Nursing

PHN-690 -Public Health Nursing Practicum
Directions: Complete the documentation form. Click on the highlighted text field and type in your response. The form will expand for as long as you type.
When planning for clinical/practicum it is important to remember that you must align your clinical/practicum goals to Public Health Nursing Standards every two weeks
Learner Name:
Semester/Dates of Clinical/Practicum Course: PHN690- Public Health Practicum
Overall Clinical/Practicum Goals: Use the S.M.A.R.T. goal format to write goals you have for your overall clinical/practicum experience. What do you want to accomplish during this clinical/practicum course? Keep this statement broad enough to cover everything that you would like to do during your clinical/practicum course. You may choose to focus in on a specific aspect of public health nursing or may choose to sample a variety of nursing education experiences within your selected clinical/practicum experience. ( Practicum site is an agency that cares for the sick elderly that newly discharged from the hospital in their homes . Please see upload for detailed description and information)
Objectives:
What do you want to accomplish during this clinical/practicum course? Be sure that your course goals are measurable. Some goals should reflect higher cognitive learning levels in Bloom’s taxonomy.
Resources and Strategies:
What type of resources or strategies will you utilize to accomplish your learning goals? Include both human and material resources.
Measurement:
How will you know that you have accomplished your learning objective?
What criteria will you use to measure this?
Evaluation:
What did you accomplish that you can use as evidence that you met your learning goals?
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Solution
Directions: Complete the documentation form.
Learner Name:
Semester/Dates of Clinical/Practicum Course: PHN690- Public Health Practicum
Overall Clinical/Practicum Goals:
1. To gain knowledge on ethical and policy guidelines and issues in elderly care.
2. To drive positive changes in geriatric care.
3. To Enhance my communication skills
4. To strengthen organizational skills
5. To increase medical knowledge
6. To develop leadership skills
Objectives:
1. To gain knowledge on ethical and policy guidelines and issues in elderly care. The goal entails gaining a more profound understanding of ethical issues surrounding elderly care and policies governing elderly care. The knowledge will be essential in avoiding and solving ethical dilemmas in patient care.
To drive positive changes in geriatric care. The goal entails assessing gaps in my healthcare facility and designing change projects to improve the care of the senior population.
3. To Enhance my communication skills. The goal will ensure I can converse with colleagues and team members in a multidisciplinary care team. Communication skills will also be essential in communicating with elderly patients during nurse-patient interaction. The skills will also improve my confidence when meeting with doctors and new patients during my practice.
4. To strengthen organizational skills. These include effective management of time and resources. The skill will be essential in managing patient volume in a congested work environment, providing quality care in settings with resource constrain, and maintaining accurate patient data records for future reference.
5. To increase medical knowledge. The goal entails increasing my clinical knowledge in diagnosing and managing illnesses affecting the elderly population. It also entails improving my knowledge in differentiating body changes related to aging and illnesses. The knowledge is essential in providing quality care to the elderly population and addressing complex cases.
6. To develop leadership skills. These are skills used to organize others towards a common goal. These skills will be essential in coordinating activities in a multidisciplinary care team.
Resources and Strategies:
1. The strategies I plan to utilize include consultation with my preceptor and the more experience colleagues, attending lectures, conferences, and workshops, and participating more in administrative tasks. The resources I plan to use include preceptors, more experienced healthcare practitioners, facility administrators, lectures, conferences, and meetings.
2. The strategies I will use to identify the gaps in the facility and the senior population include conducting population data analysis and assessing the organizational systems. The resources I will use as sources of information include colleagues, patients, and patients’ data.
3. The strategies I plan to use to improve communication skills include constantly modeling a good relationship with other nurses, constantly seeking advice and feedback on my progress from the preceptor, seeking shared past experiences from other nurses, and observing how other clinicians communicate with patients and colleagues. The resources I plan to use include online communication programs, preceptors, and more experienced practitioners.
4. I plan to improve organizational skills by progressively taking an increased patient load until I can carry the whole load, preparing worksheets and reports after every shift, documenting daily tasks, and taking time management online courses and exercises.
5. The strategies I plan to use to improve my clinical knowledge include taking you more complex cases, observing and collaborating with the more experienced providers inpatient care, working under supervision, consulting with my preceptor, and seeking regular feedback.
