Healthcare in the United States and Around the World

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In the lecture this week on health care in the US, hopefully you gained a general overview into how our system works and the way we pay for it.  What is your opinion on our current system? Is it working well for Americans or do you see any areas that are in need of improvement?  If so what are they specifically and how can we solve those issues?  Be sure to address any potential issues with your “solution” since we know nothing this complicated is solved easily! If you think it’s working well, please point out specifically why you think so.

discussion 11/1/2023 Nur 605

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EXAMINING NURSING SPECIALTIES

You have probably seen one or more of the many inspirational posters about decisions. A visual such as a forked road or a street sign is typically pictured, along with a quote designed to inspire.

Decisions are often not so easily inspired. Perhaps you discovered this when choosing a specialty within the MSN program. This decision is a critical part of your plan for success, and you no doubt want to get it right. This is yet another area where your network can help, as well as other sources of information that can help you make an informed choice.


Note

: Unless otherwise noted, initial postings to Discussions are due on or before Day 3, and response postings are due on or before Day 6. You are required to participate in the Discussion on at least three different days (a different day for main post and each response). It is important to adhere to the weekly time frame to allow others ample time to respond to your posting. In addition, you are expected to respond to questions directed toward your own initial posting in a timely manner.

 

RESOURCES

· Bickford, C. J., Marion, L., & Gazaway, S. (2015). 

Nursing: Scope and standards of practice, third edition – 2015Links to an external site.
. Retrieved from http://ebooks.iospress.nl/publication/12524

· Cherry, B., Caramanica, L, Everett, L. Q., Fennimore, L., & Elaine, S. (2019).

Leveraging the power of board leadership in professional nursing organizationsLinks to an external site.
. 
JONA: The Journal of Nursing Administration, 49(11), 517-519.

· Echevarria, I. M. (2018). 

Make connections by joining a professional nursing organizationLinks to an external site.
. 
Nursing, 48(12), 35–38.  

· Truant, R., & Chan, R. J. (2017). 

Future ready: Strengthening oncology nursing leadership in the context of professional oncology nursing organizationsLinks to an external site.
. 
Canadian Oncology Nursing Journal, 27(1), 2-4.

· Walden University. (n.d.).

Master of Science in Nursing (MSN)Links to an external site.
. Retrieved November 14, 2018, from https://www.waldenu.edu/masters/master-of-science-in-nursing

·
Document:

 Academic Success and Professional Development Plan Template


 Download Academic Success and Professional Development Plan Template
(Word document)

·
Choose among the following to review your specialization’s Scope and Standards of Practice or Competencies:

·
Nursing Informatics
Ebook: Nursing Informatics: Scope and Standards of Practice 

American Nurses Association. (2015). 


Nursing informatics: Scope and standards of practice (2nd ed.)

Links to an external site.
. Silver Spring, MD: Author.

· “The Scope of Nursing Informatics Practice: Functional Areas of Nursing Informatics” (pp. 18–39)

·
Nursing Education

Website: Core Competencies for Academic Nurse Eeducators

National League for Nursing. (2022).

Nurse educator core competencyLinks to an external site.
. Retrieved from https://www.nln.org/education/nursing-education-competencies/core-competencies-for-academic-nurse-educators

Note: The competencies for the Academic Nurse Educator do not encompass the competencies or scope and standards of practice for the Nursing Professional Developer. The set of competencies associated with that specific role within the Nurse Education specialization will be examined in future competencies throughout your specialization program of study.

·
Nurse Executive

Website: Nurse Executive Competencies

American Organization for Nursing Leadership. (2015). 

AONL Nurse Executive competenciesLinks to an external site.
. Retrieved from https://www.aonl.org/resources/nurse-leader-competencies

·
Public Health Nursing

Website: Public Health Nursing Competencies

Quad Council Coalition. (2018). 

Community/Public Health NursingLinks to an external site.
 [C/PHN] competencies. Retrieved from https://www.cphno.org/wp-content/uploads/2020/08/QCC-C-PHN-COMPETENCIES-Approved_2018.05.04_Final-002.pdf

· American Nurses Association. (2013). 

