Community Health Nursing Synthesis Paper – Johnston County, North Carolina. Community Health Nursing Synthesis Paper – Johnston County, North Carolina.
INSTRUCTIONS
This paper is a synthesis of your study of community health nursing and is worth up to 100 points. The paper is 25% of your final grade for the course. Paper Criteria: Johnston County, North Carolina Address the following criteria in your paper and identify/label paper sections (level headings) following APA guidelines. Phase One: Define the Community – 5 points
1. Name of Community – Johnston County, North Carolina 2. Location, boundaries, size in miles/acres, physical environment including any environmental hazards Phase Two: Assessment – 35 points The goal of assessment is to collect data and usable information about the community residents. Data gathering involves compiling information that already exists. Data can be collected from a variety of valid and professional sources. Include the following: 1. Biophysical aspects including population (number of residents), age, gender, race/ethical composition 2. Psychosocial and cultural aspects including socioeconomic status, number and level of educational facilities, average or prevailing education level, major occupations, unemployment rate, religious facilities/churches, cultural considerations 3. Behavioral aspects including recreation and exercise facilities, substance use and abuse, sexual activity (teenage pregnancy, STD’s, HIV) 4. Health care services available in the community including the levels of care provided (primary, secondary, tertiary) and factors such as adequacy, affordability, accessibility, and acceptability/use 5. Overall health status of the community and any vulnerable groups. Using mortality and morbidity rates identify the leading causes of death (top 3), prevalence of chronic illness (top 3). Compare with the mortality and morbidity rates of the state and nation. Phase Three: Data Interpretation – 20 points Data are analyzed and synthesized to search for significant themes and trends. 1. Identify 1 area of strength in the community and provide rationale for your decision. 2. Identify 1 health need in the community (based on Healthy People 2020) that can be addressed by the community health nurse and provide rationale for your decision. Phase Four: Community Health Nursing Program – 30 points Develop an original evidence-based nursing program to address the identified community health need: 1. Describe the program including the major purpose of the program 2. Identify one specific program objective to help meet purpose of program (include action verb, single purpose, single result, time frame) 3. Discuss activity(s) needed to meet program objective 4. Describe resources needed including personnel/staff, equipment, supplies, facilities 5. Explain collaboration/teamwork needed with other healthcare disciplines and/or community organizations Additional Criteria for paper – 10 points 1. APA format 2. Grammar, sentence structure, spelling, etc. 3. References: In addition to the textbook and valid internet database references (and other resources) used to gather existing community assessment data, at least three additional references from current scholarly/professional journals are required with a total of at least 8 professional references. 4. Length: Approximately 10 pages, not including title page and reference page The textbook currently being used is: Stanhope, M. & Lancaster, J. (2018). Foundations for Population Health in Community/Public Health Nursing (5th ed.). Saint Louis, MO: Elsevier/Mosby.
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SLP MANAGED CARE Watch the following video in preparation for this assignment: Accreditation Association for Ambulatory Health Care (AAAHC). (2010). Introduction. Retrieved from https://www.youtube.com/watch?v=xu-Ffub6WHk Use what you learned from the video, the module’s required readings, and your own research to answer the following questions in your paper. Discuss the purpose of accreditation. Has the process of accreditation really improved the quality of care being provided to patients? Identify and discuss the process of accreditation for the chosen agency. Discuss some of the standards they look for when they go on-site. Are the standards rigorous or vague? Do these agencies make the results of their surveys public? How could knowing this information be beneficial to patients? Length: Submit a 3-page paper.
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organizational culture, challenges, and barriers through a translational research model. organizational culture, challenges, and barriers through a translational research model.
5. One of the roles of the nurse with the DNP degree is to translate research into practice to improve safety and quality. Using one of the following examples (CAUTI, CLABSI, or Zika) from a clinical practice perspective, describe your consideration of organizational culture, challenges, and barriers through a translational research model or framework. Discuss strategies that you would use to promote and sustain translation. Include the following:
• Provide an introduction and significance section for this safety/quality issue (1/2 page)
• Describe your practice change (1/2 page), including a framework
• Discuss organizational culture considerations in your translation process
• Discuss challenges and barriers
• Discuss strategies to sustain the practice change consistent with your chosen frameworkP(5.m)
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Reflection in Action Assignment. Reflection in Action Assignment.