6. The strategies I plan to utilize to attain this goal include taking an active role in the multidisciplinary care teams, taking online courses on leadership, seeking mentorship from the nurse leaders, and conducting patient care conferences with other nurses. I also plan to attend workshops and conferences on leadership. The resources I plan to use include nurse leader, preceptor, multidisciplinary care teams, and online leadership courses, conferences, and workshops.
Measurement:
1. To determine the accomplishment of this goal, I will use the preceptor’s feedback and regular exercises to identify my areas of strengths and weaknesses.
2. To determine the accomplishment of this goal, I will assess for presence of changes I have driven and hospital data on how the changes have impacted patient care
3. To determine the accomplishment of this goal, I will assess the preceptor’s feedback and take exercises to gauge my communication skills.
4. The attainment of organizational skills will be assessed using preceptors’ feedback, personal assessment, and hospital records regarding the number of patients I attended to.
5. The attainment of leadership skills will be assessed using perception feedback and a test on leadership skills.
6. An increase in medical knowledge will be assessed using the preceptor’s feedback, patient feedback regarding the quality-of-care outcome, and personal assessment of clinical skills
Evaluation:
1. My knowledge of ethical and policy issues in geriatric care improved during the practicum, as indicated by the preceptor’s feedback and my personal assessment
2. During the practicum, I led the implementation of a change project to reduce the rate of hospital readmission.
3. During the practicum period, I successfully established patient-nurse relationships that resulted in better diagnosis and care coordination
4. During the practicum, I managed a high volume of patients and progressively increased my workload.
5. During the practicum, there was a progressive improvement in quality of care and outcome, and I progressively handled more complex cases, as indicated by preceptors and patients’ feedback.
6. During the practicum, I successfully coordinated care activities in multiple interdisciplinary care teams and led a change improvement project to reduce the rate of hospital readmission.

Review the assigned article, “Leadership Lessons from the Chilean Mine Rescue. “Write a 500-750 word paper that
analyzes the Chilean mine rescue. As a leader, you will be faced with responding immediately to solve issues. The Chilean mine rescue is an example of leadership under extreme circumstances. Reflect on this example to shape how you might apply the goal-path theory and the situational approach in an everyday, real-world situation. Address the following questions and
concepts: How did the leaders demonstrate flexibility and adaptability? Please provide examples. How did the leaders apply aspects of the path-goal theory to this situation?
Provide examples. Did the leaders communicate effectively?
with all of the stakeholders involved? How could communication have been improved? How well did the leaders follow the situational approach to leadership? Provide examples. How does this example shape how you might apply the goal-path theory and
the situational approach in a real-world situation, in your content? Include three to five references to support your position.

Analyze and Reporting Results – TOPIC 8 Q 2-The question is on Topic 8 Analyze and Reporting Result
QUESTION-TOPIC 8 DQ 2
Discuss an ethical challenge you might face as a researcher when collecting and analyzing data from human subjects. What is an IRB and why is it necessary?
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Solution
An ethical challenge for a researcher
Researchers are in a big dilemma when it comes to studying human subjects. Despite having ethical standards in research, they still face challenges when collecting and analyzing data from these groups. It is remarkably difficult for them to give factual data due to these issues that mostly occur due to human subjects since it involves analyzing an individual’s personal information. This study focuses on informed consent as a challenge faced by a researcher when dealing with human subjects.
The ethical standards help researchers protect human subjects from any abuse and exploitation. However, there are ethical challenges faced while collecting data. Informed consent is a challenge that will impact the data I will collect from the people (Facca et al., 2020). For instance, it needs to be understood by the participants before signing up. Due to the language barrier, the participants are likely to disagree to consent to collect confidential data from them. I will have to look for a translator, which can be expensive and time-consuming, thus affecting the data collection process.
Institutional Review Board (IRB)
Institutional Review Board is a body that governs the safety of human subjects that are selected to participate in the research. It focuses on maintaining safety and the rights of the people in matters of confidentiality and abuse (Resnik, 2018). The administrative body monitors, assesses and evaluates all the research involved in human subjects before interacting with the participants. It, therefore, has a right to revoke any study that does not consider the foundation of human rights. Furthermore, some guidelines need to be followed for researchers to qualify as potential investigators and conduct their study with participants. Therefore, all researchers must go through the Institution Review Board and understand its concepts and basis before researching human subjects. This can lead to legal consequences if human life is tampered with.
