In this assignment I need a peer response for the main discussion, that show below.

The peer’s responses

Discussion Grading Criteria: Agreeing and disagreeing do not mean just voicing one’s opinion. The focus of the discussions should remain on the ideas posed in the readings. Agreeing and disagreeing mean making scholarly arguments from the literature that may support your own ideas. Faculty expects you to support your ideas from the readings or similar scholarly writing about the topic in nursing literature. Always cite your source(s) and reference in APA format.

Remember the post and responses should include scholarly writing about the topic in nursing literature.

Note por the professor:

Hello class,

Please refer to your APA format in your postings. The journal name and volume is italicized font. Ex.

…The American Nursing Journal,7(9),,,,

Please update your APA to reflect doi 

  

Thalia T. Ayra

On your discussion this week answer the following questions:

1) What is the U.S. Preventive Task Force (USPTF)?

The U.S. Preventive Services Task Force is an independent, volunteer panel of national experts in disease prevention and evidence-based medicine. The Task Force works to improve the health of all Americans by making evidence-based recommendations about clinical preventive services.

   2. ) Select a disease for example colon cancer and discuss the screening age recommendations and the screening tools recommended for early prevention?

Adults age ≥40 years in average-risk or unselected populations; screening populations (i.e., no symptoms) Populations selected for personal or family history of colorectal cancer (e.g., one or more first-degree relatives with colorectal cancer diagnosed before age 60 years or two or more first-degree relatives diagnosed at any age), known genetic susceptibility syndromes (e.g., Lynch Syndrome, familial adenomatous polyposis), or personal history of inflammatory bowel disease; nonscreening populations (e.g., persons who have symptoms, test positive on screening, have iron deficiency anemia, or are under surveillance for a previous colorectal lesion)

Settings       Settings representative of community practice for flexible sigmoidoscopy and colonoscopy studies; studies conducted in developed countries (categorized as “very high” on the 2017 Human Development Index, as defined by the United Nations Development Programme)       Primarily research-based settings for endoscopy studies (e.g., small studies aimed at evaluating new endoscopy technologies, studies with operator or resource characteristics that are not applicable to community practice); developing countries

Screening tests    

KQ 1: Any program of colorectal cancer screening, including endoscopy, imaging, urine, stool, or serum testing

KQs 2–3:

Direct visualization tests:

Colonoscopy

Flexible sigmoidoscopy

Computed tomography colonography

Capsule endoscopy*

Stool-based tests:

High-sensitivity guaiac fecal occult blood test

Fecal immunochemical test (quantitative and qualitative testing)

Multitarget stool DNA test (with or without fecal immunochemical testing)

Serum-based test:

Circulating methylated septin 9 gene DNA test (mSEPT9)*

Urine-based test

KQs 2, 3: New technologic enhancements to colonoscopy or computed tomography colonography; Hemoccult II (review of test performance and harms limited to include only high-sensitivity guaiac fecal occult blood test); stool testing using in-office digital rectal examination; double-contrast barium enema; magnetic resonance colonography

Comparisons       

KQ 1: No screening or alternate screening strategy

KQ 2: Diagnostic accuracy studies that use colonoscopy as a reference standard

KQ 3: No comparator necessary

Outcomes  

KQ 1: Colorectal cancer incidence (by stage and location) or interval colorectal cancer; colorectal cancer–specific or all-cause mortality

KQ 2: Test accuracy, including: sensitivity and specificity (per person for all tests and per lesion for direct visualization tests), positive and negative predictive value (per person for all tests and per lesion for direct visualization tests), and false-positive and false-negative rates for identifying colorectal cancer, advanced adenoma (high-grade dysplasia, villous histology, or size ≥10 mm), or adenomatous or sessile serrated polyps by size (i.e., ≤5 mm, 6 to 9 mm, ≥10 mm) or by location (e.g., proximal or distal colon, rectum)

