Nurses as Leaders in Healthcare Reform

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Minimum 3 peer reviewed articles/scholarly studies within the last 5 yearsAPA format3 to 5 pages (excluding cover page and reference page)

 
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Case Study: Mrs. J.

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It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.Evaluate the Health History and Medical Information for Mrs. J., presented below.Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.Health History and Medical InformationHealth HistoryMrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.Subjective DataIs very anxious and asks whether she is going to die.Denies pain but says she feels like she cannot get enough air.Says her heart feels like it is “running away.”Reports that she is exhausted and cannot eat or drink by herself.Objective DataHeight 175 cm; Weight 95.5kg.Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.InterventionThe following medications administered through drug therapy control her symptoms:IV furosemide (Lasix)Enalapril (Vasotec)Metoprolol (Lopressor)IV morphine sulphate (Morphine)Inhaled short-acting bronchodilator (ProAir HFA)Inhaled corticosteroid (Flovent HFA)Oxygen delivered at 2L/ NCCritical Thinking EssayIn 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:Describe the clinical manifestations present in Mrs. J.Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.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.

 
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personality disorder2

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how you would share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship. Compare the differences in how you would share your diagnosis with an individual, a family, and in a group session

 
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STI

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question in attached document.

 
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Critiquing a quantitative Research Study

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You will be writing a quantitative critique on one of the studies provided. You will critically appraise the study in a paper.Choose One of the Following Quantitative Journal Articles:da Silva João, A. L., & Saldanha Portelada, A. F. (2019). Mobbing and its Impact on interpersonal relationships at the workplace. Journal of Interpersonal Violence, 34(13), 2797–2812.Dokun-Mowete, C. A., Sharma, M., & Beatty, F. (2019). Using Multitheory Model to Predict Low-salt Intake Among Nigerian Adults Living with Hypertension. International Quarterly of Community Health Education, 39(4), 245–255.Kashyap, N., Krishnan, N., Kaur, S., & Ghai, S. (2019). Risk Factors of Cervical Cancer: A Case-Control Study. Asia-Pacific Journal of Oncology Nursing, 6(3), 308–314.Assignment InstructionsRead your selected journal article entirely.Analyze the journal article and use the specific questions that are outlined in Gray, Grove, and Sutherland (2017) found on pages 445 through 449 to construct your analysis of your chosen qualitative research study.These are the main headers of your paper:Identifying the Steps of the Quantitative Research ProcessDetermination of Strengths and Weaknesses of Quantitative StudiesEvaluating a Quantitative StudyYou have many questions to address in your assignment this week. They should be in complete sentences (i.e., bullet point responses are not acceptable).APA format is required. Page length, excluding the title and references list, is between five and seven pages.Grading Rubric:Writing Assignment RubricNote: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.Writing Assignment Rubric – 100 PointsCriteriaExemplaryExceeds ExpectationsAdvancedMeets ExpectationsIntermediateNeeds ImprovementNoviceInadequateTotal PointsContent of PaperThe writer demonstrates a well-articulated understanding of the subject matter in a clear, complex, and informative manner. The paper content and theories are well developed and linked to the paper requirements and practical experience. The paper includes relevant material that fulfills all objectives of the paper.Cites five or more references, using at least two new scholarly resources that were not provided in the course materials.All instruction requirements noted.30 pointsThe writer demonstrates an understanding of the subject matter, and components of the paper are accurately represented with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Course materials and scholarly resources support required concepts. The paper includes relevant material that fulfills all objectives of the paper.Cites four references.All instruction requirements noted.26 pointsThe writer demonstrates a moderate understanding of the subject matter as evidenced by components of the paper being summarized with minimal application to evidence-based practice, theory, or role-development. Course content is present but missing depth and or development.Cites three references.Most instruction requirements are noted.23 pointsAbsent application to evidence-based practice, theory, or role development. Use of course content is superficial.Demonstrates incomplete understanding of content and/or inadequate preparation.Content of paper is inaccurately portrayed or missing.Cites two or fewer references.Missing some instruction requirements.20 points30Analysis and Synthesis of Paper Content and MeaningThrough critical analysis, the submitted paper provides an accurate, clear, concise, and complete presentation of the required content.Information from scholarly resources is synthesized, providing new information or insight related to the context of the assignment by providing both supportive and alternative information or viewpoints.All instruction requirements noted.30 pointsPaper is complete, providing evidence of further synthesis of course content via scholarly resources.Information is synthesized to help fulfill paper requirements. The content supports at least one viewpoint.All instruction requirements noted.26 pointsPaper lacks clarification or new information. Scholarly reference supports the content without adding any new information or insight. The paper’s content may be confusing or unclear, and the summary may be incomplete.Most instruction requirements are noted.23 pointsSubmission is primarily a summation of the assignment without further synthesis of course content or analysis of the scenario.Demonstrates incomplete understanding of content and/or inadequate preparation.Missing some instruction requirements.Submits assignment late.20 points30Application of KnowledgeThe summary of the paper provides information validated via scholarly resources that offer a multidisciplinary approach.The student’s application in practice is accurate and plausible, and additional scholarly resource(s) supporting the application is provided.All questions posed within the assignment are answered in a well-developed manner with citations for validation.All instruction requirements noted.30 pointsA summary of the paper’s content, findings, and knowledge gained from the assignment is presented.Student indicates how the information will be used within their professional practice.All instruction requirements noted.26 pointsObjective criteria are not clearly used, allowing for a more superficial application of content between the assignment and the broader course content.Student’s indication of how they will apply this new knowledge to their clinical practice is vague.Most instruction requirements are noted.23 pointsThe application of knowledge is significantly lacking.Student’s indication of how they will apply this new knowledge to their clinical practice is not practical or feasible.Demonstrates incomplete understanding of content and/or inadequate preparation.Application of knowledge is incorrect and/or student fails to explain how the information will be used within their personal practice.Missing several instruction requirements.Submits assignment late.20 points30OrganizationWell-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas.5 pointsOrganized content with an informative purpose statement and supportive content and summary statement. Argument content is developed with minimal issues in content flow.4 pointsPoor organization, and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.Purpose statement is noted.3 pointsIllogical flow of ideas. Missing significant content. Prose rambles. Purpose statement is unclear or missing.Demonstrates incomplete understanding of content and/or inadequate preparation.No purpose statement.Submits assignment late.2 points5APA, Grammar, and SpellingCorrect APA formatting with no errors.The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions.There are no spelling, punctuation, or word-usage errors5 pointsCorrect and consistent APA formatting of references and cites all references used. No more than two unique APA errors.The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.There are minimal to no grammar, punctuation, or word-usage errors.4 pointsThree to four unique APA formatting errors.The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.Multiple grammar, punctuation, or word usage errors.3 pointsFive or more unique formatting errors or no attempt to format in APA.The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.Grammar and punctuation are consistently incorrect. Spelling errors are numerous.Submits assignment late.2 points5Total Points100

