Nursing homework help

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1-According to Grove & Burns, extraneous variables “exist in all studies and can interfere with obtaining a clear understanding of the relationships among the study variables” (2011). The amount of influence that extraneous variables can have on dependent variables is through control (Grove & Burns, 2011). When extraneous variables present itself, it can prevent researchers from developing a clear picture of the cause and effect or the ways that each study variables interact with one another. Types of controlled settings that a researcher might conduct their study would be in labs, research or experimental centers, and test units in hospitals or healthcare agencies (Grove & Burns, 2011). Extraneous variables can also be controlled using four different approaches: randomization, matching, using experimental designs, and statical control (“Methods to Control Extraneous Variables,” 2014). Randomization is when treatments are randomly given to the experimental groups. Matching is a technique in which confounding variables such as age, gender, income, etc. are matched into different groups so that each group contains equally distributed variables. The use of experimental designs can completely remove the chances of extraneous variables.

Grove & Burns. (2011). Understanding nursing research. Retrieved from https://evolve.elsevier.com/cs/product/9781455770601

Methods to Control Extraneous Variables. (2014, July 7). Retrieved from http://www.dissertationcanada.com/blog/methods-to-control-extraneous-variables/

 

 

2-Extraneous variables are variables that the researcher sometimes can control and sometimes cannot control that have little to do with the study at hand, but have the potential to have a significant effect upon the study. The extraneous variables sometimes have little effect on a study, or sometimes have the potential to completely throw off a study depending upon their influence on the nature of the study (Street, 1995). A participant’s age or gender could greatly impact the results of a study, in unexpected ways. Controlling for this could mean working with a specific age group of people, or engaging in an all male or all female study so that the extraneous variables do not affect the results of the research. Ultimately researchers need to make correlations between the variables and be certain that the extraneous variables are not impacting the research in a manner that is going to throw off the results significantly (Skelly et al., 2012).

References

Skelly, A., Dettori, J., & Brodt, E. (2012). Assessing bias: the importance of considering confounding. Evidence-Based Spine-Care Journal, 3(01), 9-12. doi:10.1055/s-0031-1298595

Street, D. L. (1995). Controlling extraneous variables in experimental research: a research note. Accounting Education, 4(2), 169-188. doi:10.1080/09639289500000020

 

 

3-Extraneous variables are variables that are not being evaluated in a research study, but are simultaneously going to affect that research study. The variables could be something that the researcher knows about, or they could be subtle correlations that the researcher cannot find without examining the information about the participants in the study in greater detail. The variables could be a significant factor in the outcome of the research if they are not properly accounted for (Street, 1995). Limiting the effects of extraneous variables involves first identifying what those variables are. Some of the variables cannot be helped. Others can be controlled for by careful consideration and control mechanisms implemented within the study. This can be done by examining correlations and discovering the correlations that appear to be significant within the context of the study (Skelly et al., 2012). Overall, extraneous variables are an inevitability that a researcher will encounter, but they can be controlled for if the study is evaluated properly.

References

Skelly, A., Dettori, J., & Brodt, E. (2012). Assessing bias: the importance of considering confounding. Evidence-Based Spine-Care Journal, 3(01), 9-12. doi:10.1055/s-0031-1298595

Street, D. L. (1995). Controlling extraneous variables in experimental research: a research note. Accounting Education, 4(2), 169-188. doi:10.1080/09639289500000020

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Nursing homework help

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Executive Brief Template:

Revised 10172018

 

The executive brief should be approximately 25 pages (with a maximum of 30 pages), single spaced, and typed in “Times New Roman” with a 12-point font. All groups are to use the format below to prepare the brief and the power point presentation. Please ensure to include the appropriate subtitles in the presentation and brief . Lastly, please see the Health Insurance Project Guidelines sheet for more detailed information.

I: Assessment (15 Points)

Collective effort

In the background section all groups are to provide an overall and detailed health care (and/or public health) assessment (please see the Health Insurance Project Guidelines sheet for more detailed information). The detailed health care assessment should focus on two or three major (overall) problems that the group believes is affecting the U.S. Public Health and Health Care Delivery System.

