Nursing Healthcare Wk2dis 18948625

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Part 1

           In 2008, the Institute of Medicine partnered with the Robert Wood Johnson Foundation to not only assess, but also respond to the need of nursing profession transformation. Their report titled the “Future of Nursing: Leading Change, Advancing Health” set a path for advancing the responsibilities or role of nurses in the United States. The report proposes eight recommendations: a nurse ought to practice to the full extent of his or her education and training; and a nurse should attain higher levels of training plus education through improved educational system that enhances seamless educational progression. Thirdly, nurses ought to be full partners with other healthcare practitioners in redesigning the United States healthcare practice. Finally, there is need for better data collection plus improved information infrastructure for effective workforce planning as well as policy making (RWJF & IOM, 2010).   

           Since 2010, various states across United States have established coalition to help realize the recommendations of the Institute of Medicine and the Robert Wood Johnson Foundation report. One such action coalition is the Florida Action Coalition. This coalition, headquartered at the Florida Nursing Working Center, conducted a statewide study whose findings were used as a foundation for a training program of promoting nursing leadership. The coalition also established a program for emerging nurse leaders to provide a 90 day learning experience through group and individual coaching, online courses as well as webinars. The Florida Action Coalition’s website features graduates who are linked with new organizations searching for nurse leaders join their boards. So far, 18 out of 26 graduates of the initiative are working on policy making boards and other agencies. Finally, the coalition has partnered with the Florida Blue- a component of the Blue Cross and Blue Shield Association-to strengthen its ability to not only sustain itself, but also for statewide health improvement (FAC, 2018).   

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Part 2

you did a good job in researching and developing your response.  You stated, ” the coalition has partnered with the Florida Blue- a component of the Blue Cross and Blue Shield Association-to strengthen its ability to not only sustain itself, but also for statewide health improvement.”  What initiatives has Florida developed to help sustain itself and to improve health statewide?  

 
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Nursing Healthcare Wk2dis 18948623

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QUESTION

Review the four recommendations in the IOM report The Future of Nursing: Leading Change, Advancing Health and find your state’s action coalition. Discuss your state’s action coalition’s work as it aligns with these four recommendations. Is each recommendation being addressed? Based on your analysis of the website, how would you describe your state’s progress toward meeting the IOM recommendations?

ANSWER

The four recommendations of the IOM report include: nurses should practice to the full extent of their education and training, nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression, nurses should be full partners, with physicians and other healthcare professionals, in redesigning health care in the United States, and  effective workforce planning and policy making require better data collection and information infrastructure(IOM, 2015). While after researching, there are strides being taken, I do not think that Georgia has met exceeded the goals but progress is being made.  The accomplishments to date include: 

· Established a workforce center. Held two doctoral symposiums that have brought students and faculty together to develop skills, present new work, and network. Convened advanced practice nurses (APN) from around the state to discuss the state of APN practice in Georgia and begin plans on how to move forward. Facilitated negotiations with the Secretary of State’s office, the Georgia Board of Nursing, and the National Council of State Boards of Nursing to obtain up-to-date workforce data from the recently-revamped re-licensure survey based on the national minimum data set.

 
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Nursing Healthcare Wk1project

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Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health

This assignment focuses on the methods to develop a change in policy to improve the public’s health by using a health policy model.

Tasks:

Suppose you want to initiate a policy of taxing sugared sodas/pop/beverages in your community. Use the Longest’s policy cycle model to ponder the following questions:

  • What arguments would you use to make the case for the policy?
  • What argument(s) would your opponents make?
  • How would you go about getting buy-in for your proposed policy?
  • What stakeholder groups need to be involved in promoting your policy?

Submission Details:

  • Submit your response in a 2-page Microsoft Word document (500 words).
  • Name your document SU_NSG4068_W1_Project_LastName_FirstInitial.doc.
  • Cite sources in the APA format on a separate page.
 
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Nursing Healthcare Wk1disresp

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 ha/respond

The main challenge that comes to mind for me personally is juggling the patient load. I transferred from the pediatric floor to the med surg floor. When I worked on peds it was very rare that we would ever have more than 5 patients and they would usually call another nurse in. I know that babies and children’s conditions can be more severe at times because of how quickly they can decline, but I feel that on the med surg floor we should also have no more than 5 patients due to the actual work load each one requires. The average day on the med surg floor you will be taking care of 6 patients and 7 at times. This is a challenge to me because during the day time is when all the commotion is going on. It’s when doctors, therapists, and everyone comes and it’s also when you are typically passing the most meds. I think the patient load they give all of us nurses is neither fair nor safe. How can you adequately care for that many people and please all of them?  This is where patient satisfaction begins to fall because one of the patients will be calling you needing something but you are stuck with another patent and also have 10 other things you need to be doing at the same time. You want to be there for each patient as soon as they need you but it is nearly impossible. You want to provide the best quality of care possible. Every nurse plays a pivotal role in the measurement of quality (Mason, Gardner, Outlaw, & O’Grady, 2016 ). The only way to overcome these challenges is one for the hospital to hire more nurses which has not happened yet or two to hopefully have co-workers who do try to help you in overwhelming times. I am thankful to say that I do have co-workers who will step in and help when the moment gets crazy.

