Health insurance began in the early part of the twentieth century as a means to protect an organization’s assets, either its financial assets or its manpower. Since the early days, health insurance evolved into a system of managed care in order to control issues such as overutilization, skyrocketing costs, limited restrictions, and low-quality care.search for articles on health insurance and managed care. Based on your research, summarize your findings and answer the following questions:Examine the main events in the history of health insurance from the mid-twentieth century to the present. Explain how these events led up to the evolution of managed care organizations.Evaluate the purpose of health care insurance in the early days.Evaluate the evolution of health insurance and managed care. What is the relationship between the two and how has managed care risen to prominence in today’s health care market?Explain how the perspective of health insurance has or hasn’t changed in today’s managed care environment.Analyze the public policy and market forces leading to the growth of managed care.Analyze the current trends in managed care and its future in the context of health care reforms.Based on your understanding, create a 4- to 5-page Microsoft Word document that includes the answers to the above questions.Support your responses with examples.Cite any sources in APA format.
Physician and nurses in a healthcare organization will use a variety of technology tools to connect with one another. Exchanging healthcare information can be accomplished through the use of the Intranet and Extranet. Can anyone provide examples of an Intranet and Extranet application that healthcare organizations use? Support your answer with research. Must cite/ reference.
2. Information systems should be user-friendly systems. In your opinion, what type of characteristics would make an information system user-friendly?
3. C12: Other than organizational charts, charts can be used for a variety of reasons. One reason is to document errors in healthcare to see trends associated with these errors. Many healthcare facilities now use technology to fill prescriptions without having to handwrite a “hard copy” prescription. Is there any evidence that using technology to fill prescriptions rather than handwritten prescriptions decreases the incidence of medication errors? Support your answer with research. Must cite / reference.
Read the Florida Nurse Practice Act sections 464.001, .002, .003, .016, .017, & .018 and also the Rules of the Board of Nursing sections 64B9-1.001, 5.001, 5.002, 5.003, 5.009, 5.010, 5.011, 5.012, 8.003, 8.0045. 8.005, 8.006 (scan only 8.006), 9.002,9-12, 9-14, 9-15.002 all found at:
Florida Nurse Practice Act: http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0400-0499/0464/0464PARTIContentsIndex.html
Board of Nursing 64B9: https://www.flrules.org/gateway/Division.asp?toType=&DivID=332%20
- 1. How does the NCSBN model compare with Florida’s Nurse Practice act and regulations?
- 2. Which Act/ Rules do you prefer and why?
- 3. Which one is more restrictive for nurses?
- 4. Comment on the following scenario:
The RN is taking care of an 86 year old patient 10 days post a 5 vessel bypass. The patient’s fluid balance has been precarious with frequent bouts of congestive heart failure and third spacing of fluids. Today the nurse obtains a BP of 72/40 and starts a bolus of normal saline at 150 mL per hour. The nurse has not tried to contact the physician and there are no standing orders to cover his other actions. Is the RN within his or her scope of practice as set forth in the Florida Nurse Practice Act? In particular, section 464.003 (2).
Answer questions 1-4, APA format, no plagiarism, no set amount of words just thoroughly answer 1-4
Required Resources
Read/review the following resources for this activity:
- Textbook: Chapter 1, 2
- Lesson
- Minimum of 1 scholarly source
Instructions
One role of government is to ensure that policies benefit the people within their jurisdiction.
- For local governments, it would be the townspeople or city dwellers.
- For the state governments, it would be the people living within the state.
- For the federal government, it would be everyone within the borders of the country.
Using an ideology discussed in the textbook, construct an argument explaining how this ideology upholds the public good by examining power, order, and justice.
Select an ideology discussed in the textbook. In an essay, examine how power, order, and justice as it relates to the ideology you choose promotes the public good.