References
Facca, D., Smith, M. J., Shelley, J., Lizotte, D., & Donelle, L. (2020). Exploring the ethical issues in research using digital data collection strategies with minors: A scoping review. Plos one, 15(8), e0237875. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0237875
Resnik, D. B. (2018). The ethics of research with human subjects: Protecting people, advancing science, promoting trust (Vol. 74). Springer.
https://books.google.co.ke/books?hl=en&lr=&id=uQdGDwAAQBAJ&oi=fnd&pg=PR7&dq=ethical+challenge+for+a+researcher+in+dealing+with+human+subjects+&ots=Hank10jqpy&sig=gT3h7OqbDIiG83CxIDEERyviID0&redir_esc=y#v=onepage&q=ethical%20challenge%20for%20a%20researcher%20in%20dealing%20with%20human%20subjects&f=false

Table of Contents
PICOT Question Examples
Evidence-Based PICOT Questions Examples
PICOT Question:
Intervention PICOT Question Examples, an Intervention example:
Therapy PICOT Question Examples, a non-intervention example:
Etiology PICOT Question Examples:
Diagnostic PICOT Question Examples:
Prevention PICOT Question Examples:
Prognosis/Prediction PICOT Question Examples:
Meaning PPICOT Question Examples:
Benchmark – Part A: Population Health Research and PICOT Statement
Population Health Research and PICOT Statement
Population Analysis
PICOT Statement
Illustration of the PICOT statement
PICOT Question Examples
Before giving PICOT Question Examples, first is to define what is a PICOT question. PICOT is an acronym to help you formulate a clinical question and guide your search for evidence. Using this format can help you find the best evidence available in a quicker, more efficient manner. The PICOT question format is a consistent “formula” for developing answerable, researchable questions. When you write a good one, it makes the rest of the process of finding and evaluating evidence much more straightforward.
P: Population/patient – age, gender, ethnicity, individuals with a certain disorder
I: Intervention/indicator (Variable of Interest) – exposure to a disease, risk behavior, prognostic factor
C: Comparison/control – could be a placebo or “business as usual” as in no disease, absence of risk factor, Prognostic factor B
O: Outcome – risk of disease, accuracy of a diagnosis, rate of occurrence of adverse outcome
T: Time – the time it takes for the intervention to achieve an outcome or how long participants are observed
Note: Not every question will have an intervention (as in a meaning question) or time (when it is implied in another part of the question) component.
PICOT Question Examples
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Evidence-Based PICOT Questions Examples
PICOT Question:
Population: Bariatric adolescents considering or undergoing gastric bypass surgery.
Intervention: The nurse’s role as a primary member of the multidisciplinary team regarding perioperative care of the bariatric adolescent patient.
Comparison: The nurse’s role as a secondary member of the multidisciplinary team without any specialized training and is only involved in perioperative care of the bariatric adolescent patient.
Outcome: When the nurse is involved as one of the primary members in the multidisciplinary team approach, the bariatric adolescent patient has better continuity of care.
Time: perioperative including the 6 weeks post recovery.
PICOT Question: Does the bariatric adolescent patient undergoing gastric bypass have better continuity of care perioperatively and postoperatively when the nurse is a primary member of the multidisciplinary team versus when the nurse is a secondary member whose only role is in providing perioperative care and has no specialized training?
Intervention PICOT Question Examples, an Intervention example:
In adult patients with total hip replacements (Patient population) how effective is PCA pain medication (Intervention of interest) compared to prn IM pain medication (Comparison intervention) in controlling post operative pain (Outcome) during the perioperative and recovery time? Note: The IM pain medication would be called the control group. It would be unethical to have a control group that received NO pain medication. Many times the control group means they get “business as usual!” or the current standard of care.
Therapy PICOT Question Examples, a non-intervention example:
What is the duration of recovery (O) for patients with total hip replacement (P) who developed a post-operative infection (I) as opposed to those who did not (C) within the first six weeks of recovery (T)?
