Monthly Archives: May 2023

 implementation plan  

Research different popular nontraditional health care practices. Write a 1,000-1,200-word paper exploring nontraditional health care practices and include the following:

1. Describe nontraditional health care practices in different cultures. Compare at least three cultures.
2. Explain the importance of these practices in providing holistic and quality health care.
3. Identify the nontraditional health care options in your areas, and identify the number of people choosing to use them over traditional medical practices. Propose reasons why the number of people using nontraditional health care options is rising.

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.

Write a 175- to 265-word response to the following: 

• What metrics or strategies should you use to determine which stakeholders are most useful to engage with?
• What strategies are most effective when interacting with stakeholders?

write one page Using the Connors essay as your guide, select one of the principles of Catholic social teaching.  Consider how this principle might be applied in the nursing workplace or your community to address an issue or situation that you consider to be unjust.  What additional resources are needed to tackle this problem? indicate whether you consider the necessary response to be an act of charity or action for justice. 

https://www.jointcommission.org/resources/for-consumers/speak-up-campaigns/depression/

1. Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

a. Select a Speak Up brochure from The Joint Commission website.

b. Write a short paper reviewing the brochure. Use the Grading Criteria (below) to structure your critique and include current nursing or healthcare research to support your critique.

1. Include the following sections

a. Introduction of brochure (3 points/6%)

i. Includes brochure title

ii. Identifies date published

iii. Describes individuals or groups

iv. Brochure properly cited, included on reference list, and submitted with assignment

b. Summary of article (10 points/ 20%)

i. Main topics discussed

ii. Includes information to promote communication between patients and healthcare providers

c. Evaluation of brochure (20 points/40%)

i. Supported by evidence from a recent (5 years) scholarly, nursing journal article

ii. What was done well, and what could have been improved in the brochure? 

iii. Why did this topic interest you?

iv. Was the information provided in the brochure beneficial? Could you incorporate it in your patient education? 

v. Was the information presented clearly? 

vi. Did current nursing or healthcare related research support the information presented in the brochure? 

vii. What population or individuals does this article apply to (i.e., who will benefit the most from this brochure)? Who else can use this information? 

viii. Will this information increase patient safety? Defend your answer.

d. Conclusion (5 points/10%)

i. Restates main ideas 

ii. Includes supporting information from body of paper

iii. Summarizes the benefits of following the brochure’s advice to a person at risk

e. APA style and structure (2 points/4%)

i. Adheres to APA 7th edition formatting guidelines for title page, margins, in-text citations, and references 

ii. Section headers are required

a) Introduction

b) Summary of brochure

c) Evaluation of brochure

d) Conclusion

iii. Paper is no longer than three (3) pages, excluding title page, reference page, and copy of brochure

a) Extra pages will not be read or contribute to the assignment grade

f. Clarity of writing (10 points/20%)

i. Proper use of Standard English

ii. Shows original thought

iii. No spelling or grammar errors

iv. Information presented in a logical progression

1. Discuss your state NP community in terms of scope of practice. Include the your state’s scope of practice for NPs including: . Be sure that you carefully address each part of the assigned discussion, in full, with cited scholarly sources to support your statements. at least two paragraph each     My state is Maryland
   • Level of independence of practice 
   • Prescribing authority 
   • Any limitations of practice 
   • Process for obtaining licensure in your state 
   • Certification and education requirements for licensure. 
2. If you live in a restricted or reduced practice state, how has patient care been impacted in your local community from these barriers?  For instance, is the ED used for primary care?  Are the EDs overcrowded with long wait times?  Are there urgent care clinics readily available? Is there adequate access to primary care?  If you live in a full practice, how has independent practice of the APN resulted in improved patient access to healthcare?   
3. How does access to NPs impacts any healthcare disparities?  

• Consider how patient care has been impacted in your local community by these practice barriers.
  • For instance, is the ED used for primary care?
  • Are the EDs overcrowded with long wait times?
  • Are there urgent care clinics readily available?
  • Is there adequate access to primary care?
  • Are your rural communities adequately served?
  • What healthcare limitations are present in your communities?
• Consider how unrestricted, independent practice of the APRN resulted in improved patient access to healthcare?
• Include in your discussion how access to NPs impacts any healthcare disparities. 
  • Be sure you clearly understand the concept of “health disparities” as you address this portion of the discussion.
• As a reminder, all writing submitted should reflect graduate student quality and APA writing rules. All writing informed by outside sources should include APA formatted citations and associated scholarly, current references. Buppert, C. (2017). Nurse practitioner’s business practice & legal guide (6th ed.). Burlington, MA: Jones & Bartlett. 
• include outside references other than the book
• Chapter 8 – Risk Management

Letz, K. (2017). The NP guide: Essential knowledge for nurse practitioner practice. (3rd ed.). American College of Nurse Practitioner Faculty. Las Vegas, NV.

• Chapter 11 – Justifying and promoting the profession

Teitelbaum, J. B., & Wilensky, S. E. (2017). Essentials of health policy and law (3rd ed.). Burlington, MA: Jones & Bartlett Publishers.

