Tag: Clinical-Nursing

  • NURS 4115 Week 3 Discussion-Preventing Disease in Communities

    NURS 4115 Week 3 Discussion-Preventing Disease in Communities

    NURS 4115 Role of the Nurse in Public and Global Health Week 3 Discussion

    Preventing Disease in Communities: The Role of Public Health, the Silent Sentinel

    Week 3 Discussion-Preventing Disease in Communities

    In this Discussion, you will visit a site and interview people who work there about risks for disease transmission, then report on your findings.

    To prepare, select which site you will visit from the following options:

    High school nurse’s office

    Water treatment plant

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    Public health department

    Pediatrician’s office

    Create a brief description of your setting, providing some context; for example, how many patients are seen, size or capacity of the facility as applicable, and/or the location of the office or organization. NURS 4115 Week 3 Discussion-Preventing Disease in Communities

    Take pictures of the building and surrounding area/neighborhood to provide context. You do not have to include the interior/s of the building/s or people/clients who may be there.

    Then, during your site visit, pose the questions listed in the following chart:

    High school nurse

    What is the school’s policy on giving students advice about birth control?

    How often do you get requests for information about birth control or how to protect oneself from an STD?

    How do you track vaccination compliance, and what happens to students who fall out of compliance?

    Local water treatment plant NURS 4115 Week 3 Discussion-Preventing Disease in Communities

    Where does your community’s water come from?

    Where is it stored?

    How often is it tested for purity?

    What safeguards are in place to prevent tampering with the water supply?

    Local public health department

    Does this department have an STD clinic?

    In addition to testing, does the department offer treatment of one party or both parties?

    What is the most frequently diagnosed STD? NURS 4115 Week 3 Discussion-Preventing Disease in Communities

    A pediatrician’s office

    What is your policy on accepting patients who refuse vaccinations?

    What are the most common reasons parents decline vaccinations for their children in this particular office?

    What is the policy at this office for giving antibiotics to treat viral syndromes?

    Now, look at the site you visited through the eyes of the public health nurse (PHN). Imagine you are the PHN and have been asked to investigate an outbreak at this facility.

    What questions would you ask?

    What suggestions could you make to avoid a disease outbreak at the facility?

    What would your role as a change agent be for any deficiencies you find in your on-site inspection?

    Our “world” starts with our own community, county, and state, then moves out in concentric rings from that point to include our country and eventually the world. Disease is transmitted from person to person through direct contact, or from a source such as a vector or contaminated water through a variety of means, such as flood waters or even terrorist actions. Individuals with limited or no knowledge of safe sex methods may have unprotected sexual relations and knowingly or unknowingly transmit disease to their partners, then to their partners’ partners, and on and on. Often it is the role of the public health nurse to investigate a disease outbreak, contain it, and then educate others so that the same situation doesn’t happen again NURS 4115 Week 3 Discussion-Preventing Disease in Communities.

    By Day 3

    Post your brief description and pictures of the site you visited. Share the answers you were given to the questions you posed. Then, respond to the above prompts through the eyes of a PHN asked to investigate an outbreak at this facility.

    Support your response with references from the professional nursing literature. Week 3 Discussion-Preventing Disease in Communities NURS 4115 Week 3 Discussion-Preventing Disease in Communities

  • NURS 4115 Week 1 Discussion

    NURS 4115 Week 1 Discussion – The Role of the Nurse in Global Health

    Healthcare burden is a common problem to both developed and developing nations due to shortages in healthcare workforce, high costs incurred for the services and minimal coordination of care among others.  Germany, in particular, provides services compared to India. However, both nations exhibit a rise in chronic diseases such as diabetes and heart disease as well as expensive healthcare services such as medical drugs. These diseases are heightened in the nations due to a…

    NURS 4115 Role of the Nurse in Public and Global Health Week 1 Discussion

    NURS 4115 Week 1 Discussion

    In this week’s media presentation, Dr. Louise Fitzpatrick shared how health and disease are global issues. She pointed out that with the mobility of today’s population, health issues experienced in one area of the world are easily brought to other areas of the world through such means as travel and immigration. They can also be brought to a nation’s doorstep through the migration of animals, insects, and birds. Consider the spread of infectious diseases such as HIV/AIDS, avian flu, H1N1, or SARS. These diseases have quickly crossed oceans and spread to multiple countries. They are a public health concern in the United States as well as other countries. NURS 4115 Week 1 Discussion

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    To prepare for this Discussion:

    Reflect on Dr. Mancuso’s comments in this week’s media presentation; specifically, on the role of the BSN nurse in public and global health.

    Select one health problem that you will use as a basis of comparison between countries.

    Identify one developed and one developing country.

    Compare and contrast the health problems and countries you selected with the United States in terms of World Health Organization (WHO) outcomes. In your analysis, be sure to include information about workforce availability to deal with the country’s disease burden.

    Based on your examination of the research, how well is the United States performing in terms of public health as compared to the developed and developing countries you selected?

    Think about what countries with worse outcomes could learn from countries with better outcomes.

    Think about why nurses should be concerned with global health issues and what the role of the nurse should be in public health.

    By Day 3

    Post your analysis of one health problem between one developed and one developing country in comparison with the United States in terms of the WHO outcomes and criteria listed above. State your opinion about how well the United States is doing in terms of public health. Share what you think countries with worse outcomes could learn from countries with better outcomes. Explain the nurse’s role in public and global health and why nurses should be concerned with global health issues. Conclude by summarizing your view of the role of the nurse in public health.

    Support your response with references from the professional nursing literature.

     

    The Role of the Nurse in Global Health

    Healthcare burden is a common problem to both developed and developing nations due to shortages in healthcare workforce, high costs incurred for the services and minimal coordination of care among others.  Germany, in particular, provides services compared to India. However, both nations exhibit a rise in chronic diseases such as diabetes and heart disease as well as expensive healthcare services such as medical drugs. These diseases are heightened in the nations due to a poorly coordinated health care system coupled with a workforce shortage.

    High Chronic Infections

    Chronic diseases such as cancer, diabetes, respiratory diseases and cardiovascular diseases have resulted in 57 million deaths by the year 2008. These diseases have high mortality, morbidity and risk factors in both Germany and India. However, India exhibits high prevalence rates of chronic infections especially non-communicable diseases by 40% in all hospital stay and 30% of outpatients than Germany due to the inadequate facility. India has higher death rates of chronic diseases of 53% and 44% disabilities due to chronic diseases (Khosla, Patel & Sharma, 2012). There has been dwindling shift of the policy makers to prioritize the healthcare sectors to include prevention approaches as well as a low investment on personnel and formal systems towards such infections amidst every increasing population.  On the other hand, Germany has lower chronic disease prevalence. However, cardiovascular diseases are responsible for 39.7% deaths while new cases of cancers are at 16% which results in 25% of deaths in Germany (Schoen et al., 2010). NURS 4115 Week 1 Discussion

    High Healthcare Costs

    Both India and Germany exhibit high costs in healthcare services in both the public and private entities. Healthcare in Germany contributes to $ 500 every month for the employed and employers while the self-employed patients experience full payment. The same high costs in healthcare service delivery are experienced in India with worse cases of burden due to higher costs.  For example, the allopathic services provided in India are expensive which cannot be accessed by the common man coupled with high prices on drugs (Khosla, Patel & Sharma, 2012).

    Comparison of the Nations with the USA

    Comparisons of the nations with the USA reveal similarities. The countries exhibit high rates of chronic infections, and citizens experience high costs in healthcare coupled with low healthcare professionals.  However, German and USA have different coordinated care systems. While the USA face high fragmentation and privatized system in preventive and patient-centered care with no universal access to the healthcare system, Germany has a fairly fragmented system with universal access to the healthcare system. In some cases, the nurses provide uncoordinated healthcare delivery which results in increased healthcare problems (Schoen, et al., 2005). However, these nations have improved healthcare outcome due to proper planning of the limited resources that are channeled towards quality healthcare delivery, proper reorientation of the healthcare system and proper management that are patient centered. The Indian government should implement all these activities that experience poor outcome to exhibit a shift in healthcare outcome regarding higher quality with reduced mortality (Schoen, et al., 2005) NURS 4115 Week 1 Discussion.

    Role of Nurse

    Nurses are instrumental in ensuring the provision of quality healthcare delivery at the global level. However, the increased burden on the healthcare system is brought about by the high healthcare costs, uncoordinated healthcare delivery and a shortage of nurses which leads to high nurse-patient ratios. Conversely, the nurses should deliver high-quality care through the provision of well-coordinated services (Khosla, Patel & Sharma, 2012).

