This is 2 separate assignments 1 reflection, 1 discussion(at the bottom of page)
Assignment 1 Reflection:
Please follow grammatical conventions when you write although this is not an APA
Paper.
This article (see article below) is a classic article and well worth the reading. When you have read it, answer the following questions in 750-1000 words:
What is White Privilege?
Is this an attempt to make all white people feel bad or look bad?
What is the inherent purpose of an article like this?
Why does it make a difference to our understanding of multiculturalism?
Does this idea make a difference in your own understanding of the power structure of
racism?
Do you think that reading this article helps you see multiculturalism in a different light?
How do we make society work so that there is more of a feeling of ‘people privilege’
than White privilege?
Does this author make valid points? Or do you disagree with the author?
Have race relations improved in the time since this article was written? Give a reason
why you think so or not.
White Privilege: Unpacking the Invisible Knapsack By Peggy McIntosh
This article is now considered a ‘classic’ by anti-racist educators. It has been used in workshops and classes throughout the United States and Canada for many years. While people of color have described for years how whites benefit from unearned privileges, this is one of the first articles written by a white person on the topics.
It is suggested that participants read the article and discuss it. Participants can then write a list of additional ways in which whites are privileged in their own school and community setting. Or participants can be asked to keep a diary for the following week of white privilege that they notice (and in some cases challenge) in their daily lives. These can be shared and discussed the following week.
Through work to bring materials from Women’s Studies into the rest of the curriculum, I have often noticed men’s unwillingness to grant that they are over privileged, even though they may grant that women are disadvantaged. They may say they will work to improve women’s status, in the society, the university, or the curriculum, but they can’t or won’t support the idea of lessening men’s. Denials, which amount to taboos, surround the subject of advantages, which men gain from women’s disadvantages. These denials protect male privilege from being fully acknowledged, lessened or ended.
Thinking through unacknowledged male privilege as a phenomenon, I realized that since hierarchies in our society are interlocking, there was most likely a phenomenon of white privilege, which was similarly denied and protected. As a white person, I realized I had been taught about racism as something which puts others at a disadvantage, but had been taught not to see one of its corollary aspects, white privilege which puts me at an advantage.
I think whites are carefully taught not to recognize white privilege, as males are taught not to recognize male privilege. So I have begun in an untutored way to ask what it is like to have white privilege. I have come to see white privilege as an invisible package of unearned assets which I can count on cashing in each day, but about which I was ‘meant’ to remain oblivious. White privilege is like an invisible weightless knapsack of special provisions, maps, passports, codebooks, visas, clothes, tools and blank checks.
Describing white privilege makes one newly accountable. As we in Women’s Studies work to reveal male privilege and ask men to give up some of their power, so one who writes about having white privilege must ask, “ Having described it what will I do to lessen or end it?”
After I realized the extent to which men work from a base of unacknowledged privilege, I understood that much of their oppressiveness was unconscious. Then I remembered the frequent charges from women of color that white women whom they encounter are oppressive. I began to understand why we are justly seen as oppressive, even when we don’t see ourselves that way. I began to count the ways in which I enjoy unearned skin privilege and have been conditioned into oblivion about its existence.
My schooling gave me no training in seeing myself as an oppressor, as an unfairly advantaged person or as a participant in a damaged culture. I was taught to see myself as an individual whose moral state depended on her individual moral will. My schooling followed the pattern my colleague Elizabeth Minnich has pointed out: whites are taught to think of their lives as morally neutral, normative, and average, and also ideal, so that when we work to benefit others, this is seen as work which will allow “them“ to be more like “us.”
I decided to try to work on myself at least by identifying some of the daily effects of white privilege on my life. I have chosen those conditions which I think in my case attach somewhat more to skin-color privilege than to class, religion, ethnic status, or geographical location, though of course all these other factors are intricately intertwined. As far as I can see, my African American co-workers, friends and acquaintances with whom I come into daily or frequent contact in this particular time, place and line of work cannot count on most of these conditions.
1. I can if I wish arrange to be in the company of people of my race most of the time.
2. If I should need to move, I can be pretty sure of renting or purchasing housing in an area, which I can afford and in which I would want to live.