KQ 3: Serious harms requiring unexpected or unwanted medical attention (e.g., requiring hospitalization) and/or resulting in death, including but not limited to perforation, major bleeding, severe abdominal symptoms, cardiovascular events; extracolonic findings, and subsequent diagnostic workup, and adverse events from diagnostic testing for incidental findings on computed tomography colonography; radiation exposure per each computed tomography colonography examination

KQ 1: Incidence of adenomas or advanced neoplasia (composite outcome of advanced adenomas and colorectal cancer)

KQ 3: Minor harms, defined as those not necessarily needing or resulting in medical attention (e.g., patient dissatisfaction, anxiety or worry, minor gastrointestinal complaints)

Study design        

All KQs: Fair- to good-quality studies

KQ 1: Randomized, controlled trials; controlled clinical trials; prospective cohort studies

KQ 2: Randomized, controlled trials; controlled clinical trials; cohort studies; nested case-control diagnostic accuracy studies; and screening registry studies

KQ 3: Randomized, controlled trials; controlled clinical trials; large screening registry or database observational studies; cohort studies; and systematically selected case series

All KQs: Poor-quality studies

KQ 1: Decision analyses†

KQ 2: Diagnostic accuracy studies without a reference standard or without representation of a full spectrum of disease (e.g., case-control studies, studies that excluded indeterminate results)

KQ 3: Case st

References

“Clinical Guidelines and Recommendations”. Agency for Healthcare Research Quality.

“U.S. Preventive Services Task Force: About USPSTF”. Agency for Healthcare Research Quality. November 2014.

 

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Disscussion # 4 : 

Challenges of the interview of the ARNP initial post due this week

Listed below are the three most challenging interview questions you may experience during the interview process. To fully prepare the student for his or her future interview, please provide a clear and concise answer as to how you as the APRN will answer each interview question.

What is your biggest Weakness?

Describe how you resolved conflict with a co-worker or patient?

Tell me about yourself?

Note por the professor:

Hello class,

Please refer to your APA format in your postings. The journal name and volume is italicized font. Ex.

…The American Nursing Journal,7(9),,,,

Please update your APA to reflect doi 

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

  

In this assignment I need a peer response for the main discussion, that show below.

The peer’s responses

Discussion Grading Criteria: Agreeing and disagreeing do not mean just voicing one’s opinion. The focus of the discussions should remain on the ideas posed in the readings. Agreeing and disagreeing mean making scholarly arguments from the literature that may support your own ideas. Faculty expects you to support your ideas from the readings or similar scholarly writing about the topic in nursing literature. Always cite your source(s) and reference in APA format.

Remember the post and responses should include scholarly writing about the topic in nursing literature.

Note por the professor:

Hello class,

Please refer to your APA format in your postings. The journal name and volume is italicized font. Ex.

…The American Nursing Journal,7(9),,,,

Please update your APA to reflect doi 

Discussion 4: William Rodriguez

What is your biggest Weakness?

One of my greatest weaknesses is getting upset when I realize people are not working as they are required. In the end, they end up delaying the work progress for the entire team and this I just feel is unacceptable. I tend not to get along with such workmates and thus I will just keep pushing them to work and perform their duties. Having worked as a general manager has helped me learn how to deal with such cases and help people get to put their best in their duty and also work as a team.

Describe how you resolved conflict with a co-worker or patient?

I was requested by my boss to provide an integration plan and this was to be done by cooperating with other departments in the health facility. The plan was to take two weeks but after talking to the partners, I realized it would take more than that. I told the boss about it and agreed I present the plan as soon as possible. Two weeks later, he called me and requested to have the plan as he had to show it during a meeting with the board. I reminded him of the extension to which he burst out saying I was an underachiever. I was angry at that moment by the harsh response but I maintained my cool. I engaged him on the progress and he remained cool and I promised to finalize on the plan and he would have it before the meeting commenced. He apologized for the outburst. I worked on the plan and delivered as promised and that was the point of change that led to me being given more responsibilities at the facility.