 I believe my career could only continue to improve by advocating for my patients and myself. It is important to always take time to be concerned and listen to what your patients are feeling and telling you. As the patients advocate you are the most important key to their quality of health while they are in the hospital.

 
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Nursing Healthcare Wk1disresp 18943639

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  • Have there been challenges you have faced? If so, what strategies did you employ to overcome these challenges?’

I believe it is impossible to have any type of job that you would not have to find a way to overcome certain challenges. I am a nurse on a med surg floor right now and I would day the biggest challenge I have faced so far would be staffing and nurse to patient ratio. “Nurses are the providers with the greatest presence during health care delivery, and they provide the most holistic approach to patients” (Diana J. Mason, 2016, p. 161). With that being said, on the med surg floor I work on, we sometimes have 7 patients each and it makes it close to impossible for me to feel like I am being the nurse that I know I can be and provide the care that each and every patient deserves. Being a nightshift nurse I feel like they believe we are not busy or we have a lot of down time to be able to handle these 7 patients but I feel as I do not get to spend quality time and provide the care patients need having 7 patients. Prioritizing each patients needs is the only way I’ve been able to make it through nights that we have had 7 patients each. I make sure to show up at work at least 30 minutes early to look at my assignments and see what exactly it is that I am going to be working with. 

  • How do you envision your career moving forward in advocating for your patients? Your community? Yourself?

I feel like a large part of being a nurse is being a patients advocate. You have to listen to each patients wants and needs and be there to help lead them in the right direction of the care they need. It is important to listen to a patients needs and get whatever question they have regarding their health answered. Ive been a nurse for a little over a year now and I feel like I am becoming more and more of a patient advocate. I feel more comfortable and confident in the care I provide as well as educating patients and helping them form questions they may have for their doctors or other medical staff. I have recently signed on with a travel agency and I plan to start taking a few assignments here and there in hopes to help build skill and confidence in my nursing profession and be able to be more of an advocate for my community as well as myself.

 
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Nursing Health Promotionreplywk2

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Topic 1 Influenza

Tar

Natural History of Influenzas

          The influenza virus was once called the Spanish Flu. This was because at the end of May 1918, the King of Spain, King Alfonso XIII, was the first to openly admit that a new disease had emerged in their country (Mamelund, 2017). But the disease did not originate in Spain. Other countries during that period throughout Europe including the United States were experiencing the so called “Spanish” Flu. Since World War I, much has changed in terms of understanding the flu and the origination of infectious disease. It is now known that the Flu is caused by a virus. Statistical studies since 2000 have found that higher mortality rates occur among the poor in comparison to the more affluent (Mamelund, 2017). People who are more susceptible to influenza are those who have poor nutrition, live in overcrowded areas, have secondary infections like pneumonia and other diseases (Mamelund, 2017).

Presenting Symptoms of Influenza

          According to the Centers for Disease Control and Prevention (CDC), Influenza is a contagious respiratory illness caused by influenza viruses. It can cause mild to severe illness and even cause death (Influenza, 2018).

  • Fever or feeling feverish/chills
  • Cough
  • Sore throat
  • Runny or stuffy nose
  • Muscle or body aches
  • Headaches
  • Fatigue
  • Some people may have vomiting and diarrhea (More common in children than adults)

Outbreak characteristics

          According to the CDC, people who have the flu are most contagious in the first 3 to 4 days after infection. People who are healthy can start infecting others, 1 day before symptoms develop and up to 5 to 7 days after getting sick (Influenza, 2018). In addition, some people can have the virus, have no symptoms and spread it to others.

          The World Health Organization’s Global Influenza Surveillance and Response System was established in 1952 (Influenza, 2018). The purpose is to reduce the spread of infection by vaccines.  Based on the surveillance system, Influenza activity in the United States remains low throughout the summer months and early October. Outpatient illness surveillance: The proportion of outpatient visits for influenza-like illness remained low and was 1.4% which is below the national baseline of 2.2%

 
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Nursing Healthcare Wk3disrep

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RI..

The AHCA was written to solve a crisis that doesn’t exist and accordingly accepts sacrifices it doesn’t need to ( Q1,2018). It’s akin to a doctor who wants to amputate a patient’s leg, a reasonable solution if gangrene has set in, but disastrous in case of a botched diagnosis. Everyone will face the specter of getting priced of health insurance altogether if they lose coverage. For them this is functionally a mandate, except instead of a financial penalty the AHCA punishes them by withholding access to care. I think one of the somewhat surprising elements of the bill was the fact that they kept in the essential health benefits, the ten classes of benefits that need to be covered just because it’s covered doesn’t mean that you’re going to be able to afford them. For the people who have coverage, meaning they are in an insurance plan, what is the extent of the out of pocket exposure they have to get the care they need. As it turns out, studies showing better health outcomes for those with insurance looked at individuals having private insurance. On the other hand, multiple studies, assessing the effect of the Medicaid expansion, found no improvement in health outcomes for those on Medicaid.  In fact, other investigations have found worse outcomes for those with Medicaid as compared to those with no insurance at all.

