reflect upon a specific practice situation and better understand the professional knowledge and insights obtained through that experience.

Nursing knowledge is classified in a variety of ways, one of which is Carper’s Patterns of Knowing (Carper, 1978). Carper’s framework offers a lens through which the nurse can reflect upon insights acquired through empirical, ethical, personal, and aesthetic knowledge (Carper, 1978). Through intentional reflection using Carper’s Patterns of Knowing, nurses can process experiential learning and knowledge acquired through practice. The purpose of this assignment is to reflect upon a specific practice situation and better understand the professional knowledge and insights obtained through that experience.

Requirements

Criteria for Content

1. Think of a surprising or challenging practice situation in which you felt underprepared, unprepared, or uncomfortable.

2. Select an important nursing issue/topic that was inherent to the identified situation.

3. As a method of refection, use Carper’s Patterns of Knowing to analyze the situation. In a two- to three-page paperaddress the following:

a. Briefly explain the situation

b. Identify the nursing issue inherent in the identified situation

c. What do you think was the underlying reason for the situation? (Esthetics)

d. What were your thoughts and feeling in the situation? (Personal)

e. What was one personal belief that impacted your actions? (Ethics)

f. What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)

g. What new insights did you gain through this reflective practice opportunity?

Preparing the paper

Submission Requirements

1. Application: Use Microsoft Word 2013™ to create the written component of this assessment.

2. Length:

a. The paper (excluding the title page and reference page) should be at least two but no more than three pages.

3. A minimum of two (2) scholarly literature sources must be used.

4. Submission: Submit your file to the Canvas course site by the due date/time indicated.


Best Practices in Preparing the Reflective Essay

The following are best practices in preparing this reflective essay.

1. Review directions thoroughly.

2. Follow assignment requirements.

3. Make sure all elements on the grading rubric are included.

4. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scholarly writing.

5. Because the paper is a reflective essay, first person is acceptable for this assignment.

6. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.

7. Ideas and information that come from scholarly literature must be cited and referenced correctly.

8. A minimum of two (2) scholarly literature sources must be used.

9. Abide by CCN academic integrity policy.

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Select a nursing issue or current trend of interest to you. Research and gather as much information as you can on that issue.

Current Nursing Trends and Issues Paper
Select a nursing issue or current trend of interest to you. Research and gather as much information as you can on that issue. Write a paper of no more than 4 pages on that issue making sure to address the following:
1. Introduction and background of the nursing trend or issue
2. Describe the trend/issue in detail – What is the cause of the trend/issue, who is involved, who is affected?
3. What are the overall healthcare and nursing specific impact of this nursing trend or issue?
4. What interventions or recommendation is available to manage this nursing trend or issue?
5. Conclusion
6. Must be in APA format, no more than 4 pages (less cover page and references), with at least 3 current peer-reviewed articles cited.

RUBRIC: Current Nursing Trends and IssuesPaper

(4%) Introduction and background of the nursing trend or issue.
(6%) Describe the issue in detail – What is the cause of the trend/issue, who is involved, who is affected?
(6%) What are the overall healthcare and nursing-specific impact of this nursing trend or issue?
(6%) What interventions or recommendation are available to manage this nursing trend or issue?
(4%) Conclusion.
(4%) Must be in APA format, no more than 4 pages (less cover page and references), with at least 3 current peer-reviewed articles cited.

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Sexually Transmitted Diseases Among the Elderly

Question Description

Please respond the following questions using the documents and the link I have attached.

Sexually Transmitted Diseases Among the Elderly

1. Evaluate at least two roles that healthcare providers play—both positive and negative—in the rise of STIs and HIV among aging adults. Use the learning materials to support your claims. 500 words and in text citations.

