Category: Nursing

  • Pneumonia Prevention Interventions Essay

    Pneumonia Prevention Interventions Essay

    Give a comment on the following pneumonia prevention interventions essay discussion post;

    Knowledge of nurses about the intervention for the prevention of pneumonia associated with mechanical ventilation: This article seeks to investigate the knowledge of pneumonia prevention interventions. There seems to be a disconnect between the evidence research has made available and clinical practice. One strength is that the method used allows for honest results. However, the weakness is that the study was conducted at one hospital, in one unit so the generalizability is unknown.

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    Wagner, B. V., Alves, E. F., Brey, C., Waldrigues, M. C., & Caveião, C. (2015). KNOWLEDGE OF NURSES ABOUT THE INTERVENTION FOR THE PREVENTION OF PNEUMONIA ASSOCIATED WITH MECHANICAL VENTILATION. Journal Of Nursing UFPE / Revista De Enfermagem UFPE, 9(5), 7902-7909. doi:10.5205/reuol.6121-57155-1-ED.0905201521

    Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care: This article is aimed at evaluating compliance with a bundle to prevent ventilator-associated pneumonia in an Intensive Care Unit. Bundles are only effective if used appropriately and consistently. Nurses must understand and comply in order to reduce VAP in the ICU setting. One strength is that samples were taken from many settings and consisted of nearly 1,500 participants. One weakness is that VAP bundles are not universal and vary between facilities.

    Guterres da S, Raquel Kuerten de S, Eliane Regina Pereira do N, Kátia Cilene Godinho B, Cibele D’Avila Kramer C. (2014). Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care. (3):744

    Ventilator-associated pneumonia bundled strategies: an evidence-based practice: Ventilator-associated pneumonia (VAP) is an ongoing challenge for critical care nurses as they use current evidence-based strategies to decrease its incidence and prevalence. This article aims to provide a review of the literature on VAP bundle (VAPB) practices, describe the etiology and risk factors and define bundled practices, discuss an explanatory framework that promotes knowledge translation of VAPBs into clinical settings, and to identify areas for further research and implications for practice to decrease the incidence of VAP. One strength is multiple resources were used to provide reliable results. One weakness is that though bundles were proven effective overall, it does not specify or account for the different interventions that are in each bundle.

    O’Keefe-McCarthy, S., Santiago, C., & Lau, G. (2014). Ventilator-associated pneumonia bundled strategies: an evidence-based practice. Worldviews On Evidence-Based Nursing, 5(4), 193-204

    Critical care nurses’ knowledge of, adherence to and barriers towards evidence-based guidelines for the prevention of ventilator-associated pneumonia: There is an ongoing need for improvements in education and effective implementation strategies. Barriers in prevention of VAP include education or lack thereof and appropriate and consistent implementation. Strength is that it includes all barriers and provides a clear picture of the issues. A weakness is it relies on nurses to be honest about lack of compliance with existing bundles.

    Jansson, M., Ala-Kokko, T., Ylipalosaari, P., Syrjälä, H., & Kyngäs, H. (2013). Critical care nurses’ knowledge of, adherence to and barriers towards evidence-based guidelines for the prevention of ventilator-associated pneumonia – A survey study. Intensive & Critical Care Nursing, 29216-227

    Practical Nursing Assistants and Pneumonia Prevention Associated with Mechanical Ventilation in ICU: Assesses the knowledge of nurses in pneumonia prevention practices associated with mechanical ventilation in patients hospitalized in  intensive care unit. It identified the importance of the nurses´ role to care practices in the care of critically ill patients and the importance of recognizing the clinical findings to establish a diagnosis. The results provide subsidies for a reflection on the role of nurses in intensive care healthcare practices in the prevention of pneumonia in patients who are undergoing mechanical ventilation. One strength is that it includes the roles of support staff and their contributions to compliance. A weakness is that the roles of support staff are given through the opinions of ICU nurses. Pneumonia Prevention Interventions Essay.

