Nursing

The purpose of this assignment is to review the current state of development for your state’s health information exchange (HIE) and current participation rate.
Compare your state to three states with similar demographics. Write a 1,000-1,250 word summary related to the ability of your state’s HIE to share data and improve the following:
Coordination of care
Public health initiatives
Evidence-based research
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Solution
Arizona’s Healthcare Information Exchange
The State Health Information Exchange (HIE) helps states embrace innovative approaches that enable healthcare providers to share and access patients’ medical record data electronically. HIE is an important aspect since it also helps to secure medical records since, in most healthcare facilities, medical records are in the form of paper works. The paper focuses on the Health Information Exchange in Arizona compared to other states with similar demographics, including California, Alaska, and Alabama. The focus will be on Arizona’s HIE’s ability to share data and improve coordination of care, public health initiative and evidence-based research.
Arizona’s HIE’s Ability in Sharing Data
Health Information Exchange uses electronic health record systems of clinicians and providers to help them access and share patient information and coordinate care. Jason (2021) states that Arizona uses Health Current, which connects over 500 Arizona healthcare facilities such as hospitals, first responders, and labs, among other facilities. The better part of using HIE in Arizona is that the patient gets notified when the healthcare facilities make their health information available in the Health Current. Jason (2020) states that the Health Current in Arizona launched a cloud-based platform known as Healthcare’s Health Data Hub to improve data sharing. The platform aims at promoting interoperability and increasing the safety of participating healthcare systems.
Comparison of Arizona’s HIE’s Ability in Sharing Data with California, Alaska, and Alabama
Unlike Arizona’s progress, California is still struggling to ensure that they can consolidate a lot of health information in their system, considering that the State has various privacy laws that govern health data sharing (Health, 2021). For Alaska, the State incorporates Alaska Native Tribal Health Consortium (ANTHC), which has greatly contributed to Alaska’s HIE expansion that enables healthcare facilities across Alaska to easily and securely share patients’ medical records (Nelson, 2021). Just like Alaska and Arizona, Alabama’s HIE also increases its ability in data sharing through One Health Record joining the Strategic Health Information Exchange Collaboration (SHIEC) to extend its health data access and services in rural areas for better State’s health outcome encounters (Monica, 2018). Therefore, like most States, Arizona aims to engage in more secure health data sharing to improve the overall patient outcome in their states by incorporating advanced technology in their health systems.
Arizona’s Healthcare Information Exchange Functions
The main functions of Arizona’s HIE include improving coordination of care, public health initiative and evidence-based research. Jason (2020) indicates that Arizona is one step ahead of other States that use HIE due to its incorporation of Health Data Hub. All healthcare organizations that use Health Data Hub can easily create, manage, and optimize their workflow while providing patient data and optimizing the systems data aggregation across the system. Hence, it becomes easy for the healthcare providers to coordinate care, public health initiatives, and conduct evidence-based research. In coordinating care, the healthcare providers can easily search for clinical and patient information that helps them to improve care.
Regarding public health initiatives, Health Data Hub helps healthcare facilities identify areas with high preferences of diseases to design meaningful ways to help curb the situations (Jason, 2021). For instance, before identifying the issues in different areas, the clinical researchers can help healthcare organizations in Arizona identify the situations requiring fast remedies. The researchers can analyze the patient data in evidence-based practices since the data is readily available to the authorized personnel. Hence, Arizona’s HIE’s an essential approach that provides meaningful information that can help healthcare providers improve the overall healthcare outcomes.
Comparison of Arizona’s Healthcare Information Exchange Functions with California, Alaska, and Alabama
California, Alaska, and Alabama’s coordination of care also helps in providing shared data across different institutions and numerous providers. Akhlaq et al. (2017) assert that care coordination is essential since it helps avoid duplicating patients’ services, thus maximizing time to attend to different patients. However, the California care coordination may limit the healthcare providers in achieving full care coordination since the healthcare providers cannot share all information.
Public Health initiatives in Alabama, Alaska, and California help the States identify different communities’ problems. Akhlaq et al. (2017) assert that when a health information exchange helps carry out effective public health initiatives, they can easily initiate and awareness of various conditions. It becomes easy to make informed decisions that help the community members and healthcare providers curb mental health and chronic diseases from bringing along adverse effects.
Healthcare information exchangeability facilitates evidence-Based research to hold the data repository systems. Akhlaq et al. (2017) assert that all states with integrated HIE can easily conduct evidence-based research using readily available data within the systems. As a result, it becomes easy for clinical researchers to also use the data in large volumes. Therefore, just like in Arizona, approved clinical researchers in Alabama, Alaska, and California can easily
conduct effective research to help healthcare providers diagnose and treat the patients using the right procedures, thus increasing patient satisfaction and safety. Despite the effectiveness of the HIE in all four States, the main concern remains on ways to ensure that the health information is subjected to data safety controls which California seems to be more cautious with. However, by Arizona State ensuring that the patients are notified whenever their health data is added to the healthcare system, it increases their trust and confidence.
