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Discussion 1|2025

February 15, 2025/in Nursing Questions /by Besttutor

Discussion 1

Top of Form

What essential elements should be included in a health teaching plan addressing physical, emotional, social, and spiritual challenges in adolescents?

 

Me reply1 :

Adolescence refers to the period between the ages of 10-24 years when individuals make transitional developments from childhood to adulthood. It is characterized by remarkable physical, intellectual and emotional changes, relationships, expectations and social role changes. These changes are essential in the individual’s development and provide a functional foundation as an adult (Susman, Koch, Maney & Finkelstein, 2020). In this period, the health of the individuals is physically, emotionally, spiritually, socially and cognitively at optimum. It is essential to address these issues through an effective health plan to ensure sustainable developments in adolescents.

The physical health teaching plan should focus on the maturation of organic systems since it is the time of slow metabolism where some organs increase in size. In the emotional and social health, adolescents undergo a series of social and emotional changes as they age. Therefore, the teaching should focus on how they relate with their parents, body image, self-concept, sexuality, dating and the importance of peers (Koch, Maney & Susman, 2020). Spiritually, the focus on health teaching should be based on the development of moral values since a lot of their decisions are emotion-based, which raises concerns on societal standards.

A health teaching on physical, social, emotional and spiritual developments should be sufficient to create resilient among adolescents. Parents and health professionals should support and nurture them to navigate that problematic passage of adolescence to adulthood. Every professional can make a positive impact on them during that period, and they should be taken care of and provided with the necessary resources to meet their needs. They should also be encouraged to cope with their situations and considered worthy.

 

Professor question:

Greter, that was a thought-provoking post. Thank you for expressing your views so clearly.

Do you think anything would be gained by health care professionals engaging the parents of pre-teens and teens — helping the parents be the role models for their kids — helping them take their parenting roles seriously and arming them with the tools they need?

Reply 2 AureenBottom of Form

Adolescence is the change that occurs from childhood to adulthood. During adolescent years changes in an individual occurs in their physical, emotional, social and spiritual aspects. Adolescence years has 3 stages that starts in early , middle  and lastly adolescent. Most of the psychosocial issues we encounter today, started from poor health promotion teaching during adolescent years. Health teaching is essential during this years as this builds the foundation of the future of our health care. It is during this years that the insights of children matures and therefore become individuals later in life, with their own perspectives. Being healthy is not only characterized by physical wellbeing but as well as emotional , spiritual and social.

Th essential elements of health teaching in adolescents is communication where in it allows for them to feel comfortable and be able to share their thoughts without the fear of judgment. On the physical aspect, the challenge would be interacting with the opposite sex. It is important to discuss with them the importance of precaution before intimacy. They should have awareness on STDs  including AIDS/HIV. It protects themselves and others as well as reducing the rates of acquiring STDs due to lack of awareness. Emotional and social aspects are important due to issues we face in America today in regard to mental health. The society has changed, many children have fear of not being accepted in the society which affects their emotional wellbeing. Building healthy relationship is important especially with parents as they will serve as guide to the children going through this stage. Lastly, spirituality gives a sense of balance, as their spiritual beliefs and moral values will allow them to make right choices. All this I believe can be achieved with open communication.

Bottom of Form

 

Discussion 2

Top of Form

Discuss  factors that contribute to risk-taking behaviors and situations during adolescence.  What impact might stress play on this age group? Do you see any connection between stress and common adolescent risk factors?  Consider the findings from the 2013 APA report Stress in America on millennials (pages 19-21 of the report).

 

 

Reply 1 Elizabeth

Adolescents often believe that they are invincible to disease and injury, which leads to risk-taking behaviors. With an increasing reliance on their peers and decreasing reliance on their parents, if their friends are engaging in risk-taking behaviors, the adolescent will likely jump on board and do the same. They also believe that they are the exception to the rule, and that what may happen to someone else, won’t happen to them.

According to the American Psychological Association (2013), millennials rate a healthy level of stress at a 4/10 but on average rate their own stress at a 5.4, and 39 percent say their stress increased in the last year (p. 19). They also “are most likely to say that they engage in unhealthy behaviors because of stress (p. 20).”

