Response 1 6050

  

          at least 2 references in each peer responses! 

I noticed that there are many proposed policies on the agenda that are related to healthcare. Some of them are specific to the nursing practice. This creates the opportunity for the nurse to advocate for policies that impact nursing and healthcare directly by providing first-hand accounts and professional opinions supported by research. Nurses have insight on issues, such as patient safety and satisfaction, health disparities, access to care, and promoting positive outcomes (Abood, 2016). 

The problem is that some nurses are unable to navigate through the politics of regulation and policy (Abood, 2016). This can create a challenge and become discouraging for nurses looking to make an impact or promote an agenda (Abood, 2016). Nurses can overcome this difficulty by participating in internships and workshops that provide the opportunity for a nurse to learn about the legislative process and the current issues being discussed (Abood, 2016). Understanding the political process is an essential method for effectively advocate for an issue. Nurses have to learn to play the game to promote change or obtain the scarcely rationed funding available. 

According to Milstead and Short (2019), key opportunities to advocate for policy lies in knowledge and perception. Being knowledgeable on an issue can increase your influence as an advocate. Perception is a significant key in politics. Being perceived as a valuable collaborator or obtaining the support of a mentor that is respected can help push your agenda (Milstead & Short, 2019). Networking plays a significant role in politics. being introduced respected mentor or partner can help a nurse gain influence with rallying for support of a proposed agenda (Milstead & Short, 2019).

Probably the most significant opportunity for a nurse to advocate for a policy comes with becoming a member of a nursing association. Nurses associations like the American Nurses Association (ANA) are set up with the mission of influencing policy and advocating for the nurses and patients (ANA, 2019). The strength lies in numbers with the nursing association. Many of these organizations have built relationships with politicians and political parties to gain influence to support their agendas. For example, the ANA tends to favor and support democratic candidates (Milstead & Short, 2019). Nurses associations have enough members to get the attention of lawmakers. However, the nurse still has to task of advocating within the association to gain support from its members. 

 
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Response 19197877

Hello Irmia, 

Yes, I think we can all agree that the genogram is a very useful tool. The literature is full of evidence that the genogram is a widely accepted and valuable tool in family assessment and treatment. Herth (1989) discusses that the genogram is most helpful with the elderly client. “The genogram is a tool that can be used by nurses to provide a comprehensive, holistic picture of the elderly client and his environment. A genogram can serve both as an assessment tool and as an intervention strategy” (p. 33).

Now let’s take this discussion one step further. You are the community health nurse, you have just completed a presentation to a group of people about genograms, the importance of them, how to create them. Everyone in the workshop has completed their genogram. 

As the community health nurse what is the next step? How do you encourage the people to use this genogram to make better life style choices?

Dr. Diane Sokolowski 

References

Herth, K, A. (1989). The root of it all genograms as a nursing assessment tool. Journal of Gerontological Nursing, 15(12), 32-37. Retrieved from https://search-proquest-com.cuw.ezproxy.switchinc.org/docview/1021723254?OpenUrlRefId=info:xri/sid:primo&accountid=10249

 
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Response 19241059

  

Milestones in Public Health
 

Class, there are many milestones in public health, but two that always come to my mind are vaccination and seat belts! The world’s first vaccine for smallpox was created by Edward Jenner in the late 1700s. Since then, vaccines have been developed for many other preventable diseases. According to Research America (n.d.), the CDC estimates that over the last 20 years, 700,000 children’s deaths have been prevented because of routine vaccination. That’s a large number!

Similarly, the number of motor vehicle deaths per year has largely decreased since the implementation of seat belts. I find this interesting! While developing a vaccine is complicated, as we see from the seatbelt example, an intervention does not need to be complicated to be successful. Hundreds of thousands of lives were saved by a simple invention to ensure people remained safe in their car!

What are some of your favorite public health milestones? Or milestones that you believe were important for public health?

