NR632 week 5SR

Respond + summary 

 

This week, we talk about relevant professional organizations and scholarly journals of interest to the nurse executive. I am choosing to focus on Advocacy in this week’s discussion and expand on the organization I identified in last week’s lesson. The professional organization  I chose to help promote the cause identified is the Turner Syndrome Foundation. This foundation will provide valuable information in promoting awareness and facilitating education on Turner Syndrome. This organization can be a valuable resource in promoting this cause as they have made many connections within the healthcare industry, have done vast amount of research, and hold fundraisers each year in order to get to where they currently are. This organization facilitates educate and spreads awareness not only to the public but to healthcare providers and workers who can most utilize this information while taking care and treating patients.

In order to make advancements with Turner Syndrome, it is important to constantly gather research and new data. One scholarly journal that is valuable in promoting this cause is the American Journal of Medical Genetics. Turner Syndrome is a genetic condition that affects 1 in 2,000 females. This journal discusses many issues, concerns, research and more regarding this issue. According the Turner Syndrome Symposium, there was been inadequate attention given to health and psych problems in those affected with Turner Syndrome and research to understand the connection between sex chromosomes and conditions such as heart disease and autoimmune disease (Kruszka & Silberbach, 2019). The Turner Syndrome Foundation and the American Journal of Medical Genetics are both valuable resources in gaining connections and knowledge. They can help to promote this cause by continuing research, reaching out to hospitals and doctors, and holding new studies that can be printed in the journal. Thank you.

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Nursing Leadership and management DQ # 14 student reply Doris Martinez

 The following post is from another student to wish i have to reply adding some extra information. less than 20 % similarity  

Policy: The meaning of this word is attributed to a series of rules that together form a certain ideal. These rules can be laws or principles that are agreed by certain people and that apply to a certain group. In turn, they serve as a guide to ambiguous situations and are formally implemented, in writing, and all those who must follow them must be aware that they exist and follow them. Failure to comply with a policy can have bad consequences, but compliance with it guarantees that the agreed results are achieved and is carried out with organization and professionalism.

Public policy: This term refers to the problems that are generated in society or within the population and that are detected by a series of government units to create solutions for these problems. It is based on the diagnosis and analysis of the problems and the feasibility they present. This type of policy is general and tries to understand most of the social problems that exist in communities.

Private policy: This type of policy, unlike the public one, highlights a certain organization and assesses how it manages the operations planned to achieve the organization’s achievements. It is a more individual policy and caters to private and non-governmental entities.

Health policy: This definition already belongs to the world to which as nurses we relate day by day. The fundamental characteristic of health policy is to establish a series of rules, strategies and plans that help establish the correct decisions within the health sector. Decisions are backed by this policy and the actions taken are guided by the laws and established guidelines. Like the rest of the health policies, the specific objective is quality of service and the duty to maintain health standards at a high level.

Social policy: This policy refers to the government’s effort to achieve certain changes which are intended for the benefit of society. These changes are directed at different sectors of society which are most affected and an analysis of the characteristics and the specific problems they face is carried out, in this way providing a solution through these policies.

Organizational Policy: It is a broader term that covers the decisions of the organization that may influence public interest. The principles and methods used are selected based on social demands and these organizations must adapt to these characteristics and the type of demand that is required for this determined sector. (Ellenbecker, 2017)

Florence Nightingale: It is considered one of the most important nursing figures in history. Her work became a guide for what we currently have. Of British nationality, her death was recorded in Italy in 1820. She is called the pioneer of modern nursing worldwide and is the author of the first conceptual model. Her hard work in caring for the wounded on the battlefield was one of her most outstanding achievements. Her contribution to the war in caring for the wounded became an example to follow. The conditions in which these soldiers found themselves about health were long overdue and the quality of service contributed greatly to saving many lives that would have been lost through lack of care. (Awalkhan, 2016)

Lillian Wald: The most outstanding work of this American nurse was her tasks in the community. Her projects were created in a humanistic way and with attention to those most affected. Her work from the communities helped her to participate in many humanitarian missions where she stood out for her love, dedication, and passion for the care of those most in need. She is known for founding the American Nursing Community and participating in the Great Americans Hall of Fame. (Wood, 2020)

Margaret Sanger: She was a nurse that dedicated her work to be a sex educator and birth control activist. She have a lot of contributions to nursing throughout the years, one of the most recognized is that she create the first birth control clinic in the United States of America, she was also pushing for laws and changes in the reproductive freedom of the woman, and establishing Planned Parenthood.