Bauer, M., Haesler, E., & Fetherstonhaugh, D. (2016). Let’s talk about sex: Older people’s views on the recognition of sexuality and sexual health in the health‐care setting. Health Expectations: An International Journal of Public Participation in Health Care & Health Policy, 19(6), 1237–1250. https://doi-org.regiscollege.idm.oclc.org/10.1111/hex.12418

Gott, C. M. (2001). Sexual activity and risk-taking in later life. Health & Social Care In The Community, 9(2), 72–78. Retrieved from https://login.regiscollege.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=11560723&site=eds-live

Syme, M. L., & Cohn, T. J. (2016). Examining aging sexual stigma attitudes among adults by gender, age, and generational status. Aging & Mental Health, 20(1), 36–45. https://doi-org.regiscollege.idm.oclc.org/10.1080/13607863.2015.1012044

2.Reducing STI and HIV Risk Among the Elderly

With the increasing risk of STI and HIV infections occurring among older adults, many believe that education is the best approach to reducing this risk. Before writing your initial post, watch the video ‘PSA: Safe Sex for Seniors!’

Discuss whether the strategy of an “eye-catching” (or provocative) public service announcement (as shown in the PSA Safe Sex for Seniors!) would be effective in educating older adults about the risks of STIs and HIV. In other words, how likely do you believe the PSA would be in reducing STI and HIV infections among aging adults? 500 words and in text citations.

3.Reducing Stigma About Sex

After reading Syme and Cohn (2016), respond to the following prompt:

Identify two factors you found interesting, as well as explain how they help you better understand how to combat stigma and generational differences about sex. 500 words and in text citations.

4. Sex Education in the Modern Era

Sexuality remains important for many older people. Imagine yourself as a subject matter expert responsible for the content that will become a public video directed at older, sexually active adults. How will you motivate them to watch the video and remove obstacles (theirs and your own) to your message? What takeaway(s) can you leave them to encourage honest discussion about sex and sexual health with healthcare providers or other professionals? 500 words and in text citations.

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PICOT Question And Literature Search

The first step of the evidence‐based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer‐revised research articles, as indicated below. The PICOT question and six peer‐reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment.

  1. Select a nursing practice problem of interest to use as the focus of your research (use hypertension as a topic/problem). Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
  2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN‐BSN program of study).
  3. The PICOT question will provide a framework for your capstone project. 
  4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer‐reviewed research articles to support your nursing practice problem.
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Managing and Leading Change in a Health Organization

Course Outcome

 HS450-2: Demonstrate how effective team building optimizes the implementation of strategic

planning.

Unit Outcomes

 Differentiate among the different types of teams and task groups and their uses in health care

organizations.

 Understand the factors associated with high-performing teams.

 Define the communication process and what constitutes effective communication.

Instructions

You are the administrator of a clinic with 50 employees. You have been tasked with facilitating

discussion with other health professionals in your clinic to select a new EHR system, which will be

implemented across the organization. Please complete the assignment as indicated in the instructions

below.

Part 1

Competency Assessed

Build effective teams.

Instructions

Construct a plan to build 1-2 effective teams to collaborate in selecting a new EHR system for the clinic.

Identify the professional roles that should be represented on your team(s). You should be prepared for

possible disagreements regarding priorities and processes, so your plan must include at least three (3)

team/consensus building methods.

Part 2

Competency Assessed

Interpret concepts of change management theories, techniques and leadership.

Instructions

Evaluate the concepts of change management theories, techniques, and leadership by assessing

typical challenges seen with implementing a new EHR system across an organization. Your evaluation

should demonstrate that you have considered how a transition to EHR would result in the need to plan

for change management interventions. Provide two (2) examples of challenges arising from EHR

adoption and detail the change management theories that you would enact to overcome resistance to

change.

Part 3

Competency Assessed

Implement a departmental strategic plan.

Instructions

Demonstrate implementation of a departmental strategic plan by detailing at least two (2) areas of risk

exposure mitigation, organizational or process re-design, training, or communication strategy, as they

relate to EHR implementation.

