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Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.

To Prepare:

• Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
• Select an existing healthcare program or policy evaluation or choose one of interest to you.
• Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

• Describe the healthcare program or policy outcomes.
• How was the success of the program or policy measured?
• How many people were reached by the program or policy selected?
• How much of an impact was realized with the program or policy selected?
• At what point in program implementation was the program or policy evaluation conducted?
• What data was used to conduct the program or policy evaluation?
• What specific information on unintended consequences was identified?
• What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
• Did the program or policy meet the original intent and objectives? Why or why not?
• Would you recommend implementing this program or policy in your place of work? Why or why not?
• Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

Submit your completed healthcare program/policy evaluation analysis.

Submit, by way of this assignment, a summary report of the scholarly activity, including who, what, where, when, and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

.1)Prevention of COPD(consider all aspects of possible prevention from an individual, community.

2)Treatment Of COPD ( Recommendations for how to reduce exposure.)

Please use at least 2 Peer-reviewed journal articles from 2015-current.

APA STYLE( proper citations and reference).

1 and a half pages required.

Nur-501-AP4- Philosophical and Theoretical Evidence-Based research

Watson’s philosophy and science of caring has four major concepts: human being, health, environment/society, and nursing Butts & Rich, 2015). In Watson’s view, the disease might be cured, but illness would remain because, without caring, health is not attained. Caring is the essence of nursing and connotes responsiveness between the nurse and the person; the nurse co-participates with the person. Watson contends that caring can assist the person to gain control, become knowledgeable, and promote health changes.

According to Watson (2009), the core of the Theory of Caring is that “humans cannot be treated as objects and that humans cannot be separated from self, other, nature, and the larger workforce.” Her theory encompasses the whole world of nursing; with the emphasis placed on the interpersonal process between the caregiver and care recipient. The theory is focused on “the centrality of human caring and on the caring-to-caring transpersonal relationship and its healing potential for both the one who is caring and the one who is being cared for” (Watson, 2009). The structure for the science of caring is built upon ten carative factors. Among them are human altruistic values, faith-hope, sensitivity to one’s self or other, trust, human caring relationship, and promotion of self-expression (.

Watson defines Human being as a valued person to be cared for, respected, nurtured, understood, and assisted, in general a philosophical view of a person as a fully functional integrated self. Personhood is viewed as greater than and different from the sum of his or her parts which are mind-body-soul-connection (Butt & Rich 2015)   

The personhood concept in Watson theory of caring implies that patients are not all the same. Each person brings a unique background of experiences, values, and cultural perspective to health care encounter. Caring facilitates a nurse’s ability to know a patient, allowing the nurse to recognize a patient’s problem and find and implement individualized solution on the patient’s unique needs.

Knowing the person allows the nurse to avoid assumptions, to center on the one cared for (Keller, 2013).  It also gives the nurse to opportunity to assess thoroughly by seeking clues to clarify the issue that the individual is going through.

The concept of personhood also integrates the human caring processes with healing environment, incorporating the life-generating and life receiving processes of human caring and healing for nurses and their patient. The concept put emphasis on developing a caring relationship with the person as a nurse and listen to the person’ stories to fully understand the meaning an impact of the individual’s condition. This information and understanding helps in the development and delivery of individualized patient centered care. The transpersonal caring theory rejects disease orientation to health care and places care before cure. When the nurse focuses on the person, she or he looks for deeper sources of inner healing to protect, enhance and preserve a person’s dignity, humanity, wholeness, and inner harmony.

In conclusion, theory of caring provides an excelling beginning to understand the behavior and processes that characterized caring. Patients continue to value nurses, effectiveness in performing tasks, but clearly patient value the affective dimension of nursing care. Nurses must provide presence, touch, attention to their patient. Most importantly they must know the person they are caring for because healthcare is placing emphasis on patient satisfaction.

References

Butts, J. & Rich, K. (2015). Philosophies and Theories for Advanced Nursing Practice (3rd edition) Sudbury, MA: Jones and Bartlett Learning

Watson J. (2009) Caring science and human caring theory: transforming personal and professional practices of nursing and health care, J Health Human Serv Adm3(14): 466

Keller T, et al (2013): Information needed to support knowing the patient, Adv Nurs Sci 36(4): 351

Your  post should contain two to three well-developed paragraphs using APA formatting, integrating two evidence-based resources to include clinical practice guidelines as well as the course textbook.

Read the scenario and answer the following questions:

R.S. is a 32-year-old Caucasian woman who seeks treatment for a vaginal discharge that she has had for the past month. She is sexually active and has had the same partner for the past 6 months. She reports noticing an odor, especially after sexual intercourse. Her history reveals that she has been using a commercial douche on a bi-weekly basis during the past year for hygienic purposes in an attempt to prevent vaginal infections. She denies any other associated symptoms.

The physical examination reveals a white vaginal discharge. Microscopic examination of the vaginal discharge shows clue cells, and the pH is 5.5.

