Discussion Question Week 14
Prepare examples of various coding and billing issues in clinic settings especially in Peds and women’s health.
Provide 1 to 2 references.
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Discussion Question Week 1
Discussion Question
In this course, each of you will be developing a research proposal. Our focus this week is to identify a problem specific to your role option that is amenable to an innovative solution.
Based on your specialty role option (i.e., Nurse Practitioner, Nurse Educator, Nurse Informaticist, Nurse Administrator), identify a potential problem (topic) that you would like to investigate through nursing research. Begin by reading the American Association of Colleges of Nursing’s (AACN) position statement on nursing research (Nursing Research).
Next explore South’s Online Library and conduct a search to locate a minimum of three nursing research articles that have addressed the problem you have identified. The literature may not be older than 5 years. After reading the literature respond to the following:
- Note your role specialization and briefly describe the problem you are interested in researching and why this is of interest to you.
- Discuss your library search strategies and briefly summarize the literature you reviewed. Focus your discussion on the “problem” and how the literature you identified provides evidence of the existence of the problem.
- Include in your discussion a potential innovation that you might consider as a solution to the problem identified.
- Include citations/references in APA style format, using citations where appropriate.
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Discussion Replay Each Similarities Less 5 Apa 6th 2 References
A minimum of 2 paragraphs
Discussion
Advanced registered nurse practitioners (ARNPs) have to consider a broad range of factors when prescribing medicines. For instance, professionals in this area have to consider federal and state laws that regulate their practices. The focus on controlled substances is particularly important because registered nurses have a responsibility to prevent fraud and diversion (Klein, 2016). ARNPs have the authority to prescribe Schedule II, Schedule III, and Schedule IV drugs if they pass certification (Florida Board of Nursing, 2016). It is imperative to prevent tampering to prevent abuse and negative health effects when prescribing such substances. Similarly, nurses have to identify behavioral red flags and demonstrate outstanding communication skills when dealing with scammers (Klein, 2016).
Advanced practice nurses have to deal with a set of barriers that limit their ability to prescribe medicines. First of all, ARNPs have to consider such factors as state licensure and regulations. The situation has improved over the years, and such organizations as the American Association of Nurse Practitioners (AANP) seek to improve the prescriptive authority of nurse practitioners. Nevertheless, nurse practitioners have to deal with such issues as supervision and delegation. It is also noted that physician professional organizations believe that it is necessary to limit the scope of nursing practice because of such factors as the overall quality and safety of care (Hain & Fleck, 2014). Available research indicates that most of the concerns voiced by the opponents of unrestricted prescriptive authority are unreasonable. It is also suggested that payer policies affect the ability of registered nurses to prescribe medicines because of low reimbursement rates (Hain & Fleck, 2014). The situation is challenging because both public and private payers often prevent nurse practitioners from practicing independently. It may be beneficial to cooperate with policymakers to address the problem and eliminate the barriers that have an adverse effect on advanced practice nurse prescribers.
References
Florida Board of Nursing. (2016). Important legislative update regarding HB 423. Retrieved from https://floridasnursing.gov/new-legislation-impacting-your-profession/
Hain, D., & Fleck, L. M. (2014). Barriers to nurse practitioner practice that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing, 19(2). DOI: 10.3912/OJIN.Vol19No02Man02
Klein, T. (2016). Legal and professional issues in prescribing. In T. M. Woo, & M. Robinson (Eds.), Pharmacotherapeutics for advanced practice nurse prescribers (4th ed.) (37-50). Philadelphia, PA: F. A. Davis Company.
