Advance Nursing Research

You will respond individually to the following two presentations by using references and addressing the following:

Video # 1 (Robert):       https://youtu.be/wD41ROKTvz4

Video # 2 (Mathew):    https://youtu.be/KM2Kc7nxhQ8

Although you may have more than one question after viewing the groups’ presentations, you will identify one question you have for each of the two presentations and then find an article in the Google Scholar that uses each of the two group’s research method (a different research article from what that group included in their presentation) and briefly summarize how it incorporates that research method.

Describe the question and how you went about answering it, i.e., where you found the answer.

Provide the complete APA reference for the articles in both of your replies, as well as use proper APA citation

health care policy development to influence nursing practice and health care.

Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

  1. Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.
  2. Create a problem statement.
  3. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.
  4. Discuss the impact on the health care delivery system.

Include three peer-reviewed sources and two other sources to support the policy brief.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Non Maleficence In Nursing

INDIVIDUAL ASSIGNMENT

  • What expertise, supports, and character traits do you believe a nurse needs to possess in order to practice non-maleficence in nursing? For each item you name, give an example and show how this skill/trait will help nurses to become more ethical in their practice.
  • Describe a situation in which non-maleficence might potentially come into conflict with a different precept in nursing. Write about the conflict you describe and analyze what you see as the most ethical approach to dealing with this tension.

Requirements:
Word Count—Minimum 1500-1800 words
References—Minimum 3 peer reviewed references, the oldest being no more than 5 years old.
APA FORMAT IS REQUIRED

How Does The Answering Of Call Lights In A Timely Manner In The Health Care Setting Prevent Patient Falls?

NR449 Evidence Based Practice

c. Use of APA format (sixth edition)  d. Page length: three pages  PREPARING THE PAPER  1. Please make sure you do not duplicate articles within your group.  2. Paper should include a title page and a reference page.

DIRECTIONS AND ASSIGNMENT CRITERIA  Assignment  Criteria  Points  Description

Clinical Question

 

 

 

 

 

 

 

1. Problem is described: What is the focus of your group’s work?  2. Significance of the problem is described: What health outcomes result from your problem? Or what statistics document this is a problem? You may find support on websites for government or professional organizations.  3. Purpose of your paper: What will your paper do or describe? “The purpose of this paper is to . . .”

 

**Please note that although most of these questions are the same as you addressed in paper 1, the purpose of this paper is different. You can use your work from paper 1 for items 1 and 2 above, including any suggestions for improvement provided as feedback. Item 3 above should be specific to this paper.

Description of Findings: Summary

 

Summarize the basics of each article in a matrix table that appears in the appendix.

Description of  Findings:  Description

 

Describe in the body of the paper the following.  • What concepts have been studied?  • What methods have been used?  • Who are the participants or members of the samples?  • What instruments have been used? Did the authors describe the reliability and validity?  • How do you answer your original “purpose of this paper” question? Do the findings of the articles provide evidence for your answers? If so, how? If not, what is still needed to be able to answer your question?  • What is needed for the next step? Identify two questions that can help guide the group’s work.

Description of Findings: Conclusion

Conclusion: Review major findings in your paper in a summary paragraph.

 

1. Correct grammar and spelling  2. Use headings for each section: Problem, Synthesis of the Literature (Concepts, Methods, Participants, Instruments, Implications for Future Work), Conclusion.  3. APA format (sixth ed.): Appendices follow references.  4. Paper length: Three pages

 

 

Policy/Regulation Fact Sheet

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

  • Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
  • Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
  • Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

  • Briefly and generally explain the policy or regulation you selected.
  • Address the impact of the policy or regulation you selected on system implementation.
  • Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
  • Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

Departmental Budget And Outline Guidelines And Rubric

Part One: Proposal Outline First, you will outline your proposal for your boss to review. With the goal of submitting a proposal that will help your organization and win a $2,500 bonus, you will create a 1–3 page outline of your final project presentation that identifies the key points you will use to address critical elements of the final project, providing sufficient detail to allow your boss to provide constructive feedback on your proposal. Your outline should incorporate, where applicable, the knowledge, concepts, and principles that you have learned in Modules One through Five. Review the Proposal Outline Template to gain an idea of what your outline may look like. The notes and ideas you generate in this outline may inform the speaker notes, visuals, and text that you will include in your final project proposal presentation. To complete this part of the assignment, the following items must be addressed: I. Proposal A. Options: What various options are available for each item in your budget proposal? Provide multiple options for your supervisor or board to consider based on their needs. B. Financial Research: Describe the cost-benefit of each option based on relevant information and research. Information and research can include research on the items or vendors, organizational numbers, price quotes, and more. Be sure to provide relevant documentation in an appendix or reference slide to show the depth of your research and the various options available. C. Organizational Resources: Identify what resources would be needed to implement one of the options in your proposal D. Communication: What method of communication would be used to notify departments across the organization and what methods would be used throughout proposal implementation? Justify the appropriateness of your suggestions. Part Two: Departmental Budget Second, create your annual departmental budget per your boss’ request. As part of your capital budget proposal, you will need to apply the cost of your capital budget item, and all associated costs, to a specific department within the organization.