Diagnosis: Bacterial Vaginosis

1. List specific goals of treatment for this patient.
2. What drug therapy would you prescribe? Why?
3. What are the parameters for monitoring the success of the therapy?
4. Discuss specific patient education based on the prescribed therapy.
5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
6. What would be the choice for second-line therapy? Provide rationale
7. What OTC or alternative medications would be appropriate for this patient?
8. What dietary or lifestyle changes should be recommended?
9. Describe one or two drug–drug or drug–food interaction for the selected agent.

Text book:  

Woo, Terri Moser and Robinson, Marylou V. (2020). Pharmacotherapeutics for Advanced Practice Nurse Prescribers. (5th ed.) Philadelphia, PA: F.A. Davis Company.

 Using this template, complete one SOAP note from a patient in your current NSG6440 clinical experience. The completed note should be submitted to the Submissions Area.  

Discuss ways that nursing informatics could be applied to all areas of  professional nursing practice, including clinical practice,  administration, education, and research. Provide examples of each. What  do you see as the biggest significance of nursing informatics, and why?

Mrs. J is repeatedly asking for a nurse; other patients are complaining, and you simply cannot be available to Mrs. J for long periods.  Considering the setting and the OBRA guidelines, what would you do to manage the situation?

Barbara receives an email from her manager asking about the progress of the strategic plan. The manager informs Barbara that UCCO is wanting to implement a new electronic health record (EHR), to improve the overall process of providing quality patient care; and organizational challenges. After her discussion, Barbara realizes that she would need to complete a situational analysis. By performing a situational analysis, planners can help anticipate and manage change. Understanding the internal and external environment is also critical to an effective strategic plan. For the external environment, planners look at opportunities and threats. For the internal environment, planners look at strengths and weaknesses.

For this project assignment on UCCO, complete a minimum of a 1-2 page report and two SWOT tables to describe key opportunities, threats, strengths, and weaknesses in selecting an electronic record system. Your written report should address the following concepts:

Visit the Rasmussen online Library and search for a minimum of 2 articles covering the topics of electronic health record implementation. Conduct academic research using the library’s databases, like:

• CINAHL
• Discovery
• Business Source Complete via EBSCO
• Business via ProQuest
• What is the current economic situation for UCCO? What suggestions can Barbara make to help mitigate financial issues? Use the financial review provided in the UCCO case.
• What type of electronic record system should Barbara recommend for the company? What is her best option? What are the financial implications? Explain the choice based on what the system can provide in comparison to the organizational challenges?

Visit the Internet and search for a minimum of 2 electronic health record systems. Search for types of EHR systems.

To complete this assignment, construct two situational/SWOT analysis tables – one for each electronic record system being considered – that contains the following:

• External influences – opportunities and threats.
• Internal influences – strengths and weaknesses.
• Trends that can impact clinic performance, market and financial position
• EHR System functions and capabilities
• EHR End-user requirements and ease of use

Remember to integrate citations accurately and appropriately for all resource types; use attribution (credit) as a method to avoid plagiarism. Use NoodleBib to document your sources and to complete your APA formatted reference page and in-text citations. 

Organizational Growth

There has been a rapid growth of urgent care in the UCCO area in the past five years, which is fueled by patient demand for convenient, affordable care. Patients are looking for accessible healthcare that provides access to specialty services. Because UCCO was one of the first in the area, there is an advantage to having an established customer base. However, there are some current challenges that both reflect the urgent care community and nationa trends. 

· Growing, over-saturated of urgent care centers in the area

· Messaging that urgent care centers provide only general care services; specialty services not promoted

· Growth in patient volume is driven by demographic trends

· Population of aging patients (over age 65) growing at tremendous rates

· Cost of treatment for the UCCO continues to rise, yet patient cost remain the same

· Insurance cost rising, uninsured patients numbers rising

· Financial profits for UCCO down by 10% each year, for the past 3 years

· UCCO collections for patient balances are increasing

· Compliance audits reveal issues with patients confidentiality and privacy

· HIPPA training not completed as part of new employee orientation

· Customer satisfaction rates declining 

Requirements 

You will develop a strategic plan based on the Urgent Care Clinic Organization

Urgent Care Clinic 

-Urgent Care Clinic (UCCO) is a group of medical facilities that provide clinic services to the community. UCCO is an important aspect to the healthcare community by providing convenient services when a patient is unable to go to a primary care doctor or hospital. They are used for immediate care attention that may or may not be an emergency situation. Urgent Care Centers provides access to healthcare during the day, as well as nights, weekends, and most holidays. 

-UCCO was started in 2002 to address medical services needs in the local community. The goal was to minimize the need to seek multiple physicians and provide comprehensive healthcare. It was also the goal to provide services beyond the traditional operating hours of primary care and other doctors offices. UCCO focuses on total wellness that incorporates an integrative approach to optimize quality patient care. 

-The mission of UCCO is to promote community health. We offer a collaborative approach to enhance healthy lifestyles, with cost effective, quality care. The vision is to be the most trusted multispecialty organization in the regional area by consistently providing excellent customer service and high quality medical care. 

-UCCO is made up of 3 facilities with 8 specialties. 14 doctors, 3 directors, and a number of clinical staff and employees. Over 30% of UCCO patients are uninsured without any form of health insurance benefits.