PowerPoint Presentation- Research problem related to advanced nursing practice.

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Develop a PowerPoint Presentation in regards to the issue of Advanced Practice.

  1. Identify a current research problem related to advanced nursing practice that is of interest to you. Include WHY this is a problem. (Limit response to no more than 3 sentences). Develop a research question to provide information about the research problem.
  2. Based on your research question, do you believe it will best be answered by a qualitative or quantitative study ? Support your decision as to why you believe the answers would best be provided by the type of study you have chosen.
  3. Select a middle-range theory and identify the application of nursing theories to your research problem.
    Conduct a literature review.
  4. Based on your literature review answer the following questions:
    • If qualitative,
      • Identify the purpose of the study.
      • Briefly, describe the design of the study and explain why you think it is either appropriate or inappropriate to meet the purpose.
      • Identify ethical issues related to the study and how they were/were not addressed.
      • Identify the sampling method and recruitment strategy that was used.
      • Discuss whether sampling and recruitment were appropriate to the aims of the research.
      • Identify the data collection method(s) and discuss whether the method(s) is/are appropriate to the aims of the study.
      • Identify how the data was analyzed and discuss whether the method(s) of analysis is/are appropriate to the aims of the study.
      • Identify four (4) criteria by which the rigor of a qualitative project can be judged.
      • Discuss the rigor of this study using the four criteria. 
      • Briefly, describe the findings of the study and identify any limitations.
      • Use the information that you have gained from your critique of the study to discuss the trustworthiness and applicability of the study. Include in your discussion any implications for the discipline of nursing.

  • If quantitative,
    • Identify the purpose and design of the study.
    • Explain what is meant by ‘blinding’ and ‘randomization’ and discuss how these were addressed in the design of the study.
    • Identify ethical issues related to the study and how they were/were not addressed.  
    • Explain the sampling method and the recruitment strategy was used.
    • Discuss how the sample size was determined – include in your discussion an explanation of terms used.
    • Briefly, outline how the data was collected and identify any data collection instrument(s).
    • Define the terms of validity and reliability, and discuss how the validity & reliability of the instruments were/were not addressed in this study and why this is important.
    • Outline how the data were analyzed.
    • Identify the statistics used and the level of measurement of the data described by each statistical test – include in your discussion an explanation of terms used.
    • Briefly, outline the findings and identify any limitations of the study.
    • Use the information that you have gained from your critique of the study to briefly discuss the trustworthiness and applicability of the study. Include in your discussion an explanation of the term statistical significance and name the tests of statistical significance used in this study. 

Submission Instructions:

  • The presentation is original work and logically organized.
  • Follow current APA format including citation of references.
  • The PowerPoint presentation should include 10-15 slides that are clear and easy to read.
  • Speaker notes expand upon and clarify content on the slides.
  • Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

sociology discussion post 3

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Respond to two (2) of the following prompts:

  1. Consider the social stratification of your family tree. Compare your social standing to that of your parents and grandparents. If you are unfamiliar with these people, feel free to substitute other family members or acquaintances from other generations. (USLO 3.1)
  2. What social traits did your forebears pass down to you? Is there consistency or inconsistency in your family’s status? Which theoretical approach best describes your family’s social stratification? What changes do you anticipate for your family’s future generation? (USLO 3.1)
  3. Consider your own experiences with social mobility. How do rules, laws, and societal structures promote wealth and poverty? Do you believe that rules, laws, and societal structure have a greater impact on social mobility than individual traits such as a strong work ethic? Do you believe social mobility has decreased or risen in recent years? How could rules, laws, and societal structures impact your future social mobility? What are some strategies for dealing with this future possibility? (USLO 3.2)
  4. What is the relationship between subjective, absolute, and relative poverty and inequality/inequity? Who benefits from poverty, inequality, and inequity? Can policies be enacted to eliminate various forms of poverty and break the cycle of poverty? What are the advantages and disadvantages of enacting such policies? What role does the cycle of poverty play in maintaining social stratification, especially for women through the global feminization of poverty? (USLO 3.3)
  5. Which of the three theoretical approaches (functionalist, conflict, or symbolic interactionist) would you use to explain why healthcare injustice and inequity occurs and what to do about it? (USLO 3.4)
  6. What role does healthcare injustice play in perpetuating the system of stratification? How does the healthcare system maintain social stratification? Is healthcare injustice harming our society as a whole? (USLO 3.4)