 
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Nursing Healthcare Wk3disrep 18952969

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YOS

American Health Care Act (AHCA) presented by Trump’s administration and Obama’s Affordable Care Act (ACA) demonstrate different visions of the parties on the role of government, rights, and responsibilities of citizens in the sphere of health care. Whereas ACA is set to achieve a nearly universal access to health care, AHCA strives to limit federal spendings and optimize the resource usage. The failure of the first version of AHCA was attributed to the alleged jeopardy, in which it would have put the insurance system in the U.S. One of the main reasons was substantial limitations proposed for ACA including less federal financing and extended privileges of states for discontinuation of service for those having ACA insurance (Hirsch et al., 2017). In addition, it did not address the major problem concerning all the U.S. states such as the increase in health care costs.

Presently, under ACA the state provides subsidized health insurance for the family of four if its annual income is below 97,000 dollars. Under AHCA that limit was raised to 150,000 (Hirsch et al., 2017).  Another difference is that individual insurance that was eventually introduced to ACA was absent in AHCA. In addition to that, ACA ranged subsidies by income level, whereas AHCA initially proposed to substitute them for the age-based system, where the amount of benefit increased with age. The reform proposed by Trump’s administration was set to allocate the 15 billion from the Patient and State Stability Fund to address multiple issues including provision of assistance to high-risk patients, widening access to prevention services, increasing insurance coverage, and so forth (Hirsch et al., 2017).   

 
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Nursing Healthcare Wk5dis

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Nurses as Change Agents in the Community

As in all assignments, cite your sources in your work and provide references for the citations in APA format.

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In the chapter, “How Community-Based Organizations Are Addressing Nursing’s Role in Transforming Health Care,”(SEE ATTACHED DOCUMENT HAVE THE CHAPTER TO READ))))) the authors describe the community as the focus of advocacy action for change. They list a series of questions that help community teams develop organizing principles to guide their interventions, and the aim is to attack social determinants of health to make community change.

Suppose a community team identifies lack of access to exercise modalities as a public health issue. If the team were to determine that pedestrian walkways need to be constructed, discuss at least two factors that would facilitate the development of the walkways and two that would hinder the development. For the hindrances, discuss ways that the team might work to overcome those hindrances.

Continue to read daily from one of the policy briefs that are included in your weekly readings list. POLITICO Pulse is a daily briefing from POLITICO, and the Kaiser Health News Morning Briefing is a daily briefing from the Kaiser Family Foundation. Both focus on health care. Either one will keep you abreast of what is happening in health care policies and politics.

In addition, subscribe to the “HealthCetera” podcast and listen to the podcast weekly. This is a production of WBAI, free speech radio of Pacifica Foundation Radio in New York City. Diana Mason and Barbara Glickstein are founders and codirectors of the Center for Health Media Policy (CHMP). Both are recognized as experts in media, nursing, health, and health policy. They have a longstanding relationship as producers and moderators of HealthCetera, a live, award-winning radio program on public radio and iTunes. They are bloggers for Disruptive Women in Health Care and for the American Journal of Nursing (AJN). The CHMP is an interdisciplinary initiative for advancing the health of the public and healthy public policies through media, research, education, and public forums. Listen to the podcast throughout the course and think on the topics that are discussed, especially as they relate to how we advocate for issues of importance in this contemporary political environment.

 
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Nursing Healthcare Wk4project

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Week 4 Project

Reaching out a Solution

This assignment is designed to assist you in developing a thoughtful process for advocating about an issue as a nurse, from identifying a problem that needs to be solved through articulating a process for doing so.

This assignment consists of answering each of the questions listed below from the “Political Analysis and Strategies” (see attached chapter/document)chapter of your course textbook. Write each question as a new topic area; then follow with a paragraph or two to answer the question. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources, if any used. This project should be no longer than 4 pages.

Let us assume that you are a school nurse in a high school. At a recent school athletic event, a spectator suffered a cardiac arrest in the stands. A coach of the home team went into the high school to fetch the automatic emergency defibrillator (AED) only to find out that it was not readily available. In the meantime, an emergency squad arrived and resuscitated the spectator. On Monday morning, you learn of the absence of the AED only to find out that it had been locked in the custodian’s closet. Reflect on the following questions outlined in the “Political Analysis and Strategies” chapter:

· What is the issue?

· Is it my issue, and can I solve it?

· Is this the real issue or merely a symptom of a larger one?

· Does it need an immediate solution, or can it wait?

· Is it likely to go away by itself?

· Can I risk ignoring it?

· What are the possible solutions? Are there risks to these solutions?

· What steps would you need to take in order to solve the issue?

· Does anyone else at the school need to be involved in the solution?

· Where is the power leverage in the school to reach the preferred solution?

Reaching a solution requires the use of power vested in the nurse. Review Box 9-1 (Sources of Power) and determine which type(s) of power the school nurse has in this situation. State your reasons for your answer.

Submission Details:

· Submit your response in a 4-page Microsoft Word document.

· Cite sources in the APA format on a separate page.

 
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