regardless of your time zone. Week 1 Community and Population-based Nursing Care Resources Media Course Media: Laureate Education, Inc. (Executive Producer). (2012).Family, Community and Population-Based Care.Baltimore: Author. “Community and Population-Based Nursing Care: The Past, Present, and Future” featuring Dr. Louise Fitzpatrick and Ms. Joan Marren Readings Course Text: Stanhope, M., & Lancaster, J. (2008).Public health nursing: Population-centered health care in the community. Philadelphia: Mosby Elsevier. Chapter 1, “Population-Focused Practice: The Foundation of Specialization in Public Health Nursing” Chapter 2, “History of Public Health and Public and Community Health Nursing” Chapter 9, “Population-Based Public Health Nursing Practice: The Intervention Wheel” Students will also be assignedoneof the following chapters from “Part 7: Nurse Roles and Functions in the Community” in the course textbook: Chapter 39, “The Advanced Practice Nurse in the Community” Chapter 40, “The Nurse Leader in the Community” Chapter 41, “The Nurse in Home Health and Hospice” Chapter 42, “The Nurse in the Schools” Chapter 43, “The Nurse in Occupational Health” Chapter 45, “The Nurse in the Faith Community” Chapter 46, “Public Health Nursing at Local, State, and National Levels” Optional Resources are listed in the Week 1 Learning Resources area. Threaded Discussion The Role of the Community and Public Health Nurse This week, your Instructor assigned you a chapter in the course textbook that discussed the role of the public health nurse in a specific setting. Based on your assigned chapter and bearing in mind the primary prevention focus of the community/public health nurse, respond to the following: What differentiates the role of the community and public health nurse from other health professionals? What skills and knowledge are necessary for the type of decision making inherent in population-focused nursing practice? How do these skills differ from those required in the institutional setting? Support your response with references from the professional nursing literature. Post your response to this Discussion byDay 3. Respond to at leasttwocolleagues’ postings byDay 7. See the Week 1 Discussion area for details. Application The History of Public Health and the Role of the Community/Public Health Nurse Using Chapter 2 in the course textbook, your assigned reading on the role of the nurse in a specific public health setting, and reviewing this week’s media presentation, address the following in a 2- to 3-page paper: Trace the history of the public health nurse including the contributions made by Lillian Wald and the Henry Street Settlement. Also, summarize the role of the nurse in the practice setting assigned. Include the following in your summary: Explain how the core functions of community/public health nursing and the standards of practice are met with that specific role. Describe the population served by the nurse in this role. Which interventions might the nurse in this role utilize? Explain the level of practice used in this practice setting (primary/secondary/tertiary). Describe an ethical dilemma that might be encountered in this nursing role. Use the Application Rubric in the Course Info area on the left navigation bar to develop this paper. Due byDay 7. Virtual Practicum Team Discussion Practicum Activities: Identify a Population Group Community health nursing needs to be not only on the individual, but also the family and the community. This activity is intended to teach you how the term community health is about identifying problems and managing interactions within the community. In meeting multiple needs, community health nurses are required to fulfill multiple roles. These roles include care provider, educator, advocate, manager, collaborator, leader and researcher. This week, your instructor has assigned you to choose a population group that you will write about for the next six weeks. Community health nursing settings include homes, ambulatory care settings, schools, occupational heath settings, residential institutions, and the community at large. Knowing about these settings may assist you in choosing your population group. Read more about populations in your textbook. Please address the following: Introduce yourself to your team members. Where do you work? Briefly describe the community where you live. For the purpose of the Population-Based Nursing Care Project, choose a population group that interests you. Describe what the members of your chosen group have in common? For example, do they share some important features in their lives? What are some health problems or issues that you can think of that may affect the population that you are interested in?. Post your response to this Discussion byDay 5. Respond to at leasttwocolleagues’ postings byDay 7. See the Week 6 Practicum Discussion area for details.   