discussion responses x 10

10 Discussion responses

2- 510

4-521

4-561

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Discussion Board

 Review the following website https://phsc.edu/sites/defa ult/files/program/files/Nurs e-Practice-Act.pdf American Association of Nurse Practitioners “Standards of Practice” http://www.aanp.org/imag es/documents/publication s/standardsofpractice.pdf 

1-Discuss at least 3 regulations impose in APRN in the state of Florida.

 2-Would you like to change the process. Explain options.

APA style please, 600 words, 2 references not older than 5 years. 

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Data Sharing and Bioinformatics

The exchange of data has many implications, some beneficial, but some risky. Consider the exchange of sensitive information, a dilemma that has a seemingly simple solution: That information should be protected. Yet, in a public health context, how does privacy complicate the possibility of improving outcomes across a population? For example, how can data drawn from genomic sequencing be protected and contribute to the body of knowledge? In this Discussion, you explore a similar question.

For this Discussion, consider the following scenario: 

You are a nurse geneticist who is working for a teaching and research hospital. Your position is to promote the provider use of genetic testing for a specific drug trial. While most physicians are eager to participate in the research, a provider who primarily treats patients with HIV is reluctant to use the trial on their patients and feels utilizing the database system is a violation of HIPAA.

As a nurse leader, describe the recommendation you might make to this provider and explain why.

· Search the Walden Library for a peer-reviewed journal article that contains research related to precision medicine to support your recommendation to the provider.

· The Walden Library recommends the following: 

o Navigate to the Nursing Research databases in the Walden Library. 

o Select a database with which to start. You can try more than one.

o Perform a basic search: precision medicine. Do not select any limiters yet.

o  Look at initial results, particularly if there are any recent books that might be helpful. Note that you can search within e-books for particular terms.

o  Add a second concept in Box 2 to focus your search. It helps to keep concepts separate, especially when multiple boxes are provided.

o  Example: HIPPA or Health Insurance Portability and Accountability Act 

o  At this point, look at the first page or two of results and refine depending on what you find. Notice any other relevant words or combinations of words that might focus your search further. Possible suggestions: privacy, security, confidentiality, ethics.

Mark A. Rothstein. Structural Challenges of Precision Medicine. The Journal of Law, Medicine & Ethics, 45 (2017): 274-279. doi: 10.1177/1073110517720655 

Wolf, L. E., Hammack, C. M., Brown, E. F., Brelsford, K. M., Beskow, L. M., Wolf, S. M., Clayton, E. W., & Lawrenz, F. (2020). Protecting Participants in Genomic Research: Understanding the “Web of Protections” Afforded by Federal and State Law. Journal of Law, Medicine & Ethics, 48(1), 126–141. https://doi-org.ezp.waldenulibrary.org/10.1177/1073110520917000

o To apply limits, scroll down in the left column to limit by date (last 5 years) and limit the results to peer-reviewed scholarly journals only. It helps to do this after you know you have performed a successful search and identified possible synonyms and sub-topics.

o To retrieve the full text of individual items, click on the Find@Walden button and follow the prompts. Sometimes this step takes persistence, since there are many different publishers supplying content to these databases.

By Day 3 of Week 5

Post a response that addresses in general and the research trial described in the scenario specifically. Be specific. Your post should include your approach for facilitating the reluctant physician’s use of the trial drug and reporting the needed data. Justify your role as the nurse informaticist as it pertains to the genetics trial drug use and reporting described in the scenario.

McBride, S., & Tietze, M. (2019). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism (2nd ed.). New York, NY: Springer Publishing.

· Chapter 11, “Electronic Health Records and Health Information Exchanges Providing Value and Results for Patients, Providers, and Healthcare Systems” (pp. 248–271)

· Chapter 13, “Public Health Data to Support Healthy Communities in Health Assessment Planning” (pp. 296–331)

· Chapter 15, “Personal Health Records and Patient Portals” (pp. 354–375)

· Chapter 16, “Telehealth and Mobile Health” (pp. 376–397)

· Chapter 22, “National Prevention Strategy, Population Health, and Health Information Technology” (pp. 532–555)

· Chapter 25, “Genomics and Implications for Health Information Technology” (pp. 610–637)

Note: Chapters 11 and 13, which were assigned in the previous week, are also applicable this week and are listed here for review purposes.

