Select three bills of interest to you. Track the progress of one on the Internet and Do a brief legislative analysis of one of the bills. Document results in journal form. Include contact with your representative in the Illinois General Assembly. 

3.Discuss analysis of bill in class

4. Legislative analysis:

• written clearly, succinctly, using correct grammar, punctuation, sentence structure 

•organized

•includes a summary of the highlights of the bill.

•includes your thoughtful and critical analysis on the content of the bill

1-page discussion, at least 2 in-text references (1 must be from the book, posted in file the book used)…see the file uploaded for the topic questions.

Hi

I need a power point with no more than 20 slides about hematologic disorders in pediatric patient. The disorders are:

Anemia

Iron deficiency anemia

Thalassemia

Hemolityc anemia

Sicklemia

Glucose 6 phospate dehydrogenase deficiency

ITP

Hemophilia A-B

Leukemias

Yuo can chose the 4 to 5 more frequent disorders to develop the PP. Talk about risk factor, cause, symtomps, diagnosis, treatment 

Change Theory and Models for Change Intervention

I selected a behavioral change theory as a framework to guide my practice problem intervention.  The Theory of Reasoned Action (TRA) originated in the 1960s, has been used in past to guide clinical practice intervention in behavioral related changes (Chamberlain College of Nursing, 2020). For example, it has been used in smoking cessation, dieting, the use of seat belts, voting, breastfeeding, as well as HIV/AIDS intervention both in and outside the United States (Fishbein et al,1994 as cited in White et al., 2016).

The theory of reasoned action has four key components. They are behavior, intention, attitude, and norms (White et al., 2016). The theory is based on the belief that people are rational creatures and that their willingness to change behaviors have a lot to do with their conscious commitment. The following variables according to Fishbein et al, (1994 as cited in White et al., 2016) are interrelated; They are

1. Behavior – what is needed to happen so that the person understands what has to be done to achieve change.

2. Intention – The person’s readiness to change the behavior. That behavior change depends on the last two components attitude and norms.

3. Attitude – what are the approval and disapproval feeling the person may have about the behavior.

4. Norms (subjective)– How does that person who is about to undertaking that particular behavioral change believes others will feel about the behavior.

In this particular theory, there is no clear component for networking with the stakeholders during the phases of the practice changes. I was unable to find ways to evaluate the evidence. I was not able to identify any component for identifying nor addressing barriers to implementation. However, TRA has been implemented successfully in multiple clinical interventions to adopt healthy behavior. In a recent research study using TRA to understanding teen pregnancy in the American Indians communities, they found that the subject’s attitude about using birth control and the favorable or unfavorable opinions of others indicate whether or not these teenagers used contraceptives (Dippel et al., 2017).

For the practice intervention to be successful, the individuals have to be prepared to change their beliefs and attitudes towards obesity. The perspective participants, who are one of the key stakeholders in this project have to be vested in the plan. There need to be a desire to lost weight and work towards maintaining it. They also have to know that their support system, that is family and friends will be supportive throughout. For any change to occur, the door to communicating with all key stakeholders need to remain open throughout the implementing and evaluation phase of the practice change intervention and beyond.

References

Chamberlain College of Nursing. (2020). NR-701 Week 4: Change theory and models for change intervention [Online lesson]. Adtalem.

Dippel, E.A., Hanson, J.D., Mchahon, T.R., Griese, E.R. & Kenyon, D.B. (2017). Applying the theory of reasoned action to understanding teen pregnancy with American Indians communities. Maternal Child Health Journal, 21 1449-1456. doi:10.1007/s10995-017-2262-7

Family Health International. (1996). Behavior change: A summary of four major theories. http://www.fhi360.org/resource/behavior-change-summary-four-major-theories.

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2016). Translation of evidence into nursing and health care (2nd ed.). New York, NY: Springer Publishing Company.

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

Choose a nursing theory and research an article that includes a nursing theory and its utilization in nursing practice or nursing research. Write a two paragraph summary of the article highlighting the application of the selected nursing theory to nursing practice and reaserach 

Article should be current, peer reviewed and within a five year span.