    In conclusion, healthcare problems are exhibited in both developed and developing nations especially in Germany and India. Such burdens are also experienced in the USA though the management of such issues varies in these nations.  Comparisons of the burden in both nations with the USA reveal similarities with differences regarding quality in healthcare delivery. Germany, in particular, has a higher quality of healthcare delivery at low cost compared to the USA while both countries are superior in care provision compared to India. However, the healthcare burden is exhibited in the three nations due to nurse workforce shortage against the high population especially the old age who need care. Thus, the healthcare professional should ensure the provision of well-coordinated healthcare services that are patient-centered NURS 4115 Week 1 Discussion.

    References

    Khosla, D., Patel, F. D., & Sharma, S. C. (2012). Palliative care in India: current progress and future needs.
    Indian Journal of palliative care
    ,
    18
    (3), 149.

    Schoen, C., Osborn, R., Huynh, P. T., Doty, M., Zapert, K., Peugh, J., & Davis, K. (2005). Taking the pulse of health care systems: experiences of patients with health problems in six countries.
    Health Affairs-Millwood VA Then Bethesda MA-
    ,
    24
    , W5.

    Schoen, C., Osborn, R., Squires, D., Doty, M. M., Pierson, R., & Applebaum, S. (2010). How health insurance design affects access to care and costs, by income, in eleven countries.
    Health Affairs
    , 10-1377 NURS 4115 Week 1 Discussion.

  • SBAR Template

    SBAR Template  

                                                  SBAR Assessment

    Situation:

    “What is going on with this patient?”

    Chief Complaint (what symptoms the patient came to the hospital with):

    Patient was involved in MVA going 45 mph and hit a tree.

    Diagnosis
    _Right Ankle Fracture
              
    Vital Signs:
    BP-108/71 P-76 Temp- 98.7 F; O2 Sat 99%
       
      

    Pain Level___
    6
    _________  Where_
    Rt leg, chest, & rt wrist_
    ______________

    Description_
    Acute, somatic, pain in rt leg, thorax, and rt wrist SBAR Template

     

    Allergies_
    NKA
    _

    Primary MD__
    Gannu
    _____________            
    Code Status (DNR?)
      N/A (Full code)

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    Weight_
    76.2
    ___kgs                                          Isolation_____
    N/A
    ______________

    Date of admission__
    10/6/18
    ____________

    Background

    “What is the clinical

    Background?”

    PMH (Previous medical history including past surgeries)

    Diabetes Mellitus, Smoker, Bipolar, Mood Swings, Depression, Heroin Use

    Assessment

     

    “Head-to-toe assessment that I am going to chart into the EMR after I review it with my instructor organized by body system.”

     

    Respiratory (Resp)

    Respiration Rate ______
    16
    ___________   Lung Sounds_____
    Clear
    _____________

    Supplemental Oxygen __
    N/A
    _______LPM   Oxygen Saturations__
    99%___________

     

    Incentive Spirometry
    __unknown

    (I will check EMR next time & collaborate with Respiratory Therapist)

    Cardiovascular (CV)

     

    Heart Rate:
     
    Regular______________

     

    IVF’s __
    Saline Lock
    __________Rate_
    N/A
    _____________

     

    IV Site_
    Left mid forearm
    ______________ Start Date
    _10/6/18
    _________

     

    Edema (where/rate):
    rt wrist +1; rt lower limb (unable to assess due to ace bandage & splint)

    Pedal Pulses:
    Strong on left foot, unable to assess rt foot due to ace bandage & splint

     

    Neurovascular (Neuro)

    Alert and Oriented X4________ or

    Altered mental status___
    N/A
    ______                       Deficits__
    N/A
    _______

     

    Gastrointestinal (GI)

    Diet   
    Normal
    ______      Last Bowel Movement___
    10/8/18
    _________

     

    Assistance eating __
    no
    _______   Bowel Sounds__
    Present x 4
    _______________

     

    Any Drains present____
    N/A
    ________         Accuchecks __
    _90
    _________________

    Genitourinary (GU)

    Voiding__
    Yes
    __________                     Foley Catheter__
    N/A
    _______

     

    Description Of Urine
    unknown
    ___________________________________________

    ____________________________________________________________________

    I and O’s

    Input ____
    N/A
    _______         Output___
    N/A
    ________

     

    Musculoskeletal

    Activity
    _Limited
    __________                    Falls Risk Score_
    70
    ______  Falls Risk  Y

    SCD’s____
    N/A
    ________

    Assistive Devices _
    Walker
    ______________

    ROM _
    Non-weight bearing right leg, limited ROM

    Special Concern’s/Problems/ Scheduled events for the day

    Any wounds/ Skin Breakdown Present

    Location _
    Rt lower limb
    __ Dressing type
    Ace bandage; unknown dressing type     underneath
    __

    Presence of drainage from wound or on dressing (describe drainage characteristics)

    Unknown due to splint and ace bandage on right lower limb. No visible drainage through the ace bandage. Ace Bandage is dry and intact.

    Any diagnostic tests or procedures scheduled for today? No. SBAR Template

    10/6/18 -Head CT: No evidence of intercranial hemorrhage or acute findings within the brain.

    10/6/18-XR(Pelvic, Rt Knee, Rt Tib/Fib, Chest) Comminuted fracture of the distal fibula & medial malleolus w/o displacement. Bilateral fracture of the first ribs.

    Abnormal Labs from 10/9/18-
    Hematology:

    WBC 12.4 (H)(normal 4-11); monocytes 10.7%(H)(Normal 2-8%);Neutrophils# 8.2(H)(normal 1.5-8);monocyte # 1.3(H) (Normal 0.2-1.0)
    Chemistry
    : Na 132(L) (normal 135-145);BUN/Crea Ratio 21.0 (H) (normal 10-20)

    Physical Therapy_
    Yes, educated pt on how to ambulate w/o using NWB right leg
    ____

    Recommendation

    (Evaluation)

    What do you think should be done to help your patient

    This is a summary of your shift’s observations that could assist the next shift in planning  care for the patient

     

    Discharge Plan

    ·         Rest. Limit patient mobility, until right leg can bear weight. Eventual use of CAM boot when ambulating.

    ·         Place an ice pack on right lower limb in 20 minute increments 6-8 times/day

    ·         Elevate leg on pillows to help with swelling.

    ·         Compression. Continue with ACE bandage and splint on right leg for support and to ease swelling.

    ·         Continue with incentive spirometer 5-10 times every 2 hours. SBAR Template

    ·         Have patient wiggle toes on right foot often to promote blood flow.

    ·         Continue with physical therapy to learn how to safely ambulate using walker/crutches due to NWB status of right leg.

    ·         ROM exercises for unaffected joints of the body.

    ·         Consult with Social Services and Case Manager. Possible transfer to skilled nursing facility for rehab due to patient’s living situation SBAR Template.

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    NUR 133 SBAR/Physical Assessment Tool Rubric-

     
     

    Student Name:

     

     

    Date:

     

    Section

    Satisfactory

    Needs

    Improvement

    Unsatisfactory

    Comments

    Basic Information

    All areas addressed

    Some areas addressed

    None of the areas addressed

     

    Neurologic

    All areas addressed

    Some areas addressed

    None of the areas addressed

    SBAR Template

    Skin

    All areas addressed

    Some areas addressed

    None of the areas addressed

     

    Head, Eyes, Nose, Throat

    All areas addressed

    Some areas addressed

    None of the areas addressed

     

    Respiratory

    All areas addressed

    Some areas addressed

    None of the areas addressed

     

    Cardiovascular

    All areas addressed

    Some areas addressed

    None of the areas addressed

     

    Gastrointestinal

    All areas addressed

    Some areas addressed

    None of the areas addressed

     

    Genitourinary

    All areas addressed

    Some areas addressed

    None of the areas addressed

     

    Musculoskeletal

    All areas addressed

    Some areas addressed

    None of the areas addressed

     

    Psychosocial

    All areas addressed

    Some areas addressed

    None of the areas addressed

    SBAR Template

  • NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples

    NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples

    Week One Initial Post: The Role of Government in the U.S. Health Care System

    After much consideration of the question; is healthcare a right or a privilege? I concluded that healthcare is a right. Our nation was founded on the idea that society should ensure an opportunity for “life, liberty, and the pursuit of happiness.” This is from our declaration of independence (Knickman & Kovner, 2015, p. 4). In those powerful words, I believe the Government has committed to all citizens the provision of healthcare. Healthcare is essential to life, which is necessary for all other human endeavors. The Government has a role to improve health policy by addressing access, cost, and quality (Laureate Education, 2012d). It is in so doing will all populations have a fair chance to live healthy productive lives. NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples

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    Adequate family income, high-quality educational opportunities, and being socially connected are all key factors that predict the health of a given person (Knickman & Kovner, p. 5). These indicators of good health create disparities in the health of the poor. In the United States, medical care, and its associated outcomes depend on ones’ income level, race, and geographical location (Knickman & Kovner, p. 8). The affordable care act has indeed made it possible for more people to have healthcare. The fact remains the insurance in many cases is not truly affordable. Individuals are paying exorbitant premiums and associated deductibles which may keep them from seeking medical care. But keep in mind that is the plight of the fortunate. Our Government has a lot of work to do still to make healthcare affordable and accessible to all.