Etiology PICOT Question Examples:
Are kids (P) who have obese adoptive parents (I) at Increased risk for obesity (O) compared with kids (P) without obese adoptive parents (C) during the ages of five and 18 (T)?
Diagnostic PICOT Question Examples:
Is a PKU test (I) done on two week old infants (P) more accurate in diagnosis inborn errors in metabolism (O) compared with PKU tests done at 24 hours of age (C)? Time is implied in two weeks and 24 hours old.
Prevention PICOT Question Examples:
In OR nurses doing a five minute scrub (P) what are the differences in the presence and types of microbes (O) found on natural polished nails and nail beds (I) and artificial nails (C) at the time of surgery (T)?
Prognosis/Prediction PICOT Question Examples:
Does telelmonitoring blood pressure (I) in urban African Americans with hypertension (P) improve blood pressure control (O) within the six months of initiation of the medication (T)?
Meaning PPICOT Question Examples:
How do pregnant women (P) newly diagnosed with diabetes (I) perceive reporting their blood sugar levels (O) to their healthcare providers during their pregnancy and six weeks postpartum (T)?
Sample PICOT Question
Benchmark – Part A: Population Health Research and PICOT Statement
In this course, you will be complete a 2-part assignment in which you conduct research about a population of focus, develop a PICOT statement, and write a Literature Review. The PICOT statement and Literature Review you write in this course can be used for your evidence-based practice project in the next course so be sure to select an issue you want to continue working on in your next course.
PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) is a method that helps clarify the qualities needed to create a good question out of a practice issue or problem affecting the population of focus. Additionally, the information derived from a good PICOT makes it easier to perform a literature search in order to find translational research sources that can be used to address the clinical problem.
Use a national, state or local population health care database to research indicators of disparity. Choose a mortality/morbidity indicator to identify a clinical problem or issue that you want to explore pertaining to a population of focus. Use this indicator to begin to formulate a PICOT and conduct research on the population.
Write a 750-1,000-word paper that analyzes your research and focuses on the population you have chosen. Describe the population’s demographics and health concerns, and explain how nursing science, health determinants, and epidemiologic, genomic, and genetic data may impact population health management for the selected population. Provide an overview of a potential solution for solving the health issue related to your population and the intended PICOT statement. Describe how the solution incorporates health policies and goals that support health care equity for the population of focus.
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
SOLUTION
Population Health Research and PICOT Statement
Obesity is a major insidious condition whose prevalence continues to rise in the United States. It is estimated that about 70% of Americans suffer from obesity with the most affected group being the veterans (Klingaman et al., 2016). Almost 7.8% of the soldiers are overweight and this puts them at high risk of developing other complications such as diabetes, high blood pressure, and other cardiovascular risks. There is a strong correlation between obesity and PSTD among veterans. PSTD result in severe chronic stress reactions arising from past traumatic conditions and this results in the development of obesity. Furthermore, the mechanisms involved in the weight gain among the PSTD patients remain unknown; however, some studies have associated it with the production of stress hormone. As a result, it is important to analyze the link between PSTD and obesity among veterans. Nurses have the responsibility of improving the quality of healthcare delivery through translational research and application of evidence-based practices. This study focuses on implementing the weight loss treatment programs in helping reduce the PSTD symptoms among the veterans based on the evidence-based knowledge application.
Population Analysis
The incidences of PSTD among the veterans continue raise a serious public health concern. The condition can result from various traumatic incidences. Majority of the people subjected to traumatic experiences are likely to present with sleeping disorders and depression among others. Furthermore, people with PSTD are likely to develop emotional numbness especially with the people they used interact with closely. Moreover, they are easily irritated and aggressive. In some cases, they may become hostile and unapproachable. The prevalence of PSTD tends to be higher among the older populations (aged above 60 year). The estimated lifetime history of PSTD among the Americans is 7.4% and the condition continues to be a common diagnosis among the Vietnam-era veterans (Klingaman et al., 2016).
