Health Needs Assessment

 Scenario

The scarcity of health resources continues to negatively affect communities across the country. Deciding how to allocate scarce resources creates significant ethical challenges for local policymakers and other stakeholders within the community.

You represent a local non-profit community health organization in Chicago. Your organization is compiling data to conduct a needs assessment in order to determine the feasibility of a new community-based mobile health clinic. You have been asked to review the most recent strategic plan for the city of Chicago.

The mobile clinic would offer free preventive care, urgent care, and chronic disease management services to vulnerable citizens of Chicago, who may not otherwise have the financial resources to access quality healthcare services. Your executive summary will be used in the development of a needs assessment for the project.

Your targeted population is an urban, low income community disenfranchised by current health reform policies, high unemployment, a shortage of primary care physicians, and divisive partisan attitudes regarding entitlement programs. The goal of the community-based clinic is to work collaboratively with local health facilities to reduce costs, improve access, and to enhance the quality of care for underserved communities.

Instructions

Review the community health needs assessment linked here Click for more options

that was conducted by the Health Impact Collaborative of Cook County. Pages 37 – 49 of the report highlight challenges facing the city with respect to costs, access, and quality of care issues.

Write an executive summary addressing the following questions:

What are some of socio-economic factors that affect access to care based on the findings in the report?

What are the critical focus areas identified in the report?

Based on the report’s content, how might the use of a mobile health clinic address the critical focus areas?

What are some of the potential barriers to success for a mobile health clinic?

APA formatting for the reference list, and proper grammar, punctuation, and form are required. 

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concept of health

 Discuss how the concept of “health” has changed overtime. Discuss how the concept has evolved to include wellness, illness, and overall well-being. How has health promotion changed over time? Why is it important that nurses implement health promotion interventions based on evidence-based practice? 

250 words, add references

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Community DQ 14

  

Read chapters 24 of the class textbook and review the PowerPoint presentations located in the PowerPoint folder. Once done answer the following questions.

 

1. Describe the role of the community health nurse in providing quality end-life-care for seriously ill persons and their families.

2. Identify and discuss the diverse settings for end-of-life care and the role of the nurse in each setting.

APA style (intext citations and references)

Plagiarism FREE

 A minimum of 3 evidence-based references no older than 5 years must be used 

800 words

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levels of health promotion

 Compare and contrast the three different levels of health promotion (primary, secondary, tertiary). Discuss how the levels of prevention help determine educational needs for a patient. 

250 words, add references

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assigment

 

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

  1. Provide an overview of the problem and the setting in which the problem or issue occurs.
  2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
  3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
  4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
  5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
  6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

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capstone project

   

NTR 1010 Introductory Nutrition

Capstone Project Instructions

This project allows you to demonstrate the depth of your understanding of the important concepts presented in this course, so please start it as early as you can.

Please submit Part 1 and Part 2 of this assignment to Blackboard. 

· Diet and Wellness reports should be submitted as pdf documents. There should be 9 pdf reports

· Answers to questions in Section B, C, D, and questions in Part 2 into 1 Microsoft Word document and submit it in Blackboard.

Part 1: Dietary Self-Assessment (up to 70 points)

Section A: Food Record 

Record 3 days of your food and beverages in the Diet and Wellness app (as you did at the start of the semester), and generate 3 Daily Food Log reports to show your diet record. You can generate your Food Logs from the Reports tab in D&W+. Adjust the date in each case to obtain the Food Log from the appropriate day. 

Section B: Diet & Wellness Plus Diet Analysis

Generate an Intake vs Goals report, as well as 3 Source Analysis reports (for kilocalories, saturated fat, and sodium). You can generate these reports from the Reports tab in D&W+. For each report, you need to set a start date and an end date to capture all 3 days. 

Section C: Your Genetic Risk for Chronic Disease

Recall from Chapter 1 that each of us has a unique risk for developing chronic conditions such as heart disease or diabetes. This risk is based on how we eat, lifestyle choices such as exercise habits and smoking, and the genes we inherit from our parents.

1. List 6 relatives (parents, grandparents, aunts, uncles, siblings, and cousins for example). As you choose these people, focus on older relatives as well as any younger family members who have already been diagnoses with health conditions. They may be living or not.

2. Indicate which (if any) of these people had or have any of the following conditions: 

· Heart Disease

· Pre-hypertension, Hypertension, or Stroke

· Obesity

· Cancer

· Pre-diabetes, Gestational diabetes, or Type 2 diabetes

· Osteoporosis

If you cannot list any “blood” relatives, then list people with whom you grew up. If you don’t know if anyone has had these conditions, list their current age or the age at which they died.

Section D: Interpretation

Using the information from parts sections A, B, and C above, answer the 6 questions below.

1. List 4 vitamins and/or minerals that you consumed in adequate amounts and discuss how this protects you.

2. List 4 vitamins and/or minerals that you consumed in low amounts, and discuss the potential dangers to your health.

3. List your calorie, saturated fat, and sodium intake, and indicate if you overconsumed any of them. Discuss the potential dangers to your health.

4. Discuss 3 chronic disease conditions you are at risk for (or would otherwise avoid) based on your 3-day typical eating pattern and your Medical family tree

5. Using information from Chapters 7 and 8, identify 4 foods you are willing to eat to correct any shortages of vitamins and/or minerals.

6. Using your Source Analysis reports, identify 4 foods you could cut back on to reduce excess calories, saturated fat and/or sodium.

