Monthly Archives: May 2023

Based on the readings, viewing the online materials & resources on the Module 4: Lecture Materials & Resources page, and your own experience, what strategies would you recommend encouraging culturally competent care of Native Americans? 

Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s).

(Note: The citations below are provided for your research convenience. Students should always cross reference the current APA guide for correct styling of citations and references in their academic work.)

Read

Ritter, L.A., Graham, D.H. (2017). Multicultural Health (2nd ed.). Burlington, MA: Jones and Bartlett Learning. ISBN: 9781284021028 Chapter 8

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

Your assignment will be graded according to the grading rubric.

nursing assingment

Respond to this discussion post 

This change management model was created in the 1950s by psychologist Kurt Lewin. Lewin noted that the majority of people tend to prefer and operate within certain zones of safety. As a result, he recognized three stages of change as: unfreeze, transition, and refreeze. On the other hand, Everette Rogers modified Lewin’s change theory and created a five-stage theory of his own. The five stages are awareness, interest, evaluation, implementation and adoption. This theory is applied to long-term change projects. It is successful when nurses who ignored the proposed change earlier adopt it because of what they hear from nurses who adopted it initially (Kritsonis, 2015).

Below is a comparison of the two change theories;

Lewin’s Three-Step Change Theory vs. Rogers Change Theory.

Lewin’s Three-Step Change Theory is very rational, goal and plan oriented. It doesn’t take into account personal factors that can affect change. Also, the theory makes rational sense, but when implemented the lack of considering human feelings and experiences can have negative consequences. On the other hand, Roger’s theory is applied for long-term changes and the success of this theory is fully realized when the earlier resistant agents adopt the change and support it this is unlike Lewin’s theory where success is only realized if the driving forces dominate the resistant force (Watson, 2019).

Given that Rogers change theory promotes awareness of the change, encourages interest of implementation of EBP among the involved parties and appraise the achievement of pilot studies before the actual implementation, the theory makes sense in the implementation of my specific EBP in healthcare system.

Title: Medicaid and Medicare

Paper type Dissertation Chapter – Discussion

Paper format APA

Course level Master

Subject Area Nursing

# pages 1   ( or 300 words Minimum)

Spacing Double Spacing

# sources 3

Paper Details

Summarize ways in which health insurance fails, as people get older. Distinguish between Medicaid and Medicare. Determine whether your state has expanded Medicaid. Why would states choose not to participate in Medicaid expansion?

The Assignment: (8- to 9-slide PowerPoint presentation)

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

• Describe the differences between a board of nursing and a professional nurse association.
• Describe the board for your specific region/area.
  • Who is on the board?
  • How does one become a member of the board?
• Describe at least one state regulation related to general nurse scope of practice.
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Include Speaker Notes on Each Slide (except on the title page and reference page)

This is an assignment

Summarize and discuss the clinical characteristics of sleep apnea and identify the appropriate laboratory, imaging, and other diagnostic and screening tools that apply to this condition or disorder.

Explain why you selected these tests or tools as being appropriate for recognizing and diagnosing this condition. Recommend a plan of action for treating a patient with this condition. Support your summary and recommended plan with a minimum of two peer-reviewed references in addition to the course materials.

Student needs to know, compare and contrast the different categories of “shock” and the 

medicines used to treat “shock”

write two pages in APA stile with minimum of two referencies. 

Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness for each of these six articles on why the article may or may not provide sufficient evidence for your practice change and name two different methods for evaluating evidence. Compare and contrast these two methods. 

Cross, S., Kaufman, B., Taylor, D., Kamal, A., & Warraich, H. (2020). Trends and Factors Associated with Place of Death for Individuals with Dementia in the United States from 2003 to 2017 (S702). Journal of Pain and Symptom Management, 59(2), 529.

DiZazzo-Miller, R., Pociask, F., & Adamo, D. (2020). Physical Markers of Functional Fitness in Persons with Dementia and Their Family Caregivers. American Journal of Occupational Therapy, 74(4_Supplement_1), 7411505119p1-7411505119p1.

Lau, W. L., Fisher, M., Greenia, D., Floriolli, D., Fletcher, E., Singh, B., … & Paganini-Hill, A. (2020). Cystatin C, Cognition and Brain MRI Findings in 90+ Year-olds. Neurobiology of Aging.

Lee, Y., Cho, Y., & Oh, H. (2020). Multiple chronic conditions and risk of cognitive impairment and dementia among older Americans: findings from the Aging, Demographics, and Memory Study (ADAMS). Aging, Neuropsychology, and Cognition, 1-15.

Simpkins, A. N. (2020). Impact of Race-Ethnic and Economic Disparities on Rates of Vascular Dementia in the National Inpatient Sample Database from 2006-2014. Journal of Stroke and Cerebrovascular Diseases, 29(5), 104731

Vollmer Dahlke, D., & Ory, M. G. (2020). Emerging Issues of Intelligent Assistive Technology Use Among People with Dementia and Their Caregivers: A US Perspective. Frontiers in Public Health, 8, 191..

• Find a recent (within 5 years) article online that addresses the question, “Why do nurses struggle to implement evidence-based practice?” 
• After reading the article, reflect on your experiences with evidence-based care. What barriers have you seen prevent nurses from implementing evidence-based practices? What strategies have been effective in removing those barriers?
• Post a link to the article or a pdf of the article with your response.

 Review the Student Self Care Manual in Shared Files. Complete the surveys on pages 13-21 and summarize your findings.  Identify three interventions that you can initiate to improve health and wellbeing.  Your submission must be 250 words (minimum).