Discuss how Healthy People 2020 can be used to shape the care given in a school health setting.

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Please read chapter 29 and 30 of the class textbook and review the attached PowerPoint presentations. Once done answer the following questions;

1. Discuss how Healthy People 2020 can be used to shape the care given in a school health setting. Give at least one example.

2. Identify common health concerns of school-age children and associated health interventions.

3. Describe the historical perspective of occupational health nursing.

4. Describe a multidisciplinary approach for resolution of occupational health issues.

As stated in the syllabus please present your assignment in an APA format, word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “week 15 discussion questions” for grading and for your peers to review and comment and in Turnitin to verify originality. A minimum of 2 evidence-based references (excluding the class textbook) is required. Two replies to any of your peers sustained with the proper references are required. A minimum of 700 words is required and please make sure you spell check your assignment for grammatical errors before you post it.

 

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What change processes may be required?

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This is the review:

Ashford General Hospital is a 263-bed regional hospital located in California, serving its community for more than 50 years. The hospital maintains the only 24-hour emergency department in the area and an “extended hours” urgent care clinic. Similar to other hospitals in the United States, Ashford General Hospital is encountering a nursing shortage. Sixty-eight percent of the nursing staff is over the age of 45, facing retirement. The retention rate on nurses is 61%, compared to 65% nationwide. Many of the nursing staff find the work too physically demanding and have a feeling of emotional burn-out as well. In the past two years, the hospital has used both per diem nurses and traveling nurses who sign short-term contracts to fill individual shifts and accommodate short-term staffing needs arising from staff vacations or medical leaves. This has not only driven up personnel costs but also resulted in lower scores on patient satisfaction surveys. Ashford General Hospital faces significant challenges in nurse staffing ahead as it grapples with these issues, and the hospital board is very concerned. They know there must be some changes made in order to prevent a major financial and human resources crisis in the future. As the newly hired CEO, you are asked to present a proposal in the next board meeting.

Instructions for the final paper:

For your Final Paper, you will create a 10 to 15 page proposal (excluding title and reference pages) for the Ashford General Hospital Board of Directors. In your proposal, you will:
Include an executive summary.
Research and describe solutions implemented at five other hospitals in the US that were dealing with these same issues.
Based on your research, describe two solutions that are the most viable for Ashford General Hospital to implement within the next two years.
Create a total of two stakeholder group analyses for two solutions you select. Each analysis should include at least five stakeholder groups involved (e.g. patients, hospital executive administration, accounting, Human Resources (HR), marketing, third-party payers, etc.). As part of your analysis, address the following questions:
Who is impacted?
What change processes may be required?
What fiscal impact would occur?
What are the ethical, legal, and diversity risk factors involved?
Based upon the stakeholder group analyses, recommend the best solution for Ashford General Hospital with detailed justification. Explain why you feel it is the most viable and appropriate solution given the financial impact, HR issues, and interpersonal dynamics of hospital personnel, cultural shift, and change management.
To prepare your board proposal, including the textbook, utilize at least 10-to-12 scholarly and/or peer-reviewed sources that were published within the past five years, as well as hospital or foundation websites. All sources must be cited according to APA style.
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Assignment:
Review the instructions for your Final Paper located in Week Six of your online course. As part of your Final Paper, you are asked to research and identify solutions implemented at five other hospitals in the U.S. that were dealing with the same issues. Create an outline illustrating five solutions implemented at five other hospitals, including key details. Use the “Guide to Creating an Outline” for assistance.

Your outline must be formatted according to the guidelines as stated in the. Your paper must be two to three double-spaced pages (excluding title and reference pages) and formatted according to APA style Including the textbook, utilize a minimum of five scholarly and/or peer-reviewed sources from published within the last five years. Document all references in APA style

 

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Victim services

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The victim I selected the abuse of a woman in her 80s that resided in a nursing home (Laureate Education, 2012). Her son had reported to the police that he noticed that there were bruises on her arms and her torso (Laureate Education, 2012). He also noticed changes in her behavior and then he decided to remove her from that nursing home (Laureate Education, 2012).

