Assess the past and present impact nurses

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  1. Assess the past and present impact nurses, including advanced professional/advanced practice nurses, have made in addressing this health issue.
  2. Describe how nurses can become more broadly involved with influencing health policy related to this issue. Include resources available.
  3. Hypothesize how nurses can positively impact future outcomes related to the provision of care for persons affected by the health issue.
  4. Synthesize all aspects of the health care issue through a summary conclusion, concisely tying up Parts 1-6 of the CLC – Health Issue Analysis.

Refer to “CLC Health Issue Analysis Overview.”

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Discusion board

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Part A

What is the difference between model, theory, framework, and philosophy? How are they related? (Discriminate between the concepts.)

Part B

Differentiate between specialty nursing practice and advanced practice nursing by comparing and contrasting these levels of practice in the following dimensions: knowledge base, scope of practice, credentialing, and regulation.

(400 WORDS both)

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Essay

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Select a family to complete a family health assessment. (The family cannot be your own.)

Before interviewing the family, develop three open-ended, family-focused questions for each of the following health patterns:

Values, Health Perception

Nutrition

Sleep/Rest

Elimination

Activity/Exercise

Cognitive

Sensory-Perception

Self-Perception

Role Relationship

Sexuality

Coping

NOTE: Your list of questions must be submitted with your assignment as an attachment.

 

After interviewing the family, compile the data and analyze the responses. See question and answers attached..

In 1,000-1,250 words, summarize the findings for each functional health pattern for the family you have selected.

Identify two wellness problems based on your family assessment.

 

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

First page must only have my name and university name will provide.  1250 word essay no plagiarism attached see questions and answers sumize the finding for each functional health pattern for the family you have selected. Identify two health problems on the family and provide essey. Must be ready by Tomorrow at 10:00 am eastern standard time

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Assignment 2: Middleville Regional Healthcare. Due Week 9 and worth 160 points

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  1. Middleville Regional Health Care is one (1) of three (3) hospitals serving a community of 350,000 people. Summary statistics on Middleville and its competitors, from the AHA Guide, are shown below in Table 1. All three organizations are not-for-profit.

     

    Table 1: Middleville, Brierfield, and Greystone Health Care Systems

     

    Name Beds Admissions Census OP Visits Births Expenses (000) Personnel
    Middleville 575 13,000 350 221,000 2,300 $125,000 2,000
    Brierfield 380 17,000 260 175,000 1,200 $130,000 1,875
    Greystone 350 10,000 180 40,000 900 $80,000 1,200

     

    The governing board of Middleville hired a consulting company to evaluate its strategic performance, specifically in the areas of Human Resources, Information Technology, Financing, and Marketing. As part of the consultant’s evaluation, several leaders of Middleville’s units were asked their perspective of the organization’s performance.

     

    You are working for the consultant. Your job is to identify the issues from the response that should be considered further by the consultant team and possibly discussed with the governing board and the CEO. The firm has a rule, “Never offer a criticism or negative finding without suggesting how the client organization can correct it,” so you must indicate what sort of correction you would recommend as part of your list. Because you know there were about two (2) dozen other interviews, you decide you should rank your issues in importance, to make sure the most critical are discussed.

     

    Write a six to eight (6-8) page paper in which you:

    1. Explain the governing board’s role in these strategic initiatives, determining its responsibility and involvement.
    2. Evidence-based management means that operational and strategic decisions are made based upon the evidence that goals and objectives are actually being met. Quantitative measurements must be identified and measured. This data is then used to evaluate the HCO’s performance. Name three (3) performances Middleville can use to measure its success in providing quality healthcare to the community, and identify quantifiable, measureable indicators that can be used to do so. Explain the importance of each performance measurement.
    3. Given the statistics of Middleville and its two (2) competitors provided in Table 1, recommend to the HCO what areas it should focus on to maintain its competitive market share as well as continue to provide healthcare to the community in the 21st century.
    4. Some of Middleville’s Board members are very interested in pursuing advanced technology systems over the next five (5) years, while others are concerned about the enormous expense and need assurance that the investment in technology will be worthwhile. In both monetary and process terms, describe the costs and benefits associated with implementing EMR and associated health data systems. Lay out a plan for how various systems can be implemented.
    5. Middleville has faced many challenges in recruiting and retaining nurses and other clinical employees. The economy has hit the area very hard and budgetary limitations have reduced the amount of money available for salary increases. The Board knows it needs to provide other benefits to their valued employees. Provide at least two (2) suggestions to Human Resources to promote employee satisfaction and, therefore, retain experienced personnel.
    6. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.
    7. Format your assignment according to the following formatting requirements:

    a.     Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.

