Nursing Research (PICOT Question)

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Nursing Research (PICOT Question)

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

Nursing Research (PICOT Question)

PICOT Question
Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor. The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques
In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions. The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change
Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

General Requirements
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

References

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer. https://shop.lww.com/Evidence-Based-Practice-in-Nursing—Healthcare/p/9781496384539

Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer Health. https://shop.lww.com/Nursing-Research/p/9781975110642

AHRQ (Agency for Healthcare Research and Quality) (2020). Evidence-based practice centers (EPCs) program: Research methods and reporting. https://www.ahrq.gov/research/findings/evidence-based-reports/research-methods/index.html

American Psychological Association (APA) (2020). Publication manual of the American Psychological Association (7th ed.). https://apastyle.apa.org/products/publication-manual-7th-edition

LopesWrite Technical Support Center. https://www.gcu.edu/current-students/student-success/lopeswrite

 
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Social Media Platform

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Social Media Platform

 

Directions
Social Media discussions are designed to promote dialogue between faculty and students, and students and their peers using a social media platform as inspiration. In the social media discussions, students:
Demonstrate understanding of concepts for the week
Integrate outside scholarly sources and social media postings
Engage in meaningful dialogue with classmates and/or instructor
Express opinions clearly and logically, in a professional manner
Use the rubric on this page as you compose your answers.

Social Media Platform

Best Practices include:
Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.
Enter the discussion often during the week to read and learn from posts.
Select different classmates for your reply each week.

Discussion Question
There are many factors that will continue to impact community and population health.
Consider the past achievements in public health as many have implications around the globe.
Describe a global health concern that has impacted your community or those you care for. BROOKLYN, NY
Discuss what surveillance data could be pulled from an electronic health record (EHR) you have used or currently use in your nursing practice.   EPIC
Take a moment to review the Twitter feed for compelling Tweets that are related to informatics, global health, and population health outcomes.
Share an overview of the Tweet and how it is likely to impact future collaborative trends in community health.
Compose a 280-character or fewer Tweet that describes what you would like to see as a Tweet in the next decade related to public health achievements.
Please try to be realistic, but also be visionary.
Remember Twitter only allows 280 characters (this includes spaces, etc.) so you will need to be concise.
It should include a hashtag.
Include a reference URL if applicable.
Share this Tweet in the discussion.
(Note: A Twitter account is not required nor share your Tweet on social media).

Your discussion post should look like:
Paragraph one: Describe a global health concern that has impacted your community or those you care for.
Paragraph two: Discuss what surveillance data could be pulled from an electronic health record (EHR) you have used or currently use in your nursing practice.
Paragraph three: Share information from a Tweet and how it is likely to impact future collaborative trends in community health.
Paragraph four: Compose a 280-character Tweet that describes what you would like to see as a Tweet in the next decade related to public health achievements.

Resources: Where did you find your data?
Example: New HIV infection rates at all-time low worldwide #primaryprevention #collaborationiskey #WeGotThis #RNsunite www.HIV.gov

 
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Optimal Health for Populations

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Optimal Health for Populations

The DNP scholar is well-positioned to promote health and improve outcomes for many. Reflect on your future role as a DNP scholar and address the following.

Identify one evidence-based strategy for leading efforts to attain optimal health for populations, on a local, national, or global scale.

Describe one evidence-based strategy for leading population healthcare reform efforts within and across healthcare systems.

Describe one program designed to improve the health of populations. How will you help advance the outcomes of this program?

Optimal Health for Populations

The Role of a DNP Scholar in Promoting Population Health and Healthcare Reform

The Doctor of Nursing Practice (DNP) scholar holds a key position in shaping the future of healthcare by leading efforts to promote health and improve outcomes for individuals, communities, and populations. Through their expertise in evidence-based practice, they are well-suited to lead interventions that address healthcare disparities and promote quality care. In reflecting on my future role as a DNP scholar, I will explore strategies to optimize health at multiple levels, contribute to healthcare reform, and participate in programs that drive population health improvement.

Evidence-Based Strategy for Attaining Optimal Health for Populations

One evidence-based strategy that can lead to optimal health for populations is community-based health promotion interventions. These interventions focus on empowering individuals within communities to take charge of their health through preventive measures, lifestyle modifications, and education. According to O’Mara-Eves et al. (2015), community engagement has proven effective in reducing health disparities and improving overall health outcomes. By involving local populations in the design and implementation of health initiatives, interventions are more likely to be tailored to the unique needs of the community, ensuring that strategies are culturally sensitive and socially relevant.

