Making judgement as to whether a theory could be adapted for use in research is very important. Describe the internal and external criticism that is used to evaluate middle range theories.
Require 400 words and at least 3 scholarly references no later than 5 years old.
No Plagiarism
Nursing!!
This forum requires the viewing of two videos: the first is an excerpt from Dr. Kilbourne’s talk “Slim Hopes” and the second is a TED Talk by Ashley Graham.
Dr. Jean Kilbourne is a renowned speaker who has made a career of presenting on her critical analyses of the effects of advertising on the American culture (ChallengingMedia, 2006). The video is of a brief excerpt (5:10) of Kilbourne’s talk “Slim Hopes,”Links to an external site. where she aims to persuade her audience that our culture’s current obsession with weight stems in part from the powerful influence advertising has on our culture. In fact, she argues that “there is no aspect more pervasive or more persuasive than advertising.” Also, while not required, you may want to view other videos by KilbourneLinks to an external site. which discuss the media’s influence on our culture’s attitudes regarding alcohol, tobacco, and sexuality.
The second video “Plus Size? More Like My Size”Links to an external site. is from a TED Talk by Ashley Graham, a model who is a major voice in the body acceptance movement (TEDx Talks, 2015).
Also, study the chapter on persuasive presentations in our textbook. In light of the videos, the text, and your own experiences, respond to the questions below:
Be sure to respond to your peers as well. As a reminder, connect to a scholarly source beyond the videos from Kilbourne and Graham.
References
ChallengingMedia. (2006). Slim hopes: Advertising & the obsession with thinness. https://www.youtube.com/watch?v=C7143sc_HbU
TEDx Talks. (2015). Plus size? More like my size. https://www.youtube.com/watch?v=xAgawjzimjc
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?
Discussion:
Screening is the administration of measures or tests to distinguish individuals who may have a condition from those who probably do not have it. Discuss the advantages and disadvantages of screening.
Instructions:
Post your discussion to the Moodle Discussion Forum. Initial post must be made by Day #3. Word limit 500 words. Reply to at least two other student posts with a reflection of their response. Please make sure to provide citations and references (in APA, 7th ed. format) for your work.
public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.
Service providers can deal with rude or inconsiderate customers by making sure that they remain professional. Just because the customer is rude does not mean that the service provider should also be rude. Service providers should avoid retaliation when dealing with rude customers.
Respond at least 2 times each . The goal is for the discussion forum to function as robust clinical conferences on the patients. Provide a response to 1 of the 3 discussion prompts that your colleagues provided in their video presentations. You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.
Instructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide citations/references for your answers in APA format with scholarly references no older than 5 years.
CASE STUDY: Active Labor: Susan Wong
Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy.
She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal defect or Down syndrome, but never followed through. Mrs. Wong and her husband disagreed about what to do (keep or terminate the pregnancy) if the ultrasonography indicated a spinal problem, so they felt they did not want this information
. Reflective Questions
1. As the nurse, what priority data would you collect from this couple to help define relevant interventions to meet their needs?
2. How can you help this couple if they experience a negative outcome in the birthing suite? What are your personal views on terminating or continuing a pregnancy with a risk of a potential anomaly? What factors may influence your views?
3. With the influence of the recent Human Genome Project and the possibility of predicting open spinal defects earlier in pregnancy, how will maternity care change in the future?
rt 2 Writing Assignment Week 7
Top of Form
Bottom of Form
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.
Bottom of Form
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by suggesting additional strategies your colleague could implement to bring about needed change in their community.use 3 reference each.
1. I am currently employed at a freestanding psychiatric hospital located on the south shore of Massachusetts. We provide inpatient psychiatric services to adolescents, adults, and geriatric patients who suffer from mental illness. Since the Covid-19 pandemic, we have seen an increase in the community’s need for mental health services. A recent study conducted by Blue Cross Blue Shield of Massachusetts found that the need for services has increased exponentially due to the effects of the pandemic. Currently, “one in three Massachusetts residents over the age of 19 reported needing behavioral health care for themselves or a close relative; however, 26% percent said they were not able to get it” (Becker, 2022). As an organization, we need to find a way to increase access to mental health services in our community.
