Nursing Theory

Reflect on the various settings in which family nurse practitioners are able to work. Currently in primary care, specifically community health centers, there is a significant need to hire more advanced practice nurses to meet the care needs of patients in both rural and urban populations. Read the article attached below and examine what role does the Community Nursing Practice Model have in achieving better access, care delivery and outcomes to patients living in underserved communities. Identify 1 (one) MSN Essential most correlates to this discussion related to community nursing practice.  

Nurse Practitioners in Community Health Settings Today.pdf

I have also attached additional information pertaining to community health from the Center for Disease Control (CDC).

CDC Community Health Improvement Navigator: 

https://www.cdc.gov/chinav/

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Please Do A Comment Base In These . Write At Least 140 Words. Academic References Need. Write The References In Each Comment. Please Not Together. References from (2012 -2018 ). Please Read Carefully The Comments. Good reference is important DUE TO REVIEW

Comment 1

The affordable care act, also known as Obama care was moved into place 8 years ago in March 2018. This was passed into law to help the United States citizens receive health care coverage at an affordable price. The main goal of the affordable care act was to have many more citizens covered by health care and meet their medical needs. One of the key points of the affordable care act was to allow easy access for the people to compare prices online, and know they were not going to be rejected for having pre-existing conditions.

Some of the key points of Obama care include: bringing down health care premiums, provides free preventative care, provides access to insurance for the uninsured Americans who suffer from pre-existing conditions, Extends coverage for young adults, prohibits from coverage rejection of children due to pre-existing conditions, improves care for older adults after being discharged from the hospital, and  increases access to services at home and in the community.

The nurse’s roles is to educate their patients and ensure that they receive the appropriate care they require. Enforce the need for preventative measures and diagnostic testing. Also inform the patient’s about their bill of rights, such as they are entitled to have full knowledge about anything that involves their care to make an informed decision. For example, recommending and emphasizing the importance of having an annual A1C for a patient who is pre-diabetic.

Comment 2

The Affordable Care Act (ACA) offers numerous positive changes in the course of the reforms of health care. There are some crucial elements about the public and community health such as an ability to get preventative services like mammograms or colonoscopies without copays, secondary insurance or deductibles. Strengthens community health center through the allocation of new funding for the expansion as well as constructing community health centers. Insurance organizations may no longer rescind services if the health care claim is made or even deny coverage to under 19 years children with a pre-existing condition (Rawal, 2016). Now patients may appeal insurance organization decisions as well as the federal grants developed to assist the state set up independent offices which can assist the patients navigate the private health insurance system.

These programs help patients to appeal or file a complaint, get an education regarding their rights as well as responsibilities in individual or group health plans insurance policies as well as enroll in health coverage. The ACA also expands the insurance coverage which impacts how clinical services are offered in public health departments. For instance, the agencies of governmental public health providing clinical services can transfer some cases to private sectors like routine childhood vaccinations. The ACA increased health care providers payment in the rural communities as most of them are underserved since they find it challenging to attract as well as retain medical professionals. Public health service may reach many people through developing programs and services like maternal child health program, home visiting as well as making available specialized behavioral health services to the general population. In the healthcare industry, the ACA is the most significant as it covers every aspect of healthcare including women and children health, mental health, care for most needy people professionals in the country as well as care for seniors. ACA has mandated many important health benefits including; emergency services, maternity/newborn care, addiction treatment, rehabilitation services and devices, pediatric services, outpatient care, hospitalization, mental health services, prescription drugs and preventative services (Rawal, 2016).

Nurses have a role in implementing the ACA law. In the United State, American Academy of Nursing and other Nursing organization have supported the effort of health care system reforms strongly. Nurses are expected to be active in patient care and participating in forums where there is a debate for policy discussion and decision making. Nurses should be involved in health care reforms at the state-wide level, the community as well as individual level (D.R., 2017). Nurses need ACA information to enable them to educate their patients concerning ACA law provisions as well as explain the benefits of it so that they may access both health services as well as insurance coverage.

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Effective Approaches in Leadership and Management

DUE DATE 03/25/2018 AT 8:00AM

Details:  In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following: 1.Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation. 2.Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings. 3.Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style. 4.Identify a possible funding source that addresses your issue. Consider looking at federal, state, and local organizations. For example: There are many grants available through the CDC, HRSA, etc. 5.Use at least two references other than your text and those provided in the course.  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 rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.  You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

***Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.***

***Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style***

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English Module 1 Case

Module 1 – Case

ACADEMIC WRITING

Case Assignment

Note: Module 1 SLP should be completed before the Module 1 Case.

