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If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

• Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
• Select at least one additional country to compare to the U.S. for this Assignment.
• Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
• Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

• Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
• Explain the strengths and weaknesses of each policy.
• Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
• Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
• Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
• Explain how the health policy you selected might impact the role of the nurse in each country.
• Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

• Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

 To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format. 

Assignment

Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case: Family Medicine 07: 53-year-old male with leg swelling.

Discussion Question 1

Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

Discussion Question 2

Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

Discussion Question 3

Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text.

Discussion Question 4

Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

Discussion Question 5

Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.

Attached is the case scenario

Week 2 Project – Due

Nov 25, 2020 10:59 PMNSG3039-Information Management and Technology CP02

Change Proposal

In a Microsoft Word document of 4-5 pages formatted in APA style, develop a change proposal for a new technology that will contribute to a safer patient environment.
In your paper address each of the following criteria:

• Describe how the change proposal for the new technology will:
  • impact patient safety.
  • be measured to assess the impact of your change.
  • be communicated to staff and implemented.
• Examine human factors related to change and resistance to change.

On a separate references page, cite all sources using APA format. 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

Please note that the title and reference pages should not be included in the total page count of your paper.

 Client I use in week 3 practicum Assignment: 

A 14 year old male African American came in with his mum. He was alert and oriented x3. He was dressed appropriately for the weather and was observed as being hyperactive, restless and irritable. He exhibits symptoms of agitation, feeling of worthlessness, worry, and lack of focus and concentration. Client denies suicidal or homicide ideations, no drug or alcohol abuse, he never been arrested and is not involved in gang activity. He further denies any physical, sexual, or emotional abuse, had never been arrested, and is not involved in gang activity. He further denies any physical sexual or emotional abuse . Client reported that he had an altercation with his mother concerning his disrespected behavior towards her because he rejects any authoritative control and engaged in a disruptive altercation with his mother . He subquently left the home seeking the local police for assistance

Diagnosis: 

Adjustment disorder with mixed anxiety and depressed mood

Assignment

Part 1: Progress Note

Using the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following:

• Treatment modality used and efficacy of approach
• Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals)
• Modification(s) of the treatment plan that were made based on progress/lack of progress
• Clinical impressions regarding diagnosis and or symptoms
• Relevant psychosocial information or changes from original assessment (e.g., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job)
• Safety issues
• Clinical emergencies/actions taken
• Medications used by the patient, even if the nurse psychotherapist was not the one prescribing them
• Treatment compliance/lack of compliance
• Clinical consultations
• Collaboration with other professionals (e.g., phone consultations with physicians, psychiatrists, marriage/family therapists)
• The therapist’s recommendations, including whether the client agreed to the recommendations
• Referrals made/reasons for making referrals
• Termination/issues that are relevant to the termination process (e.g., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
• Issues related to consent and/or informed consent for treatment
• Information concerning child abuse and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
• Information reflecting the therapist’s exercise of clinical judgment

Note: Be sure to exclude any information that should not be found in a discoverable progress note.

Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment.

In your progress note, address the following:

• Include items that you would not typically include in a note as part of the clinical record.
• Explain why the items you included in the privileged note would not be included in the client family’s progress note.
• Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why.

Write an answer based on this assignment. Use at least 2 references. Not use the same that appears here.

Discussion Chapter 9

Try taking a different route to class the next time it meets. Before you do this, think about how many changes, large and small, you will have to make to do this.

Will you have to leave earlier to bein class on time?

In order to be in class on time, I would have to leave earlier, since as a nurse, you are an agent of change in a formal and informal legitimate influence and whose resolution is to direct and guide growth. Arriving in class on time is an important virtue that should be checked on. Nurses should be a good role model to the other health professionals and be a guidance to them. In real life scenario, timekeeping is essential. There is a need to be at the frontline on time to provide a necessary change in the working station, hence improving work procedures and much importantly, the patient care.

Will you meet different people on your way to class?

By taking a different route and leaving earlier, I would probably meet different people on my way to class. The new route to class may allow me to recognize other individuals that I had not acknowledged before during my previous route. Therefore, on the way, I will encounter other determined nursing students.

See different sights?

