week 1

Discussion Social Factors (Graded)

Discussion

Purpose

The purpose of this discussion is for learners to identify community data that impacts social factors of health.

Preparing the Assignment

· Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:

· Demonstrate understanding of concepts for the week

· Integrate outside scholarly sources when required

· Engage in meaningful dialogue with classmates and/or instructor

· Express opinions clearly and logically, in a professional manner

· Use the rubric on this page as you compose your answers.

· Best Practices include:

· Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.

· Enter the discussion often during the week to read and learn from posts.

· Select different classmates for your reply each week.

Discussion Question

There are many factors that make people healthy or ill.  This week we will focus on the social factors and determinants that impact health.

It is time to get out into your community!

· Go online to the U.S. Census Bureau at 

https://www.census.gov/quickfacts/ Links to an external site.
(*note, you will be using this website in the Week 2 assignment, so you can get started on collecting all the required data if desired)

· Input your local zip code, city, or county. Try to get as specific data as possible (city, township, county).

· Next, identify the:

· Total population

· Median income

· Percentage or number of persons living in poverty

· Go to your local grocery store, use a flyer, or app. Include the stores name, city, and state. Identify cost for the following items (please note whether items are organic):

· 1 gallon of milk

· 1 loaf of bread

· 1 bag of apples (include price per pound)

· 1 bag of carrots

· 1 large container of yogurt

· 1 2-liter of soda

· 1 bag of chips

· 1 package of cookies

· Utilizing the data collected, discuss social factors that might impact what groceries are purchased. Try to be as specific to your community as possible (location, availability, poverty levels, etc.).

· Discuss how a community health nurse (CHN) could use one of the 17 intervention categories from the Public Health Intervention Wheel to address areas of food security (Nies & McEwen, 2019).

· In your responses to classmates, include comparisons and contrasting information.

Your discussion post should look like:

· Paragraph one: Utilizing the data collected, discuss a social factor that might impact what groceries are purchased. Try to be as specific to your community as possible (location, availability, poverty levels, etc.)

· Paragraph two: Utilizing the data collected, discuss 
another social factor that might impact what groceries are purchased. Try to be as specific to your community as possible (location, availability, poverty levels, etc.)

· Paragraph three: Discuss how a community health nurse (CHN) could use one of the 17 intervention categories from the Public Health Intervention Wheel to address areas of food security

· Resources: Where did you find your data?

EBOOK used: Community/Public Health Nursing
https://bookshelf.vitalsource.com/reader/books/9780323528948/epubcfi/6/2%5B%3Bvnd.vst.idref%3Dhtml-cover-page%5D!/4/2/4%4050:79

OR

Email:
[email protected]

PWD: Bryanthierry@09

NEED help

Based on course readings, resources, and discussions, create your own theory based on your specific practice area. For example, Liken’s Theory of Nurse/Patient Connectedness for Individuals with a Diagnosis of Depression. 

Be sure to include definitions and descriptions of at least two key concepts that make up your theory. Describe the relationships between these concepts. For example “connectedness” and “depression.” 

What role does research play in the development and use of your theory in practice? 

Give a case example of how your concepts and theories would be used in a specific client situation in practice. What are the barriers to using your theory in practice? 

nursing

 

Topic:   Organizational, Political, and Personal Power/Organizing Patient Care  

  • Huston’s Leadership Roles and Management Functions in Nursing, 11th edition.  
  • Learning Exercise 13.3 (page 321)  

PowerPoint Presentation- Research problem related to advanced nursing practice.

Develop a PowerPoint Presentation in regards to the issue of Advanced Practice.

  1. Identify a current research problem related to advanced nursing practice that is of interest to you. Include WHY this is a problem. (Limit response to no more than 3 sentences). Develop a research question to provide information about the research problem.
  2. Based on your research question, do you believe it will best be answered by a qualitative or quantitative study ? Support your decision as to why you believe the answers would best be provided by the type of study you have chosen.
  3. Select a middle-range theory and identify the application of nursing theories to your research problem.
    Conduct a literature review.
  4. Based on your literature review answer the following questions:
    • If qualitative,
      • Identify the purpose of the study.
      • Briefly, describe the design of the study and explain why you think it is either appropriate or inappropriate to meet the purpose.
      • Identify ethical issues related to the study and how they were/were not addressed.
      • Identify the sampling method and recruitment strategy that was used.
      • Discuss whether sampling and recruitment were appropriate to the aims of the research.
      • Identify the data collection method(s) and discuss whether the method(s) is/are appropriate to the aims of the study.
      • Identify how the data was analyzed and discuss whether the method(s) of analysis is/are appropriate to the aims of the study.
      • Identify four (4) criteria by which the rigor of a qualitative project can be judged.
      • Discuss the rigor of this study using the four criteria. 
      • Briefly, describe the findings of the study and identify any limitations.
      • Use the information that you have gained from your critique of the study to discuss the trustworthiness and applicability of the study. Include in your discussion any implications for the discipline of nursing.