INSTRUCTIONS
The purpose of Reflection-in-Action is to reflect upon what one has learned or how one has performed as compared with one’s expectations or goals. This assignment will provide an opportunity for students to share their experiences, thoughts, feelings and learning moments from this course. Self understanding through reflection on life experiences, feelings, etc., is a core concept in Dr. Jean Watson’s Theory of Human Caring. The Reflection for this course must address at least three (3) of the following topics: Learning moments or activities from this course Thoughts on evidence-based practice Evidence supporting Jean Watson’s Theory of Human Caring Ethics in research Protecting human subjects in quality improvement or evidence-based practice projects Understanding or comfort level with statistics in nursing research and other research reports Perception of MSN graduates’ role in nursing research Creating and sustaining an Evidence-Based nursing environment Asking compelling, clinical questions Lessons learned while conducting evidence-based literature review **Max 4 pages***
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answer the following 2 questions on the case that you find attached. -just an answer under each question. – not more than 2 references please, it must be less than 5 years old. . here are the 2 questions on the patient case: 1- Why is using a systematic approach with critical thinking and problem solving skills important when approaching Mr. Jack Smith? How can these skills be applied in your work area? 2- In Case study – part 1 activity 3 you are asked to pre-empt the diagnostic test Mr Smith will require. Choose one diagnostic test for example (but not limited to!) blood tests (such as haemoglobin, CRP, neutrophils, liver function tests, renal function tests), one of the various imaging modalities (such as CT head, CT abdomen, CT pelvis, chest Xray). Describe what you are looking for in terms of signs and symptoms that could indicate an alteration in this test and describe this in relation to Mr Smith. You each are required to describe a different test.
Case study – part A
Mr Jack Smith is a 43-year-old male, married with 2 children, who works as a surveyor for a local builder. He was involved in a MVA on an outer metropolitan road, on the way home from work. The estimated speed of the vehicle was 90km/hr when the driver veered to miss a large pothole in the road. Mr Smith was the passenger in the vehicle and his colleague, the driver of the vehicle, died at the scene.
A car travelling behind the vehicle witnessed the accident and immediately called emergency services. Mr Smith was confused and disoriented at the scene. He was unable to be easily extricated from the car due to severe pelvic pain and pain to his left arm.
He arrived in the emergency department (ED) of the nearest hospital having been brought in by ambulance 50 minutes after the accident.
Signs and symptoms
His left forearm was swollen out of alignment, vacuum immobilser insitu and elevated on a pillow. He has a large abrasion to his forehead and over his left zygoma. He has a range of small lacerations to his face, arm and chest from debris. He is complaining of generalised abdominal pain and pelvic pain. When he tries to move on the barouche, he describes his pain as unbearable. He already has the presence of ecchymosis from left shoulder to right hip. Cervical collar insitu
Data from the ED as follows
DOB: 22/03/73.
Address: 27 Lorraine Avenue, Walkerville Heights.
Allergies: No known allergies
Complaint of generalised aches and pains, abdominal and pelvic pain 6/10 at rest and 10/10 on movement, headache and acute pain over left cheek. No neck tenderness and denies neck pain or alterations in sensation. Generalised left shoulder pain. Initially his GCS fluctuated but now GCS 15 oriented to person, place and time, and obeys commands
Over the course of Mr Smith’s assessment, you learn the following things about him.
Past medical history (PMH) and past surgical history (PSH)
No significant medical or surgical history. 2 wisdom teeth extracted (under general anaesthetic without issues) 2 years ago. Describes himself as a fit and active. No regular medications taken.
Weight: 92 kgs Height: 179 cm BMI: 28.71 Non smoker Social drinker: states 2-6 standard drinks per week.
