Develop plan to overcome barriers.  

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Assignment Directions
· Develop plan to overcome barriers.  Your plan should be clear and specific. Another person should be able to read your plan and replicate it.

· Discuss with colleagues.

· Describe the anticipated barriers to the change process in your institution (or wherever the change will be implemented). Include the organization’s culture, its’ reaction to change, and your leadership role for change.

· Identify the stakeholders for the change in practice you have chosen for your evidence-based change.

 

ATTACHED IS AN EXAMPLE  OF THE ASSIGNMENT AND THE RUBRICS. ALSO, ELABORATE MORE ON THE ASSIGNMENT. ALSO, INCLUDE REFERENCES.

Using EBPH to Define and Quantify the Extent of the Public Health Problem

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Using EBPH to Define and Quantify the Extent of the Public Health Problem

Note: Your response and comments to this assignment will be laying the foundation for work that you will later complete as part of your final project.

A clear statement of the issue provides a concrete basis for a priority setting process that is objective. This then leads to better program planning, intervention, and evaluation. A fully articulated issue statement includes a complete description of the problem, potential solutions, data sources, and health-related outcomes.

In order to provide a complete description of the problem, the problem must first be quantified. In quantifying the health issue or disease, the application of the appropriate epidemiologic tools is necessary to obtain the answers to certain questions while conducting the community assessment. The community assessment should include the health condition or risk factor being considered, the population affected, the size and scope of the problem, prevention opportunities, and potential stakeholders. This task requires basic epidemiologic skills to obtain additional information about the frequency of the health condition or risk factor in an affected population.

Going back to the public health problem, issue, situation, or concern that you identified for W1: Assignment 3, develop a concise statement of your problem. Your statement must be clear and well-articulated including a description of the problem, potential solutions, data sources, and health-related outcomes. The statement of your problem will serve as the basis for your research purpose or objective, which will be very critical in the application of the evidence-based process which in turn leads to better program planning, program intervention, and program evaluation.

  1. Using the strategies and concepts taught for searching, evaluating, and retrieving EBPH resources and literature, identify five (5) peer-reviewed scientific articles that have information that can be used to quantify the extent of your specific health problem. Ensure that none of these articles are more than 5 years old.
  2. Analyze and evaluate three of the five articles with the intent to quantify the extent of your public health problem, issue, situation, or concern.
  3. Use the epidemiology training and skills from the course to assess the extent of your problem, issue, situation, or concern by identifying and evaluating the risk factors being considered, the population affected, the size and scope of the problem, prevention opportunities, and potential stakeholders from the three peer-reviewed articles.
  4. As part of quantifying the public health condition, obtain the disease rates of the health condition or risk factor in an affected population and analyze and assess if any patterns of the disease exist within subgroups of the defined population.

Utilize assigned and suggested weekly readings, the South University online library, the Internet readings, and references to search, evaluate, and retrieve relevant EBPH literature to support your responses.

Describe your professional role (current or future) in overcoming  societal, systemic, or structural influences (force) that create  barriers to healthy behaviors.

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Your  comments will be graded on how well they meet the Discussion  Requirements posted under “Before You Begin.” Before delving into your  response to this Discussion question, I would like us to continue to get  to know each other through another icebreaker. You will be seeing these  icebreakers at the beginning of each module’s Discussion.  The  icebreaker for this Discussion is as follows:
Ice-breaker: You can choose whichever statement(s) you would like. I  am passionate about  _________________. If I could choose any other  career/job, I would work as a _____________. If I had the time, I would  love to ______________.

Discussion topic:

Describe your professional role (current or future) in overcoming  societal, systemic, or structural influences (force) that create  barriers to healthy behaviors. Please specify your profession, type of  job, and give examples. After describing your role, ensure you give  examples of how you will go about aligning the role with your passion  and how you will achieve your future role(s).

Based on your literature search, provide a summary of evidence-based  strategies that have been shown effective in promoting or reducing the  behavior in your target population.

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By now, you have identified and done some literature search on  your Module 1 Session Long Project (SLP) topic/health behavior and  target population. In short, you have assessed the need for a program or  intervention to address the health behavior you previously identified.

For Module 2 SLP, you will again conduct a literature search  utilizing peer-reviewed journal articles, books, professional  organization articles, etc., to help you identify evidence-based  strategies to best address the health behavior in your target population  and create a program/intervention plan.