The veteran populations are an important target group because they are vulnerable to PSTD due to traumatic and stressful experiences they undergo in the course of work. An association between PSTD and weight gain among the veterans is an important topic worth exploring since it helps in guiding the process of designing treatment measures and management of veterans with PSTD. Furthermore, the study indicated that the prevalence of PSTD tends to be high among veteran women compared to their male counterparts. In as much as various approaches are used in the management of PSTD among the veterans, there is a great necessity to improve the treatment process to facilitate quick recovery. Evidence-based care approaches are developed to promote the patient’s wellbeing and this becomes more effective when patient-centered approaches are engaged. Based on the review findings, introducing the weight reduction programs can significantly reduce the PSTD symptoms among the veteran especially when they have both obesity and PSTD (Klingaman et al., 2016). The findings from these studies provide preliminary backgrounds for addressing the issue of obesity and PSTD among the veterans. The impacts of PSTD are severe in case they are not managed in time. Engaging a comprehensive treatment framework that incorporates both the pharmacotherapy and weight reduction programs are essential and these would help reduce the gaps existing in the treatment process and management of veterans with PSTD.
Obesity is a major determinant in the treatment and management of obesity among the veterans. Obesity tends to be influenced by both the environmental and genetic factors; therefore, the development of proper remedies and approaches to address the issue of PSTD among the veterans must be based on the genetic, genomic and epidemiological data. From the epidemiology perspective, it is apparent that the incidences of obesity and PSTD are higher among the veterans compared to the general populations. The variations in the incidences could be as a result of the environmental exposures. However, there are no sufficient data supporting the role of genomic and genetics in the development of PSTD and obesity among the veterans. On the other hand, there are suggestions that genetic factors could be contributing to about 30% of the total cases of PSTD (Banerjee, Morrison, & Ressler, 2017). Understanding the mediation gene pathways involved in the PSTD development and the mechanisms mediating the development of obesity is important in developing appropriate treatment approached for PSTD among the veteran population. PSTD is a highly debilitating condition among the veterans and thus as part of the health promotion, application of the nursing research and evidence-based practices may help improve the treatment of the targeted populations presenting with PSTD. Therefore, the PICOT question in this case defines the proposed framework that can be used in improving the treatment outcomes among the veterans with PSTD.
PICOT Statement
Will weight loss treatment among obese veterans reduce the PSTD signs and symptoms within six months of the weight management program?
Illustration of the PICOT statement
Population: Veterans affected by obesity resulting from PSTD
Intervention (I): Weight loss programs
Comparison: Nonweight loss treatment
Outcome: Reduced signs and symptoms of PSTD
Time: Six months
References
Banerjee, S. B., Morrison, F. G., & Ressler, K. J. (2017). Genetic approaches for the study of PTSD: Advances and challenges. Neuroscience letters, 649, 139-146.
Dorflinger, L. M., Ruser, C. B., & Masheb, R. M. (2017). Night eating among veterans with obesity. Appetite, 117, 330-334.
Klingaman, E. A., Hoerster, K. D., Aakre, J. M., Viverito, K. M., Medoff, D. R., & Goldberg, R. W. (2016). Veterans with PTSD report more weight loss barriers than Veterans with no mental health disorders. General hospital psychiatry, 39, 1-7.

Epidemiologic surveillance is used in public and global health. For this Assignment, begin by locating a recent article about an outbreak of an infectious or communicable disease. The article can come from a newspaper or other source but your paper must be supported with at least three scholarly sources of evidence in the literature which may include your text or course readings.

Write a 3- to 4-page paper that includes the following:
1. A summary of the article, including the title and author
2. Identify the title of the article with in-text citation and corresponding reference in reference list
3 .The relationship among causal agents, susceptible persons, and environmental factors (epidemiological triangle)
4. The role of the nurse in addressing the outbreak
5.Possible health promotion/health protection strategies that could have been implemented by nurses to mitigate the outbreak
Prior to submission, refer to the Week 3 Assignment Rubric.

Holtz 2017 gas to be used

To prepare:
Consider the examples of leadership demonstrated in this week’s media presentation and the other Learning Resources.
To further your self-knowledge, you are required to complete the Kiersey Temperament as indicated in this week’s Learning Resources. Consider your leadership style, including your strengths for leading others and include your results from Kiersey Temperament Sorter to describe potential challenges related to your leadership style.
Mentally survey your work environment, or one with which you are familiar, and identify a timely issue/dilemma that requires you to perform the leadership role of moral agent or advocate to improve a situation (e.g., speaking or acting on behalf of a vulnerable patient, the need for appropriate staffing, a colleague being treated unfairly).