II: Policy Development & Assurance (35 Points per Individual)

One problem for each student in the group. Points are assessed per section.

 

· Overall Problem A: Summary Explanation (Clearly state problem in bold and then provide a summary explanation) Comment by Ellis-Griffith, Gregory: In this section, discuss the specific problem in terms of MMC.

 

Specific Problems, Solutions, ** and Cost (A) ##

(15 Points)

 

· Specific Problem A1: Solution to A1: Cost/Cost Savings of specific solutionA1 : Summary Explanation:

· Specific Problem A2: Solution to A2: Cost/Cost Savings of specific solutionA2 : Summary Explanation

 

++ Interest Group Section (5 Points)

 

· Solution to A1: Identification of two interest groups (for and against) affected by the proposed policy. Summary explanation.

 

· Solution to A2: Identification of two interest groups (for and against) affected by the proposed policy. Summary explanation.

 

 

 

Problem A: Specific, Solutions, and Assurance +++

(5 Points)

 

· Solution to A1: Assurance mechanism for solution A1: Summary explanation of the assurance mechanism.

· Solution to A2: Assurance mechanism for solution A2: Summary explanation of the assurance mechanism.

 

IIIA: Citation and Grammar (APA form) (10 Points per Individual)

Assessed per section

———————————————————————————————————————

 

 

· Overall Problem B: Summary explanation (Clearly state problem in bold and then provide a summary explanation)

 

Specific Problems, Solutions, ** and Cost (B) ##

(15 Points)

 

· Specific Problem B1: Solution to B1 : Cost/Cost Savings of specific solution B1 : Summary explanation

· Specific Problem B2: Solution to B2 : Cost/Cost Savings of specific solution B2 : Summary explanation

 

++ Interest Group Section (5 Points)

 

· Solution to B1: Identification of two interest groups (for and against) affected by the proposed policy. Summary explanation.

 

· Solution to B2: Identification of two interest groups (for and against) affected by the proposed policy. Summary explanation.

 

 

 

 

 

Problem B: Specific, Solutions, **and Assurance+++

(5 Points)

 

· Solution to B1: Assurance mechanism for solution B1: Summary explanation of the assurance mechanism.

· Solution to B2: Assurance mechanism for solution B2: Summary explanation of the assurance mechanism.

 

IIIB: Citation and Grammar (APA form) 10 Points per Individual)

Assessed per section

 

 

 

———————————————————————————————————————

 

· Overall Problem C: Summary explanation (Clearly state problem in bold and then provide a summary explanation)

 

Specific Problems, Solutions, ** and Cost (C) ##

(15 Points)

 

· Specific Problem C1: Solution to C1: Cost/Cost Savings of specific solution C1 : Summary explanation

· Specific Problem C2 Solution to C2: Cost/Cost Savings of specific solution C2 : Summary explanation

 

 

++ Interest Group Section (5 Points)

 

· Solution to C1: Identification of two interest groups (for and against) affected by the proposed policy. Summary explanation.

 

· Solution to C2: Identification of two interest groups (for and against) affected by the proposed policy. Summary explanation.

 

 

Problem C: Specific, Solutions, **and Assurance+++

(5 Points)

 

· Solution to C1: Assurance mechanism for solution C1: Summary explanation of the assurance mechanism.

· Solution to C2: Assurance mechanism for solution C2: Summary explanation of the assurance mechanism.

IIIC: Citation and Grammar (APA form) 10 Points per Individual)

Assessed per section

 

———————————————————————————————————————

Additional Information:

 

**Your solution/proposed plan must be different than the plans already in existence .

 

· Before the solutions are discussed, students must first identify similar policies/regulation in place (on federal, state, local level) and then compare and contrast your proposed solution with the regulation that is already in place. When explaining your proposed solution, use words such as

· Given the data as presented, our solution is to………………..

 

 

## Cost Estimation: In health care, we operate in an environment of budgetary constraints and constrained optimization. Please identify how much these solutions will cost and how the group came to that determination. Please see below for an example.

e.g. Problem COPD Solution: Access to Primary Care:

Due to your research, your group has identified that COPD is one of rapidly increasing causes of hospitalizations in the United States. The increase in hospitalizations due to COPD is associated with the lack of access to primary care. As a result your group want to provide 2 primary care visits (with no cost share) to all American citizens. There are approximately 300 million people who will qualify. Given the purchasing power of the government, the group estimates the cost of a primary care visit at approximately $20.

