Cultural diversity

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Task:

In this assignment, you will conduct a windshield survey of your community.

Directions:

Collecting assessment data on the physical environment is referred to as a “windshield survey.” The windshield survey reflects what one can view from a car window as one drives through a community or during a walking tour of areas where cars are limited. The driving or walking tour allows the community nurse to make observations of various community components including but not limited to:

  • Housing
  • Open spaces
  • Parks
  • Transportation
  • Race
  • Cultural diversity
  • Restaurants
  • Grocery stores
  • Health care facilities
  • Post offices

Conduct a windshield survey of your community, focusing specifically on anything that influences community health. Compile your findings into a spreadsheet or document.

Then, analyze your findings and create a 12- to 15-slide Microsoft PowerPoint presentation in which you:

  • Describe the community you have selected for your windshield survey and rationale for selecting this community.
  • Describe the various cultural, ethnic, and religious groups you are observing.
  • Identify and explain the specific health care needs of the community.
  • Evaluate and describe community resources available to meet the health care needs of the community and whether they are adequate.
  • Analyze the resources and explain how the community nurse can improve and promote healthy behaviors in the community.
  • Identify two strategies you can integrate into your nursing practice and explain how those strategies address nursing in a variety of community settings.
  • Describe how you can integrate what you learned from the windshield survey into your role as a nurse.

Special Note:

The title page and reference pages do not count as part of the slide limit.

Your final product will be a Microsoft PowerPoint presentation. Your presentation should be approximately 12-15 slides in length and utilize a minimum of 4 peer-reviewed scholarly references. You must also include detailed speaking notes. Write in a concise and organized manner demonstrating ethical scholarship in accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation

 

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What data was missing—what information did the health care providers not have about the patient’s culture?

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This week you will examine how to be a patient advocate for all individuals, particularly those who are from a different culture than your own.

  1. First, consider an ethical dilemma that you have encountered in your own nursing practice—choose one that was caused by a misunderstanding between people from different cultures. Describe that situation clearly. (feel free to make up a situation, or maybe use vaccines. I once faced a Spanish speaking family who was poorly educated on the use of vaccines and the benefits, they believed we were just injecting chemicals into the body that would give them cancer and that they were too expensive. they did not understand that their insurance would pay for the vaccine and the vaccines themselves were in the long run life saving measures)
  2. How did each group or individual perceive the dilemma? (Present both sides, objectively.)
  3. Identify the conflicting values and belief systems held by each group. (Spanish culture tends to have limited funds and means to education….that could go along with my vaccine incident) …but truly feel free to write what ever
  4. What data was missing—what information did the health care providers not have about the patient’s culture?
  5. Next, define culturally congruent care.

APA format, strong introduction and concluding paragraph. 4 references, one being from the book. 600 words.

BOOK: Transcultural Concepts in Nursing Care, 7th ed, 2016

Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)

Peer-reviewed references include references from professional data bases such as PubMed or CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.

 

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Human Resources Management

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Human Resources Management: Case Study

Happy Valley Hospital is a community-based health care facility with a reputation for providing quality health care services to the residents of Happy Valley and its surrounding markets. The hospital has a 288-bed acute care facility with a twelve suite family oriented birthing center, a forty four bed long-term care inpatient facility, and a fourteen bed inpatient rehabilitation unit.

Happy Valley has two major competitors, CMC and GH. CMC have four hundred beds and is a tertiary acute care facility. It specializes in women and children’s services, serves as the regional trauma center, has a large and active emergency department, and provides cardiac services, including open-heart surgery. GH has two hundred beds, a small cancer center, and a kidney dialysis unit.

Happy Valley Hospital has received numerous recognition awards for excellence in health care during the past five years. Because of its reputation for clinical excellence, it has not had difficulty in retaining its nursing and clinical staff.

However, recently there have been changes in leadership at CMC at the levels of CEO and Vice President of nursing. Employees of Happy Valley Hospital in several key areas have been drawn to work at CMC because of the promises made by new management for better pay and working conditions. They have begun to relocate in large numbers to CMC. Happy Valley now faces a serious employee shortage among registered nurses, radiology technicians, and respiratory therapists.

