Tag: Clinical-Nursing

For this Application: Planned Change in a Department or Unit Assignment, you propose a change at the department or unit level and develop a plan for guiding the change effort.

To prepare:

Review Chapter 8 in the course text. Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies.

Reflect on problems, inefficiencies, and critical issues within a specific department, unit, or area in your organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue Application: Planned Change in a Department or Unit.

Think about how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.

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Using one of the change models or strategies discussed in Chapter 8, begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected.

Determine who should be involved in initiating and managing the change. Consider the skills and characteristics that are necessary to facilitate this change effort.

Write a 3 page paper page count does not include title and reference page that addresses the following:

Identify a problem, inefficiency, or issue within a specific department/unit.

Describe a specific, realistic change that could be made to address the issue.

Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards. Application: Planned Change in a Department or Unit.

Identify a change model or strategy to guide your planning for implementing the change. Provide a rationale for your selection.

Outline the steps that you and/or others would follow to facilitate the change. Align these steps to your selected change model or strategy.

Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort Application: Planned Change in a Department or Unit.

Geriatric Care Teams Sample Essay

NURS 6540: ADVANCED PRACTICE CARE OF FRAIL ELDERS

Week 3

Introduction Resources Discussion Assignment Week in Review Looking Ahead

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NURS 6540: ADVANCED PRACTICE CARE OF FRAIL ELDERS

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Introduction Resources Discussion Assignment Week in Review Looking Ahead Geriatric Care Teams Sample Essay

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NURS 6540: Advanced Practice Care of Frail Elders

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Syllabus

Course Calendar

Course Overview

Course Information

Resource List

Week 1

Week 2

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Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

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A female caretaker assisting senior women in knitting while man reading book in background at nursing home.

Week 3: Geriatric Care Teams Geriatric Care Teams Sample Essay

Interdisciplinary geriatric care teams are a critical component of geriatrics, and I truly believe that geriatrics really does interdisciplinary care probably better than most other areas of health care because we have to—because we need to. Older adults have care needs that require the expertise of a community. No single provider can do it all well. The needs are just so vast.

—Dr. Barbara Resnick, CRNP, FAAN, FAANP, AGSF, President of the American Geriatrics Society

Dr. Resnick emphasizes the importance of interdisciplinary geriatric care teams, as geriatric patients often have complex health needs Geriatric Care Teams Sample Essay. This was the case for 90-year-old Gus Snare. A diagnosis of bile duct cancer resulted in the need for surgery to remove parts of his stomach, duodenum, pancreas, bile duct, and gallbladder. Snare’s care team included a geriatrician, surgical oncologist, and a team of nurses, including an advanced practice nurse. Together, they determined his eligibility for surgery, performed the surgery, and developed a treatment and management plan post-surgery (The University of Chicago Medicine, 2011). As an advanced practice nurse, you must identify your role within care teams for patients like Snare to ensure patients receive comprehensive care.

This week you explore models of interdisciplinary geriatric care teams and compare the roles of advanced practice nurses at various sites of care. Then, as you complete your first SOAP Note, you examine the assessment, diagnosis, and treatment of a geriatric patient from your practicum site Geriatric Care Teams Sample Essay.

Learning Objectives

By the end of this week, students will:

Compare models of interdisciplinary geriatric care teams

Analyze models of interdisciplinary geriatric care teams used in various sites

Analyze the roles of advanced practice nurses in different clinical sites

Evaluate diagnoses for patients*

Evaluate treatment and management plans*

*These Learning Objectives support assignments that are assigned this week, but due in Week 4.

Photo Credit: Maskot/ Maskot/Getty Images

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Geriatric Care Teams Sample Essay.

Required Readings

Resnick, B. (Ed.). (2016). Geriatric nursing review syllabus: A core curriculum in advanced practice geriatric nursing (5th ed.). New York, NY: American Geriatrics Society.

Chapter 18, “Hospital Care” (pp. 134-145)

This chapter explores systems of care for assessing and managing hospitalized older patients. It also examines alternatives to hospital care and transitions from hospital care.

Chapter 20, “Rehabilitation” (pp. 152-166)

This chapter describes essential components of geriatric rehabilitation, including sites of rehabilitation, roles of core health care providers on rehabilitation teams, and disease-specific care plans for older adults. It also explores mobility aids, orthotics, adaptive methods, and environmental modifications for older adults with disabilities Geriatric Care Teams Sample Essay..

Chapter 21, “Nursing-Home Care” (pp. 167-174)

This chapter identifies the demographic and functional characteristics of older adults living in nursing homes as well as the availability of nursing homes in the United States. It also describes staffing patterns, quality issues, and legislation related to nursing home care.

Chapter 22, “Community-Based Care” (pp. 175-180)

This chapter explores characteristics of care in communities, including home care, community-based services not requiring a change in residence, and community-based services requiring a change in residence Geriatric Care Teams Sample Essay. It examines older adult populations, health care issues, and the primary provider’s role in these sites of care.

Chapter 23, “Outpatient Care Systems” (pp. 181-185)

This chapter describes current approaches that maximize patient outcomes in geriatric outpatient care systems. It also examines new approaches that may benefit older adults in outpatient care systems.

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Mosby.

Chapter 26, “Recording Information” (pp. 792–813)

This chapter outlines the components of SOAP notes and provides guidelines for writing SOAP notes after patient examinations.

Note: You should have this textbook in your personal library, as it was the required text in NURS 6512: Advanced Health Assessment and Diagnostic Reasoning. Geriatric Care Teams Sample Essay

Arbaje, A., Maron, D., Yu, Q., Wendel, V., Tanner, E., Boult, C., & … Durso, S. (2010). The geriatric floating interdisciplinary transition team. Journal of the American Geriatrics Society, 58(2), 364–370.

