While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.  A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections: 

1.Title page 

2.Introduction section 

3.A comparison of research questions 

4.A comparison of sample populations 

5.A comparison of the limitations of the study 

6.A conclusion section, incorporating recommendations for further research 

 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 Turnitin. 

Use the Internet to research one (1) developing nation of your choice. Your research should include an examination of lending institutions, health care, and human capital

Write a three (3) page research paper in which you: 1.Explore whether or not funding from international lending institutions like the World Bank and the IMF are helping or hindering the social, economic, or political development of the country that you have selected. Support your response with examples. 2.Discuss, with examples, at least four (4) substantive ways in which a healthy population strengthens the economy of the country that you have selected. 3.Ascertain the degree to which the leadership of your chosen country has used foreign aid to improve its health care system. Support your response with concrete examples. 4.Use at least five (5) quality academic resources in this assignment. Note: Wikipedia, blogs, and other nonacademic websites do not qualify as academic resources. Approval of resources is at the instructor’s discretion. Resources must also be within the last seven (7) years.

QUESTION

Nursing

A 25-year-old Arab American man is one day post op following a thoracotomy. There have been no post-surgical complications. He tells his family that he is “in terrible pain”, yet he reports ratings of 2 to 3 on 0-10 numeric rating scale to the nursing staff. He requests pain medication every two to three hours, and will not get out of bed or ambulate.

  1. Identify and state a priority nursing diagnosis label for your assigned patient related to pain.
  2. Develop and state three (3) nursing interventions for this nursing diagnosis label or patient problem. When planning individualized nursing interventions, consider the patient’s type of pain and cultural perspective.
  3. Provide your rationale or reasoning for each intervention chosen.
  4. 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.

DUE NOW
rior to beginning this discussion, read Chapters 7 and 8 from the Wager, Lee, & Glaser (2017) text and the articles by Callen (2016) and van Laere & Aggestam (2016).
Health information systems face challenges with data input and information output. Concerns with health information systems may vastly impact the accessibility and/or integrity of patient-protected health information (PHI). Health care leaders are continuously concerned about PHI value, quality, security, and efficiency. Meanwhile, technology is advancing in health care at an unsurpassed rate. Some health care organizations are very slow to adapt. Other organizations spend the time and resources ensuring that they remain competitive, measuring the risk versus the benefit of new or improved health information systems.
Participate in one of the following discussion subtopics as directed by your instructor on or before Day 3 of the week in a 300-word initial post:

Evaluate three threats to health information systems and explain their impact on patient health information.
Evaluate the effectiveness of a Web 2.0 tool used to manage health information, such as Practice Fusion (Links to an external site.)Links to an external site. or Webicina (Links to an external site.)Links to an external site.. Highlight the safeguards and/or drawbacks you discover.
Evaluate ways in which IT value can be realized and aligned with patient safety goals.

Guided Response: Review your peers’ posts and substantively respond to at least two of your classmates’ posts by Day 7. Your three required posts (initial and at least two responses to peers) must be on three different days of the week. A substantive response is a respectful, professional, and unique response that is at least five sentences in length and

Highlights the key points of what you have learned from your peer’s post.

Adds to your classmate’s content knowledge by sharing a suggestion or insight that your colleague did not consider. 

Week 3 Assignment 1 Submission If you are using the Blackboard Mobile Learn iOS App, please click “View in Browser” Click the link above to submit your assignment. Students, please view the “Submit a Clickable Rubric Assignment” video in the Student Center. Instructors, training on how to grade is within the Instructor Center. Assignment 1: Technology Assessment Due Week 3 and worth 240 points Using the Internet or Strayer University databases, research the regulatory requirements related to technology with the health care industry, and complete this assignment. Write a four to five (4-5) page paper in which you: Identify and analyze what you believe to be the most significant new technology requirements for the health care industry. Indicate how providers should approach the implementation of this new technology requirement that you have identified. Provide support for the response. Analyze the basic technology underlying health care information systems. Argue that the need for technological innovation and / or modification is most pressing. Support the argument with examples. Recommend an innovation / modification, and explain how the recommendation could improve the overall level of health care in your own community. Include specific example(s) using local hospitals or other health care providers to support the response. Suggest a key action that senior health care leadership could take in the community in which you live to push the boundaries of information technology management. Next, speculate on the effect to the community as a result of the improvement to the health care technology. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources. 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: Demonstrate an understanding of the basic technology underlying health care information systems. Apply senior management’s role in information technology management. Use technology and information resources to research issues in health information systems. Write clearly and concisely about health information systems using proper writing mechanics. Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills, using the following rubric.

