Managing pain and culture

M3D1: Managing pain and culture: Scenario 1 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. For your assigned scenario, addressthe following: Identify and state a priority nursing diagnosis label for your assigned patient related to pain. 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. Provide your rationale or reasoning for each intervention chosen.

Q2

In a paper of 1,000 words:

Discuss the work of the Committee of the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine, that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

Identify the importance of the IOM “Future of Nursing” report related to the nursing workforce.

Discuss the intent of the Future of Nursing: Campaign for Action.

Identify the rationale for state-based action coalitions.

Choose one state-based action coalition and discuss two initiatives that they are working on.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Including Reference

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RESEARCH AND WRITE A SHORT EVALUATIVE SUMMARY OF FOUR ETHICAL OR LEGAL ISSUES RELATED TO HEALTH INFORMATION TECHNOLOGY

Health Information Technology Issues

Research and write a short evaluative summary of four ethical or legal issues related to health information technology (two examples include HIPAA and social networking). List the stakeholders, how each is affected, and what you recommend.

Discussion Participation Grading Rubric

Applies relevant course concepts, theories, or materials correctly.

Collaborates with fellow learners, relating the discussion to relevant course concepts.

Applies relevant professional, personal, or other real-world experiences.

Supports position with applicable knowledge.

Q2

Affordable Care Act

Presently, the United States government, in conjunction with both the public and private healthcare sectors, is working toward implementing the law.

For this week, please review the major provisions of the Affordable Care Act (ACA) on page 193 of your textbook and formulate an initial post with the following criteria:

  • Choose one provision that is most important and discuss why implementation will make congruent improvements to the current U.S. system.
  • Discuss which provisions you believe will be difficult to achieve or implement because of the inherent challenges in the current U.S. healthcare landscape; please name and describe those challenges.
  • Lastly, what has been left out of these major provisions? Had you been able to meet with congressional members, what would you have lobbied to include in the act?
  • Must be 150 Words or more
  • APA format
  • Cite references in paragraphs
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Discussion Question Guidelines

For this discussion, you will need to address all of the questions below and be sure to participate fully by responding to your classmates as well. Citations should be used to support your analysis and references should be included in APA format. Be sure to review the Discussion Question Guidelines before you begin!

This week, you will be creating a small research paper based upon a career that you wish to pursue. This assignment will help you do research on this topic and to paraphrase your information which means to put it in your own words. This also builds upon research you did in UVC1000 in Weeks 4 and 5. Use the skills you have and try new research techniques. Document (write down and share) what you tried and how successful you were.

Part I

  1. Using a search engine like http://google.com and the SUO Online Library, conduct a basic Internet search to find résumés and articles from your degree field and information about the field. If you cannot find an article about your degree field, perhaps you could find an article by someone in the field.
  2. Post a discussion below that includes the following components:
    1. Identifies the career you chose and explains why you chose it.
    2. Shares two references from the Internet and two references from the SUO Online library that you looked at. Include the URL and the publication, title, author, and date published if available. In the library, you can use the Cite or Citation buttons to give you APA formatted references, just do not include the last line: “Retrieved from: http://wherever.com” information because resource URLs do not work to link back to the library. If you need help with locating material, please contact the Online Librarian (Ask a Librarian) or your instructor.
    3. Explain what search terms you used and the criteria you used to determine if the information was credible.
    4. Compare your experience searching on the Internet and searching in the Online Library. Please try advanced search options and report on them. This can be very eye opening.

Note that from this week on throughout your college career, the grading criteria that mentions information literacy includes the requirement of providing references in APA format to support your ideas.

Part II

Using one of the articles you identified in your Internet or library search, do the following:

  1. Copy and paste an example of a paragraph from one of your resources. Any directly copied information needs to be in quotation marks. Include an in-text citation for this paragraph—see the example below. (n.d. stands for no date)

    One recruiter’s advice is simple: Don’t obsess over the skills section to the point of embellishment. “In adding a skills section to their résumé, a lot of people have a tendency to exaggerate their level of expertise in various technologies,” says Scott Hajer, senior corporate recruiter for Software Architects. Hajer continues, “They figure the more keywords, the more exposure” (Hoffman, n.d., para. 3).

