Concept for clinical judgment

 

  1. What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things?
  2. In your opinion, what part does intuition play in clinical judgment? How do you think you’ll be able to develop nursing intuition?

cultural diversity 2

 

Select one of the discussion prompts below and respond to it with an initial post by Day #4 of the unit week. Your initial post needs to thoroughly address all parts of the selected prompt and be supported by at least one scholarly source. Then, respond to at least two threads on two additional days to drive the weekly discussions. All posts must demonstrate critical thinking and effective written communication including proper spelling, grammar, professional language, and APA formatting of references and in-text citations. All posts must also be submitted no later than the last day of the unit week.

Discussion 

1

Discuss a time when you may have had difficulty discussing an issue related to oppression, privilege, or intersectionality due to struggles with using the terminology. In this situation, what sort of uncertainty or struggle did you face? What was the outcome? What did you learn during this unit that can help you overcome the struggle with discussing the issue?

(USLO 2.1) 

2

Please watch the following video that is comprised of several short clips demonstrating stereotypes, microaggressions, and instances of prejudice and discrimination: “Power of One” (Thomas, 2007).

After you’ve watched the short video, answer the following questions:

  1. Have you or someone you have known ever experienced or witnessed similar instances of what happened in the clips?
  2. How did it feel to witness someone else act against the instances of prejudice and discrimination?
  3. Do you think you could combat these prejudices, microaggressions, and stereotypes as the people did in the clips? Would you feel comfortable doing this with a family member? A friend? What if you heard an older person make a stereotypical or prejudiced statement?
  4. What advice would you give to someone who has experienced stereotyping, discrimination, and prejudice?

(USLO 2.3)

4

What does it mean to be an “American?” Is there an overriding definition of what it means to be an American? How would we encompass the multitude number of races, ethnicities, cultures, religions, and various more identities into one single national identity? Is that even possible? What is the danger behind pushing for a single “story?” Reflect on these questions critically in your answer.

(USLO 2.4)

5

Discuss the privileges ‘natural’ born U.S. citizens enjoy that people with different immigrant and migrant identities do not. What institutional or systemic factors give rise to nationalism for in-groups and oppression of the non-citizen groups?

(USLO 2.6)

6

Immigrants, migrants, and asylum seekers belong to various race, gender, age, religion, and more identities. How does the intersectionality of multiple identities affect these non-citizen groups? Provide a couple of examples and discuss ways to mitigate the detrimental effects and trauma these groups face in the host country.

(USLO 2.4)

7

In recent times, there is a growing fear of diversability regarding people with immigrant identities. Historically, the U.S. is a nation formed with groups of people who fled their countries due to various threats to their lives and safety. Then, on what basis is the current fear of immigrants, migrants, and refugees, justified? How would you change the narrative to mitigate such fears?

(USLO 2.5)

8

Despite the immigrant, migrant, and undocumented workers’ contributions to the U.S. economy, the groups experience various socio-economic, political, and legal barriers to inclusion. Why is immigrant inclusion vital to a nation? What are the critical challenges to inclusive practices for these groups? And as a society, what can we do to ensure equitable access to resources for the immigrant groups?

Leadership vs. Management

Describe how a leader can create positive outcomes in the work environment while applying a leadership theory.

  • Clearly describe/define the leadership theory you are presenting.
  • Clearly describe how a leader can create positive outcomes using this leadership theory.

Psych 2

  

Discussion 2

Discuss how a comprehensive clinical assessment presents a unique opportunity for intervention in the psychotherapeutic context.

Two scholarly sources references are required unless stated otherwise by your professor. 

The student provides a substantive response to the discussion question or topic 

Here are the categories of the new discussion rubric:

Initial Post relevance to the topic of discussion, applicability, and insight. (20%)

Quality of Written Communication Appropriateness of audience and words choice is specific, purposeful, dynamic, and varied. Grammar, spelling, punctuation. (20%)

Inclusion of APNA standards essentials explored in the discussion as well as the role-specific competencies as applicable.(10%)

Rigor, currency, and relevance of the scholarly references. (Use articles that are below 5 years). (20%)

POLITICS AND THE PATIENT PROTECTION AND AFFORDABLE CARE ACT

minimum of two (2) scholarly references are required



Vanessa Musaga

The Affordable Care Act (ACA), commonly known as Obamacare, has been a subject of significant political debate in the United States since its enactment in 2010. Legislators often face complex decisions when considering the repeal or replacement of the ACA, as their primary objective is to secure re-election. This discussion explores how cost-benefit analysis has affected efforts to repeal/replace the ACA and how analyses of voters' views can impact legislative leaders' recommendations or positioning on national healthcare policies.