On the basis of your understanding of the above case study, express your views on the following:

  • How should the management at Happy Valley Hospital retain their existing staff members?
  • What steps should the management at Happy Valley Hospital take to ensure smooth running of the hospital operations in such a crisis situation?
  • In your opinion, what should the recruitment team at Happy Valley Hospital do to overcome serious employee shortage among registered nurses, radiology technicians, and respiratory therapists?
 

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Growth and Development

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Growth and Development

Developing a Teaching Plan for Immunizations Directions For this Assignment, imagine you are working in a child immunization clinic, and have a parent who is reluctant to have their children immunized. Keeping this in mind, you will need to develop a teaching plan which should include immunization schedules from infancy to young adult. This paper should not exceed 3 pages in length, excluding title page and reference page. This paper should adhere to appropriate 6th edition APA format.

Required Reading

In Health Promotion Throughout the Lifespan in Nursing Practice, read:

  • Chapter 15: “Overview of Growth and Development Framework”
  • Chapter 16: “The Prenatal Period”
  • Chapter 17: “The Infant”

Optional Reading:

Kao, B., Plante, W., & Lobato, D. (2009). The use of the impact on sibling scale with families of children with chronic illness and developmental disability. Child Care, Health and Development. 35(4), 505–509.

Whitehead, D. (2011). Before the cradle and beyond the grave: A lifespan/settings-based framework for health promotion. Journal of Clinical Nursing. 20(15/16), 2183–2194.

Web Resources:

  • Centers for Disease Control and Prevention: Vaccines and Immunizations. Retrieved from http://www.cdc.gov/vaccines/
  • Centers for Disease Control and Prevention (CDC): Growth charts. 2011, [Online] Retrieved from www.cdc.gov/growthcharts/.
  • Centers for Disease Control and Prevention (CDC): Recommended immunization schedules for persons aged 0-18 years—United States, 2011. 2011. Retrieved from www.cdc.gov/vaccines/recs/schedules/child-schedule…
  • Centers for Disease Control and Prevention (CDC): Use of World Health Organization and CDC growth charts for children aged 0–59 months in the United States. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5909a1….
 

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Case Study Ethical Legal Dilemma Advanced Practice Nursing

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Case Study Ethical Legal Dilemma Advanced Practice Nursing

Course outcomes addressed in this Assignment:

MN506-1: Apply theoretical frameworks and concepts to ethical dilemmas in the advanced practice role.

Instructions:

Create an ethical legal decision-making dilemma involving an advanced practice nurse. “Patients who voluntarily stop eating and drinking”. Apply relevant codes of conduct that apply to the practice of nursing and your chosen field.
Include one ethical principle and one law that could be violated and whether the violation would constitute a civil or criminal act based on facts.
Construct a decision that demonstrates integrity and that would prevent violation of the ethical principle and prevent the law from being violated.
Describe the legal principles and laws that apply to the ethical dilemma.
Support the legal issues with prior legal cases or state or federal statutes.
Analyze the differences between ethical and legal reasoning and apply an ethical-legal reasoning model in the case study to create a basis for a solution to the ethical-legal dilemma.
List three recommendations that will resolve advanced practice nurses’ moral distress in the dilemma you have presented.
Based on the issue you presented and the rules of the law, apply the laws to your case and come up with a conclusion.
Include at least seven references in APA format with digital object identifier (doi) and/or URL if applicable.
Note:

This is a fact-based Assignment that will not include your opinion.
This will require research and support for what is written.
The Assignment should be in your words after reading the scholarly and fact-based publications and have proper citations. There should be no quotations. The professor wants to hear your voice as a masters trained nurse.
Headings for the paper are as follows:

1). Ethical Dilemma

2). Ethical Principle and Law

3). Preventing Violation of Principle/Law

4). Ethical Principles and Laws

5). Legal Cases

6). Ethical and Legal Reasoning

7). Recommendations

8). Conclusion

 

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Conduct a literature search to locate research articles focused on your selected practice problem of interest.

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The first step of the EBP process is to develop a question from the nursing practice problem of interest. (An example is attached). this is supposed to be one big research paper which is supposed to be done over 5 weeks for my class developing each part every week.) (So this part is choose a nursing practice problem of interest, develop PICOT and gather literature. The details are below.)

Select a practice problem of interest to use as the focus of your research.

Start with the patient and identify the clinical problems or issues that arise from clinical care.

Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project.

The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.

Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page PICOT Statement and a reference list with abstracts.