Week 2 Epidemiology Resources Media Course Media:Family, Community, and Population-Based Care “Epidemiology in Community Health Nursing” featuring Dr. David Jacobs, Ms. Joan Marren, and Dr. Fernando Guerra Readings Course Text:Public Health Nursing: Population-Centered Health Care in the Community Chapter 6, “Application of Ethics in the Community” Chapter 12, “Epidemiology” (pp. 243–266; 272–274) Chapter 17, “Promoting Healthy Communities Using Multi-level Participatory Strategies” Chapter 14, “Communicable and Infectious Disease Risks” Articles Fayram E. S., & Anderko, L. (2009). Applied epidemiology for public health and community-based nurses.Journal of Continuing Education in Nursing, 40(8), 361–366. Web Sites Center for Disease Control http://www.cdc.gov Optional Resources are listed in the Week 2 Learning Resources area. Threaded Discussion Using the Epidemiologic Triangle Using the Epidemiologic Triangle concept, consider the relationship among causal agents, susceptible persons, and environmental factors. Then, respond to the following: As a BSN-prepared community health nurse, what steps should Debbie take next? How might information systems be used to support Debbie’s efforts? Support your response with references from the professional nursing literature. Post your response to this Discussion byDay 3. Respond to at leasttwocolleagues’ postings byDay 7. See the Week 2 Discussion area for details. Virtual Practicum Team Discussion Practicum Activities: Use Health Data and a Population Group Health Problem This week, your instructor has assigned you to begin collecting health data about a health problem or issue that affects your population group. Examples of health data include epidemiological information related to health conditions, reproductive outcomes, causes of death, and quality of life. Important information to include is socioeconomic data (poverty levels) and the presence or lack of health insurance in your population. Read more about epidemiology in your textbook. There are a variety of sources to collect health data – at the local, state, and national level. Access and review the professional literature to support your case. If data is not available to support your heath issue for a local group, use state or national data. Read more about health data collection in your textbook. Some website links are provided in the Course Webliography to help get your started. It takes time to gather data, so don’t worry about finalizing your data collection this week. In weeks 3 and 4, you will continue to collect Health Data by means of contacting your local health department and performing a community assessment. Please address the following: What are some health problems within your population group? Is there a priority health problem that stands out to you? What population-related health problem do you want to focus on for this project? Identify one or more websites that you found to be useful. Please post the sites/s in the Course Webliography. Post your response to this Discussion byDay 5. Respond to at leasttwocolleagues’ postings byDay 7. See the Week 2 Practicum Discussion area for details.   Week 3 Emergency Preparedness and Disaster Response Resources Media Course Media:Family, Community, and Population-Based Care “Emergency Preparedness and Disaster Response in Community Health Nursing” featuring Ms. Joan Marren, Dr. George DiFerdinando, and Dr. Fernando Guerra Readings Course Text:Public Health Nursing: Population-Centered Health Care in the Community Chapter 23, “Public Health Nursing and the Disaster Management Cycle” Chapter 24, “Public Health Surveillance and Outbreak Investigation” Chapter 13, “Infectious Disease Prevention and Control” Articles O’Boyle, C., Robertson, C., & Secor-Turner, M. (2006). Public health emergencies: nurses’ recommendations for effective actions.AAOHN Journal, 54(8), 347–353. Richard, J., & Grimes, D. (2008). Bioterrorism: Class A agents and their potential presentations in immunocompromised patients.Clinical Journal of Oncology Nursing, 12(2), 295-302. Office of Disaster Preparedness and Emergency Management. (2007). Guidelines for child–friendly disaster management and response [Fact sheet]. Retrieved fromhttp://www.cridlac.org/digitalizacion/pdf/eng/doc16978/doc16978.htm Optional Resources are listed in the Week 3 Learning Resources area. Threaded Discussion There is no Discussion this week. Application Emergency Preparedness and Disaster Response Select a disaster that could happen in your community. Then, write a 3- to 4-page paper outlining the following: The disaster How the professional nurse would use clinical judgment and decision-making skills to provide appropriate nursing care Other health care professionals that may be involved in a response Suggest strategies for improving your community’s response to your identified disaster Due byDay 7. Virtual Practicum Team Discussion Practicum Activities 3: Consider Levels of Prevention This week your instructor has assigned you to consider the levels of prevention used in the community health setting. The three levels are primary, secondary, and tertiary. What do these terms mean? Briefly stated, prevention is about taking action to prevent or minimize the occurrence of an event. Read about levels of prevention on page 192 of your textbook. To improve population health, the community nurse carries out her work sequentially and simultaneously at all levels of prevention. Also, as you continue to work on collecting health data. Consider contacting your local community health department this week to find out how they involved in addressing your problem. See what you can uncover. Also, collaborating with other health care professionals, including your team members, will assist you to gain a fuller understanding of both your issue and your chosen population. Please address the following: Think about the three levels of prevention and how they relate to your population group’s health problem. Provide three examples of health interventions, one for each level of prevention, that are appropriate actions to take regarding your population’s problem. Post your response to this Discussion byDay 5. Respond to at leasttwocolleagues’ postings byDay 7. See the Week 3 Practicum Discussion area for details.   