the role of the community health nurse

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Explain the role of the community health nurse in partnership with community stakeholders for population health promotion. Explain why it is important to appraise community resources (nonprofit, spiritual/religious, etc.) as part of a community assessment and why these resources are important in population health promotion.

Assigment .Apa seven . All instructions attached.

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rt 2 Writing Assignment Week 7

Top of Form

Bottom of Form

Health Promotion Proposal, Part 2 Content

1.

Top of Form

Health Promotion Proposal, Part 2

This is a continuation of the health promotion program proposal, part one, which you submitted previously. 

Please approach this assignment as an opportunity to integrate instructor feedback from part I and expand on ideas adhering to the components of the MAP-IT strategy. Include necessary levels of detail you feel appropriate to assure stakeholder buy-in.

 

Directions 

You have already completed the steps 1-4. 
Do not resubmit part 1. Make sure you revise this initial submission according to your instructor’s comments. 

To assist in maintaining harmony between Part I and 2 here you have a reminder of the previous paper outline:

· 1. Describe the health problem. Using data and statistics support your claim that the issue you selected is a problem. What specifically will you address in your proposed health promotion program? Be sure your proposed outcome is realistic and measurable. 

· 2. Describe the vulnerable population and setting. What are the risk factors that make this a vulnerable population? Use evidence to support the risk factors you have identified. 

· 3. Provide a review of literature from scholarly journals of evidence-based interventions that address the problem. After completing a library search related to effective interventions for your chosen health promotion activity, you will write a review that evaluates the strengths and weaknesses of all the sources you have found. You might consult research texts for information on how to write a review of the literature found in your search. 

· 4. Select an appropriate health promotion/disease prevention theoretical framework or conceptual model that would best serve as the framework guiding the proposal. Provide rationale for your selection which includes discussion of the concepts of the selected model 

 

For this assignment develop criteria 5-8 as detailed below: 

You will submit just this section 5-8 as essay. Please do not resubmit Part 1. 

Use a presentation page. Start the body of content with topic 5.

· 5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role. 

· Be certain to include a timeline. (2 to 4 paragraphs- you may use bullets if appropriate). 

· 6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. 
The SMART goal statement should be no more than one sentence (1 paragraph). 

· 7. Provide a detailed plan for evaluation for each outcome. (1 paragraph). 

· 8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (1 paragraph). 

· Finish the paper with a conclusion paragraph (1 paragraph) without typing the word “conclusion” before the paragraph. 

Paper Requirements 

Your assignment should be up to 3-5 pages (excluding title page and references). 

Remember, your Proposal must be a scholarly paper demonstrating graduate school level writing and critical analysis of existing nursing knowledge about health promotion. 

Finish the essay with a your reference page.

Please review the Grading Rubric for this Assignment.

 

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Health promotion w1 peer resp

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Health promotion week1 peers response 

respond to peers thoughtfully, add value to the discussion, and apply ideas, insights, or concepts from scholarly sources, such as: journal articles, assigned readings, textbook material, lectures, course materials, or authoritative websites. For specific details and criteria, refer to the discussion rubric in the Menu (⋮) or in the Course Overview Weekly Discussion Guidelines

1st peers post

Emilee Harper

WEEK 1 DISCUSSION 2

· Define health promotion in your own words.

 Health promotion, in my own words, is the process of empowering individuals, communities, and societies to enhance their overall well-being and achieve their highest level of physical, mental, and social health. It involves dedicated efforts to prevent illness, promote healthy behaviors, and address the encouragement of health to achieve optimal quality of life. 

