Social Determinants

/in /by

 

Give a one page description of the situation you experienced and explain how incorporating or not incorporating patient preferences, social determinants of healthLinks to an external site., and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences, social determinants of health, and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

(Please Note: The underlined “social determinants of health” in the above content is meant to hotlink to the following Walden webpage and content:

Social Determinants of Health – Social Determinants of Health – Academic Guides at Walden Links to an external site.University)

Solos and Duos: Group vs. Individual Communication

/in /by

 

To get started on your final Key Assignment, you will select a global company and begin working to create an internal communication plan for that company. Each week’s assignment will be iterative, helping you research and start to develop a workplace communication plan. You will use research to study your selected company and design an internal communication plan. You may select a company that you are interested in, or choose one from this list of top global companies in the following link: http://money.cnn.com/magazines/fortune/global500/2011/.

You have been assigned to a global work team tasked with creating a strategic internal employee communications plan for your workplace. Before the team can get started, you must examine the workplace to identify what the overall strategy must cover. Consider the following when brainstorming your communication strategy:

  • Sketch out your understanding of communication with a visual map.
  • Determine the best platforms for communication (virtual or face-to-face).
  • Develop at least 3 advantages and 3 disadvantages of electronic and in-person communication.
  • Compare and contrast 2 written and oral communication methods.

Provide 1–2 sources other than your textbook to support your answer. Use APA style for citations.

discuss

/in /by

1.Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences, social determinants of healthLinks to an external site., and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences, social determinants of health, and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life. 

Use 3 sources 

2. Post an explanation of how you anticipate enacting personal and professional commitment for advocacy to positively impact your patients, communities, and the profession. Be specific. Then, explain how your role as a DNP-prepared nurse contributes to advocacy for positive social change. 

Use 3 sources 

Centers for Disease Control and Prevention. (2021). Social determinants of health: Know what affects health.Links to an external site.https://www.cdc.gov/socialdeterminants/index.htm

week 2 milestone

/in /by

Purpose

The purpose of this assignment is to demonstrate the skills of the professional nurse as an educator. You are to prepare a patient scenario based on the 
required assigned topic (Diabetes). You will choose 
an already-developed and reliable mHealth app to educate your patient.

Preparing the Assignment

Select ONE of the 
Health Conditions or 
Health Behaviors for the focus of your assignment through the Healthy People 2030 link below:

https://health.gov/healthypeople/objectives-and-data/browse-objectivesLinks to an external site.

Note:  It is crucial to choose your Health Condition or Health Behavior first, then develop a short but detailed patient scenario (See the video tutorial, assignment directions, and rubric for details about the scenario.) Then, explore a mobile health app (mHealth app) that fits the patient and the topic.

Requirements and Guidelines

·
Write your own patient scenario using the 
Required Assignment Topic.

· Make sure to include a 
Healthy People 2030 Health Condition or 
Health Behavior in the scenario for a patient who desires to maintain or achieve good health and prevent illness and who could benefit from 
an already developed and reliable mHealth app from the internet.

· Choose a 
scholarly peer-reviewed journal article published within the last 5 years and related to your scenario's health condition or health behavior. This required article citation MUST appear in the 
Patient Scenario section of the paper and support your chosen health topic. You may use other citations/references in your paper; however, these would be optional. The Chamberlain Library is your best place to obtain this article. Cite this in APA 7th edition format in this section of the assignment.

·
Describe in detail the plan for teaching this patient in the scenario.

· Include the nurse's assessment of learning needs and readiness to learn.

·
Identify a mHealth app that could benefit the patient, considering the teaching/learning needs you identified.

· Tips for your internet search for an appropriate mHealth app:

· The iPhone App Store and Google Marketplace let you search for apps based on keywords such as “health” or more specific topics such as “weight loss,” “stress,” and “diabetes.” Look through the descriptions of apps that come up in your results. Does the app address the health concern you have identified? Does it do what you’re looking for with this specific patient? For example, if you’re interested in having your patient track their sleep habits, does the app do this? Please reach out to your instructor if you have questions about a particular mHealth app for this assignment.

· Describe the app, including the mHealth app name, purpose, intended audience, mobile device(s) upon which it will operate, and where to download or obtain it. Add any other information you believe would be pertinent to this situation.

· Include a working link if it is to be downloaded from a website in the area indicated on the template.   

· Make sure to add a citation for this mHealth app in APA format.  The directions and examples of how to cite a mobile app are located on page 340 of the APA Manual, 7th edition.

List your 2 references.  One will be the mHealth app reference, and the other will be your scholarly article reference.

Nursing Reflection Assignment

/in /by

 The questions below should guide your thinking, but feel free to volunteer additional information if you feel it is relevant. You are expected to write a minimum of 200 words for this assignment. 

Outline

/in /by

 You will submit a detailed outline using the template that has been uploaded below. Your submission must include sections corresponding to the following subheadings:

* Technical Aspects
Provides necessary medical and scientific information to understand the issue.

* Public Policy
Describes current and proposed changes in public policy/law.

* Arguments For and Against
Include a summary of the arguments in favor of and opposed to specific interventions, techniques, or products and a discussion of underlying ethical principles. Discuss the public policy with two additional argumentative paragraphs- one discussing the in favor of and one paragraph discussing the opposing argument

* Conclusion
Expresses your personal opinion regarding the importance of the topic and the strength of the pro and con arguments.