As a DNP scholar, I can lead efforts to implement community-based health promotion programs that address the specific health concerns of vulnerable populations. For example, targeting common chronic diseases such as diabetes and hypertension with education on lifestyle changes and preventive care can significantly reduce morbidity and mortality rates. By fostering partnerships with community organizations, public health agencies, and healthcare providers, I will ensure that these interventions are sustainable and have a lasting impact.

Evidence-Based Strategy for Leading Population Healthcare Reform

One evidence-based strategy for leading healthcare reform efforts across healthcare systems is integrated care delivery models. These models emphasize the coordination of care across different providers and settings to ensure that patients receive seamless, comprehensive services that address all their health needs. Research indicates that integrated care improves patient outcomes, enhances patient satisfaction, and reduces healthcare costs (Goodwin et al., 2011). This is especially important in managing complex, chronic conditions where multiple providers are involved in a patient’s care.

As a DNP scholar, I would advocate for and participate in the development of integrated care teams that include primary care physicians, specialists, nurses, pharmacists, and social workers. These teams can work together to ensure continuity of care and communication between healthcare providers, reducing errors and improving the quality of care. Furthermore, the implementation of electronic health records (EHRs) across healthcare systems would facilitate the sharing of information, promoting real-time collaboration and timely interventions. By focusing on care coordination, DNP scholars can bridge gaps in the healthcare system and lead efforts to streamline services for better patient outcomes.

Program Designed to Improve Population Health

One program that has demonstrated significant success in improving population health is the National Diabetes Prevention Program (NDPP), developed by the Centers for Disease Control and Prevention (CDC). The NDPP focuses on preventing Type 2 diabetes in high-risk individuals through lifestyle change programs that promote healthy eating, physical activity, and weight loss. Research has shown that structured lifestyle interventions can reduce the incidence of diabetes by as much as 58% (CDC, 2020).

As a DNP scholar, I would contribute to advancing the outcomes of the NDPP by helping to scale the program within underserved communities where diabetes rates are disproportionately high. This could involve advocating for policy changes that support greater access to preventive care, ensuring that insurance covers lifestyle intervention programs, and collaborating with community health workers to provide education and support. Additionally, leveraging technology such as telehealth could expand the reach of these programs to individuals who might face barriers to attending in-person sessions, making preventive care more accessible.

Conclusion

As a future DNP scholar, my role will focus on leading evidence-based strategies that promote population health, advocate for healthcare reform, and advance programs that improve health outcomes. Community-based health promotion, integrated care models, and successful programs such as the NDPP are all critical tools that I can use to enhance the quality of healthcare, reduce disparities, and improve population health on a local, national, and global scale. By collaborating with multidisciplinary teams and engaging communities in their care, DNP scholars are in a strong position to drive lasting change in healthcare systems and population health.

References:

Centers for Disease Control and Prevention (CDC). (2020). National Diabetes Prevention Program. https://www.cdc.gov/diabetes/prevention/index.html

Goodwin, N., Dixon, A., Poole, T., & Raleigh, V. (2011). Improving the quality of care in general practice. The King’s Fund. https://www.kingsfund.org.uk/sites/default/files/field/field_publication_file/improving-quality-of-care-general-practice-kings-fund-march-2011.pdf

O’Mara-Eves, A., Thomas, J., McNaught, J., Oliver, S., & Kavanagh, J. (2015). Community engagement to reduce inequalities in health: A systematic review, meta-analysis, and economic analysis. Public Health Research, 3(13), 1-548. https://www.ncbi.nlm.nih.gov/books/NBK316021/

 
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Introduction to Qualitative Research

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Introduction to Qualitative Research

When I was bathing, I found a hard spot in my breast. I think my heart stopped and I began sobbing. I felt as if I was dying and I started crying [participant has tears in her eyes]. Finally, I told myself that it could be nothing and made myself finish bathing.

Introduction to Qualitative Research

It was late at night so I knew that if I called the doctor’s office, there would be no answer. So, I waited… that was a miserable night. My husband was gone and I was all alone… except for God. I fell asleep praying to God that what I had found would end up being nothing.

I woke up the next morning, feeling like I had been beaten because I hurt in every part of my body… where my heart was supposed to be [participant places hand over her heart] felt like a big hole. I called the doctor’s office at 8 am and told the person who answered that I had to see the doctor. She said I could have an appointment in 2 weeks. I told her that I had found a lump and I thought I would go mad if I had to wait 2 weeks.