ICN: These acronyms that mean; International Council of Nurses consists of a federation dedicated to guaranteeing adequate care and quality of services in all spheres of health. New health policies and the continuing study of nursing knowledge and the hard work of achieving a professional and competent but above all reliable workforce worldwide. This council was founded in 1899, and today it has more than 130 national federations in addition to concentrating more than 20 million nurses around the world. This organization is based on guaranteeing quality and fair nursing care for all people, it contains fair global health policies and, most importantly, the improvement of nursing skills to achieve a professional team dedicated to the work being done.

NLCA: Licensing Administrators of the Nurses’ Pact. This branch is a little more reduced since it includes the executive directors of the nursing boards, these directors have the task of establishing a pact between the states to be able to fulfill their function effectively and efficiently. Another task is to enforce the covenants and update the license by reverting to the requirements and qualifications. (Spetz, 2020)

This scenario represents one of the models of nursing talked in the past weeks, this is a stage of Evaluation of Political Directive.

References

Awalkhan, A. &. (2016). Application of Nightingale Nursing Theory to care of patient with colostomy. European Journal of Clinical and Biomedical Science, 2(16), 97-101.

Ellenbecker, C. H. (2017). A staged approach to educating nurses in health policy. Policy, Politics, & Nursing Practice, 18(1), 44-56.

Spetz, J. (2020). Nurse staffing ratios: Policy options. Policy & Politics in Nursing and Health Care-E-Book, 452.

Wood, S. K. (2020). Keeping the Nurse in the Nurse Practitioner: Returning to Our Disciplinary Roots of Knowing in Nursing. Advances in Nursing Science, 43(1), 50-61.

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weeko lasto 15

 

Read the following articles found in the Learning Materials section of this course and watch the video noted below:

  • An Analysis of US School Shootings (1840–2015) (Paradice, 2017)
  • Development of the Safety Score: A Clinical Screening Tool for Predicting Future Firearm Violence Risk (Goldstick et al., 2017).

 

My Son was a Columbine Shooter. This is My Story Video Transcript

Sue Klebold: The last time I heard my son’s voice was when he walked out the front door on his way to school. He called out one word in the darkness, “Bye.” It was April 20th, 1999. Later that morning, at Columbine high school, my son Dylan and his friend Eric killed 12 students and a teacher and wounded more than 20 others before taking their own lives. 13 innocent people were killed leaving their loved ones in a state of grief and trauma. Others sustained injuries, some resulting in disfigurement and permanent disability. But the enormity of the tragedy can be measured only by the number of deaths and injuries that took place. There’s no way to quantify the psychological damage of those who were in the school or who took part in rescue or cleanup efforts. There’s no way to assess the magnitude of a tragedy like Columbine, especially when it can be a blueprint for other shooters who go on to commit atrocities of their own.

Columbine was a tidal wave and when the crash ended, it would take years for the community and for society to comprehend its impact. It has taken me years to try to accept my son’s legacy. The cruel behavior that defined the end of his life showed me that he was a completely different person from the one I knew. Afterwards, people asked, “How could you not know? What kind of a mother were you?”I still ask myself those same questions. Before the shootings, I thought of myself as a good mom. Helping my children become caring, healthy, responsible adults was the most important role in my life. But the tragedy convinced me that I failed as a parent and it’s partially this sense of failure that brings me here today.

Aside from his father, I was the one person who knew and loved Dylan the most. If anyone could have known what was happening, it should have been me. Right? But I didn’t know. Today, I’m here to share the experience of what it’s like to be the mother of someone who kills and hurts. For years after the tragedy, I comb through memories trying to figure out exactly where I failed as a parent, but there are no simple answers. I can’t give you any solutions. All I can do is share what I have learned.

