Respond to this post with a positive response :

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use at least 3 references

                                                                              Initial Post

                                                                   Global Nursing Issues

            Two of the largest challenges related to providing adequate health care in underdeveloped countries are of the Inversed and impoverished types.  These “care” dynamics are interconnected by similar principals; people with the most consume the most and those who have the least get the least.  In my opinion, these concepts mimic Darwinism, which supports, “survival of the fittest”. An interesting off-shoot of Darwin’s Theory, is the claim that consanguineous marriages result in genetic anomalies.  It stands to reason the results of inadequate provisions of healthcare and the survival of only those who have the means to pay will survive.  This environment fosters the narrow circle from which one can reproduce.  This can create a situation where a populous with a decreased immune system and an inability to fight off infection requires extra measures that steal from those who do not. As a nurse who has worked in clinical research I can attest to the outcomes of incest. The results of smaller populations can be catastrophic and devastating for the children who result.  My strategy for preventing situations such as this is to provide nursing education to communities where the cultural or environmental behavior is commonly practiced and part of the accepted culture. There are “countries” within our own country that are third world by virtue of the definition of how healthcare is distributed.  

Nurses have the ability to influence policy and to have an effect on decisions that impact quality of life and universal access to care. Becoming influential in policy work is a process that requires commitment to developing skills and acquiring knowledge about activities that lead to change. It involves making choices that involve participating in policy formulation by learning how policies of interest to you are developed. Identifying influential people who are participating in policy development can help establish connections.  Also, professional organizations such as ANA, AARP, NAMI, and many others are useful professional resources. Investigating the health care agendas of our local legislators, especially if elections are up for renewal, by volunteering and participating in policy meetings or other processes where you learn, will ultimately have an impact on policy change nationally and globally.

References

Shah, Anup. “Health Care Around the World.” Global Issues. 22 Sep. 2011. Web. 30 Jan. 2019. <http://www.globalissues.org/article/774/health-care-around-the-world>.

Budanovic, N., (2018). Charles Darwin, the father of the theory of evolution, was married to his first cousin. Retrieved from https://www.thevintagenews.com/2018/06/11/charles-and-emma-darwin/

Knickman, J. R., & Kovner, A. R. (Eds.). (2015). Health care delivery in the united states (11th ed.). New York, NY: Springer Publishing.

Chapter 4, “Comparative Health Systems” (pp. 53–72) 

The chapter showcases different models of health care systems in order to help policymakers and managers critically assess and improve health care in the United States.

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I need a positive argument  based in this discussion question. Respond to this argument in one or more of the following ways:

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use references 

                                                         Main Post

While the US spends more money per capita on health care than other country with little to no change in life expectancy, the rising cost continues to be directly related to the medical treatment of disease rather than prevention.  For many chronic disease processes, acute care is synonymous to a band aid on a decubitus ulcer.  This analogy can also be applied to the governments’ current approach to the delivery of healthcare.

An enormous opportunity for economic reform exists in healthcare from the Federal, State, and Local levels of government to the individual healthcare provider.  We can effect change not just by prevention, but also by considering new and dynamic methods to improve what is clearly a privileged system that caters mostly to the “haves” not the “have not’s”.  The poorer, less educated, and disabled (usually pre-existing) without resources are likely to be repeatedly hospitalized, without insurance and with costs defrayed to the private insurance sector causing private pay to be more expensive and limited in scope.  In the United States, insurance is a privilege, but access to healthcare is a right.

Logic indicates follow-up care and access to long-term treatment will lessen the need for hospitalization and improve patient health and quality of life.  It stands to reason the primary care takers of the chronically and terminally ill also experience a negative impact on their physical well-being and are silently hidden cost secondary to lack of appropriate resources and a disease centered model of healthcare.

The Population Health Model (Organization for Economic Co-operation and Development (OECD), (2013) suggests one might be able to extrapolate a similar model when considering how our government and the resulting bipartisanship limits, if not completely paralyses, the effective provision and advancement of health care to our Nation’s citizens. 