One program that is offered here in Virginia, for this type of victim is Adult Protective Services (APS) (Adult Protective Services (APS), 2016). If these protective services are needed and are accepted by the adult, a local APS worker may arrange for health, housing, social, and legal services for the adult (APS, 2016). This is supposed to stop the mistreatment and to prevent further mistreatment of the victim (APS, 20156). Other services that are offered through APS are home-based health care, transportation, nutrition services, and legal services (APS, 2016). Another program is the Virginia Coalition for the Prevention of Elder Abuse, Inc. (VCPEA). The VCPEA helps encourage the development of services and programs to protect the elderly with disabilities who are abused or neglected (Virginia Coalition for the Prevention of Elder Abuse, Inc. (VCPEA), 2016). They also promote the improvement of quality of services to vulnerable adults and they also promote a greater public understanding and awareness of elder abuse (VCPEA, 2016).

I think these programs are adequate. They help the elderly try and cope with what has happened. They help the elderly get back on their feet after this type of incident happens. Also, providing legal services so that the elderly won’t have to worry about anything, so they can try and go on with their lives.

A service that I think should be available would be something to help the victims get compensated for what they have been through. When a person is in a nursing home they are paying for the services there. They didn’t ask to be abused and they should get reimbursed for everything that they had paid in during their entire stay there and maybe more. There needs to be a program available that can help out with this.

Adult Protective Services (APS). (2016). Dss.virginia.gov. Retrieved 5 October 2016, from http://www.dss.virginia.gov/family/as/aps.cgi

Laureate Education, Inc. (Executive Producer). (2012). Victim services. Baltimore, MD: Author.

Virginia Coalition for the Prevention of Elder Abuse, Inc. (VCPEA). (2016). Qa.srnav.org. Retrieved 5 October 2016, from http://qa.srnav.org/vcpea/

Respond to the bold paragraph ABOVE by using one of the option below… in APA format with At least one reference…..

· Ask a probing question.

· Share an insight from having read your colleague’s posting.

· Offer and support an opinion.

· Validate an idea with your own experience.

· Make a suggestion.

· Expand on your colleague’s posting.

 

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Identify and discuss at least 3 types of conflict found in a healthcare setting.

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Question Description

Required Readings

Altun, Ö., & Argon, G. (2011). Organizational conflict types and the investigation of resolutoin approaches in nurses. HealthMed, 5(4), 724-729.

Brinkert, R. (2011). Conflict coaching training for nurse managers: A case study of two hospital systems. Journal of Nursing Management, 19(1), 80-91.

Patterson, K. (2010). Effects of unresolved conflict on organizational health and performance and conflict resolution training for developing leaders and improving business success. Proceedings of the Northeast Business & Economics Association, 542-546.

Pavlakis, A.; Kaitelidou, D.; Theodorou, M.; Galanis, P.; Sourtzi, P.; Siskou, O. (2011). Conflict management in public hospitals: The Cypress case. International Nursing Review, 58, 242-248.

Spence, H., & Cappleman, J. (2011). Fostering Teamwork in an Intermediate Care Unit. Nursing Management – UK, 18(3), 20-24. Journal of US-China Public Adminitration, 8(2), 198-220.

The Case Assignment

Bobby Langdon is the current president of Acme General. It is a 300-bed hospital serving a community of 70,000 people. He has just completed a meeting with the hospital administrator, Susy Miller. The meeting was called to address to find an acceptable solution to an apparant conflict between Ms. Miller and the chief of the Bariatric Program, Dr. Kincaid. The problem: The Bariatic Program manager is scheduling the various surgeries in such a way that the providers do not feel they can adequately perform these complicated procedures. They also feel there isn’t proper time allowed between procedures to set up the surgical suite for the next case. The providers feel that the scheduling issues are resulting in poor patient outcomes. It has also been pointed out that the program manager shows favoritism toward some of the providers and allows them more time in the OR and between cases. The problem escalated when Dr. Kincaid fired the program manager after numerous complaints from providers, staff, and patients. The manager talked to Ms. Miller who over-ruled the doctor. She cited that non-clinical staff could not be fired by the program director. After reading this scenario, use the information you have gleaned from your research and the required readings to answer the following questions.

  1. Identify and discuss at least 3 types of conflict found in a healthcare setting.
  2. What type of conflict is represented in this scenario? (Justify your response.)
  3. What is the potential impact on the Bariatric Program and the organization? (Discuss at least three)
  4. What are some potential solutions? Which one is the best considering all the facts that have been presented?
  5. What will likely be the reaction of Ms. Miller, Dr. Kincaid, and the program manager when a resolution is decided?

This paper HAS to be in apa format with a reference page the references MUST be cited into the paper ONLY 3 times AND PLEASE INCLUDE LINKS WITH THE REFERENCES You HAVE TO READ THE REQUIRED READING AND ANSWER ALL QUESTIONS. I have read it myself and I know what everything IT is saying so please dont make up things as you go along i will know I have had these things done in the past. 

