Monthly Archives: May 2023

 Research Article 

1. Research an article defending the position on the advancement of healthcare informatics and technology in healthcare. 

Instructions

1. Research Article: 

a. You will use the research-based paper grading rubric as a guide to complete the transcript and the group presentation rubric for delivering the presentation. (Both rubrics attached below)

b. Prepare an 8-10 page paper (including title and reference page) written in APA 6th edition style. References no later than 4 years old. 

Research Paper Rubric   (APA Format)

Title Page: Student has an appropriate title page, completed in an APA format with the title of the paper, the student’s name, a running head and date on the cover page.

Introduction: Contains a clear purpose of writing to inform the reader relating to the selected topic.

Body: The paper will have three main points with supporting evidence to back up the points.

Conclusion: The student will a clear conclusion with future directions.

Reference Page: Student has a minimum of 3 different references and all references are in APA format, no later than 4 years old.

Background info-historic perspective: Present with depth and clarity. APA format.

Citations and references: Both present written properly and has excellent depth of research information

Read Chapter 13: Teamwork, Collaboration, and Communication in Professional Nursing Practice

Answer: Thinking about your experiences as a student nurse, have you observed effective communication improve patient care outcomes? Have you observed the impact of poor communication on patient outcomes?

APA style (intext citations and references)

Plagiarism FREE

Minimum of two references, not older than 2015.

With each passing year, the United States is becoming more racially, ethnically, and culturally diverse. This growth of diversity is not occurring in our population of healthcare professionals and this lack of parallel growth results in the provision of discordant patient care. Nurses must be educated to be able to negotiate across cultural divides that may occur during our interactions with patients whose cultural background is different from our own. Nurses must become culturally competent to provide safe, high-quality care for diverse patient populations for improved patient outcomes. 

Part 1. Discuss the following questions:

How does culture shape nurses’ concepts of health and their nursing practice?

What does it mean to be culturally competent and culturally sensitive? Why are these important in nursing? 

Part 2. Discuss the meaning of healthcare disparities.

Choose one of the following cultural groups. Discuss the healthcare disparities they encounter and culture-specific nursing considerations.

1. Asian/Pacific Islander Americans

2. Black Americans

3. Latino/Hispanic Americans

4. Native Americans/Alaska Natives/American Indians

5. White Americans

Part 3: Discuss what learned in the OMH Cultural Competency Assignment.

Support your discussion with information from one or more of the ANA textbooks

Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these and discuss why it is important for you to work on these skills if you want to present your findings in a more formal setting.

reply to this discussion 

Kurt Lewin created change theories in nursing that consisted of three steps: unfreezing, moving and refreezing. His theory focused on the idea that to change a current process or practice, you have to freeze it, then movement can occur and a new process of refreezing once a new idea has been brought to the attention of all (Levasseur, 2001). “The first step of Lewin’s model tells us how to minimize barriers to change and increase the odds of a successful change effort” (Levasseur, 2001). Involving everyone in the change will create a more successful change process. Lewin identified 3 concepts in his change theory: driving forces, restraining forces and equilibrium. He believed “all three phases of the change process, found that workgroups participating in the introduction and design of changes in work methods produced more and had less turnover than groups that did not” (Zand, 1975). This makes for a more successful change including all members of the process. Lewin focused more on the change process and less about the psychology of society. 

     Alfred Adler was a theorist born to a large family in 1902. He experienced medical problems as a young child from the death of his brother to battling rickets. He focused his readings on psychotherapy, “to build a flourishing school that promoted an understanding of human behavior that focused on healthy relationships” (Alder, 2020). He created a theory known as the Birth Order Theory that was based on your birth orders and the personalities that you possessed. He then went to different areas of the world including Europe and the United States and taught, “Adler’s vision was to cultivate confident, community-oriented, mentally healthy individuals who could contribute to the common good” (Alder, 2020). He eventually died at the age of 67 from a heart attack. Alder differed from Lewin who focused more on communities and created value on societies. 

