Nursing

Please complete all guidelines Ethics and Evidence-Based Research Write a 1250-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment. Part 1: Describe why ethical safeguards designed for clinical research may not be feasible or appropriate for evidence-based practice or evidence-based practice implementation projects. Part 2: Review the sectioned headed, Two Ethical Exemplars in Chapter 22 of the textbook (Melnyk and Fineout-Overholt, 2015, pages 518-519). Discuss three main ethical controversies related to implementing Evidence-Based Quality Improvement (EBQI) Initiatives. Describe how these controversies relate to the four core ethical principles. Part 3: Identify which ethical principles may be in conflict with the concept of “patients having an ethical responsibility in improving healthcare.” Discuss how these conflicts may be resolved.

Please propose changes New York City should make to recover from the Coronavirus. This is an academic paper. It CANNOT BE GENERIC or have filler words, so please think with economical, political, social, cultural, philosophical, and other such implications and identify an area of focus (for example: education, social justice, environment etc.) Please have at least 3 credible and academic sources of reference. Class Instructions: Your first assignment was focused on the possibilities you imagine for New York City post-Covid. Now in your final assignment we are asking you to make a proposal for what should be done. Work on what gives you energy and enthusiasm. You will create a proposal of what NYC, and you, SHOULD DO TO ADVANCE NEW DIRECTIONS, building on the realities and their implications for the future of New York. A few guidelines: This is a proposal for re-imagination and action, so please produce something that is designed to chart a new direction. Be clear about your theory of change; tell us why what you propose will lead to a direction that advances the city and is more equitable/sustainable. We are looking for synthesis and integration, so be sure to draw on and/or make 3-5 references. Some of you have specific international/comparative interests, so you may choose to add comparisons to another global post-covid city, though this is not required.

What technology do you find most beneficial to use in your work or school setting (nursing)? Least beneficial? Why do you find this tool useful or not? Then, using your imagination, look to the future and think about how this tool could be enhanced even further. Describe your dream technology, with consideration for patient care and safety.

The purpose of this paper is to interpret the two articles identified as most important to the group topic. Our topic is misdiagnosis in cancer. Need all questioned answered on the rubric thoroughly.

Community Experience No. 1: 12 step programs 12-step program such as Alcoholic Anonymous (AA)   Write an essay regarding your experience at an AA meeting program. Write about 800-1000 words APA style.   There are a wide variety of community-based treatment settings in which psychiatric-mental health nurses practice. MentalHealth Community Experience is to provide students with the opportunity to compare psychiatric services and identify nursing roles, responsibilities and activities in the community setting.   Social issues of the population  Organization’s internal and external means of communication Activities during the community experience Programs or Changes to better serve the community The report must follow the criteria on the Community Experience Rubric and also include personal reflection and a brief summary of what was learned during the community experience. In addition, include discussions of how the nurse could serve a positive role model and discuss the nursing process within the community setting.

Nutrition plays an essential role in supporting fitness and exercise. If you increase your level of physical activity, your need for nutrients and calories will also increase. In addition, the foods you eat before and after you exercise will have an impact on your performance during the physical activity and on your recovery afterward. Perform some library research, and in a 2-3 page paper written in APA format using proper spelling/grammar, address the following: Describe the importance of pre- and post-exercise nutrition choices. Provide examples of foods that are appropriate selections for each category. Explain how foods and nutrients (including fluids and electrolytes) help improve a person’s performance during physical activity and their recovery afterward. Consider your responses to items 1 and 2 above, and suggest an appropriate nutritional plan for a physically active person. Be sure to explain what the person should consume in an average day to support their caloric and nutritional needs. Cite at least 2 credible references and present the resources in APA format on the References page. For information about researching a topic and assessing the credibility of resources, consult the resources below. Writing Guide: Research Papers – Researching How do I know if a source is credible? Submit your completed assignment to the drop box below. Please check the Course Calendar for specific due dates. Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below: Jstudent_exampleproblem_101504