When I talk to people who didn’t know me before the shootings, I have three challenges to meet. First, when I walk into a room like this, I never know if someone there has experienced loss because of what my son did. I feel a need to acknowledge the suffering caused by a member of my family who wasn’t here to do it for himself. So first, with all of my heart, I’m sorry if my son has caused you pain.

The second challenge I have is that I must ask for understanding and even compassion when I talk about my son’s death as a suicide. Two years before he died, he wrote on a piece of paper in a notebook that he was cutting himself. He said that he was in agony and wanted to get a gun so he could end his life. I didn’t know about any of this until months after his death. When I talk about his death as a suicide, I’m not trying to downplay the viciousness he showed at the end of his life. I’m trying to understand how his suicidal thinking led to murder. After a lot of reading and talking with experts, I’ve come to believe that his involvement in the shootings was rooted not in his desire to kill, but in his desire to die.

The third challenge I have when I talk about my son’s murder-suicide is that I’m talking about mental health, excuse me. Excuse me. Is that I’m talking about mental health or brain health as I prefer to call it because it’s more concrete and in the same breath I’m talking about violence. The last thing I want to do was to contribute to the misunderstanding that already exists around mental illness. Only a very small percent of those who have a mental illness are violent toward other people. But of those who die by suicide, it’s estimated that about 75% to maybe more than 90% have a diagnosable mental health condition of some kind.

As you all know very well, our mental healthcare system is not equipped to help everyone and not everyone with destructive thoughts fits the criteria for a specific diagnosis. Many who have ongoing feelings of fear or anger or hopelessness are never assessed or treated. Too often, they get our attention only if they reach a behavioral crisis. If estimates are correct, that about 1% to 2% of all suicides involves the murder of another person. When suicide rates rise as they are rising for populations, than murder-suicide rates will rise as well.

I wanted to understand what was going on in Dylan’s mind prior to his death. So I look for answers from other survivors of suicide loss. I did research and volunteered to help with fundraising events and whenever I could, I talked with those who had survived their own suicidal crisis or attempt. One of the most helpful conversations I had was with a co-worker who overheard me talking to someone else in my office cubicle. She heard me say that Dylan could not have loved me if he could do something as horrible as he did.

Later when she found me alone, she apologized for overhearing that conversation, but told me that I was wrong. She said that when she was a young single mother with three small children, she became severely depressed and was hospitalized to keep her safe. At the time, she was certain that her children would be better off if she died, so she had made a plan to end her life. She assured me that a mother’s love was the strongest bond on earth and that she loved her children more than anything in the world. But because of her illness, she was sure that they would be better off without her.

What she said, and what I’ve learned from others is that we do not make the so-called decision or choice to die by suicide in the same way that we choose what car to drive or where to go on a Saturday night. When someone is in an extremely suicidal state, they are in a stage four medical health emergency. Their thinking is impaired and they’ve lost access to tools of self-governance. Even though they can make a plan and act with logic, their sense of truth is distorted by a filter of pain through which they interpret their reality. Some people can be very good at hiding this state and they often have good reasons for doing that.

Many of us have suicidal thoughts at some point, but persistent ongoing thoughts of suicide and devising a means to die are symptoms of pathology. And like many illnesses, the condition has to be recognized and treated before life is lost. But my son’s death was not purely a suicide, it involved mass murder. I wanted to know how his suicidal thinking became homicidal. But research is sparse and there are no simple answers. Yes, he probably had ongoing depression. He had a personality that perfectionistic and self-reliant and that made him less likely to seek help from others. He had experienced triggering events at the school that left him feeling debased and humiliated and mad. He had a complicated friendship with a boy who shared his feelings of rage and alienation and who was seriously disturbed, controlling, and homicidal.

On top of this period in his life of extreme vulnerability and fragility, Dylan found access to guns even though we’d never owned any in our home. It was appallingly easy for a 17-year-old boy to buy guns, both legally and illegally without my permission or knowledge. And somehow, 17 years and many school shootings later, it’s still appallingly easy.

