Category: Essay Help

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

Review the Resources and reflect on the definition and goal of EBP.

Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).

Explore the website to determine where and to what extent EBP is evident.

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

Note two of the three sources must be peer reviewed articles no more than five years old (one can be from the readings, the other an article from a library search).

APA You need to use the manual and use proper APA formatting. If you use formatting software, please do not copy and paste the references/citations from that site into your assignments,

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01

Note: You will access this article from the Walden Library databases.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126

Note: You will access this article from the Walden Library databases.

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021

Note: You will access this article from the Walden Library databases.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160

Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

1.Allender states that it is important to “submit our story, the writing of our life, to the reading of others. What parts of your story have you found easy to tell others? What parts of your story have you found difficult to trust others with?

Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.

For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.

ASSIGNED PATIENT

16-year-old white pregnant female living in an inner-city neighborhood

To prepare:

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

How would your communication and interview techniques for building a health history differ with each patient?

How might you target your questions for building a health history based on the patient’s social determinants of health?

What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?

Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.

Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.

Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

Discussion: Diversity and Health Assessments
May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012).

Photo Credit: Getty Images
Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.
In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Your Instructor will assign a case study to you for this Discussion.
To prepare:
• Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
• By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.
• Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
• Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
• Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?

The Secret Constitutional Convention, 1787

Did you know the Constitutional Convention was held in secret? We only know the details of the plans discussed and the compromises reached because a representative from Virginia, James Madison, kept a detailed record. https://www.loc.gov/collections/james-madison-papers/articles-and-essays/james-madison-and-the-federal-constitutional-convention-of-1787/ (Links to an external site.)

Today that is going to change. You are going to be a fly on the wall reporter documenting the key debates.

It is the 25 May 1787 and 55 delegates from 12 states have gathered in Philadelphia for the Constitutional Convention. Congress has called this special convention to create a new constitution to replace the failing Articles of Confederation. The key to success will be finding the right political compromises. Over the next four months, the delegates struggled to overcome major divisions between the states.

The delegates anticipated these divisions and brought with them plans for different types of compromises. The three most famous are the New Jersey Plan, the Virginia Plan, and the Hamilton Plan. Finally, on 17 September, the delegates concluded the convention and presented the Federal Constitution for ratification by the states.

The public never knew about the details of the negotiations. Congress decided that compromises would only be possible if delegates could speak freely without worry about public opinion. Today we are going to bend history and report on this key moment in the creation of the United States.

Convention.

Loyalist or Revolutionary?

In 1776 the population of the Thirteen Colonies was 2.5 million.

In July 1776, the Declaration of Independence turned the American Revolution into a civil war. One fifth of Americans supported independence from Britain, one fifth opposed independence and supported Britain, and three fifths were undecided and quickly had to choose sides. Anyone who tried to remain neutral or suggest a compromise became instantly suspicious and was treated like an enemy by everyone.

The lectures above make the argument for Revolution. But what was the loyalist perspective? To find out more about Loyalism you should read the primary sources attached here. Week 2 – Tuesday – Loyalist Primary Sources.pdf Preview the documentIn this collection of sources, you will find Loyalists had genuine concerns about what revolution would mean for the future of the colonies. Above everything, Loyalists feared the consequences of civil war.

Instructions:

Today, just like the majority of colonists, you are undecided and need to choose sides. Will you support your king and hope to avoid civil war or your colony and join the Revolution. Think carefully, as you will have to publically justify your politics.

You should write a speech explaining your politics. Your speech is worth 50 points and should be at least one page in length and cover the following points:

Are you a loyalist, revolutionary or are you still undecided? Start with a short statement explicitly explaining your politics. (10 points)
Justify your political choice.

Why have you made the right choice for the future of the Thirteen Colonies? (25 points)

Explain what you are going to do next. Having declared your politics are you happy to go home and wait to see what happens next? Or, are you going to fight for your cause by joining a military unit or attempt to influence public opinion with speeches and newspaper articles? (15 points)
—————————————————————————————–
The American Revolution
King or colony? It is time to make a choice. Will you join the fight for an independent America or defend the British Empire. This was a choice all American colonists had to make by 1776. Tensions between Britain and American began in the 1760s over taxation and quickly escalated into a political crisis that would lead to Revolution.

