familiar clinical practice
Think about a familiar clinical practice area where interest groups are attempting to bring about a change in clinical care or systems of service delivery. Assume new, game-changing research finding are published and received wide attention. Identify groups that might have an interest in these finding. What are their likely reactions to new research?
Nursing
Health Disparities Assignment.html
Health Disparities Assignment
Population health is shaped by the social and economic conditions in which we are born, live, and work. Statistics indicate that many of us are one paycheck away from a financial crisis, especially since past recessions and the current state of inflation. In this module, you will explore the impact of poverty on health. In your professional roles and perhaps your own personal lives, you have all been exposed to the issues to some extent. The intent of this module will be to explore in more detail the prevalence of poverty, its impact on health, and barriers to attaining healthy outcomes.
Resources:
Use the following resources to complete this assignment:
- Read Nies & McEwen (2019) Chapters 21-23; 25; 28
- Format your paper using 7th ed. APA formatting (i.e., Title page, headings, Reference page, etc.)
Instructions:
- Students will submit answers to the following questions using 3 headings, General Poverty, Food Security, and Homelessness into the appropriate NURS 410 assignment dropbox, using 7th ed. APA formatting.
Activities
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General Poverty (4 points)
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Play Spent Activity:
The Urban Ministries of Durham have a great online poverty simulation that goes through a month in the life of a person living in poverty. To access the simulation, go to this website: playspent.org Summarize your experience with this simulation activity
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Did you have money left over?
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What difficult decisions did you need to make?
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What was your overall feeling when the month was over?
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Have you experienced similar financial challenges in your life?
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What safety nets were there to support you during this time?
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Go to Poverty USA website at
http://www.povertyusa.org/
Poverty Tour USA –Read the various information sections – What surprises you?
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Interactive Poverty Map
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Compare the state you live in with at least one other state.
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Poverty Facts
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What is the definition of poverty and who lives in poverty?
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Snapshots of Poverty
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Review at least one of the “Stories of Hope”– What are possible health implications?
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Food Security (3 points)
Click on
United States Food Drug Administration– Household Food Security-
How is food insecurity defined?
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Which populations are most at risk for food insecurity?
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What programs are available to improve food access? Consider Supplemental Nutrition Assistance Program (SNAP)
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Homelessness (3 points)
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Who are the Homeless and why are they homeless?
Go to the website of the National Coalition for the Homeless.
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Click on Fact Sheets and go to:
http://www.nationalhomeless.org/factsheets/index.html
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Click on Issues – Read about 2 topics that interest you.
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Click on Populations – read about one population.
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Click on Public Policy Recommendation – read about one policy recommendation
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Describe the face of “homeless”
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What are the numbers?
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Who is homeless?
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Why are they homeless?
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How are health and homelessness related?
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Identify and describe one policy project to reduce/end homelessness.
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Go to Minnesota Interagency Council on Homelessness:
https://mn.gov/dhs/heading-home-minnesota/
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What is purpose of this organization?
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Professional Ethics
Today’s health care environment gives nurses many reasons to be conflicted. Genetic testing, abortion, and end of life care are just some of the areas in which nurses may face ethical dilemmas. Consider how you feel about the following issues:
- Respecting the wishes of a suffering client that he is permitted to die with dignity,
- Respecting the health surrogate’s wishes regarding termination of life support,
- Or even observing another nurse take two tablets of oxycodone as ordered but keeping one for herself.
Then give an example of an ethical dilemma you may have confronted in your own clinical experience or workplace. How did you come to the decision you made? What feelings did you experience while coming to that choice? (If you have not yet faced an ethical dilemma, research one and comment on it, answering the same questions.)
Discussion-Death and Dying
Discuss the term “clinical death,” especially with respect to when not to initiate CPR. Discuss what is meant by a “peaceful death” and a “good death,” including goals for End-Of-Life care. How would you feel if you knew your patients did not want CPR but the family insisted on it?
TRANSLATION MODELS AND FRAMEWORKS
- Review the Learning Resources below. Pay particular attention to the featured frameworks/models, below, in the White, Dudley-Brown, and Terhaar text.
- Identify the translation science framework or model that is most relevant to your practice problem from among the following three models and consider your reasoning:
- Roger’s Diffusion of Innovations (pp. 36–39);
- Knowledge-to-Action (pp. 42–45);
- Theory of Reasoned Action (pp. 66–67).
- Assess your understanding of “translation science” and how you would explain it in the context of evidence-based practice and quality improvement.
With these thoughts in mind …
Post an explanation of the translation science framework or model that you selected and explain why it is most relevant to your practice problem. Be specific and provide examples and at least 3 references
learning resources:
- White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer.
- Chapter 2, “The Science of Translation and Major Frameworks” (pp. 27–58)
(Review from Week 4) - Chapter 3, “Change Theory and Models: Framework for Translation” (pp. 59–73)
- Chapter 2, “The Science of Translation and Major Frameworks” (pp. 27–58)
- Boehm, L. M., Stolldorf, D. P., & Jeffery, A. D. (2020). Implementation science training and resources for nurses and nurse scientistsLinks to an external site.. Journal of Nursing Scholarship, 52(1), 47–54. https://doi.org/10.1111/jnu.12510
Pico
- Identify and briefly describe your chosen clinical issue of interest.
- Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
- Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
- Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
- Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.
PICO QUESTION
The PICO(T) question would be: “In adolescents aged 13-18 years, do mindfulness-based interventions, compared to standard or no interventions, lead to a significant reduction in symptoms of anxiety within 6 months?”
Details on reflection
Details on reflection
informed consent
Choose a patient-care situation in which the RN should intervene and advocate for the patient. An example of such a situation might be when a patient has not been given complete informed consent.
- Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one.
- Apply the Bioethical Decision Making Model to the specific clinical ethical situation that you choose. Address each section of the model. Conclude with a discussion of nursing advocacy in the clinical setting and the nurse’s role as a patient advocate.
You must reference and cite 1-2 scholarly sources other than your text. Include a title page and a reference page to cite your text and adhere to APA formatting.
Discusssion
Resources
- Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.) Jones & Bartlett Learning
- Chapter 5, “Public Policy Design” (pp. 87–95 only)
- Chapter 8, “The Impact of EHRs, Big Data, and Evidence-Informed Practice” (pp. 137–146)
- Chapter 9, “Interprofessional Practice” (pp. 152–160 only)
- Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 183–191 only)
- American Nurses Association (ANA) (n.d.) AdvocacyLinks to an external site.. Retrieved September 20, 2018, from https://www.nursingworld.org/practice-policy/advocacy/
- Centers for Disease Control and Prevention (CDC) (n.d.). Step by step: Evaluating violence and injury prevention policies: Brief 4: Evaluating policy implementationLinks to an external site.. Retrieved from https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf
- Congress.govLinks to an external site.. (n.d.) Retrieved September 20, 2018, from https://www.congress.gov/
- Klein, K. J., & Sorra, J. S. (1996) The challenge of innovation implementationLinks to an external site.. Academy of Management Review, 21(4), 1055–1080.
- Sacristán, J., & Dilla, T. D. (2015). No big data without small data: Learning health care systems begin and end with the individual patientLinks to an external site.. Journal of Evaluation in Clinical Practice, 21(6), 1014–1017
- Tummers, L., & Bekkers, V. (2014). Policy implementation, street level bureaucracy, and the importance of discretionLinks to an external site.. Public Management Review, 16(4), 527–547.
To Prepare:
- Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.
- Review the health policy you identified and reflect on the background and development of this health policy.
Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Which social determinant most affects this policy? Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.