R1 see attachment

Make a follow-up of a student's weekly discussion and respond with your opinion regarding to her post

——You don't have to post this in APA format necessarily, it's just giving feedback to the student .



Claire Steininger

Identify and describe practice barriers for all four APNs' roles in your state and discuss these barriers on a state and national level. The four roles include the nurse midwife, nurse anesthetist, nurse practitioner, and clinical nurse specialist.

Nurse midwives often struggle with scope of practice limitations and the necessity for collaborative agreements, which can sometimes disrupt their ability to provide comprehensive care. Nurse anesthetists may face restrictions, such as supervision requirements and inconsistent reimbursement policies, limiting their autonomy in anesthesia care. Nurse practitioners and clinical nurse specialists confront barriers like collaborative agreements and scope of practice restrictions, which can affect their capacity to deliver primary and specialized care independently. These state-level obstacles are further complicated by variations in laws and regulations across the country. At the national level, lack of consistency and autonomy make it challenging for APNs to provide consistent, high-quality healthcare (Peterson, 2018).

Identify forms of competition on the state and national level that interfere with APNs' ability to practice independently.

At the state level, one form of competition arises from established healthcare hierarchies and interests. Physicians' groups and medical associations often lobby for laws and regulations that restrict APN autonomy to protect their traditional roles in healthcare. With a limited scope of practice, APNs are sometimes forced to adhere to physician regulations. On the national level, Medicare reimbursement rates and federal funding allocations can be influenced by powerful stakeholders, including pharmaceutical companies, insurance providers, and large healthcare systems. These sources may advocate for regulations that favor their interests instead of that of others (Galvani et al., 2020).

Identify the specific lawmakers by name at the state level (i.e., key members of the state's legislative branch and executive branch of government)

In Florida, the governor Ron DeSantis, is the head of the executive branch. Jeanette Nunez is the lieutenant governor, Ashley Moody is the attorney general, Jimmy Patronis is the chief financial officer, and Wilton Simpson is the agricultural commissioner. On the legislative side, the senate president is Kathleen Passidomo, the house speaker is Paul Renner, the majority leader for the senate is Ben Albritton and for the house is Michael Grant. Lastly, the minority leader for the senate is Lauren Book and for the house is Fentrice Driskell (BallotPedia, 2022).

Discuss interest groups that exist at the state and national levels that influence APN policy.

At the state level, physician groups often advocate for policies that maintain their traditional roles and may oppose measures that grant APNs greater autonomy. Oppositely, nursing associations like the American Association of Nurse Practitioners (AANP) and American Association of Nurse Anesthetists (AANA) work to advance APN practice, pushing for full scope of practice and reimbursement policy changes to enhance access to care. On the national level, there are also national nursing organizations like the National Council of State Boards of Nursing (NCSBN) and the National Council of Nurse Practitioners (NCNP) that actively advocate for APN policy changes that can promote independent practice (Brom et al., 2018).

Discuss methods used to influence change in policy in forms of competition, state legislative and executive branches of government, and interest groups.

Some methods used to influence change in policy include political campaigns and quality and safety initiatives. Supporting candidates who are sympathetic to APN issues and policy changes through campaign contributions and grassroots mobilization can influence election outcomes, ultimately affecting the composition of legislative and executive branches. APNs can also participate in quality and safety initiatives to demonstrate a commitment to high-quality care and patient well-being can enhance their credibility and influence (Cullerton et al., 2018).

 

 

BallotPedia. (2022). 
Florida's State Legislature. ballotpedia. 

https://ballotpedia.org/Links to an external site.

Brom, H. M., Salsberry, P. J., & Graham, M. C. (2018). Leveraging health care reform to accelerate nurse practitioner full practice authority. 
Journal of the American Association of Nurse Practitioners
30(3), 120–130. 

https://doi.org/10.1097/JXX.0000000000000023Links to an external site.

Cullerton, K., Donnet, T., Lee, A., & Gallegos, D. (2018). Effective advocacy strategies for influencing government nutrition policy: a conceptual model. 
The international journal of behavioral nutrition and physical activity
15(1), 83. https://doi.org/10.1186/s12966-018-0716-y


Links to an external site.

Galvani, A. P., Parpia, A. S., Foster, E. M., Singer, B. H., & Fitzpatrick, M. C. (2020). Improving the prognosis of health care in the USA. 
Lancet (London, England)
395(10223), 524–533. https://doi.org/10.1016/S0140-6736(19)33019-3

Peterson M. E. (2018). Barriers to Practice and the Impact on Health Care: A Nurse Practitioner Focus. 
Journal of the advanced practitioner in oncology
8(1), 74–81.