    I chose to discuss how the issue of socioeconomic status is impacting healthcare delivery. At the heart of much of the day-to-day struggle among the nation’s poor is the persisting lack of access to adequate and affordable healthcare (Clarke, 2018). Clarke describes in a recent publication in U.S. Catholic the social disenfranchisement of poor Americans. He describes their increased risk for preventable diseases. The healthcare delivery organizations are plagued with the cost associated with managing these diseases of populations who can not pay for services received. Clarke considers the current state of health care a remarkable failure in an era when every other advanced economy has long managed to provide universal healthcare. I believe we are way beyond the ability of individual communities to help themselves. Subsidiarity urges that needs are best addressed at the lowest possible level of authority (Clarke, 2018). Clarke further explains that when the poor are faced with the challenges of mere survival as a direct result of the impoverishment of social supports, subsidiarity and personal responsibility break down. This current climate calls for the Government to step-up.

    References

    Clarke, K. (2018, 03). Poor Americans
    . U.S. Catholic,
    83, 42. Retrieved from
    https://ezp.waldenulibrary
    . Org/login?url=https://search-proquest-com.ezp.waldenulibrary.org/docview/2036351842?accountid=14872

    Knickman, J.R., & Kovner, A.R. (Eds.). (2015).
    Health care delivery in the United States
    (
    11
    th
    ed.). New York, NY: Springer Publishing.

    Laureate Education (Producer). (2012d).
    Introduction to healthcare delivery, part 1
    . Baltimore, MD: Author.

     

     

    The Role of Government in the U.S. Health Care System

    As stated in the course text, 
    Health Care Delivery in the United States
    , “the health care enterprise is one of the most important parts of the U.S. social system and of our economic system as well” (Kovner and Knickman, 2011, p. 4); however, with millions of citizens uninsured, rising costs, massive health disparities, and the need to improve quality and access, many view health care as a broken system. As such, it continues to be a significant political issue in the United States. Most agree that something needs to be done to fix the health care system, but the methods and solutions for addressing problems vary greatly, particularly with respect to the role government should play. Proponents of varying approaches often have strong, emotional opinions, making compromise difficult.

    In this Discussion, you will consider the role of government in health care, and you will examine the impact of a social, economic, technological, ethical, or legal issue on health care delivery.

    To prepare:

    With this week’s Learning Resources in mind, consider this question: Is health care a right or a privilege?

    Review the media presentation for this week, focusing on the role of the government in health care including Affordable Care Act.

    Pinpoint a social, economic, technological, ethical, or legal issue that could, or has, affected health care delivery in the United States.

    Locate a current article from the popular press (within the past 6 months) related to the health care issue you identified. How does this article inform your understanding of the influence of your selected issue in the health care debate?

    By Day 3

    Post
     your position on whether health care in the United States is a right or a privilege, and explain what you believe to be the proper role of government in health care. Justify your position. Explain how the social, economic, technological, ethical, or legal issue you selected is impacting health care delivery and whether this issue should be addressed by the government or by private entities. Identify the article you selected, and explain how this article informs your stance.

     

    Benjamin Fernandes

    The Role of Government in the U.S. Health Care System

    The question of: Is health care a right or a privilege, can be debated forever. According to the text, “our nation is built on the idea that society should ensure an opportunity for ‘life, liberty, and the pursuit of happiness’” (Knickman & Kovner, 2015, p. 4). Life being the key word in this statement. Health care is an important role in ensuring life. The statement “life, liberty, and the pursuit of happiness” is taken directly from our Declaration of Independence. Is not the role of the government to protect its citizens? The Patient Protection and Affordable Health Care Act 2010 (ACA) expanded the role of the government in health care. The ACA was designed to protect patient rights and make health insurance more available to the people. The theory was to make health care more available and affordable to the public. As this week’s video stated, the U.S. provides some of the best health care in the world as far as technology to deliver. The video also goes on to explain how on average, people in the U.S. end up pay more for health care in comparison to other countries (Laureate Education (Producer), 2012d).

    We are a pivotal place, waiting and watching, to see which direction our nation will go. We have two candidates debating on issues, and we will have to choose which person to lead our nation in the coming years. This is vitally important to myself and the state I live, much like others across this country. New Hampshire finds itself in a crisis with opiate abuse. According to a local newspaper, the issue is “More Americans are dying from opioids than at any time in recent history, with overdose deaths hitting a peak of 28,000 in 2014” (Ronayne, 2016). When speaking of ensuring life, this statistic is going in the wrong direction. Internationally, the BBC wrote an article about the heroin and opiate crisis in the U.S., writing “The US is in the throes of a heroin and opioid epidemic – drug overdose has become the leading cause of accidental death, overtaking traffic accidents” (Pressly, 2016). While one candidate is electing to stop drugs via policing and tackling the issue through the judicial system, the other is electing to put money toward health care. According to the Concord Monitor (Ronayne, 2016), the candidates plan “would send more money to states to expand drug treatment and mental health services, promote greater availability of the overdose reversal drug naloxone and support better prevention programs in schools, among other things.” In NH, we find ourselves with one of the worse rankings in opiate abuse and death rates. Even worse we rank in the bottom for resources for those suffering from addiction. As a nurse working in the busiest emergency departments in the state, we see the effects of having few resources available for our patients.

    The U.S. Constitution states that life is a right given to all citizens of the U.S. Providing health care to those citizens helps protect the same right.

     

     

    Post
     your position on whether health care in the United States is a right or a privilege, and explain what you believe to be the proper role of government in health care. Justify your position. Explain how the social, economic, technological, ethical, or legal issue you selected is impacting health care delivery and whether this issue should be addressed by the government or by private entities. Identify the article you selected, and explain how this article informs your stance.

     

    Health care in the United States has become a major topic of discussion. There are varying opinions on each end of the spectrum. In my opinion, I feel that health care is a right to all citizens of the United States. Working in the medical field, I have seen medical conditions that could have been prevented if the person had health care coverage. Of course, I have also witnessed instances where people abuse the system, but in my opinion, those cases are few and far between.

    I do not believe that no one should have to be sick or in constant pain to not have access to health care including those who are poor. I know some of the issues related to health care are that many believe that only those who pay taxes should have health care but I disagree. The United States government I believe should ensure that all citizens have health care.

    The United States government is one of the largest payers for health care with Medicare, Medicaid, and the Veteran Administration (VA) system (Laureate Education, 2012). And from personal experience, I firmly believe that the government can provide excellent health care coverage for citizens. There are many other industrialized nations including France and Canada that provide adequate health care for their citizens, and I believe the United States should do this as well. NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples.

    As the Declaration of Independence says that our nation is built on “life, liberty, and the pursuit of happiness” (Knickman & Kovner, 2015). And by this, I take it to mean, that all citizens have the right to have the things they need including health care. I believe the government should create regulations that ensure all citizens have health care that they can afford and those who are disabled or poor should have access without limitations. Millions of Americans still lack insurance coverage or have inadequate coverage (Knickman & Kovner, 2015).

    An article I found titled “Health care in the United States: A right or a privilege,” discusses how health care is a right and not a privilege (Bauchner, 2017). The article states that a consensus needs to be made regardless of how health care is to be provided or who provides it (Bauchner, 2017). The article mentions the fact that since 2010, 22 million Americans have obtained health care coverage since implementing the Affordable Care Act (ACA) (Bauchner, 2017). One thing people should think about is how the government provides access to emergency services, education, postal service, military, and many other things, but has not found a way to provide health care for all citizens. NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples.

     

    References

    Bauchner, H. (2017). Health care in the United States: A right or a privilege. Retrieved August 29, 2017, from http://jamanetwork.com/journals/jama/fullarticle/2595503

     

    Knickman, J. R., & Kovner, A. R. (Eds.). (2015). The current U.S. health care system. In
    Health care delivery in the United States
     (11th ed.). New York, NY: Springer Publishing.

