All posts by : chebby

 evidence-based  

Think about a healthcare organization that you know (or have researched). In a 1-2 page paper, explain why they should devote time to planning. Identify and describe three things the organization can accomplish by the planning process.

Be sure to format your research sources per APA standards and use in-text citations where necessary. Also, be sure to include a reference page. For more information on APA, please visit the Online Library, which is available through the Resources tab.

Submit your completed assignment to the drop box below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Jstudent_exampleproblem_101504

Question attached

Requirements

1. The Concept Map must visually connect all of the specified objectives  (Program Outcomes, MSN Essentials, and NONPF Competencies) to course work (such as specific discussion board topics, written assignments, exams, lessons, and reading content).    
2. All items should be labeled, for instance, label the objectives and label the course work you select with name of the assignment/reading/discussion board topic and which week it was introduced.
3. Use Microsoft Word or a PowerPoint to create a Concept Map. You can use the features found on the “Insert” tab of a Word doc (in the horizontal ribbon on the top of a Word doc page). For instance, if you click on “insert” you will see shapes and SmartArt. You can use a PowerPoint slide with shapes and lines to create a concept/mind map. This is not a PowerPoint presentation, but a PowerPoint slide can be used to “draw” the Map.

Outcomes/Competencies to be connected with course learning: 

MSN Program Outcome #2:

Create a caring environment for achieving quality health outcomes (Care-Focused).

MSN Essential VIII:

Clinical Prevention and Population Health for Improving Health

National Organization of Nurse Practitioner Competencies #4: Practice Inquiry Competencies

• Recognizes that the master’s-prepared nurse applies and integrates broad, organizational, client-centered, and culturally appropriate concepts in the planning, delivery, management, and evaluation of evidence-based clinical prevention and population care and services to individuals, families, and aggregates/identified populations.

Your Concept Map will visually depict how you see the assignments of the course meeting the outcomes above.

Preparing the Assignment

ViewHow to Create a Concept Map (Links to an external site.)

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

Description 

MSN Program Outcome #2 

• The Map visually connects the Category to a minimum of two (2) assignments. 
• Each assignment is clearly labeled with week and content topic. 

MSN Essential VIII

• The Map visually connects the Category to a minimum of two (2) assignments. 
• Each assignment is clearly labeled with week and content topic. 

NONPF Competencies #4 

• The Map visually connects the Category to a minimum of two (2) assignments. 
• Each assignment is clearly labeled with week and content topic. 

Signature Assignment Title: What Makes a Good Leader?

Signature Assignment Description/Directions:

Choose one or more leadership topic(s) from your textbook or from a scholarly source from a previous discussion or assignment from this course and write about its application to nursing practice. Provide definitions, history/background, and major concepts of chosen topic.  Describe the topic’s function in nursing practice by examining at least three different nursing roles (for example, bedside nurse, public health nurse, CNO, unit manager, etc.). Discuss how the leadership topic can be used in your own practice. Discuss your personal growth in regard to your chosen leadership topic. Evaluate personal strengths, weaknesses, opportunities, and threats to your career advancement.

Then, discuss the top three traits you feel makes a good nurse leader. Support your statements with examples from your practice experience and scholarly sources.

Assignment Expectations:

Length: 1750 to 2000 words in length

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

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three scholarly sources plus the textbook are required.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) 

Peer initial posting:

Many Who Buy ACA Health Plans For 2019 Find Lower Prices And More Choice focuses on the stabilization of the health care market after the removal of some “structural underpinnings” in 2017. The cost for health insurance rose steeply from 2017 to 2018 with the average premium going up by over 10% for most states (Rau, 2018). A portion of the price increase was driven by insurance monopolies, so, with no competition, insurance companies had no fear about raising premiums while reducing coverage.

The cost of health care has been a hot topic for a long time, especially as prices have been going up. The cost to insure a single person in 2018 has become similar to the average cost of family coverage 20 years ago (NCSL, 2018). For many people, the question of health care is how much is a person willing to pay for their health on average, which becomes problematic very quickly as the averages can be relatively easily skewed. Even for people who receive health insurance through work, the average cost of insurance premiums is $5,714 and additional out-of-pocket costs, which bring up the average spending on health to 11.7% of total income per year (NCSL, 2018). While there is good news for the public at large at the reduced costs for 2019 insurance plans, there are still many problems with health insurance. Insurances only cover certain providers, hospitals, or services, and for people with established providers, this may mean finding a new provider or paying more for their insurance, and those are only options if there is even an insurance company that works with that provider. Overall, I am not optimistic about a system where the cost of a service can be difficult to obtain and the response of most customers is basically “at this point, I’ll take whatever I can get” (Rau, 2018).