In summary, it isn’t only the health-related behaviors of individuals; it is the inaccessibility to resources that limits effective change because of the political agendas and the subsequent inertia.  The resulting bureaucracy continues to facilitate the rising cost of healthcare while simultaneously precipitating the decrease in the American life-expectancy.  As practitioners, are we simply willing to accept the fact that our government is spending more money to live less years? Healthcare is a right and as such access to care is also right, so why are more people dying sooner?  The current provision of healthcare is seriously flawed. If our Nation continues to remain stagnant (bipartisan) rather than humanitarian on these issues we will continue to experience a rise in health care that is directly proportional to an unhealthier population and decreased life expectancy.  The ineffective and unequal provision of health care in this country remains a conundrum for which we seem incapable of finding a solution. 

References:

World Health Organization. (1948). Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948. Retrieved from http://www.who.int/about/definition/en/print.html

Knickman, J.R, & Kovner, A.R. (Eds). (2015). Health care delivery in the United States (4th ed.). New York, NY: Springer Publishing.

Healthcare.gov Plans – 2018 Trump Care Health Plans. Quote. First Quote Health. Com/? Campain_source.

American Nurses Association.  Health System Reform.  Retrieved March 22, 2012, from NURS://www.nursingworld.org/Main/Menu?Catagories/Policy-Advocacy/Health System Reform.

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I think the one issue I have struggled with regarding obesity is the nutritional aspect!  Healthy foods that could foster weight loss may or may not be available for these individuals and if they are available, they may be very expensive.  What strategies do you feel we can use to combat this issue?

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Respond to this post with a positive response :

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use  references

EXAMPLE OF A REFERENCE:

If you cannot locate a doi number, this is how the reference should look: 

Quelly, S. B. (2017). Characteristics Associated with School Nurse Childhood Obesity Prevention Practices. Pediatric Nursing, 43(4). Retrieved from https://www.pediatricnursing.net/issues/17julaug/abstr5.html

                                                  Main Post

My experience with using Grammarly and Safe Assign were not as daunting as I expected.  Grammarly is an app-based program that can be attached to Office 365 and Firefox.  The link for Grammarly was found on the academic guides page.  I used the site search box to find the app’s location. From there it was as easy as following directions and downloading the app.  I copy and pasted the paraphrased assignment and received an 83/100 for performance.  Other scores given were for word and sentence length, those scores were a 4.9 and a10.9.  The only issue found was the “Go Premium” offer that was $11.99 a month or $139.95a year.  There will not be a subscription ordered.  Grammarly will be used in my Word program on a trial basis. It can’t hurt to see what needs to be fixed in real time.  Another academic integrity tool is Safe Assign.  This tool is defined in the academic answers portion of the academic guide by stating, “SafeAssign is a tool that helps students prevent plagiarism and aids in identifying opportunities to add properly cited sources rather than just paraphrasing.” (Walden, 2011) Finding Safe Assign in Blackboard was very easy.  It is in the toolbar on the bottom left-hand side of the page.  Once on the site, it is as easy as browsing your computer for the document and simply upload it.   The only issue I have with Safe Assign is it is not in real time, you must wait for the site to review your work then make the changes needed.  In my opinion, Grammarly is a better tool for writing and having a real-time view of the paper being written.

A resource that I would recommend is the Online Writing Lab (OWL).  It is the base from where the American Psychological Association (APA) is explained in detail.  In the APA overview and workshop section of the OWL, it states, “Establish your credibility or ethos in the field by demonstrating an awareness of your audience and their needs as fellow researchers.” (Purdue Writing Lab, 2018) This is why we should use APA when scholarly writing.  Credibility is key when writing anything at a master’s level.  When using APA, we research ideas and information from scientific journals, and at the same time distribute that knowledge in the form of scholarly writings.  Using the OWL for any APA formatting question creates a solid base for building an educational publication to be reviewed by your peers. (APA, 2010, pg.9)

Grammar in its basic form decides how a writer will be received by the reader.  Incorrect grammar sidetracks the reader from the tone an author has set.  A format that I constantly work on is the use of parallel construction.  On page 84 of, the “Publication Manual of the American Psychological Association (6th ed.)” parallel construction is covered.  This is two ideas covered in a sentence that will improve the reader’s comprehension.  (APA, 2010, pg.84) Another format important to consider is the explanation of abbreviations.  Abbreviations in scientific writing are used to shorten long drawn out titles. The key in using abbreviations is to initially explain what the abbreviation is and use it at least four times.  There is a balance that must be attained.  Using too many abbreviations jumbles up the sentence and make it difficult to read, but not using enough causes the reader to lose interest with repetitive phrasing. (APA, 2010, pg.106-107)

References

American Psychological Association. (2010, pg.9,84). Publication Manual of the American Psychological Association (6th ed.). Washington, DC: American Psychological Association.

