The purpose of this assignment is to evaluate the framework and various dimensions of access to care, including delivery, and quality among the health care models.
Choose two models from the Topic 3 assignment that you feel are most effective in providing quality care. In a 1,250-1,500 word paper, answer the following questions:

  1. How is quality monitored?
  2. What are the qualifications for each of the plans?
  3. How do these plans reimburse health care providers?
  4. How much are prevention and wellness emphasized?
  5. What are the primary drivers of health care financing?
  6. Explain what component you feel requires the most reform in order to finance a health care system that covers all, or most, people. Justify your rationale.

Support your writing with three to five scholarly peer-reviewed resources.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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DISCUSS THREE (3) NURSING INTERVENTIONS THAT DIRECTLY ADDRESS THE IDENTIFIED CLINICAL PRIORITY.
 
The assessment tasks requires you to:
1. Identify and discuss two (2) signs or symptoms of clinical deterioration associated with the presenting problem, from chosen case study. This discussion should consider the potential impact of case study data (e.g. pathology results, past medical history) on the health status of the patient in the chosen case.
2. Following on from your presented discussion associated with point one (1), develop a clinical plan of care which identifies:
One (1) priority of clinical care and;
Discuss three (3) nursing interventions that directly address the identified clinical priority. The discussion should refer to relevant clinical assessments. Measurable outcome parameters for each intervention will be discussed to justify the intervention and evaluate its efficacy. Discussion is to be supported with contemporary research.
Instructions for Answer to 2 Question
1- After Each DQ (question), write down references
2- 300 minimum words for every DQ, you can go up to 800 words but answer should be complete.
3- 2-3 Peer Reviewed/ scholarly references for each question
4- References should be within 4 years
5- I am in acute care nurse practitioner program.
6- The response to the DQ is expected to be a minimum of 300 words. A minimum of two peer reviewed/ scholarly  resources are expected. These need to be appropriate for a clinical professional to guide decisions about patient care. If a textbook is used for one of these responses, the other needs to be journal or professional-level website. The references need to be correctly formatted, as do the citations for those references.  “ Question words” don’t count towards 300 minimum count”
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Directions
Watch the tutorial on tips for completing the NR443 Community Settings assignment.
This APA paper is expected to be no more than four pages in length (not including the title page and reference list). Below are the requirements for successful completion of this paper. Please use the recommended APA Template linked below, which incorporates the following categories as the first level headings on your paper. APA formatting helps you to organize your paper in a professional manner and provides consistent methods for citing your sources and completing your reference page. See the documents in the APA category in Course Resources for assistance with APA formatting. The Student Success Strategies resource has great sections on writing scholarly papers and APA formatting.
The setting for this paper must be on Occupational Health Nursing.
Click to view and download the NR443 Community Settings APA Template
(Links to an external site.)
Links to an external site.
to complete your paper. The template is formatted with the appropriate running head, title page, page numbers, paragraph formatting, and most of the headings. Please edit the headers and title page with your specific information. You are also encouraged to view the Week 4 assignment tutorial found at the end of the Academic Integrity Reminder.
Read the chapter of your textbook on the role and take notes based on the outline below.
Locate and read at least one scholarly peer-reviewed journal article that is not assigned in the course related to a nurse’s role in health promotion in this setting. Go to the Chamberlain library at http:/library.chamberlain.edu
(Links to an external site.)
Links to an external site.
. Search peer reviewed journals to find a scholarly article on this topic. The article must be less than 10 years old (less than 5 years is best).
Thoroughly address the following categories using the APA Template that is provided.
Introduction (one paragraph): The introduction should be interesting and capture the reader’s attention.
Community Setting (two to three paragraphs)
Use your textbook or an outside scholarly source to address the following subpoints and cite your source.
Describe the community setting.
Describe the population served in this setting.
Discuss three health services provided by nurses in this setting.
You may use your textbook or an outside scholarly source to address these sub-points.
Health Promotion Nursing Intervention (two to three paragraphs)
Describe in detail community health nursing health promotion intervention(s)
Identify people/organizations/community members the CHN may collaborate with or intervention initiatives
Professional Nursing Organization (two paragraphs)
Provide a detailed description of a professional nursing organization that supports nurses in this setting in your own words. Search the text, your article, or the Internet for one professional organization that supports nurses in this setting. If you can’t find an organization specific to this group, search the American Nurses Association website for information on this setting. Cite the organization in the body of the text with (organization name, year), and include a complete reference on the reference page.
Discuss one professional issue that this organization is addressing related to this setting.
Summary (one paragraph)
Reference Page: The reference page should start on a new page (insert a page break). All references should be cited within the body of the paper as (author or organization, year), and the full reference should be included in APA format on the reference page. A URL link alone is not an adequate reference. See the Chamberlain Guidelines for Professional Writing in the APA Folder in Course Resources for examples of properly formatted references.

Case
Long-Term Care for All
The newly elected governor of a small state in which the elderly comprise 26% of the total population—twice the national average—is eager to fulfill his campaign promise. He had run for office on the slogan “long-term care for all.” The elderly in the state had overwhelmingly voted for him. Now in office about 9 months, his advisors tell him that providing long-term care services for all citizens in the state will be next to impossible because of high demand for the services. The governor, however, remains undeterred. The cornerstone of his proposed policy includes three things: (1) Develop a state-sponsored long-term care insurance plan. The insurance premiums will be income based, and will cost at least 15% less than a midlevel private long-term insurance plan being sold in the state. (2) Make it mandatory for all citizens, old and young, to purchase LTC insurance, either from the state or from a private insurance company. (3) Place restrictions on the use of nursing home and assisted living services in favor of community-based services.
Questions
1.  Give specific reasons why the governor’s policy may not work, pointing out specific problems that would likely arise.
2.  Will the policy work in a large state, everything else being equal? Give reasons.

