Discussion 5 diversity – Answered

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Discussion 5 Diversity – Answered

After studying Module 5: Lecture Materials & Resources, discuss the following: Jay and Sue Kim, ages 29 and 26 years and married for 2 years, immigrated from South Korea and settled in Los Angeles. They have lived in a small one-bedroom apartment since their arrival. Both graduated from the same Korean university with baccalaureate degrees in English literature. They have one child, Joseph, age 1 year. When they arrived in the United States, Jay was unable to find a job because of his poor proficiency in English, despite his major in English literature. He eventually obtained a job with a moving company through a church friend. Sue is not working because of their son. Although the Kim’s did not attend a church before immigration, they are now regularly attending a Korean Protestant church in their neighborhood.Sue is pregnant again, determined by a home pregnancy kit, with their second child and concerned about the medical costs. They did not use any contraceptives because she was breastfeeding. Because of financial limitations, Sue did not initially have prenatal care with her first pregnancy. However, she did keep up with the Korean traditional prenatal practice, tae-kyo. Eventually, she received help from her church and delivered a healthy son. She is not sure whether she can get financial help from her church again but is confident that her second child will be healthy if she follows the Korean traditional prenatal practices.Jay is concerned about job security because he recently heard from colleagues that the moving company might soon go bankrupt. Although Jay has not been satisfied with his current job (he thinks that he is overqualified), this news is still a cause for concern. Moreover, Sue’s recent pregnancy has made Jay more stressed, and he has started drinking alcohol. Joseph cannot stand up by himself and still wants to be breastfed. Although Sue has tried to give foods such as oranges, apples, steamed rice, and milk (because she is now pregnant), Joseph refuses to eat them and cries for breastfeeding. Joseph’s weight is low-normal for same-age babies. Describe the Korean cultural practice tae-kyo. Is this practice congruent with allopathic recommendations for prenatal care? How do food choices among Koreans differ with pregnancy and postpartum? Describe cultural attitudes toward drinking among Koreans. Identify two or three culturally congruent strategies a healthcare provider might use to address Jay’s drinking. 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. You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)All replies must be constructive and use literature where possible. Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date (Discussion 5 diversity – Answered).

Answer

Korean Cultural Practices and Healthcare Considerations for the Kim Family

Tae-kyo: Korean Traditional Prenatal Care

Tae-kyo is a traditional Korean practice focusing on the prenatal period, aiming to ensure the health and well-being of both the mother and the unborn child. This practice involves various rituals and behaviors intended to create a positive environment for the fetus. Tae-kyo includes dietary restrictions, mental and emotional regulation, and engagement in positive activities such as reading or listening to classical music, believing that these practices can influence the child’s development positively (Park & Cho, 2019).

While tae-kyo emphasizes holistic well-being, it may not fully align with allopathic prenatal care recommendations. Allopathic medicine stresses regular prenatal visits, screenings, and interventions to monitor the health of the mother and fetus. Although tae-kyo promotes a healthy lifestyle, it lacks the medical assessments and treatments critical in allopathic care. Therefore, integrating tae-kyo with allopathic care can provide comprehensive prenatal support, ensuring both cultural sensitivity and medical safety.

Food Choices During Pregnancy and Postpartum in Korean Culture

In Korean culture, food choices during pregnancy and postpartum are deeply rooted in traditional beliefs. During pregnancy, women are encouraged to consume foods believed to be beneficial for the fetus, such as seaweed soup, which is rich in iodine and calcium (Kang et al., 2020). Postpartum, the diet typically includes warm, easily digestible foods to aid recovery and promote lactation. Seaweed soup remains a staple, consumed multiple times daily for its nutritional benefits and to help cleanse the blood and improve milk production.

These dietary practices emphasize the importance of warm, nutritious foods, contrasting with some Western practices that might focus more on balanced nutrition without the same cultural emphasis on specific foods. Healthcare providers should recognize these preferences and work to incorporate them into dietary plans that also meet broader nutritional guidelines.

Cultural Attitudes Toward Drinking Among Koreans

Drinking alcohol holds significant social and cultural importance in Korea, often associated with social bonding and stress relief. However, it can also lead to problematic behaviors, particularly when used as a coping mechanism for stress (Choi et al., 2017). For Jay, his increased alcohol consumption due to job stress and family pressures highlights the need for culturally sensitive interventions.

