Scope of Practice and Patient’s Healthcare Accessibility

 

  1. Discuss your state NP community in terms of scope of practice. Include the your state’s scope of practice for NPs including: . Be sure that you carefully address each part of the assigned discussion, in full, with cited scholarly sources to support your statements. at least two paragraph each     My state is Maryland
    • Level of independence of practice 
    • Prescribing authority 
    • Any limitations of practice 
    • Process for obtaining licensure in your state 
    • Certification and education requirements for licensure. 
  2. If you live in a restricted or reduced practice state, how has patient care been impacted in your local community from these barriers?  For instance, is the ED used for primary care?  Are the EDs overcrowded with long wait times?  Are there urgent care clinics readily available? Is there adequate access to primary care?  If you live in a full practice, how has independent practice of the APN resulted in improved patient access to healthcare?   
  3. How does access to NPs impacts any healthcare disparities?  
  • Consider how patient care has been impacted in your local community by these practice barriers.
    • For instance, is the ED used for primary care?
    • Are the EDs overcrowded with long wait times?
    • Are there urgent care clinics readily available?
    • Is there adequate access to primary care?
    • Are your rural communities adequately served?
    • What healthcare limitations are present in your communities?
  • Consider how unrestricted, independent practice of the APRN resulted in improved patient access to healthcare?
  • Include in your discussion how access to NPs impacts any healthcare disparities. 
    • Be sure you clearly understand the concept of “health disparities” as you address this portion of the discussion.
  • As a reminder, all writing submitted should reflect graduate student quality and APA writing rules. All writing informed by outside sources should include APA formatted citations and associated scholarly, current references. Buppert, C. (2017). Nurse practitioner’s business practice & legal guide (6th ed.). Burlington, MA: Jones & Bartlett. 
  • include outside references other than the book
  • Chapter 8 – Risk Management

Letz, K. (2017). The NP guide: Essential knowledge for nurse practitioner practice. (3rd ed.). American College of Nurse Practitioner Faculty. Las Vegas, NV.

  • Chapter 11 – Justifying and promoting the profession

Teitelbaum, J. B., & Wilensky, S. E. (2017). Essentials of health policy and law (3rd ed.). Burlington, MA: Jones & Bartlett Publishers.

  • Chapter 13 – Public Health Preparedness policy

 

Health disparities are any difference in health outcomes between populations of people. Consider the impact of poverty, race, gender, disability etc. on various health outcomes. The goal of Healthy People 2020 was to eliminate health disparities and achieve health equity, thus improving health outcomes among all populations (U.S. Department of Health and Human Services, 2020). 

Healthy People 2020 (HP2020) defines health disparity as:

       “a particular type of health difference that is closely linked with social, economic, and/or                  environmental disadvantage. Health disparities adversely affect groups of people who have          systematically experienced greater obstacles to health based on their racial or ethnic                        group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or                  physical disability; sexual orientation or gender identity; geographic location; or other                     characteristics historically linked to discrimination or exclusion” (U.S. Department of                         Health and Human Services, 2020).

The HP 2020 definition of health equity is as follows:

         “attainment of the highest level of health for all people. Achieving health equity requires                  valuing everyone equally with focused and ongoing societal efforts to address avoidable                 inequalities, historical and contemporary injustices, and the elimination of health and                       health care disparities” (U.S. Department of Health and Human Services, 2020).

As you consider this week’s discussion questions, be sure to review the information here, as you prepare your responses and interact with the discussion.

Here is an excellent podcast regarding the importance of the nurse in health equity efforts. 

Finally, please review this article  r/t the APRN’s work in reducing health disparities. 

 U.S. Department of Health and Human Services (2020). Disparities. Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities 

General Psychology

 

Module 05 General Psychology Credit by Assessment

Psychological principles are theories and beliefs about major areas of our lives, like cognitions, intelligence, social groups, habit, behavior, and many others. Let’s explore how we identify and utilize psychological principles in daily life. In a 2 page paper, please analyze the following:

  • How do psychological principles affect the study of the behavior of individuals and groups?
  • What are the parameters of behavioral deviance and its various therapies?
  • How do psychological principles affect the study of individual differences?
  • Last, explain the role of psychology in such areas as industry, complex organizations, law, and education.

This paper should be 2-3 pages in length and use APA formatting (cover page, paper body formatting, citations, and references: see Rasmussen’s APA guide in the Resources tab, or by clicking here. Prior to submitting your paper, be sure you proofread your work to check your spelling and grammar. If you use any outside sources, please site those sources in APA citation format.

Nursing question

Regarding the last assignment, “Which thiazide medication would you prescribe? What strength?”

half a page 

apa format

references from the last 5 years, if used

Dq

Respond to this discussion post 

This change management model was created in the 1950s by psychologist Kurt Lewin. Lewin noted that the majority of people tend to prefer and operate within certain zones of safety. As a result, he recognized three stages of change as: unfreeze, transition, and refreeze. On the other hand, Everette Rogers modified Lewin’s change theory and created a five-stage theory of his own. The five stages are awareness, interest, evaluation, implementation and adoption. This theory is applied to long-term change projects. It is successful when nurses who ignored the proposed change earlier adopt it because of what they hear from nurses who adopted it initially (Kritsonis, 2015).

Below is a comparison of the two change theories;

Lewin’s Three-Step Change Theory vs. Rogers Change Theory.

Lewin’s Three-Step Change Theory is very rational, goal and plan oriented. It doesn’t take into account personal factors that can affect change. Also, the theory makes rational sense, but when implemented the lack of considering human feelings and experiences can have negative consequences. On the other hand, Roger’s theory is applied for long-term changes and the success of this theory is fully realized when the earlier resistant agents adopt the change and support it this is unlike Lewin’s theory where success is only realized if the driving forces dominate the resistant force (Watson, 2019).

