Respond Nurse Leadership Power Sources 19276985

Atleast 500 words needed.

 
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Responed

  Responses to initial postings should be specific and assess whether posting accurately and sufficiently addresses the questions asked in the discussion topic.  Assessments should be explained  as to why the information is or is not correct and/or complete, providing correct information to enhance the discussion. Incorporating relevant research from course content or external sources strengthens all postings. in APA format  

 
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Respondwk6 7inf

Please respond to 2 students. Thank you

 
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Responding

  

I am responding to 2 of my classmate 200 words each

 1)My topic of choice for my Signature Assignment, will be “Technology and the fight against Opioid Abuse”.  With the many advances the we have seen in technology and informatics, there should be more technology in place to help prevent the patients from “doctor hopping” or using multiple pharmacies to obtain prescription drugs for abuse.  The FDA has currently implemented some guidelines to assist with this ongoing issue.  However, there needs to be more guidelines in place with the use of modern technology, that can track these patients and the abusing activity.

            Prescription drug abusers are getting smarter and smarter.  They are aware of the current systems and technology and are finding ways to manipulate the process to obtain the drugs they want to abuse.  As healthcare providers, it is our responsibility to identify and track this type of activity, so we are not aiding these people in this growing opioid abuse crisis that we are facing in the healthcare industry.  Doctors and practitioners are now mandated by the FDA to follow certain guidelines when prescribing prescription drugs.  Not only is there a need to track the patient, but the prescribing practice of the physician or practitioner should be tracked as well, to ensure that they are not negligently prescribing these commonly abused drugs.

2) 

In the LTAC  hospital, the current charting system is called EPIC and I am not sure what server it uses. EPIC is computer charting and in my opinion is very tedious. At times it seems charting takes for ever because of all the input that’s required.  With the patient population majority being very critical patients, I can definitely understand why charting has to be so detailed. Whatever the computer system, I am grateful to pass off the old pen and paper. The same thing can be said about the patient with many clicks and you can  certainly always type a nurses note to further explain your care for the patient.

       There is a current trend in nursing that says nurses  are paying more attention to the computer than the patient. “It is important to dispel the idea that computers are taking nurses away from the bedside. Technology supports all aspects of nursing practice, which include direct care, administration, education, and research”(Hebda, Hunter, Czar, 2019 p. 11). As nurses, we must always see the patient as our first priority.

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Responding To Your Peers Discussion

In your responses to your peers, take a look through the lens of intersectionality and consider both sides of your classmates’ issues. Compare and contrast your answers. What do you like about your peers’ explanations, and what would you add?

Make sure you support your response with the readings from this module, and any additional resources if needed.

Peers Discussion is attached below with readings from this module to answer question in relation to peers response.

 
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Responding To Feedback

  

Assignment: Responding to Feedback

By now, you have received multiple weeks of feedback from your Instructor. Are you consistently and thoughtfully addressing their feedback in your revisions? Please do so, as feedback is intended to be considered and appropriately addressed. In addition, you will want to review your work for further revisions, ensuring your writing is clear and precise.

For this Assignment, you will review the Learning Resources on feedback, and flow and cohesion. With the principles outlined in the Learning Resources in mind, you will further revise your paragraph from the Week 5 Assignment.

To prepare for this Assignment:

  • Review      the Learning Resources on feedback, and flow and cohesion.
  • Review      feedback obtained from your Instructor (weekly assignments) and from      colleagues (Discussion posts). You may wish to make a list of topics that      your Instructor has raised in their feedback to you over the previous      weeks, and construct a reference file for use in your future revisions.

The Assignment: Due tomorrow Saturday 1/13/18 by 12pm America New/York time. APA format

Revise the three paragraphs from the Week 5 Assignment (see attached word doc file), addressing relevant feedback from your Instructor. You may also add new content to your paragraphs. However, you should not use any other sources beyond your chosen article.

Required Readings

Walden University Writing Center. (2015i). Walden templates: General templates: APA course paper template (6th ed.). Retrieved from http://academicguides.waldenu.edu/writingcenter/templates/general

Laureate Education. (2015). [Infographic]. Top 5 Rules for Receiving Faculty Feedback, Baltimore, MD: Author.