Advanced Practice Nurses (APRNs) as health professionals, are tasked with the responsibility to care for and safeguard the health and safety of patients. One duty of care owed by APRNs is on ethical and legal prescribing of medication. APRNs are expected to adhere to strict standards of prescribing, which serve the needs of the patient, minimize medical errors as well as maintain high levels of professionalism and accountability (Mitchell & Oliphant, 2016). In 2007, the World health Organization (WHO), outlined 7 guidelines which were meant to serve as a universal regulatory framework for ethical prescribing for all health practitioners, including APRNs. They are as follows: (1)Evaluate and define the patient’s problem; (2) Determine the therapeutic objective of the drug therapy; (3) Select an appropriate medication; (4) Provide patients with information, warnings and instructions; (5) Monitor the patient regularly; (6) Consider drug costs when prescribing and (7) Use appropriate tools, such as prescribing software and electronic drug references, to reduce prescription errors.
While the role of APRNs has been extended to include drug prescription, the independence to do so is not absolute. The primary barrier to APRN prescribing involves state practice and licensure (Hain & Fleck, 2014). Only 22 states so far have given full independence to APRNS to prescribe to patients. In the majority of states, including Florida, APRNs can only prescribe with the supervision or collaboration of a qualified physician. Another major barrier lies in the lack of physician cooperation and goodwill. The American Medical Association for instance, is yet to accept and support APRNs as capable of handling independent practice (Hain & Fleck, 2014). Thirdly, APRNs grapple with a physician-biased insurance system that discriminates against nurse practice. Several payer policies and reimbursement models in various states fail to recognize nurse practitioners as primary care providers, thereby affecting the extent of APRN practice including prescription (Altman et al.,2016).
References
Altman, S. H., Butler, A. S., Shern, L., & National Academies of Sciences, Engineering, and Medicine. (2016). Removing Barriers to Practice and Care. In Assessing Progress on the Institute of Medicine Report the Future of Nursing. National Academies Press (US).
Hain, D., & Fleck, L. (2014). Barriers to nurse practitioner practice that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing, 19(2).
Mitchell, A., & Oliphant, C. M. (2016). Responsibility for Ethical Prescribing. The Journal for Nurse Practitioners, 12(3), A20.
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Discussion Replay 1 To Each Similarities Less 5 Apa 6th 2 References Min Total 2 Replay
A minimum of 2 paragraphs
Discussion
Advanced registered nurse practitioners (ARNPs) have to consider a broad range of factors when prescribing medicines. For instance, professionals in this area have to consider federal and state laws that regulate their practices. The focus on controlled substances is particularly important because registered nurses have a responsibility to prevent fraud and diversion (Klein, 2016). ARNPs have the authority to prescribe Schedule II, Schedule III, and Schedule IV drugs if they pass certification (Florida Board of Nursing, 2016). It is imperative to prevent tampering to prevent abuse and negative health effects when prescribing such substances. Similarly, nurses have to identify behavioral red flags and demonstrate outstanding communication skills when dealing with scammers (Klein, 2016).
Advanced practice nurses have to deal with a set of barriers that limit their ability to prescribe medicines. First of all, ARNPs have to consider such factors as state licensure and regulations. The situation has improved over the years, and such organizations as the American Association of Nurse Practitioners (AANP) seek to improve the prescriptive authority of nurse practitioners. Nevertheless, nurse practitioners have to deal with such issues as supervision and delegation. It is also noted that physician professional organizations believe that it is necessary to limit the scope of nursing practice because of such factors as the overall quality and safety of care (Hain & Fleck, 2014). Available research indicates that most of the concerns voiced by the opponents of unrestricted prescriptive authority are unreasonable. It is also suggested that payer policies affect the ability of registered nurses to prescribe medicines because of low reimbursement rates (Hain & Fleck, 2014). The situation is challenging because both public and private payers often prevent nurse practitioners from practicing independently. It may be beneficial to cooperate with policymakers to address the problem and eliminate the barriers that have an adverse effect on advanced practice nurse prescribers.
