Question Description

The purpose of this Assignment is to explore the various meanings behind one concept in the field of nursing. It is important to understand that while professionals from various fields will use the same word, they often carry very different meanings. Likewise, it is important for every health professional to be able to explain the meaning/use/interpretation of a term to patients in a way that they can understand. To complete this Assignment, you will explore the various definitions of a single word (concept) and compile a detailed description of theses definitions and interpretations of that word.

To begin, select a word (concept) familiar to you in health care that has multiple interpretations and uses, e.g., heart. The heart is an organ, a muscle, a control center, a source of emotion, etc. Examples to choose from include, but are not limited to:

failerrordeathinnovationquality

teamsoulspiritresearchevidence

lonelinesshardinessstressgriefcare

rehabilitationtrauma  

Feel free to be creative in your choice of terms. You will provide a description of uses, definitions, and varied interpretations of the term using a variety of multiple academic disciplines outside the discipline of nursing. Academic disciplines to choose from include, but are not limited to:

sociologyanthropology

psychologypolitical science

economicscomputer science

religioneducation

philosophybusiness

Uses, definitions, and interpretations will be obtained from primary and secondary sources or reliable web sources recognized as credible and authoritative (not dictionaries or Wikipedia). Sources to choose from include, but are not limited to:

periodicalsbooks

government websitesprofessional associations

universitiescredible/authoritative websites

Directions:

Identify the concept and purpose for studying the concept and relevance to nursing practice.

Conduct a preliminary literature review to identify multiple uses of the concept.

Describe the various usages of the term.

Determine the critical attributes of the concept.

Create a theoretical and operational definition of the concept.Use at least 3 references.APA format

Question Description

I need a paper with these guidelines in the nursing field. It has to be 4 pages with a works cited following these guidelines exactly please.

ACA 122

Midterm Project: Career Exploration Paper

In this essay, you will research a career field that you are already in or that you are interested in entering. You will write an essay about that career field that answers the following questions in thorough detail with specific examples and statistics:

  1. What is the nature of the work in this field? What are the working conditions like?
  2. What are the educational requirements to enter this field? Is further study required beyond a four-year degree? If so, what are the requirements to be admitted into a particular graduate program? What schools offer the graduate degree you prefer?
  3. What is the earnings potential? (Include specific figures and statistics.)
  4. What does the future look like for your particular career?

Papers must:

  • be 3-4 pages long (not counting title page or Works Cited page)
  • be typed
  • be formatted correctly:
    • 1” margins
    • 12 point Times New Roman font
    • double-spaced
  • include information from at least three outside sources, with proper citation (in-text citations and Works Cited page)
  • be your own original work and writing.
  • Cite any information you use from an outside source, whether you use direct quotes or not. If you use direct quotes from one of your sources, be sure to put that information in quotation marks. If you do not follow these guidelines, the assignment will be considered plagiarized and you will receive an F.

Possible sources:

Occupational Outlook Handbook — www.bls.gov/oco/

http://online.onetcenter.org/

NCLive

Book or online sources of your choosing

THIS ASSIGNMENT IS WORTH 30% OF YOUR COURSE GRADE

in nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project.

For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 not required to submit this assignment to LopesWrite.

  • NRS-490-RS-LiteratureEvaluationTable6.docx

“Public Health Services” Please respond to the following:
Analyze two (2) essential public health care services found in the text. Examine these services in relationship to one (1) well-known healthcare organization in your community. Provide specific examples to support your analysis.

Examine the involvement of both the Environmental Protection Agency (EPA) and the Occupational Safety and Health Agency (OSHA) in health care. Interpret the extent to which the involvement of each agency improves the federal government’s response to health problems overall. Support your rationale with two (2) specific examples for each agency.

HSA405 WEEK 4 DISCUSSION QUESTION 2
“Disease Control” Please respond to the following:
From the first e-Activity, compare your state public health agency to the U.S. Department of Health and Human Service (DHHS) in relation to each agency’s approach to disease management. Examine the role that each public health agency would play in the event of a disease outbreak. Provide two (2) examples to support your response.

From the second e-Activity, analyze two to three (2-3) strategies that your state public health agency would employ in response to a pandemic event. From modifications made to policies in the last five years, infer the related lessons that have been learned. Support your rationale with specific examples of these strategic modifications.

I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100 -120 WORDS

Knowledge of nurses about the intervention for the prevention of pneumonia associated with mechanical ventilation: This article seeks to investigate the knowledge of pneumonia prevention interventions. There seems to be a disconnect between the evidence research has made available and clinical practice. One strength is that the method used allows for honest results. However, the weakness is that the study was conducted at one hospital, in one unit so the generalizability is unknown.

