Health care delivery models and Nursing practice 1000 words

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Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

  1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
  2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
  3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
  4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the 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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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Cystic Fibrosis

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Discussion 1

Melissa, a 12-year-old girl with cystic fibrosis comes to the primary care office with complaints of increased cough and productive green sputum over the last week. She also complains of increasing shortness of breath. She denies sore throat or nasal congestion. On physical examination, her temperature is 101 and she has inspiratory wheezes bilaterally. Negative lymphadenopathy noted. Posterior pharynx is pink without exudate. BP 112/72 HR 96 RR 28. 1.

In cystic fibrosis, the airway microenvironment favors bacterial colonization. In a minimum of 150 words explain the pathophysiological reason for this occurrence.

APA 7 format

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Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

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New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

  • Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
  • Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
  • Identify and select 4 peer-reviewed research articles from your research.
  • For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

  • Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
  • Include an introduction explaining the purpose of the paper.
  • Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
  • In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.
  • Use APA format and include a title page.

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Nursing homework help

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As a psychiatric nurse practitioner, before you can recommend potential pharmacotherapeutics to address a patient’s condition or disorder, you must understand the basic function and structure of the neuron and central nervous system. For this Assignment, you will review and apply your understanding of neuroanatomy by addressing a set of short answer prompts.

To Prepare:

  • Review the Learning Resources for this week in preparation to complete this Assignment.
  • Reflect on the basic function and structure of the neuron in relation to the central nervous system.
  • Reflect on the inter-connectedness between neurons and the central nervous system, including the pathway and distribution of electrical impulses.
  • Reflect on how neurons communicate with each other and review the concept of neuroplasticity.

Photo Credit: Getty Images/Science Photo Libra

To complete:

Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.

  1. In 4 or 5 sentences, describe the anatomy of the basic unit of the nervous system, the neuron. Include each part of the neuron and a general overview of electrical impulse conduction, the pathway it travels, and the net result at the termination of the impulse. Be specific and provide examples.
  2. Answer the following (listing is acceptable for these questions):
    • What are the major components that make up the subcortical structures?
    • Which component plays a role in learning, memory, and addiction?
    • What are the two key neurotransmitters located in the nigra striatal region of the brain that play a major role in motor control?
  3. In 3 or 4 sentences, explain how glia cells function in the central nervous system. Be specific and provide examples.
  4. The synapse is an area between two neurons that allows for chemical communication. In 3 or 4 sentences, explain what part of the neurons are communicating with each other and in which direction does this communication occur? Be specific.
  5. In 3–5 sentences, explain the concept of “neuroplasticity.” Be specific and provide examples.

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Nursing homework help

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Why is it necessary for health workers, particularly those involved in leisure and recreation program management, to identify and analyze the impacts of political and social policy on people with disabilities and their families through the life course? Support your answers with appropriate examples from life or work experience.

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QUALITATIVE RESEARCH MAKE IT REAL

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Consider the statement:

Qualitative researchers study people in their natural settings, attempting to make sense of phenomena in terms of the meanings people bring to them.

Using the Learning Resources and other academic sources you found, expand on this simple statement. In 3–4 paragraphs, explain several dimensions of this paradigm that make qualitative research interesting and unique. Be sure to use the terminology you are learning (including but not limited to “phenomena”, “constructivist,” and “naturalistic”), and provide historical context.

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Nurs 1003

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1. During morning rounds, your patient states, “I will never get better, I can’t get any sleep in this place…can you help me?”  What are some independent nursing interventions you could implement to assist this patient?”

2.  What is your family’s cultural background?  How do your various family members respond to pain?  Is your response to pain consistent with your cultural influence?

3.  As a nurse, how would you respond if you were caring for a patient with a terminal illness who said to you, “I am in such pain and I can’t take it anymore, please help me die now.”

4.  A patient is stressed about an upcoming surgery and asks you to pray with her.  Would you?  Is this the role of the RN?  How could you facilitate prayer with the patient?

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Ethical and Legal Implications of Prescribing Drugs

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What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient?