Culturally Congruent Strategies to Address Jay’s Drinking

Culturally Sensitive Counseling:

Engage Jay in discussions about his drinking habits within the context of Korean cultural norms. Utilize motivational interviewing techniques to explore the reasons behind his drinking and the impact on his family. Emphasize the importance of maintaining his health for his family’s well-being and consider involving a counselor who understands Korean cultural nuances.

Social Support and Community Resources:

Encourage Jay to seek support from his church community, which has already provided significant assistance to his family. Community leaders or support groups within the church can offer a culturally familiar and supportive environment to address his stress and drinking habits.

Stress Management Techniques:

Introduce stress management strategies that resonate with Jay’s cultural background, such as meditation, traditional Korean exercises, or engaging in tae-kyo practices alongside Sue. These methods can provide alternative ways to manage stress without resorting to alcohol.

Conclusion

The Kim family’s situation underscores the importance of culturally competent healthcare. Understanding and integrating traditional practices like tae-kyo with allopathic care, respecting dietary traditions, and addressing cultural attitudes towards drinking are crucial in providing holistic and effective support. By employing culturally congruent strategies, healthcare providers can better address the unique needs of immigrant families, ensuring both cultural respect and medical efficacy.

References

Choi, S., Lee, J., & Lee, H. (2017). Alcohol consumption and problem drinking in Korean adults: Focusing on problem drinking-related characteristics. Journal of Korean Academy of Nursing, 47(1), 1-12.https://synapse.koreamed.org/articles/1003159

Kang, N., Kim, Y., & Park, H. (2020). Maternal dietary patterns and birth outcomes: A Korean cohort study. Nutrients, 12(4), 1103.

Park, M., & Cho, H. (2019). The effects of traditional prenatal practices (Tae-kyo) on the health of pregnant women and newborns in Korea. Journal of Korean Medical Science, 34(9), e89.

 
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Psychopathology of mental health patients

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Psychopathology of mental health patients

(Psychopathology of mental health patients) Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.

Psychopathology of mental health patients

Scenario:

Vee is a 26-year-old African-American woman who presents with a history of non-suicidal self-injury, specifically cutting her arms and legs, since she was a teenager. She has made two suicide attempts by overdosing on prescribed medications, one as a teenager and one six months ago; she also reports chronic suicidal ideation, explaining that it gives her relief to think about suicide as a “way out.”When she is stressed, Vee says that she often “zones out,” even in the middle of conversations or while at work. She states, “I don’t know who Vee really is,” and describes a longstanding pattern of changing her hobbies, style of clothing, and sometimes even her job based on who is in her social group. At times, she thinks that her partner is “the best thing that’s ever happened to me” and will impulsively buy him lavish gifts, send caring text messages, and the like; however, at other times she admits to thinking “I can’t stand him,” and will ignore or lash out at him, including yelling or throwing things. Immediately after doing so, she reports feeling regret and panic at the thought of him leaving her. Vee reports that, before she began dating her current partner, she sometimes engaged in sexual activity with multiple people per week, often with partners whom she did not know.

(Psychopathology of mental health patients)

Questions:

Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers. Describe the presenting problems. Generate a primary and differential diagnosis using the DSM5 and ICD 10 codes. Discuss which cluster the primary diagnosis belongs to. Formulate and prioritize a treatment plan.

(Psychopathology of mental health patients)

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.You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)All replies must be constructive and use literature where possible.