Shen, N., Bernier, T., Sequeira, L., Strauss, J., Silver, M. P., Carter-Langford, A., & Wiljer, D. (2019). Understanding the patient privacy perspective on health information exchange: A systematic review. International Journal of Medical Informatics, 125, 1–12.

Baseman, J. G., Revere, D., & Painter, I. (2017). Big data in the era of health information exchanges: Challenges and opportunities for public health. Informatics, 4(39), 1–10.

Orlova, A. O., Dunnagan, M., Finitzo, T., Higgins, M., Watkins, T., Tien, A., & Beales, S. (2005). An electronic health record-public health (EHR-PH) system prototype for interoperability in 21st century healthcare systems. AMIA Annual Symposium Proceedings, 2005, 575–579. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560434/

Founds, S. (2018). Systems biology for nursing in the era of big data and precision health. Nursing Outlook, 66(3), 283–292.

Calzone, K. A., Kirk, M., Tonkin, E., Badzek, L., Benjamin, C., & Middleton, A. (2018). The global landscape of nursing and genomics. Journal of Nursing Scholarship, 50(3), 249–256. 

Cheng, M. L., & Solit, D. B. (2018). Opportunities and challenges in genomic sequencing for precision cancer care. Annals of Internal Medicine, 168(3), 221–222.

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Dq feedback

In 100-150 words please provide feedback to this discussion…

Perception of Workplace Violence in the Emergency Department

This article is a cross-sectional study using healthcare professionals, surveying their workplace violence history, the amount of violence, and the type by emergency room nurses and physicians. Types of abuse were conducted as verbal, physical and conformation. Information also led to the impact of workplace violence on staff and how satisfied, feeling scared, loss of sleep and missing work were caused. One strength of this article was the questionnaire and the data that was provided using statistical analysis. A weakness of the article is the conclusion and what the results showed and how they affected staff at the VA hospitals and the huge impact that violence had on staff members.

Reference:

Seema Sachdeva, Nayer Jamshed, Praveen Aggarwal, & Suman R Kashyap. (2019). Perception of workplace violence in the emergency department. Journal of Emergencies, Trauma and Shock, 12(3), 179–184. https://doi-org.lopes.idm.oclc.org/10.4103/JETS.JETS_81_1

Physical and Verbal Assault on Medical Staff in Emergency Hospital Departments in Abha City, Saudi Arabia.

A questionnaire was used to evaluate workplace violence on emergency room medical staff of different emergency rooms around Saudi Arabia. This article had a strong background thesis and it provided the reader with facts about workplace violence. The different emergency room staff were used to collect data from staff using demographics, work history, and personal data and then the violence history questions were included. A weakness of this article was that it lacked relevance in demographics, marital status and age in my opinion to the thesis at hand.

Reference:

Alqahtani, M. A., Alsaleem, S. A., & Qassem, M. Y. (2020). Physical and Verbal Assault on Medical Staff in Emergency Hospital Departments in Abha City, Saudi Arabia. Middle East Journal of Family Medicine, 18(2), 94–100. 

Workplace Violence and Perceptions of Safety Among Emergency Department Staff Members: Experiences, Expectations, Tolerance, Reporting, and Recommendations

This article started with a great abstract, summarizing key details to be explained later on in the article. Statistics and comparisons were used to explain the impact and severity of workplace violence and the effect on health care providers. A study was conducted at a Level 1 Shock Trauma Center with strategies already in place with a survey sent out electronically analyzing demographics and violent incidents. The ENA definition of WPV which states “any physical assault; emotional or verbal abuse; or threatening, harassing or coercive behavior in the work setting that causes physical and/or emotional harm” (Copeland & Henry, 2017). A weakness of this article was that only one facility in the area was analyzed and difficult to compare the results of the surrounding areas.

