Agenda Comparison Grid 19248633

Review the agenda priorities of the current /sitting US president and the two previous presidential administrations.

 Select an issue related to healthcare that was addressed by each of the last three US presidential administrations.

 Reflect on the focus of their respective agendas,including the allocation of financial resources for addressing the healthcare issue you selected.

  Consider hoe you would communicate the importance of a healthcare issue to a legistlator/policy maker or a member of their staff for inclusion on an agenda.  

 
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Agree Or Disagreement This Answer With 100 Words And Because 19179593

 Critical thinking and evidence-based practice (EBP) drives nursing practice today. Critical thinking can be defined as incorporating data analysis, synthesis and interpretation of data to determine patient interventions. (Green, 2018) Evidence-based practice is defined as “the integration of clinical expertise, the most up-to-date research, and patient’s preference to care.” (Green, 2018) The nursing process to delivering patient care is dynamic. When a nurse incorporates the nursing process of assessment, diagnosis, planning of outcomes, implementation and evaluation in the setting of EBP patient care is substantiated. It allows the nurse to implement care and evaluate the outcome. It further permits for care to be changed if outcomes aren’t as desired. Critical thinking and critical evaluation are interchangeable. It enables the nurse to gather data and process that data to influence better patient care giving rise to better patient outcomes. Patient outcomes have improved when this process has been implemented. Foley catheter utilization driven by EBP and how it’s decreased catheter associated urinary tract infections (CAUTI) is one great example of its success. Patients no longer have a Foley catheter placed without a medically necessary reason. Risks and benefits have been tested, evaluated and substantiated to Foley catheter usage. This has greatly improved (decreased) CAUTI incidence and decreased negative patient outcomes. (Green, 2018) “EBP is aimed at hardwiring current knowledge into common care decisions to improve care processes and patient outcomes” (Stevens, 2013) This is an outstanding improvement to delivering patient care. As nurses we want to facilitate health and well being without causing harm. Exercising critical thinking and EBP when rendering care will help achieve that goal. 

 
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Agree Or Disagreement This Answer With 100 Words And Because 19175777

 

Three examples of plagiarism are intentional plagiarism which is when a person knowingly copies the work of another person and purposefully did not give credit to the author. Unintentional plagiarism involves a person having poor writing and paraphrasing skills (de Souza, 2016). Cheating is known as plagiarism and is when another person takes someone’s work and presents it as their own (LaDuke, 2013).

Nursing is a very trusted profession and therefore nurses are meant to provide professional care to members of the community, integrity is essential in this type of work. Poor decision making is led by lack of integrity and dishonesty, this can have poor patient outcomes. I think that since most people who are achieving their baccalaureate degree are full time nurses, time is a big issue. They think cutting corners and copying and pasting will save time. They forget that nursing is a profession passed on integrity and trust, plagiarism can affect their performance and impact EBP created to affect change in patient care (LaDuke, 2013).

Things that I will plan to do to ensure my academic integrity when doing work for my BSN is to use plagiarism prevention software like Turnitin, making sure to give credit to each piece of work by citing authors and dates correctly, and for asking for help if I am not sure if it’s a credible source or if I am citing correctly.

 
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Agree Or Disagreement This Answer With 100 Words And Because 19174751

 Plagiarising as a nursing student, goes beyond the academics. It reaches to the core and very foundation of trust, and integrity upon which the profession of nursing was built, and affects the very care we give to our most trusting clients, our patients. It attempts to uproot and, make a mockery of it all by taking away the trust the public has in our profession. As students, if we do not carefully research the topics and issues before us, and discover the best way to address and get it under control through proper data collection, giving credit to where it is due, we will not be able to carry these out as nurses. This is exactly what we are going to do for every patients concern. We will have to research or investigate the problem, collect data, analyze it, plan, while advocating for the patient as we present our findings to the physicians. Our implementation of the prescribed care will focus on the patient’s safety, and we will patiently and together with the physician evaluate the outcome of the whole process. This will aid to enhance a much better outcome for these patients.Their trust in the profession of nursing will be strengthened. The issue here is about honesty and integrity in our work as nurses. We are expected to research enough materials and get an excellent  grasp of the researched topic while giving credit to the sources of our acquired wisdom. As we practice doing this at this level of our education, we will easily transfer it to our professions as nurses. As we ethically practice this, we will be able to stand with those great giants in healthcare, and deliver the best possible care with integrity to those that have come to us with trust in their time of illness or trauma.  

 
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Aging Assessment

Describe the characteristics of the aging process. Explain how some of the characteristics may lead to elder abuse (memory issues, vulnerability, etc.). 

Discuss the types of consideration a nurse must be mindful of while performing a health assessment on a geriatric patient as compared to a middle-aged adult.

500 words, 3 APA format reference. NO Plagiarism.

 
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Aging Adult

Aging Adult Case Study

A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4. The client is on a fixed income, but has enough to manage a modest lifestyle. The client has family and social supports but is very independent and is proud of her self-reliance. The client’s height is 5’ 6”, weight is 210 lb. / 95.25 kg.

Please answer the following:

  • What is the client’s BMI?
  • Identify what screening tools you would use to assess nutritional and exercise knowledge, and why?
  • Identify two client outcomes that are reasonable, measurable and realistic
  • Identify 3 nursing interventions for each client outcome and give rationales
  • Identify what weakness in the client’s life and supports may be impacting the client’s activity and diet?
  • What referrals would you make and why?
  • Identify your references in APA format. Use references not just opinion.