After viewing “An Education in Equality,” “Learning Begins at Home,” “A Military Education,” and “an Education,” write an organized and well-supported essay in which you make three observations about education and what impacts (and enhances) student learning. Consider impacts and influences such as parenting, home life, society, race, technology, ethnicity, socioeconomics, etc.

A well-organized essay has a beginning, middle, and an end. The beginning, or introduction, should include an opening sentence to grab your reader’s attention. Follow the opening sentence with a brief background on the topic or situation. In this case, it might be the state of education today. The last sentence of the introduction is the thesis statement. The thesis states the main point of the essay, which in this case, would be what impacts/influences student learning.

A well-supported essay includes supporting points, details, and examples. For this essay, you must decide the best way to organize the body of the paper. Will you have a paragraph for each impact or enhancement? Will you divide the body of your paper into three paragraphs, one for each impact? In any case, each body paragraph must support (explain) your reasoning (rationale) using specific details. Each body paragraph must begin with a topic sentence that states the main point of the paragraph.

The conclusion typically summarizes the main points of the essay and/or closes with a lasting impression that connects the reader to their world. You may wish to offer suggestions to reader about what makes for exceptional student learning.

Be sure to proofread your essay and edit for proper grammar, punctuation, diction (word choice), and spelling, as errors in sentence skills will lower a final grade. A grade will be determined based on the Module 1 Case expectations and the Trident University General Education rubric for English found in the course syllabus.

Papers must be double-spaced in Times or Times New Roman font (12 cpi) with standard one-inch margins. A grade will be determined based on the Module 1 Case expectations and the Trident University General Education rubric for English. 

The first person “I” is not used in a formal essay.

No secondary sources are to be used in the process of writing this first paper; it is to be entirely written based on one’s point of view and supported with body points and details.

Assignment Expectations

  • Write an essay (no less than four pages in length) that states an original thesis statement on what impacts/influences student learning.
  • Demonstrate the ability to write clearly and cohesively when expressing one’s ideas and/or intended purpose.
  • Demonstrate the ability to clearly state and support a thesis in an organized and cohesive essay.

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Case Study 1

Case Study 1  Marsha and Clement are both carriers of sickle cell disease, a disease that is autosomal recessive. Their first child, Amelia, does not have the disease. Marsha and Clement are planning another pregnancy, but they are concerned about their second child having the condition. Clement’s dad died from complications of sickle cell disease shortly before Amelia was born.  1.Draw a Punnett square to determine the likelihood of Marsha and Clement having a baby with sickle cell disease. What is the chance the baby will be a carrier of the disease, just like the parents? 2.Marsha suggested to the nurse at the local family planning clinic that if the baby were a boy he might have a higher risk for developing the disease, just like his grandfather. If you were this Practitioner, how would you respond? 3.When Amelia, who does not have sickle cell disease, grows up and marries someone who does have the disease, how likely is it that her children will have the disease?

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Kim Woods

 Staffing of nurses is always a big problem to most healthcare providers. As a Manager of a hospital unit, what are some of the challenges you face and how you overcome them?  

300 words.

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DQ 2

 What aspects of the topic readings do you find the most interesting? What is your view of the analysis of disease and healing in the readings? Explain. 

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week 13

Discussion Question:   Discuss the FDA approach for liver safety for new drugs.   Support discussion with 1 journal no older than 5 years APA STYLE 250 words 

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please answer this question in APA format .write at lease 250 words

 
Discuss disparities related to ethnic and cultural groups relative to low birth weight infants and preterm births. Describe the impact of extremely low birth weight babies on the family and on the community (short-term and long-term, including economic considerations, on-going care considerations, and co-morbidities associated with prematurity). Identify at least one support service within your community for preterm infants and their family. Provide the link for your colleagues to view. Does the service adequately address needs of this population? Explain your answer. 

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Theoretical Foundations for Nursing

  

# 4

A

Explain, in your own words, the difference between the three paradigms: human needs, interactive, and unitary process. Which of these best fits your philosophy of nursing?

  

B

Select one of the grand or middle-range nursing theories. How does the theory demonstrate evidence of the utilization of social, behavioral, or bioscience theories?

  

# 5

A

All nursing theories are developed in space and time, and are not value free. Select one nursing theorist and explain the factors that influenced development of the theory (history, scientific paradigm, and personal experiences–mentoring, education, practice, other). Provide reference(s) for your response.

B

Select three theories and compare the definition of person/human being. Comment regarding which definition best fits with your own thinking. 

  

# 6

A

Choose one of the middle-range theories. How could you use this theory to direct care in a nursing unit if you were the manager? Share your results.

B

Choose one of the middle-range theories. What impact would this theory most likely have on your individual practice? Give specific examples.

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