What ethical, moral, or legal skills, dispositions, and/or strategies would help you resolve this dilemma? Define the differences between ethical, moral, and legal leadership.
Finally, consider the values and principles that guide the nursing profession; the organization’s mission, vision, and values; the leadership and management competencies addressed in this course; and your own values and reasons for entering the profession. What motivation do you see for taking a stand on an important issue even when it is difficult to do so?
To complete:
Write a 4 to 5 page paper (page count does not include title and reference page) that addresses the following:
Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper.
Consider an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.
Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.
Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitation during this dilemma.
References to use in the paper. please use all references and additional once if needed.
Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application (9th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Chapter 4, “Ethical Issues”
This chapter examines ethical frameworks for decision making and principles of ethical reasoning. You are also introduced to the ANA Code of Ethics and Professional Standards, MORAL decision-making model, and ethics committees.
Chapter 5, “Legal and Legislative Issues”
Chapter 5 provides an overview of the many legal and legislative issues of which leaders and managers need to be aware. As you read this chapter, keep these issues in mind.
Chapter 6, “Patient, Subordinate, and Professional Advocacy”
Cianci, A. M., Hannah, S. T., Roberts, R. P., & Tsakumis, G. T. (2014). The effects of authentic leadership on followers’ ethical decision-making in the face of temptation: An experimental study. The Leadership Quarterly, 25(3), 581–594. doi:10.1016/j.leaqua.2013.12.001
Disch, J. (2014). Using Evidence-Based Advocacy to Improve the Nation’s Health. Nurse Leader, 12(4), 28–31. doi:10.1016/j.mnl.2014.05.003
Martin, M. B. (2014). Transcultural Advocacy and Policy in the Workplace: Implications for Nurses in Professional Development. Journal for nurses in professional development, 30(1), 29–33. doi: 10.1097/NND.0000000000000027
Woods, M. (2014). Beyond moral distress preserving the ethical integrity of nurses. Nursing Ethics, 21(2), 127–128.
Laureate Education (Producer). (2012a). Ethical, moral, and legal leadership.Baltimore, MD: Author.

NRS-440VN NRS-440VN-O500 – Health Care Delivery Models and Nursing Practice
Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.
Include the following:
Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.
You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Rubric
Course Code Class Code
NRS-440VN NRS-440VN-O500
Criteria Percentage
Content 80.0%
Current or Emerging Health Care Law or Federal
Regulation and Effect on Nursing Practice, Role
and Responsibility 20.0%
Quality Measures Pay for Performance, Patient
Outcomes, and Effect on Nursing Practice 20.0%
Professional Nursing Leadership and
Management Roles 20.0%
Predict Change in Nursing Roles and Nursing
Practice 20.0%
Organization, Effectiveness, and Format 20.0%
Thesis Development and Purpose 5.0%
Argument Logic and Construction 5.0%
Mechanics of Writing (includes spelling,
punctuation, grammar, language use) 5.0%
Paper Format (use of appropriate style for the
major and assignment) 2.0%
Documentation of Sources (citations, footnotes,
references, bibliography, etc., as appropriate to
assignment and style) 3.0%
Total Weightage 100%
Assignment Title
Health Care Delivery Models and Nursing Practice
Unsatisfactory (0.00%)
Emerging health care law or federal regulation is omitted. The law or regulation presented is not relevant to health care.
Discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is omitted.
Discussion on professional nursing leadership and management roles and the imporantance of these roles in responding to emerging trends and patient safety and quality care is omitted.
Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are omitted.
Paper lacks any discernible overall purpose or organizing claim.
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Template is not used appropriately, or documentation format is rarely followed correctly.
Sources are not documented.
Total Points
165.0
Less Than Satisfactory (75.00%)
Emerging health care law or federal regulation is incomplete.
Effect on nursing practice and nurse role and responsibility is partially described.
Discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is incomplete.
An incomplete discussion on professional nursing leadership and management roles and the imporantance of these roles in responding to emerging trends and patient safety and quality care is presented.
Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are incomplete. The predictions are unrealistic or lack evidence for support.
Thesis is insufficiently developed or vague. Purpose is not clear.