3. I can be pretty sure that my neighbors in such a location will be neutral or pleasant to me.
4. I can go shopping alone most of the time, pretty well assured that I will not be followed or harassed.
5. I can turn on the television or open to the front page of the paper and see people of my race widely represented.
6. When I am told about our national heritage or about “civilization,” I am shown that people of my color made it what it is.
7. I can be sure that my children will be given curricular materials that testify to the existence of their race.
8. If I want to, I can be pretty sure of finding a publisher for this piece on white privilege.
9. I can go into a music shop and count on finding the music of my race represented, into a supermarket and find the staple foods which fit with my cultural traditions, into a hairdresser’s shop and find someone who can cut my hair.
10. Whether I use checks, credit cards or cash, I can count on my skin color not to work against the appearance of my financial reliability.
11. I can arrange to protect my children most of the time from people who might not like them. 12. I can swear, or dress in second hand clothes, or not answer letters, without having people attribute these choices to the bad morals, the poverty, or the illiteracy of my race.
13. I can speak in public to a powerful male group without putting my race on trial.
14. I can do well in a challenging situation without being called a credit to my race.
15. I am never asked to speak for all the people of my racial group.
16. I can remain oblivious of the language and customs of persons of color who constitute the world’s majority without feeling in my culture any penalty for such oblivion.
17. I can criticize our government and talk about how much I fear its policies and behavior without being seen as a cultural outsider.
18. I can be pretty sure that if I ask to talk to “the person in charge,” I will be facing a person of my race.
19. If a traffic cop pulls me over or if the IRS audits my tax return, I can be sure I haven’t been singled out because of my race.
20. I can easily buy posters, post-cards, picture books, greeting cards, dolls, toys, and children’s magazines featuring people of my race.
21. I can go home from most meetings of organizations I belong to feeling somewhat tied in, rather than isolated, out-of-place, outnumbered, unheard, held at a distance, or feared.
22. I can take a job with an affirmative action employer without having coworkers on the job suspect that I got it because of race. 2
3. I can choose public accommodation without fearing that people of my race cannot get in or will be mistreated in the place I have chosen.
24. I can be sure that if I need legal or medical help my race will not work against me.
25. If my day, week or year is going badly, I need not ask of each negative episode or situation whether it has racial overtones.
26. I can choose blemish cover or bandages in “flesh” color and have them more or less match my skin.
I repeatedly forgot each of the realizations on this list until I wrote it down. For me white privilege has turned out to be an elusive and fugitive subject. The pressure to avoid it is great, for in facing it I must give up the myth of meritocracy. If these things are true, this is not such a free country; one’s life is not what one makes it; many doors open for certain people through no virtues of their own.
In unpacking this invisible backpack of white privilege, I have listed conditions of daily experience which I once took for granted. Nor did I think of any of these perquisites as bad for the holder.
I now think that we need a more finely differentiated taxonomy of privilege, for some these varieties are only what one would want for everyone in a just society, and others give license to be ignorant, oblivious, arrogant and destructive.
I see a pattern running through the matrix of white privilege, a pattern of assumptions which were passed on to me as a white person. There was one main piece of cultural turf; it was my own turf, and I was among those who could control the turf. My skin color was an asset for any move I was educated to want to make. I could think of myself as belonging in major ways, and of making social systems work for me. I could freely disparage, fear, neglect, or be oblivious to anything outside of the dominant cultural forms. Being of the main culture, I could also criticize it fairly freely.
In proportion as my racial group was being confident, comfortable, and oblivious, other groups were likely being made unconfident, uncomfortable, and alienated. whiteness protected me from many kinds of hostility, distress, and violence, which I was being subtly trained to visit in turn upon people of color.
For this reason, the word ”privilege” now seems to be misleading. We usually think of privilege as being a favored state, whether earned or conferred by birth or luck. Yet some of the conditions I have described here work to systematically over empower certain groups. Such privilege simply confers dominance because of one’s race or sex.
I want, then, to distinguish between earned strength and unearned power conferred systematically. Power from unearned privilege can look like strength when it is in fact permission to escape or to dominate. But not all of the privileges on my list are inevitably damaging. Some, like the expectation that neighbors will be decent to you, or that your race will not count against you in court, should be the norm in a just society. Others, like the privilege to ignore less powerful people, distort the humanity of the holders as well as the ignored groups.