Discussion 8 The High Cost of Medications and Shortage of Health Professionals Please respond to the following:Analyze the role of U.S. pharmaceutical companies in the health care industry, and give your opinion on whether or not you believe the protocols used in their business transactions falls under ethical / moral considerations. Defend or critique the pharmaceutical industrys use of direct to consumer (DTC) ads in order to advertise its business. Provide a rationale for your responseInterpret the reason behind the perceived shortage of physicians in the U.S. highlighted in the text. Debate whether or not hospitals should hire more trained nurses to relieve the burden posed by the shortage of physicians.Compare the primary roles that health administrators play in a public setting versus a private setting. Critique or defend the quality of health care that patients receive through public versus private health services.

Q2

HSA discussionMental Health Care Administration and Payment PlanCritique the efficacy of the use of public and / or private resources to address mental health problems in the U.S. Provide at least two to three (2-3) examples of the types of mental health care available in the U.S.Imagine you are an administrator in a small, rural mental health facility, and you are dealing with a growing trend in mental illnesses in your community. Outline a plan to assess the ability to provide services to your mental health patients. Classify the major problems that you may encounter in providing these services. Provide specific examples of your plans benefits to both the patients and the facility.

NURS90059: Essay on Critical Appraisal – Nurses Make Clinical Decisions Daily | Nursing Case Study Assessment Answers

Assessment Task 1: Nursing Case Study Critical Appraisal (Individual)

Assessment Purpose: Nurses make clinical decisions daily. The complexity of those decisions increases with increasing scope of practice and decision-making autonomy. To ensure that their decisions are correct and in the best interest of their patients, nurses must engage in critical appraisal of research evidence. To engage in critical appraisal effectively, nurses must develop critical appraisal skills. Such skills are fundamental to systematically examining research evidence to determine its reliability or trustworthiness, its value and application to practice (i.e. relevance to patients). To fulfil this purpose, this assessment asks the students to critically appraise four (4) published research papers. The published research papers have been selected by the subject coordinator and teaching assistants. All students will critically appraise the SAME PAPERS. This assessment is an opportunity for students to practice and gain confidence in their critical appraisal skills. By practicing critical appraisal skills students will be in better position to appraise the research evidence needed to support their evidencebased group projects.

Assessment Outline: Critical appraisal is the systematic evaluation of clinical research papers using appropriate frameworks such as PICOT to answer the following:

Does this study address a clearly focused question?

Did the study use valid methods to address this question?

Many genitourinary (GU) disorders such as kidney disease begin developing during childhood and adolescence (Johns Hopkins Children’s Center, 2010). This early onset of disease makes it essential for you, as the advanced practice nurse caring for pediatric patients, to identify potential signs and symptoms. Although some pediatric GU disorders require long-term treatment and management, other disorders such as bedwetting or urinary tract infections are more common and frequently require only minor interventions. In your role with pediatric patients, you must evaluate symptoms and determine whether to treat patients or refer them for specialized care. For this Discussion, consider potential diagnoses, treatment, and/or referral options for the patients in the following three case studies.

Case Study 1

You see a 3-year-old with a 2-day history of complaints of dysuria with frequent episodes of enuresis despite potty training about 7 months ago. She is afebrile and denies vomiting. Physical examination is normal. Dipstick voided urine analysis reveals: specific gravity 1.015, Protein 1+ non-hemolyzed blood, 1+ nitrites, 1+ leukocytes, and glucose-negative.

Case Study 2

Mark is a 15-year-old with complaint of acute left scrotal pain with nausea. The pain began approximately 6 hours ago as a dull ache and has gradually worsened to where he can no longer stand without doubling over. He is afebrile and in marked pain. Physical exam is negative except for elevation of the left testicle, diffuse scrotal edema, and the presence of a blue dot sign.

Case Study 3

Maya is a 5-year-old who presents for a well-child visit. She is a healthy child with no complaints. Physical examination is normal. Routine urinalysis indicates 2+ proteinuria; specific gravity 1.020; negative for glucose, blood, leukocytes, and nitrites. Her blood pressure is normal, and she is at the 60th percentile for height and weight.

To prepare:

  • Review “Genitourinary Disorders” in the Burns et al. text.
  • Review and select one of the three provided case studies. Analyze the patient information.
  • Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
  • Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
  • Consider strategies for educating patients and families on the treatment and management of the genitourinary disorder.

