Disparities in Health Service Utilization

See attached outline

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Transition to the Nursing profession

NR103 Transition to the Nursing Profession 3-Minute Reflection

“WHY COMMUNICATION IS IMPORTANT AS NURSE”

Required criteria 

1. Writes about the assigned topic. 

2. Demonstrates strong evidence of reasoned reflection. 

3. Demonstrated depth of original thought. 

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Legislation Comparison Grid and Testimony/Advocacy Statement

  

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.

To Prepare:

Select a specific bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.

https://www.congress.gov/

https://www.house.gov/

https://www.senate.gov/

http://www.senate.gov/senators/leadership.htm

The Assignment: (1- to 2-page Comparison Grid; 1-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Comparison Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:

-Determine the legislative intent of the bill you have reviewed.

-Identify the proponents/opponents of the bill.

-Identify the target populations addressed by the bill.

-Where in the process is the bill currently? Is it in hearings or committees?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

-Advocate a position for the bill you selected and write testimony in support of your position.

-Describe how you would address the opponent to your position. Be specific and provide examples.

Use in text citations. References last 5 years and scholarly. APA format

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Week 4 6640

Cognitive behavior Therapy vs Rational EmotiveBehaviour Therapy

Cognitive behavioral therapy is a psychological therapy used in treating patients with depression and to incite happiness in the patient. The therapy approaches the problem by targeting at the solution to the problem more than going back to the causes. On the other hand, rational emotive behavioral therapy, majorly known as REBT, is also another psychotherapy used to solve problems concerning stress. This therapy uses the replacement of self-rejecting feelings in a depressed person with self-believe and confidence (Ellis, 2013). The therapy challenges the rationale of bad thoughts about self.

There are a number of similarities that both therapies share, these include: Both of the therapies employ psychoeducation in the treatment of stress, the therapies also teach the patient on how to employ therapeutic techniques in treating themselves (Szentagotai, David, Lupu, & Cosman, 2008). Another similarity between the two therapies is that emphasis is laid on the importance of cognitive psychological dysfunction and they all focus on changing the behavior of the patient through their various different approaches. 

Differences in the therapies

Despite these similarities, the two therapies have variations which distinguish them. These differences include; Self- acceptance: the rational emotive behavior therapy focuses on the self-acceptance of the patient. It encourages the patient to accept themselves back and try to see the positive in them and stop blaming themselves about the past. The cognitive behavior therapy, on the other hand, is more concerned about the self-esteem of the patient (Szentagotai, David, Lupu, & Cosman, 2008). 

The philosophy: the rational emotive behavior therapy earns more credit because it concerns in digging deeper into the philosophic causes of stress and try to encourage the patient to focus on the positive and wipe out the negative from their minds. Cognitive behavior therapy is attached more importance in the future of the patient rather than the cause of the problem. The therapy builds the self-esteem of the patient through encouragement and giving them the hope of a better future.

Solution approach: while the rational emotive behavior therapy approaches the problem from the past point of view and tries to educate the patient on the importance of viewing the positive side of the problem than focusing on the negative. The cognitive behavior therapy, on the other hand, approaches it from the current point of the situation and start tech the patient to attach value on themselves.

The recommended therapy

The cognitive behavior model is the best therapy to be recommended for a client. I will base my decision on various factors implying that this type of therapy is superior. The philosophical approach to the problem in this therapy is realistic since it considers the personality of the patient as the main source of the solution (Dobson, & Dozois, (Eds.), 2019). The therapy educates the patient on their own importance as compared to the issue which is a mere episode in their lives. The therapy also has more persuasive techniques that can be used to convince a patient to transform their thinking. 

References

Dobson, K. S., & Dozois, D. J. (Eds.). (2019). Handbook of cognitive-behavioral therapies. Guilford Publications.

Ellis, A. (2013). Better, deeper and more enduring brief therapy: The rational emotive behavior therapy approach. Routledge.

Szentagotai, A., David, D., Lupu, V., & Cosman, D. (2008). Rational emotive behavior therapy versus cognitive therapy versus pharmacotherapy in the treatment of major depressive disorder: Mechanisms of change analysis. Psychotherapy: Theory, Research, Practice, Training45(4), 523.

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PICO Question

Evidence-based nursing is a process founded on the collection, interpretation, appraisal, and integration of valid, clinically significant, and applicable research. It is not about developing new knowledge or validating existing knowledge, but rather translating existing evidence so that it can be applied to clinical decision making. This process starts with formulating a sound PICO question. PICO is a format for developing a good clinical research question prior to starting a review or research. It is a mnemonic used to describe the four elements of a sound clinical foreground question. 