 

The price of your plan will be approximately $12,000,000,000. Do you believe that this is affordable? (Yes /No and why?).

If yes, what is the percent cost increase to the current health care delivery model? What benefits will this cost increase have to the American healthcare consumer?

If no, the price of the plan can be reduced if you follow strategies such as direct negotiations with health providers/suppliers, allowing only a narrow network of health providers, and increasing the cost share (e.g. co pays) of the patients.

There will be policy (e.g. interest group) implications associated with any type of implementation. The group must identify what are the potential policy implications (interest group conflicts).

The purpose of this part of the project is focus on the costs (e.g. monetary, political, and social) associated with major plan proposals.

______________________________________________________________________________

 

 

 

++ Interest Group Section: For each solution, please also identify at least two interest groups (one for and one against) affected by the proposed policy. Please also identify the potential barriers the proposed plan will face and strategies to overcome these barriers. (Please provide at least one potential barrier (and one strategy to overcome the barriers) per solution

 

 

 

 

+++ Assurance Section: The purpose of this section is to identify if the proposed plan (solution) works as the way it was intended. Please address the following questions:

 

· What potential outcomes do you plan to achieve? Why?

 

· What methods will you use to evaluate the outcome (or the progression towards the outcome). Why? Be very specific with your evaluation mechanism.

· Identify how you define success in the short term (1-5 years) and long term (5+ year)

 

e.g. Solution: Access to Primary Care to deal with growing COPD problems: Assurance mechanism: Decrease in hospitalizations associated with COPD: After 5 years, we will analysis the data to see if there has been a decrease in hospitalizations associated with COPD.

 

 

 

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Evidence-based practice benefits

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 2 pages, 3 sources, APA, due in 36 hrs.

Again, if you know your grammar is not PERFECT, please do not bid. I will REJECT the paper.

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Leadership Laws

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Introduction

This assignment is intended to introduce different ethical principles individuals’ value.  This will be observed from a Christian perspective.  Also ethical terminology will be reviewed or introduced.

Upon successful completion of this assignment you should be able to:

  • Define ethical terms
  • Compare and contrast the difference between basic ethics and dilemma ethics.
  • Identify the Leadership Laws as described by Maxwell and Elmore needed to create sound policy.

Resources

Instructions

  1. View the Ethical Decision Making PowerPoint.
  2. Read the essay “Teaching the Virtues” by Christina Hoff Somners at http://forerunner.com/forerunner/X0116_Teaching_the_Virtues.html
  3. Review three Leadership Laws from the Maxwell Leadership Bible (2007). An Index for the Leadership Laws can be found in the back of your Bible. Consider your own personal and professional growth as you decide which laws to review.
  4. Review/ define the ethics vocabulary list found as an attachment in course materials under workshop one. Be prepared to apply the ethical theories and principles to discussions and assignments throughout the course. We need to understand and speak the language of ethics as we participate in ethical discussions.
  5. Review the PowerPoint on ethical decision making models.
  6. Access at least two of the following or other ethical resources online:
    1. Potter Box
    2. Decision Model Based on Moral Development Theory (Kristen Alley Swain)
    3. Hasted’s Bioethical Decision Making Model
    4. Kohlberg & Gilligan
    5. The President’s Council on Bioethics
    6. World Transhumanis Association
    7. American Society of Bioethics and Humanities
    8. NCBC The National Catholic Bioethics Center
    9. Six Step Ethical Decision Making Model
  7. Navigate to the threaded discussion and respond to the following:
    1. Post a two or three paragraph summary of your thoughts/ideas on this material and the integration of personal ethics with organizational and public ethics.
    2. Compare and contrast the difference between basic ethics and dilemma ethics.
    3. Review of leadership laws
  8. Your initial post is due by the fifth day of the workshop.
  9. Read and respond to at least two of your classmates’ initial postings and any questions you are asked in your initial post by the end of the workshop.
  10. Use this material as you respond to various discussions and prepare work during the remainder of the course.