Cost-Benefit Analysis in ACA Repeal/Replace Efforts

1.
Cost Implications for Legislators: Legislators have a vested interest in maintaining fiscal responsibility to appeal to constituents concerned about government spending (Dudley & Park, 2019). A thorough cost-benefit analysis is critical in evaluating potential replacement plans, as they must ensure that any new healthcare legislation is financially sustainable in the long term.

2.
Political Consequences: The cost-benefit analysis also considers the political consequences of supporting or opposing ACA repeal/replace efforts. Legislators who supported the ACA's repeal without a viable alternative risked backlash from constituents who benefited from the ACA's provisions Conversely, those opposing repeal faced pressure from their party and special interest groups advocating for change.

3.
Public Opinion: Cost-benefit analyses should include public opinion data, as supporting an unpopular policy can jeopardize a legislator's chances of re-election. Surveys and polls assessing public sentiment toward the ACA and proposed replacements help lawmakers gauge potential electoral consequences.

Voter Views and National Healthcare Policy Decisions

1.
Constituent Preferences: The views of constituents play a pivotal role in shaping legislative leaders' positions on national healthcare policies. Legislators closely monitor their constituents' opinions on issues like Medicare and Medicaid, as these programs significantly impact healthcare access (Hood, 2017).

2.
Party Alignment: Legislative leaders often align their positions with their party's platform to maintain party support and increase re-election prospects (Hood, 2017). Party leaders may use voter opinion data to shape their policy recommendations and positions on issues like Medicare and Medicaid.

3.
Interest Groups: Voter views are influenced not only by constituents but also by interest groups advocating for specific healthcare policies. Legislative leaders must balance the preferences of these influential groups with those of their constituents when making policy recommendations 

Conclusion

Legislators, driven by the imperative of re-election, are significantly influenced by cost-benefit analyses when considering ACA repeal/replace efforts. These analyses guide decisions related to the financial sustainability and political implications of such efforts. Additionally, analyses of voter views are crucial in shaping national healthcare policy decisions, including those affecting Medicare and Medicaid. These views impact legislative leaders' positions, aligning them with party platforms and accommodating the preferences of both constituents and interest groups. Balancing these factors is essential for legislators seeking to secure re-election while making decisions that affect the nation's healthcare system.

References:

Dudley, S. E., & Park, H. S. (2019). Health policy analysis: An interdisciplinary approach. Jones & Bartlett Learning.

Hood, M. V. (2017). The influence of public opinion on legislative policy. In The Oxford Handbook of American Public Opinion and the Media (pp. 353-367). Oxford University Press.

EVIDENCE-BASED PROJECT, PART 4: RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT (attached below)
  • Reflect on your current healthcare organization (Behavioral health hospital-children services/adults) and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection (attached below)
  • Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization (Behavioral health hospital), including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change (psychiatric related). Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted (attached below)
    • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides) (attached below)

    Rubric (please follow and read):

    Part 4: Disseminating Results/ Create a, 8-9-slide narrated PowerPoint presentation of your Evidence-Based Project: Briefly describe the following: your healthcare organization and culture, current opportunity for change, scope of issue, and EBP best practice recommendation. Explain how you would plan knowledge transfer and dissemination. Describe measurable outcomes with the implementation of EBP best practice. Summarize lessons learned.
    -The narrated presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.
    -The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.

Advocacy letter

Please it should be community issues around howard county in maryland

Nursing homework

I want this assignment in PowerPoint pls.

annual wellness check up

in a maximun of 500words describe why an annual wellness check out is an important way of preventive care and why screenings tests are performed. Base on the united states preventive care task force specify which tests are ordered on a wellness visit for a 55 years old male who has not have an check up since the last 10 years, what education and recommendations would you provide. Use APA 7 format and support with scholarly references no older than 5 years old.

GI & Musculoskeletal

 

This Discussion has 2 parts:

  1. GI
    • Make a comprehensive list of relevant information to gather when assessing abdominal pain.
    • How do you assess for masses in the abdomen and how you would document such findings?
    • Describe your findings on a previous patient that you have encountered where you have palpated a mass in the abdomen.
  2. Musculoskeletal
    • Define, Compare, and Contrast the following conditions:
      • Osteoarthritis
      • Rheumatoid Arthritis