Educational Program On Risk Management Part Two – Slide Presentation

Building upon the outline for an educational session you created in the Educational Program on Risk Management Part One: Outline of Topic 2 assignment, develop a 12-15 slide PowerPoint presentation that expands in greater detail on how and why your organization should implement your proposed risk management strategy. Incorporate any instructor feedback from the Topic 2 assignment into this presentation and include talking points in the speaker notes section of each slide.

Keep in mind that the PowerPoint is meant to serve as a visual aide to bolster your presentation and is intended to highlight main ideas and key points. Do not use dense blocks of text or more than 7 bullet points of text per slide.  However, you may include supplementary images, graphs, and data where relevant.

To successfully complete this assignment, include the following sections as per your outline from Topic 2, though you may include any additional sections as needed:

  1. Introduction
  2. Rationale
  3. Support
  4. Implementation
  5. Challenges
  6. Evaluation
  7. Opportunities

You are required to support your statements with a minimum of six citations from appropriate credible sources

Disparities And Social Determinants Of Health

Access to healthcare is more than just the ability for one to receive care but also the way that they receive it (Shi & Singh, 2018). It is important as future providers to improve the quality of care we give to our patients without increasing cost. One public policy that could be implemented in order to improve the quality of care without increasing the cost is through programs established via the Affordable Care Act. This act was established in order to provide healthcare coverage to all including those who may not be able to afford it. However, this has come with many challenges when it comes to quality care as well as cost. Changes to the ACA are being looked at frequently especially within the Trump administration. One of the changes was recently brought to light through a new program that would allow states to offer patients more benefits while controlling costs and government spending (Galewitz & Pradhan, 2020). This would be an option for states and not required however it would allow them better control over spending and cost. This could also improve the quality of care that patients receive because it would be geared towards patients who have great medical needs rather than focusing on the poverty class that is frequently looked at within the ACA (Galewitz & Pradhan, 2020).

Another policy that could improve quality without increasing expense is through the plans established in the KFF comparison models. These are public plans in comparison to Medicare to offer the public options in additional to current sources of coverage private or public (Shi & Singh, 2019). A good example to help keep cost down but improve quality would be through the KFF comparison model, Single payer plan (Medicare for all) federal program. This plan provides comprehensive benefits for all US residents, tax financed with no premiums, replaces all private insurances, and eligibility is based on US residency (KFF, 2019). This plan could aide in the quality of care because it provides comprehensive benefits that could cover preventive medical visits and screenings. That is an important step to improving quality healthcare and life as well as decreasing cost (Shi & Singh, 2018). As we have looked at in previous discussions and lectures those who are uninsured and struggle are those that fall within the poverty class because of their risk for financial insecurity. By implementing these new changes to the ACA we could see more people getting quality care which could improve outcomes. However, there are still many changes that need to occur within the healthcare system and the ACA in order to insure that all Americans are receiving healthcare even if they cannot afford it. Research showed that many who are uninsured end up going into financial debt related to medical bills and those who specially may not be able to afford care just don’t seek it therefore end up in the hospital for illness that could have been prevented (Majerol, Newkirk, & Garfield, 2015). Although our hands are tied to an extent as healthcare providers we can do our best to treat our patients to the highest standard of quality care while the politic side of healthcare continues to change.

Community Practice Experience Journal Reflection

  1. What are your upcoming week’s specific learning goals and objectives as a Case Manger?
  2. What is your upcoming week’s detailed schedule at your community practice experience placement as a Case Manager?
  3. Were there any placement items/issues that occurred this week that you feel your instructor should be aware of that are private in nature and are more appropriately shared here than in the discussion board with your classmates?
  4. Give a brief description of an objective you worked on this week. Make sure to cite at least one reference showing how your objective relates to the public health knowledge you’ve studied during this course or the public health course. You may choose to reference your e-text, journal articles, or videos you’ve studied during these courses or you may find an outside reference on your own to further enhance your public health knowledge and practices.

Remember, your journal entries are an important aspect of clinical learning as they serve to help you reflect upon and get the most out of your community practice experience. Therefore, your journal entry should include the who, what, where, and when of your community practice experience. Remember, this should simulate a dialogue that would normally take place face-to-face with your community practice experience instructor.

Assignment: Ethical Concerns

As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?

In this Lab Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.

To Prepare

Review the scenarios provided by your instructor for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your scenarios.

  • Based on the scenarios provided:
    • Select one scenario, and reflect on the material presented throughout this course.
    • What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
    • Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

The Lab Assignment

Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.