Wagner, B. V., Alves, E. F., Brey, C., Waldrigues, M. C., & Caveião, C. (2015). KNOWLEDGE OF NURSES ABOUT THE INTERVENTION FOR THE PREVENTION OF PNEUMONIA ASSOCIATED WITH MECHANICAL VENTILATION. Journal Of Nursing UFPE / Revista De Enfermagem UFPE, 9(5), 7902-7909. doi:10.5205/reuol.6121-57155-1-ED.0905201521

Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care: This article is aimed at evaluating compliance with a bundle to prevent ventilator-associated pneumonia in an Intensive Care Unit. Bundles are only effective if used appropriately and consistently. Nurses must understand and comply in order to reduce VAP in the ICU setting. One strength is that samples were taken from many settings and consisted of nearly 1,500 participants. One weakness is that VAP bundles are not universal and vary between facilities.

Guterres da S, Raquel Kuerten de S, Eliane Regina Pereira do N, Kátia Cilene Godinho B, Cibele D’Avila Kramer C. (2014). Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care. (3):744

Ventilator-associated pneumonia bundled strategies: an evidence-based practice: Ventilator-associated pneumonia (VAP) is an ongoing challenge for critical care nurses as they use current evidence-based strategies to decrease its incidence and prevalence. This article aims to provide a review of the literature on VAP bundle (VAPB) practices, describe the etiology and risk factors and define bundled practices, discuss an explanatory framework that promotes knowledge translation of VAPBs into clinical settings, and to identify areas for further research and implications for practice to decrease the incidence of VAP. One strength is multiple resources were used to provide reliable results. One weakness is that though bundles were proven effective overall, it does not specify or account for the different interventions that are in each bundle.

O’Keefe-McCarthy, S., Santiago, C., & Lau, G. (2014). Ventilator-associated pneumonia bundled strategies: an evidence-based practice. Worldviews On Evidence-Based Nursing, 5(4), 193-204

Critical care nurses’ knowledge of, adherence to and barriers towards evidence-based guidelines for the prevention of ventilator-associated pneumonia: There is an ongoing need for improvements in education and effective implementation strategies. Barriers in prevention of VAP include education or lack thereof and appropriate and consistent implementation. Strength is that it includes all barriers and provides a clear picture of the issues. A weakness is it relies on nurses to be honest about lack of compliance with existing bundles.

Jansson, M., Ala-Kokko, T., Ylipalosaari, P., Syrjälä, H., & Kyngäs, H. (2013). Critical care nurses’ knowledge of, adherence to and barriers towards evidence-based guidelines for the prevention of ventilator-associated pneumonia – A survey study. Intensive & Critical Care Nursing, 29216-227

Practical Nursing Assistants and Pneumonia Prevention Associated with Mechanical Ventilation in ICU: Assesses the knowledge of nurses in pneumonia prevention practices associated with mechanical ventilation in patients hospitalized in  intensive care unit. It identified the importance of the nurses´ role to care practices in the care of critically ill patients and the importance of recognizing the clinical findings to establish a diagnosis. The results provide subsidies for a reflection on the role of nurses in intensive care healthcare practices in the prevention of pneumonia in patients who are undergoing mechanical ventilation. One strength is that it includes the roles of support staff and their contributions to compliance. A weakness is that the roles of support staff are given through the opinions of ICU nurses.

Oliveira Gonçalves, É., Santos de Lima, M., de Lima Melo, J., Rodrigues Pontes, M. S., Barros Sousa, A. O., & Pinheiro Albernaz, M. (2015). Practical Nursing Assistants and Pneumonia Prevention Associated with Mechanical Ventilation in ICU. Journal Of Nursing UFPE / Revista De Enfermagem UFPE, 9(12), 1069-1077

Bundle to Prevent Ventilator-Associated Pneumonia: A Collective Constructive: This article reports on a qualitative convergent care research, which was aimed at the collective construction of a bundle to prevent ventilator-associated pneumonia by nursing and physiotherapy professionals at the intensive care unit. The construction of the VAP bundle was guided by the evidence-based practice criteria and consists of four preventive care acts: oral hygiene with 0.12% chlorhexidine; headboard elevated (30-45º); endotracheal cuff pressure between 20-30 cmH2O; and care with the aspiration of tracheal secretions. The implementation of these recommendations can support healthcare practice, contributing to reduce ventilator-associated pneumonia rates. A strength is it provides evidence of what an effective bundle is and how it can reduce incidence of VAP. A weakness is it does not provide evidence for each individual intervention or others that are included in bundles at other facilities.