By changing the route to class, I would be exposed to new sights, buildings, and locations. When you accept the new change, there are some other aspects that may be altered like thoughts, feelings, and behaviors, which may bring positive results to the new experience.

Would you change your route to class on the day of the final exam?

I would not change my route to class on the day of the final exam. I believe that changing the route on such an important day would lead to disorganizing of the plans and maybe a form of time-wasting, since it is something new and requires adjustment. In this regard, it may be better to analyze the situation to see if the change you are making is necessary. If not, following the same route will prevent further delays or new changes and challenges to previous plans.

Why or why not? Summarize the positives and negatives of this small change. Relate your responses to this change to the way staff nurses feel when an administrator makes what he or she thinks is a “minor” change.

Changing routes may be necessary if a previous routine may be affecting the success of an outcome. For instance, an administrator may provide staff nurses with a change that he or she believes is necessary for improving the outcome of a task. The change may positively affect patient care and overall health. However, this small change may negatively impact staff nurses in that their daily routine might be altered, which may affect and delay their performance throughout the day. For this reason, a leader should be knowledgeable about the change being implemented and the way it may positively and negatively impact those involved.

Think about a change that has occurred in your life. Some examples may be a change of role, a move, a marriage, a birth, a divorce, or a death

How did you react to the change?

The death of a loved one is a process that is inevitable, since it happens without someone’s concession or plans. Although my reaction was not at all pleasant, one learns ways to cope with the situation since you become affected in one way or another. The environment also gives you good exposure to how to overcome the challenges that you encounter. Learning to accept the situation is the best way to approach challenges the way they come.

Would you have reacted differently if you had had more information?

If I had known all of the details of my family member’s condition, I believe I would have reacted differently to the situation, since I would have had a good exposure on how to deal with the situation and would have known what to expect. Although death is a subject no one is mentally prepared for, having more information about the situation would have helped explain what was going on and would have provided me with a glimpse of what was to come.

Using Lewin’s model describes the essential elements in the situation and how you eventually achieved a comfortable outcome.

Lewin’s model relates efficiently to real-life situations in managing change in oneself and involves three steps, which include unfreezing, changing, and refreezing (“Lewin’s change theory,” 2019). He describes how to tackle a problem adequately and how you develop pathways on encountered solutions if it requires change. The change agent should recheck the affected systems to ensure the shift stabilizes well and is maintained. Using this theory, I first directed behavior away from the existing situation. Then, I found a way to distract myself in order to change the unpleasant feeling brought on by the death of my family member. Lastly, I implemented the distraction method regularly in order to make it a daily habit and try to surpass the inevitable tragedy.

References

Balsanelli, A. P., David, D. R., & Ferrari, T. G. (2018). Nursing leadership and its relationship with the hospital work environment. Acta Paul Enferm., 31(2), 187-193.

Lewin’s change theory. (2019). Nursing Theory. https://nursing-theory.org/theories-and-models/lewin-change-theory.php

Miles, J. M., & Scott, E. S. (2019). A new leadership development model for nursing education. Journal of Professional Nursing, 35(1), 5-11.

In 100-150 words please provide feedback to this discussion…

Perception of Workplace Violence in the Emergency Department

This article is a cross-sectional study using healthcare professionals, surveying their workplace violence history, the amount of violence, and the type by emergency room nurses and physicians. Types of abuse were conducted as verbal, physical and conformation. Information also led to the impact of workplace violence on staff and how satisfied, feeling scared, loss of sleep and missing work were caused. One strength of this article was the questionnaire and the data that was provided using statistical analysis. A weakness of the article is the conclusion and what the results showed and how they affected staff at the VA hospitals and the huge impact that violence had on staff members.

Reference:

Seema Sachdeva, Nayer Jamshed, Praveen Aggarwal, & Suman R Kashyap. (2019). Perception of workplace violence in the emergency department. Journal of Emergencies, Trauma and Shock, 12(3), 179–184. https://doi-org.lopes.idm.oclc.org/10.4103/JETS.JETS_81_1

Physical and Verbal Assault on Medical Staff in Emergency Hospital Departments in Abha City, Saudi Arabia.

