Discussion 2

I need 2 different discussion same theme

Vaccine controversies have occurred since almost 80 years before the terms vaccine and vaccination were introduced, and continue to this day. Despite scientific consensus that recommended vaccines are safe and effective, unsubstantiated scares regarding their safety still occur, resulting in outbreaks and deaths from vaccine-preventable diseases. Please provide your input regarding this subject.

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ethics paper

this is my paper has to be one page apa style and reference page if needed thank you 

Read the International Council of Nurses (ICN) Code of Ethics for Nurses online at  http://ethics.iit.edu/ecodes/node/5695 and the American Nurses Association (ANA) Code of Ethics for Nurses online at http://www.nursingworld.org/codeofethics

 Briefly compare and contrast the two codes. What elements do they have in common? In what ways do they differ?

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nursing scope W9J

APA FORMAT ARIAL FONT 12

Please answer the following 3 questions.  Each answer must be at least 3 paragraphs to receive full credit.  Research at least 3 sources to subtantiate your answer and include in your references.

1.  Describe the link between qualiyt and safety in the healthcare setting.

2.  Discuss the role of the nurse in quality improvement.

3.  Describe nursing-sensitive measurements and why they are important in Nursing care delivery.

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community W9J

As stated in the class syllabus please present your assignment in an APA format, word document, Arial 12 font. The assignment must include at least 2 evidence-based references. A minimum of 700 words is required.  

1.  In your own word and using the appropriate evidence-based references define family and describe the different types of family.

2.  Identify characteristics of the family that have implications for community health nursing practice.

3.  Discuss a model of care for families.

4.  Describe strategies for moving from intervention at the family level to intervention at the aggregate level.

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Comment

comment1

Since the inception of CNL’s, documentation shows patients have shorter hospital stays, reduced readmission rates, and improved quality of care. Infection rates and falls decreased. Patient satisfaction increased, and nurse turnover rate decreased (HealthLeaders, 2009). Clinical Nurse Leaders had such a positive impact on patient care by applying evidence-based practices. This includes but is not limited to planning, implementing and evaluating patient care. Working across the different disciplinaries, coordinating, delegating and supervising patient care has benefitted patients and hospitals alike (Vadurro, 2018).

This leadership position works directly with the patients, so it is important the CNL enjoys direct patient care, as well as mentoring fellow nurses. The CNL should have qualities such as strong problem-solving skills and critical thinking (RegisteredNursing.org, 2018).

Formal education requires the RN to BSN, passing the N-Clex, and continuing to a Master of Science degree. The advanced courses include pathophysiology, clinical assessment and pharmacology. After successful completion of those requirements, an RN is able to obtain the CNL Certification from the Commission on Nurse Certification (RegisteredNursing.org, 2018).

comment2

Clinical nurse leader influences the direct patient care in the hospital settings. For example they give patient education including individuals, families and other care givers. They will be part of the ongoing assessment and modification if necessary of the plan of the care. They perform a comprehensive assessment of the client and family/caregiver upon initial contact. A Clinical Nurse Leader acts as a systems analyst or risk anticipator by anticipating patient safety risks, reviewing critical incidents, and evaluating client care delivery options. The CNL is also work with other care providers go for day-to-day information or issues related to the care of the specified patient cohort in the hospital settings. CNLs are also uniquely positioned to plan and coordinate care across entire patient populations or service lines, working with the multidisciplinary healthcare team across the care continuum, and helping organizations reduce length of stay and prevent readmissions. Clinical Nurse Leaders are also adept at using technologies and information systems to improve healthcare outcomes for their units and patients (Eira I. & Klich, H (n.d.). According to a study in University Hospital in Augusta, GA, piloted a CNL role in an acute care environment and documented significantly improved, patient-centered care through CNL assessment and advocacy. These CNLs communicated carefully with patients to determine their needs other than those specific to the current medical diagnosis. In each case the CNL’s ability to assess the patient’s unique needs and advocate with the healthcare team led to significant realignment of the treatment plan with the patient’s needs and preferences (Reid, & Dennison 2011).

