Identify 1 priority nursing diagnosis with 2 priority interventions for measles

Requirements

Cite APA format with a scholarly article

in 100 words discuss evidence based practice in nursing

Discussion: Is the EU Closing the Gap on Health Inequities?

The World Health Organization and European Union (EU) DETERMINE Consortium has acknowledged gaps in health equities within and between member countries. A variety of efforts are underway to help close those gaps.

To prepare for this Discussion, review your Learning Resources, particularly the readings from the DETERMINE Consortium and European Commission and the National Social Marketing Centre video programs. Select two EU countries on which to focus (It is advised to select two countries from the list of EU members and avoid repeating the same ones mentioned in the required media of this week resources). Look at efforts in those countries designed to reduce health inequities and inequality and examine appropriate outcomes for those efforts. Evaluate the performance of the health systems in those countries as reflected in population health data for each of the countries. Be sure to access the CIA country profiles (found within the CIA World Factbook) and WHO websites provided earlier for the most current resources.

Post a brief comparison of the health status of the two EU countries you selected with that of the U.S. Then, describe two efforts in those EU countries to reduce health inequities. Explain what lessons can be learned from the EU efforts you selected that can be implemented in the U.S. nationally or by individual states. Explain how the community you live in might adapt these interventions. Expand on your insights utilizing the Learning Resources.

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

Wait Times

The Institute of Medicine defines quality as “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge”. Waiting to obtain an appointment with your MD or sitting for long periods in the Emergency Room can have negative health effects.

You open your social media app and you see a story on your timeline from your local news station that stated the following: Deaths due to long wait times

At Memorial hospital (inpatient and outpatient services), wait times to be seen for the emergency room (ER) and for primary care exceed quality standards. The wait times could range between three to four hours at the ER and an hour or two to be seen at the primary care clinic. Appointments to see a surgeon for surgical procedures are booking out weeks, unfortunately leading to deaths. Because of this, the Center for Medicare & Medicaid Services (CMS) is sending a team to conduct an audit. One possible result of the visit could be a reduction or loss of federal funding. Your job is to write a report that lead to a positive outcome for the hospital.

Examine this report: Measuring Health Care Quality: An Overview of Quality Measures

Implement quality measures at Memorial Hospital

Include the following aspects in the report:

Ø  Choose a quality measure for each problem you identify

Ø  Consider how you will implement changes to achieve the standards

Ø  Outline the financial impact of your changes

Ø  What kinds of systems need to be created to track progress?

Ø  Please use this template

Deliverable 01 – English Composition

Competency

Identify and illustrate steps of the writing process in composing written exercises.

Instructions

Compose a single body descriptive paragraph in formal written English. Be sure to include the following:

• Topic sentence that provides the main idea for the descriptive paragraph.
• Body sentences that discuss the main idea for the descriptive paragraph using explanation, examples, details, and of course, descriptive elements.
• Transition sentence: Your descriptive paragraph must include the use of at least one or more transitions that move the paragraph along.
• Conclusion sentence: Your descriptive paragraph must end with a concluding sentence that wraps up and refers to the main idea of the topic sentence and signals to the reader that the paragraph is over.
• Your descriptive paragraph needs to contain a minimum total of five complete sentences.

Reminder: Descriptive refers to a style of writing. Choose your sentences for your descriptive paragraph from the following sentences, and use them together to construct your descriptive paragraph. They will not all be appropriate for this paragraph, so choose only the sentences that result in a complete descriptive paragraph as listed above. Use a topic sentence that provides the main idea for a single well-organized paragraph using the steps of the writing process.

Choose the best sentences to construct your descriptive paragraph, and put them together to make ONE well-organized descriptive paragraph. Remember that not all sentences need to be used.

