Tag: Clinical-Nursing

  • Health Policy

    Discussion Health Policy week 12

    For a community to improve its health, its members must often change aspects of the physical, social, organizational, and even political environments to eliminate or reduce factors that contribute to health problems or to introduce new elements that promote better health. Discuss different ways (
    at least 2
    ) that advanced practice nurses can engage in activism and prevent Big Tobacco from further disabling the health of many communities?

  • Technological Advances in Healthcare Essay Rubric

    Technological Advances in Healthcare Essay Rubric

     

    1

    Unsatisfactory

    0.00%

    2

    Less than Satisfactory

    65.00%

    3

    Satisfactory

    75.00%

    4

    Good

    85.00%

    5

    Excellent

    100.00%

    70.0 %Content

     

    20.0 %Evaluation Of Two Different Historical Perspectives Regarding The Delivery Of Health Care In The United States

    Not included.

    An evaluation of two different historical perspectives regarding the delivery of health care in the United States is present, but the information provided is incomplete, inaccurate, or otherwise deficient.

    An evaluation of two different historical perspectives regarding the delivery of health care in the United States is present, but minimal detail or support is provided for one or more components.

    An evaluation of two different historical perspectives regarding the delivery of health care in the United States is present in full. The submission encompasses essential details and provides appropriate support.

    An evaluation of two different historical perspectives regarding the delivery of health care in the United States is incorporated comprehensively. The submission further includes analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.

    20.0 %Description Of Two Technological Advances That Have Positively Impacted Health Care Delivery In The United States

    Not included.

    A description of two technological advances that have positively impacted health care delivery in the United States is present, but the information provided is incomplete, inaccurate, or otherwise deficient.

    A description of two technological advances that have positively impacted health care delivery in the United States is present, but minimal detail or support is provided for one or more components.

    A description of two technological advances that have positively impacted health care delivery in the United States is present and incorporated in full. The submission encompasses essential details and provides appropriate support.

    A description of two technological advances that have positively impacted health care delivery in the United States is present and comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.

    15.0 %Explanation Of How The Chosen Technological Advances You Selected Have Influenced Public Opinion, Both Pro And Con, Of The Changing Health Care System In The United States

    Not included.

    An explanation of how the chosen technological advances you selected have influenced public opinion, both pro and con, of the changing health care system in the United States is present, but the information provided is incomplete, inaccurate, or otherwise deficient.

    An explanation of how the chosen technological advances you selected have influenced public opinion, both pro and con, of the changing health care system in the United States is present, but minimal detail or support is provided for one or more components.

    An explanation of how the chosen technological advances you selected have influenced public opinion, both pro and con, of the changing health care system in the United States is present and incorporated in full. The submission encompasses essential details and provides appropriate support.

    An explanation of how the chosen technological advances you selected have influenced public opinion, both pro and con, of the changing health care system in the United States is present and comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.

    15.0 %Forecast Of How The Chosen Technological Advances Will Affect Delivery And Utilization Of Health Care In The United States In The Future

    Not included.

    A forecast of how the chosen technological advances will affect delivery and utilization of health care in the United States in the future is present, but the information provided is incomplete, inaccurate, or otherwise deficient.

    A forecast of how the chosen technological advances will affect delivery and utilization of health care in the United States in the future is present, but minimal detail or support is provided for one or more components.

    A forecast of how the chosen technological advances will affect delivery and utilization of health care in the United States in the future is present and incorporated in full. The submission encompasses essential details and provides appropriate support.

    A forecast of how the chosen technological advances will affect delivery and utilization of health care in the United States in the future is present and comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.

    20.0 %Organization and Effectiveness

     

    7.0 %Thesis Development and Purpose

    Paper lacks any discernible overall purpose or organizing claim.

    Thesis is insufficiently developed or vague. Purpose is not clear.

    Thesis is apparent and appropriate to purpose.

    Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

    Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

    8.0 %Argument Logic and Construction

    Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

    Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

    Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

    Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

    Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

    5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)

    Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

    Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

    Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

    Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

    Writer is clearly in command of standard, written, academic English.

    10.0 %Format

     

    5.0 %Paper Format (use of appropriate style for the major and assignment)

    Template is not used appropriately, or documentation format is rarely followed correctly.

    Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.

    Appropriate template is used. Formatting is correct, although some minor errors may be present.

    Appropriate template is fully used. There are virtually no errors in formatting style.

    All format elements are correct.

    5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

    Sources are not documented.

    Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

    Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

    Sources are documented, as appropriate to assignment and style, and format is mostly correct.

    Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

    100 %Total Weightage

     

    Bottom of Form

  • Technological Advances in Healthcare Essay

    Technological Advances in Healthcare Essay

    Technology in health care has taken many forms over the years. In 1796, Edward Jenner developed the first smallpox vaccination method. A hundred years later, Wilhelm Rontgen discovered how to use x-rays for medical imaging. And in 2013, Japanese researchers grew the first human liver from stem cells. What is next?  How does one technological advance set the stage for further discoveries?

    For this assignment you will compose an analysis of 
    750-1,000 (STAY WITHIN WORD COUNT)
     words incorporating the following:

    Evaluate at a minimum of two different historical perspectives regarding the delivery of health care in the United States. How has technology and the lack of developing technology affected and shaped these perspectives?

    Contrast and describe two technological advances that have positively impacted health care delivery in the United States.

    Explain how the two technological advances you selected have influenced public opinion of the changing health care system in the United States? Provide a brief summary of both positive and negative opinions.

    Forecast how you believe these two technological advances will affect delivery and utilization of health care in the United States in the future. What other factors may simultaneously affect health care utilization?

    Prepare this assignment according to the guidelines found in the APA Style Guide.

    An abstract is not required.

    This assignment uses a rubric 
    (
    SEE RUBRIC ATTACHMENT
    )
    . 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 Turnitin 
    (SIMILARITY INDEX SHOULD NOT EXCEED 15%)
    .

  • Lack of Mental Health – Nursing and Healthcare Policy paper guidelines

    Lack of Mental Health – Nursing and Healthcare Policy paper guidelines

    Select a policy related problem (Mine is lack of mental health) that affects of persons, communities or society in general and write a policy issue paper dealing with the problem.  Include problem identification, background information (social, economic, ethical and political/legal factors), the issue statement, stakeholders, policy objectives, policy alternatives or evaluation of options, political feasibility, comparison of alternatives, and the results of your analysis.

    *see if there are policies in the legislature either state (IL) or federal that you could compare.

  • Healthy People 2020 – chronic illness

    Healthy People 2020 – chronic illness

    Identify an area of chronic illness of specific interest to you and that is represented as a Healthy People 2020 topic (healthypeople.gov). Explain your choice and your interest in it. Prepare a questionnaire utilizing your knowledge of health and illness, with the aim of acquiring all information you need from patients to prepare a plan of care for the specific illness group. Submit your information in a 4- to 5-page Microsoft Word document. In addition to your questionnaire, be sure to include the following details in your paper.

    Chronic Illness of interest

    Morbidity and comorbidity of the disease

    Impact of the chronic illness and patient morbidity and the affect to overall health of nation

    Healthy People 2020 goals and objectives for specific illness group

    Support your responses with examples.

    On a separate references page, cite all sources using APA format.

    Use this APA Citation Helper as a convenient reference for properly citing resources.

    This handout will provide you the details of formatting your essay using APA style.

    You may create your essay in this APA-formatted template.

  • Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health

    Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health

    This assignment focuses on the methods to develop a change in policy to improve the public’s health by using a health policy model.

    Tasks:

    Suppose you want to initiate a policy of taxing sugared sodas/pop/beverages in your community. Use the Longest’s policy cycle model to ponder the following questions:

    What arguments would you use to make the case for the policy?

    What argument(s) would your opponents make?

    How would you go about getting buy-in for your proposed policy?

    What stakeholder groups need to be involved in promoting your policy?

    Submission Details:

    Submit your response in a 2-page Microsoft Word document (500 words).

    Name your document SU_NSG4068_W1_Project_LastName_FirstInitial.doc.

    Submit your document to the
     
    Submissions Area by
     
    the due date assigned.

    Cite sources in the APA format on a separate page.

