The Nurse as Advocate

Whether nurses are advocating for their patients, health care, and/or policies that improve people’s lives, the advocacy processes have commonalities that transcend the subject of their advocacy. There are also differences, although these differences may be more nuanced than obvious.

Tasks:

Write a 5-page brief to answer the following questions. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.
Read the following chapters from your course textbook:

  • Taking Action: Nurse, Educator, and Legislator: My Journey to the Delaware Senate
  • Taking Action: A Nurse in the Board Room

Answer the below questions:

  • Describe what you believe to be the drivers for each of the individuals? What factors led them to become advocates?
  • Discuss the challenges that each of them identified in their writings.
  • Analyze these drivers and challenges and compare them with your own experience to date as an advocate. In what ways do you believe that you can expand your advocacy skills within the next five years?

Submission Details:

  • Submit your response in a 5-page Microsoft Word document.
  • Name your document SU_NSG4068_W5_Project_LastName_FirstInitial.doc.
  • Submit your document to the Submissions area by the due date assigned.
  • Cite sources in the APA format on a separate page.
Using the interpersonal crime that you selected for the Unit 2 Discussion Board, practice your research skills by conducting a treatment inventory. A treatment inventory is a research activity collating the state of treatment programming with an emphasis on what exists and the reported effectiveness of those treatment interventions.
In preparing your treatment inventory, supply a statement of the problem documenting the extent of the direct and indirect harm caused by this crime. Offer no less than 3 different treatment (intervention) programs aimed at reducing the crime, and supply at least 1 research study that was conducted on the treatment intervention. Consider whether this research works to reduce recidivism. The treatment inventory must be 4 pages and should include a chart comparing the different treatment (intervention) programs. Use no fewer than 6 scholarly resources.
The treatment inventory will be 4 pages and will include a chart comparing the different treatment (intervention) programs. The specific steps are as follows:

  1. Select any 1 of the following criminal behaviors:
    • Intimate Partner Violence
    • Sexual Offending
    • Physical World Stalking
    • Cyberstalking.
  2. Conduct independent research on treatment programming used to treat offenders who commit this crime.
  3. In 1 paragraph, provide a statement of the problem documenting the extent of the direct and indirect harm caused by this crime.
  4. Provide a summary of no fewer than 3 different treatment (intervention) programs aimed at reducing the crime.
  5. Provide at least 1 research study that was conducted on the treatment intervention, emphasizing what is known about the effectiveness of the treatment intervention.
  6. Create a chart comparing the different treatment (intervention programs).
  7. Use no fewer than 6 scholarly resources.

Dismissal Meeting

Instructions

Imagine that you are an office manager and you have been tasked with the job of coordinating and leading the dismissal meeting for an employee layoff.

Requirements

Write a 6 to 8 page paper in which you:

  • Propose three ways that a manager can cope with any negative emotions that may accompany an employee layoff.
  • Describe a step-by-step process for conducting the dismissal meeting.
  • Determine the compensation that the fictitious company may provide to the separated employee.
  • Create a chart that depicts the timeline for the disbursement of the compensation.
    • Use Microsoft Word or an equivalent application, such as OpenOffice.
  • Predict three ways that this layoff may affect the company.

Use at least three high-quality academic resources in this assignment. Consider beginning with your course textbook and quality sources that can be found in the Strayer Library.
Note: Wikipedia does not qualify as an academic resource.

Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.

Case Scenario

Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.

