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1. A.Discuss how the concept of “health” has changed over time. B.Discuss how the concept has evolved to include wellness, illness, and overall well-being. C.How has health promotion changed over time? D.Why is it important that nurses implement health promotion interventions based on evidence-based practice?

2. A.Compare and contrast the three different levels of health promotion (primary, secondary, tertiary). B.Discuss how the levels of prevention help determine educational needs for a patient.

jennifer hay RE: Discussion – Week 7COLLAPSE

Work Environment Assessment

                Nurses and other healthcare staff may not always communicate respectfully or be able to manage their emotions due to the stressful environment they work in. Cynthia Clark created a healthy workplace inventory that can assess how healthy a workplace is. The score for the work environment in the workplace inventory was 70 (Clark, 2015). This score equals out to a mildly healthy work environment.

Why the Workplace is or is Not Civil

Unsafe working conditions can arise from an uncivil working environment (Clark et al., 2011). Prior to the pandemic, the score would have been higher. With census remaining so high, and there being a higher census of higher acuity and critical patients the workload is not disbursed manageably. The morale of the work environment is also not ideal. We are required to work mandatory overtime and are often short staffed. This is leading to wearing down of the employees and increased nurse burnout.

Incivility in the Workplace

In this week’s media it explains that working in a team each person must hold themselves accountable to show up for the team (Producer, 2009). Incivility has been experienced by the same employees frequently calling in. When people are assigned to be in staffing and then call in for their shift it changes the workflow to have in scramble to find someone to come in and work or shift patients onto a different team. It has been addressed by having call shifts to help ease the staffing if there is a call in. However, the same staff will call in for their call shifts. It can be very frustrating when there is no accountability and people do not feel accountable to their teammates for what kind of situation it may put them in.

References

Clark, C. M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursing education and practice: Nurse leader perspectives. Journal of Nursing Administration, 41(7/8), 324–330. doi:10.1097/NNA.0b013e31822509c4

Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10(11), 18-23.

Laureate Education (Producer). (2009a). Working with Groups and Teams [Video file]. Baltimore, MD: Author.

Jocelyne Clement RE: Discussion – Week 7COLLAPSE

Examine the Clack Healthy Workplace Inventory 

     Any healthcare organization is considered to be a social unit of people. That is structured and managed to meet the need of people or pursuing collective goals.  The smooth operating or running of any healthcare organization has direct relationship with its organizational structure which in turn, has direct bearing with the company or organization style. The Clark assessment brings awareness to certain unhealthy behaviors which sometimes are not noticed in the aforementioned student workplace. This clear and precise assessment of my workplace scores 67% which is classified as barely healthy. Clark et al. (2015). It is shocking, disbelief and true results. I have always believed my workplace is a fine and friendly place to work. But my eyes are open to some subconscious truth from the Clark inventory assessment.

 How Civil is my Workplace

      The inventory and real truth from the Clack assessment results concluded my workplace is not civil nor a friendly environment. Realizing the damage and the implication of the potential misconduct between nurses against nurses. Embree et al. (2013). it is imperative that leaders and management are made aware of the relationship between the activities of its members in the organization. It is obvious, the upper management are focusing more on better patient outcomes versus nursing staff that are being oppressed by some of their peers who believe to hold the upper hand of power. delivered the care.

Some Examples of Incivility In the workplace

 This event dated more than 15yrs ago, being a new nurse at the well known local hospital in y city. There was a group of nurses who were had refused to give a report to the nurses who communicate with an accent dependent on areas the foreign nurses were from.  This type of behavior was insane and had driven a sadness in my heart. But I was a brand new nurse. i could not understand this situation. I was afraid to speak out although some of them were my former classmate from the same university. Finally, within the years of watching these peers bullying others. On my yearly evaluation, i was able to confide to my nurse manager what was ongoing Clark et al (2014).

Addressing The Issues

The Nurse manager within a week had a meeting with the unit staff addressing the subject of incivility , and quickly involved an implemented a policy within the organization on zero tolerance policy on incivility toward any staff member regarding of their race, age, color, sex and origin. During the meeting, nurses were able to speak out without the fear  retaliation from their oppressers or any other persons who think of having more power. The subject of intimidation, bullying had gone viral throughout the hospital and become the part of employee hand book throughout the hospital. All the disciplines, I have strongly encouraged the student and the new nurses along with the new hires to speak out on the importance of being a whisle blower on negative or unhealthy treatment from peers or any form antagonistic method.

References

Clark, C. M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursing education and practice: Nurse leader perspectives. Journal of Nursing Administration, 41(7/8), 324–330. https://doi.org/10.1097/NNA.0b013e31822509c4

Clark, C.M.(2015). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10 (11), 18-23. Retrieved on October 14, 2020 from https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf.