For this Part 1  you are submitting the following to Blackboard for grading:

· 3 Food Logs

· 4 Reports: 1 Intake vs Goals and 3 Source Analysis (Kilocalories, Saturated Fat, and Sodium)

· Family History of Chronic Disease (in a table format)

· Your answers to the 6 questions.

Part 2: Food Bank Analysis (up to 30 points)

Many Americans rely on food banks to make sure they and their families have enough to eat. Although food banks have some capacity to collect and distribute perishables (fresh fruits, vegetables, dairy, and meat), they tend to rely on packaged foods with a long (unrefrigerated) shelf-life. This, of course, affects the nutritional content of their offerings.

1) Identify a local food pantry, and research their mission and the nutrition services they provide.

2) Using the food bank typical food list on the last page, create a menu for one day (breakfast, lunch and dinner). Please make sure you include foods from each of the food groups:

a) Grains

b) Milk

c) Protein

d) Fruit

e)  Vegetable

3) Enter your choices into Diet and Wellness as though you are the client, and generate a Food Log report and an Intake vs. Goals Report.

4) Identify 3 nutrients for which you met the DRI recommendations.

5) Identify 3 nutrients for which you were below the DRI recommendations.

6) Discuss 3 implications of your Intake vs Goals report findings on the long-term health of people who rely on food banks for long periods of time.

7) Based on question 6, List 3 pieces of advice you would provide to these clients based on your analysis.

For Part 2 you are submitting the following to Blackboard for grading:

· The name and mission of your chosen food pantry

· 1 Food Log

· 1 Intake vs Goals Report

· Your answers to questions 4, 5, 6, and 7 above.

  

Food Bank Typical Inventory

  

Grains

Infant cereal

Macaroni

Oatmeal

Grits

Cream of wheat

Pretzels

Muffin mix

Pancake mix

Rice pilaf

Rigatoni

Cereal 

Quick bread mix

Flour 

Macaroni & cheese, boxed 

Rice (brown or white)

Spaghetti

Cornmeal

Noodles 

Biscuit mix

Canned pasta

Graham crackers

Noodle soups

Dairy

Dried milk

Infant formula

Evaporated (canned) milk 

Boxed milk

Canned & Boxed pudding

Parmesan cheese

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The Application of Data to Problem-Solving

  In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

To Prepare:

  • Reflect on the concepts of      informatics and knowledge work as presented in the Resources.
  • Consider a hypothetical scenario      based on your own healthcare practice or organization that would require      or benefit from the access/collection and application of data. Your      scenario may involve a patient, staff, or management problem or gap.

Post a description of the focus of your scenario. ( 5-6 paragraphs)

Describe the data that could be used and how the data might be collected and accessed. 

What knowledge might be derived from that data? 

How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

· Chapter 1, “Nursing Science and the Foundation of Knowledge” (pp. 7–19)

· Chapter 2, “Introduction to Information, Information Science, and Information Systems” (pp. 21–33)

· Chapter 3, “Computer Science and the Foundation of Knowledge Model” (pp. 35–62)

Nagle, L., Sermeus, W., & Junger, A. (2017).  Evolving Role of the Nursing Infomatics Specialist. In J. Murphy, W. Goosen, &  P. Weber  (Eds.), Forecasting Competencies for Nurses in the Future of Connected Health (212-221). Clifton, VA: IMIA and IOS Press. Retrieved from https://serval.unil.ch/resource/serval:BIB_4A0FEA56B8CB.P001/REF

Sweeney, J. (2017). Healthcare informatics. Online Journal of Nursing Informatics, 21(1).

Public Health Informatics Institute. (2017). Public Health Informatics: “translating” knowledge for health [Video file]. Retrieved from https://www.youtube.com/watch?v=fLUygA8Hpfo

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Nursing Research paper

  

Part 1 

 Please select one from the following list of topics for your Initial Post in Once you have made a choice, create your Initial Post in the discussion and identify and describe the advantages, disadvantages, contraindications, and failure rate associated with your choice.

Your selection: Progestogen-only pill (POP) 

Two pages long, 4 nursing research references 

Part 2 (Second part of the paper)

1 page long 

What aspects of your response were similar or different to (combined oral contraceptive (COC))? Locate one resource that supports the use of (combined oral contraceptive (COC) 

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Where in the World Is Evidence-Based Practice?

 March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

  • Review the Resources and      reflect on the definition and goal of EBP.
  • Choose a professional      healthcare organization’s website (e.g., a reimbursing body, an accredited      body, or a national initiative).
  • Explore the website to      determine where and to what extent EBP is evident.

Post a description of the healthcare organization website you reviewed. 

Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). 

Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. 

Explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. 

Be specific and provide examples.

  • Read the articles by Sikka,      Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016);      and Kim et al. (2016) provided in the Resources.
  • Reflect on how EBP might      impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP      may have on factors impacting these quadruple aim elements, such as      preventable medical errors or healthcare delivery.

 

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01
Note: You will access this article from the Walden Library databases.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126
Note: You will access this article from the Walden Library databases.

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171
Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2
Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021
Note: You will access this article from the Walden Library databases.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160
Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Required Media

Laureate Education (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video file]. Baltimore, MD: Author.

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Capstone Change Project Outcomes. `12/3

After working with your preceptor to assess organizational policies, create a list of measurable outcomes for your capstone project intervention. Write a list of three to five outcomes for your proposed intervention. Below each outcome, provide a one or two sentence rationale.

The assignment will be used to develop a written implementation plan.

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

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