    “Although many people think that the more keywords in their résumé, the better, it isn’t good to exaggerate your technology skills so only include keywords for skills that you already have” (Hoffman, n.d.).
  2. Include the full reference at the bottom of your posting. In reality, you would only have either a quotation or paraphrased information, not both. Paraphrasing is what you strive for in college with an in-text citation which will lead you to the full reference on the References page. You might have several of the same in-text citations for an article in your paper but only one full reference for that article on the References page. See the example below for the full reference for the quote above.

    Hoffman, A. (n.d.). Tips to show your IT skills on your technology resume. Retrieved from http://career-advice.monster.com/resumes-cover-letters/Resume-Writing-Tips/Show-Your-Skills-on-Your-IT-Resume/article.aspx.
  3. Describe any challenges you had paraphrasing and citing the information.

***Note: Your final project (Week 5 Project) is a personal résumé based on specific Word formatting skills. The résumés you researched this week will help you create a résumé suitable for your field of study. Save them in your folder so you can find them later. If you choose to work ahead on your résumé, please see Week 5 Project for the requirements for it.

In your discussions with your classmates you could:

  • Share tips on doing research on the Internet and in the Library. Check out others’ Web sites and let them know your opinion on their credibility and why you feel that way. You can also share good resources on this topic with others.
  • Remember to respond substantively to a minimum of two other students and to your instructor.
  • Work on different ways to paraphrase and try to practice citing sources by helping others when you see potential errors.

Remember to respond substantively to a minimum of two other students and to your instructor and to include references of URLs to Internet resources you found helpful (tell us how they were helpful), page names for the online lectures, page numbers for the textbook, and/or specific examples in Microsoft Word, sharing the steps and tools you used.

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1. Create an educational presentation for staff before the launch of your change project. This should inform the staff of the problem, your potential solution, and their role in change project.

Power point nursing

Chamberlain College of NursingNR451: RN Capstone Course

Capstone Project Milestone 3:

Educating Staff: Implementing Change Guidelines

Purpose

The purpose of this assignment is to create the Educating Staff: Implementing Change Project PowerPoint presentation. Your plan is to educate the staff that will be involved in the pilot program. You will need to educate them on the problem, show the supporting evidence, and how your pilot plan will be implemented.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

• CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #2) 

• CO3: Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates, and communities. (PO #3)

• CO7: Integrates the professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings. (PO #7)

Due Date

Milestone 3 consists of the PowerPoint presentation Educating Staff: Implementing Change Project. Submit this Milestone to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 6.

Points

Milestone 3 is worth 200 points.

Directions

1. Create an educational presentation for staff before the launch of your change project. This should inform the staff of the problem, your potential solution, and their role in change project. 

2. The format for this proposal will be a PowerPoint presentation. 

3. Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx The Chamberlain Student Success Strategies (CCSSS) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be found under the Special Courses list in eCollege.

4. The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides.

5. Below are the topics for the slides:

a. Title slide

b. Description of the change model used

c. Practice Issue

d. Scope of the problem—use statistics from what you know of the problem in your work area.

e. Your team/stakeholders

f. Evidence to support your need for change—from your Evidence Summary

g. Action Plan 

h. Timeline for the plan

i. The nurse’s role and responsibility in the pilot program

j. Procedure 

k. Forms that will be used (if applicable)

l. Resources available to the staff—including yourself

m. Summary

n. References

6. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. Citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means choose peer-reviewed journals and credible websites.

Guidelines

• Application: Use Microsoft PowerPoint 2010.

• Length: The PowerPoint slide show is expected to be between 15-20 slides in length (not including the title slide and reference list slide).

• Submission: Submit your files via the basket in the Dropbox: “Educating the Staff: Implementing the Change Project” by 11:59 p.m. Sunday of Week 6. 

• Late Submission: See the course policy on late submissions.

• Tutorial: If needed, Microsoft Office has many templates and tutorials to help you get started.

Best Practices in Preparing a PowerPoint Presentation

The following are best practices in preparing this presentation.

1. Be creative.

2. Incorporate graphics, clip art, or photographs to increase interest.

3. Make easy to read with short bullet points and large font.

4. Use speaker notes (found under the section View and “Notes” in the PowerPoint template you choose. These are for your personal use to use as a reference if you are giving your presentation to an audience.