References
Florida Board of Nursing. (2016). Important legislative update regarding HB 423. Retrieved from https://floridasnursing.gov/new-legislation-impacting-your-profession/
Hain, D., & Fleck, L. M. (2014). Barriers to nurse practitioner practice that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing, 19(2). DOI: 10.3912/OJIN.Vol19No02Man02
Klein, T. (2016). Legal and professional issues in prescribing. In T. M. Woo, & M. Robinson (Eds.), Pharmacotherapeutics for advanced practice nurse prescribers (4th ed.) (37-50). Philadelphia, PA: F. A. Davis Company.
Advanced Practice Nurses (APRNs) as health professionals, are tasked with the responsibility to care for and safeguard the health and safety of patients. One duty of care owed by APRNs is on ethical and legal prescribing of medication. APRNs are expected to adhere to strict standards of prescribing, which serve the needs of the patient, minimize medical errors as well as maintain high levels of professionalism and accountability (Mitchell & Oliphant, 2016). In 2007, the World health Organization (WHO), outlined 7 guidelines which were meant to serve as a universal regulatory framework for ethical prescribing for all health practitioners, including APRNs. They are as follows: (1)Evaluate and define the patient’s problem; (2) Determine the therapeutic objective of the drug therapy; (3) Select an appropriate medication; (4) Provide patients with information, warnings and instructions; (5) Monitor the patient regularly; (6) Consider drug costs when prescribing and (7) Use appropriate tools, such as prescribing software and electronic drug references, to reduce prescription errors.
While the role of APRNs has been extended to include drug prescription, the independence to do so is not absolute. The primary barrier to APRN prescribing involves state practice and licensure (Hain & Fleck, 2014). Only 22 states so far have given full independence to APRNS to prescribe to patients. In the majority of states, including Florida, APRNs can only prescribe with the supervision or collaboration of a qualified physician. Another major barrier lies in the lack of physician cooperation and goodwill. The American Medical Association for instance, is yet to accept and support APRNs as capable of handling independent practice (Hain & Fleck, 2014). Thirdly, APRNs grapple with a physician-biased insurance system that discriminates against nurse practice. Several payer policies and reimbursement models in various states fail to recognize nurse practitioners as primary care providers, thereby affecting the extent of APRN practice including prescription (Altman et al.,2016).
References
Altman, S. H., Butler, A. S., Shern, L., & National Academies of Sciences, Engineering, and Medicine. (2016). Removing Barriers to Practice and Care. In Assessing Progress on the Institute of Medicine Report the Future of Nursing. National Academies Press (US).
Hain, D., & Fleck, L. (2014). Barriers to nurse practitioner practice that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing, 19(2).
Mitchell, A., & Oliphant, C. M. (2016). Responsibility for Ethical Prescribing. The Journal for Nurse Practitioners, 12(3), A20.
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Discussion Questions Week 10
this paper will be on immunization in India, Switzerland and Nigeria
Overview/Description:
The final project for NSG6101 consists of the development of a novel research proposal specific to your role specialization. The project must include an intervention appropriate to nursing practice and consistent with your MSN role option. An alternative to the above includes the selection of a specialty organization to focus research proposals based on the priorities of that organization. Examples of these organizations could include (but are not limited to): Sigma Theta Tau International, American Nurses’ Foundation, Oncology Nursing Society, Association of Nurses in AIDS Care, American Psychiatric Nursing Association, American Association of Critical Care Nurses, National Association of Pediatric Nurse Associates and Practitioners, National League For Nursing, etc.
Throughout this course you have been developing various sections of the research proposal. This week you will assemble the final proposal (addressing faculty feedback). This paper is to be developed in APA format/style using the required template and not to exceed 8-10 pages (excluding title page/references/appendices).
Criteria:
Introduction
- Background and Significance of Problem
- Statement of the Problem and Purpose of the Study
Literature Review
- Summary of the Evidence for the Proposed Study
Research Question, Hypothesis, and Variables with Operational Definitions
Theoretical Framework
- Overview and Guiding Propositions(s) Described in Theory
- Application of Theory to Your Study’s/Project’s Focus
Methodology
- Sample/Setting: Number and criteria for inclusion and description of place in which data will be collected.