This article examines the Geriatric Floating Interdisciplinary Transition Team, a geriatric transitional care model. It describes the roles of health care providers on this care team and identifies potential benefits of this model Geriatric Care Teams Sample Essay.

The geriatric floating interdisciplinary transition team. Journal of the American Geriatrics Society, 58(2), by Arbaje, A., Maron, D., Yu, Q., Wendel, V., Tanner, E., Boult, C., & … Durso, S. Copyright 2010 by John Wiley& Sons, Inc. Journals. Reprinted by permission John Wiley & Sons, Inc. Journals via the Copyright Clearance Center.

Gagan, M. (2009). The SOAP format enhances communication. Nursing New Zealand, 15(5), 15.

Note: Retrieved from the Walden Library databases.

This article outlines the four parts of SOAP notes and examines the importance and effectiveness of SOAP notes in clinical settings. Geriatric Care Teams Sample Essay.

American Geriatrics Society. (2011). The principles of geriatric care. Retrieved from http://www.americangeriatrics.org/files/documents/Adv_Resources/PayReform_fact3.pdf

This article identifies the principles of geriatric care, focusing on the geriatric care team, geriatric assessment, and care coordination. It also presents three models of care that encompass geriatric assessment and care coordination: the GRACE (Geriatric Resources for Assessment and Care of Elders) model, PACE (Program of All-inclusive Care for the Elderly) model, and the Guided Care model.

American Geriatrics Society. (2012). American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older adults. Retrieved from http://www.guideline.gov/content.aspx?id=49933

This article examines three categories of medications that impact older adults: those that are potentially inappropriate and must be avoided, those that are potentially inappropriate and must be avoided in older adults with certain diseases, and those that must be used with caution.

Document: Geriatric Care Teams Sample Essay Comprehensive SOAP Note Template (Word document)

Required Media

Laureate Education (Producer). (2013b). Care team models [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 16:29 minutes.

In this video program, Dr. Kristen Mauk and Dr. Barbara Resnick discuss the importance of interdisciplinary geriatric care teams, as well as the role of the advanced practice nurse within these teams.

Accessible player

Discussion: Models of Interdisciplinary Geriatric Care Teams

With the growing population of frail elders, there is an increase of geriatric patients requiring ongoing care for multiple medical conditions. This creates the need for interdisciplinary geriatric care teams. Often, the dynamics and culture of these teams differ across various sites of care, such as assisted living, home care, hospitals, long-term care, and rehabilitation facilities. As an advanced practice nurse, it is important to understand your role in the care team as well as your potential impact on patient care Geriatric Care Teams Sample Essay. In this Discussion, you explore models of interdisciplinary geriatric care teams for different sites of care and the varying roles of the advanced practice nurse.

Consider the following three case studies:

Case Study 1

Mrs. Martinez is an 83-year-old Mexican American widow who lives in her own home and is cared for by her adult daughter. Mrs. Martinez owns the home, and her daughter lives with her and provides the care. Her daughter brought her mother to the clinic today to ask to speak to the social worker. She requests that her mother be placed in a nursing home. The daughter states that her mother has nothing to do during the day. The television is on The Weather Channel most of the day because Mrs. Martinez has limited English capability and is unable to read closed-captioning. Mrs. Martinez also has two sons who do not live in the local area, but they do call regularly and check in with their mother and sister. Geriatric Care Teams Sample Essay. The two sons are opposed to moving their mother to a nursing home because they had promised her that they would “never put her away.”

Case Study 2

Mr. Williams, a 79-year-old African American widower, resides in a foster care home. He has lived there for 4 years since his wife died. He is a former minister. His medical history includes long-term diabetes, high blood pressure, and benign prostatic hypertrophy. The home care provider has requested a home visit to evaluate Mr. Williams’s ability to remain in the home. The provider states that because Mr. Williams’s vision is seriously compromised (he is nearly blind), and because he has been unable to get to the toilet as quickly as necessary (he is very unsteady on his feet), his care is becoming burdensome Geriatric Care Teams Sample Essay. According to the home care provider, for safety reasons, Mr. Williams may not fit the criteria for remaining in the foster care home.

Case Study 3

Mrs. Randall is a 77-year-old female who resides in a long-term care facility. She has a history of frequent falls and is severely cognitively impaired. The nursing staff at the long-term care facility called the nurse practitioner at the medical home office to report the recent development of productive cough and high fever. There have been cases of flu in the facility; however, Mrs. Randall has had a flu shot. The nurse practitioner in the office requests a chest x-ray in the long-term care facility. The nurse on duty in the facility states that there is no portable chest x-ray equipment available. She further requests that Mrs. Randall be transferred to the emergency room of the local hospital. Mrs. Randall’s daughter has durable power of attorney for health care decisions for her mother. The long-term care facility has notified the daughter of the change in her mother’s condition. The daughter says whatever the nursing home wants is fine with her Geriatric Care Teams Sample Essay.

To prepare:

Review this week’s media presentation, as well as the American Geriatrics Society and Arbaje et al. articles in the Learning Resources.

Research models of interdisciplinary geriatric care teams that are used at various sites, such as assisted living, home care, hospitals, long-term care, and rehabilitation facilities.

Consider the model used for the interdisciplinary geriatric care teams at your current practicum site. Geriatric Care Teams Sample Essay Compare this model to models used at other sites.

Reflect on how the role of the advanced practice nurse differs according to the site of care.