(Psychopathology of mental health patients)

Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday. Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

References

https://www.psychiatrist.com/wp-content/uploads/2021/02/18074_symptomatology-psychopathology-mental-health-problems.pdf

https://www.slideshare.net/slideshow/psychopathology-of-mental-disorders/97009224

 
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Nursing Assignment 5 – Answered

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Nursing Assignment 5 – Answered

Goal: Develop a PowerPoint presentation on a personality disorder. Content Requirements: Students will be randomly selected to participate in groups of three. Create a case study of a patient based on your assigned group topic. The presentation must provide information: Introduce a fictitious patient with a disease or disorder based on your assigned group topic.  Must specifically address the disease as it relates to one of the following populations:  infants, toddlers, school-aged children, adolescents, adults, or the elderly. Definition of the disease or disorder Epidemiology of the disease or disorder Incidence Prevalence Pathogenesis Pathophysiology of the disease/disorder to the cellular level. Including genetics/genomics, neurotransmitters, and neurobiology of this specific disorder. Clinical features of the disease or disorder History of the patient’s problems Physical findings Psychiatric findings (Using DSM5-TR diagnosis only.) Recommendations Treatment recommendations according to the US clinical guidelines. Patient education for management and anticipatory guidance. Non-pharmaceutical, cultural, and spiritual considerations must be addressed. Format Requirements: Presentation is original work and logically organized. Record the project with whatever software works best for you, upload it to Studio, and submit the project using Canvas Studio. How do I use Canvas Studio? Links to an external site. How to Embed a Studio Video in an Assignment on Canvas Links to an external site. How do I submit Canvas Studio media as a Text Entry assignment in Canvas as a student? Links to an external site. Followed 7th Edition APA formatting including citation of references. PowerPoint presentations with 10-15 slides were clear and easy to read with no less than 16-point font. Speaker notes expanded upon and clarified content on the slides. Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).Submission Requirements Complete and submit the PowerPoint by 11:59 PM ET Sunday Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are graded at the discretion of the instructor. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date (Nursing Assignment 5 – Answered).

 
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Sociology Discussion Post 3 – Answered

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Sociology Discussion Post 3 – Answered

Respond to two (2) of the following prompts (Sociology Discussion Post 3 – Answered):

Consider the social stratification of your family tree. Compare your social standing to that of your parents and grandparents. If you are unfamiliar with these people, feel free to substitute other family members or acquaintances from other generations. (USLO 3.1)What social traits did your forebears pass down to you? Is there consistency or inconsistency in your family’s status? Which theoretical approach best describes your family’s social stratification? What changes do you anticipate for your family’s future generation? (USLO 3.1)Consider your own experiences with social mobility. How do rules, laws, and societal structures promote wealth and poverty? Do you believe that rules, laws, and societal structure have a greater impact on social mobility than individual traits such as a strong work ethic? Do you believe social mobility has decreased or risen in recent years? How could rules, laws, and societal structures impact your future social mobility? What are some strategies for dealing with this future possibility? (USLO 3.2)What is the relationship between subjective, absolute, and relative poverty and inequality/inequity? Who benefits from poverty, inequality, and inequity? Can policies be enacted to eliminate various forms of poverty and break the cycle of poverty? What are the advantages and disadvantages of enacting such policies? What role does the cycle of poverty play in maintaining social stratification, especially for women through the global feminization of poverty? (USLO 3.3)Which of the three theoretical approaches (functionalist, conflict, or symbolic interactionist) would you use to explain why healthcare injustice and inequity occurs and what to do about it? (USLO 3.4)What role does healthcare injustice play in perpetuating the system of stratification? How does the healthcare system maintain social stratification? Is healthcare injustice harming our society as a whole? (USLO 3.4).

Answer

Social Stratification and Mobility in My Family

In examining the social stratification within my family tree, I observe both consistency and some degree of social mobility. My grandparents were working-class individuals, primarily engaged in manual labor and service industry jobs. They lived in modest homes and had limited access to higher education. My parents, however, experienced upward mobility; both obtained college degrees and secured middle-class professional occupations. Consequently, I have benefited from this foundation, pursuing higher education and entering a professional career myself. This trajectory demonstrates a gradual improvement in social standing over generations.

The theoretical approach that best describes my family’s social stratification is the functionalism perspective. Functionalism suggests that social stratification exists because it contributes to the overall stability and functioning of society. Each generation in my family contributed to society in various roles, gradually improving their social standing through hard work and education, which aligns with the functionalist idea of meritocracy.

Looking ahead, I anticipate that my family’s future generations will continue to benefit from the increased access to education and opportunities that my parents and I have established. However, I am also aware that social mobility can be influenced by broader societal factors.