Part 4

Competency Assessed

Evaluate the stages of the procurement process.

Instructions

Demonstrate understanding of the purpose of the procurement process. What are the purposes of the

Request for Proposal (RFP), the Request for Information (RFI) and the Request for Quotation (RFQ)?

Provide detail for when and how to use each to help an HCO more fully identify its needs and the issues

involved with planning for significant projects or purchases.

Assignment Requirements:

● Please complete all parts in a Microsoft Word document.

● The body of your document should be at least 1200 words in length.

● Quoting should be less than 10% of the entire paper. Paraphrasing is necessary.

● Students must cite and reference at least 4 credible sources from the KU Library.

● Please be sure visit the Kaplan Writing Center to assist you with meeting APA expectations for

written Assignments.

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how the practice of nursing is expected to grow and change.

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.
Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
APA FORMAT PLEASE
NO PLAGIARISM
PLEASE INCLUDE CITATIONS AND REFERENCES.
THANK YOU.

Q2

Choose one of the types of security threats to health information you have reviewed in your work in this module and find an example from the real world where that type of threat has resulted in a security breach. In a three page paper, using APA format, summarize the type of threat, the breach that occurred and what you would recommend as part of a Security Plan to have prevented, detected and mitigated that breach. 
Types of Security Threats

Human 
Natural 
Environmental
Both human and natural/environmental threats can also be categorized as:

Internal threats
External threats

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ANALYSIS AND FORECASTINGGREEN HILLS HEALTH SYSTEM COMPRISES A SMALL COMMUNITY HOSPITAL AND A PRIMARY CARE PRACTICE.

Discussion: Trend Analysis and ForecastingGreen Hills Health System comprises a small community hospital and a primary care practice. Located in a rural area the nearest large city is approximately 100 miles away. Individuals age 60 and older constitute one of the largest patient populations Green Hills serves. Recently members of the nursing staff have noticed that the numbers of geriatric patients admitted to the hospital seem to be increasing. Many of these patients have multiple comorbidities and need specialty care that is not available through Green Hills Health System. Some of the patients have commented that they lack the financial resources and transportation required to travel to the large metropolitan health care center that provides a variety of specialty services.Imagine that you are a nurse leader-manager in the organization described above. How could conducting an internal and external scan of the environment help you and your colleagues to identify opportunities for change moving forward? What literature sources would you consult to learn about trends and emerging issues that are likely to affect the organization? What data would you examine?In this Discussion you analyze trends that are likely to have a significant impact on nursing and health care in the coming years. You may use this Discussion to formulate initial thoughts related to trends and unmet needs that you might choose to address through the Course Project which is introduced this week.To prepare:Review the information on forecasting and trends in the Learning Resources.Conduct a search of the literature to investigate trends and emerging issues in nursing and health care. Evaluate the research evidence in the literature.Based on your research identify three trends that are likely to impact nursing and health care in the coming decade.Select one of these trends on which to focus in greater detail. Then conduct additional research and analyze evidence-based issues related to this trend.Based on your analysis consider whether this trend creates or contributes to an unmet need that currently impacts or will impact a specific group unit or organization.Post an analysis of the impact of your selected trend on nursing and health care in the coming decade. Explain how this trend creates or contributes to an unmet need that a specific group unit or organization may encounter now or in the coming years.Read a selection of your colleagues responses.Respond to at least two of your colleagues on two different days using one or more of the following approaches:Share an alternative perspective on a trend reported by your colleagues synthesizing the information to provide a different perspective.Ask a probing question substantiated with additional background information or research.Validate an idea with your own experience and additional resources.Required ReadingsUrsell F. (2011). Care home funding: What to expect and what to do. Nursing & Residential Care 13(2) 9496.Retrieved from the Walden Library databases.This article provides an example of forecasting for the costs associated with running nursing and residential care homes and examines related future trends.Weiss R. (2010 Summer). The forecast for health care. Marketing Health Services 30(3) 7.Retrieved from the Walden Library databases.The author describes predictions for future developments in health care.Harding S. (2012 November 15). Long-term forecasts are mostly worthless. Forbes. Retrieved from http://www.forbes.com/sites/greatspeculations/2012/11/15/long-term-forecasts-are-mostly-worthless/The author addresses the notion that trends only continue until they are interrupted by change so predictions rarely actualize as expected.Peters B. (2012 February 16). Healthcare forecast: Increasing clouds with a chance of dramatic improvement. Forbes. Retrieved from http://www.forbes.com/sites/bradpeters/2012/02/16/healthcare-forecast-increasing-clouds-with-a-chance-of-dramatic-improvement/The author discusses a key technology-related trend in health care.Document: Course Project: Developing a Strategic PlanOverview (PDF)Required MediaLaureate Education (Producer). (2013i). Trends in health care organizations [Video file]. Retrieved from https://class.waldenu.eduNote: The approximate length of this media piece is 4 minutes.Dr. Carol Huston discusses the dynamic nature of health care and trends that are impacting the industry.Accessible playerOptional ResourcesSare M. V. & Ogilvie L. (2010). Strategic planning for nurses: Change management in health care. Sudbury MA: Jones and Bartlett.Review Chapter 7 The Three Key Elements of the Strategic Planning Process: A Vision That Guides Nursings Future Action (pp. 117143)MicroStrategy. (2012). Business forecasting. Retrieved from http://www.microstrategy.com/business-forecasting/

