i need an Abstract Page for this document attached , thanks 

Requirements:

Berwick, D., Snair, M., & Nishtar, S. (2018). Crossing the global health care quality chasm: A key component of universal health coverage. Journal of American Medical Association, 320(13), 1317-1318. 

Read the Berwick article and reflect on the concepts and practices you have learned in NR506 on healthcare systems, politics, and health policy. Reflections should include: 

1. How to make informed decisions on nursing practice and patient outcomes on a global basis. as a nurse practitioner.  Also, state how you will apply what you have learned in this course to your upcoming practicum experience.   
2. Describe how one will apply content from NR506NP to the upcoming clinical courses.  as a nurse practitioner.

It is important to consider how actions in our own community impact the global community and visa versa. We will examine concerns that influence policy and policymaking at local, state, national, and international levels. Finally, we will discuss global alliances, partnerships, and nursing’s advocacy role in world health concerns.

Course Outcomes

• Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic and political factors. (PO4) 
• Advocate for institutional, local, national and international policies that fosters person-centered healthcare and nursing practice. (PO)

Description 

Making informed decisions  

Provides relevant evidence of scholarly inquiry sharing insights as how to make informed decisions on nursing practice and patient outcomes on a global basis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion. 

Application to Clinical Practice 

Provides relevant evidence of scholarly inquiry stating how one may apply content learned in this course to future clinical practice.  Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion. 

minimum of 1000 words

Research and write a report on : diabetes

The body of your paper must be 2-3 pages in length (not including reference list).  Your report should contain:

1. A thorough description and background of the topic – causes, disease risks, treatments, etc.
2. A detailed explanation of nutrition and dietary recommendations for individuals concerned about the topic.
3. Minimum of 2 references required (but no more than 5).

APA style reference

1) Minimum 8 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 3 pages

              Part 4: minimum 3 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 3 references per part not older than 5 years

Part 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: Community Nursing

The hospice nurse has a unique role in the provision of end of life services. 

1. Mention 3 important roles of the nurse while providing quality end -of-life care to seriously ill persons and their families. 

2. Explain their impact in community nursing.

Part 2: Nurding and aging

Skin Health: 

1. Discuss the signs and nursing care for the diagnoses of two (2) of the following skin conditions of the older adults; pruritus, and seborrheic keratosis

Cancer: 

A 75-year-old woman with breast cancer is at risk for complications. Following a left-sided mastectomy, the woman is to receive chemotherapy followed by tamoxifen. 

2. List, and discuss two (2) normal aging changes may increase her risk for complications?

Part 3: Human Experience Across the Health-Illness Continuum

Purpose: Research the health-illness continuum and its relevance to patient care. Discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

1. Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.

2. Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing.

3. Reflect on your overall state of health (good and healthy). 

      a. Discuss what behaviors support or detract from your health and well-being. 

     b Explain where you currently fall on the health-illness continuum.

4. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. 

5. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

Part 4: Crises in Schools   

 1. What type of crises can occur in school? (Describe each) 

2. US school crime statistics / school violence incidents

3. Characteristics / psychological symptoms & behaviors of juvenile offender

4. How to screen for potential offender?

5· How should a crisis worker act? / School crisis response 

6· Intervention / Prevention programs

7. Other considerations in the management of patients affected by a school crisis (including but not limited to management of behaviors, family considerations, challenges in the care of patients affected by a crisis in schools 

 
Discuss medications to treat GERD. What specifically should patients be taught about these medications to prevent adverse side effects?

Leadership Theories in Practice

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

To Prepare:

• Review the Resources and examine the leadership theories and behaviors introduced.
• Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
• Reflect on the leadership behaviors presented in the three resources that you selected for review.

By Day 3 of Week 4

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template. 

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines,

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned and complete your participation for this assignment by Day 7. To support your work, use your course and text readings and also use resources from the South University Online Library.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

TASK

Post your initial response to one of the two topics below.

Topic 1: Community-Based Nursing

Nursing services play an important role in caring for patients and families in the community and providing them the support they need. For patients with problems ranging from chronic health conditions to need of elder care, nursing has proved itself an important part of the healthcare team. In fact, many people now prefer sending their elderly parents to a daycare for nursing, rather than to a long-term care facility.

For this topic, interview a community-based nurse or nurse practitioner who sees individuals in the home setting. Describe the nurse’s responses to the following questions:

• What are your job responsibilities?
• Does a correlation exist between your job description and your practice?
• Are you involved in policy formulation that affects client services?
• Do you belong to a professional organization related to your current job position?

Topic 2: Economics of Health Care

The cost of healthcare in the U.S. is often discussed by the press. Trends in healthcare spending are determined by public and private decisions about health care delivery and reflect the values and beliefs of society and policy makers.

Compare the distribution of healthcare expenses for 2017.
https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/nationalhealthaccountshistorical(Nation’s health dollar: where it came from and where it went with those of 2011 [see textbook]).

Write a summary of your findings and their meaning in terms of health care spending.

    Generally speaking, Nursing has the largest representation within an acute hospital setting. Nursing is involved in the care of every patient that comes into the hospital. That being said, how nursing document their interactions with patients is a large part of their day. Integrating a new health information technology system should require the input of nursing. Nursing’s input is essential in understanding how the system could require additional workflow changes or updates. Poorly implemented systems can lead to unintended consequences that may have a negative impact on clinical processes and patient outcomes. (Piscotty, 2011)

            When integrating a new system, the System Development Life Cycle (SDLC) model is used. This cycle has five different stages: Planning, Analysis, Design, Implementation, and Maintenance. Each of these stages is essential as you integrate new systems. During the analysis phase, the requirements for the system are teased out from a detailed study of the business needs of the organization. As part of this analysis, workflows and business practices are examined. It may be necessary to consider options for changing the business process. (McGonigle, 2017)

            Nursing is especially crucial when you enter into the implementation stage. The system also was tested by three nurses before implementation. To ensure that the nurses could operate the CDSS correctly, a training manual was developed and provided to the nurses 3 weeks before the implementation date. (Lyerla, 2008) Once you have planned, analyzed, and implemented any new system, occasionally maintenance is required. We need to constantly be evaluating our systems to make sure that we are using it effectively and to its max potential.

            During my time at Homestead Hospital, the operating systems were changed. Nursing was not consulted at the hospital level. The decision to change these systems was made at the corporate level and rolled out to the different facilities in stages. Our hospital was the first and the rollout was rough. We had representatives from the OS company to help facilitate the roll-out 24/7 for 1 week. We needed to constantly refer to them whenever we needed to address a concern or be reminded of how to mitigate certain situations. I think that transition would have been a bit smoother if there were training sessions with the staff prior to roll out. Physicians and nursing could have been trained with time before “go live” and a few issues could have been avoided. Any time that changes are made within an existing system or a new one is implemented, there will be hang-ups. Involving those that would be the most significant users helps in finding any conflicts or adjusting workflows prior to them impacting patient care.

Lyerla F. (2008). Design and implementation of a nursing clinical decision support system to

promote guideline adherence. CIN: Computers, Informatics, Nursing, 26(4), 227–233.