Monthly Archives: May 2023

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

1.  Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.

2.  Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.

3.  Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.

4.  Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite to a minimum of three 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.  

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. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Due Date: Friday 4 

I need a argumentative essay paper 4-6 pages not including cover and reference pages. On the topic “should college be free for everyone” to include thesis statement included along with pros/cons and annotate. I need the instruction provided be followed completely. I need the paper by Thursday 12 pm

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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 that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.

In developing your PowerPoint, 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 presentation is tailored.

Include the following in your presentation:

1. Describe the selected environmental factor. 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. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
5. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation.

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, which can be found in the APA Style Guide, located in the Student Success Center.

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Evidence Base Practice Quality Improvement Paper and e-Poster 

Topic: This paper is therefore focused on the provision of a literature review on the issue of patient falls in medical-surgical nursing units. The focused on performing the literature review will be based on fall rate incidences at the Medical-surgical units and the causes of high incidences of falls.

Part 1:This is a formal 10-12-page paper on your EBP practice improvement project. This assignment requires the use of evidence-based references. Proper APA format and citation is expected for this assignment.

Part 2:the paper is to be presented and summarized via a scientific e-poster covering the topic of interest chosen for the practice improvement paper.

Scholarly Research Article Review Instructions

For this assignment you will review a single, scholarly PRIMARY Research article in the APUS Library and summarize what it says about a specific infant and toddler disorder of your choice (Infantile Autism, Tay-Sachs Disease, Sickle Cell Anemia and Cerebral Palsy are some examples). This 2-3 page paper must be a review of scholarly research, not commercial Psychology Today, Wikipedia or WebMD style publications or self-help or parent support organization material (the latter is very valuable to families in need of easy to digest and access information, but isn’t applicable to this assignment). Article must be recent within the past 5-7 years.

For this assignment you will review a single scholarly article in the APUS Online Library and summarize what it says about the specific topic that has been identified in the Assignment section of the classroom.  This 2-3 page paper must be a review of scholarly research, not commercial Psychology Today, Wikipedia or WebMD style publications or self-help or parent support organization material (the latter is very valuable to families in need of easy to digest and access information, but isn’t applicable to this assignment).  

The introductory paragraph will give a brief description of the topic and the article that you will be reviewing.

The article summary will include the following: (NOTE: If you can’t find the elements listed in this section, then you have not chosen a research article.)

• Discussion of the focus of the research
 • Description of the hypothesis of the study
 • Description of how the study was conducted including the population that was studied, the methodology used  (i.e. naturalistic observation, experiment, case study, survey, etc). How the data was collected and analyzed
 • Description of the results of the study

Your review/discussion of the article will include 

• A discussion of the way the research was conducted and potential impact on results (e.g. problems with the study
  methodology that might have affected its validity and/or generalizability).
• A description of three ideas inspired in you by the article.
• A description of the use, impact, or potential the research might have.

You don’t have to be a professional expert to write this section. Think about it this way–if you were someone working with children facing the challenges of the disorder you selected to read about and report on, what would you want future researchers to keep investigating that you believe could prove valuable to sufferers and their families? For example, a medical professional or psychologist might be interested in having researchers continue to study how broad a particular diagnostic classification spectrum needs to be to avoid catching too many and too few kids in the diagnostic net (it goes without saying that we would love to be able to diagnose accurately 100% of the time and cure everyone, but we will leave that off the table since it should be everyone’s goal and anyone reading about a disorder could have that cross his/her mind).
 

For this type of academic paper scholarly publications from the APUS online library must be used. Why is the APUS online library required? Scholarly sources are found in academic journals (The Journal of… is a good tip for identifying these) and the APUS online library has a very large set of holdings and a staff of librarians to assist. You can connect with both by clicking the Library link while logged into your classroom. Other university libraries also carry such journals but online access is frequently restricted to those universities’ enrolled students. Hard copies from traditional “brick-and-mortar” libraries cannot be used unless you can also provide an online copy to verify the article’s existence in digital format. This is because your instructor needs to be able to verify that you are using actual published journal articles, the journals they are published in, their dates of publication and their authors. Although some of the following may be accessed through links in the APUS online library, popular magazines, Wikipedia, About.com, Ask.com, newspapers, blogs or other opinion-based publications may not be used. Not all articles found in the databases are scholarly.  If you are unsure about the appropriateness of a resource, check with your instructor before using it for your assignment. The source for your article must be cited in the paper body and listed in APA style in a page entitled “References” attached separately to the end of your paper. (HINT: since this is a review of a single scholarly article, your reference page will only contain only SINGLE source. Do not incorporate any information outside of this SINGLE source.) The Online Library contains and excellent discussion on identifying scholarly articles in the Tutorial and Student Studies Center.
 