Adolescents have less life experience to draw from; therefore, it stands to reason that the more stressed someone is with less experience and fewer coping skills, they are going to be more likely to engage in poor choices and risk-taking behaviors.

 

Reply 2 Hannie

Adolescence is usually viewed as a lengthy period of transition whereby the individual goes through major changes that are physical. The individual’s social-emotion changes also take place. It is a stage that is risky for young people since it comes together with challenges that comes as a surprise to young people. Boys and girls go through hormonal changes hence there are mood swings and transformation in behaviors. The adolescence develops their sense of identity which independent from that of their parents and the caregivers. How they relate with their parents, teachers and their peers can have a great impact in their behaviors. Their desire to experience adult behaviors subjects them to the risks that are associated with young people. They usually feel that they are the only people experiencing feelings. As they imagine, their willingness to engage in risky behaviors increases.  The culture and gender is also a factor in their behaviors which in some instances pose them to the risks.

Stress is a major factor when it comes to the changes that young people go through. Due to the strange things that happen in their life, they become stressed up and this may lead to them losing focus in life. At this age, the individuals may lose focus in life especially academically. It is therefore evident that there is a clear connection between stress and adolescent risk factor.

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Evidence based practice|2025

February 15, 2025/in Nursing Questions /by Besttutor

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

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Psychiatric Nursing Questions|2025

February 15, 2025/in Nursing Questions /by Besttutor

This quiz will cover the following topics in the attachment, which relate to psychotherapy with individuals in the Wheeler textbook and the Fisher textbook.

See the attachment for the open book quizzes and study guide.

                                                Learning Resources

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.

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Home Safety Plan Concept Map|2025

February 15, 2025/in Nursing Questions /by Besttutor

Assignment: Home Safety Plan Concept Map (individual activity)

Instructions – Students should develop a concept map that holistically addresses the following:

o Mr. Amid’s strengths and challenges as an individual, as member of a family, and as a member of a community (Students should use creativity and logic to fill in the gaps in Mr. Amid’s story that are not explicit in the virtual experience.)

o The map should also identify and cluster home safety issues from the perspective of what was observed in the virtual experience and what was missing or unable to be assessed in Mr. Amid’s environment.

o Upload the completed concept map in the dropbox provided.

Note: The drawing tools in MS Word should be sufficient to create a digital concept map; purchase of concept mapping software is not required to complete this assignment.

MODEL 6 NOTES

8/21/2020 5:49:47 AM

A response that validates Mr. Amid’s assessment that he has   never had a problem before, while explaining that you want to prevent   anything bad from happening in the future, is the best option. A   confrontational, judgmental style is not appropriate (such as suggesting that   Mr. Amid will fall and break his other hip, or that you believe he would want   to make changes). Nor it is appropriate to address a concern for the   grandchildren (however kind in intention) by suggesting that the   grandchildren should clean the home, instead of addressing Mr. Amid’s ongoing   health issues.

8/21/2020 5:47:27 AM

Cleaning the home and removing hazards (such as standing water   and repairing items with frayed electrical cords) are necessary changes   before Mr. Amid’s environment will be safe enough for him to return home. Pet   feces and rodents are a sanitation/cleanliness issue, and can also be a   health hazard, as are food and liquids that have been open and out of the   refrigerator. Standing water in tubs, sinks and large buckets can be a health   hazard, as well as a drowning hazard for children. Because frayed cords   present a fire hazard, they will need to be removed or repaired before they   are used again. Although it is important to present Mr. Hassan Amid with   smoking-cessation materials, putting up “No Smoking” signs throughout his   house is not the best option. Although it might be helpful to go shopping and   fill the refrigerator and cupboards with healthy foods, this is not the role   of the PHN.

8/21/2020 5:46:39 AM

Risk for fall Fire Dirty Disorganized

8/21/2020 4:40:28 AM

You should systematically assess the exterior and interior of   Mr. Amid’s home for concerns that may pose a health or safety hazard or risk   for him and his extended family. There are eight locations in Mr. Amid’s   house and yard you must visit. Open the map view of his property by clicking   on the Map button along the left edge of the screen. Click on a point on the   map to move to that location. Each location will have two to four indicators.   For example, you start in the front yard where there are three indicators you   must click on.