· Discuss the differences in primary, secondary, and tertiary prevention.

1. Primary Prevention: This focuses on preventing the onset of health issues. It aims to reduce the risk of disease or injury before they occur. Examples include vaccinations, health education, and lifestyle interventions to promote healthy habits.

2. Secondary Prevention: Secondary prevention is about early detection and intervention to prevent the progression of a health issue. It includes activities like regular screenings, diagnostic tests, and prompt treatment to control a disease or injury in its early stages.

3. Tertiary Prevention: Tertiary prevention is geared towards minimizing the impact of established diseases or injuries and preventing their complications. It involves rehabilitation, disease management, and strategies to improve the patient's quality of life.

 

· Identify two patient-focused topics of interest from the Healthy People 2030 website that interest you. For each topic, identify an objective from the Healthy People 2030 website on which you would like to focus. Why are these topics of interest to you? Provide a rationale for your selections.

1. Topic 1: Mental Health and Mental Disorders

· Objective: “Increase the proportion of children, adolescents, and adults who receive treatment for a major depressive episode.”

· Rationale: Mental health is a critical but often stigmatized aspect of overall well-being. Focusing on increasing access to treatment for depression aligns with the goal of promoting mental health and reducing the burden of mental disorders.

2. Topic 2: Substance Abuse (Drug and Alcohol Use)

3.  

· Objective: “Reduce the proportion of people who misuse prescription drugs in the past year.”

· Rationale: The misuse of prescription drugs is a growing public health concern. Reducing this misuse can reduce the associated health risks, addiction, and adverse consequences on individuals and communities.

 

Increase the proportion of children and adolescents who get appropriate treatment for anxiety or depression – EMCD04. Increase the proportion of children and adolescents who get appropriate treatment for anxiety or depression – EMCD04 – Healthy People 2030. (n.d.).
https://health.gov/healthypeople/objectives-and-data/browse-objectives/children/increase-proportion-children-and-adolescents-who-get-appropriate-treatment-anxiety-or-depression-emc-d04

Prevention strategies – STATPEARLS – NCBI bookshelf. (n.d.).
https://www.ncbi.nlm.nih.gov/books/NBK537222/ Kisling LA, M Das J. Prevention Strategies. [Updated 2023 Aug 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.

Reduce the proportion of people who misused prescription drugs in the past year – su12. Reduce the proportion of people who misused prescription drugs in the past year – SU12 – Healthy People 2030. (n.d.).
https://health.gov/healthypeople/objectives-and-data/browse-objectives/drug-and-alcohol-use/reduce-proportion-people-who-misused-prescription-drugs-past-year-su-12

 

2nd peer post

Melinda Goebel

Health Promotion is a huge factor in health care. It is about taking care of your health and preventing or treating disease and illness. Primary prevention is mostly about preventing damage to your health before it can occur. Secondary prevention is about preventing the illness from progressing and further damaging health. Tertiary prevention helps manage long term, complex health problems to improve life with the disease as much as a possible.

 

I chose to focus on Heart Disease and Stoke from the Health People 2030 website. I chose this because it relates so closely to my practice at work on a Heart and Vascular Unit. Another reasoning I had behind researching this topic is because it is so relevant in health promotion and heart disease effects so many Americans, when it could be prevented.

 

Part of the Heart Disease and Stroke topic included screening for atrial fibrillation. This objective caught my interest because it is so much more common than people realize and often people live with atrial fibrillation without knowing until a larger event, such as heart attack or stroke occur. It could do so much for Secondary Prevention if the general population had more of an understanding of atrial fibrillation and a way to screen.

 

Diabetes is a huge problem in the population of the United States and effects so many of all ages. As a nurse I about half of my patient will come in with type 2 diabetes. This is another disease that has so many other effects on the body and health that could be prevented or controlled.

 

Type 2 diabetes is occurring in children and young adults more often. This could be prevented with education on a balanced diet and the risk of being diabetic. There is also ways to control blood sugars and lower A1C in these younger generations that are being diagnosed with type 2 diabetes.

