6/3-1

Work with your preceptor to assess the organization for required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal.

The assignment will be used to develop a written implementation plan.

Standards of practice

Chapter 3 describes Standards of Practice. Create a PowerPoint or Prezi describing the 6 Standards of Practice and the 11 standards of professional performance. There should be one slide for each standard, except for #5, which should have 4 slides. See Table 3.1. Each slide should have the standard, a scholarly description of the standard, and one example of what a School Nurse might do to meet the standard.

Preview the document

Public health nursing

Instructions:

  • Read the four articles below.
  • Should undocumented immigrants be included or excluded from national proposals for health insurance?
    • Why?
  • Also discuss your stance on national insurance plans in general.
  • Justify your position by referring to course readings, videos, or other relevant sources.

Remember that views differ on this contentious issue—don’t be afraid to present and defend your position. You may need to reference the chapters in the book on health insurance and economics.

Your initial post should be at least 400 words.

Please be sure to validate your opinions and ideas with citations and references in APA format.

discussion 4-1

Please review the substantive posting requirements posted in the forum and announcements: When you post responses to your peers the response needs to be “substantive” to receive credit. Substantive posting criteria includes: Acknowledge what your peer stated (agree or disagree). Include additional information. End the post with an open-ended follow up question. This is important to encourage further discussion.

Discussion Post

 Discuss how genogram and ecomaps are used in nursing. Why and how would they incorporate these tools into their care of families? How does the use of these tools affect family risk appraisal? 

Global and Environmental Health

 

Through this assignment, the student will demonstrate the ability to:

  1. Inspect the relationship between environment and global health (CO7). 
  2. Appraise global health problems considering WHO SDG’s as well as related epidemiological data (CO7).

 

Assignment Requirements 

  1. Please go to a lay press newspaper, for example, The Washington Post, The New York Times, or other national publication. 
  2.  Locate an article that has global health implications, such as malaria, untreated strep throat or other infectious diseases in developing countries.  Other topic areas may address environmental global health issues, for example, safe water, sanitation, or oral health.   
  3. After you locate and read over the article, respond to the following prompt:
    • During NR503, we have discussed the web of causation, epidemiological triangle, inter-professional collaboration and various other concepts related to population health and epidemiology.  In responding to your chosen article in this week’s discussion board be sure to synthesize, integrate, these course concepts as well as other terminology found in weekly modules. For example, integrate into your writing information from the World Health Organization and the SDG’s or include social justice theory into your article analysis.  The specific focus is up to you, but be sure to compare and contrast, integrate and think critically, as you present your discussion board post. 
  4. Your post should be a minimum of three (3) paragraphs with 4-5 sentences per paragraph.   
  5. Your initial post should include a minimum of two (2) scholarly articles which would not include your course text, which is also permitted to be used.     
  6. A link to the article using APA should be included.

Textbook :  

Curley, A.L. & Vitale, P.A. (2016). Population-Based Nursing: Concepts and Competencies for Advanced Practice (2nd ed.). New York, NY: Springer Publishing.

 

Scholarly  

  • The student actively stimulates and sustains inquiry by making reflective insightful comments, asking thoughtful questions and/or engaging in a scholarly discussion.  
  • The student expresses a clear idea of the topic under discussion and sustains inquiry in order to explore relevant issues. 
  • The student recognizes values or values conflict as things that form the assumption basis of arguments and recognizes when it is important to acknowledge these values.  
  • The student recognizes the accuracy, logic, relevance, or clarity of statements. 
  • The student asks clarifying questions and knows when clarifying questions need to be asked.  
  • The student distinguishes fact from opinion.  

Application  

  • All components of discussion prompt addressed (met) in initial posting. 
  • The student’s writing conveys an understanding of significant ideas relevant to the issue under discussion. This is indicated by integration of course and weekly objectives, as well as readings from text and articles.   
  • All posts should make correct use of terminology, precise selection of the pieces of information required to make a point, correct and appropriate use of examples and counterexamples, demonstrations of which distinctions are important to make, and explanations that are concise and to the point.  
  • Information and knowledge are accurate. 
  • The student elaborates statements with accurate explanations, reasons, or evidence from the course and/or weekly objectives. 
  • All postings integrate scholarly sources to support points consistently.   

Interactive Dialogue 

  • Responds to ideas in a way that advances discussion with engagement, depth, rigor, and application.  
  • Interacts with a professional tone and is able to express opinions with ownership and without judgement. 
  • Chooses to include professional experience to the discussion board mindful of appropriateness and boundaries. Experience is integrated as it supports the discussion board topic and utilizes scholarly references to support overall topic.  

A6 Home health

Read the following case study and submit a 1500 – 2000 word paper that addresses the case study and the questions at the end of the case study. 

Mr. B. is an 83 year old male referred to home health services following a hospital admission for congestive heart failure. His payor source is Medicare (traditional). He lives alone and indicates he does not have sufficient financial resources to afford private-pay in home supportive care. His daughter, who lives in the neighboring county about 30 miles away, has offered her father to move in with her – he has refused and she is not “forcing the issue”. Mr. B. is also not open to discussing moving to an assisted living environment.