We might at least start by distinguishing between positive advantages which we can work to spread, and negative types of advantages which unless rejected will always reinforce our present hierarchies. For example, the feeling that one belongs within the human circle, as Native Americans say, should not be seen as a privilege for a few. Ideally it is an unearned entitlement. At present, since only a few have it, it is an unearned advantage for them. This paper results from a process of coming to see that some of the power which I originally saw as attendant on being a human being in the U.S. consisted in unearned advantage and conferred dominance.
I have met very few men who are truly distressed about systemic, unearned male advantage and conferred dominance. And so one question for me and others like me is whether we will be like them or whether we will get truly distressed, even outraged about unearned race advantage and conferred dominance and if so, what will we do to lessen them. In any case, we need to do more work in identifying how they actually affect our daily lives. Many, perhaps most of our white students in the U.S. think that racism doesn’t affect them because they are not people of color, they do not see “whiteness” as a racial identity. In addition, since race and sex are not the only advantaging systems at work, we need similarly to examine the daily experience of having age advantage, or ethnic advantage, or physical ability, or advantage related to nationality, religion or sexual orientation.
Difficulties and dangers surrounding the task of finding parallels are many. Since racism, sexism and heterosexism are not the same, the advantaging associated with them should not be seen as the same. In addition, it is hard to disentangle aspects of unearned advantage which rest more on social class, economic class, race, religion, sex and ethnic identity than on other factors. Still, all of the oppressions are interlocking, as the Combahee River Collective Statement of 1977 continues to remind us eloquently.
One factor seems clear about all of the interlocking oppressions. They take both active forms which we can see and embedded forms which as a member of the dominant group one is not taught to see. In my class and place, I did not see myself as a racist because I was taught to recognize racism only in individual acts of meanness by members of my group, never in the invisible systems conferring unsought racial dominance on my group from birth.
Disapproving of the systems won’t be enough to change them. I was taught to think that racism could end if white individuals changed their attitudes. (But) a “white” skin in the United States opens many doors for whites whether or not we approve of the way dominance has been conferred on us. Individual acts can palliate, but cannot end, these problems.
To redesign social systems we need first to acknowledge their colossal unseen dimensions. The silences and denials surrounding privilege are the key political tool here. They keep the thinking about equality or equity incomplete, protecting unearned advantage and conferred dominance by making these taboo subjects. Most talk by whites about equal opportunity seems to me now to be about equal opportunity to try to get into a position of dominance while denying that systems of dominance exist.
It seems to me that obliviousness about white advantage, like obliviousness about male advantage, is kept strongly inculturated in the United States so as to maintain the myth of meritocracy, the myth that democratic choice is equally available to all. Keeping most people unaware that freedom of confident action is there for just a small number of people props up those in power, and serves to keep power in the hands of the same groups that have most of it already.
Though systemic change takes many decades there are pressing questions for me and I imagine for some others like me if we raise our daily consciousness on the perquisites of being light-skinned. What will we do with such knowledge? As we know from watching men, it is an open question whether we will choose to use unearned advantage to weaken hidden systems of advantage and whether we will use any of our arbitrarily-awarded power to reconstruct power systems on a broader base.
Peggy McIntosh is Associate Director of the Wellesley College Center for Research for Women. Reprinted by permission of the author. This essay is excerpted from her working paper. “White Privilege and Male Privilege: A Personal Account of Coming to See Correspondences Through Work in Women’s Studies.” Copyright 1988 by Peggy McIntosh. Available for $6.00 from the address below. The paper includes a longer list of privileges. Permission to excerpt or reprint must be obtained from Peggy McIntosh, Wellesley College Center for Research on Women, Wellesley, MA 02181 Ph: 781 283-2520 Fax: 781 283-2504
Please be sure to cite and source…assignments will be submitted through safe assign
Assignment 2 Discussion:
Please no more than 200 words
In the Conclusions section of the chapter reading provided on the R/CID Model, it is implied that there has been little written about the racial identity development  of helping professionals.  When you consider the information presented in the R/CID Model, why do you think it is important to explore your own racial/cultural identity as a future professional counselor?  What might be a negative outcome of your not doing this?
See R/CID model below
  • attachment