References

Research America. (n.d.). Public Health Milestones. Retrieved from https://www.researchamerica.org/advocacy-action/public-health-thank-you-day/public-health-milestones

Please Use APA format, and include references below 5 years and 150 words

 
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Response 19339897

For your response posts, respond to two peers who analyzed a different way of knowing and comment on their analysis.

Peers document is attached below

My response is (1-1 Discussion) attached below 

Respond to both peers individually.

 
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Response 19373463

 In response to two of your peers, identify the strengths and weaknesses of the discussed research design related to evidence-based practice. 

Please respond individually to peers response attached below.

 
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Response 19398329

 
1 postsRe: Topic 5 DQ 1

Disaster usually involves causing great damage that often results in extensive loss of property and loss of life. These catastrophic events can be man-made or natural disaster. Nurses are always at the fore front and playing crucial role in responding to disasters. For nursing care to be holistic, the need for spiritual care is very important to be accomplished, particularly in the event of disaster. However, nurses are using not well equipped to be involved in spiritual work. This is due to the lack of training in the nursing curriculum and this has resulted in the lack of competent in implementing this very important part of care in promoting health and wellbeing. According to (Zehtab, & Adib-Hajbaghery, 2003), not proving spiritual support to patient is neglecting the opportunity to improve patient’s care.

Spiritual aspect of care is now more central throughout healthcare. A person’s health is looked at physical, mental social and spiritual wellbeing (Who Health Organization, 2007). Spiritual care has a positive effect on the wellbeing of the individual’s stress responses, and it is important for patients during illness and hospitalization (Cavendish et al., 2003).

Nurses serve as an essential resource and can play a wide range of responsibilities related disaster preparedness and response. One of the key roles is providing education to individuals, community, self and colleagues about how to keep self during a disaster. This knowledge shared will help in alleviating anxiety and fear. Nurses have also volunteer during disaster through various organizations such as American Red Cross, the Federal Emergency Management Agency and the United State Public Health Service (the Role of the Nurses in Providing Spiritual Care to Patients, n.d). They can be directly involved in assisting in disasters such as first aid and medication, assessing the state of victims and monitoring the mental health of victims. Nurses have family and themselves, preparing the family with emergency plan and emergency supplies can help ensure the nurse and family are safe in time of disaster.

 
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Response 19398335

 
3 postsRe: Topic 5 DQ 1

Whether natural or manmade, disasters take a toll on the communities they hit and those who are caring for them, physically, psychologically, and spiritually. However, natural and manmade disasters may have different impacts psychologically and spiritually. In the context of a natural disaster there are stresses from injury/loss of life, the potential damaging of a community, and a feeling of disbelief or stress related to coping with a loss. Depending on the cause of the manmade disaster, there could be slightly different stresses including loss of trust in people or anger if the disaster was intentional. Regardless they both have an impact on the individuals, community, and health care providers effected.

In order for health care providers to be able to care for people and communities affected by disaster, they must first ensure they care for themselves spiritually in order for them to focus on the needs of others. Once this is taken care of community health nurses can assist individuals in many ways including building rapport and relationship with them and having therapeutic conversations, they can also utilize the resources in the community such as chaplains and social work. Chaplains are trained and able to provide counseling and comfort to those impacted by the shock and grief of a disaster (Falkner, 2018). Another way in which community health nurses could assist would be with preparation of the community prior to the disaster occurring. By assessing and knowing the community’s spiritual needs and resources pre-disaster they will know who to turn to after an event even quicker. In working with colleagues during disaster response the community health nurse can monitor their mental and spiritual health and reach out if they see them slipping at all.

Resources

Falkner, A. (2018). Disaster management. In Grand Canyon University (Ed.), Community & public health: The future of health care. Retrieved from https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/#/chapter/5

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Response 19398341

 
1 postsRe: Topic 5 DQ 2

On a large scale the preparation and planning for a disaster, before it happened would be a primary prevention in disaster management. In the video about the catastrophic earthquake in Haiti in 2010, the primary prevention was mentioned while the narrator described the use of hand sanitizer and gloves to ensure their own safety on the scene of a disaster (Falkner, 2018). Also, we can assume that the medical staff have received immunization shots against infectious diseases which are prevalent in the Haiti prior to leaving the U.S.