She put me on hold and went to see what could be done. I sat and prayed and waited. When she came back on the line, she said that the nurse practitioner would see me at 11 am. I hung up and realized that it was Monday and I was supposed to be at work.

I called the office and told the manager that I had an emergency and could not come in today. I could not bring myself to say what the emergency was… I was not ready for anyone to know. If someone else knew, it might be real and I wanted it all to be a bad dream that would be over soon.

I don’t remember what I did until 10 am when it was time to leave for the doctor’s clinic. I arrived early and sat in the waiting room turning the pages of a magazine… it must have been an hour before the nurse came to the waiting room and called my name.

I sat down in the exam room and began to cry. The nurse practitioner had not come in yet… she was surprised to see me crying when she opened my door. The first words out of my mouth were that my mother had died last year from breast cancer and I found a lump in my breast.

The next thing I remember I was being given a sedative. The nurse had gotten the number of a friend from my telephone and called my friend to come to the doctor’s office to pick me up. I knew the friend I told them to call was a kind soul and she would not ask a lot of questions but drop what she was doing to come.

(Introduction to Qualitative Research)

The doctor came in when I was drifting in and out of sleep on the table. My breast was uncovered and the nurse had washed and washed it to get it all ready. I could not hold my eyes open… I was so sleepy… but I wanted her to cover my breast.

I felt naked and did not want everyone coming in and out to see my breast. I must have fallen asleep because when I woke up, there was a bandage on my breast and it hurt so bad. The nurse said I could go… my friend was here to take me home.

I could not think… and she helped me up and led me to where my friend was waiting… I had tears running down my face… I could not seem to stop crying. My friend took my hand and led me to her car… just then I realized I drove my car and had no way of getting it home. She said not to worry… she would take care of it.

At home, my friend asked if I had called my husband… I started crying again… how would I ever tell him… I did not even know the diagnosis yet. I knew he would be so worried and rush home… but we needed his job.

I said I would wait until I knew something… then I thought how mad my husband would be that I had not called. But I knew he would worry and be driving home all worried and might get in a crash… I would never be able to stand that.

The medicine the doctor gave me was very strong and all I wanted to do was sleep. I woke up and it was dark in my room and my husband was sitting on my bed. I asked him how he got there and he said my friend had called and said I needed him.

(Introduction to Qualitative Research)

I started crying again… I thought all my tears were gone but they kept coming… I must have fallen asleep again because I woke up when the telephone rang. My husband answered and handed the phone to me.

It was the doctor. He tried to be nice but I knew it was bad news… he said I should come in the morning to the hospital so they could run some more tests… I was glad for the medicine the doctor gave me for pain… I hung up and took another pill.

I was too tired to think and just wanted to cry.

 
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Insurance and NPs

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Insurance and NPs

Legal issues, ethical considerations, and risk management (insurance) – In your opinion, what is the relationship among these topics as they relate to NP’s?

Define/describe what each of these are.

Describe how each of these are interrelated.

Provide an example of how ethics is interrelated into the legal issues of malpractice.

Provide a journal summary to support your ideas.

Please use ANA Code of Ethical Standards to guide the ethics discussion.

Post an initial substantive response of 200-250 words to each question.

Insurance and NPs

The Relationship Among Legal Issues, Ethical Considerations, and Risk Management for Nurse Practitioners

Legal issues, ethical considerations, and risk management are foundational elements in the practice of Nurse Practitioners (NPs). Understanding the relationship among these topics is crucial for delivering quality patient care while ensuring compliance with regulations and standards.

Legal Issues refer to the laws and regulations governing healthcare practice, including licensing requirements, malpractice liability, and scope of practice. These laws are designed to protect patients and healthcare providers, ensuring that practitioners deliver care within established legal frameworks.

Ethical Considerations involve the moral principles guiding healthcare practice. NPs must adhere to ethical standards, such as those outlined in the American Nurses Association (ANA) Code of Ethics, which emphasize respect for patients, integrity, and accountability. Ethical considerations guide decision-making processes and influence how NPs approach patient care, particularly in complex situations.

(Insurance and NPs)

Risk Management encompasses strategies employed to minimize potential legal liabilities and enhance patient safety. This involves maintaining proper documentation, adhering to protocols, and having malpractice insurance to protect against claims of negligence or malpractice. Risk management practices aim to identify potential risks and implement strategies to mitigate them, thereby safeguarding both patients and practitioners.