Select one of the three case studies. Consider how care should be facilitated for the patient in the case you selected based on the model used for the interdisciplinary geriatric care teams at your practicum site Geriatric Care Teams Sample Essay.

By Day 3

Post a comparison of the model used for the interdisciplinary geriatric teams at your current practicum site to models used at other sites. Then, explain how the role of the advanced practice nurse differs according to the site of care. Finally, explain how care should be facilitated for the patient in the case you selected based on the model used for the interdisciplinary geriatric teams at your practicum site.

Geriatrics Care Team

Post a comparison of the model used for the interdisciplinary geriatric teams at your current practicum site to models used at other sites.

My facility applies the co-managed model and this will be compared to the orthopedic model. The co-managed model entails having a geriatrician-led medical team attending to the patients and taking care of all management issues. On the other hand, the orthopedic model entails engaging an orthopedic surgical team to assume responsibility for the patients’ surgical and medical care and using referral support from the acute care team. Although the two models are intended to take care of the medical needs of geriatrics, they produce comparable results. Firstly, the co-managed model results in shorter length of stay in the facility when compared to the orthopedic model. That is because the co-managed model includes a wider range of medical professions such as sub-acute and rehabilitative services that allow patients to recover faster and in the right way (Coventry, Nguyen & Karahalios, 2017). Geriatric Care Teams Sample Essay. Secondly, the co-managed model presented more comprehensive medical care since input was from a wider range of medical professions as opposed to the orthopedic model that engages the surgical team to provide primary care and only uses other professions in the acute care team for referrals. Thirdly, the co-managed model offers care recommendations at a faster speed. For instance, patients are reviewed and scheduled for surgery earlier than when the orthopedic model is used. That is because co-managed model engages different medical professions who offer continuous high level medical care that includes ongoing access to consultants so that the correct care decision is arrived at much faster. Finally, the orthopedic model appears unreliable since it will typically continue the care plan recommended by the patient’s local doctor without consideration of its appropriateness or effectiveness. On the other hand, the geriatric model makes use of its capacity to evaluate the patient’s biochemical workup thus allowing the team to recommend the more appropriate and effective care plan (Coventry, Nguyen & Karahalios, 2017). This means that the co-managed model is optimized for patient care irrespective of when the patient visits the facility. Geriatric Care Teams Sample Essay.

Then, explain how the role of the advanced practice nurse differs according to the site of care.

Advanced practice nurses are in prime position to meet the needs of the society they serve through clinical inquiry and by bridging scientific information to clinical practice. Today’s advanced practice nurses are capable of integrating knowledge from diverse sources and across disciplines, by cultivating the spirit of inquiry, formulate a clinical question in PICOT format, explore and amass the more pertinent proof, critically review the proof, assimilate the proof into clinical practice for change, and appraise the results while creating opportunities for future research (Catalano, 2015). Advanced practice nurses, irrespective of their role as direct or indirect care providers, have seven principal competencies Firstly, they direct medical services delivery to include public forums and health discussions. Secondly, offering mentoring, education, and coaching services for other medical personnel and patients. Thirdly, consultants who use their extensive expertise and experience Geriatric Care Teams Sample Essay. Fourthly, conducting research and applying evidence-based practice. Fifthly, contribute to decision-making as leaders and influence clinical care systems. Finally, facilitate collaborations within the care team (Harrington & Terry, 2013; Thomas et al., 2014). As such, advanced practice nurses will apply the competency that best serves their particular environment.

Finally, explain how care should be facilitated for the patient in the case you selected based on the model used for the interdisciplinary geriatric teams at your practicum site

Care should be facilitated for the patient by adopting a patient-centered care approach. This would entail informing, educating and consulting the patient at every step of the care process. At its core is the need for medical personnel to be responsive to and respectful of the values, needs and preferences expressed by the patient so that the patient’s values help guide medical decisions (Catalano, 2015). In this respect, applying a patient-centered approach to care would allow for the care to be facilitated for the patient. Geriatric Care Teams Sample Essay.

References

Catalano, J. (2015).
Nursing Now! Today’s issues, tomorrow’s trends
. (7
th
ed.). Philadelphia, PA: FA Davis Company.

Coventry, L., Nguyen, A. & Karahalios, A. (2017). Comparison of 3 Different Perioperative Care Models for Patients With Hip Fractures Within 1 Health Service.
Geriatric Orthopaedic Surgery & Rehabilitation
, 8(2), 87-93. Geriatric Care Teams Sample Essay.

Harrington, N. & Terry, C. (2013).
LPN to RN Transitions: Achieving success in your new role
. (4
th
ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

Thomas, A., Crabtree, K., Delaney, K., Dumas, M., Kleinpell, R. … & Wolf, A. (2014).
Nurse Practitioner Core Competencies Content: A delineation of suggested content specific to the NP core competencies
. Retrieved from http://c.ymcdn.com/sites/nonpf.site-ym.com/resource/resmgr/Competencies/NPCoreCompsContentFinalNov20.pdf Geriatric Care Teams Sample Essay.

Write a Health Policy Values Sample Essay paper of 750-1,000 words examining your personal values and beliefs. Include the following:

1. Describe your personal values and spiritual beliefs.

2. Using the elements of cost, quality, and social issues to frame your description, differentiate your beliefs and opinions about health care policy. Give examples of relevant ethical principles, supported by your values.

3. Analyze how factors such as your upbringing, spiritual or religious beliefs/doctrine, personal and professional experiences, and political ideology affect your current perspective on health care policy Health Policy Values Sample Essay.

4. Examine any inconsistencies you discovered relative to the alignment of your personal values and beliefs with those concerning health policy. Discuss what insights this has given you.