Week 4 Community Assessment and Interventions Resources Media Course Media:Family, Community, and Population-Based Care “Assessing the Community” featuring Dr. Fernando Guerra, Ms. Joan Marren, Dr. Rachel Smith, and Dr. Barbara Sattler Readings Course Text:Public Health Nursing: Population-Centered Health Care in the Community Chapter 7, “Cultural Diversity in the Community” Chapter 16, “Using Health Education and Groups to Promote Health” Chapter 18, “Community as Client: Assessment and Analysis” Articles Douglas, M., Uhl Pierce, J., Rosenkoetter, M., Clark Callister, L., Hattar-Pllara, M., Lauderdale, J. et al. (2009). Standards of practice for culturally competent nursing care: A request for comments.Journal of Transcultural Nursing, 20(3), 257–2 69. Running, A., Martin, K., & Tolle, L. W. (2007). An innovative model for conducting a participatory community health assessment.Journal of Community Health Nursing, 24(4) 203- 213. Web Sites Occupational Safety and Health Administration http://www.osha.gov Optional Resources are listed in the Week 4 Learning Resources area. Threaded Discussion Cultural Competence To prepare for this Discussion, review the media presentations and Chapter 7 in the course textbook. Focus particularly on Dr. Smith’s presentation on cultural competence and on pages 146–152 in the textbook which discusses cultural competence. Also, review the Douglas, et al. article on “Standards of Practice for Culturally Competent Nursing Care.” Then, select a major ethnic or religious group from your community. With this group in mind, respond to the following questions: What major ethnic or religious groups are present in your community whose culture is different from your own? Discuss your assumptions about this group. How might a nurse’s positive or negative assumptions influence the care provided, and thus health outcomes? Support your response with references from the professional nursing literature. Post your response to this Discussion byDay 3. Respond to at leasttwocolleagues’ postings byDay 7. See the Week 4 Discussion area for details. Application Community Assessment To prepare for this Application, review the media presentations for this week and Chapter 15 in the course textbook on community assessment. In addition, use Table 15-5 on page 355 in the textbook to guide your windshield assessment. Include your windshield assessment with your Application. Conduct an assessment of the community in which you live, including a windshield assessment. Then, write a 3- to 4-page paper that includes the following: Demographics Vital statistics Environmental issues Occupational health hazards Vulnerable populations Resources available in the community Other pertinent information about the community Due byDay 7ofWeek 5. Virtual Practicum Team Discussion Practicum Activities: Consider Levels of Nursing Intervention This week your instructor has assigned you to consider the levels of intervention used in the community health setting. The three levels are community-level practice, systems-level practice, and individual-level practice. What do these terms mean? Read about the levels of intervention on page 192 to 193 of your textbook. To improve population health, the community nurse carries out her culturally-competent care sequentially and simultaneously at all levels of intervention. Also, consider community resources as they relate to your chosen population-based health problem. Services provided by others health care providers Lack of services Cultural/ beliefs of community Health/illness beliefs Values, attitudes, health behaviors and practices Please address the following: Think about the how levels of intervention relate to the work you are doing regarding your population group’s health problem. Provide three examples of interventions, one for each level of intervention, that are appropriate actions to take regarding your population’s problem. Provide a few examples of community resources that need to be in place to assist your population group’s problem. Resources are especially important to assist vulnerable populations with reducing their health risks and disparities. Are there any cultural-based related issues regarding your group that should inform your approach to care? Post your response to this Discussion byDay 5. Respond to at leasttwocolleagues’ postings byDay 7. See the Week 4 Practicum Discussion area for details.   Week 5 Family, Individual, and Group Assessment and Interventions Resources Media Course Media:Family, Community and Population-Based Care “The Influence of the Family and Culture on Health” featuring Ms. Joan Marren, Dr. Rachel Smith, and Ms. Christina Lee Readings Course Text:Public Health Nursing: Population-Centered Health Care in the Community Chapter 27, “Family Development and Family Nursing Assessment” Chapter 28, “Family Health Risks” Chapter 29, “Child and Adolescent Health” Articles Benzein, E. G., Hagberg, M., & Saveman, B. (2008). ‘Being appropriately unusual’: A challenge for nurses in health-promoting conversations with families.Nursing Inquiry, 15(2), 106–1 15. Stewart, L., Chapple, J., Hughes, A. R., Poustie, V., & Reilly, J. J. (2008). The use of behavioral change techniques in the treatment of pediatric obesity: qualitative evaluation of parental perspectives on treatment.Journal of Human Nutrition and Dietetics, 21(5), 464–473. Optional Resources are listed in the Week 5 Learning