Conclusion
Arizona’s HIE is greatly comparable with other states with similar demographics. Generally, HIE helps the healthcare providers share and access healthcare data that helps in improving care coordination, public health initiatives, and evidence-based research. However, all states will need to ensure that they have increased measures on patient data security.
References
Akhlaq, A., Sheikh, A., & Pagliari, C. (2017). Health information exchange as a complex and adaptive construct: scoping review. Journal of Innovation in Health Informatics, 23(4), 633-683.
Health, M. (February 25, 2021). Why California Needs Better Data Exchange: Challenges, Impacts, and Policy Options for a 21st Century Health System. CHCF. https://www.chcf.org/publication/why-california-needs-better-data-exchange-challenges-impacts-and-policy-options-for-a-21st-century-health-system/
Jason, C. (February 26, 2020). Arizona’s HIE Adds Health Data Hub to Improve Operability. EHRIntelligence. https://ehrintelligence.com/news/arizona-hie-adds-health-data-hub-to-improve-interoperability
Monica, K. (May 01, 2018). Alabama HIE Joins SHIEC to Improve Rural Health Data Access. EHRIntelligence. https://ehrintelligence.com/news/alabama-hie-joins-shiec-to-improve-rural-health-data-access1
Nelson, H. (May 27, 2021). How a Health Information Exchange Consortium Helped Cut Costs. EHRIntelligence. https://ehrintelligence.com/news/how-a-health-information-exchange-consortium-helped-cut-costs

PHN-690 -Public Health Nursing Practicum-TOPIC 1-DQ 1
QUESTION- PHN-690- Topic 1 DQ 1
Compare similarities and differences of ANA Public Health Nursing (PHN) Standards, CAL Public Health Nursing (PHN) Standards, and the ANA Standards of Professional Performance. Discuss the importance of standards of practice and how they guide your practice and inform nursing care. Explain the role of the advanced public health nurse as a trusted source of information.
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Solution
Discussion
Comparison of Nursing Standards
The nursing profession is the broadest healthcare profession and plays a critical role in patient care. It is divided into various specialties with unique roles. To promote effective management of nurse professionals regarding their practice, various agencies have been tasked with setting practice standards and defining the scope of practice for nurses. Some of these guidelines include The ANA PHN, California PNH, and ANA Standards of Professional Performance. These standards have similarities and differences.
Similarities
All these standards aim at promoting nursing practice and wellbeing. Besides, they provide a systematic framework to guide nurses regarding patient care promote professionalism, patient safety, better care outcomes, and satisfaction.
Differences
All these bodies use different strategies to attain their common goal. For example, ANA PHN focuses on championing the health of all communities while ANA Standards defines nurse scope of practices that apply to all nurses. In addition, the California PHN standards provide a practice framework governing nurses and nursing education only in California (Pearce et al., 2018).
Importance of Standards of Practice
Standards of practice are critical in nursing practice. They govern nursing practice, thus holding nurses accountable in their roles. They also provide a framework for nurse practice, thus providing quality and safe care. Above all, they promote better patient outcomes, better patient experience, and satisfaction. They also encourage healthcare services by increasing people’s confidence in nurse professionals. These standards guide the nursing practice and inform nursing care by defining nurse practice scope and laying down the framework for nursing practice (Nibbelink & Brewer, 2018).
Nurses as Trusted Sources of Information
Advanced public health nurses are a trusted source of health information for patients because they have access to multiple trusted sources of information such as local authorities, national plans, guidelines, and knowledge acquired while training as a public health nurse. They have a role in providing patient education regarding disease prevention, treatment, and prognosis for health promotion purposes (Fossum, Opsal & Ehrenberg, 2022).
References
Fossum, M., Opsal, A., & Ehrenberg, A. (2022). Nurses’ sources of information to inform clinical practice: An integrative review to guide evidence?based practice. Worldviews on Evidence?Based Nursing. https://sigmapubs.onlinelibrary.wiley.com/doi/full/10.1111/wvn.12569
Nibbelink, C. W., & Brewer, B. B. (2018). Decision?making in nursing practice: An integrative literature review. Journal of Clinical Nursing, 27(5-6), 917-928. https://doi.org/10.1111/jocn.14151
Pearce, P. F., Morgan, S., Matthews, J. H., Martin, D. M., Ross, S. O., Rochin, E., & Welton, J. M. (2018). The value of nurse staffing: ANA principles redevelopment and direction for the future. Nursing Economics, 36(4), 169-176. https://www.proquest.com/openview/2450cede605a4230eb711150ac7e8e9c/1?pq-origsite=gscholar&cbl=30765

Planning is the key to successful completion of this course and your overall program of study.
The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course mentor.
You will need to establish a plan for successful completion of
(1) deliverables associated with weekly course objectives,
(2), required practice immersion hours, and
(3) deliverables associated with your capstone project.