8/21/2020 4:39:50 AM

Needs assessment on home for safety issues Risk for fall

8/21/2020 4:37:37 AM

Hello, my name is Hassan Amid. I’m 78 and have lived alone   since my wife passed away over a year ago. I am trying to get by the best I   can, but it is hard without my Amara. This old house has been the gathering   place for our family since we built it in 1950, but at times I wonder if I   can still take care of it. Both of my children and their families live near   enough to visit regularly. I love it when my grandkids and great-grandkids   come over to see me and play with the old toys I have in the house. I have bad   arthritis, diabetes, high blood pressure, and some trouble with my heart. I   do take lots of medications, but I do a pretty good job of keeping them   straight. Last month I tripped on my back deck and broke my hip. They fixed   the hip and then sent me to a transitional care unit where I have been   getting physical and occupational therapy. They tell me I am getting better,   and should be ready to go home soon, but my house is kind of a mess, and one   of the nurses told me she isn’t sure it is safe for me to live there right   now. At least with being here for a month, I’m not smoking any more. I’m   pretty happy about that. They are going to send one of the public health   nurses over to check out my house to see what needs to be fixed so it is safe   for me to live there again. They told me that after the nurse goes through my   house, she will visit me and help me with a plan to fix the house.

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Advocacy Through Legislation|2025

February 15, 2025/in Nursing Questions /by Besttutor

Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.

For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment.

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.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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.

AttachmentsNRS-440V-RS4-AdvocacyThroughLegislation.docx

Week 4 assignmet should be interesting for you. It is a form, but please, still follow APA rules for citations and references. PLease the form, it is attached to tasks under week 4. below is a copy of it so you can see what to expect. Think of an idea that needs changed, research the literature and what does the evidence say about this? Next, who can you talk to about it and how can you get funding? See below for the form questions, and yes there is a rubric.

My suggestion, work smart, not hard. The form is provided, so use it! Please remember to put your name on it, and save the doc with your inititals or name (please). As always, if any questions, please ask me!

Problem

In no more than 250 words, describe the problem, who is affected, and the current ramifications. Explain the consequences if the issue continues.

Idea for Addressing Solution

In no more than 250 words, outline your idea for addressing the issue and explain why legislation is the best course for advocacy.

Research the Issue

Perform research and compile information for your idea. Present substantive evidence-based findings that support your idea for addressing the problem (studies, research, and reports). Include any similar legislation introduced or passed in other states.

Evidence 1

Literature review here

Evidence 2

 

Stakeholder Support

Discuss the stakeholders who would support the proposed idea and explain why they would be in support.

Stakeholder(s) Supporting 1

Stakeholder(s) Supporting 2

 

Stakeholder Opposition

Discuss the stakeholders who would oppose the proposed idea. Explain why they would be in opposition and how you would prepare to debate or converse about these considerations.

Stakeholder(s) Opposed 1

Stakeholder(s) Opposed 2

 

Financial Incentives/Costs

In no more than 250 words, summarize the financial impact for the issue and the idea (added costs, cost savings, increased revenue, etc.). Provided support.

Legislature: Information Needed and Process for Proposal

Discuss the how to advocate for your proposal using legislation. Include the following: give me names in your state

Provide the name and complete contact information for the legislator.

Describe the steps for how you would present this to your legislator.

Outline the process if your legislator chooses to introduce your idea as a bill to congress.

Christian Principles and Nursing Advocacy

In no more than 250 words, discuss how principles of a Christian worldview lend support to legislative advocacy in health care without bias. Be specific as to how these principles help advocate for inclusiveness and positive health outcomes for all populations, including those more vulnerable, without regard to gender, sexual orientation, culture, race, religion/belief, etc.