Resources area. Threaded Discussion The Influence of Culture and Genetics on Health Answer the following questions: How might the family’s culture and genetic history influence your communication and approach in addressing their health risks? How would you build trust with the family before and during the visit? Support your response with references from the professional nursing literature. Post your response to this Discussion byDay 3. Respond to at leasttwocolleagues’ postings byDay 7. See the Week 5 Discussion area for details. Application Community Assessment Due byDay 7. See the Week 4 Application area for complete instructions. Virtual Practicum Team Discussion Practicum Activities: Create Evidenced-Based, Culturally Appropriate Interventions This week your instructor wants you to access and appraise culturally-sensitive, research-based interventions to prevent, improve, and bring comfort to your population group. Community health nurses are critical thinkers informed of all important research finding. Critical-thinking is key. Please read about evidenced-based research in your textbook. Please respond the following: In week 3 and 4, you identified strategies/interventions related to a population group’s heath problem, and categorized them according to the levels and prevention and intervention. Describe whether those interventions are ” evidenced based.” Why or why not? Share at least two strategies/prevention related to your population and it’s health problem that you feel confident are evidenced-based. Why do you think that? Think in terms of research outcomes. Identify one evidenced-based behavior change technique to promote or manage illness among your population group. Post your response to this Discussion byDay 5. Respond to at leasttwocolleagues’ postings byDay 7. See the Week 5 Practicum Discussion area for details.   Week 6 Vulnerable Populations: Community Health Related Resources Media Course Media:Family, Community and Population-Based Care “Vulnerable Populations” featuring Dr. Daniel Herman, Dr. Peater Beilenson, Ms. Joan Marren, and Dr. Rachel Smith Readings Course Text:Public Health Nursing: Population-Centered Health Care in the Community Chapter 32, “Vulnerability and Vulnerable Populations: An Overview” Chapter 33, “Poverty and Homelessness” Chapter 36, “Mental Health Issues” Chapter 37, “Alchohol, Tobacco and Other Drug Problems” Articles Abrams, S. (2008). Disparity and responsibility.Public Health Nursing, 25(5), 387–388. Chaikin, J. (2008). Children of Darfur: A vulnerable population.International Journal of Nursing Practice, 14(1), 74–77. Paul, I. M., Lehman, E. B., Suliman, A. K., & Hillemeier, M. M. (2008). Perinatal disparities for black mothers and their newborns.Maternal & Child Health Journal, 12(4), 452–4 60. Slaughter, S., Cole, D., Jennings, E., & Reimer, M. (2007). Consent and assent to participate in research from people with dementia.Nursing Ethics, 14(1), 27–40. Website National Healthcare Disparities Report, 2008 http://www.ahrq.gov/research/findings/nhqrdr/nhdr08/nhdr08errata.pdf Optional Resources are listed in the Week 6 Learning Resources area. Threaded Discussion Discussion: Advocating for Social Justice Respond to the following: What is the community health nurse’s role in advocating for social justice for vulnerable populations and in eliminating health disparities? How do you see community health care and the role of the community health nurse changing in the future? Post your response to this Discussion byDay 3. Respond to at leasttwocolleagues’ postings, one in each Discussion thread, byDay 7. See the Week 6 Discussion area for details. Practicum Assignment: Summary of Practicum Activities Create a PowerPoint presentation that summarizes your practicum activities. Include a minimum of 6 slides (10 maximum) and the following information: Location Population you are working with and key health issues Other members of the health care team or professionals you are collaborating with Outline or summary of your practicum experience emphasizing health promotion and prevention activities and interventions Ethical issues you are encountering Reflection statement that imparts how your view of community/public health nursing and population-based care was impacted by the practicum experience Post your PowerPoint presentation to the Summary of Practicum Activities Discussion byDay 5. View at least two of your colleagues’ presentations and provide specific feedback on their projects byDay 7. See the Week 6 Discussion area for details. Virtual Practicum Team Discussion Practicum Activities: Present Population-Based Nursing Care Project This week create a PowerPoint presentation that summarizes your Population-Based Nursing Care Plan Project. (See rubric in Course Info) Instructions: Post your PowerPoint presentation byday 5of this week. Review all of your team members’ presentations. Respond byDay 7to at leasttwoof your colleagues’ postings: Please respond to the following: Describe a potential evaluation plan. Now that you have completed the project what is your role in advancing population-based care in your community? In your current practice and as a health leader in your community how will you collaborate with other healthcare providers to promote the health of your community? Support your response with references from the professional nursing literature. Post your response to this Discussion byDay 5. Respond to at leasttwocolleagues’ postings byDay 7. See the Week 6 Practicum Discussion area for details..

