Posts in category: Uncategorized

Write a paper that addresses the following:

1. What is the role of a community health nurse? 
2. How does the community health nurse assist the families of patients in their home settings?
3. What are some of the barriers related to the initiation of home care services in communities?
4. How does living in an urban area versus a rural area affect home care services?

Your paper must be three to four pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1” margins. Include a minimum of three references.

 
3 days agoTERESA HILLIARD RE: Discussion – Week 9COLLAPSE

Nurses have the ability to engage in policy formations for the well-being of our patients. There are several ways that nurses can choose to influence or become involved in policy making that can reap benefits for patients and as well as nurses. Levine (2020) states that the Institute of Medicine recommends that nurses further their practice by committing to continues education throughout their career and taking on leadership roles to help guide and advance healthcare and the nursing profession. 

Professional organizations provide RNs an APRNs the opportunity to take part and participate in policy review. Typically, professional organizations involved in nursing advocacy also participates in issues involving nursing and healthcare at local levels all the way up the ladder to global levels. A professional organization provides nurses with a network where they can be heard by voting, discussing, and influence change on certain issues (Echevarria, 2018). Members can become directly involved via voting or survey response (Echevarria, 2018). A second was nurses can play an active role in policy review is to collect data and provide feedback to policy makers or other leaders on whether new policies being implemented are effective (Milstead & Short, 2019). Information such as this can be gathered though quality improvement projects. 

Challenges may arise when nurses choose to play an active role in policy-review. They may feel inadequately prepared or educated in participating and may even have other challenges arise when other team members are uninterested in participating. Insufficient data collection would also cause issues to arise when trying to implement change. When any change challenges can and should be anticipated at some point. Milstead and Short (2019) states that some challenges can be eliminated or reduced by appointing a leader that is responsible for discovering resources and collecting data. 

A nursing leader can be a positive role model by actively participating in policy review and encouraging other nurses to make a difference through word of mouth or providing education to empower other nurses. Nurses comprise a huge part of the healthcare system and we play an important role, as most of our time is spent with patients we know and understand the specific needs of our patient population. For this reason, RNs and APRNs play a crucial role in advocacy and policy-review. 

References  

Levine, Mary & Ellen MSN, RN. (2020). When new nurses talk, nursing organizations listen. Nursing, 50, 53-57. https://doi.org/10.1097/01.NURSE.0000604720.20331.54 

Echevarria, I. (2018). Make connections by joining a professional nursing organization. Nursing, 48, 35-38. https://doi.org/10.1097/01.NURSE.0000547721.84857.cb 

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning. 

 Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

• Read the articles by Sikka, Morath, & Leape (2015);      Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016)      provided in the Resources.
• Reflect on how EBP might impact (or not impact) the      Quadruple Aim in healthcare.
• Consider the impact that EBP may have on factors      impacting these quadruple aim elements, such as preventable medical errors      or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

• Patient experience
• Population health
• Costs
• Work life of healthcare providers

24 hours and FILLEd out no essay or written work 

Discussion prompts

Prompt 1——– 3 reference 

1. Select a research study that discusses the efficacy of a treatment program for opioid use.

2. 150  words You will use this same study for this week’s assignment. 

3. 150 words What biases did the researchers identify in the study? 

4. 150 words What other biases did you identify? Explain your answers.

5. 150 words What alternative treatment are available for opioid?

6. 150 words What therapeutic communication is used by healthcare provider and nurses for clients in opioid crisis? 

Prompt 2 ———3 reference 

1. 150 words What is the intended target population for this treatment in the study you selected? 

2. 150 words What is a culturally competent way to implement treatment within this population? 

3. 150 words What are the necessary elements for a successful culturally appropriate implementation?

4. 150 words What advice would you provide to first responders such as EMT and police officers when responding to a client in opioid crisis? Provide research and evidence to support your argument. 

5. 150 words Does prescribing opioids provide ethical and moral dilemma for physicians? Provide research and evidence to support your argument. 

Cite and reference all sources using APA 7th edition format, also include subheading for each sections

Separate Essay section —–4 reference 

In a separate 1500 words essay address the response below using the same study from discussion prompt 1

Anytown needs your help to determine what intervention programs are available for opioid users.

There are no programs currently available for the residents, so swift action is necessary. Your supervisor at the Department of Health has asked you to prepare a report on an intervention program. If this report is approved, you may be tasked with a full report to submit to the director.

Use the same study from discussion prompt 1, which discusses the efficacy of a treatment program for opioid use and answer the following questions:

1. What hypothesis was proposed? 

2. Did the researchers obtain an answer?

3. What type of intervention was utilized?

4. How were the participants selected?

5. What were the modes of data collection, analysis, and interpretation?

6. Do you think this can work in Anytown? Explain your answer.

Cite and reference all sources using APA 7th edition format, also include subheading for each sections

• Explain why Congress allows self-employed taxpayers to deduct the employer portion of their self-employment tax.
• Describe the tax benefits from “bunching” itemized deductions in one year. Describe the characteristics of the taxpayers who are most likely to benefit from using bunching and explain why this is so. 