  • Role of an Advanced Nurse in LGBTQ

    Role of an Advanced Nurse in LGBTQ

    Role of an Advanced Nurse in LGBTQ Health The role of a nurse if to ensure safe and quality health care for their patients. The nursing advocacy policies regarding LGBTQ health aim at improving health and safety of the individuals. Through the policy, disparities and discrimination will be reduced. Health care needs of lesbians, gay, bisexual, transgender and queer are inadequately addressed in nursing theory and practice. LGBTQ experience unique health disparities since they represent a unique population whose health needs are ignored. Nursing education barely mentions on the needs of LGBTQ and nurses are faced with problems when dealing with the patients who belong to this category. Lack of knowledge of special needs contribute to heterosexism and homophobia when taking care of these patients. Nurses therefore are obligated to use the available resources at assess and create care environment that ensures quality health care for the LGBTQ patients. In most situations, nurses do not offer any special care to the LGBTQ patients. It is important that a patient is offered care with regard to what they identify themselves with. Nurses achieve the identification concern through support of the patient population. By advocating for equal health opportunities, nurses contribute to the improvement health of the LGBTQ and also reduces health disparities. Some of the health disparities include increased patient longevity, reduced disease transmission and increased physical and mental wellbeing. The topic relates to Essential IV: health Policy and Advocacy. Nurses are advocates and influence policy making process by engaging with policy makers in matters relating to health. In this case, nurses advocate for equality in health care of the marginalized group of individuals. Works Cited Dilley JA, Simmons KW, Boysun MJ, et al. Demonstrating the importance and feasibility of including sexual orientation in public health surveys: Health disparities in the Pacific Northwest. Am J Public Health. 2015;100(3):460-7.

     

    My viewpoint regarding the LGBTQ community is that they are in most settings looked down upon. What is LGBTQ? LGBTQ stands for lesbian, gay, bisexual, transgender and queer. These are people who are considered as a misfortune in some societies. In exhibit situation a large portion of the therapeutic experts have to deal with LGBTQ individuals with great care (Chiocca, 2015). In some cases however, they are sent away when they go to seek medical attention of any nature. This is a very bad practice in the nursing sector and it should be addressed to ensure that such people are treated equally just like the other groups of people.

    Advanced practice nurses underpins the equal rights, benefits and opportunity of all people and condemns segregation in light of sex, sexual introduction, sex character, race, religion, incapacity, ethnic starting point, national birthplace or age. Sexual orientation and sex personality are essential parts of the patient population and they deserve better treatment (Chiocca, 2015). To help this patient population, arrangements on LGBTQ issues needs to be put in place and work to advice people about LGBTQ severance and mishandle. It is important to have approaches that speak for lesbian, gay, androgynous and transgender individuals’ rights, which must speak to a variety of characters and issues. Lesbian, gay, cross-sexual, transgender, and strange/addressing (LGBTQ) medical attendants constitute one of the biggest subgroups inside the calling of nursing, yet there is next to no observational research in the nursing literature and essentially no regard for issues of separation and prohibition in the work environment by nursing instruction or expert nursing associations (In Stanhope & In Lancaster, 2014).

    One of the MSN Essential is the clinical Nurse Specialists (CNS), which pertains to the nursing advocacy policies regarding LGBTQ populace. This is a program that evaluates the cases and help in improving patient and population outcomes.

    References

    Chiocca, E. M. (2015). 
    Advanced pediatric assessment
    .  New York, NY : Springer Publishing Company, LLC.

    In Stanhope, M., & In Lancaster, J. (2014). 
    Public health nursing: Population-centered health care in the community
    . Maryland Heights, Missouri: Elsevier Mosby.

  • Pediatric Case Study

    Purpose: Discussion
    class 504
    . Pediatric Case Study

    Things to remember:

    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

    See the Discussion Board grading rubric

     

    To Discuss:

     

    Topic 1: Pediatric Case Study

    This Discussion topic is based on a case study on page 108.

    Review the facts of the case and discuss how you would find the evidence needed to address the clinical question.

    Book:

    Melnyk, B. M., & Fineout-Overholt, E. (2015).  Evidence-based practice in nursing &

    healthcare:  A guide to best practice (3rd edition).  Philadelphia, PA: Wolters Kluwer

    Health.

     

     

    Student 1

    When reviewing the case study there are a many key points that are discussed in

    regards recovering from a pediatric cardiac surgery and the risk for a cardiac tamponade after

    the removal of a pulmonary artery catheter. There are a few pieces of information in this case

    study that are critical in determining how one would find the evidence, that is most

    appropriate, to determine how a complication, such as a cardiac tamponade, could occur in an

    infant only four days after an operative procedure. The key clues include: an infant who is

    four days postoperative after a cardiac surgery, abnormal clotting profile, removal of a

    pulmonary artery catheter with drainage and ooze, followed by a deterioration in the patient’s

    status, which ultimately leads to a diagnosis of a cardiac tamponade (Melnyk & Fineout-