What Dylan did that day broke my heart and as trauma so often does, it took a toll on my body and on my mind. Two years after the shootings, I got breast cancer. Two years after that, I began to have mental health problems. On top of the constant perpetual grief, I was terrified that I would run into a family member of someone Dylan had killed or be accosted by the press or by an angry citizen. I was afraid to turn on the news, afraid to hear myself being called a terrible parent or a disgusting person. I started having panic attacks.

The first bout started four years after the shootings when I was getting ready for the depositions and would have to meet the victims’ families face to face. The second round started six years after the shootings when I was preparing to speak publicly about murder-suicide for the first time at a conference. Both episodes lasted several weeks. The attacks happened everywhere in the hardware store, in my office, or even while reading a book in bed. My mind would suddenly lock into this spinning cycle of terror and no matter how hard I tried to calm myself down or reason my way out of it, I couldn’t do it. It felt as if my brain was trying to kill me and then being afraid of being afraid consumed all of my thoughts. That’s when I learned firsthand what it feels like to have a malfunctioning mind. And that’s when I truly became a brain health advocate.

With therapy and medication and self-care, life eventually returned to whatever could be thought of as normal under the circumstances. When I look back on all that had happened, I could see that my son’s spiral into dysfunction probably occurred over a period of about two years. Plenty of time to get him help. If only someone had known that he needed help and known what to do.

Every time someone asks me, “How could you not have known?” It feels like a punch in the gut. It carries accusation and taps into my feelings of guilt that no matter how much therapy I’ve had, I will never fully eradicate. But here’s something I’ve learned. If love were enough to stop someone who was suicidal from hurting themselves, suicides would hardly ever happen. But love is not enough and suicide is prevalent. It’s the second leading cause of death for people aged 10 to 34 and 15% of American youth report having made a suicide plan in the last year.

I’ve learned that no matter how much we want to believe we can, we cannot know or control everything our loved ones think and feel. And the stubborn belief that we are somehow different, that someone we love would never think of hurting themselves or someone else can cause us to miss what’s hidden in plain sight. And if worst-case scenarios do come to pass, we’ll have to learn to forgive ourselves for not knowing or for not asking the right questions or not finding the right treatment. We should always assume that someone we love may be suffering regardless of what they say or how they act. We should listen with our whole being without judgment and without offering solutions.

I know that I will live with this tragedy, with these multiple tragedies, for the rest of my life. I know that in the minds of many, what I lost can’t compare to what the other families lost. I know my struggle doesn’t make theirs any easier. I know there are even some who think I don’t have the right to any pain, but only to a life of permanent penance. In the end, what I know comes down to this, the tragic fact is that even the most vigilant and responsible of us may not be able to help, but for love’s sake, we must never stop trying to know the unknowable. Thank you.

Answer three of the following questions in your initial post. (Please include at least three scholarly sources within your initial post.)

  1. Has your community been directly affected by gun violence/mass shootings? Discuss the affects you have noted.
  2. Discuss what you believe to be the greatest risk factor(s) in your community that could be associated with a potential for violence.
  3. What are your thoughts about the Predictive Firearm Violence Risk Scale?
  4. Will you use this scale in your practice? Why or why not?
  5. What type of changes has your community made to help improve safety?
  6. What are your thoughts about the Columbine shooter’s mother’s TED Talk?

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Post Op Cesarean Birth

  

post-op cesarean birth

Mary’s 1st baby was delivered via cesarean section due to the baby being in the breech position.  She is requesting a VBAC (vaginal birth after cesarean section) for this her second baby.  By ultrasound, advice this baby is in the vertex position.  IN reviewing the postoperative report from her first surgery- It is noted that she had a low segment transverse uterine incision. 

What are your thoughts on having a vaginal birth with this second baby?

What education can you provide to her?

What is the risk to her and does this change your thoughts and advise?

Mary is not progressing in labor appropriately and the decision has need made to move forward with a cesarean section.  She understands, agrees, and signs the consent for surgery.  You will again accept this patient I recover- or initial postpartum period.