Subjective Data

1. Is very anxious and asks whether she is going to die.

2. Denies pain but says she feels like she cannot get enough air.

3. Says her heart feels like it is “running away.”

4. Reports that she is so exhausted she cannot eat or drink by herself.

Objective Data

1. Height 175 cm; Weight 95.5 kg

2. Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58

3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation

4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%

5. Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin

Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

1. IV furosemide (Lasix)

2. Enalapril (Vasotec)

3. Metoprolol (Lopressor)

4. IV morphine sulphate (Morphine)

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

  • dq1week3410.docx
Instructions for Reaction Paper The Reaction Paper Assignment You will be writing a 1,000 word Reaction Paper in this course using the instructions and links found below. You will be completing the following tasks and gathering the following information for your paper: 1. Watch the epigenetics video from PBS. Begin your paper by defining epigenetics in your own words and discussing your reaction to the video. 2. Research and locate one article on epigenetics (select a study on research conducted on humans, not plants or insects) from a reputable academic source: Reputable Sources:  journal articles  government publications based on research Do not use:  magazines of any sort, whether they are on paper or online  Websites of any type, including epigenetics websites  Wikipedia How to Perform Your Research  Use the College Library in person or online (log in with your new MDC ID number (the one that is all numbers). Your password is the last four digits of that same MDC ID unless you have changed it. 3. Read the epigenetics article you find. Continue your paper with a discussion of the epigenetics article. Be sure to paraphrase (put things in your own words) and be sure to cite the author(s) of the article you find using APA style (see the section below on using APA style). Aim for about a page for this part of your paper. 4. Complete the Family History Questionnaire available in this folder. Discuss the concept of epigenesis in light of your family history. Aim for one page for this section of your paper. 5. Complete one of the Life Expectancy Questionnaires (there are two: the Blue Zones one is the preferred questionnaire; however, if it doesn’t provide you with the information, you may use thee Living to 100 Questionnaire. Integrate your findings on the questionnaire into your discussion. Aim for another page. 6. Discuss how you can improve your health and longevity in light of your findings in these questionnaires, your understanding of epigenetics, and your knowledge of your family history. This should be your final page. You can go over or under a page for any of the sections of the paper as long as your total paper is 1,000 words not counting the references. General Rules for an “A” Paper (check your paper against this list) ◻ 1,000 words ◻ Original work; plagiarism score of less than 10% (90% original work) ◻ Double-spaced, 12-point font, 1-inch margins ◻ Covers all 6 tasks ◻ Spellchecked ◻ College-level grammar ◻ Cite your article APA style. ◻ No abstract, no cover ◻ Place your name and reference number on the first page. Use page numbers.  Submit the paper by the deadline in the Syllabus Quick Links section and also in the Calendar. The box will open at the beginning of the semester so that you have time to submit your paper, review the originality report, and resubmit your paper if necessary until you have a plagiarism score of under 10%. Be sure to use the Turnitin Grammar Checker to ensure that your paper is well written and ensure that you have spellchecked everything. If you resubmit your paper, note that it takes 24 hours for your new score to show up in the Turnitin Drop Box. Submission to Turnitin Drop Box The Turnitin Drop Box is in Blackboard. You do NOT have to go to Turnitin to submit your paper. Turnitin is a plagiarism checking software. It checks to see if your work is original. I have set the Turnitin Drop Box so you can submit your paper as many times as you want until the due date. That will allow you to check your plagiarism score and see where your work is not original. You can then rephrase that section and put it into your own words. The expectation in this course is that your paper scores no more than 10% in plagiarism. You will be able to resubmit your paper as many times as you need to in order to get it right until the Due Date. You will NOT be able to resubmit after the Due Date. Note that it takes 24 hours to see your new plagiarism score after resubmission. No more than 2 or 3 quotes in the entire paper, please. Avoiding Plagiarism You must be careful not to copy someone else’s ideas and not to copy and paste ideas from the sources you find. Copying and pasting from someone else’s work is considered plagiarism. You may use other people’s ideas, but you have to put them in your own words and reference the source. Putting things in your own words is called “paraphrasing.” And you must put the reference right after the idea. Needless to say, submitting plagiarized papers, including those copied from one of the Web sites that have “free” papers or even papers you can buy, will result in a penalty. That penalty in this course is that your grade will be reduced by the percentage of plagiarism over 10%. In other words, the less plagiarism, the higher your score; the more plagiarism, the lower your score. The paper is worth 10% of your grade in this course. Don’t risk it! APA Style and References One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research, locate, and use one reputable source from the literature on the topic of epigenetics/epigenesis. The “literature” is composed of studies that have been conducted in a scholarly way to support ideas. Scholarly sources can be found in journals or in some Web sites, especially those that come from .edu domains (.edu is short for “educational” Web sites) or .gov domains (.gov are government sites). The College Libraries have dozens of good journals you can use. You will be using the College Library for this paper. You may do the research in person or use the Web to access our library. See your librarian for more information on finding credible sources. In APA style, you cite a source in two places: within the body of the paper where you use the idea or words of the author of the paper; and again in the Reference List at the end of the paper. For example, you might say, “According to Researcher A (2011)…epigenetics is…” What you must do is supply the researcher’s name within a sentence or at the end of a sentence in parenthesis (Researcher A, 2011). Then you give the full information for locating the study in the Reference List. That’s what Reference Lists are for: they allow the person reading your paper to look up your source if they want to. So remember, citing references APA style, requires two things: 1) that you cite the reference within the body of the paper, and 2) that you list the full reference at the end in the Reference List. APA Tutorial There are multiple tutorials and other training sources on APA style at the APA Web site. You do NOT have to buy the APA Manual to do this paper. References  American Psychological Association (2011). APA style. Retrieved from http://www.apastyle.org/index.aspx

