were you expecting from the experience before you started? Why were you expecting this? Why did you choose this goal? Did you learn anything about a different group in society (i.e., different age, profession, ethnic, racial or socio-economic group)? What did you learn?

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SMART Goals Evaluation

Submission Instructions:

Think back to the five SMART goals you created earlier in the term. Create a 5-7 minute reflection video with PowerPoint slides which evaluates each SMART goal that you created. Use Canvas Studio’s Screen Capture feature to record (voice-over) your presentation.

Use the following questions to guide your response:

  • What were you expecting from the experience before you started?
  • Why were you expecting this?
  • Why did you choose this goal?
  • Did you learn anything about a different group in society (i.e., different age, profession, ethnic, racial or socio-economic group)? What did you learn?
  • What is the most valuable experience you acquired?
  • What impact did the experience have on your everyday life?
  • What did you learn that was directly related to your course objectives?