 

U.S. Department of Health and Human Services. (2021). Healthy People 2030. Health.gov. https://health.gov/healthypeople

Assigment .Apa seven . All instructions attached.

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rt 2 Writing Assignment Week 7

Top of Form

Bottom of Form

Health Promotion Proposal, Part 2 Content

1.

Top of Form

Health Promotion Proposal, Part 2

This is a continuation of the health promotion program proposal, part one, which you submitted previously. 

Please approach this assignment as an opportunity to integrate instructor feedback from part I and expand on ideas adhering to the components of the MAP-IT strategy. Include necessary levels of detail you feel appropriate to assure stakeholder buy-in.

 

Directions 

You have already completed the steps 1-4. 
Do not resubmit part 1. Make sure you revise this initial submission according to your instructor’s comments. 

To assist in maintaining harmony between Part I and 2 here you have a reminder of the previous paper outline:

· 1. Describe the health problem. Using data and statistics support your claim that the issue you selected is a problem. What specifically will you address in your proposed health promotion program? Be sure your proposed outcome is realistic and measurable. 

· 2. Describe the vulnerable population and setting. What are the risk factors that make this a vulnerable population? Use evidence to support the risk factors you have identified. 

· 3. Provide a review of literature from scholarly journals of evidence-based interventions that address the problem. After completing a library search related to effective interventions for your chosen health promotion activity, you will write a review that evaluates the strengths and weaknesses of all the sources you have found. You might consult research texts for information on how to write a review of the literature found in your search. 

· 4. Select an appropriate health promotion/disease prevention theoretical framework or conceptual model that would best serve as the framework guiding the proposal. Provide rationale for your selection which includes discussion of the concepts of the selected model 

 

For this assignment develop criteria 5-8 as detailed below: 

You will submit just this section 5-8 as essay. Please do not resubmit Part 1. 

Use a presentation page. Start the body of content with topic 5.

· 5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role. 

· Be certain to include a timeline. (2 to 4 paragraphs- you may use bullets if appropriate). 

· 6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. 
The SMART goal statement should be no more than one sentence (1 paragraph). 

· 7. Provide a detailed plan for evaluation for each outcome. (1 paragraph). 

· 8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (1 paragraph). 

· Finish the paper with a conclusion paragraph (1 paragraph) without typing the word “conclusion” before the paragraph. 

Paper Requirements 

Your assignment should be up to 3-5 pages (excluding title page and references). 

Remember, your Proposal must be a scholarly paper demonstrating graduate school level writing and critical analysis of existing nursing knowledge about health promotion. 

Finish the essay with a your reference page.

Please review the Grading Rubric for this Assignment.

 

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week 7

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Our Struggle for Freedom, Civil Liberties And Political Equality

Discussion

Required Resources

Read/review the following resources for this activity:

· Textbook: Chapter 15, 16

· Lesson: Read this Week's Lesson which is located in the Modules tab.

· Initial Post: minimum of 2 scholarly sources (must include your textbook for one of the sources). Follow-Up Post: minimum of 1 scholarly source for your Follow-Up Post.

· Your Initial Post and your Follow-Up Post must be based on the same Option that you chose in order to receive credit for both posts. 

Initial Post Instructions

For the initial post, respond to one of the following options, and label the beginning of your post indicating either Option 1 or Option 2:

·
Option 1: The Equal Rights Amendment was first proposed almost a century ago and has still not been added to the United States Constitution. It is supposed to guarantee equal legal rights for all American citizens regardless of sex. It was first introduced to Congress by Alice Paul, leader of women's suffrage movement in 1923. Compare/contrast the Equal Rights Amendment with the Fourteenth Amendment. Did they deal with separate concepts? Explain your answer.

·
Option 2: The Bill of Rights is not only included with the United States Constitution but also state constitutions. All states have provisions in their constitutions that protect individual rights. Go online and look up your state constitution concerning amendments that are included in the Bill of Rights. How does your state constitution protect your individual rights?