5. Review directions thoroughly.

6. Cite all sources within the slides with (author, year) as well as on the Reference slide.

7. Proofread prior to final submission.

8. Spell check for spelling and grammar errors prior to final submission.

9. Abide by the Chamberlain academic integrity policy.

Grading Criteria: Educating Staff: Implementing Change

Grading Rubric: Educating the staffMilestone 3

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EXPLAIN THE PRINCIPLES AND CONCEPTS OF DISEASE PREVENTION AND HEALTH PROMOTION FOR DIVERSE AND VULNERABLE POPULATIONS.

ITS IMPORTANT TO MEET THE REQUIREMENTS !
SAMPLE OF COMPLETED HOMEWORK ATTACHED AT THE END.

Develop a 5–7-page proposal for a wellness education program for a specific population. Integrate aspects of culture, CAM and spirituality, and linguistics into the program. Explain how to market the program to the population, and explain the ethical, legal, and economic factors that can affect the health of the population.

Note: The assessments in this course build upon each other, so you are strongly encouraged to complete them in sequence.
 
Health care initiatives focus on changing demographics and emerging health problems. Among the challenges faced by health care professionals are cultural and linguistic competence and the role they play in the ability to provide effective care. Health care professionals need to develop skills in conducting gap analyses within their own communities, design effective health education and wellness programs to address those gaps, and remain mindful that effective care depends on the ability to build trust within the community being served.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Explain the principles and concepts of disease prevention and health promotion for diverse and vulnerable populations.       

(IMPORTANT) -Explain how educating a population about health promotion and disease prevention benefits the health and wellness for a population. 

Competency 2: Develop evidence-based health promotion and disease prevention initiatives for diverse and vulnerable populations.       

(IMPORTANT) -Integrate linguistic and cultural considerations, CAM, traditional medicine, holistic health, and spirituality into an evidence-based wellness plan for a population. 

Competency 4: Examine the ethical, legal, and economic factors related to health disparities in diverse and vulnerable populations.       

(IMPORTANT) -Describe the ethical principles that can affect preventative care and health promotion.
(IMPORTANT) -Explain how local laws, federal laws, and the Affordable Health Care Act can affect preventative care and health promotion.
(IMPORTANT) -Explain the economic impact of clinical prevention and health promotion related to health disparities for a population.

Competency 5: Communicate in a manner that is scholarly, professional, and consistent with expectations for members of the health care professions.       

(IMPORTANT) -Write content clearly and logically, with correct use of grammar, punctuation, APA formatting, and mechanics.

Assessment Instructions 
  
Preparation
Your team has succeeded in demonstrating the need for a health promotion and disease prevention initiative for the population identified by your Windshield Survey assessment. Now you need to develop a proposal for a wellness education program that will help bridge the gaps in health care service delivery.
Use the Capella library and the Internet to find scholarly and professional resources that will help you propose a wellness education program for the health concern of your population. Find at least four resources to use in this assessment. You may also want to review the previous assessments you completed in this course.
Requirements
Based on your Windshield Survey and Organizational Evaluation assessments, complete the following:

Design an evidence-based wellness program to address the primary health concern of the population that integrates:      

Cultural considerations: Will you need to consult with someone from the population on how to approach the delivery of your program?
CAM, traditional medicine, holistic health, and spirituality considerations.
Linguistic considerations: Will you need interpreters or translators for either written or oral presentations?
Educational considerations: What will be the best way to educate the population?

Describe how you will market or advertise the wellness program.      

What are the benefits the program offers the population?
Will you need incentives to ensure participation and completion of the program?

Explain the ethical, legal, and economic factors that impact the health and wellness of the population. For example:      

The ethical considerations (such as justice, non-malfeasance, and duty) that can affect preventative care and health promotion.
Local laws, federal laws, and the Affordable Health Care Act that can affect preventative care and health promotion.
The potential economic impact of clinical prevention and health promotion related to health disparities of your population.

The format for this assessment should be a professional proposal. If possible, ask about the format used for proposals in your organization and follow that. Follow APA formatting for your in-text citations and references.
Additional Requirements

Include a title page and reference page. The completed assessment should be 5–7 pages in length, not including a title page and a reference page.
Reference at least four current scholarly or professional resources.
Use current APA format for citations and references.
Use Times New Roman font, 12 point.
Double space.