Tell me about yourself?

I am a licensed Nurse in the State of Florida for the last 8 years and also in an optician’s office for the last 20 years. I have a lot of nursing experiences and have a variety of skills that helps provide patient care and maintain patient safety. I am also loyal and a collaborative team player.

 

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In this assignment I need a peer response for the main discussion, that show below.

The peer’s responses

Discussion Grading Criteria: Agreeing and disagreeing do not mean just voicing one’s opinion. The focus of the discussions should remain on the ideas posed in the readings. Agreeing and disagreeing mean making scholarly arguments from the literature that may support your own ideas. Faculty expects you to support your ideas from the readings or similar scholarly writing about the topic in nursing literature. Always cite your source(s) and reference in APA format.

Remember the post and responses should include scholarly writing about the topic in nursing literature.

Note por the professor:

Hello class,

Please refer to your APA format in your postings. The journal name and volume is italicized font. Ex.

…The American Nursing Journal,7(9),,,,

Please update your APA to reflect doi 

Amely Perez Cicili

Advanced Family Practicum III

The application of national health reform with millions of people receiving health insurance service is increasing the current challenges facing primary care. A major issue focuses on how to rise capacity while improving superiority and cost efficacy. Policy makers and researchers are suggesting innovative approaches to guarantee the system is ready as more people are gaining access (Barnes & Novosel, 2018). While some strategies seek to increase the number of primary care providers (PCPs), others seek to encourage efficient use of existing providers. As providers, Nurse Practitioners have faced some challenges in their scope of practice. Three of these challenges are the autonomy in practice, the teamwork with physicians, and limited prescriptive authority.

State and organizational policies generate misunderstanding around NP roles. In some states, regulations require NPs to collaborate or be supervised by physicians, whereas in other states, these regulatory requirements have been removed by policy makers. Similarly, some organizations restrict NP practice or fail to provide necessary support so NPs can maximally contribute their advanced skills to teams. On the other hand, teamwork between NPs and physicians in primary care has received care due to their overlapping scopes of practice and the fact that lack of agreement exists between them about their respective roles. On the contrary, when patient care suffers, fragmented teamwork and poor collaboration and communication between team members are often found to be contributing factors (Poghosyan, Shang, Liu, et al.,2015).

Limited right for prescription and referral challenged the development of APN scope of practice. Some people believe that only a physician should be allowed to diagnose, refer, or treat any medical condition. Independent prescribing by a NP does not require collaboration with a physician and is a key element of scope of practice for NPs, as well as being part of the APRN Consensus Model, which seeks to achieve uniformity of state regulation of APRN practice. However, regardless of the existence of the consensus model, there are extensive disparities among the states with respect to prescriptive authority. In some states, prescriptive authority is granted at the time of APRN licensure; in others, the APRN must apply separately for these privileges. (Gardner, Chang, & Duffield, 2012).

References:

Barnes, H., Novosel, L. M. (2018). A scoping review of nurse practitioner workforce data: Part Two of a four-part series on critical topics identified by the 2015 Research Agenda Roundtable. Journal of the American Association of Nurse Practitioners. Advance online publication. doi:10.1097/JXX.0000000000000069.

Gardner, A., Chang, C., & Duffield, A. D. (2012). Delineating the practice profile of advanced practice nursing: a cross-sectional survey using the modified strong model of advanced practice. J Adv Nurs, 69 (9), pp. 1931-1942. Google Scholar

Poghosyan, L., Shang, J., Liu, J., Liu, N., et al. (2015). Nurse practitioners as primary care providers: creating favorable practice environments in New York State and Massachusetts. Health Care Manag Rev;40(1):46–55. doi: 10.1097/HMR.0000000000000010. [PubMed] [CrossRef] [Google Scholar]

 

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