    Oliveira Gonçalves, É., Santos de Lima, M., de Lima Melo, J., Rodrigues Pontes, M. S., Barros Sousa, A. O., & Pinheiro Albernaz, M. (2015). Practical Nursing Assistants and Pneumonia Prevention Associated with Mechanical Ventilation in ICU. Journal Of Nursing UFPE / Revista De Enfermagem UFPE, 9(12), 1069-1077

    Bundle to Prevent Ventilator-Associated Pneumonia: A Collective Constructive: This article reports on a qualitative convergent care research, which was aimed at the collective construction of a bundle to prevent ventilator-associated pneumonia by nursing and physiotherapy professionals at the intensive care unit. The construction of the VAP bundle was guided by the evidence-based practice criteria and consists of four preventive care acts: oral hygiene with 0.12% chlorhexidine; headboard elevated (30-45º); endotracheal cuff pressure between 20-30 cmH2O; and care with the aspiration of tracheal secretions. The implementation of these recommendations can support healthcare practice, contributing to reduce ventilator-associated pneumonia rates. A strength is it provides evidence of what an effective bundle is and how it can reduce incidence of VAP. A weakness is it does not provide evidence for each individual intervention or others that are included in bundles at other facilities. Pneumonia Prevention Interventions Essay.

    Da Silva, S., do Nascimento, E., & de Salles, R. (2013). Bundle to Prevent Ventilator-Associated Pneumonia: A Collective Constructive. 21(4), 837-844

  • Irish, Italian, And Puerto Rican Heritage Paper

    Irish, Italian, And Puerto Rican Heritage Paper

    1.  Describe the popular health care beliefs of these three culture ( Irish, Italian, and Puerto Rican )and if there is any similarity in their beliefs.

    2.  How the cultural health care beliefs of these three cultures influence the delivery of health care and how you as a professional  nurse can deal with them while providing nursing care.

    APA format

    Arial 12 font

    A minimum of two evidence based references no older than 5 years

    A minimum 500 words are required.

  • Nursing Professional Association Membership Essay

    Nursing Professional Association Membership Essay

    Choose a professional nursing organization that relates to the nursing profession or your clinical practice area. Assuming that you are the chairperson of membership for the organization, create a full-page flyer designed to recruit new members to the professional organization. In your Nursing Professional Association Membership Essay flyer, include:

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    The function of the organization, as well as its mission and vision.

    Potential advantages of membership in the organization.

    Provide resource information for new members, including contact information, membership requirements, and organizational endorsements (i.e., what other members or other organizations are saying about the selected organization).

    Create a topic for an upcoming meeting that would appeal to your target audience.

    While APA format is not required for the body of this Nursing Professional Association Membership Essay assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

    This Nursing Professional Association Membership Essay assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion.

  • Identify and define determinants of health for an individual or family population at risk

    Identify and define determinants of health for an individual or family population at risk

    Purpose: Discussion
    class 505
    .
    Unit 4.topic 1

    Things to remember:

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    Discussion post is at least 200 words.

    Answers all questions with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

    3 References, try to find resources that are 5 years or less

    No errors with APA format 6thEdition

    Please review the Discussion Board Participation grading rubric under Course Resources in the Grading Rubrics section.

    …This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion.

    To Discuss:

    Read the required reading. Review the Determinants of Health website and view the short video and content.
    https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health

    For this discussion you will identify and define determinants of health for an individual or family population at risk including social, environmental and global factors as applicable. How you approach the discussion is your choice. You may choose a condition or topic first then elaborate from there, while including the population characteristics and determinants of health. Alternatively you may choose to define a specific population, such as rural Appalachian single mothers, and then address risks and the determinants of health.