Da Silva, S., do Nascimento, E., & de Salles, R. (2013). Bundle to Prevent Ventilator-Associated Pneumonia: A Collective Constructive. 21(4), 837-844

  • Read the article titled, “Equitable Access to Care — How the United States Ranks Internationally” located in Week 1 of the online course. You may also view the article at http://www.nejm.org/doi/pdf/10.1056/NEJMp1406707. Next, construct an argument to defend or refute claims suggesting a need to implement universal health coverage in the United States. Provide context or background information that lays the foundation for your argument. Be sure to include single payer versus multi-payer systems in your argument.
  • Use the Internet or Strayer databases to assess critical components of the Affordable Care Act, and predict the economic impact of those components on the overall U.S. healthcare system over the next decade. Provide a rationale for your response. Note: Strayer databases are located in the Resource Center tab in Blackboard.

q2

Health Technology Policy Analysis

Technology has proven effectiveness in speed of information transmission, which leads to prompt healthcare service delivery, prompt treatment of illnesses and better health outcomes. Policies drive the success of health technology through practice standardization. However, cost, safety and security, ethics, and legality have all been target areas of health technology policies. In a minimum of 250 words, discuss the following:

  • Define health technology policy.
  • What are some key terms in health information technology? List and define two.
  • What organizations safeguard health policies? List at least two organizations and a policy they safeguard.
  • Provide a brief description of the U.S. Food Drug Administration’s (FDA’s) role in health policy. 

4a. “Recruitment Methods”  Please respond to the following:
· Develop a brief plan to recruit for 20 nursing positions for your organization, using both internal and external recruiting sources. Justify the different resources you will use for this plan. Provide specific examples to support your rationale.
· Analyze two ethical and legal considerations in using standardized interviews or employment tests that assess aptitude, attitude, honesty, and personality during the selection process. Provide specific examples to support your rationale.

4a. “Characteristics of Good Interviewers and Disparate Treatment”  Please respond to the following:
· Compile two examples of the worst interviews you ever had. Determine key factors that made these interviews stand out negatively compared to other interviews you have had. Next, recommend three best practices for interviewers to avoid interviewing mistakes.
· A health care organization wants to hire 100 medical technicians, and of the 250 applicants that apply, 125 are male and 125 are female—all equally qualified. The organization hires 80 of the male applicants and 20 of the female applicants. Using Table 4.8, analyze whether or not disparate treatment exists in this hypothetical organization. Provide examples to support your rationale.

4b. “Health Care Professionals and Allied Health Professionals”  Please respond to the following:
· Analyze two career options in the health care industry, in terms of the educational requirements, job responsibilities, and average salaries.
· From the e-Activity, discuss two differences between health care professionals and allied health care professionals. Provide specific examples to support your rationale.
  
4b. “Nursing Shortages”  Please respond to the following:
· Suggest two factors that are contributing to the current state of the nursing industry in the U.S. Focus on both internal and external influences. Provide specific examples to support your rationale.
· Analyze two issues that contribute to the current nursing shortage in the U.S., and propose a strategy to rectify this employment issue.

Due Date: Jul 02, 2017 23:59:59       Max Points: 200Details:

Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:

  1. Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?
  2. Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?
  3. According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?
  4. According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?

Prepare this assignment according to the guidelines found in the APA Style Guide, 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.

BE SURE TO PROOF READ

Case Study: Healing and Autonomy

Mike and Joanne are the parents of James and Samuel, identical twins born eight years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’ condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own, or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve.

The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then.

Two days later the family returned, and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, James kidneys had deteriorated such that his dialysis was now not a temporary matter, and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches.

James’ nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’ brother Samuel.

Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney, or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? “This time around, it is a matter of life and death, what could require greater faith than that?” Mike reasons.

Policy Analysis Paper
Purpose: To investigate & integrate knowledge of advanced nursing practice, scholarly
inquiry, & leadership by examining a policy at the level of clinical practice, health care
systems, or public/social health policy. Submit a paper between 7-10 pages
long excluding title page and reference pages. Paper must be organized according to the
guidelines below and should include all the identified sections as required. Paper must be
completed in APA format and contain current scholarly sources dated from 2010 until
current.
Introduction
3 points

▪

 Generally define & describe the policy issue to be addressed.

▪

 Identify the purpose of analysis, the targeted level of policy (i.e., clinical
practice, health care systems, or public/social health) & significance of topic.

▪

 Identify questions the policy analysis is intended to address.
Background
3 points

▪

 Provide details of the issue or problem, including its nature/scope, relevant
literature & history, & the context within which the issue exists.

▪

 Describe existing policy addressing the issue, if any.

▪

 Discuss strengths & shortcomings in existing policy.

▪

 Identify & describe key stakeholders (individuals & groups) that are or will
be affected by the policy & why.
Analysis
9 points

▪

 Identify alternative policies to achieve objectives.

