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• Public policy has a major impact on your practice and your patients. Advocacy is an expectation of the advanced practice nurse. Elected officials care about what their constituents have to say. To make a difference, you need to be informed and engaged. Contacting your legislator and discussing issues is an important attribute of nurse leaders. In your interactions with lawmakers you want to be positive and nonpartisan, personal, persistent, patient, focused on your message, and provide accurate information. 
  Directions
  1. Determine the issue or message (e.g., telehealth impact on your practice) you wish to discuss with your legislator(s). Resource: The American Nurses Association Federal Legislative Priorities for 2019.
  2. Identify your legislator and contact information from his or her website and/or search here.
  • Letters: The student must write three (3) letters to their identified legislators (State and/or Federal). The letters/emails are  three different legislators or three different topics to three different legislators. Legislators read correspondence, especially when it is personalized and clearly from a constituent. The following guidelines should be used when writing to your representative:
    1. Be brief (one page or less), and use your own words.
    2. Begin with the appropriate heading and address.
    3. Be specific: State the specific bill number and issue and state your opinion in the first sentence.
    4. Relate your experience with the issue. Use personal examples when possible. Your interest and concern about the issue is important. 
    5. Ask the legislator to specifically commit to supporting or opposing the legislation you are writing about.
    6. Ask for specific reasons they are supporting or opposing the proposal. 
    7. Sign and print your name and include your address and other contact information.
    8. If you have pertinent materials and/or editorials from local papers, include them.
    9. Cite any references at the end of the letter or email usingAPA format.
    10. Avoid form letters/emails if possible. If you are using a sample or form letter, be sure to adapt it, especially in the first sentence and paragraph.  Legislators and their aides recognize form letters and are less likely to be influenced by them.
    11. Thank him or her for considering your opinion.
    12. Submit the three letters and/or emails in Word docs in the D2L assignment link along with a separate one-page reflection on your experience.
  • Resource: 
  • Sample Legislative Letter
  • Expectations
  • Due: Monday, 11:59 pm PT
  • See USU NUR Writing Assignment Rubric for additional details and point weighting.

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Hi 

Would you please do the final check for me?  There is a last section (#5) need to edit.  Please complete by 12pm tomorrow 10/25/2020.  Thank you very much!

The first document is the question that you will have to answer, the powerpoint is where the information is located in order to help you find the answers 

re to this discussion post (site sources if applicable).

Evidence-based practice and research allow nurses to improve the nursing profession and improve patient outcomes. Once these improvements are made, they can be published in a professional journal or delivered at a nursing or health care conference. A professional journal that I would like to publish my article of improvement would be the American Journal of Nursing. “The American Journal of Nursing is the oldest and most honored broad-based nursing journal in the world. Peer-reviewed and evidence-based, it is considered the profession’s premier journal” (Powers, Dunlap, Cipriano, Fields & Kiser, n.d). With the nursing journal being around for so long, it’s important to understand the reliability. Because of its long-standing time of informing and educating nurses, I think that my change would be best if represented by the American Journal of Nursing. 

     One of the most recognized and popular nursing conferences is the Emergency Nurses Association Conference. The Emergency Nurses Association specialized in educating and informing emergency room nurses for a lifelong of learning. I would present my presentation/project proposal to the ENA, to spread the light on workplace violence. Workplace violence is a common problem in Emergency rooms all over the world. It is important that I am one voice that will fight for a change and to spread the knowledge around the world. The ENA thrives and believes in collaboration, mutual respect, integrity, lifelong learning, and honesty and through these values, I can work to create a change with these values in place.

need a research assignment done on mid range theory

This assignment focuses on the importance of self-assessment and reflection.

Self-Assessment

Self-awareness is essential for developing leadership skills. Recognizing your own strengths, weaknesses, and values, and understanding emotional intelligence and learning styles can help you to be a more effective nurse leader.

For this assignment, you have the opportunity to take a variety of self-assessments to learn more about yourself and identify your assets and weaknesses as a leader. This will assist you in discovering how you can improve your own self-leadership skills. You will be asked to think critically about your results and submit a reflection as directed below.