  • If quantitative,
    • Identify the purpose and design of the study.
    • Explain what is meant by ‘blinding’ and ‘randomization’ and discuss how these were addressed in the design of the study.
    • Identify ethical issues related to the study and how they were/were not addressed.  
    • Explain the sampling method and the recruitment strategy was used.
    • Discuss how the sample size was determined – include in your discussion an explanation of terms used.
    • Briefly, outline how the data was collected and identify any data collection instrument(s).
    • Define the terms of validity and reliability, and discuss how the validity & reliability of the instruments were/were not addressed in this study and why this is important.
    • Outline how the data were analyzed.
    • Identify the statistics used and the level of measurement of the data described by each statistical test – include in your discussion an explanation of terms used.
    • Briefly, outline the findings and identify any limitations of the study.
    • Use the information that you have gained from your critique of the study to briefly discuss the trustworthiness and applicability of the study. Include in your discussion an explanation of the term statistical significance and name the tests of statistical significance used in this study. 

Submission Instructions:

  • The presentation is original work and logically organized.
  • Follow current APA format including citation of references.
  • The PowerPoint presentation should include 10-15 slides that are clear and easy to read.
  • Speaker notes expand upon and clarify content on the slides.
  • Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

Intro to nursing reaearch

 Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Provide an overview of the problem and discuss how addressing the problem through nursing research can improve patient outcomes. Provide rationale and support for your answer. 

Different-Speak: Gender and Culture

 

There are subtle—but distinct—differences between communicating with an individual and a group. Communication among group members can be seen as a microcosm of communication within the entire organization. Using the company that you selected in Week 1, complete the following analysis to show the differences between writing and communicating a message:

  • Select 2 communication channels to present 1 message to (a) an individual employee within the organization and (b) a group within the organization.
  • Describe a new product being released by your company by writing messages of 400–500 words to (a) the individual, and (b) the group.
    • For the individual employee message, consider how the new product affects the individual’s job or role within the organization. How would you customize the message?
    • What considerations are important in the message for a larger group? Are there specific differences? Answer these questions in the analysis.
    • Lastly, explain what communication channels are most effective when dealing with individual employees, a group, and the larger organization. Consider cross-communication platforms, too. How do they complement each other?

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

Disscusion Boards Week 2

Week 2 Discussion 1

DISSCUSION BOARD 1

Explain the statement, “What may be an ethical dilemma for one registered nurse may not be an ethical dilemma for another registered nurse.” Be sure to define an ethical dilemma in the course of your discussion. Describe a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. (Be sure to respect and maintain patient and colleague confidentiality.)

· Compose at least 2-3 paragraphs all in APA format with proper references.

DISSCUSION BOAR 2

Week 2 Discussion 2

Apply the framework of The Five R’s approach to ethical nursing practice from this week's reading to answer the questions about values and choices.

What are values?

Q. What are your personal values?

Q. Why do you value them?

Q. What are the values in your society?

Q. How do you make choices?

Q. Are your choices based on your values?

Q. What values are useful in society?

What are the limits to personal choice?

Q. Who limits your choices?

Q. Are limits to choices good?

Q. Do you limit other people's choices?

Q. Should the health care organization or the government limit people's choices? If so, how, and under what circumstances?

Finally, consider this: A common idea in health care is that if you are drawn to health care as a profession, you are inherently guided by an inner compass that is composed of a strong moral framework. Why is this a dangerous assumption?

· Compose at least 2-3 paragraphs all in APA format with proper references.

BOX 2-6 The Five Rs Approach to Ethical Nursing Practice

1.  Read: Read and learn about ethical philosophies, approaches, and the ANA’s Code of Ethics for Nurses. Insight and practical wisdom are best developed through effort and concentration.

2.  Reflect: Reflect mindfully on one’s egocentric attachments—values, intentions, motivations, and attitudes. Members of moral communities are socially engaged and focus on the common good. This includes having good insight regarding life events, cultivating and using practical wisdom, and being generous and socially just.

3.  Recognize: Recognize ethical bifurcation (decision) points, whether they are obvious or obscure. Because of indifference or avoidance, nurses may miss both small and substantial opportunities to help alleviate human suffering in its different forms.

4.  Resolve: Resolve to develop and practice intellectual and moral virtues. Knowing ethical codes, rules, duties, and principles means little without being combined with a nurse’s good character.

5.  Respond: Respond to persons and situations deliberately and habitually with intellectual and moral virtues. Nurses have a choice about their character development and actions.