Access the “Individual Success Plan” resource in the Topic Materials. Read the information in the resource, including student expectations and instructions for completing the ISP document.
Use the “Individual Success Plan” to develop a personal plan for completing your practice hours and how topic objectives will be met. Include the number of hours you plan to set aside to meet your goals.
A combination of 100 supervised clinical hours in community health and leadership areas will be obtained through the application of the objectives listed in the Guidelines for Undergraduate Field Experiences manual.
Practicum immersion experiences are required in a community health setting. Community-based settings should encourage community integration and involvement; expand accessibility of services and supports; promote personal preference, strengths, dignity; and empower people to participate in the economic mainstream.
According to HealthyPeople.gov, educational and community-based programs and strategies are designed to reach people outside of traditional health care settings. These settings may include schools, worksites, health care facilities, and communities. Community health and leadership practice immersion can occur in the same site and in conjunction with the evidence-based project in the NRS-490 course.
If you are a registered nurse in Washington, your practicum experience must include a minimum of 50 hours in a community health setting.
Students should apply concepts from prior courses to critically examine and improve their current practice. Students should also integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.
Consider the challenges you expect to encounter as you continue the practice hour and competency requirements throughout this course. How might you overcome these challenges?
You can renegotiate these deliverables with your faculty and mentor throughout this course and update your ISP accordingly.
Once your ISP has been developed and accepted by your course faculty, you will have your course mentor sign it at the beginning of, and upon completion of, each assignment that incorporates practice immersion hours. You will track all course practice immersion hours in the ISP.
APA format is not required, but solid academic writing is expected.
You are not required to submit this assignment to LopesWrite.
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Sample solution:
NRS-490 Individual Success Plan
REQUIRED PRACTICE HOURS: 100
Application-based Learning Course Assignments List of Current Course Objectives Number of Clock Hours Associated with Each Assignment
Assignment
Date Due
Self-Assessment:
GCU RN-to-BSN
University Mission Critical Competencies and
Programmatic Domains & Competencies
(see Appendix A)
WEEK 1
· Identifying the mentor
· Professional Capstone & Practicum Documentation
· Professional Capstone &Practicum Reflective Journal & Scholarly Activities
· Identify care issues and opportunities for improving patient care
· Identify a specific health care issue and how it affects nursing practice
· Identify evidence-based interventions that can solve the identified healthcare issue
· Analysis of the healthcare issue using the PICOT approach
10 hours
18th 7. 2019
MC1: Effective Communication: Therapeutic communication is central to baccalaureate nursing practice. Students gain an understanding of their ethical responsibility and how verbal and written communication affects others intellectually and emotionally. Students begin to use nursing terminology and taxonomies within the practice of professional and therapeutic communication. Courses require students to write scholarly papers, prepare presentations, develop persuasive arguments, and engage in discussion that is clear, assertive, and respectful
WEEK 2
Selecting the capstone project topic and having it approved
· Identify care issues and opportunities for improving patient care
· Identify a specific health care issue and how it affects nursing practice
· Identify evidence-based interventions that can solve the identified healthcare issue
· Analysis of the healthcare issue using the PICOT approach
10 hours
25. 7. 2019
MC2: Critical Thinking: Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice
MC4: Global Awareness, Perspectives, and Ethics: The concept of global citizenship is introduced to baccalaureate students in the foundational curriculum. Some courses will focus on the human experience across the world health continuum. The World Health Organization (WHO) definitions of health, health disparities, and determinants of health are foundational to nursing practice
Domain 1: Professional Role
Graduates of Grand Canyon University’s RN-BSN program will be able to incorporate professional values to advance the nursing profession through leadership skills, political involvement, and life-long learning.
Competencies:
1.1: Exemplify professionalism in diverse health care settings.
1.2: Manage patient care within the changing environment of the health care system.
1.3: Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.
1.4: Participate in health care policy development to influence nursing practice and health care.
1.5: Advocate for autonomy and social justice for individuals and diverse populations.
Domain 5: Holistic Patient Care
Graduates of Grand Canyon University’s RN-BSN program will be able to provide holistic individualized care that is sensitive to cultural and spiritual aspects of the human experience.
Competencies:
5.1: Understand the human experience across the health-illness continuum.
5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.
5.3: Provide culturally sensitive care.
5.4: Preserve the integrity and human dignity in the care of all patients.
WEEK 3
Developing the PICOT Statement Paper
· Examine the evidence-based studies to inform the proposal
· Identify strategies to implement the proposed interventions
· Concisely evaluate different levels of evidence
· Integrate evidence and clinical judgement in evaluation of care outcomes
10 hours
02. 8. 2019
MC2: Critical Thinking: Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice
Domain 2: Theoretical Foundations of Nursing Practice
Graduates of Grand Canyon University’s RN-BSN program will have acquired a body of nursing knowledge built on a theoretical foundation of liberal arts, science, and nursing concepts that will guide professional practice.