Select three of the following self-assessments and complete them. Be sure to document the results of each assessment to assist you in completing the reflection portion of the assignment below.

1. Emotional Intelligence Assessment: “Emotional Intelligence Test”: https://www.psychologytoday.com/us/tests/personality/emotional-intelligence-test 
2. Personality Assessment: “Free Personality Test”: https://www.16personalities.com/free-personality-test 
3. Learning Styles Assessment: “Values Profile”: http://vark-learn.com/the-vark-questionnaire/ 
4. Values Assessment: “Values Profile”: https://www.psychologytoday.com/us/tests/personality/values-profile 
5. Values Assessment: “Rokeach Values Survey”: http://faculty.wwu.edu/tyrank/Rokeach%20Value%20Survey.pdf
6. Diversity Assessment: “Cultural Competence Self-Test”: https://www.oregon.gov/DHS/SENIORS-DISABILITIES/DD/PROVIDERS-PARTNERS/SCPAconference/Cultural%20Competence%20Self-Test.pdf 

Self-Assessment Reflection

Becoming self-aware is an ongoing process requiring introspection. The more often people practice self-reflection, the more opportunities they have to understand their own behaviors and adapt their approaches to working with other people, which can improve both your own and other’s abilities to meet their professional goals.

In a 750-1,000 word reflective essay, address the following:

1. Briefly summarize why you selected each self-assessment and the results you obtained on each assessment.
2. Identify the leadership style that closely aligns to your philosophy of care, and explain what appeals to you about that style.
3. Reflect on how you might incorporate elements of that particular style as you exercise leadership in a practice or health care organization setting.
4. Discuss any particular areas for improvement the assessments helped you identify and some steps for improving your leadership capabilities.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. 

Description:

You will be building your Philosophy of Nursing paper that will be submitted at the end of the unit. Take time now to review the details and write the paper according to the attached rubric.

Purpose: 

The purpose of this assignment is to enable the student to discover his or her personal philosophy of nursing as it exists at the beginning of the academic journey toward the BSN.

Guidelines: 

Download the guidelines and grading criteria for the Philosophy of Nursing paper from the module resources before you start the paper and refer to them as you work.

Note: the guidelines and grading criteria rubric is attached. APA format 7TH edition and Zero Plagiarism.  5 pages excluding cover and reference page.

For this assignment you will be given a case study about a young lady named Sarah Smith. Review the information provided and answer the questions following. Be sure to cite your references. Look at Sarah as if she is a patient in your office seeking care. What are your immediate concerns? What needs to be done for her? Be thorough and succinct in your responses.

Case Study:

Sarah Smith is a 28 y/o African American female who presents to the office with c/o wound to her left foot for the past few days. States she had tripped and fell while barefoot scraping the top of her foot on the pavement. She denies any other injury from the incident. Over the past 24 hours the wound has had “smelly” drainage. Has been experiencing generalized achiness, but denies fever and chills. Did not seek medical attention at the time of injury. Has been using hydrogen peroxide to clean her wound. Is unclear of her last tetanus vaccination. Patient PMHx significant for DM II. States that she takes her medications when she remembers, and does not always check her blood sugar.

PMHx:

Asthma: no hospitalizations for exacerbation.

DM II

PSHx:

Denies

SHx:

Former tobacco user: ceased smoking 2 years ago. Had smoked 1ppd x 5 years

ETOH: socially

Illicit drugs: denies

FHx:

Significant for paternal DM, otherwise unremarkable

Medications:

Metformin: 500mg BID po – did not take the last few days

Albuterol MDI: 2 puffs every 6 hours prn – last use just PTA

Singulair: 10mg po daily

Trinessa: 1 tab po daily – last taken this am

Allergies:

PCN: hives

LNMP: 2 weeks ago.