Portfolio Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.
To Prepare:

  • Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
  • Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages)
In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

  • Planning and requirements definition
  • Analysis
  • Design of the new system
  • Implementation
  • Post-implementation support

select an organization with which you are familiar (you may choose an organization you frequently do business with, one which you have previously worked, or currently work). Then, choose one of the eight dimensions used to rate top U.S. companies in which the organization appears to be underperforming.
Compose a PowerPoint presentation (12-15 slides
 

  1. Identify a major issue the organization is facing and in which dimension (of the eight identified above) it is underperforming
  2. Explain the ramifications the underperformance is currently having on the organization. Identify the likely consequence of failure to improve in the selected dimension.
  3. Analyze the relevance of the current organizational structure, design, and culture and their influence on organizational effectiveness, especially in relationship to the dimension in which the organization is struggling. Provide citations to support your analysis.
  4. Determine whether the organization embodies the principles and values of conscious culture and management and its relevance to improving organizational function.
  5. Present a plan to bring about necessary improvement using Kotter’s 8-step change model.
  6. Address possible challenges to the suggested change and your plans for managing those challenges. Explain how different subsystems need to be realigned in order to bring about the change.
  7. Detail any lessons learned and evaluate strategies that you as a manager will either avoid or engage in when designing the structure, building culture, and managing change in your organization. Provide citations to support your claims.

 
required to use at least three academic references to strengthen and support your claims and recommendations. Ensure each content slide has supporting citations and specific examples.
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