Social Mobility and Structural Influences

My experiences with social mobility reflect both the benefits of individual effort and the significant impact of structural factors. Rules, laws, and societal structures play a crucial role in promoting wealth and poverty. For instance, policies that support access to education, healthcare, and economic opportunities can enhance social mobility. Conversely, systemic inequalities and discriminatory practices can hinder it. I believe that societal structures often have a greater impact on social mobility than individual traits like a strong work ethic, as structural barriers can limit opportunities regardless of personal effort.

In recent years, social mobility has been perceived to be more challenging due to growing economic inequalities. Policies that promote fair wages, accessible education, and affordable healthcare can positively impact social mobility. Strategies to address future possibilities include advocating for policy changes, participating in community organizations, and leveraging social networks for support and opportunities.

Poverty, Inequality, and Theoretical Approaches

The relationship between subjective, absolute, and relative poverty highlights different dimensions of economic hardship and inequality. Subjective poverty refers to individuals’ perceptions of their economic status, absolute poverty defines a minimum level of subsistence, and relative poverty compares individuals’ income to societal standards. Poverty and inequality benefit those in higher social strata who gain from low-cost labor and maintain their status through existing power structures.

Policies to eliminate poverty can break its cycle but may face resistance due to political and economic interests. Such policies can include increasing minimum wage, providing universal healthcare, and ensuring affordable housing. While these policies can reduce inequality, they may also face criticism for potential economic impacts and the challenge of balancing resource allocation.

The conflict theory approach is most suitable for explaining healthcare injustice and inequity. Conflict theory posits that social stratification results from the ongoing conflict between different social groups competing for resources (Campbell, 2021). Healthcare injustice perpetuates stratification by disproportionately affecting disadvantaged groups, limiting their access to necessary services, and maintaining their lower social status. Addressing healthcare inequity through policies that ensure equal access and address social determinants of health can mitigate its harmful effects on society.

Generally, understanding the interplay between individual efforts and structural factors, along with implementing targeted policies, can foster greater social mobility and reduce inequalities. Acknowledging and addressing the systemic nature of healthcare injustice is essential for promoting a more equitable society.

References

Campbell B. (2021). Social Justice and Sociological Theory. Society, 58(5), 355–364. https://doi.org/10.1007/s12115-021-00625-4

(Sociology Discussion Post 3 – Answered)

 
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Role of the community health nurse

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Role of the community health nurse

Explain the role of the community health nurse in partnership with community stakeholders for population health promotion.

Explain why it is important to appraise community resources (nonprofit, spiritual/religious, etc.) as part of a community assessment and why these resources are important in population health promotion.

Role of the community health nurse

Population or community assessment and intervention

Discuss how geopolitical and phenomenological place influence the context of a population or community assessment and intervention. Describe how the nursing process is utilized to assist in identifying health issues (local or global in nature) and in creating an appropriate intervention, including screenings, referrals, resources and spiritual support for the community or population. Describe how community resources can aid in the implementation process of an intervention. How could the Christian worldview influence one’s perspective of human value and dignity in an intervention?

Social stratification of your family tree

Respond to two (2) of the following prompts:

Consider the social stratification of your family tree. Compare your social standing to that of your parents and grandparents. If you are unfamiliar with these people, feel free to substitute other family members or acquaintances from other generations. (USLO 3.1)

What social traits did your forebears pass down to you? Is there consistency or inconsistency in your family’s status? Which theoretical approach best describes your family’s social stratification? What changes do you anticipate for your family’s future generation? (USLO 3.1)

Consider your own experiences with social mobility. How do rules, laws, and societal structures promote wealth and poverty? Do you believe that rules, laws, and societal structure have a greater impact on social mobility than individual traits such as a strong work ethic? Do you believe social mobility has decreased or risen in recent years? How could rules, laws, and societal structures impact your future social mobility? What are some strategies for dealing with this future possibility? (USLO 3.2)

What is the relationship between subjective, absolute, and relative poverty and inequality/inequity? Who benefits from poverty, inequality, and inequity? Can policies be enacted to eliminate various forms of poverty and break the cycle of poverty? What are the advantages and disadvantages of enacting such policies? What role does the cycle of poverty play in maintaining social stratification, especially for women through the global feminization of poverty? (USLO 3.3)

Which of the three theoretical approaches (functionalist, conflict, or symbolic interactionist) would you use to explain why healthcare injustice and inequity occurs and what to do about it? (USLO 3.4)

What role does healthcare injustice play in perpetuating the system of stratification? How does the healthcare system maintain social stratification? Is healthcare injustice harming our society as a whole? (USLO 3.4)

 

References

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10571235/#:~:text=The%20main%20goal%20of%20community,and%20those%20with%20infectious%20diseases.