Fred, a fit and healthy 44-year-old, was working outside one warm summer afternoon. When he returned home by the end of the day, his lower back felt sore and he felt nauseated. His wife made him dinner, but he was not hungry and chose to go to bed instead. Fred’s symptoms progressed, and soon he was rolling on the bed with excruciating pain. He said his back hurt as well as his stomach and groin area. The pain would ease off only to return a short while later, and when it did, Fred would begin to sweat and run to the bathroom to vomit. His wife became concerned and she helped him into the car and rushed him to the hospital.

Please answer the following questions and submit your assignment via Blackboard by the due date.

1. At the hospital, an abdominal radiograph showed the presence of renal calculi in Fred’s right ureter (urolithiasis).  What is the pathophysiological mechanism of stone formation in the kidney? 

2. In the hospital, Fred’s urine is being strained for the presence of stones that he may have passed. What is the importance of this action?

3. What are the 4 primary types of renal calculi and what are the risk factors for each of these types of renal calculi? 

4. Hydronephrosis can be a complication of renal calculi. Why is hydronephrosis such a serious complication? 

5. View the following youtube video entitled “How do kidney stones form?”   https://www.youtube.com/watch?v=kd1OgaoHkNk&ebc=ANyPxKpOSV5R2ZhGO16_RyRrOJqxvxX0LqasixjcubWhDn5frqXcvCZuFFZQG3nvVpZSTFL0HxuUpkycrKY94szkE_ucwYOCQg 

Identify two key points that you learned about renal calculi in the video? 

 This is the grading  criteria :
Grading:Subject Knowledge and Accuracy (6 points)

  • Normal physiological principles, processes, and mechanisms are explained at the molecular, cellular, and organ levels.
  • Physiological processes and mechanisms relating to the pathology are clearly explained.
  • Answers focus on substantive ideas that are supported by relevant facts and examples.
  • Explanations are clear and incorporate appropriate vocabulary.
  • Thoughtful and convincing responses clearly demonstrate depth of subject knowledge.
  • Information is derived from good quality, credible sources.
  • All questions are answered completely.
  • All content is current and accurate.

Bibliography / Citations / Writing (3 points)

  • Two (2) or more sources used for the assignment (your textbook can be one of the sources).
  • All material that is not considered “common knowledge” is cited. 
  • All quotations and/or paraphrasing are cited according to APA format. 
  • The full reference for each citation is found in the bibliography.
  • References are listed alphabetically at end of assignment in the bibliography.
  • Bibliography and citations follow APA format.
  • Writing is free of grammatical errors.
  • Sentences are complete, clear, and concise.
  • Spelling is correct.

This book should be used as reference also:
Porth’s Pathophysiology: Concepts of Altered Health States (9th edition) ISBN-13: 978-1451146004ISBN-10: 1451146000 

 Discussion: Explain how GDSS can increase some benefits of collaboration and decision making in groups and eliminate or reduce some losses.
Question for discussion:
1. Explain why it is useful to describe group work in terms of the time/place framework.
2. Describe the kinds of support that groupware can provide to decision-makers.
3. Explain why most groupware is deployed today over the Web.
4. Explain in what ways physical meetings can be inefficient. Explain how technology can make meetings more effective
Exercise:
1. Compare Simon’s four-phase decision-making model to the steps in using GDS

What can you do to develop your individual power base? This week, you have heard and read about several types and sources of power. For this Assignment, consider your goals and how enhancing your own power may help you to achieve them.

To Prepare

  • Reflect on your personal current sense of power within your organization and the profession;
  • Do a self–assessment of your leadership skills by doing the How Good are your Leadership Skills? assessment at http://www.mindtools.com/pages/article/newLDR_50.htm

·         How did you score? You do need not to reveal this in your paper, but hopefully it will guide you in how to apply the concepts to your own situation.

  • Reflect on your motivation for increasing your power within your organization and/or within the nursing profession.
  • Do a self–assessment of your leadership motivation by doing the assessment The Leadership Motivation Assessment found at http://www.mindtools.com/pages/article/newLDR_01.htm

·         Again, it is not necessary to post your score but hopefully it will guide you in how to discuss your motivation at this point in time.

  • Review the information on power in the Learning Resources and conduct additional research on your own to examine strategies that seem relevant and worthwhile for helping to enrich your power as a nurse leader.
  • Identify specific strategies you can use to develop and leverage sources and types of power to achieve desired outcomes.

To Complete

Write a 2– to 3–page paper, not including the cover and Reference page, describing:

  • A self–assessment of your current sense of power within your organization and the profession;
  • A self–assessment of your motivation for increasing your power base;
  • Write a detailed plan for enhancing your power as a nurse and a leader–manager, including specific strategies for achieving that plan.  Be sure to include strategies for mobilizing the power of nursing for social change, empowering others, and building a personal power base.

Reminder

The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Change can be difficult to implement. Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistLance do you expect from staff? ist at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project.

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