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· What impressions from your subjective observations were unfounded/invalid?

Nursing

Module One (Week One): Part One Windshield Survey and Key Informant Interviews

Please complete the following information on this template about the community you have selected. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the block by continuing to type.  Use as much space as necessary to provide your answers

Reference Module 2 (Week 2) Part Two: Statistical Analysis of Community Health Problem

Please complete the following information on this template. If you do not use this template there will be a 10-point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the block by continuing to type. Use as much space as necessary to provide your answers

Name of Community or Zip Code:

Instructions:  Enter your response in each category marked below.  Provide objective, statistical support for your subjective findings. 

● Include all the data listed in the Objective Data Criteria listed below.  

● Add supplemental data as needed for your community.

● All statistical data must be reported in NARRATIVE form only. Tables and graphs will not be accepted. 

● Compare objective data for your community with local (city), state, and national data.

You may increase the size of the block by continuing to type.  Use as much space as necessary to provide your answers

General Objective Data Criteria for the Community-at-Large

1.    Demographics:  Total population; age distribution; gender distribution; family characteristics (single parent, multi-family, etc.). Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

  1. Racial/Ethnic Characteristics: Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.
  2. Economy: poverty rate, unemployment rates, median income. Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

4.    Education: High school completion rates; higher education statistics. Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.                                                                                                                                                                                                                                                                                                                                                                                                                                                    

5.    Identify two Morbidity and Mortality/Risk Problems: (Based on your observations from Week 1 subjective assignment, windshield survey and key informants provide Morbidity, Mortality (M&M) and risk data for your community… Example 1: if you observed obesity in your community then present obesity rates and health conditions associated with obesity [i.e. CVD, HD, Depression, etc.). Example 2: smoking/drinking rates and health conditions associated with smoking [i.e. Lung Cancer, COPD, etc]. These variables may include the following: gender (who does this problem affect the most, men or women); age distribution; ethnicity or racial group(s) mostly-affected; morbidity and mortality rates; any data related to life-expectancy in light of the health issues; is there a geographic area where the health problems mainly exist; is there a relationship between the health issue(s) and environmental health hazards; are these life-threatening health issues? Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

6.    Other data as needed (air, water quality, crimes rates). Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

Analysis of Data

1.    Based on your subjective and objective review of your findings, what conclusions have you arrived at? Remember to cite sources as appropriate.