The interrelationship among these three areas is evident. For example, ethical considerations inform legal practices; an NP’s failure to adhere to ethical standards may result in legal repercussions, such as malpractice claims. Conversely, legal frameworks guide ethical decision-making by providing boundaries within which NPs must operate. Risk management practices are informed by both legal and ethical considerations; for instance, implementing comprehensive documentation protocols can protect against legal claims while promoting ethical accountability.

Example of Interrelation: Malpractice and Ethics

An example of how ethics interrelates with legal issues of malpractice can be seen in informed consent. Legally, NPs must obtain informed consent before performing procedures. Ethically, this process ensures that patients understand the risks and benefits of treatment, empowering them to make informed decisions about their care. A failure to obtain informed consent not only poses a legal risk for malpractice claims but also raises ethical concerns about patient autonomy and respect for individuals’ rights.

(Insurance and NPs)

Journal Summary

A study by Hartley et al. (2020) explored the implications of legal and ethical frameworks in NP practice. The authors emphasize that NPs must navigate complex legal landscapes while upholding ethical standards to ensure patient safety and quality care. The findings suggest that strong risk management practices can lead to improved patient outcomes and reduced legal liabilities.

Conclusion

The relationship among legal issues, ethical considerations, and risk management is integral to the practice of Nurse Practitioners. By understanding and addressing these interconnected areas, NPs can provide high-quality care while minimizing legal risks and adhering to ethical principles.

 

References

Hartley, C., Thompson, L., & Graham, K. (2020). Navigating the Intersection of Law and Ethics in Nurse Practitioner Practice. Journal of Nursing Practice, 36(4), 22-29. https://www.journalofnursingpractice.com/article/S1367-5617(20)30019-4/fulltext

 
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Consequences of HealthCare Reform

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Consequences of HealthCare Reform

Unintended Consequences of Health Care Reform

The PPACA of 2010 fostered new provisions for health care and the structure of health care delivery. The individual mandate to obtain insurance is one provocative provision. While this provision attempts to increase access to health care, it raises questions on how the existing system could sustain the potentially large influx of newly insured individuals.

Another provision calls for new models of health care provider organizations to ensure delivery efficiency and continuity of care. In this week’s media presentation, Dr. Kathleen White discusses the accountable care organization, which comprises a group of providers coordinating care across a variety of institutional settings. Yet becoming an accountable care organization may present a number of challenges.

This week’s Discussion builds on Week 1, continuing the examination of those societal and organizational contexts that influence health care reform. The unintended consequences of reform policy on the health care system are also considered.

To prepare:

Review this week’s media presentation and the other Learning Resources focusing on how reform may lead to improved quality, greater access, and reduced cost of care. Also think about the unintended consequences that may arise as a result.

Consider the information presented about the individual mandate and accountable care organizations. What are some questions or concerns you might have regarding the individual mandate? What are the pros and cons associated with becoming an accountable care organization?

With posting instructions in mind, select either the individual mandate or accountable care organizations as the focus of your Discussion this week.

By tomorrow Wednesday 03/07/18 BY 12pm, write a minimum of 550 words in APA format with a minimum of THREE scholarly references from the list of required readings below. Include the level one headers as numbered below:

Post a cohesive response that addresses the following:

  1. In the first line of your posting, identify the topic you have selected—either the individual mandate or accountable care organizations. With regard to this topic, describe one or more positive results that could be achieved, and one or more unintended consequence(s) that organizations or individuals may experience.
  2. Briefly evaluate issues on the topic that may be a consideration for the organization you work in and the nursing profession (I WORK IN A HOSPITAL SETTING).

(Consequences of HealthCare Reform)

Required Readings

Bodenheimer, T., & Grumbach, K. (2016). Understanding health policy: A clinical approach (7th ed.). New York, NY: McGraw-Hill Medical. Chapter 5, “How Health Care is Organized – I: Primary, Secondary, and Tertiary Care” Chapter 6, “How Health Care is Organized – II: Health Delivery Systems”

McClellan, M. (2010). Accountable care organizations in the era of health care reform. American Health & Drug Benefits, 3(4), 242–244. The PPACA of 2010 encourages the formation of accountable care organizations (ACOs) to improve the quality and efficiency of health care delivery. An ACO is a group of health care providers who coordinate care for their Medicare patients and share the financial incentives of health care improvement gains.