Advocacy Through Legislation

No of Criteria: 11 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less Than Satisfactory75.00 %Satisfactory79.00 %Good89.00 %Excellent100.00 %Content100.0     Problem, Those Affected, Current Ramifications, and Consequences if Problem Continues15.0A description of the problem, those affected, current ramifications, and consequences if the issue continues is omitted.A partial or vague discussion of the problem, those affected, current ramifications, and consequences if the issue continues is presented. Why the problem would be best addressed through legislation is unclear.A summary of the problem, those affected, current ramifications, and consequences if the issue continues is presented. There are some omissions and inaccuracies. Rationale is needed.A discussion of the problem, those affected, current ramifications, and consequences if the issue continues is presented. Some rationale is needed.A well-develop discussion of the problem, those affected, current ramifications, and consequences if the issue continues is presented. Strong and compelling rationale is provided. Insight into the problem and consequences is demonstrated.Idea for Addressing Solution10.0Idea for addressing the issue and why legislation is the best course for advocacy is omitted.Idea for addressing the issue is vague. Why legislation is the best course for advocacy is unclear. There are major omissions.Idea for addressing the issue is generally outlined. Why legislation is the best course for advocacy is summarized. There are some minor omissions. Rationale is needed.Idea for addressing the issue is outlined. Why legislation is the best course for advocacy is generally explained. Some rationale is needed.A logical and well-developed idea for addressing the issue is outlined. Why legislation is the best course for advocacy is thoroughly explained. Strong and compelling rationale is provided.Research Supporting Solution for Problem15.0Substantive evidence-based findings that support the idea for addressing the problem, including similar legislation in other states, are omitted.

Some support for the idea and its effectiveness in addressing the problem is presented. Findings presented are not substantiated, or do not provide evidence-based support for the idea.Substantive evidence-based findings that support the idea for addressing the problem, including similar legislation in other states, are generally presented. More information is needed. There are some inaccuracies.Idea for addressing the issue is outlined. Why legislation is the best course for advocacy is generally explained. Some rationale is needed. Substantive evidence-based findings that support the idea for addressing the problem, including similar legislation in other states, are presented. There are minor inaccuracies. Some detail is needed.Substantive evidence-based findings that support the idea for addressing the problem, including similar legislation in other states, are presented and demonstrate strong and compiling support for the idea.Stakeholder Support10.0Stakeholders in support the proposed idea are omitted.At least one stakeholder in support of the proposed idea is presented. The assignment criteria are largely incomplete.Substantive evidence-based findings that support the idea for addressing the problem, including similar legislation in other states, are generally presented. More information is needed. There are some inaccuracies.General stakeholders in support of the proposed idea are presented. It is unclear why they are in support of the idea. More information is needed.Key stakeholders in support of the proposed idea are presented. It is generally clear why they are in support of the idea. Some detail or rationale is needed.All significant stakeholders in support of the proposed idea are presented and a well-supported explanation of why they are in support of the idea are provided.

Stakeholder Opposition10.0Stakeholders in opposition to the proposed idea are omitted.At least one stakeholder in support of the proposed idea is presented. The assignment criteria are largely incomplete.At least one stakeholder in opposition to the proposed idea is presented. The assignment criteria are largely incomplete.General stakeholders in opposition to the proposed idea are presented. Explanation for why they are opposed to the idea and strategies for debating or conversing with opposing stakeholders is vague.Key stakeholders in opposition to the proposed idea are presented. A general explanation for why they are opposed to the idea and strategies for debating or conversing with opposing stakeholders is presented.All significant stakeholders in opposition to the proposed idea are presented. A well-supported explanation for why they are opposed to the idea and strategies for debating or conversing with opposing stakeholders is presented.Financial Incentives and Costs10.0The financial impact for the issue and idea is omitted.The financial impact for the issue and idea is only partially presented. The assignment criteria are largely incomplete.The financial impact for the issue and idea is outlined. More information or support is needed for claims.The financial impact for the issue and idea is summarized. Support for claims is generally supported.The financial impact for the issue and idea is clearly summarized. Strong rationale and support for claims is provided.Legislature Process and Information for Proposal10.0Legislative information needed and process to advocate for proposal are omitted.Legislative information needed and process to advocate for proposal are largely incomplete.

