Nursing

Healthcare System Development The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned. To support your work, use your text readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format. Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.   Healthcare System Development In this assignment, you will discuss how healthcare systems are developing and how nursing leaders are responding to this trend.   In healthcare today, with the shift from inpatient care to outpatient care, there is ongoing development of integrated systems, with all providers (e.g., hospitals and physician offices) being fiscally tied to each other.   Look at your own community and research how the providers are fiscally tied to each other. On the basis of your research, respond to the following questions:   ·                     Are hospitals in your community competing on the basis of price and quality? Why? What are the roles of nursing leaders in this community development? ·                     How are healthcare systems and providers in your community changing their programs and fiscal alignment? ·                     Hospitals and healthcare systems are having to compete for the same patients with similar diagnoses and procedures. The marketing departments of these facilities are enticing patients to come to their facilities. What are the specific enticements that hospitals and healthcare systems offer? Why? Are these enticements helping hospitals and healthcare facilities in your community gain market share? ·                     How are the various healthcare systems using quality? What are the ways and means used by healthcare systems to standout in the community? What programs do they have that make them stand out from the quality perspective?   ·                     How do these healthcare systems describe their own quality efforts?   ·                     How is nursing leadership changing its role in the development of these community systems?     When you write your scholarly discussion posts and assignments, it is important to be cognizant of how old your citations are that support your assertions.  Typically, you should not use anything that is over five years to support your assertions.   Textbooks provide foundational information but may not always be current in ongoing events like healthcare reform.  So, please be “thoughtful” when you consider how you support your assertions.

Based on your selected MSN program, write your first section of your ROLE paper using the following criteria: For this assignment, you will research an advanced nursing practice role and summarize your findings in a 4 page paper: Focusing on the specialty for which you were admitted to the University (as a family nurse practitioner) select an advanced nursing role to research.   Distinguish the role as clinical or non-clinical and how it promotes patient outcomes, ie safety, access to health care or health information relative to the ANP level   Apply an Advance Nursing Practice Concept to your chosen role (something in regards to being bilingual Spanish/English speaking and how this will help in the community)      Develop a minimum of ten questions that you would like to ask the advance practice clinician or non-clinician that you have chosen to interview.  Identify in the paper the individual by name, credentials, position and your planned date for the interview (Interview is due Week 3)   Support your findings with at least two research articles (study, design, sample and results must be discussed). Other peer reviewed articles that are non-research and nursing organization websites may be used. All articles must be current (not more than five years 2015-2020)  old, unless it is a hallmark reference; ieAmerican Association of College of Nursing. (2010)).   Format your paper, citations, and references using correct APA Style.

Write a scholarly paper in which you apply the concepts of epidemiology and nursing research to a communicable disease. Choose one communicable disease. Epidemiology Paper Requirements Include the following in your assignment: A thorough description of the disease including causes, mode of transmission, symptoms, treatment and complications. Discuss the demographic most affected-incidence, prevalence, morbidity and mortality. What are the determinants of health affecting this disease? https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health. Identify the epidemiologic triad including host, agent and environmental factors as related to this disease. Discuss the role of the public health nurse in relation to this disease. How is the public health nurse involved in finding, reporting, collection and analysis of data and follow up? A minimum of three references is required. The written essay should be at least 1250 words in length. APA format is required.

Investigate how school health is delivered within your local school system. You can look at one specific school, or an entire school district. Do the schools in your area have a school health nurse assigned? If not, how are health care needs within the school district managed? What are ways in your area schools in which health promotion and management of existing health problems are addressed? Should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

Assignment: This week’s assignment is a PowerPoint presentation.  Be sure anytime you complete a PPT there is a title slide, objective slide, the content slides, and reference slide. BE SURE TO CITE ALL SOURCES USED IN AN APA FORMATTED TEXTBOX. PUT ALL YOUR FINDINGS INTO ONE POWERPOINT PRESENTATION. (USE SLIDE TRANSITIONS, SLIDE NOTES, AND INCOPORATE PICTURES/GRAPHICS IN THE PPT PRESENTATION.) Requirements for PPTs are found at this recorded Webinar PPT presentation discussing format, expectations, citing, Speaker Notes – https://screencast-o-matic.com/watch/cqhZqgT2Fu The PPT includes information about Telehealth and Beyond. It should be 11-17 slides as noted below and use at least 3 sources throughout. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Be sure to use a colorful design and pictures/smart art in the presentation as this is worth 50%. The Rubric is for PPT – found in the Assignment Upload link in the lower right corner– please review while developing the presentation to make sure it meets the requirements.   Title Slide (1 slide) Objective Slide (1 slide) Describe the need for Telehealth services. (2-3 slides) Explain the difference between Synchronous Telehealth and Asynchronous Telehealth. (1-2 slides) Offer personal opinions of Telehealth (can use first person here). (1-2 slides) Find an article on a new or upcoming technology change, discuss main points regarding the technology. (remember to cite the article) (2-4 slides) Explain how nursing is impacted by this new technology.  (2-3 slides) References (1 slide)

Role & Strategies What role do nurses have in selecting and evaluating information systems within your work environment? What strategies facilitated implementation of the information system and/or what were the barriers to implementation?   Submission Instructions: Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

Reflect upon and describe a strength and/or challenge related to an experience that influenced your future aspirations to pursue a nursing profession. Your personal statement should be no more than 1,000 words.