Assignment Expectations:

Length: 1500 to 1750 words in length

Structure: Include a title page and reference page in APA format.  These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

 
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Aging 19464423

 

End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, most elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes. Support your response with evidence-based literature.

 
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Aging 19464415

 Describe the characteristics of the aging process. Explain how some of the characteristics may lead to elder abuse (memory issues, vulnerability, etc.). Discuss the types of consideration a nurse must be mindful of while performing a health assessment on a geriatric patient as compared to a middle-aged adult. 

 
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Aging 19223419

Describe the characteristics of the aging process. Explain how some   of the characteristics may lead to elder abuse (memory issues,   vulnerability, etc.). Discuss the types of consideration a nurse must   be mindful of while performing a health assessment on a geriatric   patient as compared to a middle-aged adult.

 
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Agenda Setting

  

Agenda Setting

A key aspect of the policy process is agenda setting. How do topics get on that agenda? Agenda setting requires the support of stakeholders to move the issue forward. In this week’s media presentation, Dr. Kathleen White outlines the policy process and discusses how to move issues into the policy arena through agenda setting. The ultimate goal is to gain the attention of leadership whether at the organizational, local, state, national, or international level.

To prepare:

  • Review      this week’s media presentation, focusing on the insights shared by Dr.      White and Dr. Stanley on agenda setting and identification of      stakeholders.
  • Brainstorm      clinical practice issues that you believe are worthy of being on your      organization’s systematic agenda.
  • Who      are the stakeholders who would be interested in this clinical practice      issue?

By tomorrow 03/14/2018 3pm, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”

Post a cohesive response that addresses the following:

1) In the first line of your posting, identify the clinical practice issue you would like to see on your organization’s systematic agenda.

2) What strategies would you use to inform stakeholders and persuade them of the importance of your identified clinical practice issue?

Required Readings

Hyder, A., Syed, S., Puvanachandra, P., Bloom, G., Sundaram, S., Mahmood, S., … Peters, D. (2010). Stakeholder analysis for health research: case studies from low- and middle-income countries. Public Health, 124(3), 159–166.

This study demonstrates how the engagement of stakeholders in research and policy making can assist in the successful implementation of policy proposals. The authors propose that by engaging stakeholders, researchers and policy makers are provided with multiple perspectives on proposed policies, which can lead to greater success with policy adoption and implementation.

Lavis, J. N., Permanand, G., Oxman, A. D., Lewin, S., & Fretheim, A. (2009). SUPPORT Tools for evidence-informed health Policymaking (STP) 13: Preparing and using policy briefs to support evidence-informed policymaking. Health Research Policy & Systems, 71–79. doi: 10.1186/1478-4505-7-S1-S13

The purpose of a policy brief is to communicate an issue clearly and definitively to policy makers. The authors of this article propose an outline for policy briefs and also stress the importance of using research when creating a policy brief.

Lowery, B. (2009). Obesity, bariatric nursing, and the policy process: The connecting points for patient advocacy. Bariatric Nursing & Surgical Patient Care, 4(2), 133–138.

This article provides an example of nurse involvement in policy making by examining a bariatric nursing issue. The author stresses that nurses, in their patient-advocacy role, have a responsibility to be involved in the health care policy process.

Moore, K. (2006). How can basic research on children and families be useful for the policy process? Merrill-Palmer Quarterly, 52(2), 365–375.

Institute of Medicine. (2010). The future of nursing: Leading change, advancing health: Report recommendations. Retrieved from http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Recommendations.pdf

Introduced in Week 2, this IOM report highlights four key recommendations in its proposal for the future directions of the nursing profession. These recommendations focus on nursing practice, education and training, partnerships with other healthcare professionals, and workforce planning and policymaking.

National Center for Policy Analysis (2010). Ideas changing the world: Free-market health care policy. Retrieved from http://www.ncpa.org/healthcare/

The NCPA is a nonprofit, nonpartisan organization that promotes private sector solutions to public policy issues.

Slack, B. (2011). The policy process. Retrieved from http://people.hofstra.edu/geotrans/eng/methods/ch9c2en.html 

The author presents a policy-making framework and provides details on the four steps of that process: problem definition, policy objectives and options, policy implementation, and policy evaluation and maintenance.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Healthcare policy and advocacy: Agenda setting and the policy process. Baltimore: Author. 

Note: The approximate length of this media piece is 17 minutes.

Dr. Kathleen White and Dr. Joan Stanley share their insights into agenda setting and how issues are moved forward into the policy process.

Optional Resources

Barnes, M., Hanson, C., Novilla, L., Meacham, A., McIntyre, E., & Erickson, B. (2008). Analysis of media agenda setting during and after Hurricane Katrina: Implications for emergency preparedness, disaster response, and disaster policy. American Journal of Public Health, 98(4), 604–610.

Jennings, C. (2002). The power of the policy brief. Policy, Politics & Nursing Practice, 3(3), 261–263. doi: 10.1177/152715440200300310

Neumann, P. J., Palmer, J. A., Daniels, N., Quigley, K., Gold, M. R., & Chao, S. (2008). A strategic plan for integrating cost-effectiveness analysis into the US health care system. American Journal of Managed Care, 14(4), 185-188.

Plan, Policy, Procedure Relationship Diagram. (n.d.). Retrieved from http://www.informationsecurityintel.com/docs/Fig.%204.3.pdf

 
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