    b.    Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page is not included in the required page length.

    c.     Include a reference page. Citations and references must follow APA format. The reference page is not included in the required page length.

     

    The specific course learning outcomes associated with this assignment are:

    • Examine how healthcare management concepts and theories are applied to critical issues in healthcare organizations.
    • Analyze the critical management issues, purpose, functions, and performance measures of different departments within healthcare organizations.
    • Explain how public policy has shaped the development of the U.S. healthcare system.
    • Use technology and information resources to research issues in health services organization management.
    • Write clearly and concisely about health services organization management using proper writing mechanics.

    Click here to view the grading rubric for this assignment.

     

  2. By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.

 

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Strategic Plan for change

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Outline for Strategic Plan for Change Paper

Write a structured outline of your paper including the references you plan for each section.

1. Introduction and Statement of the Problem

1.1. What is the problem?

1.2. Why is it important enough to warrant a change?

1.2.1. Scholarly Reference #1

1.2.2. Scholarly Reference #2

1.2.3. Scholarly Reference #3

*References in this section support the importance (2-3 is adequate to establish that the problem is significant). These may be peer reviewed journal articles and may or may not, be original research. 

2. Review of Literature

2.1. Research Reference #1

2.2. Research Reference #2

2.3. Research Reference #3

2.4. Research Reference #4

2.5. Research Reference #5

The review of literature section requires at least five current scholarly peer reviewed articles. Research articles are required for this section! Include a short synopsis of the studies, the population studied, and indicate if the research is Qualitative or Quantitative. The purpose of a literature review is to identify strategies for change to address the problem. This is not a place for articles establishing the problem (that is in the introduction/background). Example of Research Reference:

MacKusick, C. I., & Minick, P. (2010). Why are nurses leaving? Findings from an initial qualitative study on nursing attrition. Medsurg Nursing, 19(6), 335-340.

Mackusick and Minick (2010) conducted an interpretive, qualitative study to identify reasons influencing the decisions of RNs to leave clinical practice.

3. Synthesis of the Evidence

3.1. Provide a clear, concise, summary of potential actions derived from your evidence review.

3.2. Compare and contrast recommendations to improve on the problem.

3.3. Determine the best action for your organization and make a succinct statement of your recommended plan.

4. Suggested Courses of Action

4.1. Restate the action you want to occur

4.2. Outline how you will implement the change

4.3. Use and identify a Change theory or Leadership strategy to guide the change process.

4.4. Who, what, when, and where?

5.  Summary or Conclusion

5.1. Summarize the main ideas and arguments, pulling everything together to help clarify the thesis of the paper.

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critical thinking

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For this assignment, compose a critical analysis of a journal article found in the Saudi Digital Library regarding the concept of population health. If possible, find a topic that is related to the Middle East.

Your essay must include the following:

· Title page

· Introductory paragraph – a brief paragraph that simply introduces the topic

· Body – a series of cohesive paragraphs that include in-text citations (this is where your critical analysis comes in with support from the in-text citations)

· Concluding paragraph – a brief paragraph that summarizes the information, refers back to the introductory paragraph, or offers a future outcome of the information presented in the essay body

· Reference page(s) formatted according to Saudi Electronic University and APA standards

 

The purpose for writing a critique is to evaluate a piece of work in order to increase your understanding of it. Refer back to the lecture notes regarding critical reading and analysis. Keep in mind that even though a critical analysis is subjective writing because it expresses the writer’s opinion or evaluation of a text, it is not appropriate to use first-person voice.