     

    Laureate Education (Producer). (2012).
    Introduction to healthcare delivery, part I
    . Baltimore, MD: Author.

     

     

    Discussion – Week 1

    The Role of Government in the U.S. Health Care System

    As stated in the course text, 
    Health Care Delivery in the United States
    , “the health care enterprise is one of the most important parts of the U.S. social system and of our economic system as well” (Kovner and Knickman, 2011, p. 4); however, with millions of citizens uninsured, rising costs, massive health disparities, and the need to improve quality and access, many view health care as a broken system. As such, it continues to be a significant political issue in the United States NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples. Most agree that something needs to be done to fix the health care system, but the methods and solutions for addressing problems vary greatly, particularly with respect to the role government should play. Proponents of varying approaches often have strong, emotional opinions, making compromise difficult.

    In this Discussion, you will consider the role of government in health care, and you will examine the impact of a social, economic, technological, ethical, or legal issue on health care delivery.

    To prepare:

    With this week’s Learning Resources in mind, consider this question: Is health care a right or a privilege?

    Review the media presentation for this week, focusing on the role of the government in health care including Affordable Care Act.

    Pinpoint a social, economic, technological, ethical, or legal issue that could, or has, affected health care delivery in the United States. NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples.

    Locate a current article from the popular press (within the past 6 months) related to the health care issue you identified. How does this article inform your understanding of the influence of your selected issue in the health care debate?

    By Day 3

    Post
     your position on whether health care in the United States is a right or a privilege, and explain what you believe to be the proper role of government in health care. Justify your position. Explain how the social, economic, technological, ethical, or legal issue you selected is impacting health care delivery and whether this issue should be addressed by the government or by private entities. Identify the article you selected, and explain how this article informs your stance.

    Read
     a selection of your colleagues’ responses. Focus particularly on those questions raised to which you can add comments based on shared experiences or situations. Consider how your colleagues’ postings reflect and/or differ from your own perceptions and opinions.

    By Day 6

    Respond
     to at least two of your colleagues 
    on two different days
     in one or more of the following ways:

    Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

    Validate an idea with your own experience and additional research NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    Reference:

    Kovner, A. R., & Knickman, J. R. (Eds.). (2011). Health care delivery in the United States (10th ed.). New York, NY: Springer Publishing.

    Click on the 
    Reply
     button below to reveal the textbox for entering your message. Then click on the 
    Submit
     button to post your message.

    Healthcare, A Right Or A Privilege?

    In today’s world, we know that healthcare is both accessible and inaccessible, depending on many factors. I believe that every person should be provided, safe and efficient care. “The World Health Organization (1984) defines
    health
    as “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.”(Knickman and Kovner, 2015) NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples. Everyone should be able to have access to services that would help to improve or sustain their health. It is hard as a nurse to know that patients will cancel their appointments or ultrasounds because the cost will be a financial burden for them. That is not making healthcare a privilege, it makes it inaccessible and untrustworthy. For example, I had lab work ordered from my physician, I had called my insurance company to check if the tests would be covered. The insurance company could not tell me how much the procedure would cost, or if I would get a bill, they could not even give me an estimate on the cost. I am stable enough that I had the test done, and was able to afford the bill, but what about the patients that are not. There is a way of making changes in healthcare and making it more accessible and affordable for patients.

    Whether healthcare is a privilege, or a right can easily relate into the role of the government in healthcare. The government should be able to provide affordable care, whether from private insurance companies or government agencies. “In comparison to England, Canada, France, and China, the United States pays significantly higher prices for medical care” (Knickman and Kovner, 2015) NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples. Relatively speaking the US could negotiate prices of services before they have been provided, instead of after. Between local, state and federal government there are many hands in the pot of healthcare. To take better care of our population, insurance and accessibility of care need to be reviewed and revised by the government.

    Recently, I read an article about the presidential administration making it easier for consumers to buy temporary healthcare plans at a more affordable rate than previously available. In this article, Luhby states “The Trump administration estimates that 200,000 Obamacare enrollees will move to short-term plans next year. Also, 300,000 people who now buy individual market polices outside of the Obamacare exchanges will switch to short-term plans and another 100,000 uninsured folks will purchase them next year” (2018). This seems a good way to help those who may have a gap in their insurance or cannot afford a very high premium. It would surely make healthcare more accessible to those with some sort of financial woe NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples.

    References

     
    Knickman, J. R., & Kovner, A. R. (Eds.) (2015). Health Care Delivery in the United States (11
    th
     ed.). New York, NY: Springer Publishing.

     
    Luhby, T. (2018, August 01). Trump administration makes it easier to buy alternative to Obamacare. Retrieved from https://www.cnn.com/2018/08/01/politics/obamacare-short-term-health/index.html NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples

  • GCU NU646E week 3 SBAR Clinical Log Essay Assignment

    GCU NU646E week 3 SBAR Clinical Log Essay Assignment

    Assignment: SBAR Clinical Log

    Complete the “SBAR Clinical Log” to document your total clinical hours completed to date, a description of observations and tasking completed, and additional comments regarding your practicum Experience. You will also complete the “SBAR,” section of the form related to a patient you have assessed during your clinical experience thus far .GCU NU646E week 3 SBAR Clinical Log GCU NU646E week 3 SBAR Clinical Log Essay Assignment

    ORDER A PLAGIARISM-FREE PAPER HERE

    You 
    must
     proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. GCU NU646E week 3 SBAR Clinical Log Essay Assignment. Handwritten corrections are preferable to uncorrected mistakes.

    Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.  GCU NU646E week 3 SBAR Clinical Log Essay Assignment

    Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

    The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

  • Research Critique 1 N5366: Principles of Research in Nursing

    Research Critique 1 N5366: Principles of Research in Nursing

    Critique 1-Graded

    Submitting
    a file upload

    File Types
    doc and docx

    Chen et al 2018.pdf

    You will write your graded critique using the attached article: Chen et al. (2018).

    Instructions:

    Write your evaluation as a Word document per APA format.  Use full sentences, with paragraph breaks, to describe each point.  Double space all writing; number pages.

    Use the Level 1 headings provided in the outline below. Level 2 headings can be used, but are optional, not required.  Please see the APA Manual for how to format those.

    Provide rationales for your decisions (citing sources). For example, if you write that the theory framework is strong, describe how it is strong with at least one citation (Author, year) to a theory book, research book,  or article. Research Critique 1 N5366: Principles of Research in Nursing.

    It is acceptable to refer to page numbers from the article being critiqued without giving a full citation. For example, you could write, “On page 996 the authors list the statistical tests used to analyze the data.”  We can assume you are referring to the assigned research article that you are evaluating.

    Title page and reference list should be on separate pages from the body of the critique. Use the 
    Page Break
    command in Word to separate them.

    The template for the title page is 
    at the end
    of this document.

    Introduction (no heading in APA format
    )

    Give the reader a sense of what to expect in this paper, and identify the article being evaluated [cited appropriately]. (2 pts)

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    Authors, Title, and Abstract

    Discuss author(s) qualifications to conduct the study, including educational preparation and clinical experience of author[s].

    Discuss the clarity of the article title (type of study, variables, and population stated). Research Critique 1 N5366: Principles of Research in Nursing

    Discuss the quality of the abstract (purpose, design, sample, intervention, and key results presented). (8 pts)

     

    Literature Review/Background

    Briefly describe the 
    clinical problem
    that prompted the study.

    Discuss the data provided for the significance of the 
    clinical problem,
    and whether or not you believe it is an important problem for nursing science.

    Identify the major topics discussed in the background section and evaluate whether there were any missing ideas or topics.

    Briefly explain whether the background section included sources current at the time of the study (ie. within 5 years of publication), and if there were secondary sources.

    Discuss whether the studies were critically evaluated and synthesized to provide a clear summary of the current knowledge about the problem of interest.

    Evaluate whether or not the background section provided support for the current research study. In other words, whether gaps in research knowledge were clearly described.

    (20 pts)

     

     

    Research Problem, Purpose, Research Questions/Hypotheses

    State the study purpose and evaluate whether or not the purpose clearly addresses the gap in nursing knowledge identified in the background section.

    If there are research questions and/or hypotheses, list them, and discuss whether they logically follow from the research problem and purpose. If questions/hypotheses were only implied, rather than explicitly stated, describe that. (10 pts)

     

    Theoretical Framework

    Describe the theory/framework that supported the study. List the important concepts in the theory/framework.