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Identify nursing care models utilized in today's various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation.

Purpose: The purpose of this assignment is to identify nursing care models utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.

Directions: Use the form attached to complete the Nursing Care Models Assignment.

1. Read your text, Finkelman (2016), pp- 111-116.

2. You are required to complete the assignment using the template.

3. Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability. 

4. Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model

5. Review and summarize one scholarly resource (not your textbook) related to the nursing care model you observed in the practice setting.

6. Review and summarize one scholarly resource (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.

7. Discuss a different nursing care model from step #3, and how it could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.

8. Summarize this experience/assignment and what you learned about the two nursing care models

Textbook: Finkelman, A. (2015). Leadership and Management for Nurses: Core Competencies for Quality Care (3rd ed.). Pearson 

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Apply Legal and Ethical Parameters In Nursing Practice

HLTEN509B Apply Legal and Ethical Parameters In Nursing  Practice – Southern Cross Education Institute(SCEI)

Assessment Task No. 1 – Questioning

1. Outline the significance of the Australian Health Practitioner Regulation National Law (2009) on the governance of the conduct of the Enrolled Nurse.

2. In legal context, describe the difference between assault and battery and this applies to

nursing practice?

3. Discuss the type of restraints that may be used within the health care setting.

4. Discuss the term false imprisonment and give a nursing example of how this can happen.

5. What does the term defamation mean and how this applies to nursing practice?

6. Identify two (2) legal responsibilities you have as a student enrolled nurse, as opposed to

those as a graduated enrolled nurse.

7. Write in full the organisations listed below and what role do they fulfil in nursing.

a. ANMC

b. AHPRA

c. ANMF

d. RCNA

8. Outline five (5) things you need to do to ensure your documentation in a client’s record meets the required legal aspects.

9. Discuss the management of client information; documentation and storing, relevant to your nursing practice. Include:

a. Legal documentation

b. Freedom of information legislation

c. Privacy Act

d. Confidentiality

10. All nurses are expected to adhere to Standards of care in their practice. Where can nurses locate these Standards of Care and where does the advice for these Standards comes from?

11. Access the Professional Code of Conduct for Nurses. According to statement 1.4, “When an aspect of care is delegated nurses ensure that the delegation does not compromise the safety or quality of care of people.” Given this statement, explain your understanding of your role as an enrolled nurse in relation to ‘restraint of a client.”

12. Enrolled Nurse, Michelle, begins to shower Mr Brown, aged 76, who has some R) sided weakness after a CVA (stroke) 4 years ago. Michelle leaves Mr Brown for a moment to get some towels. Although she told him not to move she returns to find him on the floor, and complaining a severe pain in his R) leg. An x-ray confirms a # R) femur.Identify the elements of negligence and explain how each element relates to this situation?

13. What does the term ‘valid consent’ mean in the context of your role as an Enrolled Nurse?

14. What does ‘legal and intellectual capacity’ mean in the context of your job role?

15. Explain the requirements of mandatory reporting for nurses in your state.

16. Explain your working knowledge of the following terms of law associated with the practice of nursing:

a. types of law

b. court system

c. common law

d. statute law

e. civil law

f. precedent

g. sources of law

17. Explain the types of consent related to the delivery of healthcare.

18. What is your knowledge of contemporary ethical issues of?

a. Autonomy

b. Non-maleficence

c. Beneficence

d. Justice

e. Rights

19. Describe the meaning and application of the following terms to Enrolled Nurse practice.

a. Ethics

b. Bioethics

c. Nursing ethics

20. An enrolled nursing student is undertaking professional practice placement in an Aged Care Residential Facility. The registered nurse knows the student is on their last placement before graduating. The registered nurse is extremely busy and asks the student if they have performed a female cauterization as part of their course. The student states she has in the simulated nursing skills laboratory. The registered nurse asks the student if she can read the facility procedure on female catheterisation and perform the procedure unsupervised on one of the female residents.

Using the Nursing Decision Making Framework and Flowchart, determine if it would be appropriate for the student to proceed with this procedure. Provide an explanation for your decision.