    RCIDmodel.png

Nursing

How Do Various Factors Influence Health in Your Community? 

  1. Respond to the prompts below in full sentences.  Be sure to use standard English grammar and spelling:
  • Individual, interpersonal, community, and environmental influences all affect the health status of a community.
    • For a community you are involved in, name two key factors in each area. 
    • For your community, which factors have the most effect? The least?
  • Healthy People 2010 follows a variety of health indicators, such as physical activity and obesity; drug, alcohol, and tobacco use; mental health; incidence of violence and injury; environmental issues; and access to health care. 
    • For a population in your community, which of these indicators do you think has the greatest impact on health and wellness?
  • What media are used in your community to promote health and prevent illness or disease? 
    • Give three examples and discuss how effective they are for their target audience
    • m2a1
We have covered diverse concepts and reviewed several cases. This comprehensive assignment will help pull that knowledge together into a more concrete understanding.
1) Review three cases that involved a felon being a repeat offender, and provide an overview of the cases as a part of the introduction.
2) In the body of your report, define and discuss recidivism rate and restorative justice. Identify the types of crime that were committed, and describe the impact of each crime on the victim(s).
3) Also in the body, examine if any of these felony arrests consisted of warrantless searches, and determine the impact, if any, that these warrantless searches had on the recidivism rate as well as the individuals’ Fourth Amendment constitutional rights.
4) In the summary/conclusion, analyze the historical trends as they relate to the recidivism rate.
You should use a minimum of four academic sources (e.g., the three cases you select and your textbook), but you may use additional academic sources if relevant to the topic.
Your research report must be at least four pages in length, not counting the title page and references page. Adhere to APA Style when constructing this assignment, and make certain to include in-text citations and references for all sources that are used. Please note that no abstract is needed.

Overview: For Milestone Two you will dD Building upon your Milestone One worksheet submission your analysis will include the economic principles and impacts of the principals involved with your public health issue related socioeconomic factors and the healthcare organizations impacted.Use the feedback you received on Milestone One to assist you in developing your introduction. Submit your analysis as a short paper that you may use to develop speakers notes for your final presentation.Prompt: Describe for your audience the nature of your chosen public health issue including the economic considerations involved.Specifically the following critical elements must be addressed: I. Analysis of the Health Issue:A. Outline the underlying economic principles and indicators at play using specific examples. To what extent do those principles and indicators apply in understanding your chosen public health issue?B. Demonstrate the economic impacts of your public health issue. Provide specific examples of each impact.C. Analyze the larger context within which your chosen public health issue exists. To what extent is the issue a product of larger socioeconomic factors?D. Examine the major healthcare organizations impacted by the public health issue.How are they currently acting and reacting to the issue? Rubric Guidelines for Submission:Your paper must be submitted as a 2- to 3-page Microsoft Word document with double spacing 12-point Times New Roman font one-inch margins and at least three sources cited in APA format. Instructor Feedback:Textbook:Economics for Healthcare ManagersChallenges for Improving Health Care Access in Rural AmericaThis case found on pages 60 – 65 provides a customary view of poverty in association with healthcare and focuses on the residents ability to pay. Financial difficulty in a region has compounding effects on utilization and demand extending from provider supply to access to insurance. This case will be used as a basis for the module discussion.Here is the link for the homework.

LEGAL REGULATION OF NURSING

Although every RN in the United States takes the same licensing exam (NCLEX-RN), each state is charged with the licensing of nurses and the creation of law and rules to govern nursing practice in that state. Locate the Nurse Practice Act (or nursing law) for your state, and investigate one of the following issues: delegation by the RN to the unlicensed assistive personnel, use of the term nursing diagnosis, patient abandonment (refusal of an assignment), or requirements for continued licensure (practice, continuing education, or others). Tell us what your state’s law says on this issue and how this impacts your practice.
 

