Data-Based Changes

Write an word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) scholarly citations using APA citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

1. Identify one aspect of big data and data mining that is interesting to you. Explain the concept and how it might bring value to healthcare. 
2. Describe the concept of continuity planning. If you were the director or manager for your current workplace, describe the preparedness program you would recommend.
3. Locate an article discussing the use of informatics in healthcare education of the general public or of nursing students. Discuss the benefits and drawbacks to using technology in this situation and recommendations from the author. Do you feel this use of technology is a viable method of educating (the public or nursing students)? Why or why not?

“Mrs. Walsh, a woman in her 70s, was in critical condition after repeat coronary artery bypass graft (CABG) surgery. Her family lived nearby when Mrs. Walsh had her first CABG surgery. They had moved out of town but returned to our institution, where the first surgery had been performed successfully. Mrs. Walsh remained critically ill and unstable for several weeks before her death. Her family was very anxious because of Mrs. Walsh’s unstable and deteriorating condition, and a family member was always with her 24 hours a day for the first few weeks.
The nurse became involved with this family while Mrs. Walsh was still in surgery, because family members were very anxious that the procedure was taking longer than it had the first time and made repeated calls to the critical care unit to ask about the patient. The nurse met with the family and offered to go into the operating room to talk with the cardiac surgeon to better inform the family of their mother’s status.
One of the helpful things the nurse did to assist this family was to establish a consistent group of nurses to work with Mrs. Walsh, so that family members could establish trust and feel more confident about the care their mother was receiving. This eventually enabled family members to leave the hospital for intervals to get some rest. The nurse related that this was a family whose members were affluent, educated, and well informed, and that they came in prepared with lists of questions. A consistent group of nurses who were familiar with Mrs. Walsh’s particular situation helped both family members and nurses to be more satisfied and less anxious. The family developed a close relationship with the three nurses who consistently cared for Mrs. Walsh and shared with them details about Mrs. Walsh and her life.
The nurse related that there was a tradition in this particular critical care unit not to involve family members in care. She broke that tradition when she responded to the son’s and the daughter’s helpless feelings by teaching them some simple things that they could do for their mother. They learned to give some basic care, such as bathing her. The nurse acknowledged that involving family members in direct patient care with a critically ill patient is complex and requires knowledge and sensitivity. She believes that a developmental process is involved when nurses learn to work with families.
She noted that after a nurse has lots of experience and feels very comfortable with highly technical skills, it becomes okay for family members to be in the room when care is provided. She pointed out that direct observation by anxious family members can be disconcerting to those who are insecure with their skills when family members ask things like, “Why are you doing this? Nurse ‘So and So’ does it differently.” She commented that nurses learn to be flexible and to reset priorities. They should be able to let some things wait that do not need to be done right away to give the family some time with the patient. One of the things that the nurse did to coordinate care was to meet with the family to see what times worked best for them; then she posted family time on the patient’s activity schedule outside her cubicle to communicate the plan to others involved in Mrs. Walsh’s care.
When Mrs. Walsh died, the son and daughter wanted to participate in preparing her body. This had never been done in this unit, but after checking to see that there was no policy forbidding it, the nurse invited them to participate. They turned down the lights, closed the doors, and put music on; the nurse, the patient’s daughter, and the patient’s son all cried together while they prepared Mrs. Walsh to be taken to the morgue. The nurse took care of all intravenous lines and tubes while the children bathed her. The nurse provided evidence of how finely tuned her skill of involvement was with this family when she explained that she felt uncomfortable at first because she thought that the son and daughter should be sharing this time alone with their mother. Then she realized that they really wanted her to be there with them. This situation taught her that families of critically ill patients need care as well. The nurse explained that this was a paradigm case that motivated her to move into a CNS role, with expansion of her sphere of influence from her patients during her shift to other shifts, other patients and their families, and other disciplines”
Critical thinking activities
1. Discuss the clinical narrative provided here using the unfolding case study format to promote situated learning of clinical reasoning (Benner, Hooper-Kyriakidis, & Stannard, 2011).
2. Regarding the various aspects of the case as they unfold over time, consider questions that encourage thinking, increase understanding, and promote dialogue, such as: What are your concerns in this situation? What aspects stand out as salient? What would you say to the family at given points in time? How would you respond to your nursing colleagues who may question your inclusion of the family in care?
3. Using Benner’s approach, describe the five levels of competency and identify the characteristic intentions and meanings inherent at each level of practice.

