APA STYLE,,,AT LEAST 3 REFERENCES AND CITATIONS

1. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system? 

2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome? 

3. How does technology improve patient outcomes and the health-care system?

4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside? 

2. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: •

A) What does the organization/agency do that supports the hallmarks of quality? • 

B) What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? •

C) How has the organization/agency affected facilities where you are practicing and your own professional practice? 

Examine the science and art of theory development and evaluation.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

Write a 1 page reflection analyzing the COVID situation. 

– Include an introduction.

– Include a section called “Your Thoughts” explaining the history of the virus in our country, what caused the situation and out country’s response. How have different points of view included factual reports, inductive inferences, and evaluative judgement. Define these terms. 

– Include a conclusion explaining how perceptions and beliefs of others influence awareness of our “lenses”. 

APA style

1) Minimum 9 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 5 pages

              Part 2: minimum 4 pages

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 5 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Environmental Factors and Health Promotion

Population: Children 

Environmental factor: Water pollution

The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. 

For this assignment, research an environmental factor (Water pollution)  that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

In developing your work, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the research is tailored.

Include the following in your presentation:

1. Describe the selected environmental factor (Water pollution). 

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

2. Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.

3. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.

4. Offer examples, interventions, and suggestions from evidence-based research. 

1.  For these examples, you must include at least three scholarly resources. Two of the three resources must be peer-reviewed 

5. Provide two (2) community resources, a (1) national resource, and a (1) Web-based resource. Include a brief description and contact information for each resource.

Part 2: Genetics Paper

Topic: Down syndrome

Conduct a literature search of recent journal articles (peer-reviewed ONLY) -[Web pages, thesis, or bibliographic reviews are not allowed] within the last three years that pertain to your topic (Down syndrome). 

You must select four articles for this assignment.

1. A brief introduction (1/2 page)

2. Identify findings, statements, and positions that agree between the articles and that disagree

3. Identify any evidence-based support for the claims made in the literature.

4. Synthesize the knowledge gained from your literature research into a comprehensive understanding of the topic (Don’t write in the first person).

3. Draw and summarize your own unique conclusions based on a comprehensive understanding of the topic and your research (Don’t write in the first person).

Responses to at least two classmates’ postings should be approximately 200 words and should be thoughtful, substantial, polite and more extensive than a simple “well done” phrase or “I agree.” Consider points of agreement, disagreement, assumptions, and value judgments. You will be able to respond to others after you submit your initial post. Your grade will be affected by how thoughtful your replies and initial questions are answered.

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.

Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

• Review the Resources and      reflect on the definition and goal of EBP.
• Choose a professional      healthcare organization’s website (e.g., a reimbursing body, an accredited      body, or a national initiative).
• Explore the website to      determine where and to what extent EBP is evident.

Post a description of the healthcare organization website you reviewed. 

Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). 

Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. 

Explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. 

Be specific and provide examples.

• Read the articles by Sikka,      Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016);      and Kim et al. (2016) provided in the Resources.
• Reflect on how EBP might      impact (or not impact) the Quadruple Aim in healthcare.
• Consider the impact that EBP      may have on factors impacting these quadruple aim elements, such as      preventable medical errors or healthcare delivery.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01
Note: You will access this article from the Walden Library databases.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126
Note: You will access this article from the Walden Library databases.

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171
Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2
Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021
Note: You will access this article from the Walden Library databases.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160
Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Required Media

Laureate Education (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video file]. Baltimore, MD: Author.

Students will complete the following scenario as an essay.

As you are completing your audits you observe Mary Johnson’s chart and notice the following:

Mary Johnson saw Dr. Nichols today for a well-woman exam. Total charges are $185.00. Mary has two insurance companies:

Primary Insurance

Secondary Insurance

BCBS

Cigna Health Care

Copay: $25.00

Deductible: $200.00 (already met)

100% benefit after copay

80% benefit after deductible

Allowed amount: $150.00

Allowed amount: $125.00

Both claims were submitted at the same time in error.

Money collected from the patient: $0.00

1. Complete the following questions providing rationales for your responses:
   1. How much money did Dr. Nichols receive?
   2. How much should BCBS have paid?
   3. How much should Cigna have paid?
   4. How much is this claim overpaid?
   5. Who overpaid on this claim?
   6. What would be your next steps?
2. Address how this situation might be avoided in the future: be specific and provide steps.
3. The well-woman exam showed this patient due to family history of cancer would benefit from BRCA genetic testing and both insurance companies denied this claim. Format a letter of appeal or BRCA testing.

This assignment is completed as an APA style paper, and should be at least 2-3 pages in length. Demonstrate your business knowledge and professional ethics in your response.

Assignment Expectations:  

• Length:
  • answers must thoroughly address each question in a clear, concise manner; complete answers will likely take 2-3 pages
• Structure:
  • Title and reference page required
  • address each question in a numbered list
• References:
  • References required to be cited if used

Week 8: Marginalized Women and Childbearing Families

Assignment Guidelines with Scoring Rubric

Purpose

The purpose of this assignment is to provide the student with an opportunity to explore the concept of marginalization and how it impacts the healthcare of women and childbearing families.

Activity Learning Outcomes

Through this assignment, the student will demonstrate the ability to:

1. Articulate understanding of marginalization through current article appraisal. (CO5)
2. Devise actions to mitigate social impacts to marginalized women and childbearing families. (CO5)
3. Appraise the role of policy in the marginalization of women and childbearing families. (CO5)

Requirements:

1. Read the following article, which can be found in the Chamberlain library: Prodan‐Bhalla, N., & Browne, A. J. (2019).  Exploring women’s health care experiences through an equity lens:  Findings from a community clinic serving marginalised women. Journal of clinical nursing, 28(19-20), 3459-3469. https://doi.org/10.1111/jocn.14937
    

Discussion Questions:

1. As an advanced practice nurse, what are three actions you can take to mitigate social impacts to marginalized women?
2. What role does policy at either government, state, or local level play in the marginalization of women and child bearing families?
3. Identify one policy that impacts marginalized groups (include whether the policy is at the federal, state, or local level).
4. Discuss how policy impacts marginalized groups either positively or negatively.

Discussion Guiding Principles

The ideas and beliefs underpinning the discussions guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that  empowers them to organize, integrate, apply and critically appraise  their knowledge to their selected field of practice. The use of  discussions provides students with opportunities to contribute  level-appropriate knowledge and experience to the topic in a safe,  caring, and fluid environment that models professional and social  interaction. The ebb and flow of a discussion is based upon the  composition of student and faculty interaction in the quest for relevant  scholarship. Participation in the discussion generates opportunities  for students to actively engage in the written ideas of others by  carefully reading, researching, reflecting, and responding to the  contributions of their peers and course faculty. Discussions foster the  development of members into a community of learners as they share ideas  and inquiries, consider perspectives that may be different from their  own, and integrate knowledge from other disciplines.

Direct Quotes

Good writing calls for the limited use of direct quotes. Direct  quotes in discussions are to be limited to one short quotation (not to  exceed 15 words). The quote must add substantively to the discussion.  Points will be deducted under the grammar, syntax, APA category.

**To see view the grading criteria/rubric, please click on the 3 dots  in the box at the end of the solid gray bar above the discussion board  title and then Show Rubric. 

A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team.

1. Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes.

2. Consider what adaptations would be necessary in each of the following four adaptive modes: (1) physiological, (2) self-concept, (3) interdependence, and (4) role function.

3. Create a nursing intervention for each of the adaptive modes to promote adaptation.