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Population Presentation:
Individual Presentation
Each student will choose no later than Week 2 of class, one cultural group and one socio-cultural group from the list provided below and set up a PowerPoint presentation (APA style) Minimum of 16 slides.
Preparation for the presentation will include synthesizing the information from assigned readings, the scientific literature, Internet resources, and other sources. Students will provide a minimum of 5 references.
The presentation will address the following:
· A brief history of the cultural/socio-cultural group
· Values
· Worldview
· Language and communication patterns
· Art and other expressive forms
· Norms and rules
· Lifestyle characteristics
· Relationship patterns
· Common rituals
· Degree of assimilation or marginalization from mainstream society
· Health behaviors and practices.
The presentation must include a comparative and contrast analysis of common characteristics and distinguishing traits between the cultural group and the socio-cultural group. As well as a brief explanation of differential approaches needed by health care professionals.
Grades will also be based on overall quality of the professional presentation including handouts and references. The presentation is due by the end of Week 8.
| Cultural Groups: | Socio-cultural group |
| African American & African | African American Heritage, Haitian Heritage |
| Asian American, Asian, & Pacific Islander | Chinese Heritage, Japanese Heritage, Korean Heritage, Filipino Heritage, Russian Heritage, Thai Heritage, Indian Heritage, Vietnamese Heritage |
| Native American | Apache Heritage, Navajo Heritage, Yakama Heritage, Cherokee Heritage |
| Hispanic & Latino Americans | Mexican Heritage, Brazilian Heritage, Cuban Heritage, Puerto Rico Heritage, Guatemala Heritage |
| European American | Jewish Heritage, Polish Heritage, Baltic Heritage, Greek Heritage, Turkish Heritage, Irish Heritage, Italian Heritage |
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Reading Assignment: Chapters 4 & 5 in Sullivan
Q 1
Think about people you know in management positions. Are any of them leaders as well? Describe the characteristics that make them leaders.
Q 2
Think about people you know who are not in management positions, but are leaders nonetheless. What characteristics do they have that make them leaders?
Q 3
Think about yourself as a manager whether you are in a management position or not. What skills do you possess that help you? What skills would you like to improve?
· CONFIDENCE
· CREATIVITY
· SKIL TO IMPROVE: COMMUNICATION, …..
Q 4
Identify a needed change in the organization where you work OR in THE UNIVERSITY where you learn. What change do you think is needed? Using the change process, outline the steps you would take to initiate change. Explain how you would change it to become a better place to work or to learn.
Q 5
Do you have a behavior that you would like to change? Using the steps in the change process, describe how you might effect that change.
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Assignment 1:
Recognizing the Role of Adhering to the Standard of Care
When providing health care, there are standards of care which a reasonably prudent provider should follow. Providers at all levels are held to these standards of care. Failure to provide competent care to your patients will put you at risk for malpractice. Remaining current with the evidenced-based guidelines and providing optimal care will minimize the risk of liability.
For this Assignment, you will create a PowerPoint presentation that explains any legal implications that exist for failure to adhere to a standard of care, the key elements of malpractice, and compare the differences in malpractice policy options.
To prepare:
Consider the importance of using professional resources such as the National Guideline Clearinghouse to guide care delivered
Create a PowerPoint presentation no more than 15 slides in length that addresses the following:
Identify and explain any legal implications that exist for failure to adhere to a standard of care
Identify and explain the key elements of malpractice
Compare the differences in malpractice policy options
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System Admin
What is the difference between a DNP and a PhD in nursing? Which of these would you choose to pursue if you decide to continue your education to the doctoral level?
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Purpose: Comment the Discussion (Class 504 Unit 8 Comment 2) Nicole
Thing to Remember:
Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.
1 References, find resources that are 5 years or less
No errors with APA format 6 Edition
To Comment:
Skin-to-skin immediately after delivery is the goal for newborns and their mothers. In an article written in 2014, the authors state the importance of initiating skin-to-skin and altering their previous practices after delivery (Grassley & Jones, 2014). Normally after an uncomplicated vaginal delivery, the hopes would be to place the infant, directly on the mother chest and begin skin-to-skin as early as possible; the same goes for a cesarean delivery. However, many institutions, including my own have different practices that delay skin-to-skin, due to provider preferences, as well as unwillingness to change. Evidence shows that skin-to-skin, immediately after delivery holds many health benefits for the infant. These include: increase bonding, increase breastfeeding rates, improvements in thermoregulation and glucose control, decreased respiratory rates and well as decreased stress levels (Elsaharty & McConachie, 2017). All of these finding have been proven for many years, yet still, practices are hesitant to change. In this article, the evidence-based research provided facilities with the statistics and significance behind skin-to-skin initiation (Grassley & Jones, 2014). With this information, facilities are now able to understand and use this information when attempting to initiate skin-to-skin after a cesarean delivery (C-sections).
While performing a C-section, the operating room is cold, the mother is given more anesthetics, and the area between the abdomen and chest is minimal. These three barriers to change are just a few of many reasons as to why in this study, just like in my hospital, the willingness to change is greatly diminished (Elsaharty & McConachie, 2017; Grassley & Jones, 2014). It is “inconvenient” for the infant to be placed directly on the mother’s chest following delivery because many people needed to perform their assessments, the surgeons needed room to operate, and the mother would often times have side effects from the anesthesia that would make it incapable for her to hold her baby. Anesthesiologists would have a “hard time” giving the mother anesthesia through her IV (Elsaharty & McConachie, 2017). This is not actually the case; this is just an unwillingness to accept change. When people have been performing their duties in a certain way for so long, they are used to their ways and do not want to change; you see this same thing within this study. Another barrier is, assessments on the infant performed by the neonatologist and the nursery nurse. They would have a “hard time” getting measurements and assessments on the infant. However, with the research and standard of practice, these assessments do not even need to be performed until the first hour of life. This evidence proved to providers that there was no rush in taking the baby, except for their own benefit and convenience. However, with the persistence of research and data, the ultimate decision was skin-to-skin is the best place for the infant to be, and providers would have to work around and with the mother to best assist her (Elsaharty & McConachie, 2017).