- Sampling Strategy
- Research Design: Type (e.g., Quasi-Experimental), description, and rationale for selection.
- Extraneous Variables (and plan for how controlled).
- Instruments: Description, validity, and reliability estimates, which have been performed (on a pre-established measure). Include plans for testing validity and reliability of generating your own instrument(s).
- Description of the Intervention
- Data Collection Procedures
- Data Analysis Plans
- Describe plan for data analysis for demographic variables (descriptive statistical tests).
- Describe plan for data analysis of study variables (descriptive and inferential statistical tests).
Ethical Issues
- Describe ethical considerations and your plan to protect human rights.
Limitation of Proposed Study
Implications for Practice
References
Appendices
- Informed Consent Letter
- Procedure section is clear, described in detail, specific, and all inclusive. Written in lay language (as documented by reading level score). Includes risks and benefits relevant to study. Address assent (if applicable).
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Discussion Questions In Medical Insurance
I need 3 replys to each discussion question
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Discussion Questions Dq 1 And Dq 2
These are two discussion questions DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please Tutor MUST have a good command of the English language Sources need to be journal/scholarly articles. Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources). No textbook or direct quotes Please separate the two DQ with their reference page My project is CLABSI prevention
DQ 1 Should all nurses be considered leaders? What characteristics of a nurse makes one a leader? How does the doctorally prepared advanced practice nurse collaborate with others for company resources? Explain.
DQ 2 Reflecting back on this and all previous courses, how has your thinking about your DPI Project changed? What will you take from this course and apply directly to your DPI Project?
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Discussion Questions Answer In Apa
1.
What strategies will you use in your new role in health care to review and critique. Strategies can come in many shapes and forms.Know there is a process to review and critique various types of literature. Look around on the Internet and in the library and find something that best suits your topic and the type of literature you will use. This is important to understand because next week an APA literature review is assigned.
2.
One of our objectives this week is to assess stakeholders, team roles, and leadership skills needed to bring about change. Create a flow process (doesn’t have to be formal you can list it in steps) that shows how you feel each of these impact the implementation of EBP when it comes to change.
3.
Nobody likes change” is a frequent comment, but creating a culture that allows for new ways of knowing takes a unique set of leadership skills. As a leader, how would you create a culture of change?Change can be one of the biggest challenges in an organization but even more so when the culture is not conducive and administration is resistant. Keep this in mind as you address changing an entire culture!
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Discussion Questions 18909627
Tutor MUST have a good command of the English language
These are two discussion questions
Your DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please
Tutor MUST have a good command of the English language
These are two discussion questions
Your DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please
DQ 1
Identify a historical change or event that had significant impact on the development of nursing theory. Discuss the effect of the change/event on nursing from that point forward, the contribution(s) to nursing that resulted, and how it relates now to successfully preparing the DNP for practice.
DQ 2
Provide one definition and an outline of the structure of theory. Debate the purpose of theory and your perspective on the role theory or the lack of theory in today’s nursing practice environment. What purpose (if any) does theory contribute to your area of nursing practice?
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Discussion Questions 18702801
Select two of the following discussion questions for your discussion response. Indicate which questions you have chosen using the format displayed in the “Discussion Forum Sample.”
- Review the hypothalamus, pituitary, and ovarian axis, and explain the pathophysiology of PCOS. Explain the role of hormones in the development of this disorder. How does PCOS contribute to infertility?
- Explain the role of genetics and oncogenes in the development of reproductive cancers. In addition, examine if genetically linked reproductive cancers are only seen in women or are they also in men?
- Mr. Jones, a 60-year-old male, was seen for his yearly physical. Upon review of his lab results, a high PSA level was seen. Having heard about the PSA test and correlation to prostate cancer, he is worried about a diagnosis of cancer. What would you tell Mr. Jones in your discussion about the lab results?
At least 300 words with at least 2 references no older than 5 years and intext citation. Apa format
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