Writing Requirements (APA format)
- Length: 1.5-2 pages (not including title page or references page)
- 1-inch margins
- Double spaced
- 12-point Times New Roman font
- Title page
- References page (minimum of 1 scholarly source and textbook/lesson)
Question week 1 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 by Day 3 of this week. Respond by Day 7 to at least two of your colleagues’ postings in one or more of the following ways: • Ask a probing question. • Expand on the colleague’s posting. • Offer polite disagreement or critique, supported with evidence. In addition to, but not in place of, the above you may: • Offer and support an opinion. • Validate an idea with your own experience. • Make a suggestion or comment which guides or facilitates the Discussion.
Read the section titled “Reflective Practice: Pants on Fire” from chapter “Health Policy, Politics, and Professional Ethics” and address the questions below:
Reflective Practice: Pants on Fire
Sarah Palin is famous for urging her supporters to oppose Democratic plans for health care using the scare tactic of death panels. She said the Democrats plan to reduce health care costs by simply refusing to pay for care:
And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.
In fact there was no panel in any version of the health care bills in Congress that judges a person’s level of productivity in society to determine whether they are worthy of health care.
The truth is that the proposed health bill would have allowed Medicare, for the first time, to pay for optional doctors’ appointments for patients to discuss living wills and other end-of-life issues with their physicians. PolitiFact awarded Palin with the 2009 Lie of the Year for the death panel claim, but the political impact of her statement is hard to overstate. In 2011, the Obama administration even deleted all references to end-of-life planning in a new Medicare regulation when opponents interpreted the move as a back-door effort to allow such planning. So even, in the regulations Palin achieved her goal (Holan, 2009).
- How do you judge Palin’s quote? [“And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.] Effective strategy to oppose Democrats’ plans for health care reform or unethical scaremongering?
- Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties?
- Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? Does this apply to the recently failed American Health Care Act?
Use this document to complete the evaluation table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research
Full citation of selected article
Article #1
Article #2
Article #3
Article #4
Dubin, J (2018)
Pediatric obesity in primary practice. Pediatric Nursing .44(4), 202-206.
Hargreaves, m., Orfield, C., Honeycutt, T., Vine, M., Cabili, C., Coffee- Boden, B., Fisher, S. (2017). Addressing childhood obesity through multisector collaboration: Journal of community health, 42 (4) 656-663
Kitson, S (2018). Intervention for weight in obesity to improve survival in women with endometrial cancer. Retrieved from https//www.waldenulibrary.org
Ruopeng An, Mengmeng Ji, & Zhang. (2017). Effectiveness of social media intervention on weight related behavior and body weight status. American Journal of health behavior 41(6), 670-682
Conceptual Framework
Describe the theoretical basis for the study
Design/Method Describe the design
and how the study
was carried out
Sample/Setting
The number and
characteristics of
patients,
attrition rate, etc.
Major Variables Studied
List and define dependent and independent variables
Measurement
Identify primary statistics used to answer clinical questions
Data Analysis
Statistical or
qualitative
findings
Findings and Recommendations
General findings and recommendations of the research
Appraisal
Describe the general worth of this research to practice. What are the strengths and limitations of study? What are the risks associated with implementation of the suggested practices or processes detailed in the research? What is the feasibility of
use in your practice?
General Notes/Comments
Levels of Evidence Table
Use this document to complete the levels of evidence table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research
Author and year of selected article
Article #1
Article #2
Article #3
Article #4
Study Design
Theoretical basis for the study
Sample/Setting
The number and
characteristics of
patients
Evidence Level *
(I, II, or III)
Outcomes
General Notes/Comments
* Evidence Levels:
- Level I
Experimental, randomized controlled trial (RCT), systematic review RTCs with or without meta-analysis
- Level II
Quasi-experimental studies, systematic review of a combination of RCTs and quasi-experimental studies, or quasi-experimental studies only, with or without meta-analysis
- Level III
Nonexperimental, systematic review of RCTs, quasi-experimental with/without meta-analysis, qualitative, qualitative systematic review with/without meta-synthesis
- Level IV
Respected authorities’ opinions, nationally recognized expert committee/consensus panel reports based on scientific evidence
- Level V
Literature reviews, quality improvement, program evaluation, financial evaluation, case reports, nationally recognized expert(s) opinion based on experiential evidence
Outcomes Synthesis Table
Use this document to complete the outcomes synthesis table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research
Author and year of selected article
Article #1
Article #2
Article #3
Article #4
Sample/Setting
The number and
characteristics of
patients
Outcomes
Key Findings
Appraisal and Study Quality
General Notes/Comments
If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?