Recognize that you will complete the BUBBLEHE assessment. In addition, the abdominal assessment will also include an assessment of the incision.  Note the type of dressing used to cover the incision.  Is it approximated?  Is there any bleeding? Does she have bowel sounds?  Is the abdomen distended?  Is it soft?  Do you assess the fundus and where is it located? Should it be firm? Note pain 

Rubric

1.  will discuss contraindications for a vaginal birth after cesarean and risks along with precautions to be taken to monitor mom and baby in labor.

2. Students will identify 8 of the components of assessment post-op cesarean to be assessed and discuss the type of dressing to cover the incision and the incision assessment along with pain assessment.

3. References are included in text AND in the reference page AND the body of the paper is AT LEAST 500 words.

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epidemiology

For the MSN prepared nurse, knowledge of epidemiology and its application to preventive screening guidelines is important in many clinical areas:  administrative, education, and nurse practitioner fields. Consider you are working in a clinic and need to order a preventive screening on a patient for one of the conditions listed below. (While this is a preventative measure, it also can be a diagnostic tool in other circumstances. For this Assignment the screening is a secondary prevention measure.)

Please select one screening. Your screening methodology must come from the United States Preventive Services Task Force guidelines.

  • Abdominal Aortic Aneurysm
  • Breast Cancer
  • Cervical Cancer
  • Colon Cancer
  • Diabetes Mellitus II
  • Lung Cancer

Find the Final Recommendation Summary for the screening you are evaluating. Explain the guideline, the correct application of the screening, and the epidemiology behind the guidance. Content  should include epidemiologic data such as statistical information as available ex. morbidity, mortality, incidence and prevalence of condition. Identify the methodology and measures for screening. Include the risk factors, risk assessment, testing interval, description of the patient population,screening test recommendations and other factors relative to the guideline. Discuss the guideline’s support in a critical analysis, based on the outcomes of studies used in the screening guidance publication. What key factors are supported by evidence, such as age, methods, measures and intervals? Consider using the rubric sections as level one headings within the paper.

Master’s-prepared nurse educators, leaders, nurse practitioners and all specialty nursing fields are contributors to health promotion in populations across the life span. You will demonstrate understanding and correct interpretations of preventive screening guidelines. You should be able to apply this knowledge to your specialty focus as it relates to health promotion and epidemiology.

This paper should be 3–4 pages, excluding your title page, and references. This paper should adhere to appropriate APA formatting and citation style. 

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evidenced base

 

Disseminating Results

  

Assignment: Evidence-Based Capstone Project, Part 6: Disseminating Results

The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.

To Prepare:

· Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.

· Consider the best method of disseminating the results of your presentation to an audience.

To Complete:

Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.

· Be sure to incorporate any feedback or changes from your presentation submission in Module 5.

· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

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2 responses Aug 06

Actual work where 2 students given their post on this:
If you could, what would you do to help create a national “security culture,” in which everyone is more knowledgeable and proactive about threats to information security? 

We need to give 2 responses all should have proper APA, citations, and minimum one reference each for both.

Please find the two attachments of two students’ posts.

Note:  Use first line hanging on the responses.

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Reply 1 and 2 415 D 6

Reply 1 

Healthcare Inequalities

Thoughts about Healthcare Inequalities and the Need for Continuing Reform 

The cost of healthcare in the US has caused a lot of disparities and inequalities when it comes to access to better and quality services within healthcare institutions. This high cost of healthcare, coupled with systematic failures within the American systems such as the unbalanced distribution of wealth, racism, and economic challenges, are some of the issues that have caused inequalities within the healthcare sector.  When the Affordable care act was introduced in 2010, it was aimed at increasing the number of low-income earners to enroll in the medical insurance programs (Andrulis, Siddiqui, Purtle, and Duchon, 2010). Thanks to this program, close to 20 million Americans can have access to healthcare services in the US, unlike before. 

From the Harvard forum video, it is reported that the majority of low-income adults preferred to go to emergency rooms because they cannot afford healthcare services in other hospitals (Harvard University, 2016). Low-income earners grapple with payments of bills and putting food on their table, which makes it hard for them to make savings. Since they cannot afford to pay insurance premiums, they get disadvantaged when it comes to getting healthcare services. 