Health Policy Values

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Personal values and Spiritual beliefs

Spiritual beliefs and personal values play a significant role in the nursing profession. In particular, spirituality forms part of the holistic care when attending to mental, physical, emotional and spiritual needs of a patient. I acquired my religious beliefs from the Catholic family which mentored me through teaching me the traditions of the faith. Personal values are comprehensive and are essential trusting in one’s capability and self-determination to demonstrate who they are without impacting negatively on others. With attention to this, accountability is critical to me. The value teaches me to be responsible for my behavior which makes the patients and my colleagues develop trust in me. By the same token, authenticity and being genuine helps me show my true self and restricts me from compromising my values for reception of others. Additionally, I am self-reliable hence making me not to lean on others for my success. Reliability makes patients develop trust and also count on me. Health Policy Values Sample Essay.

Differentiate your beliefs and opinions about health care policy using the elements of cost, quality, and social issues

Boessel argues that the cost of health care in the United States is astronomical since it has treated a significant number of patients with multiple co-morbidities (2016). The patients can request the care which comforts them as they pay bills basing on how happy the patient is with the services  Health Policy Values Sample Essay. However, United States spends billion dollars on health problems such as cardiovascular disease, stroke and diabetes which could have been prevented if individuals lived a healthy lifestyle with regular exercises.

A survey of Kaiser Family Foundation of 2015 on employer health benefit revealed that the cost of healthcare premium rose by four percent between 2014 and 2015 whereas the wages only increased by one point nine percent (Boessel, 2016). Equally important, other than raising the premiums, the employers were subject to reaching deductibles before taking over any coverage hence leaving a lot of out-of-pocket expenses unaccounted for (Dimick & Ryan, 2014). Health Policy Values Sample Essay. Correspondingly, the mortality rate for infants in the United States is alarming, the chronic conditions of patients are controlled poorly, and the mistakes in the health care are four percent above the average of other countries. In my opinion, these elements discourage my dependence on our health care giving me a feeling that I can trust only my individual care. My inside skills of health care systems give me the privilege to make educated decisions on where I can seek health care.

There exist ethical and social issues which relate to the delivery of fair health care to all citizens. My opinion as a practicing nurse is that health upkeep is a mandatory and a right to all individuals irrespective of the republic of their origin or race. Identically, the cost of the healthcare in the United States will decrease if there will be annual checkups, diagnostic testing and also preventive screening which improves health care (Glen, 2013). The patients should be given the autonomy to decline or accept the service care provided to them Health Policy Values Sample Essay.

How does your religious, spiritual, personal /professional experience affect your current health care policy?

Taking care of patients and attending to family illness issues gave me the experience to develop a new perspective on life. The experience has made me more considerate to patients and their relatives when I consider the extent of my profession. Moreover, the experience has taught me how to communicate effectively as most of the families and patients are often scared of the outcome of the illness hence proper communication erases any fear. Not to mention, I have learnt not to be judgmental while giving care to patients with diverse religious and spiritual beliefs than my own. My professional experience has given me an opportunity to interconnect efficiently with patients irrespective of their dialectal since I am capable of delivering assurance using non-verbal cues, and being therapeutic to patients undergoing anxiety caused by their illness. The idea of thinking about appropriate health care for all regardless of their wages is essential.

Inconsistencies in Healthcare Policy and my insight

Even though America gives her citizens free press and freedom of speech, however, the country lacks health care for all Health Policy Values Sample Essay. Health care is a human right which should, therefore, be made available to all people. In contrast, there are inconsistencies in health care policies. For instance, Medicare is only available for persons with over sixty years old and the disabled individuals whereas Medicaid is only offered to low salaried individuals and those living in dearth. Such inconsistencies make me fail to understand whether health care in the United States is a privilege or a right. High premiums discourage middle class and low class families to take health insurance since they find it unaffordable. My insight is that the lawmakers, insurance, and pharmaceutical companies should make it easier for health professionals to keep their values. The healthcare policies must undergo revision and access to health care granted to all people regardless of who they are. Such measures will improve the quality of healthcare in the United States.

 

Reference

Boessel, B. (2016). The Cost of Healthcare in America. Small Business Employee Benefits and HR Blog. Retrieved from http://Small Business Employee Benefits and HR Blog 97-236.

Dimick, J. B., & Ryan, A. M. (2014). Methods for evaluating changes in health care policy: the difference-in-differences approach. 
Jama
, 
312
(22), 2401-2402.

Glen, P. (2013). Health care and the illegal immigrant. 
Health Matrix (Cleveland, Ohio
: 1991), 23(1), 1 Health Policy Values Sample Essay.

Nursing Informatics Scholarly Writing Sample essay

This criterion is linked to a Learning Outcome Description of criterion

Provide an overview of the background and historical influences of Nursing Informatics (NI)

10.0 pts

This criterion is linked to a Learning Outcome Description of criterion

Describe facts about the history of the United States (US) nursing informatics, NI scope and at least two standards of practice Nursing Informatics Scholarly Writing Sample essay.

15.0 pts

This criterion is linked to a Learning Outcome Description of criterion

Explain the significance of nursing informatics in healthcare and exemplify how it has changed the healthcare system.

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20.0 pts

This criterion is linked to a Learning Outcome Description of criterion

Discuss how informatics create new roles for nurses within the healthcare system.

10.0 pts

This criterion is linked to a Learning Outcome Description of criterion

Discuss and explain implication of Nursing Informatics for nursing science, including the are of: Clinical practice, Education, Research, and Public/Health policy.

25.0 pts Nursing Informatics Scholarly Writing Sample essay.