 
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data mining

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Discussion Question:Evaluate and justify how data mining helps in workflow design in the healthcare setting350 wordsAPA regrences

 
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wk1

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See attached. Please cover all points.Thanks.

 
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Nevada Insulin Drug Pricing Transparency Bill (Due 19 hours)

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1) Minimum 3 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per pageParaphrasing the attached work is not admitted.2)¨******APA normsAll paragraphs must be narrative and cited in the text- each paragraphBulleted responses are not acceptedDon’t write in the first personDon’t copy and paste the questions.Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraphParaphrasing the attached work is not admitted.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)Paraphrasing the attached work is not admitted.4) Minimum 5 references per part not older than 5 years  (Journals, books) (No websites)All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.Paraphrasing the attached work is not admitted.5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the nextExample:Q 1. Nursing is XXXXXQ 2. Health is XXXX__________________________________________________________________________Paraphrasing the attached work is not admitted.Topic:Nevada Insulin Drug Pricing Transparency BillCritical Thinking QuestionsQuestion:You must select 1 state health policy reform innovation (Nevada Insulin Drug Pricing Transparency Bill)Describe the rationale, how it was adopted (e.g., federal waivers, passage by state legislature), the funding structure, and (to the extent statistical data are available) its impact.Check File attachedMandatory1. Rationale2. Adoption of the Reform3. Funding Structure4. ImpactsParaphrasing the attached work is not admitted.Part 2. Care Focus1. Discuss how health promotion in the older adult population (35–65-year-old) differ from the young adult (18–34-year-old)?a. How are they similar?2. What are some ways the provider can reduce noncompliance in the older adult population?