Studies have shown that medical insurance improves access to better healthcare because it allows American people to pay for their medical expenses, including the costs incurred in screening and preventive measures. There is more that needs to be done to increase the number of low-income adults who can have access to medical insurance. More reforms need to be done within the healthcare sector to bridge the gap that has been caused by inequalities in the healthcare sector.

The healthcare inequalities that have existed for so long can only be reduced by carrying out reforms and developing policies within the healthcare sector.  One way of bridging this gap is through investing in the community health centers and providing them with resources that can enable them to perform their tasks within the community. Community health centers are important because they deal with issues that community members face that may hinder their state of health and well-being (Harvard University, 2016). If community centers are well funded, they can help in bridging the gap that exists in the healthcare centers by limiting the number of people who depend on the on healthcare services. Through community health centers, people can get an education on how to take care of themselves and how to prevent certain diseases. Since the community health centers improve the health and wellbeing of its members, there is a need to expand them so that they can help the majority of people who may not be privileged to have insurance covers. 

Another inequality comes from doctors who do not accept Medicaid from their patients. The Medicaid system allows doctors to receive reimbursements for their services; however, sometimes the reimbursements delay, which makes some doctors and private sectors not to accept patients with Medicaid insurance. The refusal to accept Medicaid cards from patients inconveniences the majority of patients with such insurance covers because they have to look for services in hospitals that accept such services.  There needs to be a reform in this area to allow patients to receive care and treatment at their convenience.

Additionally, structural systems in healthcare have also contributed to healthcare inequalities in the US. The majority of healthcare institutions are embracing diversity within their workplace in an attempt to deal with the disparity that has always existed due to cultural differences of patients. Every person is unique and should be treated with respect without showing any form of discrimination based on color, race, sex, or even gender. Healthcare institutions should cultivate a culture of providing quality healthcare services to all patients without being swayed by personal beliefs or values. 

References

Andrulis, D. P., Siddiqui, N. J., Purtle, J., & Duchon, L. (2010). Patient Protection and   Affordable Care Act of 2010: Advancing health equity for racially and ethnically diverse   populations. Joint Center for Political and Economic Studies.

Harvard University. (2016, April 22). Health Care Inequalities in America: The Need for Continuing Reform. Retrieved from   https://www.youtube.com/watch?v=Nychm8M7uyM&feature=youtube

REPLY 2

Healthcare Inequalities

One of the major impediments to healthcare access in the US is the issue of insurance.  The USA has one of the most expensive healthcare systems among developed countries around the world. However, this high cost of healthcare does not mean that it produces the best patient’s outcomes. There are many countries around the world with cheaper healthcare systems, yet their services are top-notch.  The frailties within the healthcare system in the US have been exposed now more than ever during this COVID-19 pandemic as the majority of Americans continue to lose their lives because of the inequalities that exist within the healthcare system.  These inequalities continue to cause disparity within the healthcare sector; hence there is a need for continued reforms to take place within the healthcare sector. 

The Harvard forum video was insightful because it allowed me to have a better grasp of the inequalities that take place within the healthcare sector and how policymakers are laboring day and night to ensure that reforms are brought within the healthcare sector. One of the major reforms in the healthcare sector that has always dictated the type of care Americans receive came in the form of Medicaid and Medicare plans that were introduced in 1965 to improve the level of health accesses among low-income families as well as the elderly people. These insurance plans became a federal plan for the government to improve the healthcare sector and make it accessible to the majority of Americans.  These plans were introduced because the federal government, through the ministry of health, had realized that Americans were struggling to have access to better healthcare. 

In 2010, the Obama administration came up with the Affordable Care Act, which has since improved the accessibility of healthcare services among millions of low-income Americans (Kino and Kawachi, 2018). The “Obamacare” as it is famously known has received backlashes and support alike because it has helped in increasing the number of low-income adults who can enroll in the insurance plans. However, regardless of this increase, there are still millions of Americans who cannot have access to quality healthcare, and instead, they opt for emergency room services.  Studies have shown that low-income Americans would opt to go to emergency rooms more frequently than Americans from higher social classes. This is not an issue of preference but an issue of healthcare inequality. 