Legislative information needed and process to advocate for proposal are generally outlined.There are some inaccuracies or omissions.The financial impact for the issue and idea is summarized. Support for claims is generally supported.Legislative information needed and process to advocate for proposal are presented. Information or detail is needed in some areas for accuracy or clarity.Legislative information needed and process to advocate for proposal are clearly and logically presented. The legislative process is clearly understood and insight into legislative advocacy is demonstrated.Christian Principles and Nursing Advocacy10.0A discussion of how Christian principles supporting unbiased advocacy for health care legislation is omitted.A discussion of how Christian principles support unbiased advocacy for health care legislation is incomplete. It is unclear how the principles support positive patient outcomes and inclusiveness for all populations.A summary of how Christian principles support unbiased advocacy for health care legislation is presented. Some rationale or information is needed to demonstrate how the principles support positive patient outcomes and inclusiveness for all populations.A discussion of how Christian principles support unbiased advocacy for health care legislation is presented. The discussion generally demonstrates how the principles support positive patient outcomes and inclusiveness for all populations. Some detail or information is needed for clarity.A well-developed discussion of how Christian principles support unbiased advocacy for health care legislation is presented.

The discussion demonstrates an ability to act impartially and in the interest of promoting inclusive patient care without regard to gender, sexual orientation, culture, race, religion, or belief.Research5.0No outside sources were used to support the assignment.Few outside sources were used to support the assignment. Limited research is apparent.Research is adequate. Sources are standard in relevance, quality of outside sources, and/or timeliness.Research is timely and relevant, and addresses all of the issues stated in the assignment criteria.Research is supportive of the rationale presented. Sources are distinctive. Addresses all of the issues stated in the assignment criteria.Mechanics of Writing (includes spelling, punctuation, grammar, and language use)2.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.The writer is clearly in command of standard, written, academic English.Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)3.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  100

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WEEK 5 DCE|2025

February 15, 2025/in Nursing Questions /by Besttutor

Assignment 2: Digital Clinical Experience: Focused Exam: Cough

In this DCE Assignment, you will conduct a focused exam related to cough in your DCE using the simulation tool, Shadow Health. You will determine what history should be collected from the patient, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.

 

Photo Credit: Getty Images

To Prepare
  • Review this week’s Learning Resources and consider the insights they provide related to ears, nose, and throat.
  • Review the Shadow Health Resources provided in this week’s Learning Resources specifically the tutorial to guide you through the documentation and interpretation within the Shadow Health platform. Review the examples also provided.
  • Review the DCE (Shadow Health) Documentation Template for Focused Exam: Cough found in this week’s Learning Resources and use this template to complete your Documentation Notes for this DCE Assignment.
  • Access and login to Shadow Health using the link in the left-hand navigation of the Blackboard classroom.
  • Review the Week 5 Focused Exam: Cough Rubric provided in the Assignment submission area for details on completing the Assignment in Shadow Health.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
Focused Exam: Cough Assignment:

Complete the following in Shadow Health:

  • Respiratory Concept Lab (Required)
  • Episodic/Focused Note for Focused Exam: Cough
  • HEENT (Recommended but not required)

Note: Each Shadow Health Assessment may be attempted and reopened as many times as necessary prior to the due date to achieve a total of 80% or better (this includes your DCE and your Documentation Notes), but you must take all attempts by the Week 5 Day 7 deadline.

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.

Chapter 2, “The Comprehensive History and Physical Exam” (Previously read in Weeks 1, 3, 4, and 5)

Bedell, H. E., & Stevenson, S. B. (2013). Eye movement testing in clinical examination. Vision Research 90, 32–37. doi:10.1016/j.visres.2013.02.001. Retrieved from https://www.sciencedirect.com/science/article/pii/S0042698913000217 

Rubin, G. S. (2013). Measuring reading performance. Vision Research, 90, 43–51. doi:10.1016/j.visres.2013.02.015. Retrieved from http://www.sciencedirect.com/science/article/pii/S0042698913000436  

Harmes, K. M., Blackwood, R. A., Burrows, H. L., Cooke, J. M., Harrison, R. V., & Passamani, P. P. (2013). Otitis media: Diagnosis and treatment. American Family Physicians, 88(7), 435–440.