Competencies:
2.1: Incorporate liberal arts and science studies into nursing knowledge.
2.2: Comprehend nursing concepts and health theories.
2.3: Understand and value the processes of critical thinking, ethical reasoning, and decision making.
WEEK 4
Evaluating evidence & making summary table
· Examine the evidence-based studies to inform the proposal
· Identify strategies to implement the proposed interventions
· Concisely evaluate different levels of evidence
· Integrate evidence and clinical judgement in evaluation of care outcomes
10 hours
07. 8. 2019
MC2: Critical Thinking: Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice.
Domain 2: Theoretical Foundations of Nursing Practice
Graduates of Grand Canyon University’s RN-BSN program will have acquired a body of nursing knowledge built on a theoretical foundation of liberal arts, science, and nursing concepts that will guide professional practice.
Competencies:
2.1: Incorporate liberal arts and science studies into nursing knowledge.
2.2: Comprehend nursing concepts and health theories.
2.3: Understand and value the processes of critical thinking, ethical reasoning, and decision making.
WEEK 5
Developing evidence-Based Practice Proposal
· Identify measurable outcomes of the evidence-based proposal
· Identify steps required in proposal implementation
· Outline techniques to be used to obtain support from relevant stakeholders
· Create a plan to assess the efficacy of the proposed project
10 hours
15. 8. 2019
MC2: Critical Thinking: Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice.
MC4: Global Awareness, Perspectives, and Ethics: The concept of global citizenship is introduced to baccalaureate students in the foundational curriculum. Some courses will focus on the human experience across the world health continuum. The World Health Organization (WHO) definitions of health, health disparities, and determinants of health are foundational to nursing practice.
Domain 3: Nursing Practice
Graduates of Grand Canyon University’s RN-BSN program will be able to utilize the nursing process to provide safe quality care based on nursing best practices.
Competencies:
3.1: Utilize the nursing process to provide safe and effective care for patients across the health-illness continuum: promoting, maintaining, and restoring health; preventing disease; and facilitating a peaceful death.
3.2: Implement patient care decisions based on evidence-based practice.
3.3: Provide individualized education to diverse patient populations in a variety of health care settings.
3.4: Demonstrate professional standards of practice.
Domain 4: Communication/Informatics
Graduates of Grand Canyon University’s RN-BSN program will be able to manage information and technology to provide safe quality care in a variety of settings. In addition, graduates will be able to communicate therapeutically and professionally to produce positive working relationships with patients and health care team members.
Competencies:
4.1: Utilize patient care technology and information management systems.
4.2: Communicate therapeutically with patients.
4.3: Professionally communicate and collaborate with the interdisciplinary health care teams to provide safe and effective care.
WEEK 6
Conducting literature review
· Locate the relevant literature to the topic proposal
· Identify measurable outcomes of the evidence-based proposal
· Identify steps required in proposal implementation
· Examine the role of technology in care provision
· Develop suitable change plans for promoting health and preventing disease
10 hours
24. 8. 2019
MC2: Critical Thinking: Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice.
MC4: Global Awareness, Perspectives, and Ethics: The concept of global citizenship is introduced to baccalaureate students in the foundational curriculum. Some courses will focus on the human experience across the world health continuum. The World Health Organization (WHO) definitions of health, health disparities, and determinants of health are foundational to nursing practice.
Domain 3: Nursing Practice
Graduates of Grand Canyon University’s RN-BSN program will be able to utilize the nursing process to provide safe quality care based on nursing best practices.
Competencies:
3.1: Utilize the nursing process to provide safe and effective care for patients across the health-illness continuum: promoting, maintaining, and restoring health; preventing disease; and facilitating a peaceful death.
3.2: Implement patient care decisions based on evidence-based practice.
3.3: Provide individualized education to diverse patient populations in a variety of health care settings.
3.4: Demonstrate professional standards of practice.
Domain 4: Communication/Informatics
Graduates of Grand Canyon University’s RN-BSN program will be able to manage information and technology to provide safe quality care in a variety of settings. In addition, graduates will be able to communicate therapeutically and professionally to produce positive working relationships with patients and health care team members.
Competencies:
4.1: Utilize patient care technology and information management systems.
4.2: Communicate therapeutically with patients.
4.3: Professionally communicate and collaborate with the interdisciplinary health care teams to provide safe and effective care.
WEEK 7
Developing a plan to evaluate the proposed project and dissemination plan
· Identify various techniques for evaluating the proposed project
· Identify variables and outcomes that will be evaluated before and after the project’s implementation
· Evaluation of the project outcomes
· Doing the project’s summary
· Outline the plan to disseminate the evidence
10 hours
31. 8. 2019
MC1: Effective Communication: Therapeutic communication is central to baccalaureate nursing practice. Students gain an understanding of their ethical responsibility and how verbal and written communication affects others intellectually and emotionally. Students begin to use nursing terminology and taxonomies within the practice of professional and therapeutic communication. Courses require students to write scholarly papers, prepare presentations, develop persuasive arguments, and engage in discussion that is clear, assertive, and respectful.
