part 1 

Nursing Change Agents

The involvement of the community in determining the nursing and health requirements of the residents is critical. This is because the people help provide solutions to problems that directly affect them like the case of health problems due to less or lack of exercise infrastructure within a community (Kelly & Symonds, 2017). If the community team identified that the construction of pedestrian walkways would help bring the community to a higher level of health consciousness and healthy lifestyles, the team must be prepared for the barriers. This paper addresses factors that would promote the construction and those that would hinder as well as recommendations for the barriers.

The community would save as the primary promoters for the construction of the walkways. This means that there would be a lot of resources directed at the project. This is because the initiative is from the direct recipients of the health issue and concern. Residents and members of the community would want to participate or encourage the completion of the project considering that it would benefit them all. Another factor that would promote the construction of the walkways is accountability and integrity. The release of funds or the construction period has several checks and balances from the entire community (Kelly & Symonds, 2017).

The lack of funds can be a problem for the construction of the walkways. It is important to note that construction of such walkways is expensive in several ways; firstly some public land and private land might be used. Secondly, the funds to put up the structure might not be readily available (Clark, 2015). However, the team can invite investors, seek donations from charity organizations or urge the members to contribute reasonably .this would raise the required funds. The second factor that would hinder the construction is inadequate to support from the community. Considering that it is a community initiative, unity is critical to ensure that the project achieves the desired objective. Issues such as demonstrations from unsatisfied residents can be common. To curb such issues a sensitization forum can be help or advocacy groups from the team to inform the entire community (Clark, 2015).

part 2

 Thank you for sharing your thoughts on the community project.  How would you determine what community initiatives are already underway upon which you can build? 

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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.

  Identifying public health issues is an important task that requires attention in order to implement change. Often times, change is opposed and not welcomed. With reference to the situation presented, there are benefits and hindrances that could arise. The need for access to pedestrian walkways would be presented based on the safety that these walkways would offer as well as the health benefit that these walkways would offer. With the walkways, there would be no reason for people to be walking in the roadway or close to the road, risking being injured by a motorist. There is less risk of injury since the walkways would provide safe and level paved ground to walk on. The health benefit would come from the walkways giving persons wanting to walk, a safe spot to walk or run and not be in the way of cars traveling the roadways. Walking has many health benefits that include:

• increased cardiovascular and pulmonary (heart and lung) fitness
• reduced risk of heart disease and stroke
• improved management of conditions such as hypertension (high blood pressure), high cholesterol, joint, and muscular pain or stiffness, and diabetes
• stronger bones and improved balance
• increased muscle strength and endurance
• reduced body fat.

Two different hindrances that could be expected include cost and space. The need for the walkways would be a good tool for encouraging those in the city council and/or county commission to approve the funding. Space may be a problem if the roadways are close to housing and stores. Dealing with the right of way laws, and getting private citizens to be onboard with the construction could also become a problem. Educating the public on what these sidewalks could mean for the health of the community could potentially increase the approval as well as recruit others to promote the idea. 

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 Hello Class,
I obtained an associate’s degree in nursing from William Rainey Harper College (https://www.harpercollege.edu/Links to an external site.). It is a community college located in Palatine Illinois. In 1967, the doors opened at William Rainey Harper College and they began nursing classes that same year. The two-year program served as a bridge for those students who previously became a Licensed Practical Nurse. It provided me with a sound clinical foundation and laid the framework for my continuing education. Going forward I will be curious how they will maintain enrollment in the program because of the national strategy to have entry-level nurses obtain a bachelor’s degree.
I am looking forward to hearing about the nursing school you previously attended. How did it affect you and nursing in the present and future?
Roma 

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In your own words define what is vulnerability and rural populations and give and discuss at least two examples of each one.

2.  Do you feel it is realistic for nurses to be able to address all the different issues that face patients today? Why or why not? How do you think you could integrate this type of assessment into the care setting without taking up too much time?

3.  If you worked in a rural area and wanted to form a task force around certain health topics, who would be important key informants to invite to the table? How would you work together to address the problems of the community? What would be some unique challenges in a rural community?

4. What are some of the stereotypes about people who are homeless? Are these always true? Are they even usually true? What leads people to homelessness?

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Jane Watson (Philosophy and Science of Caring

1.Describe the background of the theorist,

 2.description of the theory, 

3.assumptions of the theory, 

4.the application of the theory to nursing practice, 

5.and the compatibility of the theory to your personal philosophy of nursing.

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