Scenario 1 – Post Partum Haemorrhage

Mrs P is critically ill after delivering her first baby. She has had uncontrolled bleeding post-partum. Her severe blood loss is putting her at risk of dying. Doctors wish to transfuse 4 Units of packed red blood cells as her Haemoglobin level has now dropped to dangerously low. The midwife estimates Mrs P’s blood loss to be approximately 1200 mls since the birth of the child 6 hours previously.

Mrs P is now showing signs of hypovolaemic shock, medical staff are concerned she is a risk of cardiac arrest. Her blood pressure is low; her oxygen saturations are falling despite oxygen administration. She is tachycardic at 112 beats per minute but the pulse is weak….

Scenario 2 – Right to Die

Mrs Joan White, aged 45, was diagnosed with the rare Pick’s dementia 2 years ago. Since then she has rapidly deteriorated, and now requires artificial nutritional support to sustain life. Doctors have inserted a nasogastric tube, and the dietician has started a regime of enteral feeds to maintain her body weight and meet the right nutritional needs. Mrs White has strongly voiced her disapproval to this intervention, but the doctors gained consent from her husband Mr White who she had earlier appointed as her Enduring Power of Attorney (Medical Treatment)….

Scenario 3 Individuals right to…….

Mr Jack Green is 68, single, and living in the supported accommodation facility where you work. Jack’s only known relative is a distant cousin, and he looks upon the staff of this facility as his family.Jack has a couple of hobbies that you are increasingly uncomfortable with. The first is his involvement with mail order companies. Every week several parcels arrive with products Jack has ordered. Quite often, he also receives a free product as part of a customer appreciation deal. Inevitably, Jack gives these freebies to individual staff members. Although this practice started quite innocently (with a bar of chocolate or a packet of lollies, of late Jack has been giving away gifts such as watches, fancy pens, diaries or similar items. You are concerned that accepting such gifts is unethical. You want to ask Jack to stop giving these goods to staff, but you are not sure of whether you would be breaching any policies, or rights, or law…..

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Volumes projected in this area for the first year are 1275 patient days (or visits).

I need someone who is proficient in graphs/ statistic nursing,here are the figures to use.I JUST NEED A LINE GRAPH THANKS.

The objective is to create a line graph for the following information:

Volumes projected in this area for the first year are 1275 patient days (or visits). With physician support and effective marketing, it is expected that the volume will increase 10% the second year, 14% the third year, and 20% the fourth year. The financial goal of this project is to break even by the end of the third year of operations.For payroll, merit increases and overtime hours should be computed at 5% each. Use the salaries and benefit data from you’re your current knowledge of your local market or assume average hourly rate for the Registered Nurse is $28/hour and assistive personnel hourly rates at $9/hour. Benefit costs can be estimated at 25% of hourly rates.Expected revenue is calculated at $4864 per case for the first year. The payer mix for this facility is: Medicare 37.9%; Medicaid 4.5%; Managed Care (HMO/PPO) 38.8%; Private Pay 6%; other insurance 10.6%; Worker’s Comp 2.2%.

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Implementation of the IOM Future of Nursing

Benchmark Assignment: Implementation of the IOM Future of Nursing Report
Due Date: Mar 09, 2014 23:59:59Max Points:150
Details:

In a formal paper of 1,000-1,250 words discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Explore the Campaign for Action webpage: http://campaignforaction.org/states

Review yourstate’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.

Summarize (2) initiatives spearheaded by yourstate’s Action Coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

Implementation of the IOM Future of Nursing Report

1) In a paper of 1,000-1,250 words:

a) Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

b) Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.

c) What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Summarize (2) initiatives spearheaded by your state’s Action Coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

A minimum of three scholarly references are required for this assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment

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What is your belief regarding the global migration/recruitment of nurses?

QUESTION

nursing

Instructions:

  1. After reading  three or more of the articles/resources referenced in Lesson 3 and others you have researched, post the following in this discussion board: 
    • In your estimation: What role should nurses play in global health?
    • What is your belief regarding the global migration/recruitment of nurses?
  2. Include your citations in the posting with a reference list at the end. (APA style).
  3. Comment on two of your classmates’ postings
  4. View grading rubric.

if possible try to use these two

http://www.nationalnursesunited.org/blog/entry/san-diego-rn-speaks-out-for-dignity-of-migrant-children/
How the Nursing Shortage Builds Increased Levels of Risk for Nurses: Five Challenges to Watch
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