How does a leader credibility helps to foster trust in the workplace and community at large? NO ABSTRACT NO # PAGE, NO COVER PAGE, NO RUNNING HEAD  needed.

Peer response: Length: A minimum of 150 words per post, not including references Citations: At least one high-level scholarly reference in APA per post from within the last 5 years Peer Post: While the country institutes measure to deal with the ongoing Coronavirus pandemic, states continue to put measures in place to deal with the ongoing opioid crisis. The state of Arizona has instituted policies that focus on prevention and early interventions and increasing the access to substance use disorders, putting in place measures aimed at reducing stigma and protect individuals who inject drugs (PWID) from infectious diseases (Odenigbo, 2015). The State of Arizona is also looking at means to explore innovative payment models for treatment. Increasing public access to substance abuse through medication-assisted treatment, commonly referred to as MAT, can significantly lower infectious diseases through minimizing or doing away with an individual’s use of injection drugs. The State of Arizona has increased the coverage of medication-assisted treatment and other SUD treatment through private insurance and Medicaid and increased the percentage of individuals who use the medications. The state of Arizona, as part of its measures instituted the Heroin and Opioid Prevention and Education Agenda Act 262 in 2018 (Odenigbo, 2015). The opioid treatment also increases the State treatment capabilities by building more health facilities to handle the opioid treatment. The Act requires health facilities to report the number of individuals treated and the treatment outcomes. As a health care advocate at a local level, I would contact the National Conference of Legislature (NCSL) to help me get in touch with the office of State governor Doug Ducey detailing the impact Substance Abuse Disease on the State populace, and call for a face to face meeting to discuss the enactment of SUD control legislations, request to attend and speak at health conventions, and call for financial backing from the State office to promote SUD implications awareness (A Alhassan, 2017).   References A Alhassan, A. (2017). New Psychoactive Substances: “Chemical Chameleons” That Evade Detection and Legislations. International Journal Of Emergency Mental Health And Human Resilience, 19(3). doi: 10.4172/1522-4821.1000369 Odenigbo, A. (2015). Health Proffessionals Involvement In Politics A Means to Improving Healthcare Delivery and Healthcare Legislations for Healthcare Seekers. Value In Health, 18(7), A573. doi: 10.1016/j.jval.2015.09.1898

Peer response: Length: A minimum of 150 words per post, not including references Citations: At least one high-level scholarly reference in APA per post from within the last 5 years Peer Post: One initiative that his especially important is the Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES) fund that will provide a pay raise to essential workers during the Covid-19 pandemic (Morrisin, 2020). This fund will first give money to those whose hourly rate is lower than those with a higher hourly rate. During these times, we need to keep our essential workers present in their jobs. It also is terrifying having to continually go to work, knowing that you are at increased risk of being exposed when others get to stay home. Both parties would have to agree on a hazard pay plan, hopefully by August for the HEROES fund because the Senate was going to be out for a month (Fay, 2020). It did reach the congressional floor, and the 1,815-page plan did go to vote and pass (Williams, 2020). At 3 trillion, it is the most expensive relief legislation in history. It encompasses pay for first-line workers, hazard pay for essential workers, extending unemployment protection, help with Covid-19 supplies, helping families pay for home utilities and mortgage/rent, and extension of employee retention tax credit (2020). The importance of hazard pay hits many of us very personally.  As a nurse currently working at Providence Reginal Medical Center, where we had one of the first documented Covid-19 patients, I can say not one of our nurses have received hazard pay for the care they provided. This is something that our union is currently actively working on for our nurses and other essential workers. Nurses and essential healthcare workers have been asked to send letters to our local state representatives, personalizing why we deserve hazard pay, which I have committed to write this week. I think it has been helpful having the union be able to reach all of our cell phones and supply us with links to directly send our response to the person in our government system that is on our side. The union has made it easy for us to respond collectively and personalize what we send and to whom it reaches. As nurses, we continue to care for those who need us during this pandemic and put those; we love at risk coming home at night. Both my husband and I work at the hospital. The pandemic has carried on for so long, and neither of us can see an end just yet. Collectively together as health care professionals, we are taking our concerns to our local Washington State government. Hopefully, this will result in our hospital and others having to provide us with the hazard so many healthcare providers deserve along with others in our community who go to work daily and increase their risks of getting sick.   References Fay, B. (2020, July 21). Updated Details on the HEROES Act: Stimulus Checks, Hazard Pay, Rental Aid, Etc. Retrieved August 18, 2020, from https://www.debt.org/2020/07/21/heroes-act/ Morrison, C. (2020, April 24). Legislation provides coronavirus ‘hazard pay’ for essential workers. Retrieved 2020, from https://www.washingtonexaminer.com/news/legislation-provides-coronavirus-hazard-pay-for-essential-workers Williams, S. (2020, May 31). A Second Stimulus Bill Has Reached the Senate: Here Are 3 Reasons It Won’t Pass. Retrieved August 18, 2020, from https://www.fool.com/taxes/2020/05/31/a-second-stimulus-bill-has-reached-the-senate-here.aspx