DO NOT PLAGIARIZE 

 

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As a nurse caring for a palliative patient, advocacy is significant

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Please do a paragraph about this post with this instruction . 

post most have  4 or more  sentences .

 you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the readings.

Some years back majority of elderly people died in their home, but with the new trends of medical technology today, the end of life care has changed. Presently by research, most Americans are in hospitals or nursing homes for rehabilitation or for palliative care (End-of-Life) because of the inability to take care of themselves due to illness. Also, they may unexpectedly admit to the hospital with a life-threatening illness. Most elderly people do not die in their own homes because they lack caregivers, their family may be too occupied with work/school activities. So, they opted  to help their loved ones out to go to a nursing home or assisted living for either rehabilitation or palliative/hospice care. According to BMC Medicine, there is some evidence showing better results on psychological, social, and holistic measures of well-being in the last few weeks or days of life for patients dying at home compared to the hospital.  Some research claimed that there may be no way to control pain in a patient dying at home which may be the reason their loved ones take them to the hospital or nursing home for proper pain management. Also in one of the research done in the UK, it was reported that there are lots of grief among relatives of patients who died at home. This may be why we have seen a decrease of elderly deaths at home. Most elderly people prefer to die at home because of the familiarity with the environment where they maintain control and greater freedom than in a hospital or even inpatient hospice. It is very difficult to deal with a patient that is in end-of-life care because you are not only caring for the patient but also the family. According to the Nursezone research from the California Healthcare Foundation highlights how far apart people’s desires are from reality. Seventy percent of respondents said they would prefer to die at home, but in 2009, only 32 percent of deaths in California occurred at home. Nearly 80 percent of those investigated said they would prefer to talk with a doctor about end-of-life care, but only 7 percent really had that conversation. With these results it can be hard to help a patient decide about care if they are not sure about what they want. It is very important to educate my patient and talk with them on the options chosen by the patient or the family. For instance, if the patient is like about 85 years and above, and the family are demanding for CPR or still want the patient’s status remains a full code, I would have to sit them down, explain, and make them aware that even with all the measures to save his or her life, there will be no tangible quality of life and performing CPR on elderly patient would be very traumatic to the patient. As a nurse caring for a palliative patient, advocacy is significant.

 

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In your own words, define quantitative research and provide two examples of quantitative designs with a brief explanation of each design.

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Question Description

1-2 pages, use peer-reviewed articles that are less than 5 years old 
Topic 1: Quantitative Research Design

Using the knowledge and insights gained from the textbook and other reliable sources answer the following.

  1. In your own words, define quantitative research and provide two examples of quantitative designs with a brief explanation of each design.
  2. Identify a potential quantitative research study that is important to nursing and describe which design you would use for this study, why you would use that design, and how the information generated from the study could be applied in nursing practice.
  3. Reflect as to the value of quantitative research adding to the science, knowledge, and practice of nursing.

Unit overview 

In this unit, you will have the opportunity to develop seven preliminary questions that you will use to appraise and determine the quality of quantitative evidence. Not all evidence is “created alike.” Determining how to evaluate evidence will help you learn the concepts of validity and reliability, as well learn five common statistical errors in quantitative studies. For example, while the data in the study may be reliable for that particular sample, it may be not be valid to use it for your practice setting. Learning to make these types of decisions from a systematic review will be the focus of this unit.Relate Elements of Quantitative Study Designs

In this section you will learn how to critically appraise a study design. For example, you will answer important questions such as why the study was done, what the sample size may be, and whether the variables are valid and reliable.Seven preliminary questions used to evaluate quantitative studies

Using the seven preliminary questions you will learn to ask the following questions of the reviews you conduct:

  1. Why was the study done?
  2. What is the sample size?
  3. Are the measurements valid and reliable?
  4. How was the data analyzed?
  5. Were there any untoward events in the study?
  6. Do the results fit with previous research?
  7. Does the research have specific meaning for clinical practice?

Common Statistical Errors Review

It is important to recognize common statistical errors, such as bias. You will learn how important randomly assigning participants are for study value. An important aspect of systematic reviews is recognizing potential errors and bias in research. If you do not account for this you could accept studies as evidence that have errors in their design.Principles of Statistical Methods to Participant Sampling

Random assignment of participants is the key to being able to see a cause and effect with an intervention. Without randomization, the results could be biased with a particular group response to the study. That makes it difficult to make a cause and effect relationship. This is the foundation of randomly assigning participants to a study, understanding the difference between a control group and an intervention group.