1. Locate one primary research article, systematic review or practice guidelines related to the PICO question that is a report of an evidence-based practice or a quality improvement project.  Thous this assignment involves finding one (1) article, keep in mind that you must describe the process on how you were able to locate the article.  Then, answer the following questions:
   1. What is the level of evidence that best answers your PICO question?
   2. What relevant databases did you search to find the article?
   3. What keywords from your PICOT question were used to search the database?
   4. What strategies were applying to streamline your search?
   5. Did you use “MeSH terms”, Boolean connectors or parameters to help you search for the evidence?

Discuss the intent of each of these five laws that are presented in Chapter Two of your course text:

1. The establishment of the National Institute of Mental Health (1946)
2. The Mental Health Study Act (1955)
3. The Community Mental Health Centers Act (1963)
4. The Economic Opportunity Act (1964)
5. The Schneuer Sub-professional Career Act (1966)

Additionally, describe the role of the National Organization for Human Service Education and the Council for Standards in Human Service Education in their application.  

Your assignment should be two- to- three pages (excluding title and reference pages).  Include at least two references to online sources and at least one peer-reviewed journal article that was published within the last five years found at the Ashford online library.  All sources must be formatted according to APA guidelines as outlined in the Ashford University Library.

Student Course Self-Reflection (Guided Essay)

Learners must complete a final applied self-reflection essay on their performance of the course based on the documents and artifacts provided in the performance portfolio. This essay must include at least 5 paragraphs and be limited to a maximum of 2 pages.

1. What have you learned in the course that will help you continue to grow as a professional in your chosen career?

During this course I learned many things from The History of Public Health Worldwide, The most commons Ethical Issues,What is the Health Services System, the Healthcare needs of the Hispanic Community in the U.S, Reforming of the U.S. Health Care System, The Consensus Model and its impact on the future of Nursing Practice, Healthy Communities, the strategies in Health Promotion, Prevention, and Interventions.

2. Which specific assignment for this course was your best work? Name one. What makes it your best work? What did you learn by creating it? What does it say about you as a student in regards to your degree concentration? How do you plan to use it in your field?

during this course I did various assignments but the one that taught me the best material was when I presented the powerpoint about FULL AUTHORITY FOR NURSE PRACTITIONERS IN THE STATE OF FLORIDA, my powerpoint had all the points that I needed to understand what is an full authority nurse practitioner in florida and thanks to this class I am aware of the laws and policies.

3. In which area(s) will you likely continue to strengthen your knowledge or competencies 

an area that I need to continue to strengthen my knowledge is in the the nursing theories, they are very complex and have a lot of information that is very valuable in the nursing profession.

4. Which strategies did you use to learn the material in this course?, Which were the most effective? Why

the strategy that I used to help me in this class was all the information the teacher gave me I would read everything before class and always keep myself in the same topic before jumping to the other one.

5. How did your communication skills improved with this course? Discuss new vocabulary, the style of the profession (writing and oral), others.

I am a Spanish speaker however I do speak English fluently but I can say that my vocabulary is bigger now because all the new difference terms I learned during this class.

NO REFERENCE NEEDED 

MUST BE APA STYLE

PLEASE ELABORATE IN THE ESSAY THIS IS AN ASSIGNMENT THAT I MUST TALK ABOUT MY EXPERIENCE DURING THIS CLASS THE NAME IS  Public health Policies, Ethics, and Systems.