     To be able to implement EBP intervention, I would have to use Lewin’s theory to push for a change in current behaviors and mindsets. Creating a welcoming environment of multiple disciplinary approaches would develop interest and understanding of change.  My preceptor has not expressed any theories but we will be using ideas from both theorists listed above.

 Discuss how genogram and ecomaps are used in nursing. Why and how would they incorporate these tools into their care of families? How does the use of these tools affect family risk appraisal? 

Directions:
•With the realization that pain is highly prevalent among older adults, please answer the following questions.

Questions:
1. What are some ways you as the nurse can utilize to determine pain in the older adult?
2. What are some of the potential barriers related to self-reporting of pain in the older adult?
3. What is the prevalence of pain in the older adult?
4. Describe and compare your findings for each of the following:
a. Numeric rating scale
b. Visual analog scale
c. McGill pain questionnaire
d. Pain in dementia patients

Location: UPTOWN CHICAGO NEIGHBORHOOD

Part 2: Analysis of Assessment Data

1. Based on observations from the windshield survey, identify strengths of the community.

2. List and prioritize 5 potential community risk factors (weaknesses).

3. Identify community resources that may help address the highest priority weakness (either currently in existence or something you propose to help address this problem).

The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update 

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available. 

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

Every student must post just once during the time frame Discussion Forum is Open.

APA 6TH EDITION

2-3 REFERENCES NO OLDER THAN 5 YEARS

NO PLAGIARISM

350 WORD AT LEAST

Identify current Disparities in Cardiovascular Care of Women in the hospital and share and come up with two key evidence based ideas or concepts that can improve practice as a nurse. 1.5 pages

Peer initial posting:

Many Who Buy ACA Health Plans For 2019 Find Lower Prices And More Choice focuses on the stabilization of the health care market after the removal of some “structural underpinnings” in 2017. The cost for health insurance rose steeply from 2017 to 2018 with the average premium going up by over 10% for most states (Rau, 2018). A portion of the price increase was driven by insurance monopolies, so, with no competition, insurance companies had no fear about raising premiums while reducing coverage.

The cost of health care has been a hot topic for a long time, especially as prices have been going up. The cost to insure a single person in 2018 has become similar to the average cost of family coverage 20 years ago (NCSL, 2018). For many people, the question of health care is how much is a person willing to pay for their health on average, which becomes problematic very quickly as the averages can be relatively easily skewed. Even for people who receive health insurance through work, the average cost of insurance premiums is $5,714 and additional out-of-pocket costs, which bring up the average spending on health to 11.7% of total income per year (NCSL, 2018). While there is good news for the public at large at the reduced costs for 2019 insurance plans, there are still many problems with health insurance. Insurances only cover certain providers, hospitals, or services, and for people with established providers, this may mean finding a new provider or paying more for their insurance, and those are only options if there is even an insurance company that works with that provider. Overall, I am not optimistic about a system where the cost of a service can be difficult to obtain and the response of most customers is basically “at this point, I’ll take whatever I can get” (Rau, 2018).

 Link:    https://www.npr.org/sections/health-shots/2018/11/23/667466242/many-who-buy-aca-health-plans-for-2019-find-lower-prices-and-more-choice   

References

Rau, J. (2018)  Many Who Buy ACA Health Plans For 2019 Find Lower Prices And More Choice Retrieved from https://www.npr.org/sections/health-shots/2018/11/23/667466242/many-who-buy-aca-health-plans-for-2019-find-lower-prices-and-more-choice

NCSL (2018) Health Insurance: Premiums and Increases Retrieved from https://www.ncsl.org/research/health/health-insurance-premiums.aspx

 INSTRUCTIONS

Review the initial postings from your peers. Click on the link provided in the initial response to read/listen to the story. Respond to one peer according to the following prompts and the grading rubric.

1.  What are your overall thoughts about this posting/topic?
2. Do your share common or differing thoughts from the other student? Explain. 
3. Your post must be supported with at least one source of literature (can use required readings) but must also incorporate at least one source in addition to those provided to receive full points. The date of publishing should be within the past 2 years. APA Style 7th edition.