 
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Agenda Setting

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Agenda SettingA key aspect of the policy process is agenda setting. How do topics get on that agenda? Agenda setting requires the support of stakeholders to move the issue forward. In this week’s media presentation, Dr. Kathleen White outlines the policy process and discusses how to move issues into the policy arena through agenda setting. The ultimate goal is to gain the attention of leadership whether at the organizational, local, state, national, or international level.To prepare:Review      this week’s media presentation, focusing on the insights shared by Dr.      White and Dr. Stanley on agenda setting and identification of      stakeholders.Brainstorm      clinical practice issues that you believe are worthy of being on your      organization’s systematic agenda.Who      are the stakeholders who would be interested in this clinical practice      issue?By tomorrow 03/14/2018 3pm, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”Post a cohesive response that addresses the following:1) In the first line of your posting, identify the clinical practice issue you would like to see on your organization’s systematic agenda.2) What strategies would you use to inform stakeholders and persuade them of the importance of your identified clinical practice issue?Required ReadingsHyder, A., Syed, S., Puvanachandra, P., Bloom, G., Sundaram, S., Mahmood, S., … Peters, D. (2010). Stakeholder analysis for health research: case studies from low- and middle-income countries. Public Health, 124(3), 159–166.This study demonstrates how the engagement of stakeholders in research and policy making can assist in the successful implementation of policy proposals. The authors propose that by engaging stakeholders, researchers and policy makers are provided with multiple perspectives on proposed policies, which can lead to greater success with policy adoption and implementation.Lavis, J. N., Permanand, G., Oxman, A. D., Lewin, S., & Fretheim, A. (2009). SUPPORT Tools for evidence-informed health Policymaking (STP) 13: Preparing and using policy briefs to support evidence-informed policymaking. Health Research Policy & Systems, 71–79. doi: 10.1186/1478-4505-7-S1-S13The purpose of a policy brief is to communicate an issue clearly and definitively to policy makers. The authors of this article propose an outline for policy briefs and also stress the importance of using research when creating a policy brief.Lowery, B. (2009). Obesity, bariatric nursing, and the policy process: The connecting points for patient advocacy. Bariatric Nursing & Surgical Patient Care, 4(2), 133–138.This article provides an example of nurse involvement in policy making by examining a bariatric nursing issue. The author stresses that nurses, in their patient-advocacy role, have a responsibility to be involved in the health care policy process.Moore, K. (2006). How can basic research on children and families be useful for the policy process? Merrill-Palmer Quarterly, 52(2), 365–375.Institute of Medicine. (2010). The future of nursing: Leading change, advancing health: Report recommendations. Retrieved from http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Recommendations.pdfIntroduced in Week 2, this IOM report highlights four key recommendations in its proposal for the future directions of the nursing profession. These recommendations focus on nursing practice, education and training, partnerships with other healthcare professionals, and workforce planning and policymaking.National Center for Policy Analysis (2010). Ideas changing the world: Free-market health care policy. Retrieved from http://www.ncpa.org/healthcare/The NCPA is a nonprofit, nonpartisan organization that promotes private sector solutions to public policy issues.Slack, B. (2011). The policy process. Retrieved from http://people.hofstra.edu/geotrans/eng/methods/ch9c2en.htmlThe author presents a policy-making framework and provides details on the four steps of that process: problem definition, policy objectives and options, policy implementation, and policy evaluation and maintenance.Required MediaLaureate Education, Inc. (Executive Producer). (2011). Healthcare policy and advocacy: Agenda setting and the policy process. Baltimore: Author.Note: The approximate length of this media piece is 17 minutes.Dr. Kathleen White and Dr. Joan Stanley share their insights into agenda setting and how issues are moved forward into the policy process.Optional ResourcesBarnes, M., Hanson, C., Novilla, L., Meacham, A., McIntyre, E., & Erickson, B. (2008). Analysis of media agenda setting during and after Hurricane Katrina: Implications for emergency preparedness, disaster response, and disaster policy. American Journal of Public Health, 98(4), 604–610.Jennings, C. (2002). The power of the policy brief. Policy, Politics & Nursing Practice, 3(3), 261–263. doi: 10.1177/152715440200300310Neumann, P. J., Palmer, J. A., Daniels, N., Quigley, K., Gold, M. R., & Chao, S. (2008). A strategic plan for integrating cost-effectiveness analysis into the US health care system. American Journal of Managed Care, 14(4), 185-188.Plan, Policy, Procedure Relationship Diagram. (n.d.). Retrieved from http://www.informationsecurityintel.com/docs/Fig.%204.3.pdf

 
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Nursing

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APA, intext citation, references.

 
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