Topic 4 DQ 1

Choose a legislator on the state or federal level who is also a nurse and discuss the importance of the legislator/nurse’s role as advocate for improving health care delivery. What specific bills has the legislator/nurse sponsored or supported that have influenced health care.

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MHA500 Module 1 Case

Module 1 – Case

U.S. HEALTH CARE DELIVERY SYSTEMS

Assignment Overview

The United States has a unique system of health care delivery which has evolved over time. Although the U.S. health care delivery system has evolved in response to cost, access, and quality, there are often assertions made about health care delivery in the United States. For example, according to Mary Mahon (2015), VP of Public Information at the Commonwealth Fund, the U.S. spends more on health care than other high-income nations, but has a lower life expectancy and worse health.

Mahon, M. (2015). U.S. spends more on health care than other high-income nations but has lower life expectancy, worse health. Retrieved from http://www.commonwealthfund.org/publications/press-releases/2015/oct/us-spends-more-on-health-care-than-other-nations

Case Assignment

After completing the assigned readings, you should have a basic understanding of the characteristics and components of the U.S. health care delivery system. For the Module 1 Case Assignment, review the following assumptions regarding health care in the U.S. (Greenwald, 2010). Although these assumptions are widely publicized, they might be disputed with critical thinking. Evaluate additional literature and consider each of the following assumptions. Explain why you believe the statement is true or false.

  • The U.S. spends too much on health care services.
  • The poor lack health care.
  • The systems in other countries are better.
  • The U.S. health care system is in crisis today.
  • Health care is a right.

Greenwald, H. (2010). Health care in the United States: Organization, management and policy. John Wiley & Sons: San Francisco, CA.

Assignment Expectations

  1. Provide a one-paragraph (5- to 7-sentence) response for each statement.
  2. Include an introduction and conclusion in your paper.
  3. Support your report with peer-reviewed articles, with at least 3 references. Use the following link for additional information on how to recognize peer-reviewed journals. Angelo State University Library (n.d.) Library guide: How to recognize peer reviewed (refereed journals). Retrieved from: https://www.angelo.edu/services/library/handouts/peerrev.php
  4. You may use the following source to assist in formatting your assignment. Purdue Online Writing Lab. (n.d.). General APA guidelines. Retrieved from: https://owl.english.purdue.edu/owl/resource/560/01/.
  5. For additional information on reliability of sources review the following source. Georgetown University Library (n.d.) Evaluating internet resources. Retrieved from https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content

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Professional Nursing 6

What role does immunity play when caring for a patient that is experiencing a high amount of stress due to a loss?

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Professional Nursing 8

think about fluid imbalances and how this imbalance can affect the gas exchange of your patient?

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Concepts in Community (Due 24 hours)

 

1) Minimum 10 full pages  (Follow the 3 x 3 rule: minimum three paragraphs per part)

             Part 1: Minimum 1 page

             Part 2: minimum 1 page

             Part 3: Minimum 7 pages

             Part 4: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraph

          Bulleted responses are not accepted

          Don’t write in the first person 

          Don’t copy and paste the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

Part 3: minimum 6 references not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.do

__________________________________________________________________________________

Part 1: Concepts in Community

1.  What are social determinants of health?  

2. Explain how social determinants of health contribute to the development of disease.  

3. Describe the fundamental idea that the communicable disease chain model is designed to represent.

4.  Give an example of the steps a nurse can take to break the link within the communicable disease chain.

Part 2: Concepts in Community

1. Select a global health issue affecting the international health community. 

2. Briefly describe the global health issue and its impact on the larger public health care systems (i.e., continents, regions, countries, states, and health departments). 

3. Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues. 

Part 3: Concepts in Community

 Topic: HIV

Write a paper in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment.

Epidemiology Paper Requirements

1. Describe the chosen communicable disease, including:

a. Causes

b. Symptoms

c.  Mode of transmission

d. Complications

e. Treatment

f.  Demographic of interest (mortality, morbidity, incidence, and prevalence). 

g. Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.

2. Describe the social determinants of health and explain how those factors contribute to the development of this disease.

3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. 

a. Include the host factors, agent factors (presence or absence), and environmental factors. 

b. Are there any special considerations or notifications for the community, schools, or general population?

4. Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) 

a. Why demographic data are necessary to the health of the community.

5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.

6. Discuss a global implication of the disease. 

a. How is this addressed in other countries or cultures? 

b. Is this disease endemic to a particular area? Provide an example.

 

Part 4: APRN

1. Describe your vision of your role as an APRN (Write in the first person)

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Advance Family Practicum I and II and Ethical ( Due 24 hours)

 

1) Minimum 6 full pages  (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 1 and 2 are the same question, however, you must answer both questions with references and different writing always addressing them objectively, that is as if you were two different people. Similar responses in wording or references will not be accepted.

Parts 3 and 4 are the same question, however, you must answer both questions with references and different writing always addressing them objectively, that is as if you were two different people. Similar responses in wording or references will not be accepted.

             Part 1: Minimum 1 page

             Part 2: minimum 1 page

             Part 3: Minimum 1 page

             Part 4: minimum 1 page

             Part 5: minimum 1 page

             Part 6: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraph

          Bulleted responses are not accepted

          Don’t write in the first person 

          Don’t copy and paste the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.do

__________________________________________________________________________________

 

Part 1: Advance Family Practicum

Parts 1 and 2 are the same question, however, you must answer both questions with references and different writing always addressing them objectively, that is as if you were two different people. Similar responses in wording or references will not be accepted.

Topic: Health care reform and role of NP

According to these resources and others, answer:

1. How Healthcare reform is impacting primary care from your role as NP?

https://www.ajmc.com/contributor/sophia- bernazzani/2016/03/how-healthcare-reform-is-impactingprimarycare  

2. What the health is going from 2018 to now?

Healthcare reform 101: What health is going on in 2018?

https://www.youtube.com/watch?v=cwTWhwWLzHQ  

3. How the transformation of health care and the change of roles in health care affect NPs and patients?

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266427/pdf/ornur3612.pdf  

Part 2: Advance Family Practicum

Parts 1 and 2 are the same question, however, you must answer both questions with references and different writing always addressing them objectively, that is as if you were two different people. Similar responses in wording or references will not be accepted.

Topic: Health care reform and role of NP

According to these resources and others, answer:

1. How Healthcare reform is impacting primary care from your role as NP?

https://www.ajmc.com/contributor/sophia- bernazzani/2016/03/how-healthcare-reform-is-impactingprimarycare  

2. What the health is going from 2018 to now?

Healthcare reform 101: What health is going on in 2018?

https://www.youtube.com/watch?v=cwTWhwWLzHQ  

3. How the transformation of health care and the change of roles in health care affect NPs and patients?

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266427/pdf/ornur3612.pdf  

Parts 3 and 4 are the same question, however, you must answer both questions with references and different writing always addressing them objectively, that is as if you were two different people. Similar responses in wording or references will not be accepted.

Part 3:  Practicum in health care

 

Parts 3 and 4 are the same question, however, you must answer both questions with references and different writing always addressing them objectively, that is as if you were two different people. Similar responses in wording or references will not be accepted.

Visit the following website and answer the following question.

https://nurse.org/resources/family-nurse-practitioner/ 

After reviewing the different setting 

1. In which Family Nurse Practitioners work. 

2. What setting will be your focus career choice and why?

Part 4:  Practicum in health care

 

Visit the following website and answer the following question.

https://nurse.org/resources/family-nurse-practitioner/ 

After reviewing the different setting 

1. In which Family Nurse Practitioners work. 

2. What setting will be your focus career choice and why?

 

 Part 5:  Ethical

Developing Effective Leaders to Meet 21st-Century Health Care Challenges

1. Is there a model of leadership that better supports leadership at the point of service? Why? Why not?

2. How could formal leadership training for nurse managers and leaders impact hospitals in terms of saving money related to recruitment, nursing satisfaction, nurse wellness, and retention?

3.How do traditional attributes associated with the nursing profession promote effective leadership in the 21 st century?

 

Part 6: APRN

1. Describe your vision of your role as an APRN (Write in the first person)

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Practicum in health care, Advance Family Practicum, Ethical and Nursing and the aging family (Due 24 hours)

 

1) Minimum 6 full pages  (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 1 and 2 are the same question, however, you must answer both questions with references and different writing always addressing them objectively, that is as if you were two different people. Similar responses in wording or references will not be accepted.