Reference:

Copeland, D., & Henry, M. (2017). Workplace Violence and Perceptions of Safety Among Emergency Department Staff Members: Experiences, Expectations, Tolerance, Reporting, and Recommendations. Journal of Trauma Nursing, 24(2), 65–77. https://doi-org.lopes.idm.oclc.org/10.1097/JTN.0000000000000269

Workplace Violence against Residents in the Emergency Department and Reasons for not Reporting Them; a Cross-Sectional Study

Emergency Department residents were analyzed in a cross-sectional study of three teaching hospitals in Iran. A questionnaire was used analyzing demographics and the type and the reporting incidents when the violence was present. A strength of this article was the referencing of the World Health Organization and the statistics used to create a strong background of workplace violence and the prevalence. A weakness of this article was the limitation of time due to the time constraint that was conducted for the study. The study only analyzed 1 year of experiences despite longer educational programs of how long residents are in their practicum. 

Reference:

Emam, G. H., Alimohammadi, H., Sadrabad, A. Z., & Hatamabadi, H. (2018). Workplace Violence against Residents in the Emergency Department and Reasons for not Reporting Them; a Cross Sectional Study. Emergency, 6(1), 1–7.

Quality of work-life and its association with workplace violence of the nurses in emergency departments

Nurses were analyzed on how violence affected their home life, using a descriptive-correlational study with a questionnaire. The article had a strong and detailed introduction explaining the importance of the quality of work life. High quality work-life can create nursing retention and delivery of quality patient care. A weakness of this article was the details of the questionnaire were lengthy and divided into 3 different parts analyzing in-depth information of the nurses which can take a significant amount of time. 

Reference:

Eslamian, J., Akbarpoor, A. A., & Hoseini, S. A. (2015). Quality of work-life and its association with workplace violence of the nurses in emergency departments. Iranian Journal of Nursing & Midwifery Research, 20(1), 56–62.

Worker, workplace, and community/environmental risk factors for workplace violence in emergency departments

Six different emergency departments were used in cross-sectional research design, completing a survey on demographics. Over 280 respondents completed the survey and answers were analyzed. The article had great breakdowns of charts, common answers among hospital personnel and the different types of violence. A weakness in this article was the different variables of workplaces in different areas of the United States. Depending on the demographic area can change the environment for nurses and staff who are completing the surveys. 

Reference:

Gillespie, G. L., Pekar, B., Byczkowski, T. L., & Fisher, B. S. (2017). Worker, workplace, and community/environmental risk factors for workplace violence in emergency departments. Archives of Environmental & Occupational Health, 72(2), 79–86. https://doi-org.lopes.idm.oclc.org/10.1080/19338244.2016.1160861

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Teaching and Learning Styles

QUESTION 1 Describe the nurse’s role and responsibility as a health educator. What strategies, besides the use of learning styles, can a nurse educator consider when developing tailored individual care plans, or for educational programs in health promotion? When should behavioral objectives be utilized in a care plan or health promotion?                                                                                                                                                     QUESTION 2 A. Describe a health promotion model used to initiate behavioral changes. B.How does this model help in teaching behavioral changes? C. What are some of the barriers that affect a patient’s ability to learn? D. How does a patient’s readiness to learn, or readiness to change, affect learning outcomes?

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Identification of Research Topic

Grading 

Path

Filter Instructional Units

  • Course Materials
  • Topic 1: Current-Evidence-Based Research and the Research Process as Applied to the Allied Health Care
  • Study Materials
  • Tasks
    • Your Role in Communicating Research Information 
    • Identification of Research T

Identification of Research Topic 

The purpose of this assignment is to identify a topic for a health care field research paper which will inform subsequent assignments within this course.