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Nursing philosophy

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Sample Nursing Philosophy

One questions I frequently get asked is why do I want to become a nurse. This is easy to answer when I think of the rewards received from being a nurse. Many nurses describes the benefits of being a nurse and how they have a desire to care for people and see them get healthy again. While this is true for me, my main reason has to do with my own experience with nurses. At a young age my mother passed away, and it is because of her nurses that I want to become a nurse. Watching them care for my mom and seeing all that they do for patients made me realize how complex the job really is. Not only did these nurses always make sure my mom was comfortable, they also made sure the rest of my family was coping. They made the whole experience of being in the hospital a little less scary and always explained everything in a way that we all could understand. As I got older and it became time to think of a career choice, nursing is the only thing that I wanted to do.

After seeing what nurses do and having my own clinical experiences, I have a better understanding of the four concepts of the nursing metaparadigm. The first concept, person, is an easy one to understand. With nursing you are caring for a person. What makes this complex is that it’s not just the physical aspect that a nurse is caring for, but also includes caring for the body, mind, and soul of the individual. Most would think that nursing is just fixing the physical things that can be seen with the patients. Nurses often have to help the patients understand their illness and also make sure they are mentally prepared to care for themselves out of the hospital. Also the “person” doesn’t always have to refer to the patient; it can also be the patient’s family. This was certainly the case when my mother was sick. Comment by Joann Erb:

The second concept of the metaparadigm is environment. The environment is important because without a healthy environment that patient can’t heal properly. The environment can refer to the room they are in and the people that are around them. After the patient leaves the hospital, will they be in a location that is safe, near resources they need? Will the patient be in a home that is safe, are there things that could cause them to get injured? Are there adequate resources at home? The environment can also refer to the emotional health of the patient. Is the patient going to have people around them that truly care and support them?

Another element in the nursing metaparadigm is health. Health refers to the person’s well-being, both physical and mental. It is important to understand the person’s own idea of health, someone society may see as healthy, may not view themselves that way if they can’t do all the things he/she did in the past. For a person to heal, they must be mentally healthy and emotionally willing to get healthy. Health is different for each individual and nurse must understand what health means to each patient and work with them to achieve it.

The final element is nursing. Nursing is not simply distributing medicines and administering treatment, it involves assessments, critical thinking, essential communication between patient and family members, collaboration with involved health care workers, and evaluation of interventions. It does not only involve teaching, but assesses the patient’s willingness and ability to learn. A nurse cannot merely instruct the patient on how to perform a skill but must watch the patient demonstrate the ability to perform that skill. Nursing is identifying incongruent verbal language and body language. Nursing is knowing when to confront, when to show empathy, when to be silent, and when to give a hug. Nursing is the science and art of caring.

In my own clinical experience, I was able to see how all these element for the metaparadigm come together. One of my patients was suicidal, and after caring for her it was clear how all these concepts work. First, it was getting her mentally healthy. She needed to be in an environment that she had someone with her at all times, she needed to have people around her that cared for her and wanted her to see just how much she is loved. As the nurse, I was able to support her and help establish a positive environment with her family and friends.

My clinical experiences have made it even more clear to me that nursing is exactly what I want to do with my life. To be able to see someone improve and thank you for caring for them is rewarding. Whether it is just being able to sit with a patient and listen to their concerns or hold their hand in this scary time for them is something I will continue to do. It is because of my mother’s nurses that I want to work in pediatrics, in hope to make a scary difficult time a little less scary, just like someone once did for me.

 

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Correction A4C9

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Capella University

January, 2019

 

 

 

 

 

 

Introduction

World disasters are happening more intensely and frequently, demonstrating a critical need for the enhancement of risk management and response. High-profile disasters are increasing worldwide consciousness to strengthen national and regional capacity to mitigate, respond to and manage these disasters. Developing countries such as in the Caribbean islands, the middle east, and Africa are particularly vulnerable to natural disasters for reasons of lack of infrastructure, resources and exacerbated by geology, tectonic setting, topography and location, poor environmental management practices and land use among other reasons related to the country and respective natural or man-made disasters that frequent it (Veeneema, 2018).