    Evaluate the clarity of the presentation of the framework. If it was vague or had missing elements, describe those.

    Evaluate whether relationships among concepts were explained.

    Discuss how well the theory/framework concepts were linked to the study variables.

    (10 pts)

     

    Writing Style & Format

    Grammar: full sentences, precision, clarity, spelling, and punctuation.

    Use APA format throughout this paper, including citations and a reference list.

    Up to 0.5 points will be deducted for each grammar, punctuation, or format error. (10 pts)

     

     

    SAMPLE TITLE PAGE BELOW

     

    __________________________________________________________________________________________

     

     

     

    Research Critique 1

    N5366: Principles of Research in Nursing

     

    YOUR NAME

    Current Date

     
    ______________________________________________________________________

    Grade Sheet for Critique 1

    CONTENT

    Possible Points

    Your Points

    Introduction

     

    2

     

    Authors, Title, and Abstract

     

    8

     

    Literature Review/Background

     

    20

     

    Research Problem, Purpose, Research Questions/Hypotheses

     

    10

     

    Theoretical Framework

     

    10

     

    Writing Style & Format

     

    10

     

    TOTAL

    60/60 X 25% = 25

    /60 X 25% = 

     

    Article Critique                                                                                                                   

    Introduction

    This paper is a critique of a clinical study that was aimed to examine the effect of a six-month lifestyle-based intervention on health-related quality of life (HRQOL) in older adults diagnosed with hypertension in US. The critique will focus on abstract clarity, literature review, the study purpose, as well as the theoretical framework.

    Article Full Citation:

    Chen, M.-L., Hu, J., McCoy, T. P., Letvak, S., & Ivanov, L. (2018). Effect of a Lifestyle-Based Research Critique 1 N5366: Principles of Research in Nursing

    Intervention on Health-Related Quality of Life in Older Adults with Hypertension.
    Journal of Aging Research
    , 1–8. https://doi.org/10.1155/2018/6059560

    Authors, Title, and Abstract

    The authors qualifications to conduct the study, including educational preparation and clinical experience is up to the standard. They are all qualified nursing professions based in various top ranked universities across the US. On the clarity of the article title, it is clear enough as the title states the type of study as cause-effect, and variables as well as population are Cleary stated. Research Critique 1 N5366: Principles of Research in Nursing.

    On the abstract quality, it is up the standard presenting the study purpose, analyzing the methodology applied as well as informing the author of the secondary analysis of the control group research for comparison analysis. The abstract also goes further and informs the reader on the results that were obtained and the significant predictors that were discovered during the study. The finding suggestions is also clearly stated. The research gap however is not stated, which is an important element that should appear within the abstract (Bennett, 2017).

    Literature Review/Background

    On the clinical problem, the projected rise in the population for older adults in the US and the preference of hypertensive cases within this population in the US is the main clinical problem that prompted the study to be conducted. For the data concerning the clinical problem, the study revealed that 82.9% of those at age 60 and above in the US reported that they were taking hypertensive drugs. Among this population, only half had managed to control hypertension. These are worrying statistics that required further research on the cause and effect on health-related quality of life (HRQOL), hence the significant need for this study Research Critique 1 N5366: Principles of Research in Nursing.

    The major topics discussed in the background section are; health-related quality of life (HRQOL), The hypertension in the United States, The effects of lifestyle interventions in older adults with hypertension, Physical, mental, emotional, and social functioning, as well as the influence of stress and its relation to HRQOL in older adults with hypertension (Chen et al., 2018). All these topics were well covered considering the study context, the important variables, as well as the population. On matters to do with sources, the background section included secondary sources that were not current at the time of study- 2018 (Trevisol et al.,2011 and Gerber, 2012). On critical evaluation and synthetization, the studies were critically evaluated and the current knowledge about the hypertension prevalence among the older adults was clearly brought into the limelight showing the need to conduct a research on the issue.

    On issues to do with support for the current research study, the gaps in research were clearly identified and justification for the study was described in detail as all the previous studies dwelled mostly on areas such as physical functioning and mental health in older adults. Nevertheless, there was no significant research studies that tested on the effects of lifestyle interventions in older adults that were diagnosed with hypertension.

    Research Problem, Purpose, Research Questions/Hypotheses

    The purpose of this study was to examine the effect of a six-month lifestyle-based intervention on health-related quality of life (HRQOL) in older adults with hypertension Research Critique 1 N5366: Principles of Research in Nursing. As per the background the research purpose fully addressed the research gap that was identified in nursing knowledge. On the other hand, the questions/hypothesis were only implied and not explicitly stated. Given the nature of the selected sample population, although much of the information was drawn from self-reports, the researcher had the decision to drop those with signs of psychosis. The Participants who reported taking blood pressure medication in the second study were also directly selected as subjects.

    Theoretical Framework

    The framework that supported the study was the Social Cognitive theory. The framework states that there is a significant relationship between an individual, the environment, as well as health related quality of life (HRQOL) (Middleton, Hall & Raeside, 2019). On matters to do with framework clarity, the framework was clearly presented and the reader is given a wide range of example to understand the perspectives of the theory in terms of the person, the environment and HRQOL Research Critique 1 N5366: Principles of Research in Nursing. All the involved elements were clearly listed and explained to eliminate vagueness.

    On relationships among concepts, the three major concept in the social cognitive theory have been mentioned as the person, the environment as well as HRQOL. The relationship among the concept has been explained such that a person may experience some condition (e.g. stress), but depending with their social support (environment), it will determine their HRQOL (outcome). About the interlinking of the framework concepts, the baseline study variables were stress and social support. The two variables were linked to the frame work concept of the person (stress) and the environment (social support) respectively. This interlinking is the one which will dictate the outcome depending on the subjected participants.

    References

    Bennett, L. L. (2017). The Gap Between Nursing Education and Clinical Skills.
    ABNF Journal
    ,

    28
    (4), 96–102.

    Chen, M.-L., Hu, J., McCoy, T. P., Letvak, S., & Ivanov, L. (2018). Effect of a Lifestyle-Based

    Intervention on Health-Related Quality of Life in Older Adults with Hypertension.
    Journal of Aging Research
    , 1–8. https://doi.org/10.1155/2018/6059560 Research Critique 1 N5366: Principles of Research in Nursing

    Middleton, L., Hall, H., & Raeside, R. (2019). Applications and applicability of Social Cognitive

    Theory in information science research.
    Journal of Librarianship & Information Science
    ,
    51
    (4), 927–937.
    https://doi.org/10.1177/0961000618769985 
      Research Critique 1 N5366: Principles of Research in Nursing

  • Model Selection and Critical Analysis Essay Assignment

    Model Selection and Critical Analysis Essay Assignment

    Introduction

    Nurses make immense contributions to the wellbeing and health of patient outcomes and population health by providing safe, patient-centered and quality care. Nevertheless, nurses are working with inadequate staffing and heavy workloads, leading to preventable illnesses, injuries, and death, causing high nurse turnover and compromising population health.  Quality and safe care require health organizations to have a sufficient number of nurses along with manageable workload to facilitate delivery of the best care. The purpose of the assignment is to explore and critically analyze the Kotter’s eight-step model as a model that could be used as a guide for directing a practice change related to adequate nurse staffing and retention.

    Description of the model

    Kotter’s 8-step change model that consists of eight overlapping steps was developed by John Kotter in 1995.  Built on Kurt Lewin’s work, the model provides the…

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    Structure and Application of Contemporary Nursing Knowledge

    Model Selection and Critical Analysis

    For this assignment you will explore, identify, and critically analyze, a model that could be used as a guide for directing a practice change related to the future actions you identified in the Ways of Knowing assignment (Refer to order #219125). In addition, you will professionally reflect on your critical analysis and describe how selection and use of an appropriate model could positively influence implementation and sustainability of a practice change project at your professional organization.

    Assignment Guidelines:

    To begin this assignment you will first select a model. After you select the model, you will address each of the items below in a written scholarly paper. The items reflect critical questions to ask when selecting a model as described in Schaffer, M. A., Sandau, K. E., & Diedrick. L. (2012). Evidence-based practice models for organizational change: Overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209.

    1. Begin this assignment with an introduction. The introduction should include a discussion that provides:

    • A brief succinct overview of the professional experience and future actions discussed in the Way of Knowing.

    • A statement that explains the purpose of the assignment (e.g., The purpose of this assignment is to……).

    2. After your introduction, discuss the following content using appropriate APA level headings:

    • Description of the Model – Provide the name of the model. Then, identify the author of the model, and the date the model was established. Utilize primary rather than secondary resources.