Directions:

· Your essay should be 3-5 pages in length, not including the title and reference pages.

· You must include a minimum of three credible sources. Use the Saudi Digital Library to find your resources.

· Your paper must follow Saudi Electronic University academic writing standards and APA style guidelines, as appropriat

Use APA style

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Assessing Clients with Addictive Disorders

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Addictive disorders can be particularly challenging for clients. Not only do these disorders typically interfere with a client’s ability to function in daily life, but they also often manifest as negative and sometimes criminal behaviors. Sometime clients with addictive disorders also suffer from other mental health issues, creating even greater struggles for them to overcome. In your role, you have the opportunity to help clients address their addictions and improve outcomes for both the clients and their families. For this Assignment, as you examine the Levy Family video in this week’s Learning Resources, consider how you might assess and treat clients presenting with addiction.

 

N: B EACH OF THE 5 EPISODES TO WATCH (REQIURED MEDIA) FOR THIS ASSIGNGMENT IS DOWNLOADEDN IN WORD FORMAT AS A TRANSCRIPT AND ATTACHED TO THIS ASSIGNMENT. 

 

 

Learning Objectives

Students will:

· Assess clients presenting with addictive disorders

· Analyze therapeutic approaches for treating clients with addictive disorders

· Evaluate outcomes for clients with addictive disorders

To prepare:

· Review this week’s Learning Resources and consider the insights they provide.

· Review the Levy Family video Episodes 1 through 5.

 

The Assignment

In a 2- to 3-page paper, address the following:

· After watching Episode 1, describe:

o What is Mr. Levy’s perception of the problem?

o What is Mrs. Levy’s perception of the problem?

o What can be some of the implications of the problem on the family as a whole?

· After watching Episode 2, describe:

o What did you think of Mr. Levy’s social worker’s ideas?

o What were your thoughts of her supervisor’s questions about her suggested therapies and his advice to Mr. Levy’s supervisor?

· After watching Episode 3, discuss the following:

o What were your thoughts about the way Mr. Levy’s therapist responded to what Mr. Levy had to say?

o What were your impressions of how the therapist worked with Mr. Levy? What did you think about the therapy session as a whole?

o Informed by your knowledge of pathophysiology, explain the physiology of deep breathing (a common technique that we use in helping clients to manage anxiety). Explain how changing breathing mechanics can alter blood chemistry.

o Describe the therapeutic approach his therapist selected. Would you use exposure therapy with Mr. Levy? Why or why not? What evidence exists to support the use of exposure therapy (or the therapeutic approach you would consider if you disagree with exposure therapy)?

· In Episode 4, Mr. Levy tells a very difficult story about Kurt, his platoon officer.

o Discuss how you would have responded to this revelation.

o Describe how this information would inform your therapeutic approach. What would you say/do next?

· In Episode 5, Mr. Levy’s therapist is having issues with his story.

o Imagine that you were providing supervision to this therapist, how would you respond to her concerns?

· Support your approach with evidence-based literature. AND INCLUDE INTRODUCTION, CONCLUSION WITH REFERENCES.

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

  • Chapter 7, “Motivational Interviewing” (pp. 299–312)
  • Chapter      16, “Psychotherapeutic Approaches for Addictions and Related Disorders”      (pp. 565–596)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Albrecht, U., Kirschner, N. E., & Grusser, S. M. (2007). Diagnostic instruments for behavioral addiction: An overview. German Medical Science Psycho-Social-Medicine, 4, 1–11. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2736529/

Fisher, M. A. (2016). The ethical ABCs of conditional confidentiality. In Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals (pp. 13–25). Washington, DC: American Psychological Association. doi:10.1037/14860-002

 

Required Media 

N: B EACH OF THE 5 EPISODES TO WATCH (REQIURED MEDIA) FOR THIS ASSIGNGMENT IS DOWNLOADEDN IN WORD FORMAT AS A TRANSCRIPT AND ATTACHED TO THIS ASSIGNMENT. 

Laureate Education (Producer). (2013c). Levy family: Episodes 1 [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 2 minutes.