Cook, A. (2014, October 21). Help them help you: Being receptive to faculty feedback [Blog post]. Retrieved from http://waldenwritingcenter.blogspot.com/2014/10/help-them-help-you-being-receptive-to.html

Oyler, B. (2013, December 23). Five ways to create flow in your writing [Blog post]. Retrieved from http://waldenwritingcenter.blogspot.com/2013/12/five-ways-to-create-flow-in-your-writing.html?view=sidebar

Required Media

Walden University Writing Center (Producer). (2014, November 14). WriteCast: What to do with negative feedback on your writing (Episode 15) [Audio podcast]. Retrieved from https://soundcloud.com/writecast/015-what-to-do-with-negative-feedback-on-your-writing

Note: The approximate length of this media piece is 19 minutes.

Transcript: http://academicguides.waldenu.edu/writingcenter/transcripts/podcasts/ep015 

Walden University Writing Center (Producer). (2015, August 3). WriteCast: Why word choice matters (Episode 24) [Audio podcast]. Retrieved from https://soundcloud.com/writecast/why-word-choice-matters-episode-24

Note: The approximate length of this media piece is 24 minutes.

Transcript: http://academicguides.waldenu.edu/writingcenter/transcripts/podcasts/ep024

 
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Responding 19492511

200 words each

1)

 

My plan to develop my professional partnership with my selected site is the first understand the mission statement of the what the company is about and what the company believes in.  I will do some reading and researching, locate reviews on the business and its’ relationship with the community.  Make a phone call and ask if I could speak with the owner or manager of operations of the business.  During my initial contact, I will make sure that I inform the manager about my plans and goals for the presentation that I want to present before their staff.  I will ask the manager if there was a time available that we could meet in person, at their convenience.  If I am given the opportunity for a face to face, I will have my presentation layout and allow them to look at it.  In return, I will answer questions that the manager has for me.  Doing this time, I will utilize my chance to ask them their opinion about what I want to present.  This will allow me to get them to be open about their knowledge on the discussion topic of choice.  Ask them if they would like to see something added to the presentation, that will help their staff be healthier and more conscious about their lifestyle.  Schedule my date of presentation, if the manager approves of me doing the presentation.  Upon setting a schedule presentation date, I would send a thank you message via email and then weekly reminders about the benefits of the presentation to the manager.  Checking in with the manager on a weekly basis, to keep the manager and staff looking forward to the presentation that is going to improve their health.  I would make sure to meet with the manager once more prior to the date of presentation, at least two weeks in advance; to give an update or receive information from the manager about the presentation.  I would focus on not taking up too much of the managers’ time with small talk.   

It is important that we as healthcare providers collaborate with other professionals in the healthcare field to ensure that our patients are treated holistically.  When we experience health issues, many other problems can arise from that health issue.  People that have uncontrolled pain, can become depressed or angry; because the pain is interfering with their lives.  We must know who to refer patients to for help with their concerns.  The more options we utilize to assist our patients, the better the development of trust we can have with our patients.  We want our patients to trust us and come to us for help, because they are sure they will receive help or be guided in the proper directions to get help.    

Clark, M. J. (2015). Population and community health nursing (6th ed.). Boston, MA: Pearson

 

2)

 

 I have selected my church medical group to partner with to help educate the people in the church about sickle cell disease that predominantly affects the African-American people. The church medical group is made up of a group of medical professionals that volunteer their time and expertise in helping build strong and healthy church members. Education about sickle cell disease is very important especially in the African-American community because having knowledge about sickle cell disease and how it is genetically passed on will help the young people take that into consideration when planning on choosing a life partner to have a family with. This will help reduce the number of babies born with sickle cell disease.

            Partnering with a church outreach group is very important in helping my role as a disease prevention nurse. The church is a big community with a lot of young adults. Since most of the church members are African-American, we seem to have a lot in common in terms of our diet, attitudes towards exercise or physical activities and also common diseases that affect us.  The medical professionals collaborating with each other in the group will help identify the educational materials and methods of how information is to be presented to the community and also find out the available resources to help provide other assistance to the population in terms of getting lab test or referring them to other places for further treatment if needed. 

            The importance of collaborating with other healthcare professionals in order to establish trusting relationships to gain commitment is that, it helps build a stronger network of medical professionals, who are focused on attaining a common goal for the community. The education they have in different medical setting, their positive attitudes and their willingness to work together to help promote good health and prevent an increase in diseases among the targeted population.

            A team environment could provide support for these community-based health care providers as well as allow for more efficient sharing of information Dieleman et al. (2009). Effective communication among healthcare workers helps build a strong team.  A good team work is mostly characterized by trust, respect and collaboration. Whether it is a professional or a non-professional setting, members are in the team mostly for a common goal, and all the members work together with the aim of achieving that goal. This is what makes it very important for the members to effectively communicate among each other to help promote continuity and clarity among the team and also help prevent problems or errors.