These are some of the questions you might consider when selecting a treatment plan for a patient.

As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond.

To Prepare

  • Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs,      disclosure, and nondisclosure.
  • Review the scenario assigned by your Instructor for this Assignment.
  • Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your      Instructor.
  • Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber,      pharmacist, patient, and patient’s family.
  • Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

Write a 3- to 4-page paper that addresses the following:

  • Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
  • Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
  • Explain two strategies that you, as an advanced practice nurse, would use to guide your decision-making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.
  • Explain the process of writing prescriptions, including strategies to minimize medication errors.

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.

· Chapter 1, “Prescriptive Authority” (pp. 1–3)

· Chapter 2, “Rational Drug Selection and Prescription Writing” (pp. 4–7)

· Chapter 3, “Promoting Positive Outcomes of Drug Therapy” (pp. 8–12)

· Chapter 4, “Pharmacokinetics, Pharmacodynamics, and Drug Interactions” (pp. 13–33)

· Chapter 5, “Adverse Drug Reactions and Medication Errors” (pp. 34–42)

· Chapter 6, “Individual Variation in Drug Response” (pp. 43–45)

American Geriatrics Society 2019 Beers Criteria Update Expert Panel. (2019). American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society, 67(4), 674–694. doi:10.1111/jgs.15767

American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults by American Geriatrics Society, in Journal of the American Geriatrics Society, Vol. 67/Issue 4. Copyright 2019 by Blackwell Publishing. Reprinted by permission of Blackwell Publishing via the Copyright Clearance Center.

This article is an update to the Beers Criteria, which includes lists of potentially inappropriate medications to be avoided in older adults as well as newly added criteria that lists select drugs that should be avoided or have their dose adjusted based on the individual’s kidney function and select drug-drug interactions documented to be associated with harms in older adults.

Drug Enforcement Administration. (n.d.-a). Code of federal regulations. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1300_01.htm

This website outlines the code of federal regulations for prescription drugs.

Drug Enforcement Administration. (n.d.-b). Mid-level practitioners authorization by state. Retrieved May 13, 2019 from http://www.deadiversion.usdoj.gov/drugreg/practioners/index.html

This website outlines the schedules for controlled substances, including prescriptive authority for each schedule.

Drug Enforcement Administration. (2006). Practitioner’s manual. Retrieved from http://www.legalsideofpain.com/uploads/pract_manual090506.pdf
This manual is a resource for practitioners who prescribe, dispense, and administer controlled substances. It provides information on general requirements, security issues, recordkeeping, prescription requirements, and addiction treatment programs.

Drug Enforcement Administration. (n.d.-c). Registration. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/drugreg/index.html

This website details key aspects of drug registration.

Fowler, M. D. M., & American Nurses Association. (2015). Guide to the Code of Ethics for Nurses with Interpretive Statements: Development, Interpretation, and Application (2nd ed.). Silver Spring, Maryland: American Nurses Association.

This resource introduces the code of ethics for nurses and highlights critical aspects for ethical guideline development, interpretation, and application in practice.

Institute for Safe Medication Practices. (2017). List of error-prone abbreviations, symbols, and dose designations. Retrieved from https://www.ismp.org/recommendations/error-prone-abbreviations-list

This website provides a list of prescription-writing abbreviations that might lead to misinterpretation, as well as suggestions for preventing resulting errors.

Ladd, E., & Hoyt, A. (2016). Shedding light on nurse practitioner prescribing. The Journal for Nurse Practitioners, 12(3), 166–173. doi:10.1016/j.nurpra.2015.09.17

This article provides NPs with information regarding state-based laws for NP prescribing.

Sabatino, J. A., Pruchnicki, M. C., Sevin, A. M., Barker, E., Green, C. G., & Porter, K. (2017). Improving prescribing practices: A pharmacist‐led educational intervention for nurse practitioner students. Journal of the American Association of nurse practitioners, 29(5), 248–254. doi:10.1002/2327-6924.12446

The authors of this article assess the impact of a pharmacist‐led educational intervention on family nurse practitioner (FNP) students’ prescribing skills, perception of preparedness to prescribe, and perception of pharmacist as collaborator.