Earthquakes, hurricanes, and wildfires are some of the most common natural disasters that have even affected developed nations such as the United States crippling small and large communities, killing thousands and destroying any infrastructure around where they occur. The disasters being experienced today worldwide are some of most devastating and strongest in the last 100 years of the human history and have been argued to be a just mere precedents for the worst that are yet to come in the near future in the face of climate change and global warming as well as other destructive human activities.

Local, state and national response

The use of technology has been employed in response to these disasters enabling rescue operations and recovery allowing cities to rebuild after each event in the wake of these disastrous happenings and empowering the rescuers to help save more lives and others to intervene. Under normal circumstances worldwide, disaster repose in high-income countries trickle down in a pyramid-like series of organizations allowing responder mobilization from all government levels and coordinates with non-governmental, public and private organizations meaning that the jurisdictional levels that are lowest and closest to the disasters are the ones that handle to events. The volunteers and responder agencies handle the situation and its aftermath in most countries. The local firefighters, police, medical personnel and rescuers are the first to get to the affected area to give the necessary aid in the disaster’s immediate aftermath. The local government is asked to step in if there is an insufficiency of resources needed to meet the required needs. A government that is unable to meet the required needs has an option to request for assistance from other nearby states and even the national government if the needs are much than expected. The federal government assesses the needs and declares it a national disaster if the runs run higher allowing other governmental groups to pull in their efforts.

Barriers to healthcare access during natural disasters

Some of the problems facing disaster management and response are bureaucracy in government that is characterized by lumbering is responding to events. Another is the socio-economic inequalities among states since the state and local governments are the first responders to disasters in their areas of jurisdiction. These continue to dog disaster management and response and are even worse when disasters strike developing countries around the world, leading to farther loss of life and destruction of property and infrastructure.

West Africa is the most disadvantaged region in the world as it witnesses a severe Ebola hemorrhagic fever that caught international organizations unprepared making it the 25th known outbreak since 1976, the most complex and with maximum casualties and spread to three bordering countries of Liberia, Guinea, and Sierra Leone. The outbreak affected over 28, 000 people and claiming over 11,000 lives. This together with poor health infrastructure rendered the authorities clueless and unable to control the outbreak. The regions, like many other parts of Africa, has 1.3 health workers per 1,000 population, which is way even less than the 4.5 required towards the achievement of sustainable development goals. By the year 2030, the African continent is expected to house the majority 6.1 million of the global health workers shortage of 14.5 million. The health burden, as well as the resource crisis of the continent, is one of the highest in the world. Children under the age of five years record the highest mortality rate in Africa at 95 per 1,000 and its maternal mortality rate the highest at 500 per one lakh live births. The continent houses 11 percent of the global population and ironically faces 60 percent of the HIV/AIDS burden apart from having more than 90 percent of the annual 400 million world malaria cases.

The need for nursing mobilization

The case of the United States 2017 hurricane season remains as a wake-up call for health care organizations and health workers worldwide as the most costliest and deadliest hurricanes caused devastation in many places in the Caribbean, Texas and Florida keys and rendered roads impassable, grid demolished and over a million people homeless and lacking access to drinking water and food (Alim, Kawabata & Nakazawa, 2015). Just like in many developing nations, people were unable to access medical care since hospitals were closed or without power, mirroring the every-day situation in developing countries of lack of resources, infrastructure, and trained nurses. Nurses need to be mobilized in case of disasters to provide disaster relief and save lives. Many nurses took time off and privately funded their trips to volunteer in the aid effort to people with few resources, children and the elderly suffering from hunger and dehydration. This action together with advocacy from the nurses helped increase the number of nursing aid as from the nursing perspective, the lack of resources, food, and proper medical attention caused preventable illnesses, complicated chronic conditions and caused death at a higher scale than experienced during the storm.

