Nursing discussion

https://www.bostonglobe.com/magazine/1995/07/16/patient-story/q8ihHg8LfyinPA25Tg5JRN/story.html

Identify concepts of Holistic nursing, using two specific examples from ‘A patient’s story’. Describe the specific interactions. How will you integrate these concepts into your nursing practice?

assignment 2

Freshmen/Juniors: Health is a privilege

Sophomore/Senior: Health is a right

Research what your assigned stance means.  Now post an 100 word post based on your assigned stance and back it up with a reputable reference (so no wikipedia or blogs). You must also rebutt (this means respectfully argue, not agree) someone else who has the opposite stance as you.  The rebuttal must also be a minimum of 100 words.  

Your assigned stance may not be what you truly believe, but that is what makes us acknowledge other people’s viewpoints.

Answer to essay-200 words minimum (YL)

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

1. Describe a situation in which the nurse manager would use problem resolution in the workplace. Describe a situation in which the nurse manager would use negotiation to resolve a conflict (or potential conflict) in the workplace. 

An exchange can be an option in contrast to settling struggle in the working environment particularly when the attendants differ on the methods for accomplishing the particular objective of the association. During the exchange cycle, nurture director asks the attendants to utilize a clear correspondence to alter their differences to eventually show up at an agreement.(Florida nurse. (n.d). Florida Nurses Association). Each attendant is permitted to share their objectives, needs, and the needs and afterward the whole nursing office is permitted to adjust to the requirements and needs so as to arrive at the shared objective of the association. The book clarifies that difficult goal is a cycle that inpatient care ought to be comfortable with. This critical thinking approach can be utilized at whatever point staff issues, for example, expanded outstanding task at hand, happen. The medical caretaker supervisor would utilize issue goal to initially distinguish the issue, create potential arrangements, actualize the picked arrangement lastly assess whether the issue has been understood.

2. Compare and contrast strategies for resolving a conflict, using first the informal negotiation method and then the formal negotiation method. 

Assertion includes the cycle whereby the contested gatherings present their contradictions to one referee. It is more affordable and more available than a preliminary. It includes the utilization of the formal and semiformal system and bits of proof. Then again, intercession is the place the third who is viewed as nonpartisan go between encourages the discourse cycle. Intervention is intentionally and non-restricting cycle instead of mediation which is automatic. This is a cycle that requires a lot of reasoning however it can lead the gatherings required to determine their contention by the methods for bargaining or consenting to the terms while additionally staying away from questions, differences and contending. Casual exchange technique is utilized when a difference has gotten too enormous, complex, and warmed for the difficult goal to be fruitful

3. Explore the American Nurses Association website for information on collective bargaining for nurses. Which states have nursing unions? Debate the issue of joining a union with another group of students. 

The states with nursing associations incorporate Minnesota, Massachusetts, Nevada, Texas, Maine, California, Michigan, Pennsylvania, Illinois, Kentucky, and Columbia locale. As an attendant, I trust it is important to join a nursing association on the grounds that there are numerous advantages to its individuals, associations allude to units that ensure and shield the privileges of the patrons. Along these lines, joining nursing associations one would get the chance to appreciate rights and opportunities, for example, better wages, aggregate dealing, better advantages, and individual portrayal with workers. Subsequently, it is essential to join a nursing association since it gives a dependable voice to individuals.

4. PART 1: Log onto the website of your state nurses association and search for information on collective bargaining. Search for news articles, union websites, and other recent information on collective bargaining for nurses in your state. Is there a great deal of collective bargaining activity in your state? If not, why? If yes, what are the primary issues under discussion?

The Florida Nurses Association is an affiliation that speaks to all enlisted medical caretakers for aggregate bartering. A cycle exists that realizes the appointment of authorities and the arrangement of agreements. Florida State has not experienced a lot of aggregate haggling movement since the state has a law that involves all workers reserve no option to strike, accordingly guaranteeing request and interference of government exercises. Florida is an option to work state; thusly, the privilege of a person to work can’t be denied dependent on participation or non-enrollment in any worker’s guild or association(Tappen, R. M. (2009). To guarantee the precise and continuous activities and elements of government, Florida’s state workers don’t reserve the privilege to strike. At present, there are seven work associations speaking to State Personnel System representatives whose classes are relegated to one of 13 aggregate haggling units.

