Due to the increasing percentage of older adult clients in the U.S., it is imperative that healthcare providers assess and confront their own attitudes and perceptions toward older adults.

In your initial post, address the following:

1. Describe ageism and its impact on societal views of older adult clients.
2. Explain how ageism can influence the healthcare provisions of older adult clients.
3. As a healthcare provider, how can one best assess and confront attitudes, perceptions, behaviors, and biases toward older adults?

NEED 1 OR 2 REFERENCES

Respond to at least one of your peers who has different perspectives than your own.

I WILL ALSO NEED A RESPONSE ATTACHED 

Based on the readings, viewing the online materials & resources on the Module 4: Lecture Materials & Resources page, and your own experience, what strategies would you recommend encouraging culturally competent care of Native Americans? 

Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s).

(Note: The citations below are provided for your research convenience. Students should always cross reference the current APA guide for correct styling of citations and references in their academic work.)

Read

Ritter, L.A., Graham, D.H. (2017). Multicultural Health (2nd ed.). Burlington, MA: Jones and Bartlett Learning. ISBN: 9781284021028 Chapter 8

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Your assignment will be graded according to the grading rubric.

Assignment Requirements 

1. Utilizing the list below, choose two research methods.  
2. Next, find two articles, one on each of the chosen methods, from the Chamberlain College library, or you may use one that is provided within the course and one you find from the library. The articles should be related to population health and infectious disease, chronic health, occupational health, global health, genomics, or environmental health: 
   • Randomized Control Trial 
   • Cohort Study 
   • Case-Control Study 
   • Cross-Sectional
   • The articles you choose should be completely in English (this includes the reference list). They should be related to population health and speak to one of the following elements from the course: Infectious disease, chronic health, occupational health, global health, genomics or environmental health.
3. Read each article and answer the following questions with detail for each article, include succinct definitions/examples or rationale as fitting to the question. Organize your answers using the number of the question you are answering (1-8). Your answers should provide more than a “yes” or “no”, your answers should provide examples, critical thinking, definitions, and examples. 
   1. Does the study design specify a question, goal, of the study? 
   2.  Why is this important? 
   3. Explain the methodology (Randomized Control Trial, Cohort Study, Case-Control Study).
   4. Describe the participant information, include recruitment. Is selection bias present? 
   5. How is data collected? 
   6. Are the variables identified? If yes, discuss. If no, how does this impact your interpretation of the study? 
   7. How was the data analyzed, what statistics are provided? What are potential errors related to the study design? 
   8. What are the weaknesses of the type of study design/method? 
   9. Discuss the outcomes and the implications for implementation. 
   10.   Your analysis should have in-text citations and utilize a scholarly voice with APA formatting. 
   11.  a minimum of two paragraphs of 4-5 sentences for each question answered. You should integrate in-text citation(s) and be formatted with APA and a scholarly voice.  
   12.  integrate course content (such as data and correctly used course terminology) related to the study method as well as an integration of in-text citations along with a scholarly voice and APA formatting. The textbook may be utilized as a resource. 

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

Assignment Content

1. In Week 3, you should have begun soliciting recommendations from current or previous employers or supervisors. If not, begin soliciting recommendations via LinkedIn or contact them directly by email or telephone. Be polite and professional in your solicitation. Try and acquire the recommendations before the end of the week.

   Write a 700- to 1,050-word paper that evaluates the recommendations you received, and those you did not.
   Consider the following:

   • Who did you reach outto and what is their relation to you?
   • Who responded andwhat did they have to say?
   • Was there anything inthe recommendation you felt was missing?
   • Who did not respond?Is there a reason why they might not have responded?
   • What didthis assignment teach you about your professional relationships with current orprevious employers or supervisors?
   • What can you do to strengthen weak professional relationships?
   • Include copies of the recommendations in your paper.

     Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

     Format your assignment according to APA guidelines.
      

Select either EBP, research, or QI and identify how the selected approach is implemented to improve outcomes at your workplace.