 Additionally, you must include: 

* Topic sentences and Paragraph Transitions
Each section of your outline should include topic sentences and paragraph transitions that tie your significant points together.

# Use the template below to create the outline. 

PROFESSIONAL NURSING

/in /by

PROFESSIONAL NURSING AND STATE-LEVEL REGULATIONS

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.

Required Readings

· Milstead, J. A., & Short, N. M. (2019). 
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.

· Chapter 4, “Government Response: Regulation” (pp. 57–84)

· American Nurses Association. (n.d.). 


ANA enterprise

Links to an external site.
. Retrieved September 20, 2018, from http://www.nursingworld.org

· Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). 

Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary careLinks to an external site.
. 
Nursing Outlook, 65(6), 761–765.

· Halm, M. A. (2018). 

Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing


 Download Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing
. 
Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291

·

National Council of State Boards of Nursing (NCSBN)Links to an external site.
. (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm

· Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). 

The impact of nurse practitioner regulations on population access to careLinks to an external site.
. 
Nursing Outlook, 66(4), 379–385.

· Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). 

mHealth: Don’t forget all the stakeholders in the business caseLinks to an external site.
. 
Medicine 2.0, 4(2), e4.

To Prepare:

· Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.

· Consider how key regulations may impact nursing practice.

· Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion.

Post a comparison of at least two APRN board of nursing regulations in your *state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

*My State is Florida

**minimum of three (3) scholarly references are required

week 6 587

/in /by

With the consolidation of hospitals, clinics, and healthcare providers across the United States, leadership is delivered in many forms.  The importance of understanding and mastering online leadership (often referred to as virtual or E-leadership) is imperative.

How would you establish relationships with your team on-ground and from a distance? How would you create presence in a virtual team? Provide examples.

Expectations

Initial Post:

  • Due: Thursday, 11:59 pm PT
  • Length: 150 – 250 Words

Peer Responses:

Nursing NUR 445 – Week 6 Assignment: Case Study Part I

/in /by

This week, you will complete Case Study Part 1:

SECTION 1 BACKGROUND: IDENTIFYING A PROBLEM Eleanor is a 52-year-old patient who has had a hip replacement 1 day ago who is on your assigned patient care team. You complete patient care rounds and assess Eleanor’s vital signs, comfort level, intravenous (IV) site and wound dressing. Eleanor has an IV for fluid replacement and medication administration. She also has an indwelling urinary catheter. She tells you that her pain level is a 4 out of 10 and she is reluctant to move around because of the pain. You know that the patient’s pain control is a high priority and that the physician ordered the indwelling urinary catheter until the patient is able to get out of bed easily and tolerate fluids. The urinary catheter is convenient in that the patient will not experience pain getting up to the bathroom and it provides an accurate measurement of output. On the other hand, you know that the longer the indwelling urinary catheter is in place, the higher the risk of an infection. You ask a trusted senior nurse when is the right time to remove the catheter since Eleanor is now tolerating ice chips. The senior nurse tells you that the catheter is usually kept until the patient is able to get up and ambulate independently. You wonder if there are any contraindications or problems with removing Eleanor’s indwelling catheter now. You decide to follow the senior nurse’s advice, leaving the indwelling urinary catheter in place and reevaluate for removal in the morning. 

SECTION II BACKGROUND: INTERPROFESSIONAL TEAMS AND STAKEHOLDER ENGAGEMENT This section is focused on the identification of a clinical problem and the steps of forming an interprofessional team to work on fixing the problem. The intent is to understand who are the stakeholders for this problem and the importance of engaging stakeholders in the quality improvement (QI) project. Examine the problem of CAUTIs holistically to identify stakeholders. You return to work the next day to learn that Eleanor has a low-grade fever of 99.8° F that was reported to the physician. The physician ordered an immediate urine culture and removal of the catheter the previous afternoon. The urine culture was positive for Escherichia coli, representing the presence of catheter-associated urinary tract infection (CAUTI). During the bedside report, you find that although Eleanor states she is tired, she is able to get up to the bathroom with a walker independently. She is also tolerating oral fluids and foods. The presence of the CAUTI bothered you enough that you spoke to your Unit Director about looking into evidence-based interventions to reduce CAUTIs. The Unit Director tells you that the rate of CAUTIs for the medical–surgical unit has steadily risen over the past year and the monthly total is twice the number from 2 years ago. You volunteer to convene a committee to work on the problem. Your first step is to identify others who should be on your team. You know that the stakeholders are individuals who influence or are influenced by the clinical problem under investigation. Review the discussion on stakeholders in Chapter 15 for guidance on selecting appropriate stakeholders. 

SECTION III BACKGROUND: LEADING A QI TEAM This section is focused on power gradients and leadership styles within an interprofessional team. Consider how to lead a team consisting of various healthcare professionals. You identified a variety of interprofessionals to include on your committee including two direct care nurses from the medical–surgical unit, one nurse from the operating room, two certified nurse assistants, a nurse supervisor, a physician, the medical–surgical clinical nurse specialist, a pharmacist, a laboratory representative, and a dietician. You feel that these individuals clearly represent all aspects of patient care. Review the information on communicating within a team and with different power gradients in Chapter 8. By working closely with the clinical nurse specialist (CNS), you are able to convene a meeting of the team.

Download and complete Case Study Part I Worksheet Download Case Study Part I Worksheet. 

Submit your completed Case Study Part I worksheet and its attachments into the drop box as one attachment.