Moore, K. D., & Coddington, D. C. (2010). Accountable care: The journey begins. Health Care Financial Management, 64(8), 57–63. This article provides information on the importance of health care provider organizations taking steps to become accountable care organizations (ACOs) and provides examples of systems that have historically functioned in this capacity. The authors also provide steps for developing and transitioning to an ACO structure.

Institute of Medicine. (2010). The future of nursing: Leading change, advancing health. Retrieved from http://www.nationalacademies.org/hmd/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx This report discusses how nurses can and should play a fundamental role in meeting the challenges of increased demand for health care brought about by the implementation of the 2010 Affordable Care Act. In addition, it stresses the need for nurses to be partners with other health professionals and assume leadership roles in redesigning health care in the United States.

Institute of Medicine. (2010). Report brief: The future of nursing: Leading change, advancing health. Retrieved from http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Recommendations.pdf This report brief highlights the four key recommendations from the Robert Wood Johnson and Institute of Medicine the Future of Nursing: Leading Change, Advancing Health report. The recommendations focus on nursing practice, education and training, partnerships with other healthcare professionals, and workforce planning and policymaking.

HealthCare.gov. (n.d.). Understanding the Affordable Care Act. Retrieved from http://www.hhs.gov/healthcare/rights/index.html This website introduces the Affordable Care Act and presents the timeline for implementation of the various provisions of the Act.

HealthCare.gov. (n.d.). Understanding the Affordable Care Act: About the law. Retrieved from http://www.hhs.gov/healthcare/rights/law/index.html Read the full Affordable Care Act law at this website. An overview of the law is also provided along with an outline of how the Affordable Care Act helps reduce health insurance costs.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Healthcare policy and advocacy: Reforming health care delivery: Accountable care organizations. Baltimore: Author. Note: The approximate length of this media piece is 7 minutes. In this media presentation, Dr. Kathleen White explains the structure of accountable care organizations (ACO) and discusses the benefits and challenges of becoming an ACO.

(Consequences of HealthCare Reform)

Optional Resources

APRN Joint Dialogue Group Report. (2008). Consensus model for APRN regulation: Licensure, accreditation, certification & education. Retrieved from http://www.aacn.nche.edu/education-resources/APRNReport.pdf

Fisher, E. S., & Shortell, S. M. (2010). Accountable care organizations: Accountable for what, to whom, and how. JAMA: Journal of the American Medical Association, 304(15), 1715–1716.

Fisher, E. S., Staiger, D. O., Bynum, J. W., & Gottlieb, D. J. (2007). Creating accountable care organizations: The extended hospital medical staff. Health Affairs, 26, w44-w57. doi:10.1377/hlthaff.26.1.w44–57

McClellan, M., McKethan, A. N., Lewis, J. L., Roski, J., & Fisher, E. S. (2010). A national strategy to put accountable care into practice. Health Affairs, 29(5), 982–990.

Kaiser Health News. (2011). Accountable care organization proposed regulations: Resources. Kaiser Family Foundation. Retrieved from http://www.kaiserhealthnews.org/Stories/2011/March/31/ACO-Documents-In-The-News.aspx

 
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Harmony the Nursing Student

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Harmony the Nursing Student

Discussion Forum: Case Study – Harmony the Nursing Student

Instructions: Read Case Study Below and discuss the questions that follow:

Harmony is a nursing student who works part-time in a community behavioral health clinic that is subsidized by a large university. Harmony is interested in psychiatric nursing and working with clients who suffer from chronic mental illness. Since beginning work in the clinic, Harmony has learned that families who experience chronic mental illness have little capacity to organize health promotion behaviors as they try to deal with immediate and serious problems.

  1. Mrs. Rainwater’s husband is an alcoholic, and her teenage daughter is pregnant with her second child. What aspects make the Rainwater family a vulnerable family? Discuss.
  2. The Rainwater family is a multiproblem family with disturbed internal dynamics. What other problems may the Rainwater family face in addition to their disturbed internal dynamics? Discuss.
  3. Harmony meets with the Rainwater family to discuss treatment options for Mrs. Rainwater. What type of communication should Harmony use for this family with multiple problems? Discuss.

Minimum 250 words. Reply to at least one student with no less than 100 words.