Laureate Education (Producer). (2013c). Levy family: Episodes 2 [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 2 minutes.

Laureate Education (Producer). (2013c). Levy family: Episodes 3 [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 6 minutes.

Laureate Education (Producer). (2013c). Levy family: Episodes 4 [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 5 minutes.

Laureate Education (Producer). (2013c). Levy family: Episodes 5 [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 2 minutes.

Laureate Education (Producer). (2012c). In their own words [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 23 minutes

 

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Nursing homework help

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Physiologic birth includes spontaneous vaginal birth at term with minimal technologic and pharmacologic interventions. Many perinatal interventions currently used decreases physiologic birth.

Using information from evidence based findings found in current professional resources; respond to the following.

·         Describe two (2) potential health benefits for the maternal/fetal dyad resulting from physiologic birth care practices.

 

·         Describe how the registered nurse would promote physiologic birth.

 

 

·         Describe why multidisciplinary collaboration is important when promoting/supporting physiologic birth.

 

 

350 words, reference, repeat of questions and citation in text not count. Make sure it’s in APA

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Class 1 Unit 8

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Purpose: Comment the Discussion

 

THINGS TO REMEMBER:

Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

1 References, find resources that are 5 years or less

No errors with APA format 6 Edition

 

Discussion:

The New Regulatory Model for APRNs

Review content in the Hamric textbook that refers to the proposed new Regulatory Model for APRNs. Go to the Internet to review the full text of the Consensus Model. Review regulations imposed by your state board of nursing. How will the new model improve practice parameters and patient safety in your state?

 

R/ APRN is used to describe advanced practice nursing in a regulatory context.  As times change and the need for certain healthcare services are altered, education, practice, and regulations of advanced practice nursing must also change.  In order for these regulations to be understood by the profession and the patients, a clear and standardized language must be used across all forums.  Some states have different credentialing methods and do not recognize some APN roles for title protection.  APRN credentialing is composed of: licensure, accreditation, certification, and education.  It is important for new APRN graduates to follow the regulations for their state when beginning to practice as an advance practice nurse (Hamric, Hanson, Tracy, & O’Grady, 2014).

“The Consensus Model provides guidance for states to adopt uniformity in the regulation of APRN roles” (NCSBN).  The target completion date for the implementation of the Consensus Model was 2015 (the model itself was completed in 2008); many states have adopted sections but there still exists variation from state to state.  This model is supported and maintained by more than forty nursing organizations.  The Consensus Model is supposed to increase job satisfaction and promote advance practice nurse independence.  Each of the four APRN roles are defined within the Consensus Model: certified registered nurse anesthetist (CRNA), certified nurse-midwife (CNM), clinical nurse specialist (CNS), and certified nurse practitioner (CNP).  The American Nurses Credentialing Center (ANCC) has initiated plans to change certification processes in order for them to reflect the model’s regulations.  For a smooth transition with the implemented model, look to the ANCC for current licensure guidelines.  It is important to keep APRN certification up-to-date, especially with the transition of the Consensus Model (ANCC, 2017).

The state Board of Nursing is a governing body specific to each state that enforces the Nurse Practice Act and nurse licensure, accredits universities, and develops practice standards and policies.  According to the Consensus Model implementation status, Virginia is at 14-20 points, which equates to about 50-71%.  In Virginia, the goal of the Consensus Model is to allow more independence of APRNs.  Changes are prone to occur with titling and licensure (Douglas, 2012).  I believe the new Consensus Model, once fully implemented in Virginia, will result in positive change.  It will give APRNs more autonomy and respect within their communities.  Healthcare practices and policies will be better regulated, which will increase patient safety.

The Consensus Model defines each category of advance practice nursing and makes licensure, accreditation, certification, and education a streamlined process.  The purpose is to increase the stamina of APRNs.  Even though there might still be differences from state to state based upon populations and care that is needed, this model is also lessoning the gap of those differences.

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HLT-515 Topic 4 DQ 2

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Max Points: 8.0

 

Can health care policy shape the way in which social institutions are viewed by an individual or population group? Support your position with examples and/or evidence.

 

 

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