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nursing health promotion/project wk4

 Week 4 Project

 

For this assignment, you will compose a scholarly paper focused on health promotion for a population of your choosing. Your paper should be 6 to 7 pages in length and formatted in APA style.

Be sure to address the following:

  • Identify the population you choose and analyze relevant information (demographics, socioeconomics, environmental hazards, and access to healthcare) pertaining to your chosen population.
  • Analyze and discuss the mortality and morbidity risk factors for your selected population. Discuss four health risk factors.
  • Suggest a health promotion activity for each health issue identified from your analysis.
  • Use course lectures, textbook readings, and three scholarly journal articles to support your findings and recommendations in relation to your chosen population.

On a separate page, cite all sources using APA format. 

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medical short discussion

use ten medical terms to describe.

information should be from the book. (chapter 1-4)

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Bioethics Case Study

Bioethics Case Study: This assignment asks you to examine a current ethical controversy case study. The paper is informal, but should be in APA style, and does not need an abstract or cover page. With a minimum of two pages and a maximum of four pages A reference page is needed. In-text citations should be in APA format. Papers will be graded on a 0 to 25-point scale.

Case Study in Primary care:

One hypothetical case study involves Jim a 54, year old patient who has recently diagnose with hypertension and his Creatinine and BUN laboratory results are elevated, if left untreated, will result in kidney failure. The patient refuses to take the medication because he said it will affect his sex life The NP must work with the patient to respect the fact that he doesn’t want the medication (autonomy), and needs to find a solution that would prevent him from going into kidney failure and other complications, which is in his best interest (beneficence). Although medications are the best choice, forcing the patient to accept the medication will result in probably patient leaving the care (non-maleficence). Finally, the NP needs to consider the impact that the patient’s choices might have on others if he starts to go into preventable kidney failure, he’ll need dialysis, which affects other people who need the same treatment (justice). So before making the final decision the NP must consider all four principles of health care ethics, which will help the NP make the choice that will have the best possible benefits for both the patient and society.

Questions?

  1. What are the skills necessary for the provider to identify, address, and assess this clinical ethical issue?
  2. What are the provider’s obligations when a patient discloses does he not intent to follow the treatment?
  3. What are the ethical considerations in evaluating a patient’s failure to adhere to a prescribed therapy?
  4. Will you terminate care for this patient? What are the implications?

  • Case Study Rubric
    CriterionOutstanding  (25)Very Good  (22)   Average (18)Unacceptable (15)ScoreCompletenessComplete in all respects; reflects all requirementsComplete in most respects; reflects most requirementsIncomplete many respects; reflects few requirementsIncomplete in most respects; does not reflect requirements UnderstandingDemonstrates excellent understanding of the topic(s) and issue(s)
    Demonstrates an accomplished understanding of the topic(s) and issue(s)Demonstrates an acceptable understanding of the topic(s) and issue(s)Demonstrates an inadequate understanding of the topic(s) and issue(s) AnalysisPresents an insightful and through analysis  of the issue (s) identifiedPresents a thorough analysis of most of the issue(s) identifiedPresents a superficial analysis of some of the issue(s) identifiedPresents an incomplete analysis of the issue(s) identified. EvaluationMakes appropriate and powerful connections between the issue(s) identified and the concept(s) studiedMakes appropriate connections between the issue(s) identified and the concept(s) studiedMakes appropriate but somewhat vague connections between the issue(s) identified and the concept(s) studiedMakes little or no connection between the issue(s) identified and the concept(s) studied. OpinionSupports opinion with strong arguments and evidence; presents a balanced and critical view; interpretation is both reasonable and objectiveSupports opinion with reasons and evidence; presents a fairly balanced view; interpretation is both reasonable and objectiveSupports opinion with limited reasons and evidence; presents a somewhat one-sided argumentSupports opinion with few reasons and little evidence; argument is one-sided and not objective. RecommendationsPresents detailed, realistic, and appropriate recommendations clearly supported by the information presented and concepts studiedPresents specific, realistic and appropriate recommendation supported by the information presented and the concepts studiedPresents realistic or appropriate recommendation supported by the information presented and the concepts studiedPresents realistic or appropriate recommendation with little, if any, support from the information and the concepts studied. Grammar and SpellingMinimal spelling and grammar errorsSome spelling and grammar errorsNoticeable spelling and grammar errorsUnacceptable number of spelling and grammar errors APA guidelinesUses APA guidelines accurately and consistently to cite sourcesUses APA guidelines with minor violations to cite sourcesReflects incomplete knowledge of APA guidelinesDoes not use APA guidelines                 Total