This is his third hospital admission for the same problem over the last 12 months and his second admission to a home health agency. He was discharged from the previous home health agency 6 weeks ago. Physician orders are for the home health agency to provide skilled nursing for assessment of his cardiac condition and to teach him about his care and medication regime. Physical therapy has been ordered to establish a home exercise program. Home health aide services have been ordered 3 times a week to assist Mr. B. with his personal care needs.

By the end of the third week of service, it is clear to the RN Case Manager that Mr. B. is not making progress to the established goals. She reports during case conference that he is not a good candidate for teaching because of intermittent confusion and forgetfulness. According to the nurse, no matter what she has tried to teach him and regardless of the aids she has used, Mr. B. continues to take is medication incorrectly. She states, “I know he needs services, but I am not sure that he is in the right environment. I am concerned about Mr. B. – I am not sure why his daughter won’t just step up and put her foot down.”

The physical therapist reports at case conference that the “client lacks motivation”. The home exercise program has been established with Mr. B.; however, he does not complete the exercises between therapy visits.

An improvement in his personal hygiene has been noted with the Home Health Aide (HHA) services. The HHA has also been successful in decluttering his living space. The HHA reports that she is concerned that he is not eating regular meals.

This situation offers an ethical challenge to the professional caregivers and to the agency for which they work. 

Discuss how you would handle this ethical dilemma. Address the following questions as a part of your response:

  1. What are your concerns about this case?
  2. How does the RN Case Manager meet her ethical responsibilities to the patient and to the organization?
  3. What is the best plan of action to ensure the client’s safety and well-being?
  4. What are realistic outcomes and goals for this client?
  5. Who will provide the ongoing care needs required by this client?

HCA320 Assignment Mod 4:

  

Assignment:

Reflect upon the patient experience, patient safety, and healthcare cost as well as Joint Commission’s role in quality healthcare. Write a paper that addresses the following questions:

  • How      would you apply the principles of the Triple Aim initiative to improve      quality, safety and satisfaction in the acute care or long-term care setting?       
  • Reflect      on your current or future role in healthcare. How you would you, in the      role of director of nursing or healthcare administrator contribute to      improving cost effective quality care, patient satisfaction, and patient      safety?
  • What      practices would you apply to minimize medical errors among front-line      nursing staff?

Assignment Expectations

Length: 1500-2000 words in length

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

References: Use the 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.

Ethical Decision-Making

Instructions: Doctorate level work. 2 pages, APA format, at least 2 references (must be within 5 yrs ). Absolutely plagiarism free

Due date/time: 18 Nov, 2020 @8:00am. 

Ethical Decision-Making

Let’s return to the ethical scenario presented within Page 2 of the Explore section of Week 4 to consider it further. Upon learning that a medication error occurred resulting in a child’s death, the Chief Nursing Officer (CNO) of a regional acute care facility held a press conference to announce the mistake. The conference centered on reporter questions about why the nurse was not fired. The CNO explained that the nurse was highly regarded and that the problem was a “system” problem, not simply a problem of an incompetent nurse. The CNO also explained that an examination of the medication administration procedures was ordered and that an electronic medication error avoidance system would be implemented to ensure that such an error would not happen again. Consider this scenario to address the following.

· As the CNO in the scenario, defend your decision to disclose the incident to the media. How does this decision influence value-based healthcare? What risks might you encounter? What impact might this decision have on you personally and professionally?

·  At a regional health consortium, fellow CNOs remark that they would not disclose such an incident to the media. Provide two justifications for withholding disclosure of the error to the public. How does this decision influence value-based healthcare?

·  Imagine you are the patient’s family. How would you want the issue to be handled by the CNO? Explain your rationale

Reading/references:

1.  Chism, L. A. (2019). The Doctor of Nursing Practice: A guidebook for role development and professional issues (4 th ed.). Jones & Bartlett Publishers.

·  Chapter 7: The DNP Graduate as Ethical Consultant, pp. 177-197

·  
https://online.vitalsource.com/#/books/9781284155259/epubcfi/6/164%5B%3Bvnd.vst.idref%3Di17_Chapter07%5D!/4/2%5Bch07%5D/8/6%400:0

2.  Marshall, E. S. & Broome, M.E. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.).  Springer Publishing Company.

·  Chapter 4: Economics and Finance

o”The Present State of Health Care Finance,” p. 88

o”Emerging Models of Care Delivery: A Glimpse into The Future of Financing,” -p. 114

·  https://online.vitalsource.com/#/books/9780826193995/epubcfi/6/32%5B%3Bvnd.vst.idref%3DChapter_4%5D!/4/2/366/2%400:61.2

3.Nelson, E. C., Batalden, P. B., & Godfrey, M. M. (2007). Quality by design: A clinical microsystems approach. Jossey-Bass.

·  Chapter 7: Planning Patient-Centered Care, pp. 148-164

4.Sorbello, B. (2008). The nurse administrator as caring person: A synoptic analysis applying caring philosophy, Ray’s ethical theory of existential authenticity, the ethic of justice, and the ethic of care (Links to an external site.). International Journal for Human Caring, 12(1), 44-49. Permalink