By Day 3

Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the genitourinary disorder.

Social Marketing and Healthcare
The past decade has seen an enormous surge in social marketing to convey various messages. Social marketing has also been established as an essential health communications tool to promote health initiatives. Social marketing should not be the only tool to communicate information to the general public, but to complement the existing practices in place.
This week, you will examine the use of social marketing as a communication channel in healthcare. Review the following website article:

Centers for Disease Control and Prevention. (2012). Gateway to health communication & social marketing practice. Retrieved from http://www.cdc.gov/healthcommunication/

Using the readings for the week, the South University Online Library, and the Internet, create a 15- to 20-slide Microsoft PowerPoint presentation with a separate title and reference slide. Include the following:

Justify why social marketing is needed in today’s society to promote health initiatives.
List the numerous communication channels that are used in developing a health campaign.
Describe the process used to identify the population segment that can benefit from a specific health behavior.
Explain how you will evaluate the effectiveness of your communications campaign.
Provide a specific example of how social marketing was used in a health campaign.

In addition, include a minimum of five scholarly references in support of your statements. Be sure to support your statements with appropriate examples.
Submission Details

Submit your assignment to the Submissions Area by the due date assigned.
Name your Microsoft PowerPoint Presentation SU_PHE5005_W4_A2_LastName_FirstInitial.ppt.
Cite all sources using the APA format

     Competency 2 Assessment
Instructions: This Competency Assessment will allow you to apply concepts of population-based practice and community as partners.
For this course Competency Assessment, you will need to conduct a community assessment using assessment and evaluation tools, identify principles of community-based participatory research, and describe data sources using mixed methods for evaluation in a particular community context.
Many of you have traveled and participated in international/global immersion experiences, or a local practice where you may be an outsider (not a member of the community for whom you are caring). Others of you may aspire to practice in international settings. Also, in this unit, you have been introduced to the idea of genetics/genomic risks.
For this assignment, submit your assignment in which you do the following:
1. State two issues that may be of concern among vulnerable populations and possible solutions to combat such issues. 
Please Note! 
My 2 Vulnerable Populations are: 
a. Children of low-income families 
b. The Mentally disabled 
Emphasis should be focused on the following topics:
· Increase school dropout.
· Use of Drugs.
· Low quality of health/Poor health outcomes/Inadequate healthcare/ poor healthcare
· Increase risk of chronic health conditions such as diabetes.
· Increase mental health needs
2. Succinctly describe the relationship between health literacy and population health outcomes. 
3. What has been your experiences understanding 1) and 2).  
4. As you process some of the ethical issues and concerns about ethical engagement highlighted in the readings and media offerings for this unit
Please identify how you will ensure your engagement is helpful rather than well intended but ineffective (or worse).
· Submit your reflection by the last day of this unit.
(min. 5 pages- not including cover page or references)