  • Turnitin Assignment

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2-Please answer based on these answers as they are listed, each one must be answered in APAform and not less than 150 words

  

  

4-When nurse leaders network, new opportunities can arise and present themselves through networking ( www.nursingworld.org). The most important advantage of building a professional network is the opportunities it can bring for career advancement (www.nursingworld.org). 

As a nurse, networking and personal affiliations are key components for future advancement opportunities in a nurses career. There are several groups a nurse can affiliate with to network. When a new job is open many nurses who have networked and affiliated with other groups may stand out because one of the hiring managers has met the candidate and interacted with them at a conference as an example. It sometimes is not about what you know when applying for jobs but “who you know”. 

Currently, I network with Riggs ambulance to help coordinate EMS, ED relationships as well as education at Riggs. I am also affiliated with the AMerican Heart Association and I’m a Faculty member for them. As faculty, I assess other instructors and assure CPR disciplines are being taught according to AHA standards. In addition, I have networked in my community by going to schools to teach “Hands Only CPR”. I often go to assemblies and give talks and actuall teach students hands only CPR. I am affiliated with the ENA and CNA as well and plan to become more active after I earn my BSN because I do not have much extra time with work, school and my current affiliations.

Affiliations have helped me already in my career. I have been offered every job I have applied to because many managers are impressed by my community affiliations and my Instructor status as well as Faculty status with the AMerican Heart Association. I am also involved in disater preparedness for the community involving EMS response and ED response and coordinate annual training and drills to ensure our community is properly prepared for disasters. I hope to advance my career in EMS by these networks. After I earn my BSN, I will most likely work part time as a CCT Rn for Riggs in flight and ground transprt as well. Eventually, I want to manage an ED or an Ambulance company or work in  COunty EMS for the community I live in 

Reference

Retrieved from  https://www.nursingworld.org/resources/individual/networking/

Retrieved from 

https://cpr.heart.org/AHAECC/CPRAndECC/Training/AHAInstructors/UCM_476669_AHA-Instructors.jsp

Retrieved from 

https://www.co.merced.ca.us/1460/Merced-County-Healthcare-Partnership-for

 

5-Personal networking focuses on your personal development as a nurse leader with contact outside of your work organization (Drake, 2017). There are numerous professional organizations available in the U.S. Examples are American Organization of Nurse Executives and American Nurses Association (ANA). Benefits of belonging to a professional organization include networking i.e. meeting other professionals in the same field (in person at conferences or in online forums). Also, as a member you receive information about new developments within the field, continuing education opportunities, and information about upcoming conferences both nationally and internationally.

Connecting with other nursing leaders, building new relationships, and creating personal affiliations lead to opportunities where nurse managers from different organizations can offer and receive support, share experiences, and commiserate with one another (Drake, 2017). Also, knowing other people in the same field may lead to future career opportunities within your current field or a different area of nursing. “Things change at such a fast pace, whether it’s technology or techniques or nursing practice, that belonging to an association is more of an imperative than an option” (Capella University, 2018). Another benefit relates to the collecting power in the members of an association; membership helps influence policy at the state and federal levels (Capella University, 2018).

According to Williamson (2017), research shows a correlation between professional networking and productivity in the workplace. Focused and frequent communication among peers and other professionals can build knowledge and support within one’s organization, challenge individuals to think more strategically when addressing challenges and seeking solutions, and create new professional opportunities (Williamson, 2017).

References:

Capella University. (2018). 7 Reasons to Join a Professional Nursing Association.