Overview

Develop a data table that illustrates one or more underperforming clinical outcomes in a care environment of your choice. Write an assessment (3–5 pages) in which you set one or more quantitative goals for the outcomes and propose a change plan that is designed to help you achieve the goals.
Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented.
Knowing what is the best practice for our patients is very important in providing safe and effective care. Understanding best practices can help nurses identify areas of care that need to be improved. To identify areas of need, nurses must use evidence from various sources, such as the literature, clinical practice guidelines (CPG), professional organization practice alerts or position papers, and protocols. These sources of evidence can also be used to set goals for improvement and best practices with an eye toward improving the care experience or outcomes for patients.
The challenge facing many care environments and health care practitioners is how to plan for change and implement changes. For, if we cannot effectively implement changes in practice or procedure, than our goals of improving care will likely amount to nothing. This assessment focuses on allowing you to practice locating, assessing, analyzing, and implementing change strategies in order to improve patient outcomes related to one or more clinical goals.
This assessment will take the form of a data table to identify areas for improvement and to set one or more outcome goals, as well as a narrative describing a change plan that would help you to achieve the goals you have set.

Assessment Instructions

Scenario

Consider the current environment. This could be your current care setting, the care settings presented in the Vila Health: Using Evidence to Drive Improvement or Vila Health: Concept Maps as Diagnostic Tools media, or a care setting in which you are interested in working.
For the setting that you choose you will need to have a data set that depicts sub-optimal outcomes related to a clinical issue. This data could be from existing sources in the course (Vila Health: Using Evidence to Drive Improvement), a relevant data set that already exists (a data set from the case study you used as a basis for your Concept Map assessment, or from your current place of practice), or an appropriate data set that you have created yourself. (Note: if you choose to create your own data set, check with your instructor first for approval and guidance.)
After you have selected an appropriate data set, use your understanding of the data to create at least one realistic goal (though you may create more) that will be driven by a change strategy appropriate for the environment and goal.
Potential topics for this assessment could be:

  • Consider ways to help minimize the rate of secondary infections related to the condition, disease, or disorder that you focused on for your Concept Map assessment. As a starting point you could ask yourself, “What could be changed to facilitate safety and minimize risks of infection?”
  • Consider how to help a patient experiencing traumatic stress or anxiety over hospitalization. As a starting point you could ask yourself, “How could the care environment be changed to enhance coping?”

Once you determine the change you would like to make, consider the following:

  • What data will you use to justify the change?
  • How can the team achieve this change with a reasonable cost?
  • What are the effects on the workplace?
  • What other implementation considerations do you need to consider to ensure that the change strategy is successful?
  • How does your change strategy address all aspects of the Quadruple Aim, especially the well-being of health care professionals?
  • Once the change strategy is implemented, how would you evaluate the efficiency and effectiveness of the care system if the desired outcomes are met?

Instructions

Your assessment submission should include a data table that illustrates the current and desired states of the clinical issue you are attempting to improve through your application of change strategies. Additionally, you will need to explain the rationale for your decisions around your chosen change strategies, as well as how the change strategies will be successfully implemented. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your change strategy addresses all of them. You may also want to read the Change Strategy and Implementation scoring guide and Guiding Questions: Change Strategy and Implementation to better understand how each grading criterion will be assessed.

  • Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.
  • Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.
  • Justify the specific change strategies used to achieve desired outcomes.
  • Explain how change strategies will lead to quality improvement with regard to safety and equitable care.
  • Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.
  • Communicate the change plan in a way that makes the data and rationale easily understood and compelling.
  • Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

  • Assessment 2 Example [PDF].