The secondary prevention, during a disaster, would have measures aimed to maintaining and saving lives, and supporting victims and their health (Falkner, 2018). For example, an appropriate wound care to prevent development of a local infection. And, if the wound infection is already happening, the antibiotic treatment would be an example of the tertiary prevention of systemic infection or sepsis, as a complication. For disasters in general, the tertiary prevention would take place after an event has ceased and the interventions focus on recovery and may take months or years (Falkner, 2018). Also, in this phase the learned lessons should be reviewed and collected, in order to be considered for preparation for possible future disasters (back to primary prevention). The agencies, which would be involved in planning, creating policies and making changes to the existing policies would be Federal Emergency Management Agency, it offers the National Disaster Recovery Framework which is a

guide that enables effective recovery support to disaster-impacted States, Tribes, Territorial and local jurisdictions. It provides a flexible structure that enables disaster recovery managers to operate in a unified and collaborative manner. It also focuses on how best to restore, redevelop and revitalize the health, social, economic, natural and environmental fabric of the community and build a more resilient Nation (FEMA, n.d.). Retrieved from https://www.fema.gov/national-disaster-recovery-framework

Falkner, A. (2018). Disaster management. In Grand Canyon University web services. Community & public health: The future of health care (ch. 5). Retrieved from https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/#/chapter/5

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Response 19398351

 
4 postsRe: Topic 5 DQ 2

Based on the script from Haiti hurricane 2010 my thoughts are:

       Phase 1, the pre-disaster phase, is characterized by fear and uncertainty. The specific reactions a community experiences depend on the type of disaster. Phase 2, the impact phase, is characterized by a range of intense emotional reactions. As with the pre-disaster phase, the specific reactions also depend on the type of disaster that is occurring. Phase 3, the heroic phase, is characterized by a high level of activity with a low level of productivity (Substance Abuse and Mental Health Services Administration (2018).

       Primary prevention would be having volunteers appropriately vaccinated before leaving. After landing in Haiti, have the Hatians vaccinated against airborne and vector-borne diseases such as malaria. Ensure safe and proper sanitation such as making sure hands are washed before and after personal hygiene and patient care. Have clutters cleaned and cleared and make tracks for stagnant water to flow to avoid breeding mosquitos and encourage infestation of bugs. Shelters should be adequate and not overcrowded. Educate about diarrhea, what symptoms to look for and how to handle it.

        Secondary prevention depends on how devastating things are. Triage casualties according to acute, urgent, emergent. Initiate search and rescue efforts in wreckages, but not until damaged structures are deemed safe to enter or dismantle. Have a plan to manage casualties so that there will be no chaos. This could be done by using tents and designated signs with volunteers directing traffic. Teach the Hatians how to cope by asking for help from friends and families not badly affected by the disaster. Set-up an area where they can get emotional support to deal with their loss and address future community educational needs, such as disaster preparedness.

        Teritary prevention entails looking at long-term needs after the resolution of the disaster. Things such as healing and how to cope. Stress related issues such as rebuilding, that could be dealt with by the government and outside organizations such as the Salvation Army and other charitable organizations.

        I would work with Adventist Disaster Relief Agency (ADRA) because they are a branch of my church, the Seventh Day Adventist Church.  They have been helping with the organization of outreach world wide.  They are always on the ground in every disaster alongside the Canadian Red Cross and the Salvation Army organizations. Here’s a link for ADRA if interested to know more: www.adra.ca/connections

        Prevention includes a wide range of activities — known as “interventions” — aimed at reducing risks or threats to health. For many health problems, a combination of primary, secondary and tertiary interventions are needed to achieve a meaningful degree of prevention and protection, (Institute for Work and Health 2015). 

        Based on the script, this nurse is at the preimpact stage which falls under primary prevention, as she is planning to reduce the impact of the hurricane on the population and what damage may have occurred.  This could only be assessed on her arrival.