Select a topic of interest from your work area, or within a specific health care field. Examples of appropriate topics may be found in your text, Understanding Research, and from the list below, but you are not limited to these examples. Possible topics:

  • Leaving a confused patient alone in the waiting room
  • Failure to label specimens
  • Leaving medication unsecured
  • Childhood obesity
  • Using technology, and protecting patient information and confidentiality
  • Managing the health care needs of an aging population

Complete a search utilizing the Library for at least three articles on your topic. After you have selected your articles, write a 250- to 500-word summary of the three articles, and address the following:        

  • State why you selected the topic.
  • Summarize the content of the articles.
  • Describe how the research process is used to communicate findings relevant to problem or issue resolution within evidence-based practice for improvement of care.
  • Conclude with an explanation of the significance of the evidence-based research of the topic to the standards for allied health care.

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DQ

The author of the assigned article, “Shattuck Lecture: A Successful and Sustainable Health System — How to Get There From Here”

(https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/929159711?accountid=7374) maintains that a sustainable health system has three key attributes. What are these three key attributes and what recommendations are offered to ensure efficiency, sustainability, and optimal functioning?  Please see attached file because the link may not ope. This ASSIGNMENT MUST BE  one page.

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What is an interaction?

 
What is an interaction? Describe an example and identify the variables within your population (work, social, academic, etc.) for which you might expect interactions? 

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epidemiology paper

 

Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance completing this assignment.

Communicable Disease Selection

Choose one communicable disease from the following list:

  1. Chickenpox
  2. Tuberculosis
  3. Influenza
  4. Mononucleosis
  5. Hepatitis B
  6. HIV
  7. Ebola
  8. Measles
  9. Polio
  10. Influenza

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Deliverable 7 – Senior Risk Analyst Presentation

Competencies

  • Construct a framework for identifying, evaluating, and categorizing risk and risk management tools.
  • Appraise the relationship between a heightened regulatory environment and corporate governance.
  • Evaluate the components of operational risk and the application of corresponding risk management plans.
  • Evaluate the principles of risk and reward in the investment sector and its applications to the broader area of risk management.

Scenario

LTD Acceptance is a private property and auto insurance carrier that specializes in sports cars and motorcycles. This organization is owned by LTD Capital, a large equity group with over 15 holdings. LTD Acceptance is the parent company’s single largest holding as it drives 70% of total revenue. Due to the inherent risk involved in that segment of the market, many of LTD Acceptance’s competitors do not offer policies for sports cars or motorcycles. This market segment is underserved which is why the organization has 20,000 active policies for a sports car or a motorcycle.

LTD is headquartered in Houston, TX. LTD does not sell insurance directly to the public. Instead, it uses third-party agents to sell its policies. LTD handles all customer service needs including claims intake, policy services, and general questions. The company operates in four states: California, Texas, Louisiana, and Florida. Currently, LTD does not have an active system in place to ensure that its agents are in fact using LTD guidelines to screen potential policyholders. However, no evidence of negligence has emerged so far as the organization has yet to have a year in which it was not profitable. LTD has also had the good fortune of not suffering losses because of natural disasters or catastrophic events.

Instructions

You have been hired for the role of Senior Risk Analyst. This means that you are responsible for overseeing and managing the organization’s all risk management activities. Before you can design a plan to manage risks, your first task is to identify the primary risk exposures the organization should acknowledge. The organization is also concerned about threats to its operational efficacy. Therefore, you need to also identify operational risk exposures and explain why operational losses must be categorized. The board is also seeking your input on the relationship between risk and reward and how it pertains to the company’s investment portfolio. Your supervisor has asked you to create a PowerPoint presentation of your report. Remember your audience when crafting your presentation, and include the following slides: 8 slides minimum 

  • Title slide
  • Evaluate the significance of identifying risks and address the ramifications of failing to do so.
  • Identify two insurance regulations and analyze their roles in managing risks within the insurance industry.
  • Identify the market, business, and compliance risks LTD encounters.
  • Explain why the operational losses cannot be broadly managed. Why do they have to be categorized?
  • Examine the relationship between risk and reward and how it pertains to investing.
  • Explain why effective financial management correlates with risk management.
  • Your conclusion slide should include at least three risk management activities relevant to insurance (and your rationale for choosing them specifically) and how they link to enhanced organizational effectiveness.

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