Additional Requirements

  • Length of submission: 3–5 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive.
  • Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that supports your goal setting, proposed change strategies, quality improvement, and interprofessional considerations. Resources should be no more than five years old.
  • APA formatting: Use the APA Paper Template linked in the Resources. An APA Template Tutorial is also provided to help you in writing and formatting your analysis. No abstract is required.
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Assignment
Poor Patient Outcome  Relying solely on the classic features of a disease may be misleading. That’s because the clinical presentation of a disease often varies: the symptoms and signs of many conditions are non-specific initially and may require hours, days, or even months to develop.  Generating a differential diagnosis; that is, developing a list of the possible conditions that might produce a patient’s symptoms and signs — is an important part of clinical reasoning. It enables appropriate testing to rule out possibilities and confirm a final diagnosis.     This case portrays a poor patient outcome after a misdiagnosis.  Case scenario  A previously healthy 35-year-old lawyer presents to a primary care office with a chief complaint of chest pain and a non-productive cough. The pain started suddenly 2 hours prior to coming to the office while the patient was sitting at his desk. The patient describes the pain as sharp in nature, constantly present but made worse with inspiration and movement, and with radiation to the base of the neck. His blood pressure in the right arm and other vital signs are normal.  On physical examination the only findings of note are chest wall tenderness and a faint cardiac murmur. The ECG in the office is normal. The patient is observed for an hour in the office and assessed. He is diagnosed with viral pleurisy and sent home on non-steroidal analgesics.  The following day the patient collapses at home and cannot be resuscitated by the paramedic service. An autopsy reveals a Type 1 aortic dissection with pericardial tamponade.  Written Assignment:  Developing a list of possible conditions that might produce a patient’s symptoms and signs is an important part of clinical reasoning. 1.As an NP in primary care what would you have done differently? 2.Discuss the importance of creating a list of differentials for this patient. How could it have changed this outcome?  If a serious diagnosis comes to mind based on a patient’s symptoms: •Ask yourself; Have you considered the likelihood of it and whether it needs to be ruled out by testing or referral? •Because many serious disorders are challenging to diagnose, have you considered ruling out the worst case scenario? •Ask yourself: Do you have sufficient understanding of the clinical presentation to offer an opinion on the diagnosis? •What other diagnosis could it be? How might the treatment to date have altered the patient outcome? •What other diagnostic and laboratory or imaging was needed in order to make a complete differential list?  What support tools would you consider using in helping to create a differential diagnosis list? •Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain?     To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.  Assignment Requirements:  Before finalizing your work, you should: •be sure to read the Assignment description carefully (as displayed above); • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and • Utilize spelling and grammar check to minimize errors.  Your writing Assignment should: •follow the conventions of Standard English (correct grammar, punctuation, etc.); • be well ordered, logical, and unified, as well as original and insightful; • display superior content, organization, style, and mechanics; and • use APA 6th Edition format as outlined in the APA Progression Ladder.  How to Submit:

Write on Current and Future Issues Impacting Healthcare Sector

Current and Future Economic Issues Impacting Healthcare Sector

Use the Internet or academic online databases to research five (5) of what you believe to be the most important and pressing economic issues that confront the United States healthcare industry today and will continue to do so into the next decade.

Provide a review of these issues in a ten to twelve (10-12) page paper in which you:

  1. Provide a detailed description of the issues that you have researched.
  2. Analyze the most significant economic effects of the researched issues on healthcare industry. Provide at least two (2) examples of these issues to support your response.
  3. Suggest specific strategies that relevant entities / stakeholders may use to address the selected issues from an economic perspective. Justify your response.
  4. Determine the strategic manner in which the United States can apply best economic best practices from other countries in addressing these issues.
  5. Assess the likelihood of government and or private sector effectively addressing the issues.
  6. Use at least ten (10) current references. Five (5) of these references must be from current peer-reviewed sources to support and substantiate your comments and perspectives.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Analyze the factors that are influencing the demand and supply of health care services in the U.S.
  • Compare and contrast the U.S. health care system with the health care system of other countries.
  • Use technology and information resources to research issues in health economics.
  • Write clearly and concisely about health economics using proper writing mechanics.