Intellectual virtues: Moral virtues, Insight

Practical wisdom; Compassion, Loving-kindness, Equanimity, Sympathetic joy

Insight: Awareness and knowledge about universal truths that affect the moral nature of nurses’ day-to-day life and work

Practical wisdom: Deliberating about and choosing the right things to do and the right ways to be that lead to good ends

Compassion: The desire to separate other beings from suffering

Loving-kindness: The desire to bring happiness and well-being to oneself and other beings

Equanimity: An evenness and calmness in one’s way of being; balanceSympathetic joy: Rejoicing in other persons’ happiness

Response

  Due 09/13/23 1900 EST

Respond to this DB using APA and include at least 2 scholarly references

Competing Needs in Healthcare Policy Development: National Healthcare Issue of Healthcare Workers Shortage 

Different needs can have a big effect on how policies are made to deal with the shortage of health care workers. As a graduate student in nursing who also works in a psychiatric hospital, I know how difficult things can get.
Haddad, L. M., Annamaraju, P., and Toney-Butler, T. J. (2020) say that nurses are an important part of health care and make up the most important part of the health field. The World Health Statistics Report says that there are about 29 million nurses and midwives in the world, with 3.9 million of them working in the United States. 

From an academic and evidence-based point of view, competing needs include restricted budgets, different goals among stakeholders, different places where people can get health care depending on where they live, and changing patient demographics. These things can cause tension and problems when making laws.
There aren’t enough nurses for a few main reasons: bad planning and allocation of the workforce; lack of new staff due to lack of resources; bad recruitment, retention, and “return” policies; inefficient use of nursing resources due to the wrong mix and use of skills; bad incentive structures; and lack of career support. 

                                                       Effects of Competing Needs on Healthcare Workers Shortage 

For instance, if you know a lot about psychology, you could show how important it is to have mental health experts. But because of shortages, other parts of health care may also need help. To find a balance and meet these needs, workforce estimates must be based on facts and take into account how many people are retiring and how many people are being born. 

Getting to population health, universal health coverage (UHC), and fair access to health care depends on having a health staff with enough capacity, capability, and quality to meet epidemiological challenges and changing needs. WHO says that by 2030, there will be 40 million more jobs in health and social care because more people will need them around the world. In most countries, nurses are the most highly skilled workers, and they make up about half of the world’s health care workers. 

                                                              Solving The Issue Of Competing Needs through Policy 

In this situation, it would be important for healthcare managers, policymakers, educators, and professionals from other areas to work together to make policy. Research that shows what works can help businesses decide how to hire, train, and keep workers. By recognizing and addressing these different needs, plans can be made to deal with the lack of healthcare workers and take psychiatric nursing experience into account. 

When it comes to psychology, having different needs can have a big impact on how healthcare decisions are made. As a psychiatry nurse practitioner, for example, you might run into situations where the patient’s need for freedom conflicts with the need to give the right care and make sure the patient is safe. Finding a balance between individual rights and the bigger goals of treatment success and patient well-being requires healthcare professionals, policymakers, and patients to make decisions based on evidence and work together. When making plans to deal with these hard problems, it is important to think about study, clinical standards, and ethical principles. 

Most people who talk about nurse shortages say that lawmakers should pay attention to all parts (called “policy bundles”) and not make policies based on simple, linear thinking. There is proof of this in both high- and low-income countries, where programs that only focus on growing nurse training have not increased the number of nurses entering the workforce or filled gaps in priority areas where there have been shortages in the past. 

To deal with the lack of health care workers, we need a plan with many parts, including laws that help hire, keep, and train people. Some ways to improve access to healthcare are to pay healthcare workers more money, expand training programs, improve working conditions, and use telemedicine. Evidence-based policies can be made by looking at trends in the workforce, figuring out how different actions affect the situation, and involving stakeholders to make sure the policies are well applied. 

                                                                                                   References 

V.M. Drennan and Fiona Ross What’s going on, what it means, and what can be done to fix the problem The British Medical Bulletin, 130(1), pages 25–37 

Organization for World Health. Workforce 2030 is a global plan for using people to improve health. Retrieved September 11, 2023, from https://www.who.int/hrh/resources/pub_globstrathrh-2030/en/Links to an external site.

Shortage of Nurses | StatPearls | NCBI Bookshelf | NCBI Visit www.merlot.org/merlot/viewMaterial.htm?id=773408731 for more information. 

Create a Reflection document

Please read carefully the instructions.

You need to create a Reflection documen following the instructions and answering of the attached document.

complete a Reflection Document analyzing how the assignment (attached Artifact: ConcofPathophys w5

PowerPoint) demonstrates achievement of the identified

PSLO/GEC/Essential.

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?