PART 2: Review the pros and cons of becoming part of a collective bargaining unit. If you were a full-time staff nurse, would you want to join a union? Why or why not? 

I would join the union, I am in support of safeguarding the interests of people. Nursing isn’t a simple activity and it ought to be paid and celebrated all things considered. A master of joining an association would be the capacity to battle for what is correct, for example, compensation builds, extra advantages, downtime and advancement and continuation of expert practices. A con of joining an aggregate bartering is that it can make division from medical caretakers that don’t wish to join, for example, nurture directors or other staff individuals(Klug, M. (2018). This can make negative sentiments and can even advance a negative climate for all. It is important for the nursing professionals to consider the advantages and disadvantages resulting from unions, it opens doors for nurses to recognize whether the correct choice to make is to join or form a union.

References:

Florida nurse. (n.d). Florida Nurses Association. Retrieved from; https://www.floridanurse.org/page/LERC

America’s Unions. (n.d.). Collective Bargaining. Retrieved from: https://aflcio.org/what-unions-do/empower-workers/collective-bargaining 

Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2009). Essentials of nursing leadership and management. F A Davis Company.

Clay-Williams, R., Johnson, A., Lane, P., Li, Z., Camilleri, L., Winata, T., & Klug, M. (2018). Collaboration in a competitive healthcare system: negotiation 101 for clinicians. Journal of health organization and management.

W2 DQ ANP 650

  

Instructions for Answer to 2 Question

1- After Each DQ (question), write down references

2- 300 minimum words for every DQ, you can go up to 800 words but answer should be complete.

3- 2-3 Peer Reviewed/ scholarly references for each question

4- References should be within 4 years

5- I am in acute care nurse practitioner program.

6- The response to the DQ is expected to be a minimum of 300 words. A minimum of two peer reviewed/ scholarly  resources are expected. These need to be appropriate for a clinical professional to guide decisions about patient care. If a textbook is used for one of these responses, the other needs to be journal or professional-level website. The references need to be correctly formatted, as do the citations for those references.  “ Question words” don’t count towards 300 minimum count”

Community nursing (Due 24 hours)

 

1) Minimum 8 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 1, and 2 must be different. Different writing and perspective, but always answering questions objectively

              Part 1: Minimum 4 page

              Part 2: minimum 4 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 6 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: Community Nursing

Purpose

The student will read and understand the given case scenario and further develop a hypothetical project/ paper. The student will answer given questions that will serve as a guide for this project. Also, the student will explain key concepts and apply theoretical frameworks, models and/ or theories pertinent to this case.

 Please, review the following case study. The following questions with guide your research paper.

 

Maria is 15 years old and 74 pounds overweight. Her father is an uber driver who was recently diagnosed with type 2 diabetes and cardiovascular disease. Her mother works for a cleaning company. She is overweight with lipid disorder (high blood levels of low-density lipoprotein (LDL) cholesterol and triglycerides). She is taking two antihypertensive medications at present time. At a recent health science fair at Maria’s school, a student-led screening clinic documented Maria’s blood pressure at 141/92 mm Hg. The family immigrated from Nicaragua 3 years ago and they do not have health insurance. 

During health science fair, the following data was recorded: 56% of the students with BMI 25.0 to <30 and 18% of the students with BMI 30.0 or higher.

Consider yourself a community health nurse. 

1. Is obesity a major health issue in the United States? 

2. According to the National Health and Nutrition Examination Survey (NCHS, CDC; BRFSS, 2012), how is obesity defined?

3. What is your role as a community nurse? 

4. What risk factors should be explored for Maria’s family for cardiovascular disease? Mention social determinants of health in this case. Incorporate the concepts of health promotion and risk reduction. 