Otolaryngology Houston. (2014). Imaging of maxillary sinusitis (X-ray, CT, and MRI). Retrieved from http://www.ghorayeb.com/ImagingMaxillarySinusitis.html

This website provides medical images of sinusitis, including X-rays, CT scans, and MRIs (magnetic resonance imaging).

Document: Episodic/Focused SOAP Note Exemplar (Word document)
 

Document: Episodic/Focused SOAP Note Template (Word document)

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NR 632 week 1 LA|2025

February 15, 2025/in Nursing Questions /by Besttutor

Directions

For Week 1, complete the Learning Agreement with self-identified goals to meet COs and initial plans to meet those self-identified goals; review the TIPS document to help you and discuss your goals and plans with your mentor. Your mentor must sign the Learning Agreement for your Week 1 submission.

The agreement should be revised each week to reflect completed goals, additional goals, and changes to the plan dictated by the actual experience or revisions suggested by faculty or the mentor. At the end of the practicum experience, evaluate success with your mentor and obtain the mentor’s signature at the bottom of agreement. Save this form as a Word document and enter required information directly onto it; submit the completed Learning Agreement, signed by your mentor, on the Friday of Week 8. See the Learning Agreement Grading Rubric for grading details.

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Discussion Board prompt 1|2025

February 15, 2025/in Nursing Questions /by Besttutor

What is the difference between a protocol, standard of care delivery, and policy at the practice, state, and federal level? Briefly outline each. What are the perceptions of the health care delivery system from the perspectives of patients, providers, payers, and policy makers? Discuss at least one perception from one of the populations listed: patient, provider, payer, and policy maker.

 

Due date 08/22/2020

2 replies. References and APA

Bottom of Form

Reply 1 Ingrid

Protocols can be defined as an official procedures or system process’ implemented by a facility, institution, or government establishment. Standards of care delivery is defined as a diagnostic and/or treatment process that a health care provider or professional must adhere to base on a certain type of condition, condition, and/or circumstance. Policy is defined as course of action adopted by a business, corporation, hospital, and/or government establishment (Shiel, 2018).

At the practice level, protocols are what healthcare workers must perform as a guide to a management of a clinical situation and is incorporated into systems as a way healthcare professionals to provide the best evidenced-based care to their patients (n.d.). At the state level and federal level, professional expectations are established and provide the consistency to ensure quality of care. Nurses are expected to follow state and federal level regulations to protect the patient. If the standards of care according to state and federal levels are not met, legal implications can occur as the nurse can be found violating the standard of care. The legal implications can lead to malpractice on the health care professional (n.d.).

A perception that patients have regarding health care delivery system is that health care professionals are held to a standard and must be competent to perform their duties. Patients understand their condition with expectations regarding their treatments, if their treatments are not met, Patients know well enough to file complaints or legal action against the health care employee. From a provider perspective, health care professionals must attend proper schooling and complete a license exam. Having that license ensures that you are competent. The license can be revoked if you are unable to perform your duties therefore a health professional must be responsible and accountable for their actions.

 

Reply 2 Kristopher

Protocols are an agreed framework outlining the care that will be provided to patients in a designated area of practice. An example of this is a protocol to evaluate and discontinue unnecessary urinary catheters. This protocol has a set of guidelines that can be followed and carried out without a physicians order.

Standard of care delivery describes the care patients should be offered by health professionals and health services for a specific clinical condition or defined clinical pathway in line with current best evidence. (Clinical Care Standards, n.d.)

Health policy refers to decisions, plans, and actions that are undertaken to achieve specific health care goals within a society. An explicit health policy can achieve several things: it defines a vision for the future which in turn helps to establish targets and points of reference for the short and medium term. It outlines priorities and the expected roles of different groups; and it builds consensus and informs people. (Health policy, 2013)

Patient wants satisfactory health treatment, providers focus on patient safety, payers are responsible for enabling the process of patient access and policy makers have viewpoint to provide services, plan and manage health care policies.