As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult.

State of Florida

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Case Study on Death and Dying

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The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.

Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.

Provide a 1,500-2,000-word ethical analysis while answering the following questions:

  1. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
  2. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
  3. As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
  4. What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
  5. Given the above, what options would be morally justified in the Christian worldview for George and why?
  6. Based on your worldview, what decision would you make if you were in George’s situation?

Remember to support your responses with the topic study materials.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is 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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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Postpartum Depression Fact Sheet

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7/8/21, 3:18 PMFeedback for BC2003 Assessment Submission (Attempt 1) – BC2003: Social Ecological Model – Walden University – Tempo Learning

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BC2003 Rubric Activity: BC2003 Assessment Submission (Attempt 1)

Course: BC2003: Social Ecological Model

Name: Aiyana Watson

Rubric Criteria 0 – Not Present 1 – Needs Improvement 2 – Meets Expectations

Learning Objective 1.1: Apply the Social Ecological Model to health

conditions or diseases.

Learning Objective 2.1: Apply health behavior theories and models to

health behaviors.

Learning Objective 3.1: Apply Healthy People 2020 focus areas and

objectives to health conditions or diseases.

Response is not present. Fact sheet includes a reference to the

Social Ecological Model that is

incomplete or unclear, or the

application of the level is not

explained fully.

Response is not present. Fact sheet includes a health behavior

theory or model that is inapplicable,

or the application of the theory or

model is not explained fully.

Response is not present. Fact sheet identifies and explains the

Healthy People 2020 focus area that

was chosen and describes one or

more objectives within that focus

area that apply directly to the health

condition or disease and the

vulnerable population selected.

Criterion Feedback

Please specify which HP2030 topic or objective addresses this health issue

Response is not present. Fact sheet fails to fully address one

or more aspects of the health

condition or disease (prevention,

Fact sheet includes a reference to at

least one level of the Social

Ecological Model and describes how

the health condition or disease is

explained at that level.

Fact sheet includes a reference to at

least one health behavior theory or

model and describes how the theory

or model helps to explain associated

health behaviors.

Fact sheet identifies a Healthy

People 2020 focus area and/or

objective that does not fully apply, or

neglects to explain how it applies to

the vulnerable population chosen.

Fact sheet includes information on

prevention, detection, and treatment

of the selected health condition or

 

 

7/8/21, 3:18 PMFeedback for BC2003 Assessment Submission (Attempt 1) – BC2003: Social Ecological Model – Walden University – Tempo Learning

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Learning Objective 3.2: Analyze prevention, detection, and treatment

of health conditions or diseases.

Learning Objective 3.3: Identify population statistics applicable to

health conditions or diseases.

Learning Objective 3.4: Compare population health conditions or

disease statistics.

Learning Objective 3.5: Apply culturally and linguistically appropriate

standards to educational material.

Learning Objective 3.6: Evaluate culturally appropriate visual

material.

detection, and treatment).

Response is not present. Fact sheet includes statistics that are

not fully applicable to the health

condition or disease or the vulnerable

population selected, or the statistics

are invalid.

Response is not present. Fact sheet includes a comparison that

is not applicable, not clear, or

inaccurate.

Response is not present. Fact sheet contains some information

or language that is not culturally

appropriate.

Response is not present. Fact sheet contains less than two

pieces of visual material or the

material presented is not culturally

appropriate.

Mastery Rubric No Yes

Learning Objective 1.1: Synthesize information from various sources. Fact sheet gives a comprehensive and culturally appropriate overview of the health

condition or disease that synthesizes

information from a variety of sources.

0 – Not Present 1 – Needs Improvement 2 – Meets Expectations

disease.

Fact sheet includes at least two

different statistics that pertain

directly to the health condition or

disease and to the vulnerable

population selected.

Fact sheet includes at least one

statistical comparison between data

specific to the health condition or

disease and vulnerable population

and a population that is comparable.