5. Would you apply any of the behavioral change models to address health promotion and risk reduction in this case (theoretical frameworks of behavioral change / models discussed on Chapter 5 of textbook). Describe your selection. 

6. Public health nurses use statistics to demonstrate the need for obesity program development and community interventions. According to the most recent CDC data: What data were identified about obesity in children and adults? 

7. Is there a necessity of planning a community nursing intervention? How will you do that? Will you work alone or in collaboration / teamwork? Will you look for funding? How? 

8. If you decide to do a community intervention. How would you evaluate the community-level intervention(s)? 

9. Will you use social marketing to change health behaviors or beliefs, social or cultural norms, or community standards to improve health or benefit society. Which resources will you use?

10. Mention research studies that support any of the above (1 through 9) (mention at least 3 research studies in the paper).

Include the following components (MANDATORY):

1. Introduction

2. Problem Statement

3. Population of Interest

4. Key concepts such as: obesity, social determinants of health, health promotion and risk reduction, role of community health nurses.

5. Theoretical frameworks of behavioral change / models

6. Planning community intervention / Funding

7. Evaluate the community-level intervention

8. Social marketing / resources 

9. Research studies (at least 3 peer-reviewed journal articles in the paper) an other 3 articles related to the topic

10. Conclusion

11. References Page

Part 2: Community Nursing 2

Purpose

The student will read and understand the given case scenario and further develop a hypothetical project/ paper. The student will answer given questions that will serve as a guide for this project. Also, the student will explain key concepts and apply theoretical frameworks, models and/ or theories pertinent to this case.

 Please, review the following case study. The following questions with guide your research paper.

 

Maria is 15 years old and 74 pounds overweight. Her father is an uber driver who was recently diagnosed with type 2 diabetes and cardiovascular disease. Her mother works for a cleaning company. She is overweight with lipid disorder (high blood levels of low-density lipoprotein (LDL) cholesterol and triglycerides). She is taking two antihypertensive medications at present time. At a recent health science fair at Maria’s school, a student-led screening clinic documented Maria’s blood pressure at 141/92 mm Hg. The family immigrated from Nicaragua 3 years ago and they do not have health insurance. 

During health science fair, the following data was recorded: 56% of the students with BMI 25.0 to <30 and 18% of the students with BMI 30.0 or higher.

Consider yourself a community health nurse. 

1. Is obesity a major health issue in the United States? 

2. According to the National Health and Nutrition Examination Survey (NCHS, CDC; BRFSS, 2012), how is obesity defined?

3. What is your role as a community nurse? 

4. What risk factors should be explored for Maria’s family for cardiovascular disease? Mention social determinants of health in this case. Incorporate the concepts of health promotion and risk reduction. 

5. Would you apply any of the behavioral change models to address health promotion and risk reduction in this case (theoretical frameworks of behavioral change / models discussed on Chapter 5 of textbook). Describe your selection. 

6. Public health nurses use statistics to demonstrate the need for obesity program development and community interventions. According to the most recent CDC data: What data were identified about obesity in children and adults? 

7. Is there a necessity of planning a community nursing intervention? How will you do that? Will you work alone or in collaboration / teamwork? Will you look for funding? How? 

8. If you decide to do a community intervention. How would you evaluate the community-level intervention(s)? 

9. Will you use social marketing to change health behaviors or beliefs, social or cultural norms, or community standards to improve health or benefit society. Which resources will you use?

10. Mention research studies that support any of the above (1 through 9) (mention at least 3 research studies in the paper).

Include the following components (MANDATORY):

1. Introduction

2. Problem Statement

3. Population of Interest

4. Key concepts such as: obesity, social determinants of health, health promotion and risk reduction, role of community health nurses.

5. Theoretical frameworks of behavioral change / models

6. Planning community intervention / Funding

7. Evaluate the community-level intervention

8. Social marketing / resources 

9. Research studies (at least 3 peer-reviewed journal articles in the paper) an other 3 articles related to the topic

10. Conclusion

11. References Page

Evidence Translation and Change

 

Diabetes Mellitus is chosen as a selected problem for promoting a better patient outcome and improve the standard of care since this is a chronic condition and has long-term effects that cause an increase in mortality rate. Evidence is one of the keys to providing a vision on the ways to improve the quality of care and bridging the knowledge gap.