This criterion is linked to a Learning Outcome Description of criterion

Discuss future trends in Nursing Informatics in clinical practice, academic, and administrative settings.

10.0 pts

This criterion is linked to a Learning Outcome Description of criterion

APA format (title page, headers, heading, in-text citations, reference page)

Background and Historical Influences

Nursing Informatics is the integration of data and information systems and methods with nursing science to manage and utilize data in nursing practice. Since the inception of nursing practice, patient records were solely used as sources of information. Notably, all through the 20th century, nursing did not have a common language and standards of data management. Therefore, nurses developed specific standards recognized globally regarding data collection, analysis, and information dissemination. The advancement of information and communication technology has led to the adoption of new data and information systems in nursing informatics that has enabled handling of enormous volumes of data and widespread sharing of data and information in nursing practice (Quail, 2015) Nursing Informatics Scholarly Writing Sample essay.

History, Scope, and Standards in the United States

In the United States, the practice of nursing informatics began in the 1950s with the increase in the use of computers and led to the computation of nursing informatics. Nursing informatics was recognized as a specialty in the 1970s by the American Nurses Association Nursing Informatics Scholarly Writing Sample essay. In the 1990s, the development of internet led information sharing and was boosted in 2000 by the wireless network. The scope of nursing informatics includes the preparation of information, ethics, and quality of standards in nursing informatics. The standards of practicing include application of nursing informatics in the nursing process, nursing education, health promotion, leadership and evidence-based research (Weaver, Delaney, Weber, & Carr, 2016). Nursing Informatics Scholarly Writing Sample essay.
 

The Significance of Nursing Informatics in Healthcare

To begin with, nursing informatics provides data that is necessary for the assessment phase of the nursing care. Through the data collected from the patient, nurses can make diagnoses and therefore plan and implement patient care plans. In addition, nursing informatics enables evidence-based research in nursing. Nursing informatics provides systems for managing data during research whose findings improve quality of patient care. Nursing informatics has significantly influenced healthcare delivery through efficient information dissemination, therefore, standardizing and positively influencing nursing research globally. Additionally, nursing informatics has promoted home-based care since information can be shared between nurses and to the patients through advanced information technology Nursing Informatics Scholarly Writing Sample essay.  Moreover, nursing informatics has led to easy and efficient data and information access. Nursing informatics positively contributed to nursing personnel management since nursing managers can track staffing, communication and nurses’ workflow (Quail, 2015).

Informatics and New Nursing Roles

Nursing informatics has created the role of data and records management for nurses. Since information technology is efficient, nurses can enter and retrieve data and information for the patient management and other purposes. In addition, informatics has increased the role of nurses in healthcare research. Through current information systems, nurses can collect and analyze data independently and therefore, complete research in healthcare. Furthermore, nurses have become key contributors in the healthcare system since large and reliable data and the information is easily accessible and forms the basis for healthcare policymaking (Peltonen, AlHuwail, Ali, Badger, Eler, Georgsson, & Lewis, 2016) Nursing Informatics Scholarly Writing Sample essay.

The implication of Nursing Informatics

Clinical practice
. Nursing informatics requires nurses to adopt evidence-based clinical practice since informatics has increased access to nurses, therefore, the quality of patient care is supposed to meet the patient’s expectations. In addition, through nursing informatics and thus efficient documentation should promote patient safety (Weaver, Delaney, Weber, & Carr, 2016).

Education.
Nursing informatics should guide the development of nursing education programmes such that they are tailored towards preparing nursing students for the current healthcare issues in practice (Weaver et al., 2016) Nursing Informatics Scholarly Writing Sample essay.

Research
. Remarkably, research should be more accurate since informatics provides efficient methods of data management including data collection and analysis (Weaver et al., 2016).

Health policy
. Nursing informatics has provided reliable data which has been relied on which developing healthcare policy. The policies aimed at addressing current and community-based health care concerns (Peltonen et al., 2016). Nursing Informatics Scholarly Writing Sample essay.

Future Trends

Clinical practice
. The nursing care is expected to shift to the patient based on adequate data will be available in patient management and promotion of home-based care with increased information dissemination methods (Peltonen et al., 2016). .

Academic.
Nursing training programs are expected to be more community based on the availability of information regarding various conditions and healthcare issues (Peltonen et al., 2016) Nursing Informatics Scholarly Writing Sample essay.

Administration
. The cost of nursing administration is projected to reduce significantly since data concerning the staffing and performance will be more easily (Weaver et al., 2016).

References

Peltonen, L. M., AlHuwail, D., Ali, S., Badger, M. K., Eler, G. J., Georgsson, M., & Lewis, A. (2016). Current trends in nursing informatics: Results of an international survey.

Quail, M. T.(2015). Technology in Health Care: Forensic Implications.
Critical care nursing quarterly
,
38
(1), 49-80 Nursing Informatics Scholarly Writing Sample essay.

Weaver, C., Delaney, C., Weber, P., & Carr, R. (2016).
Nursing and informatics for the 21st century: an international look at practice, education and EHR trends
. CRC Press. Nursing Informatics Scholarly Writing Sample essay.

Balancing School life Sample Essay

Balancing School and Life – My Quality of Life Self-Care Plan. The purpose of developing this Plan is to set a framework and a plan to maintain wellness and to stay motivated and engaged throughout your Program. Doing this will help you achieve success during your coursework and as a professional nurse.

The goal of the Project is to help you become self-aware and reflective as a means of identifying personal self-care strategies that will increase your energy and help you manage your stress Balancing School life Sample Essay. The Project will give you a chance to learn how this is accomplished as you will be doing similar work with clients during the Program and as a professional nurse to assist them in the same way.