 Reply

HEALTHCARE INFORMATION TECHNOLOGY TRENDS

HEALTHCARE INFORMATION TECHNOLOGY TRENDS

Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes.

In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment.

To Prepare:

· Reflect on the Resources related to digital information tools and technologies.

· Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.

· Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.

Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.

LEARNING RESOURCES

Required Readings

· McGonigle, D., & Mastrian, K. G. (2022). 
Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

· Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 293–316)

· Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)

· Chapter 16, “Patient Engagement and Connected Health” (pp. 357–378)

· Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 383–397)

· Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 403–432)

· Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020). 
Broadband internet access is a social determinant of health!Links to an external site.. 
American Journal of Public Health, 
110(8), 1123-1125. https://doi.org/10.2105/AJPH.2020.305784 

· Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). 
Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study
 Download Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study
Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449

· HealthIT.gov. (2018c). 

What is an electronic health record (EHR)?Links to an external site.
 Retrieved from 
https://www.healthit.gov/faq/what-electronic-health-record-ehr

· Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). 
Leveraging interactive patient care technology to Improve pain management engagementLinks to an external site.
Pain Management Nursing, 19(3), 212–221. 

· Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021). 
Digital inclusion as a social determinant of healthLinks to an external site.. 
NPJ Digital Medicine, 
4(1), 52.  https://doi.org/10.1038/s41746-021-00413-8 

· Skiba, D. (2017). 
Evaluation tools to appraise social media and mobile applicationsLinks to an external site.
Informatics, 4(3), 32–40. 

· Sharma, P., & Patten, C. A. (2022). 
A need for digitally inclusive health care service in the United States: Recommendations for clinicians and health care systemsLinks to an external site.. 
Permanente Journal, 
26(3). https://doi.org/10.7812/TPP/21.156 

Advanced Psychopharmacology and Health Promotion Unit 6 Discussion Ion Channels APA. 500W. APA. 4 references due 10-10-23.

please use the pharmacology textbook i gave you previously 

Discussion

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry. 

  • Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
    • This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
  • Reflect on which type of dissemination strategy you might use to communicate EBP.

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified

Required Readings

ANA

 

Part 1: ANA Competencies and Standards Identification

Health Asses LAB WA 1

Complete the Health History and Review of Systems on an adult person (client) of your choice that is from a different culture or ethnicity from the interviewer

W2 Theo YI

 Presentation 1 page (blank I will put my data), task 1 page (with the topics), reference 1 page, (3 pages). for the Sunday

Topic

1. Making judgement as to whether a theory could be adapted for use in research is very important.  

2. Describe the internal and external criticism that is used to evaluate middle range theories.
 

Note: APA 7. Reference less than 3 years

Plagiarism is analyzed and it is critical, the activity is invalidated.

SOCIAL DETERMINANTS OF HEALTH

SOCIAL DETERMINANTS OF HEALTH

Introduction: Use Walden White paper or the CDC 

According to the Centers for Disease Control and Prevention (2022), “Social determinants of health (SDOH) are the nonmedical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life… SDOH are one of three priority areas for Healthy People 2030, along with health equity and health literacy. Healthy People 2030 sets data-driven national objectives in five key areas of SDOH: healthcare access and quality, education access and quality, social and community context, economic stability, and neighborhood and built environment. Some examples of SDOH included in Healthy People 2030 are safe housing, transportation, and neighborhoods; polluted air and water; and access to nutritious foods and physical health opportunities”. 

https://www.cdc.gov/about/sdoh/index.html

To Prepare:

· Reflect on the concept of social determinants of health as presented in the resources. 

· Contemplate whether digital inclusion or broadband access should be added to the 5 key areas of social determinants of health.  

· Using the optional outside resources or other peer reviewed journal articles, consider how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health.  

Post a description of your views on whether or not digital inclusion or broadband access should be added as a key area to the social determinants of health. Be specific and provide examples that support your position. Explain how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health. Support your explanation with the required or optional resources.   

LEARNING RESOURCES

Required Readings

· McGonigle, D., & Mastrian, K. G. (2022). 
Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

· Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 293–316)

· Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)

· Chapter 16, “Patient Engagement and Connected Health” (pp. 357–378)

· Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 383–397)

· Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 403–432)

· Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020). 
Broadband internet access is a social determinant of health!Links to an external site.. 
American Journal of Public Health, 
110(8), 1123-1125. https://doi.org/10.2105/AJPH.2020.305784 

· Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). 
Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study
 Download Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study
Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449

· HealthIT.gov. (2018c). 