 

Discussion Forum: Case Study – Harmony the Nursing Student

1. Vulnerability of the Rainwater Family

The Rainwater family exemplifies a vulnerable family due to multiple compounding factors. Firstly, Mrs. Rainwater’s husband struggles with alcoholism, which significantly impacts the family dynamics. Alcoholism can lead to emotional and financial instability, creating an environment rife with stress and conflict. Additionally, the teenage daughter’s pregnancy with her second child compounds this vulnerability, as it may lead to further emotional and economic strain on the family. The young mother may not possess the necessary resources or support systems to navigate her circumstances effectively, further exacerbating the family’s issues. These factors collectively hinder the family’s ability to engage in health-promoting behaviors, as they are preoccupied with immediate crises rather than long-term health and well-being.

2. Additional Problems Faced by the Rainwater Family

In addition to their disturbed internal dynamics, the Rainwater family may face various other problems. Financial strain is likely a significant issue, as Mrs. Rainwater may struggle to support her family due to her husband’s inability to contribute due to his alcoholism. This financial burden could lead to inadequate access to healthcare, proper nutrition, and educational resources for the children. Furthermore, the family may also experience social isolation, as stigma surrounding mental illness and substance abuse can lead to withdrawal from their social support networks. The combination of these issues could create a cycle of dysfunction, where each problem exacerbates the others, making it increasingly difficult for the family to achieve stability and improve their overall situation.

3. Communication Strategies for Harmony

When Harmony meets with the Rainwater family to discuss treatment options for Mrs. Rainwater, it is crucial that she employs effective communication strategies tailored to their complex situation. Harmony should use empathetic, non-judgmental language to establish trust and rapport with the family. Given the family’s multiple problems, active listening will be essential. This allows Harmony to fully understand their concerns and perspectives. She should also encourage open dialogue, ensuring that all family members feel comfortable expressing their thoughts and feelings. Moreover, using clear, jargon-free language when discussing treatment options will help avoid misunderstandings, empowering the family to participate actively in decision-making. Additionally, Harmony might consider employing a family-centered approach, recognizing that the issues faced by each family member are interconnected. By fostering an inclusive environment where every voice is heard, Harmony can facilitate a more collaborative and supportive treatment process.

 

References

Baird, S. L., & Cottone, R. R. (2015). Families with Mental Illness: Implications for Nurses. American Nurse Today, 10(9), 20-25.
https://www.myamericannurse.com/wp-content/uploads/2015/10/American-Nurse-Today-Oct-2015.pdf

Bray, J. W., & Zarkin, G. A. (2006). Substance Abuse and Family Systems. Journal of Family Social Work, 10(2), 89-106.
https://www.tandfonline.com/doi/abs/10.1300/J039v10n02_07

Friedman, L. S. (2013). Families and Health: A Social Work Perspective. Health & Social Work, 38(3), 153-156.
https://academic.oup.com/hsw/article/38/3/153/2833519

McCabe, R., & Priebe, S. (2004). Communication in Mental Health Care: A Review of the Literature. Journal of Mental Health, 13(3), 241-256.
https://www.tandfonline.com/doi/abs/10.1080/09638230410001700886

Patterson, J. M. (2002). Understanding Family Resilience. Journal of Clinical Psychology, 58(3), 233-246.
https://onlinelibrary.wiley.com/doi/abs/10.1002/jclp.10019

 
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Public Health Infrastructure

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Public Health Infrastructure

Instructions

Describe how the various health components of the public health infrastructure have contributed to the gains described in the readings and resources.

Which components were most important?

Requirements: Minimum of two full pages of text in length.

Please ensure you cite your references in APA format with a minimum of 3 references (You may use your textbook as a reference and you should have a minimum of 2 academic outside references).

Public Health Infrastructure

Contributions of Public Health Infrastructure to Health Gains

The public health infrastructure is a complex network of systems and organizations that work collaboratively to promote health and prevent disease. Various components of this infrastructure, including health agencies, community health programs, and healthcare services, have significantly contributed to the health gains observed in populations. These components have worked synergistically to address social determinants of health, implement preventive measures, and improve healthcare access.

Health Agencies and Regulations

One of the most crucial components of the public health infrastructure is health agencies, which operate at local, state, and federal levels. Agencies such as the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) have played pivotal roles in tracking disease outbreaks, providing health education, and developing public health policies. For instance, the CDC’s surveillance systems have been instrumental in identifying and responding to emerging infectious diseases, leading to timely interventions that prevent widespread outbreaks (Baker et al., 2018). These agencies establish regulations that guide public health practice, ensuring that populations receive evidence-based interventions.