Among all, patients’ perception needs to be discuss in detail here because insights of providers, payers and policy makers are concerned with them and their treatment. In a patient’s viewpoint, he or she is expecting, competent, compassionate and ethical care.

 

2 Board Discussion.

Due date 08/22/250250

APA, references.

 

Discussion Prompt 1

Describe how the educational level achieved by a nurse or the entry point into professional nursing practice affects the quality and competence of a nurse’s participation in policy making.Why it is important for registered nurses to influence the regulatory process? Does the nurses education have influence on their ability to make an impact?

Discussion Prompt 2

Reflect on what you have learned in this course. What were your major takeaways? Surprises? How will you apply what you have learned to your career?

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Nursing homework help|2025

February 15, 2025/in Nursing Questions /by Besttutor

TASK 1

  1. You put this assignment online for sale and I bought it. You did the topic: The plan for healthy Angeleno Communities. It look like this assignment was submitted by somebody in 2020. ((Submission date: 19-Sep-2020 05:44PM (UTC+0200) Submission ID: 1391243777
    File name: PolicyBriefTemplate1.docx (37.87K)
    Word count: 1228

Character count: 7130

TASK 2

Task 2 is how you organized the information to write the brief for task 2. I have enclosed the task 1 so you can understand what you wrote and use it to do task 2. Which is the one I am disputing.

  1. Write an advocacy action plan summary (suggested length of 100 words or less) of the process you used to create your advocacy plan

2. List a SMART goal for moving your policy brief forward

3. Provide a list of local, state, or federal policymakers’ contact information

Note: (you should search and list the names/firms/agencies etc and real contact information of local, state, or federal state who you submitted the policy brief to (you may assume you submitted the brief or will submit the brief but the names/contacts etc should be real and should come from the Angeleno Community in Los Angeles, if this community really exists, not Canada.

Task 1 seems to be somebody’s work that has been submitted so you should explain before I dispute that also. (Submission date: 19-Sep-2020 05:44PM (UTC+0200) Submission ID: 1391243777
File name: PolicyBriefTemplate1.docx (37.87K)
Word count: 1228

Character count: 7130

  • 3. Write a letter or email and a copy of this email/letter is to be submitted for this assignment to indicate that you sent a letter to the policy makers to make an inquiry about the process for agenda setting
  •  Write an action plan for informing media and stakeholders, including five strategies for informing the media and stakeholders of the importance of your identified policy issue

Note: you need to name the stakeholder/people who have interest in the topic you wrote for TASK 1 and explain the strategies to achieve your advocacy goals.

  • 4. list seven interprofessional team-building techniques (this should be a list)
  • 5. list five interprofessional stakeholders and a description of how each stakeholder will contribute to meeting your SMART goal

(Name them, eg nurse, social workers etc that will help to make the SMART goal listed in #5 works)

•   6. Write the agenda that will be followed when you meet with stakeholders (a team meeting agenda) for your first team meeting

Number the assignment as shown and do it right. English should be right. If you cannot do it, refund the money for both tasks (1 and 2) and delete your account. This is the 3rd time I am getting work done form you and I have to do it all over by myself, causing me to be suspicious because you were using examples from CANADA and I do not know you are writing from Russia. Just do the assignment well and ….

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PICO(T) Evidence Review|2025

February 15, 2025/in Nursing Questions /by Besttutor

PICOT EVIDENCE REVIEW 2

 

Appendix A

 

PRISMA Diagram

 

( Identification ) ( Additional records identified through other sources (n = 4 ) ) ( Records identified through database searching (n = 7 ) )

 

( Records after duplicates removed (n = 3 ) )

 

( Screening )

( Full-text articles assessed for eligibility (n = 3 ) ) ( Records excluded (n = 3 ) ) ( Records screened (n = 8 ) ) ( Full-text articles excluded, with reasons (n = 5 ) )

 

( Eligibility )

 

( Studies included in qualitative synthesis (n =1 ) )

 

( Studies included in quantitative synthesis (meta-analysis ) (n = 2 ) ) ( Included )