  EPIDEMIOLOGY AND POPULATION HEALTH REFLECT ON YOUR NURSING PRACTICE FOR A MOM

Epidemiology and Population Health
Reflect on your nursing practice for a moment. If you could wipe out one illness, what would it be? How would that impact not just an individual patient, but your entire patient population? What would be the long-term benefits of eliminating that one illness?
The eradication of smallpox by 1979 provides an excellent example of this scenario. This eradication came about as a result of global collaborative efforts involving many countries and organizations, as well as the application of epidemiologic methods. In spite of high initial financial costs, it is estimated that millions of dollars continue to be saved around the world each year as a result of the eradication of this disease.
The eradication of smallpox illustrates the rich history of epidemiology and demonstrates the cost/benefits and implications of improving health at the population level. The application of epidemiologic methods and principles to other critical population health issues continues to play an essential role in improving health and health outcomes.
For this Discussion, you will identify a current population health problem, and you will examine how, and if, the problem is being addressed through the application of epidemiologic principles. You will also discuss the cost-effectiveness of dealing with the problem at the population level.
To prepare:
Review      the Learning Resources, focusing on the smallpox epidemic of the 1960s and      1970s and how health organizations applied principles of epidemiology to      eradicate this disease. (See attached file)
In      light of this example, consider the cost effectiveness of addressing      smallpox at the population level.
Using      the Learning Resources, research a current population health problem      (local or global). Select one on which to focus for this Discussion.
Think      about how principles of epidemiology are being applied—or could be      applied—to address the problem.
What      lessons from the use of epidemiology in the eradication of smallpox might      be applicable to this selected problem? What are the financial benefits of      addressing this issue at the population level as opposed to the individual      level?
By tomorrow Wednesday 02/28/18 by 12pm, write a minimum of 550 words in APA format with a minimum of THREE scholarly references from the list of required readings below. Include the level one headers as numbered below:
Post a cohesive response that addresses the following:
1) Briefly summarize your selected population health problem and describe how principles of epidemiology are being applied—or could be applied—to address the problem.
2) Are there any lessons learned from the use of epidemiology in the eradication of smallpox that can be applied to your selected problem?
3) Evaluate the cost effectiveness of addressing this health problem at the population level versus the individual level.
Required Readings
Friis, R. H., & Sellers, T. A. (2014). Epidemiology for public health practice (5th ed.). Sudbury, MA: Jones & Bartlett.
Chapter 1, “History and Scope of Epidemiology”
Chapter 2, “Practical Applications of Epidemiology” (pages 49–80 only)
Epidemiology is defined and introduced in Chapter 1. This chapter also presents an interesting historical overview that explains the emergence of the field. The assigned section of Chapter 2 addresses several uses of epidemiology.
Nash, D. B., Fabius, R. J., Skoufalos, A., Clarke, J. L. & Horowitz, M. R. (2016). Population health: Creating a culture of wellness (2nd ed). Burlington, MA: Jones & Bartlett Learning.
Building Cultures of Health and Wellness (xxvii)
In the “Population Health Mandate” section of the course text, the authors provide an introduction to population health, noting that it has three core components: health outcomes, health
determinants, and policies.
Chapter 2, “The Spectrum of Care”
In Chapter 2, the authors examine the purposes of the population health approach. Two key themes are introduced in this chapter: 1) population health as it relates to the challenges of quality and cost in health care, and 2) population health as an approach to not only reducing the burden of chronic illness but also to promoting wellness and increasing prevention.
Chapter 8, “Behavioral Economics”
In Chapter 8, the authors examine effect of social and cognitive function on an individual’s economic decisions. Reinforced by legislation, behavioral economics can be applied in population health to influence and change health outcomes. Compelling examples of incremental improvements (e.g., corporate wellness programs) are provided throughout the chapter.
Larkin, H. (2010). Managing population health. Hospitals & Health Networks, 84(10), 28–32.
This article uses examples from a diabetes pilot program to demonstrate the value of population health management. The author discusses how the application of individual patient interventions can positively affect the entire target population, as well as improve the cost effectiveness of management programs.
Center for Global Development. (n.d.). Case 1: Eradicating smallpox. Retrieved March 5, 2012, from http://www.cgdev.org/doc/millions/MS_case_1.pdf
This reading presents the eradication of smallpox in the form of a case study. Many lessons can be learned from the successful global effort to eliminate smallpox.
Centers for Disease Control and Prevention. (2011). Morbidity and mortality weekly report. Retrieved from http://www.cdc.gov/mmwr/
The Morbidity and Mortality Weekly Report (MMWR) is a weekly epidemiological report distributed by the U.S. Centers for Disease Control and Prevention (CDC) to provide, according to the MMWR website, “timely, reliable, authoritative, accurate, objective, and useful public health information and recommendations.” It is one of the most important sources of timely public health data published anywhere.
World Health Organization. (2001). Smallpox. Retrieved from http://www.who.int/topics/smallpox/en/
The World Health Organization provides a succinct overview of the eradication of small pox and its impact on population health.
Note: Explore population health issues presented at the websites below as you prepare for this week’s Discussion and Assignment:
American Public Health Association. (2011). Retrieved from http://www.apha.org/
Centers for Disease Control and Prevention. (2011). Retrieved from http://www.cdc.gov/
Food and Agricultural Organization of the United Nations. (2011). Retrieved from http://www.fao.org/index_en.htm
U.S. Food and Drug Administration. (2011). Retrieved from http://www.fda.gov/
Healthy People 2020. (2011). Global health. Retrieved from http://healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=16
U.S. Food and Drug Administration. (2011). Public health focus. Retrieved from http://www.fda.gov/NewsEvents/PublicHealthFocus/default.htm
Required Media
Laureate Education (Producer). (2012). Epidemiology and population health: Introduction to epidemiology and population health [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 6 minutes.
In this week’s program, “Introduction to Epidemiology and Population Health,” Dr. Hull and Dr. Frerich introduce foundational concepts related to epidemiology, noting that this scientific arena focuses on the study of human populations rather than individuals.
Laureate Education (Producer). (2012). Epidemiology and population health: Epidemiology in nursing practice [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 4 minutes.
In “Epidemiology in Nursing Practice,” Dr. Rebecca Lee, Dr. Donna Shambley-Ebron, and Dr. Missie Willmarth discuss how epidemiology is utilized in nursing practice and, in particular, why it is salient for DNP-prepared nurses.
Optional Resources
Long, D. A., & Sheehan, P. (2010). A case study of population health improvement at a Midwest regional hospital employer. Population Health Management, 13(3), 163–173.
Oudin, Åström D., Bertfil, F., & Joacim R. (2011). Heat wave impact on morbidity and mortality in the elderly population: A review of recent studies. Occupational and Environmental Medicine, 69(2), 99–105.
Excite. (2004). An introduction to epidemiology. Retrieved from http://www.cdc.gov/excite/classroom/intro_epi.htm