Observations
1910hrs
1925hrs
1940hrs
Pulse Pulse Pressure (PP)
110 bpm 37
118 bpm 50
128 bpm 48
BP MAP
105/68 80
115/65 82
112/64 80
Temp
36.4’C
36.5
36.5
Sp02
95% on 6L HM
94% on 6L HM
94% on 6L HM
Respiratory Rate
28 bpm
26 bpm
32 bpm
GCS
15/15
15/15
15/15
Pupils
4mm equal and reactive
4mm equal and reactive
5mm equal and reactive
Power
R>L Arm Legs – equal
R>L Arm Legs – equal
R>L Arm Legs – equal
Neurovascular observations
Colour – pink Warmth –warm Movement – yes Sensation – full Pulses – present
C √ W √ M √ S √ P √
C √ however L) little finger cooler than rest of hand W √ M √ S √ P √
Pain
6/10
7/10
8/10
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Clarifying Research Designs: Quantitative and Qualitative. Clarifying Research Designs: Quantitative and Qualitative.
Schachman K., Lee R.,: Provide step-by-step explanation of requirements., and Lederman, R. (2004) Baby Boot Camp: Facilitating maternal role adaptation in military wives. Nursing Research, 53(4).
Was the experimental intervention described in detail?
Was justification from the literature providedexpectationsprovided for development of the experimental intervention?
Was the experimental intervention the best that could be provided given current knowledge?
Was a protocol developed to ensure consistent or reliable implementationassessing the student’s learningimplementation of the treatment with each subject throughout the study?
Did the study report indicate who implemented the treatment? If more than one person implemented the treatment, were they trained to ensure consistency in the delivery of the treatment?
Was any control group intervention described?
Was there an intervention theory provided to explain why the intervention causes the outcomes and exactly how the intervention produced the desired effects?P(5.u)
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Theory Application Paper. Theory Application Paper.
INSTRUCTIONS
Theory Application Paper Purpose of this assignment: To help you summarize what you learned in this course. Components: Theory/conceptual framework description including its development and original use(s); historical perspective; how the theorist identified Need(s) for that theory. Discuss a minimum of 2 peer-reviewed journal studies that used the theory/conceptual framework. Critique current use of the theory/conceptual framework and identify gaps in the literature References: Primary sources ie., articles authored by the theorist. Headings are required. Subheadings are encouraged. Format: APA 6th edition for title page, running head, headers and reference list Length: 9-10 pages excluding title page and references.
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Describe the Differences between a Board of Nursing and a Professional Nurse Association.. Describe the Differences between a Board of Nursing and a Professional Nurse Association..
INSTRUCTIONS
Assignment: Regulation for Nursing Practice Staff Development Meeting Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each. Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional.
In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.
To Prepare: •Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency. •Review the NCSBN and ANA websites to prepare for your presentation.
The Assignment: (9- to 10-slide PowerPoint presentation) Develop a 9- to 10-slide PowerPoint Presentation that addresses the following:
•Describe the differences between a board of nursing and a professional nurse association. •Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area. •Who is on the board? •How does one become a member of the board? •Describe at least one federal regulation for healthcare. •How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)? •Has there been any change to the regulation within the past 5 years? Explain. •Describe at least one state regulation related to general nurse scope of practice. •How does this regulation influence the nurse’s role? •How does this regulation influence delivery, cost, and access to healthcare? •Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs). •How does this regulation influence the nurse’s role? •How does this regulation influence delivery, cost, and access to healthcare? •Include Speaker Notes on Each Slide (except on the title page and reference page)
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Professional Association Membership of Nursing. Professional Association Membership of Nursing.
INSTRUCTIONS
Examine the importance of professional associations in nursing. Choose a professional nursing organization that relates to cardiac nursing, or a specialty area in which you are interested. In a 750-1,000 word paper, provide a detailed overview the organization and its advantages for members. Include the following: Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or “perks,” of being a member. Explain why it is important for a nurse in this specialty field to network. Discuss how this organization creates networking opportunities for nurses. Discuss how the organization keeps its members informed of health care changes and changes to practice that affects the specialty area. Discuss opportunities for continuing education and professional development. https://nurse.org/orgs.shtml https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/dynamics-in-nursing_art-and-science-of-professional-practice_1e.php
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