-Use APA format for your references and citations

Submit trough turn it in 

I uploaded the nursing theory.

Reply 1

Technology is plying a vital role in health care system for providing safe and quality care. Its not helping to collect and save data but also sharing the data between health care providers involved in patient care for effective outcomes of care. Technology is an integral part of health screening diagnosis, and treatment.

In my health organizations technology has become important part of patient care. We start using technology the time we step in the building as we scan our chip ID to enter in our locked dementia unit which enhance patient’s safety because only authorized staff can enter in the unit. Technology is used for electronic shift report which help us to keep track how was the patient’s condition in previous shift and if there is any big changes in patient’s health, any fall happens during previous shift hours. We use software to keep the track of medication administration every day for each patient. Technology is used to keep the records of each patient e.g. health records, history, physicals, any incident, admission or discharge records, any information related to patient are recorded, using the online software which makes it so much easier for all staff who is authorized to use information. Pharmacy can check the medication orders for the patients and recommend accordingly which is only possible because of technology, the moment we get orders it is verified with the pharmacy, and medication orders are processed faster than ever, and the medication was sent by pharmacy on time without any delay. We can imagine if there is no such technology how long it will take to get one order and then how long it will take to reach pharmacy and get medication. Technology helps to process the things faster, which makes it possible to provide the best possible care to the patients. 

Reply 2

   Digital innovations have radically transformed the healthcare system. Information technology plays a growing role in the delivery of healthcare and helps in addressing the health problems and challenges encountered by clinicians and other health professionals in practice (Campanella, Lovato, Marone, Fallacara, & Mancuso, 2015). Electronic health records (EHRs) have been widely applied in the United States to document and gather patient information. An electronic health record refers to a systematic electronic collection of patients’ health information such as their medical history, medication orders, laboratory results, medical procedures, vital signs, radiology reports, and physician and nurse notes. EHRs also help healthcare professionals to make sound clinical decisions as EHRs also include decision support systems (DSS) which provide up-to-date medical knowledge, reminders, and other actions (Campanella, Lovato, Marone, Fallacara, & Mancuso, 2015).

         Evidence supports that EHRs can improve the quality of healthcare, increase time efficiency, improve adherence to guidelines, and reduce medication errors and adverse drug events (Campanella, Lovato, Marone, Fallacara, & Mancuso, 2015). Consequently, can also reduce costs associated with medical errors, adverse drug events, and time inefficiency. Considerable reduction in costs occurs when the quality of patient care is improved and patient harm reduced. Adherence to guidelines by healthcare professionals has a direct impact on the use of resources and the cost of healthcare as DSS supports clinicians in clinical decision making (Miriovsky, Shulman, & Abernethy, 2012). This reduces medical errors, adverse drug events, and resource wastage. HER guidelines are promoted to decrease variability in clinical practice and the use of ineffective therapies in clinical practice. The use of appropriate information technology in healthcare delivery improves the efficiency of hospitals as benefits exceed operational costs.

References

Campanella, P., Lovato, E., Marone, C., Fallacara, L., Mancuso, A., Ricciardi, W., & Specchia, M. L. (2015). The impact of electronic health records on healthcare quality: a systematic review and meta-analysis. The European Journal of Public Health, 26(1), 60-64.

Miriovsky, B. J., Shulman, L. N., & Abernethy, A. P. (2012). Importance of health information technology, electronic health records, and continuously aggregating data to comparative effectiveness research and learning health care. Journal of Clinical Oncology, 30(34), 4243-4248