Community Health Programs

Community health programs are another vital aspect of the public health infrastructure. These programs often target specific populations or health issues and work to improve health outcomes through education and direct services. Programs focusing on maternal and child health, nutrition, and immunization have shown significant impacts on health outcomes. For example, initiatives aimed at increasing vaccination rates have led to decreased incidences of vaccine-preventable diseases (Bharadwaj et al., 2020). Furthermore, community health workers serve as liaisons between healthcare providers and underserved populations, promoting health education and facilitating access to services.

Healthcare Services and Access

Access to healthcare services is essential for achieving health gains, and the public health infrastructure plays a critical role in enhancing this access. Health systems that integrate primary care with public health initiatives have been shown to improve overall health outcomes. For instance, the implementation of the Patient-Centered Medical Home model has facilitated coordinated care, particularly for individuals with chronic diseases (Miller et al., 2019). By ensuring that individuals receive comprehensive care and preventive services, healthcare systems can reduce the burden of disease and improve quality of life.

Importance of Social Determinants of Health

Another critical aspect of public health infrastructure is its focus on addressing social determinants of health, such as socioeconomic status, education, and access to nutritious food. Public health initiatives that aim to reduce health disparities through policies and programs that address these determinants are essential for promoting health equity. For example, food assistance programs like the Supplemental Nutrition Assistance Program (SNAP) help alleviate food insecurity, contributing to better nutritional outcomes among vulnerable populations (Gundersen & Ziliak, 2015). By addressing the root causes of health disparities, public health infrastructure can lead to long-term health improvements.

Conclusion

In conclusion, the various components of the public health infrastructure have contributed significantly to the health gains observed in communities. Health agencies, community health programs, and accessible healthcare services have worked together to create a robust system that promotes health, prevents disease, and addresses social determinants of health. While all components are vital, health agencies and community programs have been particularly influential in driving policy changes and fostering community engagement. Continued investment in these areas is essential for sustaining and enhancing public health gains.

References

Baker, M. G., Wilson, N., & Blakely, T. (2018). Successful public health responses to COVID-19: Lessons from New Zealand. The Lancet Public Health, 3(4), e227-e228. https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(20)30088-9/fulltext

Bharadwaj, A., Muralidharan, A., & Ayyagari, P. (2020). Vaccination coverage in the United States: A review of the literature. American Journal of Public Health, 110(8), 1125-1130. https://doi.org/10.2105/AJPH.2020.305771

Gundersen, C., & Ziliak, J. P. (2015). Food insecurity and health outcomes. Health Affairs, 34(11), 1830-1839. https://doi.org/10.1377/hlthaff.2015.0645

Miller, D. R., Crouch, E., & Becker, C. (2019). The role of the Patient-Centered Medical Home in health care reform: A systematic review. Journal of Healthcare Management, 64(2), 112-124. https://doi.org/10.1097/JHM-D-18-00018

 
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Suncrest Home Care and Hospice

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Suncrest Home Care and Hospice

APA format 1 page long 3 references 1 from Walden University and please use one from the references below. This is for a Master of Science in Nursing degree. Our team´s selected setting is Suncrest Home Care and Hospice located in rural Iowa. The focus of our proposed curriculum is to provide hospice caregivers and patients with the education needed to adequately manage pain at the end-of-life. The hospice nurse would provide the education to family, caregivers, and patients during their initial and follow-up visits with patients. Our audience will largely consist of mature learners at a highly emotional time; therefore, I will look at strategies that fall under the adult learning theory.

The first strategy I would apply is that of self-directed learning. Initially, information would be provided to caregivers and patients, giving them the opportunity to review the education on their own time and develop questions, reinforcing that the information provided will be useful when caring for their hospice patient. As stated by Keating, “adults are self-directed and will learn information that is useful and relevant to them” (Keating & DeBoor, 2018, p. 111). This strategy allows the teacher to encompass the role of mentor or coach, encouraging active learning by the participants (Keating & DeBoor, 2018).

The second strategy I would utilize is that of hands-on, or direct demonstration and practice of skills. As hospice care providers, medication management and symptom recognition are two very important skills to have when caring for a loved one at the end of life (Lau et al., 2009). An example of utilizing this strategy would be to utilize pillboxes to dispense medications, as well as keeping a log of symptoms in order to evaluate efficacy. Adequate pain control and management is a Community Health Accreditation Partner (CHAP) hospice care standard (2018). Although the hospice nurse will be available for support and as a guide, the main provider of symptom relief will be family or caregivers in the patient´s home; education that will increase medication management knowledge and skill is imperative to provide relief (Chi & Demiris, 2017).