Embree, J.L.,& Bruner, D. A., & White, A.(2013). Raising the level of awareness of nurses-to-nurse lateral violence in a critical access hospital. Nursing Research and Practice, 2013, 1-7.10.1155/2013/207306

3 SOURCES FOR EACH DISCUSSION

Health Promotion and Disease Prevention in Older AdultsNurse’s Role in Health Promotion and Disease Prevention in Older AdultsMany countries experience rapid aging throughout their population. As aging comes with declining psychological and physiological functions, an older population is more vulnerable to various acute and chronic health conditions. Regardless of health status, healthy aging is critical and promotes the wellbeing of the aging population. Nurses have a pivotal role in promoting aging health which involves enabling people to take control and improve their health (Hanssen & Alpers, 2010). Nurses also play a central role in disease prevention efforts that focuses on measures aimed at reducing the development of chronic illnesses.Nurses are the central pillar of a nation’s healthcare. The nurses operate in different settings to provide health promotion and disease prevention throughout a lifespan. As the nurses’ knowledge scope expands and disease spectrums change, the role of nurses is increasing from the traditional role of following physicians leads to a more diverse role with responsibilities for preventive care (Meiner & Yeager, 2018). Nurses are positioned to pay special attention to health promotion efforts, provide lifestyle counseling, enforce educational programs, and provide strategic intervention to prevent exacerbation or complications for elderly persons.Nurses in preventive care are engaged in activities that enhance the health of older adults through evidence-based interventions while encouraging them to adopt preventive measures such as counseling, precautionary medication, and screening. Nurses can use public health education to inspire an aging population to embrace healthy living and ultimately improve their quality of life (Meiner & Yeager, 2018). Nurses are involved in continuous efforts to equip people with knowledge to prevent the emergence of targeted conditions. The nurses assume the role of health educators to educate older adults on the benefits of healthy behaviors.As a Registered Nurse at home healthcare, I have always encouraged and educated older adults in effective weight management interventions and fall prevention. Controlling and maintaining weight through physical exercises and observing healthy habits is a form of preventive care that averts disorders such as cardiovascular diseases, obesity, and osteoarthritis. At the beginning of my practice as a new graduate I  visited one of my patients, when I got there was really sad, she was on the floor since 5:00 am because she was unable to reach the cellphone and call her son or the rescue, but all the time she had the hope that I would be there at any moment before 8:00 am as usual, after multiple teachings she now how to identify hypoglycemia and techniques to avoid any falls or other kind of complications; from that moment I realized that we are their hope, voice and guide and those who daily can help them to move forward and improve.  Three Screening Procedures that must be done in Older AdultsHigh Blood Pressure ScreeningAging increases the risks of developing high blood pressure which affects over thirty percent of the adult population, and it is one of the commonly diagnosed conditions at outpatient visits. Routine screening is essential as the condition acts as a catalyst to other conditions such as stroke, heart attack, and chronic kidney diseases.Cholesterol ScreeningHigh cholesterol levels increase the risks of heart diseases and strokes. Older adults should have their cholesterol levels checked regularly. Checking cholesterol levels is a critical aspect of staying healthy.Diabetes ScreeningDiabetes is a prevalent disorder in the elderly population. It is associated with morbidity and the elderly are at an elevated risk of pre-diabetes and diabetes. Therefore, it is recommended that they seek diabetes screening regularly.Common End-of-Life documentsNurses must be familiar with the various documents to help educate older adults on their options. Four of these documents are a living will, medical power of attorney, Do Not Resuscitate, and the last will. The contents of these documents help older adults prepare for the inevitable, and nurses should familiarize themselves with these documents to be able to educate the patient and their relatives.

ReferencesHanssen, I., & Alpers, L.-M. (2010). Utilitarian and common-sense morality discussions in intercultural nursing practice. Nursing Ethics, 17(2), 201–211. https://doi.org/10.1177/0969733009355544 (Links to an external site.).Meiner, S. E., & Yeager, J. J. (2018). Gerontologic Nursing – E-Book (6th ed.). Mosby.Edited by Machin Triguero, Tania on Oct 26 at 9:41pm

REPLY 2

Health promotion refers to the science and art of assisting the population to improve on their lifestyle, so that they can move towards optimum health. Disease prevention entails activities that enable people to reduce the risk of contracting various illnesses. Nurses have a role to play in health promotion and disease prevention in older adults. For example, nurses help geriatrics to improve on health literacy through education to them (Meiner & Yeager, 2019). Health illiteracy is one of the barriers that older people face in their health promotion. Nurses also advocate for them to access health insurance coverage, so that they can access health services easily and meet the associated costs.

            At the same time, some of the geriatrics suffer from language barriers. In such instances, the problem is solvable through nurses interpreting for them the information which they need to understand as far as health promotion is concerned. Geriatrics are prone to health problems as they advance in age (Meiner & Yeager, 2019). Nurses play a role in bone health for the older people as a way of disease prevention. They also recommend that the geriatrics may attend annual screenings to enable them to check on their health statuses. Through the screenings, secondary disease prevention is possible as it enables them to prevent the disease before it progresses to advanced levels. Nurses further help the patients to manage the long term impact of diseases such as cancers and chronic pain.