    • Purpose of the Model – Provide a descriptive summary of the purpose of the model. In your summary specifically speak to the context and situations in which the model is useful. In your summary clearly identify how the purpose of this model is linked to the future actions you identified in the Ways of Knowing assignment.

    • Classification of the Model – Provide a clear description of the structure of the model (choose from the option of individual use or organizational processes as discussed by Schaffer et al.). In your description clearly identify how you arrived at your conclusion.

    • Key Features of the Model – Provide a descriptive summary of the key features of the model. In your summary clearly identify how the key features of this model support the future actions you identified in the Ways of Knowing assignment.

    • Steps of the Model – Provide a descriptive summary of the steps of the model.

    • Relationships in the Model – Provide a descriptive summary of the linkages among and between the steps associated with the model.

    • Assumptions in the Model – Provide a clear description of the assumptions associated with the model. In your description clearly identify why the accepting of the assumptions is necessary for successful application of the model to a practice change project. Model Selection and Critical Analysis Essay Assignment.

    • Application to Professional Practice – Provide a descriptive summary of your critical analysis findings. In your summary thoroughly discuss the application of the model for a practice change project at your professional organization regarding the future actions you identified in the Ways of Knowing assignment.

    3. End your paper with a conclusion. The conclusion should present a brief summary of the key takeaway points of the paper. The conclusion should not present any new information.

    Scholarly Writing Guidelines:

    1. Grammar, spelling, and APA writing style will be graded according to doctoral level expectations. Please proofread carefully.

    2. Your paper should be double-spaced with one inch margins, and include:

    a. A title page and a reference page (Note: all in-text citations and sources listed on the reference page should be according to APA 6th edition).

    b. Times New Roman 12 pt font throughout entire document.

    c. Page numbers.

    d. A running head.

    e. APA 6th edition formatted subject level headings.

     

    Model Selection and Critical Analysis Assignment

    Introduction

    Nurses make immense contributions to the wellbeing and health of patient outcomes and population health by providing safe, patient-centered and quality care. Nevertheless, nurses are working with inadequate staffing and heavy workloads, leading to preventable illnesses, injuries, and death, causing high nurse turnover and compromising population health.  Quality and safe care require health organizations to have a sufficient number of nurses along with manageable workload to facilitate delivery of the best care. The purpose of the assignment is to explore and critically analyze the Kotter’s eight-step model as a model that could be used as a guide for directing a practice change related to adequate nurse staffing and retention Model Selection and Critical Analysis Essay Assignment.

    Description of the model

    Kotter’s 8-step change model that consists of eight overlapping steps was developed by John Kotter in 1995.  Built on Kurt Lewin’s work, the model provides the eight major stages of the process of change. Kotter argues that neglect of any of the eight steps can be sufficient for the failure of the entire initiative (Kotter, 2012).

    Purpose of the model

    The purpose of the model is to assist change managers/ leaders’ remedies to avoid common mistakes during change implementation.  The two major lessons that Kotter’s model offer is that change goes via numerous stages and that serious errors can occur in any of the stages and negatively influence the change momentum.  The model offers steps that produce effective change  of any scale in a firm (Kayden et al, 2014), the  model is linked to the future actions I identified in the ways of knowing assignment in that it can assist organizations to undertake changes that will ensure that they are adequately staffed and nurses have manageable workloads. Healthcare organizations can change the funding policy by increasing investment in education of adequate number of nurses and providing work environments that value and support their practice Model Selection and Critical Analysis Essay Assignment.

    Classification of the model

    Kotter’s model is a change management model because it has the basic steps of change management process. These steps include identification of the need for change, alignment and preparation of the team for change, implementation of change and sustenance of change. Biasi (2018)   asserts that Kotter identified that change is a procedure that moves through phases that build upon one another and may take time to execute. These steps have unique requirements with regard to leadership, participation, employee support, and communication.  Managers should follow all the eight steps or successful change to occur.

     

    Key features of the model

    Kotter’s model proposes a linear tactic to change through following several steps in a logical and ordered sequence. According to Uden et al (2015), the major eight steps of the model offer a path to successful implementation of change. Changing people’s behavior is regarded as the most important setback that can occur in all the phases. It is crucial to assist individuals feel and see the change so as to attain successful change. The model describes ways of implementing key change and also offers direction on conventional mistakes to avoid. The key features relate to my future I identified in that workforce planning in organizations need decision making that is driven by indicators showcasing data on patient outcomes. Practices that may overburden the current staff with heavy workloads along with demands that might further contribute to nurse’s turnover must be prevented.

    Steps of the model

    The first step of the model is the creation of a sense of urgency. This means that a leader creates a state that will make the organization to identify that a change is needed. The second step involves the building of an influential directing coalition, whose members have same attitude and vision towards creation of a universal goal or vision, and ways of attaining this goal.  The creation and operationalization of a vision is the third step of the model.  Operationalization is the concrete actions in regard to what individuals are doing and when the actions should be executed. The fourth step involves communication of the vision. Communicating the vision builds credibility and decreases skepticism. The fifth step is empowerment of people to act whereby individuals are offered the formal capability to act, entailing essential skills and required resources (Kayden et al, 2014).

    The sixth steps involve planning for and creation of short-term wins, which need not be huge because change project usually comprises of numerous small phases of interdependent actions. The seventh step is consolidation of improvements with the aim of generation of more changes. It comprises of creation of additional short-term wins which makes the change to seem inevitable. the eight steps are to anchor and institutionalize the novel approaches. The aim of this step is to make change stick through and make it a portion of the procedures, routines, and culture of the organization (Kayden et al, 2014) Model Selection and Critical Analysis Essay Assignment.

    Relationships in the model

    Kotter’s model proposes remedies for common errors that happen during implementation of new strategies in an organization.  The model suggests that transforming organizations should develop an artificial vacuum for establishment of a sense of urgency for people to accept and drive the change. The first three steps create the climate for effective change, while the next three steps engage an organization in change and enable it to carry out the change. The last two steps involve implementation and sustenance of the change. The steps of the model demonstrate that for successful change to take place, there should be a sense of urgency, commitment, clear vision, stakeholder engagement, a well-laid plan and clear and good communication (Kotter, 2012).

    Assumptions in the model

    The model is based on several bureaucratic and rational assumptions. The rational presumptions are that firms exist to attain goals that are established and function best when rationality triumphs over external pressures and personal preferences. The bureaucratic presumption is that the firm is hierarchical, with labor being specialized and administered by impartial and explicit rules that are carefully applied by experts. Thus, as long as these presumptions hold, and provided that there is no scarcity of resources, the coalition is influential, and there is the existence of a sense of urgency, change is, in reality, conceivable (Kayden et al, 2014).

    Application of the model professional practice

    Kotter’s model can be used in the nursing profession to leading transformational change.  As Curley (2013) alleges, Kotter’s model provides a framework for guiding transformational change. The model offers guidelines that can function as a road map for changing the care offered to patients and recreating an enthusiasm for the nursing practice in the organization Model Selection and Critical Analysis Essay Assignment. The model can be used in my organization to influence staffing policies and managing workloads for nurses. Creating urgency entails involving leaders and people to feel and see why adequate staffing is necessary and why change in staffing policies needs to happen.

    Conclusion

    Kotter’s model is an influential change management model that can be used to direct changes in nursing staffing and retention in healthcare organizations. The model provides a framework for guiding transformational change. Through using the eight-step change model, leaders can create a climate for change, engage stakeholders in the change process and successfully implement and sustain change.

     

     

    References

    Biasi, K.  (2018).
    Solving the Change Paradox by Means of Trust: Leveraging the Power of Trust to Provide Continuity in Times of Organizational Change
    . Model Selection and Critical Analysis Essay Assignment  New York: Springer.

    Curley, M. (2013). Synergy:
    The Unique Relationship Between Nurses and Patients, the AACN Synergy Model for Patient Care
    . Indianapolis:  Sigma Theta Tau

    Kayden, S., Anderson, P., Freitas, R., & Platz, E. (2014).
    Emergency Department Leadership and Management
    .  Cambridge University Press.

    Kotter, J. (2012).
    Leading Change
    .
    Brighton,
      MA: Harvard Business Press.

    Uden, L., Hericko, M., & Ting, I.  (2015).
    Knowledge Management in Organizations:10
    th
    International Conference, KMO  2015
    .  New York: Springer Model Selection and Critical Analysis Essay Assignment.