Write a paper (3 pages in length) summarizing your findings on  evidence-based strategies and a workplan to address the health behavior.  A workplan sample can be found at http://www.cdc.gov/OralHealth/state_programs/pdf/workplans.pdf

The following items will be assessed in particular:

  1. Using the same topic you have chosen from Module 1 SLP, develop a  program goal and at least two objectives (1 learning objective and 1  behavioral objective) for your target population. Your objectives must  be specific, measureable, achievable, realistic, and time-phased  (SMART). Make sure that you have read the required readings on SMART  objectives before developing your goal and objectives.
  2. Based on your literature search, provide a summary of evidence-based  strategies that have been shown effective in promoting or reducing the  behavior in your target population.
  3. Identify two evidence-based strategies that you will use to  implement your program or intervention. Provide an explanation why you  have chosen these strategies and defend your choices.
  4. For now, include a workplan table with your goals, objectives, and  activities/strategies. NOTE: Other parts of the workplan such as the  data measurement tools, timeframe, responsible person, and measures of  success will be completed in the next module SLP.

Identify at least 3 barriers to improving children’s sedentary lifestyle. Identify two specific strategies (family) you would use to plan a  program that promotes active lifestyle for families. Include  evidence-based information as to why you believe these strategies will  be the best ones to use. In your opinion, what should be the ideal age to start obesity  prevention, knowing that lifestyle has a great impact on whether  individuals will become obese?

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HOMEWORK ASSIGNMENT

Review the article “Sedentary images in a population US based parenting magazine: 2010-2015” for this assignment.

Parents or caregivers play an important role in influencing  children’s health behaviors. Reflecting on the article and your  additional literature research, write a paper (2-3 pages) describing  what family-level strategies you would use in planning for a program  that promotes active lifestyle for families.

The following items in particular will be assessed:

  1. Identify at least 3 barriers to improving children’s sedentary lifestyle.
  2. Identify two specific strategies (family) you would use to plan a  program that promotes active lifestyle for families. Include  evidence-based information as to why you believe these strategies will  be the best ones to use.
  3. In your opinion, what should be the ideal age to start obesity  prevention, knowing that lifestyle has a great impact on whether  individuals will become obese? Provide empirical evidence to support  your position as to when obesity prevention should start. Make sure to  cite your sources.

Employment and Business entrepreneurship 

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Employment and Business entrepreneurship

Starting and managing a practice

Independent contactor.

 

Presentation

Business Ideas for Nurse Practitioner

Entrepreneur

 

Nurse practitioners can practice in many locations and can be a clinical practice as well as a consulting business, educational business. Read through the list and use it to develop your own business plan presentation. The presentation must have no more than 15 slides including the title and reference page and must have the following headings:

  1. Concept Statement: What are the benefits of your product or service? Presenting the practice idea, reason for selecting this area and summarizes the general plan.
  2. Marketing Plan: What is the target market and how will you penetrate it? Presents the need for the practice, who it will be marketed to and why that group. Present a sample of a marketing strategy (i.e. magazine, tv or radio ad)
  3. Development: How will you develop and produce the product or service? What are the risks of the venture and what can you do to reduce these risks?
  4. Finance & Accounting: What are the financial implications of the plan? What resources, including funding, are required to successfully create the business plan? Show how you will support the business (billing). Expenses, contracts, building space et.
  5. Legal Considerations: Identify any legal considerations the business team might foresee. Collaboration, protocols, state regulations, local regulation, licenses, certifications needed the business.

 

Clinical   Practice

Consulting

Educational

Retail

Other

A practice providing drug screening   (pre-employment, legal documentation, etc

Corporate Wellness Consultant

Continuing Education Provider – yourself as   the teacher, bring in other providers to do the teaching

Health and Beauty Spa providing aesthetic   skin care treatments and other services

Author

Aesthetics

Infection Control Consultant

Prep Courses for certificate and or   licensing exams

Nutritional and Herbal Supplements

Speaker

Corporate Practice o Wellness, Primary Care,   Occupational

Occupational Health Consultant

Training of nurses, NP’s (AED, PALS, ACLS,   EKGs, Specialty Procedures,, etc)

Health Food Retail Store

Radio Show Personality

Diabetes Specialty Practice

Case Manager – such as for Geriatrics, life   planning, estate planning

Public Health Education to the public

Fitness Facility/Spa

TV Show Personality

HIV/AIDS Specialty Care

Health Coach – shouldn’t this emerging   field belong to Nurses and Nurse Practitioners? o Wellness, Lifestyle   changes, Menopause, etc

 

Own a retail health clinic

Product Developer

Holistic/Alternative Health Care Practice

Staffing Agencies

 

 

Legal consultants

Holistic/Alternative Health Care Practice

Patient Care Navigator

 

 

Adult Day Care business

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How is the NP in the documentary a Disruptive Innovator?