1. It’s a soft, blue-sky break before the gray skies of winter begin to reflect the steely cold waters the lake becomes with the first freeze.
2. Dogs are sometimes fierce protectors that can attack anyone they feel is threatening a family.
3. In the old days, dogs were not considered companions, but seen more as working animals.
4. That’s what we can all call a red-letter day!
5. My dog, Bosco, is a Harlequin Great Dane that outweighs our 10 year old brother, and to the other dogs in our neighborhood he must look like a tall spotted monster because they avoid him at all cost.
6. Do you think dogs are smarter than people?
7. Sometimes our dog seems to know when we are laughing at him because he tucks his head down and appears to shrink into a small ball resembling a lumpy soccer ball.
8. On a beautiful fall day, my family enjoys picnicking at a quiet beach we know that has a blue lagoon surrounded by rustic picnic tables and tall, green pines.
9. I really like dogs.
10. The whole family grabs sweaters and corduroys, Mom packs a cheese sandwich picnic basket with all the junk food we never get to taste otherwise, and we jump into Dad’s old blue jalopy and head out for one last day of fun before all the hub-bub of school gets into swing.
11. My brother is a great Jayvee football quarterback, my older red-headed sister is a cheerleader complete with red pom-poms, and I play cymbals and drums in the school pep band, so we are usually very tied up in school activities soon after school starts.
12. That dog can open the refrigerator and grab a can of soda!
13. I really enjoy the pep band; it’s fun to get all dressed up in my red band uniform and beat those shiny drums during a game.
14. Our big dog needs to stay at home with the cat because he attracts sand and fleas.
15. On one hand, it is hard to get everything ready for the day trip; on the other hand, nobody in our family wants to miss such a day of fun.
16. My brother thinks he is smarter and more well-dressed than the rest of us because he is the oldest.
17. For example, cats can be really pretty, but they don’t seem to love everyone in the family.
18. At the end of a great day of flying kites, chasing each other around the lagoon, and eating great junk food, we all go home extremely tired and extremely happy.
19. A day with my dog.
20. My family comes in all shapes, ages, sizes, and hair colors, but no matter what we look like, we ALL love to eat.
21. As night falls and my father drives the old beat-up car towards home, most of us finish up the cheese sandwiches and chips and doze off after a day of fun.

Being anxious about speaking in front of an audience is a natural human tendency.  All people experience some form of anxiety before, during, or after speaking in front of an audience. 

For this discussion board, you will be asked to take a survey on your public speaking anxiety, and then reflect on how you can overcome this anxiety or use it to your advantage.

 For your initial post (due on day 3):

First:

Take the Speaking Anxiety Survey before completing this post (located above the Discussion Board in this module).

Read the following information on speaking anxiety: Speech Anxiety

Next:

Create your post to include the following:

1.  Were you surprised by the score you received on the survey?  (Feel free to share your score if you are comfortable doing so). 

2. Why do you think your score was what it was based on the questions asked?

3.  What has been your experience with public speaking in the past?  Have you had any anxiety about giving speeches or the thought of giving public speeches?

4.  Based on what you have read, what can you do to have less anxiety?

5. Based on what you have read, what should you avoid during a speech to show your audience that you are confident and prepared?

For your Responses:

Make sure to respond to two classmates by day 7.  In your responses make sure to ask questions about your peers’ experiences in an attempt to reflect and start an academic conversation. 

Your score should be between 34 and 170. If your score is below 34 or above 170, you have made a mistake in computing the score.

High = > 131

Low = < 98

Moderate =  98-131

Mean = 114.6;  SD = 17.2

There are several interventions we employ to identify knowledge gaps in nursing practice in the department of behavioral health. The most impactful process is the monthly chart audits that are completed on each nurse, APP, and MD who provide care in our department  The data that we collect during the audit process is based on EBP and reported up through our Quality Committee. Three years ago during our quality audits, we noted that depression inventories were not being completed on a regular basis. According to Dham et. al (2017), depression screens assure not only quality care that is cost-effective but also helps guide clinicians in diagnosis and treatment.

    When we identify a knowledge gap, we complete an evidence search to determine what EBPs are available to overcome the gap. Linking the evidence to the practice environment is challenging and a Quality Improvement model is crucial in supporting staff as they adapt their practice models (Taylor et al., 2013)  Our QI team takes the forefront on educating staff through team meetings, department meetings, one on one training as well as mandatory LEAP modules. The Learning Engagement and Performance (LEAP) system modules are used at MetroHealth Medical Center to cover information required by several compliance and accreditation organizations to help keep our staff, our patients, and our visitors safe. The Plan-do-study-act model is another QI model that can be used to adopt changes.