Domain 4: Communication/Informatics
Graduates of Grand Canyon University’s RN-BSN program will be able to manage information and technology to provide safe quality care in a variety of settings. In addition, graduates will be able to communicate therapeutically and professionally to produce positive working relationships with patients and health care team members.
Competencies:
4.1: Utilize patient care technology and information management systems.
4.2: Communicate therapeutically with patients.
4.3: Professionally communicate and collaborate with the interdisciplinary health care teams to provide safe and effective care.
WEEK 8
Continue developing the plan to evaluate the proposed project and the dissemination plan
· Identify various techniques for evaluating the proposed project
· Identify variables and outcomes that will be evaluated before and after the project’s implementation
· Evaluation of the project outcomes
· Doing the project’s summary
· Outline the plan to disseminate the evidence
10 hours
07. 9. 2019
MC1: Effective Communication: Therapeutic communication is central to baccalaureate nursing practice. Students gain an understanding of their ethical responsibility and how verbal and written communication affects others intellectually and emotionally. Students begin to use nursing terminology and taxonomies within the practice of professional and therapeutic communication. Courses require students to write scholarly papers, prepare presentations, develop persuasive arguments, and engage in discussion that is clear, assertive, and respectful.
Domain 4: Communication/Informatics
Graduates of Grand Canyon University’s RN-BSN program will be able to manage information and technology to provide safe quality care in a variety of settings. In addition, graduates will be able to communicate therapeutically and professionally to produce positive working relationships with patients and health care team members.
Competencies:
4.1: Utilize patient care technology and information management systems.
4.2: Communicate therapeutically with patients.
4.3: Professionally communicate and collaborate with the interdisciplinary health care teams to provide safe and effective care.
WEEK 9
Developing the first plan for the proposed evidence-Based Practice Project
· Complete a detailed and professional project proposal presentation
· Incorporate the learned skills and knowledge into professional practice
· Evaluate the application of evidence-based research into practice
· Examine the use of the project’s findings in practice
· Apply leadership concepts and problem-solving skills in delivery of high-quality care
10 hours
17th .9.2019
MC5: Leadership: Students will apply a Christian worldview within a global society and examine ethical issues from the framework of a clearly articulated system of professional values. Students will engage in discussion of values-based decisions made from a Christian perspective
Domain 1: Professional Role
Graduates of Grand Canyon University’s RN-BSN program will be able to incorporate professional values to advance the nursing profession through leadership skills, political involvement, and life-long learning.
Competencies:
1.1: Exemplify professionalism in diverse health care settings.
1.2: Manage patient care within the changing environment of the health care system.
1.3: Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.
1.4: Participate in health care policy development to influence nursing practice and health care.
1.5: Advocate for autonomy and social justice for individuals and diverse populations.
WEEK 10
Developing the second plan for the proposed evidence-Based Practice Project
· Complete a detailed and professional project proposal presentation
· Incorporate the learned skills and knowledge into professional practice
· Evaluate the application of evidence-based research into practice
· Examine the use of the project’s findings in practice
· Apply leadership concepts and problem-solving skills in delivery of high-quality care
10 hours
25th .9.2019
MC5: Leadership: Students will apply a Christian worldview within a global society and examine ethical issues from the framework of a clearly articulated system of professional values. Students will engage in discussion of values-based decisions made from a Christian perspective.
Domain 1: Professional Role
Graduates of Grand Canyon University’s RN-BSN program will be able to incorporate professional values to advance the nursing profession through leadership skills, political involvement, and life-long learning.
Competencies:
1.1: Exemplify professionalism in diverse health care settings.
1.2: Manage patient care within the changing environment of the health care system.
1.3: Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.
1.4: Participate in health care policy development to influence nursing practice and health care.
1.5: Advocate for autonomy and social justice for individuals and diverse populations
Log of Comprehensive Documentation of Practice Hours 100 hours
By typing in his/her signature below, the student agrees to have read, understood, and be accountable for the instructions, assignments, and hours shown above and that all questions have been satisfactorily answered by the faculty and/or program director.
Mentors will sign upon initial receipt and at the end of the course to confirm that assignments have been complete with your guidance.
Student Signature
Name:
Date:
Mentor Signature [Upon Initiation of Course]
Name:
Date:
Mentor Signature [Upon Completion of Course]
Name:
Date:

• Describe the PMHNP practice environment for your home state, highlighting restrictions or limitations for practice.
• Compare the PMHNP practice environment in your home state with a neighboring state or a state in which you would like to practice.
• Describe a professional and/or clinical practice issue a new PMHNP will need to consider and address with the certification, licensure, credentialing, or relocation process.