Retrieved from https://www.capella.edu/blogs/cublog/7-reasons-to-join-a-professional-nursing-association/

Drake, K. (2017). The power of networking, 48(9), 56. Retrieved from https://journals.lww.com/nursingmanagement/Fulltext/2017/09000/The_power_of_networking.11.aspx

Williamson, J. E. (2017). Networking essential for sharing challenges, solutions, best practices. Healthcare Purchasing News, 41(8), 38. Retrieved from https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124493772&site=ehost-live&scope=site

 
 

6-A professional affiliation is an organization or group a person belongs to based on involvement in a particular profession. A nurse could become a member of the American Nurses Association, for instance. Affiliations range from paid membership to active involvement in organization activities or leadership roles.  By joining professional organization, it provides unparalleled networking opportunities. Associations are where you encounter the movers and shakers, open career opportunities, and meet professional. Through professional associations, you’ll have access to continuing education, specialty journals, and conferences. These are critical to continuing competency, which in turn can lead to better patient, systems, and personal career outcomes. There is so many organization are available according to specialty e.g. American Nurses Association, National Association of Indian Nurses of America.

Membership in a professional nursing organization provides nurses with continuing education, certification opportunities, role-related competencies and educational conferences. Changes in healthcare occur almost daily. Aligning with a nursing organization that supports your specialty or population of practice positions nurses to be on the forefront of practice changes. Nursing organizations promote and encourage the use of evidence-based practice to its members. Nurses who are certified in their specialty will find that their nursing professional organization will offer continuing education that is pertinent to their practice. (S. Abigail 2015)

The opportunities that can present themselves through networking are limitless. The most important advantage of building a professional network is the opportunities it can bring for career advancement. In addition to helping grow your professional network and making lifelong friends, attending conferences can also give nurses a chance to break away from the stress of their everyday work. (ANA ,2015)

Reference:

American Nurses association (April 2015) Professional Networking for Nurses Retrieved from

https://www.nursingworld.org/resources/individual/networking/

What Are “professional Affiliations”? ,2018 Retrieved 30 October 2018 from https://www.reference.com/business-finance/professional-affiliations-e07a2353d31c6d4e

S.Abigail ,2015, Nursing Organizations: The Role they Play in Professional Development Retrieved from https://www.rn.com/nursing-organizations-the-role-they-play-in-professional-development/

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Discussion_L-D

Please answer to this discussion post with a minimum of two hundred words. APA style 6th edition and no plagiarism. 

________________________________________________________

Even though the benefits of vaccines and vaccination have been well communicated to the people, controversies have still been detected. Apparently, this is out of the high number of people who still die because of an outbreak of vaccinated diseases. The controversies arise as many vaccines have been found to cause other health-related problems and are thus not welcomed by a majority of people.

Mercury was found in vaccines, especially, in multi-dose vaccines which are being preserved by methyl mercury. The effect of mercury in the nervous system is hazardous as the liquid metal causes illnesses to human beings. Consequently, many people avoided the vaccines as they considered them harmful to their health. The DPT vaccine also has some conspiracies as some children suffered neurological conditions just after being vaccinated. As a result, the potential risk of the vaccine was escaped by avoiding immunization (Dube, Vivion & MacDonald, 2015).

Various incidences, especially, when the Cutter Laboratories manufactured a number of drugs to aid in the prevention of polio, led to controversies. The doses were found to contain some virus which caused the number of polio infection, death, and even paralysis. The epidemic led to an increase in the number of people who reject the issue of vaccination. Seemingly, the controversies are caused by doubt of effectiveness and safety (Verger et al, 2015).  

Assuredly, in reference to the previous cases, many people still find it difficult to believe that the vaccines are effective and cannot cause harm. The perceptions are being based on how the vaccines affected people before and this makes people run away from vaccination. As a result, disease outbreaks wipe a lot of people who still find it difficult to change their perceptions. I feel that vaccines are essential and that they shouldn’t be all considered unsafe due to a few cases. 

References

Dube, E., Vivion, M., & MacDonald, N. E. (2015). Vaccine hesitancy, vaccine refusal, and the anti-vaccine movement: influence, impact, and implications. Expert review of vaccines14(1), 99-117.

Verger, P., Fressard, L., Collange, F., Gautier, A., Jestin, C., Launay, O., … & Peretti-Watel, P. (2015). Vaccine hesitancy among general practitioners and its determinants during controversies: a national cross-sectional survey in France. EBioMedicine2(8), 891-897.

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