I believe empowering staff is paramount in maximizing their potential to overcome knowledge gaps. Individuals involved in the process are engaged in the process, and in return are committed to the process. We utilize TeamSTEPPS to place the problem in the hands of those who are entrenched in the problem- they know it best.  By tasking them to take ownership we build a competent and connected workforce. TeamSTEPPS has five key principles and is based on team structure, communication, leadership, situation monitoring, and mutual support.

I will guide evidence-based practice by leading when necessary and facilitating when needed. Arming staff with knowledge on how research, EBP, and QI work together to overcome knowledge gaps is an important foundation to lay when addressing needed process changes. I will also be open and non-dismissive with others who are naïve to the process, cultivating an environment where learning and creativity can blossom.    

REFERENCES            

Dham, P., Colman, S., Saperson, K., McAiney, C., Lourenco, L., Kates, N., & Rajji, T. K. (2017). Collaborative care for psychiatric disorders in older adults: A systematic review. Canadian Journal of Psychiatry, 62(11), 1–11. https://doi.org/10.1177/0706743717720869 (Links to an external site.)

Taylor, M. J., McNicholas, C., Nicolay, C., Darzi, A., Bell, D., & Reed, J. E. (2013). A systematic review of the application of the plan–do–study–act method to improve quality in healthcare. BMJ Quality & Safety, 23, 290–298. https://doi.org/10.1136/bmjqs-2013-001862

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

 this is due in 5 hours…… no late work…. must have done in 5 hours……

Choose a topic from the  list below that is of interest to you and review two scholarly articles that explores different aspects of your topic.  (your textbook may not be used as one of your sources ). 

For example, if your topic is asthma, you might find an article that discusses where elementary school age children should store  inhalers;  in their backpacks or the nurse’s office.  You may find a different article that suggests there are more cases of children with asthma from lower income levels  compared to children in other income levels.   Some information will be the same, what is asthma, causes of asthma, etc.  Each article will also contain article specific information, inhalers and income levels.  

Scholarly articles may be found in the Long Beach City College Library Databases.  Others may be found on the internet:

Scholarly Resources

• Look for publications from a professional organization.
• Websites with a .org or .net

Your report,

• Identify each article by title, author(s), periodical or journal, issue, date.
• Give a summary of each article.  Include definitions and various perspectives on the topic.
• In what ways do the article relates to the other.   Identify how the articles agree or disagree on various aspects of the topic?  
• Summarize how each article broadened your understanding of your topic of interest.

Your report needs to be between 2 1/2 – 4 pages in length and double spaced.

Choose a topic of interest from the list below: 

asthma

autism

finding a good preschool

whole language vs. phonetics

Common Core

teen popularity and cliques

anorexia nervosa

cyber bullying

sex education in schools

schools that handout condoms

relationship between bullies and bully-victims and attachment

public school vs. private school

girl brains and boy brains- what’s the difference?

nerds vs. jocks and cheerleaders

sports programs for girls

Scholarly Resources that may be helpful

• Look for publications from a professional organization.
• Use databases such as JSTOR (Links to an external site.) that contain only scholarly sources.
• Use databases such as Academic Search Complete (Links to an external site.) or other EBSCO databases that allow you to choose “peer-reviewed journals”.
• See whether Ulrich’s Periodicals Directory (Links to an external site.) indicates that it is a Refereed Journal

Edit question’s attachments.. 

2 pages of Define and describe the disease/condition, symptoms, causes, treatment, living with the disease/condition.

Your instructor will send you the first draft submitted by one of your peers through the classroom email system.

Copyedit the other student’s paper using copyediting marks or the Track Changes editing function in Microsoft Word.

Provide feedback related to the key problems in scientific writing and relevance as described in Lecture 4.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.