You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.
Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.
In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.
To Prepare:
- Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
- Select at least one additional country to compare to the U.S. for this Assignment.
- Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
- Review and download the Global Health Comparison Matrix provided in the Resources.
The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)
Part 1: Global Health Comparison Matrix
Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:
- Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
- Explain the strengths and weaknesses of each policy.
- Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
- Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
- Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
- Explain how the health policy you selected might impact the role of the nurse in each country.
- Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.
Part 2: A Plan for Social Change
Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.
In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.
- Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
- Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
- Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples
• Clinical Reasoning Cycle (Levett-Jones, 2018) as a framework to plan and evaluate person-centred care
• Consider the person’s situation
• Collect, process and present related health information
• Identify and prioritise at least three (3) nursing problems/issues based on the health assessment data that you have identified for the person at the centre of care.
• Establish goals for priority of nursing care related to the nursing problem/issues identified
• Discuss the nursing care of the person; link it to assessment data and history.
• Evaluate your nursing care strategies to justify the nursing care provided
• Reflect on the person’s outcomesDocument Preview:
Assessment task 2: Case study Assignment Students will complete a case study which discusses the provision of ethical, legal, evidence-based, holistic person-centred care including the establishment of realistic and relevant goals through the theoretical examination of a particular nursing specialty case study using the Clinical Reasoning Cycle (Levett-Jones, 2013). Weighting: 50% Length and/or format: 1600 words +/-10% Purpose: The case study is designed to allow students the opportunityto demonstrate synthesis of theory and experience acquired inprevious and concurrent units while exploring a specificnursing context. Learning outcomes assessed: 2, 5, 6 How to submit: Students should submit electronically via the appropriateTurnitin drop box located in the assessment block on the LEOsite. Return of assignment: Assignments will be marked online and students will be notified via LEO when results and feedback are available. Assessment criteria: Further information pertaining to the case study can be found in the assessment block on LEO and in the APPENDIX of this unit outline. Please refer to the criterion reference rubric. Case Study – Mental Health John Gray, 28 years old, severe depression following suicide attempt Mr. John Gray is a 28 year old single male admitted to the unit a week ago after an episode of intentional self-harm. John is the son of a grazier from a farming community north of Brisbane who is expected to take over the family farm. The farm has been severely affected by the longstanding drought conditions in the district. You are the nurse assigned to John’s care for the afternoon shift. On handover you were informed John did not get up for breakfast again, went to lunch reluctantly only because he was compelled to but ate almost nothing, and returned to his bed immediately afterwards. Vital Signs: Blood pressure 125/75 Temperature 36.3 Pulse 66 Respirations 18. John has a rope burn mark on his neck caused by the breaking of the rope…
Joyce is a 65-year-old school nurse who has recently retired from an elementary school. She is beginning to feel rather lonely now that she is no longer working. She is a widow with adult children living out of the area. Her children have suggested that she may want to move to their city and to be closer to her grandchildren. She has been avoiding these discussions with her family and tells them all is fine. Moving seems like a major upheaval to her. Although she has been in fair health physically, at her last visit to the health care provider, she had lost 10 pounds and is just below her desired weight.
See the link to the Overview of the Nursing Process document to assist with this assignment.
Initial Discussion Post:
Select a developmental theory presented in this module and apply it to the scenario above. Use the chosen theory to address the following:
- Explain Joyce’s behavior.
- State two (2) priority nursing concerns and related nursing interventions for her.
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.
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