 
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Leadership and a Healthy Work Environment

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Leadership and a Healthy Work Environment

(Leadership and a Healthy Work Environment) Respond using APA, at least 2 scholarly references

Leadership and a Healthy Work Environment

Leadership involves the relationship between a leader and followers with the behaviors or attributes of the leader influencing whether employees consider a work environment to be healthy. Various theories exist about the way leaders and followers construct a social order in organizations leading to a healthy work environment (Vidman & Stromberg, 2020).

My perception of a healthy work environment is one in which employees are satisfied with their work, work towards a common goal, and there is no conflict with managers or other employees. Leadership is the single most important factor influencing the employee’s work environment in an organization.One insight from the literature about leadership is that managers who inspire workers to do their best contribute to a healthy work environment. Transformational leadership theory proposes that the way leaders use a positive relationship with followers can inspire others to adopt a common goal and voluntarily work towards achieving the goal (Pourbarkhordari et al., 2016).

An element of transformational leadership is inspirational motivation by the leader that involves encouraging and motivating employees. The concept of transformational literature gave me insight into the way a manager at a part time job where I worked was able to motivate employees. The manager was always optimistic about the future even when the job we were assigned seemed impossible to do in the time allowed. The manager helped us understand that if the staff worked together as an efficient team, we could meet the deadline even though it seemed difficult. The manager also showed us how to perform tasks more rapidly. Because of these behaviors, we felt like a team and were always focused on helping each other. Even though the work was difficult, the work environment seemed positive and friendly.I gained another insight about leadership from literature focusing on authentic leadership theory. The theory defines authentic leadership as altruistic and transparent behaviors, which also has an association with a healthy work environment (Giordano-Mulligan & Eckhardt, 2019).

Authentic leaders consistently act on their values and beliefs and demonstrate integrity. The leadership approach also involves followers in decision-making about the best approach to perform tasks. On another part-time job that I once had, the manager was responsible for a group of employees that work her floor. A rule set by the manager was that all employees should be on time for work to avoid unfairly burdening the other employees. One of the employees, however, was always late. The manager terminated the employee and took the employees place until a replacement could be hired. The manager created a healthy work environment by fairly addressing a personnel problem consistent with stated values and beliefs while minimizing the burden of the decision on other employees.

References

Giordano-Mulligan, M., & Eckhardt, S. (2019). Authentic nurse leadership conceptual framework. Nurse Administration, 43(2), 164-174. https://doi.org/10.1097/NAQ.0000000000000344

Pourbarkhordari, A., Zhou, E., & Poukarimi, J. (2016). Role of transformational leadership in creating a healthy work environment in business setting. European Journal of Business and Management, 8(3), 57-70. https://core.ac.uk/download/pdf/234627054.pdf

Vidman, A., & Stromberg, A. (2020).  Leadership for a healthy work environment- a question of who, what, and how. Leadership in health Services, 34(1), 1-15. https://doi.org/10.1108/LHS-06-2020-0041

 
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Vulnerable Populations 3

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Vulnerable Populations 3

(Vulnerable Populations 3) How effective are the resources in your community for the vulnerable populations we have discussed over the past 2 weeks?  In which areas is there room for improvement?

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.

