Compare and contrast two change theories, and determine which theory makes the most sense for implementing your specific EBP project. Why? Has your mentor used either theory, and to what result?
Details:
Select a public health issue and write a 750-1,000 word policy brief that provides a brief summary of the issue, options to solve the issue, and the best way to solve this issue. Select a public health issue from one of the following American Public Health Association websites: Climate Change (https://www.apha.org/topics-and-issues/climate-change) or Topics and Issues (https://www.apha.org/topics-and-issues).
Follow this outline when writing the policy brief:
Include three peer-reviewed sources and two other sources to support the policy brief.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:
What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?
Details:
This is a Collaborative Learning Community assignment.
The instructor will assign you to a CLC group.
The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.
This assignment consists of both an interview and a PowerPoint (PPT) presentation.
Assessment/Interview
Select a community of interest. It is important that the community selected be one in which a CLC group member currently resides. Students residing in the chosen community should be assigned to perform the physical assessment of the community.
Interview Guidelines
Interviews can take place in-person, by phone, or by Skype. Complete the “Provider Interview Acknowledgement Form” and submit with the group presentation.
Develop one set of interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.
Compile key findings from the interview, including the interview questions used, and submit with the group presentation.
PowerPoint Presentation
Within your group, create a PowerPoint presentation of 15-20 slides (slide count does not include title and reference slide) describing the chosen community interest.
Include the following in your presentation:
In addition to submitting this assignment in the LoudCloud dropbox, email a copy of your submission to [email protected]
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to Turnitin.
When submitting this assignment, include the interview questions, the interview findings, completed “Provider Interview Acknowledgement Form,” and the community assessment PPT presentation.
NRS-427V.R.ProviderInterviewAcknowledgementForm_10-14-13.doc NRS427V.R.FunctionalHealthPatternsCommAssessment_Student_10-14-13.doc
What is your evaluation of the effectiveness of the U.S. health care system in the context of delivery, finance, management, and/or sustainability? What are the issues that prompted a need for health care reform? Support your answer with a credible data reference. Do not use a reference already used by another student.
How can community health nurses apply the strategies of cultural competence to their practice? Provide at least one example from each of the following four strategies: cultural preservation, cultural accommodation, cultural repatterning, and cultural brokering. What is a possible barrier to applying the strategy/example chosen? Use an example that is different than the postings of other students. This example should include an evidence-based article that addresses a cultural issue. Response should include an APA reference
Comment 1
I work as oncology and death can occur at any time to my patients. I usually offer a bit of anti-anxiety medication since an impending death may not always be welcomed. Some patients transitioning into the actively dying stage, living becomes exhausting. They become tired, weak, struggling to eat, they feel uncomfortable, and even after chemotherapy, they struggle to taste. Mostly I deal with Hospice patients, and a potential patient death usually waits for me each time I clock in.
My death view was shaped a long time before I joined nursing. During my childhood, I watched cancer eating away as well as taking the majority of my family members. I even have watched my closest friend struggle with cancer currently. After graduating from nursing school, offering back to the oncology community was the only logical thing I could do. The experience has enabled me to empathize with my patients as well as their families. My view on death involves overwhelming sadness, heart-wrenching as well as anxiety-inducing. After working with my oncology patients, my view of death has changed to a more peaceful perspective.
One day death will occur to each of us. Through working in the oncology, I have realized that accepting death as a part of life have assisted me to live more fully (Foss, 2015). My fear of death has been eased through believing that there is life after death.
Comment 2
Suicide, whether it be done by a mentally ill person or a mentally healthy person, has become a common discussion. During my nursing internship, a nurse that I was working with and I walked in to check up on a patient and found that she had committed suicide in her bathroom. Till this day I wonder what caused her to feel that life was not worth living anymore? According to Bioethics A Primer for Christians, “Within the story of my life I have the relative freedom of a creature, but it is not simply “my” life to do with as I please”. I agree with the author. As creatures of God we are given the chance to decide many things, but one does not have the right to choose if one should live or die since we are not the creator. Instead, one should seek help from our creator and others to deal with the difficulties that may arise in our lives instead of deciding to end it all.
The Author goes on to say, “Understanding compassion and care in this way, we seek to learn to stand with and beside those who suffer — with them as an equal, not as a lord over life and death, but determined not to abandon them as they live out their personal histories up against that limit of death which we all share. For us, therefore, the governing imperative should be not “minimize suffering, “but “maximize care.” Again, I agree with the author, we are not the creator to decide who lives or dies. Watching someone suffer is difficult but one can help the person by providing comfort and care.
Comment 1
My definition of spiritual care is being there for my patients beyond their physical needs, to care for their whole person, not only their physical body. It includes listening to their struggles, worries, or concerns they might feel the need to share as well as coordinating a chaplain and respecting their own religious or personal beliefs.
My definition is similar to the one offered in the readings in that it involves caring for the whole person: listening, praying, being present, etc. (Meilaender, 2013).
My definition differs from the description given by Meilaender in a couple ways. One, I left out that it is an integral piece of the assessment, which Meilaender states at the beginning of the discussion on spiritual care. It is not something that should only occur when we “have time”, and it should not need to be private or undocumented either (Meilaender, 2013).
Meilaender (2013) also defines spiritual care as, “facilitating a person’s relationship with God through Jesus Christ.” (p.264). It also included that spiritual care is a way of bringing people closer to God through compassion, listening, prayer, etc. This is not something that I included in my definition.
I very much appreciated that Meilaender (2013) included that spiritual care is never rude or coercive, and if patients have other belief systems, that we must be respectful of their preferences. I believe this is very important also because judging people generally tends to push them away and make them disconnect from the person passing judgment as opposed to make them feel loved and comfortable.
