Nursing

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Make 1st posting by Thursday. Make 2 responses to peer postings by Sunday.

Discussion 3:

1. Describe one health care policy related to health care access and tell how it relates. How does the policy address health equities and disparities?

2. Explain which segment(s) of the Public Health Nursing Wheel relates to the effects of economics/health care access and health care policy you just described. That is, tell which outer segment(s) and which segment(s): Systems-focused, Community-focused, Individual-focused, Population-Based/Case Finding, or Population-Based. (Your response may be one or more segment(s).)

The Public Health Intervention Wheel is found at The Minnesota Department of Health at http://www.health.state.mn.us/divs/opi/cd/phn/wheel.html

3. Visit Healthy People 2030 Priorities at https://health.gov/healthypeople/priority-areas List the three priority areas for Healthy People 2030. Read about social determinants on the same Healthy People 2030 website. Describe two social determinants of health that directly relate to the three priority areas for Healthy People 2030.

Include at least two citations and references in your initial discussion posting (WHO website is okay to use for this discussion). Use APA format. Respond to a minimum of two other classmates regarding their post. Your responses to peers should be substantial. Substantial postings are more than just saying “I agree.” Substantial postings add to the point made, provide more information, ask a probing question, or share an experience. End your initial posting with a question to your classmates that furthers discussion on the topic. Also, see the discussion grading rubric. Please write or paste your posting in the discussion box instead of attaching it in a document. Thanks!

Synthesis and Application #3 initial posting due on 10/5/23 by 11:59 pm and two replies to peers due by 10/8/23 by 11:59 pm

CONCEPT MAP (altered level of consciousness)

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please see the attached files for details and instructions. 

discussion

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  1. After studying the lesson “Nursing Leadership” in Chapter 21 of the textbook (eBook), open a discussion forum by answering the following questions:
  2. What is leadership?
  3. What is a leader?
  4. How does a nurse demonstrate leadership characteristics? Explain.
  5. Do you think Florence Nightingale was a leader in the nursing profession? Why?          Explain.
  6. Describe the following types of leadership: autocratic, democratic, and Laissez-Faire. Give an example of each one within the nursing field.
  7. This topic will be part of class discussion this week (Module 7).
  8. In addition to the eBook, you are required to use at least two more primary references.
  9. Remember APA style when use references “in-text” citation and in the References at the final of your publication.
  10. Submission Instructions:
  • Submit your discussion post by 5:59 PM Eastern on Thursday, October 5th, 2023. 
  • Your initial post should include at least 2 academic sources, formatted and cited in APA.
  • Respond to your classmates’ discussion posts by 11:59 PM Eastern on Saturday, October 7th, 2023. Ask a question, and provide a different viewpoint.

nursing

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Introduction to Public Health Virtual Simulation

Complete Introduction to Public Health at https://phtc-online.org/learning/?courseId=15

In this interactive online module, students will learn about introductory concepts in public health. Click on Enroll. You will go to a Login Screen ….at bottom click on create an account now. Create an account. Click on Training Module at the top of the page. Select Orientation to Public Health. Click on Enroll. Read the information and click on Begin Orientation to Public Health. Click on Please check your inbox – A.T. to begin. Complete the training, take a screenshot of the certificate, or scan the certificate and upload it to the course drop box. The online module takes about 45-60 minutes to complete. At the end, students will obtain a screenshot of the Summary screen and upload the screenshot to the assignment drop box for grade credit. In addition, students will write a paragraph in APA format and include one evidence-based journal reference (within the last 5-7 years supporting the definition and synthesis of public health nursing practice. You must submit the word document paragraph summary to the respective assignment dropbox.

reply

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Option 1: 

The Equal Rights Amendment (ERA) and the Fourteenth Amendment both aim to address issues of equality, but they focus on separate concepts. The ERA, first proposed in 1923, is explicitly targeted at gender-based discrimination, seeking to guarantee equal legal rights for all American citizens regardless of sex “The Equal Rights Amendment would put protection for women and other marginalized genders directly into the United States Constitution.” (MacKinnon & Crenshaw, 2019).  In contrast, the Fourteenth Amendment, ratified in 1868, is a broader constitutional provision that encompasses various civil rights issues, including the Equal Protection Clause, which ensures equal protection under the law without specifying gender “The U.S. The Supreme Court has consistently ruled for decades that the Equal Protection Clause of the Fourteenth Amendment protects women from unequal treatment under the law.” (Herrod et al., 2021). While both amendments share the goal of promoting equality, the ERA is specifically concerned with gender equality, whereas the Fourteenth Amendment has a broader scope, addressing a range of civil rights issues such as race, gender, and other forms of discrimination. 