Generate a professional Power Point presentation that sums the following areas: Introduction to topic, include introducing yourself, why this is important (1 slide) Develop a business plan to start or manage a practice (6-10), identify SWOT analysis, marketing plan, key stakeholders, reimbursement, insurance issues, a solid budget plan (expense and revenue sheet) Construct  an employment contract for an advanced practice nurse in your selected care setting. (3-4)) Be specific. What should APRN ask for salary, vacation, Health insurance, dental, vision, long and short term insurance, professional development/education fees, professional journals, any others? Compare the legal, ethical, and contractual considerations for APRN in the employment setting (2-3 slides) Inclusive of references in presentation, and references then fully presented in final slide of presentation as a reference page (1-2 slides) Use APA for formatting Presentation should be minimally 25 slides, enough slides to appropriately cover material being presented Presentation is to be designed as if you, the ARPN, were seeking funding for starting your own clinic. Presentation to include:Contract portion is to be designed as if student/APRN was seeking a position. What would an APRN want in the contract? Provide details within the contract about salary, insurances, benefits, duties, etc. Type of clinic, clientele serving, location Mission/vision statement DETAILED budget analysis. Expense and revenue reports Insurance and reimbursement: Provide information on expected revenue. What would an APRN charge for certain visits (sick versus health check), what is expected pay from insurance types (private, Medicare/Medicaid?) Contract portion is to be designed as if student/APRN was seeking a position. What would an APRN want in the contract? Provide details within the contract about salary, insurances, benefits, duties, etc.