            Nursing practice involves three inquiries that are significant to healthcare outcomes.  Since the inception of the nursing profession, many advancements have occurred.  Healthcare will continue to evolve through research leading to evidence-based practice (EBP), and consistently including quality improvement (QI).  Nurses are particularly instrumental with their knowledge base and skills learned.  Quality improvement (QI), research, and evidence-based practice (EBP) each have a role in nursing.  Although their aims, methods, and outcomes differ, the common goal is to promote optimal outcomes.   

            Quality improvement (QI) is a model implementing change.  When problems are identified, the process for quality improvement is executed (Zaccagnini & White, 2017).  QI is utilized in identifying performance gaps within nursing practice, process, or systems.  It is applied throughout units, departments, and organizations.  The Quality Improvement Model (QIM) contains four phases: Plan, Do, Study, and Act [PDSA] (Joyce, et al., 2019).  Working in the public/community health setting, nursing care is directed towards prevention.  The key is to educate patients and ensure their competency with their healthcare.  The QIM is implemented at my workplace from evaluating the patients’ behaviors based on their understanding of preventive care and continuing regularly scheduled appointments.  Typically, in public/community health facilities, monthly meetings are held with the providers to review measures defined by the Uniform Data System (UDS).  Facilities receive standardized reporting for review to compare to other facilities, then establish goals to increase the patients’ outcomes. 

How do you know this approach is utilized?

             QI is the approach utilized because it is referenced at every provider meeting.  On a smaller comparison, quality improvement is separated into the different departments and for each provider.  QI is a huge component considered in bonus compensation as well. 

Is this selected approach used apart from or in conjunction with the other approaches?

 Quality improvement (QI) is used in conjunction with research and evidence-based practice (EBP).  Meetings also consist of providing feedback relating to research and EBP.

Can one approach be effectively applied without the others? Why or why not?

 Although each inquiry is aimed to promoting optimal outcomes in healthcare, one approach can effectively be applied without the use of another in some instances.  They can be applied separately because there are differences in their aims, methods, and outcomes.  Each inquiry has a unique process yet complement one another for best practice (Mick, 2015). QI identifies the problem using an active approach for ideal results.  Research uses a scientific approach and in turn produces new education.  EBP tests the research to create new practice.  On other occasions, one approach may not be as effective without the other because each has an added value in some form.   

Hello I need a comment for this post at least 2 paragraphs and the sources no later than 5 years. 

Discussion: Workplace Environment Assessment

How healthy is your workplace?

You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.

There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility.

To Prepare:

• Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
• Review and complete the Work Environment Assessment Template in the Resources.

By Day 3 of Week 7

Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

3 sources for this discussion

Evidence-Based Practice (EBP) has captured the attention of healthcare providers, healthcare organizations, and consumers to positively influence patient outcomes. However, confusion abounds about how evidence-based practice differs from research and quality improvement.

1-Select either EBP, research, or QI and identify how the selected approach is implemented to improve outcomes at your workplace.

2-How do you know this approach is utilized?

3-Is this selected approach used apart from or in conjunction with the other approaches?

4-Can one approach be effectively applied without the others? Why or why not?

Please Answer each question separated and use APA form and sources no later than 5 years.

Essay: Answer each prompt using at least 400 words.

1. Describe an experience that directly affected you or that you observed where someone was treated as an “O”. What did you, or could you have done to minimize this experience?
2. Think of 3 different ages or points in your life, for example, ages 6, 12, and 18.
   • What racial identity development stage would you say you were in for each of these stages and why? 
   • What factors can you think of that may have impacted any changes in your racial identity development stages from one age to another?
   • Do you feel that each of these stages could have been better supported by the caregivers, educators, peers, or colleagues around you?
3. Reflecting on the McNickles section, what explains the perception gap that exists between whites and African Americans when it comes to matters of race and racism? Do you agree with McNickles?
4. The ability to communicate in English is important for many jobs and therefore some companies offer ESL (English as a Second Language) courses to their non-English-speaking employees. One alternative to requiring company-sponsored ESL instruction is to require that all potential employees meet an English language proficiency standard before they may be hired. Compare and contrast these two alternatives in terms of advantages and disadvantages to the company.