Public health nursing: Scope and standards of practiceLinks to an external site.
(2nd ed.). Silver Spring, MD: Author.

·
APRN

Website: APRN Consensus Model

APRN Consensus Work Group & the National Council of State Boards of Nursing APRN Advisory Committee. (2008). 


Consensus model for APRN regulation: Licensure, accreditation, certification & education

Links to an external site.
. Retrieved from https://www.nursingworld.org/~4aa7d9/globalassets/certification/aprn_consensus_model_report_7-7-08.pdf

·
Adult-Gerontology Acute Care and Primary Care NP Competencies

Website: AGAC and ACPC NP Competencies

Adult-Gerontology NP Competencies Work Group. (2016). 


Adult-gerontology acute care and primary care NP competencies

Links to an external site.
. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/NP_Adult_Geri_competencies_4.pdf

·
Nurse Practitioner Core Competencies

Website: Nurse Practitioner Core Competencies

The National Organization of Nurse Practitioner Faculties. (2012). 

Nurse Practitioner core competenciesLinks to an external site.
. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/npcorecompetenciesfinal2012.pdf

·
Nurse Practitioner Programs

Website: Nurse Practitioner Programs

National Task Force on Quality Nurse Practitioner Education. (2016).

Criteria for evaluation of Nurse Practitioner programsLinks to an external site.
(5th ed.). https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/Docs/EvalCriteria2016Final.pdf

·
Population-Focused NP Competencies

Website: Population-Focused Nurse Practitioner Competencies

Population-Focused Competencies Task Force. (2013). 

Population-focused Nurse Practitioner competenciesLinks to an external site.
. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/Competencies/CompilationPopFocusComps2013.pdf

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 



WEEKLY RESOURCES

To Prepare:

Reflect on your decision to pursue a specialty within the MSN program, including your professional and academic goals as they relate to your program/specialization.

BY DAY 3 OF WEEK 10

Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member.

BY DAY 6 OF WEEK 10

Respond to at least 
two of your colleagues' posts by sharing your thoughts on their specialty, supporting their choice or offering suggestions if they have yet to choose.

Reflection Scenario Template

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 1) Watch the entire scenario. In the scenario assignment, you are asked to reflect on responses to the presented scenario. 

2) Fill out the template attached below

3) Compose the last question on the template reflection in a Word document and be sure to address, at a minimum, the following questions:

*Why do you feel the way you do about the issue presented?

*Of the four responses offered in the scenario, which do you think is the most ethical and why?

*Which ethical theory would you use to support your stance? Why does this theory work?

4)  Support your conclusions with evidence and specific examples from the textbook, including a minimum of one theory of ethics to defend your stance.

DISSSSCUSION

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THE ROLE OF THE RN/APRN IN POLICY EVALUATION

In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results. How comfortable are you with the thought of becoming involved with such matters?

Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?

In this Discussion, you will reflect on the role of professional nurses in policy evaluation.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

To Prepare:

  • In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
  • Review the Resources and reflect on the role of professional nurses in policy evaluation.

BY DAY 3 OF WEEK 9

Select an existing healthcare program or policy evaluation or choose one of interest to you.

Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

Post an evaluation topic and a brief description of the evaluation. Discuss how social determinants impact this issue.

BY DAY 6 OF WEEK 9

Respond to at least two of your colleagues* on two different days by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues.

Care Setting Environmental Analysis

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Preparation

You have been asked to conduct an analysis of your care setting that will result in two potential pathways toward a strategic plan to improve health care quality and safety in your organization, department, team, community project, or other care setting. To accomplish this, you will take two approaches to the analysis:

  1. Complete the discovery and dream phases of an appreciative inquiry (AI) project.
  2. Conduct a strengths, weaknesses, opportunities and threats (SWOT) analysis.