  • NUR700 Ways of Knowing in Nursing Essay

    NUR700 Ways of Knowing in Nursing Essay

    NUR700: Structure and Application of Contemporary Nursing Knowledge

    Ways of Knowing

    For this assignment you will explore, critically analyze, and professionally reflect on a recent professional experience that you perceive as a significant issue that could impact patient outcomes and population health. Within the context of the professional experience, you will explore values, beliefs, and assumptions. Through critical analysis you will identify 2 ways of knowing (emancipatory, ethical, personal, aesthetic, or empiric) that pertain to your professional experience. Lastly, you will professionally reflect on how the two ways of knowing will direct your choices of future actions to take.

    Assignment Guidelines:

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    1. Begin this assignment with an introduction. The introduction should include a discussion that provides:

    • A brief succinct overview of the professional experience.

    • A statement that explains the purpose of the assignment (e.g., The purpose of this assignment is to……).

    2. After your introduction, discuss the following content using appropriate APA level headings:

    • Professional Experience – Provide a detailed description of the professional experience NUR700 Ways of Knowing in Nursing Essay.

    o In your description clearly identify:

     Why the experience was perceived as a significant issue that could impact patient outcomes and population health.

     The values, beliefs, and assumptions associated with the experience.

    • Ways of Knowing – Provide a detailed description of the 2 ways of knowing that were selected.

    o In your description clearly identify:

     How the two ways of knowing relate to your specific professional experience.

    • Future Actions – Provide a detailed description of potential future actions to take as a result of the professional experience.

    o In your description clearly identify:

     How each of the two ways of knowing influenced the selection of the potential future actions.

    3. End your paper with a conclusion NUR700 Ways of Knowing in Nursing Essay. The conclusion should present a brief summary of the key takeaway points of the paper. The conclusion should not present any new information.

    Scholarly Writing Guidelines:

    1. Grammar, spelling, and APA writing style will be graded according to doctoral level expectations. Please proofread carefully.

    2. Your paper should be double-spaced with one inch margins, and include:

    a. A title page and a reference page (Note: all in-text citations and sources listed on the reference page should be according to APA 6th edition).

    b. Times New Roman 12 pt font throughout entire document.

    c. Page numbers.

    d. A running head.

    e. APA 6th edition formatted subject level headings.

     

    Structure and Application of Contemporary Nursing Knowledge

    Ways of Knowing

    For this NUR700 Ways of Knowing in Nursing Essay assignment you will explore, critically analyze, and professionally reflect on a recent professional experience that you perceive as a significant issue that could impact patient outcomes and population health.  Within the context of the professional experience, you will explore values, beliefs, and assumptions.  Through critical analysis you will identify 2 ways of knowing (emancipatory, ethical, personal, aesthetic, or empiric) that pertain to your professional experience.  Lastly, you will professionally reflect on how the two ways of knowing will direct your choices of future actions to take.

    Assignment Guidelines:

     

    Begin this assignment with an introduction. The introduction should include a discussion that provides:

    A brief succinct overview of the professional experience.

    A statement that explains the purpose of the assignment (e.g., The purpose of this assignment is to……).

    After your introduction, discuss the following content using appropriate APA level headings:

    Professional Experience – Provide a detailed description of the professional experience.

    In your description clearly identify:

    Why the experience was perceived as a significant issue that could impact patient outcomes and population health.

    The values, beliefs, and assumptions associated with the experience.

    Ways of Knowing – Provide a detailed description of the 2 ways of knowing that were selected.

    In your description clearly identify:

    How the two ways of knowing relate to your specific professional experience.

    Future Actions – Provide a detailed description of potential future actions to take as a result of the professional experience. NUR700 Ways of Knowing in Nursing Essay

    In your description clearly identify:

    How each of the two ways of knowing influenced the selection of the potential future actions.

    End your paper with a conclusion. The conclusion should present a brief summary of the key takeaway points of the paper.  The conclusion should not present any new information.

     

    Scholarly Writing Guidelines:

    Grammar, spelling, and APA writing style will be graded according to doctoral level expectations. Please proofread carefully.

    Your paper should be double-spaced with one inch margins, and include:

    A title page and a reference page (Note: all in-text citations and sources listed on the reference page should be according to APA 6
    th
    edition).

    Times New Roman 12 pt font throughout entire document. NUR700 Ways of Knowing in Nursing Essay

    Page numbers.

    A running head.

    APA 6
    th
    edition formatted subject level headings.

    Rubric:

    Criteria and Total points

    Student Points

    Introduction = 3 points

    ·         Provided a brief succinct overview of the professional experience (2 points)

    ·         Stated the purpose of the assignment (1 point)

    Professional Experience = 14 points

    ·         Provided a detailed description of the professional experience (4 points)

    ·         Clearly discussed why the experience was perceived as a significant issue that could impact patient outcomes and population health (4 points)

    ·         Clearly described the values (2 points), beliefs (2 points), and assumptions (2 points) associated with the experience. NUR700 Ways of Knowing in Nursing Essay

    Ways of Knowing = 16 points

     

    ·         Provided a detailed description of each of the 2 ways of knowing (8 points total; 4 points each)

    ·         Clearly discussed how each of the two ways of knowing relate to the specific professional experience (8 points total; 4 points each)

    Future Actions = 12 points

     

    ·         Provided a detailed description of potential future actions to take as a result of the professional experience (4 points)

    ·         Clearly discussed how each of the two ways of knowing influenced the selection of the potential future actions (8 points total; 4 points each)

    Conclusion = 2 points

     

    ·         Provided a brief summary of the key takeaway points of the paper (2 points) NUR700 Ways of Knowing in Nursing Essay

    Scholarly Writing = 8 points

     

    ·         Demonstrated appropriate grammar, spelling, and APA writing style (4 points)

    ·         Paper is double-spaced with one inch margins, and includes (4 points):

    a.       A title page and a reference page.

    b.      All in-text citations and sources listed on the reference page are formatted according to APA 6
    th
    edition.

    c.       Times New Roman 12 pt font is throughout entire document.

    d.      Page numbers are included.

    e.      A running head is present.

    f.        APA 6
    th
    edition formatted subject level headings are included. NUR700 Ways of Knowing in Nursing Essay

    Total Points Possible =   55 points

     

    Ways of knowing

    Introduction

    Nursing workload is a key problem for the nursing profession in the United States.  Nurses are experiencing heavy workloads than before as a result of an increase in demand for nurses, an insufficient supply of nurses and inadequate staffing and increased overtime. The increase in demand for nurses is due to the aging population with additional health care needs. The supply of nurses is inadequate to meet the present demand, with the shortage projected be more severe as demand will increase in future. The purpose of this assignment is to explore nursing workload as a significant issue that could impact patient outcomes and analyzes ways of knowing that pertain to my professional experience and how they will direct my choices of future actions to take NUR700 Ways of Knowing in Nursing Essay.

    Professional experience and why it was perceived as a significant issue that could impact patient outcomes and population health

    A high nursing workload is perceived as an important issue that could influence patient outcomes and population health because it is associated with suboptimal patient care and might result in low patient satisfaction. According to Ross et al (2019), there are numerous significant outcomes of heavy nursing overloads. A high nursing workload has an adverse effect on patient safety. In addition, it adversely affects the job satisfaction of nurse, and subsequently leads to increased turnover, which subsequently contributes to nursing shortage. Increased workloads result in lower patient safety and care quality and also increased rates of burnout, attrition, stress, and anxiety for nurses.

    The assumptions, beliefs, and values associated with high nursing overload are that a high workload on nurses influences the time that nurses allot to numerous tasks. Under high workload, nurses may lack adequate time to complete tasks that will directly affect patient outcomes and population health. A key belief is that nursing workload leads to a decline in motivation as well as job satisfaction. It may lower morale, job performance, contribute to absenteeism and turnover and potentially threaten the quality of patient care. A major value associated with high nursing overload is that it violates nursing practice because there is deliberate nonconformity to nursing practice that is deemed essential in maintaining a secure or safe operation. NUR700 Ways of Knowing in Nursing Essay  High workload leads to creation of conditions for errors and unsafe and unsatisfactory patient care through lessening attention on critical tasks that are devoted to nurses (Kaur & Gujral, 2017).

    How ways of knowing relate to the professional experience

    The two patterns of knowing are personal and empirical knowing. Personal knowing is the knowledge that nurses have themselves and what they have encountered and experience. As indicated by Chinn and Kramer (2015), personal knowledge comes to a nurse via the procedure of observing, reflecting, and self-actualizing. It through understanding themselves that nurses are capable of establishing legitimate, therapeutic relationships since it propels them towards integrity and wholeness. Empiric knowing is the knowledge that is gained from objective facts and research.  it is systematically organized into universal theories and laws. A key scheme through which nurses employ empiric knowledge is via the utilization of evidence-based practice.