Dieleman, S. L., Farris, K. B., Feeny, D., Johnson, J. A., Tsuyuki, R. T. & Brilliant, S. (2009).      Primary health care teams: tem members’ perception of the collaborative process.           Journal of Interprofessional Care. 18(1), 75-78.

            https://doi.org/10.1080/13561820410001639370Di

 
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Responding 19437299

Response for each one is 200 words.

1) 

At the start of this course, I did not think I would appreciate the community health nurse as much as I do now. When signing up for this course I really did not know what to expect, but by judging by the name I figured that it would consist of busy work rather than important education for the development of my career, and now that it is nearing the end, boy was I wrong! This course has been able to teach me so much important information, not just of my community, but the importance of community education, community risks, diseases that affect the community, and even made me realize of many things I experienced growing up in the community that happened, but was not aware of its importance. The community health course has been able to expand my knowledge and mentality of the healthcare process and those that are involved in it, outside of the healthcare setting. 

            Course goals and personal goals were attained during this course. The course goals specified in our syllabus included the nurse role in meeting emergent needs, exploring history, legality, social aspects, and nursing practice of the healthcare setting, predict, plan, analyze, implement public health surveillance, etc. These goals were met mostly because of the research the course would prompt us to explain. The prompted course work would set the foundation of the research, but the actual research part would open the doors of endless information on the subject and would lead up to different topics that were different, yet relatable to the information of the foundation. This method was able to help me build on top of information already known or learned and expand the knowledge previously acquired and was able to continue expanding my knowledge on the subject. The relevance of the topics with today’s modern concerns and realistic factors made it interesting to continue the research, making this course a breeze for me. 

            The information gained in this community health nursing course will be always an influence in the day to day living and career practice. I’m now able to evaluate my community and the people included in it, such as senior citizens, LGBT, and communicable diseases, and have an understanding of the amount of work, research, and planning that went behind some of the simplest situation. With a greater understanding of the community, I could impact those around me with basic facts and knowledge with the hopes of one day preventing a disease or reducing the risk of contracting a communicable disease in my community. 

2) The objectives for this course are:  1) to examine nursing roles to meet the health needs of individuals, families, communities, and populations.  I learned how to evaluate and anticipate the needs of people, families, and communities and to develop a plan of care to help meet their needs.  As it related to my current practice I am aware of the needs of patients and their families once they are discharged from the hospital post operatively.  2) To explore historical, legal, social, cultural, political, and economic forces that influence care.  I learned that it is sometimes out of the hands of patients and their families.  Patients and their families are sometimes forced to live lifestyles that leave them more prone to certain health risks.  During this course I was able to see certain lifestyles are at higher risk for healthcare issues than others and ways the community health nurse can assist in prevention and treatment.  3) Predict lifestyle trends that effect healthcare and future challenges of nurses.  Although it is still frustrating that some illnesses and lifestyles can be prevented easily and patients choose to continue to expose themselves to certain lifestyles it is not always the patient choice.  The public health nurse can provide education needed to those who are willing to change to promote a healthier living environment and lifestyle.  5) Plan, analyze, implement, and evaluate public health monitoring and outbreak investigation.  I learned the importance of the community health nurse and their role during infectious disease outbreaks and how their involvement can have a positive impact on those affected by the disease and disease prevention in others. 6) Develop strategies to deliver nursing care during disaster management.  I think this was my favorite assignment was the week we developed the plan for disaster management.  I do not know if it because of the time I spent working as an emergency room nurse or because my husband is involved in emergency management.  I guess deep down I am an adrenaline junky and being involved in the preparation triggered that.  I have enjoyed these last few weeks with everyone, good luck to you all on your future endeavors.  Best wishes!  Florence Nightingale was a consummate advocate for population health (Clark, 2015).  Which to me means community health nurses has been a part of nursing since the beginning. 
 

 
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Responding 19427441

200 words for each respond

1.

 

According to the Centers for Disease Control and Prevention (CDC, 2018), a community health assessment is a localized study of a specific group whether it is local, statewide, tribal, or territorial. This research helps organizations and the government identify specific health needs and issues through the gathering of data. Community health assessments are needed to help improve the overall health of the population. It provides agencies with facts and numbers that would create a better and clearer understanding of the areas they want to serve.