Health care inequalities have always been a thing that has quietly happened and not much action towards improvement has happened. With the current events occurring in the united states it seems that now more than ever the inequalities are more apparent. Now that inequalities are a subject that is bring brought to everyone’s attention it is the best time to take action towards eliminating inequalities not only in health care but in every aspect possible. A health care reform will be difficult to achieve but not impossible, with the right actions and evidence-based practices that help provide support, health care can be reformed into something equal for everyone. Continuing the health care reform is one of the most important steps needed to improve the health and quality of health Americans are receiving. My thoughts on health care inequalities are that there needs to be a change and it needs to happen fast. In health care, there should be no inequalities whatsoever, and being a nurse the treatment I provide should never be different among my patients. Sadly, the way America is in these days, there are a lot of inequalities in healthcare that treat people differently based on race, sexual orientation socioeconomic status, and even nationalities. These inequalities require immediate attention and will need to be acknowledged for a health care reform to happen correctly. “Health care inequality is when one group of people in an economy is in much worse health than another group. In the United States, health inequality is correlated with income inequality” (Amadeo, 2020, para.1). Getting health care coverage in America is a difficult task especially when your finances are not desirable to the market. Unfortunately, health care is accessible based on your income, the better the income the better the health care options and vice versa, the lower your income is the worse health care options you’ll have to pick from. Health care inequalities also exist for people of color and those who have different sexual identities and or preferences. It is common for lower-income communities to be sick more often. This is a result of many things like lack of health care access and lack of health care prevention measures like routine screenings or even something as simple as having health insurance. The majority of people in low-income communities don’t have health insurance which unfortunately makes them more likely to get sick. “These inequalities contribute to gaps in health insurance coverage, uneven access to services, and poorer health outcomes among certain populations” (Taylor, 2019, para.1). It’s amazing to me that these types of health care inequalities even exist in such an advanced world. As a nurse, the health care that I provide is equal to everyone despite their income. As a matter of fact, in the organization where I work, it happens to be a privately funded hospital and occasionally, we get patients that are labeled “VIP”. These patients get identified as VIP because they donated large amounts to the hospital or are married to someone that donated money to the hospital. These patients believe that because they have donated money to the hospital, they will get special treatment from everyone that has to come in contact with them. The nursing team has made it a point to make them feel special by calling them VIP, but this does not mean in any way that they will get treated differently or provided with special attention. The nurses avoid getting these types of assignments because these patients have higher expectations but in reality, there is no special treatment, the care that they will get is the same type of care everyone receives in the entire hospital. The need for health care reform is something that needs to happen soon. There should be no difference in the care that people all over the united states receive. Continuing the health care reform would mean better opportunities for all and by continuing the reform it would also mean that health care will be the same for everyone regardless of their income, race, sexual preference, or gender. Health care is already expensive but so is treating a disease that could have been cured if the person had health insurance, to begin with. Health care inequalities are happening in the world and the united states but should not be because of how progressive everything seems to be. Unfortunately, the inequalities that are seen happen to those of lower-income which makes it more difficult to gain access to healthcare. Not only are low-income communities affected by social inequalities but so are people of color and people who have different sexual preferences and even people of different nationalities. A health care reform is important to achieve and soon because it will improve how people get medical attention and maybe even avoid high costs of care by getting routine medical care as a preventative to the more costly treatments of a chronic disease that could have been stopped early on.             References Amadeo, K. (2020). How Health Care Inequality Increases Costs for Everyone. The Balance. Retrieved 4 August 2020, from https://www.thebalance.com/health-care-inequality-facts-types-effect-solution-4174842  (Links to an external site.) . Taylor, J. (2019). Racism, Inequality, and Health Care for African Americans. The Century Foundation. Retrieved 4 August 2020, from https://tcf.org/content/report/racism-inequality-health-care-african-americans/  (Links to an external site.) . 2  It is unfortunate that health care is not readily available for everyone in our country. After viewing the Harvard Forum, it is clear that our low-income families do not have the access to receive healthcare nor the funds to be able to afford insurance even under the Affordable Care Act (ACA). According to Amadeo (2020), one in five low-income Americans said they went without care because they couldn’t afford it. Many low-income families can receive health care through the Affordable Care Act, but many clinics and hospitals still don’t accept this type of coverage.  Harvard University (2016) mentioned that 48% of low-income adults in the United States would go to the Emergency Room because they could not get care elsewhere or did not have access to healthcare elsewhere. There needs to be better access to health care facilities that will treat patients of low-income that will accept their Medicaid or whatever benefits they may have for chronic illnesses, or non-emergent cases. I believe that America still needs work when it comes to access to healthcare and that is one the major faults in our system. Many individuals also do not seek healthcare because they simply do not want to get a bill from the hospital knowing they cannot afford to pay it back. We need to have a system that puts the fear of not being able to afford healthcare at ease for our communities. The Affordable Care Act is supposed to bridge that gap for patients who are unable to afford private insurance on their own. The ACA is a step in the right direction when it comes to healthcare. The ACA makes health coverage more accessible and affordable which will increase “the number of Americans with coverage, by funding community-based public health and prevention programs, and by supporting research and tracking on key health measures, the ACA can help begin to reduce disparities, improve access to preventive care, improve health outcomes and reduce the nation’s health spending” (American Public Health Association, 2020). With the ACA, families are able to afford insurance based on their income and with financial help. It has made a positive impact and over 20 million Americans have been able to receive insurance (Harvard University, 2016). Although the ACA has been shown to be beneficial to many people, there still are some issues with our communities with obtaining coverage through the ACA. Some of the issues that were brought up in the Harvard University (2016) forum were that low-income families that were able to be insured through the ACA, did not apply for it because they still could not afford the monthly payments. Some may not even be able to afford the copays for visits to clinics. I believe that there should be a way that everyone can afford some type of healthcare coverage, because essentially, their health is important, and any health care needs need to be addressed. As the video stated, there needs to be more community health centers in these low-income areas to draw more people to come and seek medical treatment for their illnesses. I think we certainly need more of these community health centers around our country to have better outcomes in our low-income population. Our country simply needs to do a better job with health care reform. Everyone should be entitled to receive treatment no matter of their socioeconomic background. As a nurse, when I see individuals neglecting their health because they do not have insurance or do not want to face a medical bill they cannot afford, it gets me upset because as advanced as a country we are in the United States when it comes to health care, the access to it is not as simple. We need to find a way to make healthcare readily available for all individuals. References Amadeo, K. (2020, June 22). Health Care Inequality in America. Retrieved August 06, 2020, from https://www.thebalance.com/health-care-inequality-facts-types-effect-solution-4174842 Harvard University. Health Care Inequalities in America: The Need for Continuing Reform [Video file]. (2016, April 22). Retrieved August 6, 2020, from https://www.youtube.com/watch?v=Nychm8M7uyM&feature=youtube_gdata_player Health Reform. (2020). American Public Health Association. Retrieved August 06, 2020, from https://www.apha.org/topics-and-issues/health-reform Edited by Gomez, Dannisa on Aug 6 at 4:27pm Edited by Gaviria, Alexandra on Aug 6 at 9:12am

Reflection paper,  How religions of the world, impacted nursing job in relation to our national and global context during Coronavirus? What scriptures, sacred texts, or mantras have guided you during this time of Coronavirus? How are/have you found hope in the world surrounding you?  Where have you struggled or found religious traditions and practices have fallen short of providing hope during this time? Reflect deeply and thoughtfully.

Create a 6- to 8-page paper in APA format including a minimum of 4 to 5 references. Explain how you would lobby your legislators or local government for funds to support your issue or trend. Include the following elements in your paper: share why you chose the specific topic, the current relevance of material, how it is integrated into clinical practice, and how the information is used in clinical setting. Points Possible: 240 By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.