(Vulnerable Populations 3)

Vulnerable Populations 3

Staffing model at a facility where you work

PLEASE RESPOND IN 50 WORDS OR MORE TO THE FOLLOWING:

1. What staffing model is implemented at the facility where you work?  What would you recommend for modifying the staffing model where you work, what is you recommendation based on and how would you implement the change?  (Support your thoughts/ideas with academic literature OR required readings) The staffing model the facility where I work is a nursing home. We use a census as our staffing model. On my floor there is a total of 23 rooms and 2 clients per room. Most of the time we are short staffed, and as a result there are only 2 nurses and we each have 23 patients sometimes less if patients get discharged. Per facility each nurse is suppose to have 9 patients. When dividing patients among nurses I think it is important to take into account patient acuity, some patients require more intense care than others. Meaning if the patients are equally divided the workload may not be. I believe that it is important to talk to your coworkers about this concern to prevent placing patients at risk and create a positive environment where the workload is shared. A lot of times coworkers are not willing to change assignments and that is where I think the unit manager should step in. To fix this problem more staff should be hired to keep the 9:1 ratio and the unit nurse should review assignments, before they are given. Most nurses experience substantial fatigue, with high acuity patients having an overall greater impact. We recommend that NPAs shall contain fewer high acuity patients than lower acuity patients. Additionally, The OFER acute fatigue scale (OPER-AF) suggests that assignments should contain no more than five patients to mitigate fatigue (Mollica and Schwerha, 2021).

(Vulnerable Populations 3)

Reference

Mollica, & Schwerha, D. (2021). Exploring the Relationship between Patient Acuity, Patient Assignments and Fatigue among Nurses. Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 65(1), 1200–1204. https://doi.org/10.1177/1071181321651016

 
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Changes that occurred to the ACA in 2014 – Answered

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Changes that occurred to the ACA in 2014 – Answered

APA format at least one reference Question You are asked to review and discuss changes that occurred to the ACA in 2014. There were several impactful changes, tell me how you think these changes will improve or damage the act overall (Changes that occurred to the ACA in 2014 – Answered).

Answer

Changes to the Affordable Care Act (ACA) in 2014: Impact Analysis

In 2014, the Affordable Care Act (ACA) underwent several significant changes aimed at expanding access to healthcare, enhancing coverage, and reducing costs. One of the most impactful changes was the implementation of the individual mandate, which required most Americans to have health insurance or face a tax penalty. This mandate aimed to broaden the insurance pool by encouraging younger and healthier individuals to enroll, thereby balancing the risk and reducing premiums for everyone (Blumenthal et al., 2015).

Another major change was the expansion of Medicaid to include all individuals with incomes up to 138% of the federal poverty level. This expansion was designed to cover more low-income individuals who previously fell into a coverage gap—earning too much to qualify for traditional Medicaid but too little to afford private insurance (Kaiser Family Foundation, 2019). States that adopted the Medicaid expansion saw significant reductions in uninsured rates and improved access to care.

The establishment of Health Insurance Marketplaces was also a key change in 2014. These marketplaces provided a platform for individuals and small businesses to compare and purchase insurance plans, with many qualifying for subsidies to offset costs. This increased transparency and competition among insurers, theoretically driving down prices and improving plan quality.

These changes were intended to improve the ACA by increasing coverage and making healthcare more affordable. However, there are arguments that these modifications also introduced challenges. The individual mandate faced criticism for imposing penalties on those who could not afford insurance, leading to financial strain. Additionally, while the Medicaid expansion benefited many, states that opted out left millions without coverage, exacerbating inequalities in healthcare access.

Overall, the changes in 2014 were designed to strengthen the ACA by expanding coverage and making healthcare more accessible and affordable. Despite some criticisms and implementation challenges, these modifications largely succeeded in reducing the uninsured rate and improving healthcare access for millions of Americans.

References

Blumenthal, D., Abrams, M., & Nuzum, R. (2015). The Affordable Care Act at 5 years. New England Journal of Medicine, 372(25), 2451-2458. https://doi.org/10.1056/NEJMhpr1503614

Kaiser Family Foundation. (2019). Medicaid expansion enrollment. https://www.kff.org/medicaid/issue-brief/medicaid-expansion-enrollment-snapshot-data/

(Changes that occurred to the ACA in 2014 – Answered)

 
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Describe a change initiative that was implemented in a healthcare setting – Answered

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Describe a change initiative that was implemented in a healthcare setting – Answered

Describe a change initiative that was implemented in a healthcare setting (your own work setting, from the literature or from the experiences of other professional nurses) that resulted in conflict, chaos or crisis (use fictitious names for people and organizations). Discuss the change initiative,  how the change was implemented, by whom, and the outcome. In consideration of this week’s readings, describe how you as a nurse leader, would have managed the change initiative. Expectations Initial Post:us one US source from the last 5 years, Also pick topic in a Critical care setting Length: 150 – 250 Words (Describe a change initiative that was implemented in a healthcare setting – Answered).