Respond

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Legal Regulation- Nurse Practice Act  
Nurses,
The earliest Nurse Practice Act was developed in 1903 to protect the citizens and regulate nursing practice and education (Brekken & Evans, 2011). Investigate the Nurse Practice Act for your state and tell us about the directives regarding delegation to unlicensed personnel, the use of nursing diagnosis, patient abandonment, or license renewal requirements.
Reference:
Brekken, S. A., & Evans, S. (2011). Strateg

Legal Regulation of Nursing

Module 02 Discussion – Ethical Dilemmas In Medication Administration

Choose a medication type from the following list, note why the medication is used, and consider adverse effects. Invent a scenario where giving this medication could result in an ethical or legally charged situation. Try not to choose a category that has been well addressed by your peers.

  1. Bethanaechol / cholinergics: Consider risks of inducing urgency or bradycardia in a clients with dementia issues
  2. Benztropine /anticholinergics: Consider harms that can occur with comorbidities like glaucoma or BPH
  3. Albuterol /adrenergics: Consider harms that can occur is asthmatic children are in charge of their own inhalers
  4. Atenolol/ beta blockers: Consider harms that could occur if heart rate was low or patient was asthmatic
  5. Lorazepam /benzodiazepines: Consider vulnerability issues related to sedation and induction of memory loss
  6. Oxycodone / opiates: Consider addiction, drug seeking and patient vulnerability in impaired nurses
  7. Amitriptylline /tricyclics: Consider vulnerability issues with risk of suicidal overdose given anticholinergic effects
  8. Phenelzine /MAOIs: Consider consequences of nonadherence to dietary restrictions on these medications
  9. Haloperidol / neuroleptics: Consider risks of chemical sedation, especially long term risks
  10. Lithium: Consider risks of mismanagement by clients whose behaviors are unpredictable
  11. Phenytoin / antiepileptics: Consider risks of Class D in young women vs risks of going without anti-epileptics
  12. Secobarbital / barbituates: Consider risks related to availability of barbituates to teens via the internet
  13. Kava or Valerian: Consider risks of availability of compounding poorly controlled over the counter sedatives
  14. Sumatriptan / triptans: Consider risks of cerebral ischemia when giving vasoconstrictors for migraine control
  15. Cyclobenzaprine for back spasms: Consider risks of impaired function when nurses take muscle relaxants
  16. Prednisone / steroids: Consider long term effects, when other immune suppressors are too expensive to access.
  17. Aspirin / NSAIDs: Consider vulnerability of elders due to over the counter, affordable nature of this analgesic

 

EXPLAINS HOW NURSE LEADERS USE PROFESSIONAL ORGANIZATIONS TO STAY INFORMED OF POLITICAL ACTIONS IN THE NURSING AND HEALTH CARE INDUSTRY

Political Awareness Paper in Nursing
  • Select a professional organization in the nursing industry.

 

  • Research a current political issue addressed through the organization.

 

  • Write a 350- to 700-word paper in which you explain how nurse leaders can use professional organizations to stay aware of political actions in the nursing and health care industry and the importance of doing so.

 

  • Format your paper consistent with APA guidelines.

 

Content3 points possible Points available Points earned
·       Explains how nurse leaders use professional organizations to stay informed of political actions in the nursing and health care industry. 1
·       Discusses importance of maintaining awareness of political actions related to the nursing and health care industry. 2
Format2 points possible Points available Points earned
·       Follows rules of grammar, usage, and punctuation·       Has a structure that is clear, logical, and easy to follow
·       Consistent with APA guidelines for formatting and citation of outside works
2
Total 5

QUESTION

Nursing

For the initial discussion post, review the article by Miller, Drummond and Carey:

Scenario:

  • You begin your career in an acute care hospital as a newly licensed RN. During your orientation, you observe your preceptor checking gastric feeding tube placement by injecting air and auscultating the abdomen, stopping continuous enteral tube feedings before a patient is turned or repositioned, and routinely inserting rectal tubes for patients with diarrhea. You know that ALL three (3) of these practices are currently NOT supported by nursing evidence. When asked, your preceptor responds, “This is the way we have always cared for patients with tube feedings and diarrhea.” You prepare to talk to this peer about necessary changes in nursing practice.