    Overholt, 2015). To enhance the likelihood of the most reliable evidence and helpful research,

    one would use a PICOT formation, to formulate a research question. The P in PICOT stands

    for the population at interest (Melnyk & Fineout-Overholt, 2015). In this case study, the

    population the study is aiming toward is an infant four days postoperative (Melnyk & Fineout-

    Overholt, 2015). The next searchable topic would be the I, C, and O, which would indicate the

    issue at hand, the comparison of that issue, and the affect this event would have on the

    outcome; this would include questioning the frequency of removing a pulmonary artery

    catheter, or not removing the catheter, and the affects this procedure has on influencing a

    cardiac tamponade (Melnyk & Fineout-Overholt, 2015). The next, and final step would be to

    determine the T, which delivers a timeline for an event to occur (Melnyk & Fineout-Overholt,

    2015). In this case study, the timeline would be four days after surgery, which one would

    possibly be able to broaden to a week, to better serve research results. In a study conducted in

    2012, the authors described the importance of formulating a comprehensive PICOT when

    researching a topic at hand (Riva et al.). This study discovered that the more detailed and

    specific a PICOT was, the more evidence and research was exposed to better enhance the

    topic of understanding (Riva et al., 2012). This study also concluded, the more likely the

    researchers used the PICOT formation, the more likely one would develop a more appropriate

    and specific research yield (Riva et al., 2012). With all this information, the most suitable

    PICOT formulated question, to determine the likelihood of an event similar to this would be:

    In an infant who recently had cardiac surgery, what is the frequency of cases regarding the

    removal of a pulmonary artery catheter, versus not removing the catheter within a week, have

    on the affect of developing a cardiac tamponade within the first week of surgery? This

    formation of questions and information would best suit the research topic at hand.

     

    References

     

    Melnyk, B. M., & Fineout-Overholt, E. (2015).  Evidence-based practice in nursing &

    healthcare:  A guide to best practice (3rd edition).  Philadelphia, PA: Wolters Kluwer

    Health.

     

    Riva, J. J., Malik, K. M., Burnie, S. J., Endicott, A. R., & Busse, J. W. (2012). What is your

    research question? An introduction to the PICOT formation for clinicians. Journal of

    the Canadian Chiropractic Association, 56(3), 167-171. Retrieved from

    http://eds.b.ebscohost.com.lib.kaplan.edu/eds/pdfviewer/pdfviewer?

    vid=4&sid=7a00d36e-280b-4d06-9d43-9e7bc0f137e1%40sessionmgr104

     

     

    Student 2

     

    In this case study, an infant suffered a complication of cardiac tamponade after removal

    of the arterial catheter. As stated in the book, the clinical question that a RN might ask is in

    infants who have had cardiac surgery (P), how often does removing pulmonary artery

    catheters (I) influence cardiac tamponade (O) within the first week after surgery (T) (Melnyk

    & Fineout-Overholt, 2015)? The best way to find evidence to answer this clinical question

    would be getting different studies, and comparing them. The type of study you would

    probably want to look for is a case-control study. For example, there was another case study

    done that stated the incidence of cardiac tamponade after cardiac surgery is reported as

    ranging from 0.04% to 7 (Johnston & McKinley, 2000).  They reviewed the pathophysiology

    of cardiac tamponade and the increased risk for pediatric patients was outlined to come up

    with their conclusions. Clinical databases from the online library such as EBSCO, CINAHL

    Plus, Cochrane Library are just a few databases that can be helpful to look for the

    information. By looking up these different databases, and seeing the research conducted, you would be able to answer the clinical question.

     

    References

     

    Johnston, L., & McKinley, D. (2000). Cardiac tamponade after removal of atrial intracardiac

    monitoring catheters in a pediatric patient: case report. PubMed, 29 (4):256-61.

    Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence Based Practice in Nursing &

    Healthcare. (3rd ed.). Philadelphia: Wolters Kluwer.

     

     

    The scenario discusses a pediatric patient with a bleeding disorder with post-operative

    complications. To answer the clinical question and determine how rare this complication is in

    pediatric patients you must rely on evidenced based research.

    According to Melnyk and Fineout-Overholt (2015) the foundation of good searching is well

    developed PICOT question. Peer reviewed research is essential for clinicians to answer their

    questions (Melnyk & Fineout-Overholt, 2015). You can find a number of peer reviewed

    research with online library databases, textbooks, or journals (Melnyk & Fineout-Overholt,

    2015). Zimmerman (2017) research confirmed the importance of peer reviewed research with

    online databases in credibility of evidence based research.