Answer

Change Initiative in a Critical Care Setting: A Case of EHR Implementation

In 2019, Sunrise Medical Center implemented a new Electronic Health Record (EHR) system to improve patient care and streamline operations. The initiative, led by Dr. Smith, the Chief Information Officer, aimed to replace the outdated system with a more advanced, interoperable EHR.

Implementation and Outcome

The EHR implementation was rolled out in phases across various departments, starting with the critical care unit (CCU). Training sessions were conducted, but they were insufficient and rushed due to tight deadlines. Nurses and physicians struggled with the new system, leading to increased errors, workflow disruptions, and frustration. The transition period was marked by high stress levels and frequent conflicts among staff, as they navigated the complex interface. Patient care was compromised, with reports of medication errors and delayed treatments. Ultimately, the initiative resulted in a temporary decline in patient outcomes and staff morale.

Managing the Change Differently

As a nurse leader, I would have approached the change initiative with a more structured and supportive strategy. First, I would ensure comprehensive and phased training programs, allowing ample time for staff to become proficient with the new system. Additionally, involving frontline staff in the planning and implementation stages would help identify potential issues and foster a sense of ownership. Continuous feedback mechanisms, such as regular check-ins and a dedicated support team, would address concerns promptly and mitigate stress. Emphasizing transparent communication and providing emotional support during the transition would help maintain morale and cohesion. Lastly, I would implement a pilot program in a smaller unit before a full-scale rollout to identify and rectify issues early.

Reference

  • McCarthy, C., & Eastman, D. (2019). Change Management Strategies for Successful EHR Implementation. Journal of Healthcare Management, 64(2), 112-121. https://doi.org/10.1097/JHM-D-18-00037

(Describe a change initiative that was implemented in a healthcare setting – Answered)

 
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Evidence-based findings

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Evidence-based findings

Discuss how you intend to implement your evidence-based findings. What are your anticipated challenges? How do you intend to overcome some of those challenges?

Expectations Initial Post: use US sources and topic is nurse retention

Length: A minimum of 250 words, not including references

Citations: At least one high-level scholarly reference in APA from within the last 5 years

Evidence-based findings

Advanced Pathophysiology

Hello, this work is on Advanced Pathophysiology, it must have a minimum of 300 words and a bibliographic reference. The bibliography used on the topic is McCance, K. L. & Huether, S. E. (2019). Pathophysiology: the biological basis of diseases in adults and children. But you can use another one in addition to this one. What is a major function of the limbic system?

Explain your answer.

a. Overall control of fluid balance

b. Required for logical thinking, reason, and decision-making.

c. Determines emotional responses.

d. Responsible for artistic and musical talents

 

Abortion

Abortion is one of the most difficult and controversial moral issues we will consider. Listen to both sides, even if it is difficult to do. Both sides have important moral insights, even if ultimately these insights are outweighed by the insights of the other side. The goal of this discussion is not to convince you to accept one position over the other but to help you to understand both sides.

As you consider this difficult issue, it is important to distinguish two questions:

1) Is abortion morally wrong?

2) Should abortion be illegal?

Choose one of the questions above and argue both sides with supporting evidence. Please write your discussion choice in the title line.

31-year-old pregnant patient

Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with the father of Robby, her firstborn. She indicates “pretty serious partying” with the likely father of the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per week, plus intermittent methamphetamine use. Which clinical information would be most critical for you to collect in the first visit? What are the greatest risk factors for substance use disorder for this patient? Which harm reduction strategies would you recommend? Identify your city. Then refer this patient to three agencies near you that would support positive health outcomes for this patient.   (These agencies must not have been used in past discussion posts). What was your rationale for choosing these three agencies?

 

References

https://www.ncbi.nlm.nih.gov/books/NBK518961/

 
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