How the Doctor of Nursing Practice (DNP) Prepared Nurse Can Increase Access to Mental Health Services
As a DNP-prepared nurse, it is my goal to serve as an agent of positive change at the local level to the patients who are under my organization’s care as well as the community at large. In order to reduce accessibility issues as a DNP-prepared nurse, it will be critical for me to consider the American Association of Colleges of Nursing essential number 8 and “conceptualize new care delivery models that are based in contemporary nursing science and that are feasible within current organizational, political, cultural, and economic perspectives” (American Association of Colleges of Nursing, 2006). One thought I have for my organization would be to integrate outpatient services such as partial hospitalization programs so that we can increase accessibility to mental health services in the community. One significant challenge, both nationally and for my organization, is the shortage of nursing staff. In order to increase the services we provide, it will be imperative for my organization to build partnerships with local agencies. Wegner et al. (2000) determined that “groups of people who share a concern, a set of problems, or a passion about a topic, and who deepen their knowledge and expertise in the area by interacting on an ongoing basis” will have more success. In order to recruit nurses to my organization, I aim to partner with local universities and colleges to provide a site for their psychiatric clinical rotations. If student nurses have a positive clinical experience at my organization, they will be more likely to consider employment with us in the future which will, in turn, allow us to expand the services we provide and increase accessibility to mental health care.
References
American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf
Becker, D. (2022). The pandemic has led to a surge in mental health need in Mass., survey finds. https://www.wbur.org/news/2022/02/08/massachusetts-pandemic-mental-healthLinks to an external site.
Wenger, E., McDermott, R., & Snyder, W. M. (2000). A guide to managing knowledge: Cultivating communities of practice. Harvard Business School.
2.There is a very large homeless population within my community, and with that unfortunately comes high rate of substance use disorders. The most recent census of this six hundred plus square mile county was approximately 170,000 individuals, ten percent of whom were living below the poverty level (United States Department of Commerce, 2023). Despite the known concerns for homelessness in Monroe County, there remains to be only three small shelters that are seasonally available to those in need, open between the hours of 7:00pm and 5:00am EST. As a very rural area, the lack of available resources leaves individuals living in homeless communities in wooded areas. Multiple individuals have been found to be passed away due to exposure in the winter months. While community members are also aware of the concern for substance use disorders, there have been very direct and disheartening efforts preventing the opening of treatment centers in the area. Signs have been posted in front yards with slogans such as ‘no drug addicts in our back yard.’
Addressing socioeconomic determinants of health and the wellness of this community is one of many roles of the Doctor of Nursing Practice (DNP) (American Association of Colleges of Nursing, 2006). These two community health issues are very much related. The ongoing gap in access to substance use disorder treatment perpetuates the cycle of substance-related crime, associated health concerns treated in the local emergency department, and inability to treat the often-underlying mental health concerns leading to self-medication (Mitchell et al., 2023). As a social change agent, the DNP can not only research evidence-based interventions to provide community-based care to individuals in need but also educate community members on why this is important, and how their efforts to prevent this from happening harms not only those in need but the populace as a whole (American Association of Colleges of Nursing, 2006).
The DNP acts as an expert support when advocating for health policy in local, state, or federal government. Meeting with members of local government to provide evidence-based testimony regarding the detrimental impact the blocking of substance use treatment facilities has on the community is one step in creating increased access to care. Individuals in need of substance use treatment often experience shame and ambivalence to seek the support they so greatly need; it is essential to educate lawmakers about how the additional stigma placed upon individuals by the formal supports who should be enabling their ability to access treatment severely impedes community wellness (Stewart et al., 2023).
Engaging directly with the homeless shelters currently available to review current barriers to availability is the first step to increasing accessibility. Two of the three shelters are run by volunteer organizations, and the third is a locally funded organization that is a part of the community health department. As a DNP, gathering data and evidence to support the implementation of an intervention is essential to buy in from any stakeholder and can be achieved by evaluating the number of individuals who seek shelter at these resources, and those who are able to stay the night (McEwen & Wills, 2019). Presenting this data to local officials to along with evidence-based data regarding the benefits of this community initiative, such as reduction in deaths associated with exposure and the current use of law enforcement to relocate homeless individuals from areas deemed inappropriate for their inhabitation, can support approval for shelter expansions.
References
American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf
McEwen, M., & Wills, E. M. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer.
Mitchell, E., Waring, T., Ahern, E., O’Donovan, D., O’Reilly, D., & Bradley, D. T. (2023). Predictors and consequences of homelessness in whole-population observational studies that used administrative data: a systematic review. BMC Public Health, 23(1), 1610. https://doi.org/10.1186/s12889-023-16503-z
Stewart, R. E., Cardamone, N. C., Schachter, A., Becker, C., McKay, J. R., & Becker-Haimes, E. M. (2023). A systematic review of brief, freely accessible, and valid self-report measures for substance use disorders and treatment. Drug and Alcohol Dependence, 243, 1–11. https://doi.org/10.1016/j.drugalcdep.2022.109729
United States Department of Commerce. (2023). QuickFacts: Monroe County Pennsylvania. https://www.census.gov/quickfacts/fact/table/monroecountypennsylvania/PST045222
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