Medicare/Medicaid Managed Care Plans
Write a three- to five-page double-spaced paper (excluding title and reference pages), addressing the following:

Distinguish the roles of Medicare and Medicaid managed care plans in the healthcare delivery system.
Assess the similarities and differences between Medicare and Medicaid managed care plans by comparing (a) strengths, weaknesses, and incentives; (b) commitment to access; and (c) risks to the consumers.
Synthesize two recommendations for improvement, including your justification, of each managed care plan. (You should have a  total of four recommendations for both Medicare and Medicaid managed care plans.)

The Medicare/Medicaid Managed Care Plans assignment

Must be three to five double-spaced pages in length (excluding title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center. (Links to an external site.)Links to an external site.
Must include a separate title page with the following:

Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted

Must include an introduction and conclusion (Links to an external site.)Links to an external site. paragraph.
Must use at least three scholarly, peer-reviewed, and/or other credible sources in addition to the course text.

The Scholarly, Peer Reviewed, and Other Credible Sources (Links to an external site.)Links to an external site. table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment. Be sure to integrate your research (Links to an external site.)Links to an external site. rather than simply inserting it.

Must document all sources in APA style as outlined here (Links to an external site.)Links to an external site. and here (Links to an external site.)Links to an external site..
Must include a separate references page (Links to an external site.)Links to an external site. that is formatted according to APA style as outlined in the Ashford Writing Center.

Carefully review the Grading Rubric (Links to an external site.)Links to an external site. for the criteria that will be used to evaluate your assignment.

Please read the following introduction and complete the following steps for your initial discussion post:

There are a number of methods for classifying theory in nursing.  These include classification based on range/scope or abstractness (metatheory, grand, middle-range, and practice) and type or purpose of the theory (descriptive, explanatory, predictive, and prescriptive).

Address the following:

  • Identify one theory that relate to your area of practice.
  • Discuss the type of the selected theory according to scope and purpose.
  • Provide an example of how the selected theory can be applied to your area of practice.  The example should include core elements of the theory and demonstrate its practical application.
  • Be sure to supplement your discussion with your personal and professional experiences.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format.