Assessment 3

• Disaster Plan With Guidelines for Implementation: Tool Kit for the Team

• Overview: Develop a disaster preparedness tool kit for a community or population. Then, develop a 5-slide presentation for your care coordination team to prepare them to use the tool kit to execute a disaster preparedness plan.
  Note: The assessments in this course build upon the work you completed in previous assessments. Therefore, complete the assessments in the order in which they are presented.
  Disaster planning is vital to ensuring effective and seamless coordination, throughout the recovery period, among those affected by the disaster and an extensive array of health care providers and services. Care coordination, as part of an overall disaster response effort, helps ensure that victims receive needed care as access to providers and services are gradually restored over time.
  SHOW LESSThis assessment provides an opportunity for you to develop a disaster preparedness tool kit for a community or population of your choice, and prepare your care coordination team to use the tool kit to execute that plan.
  By successfully completing this assessment, you will demonstrate proficiency in the following course competencies and assessment criteria:
  • Competency 1: Propose a project for change, for a community or population, within a care coordination setting. 
    • Identify the key elements of a disaster preparedness tool kit for providing effective care coordination to a community or population.
  • Competency 2: Align care coordination resources with community health care needs. 
    • Assess the care coordination needs of a community or population in a disaster situation.
    • Identify the personnel and material resources needed in an emergency to provide the necessary coordinated care.
  • Competency 3: Apply project management best practices to affect ethical practice and support positive health outcomes in the delivery of safe, culturally competent care in compliance with applicable regulatory requirements. 
    • Describe standards and best practice methods for safeguarding the provision of ethical, culturally-competent care in challenging circumstances.
    • Identify applicable local, national, or international regulatory requirements governing disaster relief that influence coordinated care.
  • Competency 4: Identify ways in which the care coordinator leader supports collaboration between key stakeholders in the care coordination process. 
    • Analyze the interagency and interprofessional relationships essential to coordinated care in a disaster.
  • Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. 
    • Prepare a care coordination team to use a disaster preparedness tool kit for implementing a disaster preparedness project plan.
    • Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
  • Competency Map
    CHECK YOUR PROGRESSUse this online tool to track your performance and progress through your course.
• Assessment Instructions
• Note:Your work in Assessments 1 and 2 will inform your work in this assessment. Therefore, complete the assessments in the order in which they are presented.
  Preparation
  For this assessment, you will assume the role of Care Coordinator for Disaster Care in the same practice setting you chose for Assessment 1. Within this context, you will develop a disaster planning tool kit to provide comprehensive community health care disaster relief or to meet the care needs of a specific population within the community. Choose a current event or hypothetical disaster scenario as the basis for your  tool kit. Explore past and recent disasters and lessons learned.
  After completing your disaster planning tool kit for your particular situation, you will then develop a short presentation for your care coordination team to prepare your team for using the tool kit.
  Note:Remember that you can submit all—or a portion of—your draft documents to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
  Presentation Tools
  You may use Microsoft PowerPoint or any other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your instructor to avoid potential file compatibility issues.
  Use the speaker’s notes section of each slide to develop your talking points and cite your sources, as appropriate. If you need help designing your presentation, you are encouraged to review the various presentation resources provided for this assessment. These resources will help you to design an effective presentation, whether you choose to use PowerPoint or other presentation design software.
  You have the option of either recording a voiceover track for your presentation or creating a video. In either case, you may use Kaltura Media or other technology of your choice for your audio or video recording
  • If using Kaltura Media, refer to Using Kaltura for directions on recording and uploading your video in the courseroom.
  • Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.
    Requirements
    For this assessment:
  1. Develop a disaster planning tool kit that includes:
     • The policy for the disaster preparedness plan.
     • Guidelines on how to employ the policy in practice.
     • Recommendations for identifying and working with stakeholders to achieve buy-in and support to implement and sustain the plan.
  2. Develop a presentation for your care coordination team to prepare them to use the disaster planning tool kit to implement a disaster preparedness plan.
  3. Use the care coordination project plan you developed in Assessment 1 as a model for your tool kit in this assessment. You may choose to develop an overarching plan for the entire community or to address the care needs of a specific population within the community. You may address the same population you chose in Assessment 1 or Assessment 2.
     Tool Kit Documents and Presentation Format and Length
     Format your tool kit using APA style.
  • Your tool kit should consist of a one page summary explaining what you did and why. Place as appendices the policy, guidelines, and recommendations.