• Develop a checklist for passing the national certification exam, including a detailed timeline that includes academic preparation (study plan), registration, financial preparation, etc.
My practicing State is Maryland, MD

Position Paper: Health Experts Testify on COVID-19 Impact on Children
Position Paper Written Assignment ( THIS PAPER SHOULD BE BASED ON A PUBLIC MEETING “Health Experts Testify on COVID-19 Impact on Children” HERE IS THE LINK
https://www.c-span.org/video/?514779-1/health-experts-testify-covid-19-impact-children
A position paper is a document you could present to a legislator to seek support for an issue you endorse. Present your position on a current health-care issue in a one-page paper, following the assignment guidelines below. You can select your issue topic from newspapers, national news magazine articles, professional journals, or professional association literature.
Your position paper should:
Be quickly and easily understood.
Be succinct and clear.
Appear very professional with the legislator’s name and title on top and your name and your credentials at the bottom.
Condense essential information in one, single-spaced page, excluding the title and reference list pages.
Be written using correct grammar, spelling, punctuation, syntax, and APA format.
Clearly describe the issue that you are addressing in the opening paragraph.
Include 3–4 bullet points regarding why you are seeking the legislator’s vote, support, or opposition. Bullet points should be clear and concise but not repetitive and should reflect current literature that substantiates your position.
Summarize the implications for the nursing profession and/or patients.
Conclude with two recommendations that you wish to see happen related to your issue, such as a vote for or against, a change in policy, or the introduction of new legislation.
Use current APA Style, correct grammar, and references as appropriate.
The literature you cite must be from peer-reviewed journals and primary source information.
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Solution
Position Paper
Legislator Name
Title
Issue
Since the onset of the Covid-19 pandemic and the subsequent spread of the disease in the U.S. from March 2020, a lot of children have been affected by the virus. Although most children who are infected by Covid 19 do not become as sick as adults while many of them do not show any symptoms, children have been shown to be super-spreaders of covid-19, especially when they are left to conduct activities of daily living such as attending school without any precautions being taken.
The American Academy of Pediatrics has also highlighted that children represent about 16% of all covid-19 cases in the U.S. (Delahoy, 2021). The number of cases of covid-19 in children has therefore consistently risen in the U.S., reaching a high of 24% of cases in March 2021. A small proportion of children will become severely ill with covid-19 and may require to be hospitalized or treated in an intensive care unit. According to the CDC, the cumulative hospitalizations as a result of Covid 19 in children was 49.7 per 100,000 children and adolescents between March 2020 and August 2021 (Suarez-Lopez et al., 2021).
Scholarly research has also indicated that children with health conditions such as asthma, diabetes, and obesity will be at higher risk of developing severe illness as a result of covid-19 compared to healthy children (Suarez-Lopez et al., 2021). Scholarly research and has also indicated that children with metabolism conditions, genetic conditions, nervous system conditions, and congenital heart disease will also be at higher risk of serious illness once infected with covid-19. Various researchers have also highlighted the disproportionately higher rate of covid-19 among African-American and Hispanic children compared to non-Hispanic White children (Delahoy, 2021).
Considering the various effects of the covid-19 on children, it’s therefore essential for the legislative arm of the government to support various efforts by both the federal and state governments to curb the spread of covid-19. Your support of various policies related to vaccine mandates, especially in schools with therefore help significantly to increase the rates of vaccination among children and adolescents. The vaccination of children and adolescents is, therefore, important not only to prevent these populations from covid-19 but also preventing the adult population who are at higher risk of developing serious illnesses when infected and who regularly interact with children. Considering that the FDA has recently approved covid-19 vaccines for children from 5 years old, it is important for legislators to support various vaccination drives, including the vaccine mandates that are being implemented in school districts across various states.
I am seeking your support for vaccine mandates in schools because of three main reasons including:
Scientists have clearly shown that children remain significant super-spreaders of covid-19, although they really get significantly sick.
Research has indicated that African-American and Hispanic children are disproportionately affected by COVID.
Leaving children unvaccinated provides a weak link in the population where the next mutation of the covid-19 can occur, leading to another wave of infections.
Implications for the Nursing Profession
The implementation of Covid 19 vaccination mandates in schools across the U.S. can therefore play a significant role in controlling the spread of covid-19 and ensuring that another wave of infection is not witnessed in the future. This can prevent the healthcare system from being overwhelmed, as it has already been witnessed in the past.
Recommendations
I would therefore recommend that legislators introduce new legislation requiring the distribution of Covid 19 vaccines to children in all schools annually until the pandemic subsides.
I would also recommend that all legislators support the vaccine mandates to ensure that a significant proportion of the population and especially children, are vaccinated.