·         What impressions from your subjective observations were unfounded/invalid?

·         Given the objective data, what impressions were validated/substantiated?

·         What cause-and-effect relationships did you discover/identify?

2.    Problem Analysis for Community/Zip Code:

Problem: List two (2) problems within your community (for example, Infant Malnutrition, CVD, Lung Cancer, Obesity, Alcoholism, Violence) NOTE: These problems need to be something the Community Health Nurse can impact(for example, a CHN cannot build a sidewalk, repair a street, implement a new bus route, etc.). Remember to cite sources as appropriate.

1.    ____________________________________________

2.    ____________________________________________

    Select one of these problems and complete the Problem Analysis chart

*These are factors that contribute to problem and outcomes.

+ Refer to appropriate sections of the database and relevant research of the findings in current literature.  Data in the third column could be local, state, or national statistics.

Refer to text (pg. 420-423) for additional examples.

3.    Community Health Nursing Diagnoses:

Based on your subjective and objective assessment findings above for both Weeks 1 and 2, write TWO priority community health nursing diagnoses.

You must use this format as outlined in your text page 413 (do NOT use NANDA):

Health Risk/problem of (specific injury, illness, or potential of, complication of, etc) among (specific population) related to (supporting evidence from your assessment findings). 

Ø  Your CHN Diagnoses MUST be something that a community/public health nurse can do something about. See example below.

Ø  Note: Poverty is NOT a CHN diagnosis.

Ø  Remember do NOT use NANDA Nursing Diagnoses.

For example: Risk of asthma complications among children in SE Dallas County related to observations of overcrowded living conditions, lack of public transportation (may result in inability to access health care), high number of animals observed living in homes, poverty indications (may result in lack of access to medications).

Community Health Nursing Diagnosis #1

Community Health Nursing Diagnosis #2

Reference

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· 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.

nursing

 Assignment on PEDIATRIC Patient (CHILD or ADOLESCENSE

Discussion: Diagnosis and Management of Genitourinary Disorders

Case Study :

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.

To prepare:

·         Review the above provided case studies

·         Analyze the patient information.

·         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.

NOTE: This paper is on a child; not an ADULT patient.

WRITE a 11/2 (one & half) PAGE PAPER.

–Due Saturday 5/1/17; before Midnight

—Must have Nursing background to take this job.

–Deliver scholarly written material not high school stuff I saw.

—APA format with at least 5-6 references on your topic of choice.

—All references cited on paper and must be within 5 years old.

— Must be original and FREE OF PLAGIARISM.

NOTE: Each paper is run through Turn-it- in

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compare and contrast an electronic medical record (EMR), electronic health record (EHR) and a personal health record (PHR).

As  health care delivery within the global community moves towards a  greater degree of digitization, there will likely be more technical  challenges health care delivery organizations must face as they move  from their existing legacy systems to those that are digital.

In  this Discussion, you will compare and contrast an electronic medical  record (EMR), electronic health record (EHR) and a personal health  record (PHR).

The Institute of Medicine has recommended that electronic health records (EHR) should possess eight core functions including:

• Health information and data
• Result management
• Order management
• Decision support
• Electronic communication and connectivity
• Patient support
• Administrative processes and reporting
• Reporting and population health

To  prepare for this Discussion, research the Internet for information on  EHR, EMR, and PHR, such as can be found at the Web site, http://www.healthit.gov/providers-professionals/benefits-electronic-health-records-ehrs.

In this Discussion, address the following:

•  Identify the primary differences between an electronic medical record  (EMR), electronic health record (EHR), and a personal health record  (PHR).
•  What are the primary technical and design complexity issues with  delivering these eight core functions? Choose one issue and identify how  you would address it.
• How does the integration that is required  between the EHR and other middleware products vary depending on whether  one is running locally, on an office-based LAN, or online within an ASP  model?

Illustrate your points in the context of a patient’s visit to a health care provider.

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