  • Chronic Kidney Disease (CKD) Determinants Essay

    Chronic Kidney Disease (CKD) Determinants Essay

    Purpose:
    Comment the Discussion (Class 505 Unit 4 Comment  1

    Thing to Remember:

    Answer this Chronic Kidney Disease (CKD) Determinants Essay discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

    1 References, find resources that are 5 years or less

    No errors with APA format 6 Edition

     
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    To Comment

     

    Hello,

    For this discussion I have selected Chronic Kidney Disease (CKD).  Kidney Failure or End Stage Renal Disease is a significant public health challenge we face in America today (Healthy People 2020, 2017).    The disease contributes to pain and suffering in the populations it affects, as well as, extensive healthcare cost to treat and manage the disease.  CKD uses nearly 25% of the Medicare Budget to assist these patients in treatment (Health People 2020, 2017). Health determinants influence health status and are related to many different factors.  I will identify some of these and define the following determinants related to CKD.

    Genetic determinants play a large role in the development and progression of CKD, this we cannot change.   Here in Rural Nebraska we have lots of farmers and ranchers whose diets are high in protein, as they produce eggs, chicken and beef.    This may or may not contribute but diets high in protein have been show to predict faster progression of kidney disease, especially in diabetics.  Social Factors and physical conditions may be reflected in the way people are born, live, work, play, and age (Healthy People 2020, 2017).  Screenings for CKD are not recommended for asymptomatic adults as there is insufficient evidence to support screenings (U.S. Preventative Services Task Force, 2012).

    Health Service is a determinant related to access to health services.  Studies have been shown that using drugs that reduce proteinuria can slow the progression of kidney disease.  By seeking medical attention for annual physicals this could be caught early, managed, and treated with medications to delay progression.   This is all determined by availability of services to the patient, cost, insurance coverage, and education to promote awareness.

    Individual Behaviors may include monitoring blood pressure and blood sugars to maintain within normal limits reducing the risk for CKD.  Compliance with behavior or lifestyle modification programs may improve outcomes related to the development and progression of the disease.  Dietary modifications have been proven to improve health and well-being for patients with CKD (Palmer et al., 2017). Chronic Kidney Disease (CKD) Determinants Essay.

    References

    Healthy People 2020. (2017). Determinants of Health.  Retrieved from 
    https://www.healthypeople.gov/2020/about/foundation-health-measures/determinants-of-health

  • Cultural health patterns in minority populations essay

    Cultural health patterns in minority populations essay

    Purpose:
    Comment the Cultural health patterns in minority populations essay Discussion below

    Thing to Remember:

    Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

    1 References, find resources that are 5 years or less

    No errors with APA format 6 Edition

     

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    To Comment

    Determinants of health for individuals who speak English as a second language (ESL) are tracked by the U.S. Department of HHS (HHS, 2010).  Cultural health patterns in minority populations influence the complex nature of wellness management. For instance, minorities tend to have live in lower socioeconomic standards and in close proximity to environmental hazards (Thomas, 2014).  Thus, policymakers in the public health domain employ health impact assessments on such minority populations to help them integrate public health considerations when making decisions about design strategies for a community’s wellbeing (CDC, 2016).  Making housing livable and affordable fall under this category and affect the ESL individual and family’s ability to live in a safe home and environment.  Signage that can be read in both English and in the community’s native language is an example of one’s built environment improving their capacity for safety and social awareness, as well as transportation options and recreational opportunities (ADA, 2016).

    Social determinants also have a large impact on health and function in the ESL population.  Access to primary care, health care programs, and resources may be limited for the ESL speaker.  Fewer educational and job opportunities may result in a lower quality of life.  Lack of health insurance secondary to their decreased proficiency in English can adversely impact health outcomes, just as the capacity to translate important health information can have a negative impact on an individual’s health literacy (Healthy People, 2020).  Still, a strength identified in the ESL population is that they tend to embrace support systems such as extended families and religious communities.

    Certain biological characteristics of ESL/minority populations have been identified, such as sickle cell anemia in the Africans, alcohol-related disease in Native Americans, and high rates of type II diabetes in Latinos.  Combine these genetic influences with the determinants that show statistically how minorities have disproportionately poorer health outcomes compared to non-minority populations (Thomas, 2014), and you realize that culturally competent health care that is suitable for the diverse population it serves is necessary in order to eliminate population specific determinants of health.  Therefore, there must be a global benefit to promoting healthy social and physical environments for all individuals, populations, and nations (Healthy People, 2020). Cultural health patterns in minority populations essay.