What is an electronic health record (EHR)?Links to an external site.
 Retrieved from 
https://www.healthit.gov/faq/what-electronic-health-record-ehr

· Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). 
Leveraging interactive patient care technology to Improve pain management engagementLinks to an external site.
Pain Management Nursing, 19(3), 212–221. 

· Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021). 
Digital inclusion as a social determinant of healthLinks to an external site.. 
NPJ Digital Medicine, 
4(1), 52.  https://doi.org/10.1038/s41746-021-00413-8 

· Skiba, D. (2017). 
Evaluation tools to appraise social media and mobile applicationsLinks to an external site.
Informatics, 4(3), 32–40. 

· Sharma, P., & Patten, C. A. (2022). 
A need for digitally inclusive health care service in the United States: Recommendations for clinicians and health care systemsLinks to an external site.. 
Permanente Journal, 
26(3). https://doi.org/10.7812/TPP/21.156 

Final Career Project, NO PLAGARISM & PROFESSOR USES SAFEASSIGN

Rubric for ALHS 1113/ Allied Health Professions Presentation:

This is to be a PowerPoint presentation. The project will count for 30% of your overall grade. For more details read all content items to be included below.

Include in your project the information related to
the profession or career of your choice License Practical Nurse (LPN):

· Visuals (Pictures, graphs, or charts) to attract the audience.

· Describe/list specific responsibilities,

· Describe/ list challenges of this profession.

· Governing bodies/ Professional organizations- (hint: we covered these with every career).

· Required Education: Explain in detail how many years of schooling, training, and continuing education will be required.

· Work environments. (Career paths) – Where can this person work? What can they do with their credentials?

· List employment opportunities: local to Georgia, Nationally and Salary ranges

· Current trends in this career: Is this career growing, or expanding? Why or why not?

You will also be scored on the following items:

· Grammar/spelling

· References/citing in APA format

Allied Health professions:

1. Certified Nurse Assistant (CNA)

2. Medical Assistant

3. Emergency Medical Service (EMS)

4. Dental Professions (Hygienist, Assistant, Technician.)

5. Surgical Technician

6. Respiratory Therapist (RT)

7. Radiography

8. Health Information Systems

9. Speech Language Pathologist (SLP)

10. Physical Therapist (PT) /Physical Therapist Assistant (PTA)

11. Occupational Therapist (OT) /Occupational Therapist Assistant (OTA)

12. Mental Health: Counselor, Psychologist, Social Worker

13. Clinical laboratory Science

14. Dietetics

15. Health Information Management

16. Nursing: Registered Nurse (RN), License Practical Nurse (LPN), Nurse Practitioner (NP), Certified Registered Nurse Anesthetist (CRNA), Certified Nurse Manager (CNM).

17. Physician, Physician Assistant (PA)

18. Pharmacy

Weight of Possible Points

Information not

Included 0%

Limited information

62%

Detailed information

100%

Total

Visuals

· No Visuals aids

0 Points

· 1-4 Visuals aids included

10 Points

· 5 + Visuals aids included

15 Points

Basic

Responsibilities

· Not included

0 Points

· 1-4 Responsibilities listed

6 Points

· 5 + Responsibilities listed

10 Points

Challenges

· No challenges included

0 points

· 1-2 Challenges included

5 points

· 3 or more challenges explained

10 points

Governing Body/

Professional

Organizations

· Governing body or Professional

Organizations not listed

0 Points

· Only 1 Governing body or Professional Organizations listed

6 Points

· 2+ Accrediting governing body or Professional

· Organizations listed.

10 Points

Education

· No degrees listed

0 Points

· Vague information given

6 Points

· Detailed information given

10 Points

Work

Environments

· career paths not included

0 Points

· 2 career paths listed

6 Points

· 4 + career paths listed

10 Points

Employment

and Salary

· No opportunities /salary listed

0 Points

· Only one category listed

6 Points

· Detailed information listed.

10 Points

Current Trends

· Not mentioned

0 Points

· Vague information given

6 Points

· Detailed and concise information given.

10 Points

Grammar/Spelling

· Several grammar/spelling errors

0 Points

· Very limited grammar/spelling errors

6 Points

· No grammar/spelling errors

10 Points

References

· No references listed

0 Points

· 1-3 references. However, not using APA citation

4 Points

· 4+ references listed with appropriate APA citation.

5 Points

Total points