Name
Credential
References
Delahoy, M. J. (2021, September 9). Hospitalizations associated with COVID-19 Among Children. . . Centers for Disease Control and Prevention. https://www.cdc.gov/mmwr/volumes/70/wr/mm7036e2.htm
Suarez-Lopez, J. R., Cairns, M. R., Sripada, K., Quiros-Alcala, L., Mielke, H. W., Eskenazi, B., Etzel, R. A., & Kordas, K. (2021). COVID-19 and children’s health in the United States: Consideration of physical and social environments during the pandemic. Environmental Research, 197, 111160. https://doi.org/10.1016/j.envres.2021.111160

Public health-655-Topic 5 DQ 1: Upstream Issues And The Economy-(Please see upload for full question)
-The question will be uploaded
– Sources must be published within the last 5 years. It must be from 2017 and after and appropriate for the paper criteria and public health content.
– Please do not use blogs as references
-References should be in APA 7th ed.
-Please make sure you add the in text citations
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-Add references to reference page
-Add the hyperlink/DOI for each reference in APA 7th edition format.
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Solution
Topic 5 DQ 1
In what ways have global health initiatives had positive and negative impacts on medicine access?
In the late 20th century and the 21st century, there have been numerous global health initiatives that have mainly focused on improving the health of marginalized populations, especially in middle and low-income countries. Global health initiatives have had a significant positive impact on medicine access which have included rapid scale-up and delivery of vital medication, greater stakeholder participation, and avoiding bureaucratic procedures that can hinder the distribution of important medicine (Boyce et al., 2021). Global health initiatives have had a positive impact on medicine, especially in marginalized communities across middle and low-income countries, through the implementation of rapid scale-up of the manufacturing and distribution of vital medication. This has greatly contributed to the improvement of health outcomes in marginalized communities (Olusanya et al., 2021). Global health initiatives have also promoted greater stakeholder participation which has encouraged effective ways of determining the demand for medication in needed areas and efficient distribution of such medication. Finally, global health initiatives have also helped in the avoidance of bureaucratic processes that hinder medication access, especially in marginalized areas. Through avoidance of bureaucracy, global health initiatives have therefore been able to promote the availability, affordability, and safe and effective use of medication in marginalized communities across the world (Olusanya et al., 2021).
On the other hand, global health initiatives have had a negative impact on medicine access which have included the distortion of recipient countries’ national policy and also re-verticalization of management planning and monitoring and evaluation systems (Beaman et al., 2018). Most global health policies have significantly distorted the national policies of the country that receive aid such as medication. Global health initiatives have also ignored the available structures to distribute medication and monopolized management planning monitoring and evaluation systems (Olusanya et al., 2021).
Does this affect global health security? Why or why not?
Global health initiatives, in general, have had a positive effect on global health security by ensuring access to medication in areas where such medication is needed, which helps prevent global outbreaks (Beaman et al., 2018).
References
Beaman, A., Asano, R., Sibbritt, D., Newton, P. J., & Davidson, P. M. (2018). Global service-learning and health systems strengthening: An integrative literature review. Heliyon, 4(8), e00713. https://doi.org/10.1016/j.heliyon.2018.e00713
Boyce, M. R., Attal-Juncqua, A., Lin, J., McKay, S., & Katz, R. (2021). Global Fund contributions to health security in ten countries, 2014–20: mapping synergies between vertical disease programmes and capacities for preventing, detecting, and responding to public health emergencies. The Lancet Global Health, 9(2), e181–e188. https://doi.org/10.1016/s2214-109x(20)30420-4
Olusanya, J. O., Ubogu, O. I., Njokanma, F. O., & Olusanya, B. O. (2021). Transforming global health through equity-driven funding. Nature Medicine, 27(7), 1136–1138. https://doi.org/10.1038/s41591-021-01422-6

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Creating and Leading Effective Teams
Review the Harvard Business School reprint, Leading Teams. Consider the criteria for successful teams and the
factors needed to ensure teams are structured for success.
Create a plan (750-1,000 words) describing the steps necessary to create more successful teams at various levels within your organization. Include the following in the plan: Define the characteristics and structure of successful teams within
your organization. How are independent teams vital to the success of your organization? What are important factors to consider when leading teams within the various levels of the organization? What factors are important to consider when leading teams at the executive level? What aspects are essential in identifying appropriate members for teams and ensuring the teams are successfully launched? What factors are important to ongoing team dynamics? Describe guidelines to evaluate the function and productivity of teams. Compassion is a significant attribute of many religions and philosophies, including a Christian worldview, as well as being important for both authentic and servant leadership. As a leader, how would you empower your teams through compassion to honor diversity and support equality for all members as they work toward a common
goal?

You will provided with a topic and 2 responses to the topic. please comment to each response. please provide reference to each response.
Topic information attached
Any clinical example made should be reference to emergency department
Policy Organization and Financing Healthcare – WK RESP 2
Topic : What are the barriers to nurses’ participation in the development of health care policy at the state or national level or in an organization in the United States? Why do you think these are barriers? Support your opinion with a rationale or example.