    References

    American Planning Association [APA]. (2016). Completed projects. Retrieved from

    https://www.planning.org/research/completed/

    Centers for Disease Control and Prevention [CDC]. (2016). Health impact assessment.

    Retrieved from https://www.cdc.gov/healthyplaces/hia.htm

    Healthy People. (2020). Retrieved from

    https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health

    Thomas, B. (2014). College of health and health care disparities: The effect of social

    and environmental factors on individual and population health. 
    International Journal of Environmental Research and Public Health. 11
    (7), 7492-7507. doi:
    10.3390/ijerph110707492

    U.S. Department of Health and Human Services [HHS]. (2011). HHS implementation

    guidance on data collection standards for race, ethnicity, sex, primary language, and disability status.  Retrieved from

    https://aspe.hhs.gov/basic-report/hhs-implementation-guidance-data-collection-
    standards-race-ethnicity-sex-primary-language-and-disability-status

    Reply to Cultural health patterns in minority populations essay Thread

  • Health care organization chief executive compensation essay

    Health care organization chief executive compensation essay 

    Hospital executives often come under scrutiny for the salaries and benefits they receive. According to a recent IRS survey related to chief executive officer salaries, of more than 500 hospitals, the national average income was $490,000. In addition, the salaries of hospital and other health industry executives have come under scrutiny in Congress.

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    For-profit hospitals, which make up about 30% of hospitals, do not have to publicly disclose how much the executives at each facility earn, but nonprofit hospitals must provide that information on the IRS form 990, which are public documents. By law, hospitals are required to show that such compensation is “reasonable” when compared to pay at other similar institutions. If you were a board member of a healthcare organization, what other determinants besides the salary of other chief executives would you want information on before you determined the compensation of the chief executive of the health care organization whose board you are on? Health care organization chief executive compensation essay. In addition, how do the responsibilities of chief executives compare to the responsibilities of other healthcare employees? Do these responsibilities warrant a substantially higher salary? Defend your answer.   You will create a health care organization chief executive compensation essay thread in response to the provided prompt for each forum. Each thread must be at least 600 words and demonstrate course-related knowledge.  Each thread and reply must also include a biblical integration and at least 2 peer-reviewed source citations in current APA format in addition to the text. Health care organization chief executive compensation essay.

  • Remuneration and Compensation Package for Healthcare Organization Chief Executives Essays

    Remuneration and Compensation Package for Healthcare Organization Chief Executives Essays

    Instructions
    . In about 300 words, comment on the following remuneration and compensation package for healthcare organization chief executives essays by students on discussion forums;

     

    Discussion #2 – Remuneration and Compensation Package for Healthcare Organization Chief Executives Essays

    Chief Executive

    According to Meeks (2015) an individual being the Chief Executive Officer (CEO) has the primary job of navigating the organization not only through external, but also internal changes and climates.  A chief executive and their organization have often been criticized for their compensation, but one argument is the compensation is high because the chief executive must have a vast array of skills in order to succeed at their job.

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    Compensation

    While evaluating salary using an external equity method is important for staying competitive (Pynes & Lombardi, 2011), it cannot be the sole deciding factor in the decision of compensation and benefits for a chief executive.  Jarque & Muth (2013) discuss how the compensation that is reported by other organizations are showing the “expected value of compensation […] and the realized value […].” (p. 252).  This should lead a board of directors to evaluate other determinants into deciding what they will compensation package they will offer to their chief executive.  Two of those determinants to consider would be education and experience.  Although looking at a competitor who pays their chief executive $300,000 perhaps that individual has a doctorate degree, and the individual getting the offer from your board of directors has a masters degree.  As it is typically understood, the more degrees an individual has, that pertain to their career choice, and the level of degrees they have equates to being paid higher salaries.  What the degree(s) are in, is also an important factor for evaluation into the education differences.  A board of directors needs to ensure the candidate has the correct skill set needed to perform the job and this can come from their educational background.