Given that Rogers change theory promotes awareness of the change, encourages interest of implementation of EBP among the involved parties and appraise the achievement of pilot studies before the actual implementation, the theory makes sense in the implementation of my specific EBP in healthcare system.

Due tomorrow please help

Step 1 Explain three difficult concepts.

As you review the activities and the information presented in this lesson and the textbook, identify the three most difficult concepts (or parts of a concept) in respiratory anatomy and respiration for most anatomy and physiology students. Select one difficult concept from each of these topic areas:

  • Anatomy of the Respiratory System
  • Mechanics of Breathing
  • Respiration

Step 2 Write an explanation of each concept.

Write a clear one-paragraph explanation of each of these three concepts. Use images from the Internet or those that you scan into the document, if possible.  Your response should be a  500-word paper.

Nurs561asignweek5

Week 5 Disease Analysis Paper 

 

 

                                                                     For this assignment, you will select a disease of your choice and conduct a detailed analysis of that disease, exploring it from a balanced traditional and alternative health perspective.
 

Begin by searching the Center for Disease Control (CDC) website Diseases and Conditions Index to choose a disease or condition of interest to you.
 

Next, review the website for Healthy People 2020 for information related to the disease or the disease category (e.g., mental health for ADHD).
 

In your paper, discuss the following:

  • Prominent aspects of this disease 
  • Current data and statistics related to the disease 
  • Health disparities related to the disease 
  • Prevention strategies including complementary and alternative health therapies 
  • Contemporary research and clinical studies related to the disease 
  • An analysis of the pathophysiologic effects of stress related to the disease  
  • Evidence-based stress management interventions that might help with prevention or cure 

The paper should be between 3–4 pages.

Incorporate at least three scholarly sources within the paper. Sources should be no more than three years old.
 

Use proper APA format to cite and reference sources.

links:   http://www.cdc.gov/DiseasesConditions/az/a.html

            http://www.healthypeople.gov/
 

107nurd8

Minimum of 350 words with at least 2 peer review in 7th edition apa style.

 

Reflect upon the selected practice problem in Diabetes to address the following.

  • Which translation model provides a framework for practice change?
  • What is the value of an interprofessional team to address this practice problem?
  • In influencing improvement outcomes to address this problem, what strategies can you implement to inspire others to embrace change? 

Anticoagulant Power Point

±Scholarly power point presentation due Friday October 30th 

Medications are: Warfarin (Coumadin) and Heparin 

±Minimum Number of Slides: 15

±Maximum Number of Slides: 22

±The presentation must include the following information (1 slide per topic)

°Title Page: Title of the project (Your assigned medication classification), your name, school name, name of the class

°Mechanism of Action of your assigned drug classification

°Clinical Use of medications in this class

°Names of medications included in this class

°Select 2 medications (of your choice) and expand: Dosage form and doses, uses of the particular drug you selected, special consideration of this medication (1 medication per slide)

°Nursing implications

°Last slide: References in APA Format (Use Peer Reviewed Sources Only).

°You  may add pictures, and effects to your power point presentation

°Do not copy and paste

CRITICAL APPROVAL OF JEAN WATSON THEORY OF HUMAN CARING

Jean Watson’s Theory of Human Caring is a conceptual thread in the USU College of Nursing’s curriculum framework. The purpose of this assignment is to offer students the opportunity to be exposed to Human Caring Science while providing students with the skills of critical appraisal of evidence.

  1. Students will select one nursing research article that focuses on a study that used Jean Watson’s Theory of Human Caring as a theoretical framework.
  2. Students should use as a guide, an appropriate Rapid Critical Appraisal Checklist found in Melnyk & Fineout-Overholt (2019; pp. 708-722).
  3. The critiques are to be informal, although correct grammar, spelling, etc., are expected. The critique should include a brief description of the study that was reviewed and should address elements of the study relevant to critique.
  4. Students will provide a written critique on a critical appraisal of the elements relevant to the nature of the research study such as type of study, design, quality of the study; and rationale, as well as implications for practice and further research and/or evaluation.

The grade will be based on accuracy, level of content and structure of the document.

 please use these Examples of research articles incorporating Jean Watson’s theory  in USU online library:

Durgun Ozan, Y., & Okumus, H. (2017). Effects of nursing care based on

   Watson’s theory of human caring on anxiety, distress, and coping when

    infertility treatment fails: A randomized controlled trial. Journal of Caring

   Sciences, 6(2), 95-109. 

Rossillao, K. (2018).  Caritas education: Theory to practice…2018 

  National Teaching Institute research abstracts presented at the AACN

  National Teaching Institute, Boston, Massachusetts, May 21-24, 2018. 

  American Journal of Critical Care, 27(3), e 14 – e15. 


Expectations

  • Length: 4-5 pages (including title and reference pages)
  • Format: Formal paper in APA 6th ed format
  • Citations: If used (not required) cite references according to APA 6th ed.

Nursing work

apply the nursing process to the community of Ridley Park Pennsylvania. This is a research paper that the nursing is doing in the community using the nursing proces.

Write one page of paper in the nursing process on “assessment“in an APA format.

Topic: Nursing Assess  in the community of Ridley Park Pennsylvania.

Write another one page of paper in nursing process on “nursing diagnosis“  in an APA format.

Topic: Nursing diagnosis in the community of Ridley Park Pennsylvania 

All together is two separate paper you will be writing.