APA style can be a bit like learning a second language.  http://owl.english.purdue.edu/workshops/hypertext/apa/index.html is an excellent practical, how-to guide to this formatting style. Your classroom Resources folder also contains APA formatting guides. 

You don’t need to have an abstract, as is typically required for APA style, for this paper but you must include an APA formatted cover page in addition to the References page mentioned above. The 2-3page requirement does not include the cover or reference pages and the paper must be formatted in Times New Roman or Arial font no larger than size 12 with 1” margins on all sides of the paper body and double spaced. Length compliance is determined using these formatting rules in grading the work. Formatting will be checked on your instructor’s end and a paper that falls short of the required length submitted in large font or with wide margins will receive a point deduction of 10% for each missing page. Be careful to check your work for proper formatting and other instructions compliance before submitting. Revisions cannot be allowed after students are notified via grading feedback of these problems.
 

Your paper must be written at a college level. This means a minimum amount (nobody often achieves perfection) of spelling and grammar errors that don’t get in the way of following your points; no use of personal first or second person pronouns (“I” or “you”) in your article summary; no personal story sharing or creative writing style wording (papers that begin with a question or “Imagine for a moment that…” or “Webster’s Dictionary defines _____ as…” style openers are fine for some courses but not for this assignment. Simply start with, “This paper focuses on ________” with the topic of your paper in the blank space, and then move on to summarizing the findings of the publication you cite in the paper and the other required elements).

The 2nd part of your paper will include your review/discussion of the article as outlined previously. This section of your paper may include first person writing. Please be sure that your article summary is clear and distinct from your review of the article. Do not intermingle the two sections of your paper.
 

Vision

My future nursing vision is to have “an environment that fosters lifelong learning, nursing involvement in decision-making, optimal utilization of professional skills and knowledge, and health informatics to improve patient outcomes via the supportive legal and ethical framework.”

Vision’s fit with IOM Recommendations

            IOM made four critical recommendations regarding the future of nursing. The first recommendation is to allow nurses to operate at their optimal potential (Diaz, 2020). My vision statement emphasizes the need for a supportive legal and ethical framework to support optimal professional skills and knowledge utilization. It is essential to note that legal and ethical frameworks encourage accountability in nursing. However, the policies should not limit the scope of nursing. As policymakers enforce safety and quality measures, it is necessary to promote autonomy in nursing practice.

            Second, my vision emphasizes the need for lifelong learning. Nursing is a complex profession characterized by rapid changes. Lifelong learning encourages the development of problem-solving and critical-thinking skills essential in addressing emotional patient concerns. It allows nurses to be up-to-date with new procedures, techniques, and policies. IOM’s second recommendation is to support nurses to receive higher training and education for career development. The only way to achieve this goal is by supporting learning efforts among nurses. Therefore, my mission endorses this recommendation.

            Another way my vision supports IOM recommendation is by envisioning an environment that encourages nurses’ involvement in decision-making processes. Taking part in decision-making is part of ensuring nurses participate in leadership functions and overcome the health system’s inferiority notion. IOM emphasized the involvement of nurses in decision-making and assuming leadership (Diaz, 2020). However, achieving this goal requires developing a culture that fosters all health personnel’s inclusivity in providing expert opinions.

            Finally, the last component of my vision statement underscores the use of health informatics in nursing. According to Darvish et al. (2014), health informatics facilitates the coordination of nursing care. It increases the ability to track workflow, communication, and staffing to identify improvement areas. Nursing informatics relies on efficient data collection, analysis, and interpretation to empower informed decision-making and policy formulation. IOM recommends the need to improve data collection and information infrastructure.

Vision Promotion Plan

 A strategic vision’s success depends heavily on promotional activities to ensure everyone understands the expected long-term goals. One of the ways I can promote the above idea is through advocacy. Initiating a sustainable change in healthcare requires the involvement of all key stakeholders. However, people can only support what they understand. Therefore, through lobbying efforts, various stakeholders can gain insight into the recommendations and their role in attaining them. This way, people will be motivated to take part in transforming the sector. Besides, involving government officials is necessary because they allocate resources for various healthcare functions.

            Another way to promote the vision is by drafting precise and achievable goals to provide a clear guideline for accomplishing the strategic plan. Having a conversation with different contributors is the best way to transform a vision or idea into results. These goals should outline the responsibilities of various stakeholders. Given the universality of nursing practice, it is imperative to use multiple media platforms to communicate the vision’s critical message. The goal is to create a shared vision and gain public support by stressing the nursing profession’s importance in achieving health equity and justice.

References

Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The Role of Nursing Informatics on Promoting Quality of Health Care and the Need for Appropriate Education. Global Journal of Health Science, 6(6). https://doi.org/10.5539/gjhs.v6n6p11 (Links to an external site.) 

Diaz, Y. (2020). Analysis of the Institute of Medicine (IOM) Report: The Future of Nursing.