 

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Quickly skim the questions or assignment below and the assignment rubric to help you focus

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Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources.Some answers may require you to do additional research on the Internet or in other reference sources.Choose your sources carefully.

3. Consider the discussions and any insights gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

Please create a Power Point to answer the following…

Case study

Ann, a community nurse, made an afternoon home visit with Susan and her father. After the death of her mother, Susan had growing concerns about her father living alone. “I worry about my father all the time. He is becoming more forgetful and he has trouble seeing. Mom used to take of him. I am not sleeping and I am irritable around him. Yesterday I shouted at him because he wouldn’t let me help him with his laundry. I felt terrible! I am at my wits’ end! My brothers and sisters do not want to put dad in a nursing home but they are not willing to help out. As usual, they have left me with all the responsibility. I work part time and have two small children to care for.” Susan’s father, Sam, sat quietly with tears filling his eyes. He was well nourished and well-groomed but would not make eye contact. Nurse Ann noticed that the house was clean and orderly. A tray in front of the TV had the remains of a ham sandwich and glass of ice tea. Mail was piled up, unopened on a small table near the front door. There was only one car in the driveway and the yard was in need of attention.

1.What questions does Orlando’s theory guide the nurse to consider in caring for Susan and Sam?

2.How might Orlando’s focus on alleviating helplessness inform Ann’s approach to Susan and Sam?

3.Develop a family plan of care from the perspective of Orlando.

Explore the 1950 and 60’s in the United States:

1.Explore what was happening in the United States during this time (culture, social, economics, struggles)

2.What did nursing look like during this times (what were their jobs like, responsibilities, dress, autonomy, respect)

3.Look at one of the theories in Chapter 9 (Hall, Abdellah, Wiedenbach, or Travelbee), and address the following questions:

1.Explain and discuss the theory

2.Explain the importance of exploring what was happening in the world, healthcare, and nursing to understand the theory better? Provide examples and reasons for your response.

Power Point should include at least 3 outside references and the textbook. It should include title and reference slides and be 14-20 slides.

 

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Does the study purpose match the study design?

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Please use the following guide for the research critique. The paper needs to be APA format.

QUALITIATIVE RESEARCH CRITIQUE GUIDE

1. Is the research tradition for the qualitative study identified? If none was identified, can one be inferred? If more than one was identified, is this justifiable or does it suggest “method slurring”?

2. Does the study purpose match the study design? Was the best possible design (or research tradition) used to address the study purpose? Is the research question congruent with a qualitative approach and with the specific research tradition?

3. Is the design appropriate, given the research question? Does the design lend itself to a through, in-depth, intensive examination of the phenomenon of interest?

4. Does the report describe an explicit theoretical or conceptual framework for the study? If not, does the absence of a framework detract from the significance of the research or its conceptual integration?

5. Given the nature of the data, was the data analysis approach appropriate for the research design?

6. Is the category scheme described? If so, does the scheme appear logical and complete? Does there seem to be unnecessary overlap or redundancy in the categories? Were manual methods used to index and organize the data, or was a computer program used?

7. Did the report adequately describe the process by which the actual analysis was preformed? Did the report indicate whose approach to data analysis was used (e.g., Glaserian or Straussian, in grounded theory studies)?

8. What major themes or processes emerged? If excerpts from the data are provided, do the themes appear to capture the meaning of the narratives?

9. What evidence did the report provide that the analysis is accurate and replicable? Were data displayed in a manner that allows you to verify the researcher’s conclusions?

10. Did the analysis yield a meaningful and insightful picture of the phenomenon under study? Did the report give you a clear picture of the social or emotional world of study participants?

11. Which specific techniques (if any) did the researcher use to enhance the trustworthiness and integrity of the inquiry? Where these strategies used judiciously and to good effect? Given the efforts to enhance data quality, what can you conclude about the study’s validity/integrity/rigor/trustworthiness? Does the report adequately address the transferability of the findings?12. Did the report discuss any study limitations and their possible effects on the credibility of the results or on interpretations of the data? Were results interpreted in light of findings from other studies? Did the researchers discuss the study’s implications for clinical practice or future research?

 

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Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change

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As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

  1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
  2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
  3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
  4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 Turnitin. Please refer to the directions in the Student Success Center.

 

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