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Share in a 2 – 3 page paper, the following (also attach the completed form):

Note: When you are finished besides submitting your plan, be sure to put the Plan where you can see it to remind you to continue to reflect on how you are doing and to motivate you to use the self-care strategies Balancing School life Sample Essay.

Use the Quality of Life Self-Care Wheel Plan for Intention and Action to make your intention (commitments) to take action throughout your Program to stay balanced. Re-assess your scores and write them into this Plan. Then make your intention and identify at least one action for each that you know you can maintain throughout your Program and even as a practicing nurse. Identify any new strategies that you think will ”fit” better than what you have been doing and describe why Balancing School life Sample Essay.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the ’.docx’ extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below: Balancing School life Sample Essay.

Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health Essay

Suppose you want to initiate a policy of taxing sugared sodas/pop/beverages in your community. Use the Longest’s policy cycle model to ponder the following questions:

What arguments would you use to make the case for the policy?

What argument(s) would your opponents make?

How would you go about getting buy-in for your proposed policy?

What stakeholder groups need to be involved in promoting your policy?

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Submission Details:

Submit your response in a 2-page Microsoft Word document (500 words).

Name your document SU_NSG4068_W1_Project_LastName_FirstInitial.doc.

Submit your document to the Submissions Area by the due date assigned.

Cite sources in the APA format on a separate page.

Health Policy Model

Suppose you want to initiate a policy of taxing sugared sodas/pop/beverages in your community. Use the Longest’s policy cycle model to ponder the following questions:

What arguments would you use to make the case for the policy?

The policy would argue that sugared beverages have a negative effect on health and place a burden on public health systems. In fact, sugared beverages are linked with obesity and weight gain. The government spends considerable resources on obesity prevention and management programs to include school feeding programs and health forum that warn the public on causes and detriments. By taxing sugared beverages, the government is able to serve two functions. Firstly, it gets to collect resources that are used to fund anti-obesity programs so that money is not divert from other health programs Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health Essay. Secondly, the increased taxes are passed on to buyers who reduce their consumption when the prices go higher (Hamric et al., 2014; Mason et al., 2016). As such, a taxation policy on sugared beverages collects funds for programs to counter the negative effects of these beverages and discourages purchases through high prices.

What argument(s) would your opponents make?

The opponents would make three arguments. Firstly, the business community is driven by supply and demand forces. The presence of a market for sugared drinks creates a market. By increasing taxes, the government is deliberately interfering with the market forces and pushing this businesses out, causing them to fail. Secondly, the public is aware of the detriments of sugared beverages and has made a deliberate choice as a market. It is not for the government to make unilateral decisions for the public by trying to discourage them from making purchases through high prices since this interferes with the market’s right to make their choices. Finally, sugared beverages are simply a risk factor for obesity and weight gain, and not a definite cause. That is because sugared drinks must interact with other factors that include the environment and genetics to cause obesity (Hamric et al., 2014; Mason et al., 2016). As a result, it is not right to use the pretext of improving obesity management as justification for taxing sugared beverages.

How would you go about getting buy-in for your proposed policy?

Getting buy-in for the proposed policy would first entail seeking aid from the nine groups of stakeholders who influence legislation. The aid takes the form of setting the desired agenda and developing the agenda into legislation. Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health Essay. These nine groups include constituents, fiscal pressures, market forces, special interest groups, research findings (experts), personal experiences, political ideology, media, and crisis. Getting their help and support would begin by informing them about the proposed policy and its justification, allowing them to understand what it is about. This would be followed by discussions in which they express their support, reservations and objections to aspects within the policy. Next, the policy would be revised to ensure that it receives support from the most number of stakeholders while achieving the desired aim. This is based on the anticipation that having their concerns addressed will allow them to support the policy (Hamric et al., 2014; Mason et al., 2016). As such, getting buy-in for the proposed policy would entail discussing its aspects with the nine groups of stakeholders who influence legislation and revising it based on their comments to guarantee support.

What stakeholder groups need to be involved in promoting your policy?

There are nine groups of stakeholders who should be involved in promoting the proposed policy. That is because they influence the legislation process. These nine groups include constituents, fiscal pressures, market forces, special interest groups, research findings, personal experiences, political ideology, media, and crisis (Hamric et al., 2014; Mason et al., 2016). Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health Essay.

References

Hamric, A., Hanson, C., Tracy, M. & O’Grady, E. (2014).
Advanced Practice Nursing: An integrative approach
(5
th
ed.). St. Louis, MO: Elsevier Saunders.

Mason, D., Gardner, D., Outlaw, F. & O’Grady, E. (2016).
Policy & Politics in Nursing and Health Care
(7
th
ed.). St. Louis, MO: Elsevier Saunders Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health Essay.

Capstone Project: Milestone 1: Practice Issue and Evidence Summary Worksheet

Practice Issue Worksheet Directions

A tutorial with tips for completing this assignment may be viewed at https://atge.webex.com/atge/ldr.php?RCID=4905b26a67572323c11b839e3251c96a (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.

Choose the ONE systematic review topic that is of most interest to you, or most relevant to your practice situation, from the required List of Approved Systematic Reviews (Links to an external site.)Links to an external site..

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Follow the grading criteria below to formulate your practice issue, which must be based on the topic of the systematic review you have selected.

Download the required Milestone 1 Practice Issue and Evidence Summary Worksheets (Links to an external site.)Links to an external site. (both worksheets appear in ONE file) to document the practice issue presented and approved by your instructor in the Week 2 Discussions.