 
Studies of parenting find that low family income and maternal hardship hamper children’s cognitive and social competence. 14 Moreover, parents in poor living environments have difficulty nurturing and protecting their children, increasing the likelihood that children will gravitate into activities and peer associations leading to school dropout, premature sexual experience, use of drugs, and other deviant behavior. 15 Family deprivations also increase the probability of abuse and neglect of children, who then seek to escape the household early, associate with inappropriate peers, form tenuous sexual partnerships, have early pregnancies, and often replicate the pattern of inadequate parenting they experienced as children. 16
Recommendation
Payments to health plans and providers should promote quality health care and improved health and functional status for all patients, including vulnerable populations. Adjusting payments for differences in health or functional status is especially important for Medicare, Medicaid, and other payers that have significant enrollment of individuals with chronic illness or disability so that health plans and providers have an incentive for developing innovative models of care that best serve these individuals
Additional investment should be provided for developing, evaluating, and supporting effective health care delivery models designed to meet the specific needs of vulnerable populations. The lack of evidence of effective approaches to enhance the health and functional status of persons with chronic illness or disabilities suggests the need for significant additional investment in research and innovation for health care and rehabilitation programs serving these patients. In addition, telemedicine and similar innovations, incentives for health care professionals to practice in underserved areas, and enhanced availability of prehospital emergency services should be assessed as approaches for improving the access to care of those facing geographic barriers to appropriate care.
Please kindly use the preferred Resources Below
Preferred Resources
Required
· Beagan, B. L. (2015). Approaches to culture and diversity: A critical synthesis of occupational therapy literature. Canadian Journal of Occupational Therapy, 82(5), 272–282. doi:10.1177/0008417414567530
· The ACE Score. (n.d.). Retrieved October 30, 2018, from http://www.acestudy.org/the-ace-score.html
· Centers for Disease Control and Prevention. (2016). Adverse childhood experiences (ACEs). Retrieved fromhttp://www.cdc.gov/violenceprevention/acestudy/
· Anda, R. F., Felitti, V. J., Bremner, J. D., & Walker, J. D. (2006). The enduring effects of abuse and related adverse experiences in childhood: A convergence of evidence from neurobiology and epidemiology. European Archives of Psychiatry and Clinical Neuroscience, 256(3), 174–186. doi:10.1007/s00406-005-0624-4
· California Newsreel. (n.d.). Race: The power of an illusion. Retrieved October 30, 2018, from http://www.pbs.org/race/000_General/000_00-Home.htm
· Population Health Forum. (n.d.). Retrieved October 30, 2018, from https://depts.washington.edu/eqhlth/index.htm
Another great resources which will assist is this link…. This is the heart of competency 2:
reflect on your experiences – along with writing about them in your journal entries… https://acestoohigh.com/aces-101/
 Optional
· Children’s Resilience Network. (n.d.). Resilience trumps ACEs. Retrieved October 30, 2018, fromhttp://resiliencetrumpsaces.org/
· World Health Organization. (2003). Social determinants of health: The solid facts (2nd ed.). R. Wilkinson, & M. Marmot (Eds.). Copenhagen, DK: World Health Organization. Copenhagen, DK: Author. Retrieved from http://www.euro.who.int/__data/assets/pdf_file/0005/98438/e81384.pdf
· Institute of Medicine and National Research Council. (2013a). BOX S-1: Recommendations related to research. In U.S. health in international perspective: Shorter lives, poorer health. Washington, DC: The National Academies Press. Retrieved fromhttps://www.nap.edu/read/13497/chapter/2#7
· Institute of Medicine and National Research Council. (2013b). Summary. In U.S. health in international perspective: Shorter lives, poorer health. Washington, DC: The National Academies Press. Retrieved fromhttps://www.nap.edu/read/13497/chapter/2
· DeMilto, L., & Nakashian, M. (2016). Using social determinants of health data to improve health care and health: A learning report. M. McKaughan (Ed.). Princeton, NJ: Robert Wood Johnson Foundation. Retrieved fromhttp://www.rwjf.org/en/library/research/2016/04/using-social-determinants-of-health-data-to-improve-health-care-.html
· Brainstorm Media [YouTube Movies]. (2016, July 28). Paper tigers [Video file]. Retrieved fromhttps://www.youtube.com/watch?v=iV3wzUhJSKs
· Flemmer, N., Dekker, L., & Doutrich, D. (2014). Empathetic partnership: An interdisciplinary framework for primary care practice. The Journal for Nurse Practitioners, 10(8), 545–551. https://doi.org/10.1016/j.nurpra.2014.04.009
· Commission on Social Determinants of Health. (2007). Achieving health equity: From root causes to fair outcomes. Retrieved from http://apps.who.int/iris/bitstream/10665/69670/1/interim_statement_eng.pdf
· Issel, L. M., & Wells, R. (2017). Health program planning and evaluation: A practical, systematic approach for community health (4th ed.). Burlington, MA: Jones & Bartlett Learning.
o Chapter 3, “Community Health Assessment for Program Planning” (pp. 59–90)
o Chapter 4, “Characterizing and Defining the Health Problem” (pp. 91–120)
· Kaplan, R. M., Spittel, M. L., & David, D. H. (Eds.). (2015). Population health: Behavioral and social science insights (AHRQ Publication No. 15-0002). Rockville, MD: Agency for Healthcare Research and Quality, National Institutes of Health. Retrieved from https://www.ahrq.gov/sites/default/files/publications/files/population-health.pdf
o Introduction, “Innovations in Population Health Research: The Challenge” (pp. 1–14)
o Section 1, “Demographic and Social Epidemiological Perspectives on Population Health” (pp. 15–104)
o Section 2, “Influence of Policies Focused on Behavioral Risk Factors” (pp. 105–218)
Note: Unless otherwise specified, you will access these readings from the University of St. Augustine Library databases.
Required
Israel, B. A., Coombe, C. M., Cheezum, R. R., Schulz, A. J., McGranaghan, R. J., Lichtenstein, R., . . . Burris, A. (2010). Community-based participatory research: A capacity-building approach for policy advocacy a