The use of Cochrane databases also provided this research with concrete evidence on the importance and significance of skin-to-skin (Elsaharty & McConachie, 2017). The ultimate goal as a health care provider is to provide the best care possible to your patients, not the most convenient. I liked using this article because it used level one evidence, on the Cochrane database, to determine the importance of skin-to-skin upon each mode of delivery (Elsaharty & McConachie, 2017). Because of the research, improved patient outcomes were achieved. Newborns blood glucose levels were more stable since their stress level was decreased after delivery (Elsaharty & McConachie, 2017). Normally, during a C-section, the newborn is delivery via rigorous pressure and mechanics, instantly placed on a warmer, and immediately assessed and given medications and measurements; all of these factors will add stress to the baby. With this evidence, the researchers were able to prove that decreased stress levels were found if the infant was placed directly on the mother’s chest with a hat and warm blanket, for thermoregulation (Elsaharty & McConachie, 2017).
This article is extremely useful to me as a nurse now, and also as I advance my degree. Not only is evidence-based practice key to evolving healthcare, but it is also important in providing the right care. Regardless of this article, evidence researched, provides our patients with the best health outcomes. In this article, it discusses barriers to change, yet these barriers hold no significance. There are no just reasons as to why skin-to-skin should not be performed directly after a C-section. Many people are afraid and resistant to change. However, if they are given the right information and the understanding behind the importance of changing practices, one would assume change would become more fluent. This article provides me with a small, yet solid explanation as to why evidence is so beneficial to changing practices. For example, if skin-to-skin lowers the rate of glucose instability and increases thermoregulation, instead of a healthcare practitioner thinking skin-to-skin is more work (because it involves change), one would see the benefits. By stabling the blood sugar, you would have lower rates of infants being hypoglycemic, which would lower the workload including blood sugar checks. If the blood sugar is low, and breast milk is not produced, the infant would then need formula. This would then spiral into other complications which would not only increase one’s workload, but also decrease the health outcomes of the infant you are caring for. If one understands the reasoning behind change, then one would be more supportive of new practices. As an advanced practice nurse, there will always be new information and practices needing to changed. This is why we are required to keep up with our continuing education to learn about the most up-to-date and evidence-based practices to deliver to our patients (Price & Reichert, 2017).
References
Elsaharty, A., & McConachie, I. (2017). Skin to skin: A modern approach to caesarean delivery. Journal of Obstetric Anaesthesia & Critical Care, 7(1), 13-19. doi:10.4103/joacc.JOACC_4_17
Grassley, J. S., & Jones, J. (2014). Implementing skin-to-skin contact in the operating room following cesarean birth. Worldviews on Evidenced-Based Nursing, 11(6), 414-416. doi:10.1111/wvn.12057
Price, S., & Reichert, C. (2017). The importance of continuing professional development to career satisfaction and patient care: Meeting the needs of novice to mid-to-late-career nurses throughout their career span. Administrative Sciences, 7(2), 1-13. doi:10.3390/admsci7020017
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Re:Topic 4 DQ 1
Choose one legislator on the state or federal level who is also a nurse, and discuss the importance of their role as advocate for improving health care delivery. What specific bill(s) have they sponsored or supported that has/have influenced health care?
Congressman Diana Black, representing Tennessee’s 6th Congressional district. She practiced as a nurse for 40 years.
It is important to have a nurse represented in the house, where laws and policies are passed, because an insider who knows the needs of nurses and healthcare system would be passionate to vote and advocate for the healthcare. There are millions of topics been discussed in the house on state and federal levels, but healthcare issues are very important, because health is universal, everyone use the healthcare system. It is very crucial for a nurse to be part of lawmaking process, not only to speak out for the nurses and make a positive impact on nursing profession, but also as a role model to other nurses, aspiring nurses to go for legislative positions where they can be part of change-making process in the society; which could be beneficial to the patients.
Black supported the passing of Increased Telehealth Access to Medicare Act, this bill increases access to telehealth services for Medicare Advantage users, in this age of technology, health care access is made easier and affordable using technology. Telehealth focuses on the use of innovative technology for the convenience of patients and caregivers to enhance the quality of care while saving money for both Medicare program and the patients (Black, 2017). This service enhances access to healthcare and reduces the number of in-patient visit to healthcare providers, covered by traditional Medicare plans under the current law (Black, 2017)
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The emergency nurses association (ENA) answer the following questions:
A.Membership cost? (regular and student). b.Annual meeting? (what time of year?, where?, changing locations?). c.Cost of meeting? (with and without membership). d.Offer any books for sale?. e.Headquarters? (Where?). f.Is there a national office? State offices? Regional offices?. g.Does the organization have a mission, value, and vision statement? Please describe them. . h.Are there other groups that are associated or recommend this group? Do they recommend another group?. i.Any publications that they publish?. j.When did they start?. k.Do they publish a newsletter/magazine/journal? Monthly/quarterly/annual?. l.Professional standards? )For an aspect of nursing). m.Do they offer any scholarships? Criteria?
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