             Part 1: Minimum 1 page

             Part 2: minimum 1 page

             Part 3: Minimum 1 page

             Part 4: minimum 1 page

             Part 5: minimum 1 page

             Part 6: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraph

          Bulleted responses are not accepted

          Don’t write in the first person 

          Don’t copy and paste the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.do

__________________________________________________________________________________

Part 1:  Practicum in health care

Parts 1 and 2 are the same question, however, you must answer both questions with references and different writing always addressing them objectively, that is as if you were two different people. Similar responses in wording or references will not be accepted.

Visit the following website and answer the following question.

https://nurse.org/resources/family-nurse-practitioner/ 

After reviewing the different setting 

1. In which Family Nurse Practitioners work. 

2. What setting will be your focus career choice and why?

Part 2:  Practicum in health care

Visit the following website and answer the following question.

https://nurse.org/resources/family-nurse-practitioner/ 

After reviewing the different setting 

1. In which Family Nurse Practitioners work. 

2. What setting will be your focus career choice and why?

Part 3: Advance Family Practicum

Topic: Health care reform and role of NP

According to these resources and others, answer:

1. How Healthcare reform is impacting primary care from your role as NP?

https://www.ajmc.com/contributor/sophia- bernazzani/2016/03/how-healthcare-reform-is-impactingprimarycare  

2. What the health is going from 2018 to now?

Healthcare reform 101: What health is going on in 2018?

https://www.youtube.com/watch?v=cwTWhwWLzHQ  

3. How the transformation of health care and the change of roles in health care affect NPs and patients?

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266427/pdf/ornur3612.pdf  

Part 4: Ethical

 

Evidence-Based Practice

Two professional registered nurses are interested in evidence-based practice and have developed research questions to study.  The nurses discuss what evidence-based practice is all about and are trying to determine if the organizational culture supports nurses who seek out and use research to change long-standing practices that are rooted in tradition rather than science.

1.  What is the best explanation of the difference between evidence-based practice and best practices?

The two registered nurses review a variety of research studies to answer their proposed research questions. 

2. What is the difference in the efficacy of randomized controlled trials, integrative reviews, or meta-analysis with practice-based evidence for continuous process improvement?

The registered professional nurses must consider alternative support mechanisms when searching for the best evidence to support their clinical practice. 

3. What are possible mechanisms of support for evidence-based practice?

4.  Describe the challenges that exist today for nurses in implementing evidence-based practice?

Part 5: Nursing and the aging family  ( Writhe in the first person)

Ageism is a concept introduced decades ago and is defined as “the prejudices and stereotypes that are applied to older people sheerly on the basis of their age…” (Butler, Lewis, & Sutherland, 1991)

1. What are some common misconceptions you have heard or believed about older adults? ( Writhe in the first person)

2. What can you do to dispel these myths? ( Writhe in the first person)

 

Part 6: APRN

1. Describe your vision of your role as an APRN (Write in the first person)

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Top 5 public health problems/issues

 In your opinion, what are the Top 5 public health problems/issues in the U.S. and/or internationally, and why did you choose these?  

must be at least 250 words supported by at least two references 

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Ethical and Legal Aspect of Nursing

 

Case Study, Evidence-Based Practice

Two professional registered nurses are interested in evidence-based practice and have developed research questions to study.  The nurses discuss what evidence-based practice is all about and are trying to determine if the organizational culture supports nurses who seek out and use research to change long-standing practices that are rooted in tradition rather than science.

1. What is the best explanation of the difference between evidence-based practice and best practices?

2. The two registered nurses review a variety of research studies to answer their proposed research questions. What is the difference in the efficacy of randomized controlled trials, integrative reviews, or meta-analysis with practice-based evidence for continuous process improvement?

3. The registered professional nurses must consider alternative support mechanisms when searching for the best evidence to support their clinical practice. What are possible mechanisms of support for evidence-based practice?

4.  Describe the challenges that exist today for nurses in implementing evidence-based practice?

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Discussion: Patient requests and outstanding balances

1. In your opinion, should all patient requests to speak with a manager be honored ? Why or why not ?

2. Describe a process or method that you would use to collect an outstanding patient balance. Be specific.

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