 

Appendix B

 

Evidence Appraisal Table Template

 

Study citation: Halms, M. A. (2013). Nursing handoffs: Ensuring safe passage for patients. American Journal of Critical Care, 22(2), 158-161
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
Identification of handoff-related events that were reported in the Pennsylvania healthcare facilities from 2014 to 2015. Systematic review 1,565 handoff-related events In Pennsylvania Acceptance of responsibility for the care of the patient attainable by means of enhancing communication effectiveness

 

 

 

Enhancement of the safety and quality of handoff that requires the implementation of strategies that can support that initiative

Used Pennsylvania Patient Safety Reporting System (PA-PSRS)

Out of 1,565 handoff-related event

reports, 99.1% (n = 1,551) were Incidents while the remaining 0.9%

(n = 14) Serious Events

 

 

1

 

Appendix B

 

Evidence Appraisal Table Template

Study citation: Gordon, M & Findley, R., (2011). Educational interventions to improve handover in healthcare: a systematic review. Med Educ.  45(11):1081–1089.
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
Educational interventions to improve handover in health care Systematic review Sample involved undergraduate and postgraduate nurses

 

educational interventions and how they relate to published theoretical models

 

Data extraction and quality appraisal completed independently, and content analysis in the interventions conducted as well as the key themes extracted. 10 studies met inclusion criteria and 9 studies met outcomes with improved attitudes and knowledge skills, and one demonstrated skills transfer to the workplace.

 

 

1

 

 

 

 

Appendix B

 

Evidence Appraisal Table Template

Study citation: Gogan, J. L., Baxter, R. J., Boss, S. R., & Chircu, A. M. (2013). Handoff processes, information quality and patient safety. Business Process Management Journal, 19(1), 70-94.
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
To study on clinical processes and clinical handoffs so as to determine how the two disciplines could be combined to attain improved patient safety in handoffs. Systematic review Two studies reviewed for information comparison Recommended that there should be a use of SOPs (standard operating procedures), regularly audited clinical pathways, supporting software, and checklist so as to improve the handoffs.

 

Proper patient handoffs necessitated improved patient safety and quality information sharing and transfer between practitioners. There is a need for the health sector to initiate a trans-disciplinary methodology in research so as to respond to information quality issues that are related to clinical handoff processes, and in turn apply the research evidence to improve patient safety.  

3

 

 

 

 

Appendix B

 

Evidence Appraisal Table Template

 

Study citation: Butcher, L. (2015). The high-stakes handoff. Trustee, 68(3), 8-10,12.
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
To use nursing homes patient care platforms to set baseline for improved patient handoffs Integrative review Two studies reviewed for information comparison Improved patient handoffs would be attained if; – developing the right setting for patients being discharged from hospitals

-standardization across the care continuum

-emphasize on longitudinal care planning

-use nurse care navigators to initiate successful of patients from one care setting to another.

Rethinking nurse staffing roles

Assigning skilled nursing experts to work directly with post-acute care health providers

Redesigning care to gain collaboration in post-acute providers

Nursing homes have largely helped in meeting patient care needs and sustaining improved patient handoffs

 

 

2

 

 

 

 

 

Study citation: Benham-Hutchins, M. M., & Effken, J. A. (2010). Multi-professional patterns and methods of communication during patient handoffs. International journal of medical informatics, 79(4), 252-267.
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
Identification of current methods of passing and sharing patient information between practitioners, determine the dominant methods, and recommend the improvement strategies that could be deployed to enhance the efficiency in handoffs Integrative review Five patient handoffs used The study recommended the improvement methods that would encompass the conversion of all units to the electronic health record, electronic handoff communication modules and asynchronous multi-professional communication logs In patient handoffs, the common methods used were inclusive of verbal communication either via phone or in person, via written paper charts, and use of electronic records.

Verbal communication seemed to be highly preferred than the rest of the methods and it had reduced discrepancies.

84% of the participants preferred verbal communication during handoffs

82% of emergency department providers and 54% of those in admitting units were satisfied with verbal communication methodology in patient handoffs

 

 

 

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