Your practice issue will be the same for all three Milestone assignments in this course.

Please type your answers directly into the worksheet Capstone Project: Milestone 1: Practice Issue and Evidence Summary Worksheet.

Evidence Summary Worksheet Directions

Develop an evidence summary by following the grading criteria below.

Document this on the evidence summary portion of the worksheet.

You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.

Please type your answers directly into the worksheet. Capstone Project: Milestone 1: Practice Issue and Evidence Summary Worksheet.

For this week’s Nurse’s Role in Influencing the Legislative Process Essay project, you’ll answer three questions related to your opportunity as a nurse and an advocate. The first two questions relate to influencing a bill is traveling through the legislative process. The third question refers you to the social determinants of health as described in your course textbook reading and asks you to think specifically on your role as a nurse in influencing social determinants of health.

In a brief paper (no more than 2 typed pages, 1 inch margins, 12 font Times New Roman or Courier New), answer the questions below. Write each question as a new topic area and then follow with a paragraph or two to answer the question Nurse’s Role in Influencing the Legislative Process Essay. You may find it necessary to search for answers to the questions outside of the assigned reading. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.

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Answer the following questions:

What parts of the lawmaking process does a nurse have an opportunity to influence the final bill passage?

List at least two ways that this influence can take place. In your opinion, would one way be preferable over the other?

Reviewing the social determinants of health, select one to respond to this question:

What role can nurses play in promoting health status through policy changes directly affecting this social determinant?

Submission Details:

Submit your response in a 2-page Microsoft Word document (500 words).

Name your document SU_NSG4068_W2_Project_LastName_FirstInitial.doc.

Submit your document to the Submissions Area by the due date assigned.

Cite sources in the APA format on a separate page.

The parts of the lawmaking process where the nurses have a privilege to influence are quite many. First, the nurses can influence the introduction part of a bill by asking the members of the Congress to sponsor the bill. Second, at the hearing stage where the nurses can submit a written authentication to express an opinion and also give a background on the matter and also regulate how the bill will impact their constituent Nurse’s Role in Influencing the Legislative Process Essay. Third, they can influence at the markup stage where the nurses can propose amendments and changes to the law before its recommendation.

However, there are two ways in which the nurses’ influence on the legislative process can take place. First, is through advocacy in the community.  Nurses act as advocates where they offer a link between lawmakers and nursing hence they can influence the health policies. The second way is through direct legislative arena where the nurses attend the health policymaking process (Keleher, & MacDougall, 2015). Nurse’s Role in Influencing the Legislative Process Essay. I prefer advocacy since it involves the refinement of opinions and clarifying key issues by the nursing community thus the nurse influence will represent the interest of the majority and not an individual’s interest like that of legislative arena.

According to Braveman and Gottlieb (2014), social determinants of health refers to the circumstances in the environment where individual were born, are living, learning, worshipping, and playing and its influence to health. Such social determinants include social norms and attitudes, public safety, availability of community-based resources, access to health care services, culture, and literacy. The determinant from the list above which affects the nurses’ role in influencing legislative process is the social norm and attitude.

Social norms and attitude are one of the social determinants of health which affects health policy-making process. Keleher and MacDougall argue that health policy and laws may be ineffective if they do not reflect social norms and the attitude of the community (2015). Social norms find their expression in both formal law and societal expectations Nurse’s Role in Influencing the Legislative Process Essay. The health policy should, therefore, be formulated on the basis that it entirely conforms to the attitude of the people and social norms. Nurses’ influence on the legislative process as advocators are therefore essential to ensure that the laws legislated are within the social norms hence the social determinants determines how the nurses will influence a given bill.

There are many roles of the nurses in promoting the health status such as through direct policy changing that affects norms as a social determinant of health. Mainly, nurses’ influence in health policies should serve as social norms protection. However, when nurses’ advocate for a bill through Congress corrects a problematic behavior in the community, then the social norms as determinants of health will be affected positively (Auerbach, 2013). Nurse’s Role in Influencing the Legislative Process Essay. Social norms are all about customary behavior. For instance, when a nurse seconds or proposes a bill against Female Genital Mutilation, a section of the community will feel that the law is positively affecting the social norm while others feel like they have been betrayed.

In conclusion, nurses play a critical role in the legislative process. Nurse leaders are expected to influence those policies which back to increasing the number of nurses. Additionally, nurses should encourage laws which support technology in nursing. Last but not least, nurses should be aware of new policies and bills which are relating to their profession. Nurse’s Role in Influencing the Legislative Process Essay.

Reference

Auerbach, D.I., Staiger, D.O., Muench, U. & Buerhaus, P.I., 2013. The nursing workforce in an era of health care reform.
New England Journal of Medicine
,
368
(16), pp.1470-1472.

Braveman, P., & Gottlieb, L. (2014). The social determinants of health: it’s time to consider the causes of the causes. 
Public health reports
, 
129
(1_suppl2), 19-31.

Keleher, H., & MacDougall, C. (2015). 
Understanding health
(No. Ed. 4). Oxford University Press. Nurse’s Role in Influencing the Legislative Process Essay.

Tips for Finding a Preceptor & Practicum Site

Finding a Practicum Site & Preceptor

Ask those you have professional relationships with if they have recommendations for you

A physician or FNP you know

Your current place of work, or an affiliate facility

Your own family physician

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Also consider

A retail clinic

http://
npfinder.aanp.org/

Practicum Site Considerations

Practicum Site Selection: Focus Should be on Primary Care

Preceptor Requirements

Patient Population Exposure

NR-511: Differential Diagnosis and Primary Care Practicum

Must take place at a family practice or retail clinic

Core Focus

Formulating differential diagnoses of individuals within the primary care setting

Practicum experiences may include:

Processing client information

Interpreting lab studies

Cardiovascular risk assessment/management

NR-601: Primary Care of the Maturing and Aged Family Practicum

Must take place at a family practice or retail clinic

Core Focus

Common health problems and healthcare needs of the middle-aged and older adult

Further develop your skills related to patient education, protocol development, follow-up and referral Finding a Practicum Site & Preceptor.