A questionnaire was used to evaluate workplace violence on emergency room medical staff of different emergency rooms around Saudi Arabia. This article had a strong background thesis and it provided the reader with facts about workplace violence. The different emergency room staff were used to collect data from staff using demographics, work history, and personal data and then the violence history questions were included. A weakness of this article was that it lacked relevance in demographics, marital status and age in my opinion to the thesis at hand.

Reference:

Alqahtani, M. A., Alsaleem, S. A., & Qassem, M. Y. (2020). Physical and Verbal Assault on Medical Staff in Emergency Hospital Departments in Abha City, Saudi Arabia. Middle East Journal of Family Medicine, 18(2), 94–100. 

Workplace Violence and Perceptions of Safety Among Emergency Department Staff Members: Experiences, Expectations, Tolerance, Reporting, and Recommendations

This article started with a great abstract, summarizing key details to be explained later on in the article. Statistics and comparisons were used to explain the impact and severity of workplace violence and the effect on health care providers. A study was conducted at a Level 1 Shock Trauma Center with strategies already in place with a survey sent out electronically analyzing demographics and violent incidents. The ENA definition of WPV which states “any physical assault; emotional or verbal abuse; or threatening, harassing or coercive behavior in the work setting that causes physical and/or emotional harm” (Copeland & Henry, 2017). A weakness of this article was that only one facility in the area was analyzed and difficult to compare the results of the surrounding areas.

Reference:

Copeland, D., & Henry, M. (2017). Workplace Violence and Perceptions of Safety Among Emergency Department Staff Members: Experiences, Expectations, Tolerance, Reporting, and Recommendations. Journal of Trauma Nursing, 24(2), 65–77. https://doi-org.lopes.idm.oclc.org/10.1097/JTN.0000000000000269

Workplace Violence against Residents in the Emergency Department and Reasons for not Reporting Them; a Cross-Sectional Study

Emergency Department residents were analyzed in a cross-sectional study of three teaching hospitals in Iran. A questionnaire was used analyzing demographics and the type and the reporting incidents when the violence was present. A strength of this article was the referencing of the World Health Organization and the statistics used to create a strong background of workplace violence and the prevalence. A weakness of this article was the limitation of time due to the time constraint that was conducted for the study. The study only analyzed 1 year of experiences despite longer educational programs of how long residents are in their practicum. 

Reference:

Emam, G. H., Alimohammadi, H., Sadrabad, A. Z., & Hatamabadi, H. (2018). Workplace Violence against Residents in the Emergency Department and Reasons for not Reporting Them; a Cross Sectional Study. Emergency, 6(1), 1–7.

Quality of work-life and its association with workplace violence of the nurses in emergency departments

Nurses were analyzed on how violence affected their home life, using a descriptive-correlational study with a questionnaire. The article had a strong and detailed introduction explaining the importance of the quality of work life. High quality work-life can create nursing retention and delivery of quality patient care. A weakness of this article was the details of the questionnaire were lengthy and divided into 3 different parts analyzing in-depth information of the nurses which can take a significant amount of time. 

Reference:

Eslamian, J., Akbarpoor, A. A., & Hoseini, S. A. (2015). Quality of work-life and its association with workplace violence of the nurses in emergency departments. Iranian Journal of Nursing & Midwifery Research, 20(1), 56–62.

Worker, workplace, and community/environmental risk factors for workplace violence in emergency departments

Six different emergency departments were used in cross-sectional research design, completing a survey on demographics. Over 280 respondents completed the survey and answers were analyzed. The article had great breakdowns of charts, common answers among hospital personnel and the different types of violence. A weakness in this article was the different variables of workplaces in different areas of the United States. Depending on the demographic area can change the environment for nurses and staff who are completing the surveys. 

Reference:

Gillespie, G. L., Pekar, B., Byczkowski, T. L., & Fisher, B. S. (2017). Worker, workplace, and community/environmental risk factors for workplace violence in emergency departments. Archives of Environmental & Occupational Health, 72(2), 79–86. https://doi-org.lopes.idm.oclc.org/10.1080/19338244.2016.1160861

Work #1:

Actual work where 2 students given their post on this:

Discuss in 500 words, why institutions might be reluctant to move their IT to the cloud. Consider a specific industry like education, medicine, military, etc. 

