NRS-440-VN0502 Trends and Issues

Advocacy Through Legislation

Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.

For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment.

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. 

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. 

Informatics

  

In this assignment, the student will utilize information from the Electronic health record (EHR) and its workflow design and lay out a comprehensive implementation plan. This plan should include EBP support along with changes of policy, procedure and/or protocol based on the informatics technology project. Laws governing protection, security, and reimbursement such as HIPAA, HITECH and PHI must be addressed. This assignment must be 5-7 pages in current APA format, excluding the title and reference pages and include a minimum of 5 scholarly resources published within the last 5 years.

Week 1: National Practice Problem Exploration

Mental illness is explained as social, emotional, and psychological wellbeing. Most people are unaware that they have a mental illness that can affect their daily lives. According to the Canadian nursing journal 2017, 350 million people worldwide suffer from depression, and more than 800,000 worldwide die from suicide each year. Waters, Furukawa, and Jorissen (2018) states that mental illness affects 5% of the United States population and is associated with increased morbidity and mortality, which is very costly. This cost includes hospitalization and emergency room visits. I can relate to this statistic, in the emergency room that I was working approximately 1 out of 40 patients present with either suicidal thoughts, depression, anxiety, or simply just feeling down.

        Week one lesson mention that mental health is the cause of most premature death and disability for both male and female. As per global burden diseases, it’s one of the top illnesses in the nation and worldwide. According to the national institute of health, mental illness accounts for 13 % of the global disease burden, with major depression being the largest contributor. The emergency room that I worked in was a covid designated center in the New York City area. The effect of this pandemic was so devastating to our patients, families, and employees.  The aftereffect has left most of the patients and staff with anxiety and depression. I have triage patient that comes to the ER after catching covid with complains that they are now experiencing anxiety and not sleeping well. This is putting a strain on their health, causing new-onset high blood pressure, weight loss, and loss of appetite. “the covid 19 pandemic will create unpresidential health and social challenges both in the US and international” (Druss B.G,2020).

      The stakeholders who are affected by mental health are nurses, mental health providers, health care facilities, insurance companies, family, and the community. Stakeholders involved in the resolution are the WHO executive board. They are urgings people to protect the rights of people with mental illness. Mental illness can affect anyone at any given time.

The clinical practice guideline used is APA (America Psychiatric Association), provide evidence-based recommendation for the treatment and assessment of mental illness. It can also assist in clinical decision making by presenting systematical development. APA’s guideline development process intended to meet standards for the development of “trustworthy” practice guidelines recommended by the National Academy of Medicine, formerly the Institute of Medicine (IOM). The standards address transparency, management of conflicts of interest, the composition of writing groups, the use of systematic reviews of evidence, articulation, and rating of recommendations, external review, and updating.

    The intervention I would propose is that as a healthcare worker, we should educate ourselves on how to identify and treat early mental illness before it gets severed. We need to look at the person as a whole and figure out what’s the underlining cause of the disease and provide early interventions instead of only looking at the disease itself. By doing so, we might be able to prevent premature death and disability and help patients live a healthy normal life.

References

Canadian Nursing Journal, (2017). Mental Disorder-Epidemiology-Canada, 113(1)18-18 (1p)

Waters, H.C; Furukawa, M.F; Jorissen, S, L. (2018). Community Mental Health Journal,54(8) 1101-1108(8p)

Druss, B.G. (2020). Addressing the Covid-19 Pandemic in Population with Serious Mental Health. American Medical Association, 77(9) 891-892.

Chamberlain College of Nursing. (2019). NR-701 Week 1: The Practice Problem: National Issues and Nonresearch Evidence [Online lesson]. Downers Grove, IL: Adtalem

  

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE  PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

Reflection paper

  

Directions for Reflection Paper

Objective

This assignment will promote student introspection and development as a graduate nurse by delving into the role and responsibilities of the nurse and the legal/ethical issues in professional nursing practice. 

Instructions

Compose a one to one and a half page APA formatted paper describing the role of the nurse; integrating the legal and ethical responsibilities of the professional nurse. The paper must also integrate nursing values and accountability. 

  

Physical Assessment ( Due maximum 3 hours)

 

1) Minimum 2 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

          

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

5) Identify your answer with the numbers, according to the question.

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:  Physical Assessment 1

See PPT Ch07

The nurse is completing a cardiovascular assessment on a patient diagnosed with orthostatic hypotension. 

1. Identify what can result in a false high or false low blood pressure reading.

Based on specific medical conditions, the nurse may assess variations in vital signs. 

2. Discuss medical conditions that are associated with variations in a person’s vital signs.

Part 2:  Physical Assessment 2

 See PPT Ch09

The nurse is caring for a 60-year-old patient diagnosed with a cervical spinal cord injury in the ICU.

1. Discuss potential risk factors for pressure ulcers in this patient population and others.

Search http://annals.org/article.aspx?articleid=2173506 for the 2015 recommendations for treatment of pressure ulcers. 

2. Discuss the findings in relation to what is the current practice in your hospital facility.

TED talk

 

This assignment is a short introduction to thinking more about progress and understanding by thinking more deeply about using history as a source of information and rhetoric as a source of approach.

Watch the following video (it is difficult to follow and you may need to watch it more than once): https://www.ted.com/talks/steven_pinker_and_rebecca_newberger_goldstein_the_long_reach_of_reason/discussion?referrer=playlist-10_talks_you_won_t_be_able_to

In four (4) paragraphs, respond to the video with some overall thoughts and ideas in relation to the themes discussed.

Homework

 

1. Examine this case study through the dependency cycle model (Fig. 14.3). The outer arrows show a progression through varying stages of dependency. The inner circle represents who can be involved in the dependency cycle. Where are Jane and Dan in this cycle?

2. Using the basic dependent-care system model (Fig. 14.4), assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the effect of Dan’s BCFs on his self-care agency? Is he able to meet his therapeutic self-care demands? Continue on to diagnose Dan’s self-care deficit and resulting dependent-care deficit. Now assess Jane’s self-care system.

3. Design a nursing system that addresses Jane’s self-care system as she increases her role as dependent-care agent for Dan.

Workplace Environment Assessment

 

How healthy is your workplace?

You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.

There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility.

To Prepare:

  • Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
  • Review and complete the Work Environment Assessment Template in the Resources.

Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.