Response 1: Jessica
When I think of nursing, I think of advocating for our patients. When I think of nurses being involved in the development of health care policy, I think of nurses advocating for everyone who will benefit from the policy. With advocating for public policy my biggest barrier is time, “advocacy is time-consuming and requires a significant commitment on the part of the nurse” (J., M. D., B, G. D., Freida, H. O., & T., O. E. (2015). According to the article, “Factors influencing nurses participation in health policy-making process”, “findings of present review revealed that insufficient knowledge on the health policy making is one of the important reasons of nurses’ non-involvement in health policy making” (Hajizadeh, Zamanzadeh, Kakemam. 2021).
These two barriers are reasons why many nurses don’t get involved in policy making in my opinion. We often are too busy to take the time to be involved in policy making. We have families, full time jobs, work extra hours just to make ends meet. Nurses are the backbone of the healthcare system, it only makes sense that we get more involved because often, we are the ones who put the new policies into action. Not knowing how healthcare policy is developed is another barrier that goes along with not having enough time to invest in developing healthcare policy. As nurses we tend to stick with what we know how to do and developing new healthcare policies typically isn’t one of those things.
Nurses should be more involved with developing healthcare policy because we see how theses polices affect patients daily. We are familiar with our populations needs within our communities. We would be hugely beneficial to the development of new healthcare policies.
Response 2: Ashley
Some of the barriers to nurse’s participation in the development of health care policy include lack of education, fear of retribution, and time. While nurses are healthcare professionals that are well educated in their profession there may be a lack of knowledge in understanding policy at the state or national level.
Unfortunately, the Nursing policies are often written by individuals that have little knowledge in the healthcare field. Nurses being able to have a voice in the policies that affect their work environment will be ideal not only to their careers, but the patient care provided. For example, the nurse to patient ratio should be a policy that should be written by and voiced by nurses while they have the experience of what it is to work with 6 individuals with unique patient care plans.
The barriers of lack of knowledge, fear of retribution and time hinder allowing a safe environment for nurses to work in. I believe that nurses should be encouraged to participate despite these barriers, Because, who better than nurses, know what is to work in the field?
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Solution
Reply 1: Jessica
I agree with you that two of the main barriers that hinder nurses from being consistently involved in advocacy and the development of health policy is the lack of adequate time and the lack of sufficient knowledge related to policy development and advocacy. Considering the two barriers to nurses’ active involvement in advocacy and health policy development which include the lack of adequate time to be involved in advocacy and health policy development and insufficient knowledge related to advocacy and health policy development, numerous interventions can be adopted. The most effective interventions to enhance the involvement of nurses in advocacy and health policy development would include the utilization of adequate nursing staffing ratios in healthcare facilities so as to reduce my workload and ensure that nurses have time to be involved in advocacy and policy development. Nurses also require sufficient education on advocacy and health policy development, including continuous training and seminars to boost their involvement in such activities (Williams et al., 2018).
References
Williams, S., Phillips, J., & Koyama, K. (2018). Nurse Advocacy: Adopting a Health in All Policies Approach. OJIN: The Online Journal of Issues in Nursing, 23(3). https://doi.org/10.3912/ojin.vol23no03man01
Reply2: Ashley
I agree with you that the lack of time and lack of adequate skills related to advocacy and health policy development are the main hindrances for nurses’ participation in the development of such healthcare policy. Nurses require to be provided with opportunities for continued education, especially advocacy and health policy development. Healthcare facilities should consistently provide nurses with consistent education and training, such as through seminars and workshops on the strategies that such nurses can utilize to be more involved in health care policy development and advocacy. Healthcare facilities also need to ensure that they have the right nurse staffing ratios to avoid understaffing. Having the right staffing ratios can therefore help nurses to have adequate time to be involved in advocacy and health policy development (Anders, 2020).
References
Anders, R. L. (2020). Engaging nurses in health policy in the era of COVID?19. Nursing Forum, 56(1), 89–94. https://doi.org/10.1111/nuf.12514

NURS 6630 Week 5: Therapy for Patients with Bipolar Disorders
Assignment: Assessing and Treating Patients with Bipolar Disorder
Bipolar disorder is a unique disorder that causes shifts in mood and energy, which results in depression and mania for patients. Proper diagnosis of this disorder is often a challenge for two reasons: 1) patients often present as depressive or manic but may have both; and 2) many symptoms of bipolar disorder are similar to other disorders. Misdiagnosis is common, making it essential for you to have a deep understanding of the disorder’s pathophysiology. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with bipolar disorder.
To prepare for this Assignment:
Review this week’s Learning Resources, including the Medication Resources indicated for this week.
Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring bipolar therapy.
NURS 6630 Week 5: Therapy for Patients with Bipolar Disorders
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The Assignment: 5 pages
Examine Case Study: An Asian American Woman. Diagnosis-Bipolar Disorder. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.
Introduction to the case (1 page)
Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
Which decision did you select?
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #2 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #3 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Conclusion (1 page)
Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.
Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.