Initial Discussion Post:

Address the following:

  • Choose ONE (1) of the practices described in the scenario.
  • Describe how you will address this gap in nursing practice with your preceptor. Write out exactly what you might say to this RN to professionally address the current evidence for the nursing care of patients.
  • Include when and where you would communicate this information
  • Consider any additional information you might provide to your preceptor to support changing nursing practice

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

ADJUST AUTOMATIC MARKING AS READ SETTING CHOSE TO FURTHER MY EDUCATION IN HOPES OF PROVIDING BETTER PATIENT CARE AND EDUCATION.

Purpose: DiscussionThing to Remember:Discussion: Opinion LeadersAdjust automatic marking as read settingI chose to further my education in hopes of providing better patient care and education. I want to be seen as an influence and a primary healthcare provider. My goal is to provide specialized high-leveled care to patients with different backgrounds.An opinion leader is someone who has strong influence within a work place giving of their time and experience and creates strategies to help change an initiative. An opinion leader earns their role after much experience and expertise. Others look to them for advice and new information (Hamric Hanson Tracy & OGrady 2014).When problems arise in a work environment employees will look towards opinion leaders and others who will lead them through the stressors and crises. In order to be successful as an opinion leader staff must be committed to serving the organization and devote time for teaching. Patient and staff safety should always be at the forefront. Not one person knows all the answers but once we live through various experiences our abilities and competence improve and widen (Kai Tiaki 2014).Communication skills can improve opinion leaders abilities. It is important that communication allows everyones voice to be heard in an open non-combative manner. In order for piers and other staff to have a positive trusting relationship with the opinion leader they must feel as though they are being heard and also guided in difficult situations (Pollard & Wild 2014).By the end of the summer I am hoping my schedule allows me to become a preceptor for new graduates. I view that role as being an opinion leader for an individual which would progress to a small group. I would love the opportunity to mold new fellows with everything I have learned so far as a postpartum nurse. When a newer nurse comes to me for advice I want them to feel safe. My goal is never to talk down to someone making him or her feel inadequate for coming to me for help in the first place. If I do not know how to solve the issue I have been made aware of I seek guidance from another senior nurse. I feel as though a good opinion leader wants others to seek their guidance instead of possibly making a mistake.ReferencesHamric A. B. Hanson C. M. Tracy M. F. & OGrady E. T. (2014).Advancedpractice nursing: An integrative approach(5thed.). St. Louis MO: Elsevier.Kai Tiaki. (2014) Nursing New Zealand.What nursing leaders are saying 20(6) 12-13.doi: edsgcl.375815611Pollard C. Wild C. (2014) Nursing leadership competencies: low-fidelitysimulation as a teaching strategy.Nurse education in practice 14(6) 620-626.doi:10.1016/j.nepr.2014.06.006

Epidemiological Study Designs
Understanding the differences among the types of epidemiological study designs is important for translating the results to public health practice. For this Discussion, you will identify and design epidemiological research studies. To prepare, review the Learning Resources about epidemiologic study designs. Then, go to the Walden Library or another scholarly library and find an epidemiological research study that was published in the last 3 months and uses one of the study designs we are learning about in this module.
– Briefly summarize the study in your own words, identify the study design it uses, and discuss what features it has that identify it as that type of study design. Do not just copy the abstract or parts of the article. Then, redesign the same study using a different study design than the authors did. This does not mean finding another article on the topic. Instead, pretend you are the epidemiologist and design your own study on the topic, using the information we’ve been learning in class about study designs, exposures, outcomes, and measures of association. You are the researcher! For the study you are designing, be sure to include information on who the participants would be and how you would measure the exposure and outcome variables. Discuss why your study design is stronger or more limited than the original study design, and how you arrived at this conclusion. Finally, pose a question about study designs to your peers that is based on your post.