Practicum experiences may include:

Older adult cognitive/functional ability assessment

Older adult nutritional assessment

Performance of primary care-related skills within scope of preceptor

NR-602: Primary Care of the Childbearing and Childrearing Family Practicum

Core Focus

Healthcare needs of women and families throughout reproductive and childrearing years

Practicum experiences may include:

Performing well-woman and well-child exams

STD diagnosis and treatment

Performing full pelvic exams

NR-603: Advanced Clinical Diagnosis and Practice across the Lifespan Practicum Finding a Practicum Site & Preceptor

Core Focus

Expand the theoretical and practical knowledge of health assessment principles specific to the role of the FNP

Practicum experiences may include:

Health promotion and prevention of illness

Diagnosis and management of health problems across lifespan

Performance of primary care-related skills within scope of preceptor

NR-661: APN Capstone Practicum

Core Focus

Clinical management skills, case studies, chart reviews, and practice critique, with a capstone product evidencing increasing complex clinical management skills Finding a Practicum Site & Preceptor

Practicum experiences may include:

Performance of primary care-related skills within scope of preceptor

Imbedded national certification exam review program

Developed by APEA, Advanced Practice Education Associates

You may complete your practicums with your current employer as long as …

üPreceptor is not your direct supervisor

üSite provides necessary patient exposure

üPracticum experiences are outside of your typical work area

Scheduling and Time Management

Why Start So Early?

Unplanned situations can occur

Scheduling conflicts with preceptors

Practicum sites not delivering as planned

Trouble finding appropriate patient exposure

Clinical Affiliation Agreement

Can take several weeks to months to obtain

Practicum Site Requirements

Contacting Sites & Preceptors

Be Professional

Sites may evaluate you for future employment

Be Prepared

Have your goals, preceptor requirements,  practicum requirements, timeframe and expectations clearly outlined

These can be found in your FNP Practicum Handbook and Toolkit

Be Appreciative Finding a Practicum Site & Preceptor.

Social Determinants of Health Essay

The DISCUSSION ASSIGNMENT provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.

For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned Social Determinants of Health Essay.

To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

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Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Social Determinants of Health Essay Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

Answer one of the following questions:

Increasingly, health policymakers are becoming aware of the social determinants of health and the role they play in prevention disease and promoting health and wellness. In the “Frameworks for Action in Policy and Politics” chapter, examine Box 1-1 (Political Aspects of the Social Determinants of Health) and Figure 1-6 (The Who, What, Where, When, and Why of Nursing’s Policy Influence). Then compare these with the story about Lilian Wald’s work in New York City Social Determinants of Health Essay. Reflect on the “what” of Wald’s strategies. In your opinion, which did she use effectively?

Looking further at the “what” in Figure 1-6 and answer any one of the following questions:

Discuss at least three competencies/strategies that you have used effectively.

Identify three competencies/strategies that you don’t currently use and discuss how you might incorporate them into your advocacy toolbox. Social Determinants of Health Essay.

Review the four recommendations in the IOM report The Future of Nursing: Leading Change, Advancing Health and find your state’s action coalition. Discuss your state’s action coalition’s work as it aligns with these four recommendations. Is each recommendation being addressed? Based on your analysis of the website, how would you describe your state’s progress toward meeting the IOM recommendations? Social Determinants of Health Essay.

Social Determinants of Health

The Institute of Medicine’s report made four specific recommendations for advancing health and leading change on the future of nursing. According to Zangaro (2015), the critical sanction stated that; first, nurses are expected to practice their work to the complete scope of their training. The commendation requires the nurses to remove the scope-of-practice obstacles through expanding Medicare to include advanced nursing and reforming State level regulations. Second, nurses must achieve high levels of education and promote seamless academic progressions (Zangaro, 2015). The number of nurses with baccalaureate and doctorate degrees should be increased. Third, Nurses are expected to be full partners with all health care professions and physicians. The IOM recommends expanding and improving nurses’ collaborative effort. Social Determinants of Health Essay Fourth, IOM recommended improved information structure and better data collection to promote policy-making and effective planning.

My state’s action coalition is the California Action Coalition which is a workforce for implementing the IOM report. The coalition’s work conforms to all the recommendations in the Institute of Medicine’s report. The report published on the Coalition’s website on July 14
th
, 2016 revealed that the suggestions were being addressed through providing the technical support for the future of nurses. The coalition is campaigning for action marks which are initiatives to address all the four IOM recommendations. Social Determinants of Health Essay. Basing on the California Action Coalition’s website, I would describe the state’s progress as noble in meeting the IOM recommendations. According to the testimonials presented on the site, massive changes in the healthcare delivery system have been transformed. The recommendations have been implemented at both local and national levels. The Campaign for Action, priorities for the nursing profession and chartered future directions are the evidenced continued work for future of nursing as stated on the website Social Determinants of Health Essay.

Reference

Zangaro, G. (2015). Presentation to IOM Committee for Assessing Progress on Implementing the Recommendations of the Institute of Medicine Report The Future of Nursing: Leading Change, Advancing Health. 
Washington, DC, July

27
, 2015. Social Determinants of Health Essay.