    Personal knowledge relates high nursing workload in that it is gotten from first hand experience, self-awareness, and reflection, that jointly, enable nurses to interrelate with patients and in an authentic and empathetic way. Empirical knowledge relates to the experience of high nursing workload in that it is a factual knowledge in nursing gotten objective experience and scientific inquiry and can be verified empirically. Trough empirical knowledge nurses utilize levels of evidence on high nursing workload for competent and effective management of resources and patient care. Dossey and Keegan (2015) claim that personal knowledge along with clinical expertise is vital constituents with evidence-based practice NUR700 Ways of Knowing in Nursing Essay. Personal knowing allows to be actively involved and engaged in care and become conscious of their present nursing staffing and can use research conclusions to support interventions that may be used.

    Potential future actions to take as a result of the professional experience

    Future actions include emphasizing on nursing education and improving the work environment to overcome nursing shortages and heavy nursing workloads.  Hospitals can expand training capacity to enroll more nursing students or open new schools. They can employ use strategies such as partnering with nursing schools and providing educational benefits, like making payments for advanced education along with certification. Hospitals can improve recruitment and retention of nurses by changing their work environment (Cowen& Moorhead, 2017).

    Personal and empiric knowledge influenced the selection of potential future actions by enabling me to access, learn and understand through lived experiences, and consequently took congruent action towards the development of a desirable practice. As Dossey and Keegan (2015) allege, empiric knowing is vital in searching for evidence and is required for nursing practice.  Personal knowledge integrates the knowledge or emotional intelligence and self-awareness of the nurse, and also the intuitive insight of meanings grounded on personal experiences and is proved by the therapeutic utilization of self.   Nurses acquire personal knowledge themselves as a result of caring for patients. It may be valid as empiric knowledge and nurses can confidently utilize it to justify actions NUR700 Ways of Knowing in Nursing Essay.

    Conclusion

    Nursing workload is an important issue that could impact patient outcomes and population outcomes.  High nurse workload is associated with suboptimal patient care and might result in low patient satisfaction as also cause anxiety, stress, and burnout among nurses. Under heavy workloads, nurses have little time to complete tasks which can result in low motivation and increased turnover and negatively influence patient outcomes NUR700 Ways of Knowing in Nursing Essay.

    References

    Chinn, P., & Kramer, M.  (2015).
    Knowledge development in nursing theory and process
    (9
    th
    ed.). St. Louis, MI: Elsevier.

    Cowen, P., & Moorhead, S. (2017).
    Current Issues in Nursing -E-Book
    .  New York: Elsevier Health Sciences.

    Dossey, B., & Keegan, L. (2015).
    Holistic Nursing: A Handbook for Practice
    .  Burlington, MA:  Jones & Bartlett Publishers

    Kaur, M., & Gujral, H. (2017). Work Load On Nurses And It’s Impact On Patientcare.
    IOSR Journal of Nursing and Health Science,
    6(5), 22-26.

    Ross, C., Rogers, C., & King, C.  (2019). Safety Culture and an invisible nursing workload.
    Collegian,
    26(1), 1-7. NUR700 Ways of Knowing in Nursing Essay

  • Nursing advocacy essay

    Nursing advocacy essay

    Select and clearly describe an issue facing advanced practice nurses related to scope of practice. After describing the issue, please answer the following questions.

    What ethical impact does the issue have on direct patient care? Please provide specific examples.

    Describe any law or legal issue surrounding this policy issue.

    Decide how this policy would affect your specific role as an advanced practice nurse.

    Describe any changes you would make to your selected health policy issue. Please provide rationale for each cited change.

    ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

    Note: You should use current literature (material published within the past seven years unless it is seminal works on the topic or by the author) to support your position Nursing advocacy essay.

    Nursing advocacy

    Nursing advocacy is believed to be the pillar of change in the healthcare system. Nurses advocate for the communities, their workplaces and their patients which promotes change in the system. The nurses’ concerns as well as the patients’ challenges are shared by federal candidates through the support of the American Nurses Association Political Action Committee (ANA-PAC) (Walker et al., 2015).

    Political action by nurses has direct impacts on patient care. It advocates for the resolution of patients challenges such as informed decision-making that is supported by autonomy (Choi, 2015). For instance, the political advocacy action translates medical terms which help the patients understand their health conditions and treatment options thus making ethical decisions. Additionally, it brings about the improvement of the healthcare quality delivery through provision of the necessary equipment, technologies and services by the government (Peltzer et al., 2016) Nursing advocacy essay. For example, nurses advocate for introduction of new medical technologies and machinery that help in the improvement of patient conditions in the emergency unit or increase in the number of equipment used for emergency patient cases.

    The state and federal laws address nursing advocacy. The Nurse practice Act regulates the nursing practice and balances the protection of public health responsibility and the practicing rights of the nurses (Watson & O’Connor, 2017). This allows nurses to advocate for the public wellness as well as their own practice rights. Advocacy improves my nursing roles in that it provides a platform to air my concerns and as well as those of my patients. Nursing advocacy essay the change that I would make on the advocacy representation is that all nursing specialist be represented in the advocacy action to improve interdisciplinary collaboration during the resolution of healthcare problems affecting both the nurses and the patients.

    References

    Choi, P. P. (2015). Patient advocacy: the role of the nurse. 
    Nursing Standard (2014+)
    , 
    29
    (41), 52.

    Peltzer, J. N., Teel, C. S., Frank-Ragan, E., & Nelson-Brantley, H. V. (2016). Strategies for building advocacy skills among undergraduate and graduate nursing students. 
    Journal of Nursing Education
    , 
    55
    (3), 177-181.

    Walker, D. K., Barton-Burke, M., Saria, M. G., Gosselin, T., Ireland, A., Norton, V., & Newton, S. (2015). Everyday advocates: nursing advocacy is a full-time job. 
    AJN The American Journal of Nursing
    , 
    115
    (8), 66-70.

    Watson, C. L., & O’Connor, T. (2017). Legislating for advocacy: The case of whistleblowing. 
    Nursing ethics
    , 
    24
    (3), 305-312 Nursing advocacy essay.

  • Nursing Practice change Model selection essay

    Nursing Practice change Model selection essay

    This week’s content addressed the processes involved in selecting the most appropriate model to guide a practice change. Using the assigned readings and your professional experience as a starting point, answer the following:

    1. In outline form, describe the processes to follow to appropriately select a model to guide a change in practice.

    2. Discuss at least 2 specific possible consequences of selecting the wrong model.

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    Week 12 discussion 700

    In outline form, describe the processes to follow to appropriately select a model to guide a change in practice.

    Model selection refers to the process of choosing between different available models. A four-step process has been identified for selecting the appropriate change model to guide a change practice.

    Overreaching change objective

    Such as improving nurses’ performance, improving patient care outcomes, and reducing incidences of hospital acquired infection.

    Targeted stakeholders

    The models are focused on different stakeholders. Having a clear awareness of the target stakeholders facilitates the decision about the model’s level of detail.

    Differences between the available models

    Different models have distinct purposes

    Discipline

    Change models are derived from other disciplines (such as psychology and sociology) and it is important to understand the original intention for developing these models. Nursing Practice change Model selection essay.

    Available resources

    Some models are costly to use and there is a need to ensure that the required resources are available

    Face validity

    Has the model been used in a similar documented change case?

    Does the model look at change aspects that are relevant to the case? (Cherry & Jacobs, 2013).

    Discuss at least 2 specific possible consequences of selecting the wrong model.

    Although change models have limits and uncertainties, selecting the wrong change model has consequences. Firstly, it causes the change manager to lose credibility and the capacity to influence others. This would cause the audience to be more resistant to the change as they would perceive that all the information presented for the change is erroneous. Secondly, using the wrong model ensures that the change does not take a fixed position so that there are opportunities for improvement as new information is collected and a better of the case is acquired. It allows the change manager to take a less literal view of the change and look at alternative views (Feldman, 2012). Nursing Practice change Model selection essay.

     

    References

    Cherry, B. & Jacob, S. (2013).
    Contemporary nursing, issues, trends, & management
    (6
    th
    ed.). Amsterdam: Elsevier Health Sciences.

    Feldman, A. (2012).
    Understanding health care reform: bridging the gap between myth and reality
    . Boca Raton, FL: CRC Press. Nursing Practice change Model selection essay.