Be sure to make connections between your ideas and conclusions and the research, concepts, terms, and theory we are discussing this week.

Writing Requirements

· Minimum of 2 posts (1 initial & 1 follow-up)

· Minimum of 2 sources cited (assigned readings/online lessons and an outside source) for your Initial Post, and 1 scholarly source for your Follow-Up Post.

· APA format for in-text citations and list of references

· Ebook:
https://bookshelf.vitalsource.com/reader/books/9780135246849/pageid/11

· The Struggle for Democracy, 2018 Elections and Updates Edition

· Or
[email protected]

· PWD: Bryanthierry@09

·

informatics

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During the course, you have done a thorough analysis of a company and the health care subsector in which the company operates now is the time to look at all your findings and insights and be bold and make at least three predictions of what will happen to this organization or industry. Think in terms of the forces that affect your organization, its infrastructure and workforce challenges, if there are any reforms that may have a major impact? Be bold but NOT too bold. Think of a future that is plausible. 

Reflective question answers. mreen

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Read the following case study and answer the reflective questions.  Please provide evidence-based rationales for your answers.  APA, 7th ed. must be followed. 

EVIDENCE BASE IN DESIGN

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Maria Hernandez

Main Post:

H.R. 977- Patient Access to Higher Quality Health Care Act of 2023.

 

Description: When a patient has health insurance, depending on which premium, they are made to use providers or hospitals that are “in-network” to avoid higher costs of services. This can often be an issue for patients because some providers are not in network with their health insurance, specifically Medicare recipients. The Patient Access to Higher Quality Health Care Act would “repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals” (Congress.gov, 2023).

Background: According to the American Hospital Association, “For decades, the Ethics in Patient Referrals Act (“Stark Law”) has protected the Medicare program from the inherent conflict of interest created when physicians self-refer their patients to facilities and services in which they have a financial stake” (AHA, n.d.). At one point, physicians were allowed to make referrals to hospitals with ownership within the entire facility; this gap was closed in 2010 when the Affordable Care Act was passed.  

Social Determinant: One social determinant is access to health care and quality care. Patients, regardless of their socioeconomic status, should receive high-quality care. The American Hospital Association states, “The Government Accountability Office (GAO), the Centers for Medicare & Medicaid Services and MedPAC all found that physician-owned hospitals’ patients tend to be healthier than patients with the same diagnoses at general hospitals” (AHA, n.d.). This would lead those with serious illnesses to rely on general hospitals for healthcare services.

Evidence: The growth of Physician-owned hospitals was prohibited in 2010 after the passing of the Affordable Care Act. According to Ehrenfeld, “a systematic review of 30 years of research demonstrating that physician-owned specialty hospitals or so-called “focused factories” offer higher-quality care at comparable or lower cost, while physician-owned community hospitals are no worse than their counterparts” (Ehrenfeld, 2023). If H.R. 977 is passed into law, it would allow physicians of physician-owned hospitals to extend their services to the community by opening new hospitals that would provide high-quality, efficient care and be affordable to patients. This would place competition against general hospitals at risk of losing market share, leading them to reform their services to stay in competition. This would benefit patients in being able to seek assistance in a variety of hospital or hospital-owned facilities. 

 

References:

American Hospital Association. (n.d.). Fact sheet: Physician self-referral to physician-owned hospitals. https://www.aha.org/fact-sheets/2023-02-27-fact-sheet-physician-self-referral-physician-owned-hospitals

Congress.gov. (n.d.). H.R.977 – 118th Congress (2023-2024): Patient Access to Higher Quality Health Care Act of 2023. https://www.congress.gov/bill/118th-congress/house-bill/977?q=%7B%22search%22%3A%5B%22HR+977%22%5D%7D&s=1&r=1

Ehrenfeld, J. M. (2023, August 10). End restrictions on physician-owned hospitals to expand Quality Care. American Medical Association. https://www.ama-assn.org/about/leadership/end-restrictions-physician-owned-hospitals-expand-quality-care