 Link:    https://www.npr.org/sections/health-shots/2018/11/23/667466242/many-who-buy-aca-health-plans-for-2019-find-lower-prices-and-more-choice   

References

Rau, J. (2018)  Many Who Buy ACA Health Plans For 2019 Find Lower Prices And More Choice Retrieved from https://www.npr.org/sections/health-shots/2018/11/23/667466242/many-who-buy-aca-health-plans-for-2019-find-lower-prices-and-more-choice

NCSL (2018) Health Insurance: Premiums and Increases Retrieved from https://www.ncsl.org/research/health/health-insurance-premiums.aspx

 INSTRUCTIONS

Review the initial postings from your peers. Click on the link provided in the initial response to read/listen to the story. Respond to one peer according to the following prompts and the grading rubric.

1.  What are your overall thoughts about this posting/topic?
2. Do your share common or differing thoughts from the other student? Explain. 
3. Your post must be supported with at least one source of literature (can use required readings) but must also incorporate at least one source in addition to those provided to receive full points. The date of publishing should be within the past 2 years. APA Style 7th edition.

A systematic review is a referred to as a detailed, systematic and transparent means of gathering, appraising and synthesizing evidence to answer a well-defined question. The hallmark of systematic reviews is that they seek to reduce bias at all stages of the review process and strive to gain reliable answers to probable research-oriented questions through the means of summarizing and collecting all the available valid proofs deemed to be empirical as they align with the previously stated eligible criterion (Gopalakrishnan, 2013). This type of review is often written by a panel of experts after reviewing all the information from both published and unpublished studies, which distinguishes it from traditional literature reviews that typically examine a much smaller set of research evidence and present it from a single author’s perspective.

A meta-analysis is a statistical procedure for combining numerical data from multiple separate studies. A meta-analysis should only ever be conducted in the context of a systematic review. The aim of a meta-analysis is to derive a conclusion with increased power and accuracy than what could not be able to achieve in individual studies. A meta-analysis is a systematic study in which therapeutic effectiveness is measured by calculating the weighted pooled estimate for treatments in at least two different research.

Basically a systematic review is a method used to describe trends in the research field by calculating how many studies have used certain research methodologies whereas a meta-analysis combines results from those studies in a new statistical framework to test hypotheses. Both methods can be used together, which is advantageous. However, well planned the systematic review or meta-analysis is, if the quality of evidence in the studies is low, the quality of the meta-analysis decreases and incorrect results can be obtained.

Gopalakrishnan, S., & Ganeshkumar, P. (2013). Systematic Reviews and Meta-analysis: Understanding the Best Evidence in Primary Healthcare. Journal of family medicine and primary care, 2(1), 9–14. https://doi.org/10.4103/2249-4863.109934

 Ahn, E., & Kang, H. (2018). Introduction to systematic review and meta-analysis. Korean journal of anesthesiology, 71(2), 103–112. https://doi.org/10.4097/kjae.2018.71.2.103

reply2

Quantitative and Qualitative methods are both used to evaluate evidence. Qualitative research focuses in understanding a research query as a humanistic or idealistic approach (Pathak et al., 2013). Though quantitative approach is a more reliable method as it is based upon numeric and methods that can be made objectively and propagated by other researchers (Pathak et al., 2013). Qualitative method is used to understand people’s beliefs, experiences, attitudes, behavior, and interactions (Pathak et al., 2013). It generates non-numerical data (Pathak et al., 2013). When combined with quantitative measures, qualitative study can give a better understanding of health-related issues (Pathak et al., 2013). The perspectives in clinical research should highlight advances in qualitative research as well, to optimize quality and utility of this method of research (Pathak et al., 2013). Qualitative research gives voice to the participants in the study, it permits the participants to share their experiences of the effects of the drug of interest. This can open our eyes to new aspects of the study and help modify the design of the clinical trial (Pathak et al., 2013). Qualitative study enhances the involvement of everyone related to the study, the researcher works on the social parameters in addition to the quantitative measures in the study. The subjects also have an empowering experience in the study (Pathak et al., 2013). They have an active role in the study and can voice their individual benefits and harms of the study, as well as, with qualitative methods, the relationship between the researcher and the participant is often less formal than in quantitative research (Pathak et al., 2013).