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Satisfactory (79.00%)
Emerging health care law or federal regulation, and effect on nursing practice and the nurse role, and responsibility is summarized. There are some inaccuracies.
Summary on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented. There are inaccuracies or slight omissions.
A summary on professional nursing leadership and management roles, and the imporantance of these roles in responding to emerging trends and patient safety and quality care, is presented. There are inaccuracies or slight omissions.
Insert Satisfactory CoA summary on professional nursing leadership and management roles, and the imporantance of these roles in responding to emerging trends and patient safety and quality care, is presented. There are inaccuracies or slight omissions.Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5
Thesis is apparent and appropriate to purpose.
Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
Appropriate template is used. Formatting is correct, although some minor errors may be present.
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
Good (89.00%)
Emerging health care law or federal regulation, and effect on nursing practice and the nurse role, and responsibility is described. Some information or detail is needed for clarity.
Discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented. Some information is needed for clarity.
A discussion on professional nursing leadership and management roles, and the imporantance of these roles in responding to emerging trends and patient safety and quality care, is presented. Some detail or information is needed for clarity.
Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are discussed. The predictions are generally supported and realistic.
Thesis is clear and forecasts the development of the paper.
Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of
claims from introduction to conclusion. Most sources are authoritative.
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
Template is fully used; There are virtually no errors in formatting style.
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
Excellent (100.00%) Comments
Discussion on emerging health care law or federal regulation, and effect on nursing practice and the nurse role, and responsibility is well-developed.
A thorough and insightful discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented.
A well-developed discussion on professional nursing leadership and management roles, and the imporantance of these roles in responding to emerging trends and patient safety and quality care, is presented. The discussion demonstrates a thorough understanding of the nursing profession in emerging trends and patient care in a diverse Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are thoroughly discussed. The predictions are based on evidence and highly relevant to emerging trends.
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Writer is clearly in command of standard, written, academic English.
All format elements are correct.
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of errors.

PHN 652-Evidence Based Practice in Public Health-Topic 2-DQ 1: Models And Tools Used In Public Health See uploads for full question)
PHN 652-Topic 2-DQ 1: Models And Tools Used In Public Health
QUESTION- Why are public health models important in providing quality health care? Briefly describe two public health models and their impact on quality health care.
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Solution
Public Health Models
Public health is focused on ensuring a healthy community through health education, awareness, and healthcare delivery. Public healthcare delivery is based on various models that guide the healthcare practices of the public healthcare providers. A public health model is a concept carrying various disciplines, including health, welfare, and education, in improving the health and wellbeing of the community. Public health models are important in the healthcare system because they aim to prevent health problems by targeting the development and implementation of policies and interventions on health risk factors to minimize the long-term effect of the particular problem. According to AIFS (2019), public health provides a theoretical framework spanning primary, secondary, and tertiary interventions. The models help in guiding the public healthcare providers to make decisions on healthcare delivery to the public.
One of the models is the community organization model, which involves a participatory decision-making process to empower communities in improving health. The model emphasizes the importance of active participation of the community in identifying the major health issues and the most effective strategies that can help address the problems. The model calls for understanding the root causes of the health issues, collaborative decision making and also in problem-solving, having focus on specific issues, engaging participation from different groups and stakeholders within the community, providing and maintaining a lasting change, and providing feedback to the community (Rural Health Organization, 2020).
The CDC’s four-step model by Georges Benjamin and Leesa Lin provides the key steps that a public healthcare provider can use to deal with community health issues. According to the National Academies of Sciences, Engineering, and Medicine (2017), the model calls for first defining the health problem through reliable data, identifying the risk and protective factors using scientific research designs, developing and testing the identified prevention strategies using evaluation tools, and assuring widespread adoption through additional training, technical assistance, and evaluation. These theories provide a guide on how to respond to public health issues.