G0p0

ROS:

General: denies any weight changes, fatigue or fever; + body aches

Skin: denies any rashes; + wound to left foot

HEENT: denies headache, head injury, dizziness, lightheadedness;

            Denies any vision changes

            Denies any hearing changes, tinnitus, vertigo, earache

            Denies any nasal congestion, discharge, nose bleeds or sinus tenderness

            Denies any sore throat, difficulty swallowing

Neck: denies any swollen glands, pain

Breasts: denies any pain, discharge

Respiratory: denies any dyspnea; positive cough and wheezing

CV: denies any chest pain, edema

GI: denies any nausea/vomiting/diarrhea/constipation; denies bloody stools

PV: denies claudication, swelling to LE

GU: denies frequency, urgency, burning;

            Denies vaginal discharge, itching, sores

            Denies penile discharge, itching or sores

MS: positive pain to left foot

Psych: denies nervousness, depression

Neuro: denies Headache, dizziness, vertigo, syncope, weakness; + numbness to right LE

Heme: denies any easy bruising

Physical Exam:

Vital signs: 100.5 (tympanic), 162/88, 118, 22, O2 sat 95% on RA

                        Height: 5’5”     Weight: 250 lbs.

            Blood glucose: 230 (Fasting; states has not eaten yet today)

patient awake, alert, oriented x 4 in NAD

Skin: warm, dry, color WNL. 4 cm lesion noted to anterior left foot with crusting and purulent drng; + surrounding erythema extending up 7 cm proximally

HEENT: head nontraumatic, normocephalic

Pupils PERRLA, EOMs intact; disc margins sharp, without hemorrhages, exudates; no AV nicking noted

Ears: bilateral TM with good cone of light and intact

Nose: mucosa pink, septum midline; no sinus tenderness appreciated

Mouth: mucosa pink, moist; tongue midline; tonsils 1+ without exudate

Neck: supple; trachea midline; no LAD

Resp: regular and unlabored; lungs with end expiratory wheezing throughout

CV: RRR, S1 and S2 noted; no s3, s4 or murmur appreciated

Abdomen: soft, non-distended; Bs + x 4; no tenderness with palpation; no CVA tenderness with percussion

Genitalia: deferred

Rectal: deferred

Extremities: warm and without edema; calves supple, non-tender

PV: no LE edema

MS: + swelling to left foot; + tenderness of 2-4th left metatarsals; + left pedal pulse; CMS intact; Cap refill < 2 sec.

Neuro: alert, cooperative; thought coherent; oriented x 4; cranial nerves II-XII intact

Questions:

1. List your differentials for her current problems. Remember you should have at least three different differentials for each problem. Include rationale for each differential.

2. At this time what medical diagnoses are you most concerned about? Do they impact other diagnoses? If so, how?

3. What diagnostic images would you order? Provide your rationale. What are you trying to rule in or out?

4. What laboratory work would you order? What would you anticipate to be abnormal? Provide your rationale for each.

5. What is your comprehensive plan of care? Include your rationales.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above)
• consult the Grading Rubric to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.

Examine the importance of professional associations in nursing. Choose a professional nursing organization that relates to your specialty area, or a specialty area in which you are interested. In a 750‐1,000 word paper, provide a detailed overview the organization and its advantages for members. Include the following:

1. Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or “perks,” of being a member.
2. Explain why it is important for a nurse in this specialty field to network. Discuss how this organization creates networking opportunities for nurses.
3. Discuss how the organization keeps its members informed of health care changes and changes to practice that affect the specialty area.
4.  Discuss opportunities for continuing education and professional development.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. 

Write a 4 pages research paper on Tobacco use on adolescents smoking in the past 30 days

Identify the leading health indicators from Health People 20/20-applicable to the adolescents’ community. what are some Ideas for Health Promotion Project that can help adolescents who smoke tobacco? Describes approaches to educate the target population about the topic. • The approaches are appropriate for the cultural target population. • Identifies specific ways to promote lifestyle changes within the target population. Identify the community-group of people and locations in adolescents smoking cigarettes in the past 30 days?