Role of nurses during natural disasters

Nurses have been playing critical roles in disaster response as they cared for thousands of people in many disaster relief efforts such as in the south Asian tsunami of 2004, the hurricanes Katrina and Rita in 20015, the massive earthquake on Haiti and the Typhoon Haiyan among many other all over history. Volunteer nurses that have been taking part check with disaster management organizations such as the Red Cross for volunteer opportunities. Nursing volunteerism is turning out to be among the most potent tools of patient advocacy as it goes beyond advocating for patient needs under their personal care. Nurses have a responsibility to advocate for patients needs, and it is also within their ethical obligations to approach broader advocacy issues as a union of nursing professionals (Achora & Kamanyire, 2016).

Natural disasters are one of the most unpredictable and dangerous things that face counties regardless of their economic or political standing as they wreak havoc on populations that takes long tmes to recovery. Each natural disaster happening anywhere around the world is unique but calls for volunteers with a range of professional backgrounds to emotionally and physically help rebuild the communities that have been affected. Nurses have a riange of professional skillset and background they can offer when volunteering abroad in areas affected by natural disasters.

Race, gender and class in disaster response

The social effects and government response during Hurricane Katrina were connected to race and class as most of those left behind during evacuation were poor black Americans not able to afford homes in safer flood-protected areas. Marginalizes races or ethnic groups face barriers arising from cultural, language, experience, discrimination, segregation and social isolation in disaster aftermaths. The poverty and ethnic/ racial intersection combine to the disadvantage of women. Women in subordinated ethnic and racial groups have housing related difficulties that come with discrimination in the relief system.

Role of international altruistic originations

Many organizations and individuals worldwide are aware of the state of developing nation’s unpreparedness and poverty concerning disaster response but unfortunately, the amount of funding directed to improve the situation during these times remains relatively small in comparison with the finding direct to many other developed countries’ priorities. The United Kingdom government uses only 0.7% of the national income in foreign aid annually, which was $12.1 Billion in the year 2015. The government, however, spends three times as much on defense, taking up 3% of the national income (Labrague et al., 2018). The individual donations to oversee aid also remains relatively small as characterized by the contributions by the United Kingdom citizens donating more to hospitals and hospices, religious charities, medical; research, children and young people charities as compared to the aid the granted to overseas assistance and disaster relief. The United States also bears the same aid behaviors as the Canada and United Kingdom. The charities and foundations in the line of reducing the aftermath of natural or human-made disasters are in definite need for more funds.

 

References

Achora, S., & Kamanyire, J. K. (2016). Disaster Preparedness: Need for inclusion in undergraduate nursing education. Sultan Qaboos University Medical Journal, 16(1), e15.

Alim, S., Kawabata, M., & Nakazawa, M. (2015). Evaluation of disaster preparedness training and disaster drill for nursing students. Nurse education today, 35(1), 25-31.

Labrague, L. J., Hammad, K., Gloe, D. S., McEnroe‐Petitte, D. M., Fronda, D. C., Obeidat, A. A., … & Mirafuentes, E. C. (2018). Disaster preparedness among nurses: a systematic review of literature. International nursing review, 65(1), 41-53.

Veenema, T. G. (Ed.). (2018). Disaster nursing and emergency preparedness. Springer Publishing Company.

 

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vulnerable population 4 DQ 1

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 Describe a vulnerable population in terms of research. Why is the population considered vulnerable? What other groups might also be considered vulnerable populations. 1 page, APA. 2 sources. Please read instructions very well, there are 3 parts to this question.

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Value-Based Reimbursement Model

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250 words post using two scholarly sources supporting your viewpoint on why you agree with the ‘Healthcare Value-Based Reimbursement Model”

250 words

SCHOLARLY SOURCES ONLY

attach plag report

due 11/17/19 @8am Eastern Standard Timezone

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Advanced Nursing Inquiry and Evidence Based Practice

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 Discuss some of the Possible Problems or Issues that could Affect Intervention Studies.

 

.         250-word minimum

·         At least 1 reference (the course textbook must be a reference)

·         Must address topic

.          In cite text citations

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Assignment 2: Practicum – Week 10 Journal Entry

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Select two clients you observed or counseled this week during a group therapy session for children and adolescents. Then, address in your Practicum Journal the following:

Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.

Using the DSM-5, explain and justify your diagnosis for each client.

Explain any legal and/or ethical implications related to counseling each client.

Support your approach with evidence-based literature.

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