From this reference please

https://player-ui.mheducation.com/#/epub/sn_0d37c#epubcfi(%2F6%2F166%5Bdata-uuid-a842a23e5053473694399de7c4223f34%5D!%2F4%2F1:0)

As you think back over the last seven weeks, you have all come a long way with understanding research and EBP. The week introduction stated it best: “Gone is the reliance on traditions, myths, and outdated resources.”

Think about nursing practice and describe one barrier that you feel prohibits nurses from engaging in EBP; share one strategy you could use to facilitate the use of evidence to help improve nursing care for patients.

Reflect back over your time in the course and describe how your thinking has changed about nursing research and evidence-based practice; describe one new learning during this course that you believe was the most helpful.

**Please credit at least your weekly lesson and your textbook within your posts this week. No outside references are required. Take some time and really reflect on what you have learned and how you can apply it to your nursing practice

Responses to at least two classmates’ postings should be approximately 200 words and should be thoughtful, substantial, polite and more extensive than a simple “well done” phrase or “I agree.” Consider points of agreement, disagreement, assumptions, and value judgments. You will be able to respond to others after you submit your initial post. Your grade will be affected by how thoughtful your replies and initial questions are answered.

Local Practice Problem Exploration: Cancer.

Reflect upon the selected national practice problem in Week 1 (cancer) to address the following.

1-  From a local perspective (Miami, Florida) how does the practice problem (cancer) impact nurses, nursing care, healthcare organizations, and the quality of care being provided?

2- Identify the local key stakeholders related to the selected practice problem (cancer). *(stakeholders—healthcare providers, educators, business leaders, social service providers, community organizations, and clergy)

3- Describe one approach used in your unique setting to address this problem (cancer). From your perspective, is this intervention effective in addressing the problem? Why or why not? If this practice problem is not addressed at your workplace, propose an intervention that could be implemented on a local scale to address the problem. 

Can start from:

 In the state of Florida in 2019, lung cancer has been rated second, on the 10 top causes of the total number of deaths and percent change 2009–2019, all ages combined. 

Instructions:

Use an APA style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website, or blogs should not be used.

Additional Resources: FLORIDA

The Local Burden of Disease (LBD). These websites explore the local burden of disease.

View the U.S. State Burden Topic Profiles at http://www.healthdata.org/node/

Download the GBD report, Rethinking Development and Health: Findings From the Global Burden of Disease at http://www.healthdata.org/results/country-profiles (Links to an external site.).

View main findings by country at http://www.healthdata.org/results/country-profiles (Links to an external site.).

Explore the GBD Compare data visualization at http://vizhub.healthdata.org/gbd-compare/ (Links to an external site.).

Read about the GBD research study at www.healthdata.org/gbd (Links to an external site.).

The U.S. Burden of Disease Collaborators. (2018). The State of U.S. health, 1990-2016 burden of diseases, injuries, and risk factors among U.S. states (Links to an external site.). JAMA, 319(14), 1444-1472. https://doi.org/10.1001/jama.2018.0158

The Role of the Stakeholder When Designing a Practice Change

10 causes of the total number of deaths in 2019 and percent change 2009–2019, all ages combined See related publication: https://doi.org/10.1016/S0140-6736(20)30925-9Institute for Health Metrics and Evaluation. (2018, January). What is the global burden of disease? http://www.healthdata.org/infographic/what-global-burden-disease-gbd http://www.healthdata.org/infographic/what-global-burden-disease-gbd%E2%80%AF

Institute for Health Metrics and Evaluation. (2020). US health. http://www.healthdata.org/us-health (Links to an external site.)

Institute for Health Metrics and Evaluation. (2020). How Long do people live? http://www.healthdata.org/united-states

 Step 1: Using the following Case Study, create a meal plan.

Jackie is a healthy women.  She is 45 years old and 5’7″ tall.  Jackie’s current weight is 160 lbs.  She exercises 4-5 times per week but is struggling to meet her goal weight.  Jackie is seeking your clinical advice to lose 15 lbs in 3 months.  Her target weight goal is 145 lbs. 

Write a basic meal plan for your client. (At least 4 days of food plan to help Jackie get started)

• Include how many calories each day she will need to consume to lose 1-2 lbs each week. I expect actual numbers you can back up (what are the specific numbers for our client Jackie? I have attached some help) 
• Calculate her complete macro-nutrient breakdown including; total carb consumption, total fat consumption, total protein consumption
• Explain the rationale for all of your choices (The chapter 10 slides will help especially 21-34) What is her energy requirement to stay the same (EER)?.  How many calories does she have to reduce to get to her goal? Please remember Jackie is your client not a dietitian or nutritionist.