Write a reflective forum in this discussion board to explore what you learned about yourself and nursing in the process of completing this course.

400 – 600 words, in 2-3 paragraphs, will be sufficient for the response posting. Be sure that postings with specific references use APA format.

*Users must post before seeing replies.

Based on “Case Study: Fetal Abnormality” and the required topic study materials, write a 750-1,000-word reflection that answers the following questions:

1. What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
2. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
3. How does the theory determine or influence each of their recommendations for action?
4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Remember to support your responses with the topic study materials.

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.

AttachmentsPHI-413V-RS-T2CaseStudy.docx 

Note: This Assignment is due on Day 5 of Week 11.

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

Stress and Nursing Practice

Write an 500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. 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 two (2) sources in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

• Describe the case that defined you as a nurse.
  • What happened, how were you involved?
  • How does this case still affect you and your practice?
  • What steps have you taken to overcome the stress of this event? (Remember to protect patient privacy).
• Explain the importance of debriefings.
  • If a debriding would happen in your workplace who would be involved, what would be discussed, who would lead the debriefing, where would it take place?

Assignment Expectations:

Length: 500 words

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 two (2) scholarly sources are required for this assignment.

If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption?

These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.

In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.

To Prepare:

• Review the Resources and select one current national healthcare issue/stressor to focus on.
• Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.

By Day 3 of Week 1

Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.

By Day 6 of Week 1

Respond to at least two of your colleagues on two different days who chose a different national healthcare issue/stressor than you selected. Explain how their chosen national healthcare issue/stressor may also impact your work setting and what (if anything) is being done to address the national healthcare issue/stressor.

A 5-year-old male is brought to the primary care clinic by his mother with a chief complaint of bilateral ear pain with acute onset that began “yesterday.” The mother states that the child has been crying frequently due to the pain. Ibuprofen has provided minimal relief. This morning, the child refused breakfast and appeared to be “getting worse.”

Vital signs at the clinic reveal HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. Weight is 40.5 lbs. The mother reports no known allergies. The child has not been on antibiotics for the last year. The child does not have history of OM. The child is otherwise healthy without any other known health problems.

Physical examination reveals:  Vital signsl HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. Weight is 40.5 lbs. Bilateral TMs are bulging with severe erythematous. Pneumatic otoscopy reveals absent mobility. Ear canals are nomal.

After your questioning and examination, you diagnose this child with bilateral Acute Otitis Media.

write a 2 paragraph research proposal on the importance of EBP on stroke education. use at least 2 references

CASE SCENARIO

As a nurse in a healthcare organization, it has become evident that patient outcome data have been consistently declining in some patient care settings. Some of the outcomes under inspection include patient Hospital Acquired Pressure Injury (HAPI), (4% increase in the last 6 months) .

You have been asked to investigate contributing factors to the declining outcomes and participate with a team approach to developing an evidence-based practice project. As you started this exploration, you came across this article Aiken Article titled “The effects of nurse staffing and nurse education on patent deaths in hospital with different nurse work environment” , which served as a starting point for the assignment you have been given. You may need to secure some current articles to support you as you develop the clinical question. For example, you may want to retrieve peer review articles on patient HAPI.

1. Access the link to the Aiken article above and read the article. This article will provide some background information that links nurse-patient ratios to patient outcomes. The article is provided to get you started on the development of an evidence-based project (EBP).

2. Refer to the Iowa Model  to serve as a guide in the development of the EBP project. Be sure to explain, in detail, how each step of the Iowa Model supports your project development.

3. Based on the information in the article, develop a PICO question to address the problem of a decline in patient outcomes.

4. Use the format below to develop the PICO:

5. Include additional articles as background information to provide information for the problem areas identified.

6. Discuss the influence of Scripture on the imperative for utilizing current evidence to deliver safe and quality patient care.

  PICO  FORMAT

Patient/Problem/Population: 

______________________________________________________________________________________________________________________________________________

Intervention: ________________________________________________________________________________________________________________________________________________

Comparison: (if applicable) ____________________________________________________________________________________________________________________________________________________

Outcome: ____________________________________________________________________________________________________________________________________________________

I. Based on the content above, write out your question in sentence format: ____________________________________________________________________________________________________________________________________

II. Based on your work above, make a list of possible search terms that may be used in the literature search:

___________________________ ________________________________

___________________________ ________________________________ 

__________________________ ________________________________

• Differentiate normal from abnormal findings.
• Describe how the nurse can teach and counsel during a health assessment.

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

Peer 1

Vulnerable populations are those whose health issues may be enhanced by social factors and experience greater risk factors, worse access to care, and increased morbidity and mortality compared to the general public (Joszt, 2018). This can include the chronically ill and disabled, low-income or homeless individuals, certain geographical communities, LGBTQ+ populations, and the very old and very young.

In my community I can tell you about our Georgia Pines Behavioral Center that is state funded to provide mental health services from counseling to referrals for crisis interventions. To be eligible for services you need a valid Georgia ID, proof of household income, and Medicaid or Medicare documentation, If you do not have Medicaid or Medicare they do offer payment assistance.

Two other facilities that are located in my community are the Georgia Farm Worker Health Clinic and Primary Care of Southwest Georgia. These two clinics are very similar in that they are both federally funded and base service fees off of a sliding scale from proof of income. Each clinic offers a variety of different services, but are essentially equal in primary care. The differences are Primary Care of Southwest Ga is considered an FQHC, which is a Federally Qualified Community Health Center and serves the entire community. The Farm Worker Health Clinic only serves people that work in agriculture and can show proof of income from agriculture work. Anyone who lives in the same household as them also qualify. Having facilities in my community are a blessing since there are so many counties and towns that do not have any access to health care near them.

Reference

 Joszt, L. (2018). 5 vulnerable populations in healthcare. American Journal of Managed Care. Retrieved from https://www.ajmc.com/views/5-vulnerable-populations-in-healthcare

Peer 2

The population that I chose to research resources were the homeless people in the my area. The three organizations I found were Western Tidewater Community Services Board, Social Services and For Kids. All three of these organizations are non-profit organizations that assist with the community. The CSB  helps the homeless population with medication, case management services, food vouchers, financial assistance vouchers, clothes. Social services also helps the homeless with money and food. They link them to other resources as well. For Kids assist with shelters (they have homes), money, food, clothes (Good Mojo Store), crisis line, job coaching, mental health coordination and case management. 

Each organization is funded similar and differently at times. The CSB is funded through donations and state issued grants. They also get reimbursements from Medicaid when they provided certain services. Social services is funded by local and state funds. Lastly, For Kids is funded my grants from both local and state pools. They also use donations due to them being a non-profit. 

I think that all three organizations are able to provide good services/ support to the homeless because each one of them might know other services that can assist. Also, if they work together can provide a better solution for the population. 

References

For Kids. (n.d.). Family Homelessness | ForKids | Norfolk, VA. ForKids. Retrieved October 13, 2020, from https://www.forkids.org/

Social Services | Suffolk, VA. (n.d.). Suffolk Social Services. Retrieved October 13, 2020, from http://www.suffolkva.us/760/Social-Services

Western Tidewater CSB. (2020, October 8). Western Tidewater Community Services Board: Forward, Together. Western Tidewater Community Services Board. https://www.wtcsb.org/