Comment 2
From a nursing perspective, spiritual care is meeting the spiritual need(s) of your patient whenever it is required. This can be accomplished through active listening, prayer, or offering of religious services (i.e. chaplain). My definition and understanding of spiritual care is similar to the description offered in the topic readings. According to Shelly and Miller (2009), spiritual care is defined as “putting people in touch with God through compassionate presence, active listening, witness, prayer, Bible reading and partnering with the body of Christ (the church community and the clergy). It is never coercive or rude” (p. 265).
Compassionate presence is described as providing assistance at the moment it is needed and constantly nudging patients toward the goals that God has for them (Shelly & Miller, 2009, p. 265). “Active listening includes hearing what a person is not saying as well as the actual thoughts and feelings articulated” (Shelly & Miller, 2009, p. 266). Witness involves sharing a story or providing scripture that may be helpful toward patient healing. It is important to remember that “our witness should not be self-righteous or manipulative, but it can be bold” (Shelly & Miller, 2009, p. 268). Prayer is communicating with God in whichever manner the patient feels is helpful. Bible reading allows the patient to search for scripture that “can be a deep source of comfort and strength to the believer” (Shelly & Miller, 2009, p. 271). Remaining in touch with the church community and the clergy allows the patient to have a larger support base and helps the nurse further meet their patient’s spiritual needs.
Comment 1
Spiritual needs are one of the essential needs among individuals. Throughout the life, the spiritual needs are an intrinsic need and remain as a primary element of holistic nursing care. Nurses face a great challenge of satisfying the spiritual needs of the patient. The holistic care addresses the spiritual needs, social, physical, economic and emotional needs of the patient (Nolan, 2015). The religious intervention involves treating the religious beliefs of the patients without prejudice, helping them practice their religion, giving them an opportunity to connect with God as well as expressing their beliefs and values and referring them to religious leaders and clerical.
According to me, the spiritual care is supporting and acknowledging a person religious beliefs. Respecting them and ensuring that their wishes are followed. It involves bringing glory to God. A practitioner may give spiritual care through praying with the patient, providing a word of encouragement, being present and listen to the patient, sharing from the scriptures, participating in the healing service and referring them to the religious leaders. I believe that the Holy Spirit guides the practitioners when making the challenging decisions. Reading the scriptures and praying makes the healthcare provider stronger as well as close to God and are able to make a decision based on God’s plan. The religious leaders are supposed to teach their followers concerning the spiritual care.
Comment 2
Spiritual worldview concept incorporates spirituality, religion and other philosophical and reference points, which make assumptions concerning the bigger context of human existence (Josephson, 2015). As a professional nurse, I try to keep aside my personal views as well as not compare them with that of the patient. This helps me to concentrate on the assignment and patient needs. I may not agree with the patient spiritual belief, but I show interest in their perspective. Dealing with a patient whose worldview differs from mine, my strengths would include: facilitating expressions as well as the articulation of patient’s desires, values, beliefs and needs that shape choices and interactions of the patient. Encourage the patient to share their hopes, fears, and creative expressions. Engage with the patient experience and encourage him/her to express the full range of the feelings and emotions.
There is also weakness that I may face as the healthcare provider. Being unfamiliar with some culture is a barrier since some ideas of the patient I might see them as taboo. Uncertainty, as well as the fear of the general medical practitioners, may be a barrier since some may want to listen to what the patient may want to share. Lack of privacy is another barrier since some patient could wish to express their perspective in private but when there are other patients, he/she holds back. As a patient, I have the final say during the difficult situation. Once I understand the risks, and the benefits of a particular treatment will enable decide what I want. The practitioner is supposed to support me during the decision-making process. In case am in a situation that I cannot be able to make the decision, I may want my doctor to do it for me.
Comment 1
Leadership and management are both necessary for the success of any organization. These terms are often used interchangeably by some while others see them as separate. Leaders are the inspiration, mentors, praises, and give directions to problems. Leaders may be more open with communication and participative in their encouragements of employing new concepts to help resolve a crisis. Managers are the planners, problem finders and solving, communication with team solving the problems. Managers may be known as having a stronger talent in solving problems and making use of scientific methods to come up with substantial solutions they the team may face every day (Huber, 2014).
I believe that the overlap between leadership and management are necessary for success. As a nurse manager and leader, I see this every day. Our nurse managers are also considered part of the leadership team. Our A-team, administration, would be considered the leaders in regards to this question. We are a rural hospital so we all work every close together and have an open communication among us. An example that I witnessed lately in the overlap is the construction on my psychiatry floor. We are in the process of updating our unit. There are construction workers in and out of the unit who does not understand that psychiatry is locked down for a reason. As a manager, I have spoken with them and explained the rationale; I have spoken with their supervisors and explained the rationale. They all state they understand but I continue to witness the misbehavior entering and exiting the unit on the cameras in my office. I then go to my administration for guidance and help with the outside contractors. I experience guidance, open communication, and the administration goes to “manage” the construction crew.
Comment 2
The leader focuses on people of the company and the managers focus on getting tasks accomplished. The area in which they overlap is directing people toward a goal. Leaders are typically chosen informally and may be a part of the direct team. The followers are voluntary in the case of the leader. A manager is hired to work that position and the employees are mandated to follow (Huber, 2014). The manager, if not also functioning as a leader, dictates the movements toward a goal rather than including explanation and guidance.
I have found that an informal leader can impact change more readily than a manager at times. As a leader I would try to experience the change along with the other staff and note the difficulties within the change. I would explain the change to the other staff, acknowledge fears and frustrations of change and encourage a three month trial before feelings of resistance toward it. I always like to tell the nurses I work with that we should give it three months before we “complain” about the change because every new process is hard and messes up your flow. After three months if the process is beneficial it will be the new norm, if it isn’t beneficial we should look at where the problem lies.
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