Fact sheet contains information and

language that is culturally

appropriate to the vulnerable

population selected. Language is also

tailored to that culture.

Fact sheet includes at least two

pieces of visual material that are

culturally appropriate to the

vulnerable population selected.

Fact sheet does not give a comprehensive and

culturally appropriate overview of the health

condition or disease that synthesizes

information from a variety of sources.

 

 

7/8/21, 3:18 PMFeedback for BC2003 Assessment Submission (Attempt 1) – BC2003: Social Ecological Model – Walden University – Tempo Learning

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Professional Skills Building

Written Communication WC 1.1: Construct complete and correct

sentences.

Written Communication WC 1.2: Demonstrate the effective use of

grammar and mechanics.

Written Communication WC 1.3: Create cohesive paragraphs with a

clear central idea.

Written Communication WC 1.4: Use supporting material to support

a claim.

Written Communication WC 1.6: Identify sources.

Quantitative Fluency QF 1.2: Use both narrative and graphic form to

explain the same data.

Engaging Multiple Social and Cultural Perspectives EP 1.1: Recognize

the value of one’s own and others’ social and cultural perspectives.

Sentences are incoherent and impede

the reader’s access to ideas.

Sentences are incomplete and/or

include fragments and run-on

sentences, limiting the reader’s access to ideas.

Multiple inaccuracies in grammar and

mechanics impede the reader’s

access to ideas.

Some inaccuracies in grammar and

mechanics limit the reader’s access to

ideas.

Paragraphs, or lack of paragraphs,

impede reader’s access to ideas.

Construction of main idea and/or

supporting paragraphs limit the

reader’s access to ideas.

Supporting materials are not present. Supporting material is used

inconsistently or inappropriately.

Sources are missing. Writing inconsistently identifies or

misrepresents sources.

Graphs and/or narrative is not

present.

Supportive connection between

narrative and graph is not clearly

explained.

Recognition is not present. Response demonstrates a vague

understanding of the value of one’s

own and others’ social and cultural

perspectives.

Recognition is not present. Response demonstrates a vague

understanding of how different

cultural and social perspectives might

Sentences’ structure effectively

conveys meaning to the reader.

Use of grammar and mechanics is

straightforward and effectively

conveys meaning to the reader.

Main idea and/or supporting

paragraphs effectively convey

meaning to the reader.

Supporting material is used to

enhance meaning. Writing is

appropriately paraphrased and uses

direct quotes, as applicable.

Writing clearly identifies the source

of nonoriginal material and/or ideas.

Narrative explanation of quantitative

data explains the graph and the

graph illustrates and clarifies the

narrative.

Response demonstrates a clear

understanding of the value of one’s

own and others’ social and cultural

perspectives.

Response demonstrates a clear

understanding of how different

cultural and social perspectives might

 

 

7/8/21, 3:18 PMFeedback for BC2003 Assessment Submission (Attempt 1) – BC2003: Social Ecological Model – Walden University – Tempo Learning

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Overall Score

Engaging Multiple Social and Cultural Perspectives EP 1.2: Recognize

how knowledge from different cultural and social perspectives might

affect interpretations of issues in society.

Engaging Multiple Social and Cultural Perspectives EP 1.3: Evaluate

the source of one’s own perspectives on selected issues in culture

and society.

Engaging Multiple Social and Cultural Perspectives EP 1.4: Evaluate

competing social and cultural perspectives on specific problems in

order to arrive at a solution.

affect interpretations of issues.

Evaluation is not present. Response provides an incomplete

evaluation of the source of one’s own

perspectives on selected issues in

culture and society.

Evaluation is not present. Response provides an incomplete

evaluation of the source of

perspectives and/or does not offer a

viable solution.

0 – Not Present 1 – Needs Improvement 2 – Meets Expectations

affect interpretations of issues.

Response provides a thorough

evaluation of the source of one’s own

perspectives on selected issues in

culture and society.

Response provides a thorough

evaluation of differing perspectives

and is able to make a judgment

regarding viable solutions.

 

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