Purdue Writing Lab. (2018). APA Style Introduction // Purdue Writing Lab. [online] Available at: https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_style_introduction.html [Accessed 10 Dec. 2018].

Walden University. (2012d).  Walden University: APA style. Retrieved from http://writingcenter.waldenu.edu/APA.ht

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

Respond to this post with a positive response :

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use  references

EXAMPLE OF A REFERENCE:

If you cannot locate a doi number, this is how the reference should look: 

Quelly, S. B. (2017). Characteristics Associated with School Nurse Childhood Obesity Prevention Practices. Pediatric Nursing, 43(4). Retrieved from https://www.pediatricnursing.net/issues/17julaug/abstr5.html

                                                     Main Post

            My experience with using Grammarly and Safe Assign were not as daunting as I expected.  Grammarly is an app-based program that can be attached to Office 365 and Firefox.  The link for Grammarly was found on the academic guides page.  I used the site search box to find the app’s location. From there it was as easy as following directions and downloading the app.  I copy and pasted the paraphrased assignment and received an 83/100 for performance.  Other scores given were for word and sentence length, those scores were a 4.9 and a10.9.  The only issue found was the “Go Premium” offer that was $11.99 a month or $139.95a year.  There will not be a subscription ordered.  Grammarly will be used in my Word program on a trial basis. It can’t hurt to see what needs to be fixed in real time.  Another academic integrity tool is Safe Assign.  This tool is defined in the academic answers portion of the academic guide by stating, “SafeAssign is a tool that helps students prevent plagiarism and aids in identifying opportunities to add properly cited sources rather than just paraphrasing.” (Walden, 2011) Finding Safe Assign in Blackboard was very easy.  It is in the toolbar on the bottom left-hand side of the page.  Once on the site, it is as easy as browsing your computer for the document and simply upload it.   The only issue I have with Safe Assign is it is not in real time, you must wait for the site to review your work then make the changes needed.  In my opinion, Grammarly is a better tool for writing and having a real-time view of the paper being written.

A resource that I would recommend is the Online Writing Lab (OWL).  It is the base from where the American Psychological Association (APA) is explained in detail.  In the APA overview and workshop section of the OWL, it states, “Establish your credibility or ethos in the field by demonstrating an awareness of your audience and their needs as fellow researchers.” (Purdue Writing Lab, 2018) This is why we should use APA when scholarly writing.  Credibility is key when writing anything at a master’s level.  When using APA, we research ideas and information from scientific journals, and at the same time distribute that knowledge in the form of scholarly writings.  Using the OWL for any APA formatting question creates a solid base for building an educational publication to be reviewed by your peers. (APA, 2010, pg.9)

Grammar in its basic form decides how a writer will be received by the reader.  Incorrect grammar sidetracks the reader from the tone an author has set.  A format that I constantly work on is the use of parallel construction.  On page 84 of, the “Publication Manual of the American Psychological Association (6th ed.)” parallel construction is covered.  This is two ideas covered in a sentence that will improve the reader’s comprehension.  (APA, 2010, pg.84) Another format important to consider is the explanation of abbreviations.  Abbreviations in scientific writing are used to shorten long drawn out titles. The key in using abbreviations is to initially explain what the abbreviation is and use it at least four times.  There is a balance that must be attained.  Using too many abbreviations jumbles up the sentence and make it difficult to read, but not using enough causes the reader to lose interest with repetitive phrasing. (APA, 2010, pg.106-107)

References

American Psychological Association. (2010, pg.9,84). Publication Manual of the American Psychological Association (6th ed.). Washington, DC: American Psychological Association.

Purdue Writing Lab. (2018). APA Style Introduction // Purdue Writing Lab. [online] Available at: https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_style_introduction.html [Accessed 10 Dec. 2018].

Walden University. (2012d).  Walden University: APA style. Retrieved from http://writingcenter.waldenu.edu/APA.ht

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