  • Your document should also include: 
    • A title page and references page. An abstract is not required.
    • A running head on all pages.
    • Appropriate section headings.
  • Be sure that the content of your document is clear, well-organized, and does not exceed 3–5 pages.
  • At a minimum, your presentation must include the following slides:
  • Title.
  • Purpose (the reasons for your presentation).
  • References (at the end of your presentation).
  • Use the speaker’s notes section of each slide to develop your talking points and cite your sources, as appropriate.
  • Your slide deck should consist of approximately 5 slides, not including the title, purpose, and references slides.
    Supporting Evidence
    Cite 5–7 sources of scholarly or professional evidence to support your project plan.
    Developing Your Disaster Planning Tool Kit and Presentation
    Note:The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that, at a minimum, you address each criterion. You may also want to read the Disaster Plan With Guidelines for Implementation: Tool Kit for the Team scoring guide to better understand how each criterion will be assessed.
  • Assess the care coordination needs of a community or population in a disaster situation. 
    • What key challenges is the community or population likely to face?
    • What lessons learned are offered by similar disasters?
    • What evidence supports your conclusions?
  • Identify the key elements of a disaster preparedness project plan for providing effective care coordination to a community or population.
    • What are the potential effects of the disaster on care coordination?
    • What factors should your plan address? For example, consider training, coordination with outside organizations, or evacuation.
    • What resources might aid your planning process? For example, a facility risk assessment or hazard vulnerability analysis?
  • Identify the personnel and material resources needed in an emergency to provide the necessary coordinated care. For example, consider the following: 
    • First responders.
    • Critical access points for care.
    • Ambulance transport.
    • Types of critical supplies and equipment, such as ventilators with generators.
    • Medicine and other life support needs.
  • Describe standards and best practice methods for safeguarding the provision of ethical, culturally-competent care in challenging circumstances. 
    • What standards and practices are most applicable in this instance? Why?
    • How do they safeguard the provision of ethical, culturally-competent care?
  • Analyze the interagency and interprofessional relationships essential to coordinated care in a disaster. 
    • What role do particular agencies or organizations play in a disaster?
    • Why are these relationships essential?
  • Identify applicable local, national, or international regulatory requirements governing disaster relief that influence coordinated care. 
    • What are the implications and consequences for care coordination?
  • Prepare your care coordination team to implement the project plan. 
    • Clearly communicate the important aspects of plan implementation, including specific actions and their underlying rationale.
    • What questions, objections, or resistance might you expect? How will you respond?
    • Express your main points, arguments, and conclusions coherently.
    • Proofread your slides to minimize errors that could distract the audience and make it more difficult to focus on the substance of your presentation.
  • Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style. 
    • Is your supporting evidence clear and explicit?
    • How or why does particular evidence support a claim?
    • Will your audience see the connection?
  • Additional Requirements
    Be sure that you have used the APA Style Paper Template [DOCX]to format your project tool kit and that your document includes:
  • A title page and references page.
  • A running head on all pages.
  • Appropriate section headings.
  • In addition, be sure that:
  • Your slide deck consists of approximately 5 slides, not including the title, purpose, and references slide.
  • You have cited 5–7 sources of relevant and credible scholarly or professional evidence to support your project plan.
  • Use the speaker’s notes section of each slide to develop your talking points and cite your sources, as appropriate.
  • Portfolio Prompt:You may choose to save your project plan, presentation, and guidelines to your ePortfolio.

Mental Health in the Community

Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

• Go to the Healthy People 2020 website and search for Mental Health and Mental Disorders. After reading the Overview section in Healthy People 2020 under Mental Health and Mental Disorders, pick and note the number and name of 2 objectives/goals from the list that you feel affect your community and explain why these were chosen. As a nurse, what can you do to help the community move towards this goal?
• Explain how physical health and mental health are correlated. What impact does each have on the other? Give at least one detailed example of how either a specific physical ailment leads to a breakdown in mental health or how a specific mental health disorder can lead to physical issues.
• Explain Trauma Informed Care in detail. How you can use Trauma Informed Care to assist a child who has been impacted by trauma?

Assignment Expectations:

Length: 1000-1500 words; answers must thoroughly address the questions in a clear, concise manner.

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) outside scholarly sources are required.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)

File name:  Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)

please response to the discussion 

Respond to the following questions and answer in more than 5 sentences but less than 10 sentences each: 

1. Describe the culture of safety in healthcare.

2. How does this compare to the blame culture?