    Experience can also lead to a difference in compensation packages, because typically the more experience someone has in their specified field, the more they will get paid because of the knowledge they have gained.  The board will want to ensure the experience gained pertains to the responsibilities of being a chief executive for their specific organization, which will be reviewed in the next section, and what performance reviews they received.  1 Timothy 5:17 (NIV) states “the elders who direct the affairs of the church well are worthy of double honor, especially those whose work is preaching and teaching.”  This shows that even God teaches us that if you are a good leader, and your performance led the organization well, then you are worthy of more.  In the case of a chief executive, one who has multiple years of experience and high-performance reviews should be worth more, therefore, they should get compensated more than someone who does not have similar determinants.

    Responsibilities

    Pynes & Lombardi (2011) discuss that chief executives, as well as other executives in healthcare are compensated differently than other healthcare providers, but does a difference in responsibilities play a significant role in that differentiation?  While the amount of responsibilities may be similar between a chief executive and other healthcare employees, it is the specifics that differ.  The chief executive is responsible for “planning, organizing, staffing, directing, coordinating, reporting, and budgeting.” (Meeks, 2015, p. 95).  Within each of these seven categories of responsibilities are further subsets, but each of these also equals a significant time commitment, amount of communication with numerous people, and a significant amount of knowledge in numerous subjects.  Looking at other healthcare employees, they may also have a responsibility to communicate and do administrative related tasks that take time, but their primary responsibilities could be to provide patient care.  With this, they would focus on their patients, and any co-workers within their department or the occasional cross-over of departments, where as the chief executive must every day oversee evaluating and leading the entire organization.  As Pynes & Lombardi (2011) mention, the amount of responsibility and public scrutiny that a chief executive officer must or could endure leads to their positions not being steady if they are not up to par on their responsibilities. Remuneration and Compensation Package for Healthcare Organization Chief Executives Essays.

    It is the shear volume of people that a chief executive officer is responsible for as well as their specific responsibilities that require significant amounts of time and specific knowledge, that can lead to the argument they should be paid more.  As 1 Timothy 5:17 (NIV) taught us, that those that are doing their responsibilities and leading well, should be rewarded more.  However, how much more they do or could be paid is a discussion for another time. Remuneration and Compensation Package for Healthcare Organization Chief Executives Essays.

    References

    Jarque, A., & Muth, J. (2013). Evaluating executive compensation packages. 
    Economic Quarterly (10697225), 99
    (4), 251-285.

    Meeks, M. D. (2015). Strategic management and the disparate duties of the CEO. 
    Academy of Strategic Management Journal, 14
    (2), 93-116.

    Pynes, J. E., & Lombardi, D. N. (2011). 
    Human Resources Management for Health Care Organizations.
     San Francisco: Jossey-Bass.

     

    Discussion #2 – Remuneration and Compensation Package for Healthcare Organization Chief Executives Essays

     

    It is no secret that chief executive’s earnings are exceptionally generous, especially within a non-profit health care organization. Many community members, government officials and the press rave about the compensation rates. Individuals have different viewpoints about this matter, what is acceptable and what is not acceptable. For example, “since nonprofit hospitals, health systems, and nursing homes are organized as tax-exempt charities under federal tax law, Congress and other regulators think such organizations should pay their executives less than private organizations,” (Bjork, 2010, p.8). What determines the compensation earnings for the chief executive of a health care organization? For many years, board members of different health systems have evaluated and analyzed the salary and benefit earnings that are offered with this position to determine what an appropriate. When board members look at other chief executive earnings, most non-profit hospital systems will not use information from the “for-profit sector in determining executive pay levels;” if done so, “it is often limited to staff executive positions (e.g., finance, human resources, information technology, marketing) in organizations that have recruited staff executives from the for-profit sector,” (Bjork, 2010, p.13). Studies suggest looking at different determinants to get a clearer idea for what is reasonable. Some of these determinants include: “financial performance, organizational size, organization ownership, hospital type, market characteristics, human capital attributes, executive demographic characteristics, board attributes, job difficulty, and nonfinancial performance,” (Shay and White, 2014, p.259). Of these, one of the most important factors to look at is the organization’s size. It is true that bigger health care organizations may pay more than a smaller organization. Research shows that organization size is more important to determining executive pay than the organization’s financial performance. Job difficulty was marked as the next determinant that was most important. Other determinants that do not focus on the organization or position of chief executive, but on the candidate, are experience and education. “Executives are hired for their professional experience and expertise,” (Pynes and Lombardi, 2011, p.266).  It is important for board members to know the possible candidate’s professional background experience. An important question to consider is how long has the incumbent worked in this job. Education is important, because it presents the skills and intellectual requirements the position expects. An important question to consider is what formal training, knowledge, and schooling does this position require. Remuneration and Compensation Package for Healthcare Organization Chief Executives Essays.