References
AIFS. (2019, December 21). Defining the public health model for child welfare services. Child Family Community Australia. https://aifs.gov.au/cfca/publications/defining-public-health-model-child-welfare-services-context
National Academies of Sciences, Engineering, and Medicine. (2017, February). Applying Public Health Models and Approaches to Countering Violent Extremism. In Countering Violent Extremism Through Public Health Practice: Proceedings of a Workshop. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK537576/
Rural Health Organization. (2020). Community Organization Model – Rural Health Promotion and Disease Prevention Toolkit. Rural Health Infor. https://www.ruralhealthinfo.org/toolkits/health-promotion/2/program-models/community-organization

Public health-655-Health And Burden Of Disease-Topic 3 DQ 1-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
NO PLAGARISM
-Add references to reference page
-Add the hyperlink/DOI for each reference in APA 7th edition format.
Thank you
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Solution
Public health-655-Health and Burden of Disease-Topic 3 DQ 1
Controlling infectious diseases is part of public health practice. Review approaches to prevention, control, and the obstacles that low-income and middle-income countries endure.
As a part of public health practice, low and middle-income countries normally go through a lot of challenges in controlling infectious diseases and preventing such diseases from spreading. Such challenges normally include having limited health care facilities, having limited or non-existing surveillance systems for infectious diseases, or poorly functioning existing systems (Haileamlak, 2018). Low and middle-income countries also struggle to control infectious diseases because of the limited availability of trained public health practitioners. Most low and middle-income countries also have limited communication networks which significantly affects surveillance and control of infectious diseases (Haileamlak, 2018).
Vaccines are a critical part of health, but health care systems are impacted by globalization. Some countries do not have surveillance systems in place that allow determining need. Provide an example of how globalization has impacted South America or sub-Saharan Africa.
Globalization has significantly affected the public health in sub-Saharan Africa in a positive way. As a result of globalization, low and middle-income countries have been able to enjoy health improvements through the diffusion of low-cost health technologies, new health knowledge and ideas related to human rights (Nguea et al., 2020). A specific example where globalization has positively impacted the public health of sub-Saharan Africa is through the reduction in child mortality and infant mortality rates in countries across the region. Through globalization, international organizations such as The WHO and other important stakeholders have therefore been able to leverage global resources to help improve the public health of low- and middle-income countries in regions such as sub-Saharan Africa (Nguea et al., 2020).
What three pieces of advice would you give the Minister of Health in countries of South America or sub-Saharan Africa when it comes to the integration of health care and public health (i.e., vaccines)?
The advice I would give to the minister of health in countries in sub-Saharan Africa or South America related to the integration of health and public health would be to promote more community engagement and participation, to support more screening programs for diseases, and to enhance more immunization and communicable disease control programs. Such strategies would help to promote the integration of health care and public health (Shahzad et al., 2019).
References
Haileamlak, A. (2018). Editorial: The triple challenges of low and middle-income countries. Ethiopian Journal of Health Sciences, 28(1), 1. https://doi.org/10.4314/ejhs.v28i1.1
Nguea, S.M., Noumba, I & Noula, A.G (2020). “Does globalization improve Health in Sub-
Saharan African countries?,” .Economics Bulletin, AccessEcon, vol. 40(4), pages 3033-3045. DOI. RePEc:ebl:ecbull:Feb-20-00436.
Shahzad, M., Upshur, R., Donnelly, P., Bharmal, A., Wei, X., Feng, P., & Brown, A. D. (2019). A population-based approach to integrated healthcare delivery: a scoping review of clinical care and public health collaboration. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-7002-z

NUR 670 GC Week 15 Final Practicum Evaluation of Student by Preceptor-Benchmark
Details:
Please make sure that all current hours have been entered into Typhon and your preceptor has approved all your current hours. This must be done prior to submitting your Final Clinical Evaluation. http://www.typhongroup.net/gcu
The preceptor will complete the “Final Clinical Evaluation of Student by Preceptor” form. Instructor discretion may vary the due date depending on student’s clinical practicum experience.
Review the evaluation with your preceptor.
Both the student and preceptor will sign electronically, and the preceptor will email one copy to the instructor and one to the student.
This form must be submitted directly from the preceptor to the instructor. The student, preceptor, and instructor sign the form electronically.
The student must submit a signed copy to the instructor.
Unsigned submissions or those not submitted appropriately do not meet completion criteria.
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Unsigned submissions or those not submitted appropriately do not meet completion criteria.
This is a pass/fail assignment. Students will receive 1 point for the successful completion of the assignment. Failure to successfully complete this benchmark assignment will result in failure of the course.