The first common barriers to evidence translation in addressing this practice problem is knowledge and awareness. Patients should get an education on keeping the blood sugar levels on target and be aware of the ways of keeping track of their blood glucose levels. On the other hand, it is also important for the health care professional to have adequate knowledge of providing diabetic education for the patient during discharge to prevent readmission. Skills are necessary for the patients who are discharged and need insulin administration and therefore if the patient is not practiced in skills it can lead to uncontrolled diabetes and patients often get readmitted with the complications associated with diabetes mellitus. Acceptance and beliefs could be one of the barriers which are in the patients as well as with the health care professionals. Patients with a multicultural background with certain beliefs often practice herbal medicines or any traditional methods to control blood sugar which causes a drug to drug interactions. To accept a new change is difficult for the patient and therefore will see fewer effects in controlling blood sugar levels. Health care professionals should collaborate with the diabetic educators and should bring new practices based on new evidence.

The strategies which we can apply in this practice problem could be first with an Inter-Professional Collaboration (IPC) with the stakeholders specifically with the diabetic educator. Interprofessional collaboration is the key to attain the goal specifically for chronic care conditions which includes diabetes mellitus. According to Van, D. G et al,. (2020), IPC between physicians, physicians’ trainees, nurses which includes senior staff nurses, and diabetic educators has provided a better training program that helps the patient to improve their diabetic health. Stakeholders can be well engaged for further exploration by sharing the information, gathering the research and evidence, consultation, participation, and collaboration (White, K. M et al,. 2016).

To determine which evidence to implement is the most challenging implementation, however, it is also important to get the evidence and follow the interventions based on the purpose and outcome of the interventions.  The research data would provide the evidence on a practice which is followed and so the first vital source is finding out the research questions and the outcome. The two most important diabetic intervention includes diet and exercises in different forms such as aerobic, tai chi, yoga, swimming.

Change is not easy and if a change has happened, I believe the appropriate rational and a tentative outcome is essential to be informed for creating team effort and motivation. To determine continuity and sustainability of the change, the DNP scholar should assess the educational programs and should promote adequate resource to educational meetings, team huddle to assess the pros and cons, meetings and getting opinion with the nurse leaders, clinical audit and feedback is also needed and provide complete information on the new evidence provided (Dang, et al. 2018)

Please make a comment for this discussion board with at least 2 paragraphs and 2 sources no later than 5 years

Ques

A 65-year-old patient is 8 days post op after a total knee replacement. Patient suddenly complains of shortness of breath, pleuritic chest pain, and palpitations. On arrival to the emergency department, an EKG revealed new onset atrial fibrillation and right ventricular strain pattern – T wave inversions in the right precordial leads (V1-4) ± the inferior leads (II, III, aVF)
In your Case Study Analysis related to the scenario provided, explain the following
• The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
• Any racial/ethnic variables that may impact physiological functioning.
• How these processes interact to affect the patient.
all papers submitted include a title page, introduction, summary, and references.

THE FUTURE OF HEALTHCARE

1. THE FUTURE OF HEALTHCARE

 How would a healthcare system of the future look like if you could create it? Offer supportive evidence to your ideas. 

To answer this question, consider all discussions over the last eleven weeks.

2. COURSE REFLECTIONS

Please complete your reflection of this course by answering the following questions (1-4):

1. What skills have you developed that will help you to be successful in your academic and professional career?

2. What advice would you give to the next students taking the same course?

3. What was the single most important lesson you will remember from this course?

4. What advice would you give to the professor to improve this course?

The Affordable Care Act

Create a PowerPoint presentation of 14-16 slides with speaking notes on the new regulations impacting the practice as a result of the Affordable Care Act.