References: 

Do We Still Need the Equal Rights Amendment in 2022? (2022, March 24). BillTrack50. Retrieved October 14, 2023, from

https://www.billtrack50.com/blog/dividedwefall_era/

Herrod, C., Fischer, S., & Forde, K. (2021, July 5).
Do We Need the Equal Rights Amendment Today? — Divided We Fall. Divided We Fall. Retrieved October 14, 2023, from

https://dividedwefall.org/equality-amendment/

MacKinnon, C. A., & Crenshaw, K. W. (2019, December 26).
Forum: Reconstituting the Future: An Equality Amendment. The Yale Law Journal. Retrieved October 14, 2023, from

https://www.yalelawjournal.org/forum/reconstituting-the-future-the-equality-amendment

ASSESSING MUSCULOSKELETAL PAIN

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Case: A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved?

 How would you test for each of them? 

What other symptoms need to be explored? 

What are your differential diagnoses for acute low back pain?

 Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform?

Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected  

project-week6 -information system

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**Please note, you are to remove all red wording and replace with your own content. Use short bullet points in all boxes. Boxes will expand as you type. Please delete this box prior to submission.

Insert photo, graphic or chart to increase visual appeal

Provide all references for all sources utilized in APA format, though a hanging indent is not needed.

References

Identify the developed and reliable mHealth app that could benefit the patient. Describe the app, including the following: name, purpose, intended audience, mobile device(s) upon which it will operate, where to download or obtain it, and any other applicable information. Be sure to cite all sources you use in APA format. The mHealth app source is a required citation.

mHealth Application

Describe how you would determine the success of the patient's use of this app. For example, include ways to evaluate the effectiveness of the teaching plan that are a good fit for the type of mHealth app and focus on specific ways that this app benefits the patient's health and wellness. Include the 3 evaluation strategies you used in Milestone 2.

Evaluation

This section should contain important points about the mHealth app that you want to teach to the patient. Include the 3 areas from Milestone 2.

Information about the mHealth app

Safety guidelines

How to interpret and act on the information that is provided

Teaching

This section should include the approved patient scenario that includes a disease process, diagnosis, a desire to maintain good health and prevent illness. Include the nurse’s assessment of learning needs and readiness to learn.

Scenario

Name

Course

Session

Insert Title Here

1

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EVIDENCE-BASED PROJECT, PART 3: CRITICAL APPRAISAL OF RESEARCH

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EVIDENCE-BASED PROJECT, PART 3: CRITICAL APPRAISAL OF RESEARCH

Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.

In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

· Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.

· Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.

· Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

The Assignment (Evidence-Based Project)

Part 3A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.

Part 3B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

LEARNING RESOURCES


Required Readings

· Melnyk, B. M., & Fineout-Overholt, E. (2023). 
Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.

· Chapter 6, “Critically Appraising Quantitative Evidence for Clinical Decision Making” (pp. 189–228)

· Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice step by step: Critical appraisal of the evidence: Part I. 


American Journal of Nursing

Links to an external site.
, 110(7), 47–52. doi:10.1097/01.NAJ.0000383935.22721.9c

· Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part II. 


American Journal of Nursing

Links to an external site.
, 110(7), 47-52

· Fineout-Overholt, E., Melnyk, B., Stillwell, S., & Williamson, K. (2010). Critical appraisal of the evidence: Part III the process of synthesis: Seeing similarities and differences across the body of evidence.

American Journal of NursingLinks to an external site.
, 110(11), 43-51. doi:10.1097/01.NAJ.0000390523.99066.b5

· Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. 

Journal of the American Psychiatric Nurses AssociationLinks to an external site.
, 15(3), 202–207. doi:10.1177/1078390309338733

·

Document: Critical Appraisal Tool Worksheet Template (Word document)

see below

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Response TO WEEK 8 DISC

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PLEASE RESPOND TO THE FOLLOWING IN 50 WORDS OR MORE:

My thoughts on trends in nursing have shifted a bit since week 1. A topic I addressed was nurse-to-patient ratios and how they are incompatible with providing the best care to patients. Although that issue still proves to be a problem, I feel more informed on the causes and effects of this trend. I’ve learned about legislative and environmental factors that come into play. Funding for institutions is limited and in order to address this issue properly, we must be informed and have background knowledge of the people we are appointing who make the decisions to allocate health care funds. Also, being more inclusive when giving positions in higher departments would be helpful. Nurses should have access to take on more leadership roles to be able to be involved in decision making. Nurses have first hand knowledge on what is needed on the floor. They understand the resources needed and they also can advocate for nurses who come from different backgrounds or have different levels of expertise. All in all, I have a better understanding of why this problem exists and also the ways in which we could actively rectify the situation.