Pathak, V., Jena, B., & Kalra, S. (2013). Qualitative research. Perspectives in clinical research, 4(3), 192. https://doi.org/10.4103/2229-3485.115389

How am I doing? I am grateful to be able to seat at my desk and type a response to this discussion question. A mere two weeks ago, this was not possible! COVID-19 has had quite an impact on me, my family, and my work. Since the last week of October, one member of my household has tested positive for the coronavirus, been hospitalized, and on a ventilator for 5 days. The rest of us in the house have remained negative but we were taken physically to varying degrees. I am currently on a medical leave of absence from work and dealing with home health care, physical therapy, occupational therapy, and trying not to get tangled up in my oxygen tubing. I am making slow but steady progress. As I do this, I am caring for and cautiously watching over my daughter who is 38 weeks pregnant and recovering from pneumonia. My son-in-law pretty much has his hands full with their two-year son. Every day I am fielding calls and emails from my students as well as the instructors who are taking over my teaching responsibilities. 

Are you able to practice self-care in this time of crisis? I learned a long time ago as a single parent that recharging my own battery was a necessity that I could not neglect. So every day, I take 15-30 minutes to recharge. Sometimes I do the same thing for weeks at a time. Other times something could be a one and done thing. But it is not missed because it is a priority to me. Doing a word puzzle. Coloring a picture. Journaling in a notebook. Over the past months, as things seemed to close in, the allotted time has been a struggle to find but I have consistently been amazed at the change of perspective and improvement in my mindset so this remains an important thing for me. 

What ways, both professionally and personally, has your normal life changed? How are you adjusting to the new normal? I went from working 40-45 hours a week on campus to working 60+ hours a week from home back in March when the nursing program transitioned to online teaching and virtual clinicals. There was new technology to learn. There were internet issues. And for everyone, there was a total blur of the work/home balance. When this all started, I think most of us thought we would be done with this in a few months. So the longer it goes on, the more it is wearing on us and this becomes the concern. I have found that remaining in contact with my family and friends is vital. We talk about anything, everything and nothing! As the holidays draw closer there is a tendency to lament the gatherings that won’t be happening or how things will be different for various reasons. I have chosen to focus on the positive aspects of the new normal life I am in right now. Am I feeling 100% myself right now? Absolutely not but I am stronger today than I was yesterday and for that, I am grateful and blessed!

I need a comment for this post sources are not necessary. i need at least 2 paragraphs.  

Nurse working in a prison system. 1000 words due 10/20/2020

You are a nurse working in a prison. One of the prisoners has decided to refuse all medical treatment and medications.

1. 200 words Choose one option below and support your position. Elaborate on the option selected using the text book. 

2. 200 words Describe any ethical or legal considerations as to why you are choosing this option.

3. 200 words What are the environmental, physical, and psychological health issues faced by prisoners within the system?

4. 200 words What safety and ethical concerns do nurses working within the prison system face? 

Option 1: A prisoner has the right to refuse any and all medical treatment/medication.

Option 2: A prisoner does not have the right to refuse any and all medical treatment/medication.

Cite and reference all sources with at least 4 reference including the textbook. , minimum expectation = 1. Sources must be 5 years old or less.

State Strategies (20% of grade)

The purpose of this assignment is to familiarize students with health reform strategies adopted by states. Students will select a state health policy reform innovation and describe the rationale, how it was adopted (e.g., federal waivers, passage by state legislature), the funding structure, and (to the extent statistical data are available) its impact. Students should summarize their findings in a 1-2 page, single-spaced memo.

Sample memo attached. A memo is required, see attached sample.

A few examples of state innovations include Vermont’s single payer system, Massachusetts’ health reforms and Kentucky’s Medicaid healthcare program (none of these can be used).

Please see attached rubric.