Assignment Expectations:

• Length:
  • 1600-1750 words (5-7 pages); answers must thoroughly address the questions in a clear, concise manner
• Structure:
  • Include a title page and reference page in APA style

1. Identify your message. Develop the key message(s) (part one research) you want the audience to absorb. Specify what action you want viewers to take after seeing the PSA.  ( I have attached the part one file)

2. Identify your audience. Clarify whom the PSA’s main message is intended. Your research from part one of the project will help you understand what this audience cares about can help target your message and final product. 

3. Determine the “hook.” A hook is a message that grabs someone’s attention. A powerful hook will substantially increase the number of people who do what you ask them to do. 

Overview

Deliver a 5–7-page analysis of an existing quality improvement initiative at your workplace. The QI initiative you choose to analyze should be related to specific disease, condition, or public health issue of personal or professional interest to you.

Too often, discussions about quality health care, care costs, and outcome measures take place in isolation—each group talking among themselves about results and enhancements. Because nurses are critical to the delivery of high-quality, efficient health care, it is essential that they develop the proficiency to review, evaluate performance reports, and be able to effectively communicate outcome measures related to quality initiatives. The nursing staff’s perspective and the need to collaborate on quality care initiatives are fundamental to patient safety and positive institutional health care outcomes.

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

• Competency 2: Plan quality improvement initiatives in response to routine data surveillance.
  • Recommend additional indicators and protocols to improve and expand quality outcomes of a quality initiative.
• Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.
  • Analyze a current quality improvement initiative in a health care setting.
  • Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures.
• Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality
  • Incorporate interprofessional perspectives related to initiative functionality and outcomes.
• Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.
  • Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
  • Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Assessment Instructions

Preparation

You have been asked to prepare and deliver an analysis of an existing quality improvement initiative at your workplace. The QI initiative you choose to analyze should be related to a specific disease, condition, or public health issue of personal or professional interest to you. The purpose of the report is to assess whether specific quality indicators point to improved patient safety, quality of care, cost and efficiency goals, and other desired metrics.

Your target audience consists of nurses and other health professionals with specializations or interest in your selected condition, disease, or issue. In your report, you will define the disease, analyze how the condition is managed, identify the core performance measurements used to treat or manage the condition, and evaluate the impact of the quality indicators on the health care facility:

Note: Remember, you can submit all, or a portion of, your draft to Smarthinking for feedback, before you submit the final version of your analysis for this assessment. However, be mindful of the turnaround time for receiving feedback, if you plan on using this free service.

The numbered points below correspond to grading criteria in the scoring guide. The bullets below each grading criterion further delineate tasks to fulfill the assessment requirements. Be sure that your Quality Improvement Initiative Evaluation addresses all of the content below. You may also want to read the scoring guide to better understand the performance levels that relate to each grading criterion.

1. Analyze a current quality improvement initiative in a health care setting.
   • Evaluate a QI initiative and explain what prompted the implementation. Detail problems that were not addressed and any issues that arose from the initiative.
2. Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures.
   • Analyze the benchmarks that were used to evaluate success. Detail what was the most successful, as well as what outcome measures are missing or could be added.
3. Incorporate interprofessional perspectives related to initiative functionality and outcomes.
   • Integrate the perspectives of interprofessional team members involved in the initiative. Detail who you talked to, their professions, and the impact of their perspectives on your analysis.
4. Recommend additional indicators and protocols to improve and expand quality outcomes of a quality initiative.
   • Recommend specific process or protocol changes as well as added technologies that would improve quality outcomes.
5. Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
6. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Submission Requirements

• Length of submission: A minimum of five but no more than seven double-spaced, typed pages.
• Number of references: Cite a minimum of four sources (no older than seven years, unless seminal work) of scholarly peer reviewed or professional evidence that support your interpretation and analysis.
• APA formatting: Resources and citations are formatted according to current APA style and formatting.

Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.