▪

 Establish/identify criteria that will be used for selection of “best” policy.

▪

 Evaluate each alternative & its potential impact relative to the healthcare &
patient outcomes.

▪

 Assess the trade-offs between alternatives.
Recommendations
6 points

▪

 Based on the analysis, identify the “best” alternative to address the current
issue & policy situation.

▪

 Provide rationale forselection.

▪

 Describe possible strategies to implement selected alternative.

▪

 Identify barriers to implementation of selected alternative.

▪

 Describe methods to evaluate policy implementation.
Discussion
6 points

▪

 Discuss analysis & recommendations relative to the original questions
identified, & the level of policy it is intended to address (i.e., clinical
practice, health care systems, or public).

▪

 Identify limitations of analysis.

▪

 Discuss implications for practice, education, research, & policy-making.
Conclusion
1.5 points

▪

 Summarize findings & recommendations of analysis

▪

 Identify questions to be addressed in future studies or policy analyses.
References
1.5 points

▪

 List all references cited in paper. Must be completed in APA format.
Appendices 

▪

 Table displaying results of analysis, including, for example, a list of
alternatives & the degree to which each alternative may be most
effective. Other tables & appendices as needed to support analysis.
Must pass through TURNIT IN

 ORIGINAL WORK AND PROPER ENGLISH PLEASE. SOURCES WITHIN 5 YEARS

Directions:

Using the “Telehealth Template,” write a 750-1,000 word paper on a telehealth technology that can be used in your current practice. The paper will include a precis, mind map (provided as the Appendix), discussion of the mind map, and conclusion, according to the following:

Introduction

Provide an introduction that is succinct and includes a thesis or main idea. The essence of the paper should be contained within the thesis, and the thesis statement should make the purpose of the paper clear. You may also use the introduction to provide an overview of the organization of the paper and establish the purpose for each section.

Precis

Donald Davidson, in his book, American Composition and Rhetoric, discusses the precis as follows:

“A precis is not an outline, but a summary or digest. It is useful as an exercise in grasping the essential ideas of an already completed composition and instating these ideas in concentrated form. The precis shears away all elaborations of the thought and gives only what is left, in such a way as to make the summary a complete composition. It does not, therefore, skeletonize the original composition so much as it reduces its scale. Many of the articles in the Reader’s Digest are only precis, so skillfully done that the average reader does not know that he is reading a summary. Since the precis says a great deal within a brief space, it is of great service in taking notes on library assignments and general reading.”

The precis should be an organization of ideas (including logical sequencing of points), contain clear and meaningful expression, and use language suitable to the situation. Your precis section should only cite the article you are reviewing. When finished, the precis section should summarize a single scholarly article on the topic of telehealth and should be four statements long:

1. A statement of what was studied (i.e., argued, discussed, deliberated).

2. A statement of focus of the current scholarly article selected (i.e., how it was organized and completed).

3. A statement of what information was identified or learned from the scholarly article.

4. A statement of why the information in the article is important to your field of study.

Mind Map

Brainstorm to generate ideas about how the identified telehealth technology can be used in your current practice using a mind map. Include the final mind map as the Appendix at the end of the paper.

Create your mind map according to the following:

1. Take a sheet of paper and write an identifiable main idea in the center of the page, using only one to three words. (You may also achieve this via an electronic sheet of paper.)

2. Draw a branch off your main idea. On the branch, write or draw a main topic related to your main idea.

3. Continue to branch off from your main idea with main topics as needed.

4. From your main topics, branch off with subtopics.

5. From your subtopics, branch off with supporting details (write or draw). Continue to add more details. You are free to add more topics, subtopics, or any other items.

6. When you stand back and survey your work, you should see a sort of map: hence the name for this activity. At this point, you can start to form conclusions about how to approach a potential area of practice change. At the end of the day, what you do with the particular map, cluster set, or web that you have produced depends on what you need.

7. If you create your mind map on physical paper, you may scan it in as an image and insert the image into your document. If you create the mind map electronically, you may either convert the electronic map to an image or use the snipping tool. Usually you can find this tool by searching in the start menu.

Mind Map Discussion

In this section, discuss the mind map based on the scholarly article reviewed in the precis. In your discussion of the mind map:

1. Include a critical evaluation of ideas and connections related to the topics and subtopics, as well as how this information could be used in practice.

2. Include support from two additional scholarly sources (i.e., primary sources published within the last 5 years).

3. Provide citations in text for all sources used and accompanying references in the References section. In addition, refer to the mind map in the appendix and cite it properly in text.

Conclusion

In the conclusion, provide a summary of ideas and support the main claim of the paper. Be sure to summarize key points rather than restating the material.