    The responsibilities are a greater demand for chief executives of a health care organization then other health care employees. “They must often make hard choices and unpopular decisions that run counter to the wishes of the policymaking and governing body,” (Pynes et al., 2011, p.266). The decisions, stress, complications, etc. that an executive must deal with on a day to day basis is unlike any other position in the organization. For this, their responsibilities warrant a higher salary. This can be explained by internal equity. Internal equity sets earnings based on the correspondence relative to internal value. “The internal value of each position to the organization is determined by a procedure known as job evaluation, which determines the worth of one job relative to another,” (Pynes et al., 2011, p.254). The number of employees and patients this position is over requires determination and strong dedication to the organization. It is the responsibility of the executive to ensure that everything is flowing correctly.

    “Plans fail for lack of counsel, but with many advisers they succeed,” (Proverbs 15:22, NIV). This verse is important to individuals holding positions like a CEO of a hospital, because one person cannot run an organization on their own. Seeking help and counsel from others can help determine a person’s success or failure. God has given us all talents in which we should use. It is important to make sure we are using them for fulfillment and purpose. Remuneration and Compensation Package for Healthcare Organization Chief Executives Essays.

    References

    Bjork, D. A. (2010). Regulation of executive compensation at nonprofit health care organizations: Coming changes? Inquiry – Excellus Health Plan, 47(1), 7-16. Retrieved from 
    http://ezproxy.liberty.edu/login?url=https://search-proquest-com.ezproxy.liberty.edu/docview/205378263?accountid=12085

    NIV

    Pynes, J. E., & Lombardi, D. N. (2011). Human resources management for health care organizations: A strategic approach. San Francisco, CA: Jossey-Bass. ISBN: 9780470873557.

    Shay, P. D., & White, K. R. (2014). Executive compensation in health care: A systematic review. Health Care Management Review, 39(3), 255. doi:10.1097/HMR.0b013e3182915e44

    Each reply must have  aabout 300 words. Each reply must include a biblical integration and at least 2 peer-reviewed source citations in current APA format in addition to the text. Remuneration and Compensation Package for Healthcare Organization Chief Executives Essays.

  • Community Health Case Challenge Scenario Essay Assignment

    Community Health Case Challenge Scenario Essay Assignment

    PUBH 310: Community Health Case Challenge Scenario

    A large urban county health department was recently awarded a $500,000 federal grant from the Centers for Disease Control and Prevention (CDC) to develop a 3-year community-based intervention to address childhood obesity. The county health department is soliciting proposals from public health professionals to recommend childhood obesity interventions that could be implemented, countywide.

    Notable characteristics of the community include:

    The population of the county is 1.5 million, with two-thirds of residents living in the urban center.

    The racial makeup of the county is 68% White, 9% Black or African American, 8% Asian American/Pacific Islander and 12% other/more than one race. 14% of county residents self-identify as Hispanic or Latino.

    28% of county residents are age 24 or younger.

    The childhood obesity rate has increased from 14% to 22% in the last decade – well above the national average rate of 17%.