APA STYLE REQUIRED VERY CREDIBLE SOURCE REQUIRED, AS IN LEGIT RESEARCH ARTICLES (This whole instructions seems lots but this part of the assignment is pretty small, but i wanted to make sure you have all the details so you have an idea.)

 

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Housing

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Question Description

Task:

In this assignment, you will conduct a windshield survey of your community.

Directions:

Collecting assessment data on the physical environment is referred to as a “windshield survey.” The windshield survey reflects what one can view from a car window as one drives through a community or during a walking tour of areas where cars are limited. The driving or walking tour allows the community nurse to make observations of various community components including but not limited to:

  • Housing
  • Open spaces
  • Parks
  • Transportation
  • Race
  • Cultural diversity
  • Restaurants
  • Grocery stores
  • Health care facilities
  • Post offices

Conduct a windshield survey of your community, focusing specifically on anything that influences community health. Compile your findings into a spreadsheet or document.

Then, analyze your findings and create a 12- to 15-slide Microsoft PowerPoint presentation in which you:

  • Describe the community you have selected for your windshield survey and rationale for selecting this community.
  • Describe the various cultural, ethnic, and religious groups you are observing.
  • Identify and explain the specific health care needs of the community.
  • Evaluate and describe community resources available to meet the health care needs of the community and whether they are adequate.
  • Analyze the resources and explain how the community nurse can improve and promote healthy behaviors in the community.
  • Identify two strategies you can integrate into your nursing practice and explain how those strategies address nursing in a variety of community settings.
  • Describe how you can integrate what you learned from the windshield survey into your role as a nurse.

Special Note:

The title page and reference pages do not count as part of the slide limit.

Your final product will be a Microsoft PowerPoint presentation. Your presentation should be approximately 12-15 slides in length and utilize a minimum of 4 peer-reviewed scholarly references. You must also include detailed speaking notes. Write in a concise and organized manner demonstrating ethical scholarship in accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation

 

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How did each group or individual perceive the dilemma?

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This week you will examine how to be a patient advocate for all individuals, particularly those who are from a different culture than your own.

  1. First, consider an ethical dilemma that you have encountered in your own nursing practice—choose one that was caused by a misunderstanding between people from different cultures. Describe that situation clearly. (feel free to make up a situation, or maybe use vaccines. I once faced a Spanish speaking family who was poorly educated on the use of vaccines and the benefits, they believed we were just injecting chemicals into the body that would give them cancer and that they were too expensive. they did not understand that their insurance would pay for the vaccine and the vaccines themselves were in the long run life saving measures)
  2. How did each group or individual perceive the dilemma? (Present both sides, objectively.)
  3. Identify the conflicting values and belief systems held by each group. (Spanish culture tends to have limited funds and means to education….that could go along with my vaccine incident) …but truly feel free to write what ever
  4. What data was missing—what information did the health care providers not have about the patient’s culture?
  5. Next, define culturally congruent care.

APA format, strong introduction and concluding paragraph. 4 references, one being from the book. 600 words.

BOOK: Transcultural Concepts in Nursing Care, 7th ed, 2016

Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)

Peer-reviewed references include references from professional data bases such as PubMed or CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.

 

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Write an article for a community newsletter for a local retirement village that explains the laws, policies, and choices surrounding end-of-life health care decisions.

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Overview
Write an article for a community newsletter for a local retirement village that explains the laws, policies, and choices surrounding end-of-life health care decisions.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