Edited by Diaz, Yerandy on Oct 7 at 12:52amVision of Nursing.docx

REPLY2

Nursing is an ever-growing field that is evolving with the need for registered nurses expected to increase in the future. According to Joseph and Fowler (2016), the complex and changing environment needs to be met with a new and changed mindset among the nurse leaders. However, it is crucial that nurses be involved in the best clinical practice that ensures quality improvement in healthcare globally by raising their profile and status. The current changing needs mean that nurse leaders have a significant role to play in the future. The emergence of advanced technology and new innovative types of services indicates that nurses can play a leading role from community to home-based care, holistic and patient-centred care, with the increased focus on prevention and control and making better use of the advanced technology. Therefore, providing good quality and safe patient treatment by promoting nursing leadership should be at the fore-front of the nursing discipline.

The future of nursing explores how nurses’ leadership responsibilities, roles, training, and education should change and cope significantly with the increased demand for patient wellness (Institute of Medicine, 2015). This demand is created by healthcare reform to meet increasingly complex patient needs in the healthcare system. Its reform has made it in the United States accessible and affordable to everyone as seen by the increase in the number of patients in hospitals. However, with this growth in necessity, nursing is facing the challenge of delivering patient quality treatment. My vision is to quickly adapt to the new world of advanced technology in the nursing leadership that I can use to offer reliable and quality attention to the patients.

As a nurse, I am the primary care provider, and therefore, I have the vision and power to provide a consistently safe environment for the patients. Achieving this vision will require the establishment of evidence-based clinical practice which will enhance the reliability of nursing care. Moreover, fulfilling the vision of leadership for nurses will ensure that they will not feel undervalued in the hospital, which will then facilitate quality care being delivered to patients. According to Hart (2015), nurses often feel like their voices are not heard in the inter-professional team and that their complex roles in caring for patients are not appreciated. This means that nurses should have power in leadership which will act as an incentive when delivering quality healthcare.

The Institute of Medicine (IOM) recommended that nurses should have leadership roles in healthcare as per their recently released report. My vision for the future of nursing is for nurses to have power in leadership roles which will enable them to provide safe and quality patient-centred care. Thus, this vision fits with the recommendations in the IOM report, where nurses should have leadership roles in the healthcare sector. This report states that nurses should be supported in their leadership roles regardless of where they work so that they can be the true leaders that they are.

There are two action steps that I plan to take to promote this vision. The first step is to ensure nurses network with big players. This means that nurses will push to be in the higher leadership boards such as the public health and government boards, which will ensure that their voices and intricate work are recognized. The next step is to stand out nurse leaders in leading for change, seamless progression, and advancing health.

References

Hart, C. (2015). The elephant in the room: Nursing and nursing power on an interprofessional team. The Journal of Continuing Education in Nursing, 46 (8) 349-355.

Institute of Medicine (2015). IOM releases progress report on the Future of Nursing 2020 goals.https://www.nurse.com/blog/2015/12/10/iom-releases-progress-report-on-future-of-nursing-2020-goals (Links to an external site.)

Joseph, M. L., & Fowler, D. (2016). Innovating traditional nursing administration challenges. JONA: The Journal of Nursing Administration, 46(3), 120-121.

Assignment 7 Discussion. Transition to Professional Nursing.docx

All replies must be constructive and use literature where possible.

Your assignment will be graded according to the grading rubric.

Instructions for Discussion Replies to 3 DQS

DO NOT JUST REPEAT SAME INFORMATION, DO NOT JUST SAY I AGREE OR THINGS LIKE THAT. YOU NEED TO ADD NEW INFORMATION TO DISCUSSION.

1- Each reply should be at least 200 words.

2- Minimum One Peer reviewed/scholarly reference ( NO MAYO CLINIC/ AHA)

3- APA 6th edition style needs to be followed.

4- Each response should have reference at the end of each reply

5- Reference should be within last 4 years

TOPIC 2: Identifying those at risk for malnutrition 

What methods can be used to identify those at risk for malnutrition? 

An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these two systems work so closely together. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other. Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.

An understanding of the symptoms of alterations in cardiovascular and respiratory systems is a critical step in the diagnosis and treatment of many diseases. For APRNs this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

Case Study: 

45-year-old woman presents with a chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has a history of COPD with a chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals a flattened diaphragm and an increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields. 

Assignment  2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following

· The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.

· Any racial/ethnic variables that may impact physiological functioning.

· How these processes interact to affect the patient.

Answer the following four questions in paragraph format: 75- 150-word count this assignment is a discussion. So there is no upload function. Please type your response in the text box.

1. What did you learn about excel that you didn’t know before?
2. Explain what it means to be on the cell compared to being in a cell?
3. Which tutorial did you have to watch more than once? Between Word, Excel, PowerPoint
4. What would you still like to learn about Microsoft Office? 

Total points : 100.0 pts