To help ensure that your analysis is well-received, the requester has suggested that you:

  • Present your analysis results in four parts:
    • Part 1: Appreciative Inquiry Discovery and Dream.
    • Part 2: SWOT Analysis.
    • Part 3: Comparison of Approaches.
    • Part 4: Analysis of Relevant Leadership Characteristics and Skills.
  • Your analysis should be 5-8 pages in length.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

One key aspect to being an effective leader, manager, or administrator is an awareness of your leadership strengths, weaknesses, and style.

  • How would you assess your general leadership, communication, and relationship-building skills?
  • How would describe your leadership style?

Imagine the future for a care setting that is your place of practice or one in which you would like to work.

  • What aspirational goals can you envision that would lead to improvements in health care quality and safety?
  • How well do these goals align with the mission, vision, and values of your care setting?
Part 1: Appreciative Inquiry Discovery and Dream
  • Synthesize stories and evidence about times when a care setting performed at its best with regard to quality and safety goals.
    • Collect stories from your care setting. You may collect stories through interviews or conversations with colleagues or provide your own.
    • Explain how your stories are related to quality and safety goals.
    • Describe the evidence you have that substantiates your stories.
    • Identify the positive themes reflected in your stories.
    • Describe other evidence (for example: data, awards, accreditations) that validates your care setting’s positive core.
  • Propose positive, yet attainable, quality and safety improvement goals for your care setting.
    • Explain how accomplishing these goals will lead to ethical and culturally-sensitive improvements in quality and safety.
    • Explain how your proposed goals align with your care setting’s mission, vision, and values.
Part 2: SWOT Analysis
  • Conduct a SWOT analysis of your care setting, with respect to quality and safety goals.
    • Provide a narrative description of your analysis.
    • Identify the assessment tool you used as the basis of your analysis.
    • Describe your key findings and their relationships to quality and safety goals.
  • Describe one area of concern that you identified in your SWOT analysis—relevant to your care setting’s mission, vision, and values—for which you would propose pursuing improvements.
    • Explain how this area of concern relates to your care setting’s mission, vision, and values.
    • Explain why you believe it will be necessary and valuable to pursue improvements related to this area of concern.
Part 3: Comparison of Approaches

Compare the AI and SWOT approaches to analysis and reflect on the results.

  • Describe your mindset when examining your care setting from an AI perspective and from a SWOT perspective.
  • Describe the types of data and evidence you searched for when taking an AI approach and a SWOT approach.
  • Describe the similarities and differences between the two approaches when communicating and interacting with colleagues.
Part 4: Analysis of Relevant Leadership Characteristics and Skills

Analyze the leadership characteristics and skills most desired in the person leading potential performance improvement projects, taking both an AI and SWOT approach.

  • Explain how these characteristics and skills would help a leader facilitate a successful AI-based project and a successful SWOT-based project.
  • Comment on any shared characteristics or skills you identified as helpful for both AI and SWOT approaches.

Assigment .Apa seven . All instructions attached.

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rt 2 Writing Assignment Week 7

Top of Form

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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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Nursing Assignment 2

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Please follow directions 

Community Health Needs Assessment

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Give an example of a program at “Adventist healthcare white oak medical center” that was planned to meet the needs of the population they serve. Share the organization’s evaluation of effectiveness (if data is available). Provide three scientific citation in APA

WK4A

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Be sure to provide 5 APA citations of the supporting evidence-based peer-reviewed articles you selected to support your thinking.

Please be sure to follow EACH AND EVERY BULLET POINT.

Make sure to ANSWER EACH QUESTION ACCURATELY.

(TOPIC: In Attachment and link above/below ***

***Please be sure to include all information from the attachment in the assignment*****

********* https://youtu.be/-BwzQF9DTlY?si=4vb7gejKMJACSED7 ********

Please use template attached to complete assignment.

EVIDENCE BASED TABLE

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Use the PICO question to look for 2 articles and  complete the evidence based table i have attached.  

  

PICO question: In individuals diagnosed with Parkinson’s disease (P), does the implementation of complementary supportive therapies in conjunction with standard practice (I) improve quality of life (O) compared with standard practice alone (C)?