References

GCU. (2010). “Diary of a medical mission trip.” Retrieved from Grand Canyon University: http://lc.gcumedia.com/nrs427v/diary-of-medical-mission-trip/v2.1/

Institute for Work and Health (2015). Primary, Secondary and Teritary Prevention. Retrieved from: https://www.iwh.on.ca

Substance Abuse and Mental Health Services Administration (2018). Phases of Disaster. Retrieved from https://www.samhsa.gov

 
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Response 19399521

Peer 1 

Nurses influence through engaging in activism act as a drive to health care policy changes enhancing improvement of the quality of care by increasing accessibility of the necessary resources as well as opportunities. Political activism skills are considered essential for the nurses as it enables them to protect the nursing profession as well as their practice (Buck-McFadyen & MacDonnell, 2017). Nurses can serve in elected positions within the state or the national levels to present the broad healthcare aspects of concern and ensure they are integrated within the healthcare policies.  

         Unionization of nurses is considered to be pertinent as the union offers the nurses the strength and power to bargain on the enforceable contracts such as the acceptable ratio of nurse to patient, their specific roles in maintaining quality of care as well as nurses overtime working hours and pay scale. Besides, joining nursing union provides an opportunity for the nurses to engage in political activism by lobbying private bodies and the government to advocate for policy changes that enhance improved patient care as well as participating in campaigns to create awareness on the importance of nurses thereby improving patient outcome (Ulrich & Kear, 2014). Nursing unions incorporate strategies that not only increase the nurse’s voice in advocating for improved care practices but also encourages nurses’ effective involvement in patient care through making informed decisions thereby creating a workforce culture of safety. One of the Masters of Science in nursing essential is the ability of the nurses to positively influence health policy and advocacy. The masters nursing program ensures that the nurses can effectively integrate nursing concepts at the system level to not only participate in the policy development process but also utilize advocacy strategies to impact change in health care policies.   

  

Peer 2 

Unionized nurses refer to nurses who belong in labor organizations that are meant to protect the nurses’ welfare and advocate for the improvement of the healthcare system. Nurses should be provided with the opportunity to join work environment unions at will. Work environment unions range from large national unions to smaller organizations created to address specific issues in specific healthcare facilities (Dube, Kaplan, & Thompson, 2014). 

Nurses’ organizations come with the benefits of coming together to address matters relating to healthcare and welfare of nurses such as proper wages, job security, benefits, staffing ratios, and patient rights (Dube, Kaplan, & Thompson, 2014). Nurses account for a significant proportion of any health facility’s budget, which makes them an easy target especially during the economic restructuring. Large budget for nurses often creates workforce shortages and unconventional staffing ratios. Unions can also advocate for motivational benefits such as medical and dental insurance, educational leave, sick pay and vacation. We can, therefore, argue that unions are an essential tool in enhancing the safety of nurses through negotiating for better wages, worker protection benefits, against unfair laying offs and terminations and proper amount of workload for the nurses (Higgins, 2016).  

Similar to the nurses’ welfare, unions can be instrumental in advocating for a proper health system that enhances patient care (Giovanetto, 2017).  Advocating for proper staffing ratios, for example, advances the interest of patients. Proper staffing ratio is key improving patient outcome because nurses can make proper follow up on patients even after discharge. Benefits such as educational leave also facilitate lifelong learning which is key in strengthening the skills possessed by nurses and hence the quality of healthcare and safety of patients. Nurses’ unions can also engage in advocacy relating patient safety by seeking change in management practices that relate to health care equipment, patient diet, hygiene, and patient rights such as privacy and informed consent (Higgins, 2016).  In conclusion, unions provide nurses with enhanced strength in numbers that can be used to advocate for nurses and patient safety. 

Response must be minimum 150 words each, doble space, APA(6th) no more than 5 years.

 

Bellow is the original activity if you needed: 

As an advanced practice nurse, one can engage in activism in order to achieve desired policy change at various levels including their own organization. Examine the following questions, should nurses be unionized and how does being unionized impact a workforce culture of safety? Be sure to include one MSN Essential in your discussion that relates to this topic. 

 
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