The disparity in care has also been brought due to structural biases and discriminations that affects most systems in the US. The minority groups and people of color continue to receive low health coverage because the system has failed in promoting equitable access to resources, employment, and education, among other factors. As a result, minority groups continue to suffer. 

There is a need for continuing reforms to be done within the healthcare sector. If possible, a universal healthcare system should be used where care is provided to all citizens equally without discriminating against any group of people.  One of the recommendations that came from the Harvard forum is that healthcare insurance should be expanded and community health centers to be increased so that more people can have access to healthcare services in the US (Harvard University, 2016).  Community health centers provide comprehensive healthcare services, which makes them ideal for closing the gap that has been caused by inequalities.  Moreover, the forum also mentioned the need for urgent care centers to be expanded so that Americans have access to cheaper services rather than going to expensive emergency rooms.  Additionally, Medicaid issues should also be resolved so that the people that have the Medicaid cards can have access to healthcare services without being turned away by institutions or healthcare providers that do not accept Medicaid.  

References

Harvard University. (2016, April 22). Health Care Inequalities in America: The Need for Continuing Reform. Retrieved from https://www.youtube.com/watch?v=Nychm8M7uyM&feature=youtu.be

Kino, S., & Kawachi, I. (2018). The impact of ACA Medicaid expansion on socioeconomic inequality in health care services utilization. PloS one13(12), e0209935

All replies must be constructive and use literature where possible.

Your assignment will be graded according to the grading rubric.

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Discussion T2DQ2

 Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement. 

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Positive response due 08/07/20 at 3Pm

 

Hi all, 

This week we are to discuss dissemination of evidence and how we each personally would do this. “The main objective of dissemination is to increase and promote the spread of knowledge regarding evidence-based interventions, with an intention of enhancing its greater application and patient outcomes” (Joseph, 2019, para 1). Dissemination is simply getting the word out to people or large groups. For example, if I want to feel connected to my audience, I may initiate a zoom meeting. These days, “snail mail” is not the fastest way to get the word out about something in a fast manner. Email is the optimal way Walden University communicates with their students as well as via phone call. Many text to communicate what is going on. Some are fans of this while others are strictly against it. Depending on my audience and the message I am trying to convey, text/email or zoom would be the two routes I would go. The barriers to snail mail are just that it can be really slow or look like junk mail and sit on the intended recipients counter for days. Mail can also be delivered to the wrong recipient such as a neighbor or another street address entirely. Amidst the COVID crisis, President Trump as well as governors for each state get on television and have a live feed and this is the most effective way for them to get policy changes and statistics regarding the pandemic out to the public. “Increasing knowledge in the nursing field ensures that nursing remains up-to-date, improves the quality and cost-effectiveness of care (Lippincott Solutions, 2014). 

In the nursing world we have nurse associations and quarterly state board of nursing newsletters sent out and that can convey information as well. Goals of disseminating evidence include increasing the reach of information, increasing people’s motivation to use and apply evidence, and increasing people’s ability to use and apply evidence (United States Department of Health & Human Services, 2012). In doing this, we keep nursing the trusted profession it has always been with knowledge that helps us care for our patients better.  

References 

Joseph, M. (2019). Dissemination of evidence-based practice project results in nursing. The 

          Nursing Ace. https://thenursingace.com/dissemination-of-evidence-based-practice-project 

         -results-in-nursing/ 

Lippincott Solutions. (2014). Why evidence-based practice? 

 https://lippincottsolutions.lww.com/blog.entry.html/2014/09/24/why_evidence 

        -basedp-pVCr.html 

United States Department of Health & Human Services. (2012). Communication and 

        dissemination strategies to facilitate the use of health-related evidence. Effective 

        Health Care Program. https://effectivehealthcare.ahrq.gov/products/medical 

       -evidence-communication/research-protocol 

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