    Assignment: Application: Leadership Concept Analysis Group Paper
    This week you will begin a group paper that you will develop over the next few weeks. By Day 3 of this week, you will be placed in a collaborative group and provided with a work area for your group (See the Groups area below Week 11 in the left-hand navigation bar. If you do not see your team area by the end of Day 3, contact your Instructor.)
    Before you begin to work with your group, read the information below describing the paper. Then join your group, introduce yourself, and begin work on selecting a topic.
    To prepare:
    · Review the Peer Evaluation Form for important information on how this assignment is graded.
    · Identify a group facilitator.
    · Within your group, select a topic relevant to interprofessional leadership and the health care field on which to focus your group paper. The following are some potential topics for your group to consider:
    o Matrix organizations
    o Accountable care organizations
    o Horizontal and vertical organizations
    o Role conflict and ambiguity
    o Employee recruitment and selection
    o Interpersonal relationships in the C-suite of organizations (the relationships between the CEO, CFO, and CNO)
    o Resistance to change
    o Succession planning
    o Whistle blowing
    o “Just” culture
    o Team Stepps
    · When your group has selected a topic, the group facilitator will submit the topic to the Instructor for approval on the Discussion Board in the Week 5 Group Project Topic Forum.
    · Conduct research on your topic using the Walden Library and other credible sources.
    To complete:
    As a group, write a 3- to 5 (page count does not include title and reference page) page paper that includes the following:
    · Section 1: Introduction
    · Section 2: Significance of the topic (based on literature that speaks to the relevancy of the concept selected in terms of interprofessional leadership)
    · Section 3: Review of the literature related to the concept that the group selects (current best practices, positive or negative impact on leadership or health care organizations, etc.)
    · Section 4: Application to nursing (e.g., implications or consequences for nursing leaders)
    · Section 5: Conclusion
    All group members are expected to collaborate fully on this project, and your group paper should demonstrate an original and thoughtful application of the ideas presented in the Learning Resources and the research literature.

    Unit VI Assignment This assignment measures your mastery of ULOs 2.5, 4.1, 5.2, and 6.1. You have been hired at ABC Manufacturing, and you have been asked to work on the budget for the upcoming year regarding labor costs and the number of employees needed. Complete the Unit VI Assignment Template for this assignment and submit it for grading in Blackboard. APA Style is not required for this assignment

    Baccalaureate nursing – healthcare writers onlyAPA format- if you’re able to write this paper well, and get me an A grade, I will use you for all future papers…and trust me, there will be a lot. price is negotiable.For this week’s assignment, you will prepare an annotated bibliography on a topic related to health care that is currently impacted by a policy change or potential policy change. The policy that is or will impact change should be related to the health care system or nursing specifically. Look for information that shows that the policy, in your opinion, improved or did not improve the health care system or nursing practice.Choose a Policy IssueReview the Unit 3 study activities to read a list of potential policy issues that will give you a foundation to help you determine which policy change you are interested in. Choose one issue to focus on. The area that you choose to focus on could include particular interests that would lead you to explore articles that look at legal, ethical, and regulatory process in health care or nursing practice.What Is an Annotated Bibliography?Use the four articles that you chose, keeping the following information in mind:A bibliography is a list of sources (books, journals, Web sites, periodicals, et cetera) one has used for researching a topic. A bibliography usually just includes the bibliographic information (that is, the author, title, publisher, et cetera).An annotation is a summary or evaluation.Therefore, an annotated bibliography includes a summary or evaluation of each of the sources in the bibliography. For this assignment, you are expected to include both a summary andan evaluation.Your annotations should address the following three areas for EACH of the four articles you select:Summarize: What are the main arguments? What is the point of this article or chapter? What topics are covered? If someone asked what this source is about, what would you say?Evaluate: Is it a useful source? How does it compare with other sources in your bibliography? Is the information reliable? Is this source biased or objective? What is the goal of this source? (Or the goal of the writer?)Reflect: How does the source assist or fit into your practice? Was this source helpful to you? How might this source help you shape an argument (in favor of or against) the topic presented? Has the source changed how you think about this topic?Assignment GradingBe sure to consult the scoring guide for this assignment to see how your work will be graded. Notice that you will be expected to apply APA writing style to write clearly and logically, with correct use of grammar, punctuation, and mechanics. You may wish to consult Chapter 3 and Chapter 4 in the APA manual and the information listed in this unit’s Writing Resources study.Review your annotated bibliography and make sure it is complete, using the checklist below.Components of the annotated bibliography:Begins with a title page that includes your name.Lists citation information for the articles or chapters, formatted in APA style.Each citation is followed by an annotation, approximately one page in length.The bibliography comprises a variety of credible perspectives.The final page consists of a reference list that includes all of your APA-formatted citations, in alphabetical order.The assignment is 6-8 pages long, including the title page and references.Each annotation should contain some or most of the following:Provides the reader with more information about the content of the sources.Consists of a paragraph that is both descriptive and evaluative (about 150 words).Offers both a description and a critical assessment of the articles or chapters being annotated.Gives the reader a sense of the quality of the source.Gives a sense of the argumentative position of the author relative to others in the field.Informs the reader of the relevance, accuracy, and quality of the sources cited.Concisely exposes the author’s point of view and the clarity of the work.Evaluates the appropriateness of expression, and authority.Summarizes the central theme and scope of the article or chapter.Evaluates the authority or background of the author.Comments on the intended audience.Compares or contrasts this work with another you have cited.Explains how this work illuminates your bibliography topic.If you would like to practice formatting APA citations before you submit this first assignment, click on the links, in Resources, to access interactive media that will help you practice.

    Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes.

    In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment.

    To Prepare:

    • Reflect on the Resources related to digital information tools and technologies.
    • Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.
    • Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery. 

    Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.

    References:

    McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

    • Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 267–287)
    • Chapter 15, “Informatics Tools to Promote Patient Safety and Quality Outcomes” (pp. 293–317)
    • Chapter 16, “Patient Engagement and Connected Health” (pp. 323–338)
    • Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 341–355)
    • Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 359–388)

    Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagement. Pain Management Nursing, 19(3), 212–221. doi:10.1016/j.pmn.2017.11.002

    Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32–40. doi:10.3390/informatics4030032

    Background: We are all survivors of some type of loss.  Everyone in this class has experienced some type of loss and accompanying grief.  Besides death of a significant other, there are many other types of losses that produce grief.  The purpose of this project is to analyze a loss you have experienced by using concepts you have learned in this course.       Listed below are examples of losses that you may write about:      
    1. The death of someone important to you: –   A parent, child, sibling, spouse, or other relative –   A close friend or someone you were romantically involved with. –   Someone famous that meant a lot to you.  
    2. The loss of a relationship through: –   betrayal, divorce, separation, or desertion –   kidnapping, murder, or disappearance –   mental illness –   substance abuse  
    3. The loss of a job (yours or someone you depended on for support)
    4. Moving away from home, becoming homeless, becoming a refugee.
    5. Loss of physical capacity or ability through illness, accident, the aging process.
    6. The loss of a pet (through death, ran away, was stolen, etc.)
    7. Loss of something valuable to you (home/property destroyed by fire, flood, natural disaster)
    8. Loss of or denial of membership in a group that was important to you.
    9. Loss of respect for, or sense of betrayal by a person, organization, or group that you had previously held in high esteem.  Loss of your reputation.
    10. Loss of trust in others, or loss of self-esteem due to physical, emotional, or sexual abuse.   Directions: Please Use These Sub-Headers   Part 1: Description of the loss event.  2-3 pages in length.  Write this from the 3rd person point of view to describe the events.   Part 2: The Reactions to the Loss:Again, write this from the 3rd person point of view.  Use concepts from the text and your class notes to describe the reaction to the loss.  Do this in 2-3 pages, double-spaced.  Use the APA format to cite specific concepts from the text.   Questions to consider when writing Part 2:
     
    1. When he/she experienced this loss, what emotions, feelings, thought, and physical symptoms did the person experience?
    2. How did this loss affect the person mentally, emotionally, physically, spiritually, socially?  
    3. Did the person’s reactions to this loss mirror any of the theories of grief in the text?
      If yes, describe the similarities.  If not, describe the differences.       Part 3: The Current Status. 2-3 pages.  Switch to 1st person for this section.  Describe how you feel now.  How have your feelings, thoughts, reactions changed over time? How has your life changed due to the loss?  What did you learn from this?   Be sure to use concepts from chapters 9, 10, and 11 of the text, a website, class notes, magazine article, other book.  Use APA format.       Formatting Instructions:  
    1. Title page with your name, class name, class number, assignment name, and date.
    2. Double-spaced. 1” margins on all sides.  12-point font size.  Number pages in top right hand corner.
    3. Make sure you have three separate sections: Part 1; Part 2; Part 3.
    4. Sections 2 & 3 must include connections to concepts found in chapters 9, 10, and 11, a web site that talks about grief/bereavement, or magazine articles, or other book. You should have a minimum of four references, or two for each of sections 2 and 3.
    5. Use APA style to cite the text or other sources that you use.
    6. Include a reference page that lists the sources that you have cited in the text.
     
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