From my experience as a RN, I have come across several cases of health promotion. An example is where one patient of Chinese descent came to the hospital with chronic pain. She could not understand English, and so understanding her was a challenge. The nurses handling her used an interpreter to address her case and she was assisted accordingly.

Screening Procedures that must be Performed on Older Adults

Geriatrics require screenings for blood pressure, colonoscopy, and mammogram. Blood pressure screening enables the doctors to address the hypertension problem, which is common among the geriatrics. Mammogram helps in identifying the early signs of breast cancer among the older women. It is important for them to undergo this screening, so that they can prevent the onset of the disease early enough. Colonoscopy helps in early detection of colon cancer, which is common among aged people (Mori et al. 2017). This screening is helpful because it helps to check for abnormalities existing in the colon and rectum.

Common End-of-Life Documents

Nurses need to be familiar with the end-of-life documents that are commonly used among the elder people. Understanding the documents is essential because it enables the nurses to educate the elderly accordingly. As a nurse I need to be familiar with documents such as the Last Will, durable power of attorney, and advance directive. The Last Will contains details such as the people to inherit the property upon the demise of the patient. I would use this document to educate the patient on the importance of the document to his psychological health. The durable power of attorney and advanced directives are essential in determining the care that is appropriate for the elder person. The documents would help me to advise the patient on the type of treatments available for them.

References

Meiner, S.E., Yeager, J.J. (2019) Gerontologic Nursing 6th Ed. Elsevier. St. Louis. MO. ISBN: 9780323498111

Mori, Y., Kudo, S. E., Berzin, T. M., Misawa, M., & Takeda, K. (2017). Computer-aided diagnosis for colonoscopy. Endoscopy, 49(8), 813.

All replies must be constructive and use literature where possible.

Your assignment will be graded according to the grading rubric.

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

There is 10 question. Each answer should be one paragraph and proper citations and references in APA format. Need separately reference in each question right after done.

Task: View this topic 

Description

Points: 100 | Due Date: Week 3, Day 7 | CLO: 5 | Grade Category: Assignments

Assignment Prompt

The purpose of assignments Part 1 – Part 3 is to gradually guide the student in developing the signature assignment. The idea is for the student to take a stepwise approach to completing the signature assignment. The signature assignment will be broken up into three steps: STEP 1 – Introduction and Overview of the Problem; STEP 2 – Project Purpose Statement, Background & Significance and PICOt Formatted Clinical Project Question; and STEP 3 – Literature Review and Critical Appraisal of the Literature. The three steps, when completed, will be combined in the final Signature Assignment formal paper in Week 8. 

This week’s assignment is STEP 1 – Introduction and Problem Statement.

First, the student will select a clinical question from the Approved List of PICOt/Clinical Questions or seek approval for a question from the course professor only for Nurse Educator and Health Care Leadership MSN majors who wish to tailor their research question to their specialized major. The student will select an approved topic from the list (or with faculty approval as previously stated) and will customize the question to meet his or her interest. 

Next, the student will use the outline below and submit via a Word doc to the assignment link.   

1. Provide a title that conveys or describes the assignment.
2. Introduction – Provide an introduction to your topic or project. The introduction gives the reader an accurate, concrete understanding what the project will cover and what can be gained from implementation of this project.
3. Overview of the Problem – Provide a synopsis of the problem and some indication of why the problem is worth exploring or what contribution the proposed project is apt to make to practice.
4. References – Cite references using APA 7th ed. Manual.

Expectations

• Due: Monday, 11:59 pm PT
• Format: Completed Word doc with references in APA 7th ed. format
• File name: Save the file with Student First Name_Last Name_Part 1

Watch the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:

1. Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by previous students.
2. Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.
3. With what people or agencies would you work in facilitating the proposed interventions and why?

Reflections Presentation 

i. What does your inspiration mean?

 ii. Name one concept that challenged you during this course. 

iii. What has been the greatest lesson you have learned? 

iv. How will what you have learned to help you be successful at (University name)?

Required criteria:

Powerpoint

APA format

Keep Short

Directions. Using Chapters 12, and the DRI tables (pp A, B) in your textbook as a reference, answer the following questions. Please include the questions with your answers. Be sure to put your name on your document. Your answers should be thoughtful, complete, and in Standard English. Credit will not be given for answers copied from online sources.

 Etre, L.P. (2017). Ego integrity vs. despair in long-term care.

·  Assignment Description

·  Ego Integrity Presentation

·  Imagine you are working as a charge nurse in an assisted living facility. Your unit houses twenty older adults. The residents of this unit are cognitively functional without evidence of cognitive decline. The residents are elderly and do require varying degrees of physical assistance with ADLs. Create a PowerPoint outlining strategies you can incorporate in the assisted living facility to promote ego integrity for your residents. What group and individual activities can you incorporate?

·  Assignment Expectations:

·  Length: 10-15 content slides 

·  Structure: Include a title slide, objective slide, and reference slide in APA format. These do not count towards the minimum content slide count for this assignment. Be sure to fully explain all slides in the Speaker Notes. 

·  References: Use 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.