The American Revolution was caused by a misunderstanding. During the 18th Century, colonists fought and traded in the British Atlantic and started to think of themselves as equal partners in the British Empire. This made sense in America but was never accepted by the British Government. What would happen when Britain decided to interfere in the running of the Thirteen Colonies?

In 1763 the Seven Years War ended in victory. With American help, Britain defeated the French in Quebec and ended a century of imperial rivalry. Victory, however, threatened to bankrupt Britain. Who would pay for the war? Britain imposed new taxes on American trade. Colonists countered that only colonial governments could tax American trade, and protests followed. The misunderstanding had finally been exposed, and nobody was willing to compromise.

The American Revolution had begun. Twenty long years later it would end with independence for the Thirteen Colonies and the creation of the United States.

Textbook: (APP check files PAGES 104-127)

There is more reading than usual for today’s class. The American Revolution is a complicated moment in American history. The American Revolution should not be thought of as one event. Instead, historians argue that the Revolution lasted twenty years from 1763 to 1783 and should be understood as a series of events. Your goal when reading is to map out the different phases of the Revolution. Specifically, you should understand how tax protests in the 1760s turned into political protests in the 1770s and then escalated into the independence movement that resulted in the 1776 Declaration of Independence. Finally, you need to think about the war years that ended in 1783 and how fighting changed the character of the Revolution.

Discuss the impacts of food sustainability.

Assignment: Ethical and Legal Implications of Prescribing Drugs
What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient?
These are some of the questions you might consider when selecting a treatment plan for a patient.

Photo Credit: Getty Images/Caiaimage
As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond.
To Prepare
• Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.
• Review the scenario assigned by your Instructor for this Assignment.
• Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.
• Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
• Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.
By Day 7 of Week 1
Write a 2- to 3-page paper that addresses the following:
• Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
• Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
• Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.
• Explain the process of writing prescriptions, including strategies to minimize medication errors.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The College of Nursing Writing Template with Instructions provided at the Walden Writing Center offers an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.

My Info:
my.waldenu.edu
jeffrey.shekie@waldenu.edu
Mamabaindu2

A. Provide a summary of the following aspects of a root cause analysis related to the sentinel event found in the attached Accreditation Audit Case Study – Task 2 Specific artifacts by doing the following:
1. Describe the sentinel event.
2. Explain the roles (i.e. responsibilities, etc.) of the personnel present during the sentinel event.
3. Discuss the barriers that may impede effective interaction among the personnel present during the sentinel event.
a. Propose ways to improve interactions among the personnel present.
4. Discuss a quality improvement tool to be used to conduct the root cause analysis.

B. Outline a corrective action plan to ensure that the sentinel event does not recur by doing the following:
1. Recommend a risk management program or process change to ensure that the sentinel event does not recur.

Hi, This is a group assessment and My group’s business chosen: COMVITA (is a Health Products Company)
My part is topic two and three, please only finish those two topic.
Scenario for this assessment:

Your group has been employed as external International Marketing consultants for your chosen New Zealand business. The business you selected has hired you to prepare a detailed report which they intend to use as a blue-print for international expansion. The report is to cover the following issues:
• A shortlist of FOUR (4) possible emerging markets (countries) （we choose China, United States, India, Japan）and the selection of a preferred country to enter. For example recommending Gough Group’s equipment to China.
• A description of the specific nature of the opportunity focusing on market size /estimation of demand, competition and consumer tastes and preferences.

• An appropriate entry strategy for the overseas market you have chosen for your New Zealand business, whether exporting, licensing, franchising etc. Your discussion should include a clear justification of your chosen mode of entry.
• The global marketing strategy your New Zealand business should use for their good(s) or service(s) with particular focus on the standardisation-customisation aspect.
Ensure your discussion includes addresses strategic marketing aspects especially:
• Appropriate marketing mix.
• Long term international expansion.
You have been requested by the Marketing Manager of the New Zealand business that has employed you to relate the theory of International Marketing to their business as much as possible in order to increase the relevancy of your report for their staff. In particular you are requested to discuss any potential cultural problems with the business’s products