Benefits

            There are many tools available to help facilitate this endeavor. The majority of the models use similar processes. Their goal is to determine the community’s strengths, weaknesses, needs, and assets. Some of the benefits of choosing one model toolkit versus another depends on the number of steps and the depth of the research that the organization or group wants to perform. In addition, it seems that not all the toolkits are designed to assess the same type of data, and their focus appears to be different as well. Some are specific to hospitals, while others are more engaged on public health. Using a specific model to assess the community will ensure that the data collected would be used and analyzed to help improve, engage, and prioritize issues that affect the public. 

Agencies and Time Line

            When doing a community health assessment, agencies need to be involved in order to have a more comprehensive understanding of the surroundings and the people that live in the community. Agencies such as schools, healthcare organizations, private and governmental institutions, local workforce agencies, and churches are some of the key assets when conducting a community health assessment. All of their voices, input, and expertise are valuable resources. They could serve as tools that community health nurses may use to implement changes in their areas and help make a difference in the population. According to Catholic Health Association of the United States (CHAUS, 2015), hospitals should expect to spend approximately six to 18 months planning and conducting their community health assessment. This number will vary according to the size of the hospital, the size of the community, and the number of organizations involved in the process. In addition, the availability of financial resources will have an influence on the duration of the process (CHAUS, 2015).

The Role of the Public Health Nurse

            The role of the public health nurse in implementing the community health assessment model is essential in this process. The nurse can serve as a guide to educate, advocate, assess and evaluate individuals in the community. They have in-depth knowledge about the different determinants of health that affect the community as well as thorough understanding of the many aspects that influence the needs of the population. They also play a vital role in collaborating with agencies to help collect data and implement measures to achieve improvements in the health and social conditions of the most vulnerable populations.

References

Catholic Health Association of the United States. (2015). Assessing and addressing community

health needs. Retrieved from https://www.chausa.org/docs/default-source/community-benefit/2015-cbassesmentguide.pdf?sfvrsn=2

Centers for Disease Control and Prevention. (2018, July 24). Community health assessment and

health improvement plans. Retrieved from https://www.cdc.gov/publichealthgateway/cha/plan.html#three

2. 

Prior to this week, I was unaware of what a community assessment consisted of. I learned that most of these assessment tools consist of phases an steps to follow. This phases and steps include organizing a plan, engaging in the community, and developing a goal to achieve. You must then do the community health assessment, prioritize the information you have assessed, and develop the plan to achieve your goal. Once all of this has been established, you can implement this into the community and evaluate the process. On the CDC website, I chose the model Mobilizing for Action through Planning and Partnerships (MAPP). A brief description from the CDC website included was a framework for a community improvement planning and putting a strong emphasis on the engagement and collaboration in the community on a local level (CDC-Assessment, 2015). This specific community assessment plan to help improve community health. Through this plan, it allows communities to apply critical thinking to prioritize issues in public health and to help identify the resources needed to address the issues. This ultimately improves efficiency and effectiveness throughout the community and improves the overall outcome of the community. There are six phases to go through with this community assessment model. Stage 1 of this model includes how to get organized develop a partnership. Stage 2 is visioning which allows us to share community vision and goals to accomplish. Phase 3 includes the four assessments, we are able to analyze and collect data during this phase. Stage 4 helps you identify the issues within the community so you can base your plan upon the issues. Stage 5 helps you determine a plan and goals to reach while stage 6 is when you put your plan into action within the community  (MAPP, n.d). I feel that the community health nurse has a lot of research to do based on this community assessment. I think it would be best to team up with leaders through out the local community such as the health department and maybe even emergency services since they have so many statistics on our population for our community. I think a reasonable time frame would include four to eight months for a community assessment.

CDC – Assessment – Community Health Assessment – STLT Gateway. (2015, November 9). Retrieved from https://www.cdc.gov/publichealthgateway/cha/assessment.html.

Mobilizing for Action through Planning and Partnerships (MAPP). (n.d.). Retrieved from https://www.naccho.org/programs/public-health-infrastructure/performance-improvement/community-health-assessment/mapp.