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    Obesity rates are highest among males, communities of color, and low-income neighborhoods in the county

    Only 20% of children and adolescents get the recommended daily fruit and vegetable intake. Fewer than half meet the physical activity recommendations for their age group.

    Three-fifths of school-age children eat at least one meal provided by school cafeterias.

    There is no current policy or regulation that limits food and beverage advertisements or product sales on school campuses

    The state recently implemented a 7% budget cut to non-essential public spending line items. This has affected agencies including school districts, parks and recreation, public safety, and even the local community health center.

    The county is home to a regional distribution center for PepsiCo© (parent company for Pepsi-Cola, Frito Lay, Mountain Dew and other products). It is the single largest source of employment in the county and sponsors a large scholarship program for high school students in the county.

    Six months ago, a drive-by shooting took place within two blocks of a local elementary school during school hours. Parents and other community members have been concerned over safe routes for their children to walk and bike to school.

    The county health officer is considering proposals for a 3-year community-based intervention that addresses one or more of these factors contributing to childhood obesity in the community. She has said publicly that she would like to prioritize interventions that span individual, family, and community level actions. She has also highlighted that she is interested in the most cost-effective ways to use the $500,000 grant funding given the realities of budget cuts at the county and state level. Long-term sustainability is also an important priority to community leaders.

    Your task is to propose a community-based intervention to address childhood obesity in this
    fictional
    urban county that is effective, feasible, and sustainable for the community to undertake.

     

    Community Health Case Scenario Challenge

    Assignment:Community Health Case Challenge Scenario Essay Assignment

     

    Objective:
      To develop an intervention proposal designed to help alleviate childhood obesity in a fictitious community.

    Community Health Case Challenge Scenario Essay Assignment Content Requirements:

    Brief background

    on health problem and the population at risk

    Based on what you know of the community (noted above)

    Based on your midterm paper assignment

    Challenges in Prevention & Intervention

    What are challenges in preventing the health issue / intervening to mitigate harms?

    Statement of the importance of addressing childhood obesity in this community

    Thesis statement providing the backbone/direction of your paper

    Proposed intervention

    What – are the strategies?

    Detailed description of activities, policies, etc.

    Who – is involved and who is targeted in the strategies?

    Identify who implements and the target population for each of the activities.

    When – will this take place?

    Is there a timeline for implementation?

    How – will this be implemented and sustained?

    What is the budget for activities and how will activities be sustained for the future?

    Why – is this the best intervention for this community?

    How does this align with the priorities of the funding agency and county health officer?

    What are the strengths of your intervention proposal?

    Community Health Intervention and Socio-Ecological Model

    Describe the level of prevention (primary, secondary, tertiary) your activities target.

    Describe at which level of the SEM your activities address (individual, interpersonal, community, policy)

    How do your activities align with what you know about the contributing factors for childhood obesity?

    Conclusion

    Reiterate health issue and impact on this community

    Statement of importance of addressing health issue to promote community health

    References

    APA Style Reference list

    Community Health Case Challenge Scenario Essay Assignment Format Guidelines:

    Cover page with course, term, name, and title of paper

    Use of scholarly and/or government resources to support assertions

    Provide in-text citations and a full reference page at the end of presentation

    Organize Community Health Case Challenge Scenario Essay Assignment paper with appropriate sub-headings (such as those detailed above)

    Free of spelling and grammatical issues

  • Transitioning From Closed to Open Systems

    Transitioning From Closed to Open Systems

    How do effective nurse leaders and others approach problem solving and decision making in organizations? Systems theory provides a valuable way to assess situations and prepare to address problems.

    Identify an issue or process that could be improved and apply knowledge and strategies related to systems theory.

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    To prepare:

    Review information  on systems theory and the difference between open and closed systems.

    Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.

    Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?

    Post 
    a 3 page description of the problem that you identified in your selected organization. Explain the problem from a closed-system perspective. Then, describe how the problem could be addressed by viewing it from an open-system perspective, and explain how this modification would help you and others improve health care outcomes. Transitioning From Closed to Open Systems.