Scenario:

A 17-year-old African American woman, just diagnosed with hepatitis B, has been taking acetaminophen for headaches. Her mother has heard that acetaminophen can cause liver problems, and she asks you if her daughter should continue taking the drug for her headaches, considering her hep-b diagnosis.

Answer the following questions in essay format about the scenario above:

  1. What is evidence-based nursing practice and why is it important?
    1. What is the PICO process?
    2. Formulate a well defined clinical question that will yield the most relevant and best evidence.
    3. Describe the background of the question
    4. Present the question using PICOT format
    5. Indicate what will be the best study to answer the clinical question.

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Technology

Write an argumentative essay on the following topic. Take your position and support with the evidence and reasons. Evidence includes facts, data, and quotes. Evidence should be supported. 

  • Do you think that technology is helping over society more or harming it more? In what ways?

           Follow an APA format. Write a five-paragraph essay. At-least, include two citations. do not forget to include References on a separate page. 

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Ethica and Legal Aspects of Nursing Practice DQ 7 student reply Elizabeth Aguila

 

The following post is from another student. Please react adding other extra imformation relate to the post. 

Short answer

Less than 10 % similarity

References APA

 

Question 1

           At my care facility, we have had a system to monitor errors, and this is in alliance with the Patient Safety regulations set by the state and the World Health Organization (WHO). These system, however, consists mostly of complying with rules and filing of incident reports after an error was found. This reactive system lives little room for being proactive and catching errors before they happened. Therefore, as of last year, our facility has implemented guidelines that are more proactive in nature. Some of the priority areas as outlined by the World Health Organization’s World Alliance for Patient Safety and the Collaborating Centre are to do quarterly training in identifying and reporting medical errors, implement reporting guidelines that are not punitive in nature, but rather informative; this way no one is afraid to speak up, and lastly, identify the events that are “near misses” and develop a plan to make these less frequent (Grawn, Thom & Walters, 2015).

Question 2

           The Institute of Medicine and Joint Commission published a study, “To Err Is Human”, which discuss in part that healthcare teams who fail to collaborate have increased mortality and failure-to-rescue (deaths within 30 days of admission among patients who experienced specific complications) rate” (Grawn, Thom & Walters, 2015). Nowadays there are partnership recommendations in position for healthcare facilities demanding implementation of “interdisciplinary practice plans” for accreditation by Joint Commission (Fewster-Thuente & Velsor-Friedrich, 2008). Effective communication is crucial to reducing medical errors and improving patient outcomes. The opportunity to act as a healthcare team is essential for improved patient care and the opportunity to provide care that’s “patient-centered and valued” (Ezziane et al., 2014).

Question 3

           The Institute of Medicine’s four-pronged approach to reducing medical mistakes are: “(1) an analysis of errors at your practice site that have caused some degree of patient harm, and (2) an analysis of your aggregate medication-error data. The other 2 prongs, of equal importance, are both proactive in nature and include (3) an analysis of “near misses” (errors that have the potential to reach the patient or cause patient harm) and (4) an analysis of errors that have occurred in other organizations” (Westrick & Dempski, 2009, p. 117).

           These elements entail being reactive, being proactive, analyze the mistakes, and correct them. All of these are reportable and should be taken into consideration at organizational evaluations consistently.

References

Grawn, S., Thom, F. & Walters, I. (2015). Building efficient medical teams in professional medical care. Journal of Organizational Management, 16(9), 28-36. doi:10.1108/14777261211251508

Fewster-Thuente, L., & Velsor-Friedrich, B. (2008). Interdisciplinary collaboration for healthcare professionals. Nursing Administration Quarterly, 32(1), 40-48. doi:10.1097/01.NAQ.0000305946.31193.61

Westrick, S. J., & Dempski, K. (2009). Essentials of nursing law and ethics. Sudbury, MA: Jones and Bartlett.

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1-2 page paper

  • Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.
  • Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.
  • Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature.

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Week 2 discussion nsg4074

 

Topic 1: Disease Outbreak

Select an infectious disease and research the CDC website for information about the disease including: 

  • its natural history,
  • presenting symptoms, and
  • outbreak characteristics
  • Identify an occurrence of the disease by searching the Internet for recent reports of this disease and compare that episode or occurrence with information from the CDC website.
  • How closely did that outbreak resemble the case definition?

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MyPlate Guidelines EXAMPLE Meal

Please submit a perfect example of a meal meeting all MyPlate guidelines.

Just one meal is needed. You can write it out, draw a picture, make a collage, etc

The example should follow the MyPlate Guidelines, not your favorite meal but you can take your favorite meal and modify it to make it healthier!

https://www.choosemyplate.gov/

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