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After reviewing The Invisible Patients documentary, define/describe in detail an ethical dilemma that was experienced by the NP. Please note, there are several ethical issues, so there should be diversity in the responses.  Explain how you would have handled the situation.

  • How is the NP in the documentary a Disruptive Innovator?
  • Discuss if there is a relationship between your personal beliefs and values and this ethical dilemma/barrier.
  • Describe at least one mechanism to overcome the barrier discussed.
  • Examine the potential cost and benefits to this barrier.

Remember there is no right or wrong answer for this ethical question. Suggested reference Look at the Nuremburg Code (US Department of Health & Human Services, 2005; Washington, 2012) as it was the major start of ethics in research and that can carry over to nursing practice.

What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care?

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The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario

Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.

Subjective Data

  • Complains of pain and heaviness in her leg.
  • States she cannot bear weight on her leg and has been in bed for 3 days.
  • Lives alone and has not had anyone to help her with meals.

Objective Data

  • Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
  • Left leg red from knee to ankle
  • Calf measurement on left 3 in > than right
  • Temperature: 38.9 degrees C
  • Height: 160 cm; Weight: 83.7 kg

Laboratory Results

  • WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
  • Wound culture: Staphylococcus aureus

Critical Thinking Questions

  1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
  2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
  3. What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
  4. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

Do you belong to a professional organization related to your current job position?

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Public health nursing involves working with communities and populations as equal partners, and focusing on primary prevention and health promotion (Kulbok, Thatcher, Park, Meszaros, 2012). There are many types of public health nurses in the area I live in including home health nurses, health department nurses, free clinic nurses, and home hospice nurses. Community based nursing involves collaboration and partnerships with communities and populations to address health and social conditions and problems.  The nurse I interviewed for this discussion, Jennifer, is a registered nurse who takes home call for Community Hospice, a locally owned hospice service in the Vidalia area.  I have dealt with this facility on a personal and professional level and there is no greater community centered facility in our area more so than Community Hospice.

Q: What are your job responsibilities?

A: As an on-call nurse, my main job is new patient intakes after business hours.  This includes going into the homes of patients who are admitted under hospice care.  During these intake assessments it is my job to record and take vital signs, educate families and patients on the disease, prognosis, treatments, and hospice care, and to ensure that families and patients understand and agree with the plan of care.  On routine visits it is my responsibility to again assess patients, record vital signs, as well as monitor any changes from previous visits and report changes to our providers on staff.

Q: Does a correlation exist between your job description and your practice?

A: Although she has a very clear job description laid out for her, she explains that her duties go far beyond the typical hands on patient care the typical nurse sees in the office or hospital setting.  She explains hospice is a special kind of job where you not only care for the patient but patient’s families as well.  She explains sometimes the care for the patient includes caring for them family and helping them cope with the prognosis of death.

Q: Are you involved in policy formulation that affects client services?

A: Jennifer describes her work environment and boss as exceptional.  All staff are seen as equals and their opinions valued to the fullest.  Each day they have a meeting where all staff who reports to the Hospice House that day go through reports as well as ideas to make their jobs successful.  She states having supportive staff members makes it easy to help policy implementation and change.

Q: Do you belong to a professional organization related to your current job position?

A: Currently Jennifer explains she is not involved in an organization related to hospice care. However there is an organization that several of her fellow employees are members of which is the National Hospice and Palliative Care Organization (NHPCO). This organization’s mission is the largest nonprofit membership organization representing hospice and palliative care programs and professionals in the United States. The organization is committed to improving end-of-life care and expanding access to hospice care with the goal of profoundly enhancing quality of life for people dying in America and their loved ones (NHPCO 2018). This organization helps support and update hospice based nurses on any advances in their area of nursing as well as provide support.

Describe the determinants of health and explain how those factors contribute to the development of this disease.

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Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance completing this assignment.

Communicable Disease Selection

Choose one communicable disease from the following list:

  1. Chickenpox
  2. Tuberculosis
  3. Influenza
  4. Mononucleosis
  5. Hepatitis B
  6. HIV
  7. Ebola
  8. Measles
  9. Polio
  10. Influenza

Epidemiology Paper Requirements

Address the following:

  1. Describe the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
  2. Describe the determinants of health and explain how those factors contribute to the development of this disease.
  3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle). Are there any special considerations or notifications for the community, schools, or general population?
  4. Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up).
  5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.
  6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.

A minimum of three peer-reviewed or professional references is required.

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

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

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

NRS427V-RS-CommunicableDiseaseChain.doc