• Chapter 13 – Public Health Preparedness policy

Health disparities are any difference in health outcomes between populations of people. Consider the impact of poverty, race, gender, disability etc. on various health outcomes. The goal of Healthy People 2020 was to eliminate health disparities and achieve health equity, thus improving health outcomes among all populations (U.S. Department of Health and Human Services, 2020). 

Healthy People 2020 (HP2020) defines health disparity as:

       “a particular type of health difference that is closely linked with social, economic, and/or                  environmental disadvantage. Health disparities adversely affect groups of people who have          systematically experienced greater obstacles to health based on their racial or ethnic                        group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or                  physical disability; sexual orientation or gender identity; geographic location; or other                     characteristics historically linked to discrimination or exclusion” (U.S. Department of                         Health and Human Services, 2020).

The HP 2020 definition of health equity is as follows:

         “attainment of the highest level of health for all people. Achieving health equity requires                  valuing everyone equally with focused and ongoing societal efforts to address avoidable                 inequalities, historical and contemporary injustices, and the elimination of health and                       health care disparities” (U.S. Department of Health and Human Services, 2020).

As you consider this week’s discussion questions, be sure to review the information here, as you prepare your responses and interact with the discussion.

Here is an excellent podcast regarding the importance of the nurse in health equity efforts. 

Finally, please review this article  r/t the APRN’s work in reducing health disparities. 

 U.S. Department of Health and Human Services (2020). Disparities. Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities 

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

1. Height: 68 inches; weight 134.5 kg
2. BP: 172/98, HR 88, RR 26
3. 3+ pitting edema bilateral feet and ankles
4. Fasting blood glucose: 146 mg/dL
5. Total cholesterol: 250 mg/dL
6. Triglycerides: 312 mg/dL
7. HDL: 30 mg/dL
8. Serum creatinine 1.8 mg/dL
9. BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

1. Describe the clinical manifestations present in Mr. C.
2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

  Critically appraise the below article using the criteria listed below:

Articles Websites: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3714350/

  PICO question:   In patients with substance use disorder, how does the implementation of a buprenorphine treatment program affect treatment retention compared to a methadone treatment program? 

Research purpose/question/hypothesis

· Quote (add page number) or rephrase the research purpose and/or research question/hypothesis if there is any.

· Identify the major study variables:  can be found in the above statements. Data on these study variables are usually collected using the instruments/tools described in the “measurement” section.

Research design 

· Name of the research design and its level of evidence associated with your PICO question.

· Advantages and disadvantages of this design

Sampling technique, sample size and sample characteristics

· Is sample size adequate or too small?

· Are there any sampling bias? 

· Was the non-response rate high?

Measurement and data collection: 

· The name, reliability and validity of each measurement/tool (except the one for demographics) 

· Data collection methods (who, how and through what channel), e.g. structured vs semi-structured survey, self-report vs. observation or interviewer rated, bio-physiological vs. psycho-social-behavioral, face-to-face vs mailed, telephone, online, computer based, etc. 

· Strategies or lack of description of such strategies to yield high-quality and unbiased data 

Data analysis  

· How were the data analyzed? Were the statistics used appropriate? 

· If there were missing data, did the researchers described how missing data were handled?

·  For longitudinal and repeated measure designs, did attrition or loss to follow-up affect study results? If there were attrition, what statistical methods were used to reach unbiased results?

Other design-specific issues

· Answer the appraisal questions specific to the research design of your article but have not been covered in above sections. 

Major research findings 

· Include the magnitude of effect and strength of association (effect size). 

· Are the findings clinical significant?

Overall validity of the study:

Summarize your answer to the question, “Are the results of the study valid” and state why  

 My practice problem will be on:                  Under diagnosis of diabetes: cause, effect and risk factors

Download the Johns Hopkins Research Evidence Appraisal Tool and the Johns Hopkins Individual Evidence Summary Tool located in the Student Resource Center under “Project & Practicum Resources.”

Select one of the eight practice problems that burden the overall health of the United States. Conduct a library search for two qualitative research studies addressing this problem. Appraise the two qualitative research studies using the Johns Hopkins Research Evidence Appraisal Tool.

After appraising and determining the Level of Evidence and Grade of Quality for your selected qualitative studies, summarize your findings on the Johns Hopkins Individual Evidence Summary Tool.

Include your completed Johns Hopkins Individual Evidence Summary Tool that includes your two qualitative research studies as an attachment with your initial post. Also, include PDF versions of your selected two qualitative research studies with your initial discussion post. Our faculty team will review both your two research studies and Johns Hopkins Individual Evidence Summary Tool.

Analyze the evidence summary of the two research studies to address the following.

• Does the research design answer the research question? Explain your rationale.
• Were the study sample participants representative? Why or why not?
• Compare and contrast the study limitations in these two studies.
• Based on this evidence summary, would you consider either or both of these qualitative research studies as support for your selected practice problem? Explain your rationale.

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

Case Studies will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

The answers must be in your own words with reference to journal or book where you found the evidence to your answer. Do not copy paste or use a past students work as all files submitted in this course are registered and saved in turn it in program.

Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted. 

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.