    Online databases are going to be the most efficient in finding evidence however you want to

    use more than one source to find the answer to your clinical questions according to Melnyk

    and Fineout-Overholt (2015). By utilizing scholarly sources, you ensure your sources are up

    to date and credible. Google and Google scholar for example are not always the most up to

    date reliable sources therefore you should use another source in conjunction with the

    information found on their search engines (Melnyk & Fineout-Overholt, 2015). Power and

    Siddall (2015) recommend keeping the search simple to avoid information overload. When

    searching you should start with key words or the PICOT question then subject headings and if

    no results then title searches can be used according Melnyk and Fineout-Overholt (2015).

    References:

    Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence Based Practice in Nursing &

    Healthcare. (3rd ed.). Philadelphia: Wolters Kluwer.

    Power, A., & Siddall, G. (2015). Ensuring practice is based on the best evidence: Masterclass

    on literature searching. British Journal of Midwifery, 23(5), 356-358.

    Zimmerman, K. (2017). Essentials of Evidence Based Practice. International Journal Of

    Childbirth Education, 32(2), 37-43.

    #5 Student’s DQ answer:

    The case study is about a four-day old patient who just done with a cardiac surgery

    with bleeding disorder noted. After pulling the arterial catheter, the patient showed signs of

    distress that required to be back in the operating room to correct the cardiac tamponade. To

    address the questions for the situation given, we first have to find evidence knowledge about

    cardiac tamponade in infants related to cardiac surgery. We need to know if it’s a common

    side effect from the surgery or is this a rare case. Then we can continue to formulate the PICO

    model to investigate for further appropriate action. “PICOT represents the patient population,

  • Empowering Users of Health and Social Care

    Aim

    The aim of this unit is to enable learners to explore how to empower individuals using health and social care services in order to maximise their independence.

    Learning outcomes

    On successful completion of this unit a learner will:

    1 Understand how the design and review of services promotes and maximises the rights of

    users of health and social care services.

    2 Understand how to promote the participation and independence of users of health and

    social care services.

    3 Understand the responsibility of managing and monitoring risks in health and social care

    Settings.

    4 Understand how good practice in the administration of medicine is essential for users of health and social care services.

    content

    1 
    Understand how the design and review of services promotes and maximises the

    rights of users of health and social care services

    Legislation and sector skills standards: current legislation and sector skills standards that are relevant to promoting the rights of individuals; inspection processes, powers, duties,

    responsibilities, accountabilities, entitlements; organizations: providing services for vulnerable people Factors: policies, procedures; staffing eg staffing levels, shift patterns, continuing professional development; individual eg level of dependence, changing health status Communication: methods to overcome differences in communication eg second language, disability; recording information for continuous improvement eg best outcome for users of services, feedback, complaints, comments, inspection, recommendations for improvement

    2 
    Understand how to promote the participation and independence of users of

    health and social care services

    Factors affecting independence and choice: dependence, independence, choice, constraints,

    empowerment; physical, social, emotional, intellectual factors; changing needs, access to

    information, participation in decision making Organizational systems: ensuring performance of workers, sources of information for individuals, empowering individuals

    Considerations: possible tensions eg safety versus independence, rights responsibilities; individuals, others

  • Annotated Bibliography

    Using the  topic as the annotated bibliography that is attached, research question (highlighted in bold), and case study  apply what you learned from the scholarly articles in your
    Annotated Bibliography
      to the written case.

    After your introduction (including a statement of your formal research question), briefly describe (1 paragraph) what the organization did in relation to the issue.

    Address your research question and analyze the effectiveness of how the organization handled the issue, referencing the scholarly articles you found on the topic (that were annotated in Assignment 4) and citing course concepts from readings and lectures.

    ORDER A PAPER 

    Formulate recommendations you would make to the management of that organization to effectively handle this issue. Clearly list your recommendations.

    Provide a detailed logical rationale for each of your recommendations. Your rationale should reference the scholarly articles you read on the topic to provide support for your position. It likely also will reference concepts/readings from class. (Note: This rationale is a significant portion of your paper; it should be at least 1-2 pages.)In all cases, cite your sources as required by the APA guidelines and include them in a reference list at the end of your paper.

    You should not include the full annotations from your annotated bibliography  reference list at the end of this research paper.

    The Research Paper/Case Study should be 10-12 double-spaced pages, exclusive of title page, reference list, addenda, etc.  As with all written assignments, APA Style is required. Include an abstract. Be sure to use headings to organize the body of your paper.