Introduction

The Patient Protection and Affordable Care Act (PPACA or ACA) was signed into law by President Barack Obama in 2010. The ACA attempts to increase access to care, reduce cost, and improve quality. Nearly 50 different reform initiatives were implemented between 2010 and 2017. Although primary care is a major focus of the act, these additional initiatives are focused on 10 different areas, including public health, prevention of disease, community health, and increasing revenue provisions to pay for the reform (Niles, 2021). The law has been controversial due to the mandate that all Americans must purchase health insurance.

The U.S. government plays a significant role in the operation of the country’s health care system. Quality, access, funding, education, and preventative services are all influenced by the U.S. government (Niles, 2021), and the Affordable Care Act (ACA) has further increased the role and involvement of the government in health care. All health care administrators must be knowledgeable on the role of the government.

Numerous governmental organizations exist, such as the U.S. Department of Health and Human Services (HHS), the Centers for Disease Control (CDC), the National Institutes of Health (NIH), the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), the Centers for Medicare and Medicaid Services (CMS), the Occupational Safety and Health Administration (OSHA), and the Office of the Surgeon General to name a few. Each organization exists for a specific purpose and has a specific mission. Your role as an administrator will be to understand the scope of these agencies and to help your organization meet or exceed the governmental mandates imposed by each.

Reference

Niles, N. J. (2021). Basics of the U.S. health care system (4th ed.). Jones & Bartlett Learning.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Analyze current health reform, policy, and regulation in U.S. health care. 
    • Explain the Affordable Care Act and its impact on the U.S. health care system and on the practice of health care in the United States.
    • Analyze current trends in policy and predict future reforms.
    • Explain how health care reform and policy have impacted health care quality and cost.
    • Explain how regulatory agencies have evolved to address health reform and policy.
  • Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others. 
    • Produce a presentation that conveys understanding of the topic, its context, and its relevance.
    • Use academic writing conventions such as APA formatting and citation style, or others as required.
    • Produce writing that includes minimal grammar, usage, and mechanical errors, including spelling.

Instructions

Imagine you are an office manager for a ten-physician primary care practice. You have been asked by the physician group to research and give a presentation on the new regulations impacting the practice as a result of the Affordable Care Act. Using the resources provided, plus at least two other peer-reviewed articles based on your own research, develop a PowerPoint presentation of 14–16 slides, complete with speaking notes. Address the following:

  • Explain the Affordable Care Act and its impact on the U.S. health care system and on the practice of health care in the United States.
  • Analyze current trends in policy, and predict future reforms as a result of the current state.
  • Explain how regulatory agencies have evolved to address health reform and policy.
  • Explain how health care reform and policy have impacted health care quality and cost.

You might want to (but do not have to) organize your presentation using the following outline:

  • Slide 1: Title of the Presentation.
  • Slide 2: Brief explanation of the purpose of the presentation.
  • Slide 3: The Affordable Care Act.
  • Slide 4: Impact on the U.S. Health Care System.
  • Slide 5: Impact on the Practice of Health Care in the United States.
  • Slides 6–7: Current Trends in Policy.
  • Slide 8: Future Reforms.
  • Slides 10–12: The Role of Regulatory Agencies (one slide per agency you address).
  • Slide 13: Impact to Quality.
  • Slide 14: Impact to Cost. 
  • Slide 15: Concluding Summary.
Presentation Requirements

Your presentation should consist of:

  • 14–16 bulleted slides.
  • Speaker notes that fully explain each slide.
  • A minimum of two peer-reviewed references, in addition to resources offered in this course or that you find yourself, including government websites.
  • Appropriate APA citations and peer-reviewed references on each slide, as necessary.
General Guidelines for PowerPoint
  • Keep the design simple. Font: Arial or Verdana, size 24-point, minimum.
  • Keep the slides concise: 5–7 bullet points per slide and 5–7 words per bullet. Use speaker notes to explicate the bullets.
  • For best color contrast, use light text on dark background (for example, yellow on black, white on dark blue).
  • Use the proper slide layout. For example, if a slide has a title and text, it is created using the correct Title and Text layout.