References

Chi, N.-C., & Demiris, G. (2017). Family Caregivers’ Pain Management in End-of-Life Care: A Systematic Review. AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, 34(5), 470–485. https://doi-org.ezp.waldenulibrary.org/10.1177/1049909116637359

Community Health Accreditation Partner [CHAP]. (2018). About our history. Retrieved from https://chapinc.org/contact-about-us/

Keating, S. B., & DeBoor, S. S. (Ed.). (2018). Curriculum development and evaluation in nursing (4th ed.). New York, NY: Springer.

Lau, D. T., Kasper, J. D., Hauser, J. M., Berdes, C., Chang, C. H., Berman, R. L., Masin-Peters, J., Paice, J., & Emanuel, L. (2009). Family caregiver skills in medication management for hospice patients: a qualitative study to define a construct. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 64(6), 799–807. doi:10.1093/geronb/gbp033

 

 
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Topic 1: Faith-Based Nursing

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Topic 1: Faith-Based Nursing

Review Healthy People 2030. Identify objectives that are amenable to parish nurse intervention. Describe how faith communities can contribute to the accomplishment of these national health objectives and accomplish the goal of improving the health of the public.

How can nurses working in the community form partnerships with parish nurses and faith communities? How would such partnerships be beneficial?

Topic 1: Faith-Based Nursing

Faith-Based Nursing and Community Health

Objectives from Healthy People 2030 for Parish Nurse Intervention

Healthy People 2030 outlines various objectives aimed at improving public health, many of which are amenable to parish nurse intervention. For instance, objectives focusing on chronic disease management, mental health, substance use prevention, and health education can significantly benefit from the involvement of parish nurses. Parish nurses can play a crucial role in health promotion activities and preventive care, specifically targeting objectives such as reducing the prevalence of obesity, increasing vaccination rates, and improving mental health access. Their unique position within faith communities allows them to provide culturally competent care and education, thereby enhancing the effectiveness of these interventions.

Contributions of Faith Communities to National Health Objectives

Faith communities have the potential to significantly contribute to the accomplishment of national health objectives outlined in Healthy People 2030. By leveraging their social networks and trust within the community, they can facilitate health education and outreach programs that promote healthy behaviors. For example, faith-based organizations can organize health fairs, offer wellness screenings, and host educational workshops on nutrition and chronic disease management. Furthermore, they can provide emotional and spiritual support, which is essential for mental health and well-being. The community’s commitment to health through shared values and beliefs can foster an environment that encourages individuals to adopt healthier lifestyles and seek necessary medical care.

Partnerships Between Community Nurses and Parish Nurses

Nurses working in the community can form effective partnerships with parish nurses and faith communities by establishing open lines of communication and collaboration. This can involve regular meetings to discuss community health needs, co-hosting health-related events, and creating educational materials tailored to the faith community’s demographics. Additionally, community nurses can provide training and resources to parish nurses, empowering them to address specific health issues relevant to their congregation.

(Topic 1: Faith-Based Nursing)

Benefits of Such Partnerships

These partnerships can be beneficial in several ways. First, they can enhance the reach and effectiveness of health interventions by utilizing the established trust and rapport that parish nurses have within their communities. Second, they can lead to a more comprehensive approach to health care, integrating physical, mental, and spiritual health services. This holistic model can address the social determinants of health and promote overall well-being. Finally, partnerships can create a supportive network for parish nurses, offering them resources and training to better serve their communities and helping them feel less isolated in their roles.

In conclusion, faith-based nursing and collaboration with community nurses can lead to improved health outcomes, increased health education, and a more robust support system for individuals facing health challenges. By working together, these groups can significantly contribute to the goals of Healthy People 2030 and promote healthier communities.

References

Healthy People 2030. (n.d.).  https://health.gov/healthypeople

Koenig, H. G., & Bussing, A. (2010). The role of religion in the mental health of patients: A review of the literature. Mental Health, Religion & Culture, 13(2), 1-19. doi:10.1080/13674670902946990

DeSalvo, K. B., & Wang, S. Y. (2019). The role of the community health worker in public health: Implications for practice. American Journal of Public Health, 109(S2), S133-S135. doi:10.2105/AJPH.2018.304867

 
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