SHOW LESS
Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.
Identify the primary policies that define current health care practices in regard to end-of-life health care decisions.
Explain the legislation that generated end-of-life health care policies.
Competency 2: Explain the effect of regulatory environments and controls on health care delivery and patient outcomes.
Explain the effect of end-of-life regulations and controls on patient outcomes.
Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.
Describe the role of the nurse in end-of-life decision making with patients and their families.
Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions.
Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.
Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
Correctly format citations and references using APA style.
Context
Nurses are at the bedside during the dying process; they spend entire shifts with patients and families; they develop trusting relationships; and they are competent to assess patient and family needs. Nurses gain a unique perspective that allows them to become aware when a patient is not responding to treatment. This perspective places nurses in a position to facilitate end-of-life decision making. (Adams, Bailey. Anderson, & Docherty, 2011, para. 4)
Reference
Adams, J. A., Bailey, D. E., Jr., Anderson, R. A., & Docherty, S. L. (2011). Nursing roles and strategies in end-of-life decision making in acute care: A systematic review of the literature. Nursing Research and Practice, 2011.
SUGGESTED RESOURCES
Internet Resources
Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.
American Nurses Association. (2016). Position statement: Nurses’ Roles and Responsibilities in Providing Care and Support at the End of Life. Retrieved from https://www.nursingworld.org/~4adf1c/globalassets/…
Assessment Instructions
Your manager asked you to prepare an article for a community newsletter for a local retirement village. The editor wants you to talk about the laws, policies, and choices surrounding end-of-life health care decisions
PREPARATION
Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on end-of-life care. You will need at least three articles to use as support for your work on this assessment.
DIRECTIONS
Write an article of 750–1,000 words (3–4 pages) that discusses the laws, policies, and choices surrounding end-of-life health care decisions. Address the following in your article:
Describe the role of the nurse in end-of-life decision making with patients and their families.
Explain the legislation that generated end-of-life health care policies. Was the legislation an outcome of a specific medical case?
Identify the primary policies regarding current health care practices related to end-of-life health care decisions. How to these policies affect treatment decisions?
Explain the effect of end-of-life regulations and controls on patient outcomes. What effect does this have on the nurse-patient relationship?
Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions.
ADDITIONAL REQUIREMENTS
Your article should meet the following requirements:
Written communication: Written communication should be free of errors that detract from the overall message.
References: Cite a minimum of three resources; a majority of these should be peer-reviewed sources. Your reference list should be appropriate to the body of literature available on this topic that has been published in the past 5 years.
APA format: Resources and citations should be formatted according to current APA style and formatting.
Length: 750–1,000 words or 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
Font and font size: Times New Roman, 12-point.
End-of-Life Decisions Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Describe the role of the nurse in end-of-life decision making with patients and their families.
Does not describe the role of the nurse in end-of-life decision making with patients and their families. Describes the role of the nurse in end-of-life decision making with patients and their families but the information is incomplete. Describes the role of the nurse in end-of-life decision making with patients and their families. Describes the role of the nurse in end-of-life decision making with patients and their families, and identifies strategies for an effective process.
Identify the primary policies that define current health care practices in regard to end-of-life health care decisions.
Does not identify the primary policies that define current health care practices in regard to end-of-life health care decisions. Identifies some policies that define current health care practices in regard to end-of-life health care decisions but key policies are missing. Identifies the primary policies that define current health care practices in regard to end-of-life health care decisions. Identifies the primary policies that define current health care practices in regard to end-of-life health care decisions, and explains how the policies have changed the way health care professionals work with patients.
Explain the effect of end-of-life regulations and controls on patient outcomes.
Does not explain the effect of end-of-life regulations and controls on patient outcomes. Explains the effect of end-of-life regulations and controls on patient outcomes but key elements are missing from the explanations. Explains the effect of end-of-life regulations and controls on patient outcomes. Explains the effect of end-of-life regulations and controls on patient outcomes and why it is important to make end-of-life decisions with a health care professional.
Explain the legislation that generated end-of-life health care policies.
Does not explain the legislation that generated end-of-life health care policies. Identifies but does not explain the legislation that generated end-of-life health care policies. Explains the legislation that generated end-of-life health care policies. Explains the legislation that generated end-of- life health care policies and includes a brief summary of why these laws were passed.
Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions.
Does not describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions. Identifies but does not describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions. Describes the ethical considerations that have influenced policy decisions in regard to end-of-life decisions. Describes the ethical considerations that have influenced policy decisions in regard to end-of-life decisions and illustrates with real-world examples.
Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
Does not write content clearly, logically, or with correct use of grammar, punctuation, and mechanics. Writes with errors in clarity, logic, grammar, punctuation, or mechanics. Writes content clearly and logically, with correct use of grammar, punctuation, and mechanics. Writes clearly and logically, with correct use spelling, grammar, punctuation, and mechanics, and uses relevant evidence to support a central idea.
Correctly formats citations and references using APA style.
Does not format citations and references using APA style. Formats citations and references with errors. Correctly formats citations and references using APA style. Citations contain a few errors. Correctly formats citations and references using APA style. Citations are free from all errors.

 

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