 
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Responding 19416989

200 words for each response

1) 

The LGBT, which stand for Lesbian, Gay, Bisexual and Transgender group have come a long way to be accepted and treated equal. In the past, they were mostly discriminated against for deviating from the traditional gender expectations but over the past decades, they have progressed towards achieving the same equality that those who only have opposite sex attractions face. They go through life sometimes without being accepted by their family and the community in which they live in. Even though this present society is more enlightened of the LGBT group and are now accepted and given equal rights in most states, their years of discrimination still prevents them from feeling safe and protected in their community. All these discrimination behaviors have caused an increase in the rates of psychiatric disorder, suicide, substance abuse in the LGBT group (Manzer , O’Sullivan & Doucet, 2018)

            Despite the importance of protecting people from discrimination in the healthcare setting, there has been many stories reported in the media about how some people of the LGBT community have been unfairly treated and discriminated by healthcare professionals. They mostly delay seeking for medical treatments because of past experience such as having some healthcare providers blatantly refusing to care for them because they go against their beliefs, some have actually received less than optimum care because of their sexual orientation, and having to deal with some healthcare workers judgmental attitudes towards them. LGBT community continuous to encounter barriers to accessing health care mainly because of their reluctance to disclose their sexual or gender identity when receiving medical care; they are mostly reluctant to disclose their sexual and gender identity when receiving medical care. The reasons sometimes being fear of homophobic reactions, confidentiality concerns, past negative experiences with providers and fear of stigmatization.  Also, there are always insufficient number of providers that are competent in dealing with their issues, having structural barriers that impede access to health insurance and limiting medical decision rights for the LGBT and their partners and having lack of culturally appropriate prevention services (Manzer, O’Sullivan & Doucet, 2018)

            Fear of stigmatization also prevent most of the LGBT people avoid seeking medical health for fear of stigmatization or maybe because of negative experience they have had. They sometimes fail to identify themselves as being in the LGBT group because they are scared that the healthcare professionals might be homophobic.To help promote the use of healthcare for the LGBT people, practitioners will need to improve awareness and take the necessary steps into creating an open, non-hostile environment. There has to be more community outreach and education to help attain optimum health care for this population (Manzer , O’Sullivan & Doucet, 2018).

References

Manzer, D., O’Sullivan, L. F. & Doucet, S. (2018). Myths, misunderstandings, and missing           information: Experiences of nurse practitioners providing primary care to lesbian, gay,           bisexual, and transgender patients. The Canadian Journal of Human Sexuality. 27(2),        157-170.

 https://dx.doi.org/10.1136%2Fewjm.172.6.403

2) 

According to Healthy People (n.d.) research shows that people who identify as LGBT are unable to have access to health care because of things like discrimination, stigma, and denial of their rights. Because of LGBT discrimination has been shown that bars and clubs were often seen is the only place where LGBT individuals could get together safely, this created alcohol abuse problems within the LGBT community (Healthy People, n.d.). Many LGBT populations are shown to have high rates of alcohol, drugs, and tobacco use (Healthy People, n.d.). Lesbians are also less likely to get preventative services for cancer (Healthy People, n.d.). Not being screened for cancer shows that the LGBT community indeed does not use healthcare services.

            I think biological factor could be that a transgender person does not feel comfortable seeking health care for fear of discrimination and fear of not being taken seriously by healthcare practitioners. Another biological factor maybe that gay men and transgender people are at a higher risk for HIV and other STDs (Healthy People, n.d.). This can contribute to the LGBT community needing more help services but for fear of discrimination not pursuing them. A psychological factor into not using healthcare services could be fear of discrimination from the healthcare provider. Many transgender individuals have also been shown to have mental health issues and a high level of victimization both can contribute to transgender people not seeking medical advice (Healthy People, n.d.). Transgender individuals are also shown to be less likely to have health insurance than heterosexual or LGB individuals (Healthy People, n.d.). Not having insurance can be from societal factors like discrimination in employment and health insurance benefits. Environmental factors could be that there is lack of laws protecting against bullying LGBT individuals in schools (Healthy People, n.d.). Bullying can cause further psychological trauma that can contribute to mental illness. Socio-cultural factors may be that many health care providers in the United States are not knowledgeable or culturally competent in LGBT health matters (Healthy People, n.d.). Behavioral factors that can contribute to LGBT seeking health care are that many LGBT people have mental health issues that can prevent them from asking for help from health care providers.

            Researching for this discussion post was very interesting as I learned about how much discrimination and oppression affects LGBT individuals. I have always thought that in this day and age, discrimination would not happen very often. I could see how people may not agree with LGBT individuals and may have their own personal bias and treat LGBT people differently.

Reference:

Healthy People. (n.d.) “Lesbian, gay, bisexual, and transgender health.” Healthy People 2020, Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health.

 
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