Use at least three sources. Use the Research Databases available from the Danforth Library not Google. Include at least 3 quotes from your sources enclosed in quotation marks and cited in-line by reference to your reference list.  Example: “words you copied” (citation) These quotes should be one full sentence not altered or paraphrased. Cite your sources using APA format. Use the quotes in your paragaphs.  Stand alone quotes will not count toward the 3 required quotes.

Copying without attribution or the use of spinbot or other word substitution software will result in a grade of 0. 

Write in essay format not in bulleted, numbered or other list format. 

Reply to two classmates’ posting in a paragraph of at least five sentences by asking questions, reflecting on your own experience, challenging assumptions, pointing out something new you learned, offering suggestions. These peer responses are not ‘attaboys’.   

It is important that you use your own words, that you cite your sources, that you comply with the instructions regarding length of your post and that you reply to two classmates in a substantive way (not ‘nice post’ or the like).  Your goal is to help your colleagues write better. Do not use spinbot or other word replacement software. It usually results in nonsense and is not a good way to learn anything. . I will not spend a lot of my time trying to decipher nonsense. Proof read your work or have it edited. Find something interesting and/or relevant to your work to write about.  

Work #2:

1) Describe the price-earnings ratio.  What can investors learn from interpreting the results of this ratio?

2) Select a company that trades common stock on the NYSE.  Please identify and describe the information that is included in the stock trading reports for that stock.

Please find the two attachments. 

Assignment: Upstream Approaches to Canadian Population Health

Although Canada is contiguous to the United States and has some cultural and historical similarities, Canada’s population enjoys a vastly superior health status. Reasons are many, can be traced historically, and are related to a different view of the role of government. The experience of Canada demonstrates that neither a heterogeneous population, nor a health system that has waiting lines for services, are reasons for poor health. By looking critically at what produces good health in Canada, much can be learned about steps the U.S. might need to take if population health is its goal.

The Canadian Best Practices Portal challenges Canadian public health practitioners and researchers to create upstream interventions aimed at the source of a population health problem or benefit. What is being done to address the influences on population health in Canada?

To prepare for this Assignment, review your Learning Resources. Search the Internet and scholarly research for examples of Canadian “upstream interventions” that can be put forth as examples of either effective or ineffective efforts to improve population health.

The Assignment (2–4 pages):

• Provide a description of an existing intervention in Canada, intended to improve health inequities. Include an explanation of the inequity and how the intervention targets upstream determinants of health.
• Describe the organizations involved and/or social policies enacted in the implementation of the intervention.
• Explain whether or not the intervention was/is successful and what lessons public health practitioners can learn from that experience that might improve population health in the United States.
• Expand on your insights utilizing the Learning Resources.

Use APA formatting for your Assignment and to cite your resources.

NR 304 Video Essay Faculty Assignment

NR 304 Video Essay Faculty Assignment

CriteriaRatingsPts

This criterion is linked to a Learning OutcomeQuestion 1Is 50-100 words in length.
Fully answers the question using details and/or examples from the video.
Writing is clear, grammatically correct, and uses good sentence structure.

25.0 pts

This criterion is linked to a Learning OutcomeQuestion 2Is 50-100 words in length.
Fully answers the question using details and/or examples from the video.
Writing is clear, grammatically correct, and uses good sentence structure.

25.0 pts

This criterion is linked to a Learning OutcomeQuestion 3Is 50-100 words in length.
Fully answers the question using details and/or examples from the video.
Writing is clear, grammatically correct, and uses good sentence structure.

25.0 pts

This criterion is linked to a Learning OutcomeQuestion 4Is 50-100 words in length.
Fully answers the question using details and/or examples from the video.
Writing is clear, grammatically correct, and uses good sentence structure.

 After working with your preceptor to assess organizational policies, create a list of measurable outcomes for your capstone project intervention. Write a list of three to five outcomes for your proposed intervention. Below each outcome, provide a one or two sentence rationale.