NUR590-D3Q2R1
Minimum of 250 words with peer review reference
What factors must be assessed when critically appraising quantitative studies (e.g., validity, reliability, and applicability)? Which is the most important? Why?
Minimum of 250 words with peer review reference
What factors must be assessed when critically appraising quantitative studies (e.g., validity, reliability, and applicability)? Which is the most important? Why?
Post an explanation of how the use of CBT in groups compares to its use in family settings. Provide specific examples from your own practicum experiences. Then, explain at least two challenges counselors might encounter when using CBT in the group setting. Support your response with specific examples from this week’s media.
The Discussion this week focuses on the use of the Population-Based Intervention Model outlined in the course text Health Care Delivery in the United States, as well as how this model can be applied to strengthen advocacy programs
To prepare:
Select one of the behavioral risk factors from the Healthy Population 2010 Objectives (listed in Table 7.1 on p. 122 of the course text) that is of interest to you.( USE BOOK: HEALTH CARE DELIVERY IN THE UNITED STATE-ATTACHED BELLOW)
Using the Walden Library and other credible websites, research how this risk factor is affecting your community or state.
With your selected risk factor in mind, review the information on the Population-Based Intervention Model on pp. 132-137 in the course text, Health Care Delivery in the United States.
In particular, focus on the concept of downstream, midstream, and upstream interventions.
Consider at least one intervention that could be put into place at each stage.
Post a description of the behavioral risk factor you selected and how this factor is impacting your community or state. Using the Population-Based Intervention Model, suggest at least one intervention that could be put into place at each stage (downstream, midstream, and upstream) to ensure that a health prevention program addressing the behavioral risk factor would have a greater chance at succeeding. Justify why each intervention you identified would be effective.
Students maintained and submitted weekly reflective narratives throughout the course to explore the personal knowledge and skills gained throughout this course. This assignment combines those entries into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
This final submission should also outline what students have discovered about their professional practice, personal strengths and weaknesses that surfaced during the process, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and, finally, how the student met the competencies aligned to this course.
The final journal should address a variable combination of the following, while incorporating your specific clinical practice experiences: New practice approaches Interprofessional collaboration Health care delivery and clinical systems Ethical considerations in health care Practices of culturally sensitive care Ensuring the integrity of human dignity in the care of all patients Population health concerns The role of technology in improving health care outcomes Health policy Leadership and economic models Health disparities
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide
CASE STUDY 3 – Reflecting on week 4’s lessons in the syllabus, select a patient population (pediatric, young adult, adult or geriatric), and briefly analyze a chronic cardiovascular disease (HTN, Heart failure, Dyslipidemia, Heart murmur etc.…), that may affect this population. Briefly tell how it impacts the patient’s quality of life and analyze the current research evidence on this topic and gold standard of care if any for your chosen population. (You may use an example from your clinical rotation (past or present) that you have encountered). Describe how you, the FNP, can/or have made a difference in the care of patients with this specific disease and tell of one specific patient care teaching that he/she may do to help minimize disease symptoms. Please post your CS directly in the thread so that your colleagues can see it and be sure to read and respond/comment on one of your colleagues posting.
Discussions (10% of grade): There will 4 discussions during the semester and will be count as participation points. The discussion board points count towards your final grade. All assigned postings must be completed by the deadline in the schedule for posting AND responding or no credit is given. Discussions are not just opinion to obtain full points, postings must be based on supported fact, not simply opinion. Posting should be a minimum of one short paragraph and a maximum of two paragraphs. Word totals for each post should be in the 100-200 words range. Whether you agree or disagree explain why with supporting evidence and concepts from the readings or a related experience. Include a reference, link, or citation when appropriate. APA 6th edition format for references as well as in-text citations is expected.
Application of Health Literacy & Motivational Interviewing Concepts to Promote Wellness
Health literacy is not simply the ability to read health information. The National Institutes of Health defines health literacy as the ability to read, comprehend, and analyze information; decode instructions, symbols, charts, and diagrams; weigh risks and benefits; and ultimately make decisions and take action.
After the reading the following HRSA guideline https://www.hrsa.gov/advisorycommittees/bhpradvisory/actpcmd/Reports/twelfthreport.pdf
Discuss how shared decision making , motivational interviewing, and best practices of models of care can improve the health literacy of a especial popualtion ( children ,elderly, veterans)
Assignment: The Practical Use of Strategic Planning
Consider the healthcare leaders and managers who have been profiled in the learning resources throughout this course. Would they all have the same vision for their organizations and plan for the same outcomes? Would the CEO of a hospital involve the same stakeholders in the same strategic planning process as the president of a foundation that funds services for families facing cancer, for example? The answer to these questions would likely be no.
In strategic planning, there is no “one-size-fits all.” Because every situation is different, healthcare leaders and managers must carefully weigh many different aspects of their organization—defining elements, goals, stakeholders, strategies for success, and roles.
To prepare for this Assignment: Select two strategic plans from those listed below or find your own example from credible sources or your own experience. If you work in a healthcare setting, you might ask for a copy of the strategic plan from your organization. Lyon County Human Services Department. (n.d.). Lyon County Human Services Department strategic plan FY 2015-2019. Retrieved from http://www.lyon-county.org/DocumentCenter/View/6294 Seattle Children’s Hospital. (n.d.). Moving boldly into our future. Retrieved from https://www.seattlechildrens.org/pdf/2017-strategic-plan.pdf UC Davis Health System. (n.d.). UC Davis Health System strategic plan. Retrieved from http://www.ucdmc.ucdavis.edu/aboutus/pdf/strategic_plan_web.pdf Consider how the processes and strategic plans for both organizations might be similar and different. By Day 7
Write a 2- to 3-page paper to compare and evaluate the two Strategic pPlans you select. Address the following: What are the key components of each Strategic Plan? Who are the stakeholders who might have been most involved? Compare the goals and strategies identified in each strategic plan. What barriers are there to successful implementation of the strategic planning, and how could a healthcare manager overcome these barriers? Put yourself in the role of a manager at one or both facilities. What are your responsibilities in ensuring one or both are successful?
Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure that your in-text citations and reference list are correct.
In your reply posts, incorporate challenges you would anticipate for the proposals, as well as arguments to overcome those challenges. Each reply should be 200 :
Today, I believe most of the money being spent on healthcare should be used on educating patients on possible lifestyle modifications that can be made for many different disease preventions. Diet is one of the most modifiable factors for numerous diseases that the majority of the population suffers from, such as diabetes and hypertension. “The Dietary Approach to Stop Hypertension (DASH) diet, a dietary pattern, currently receiving much attention, was originally designed to reduce blood pressure13; this diet emphasizes intakes of fruits, vegetables, whole grains, nuts, legumes, moderate amounts of low-fat dairy; and underscores reduced intakes of red or processed meats, sodium, and sweetened beverages( Hossein, 2019) ” Here the author stresses the importance of DASH diet and how it can manage hypertension apart from using prescription drugs. With the stress of education on patients, they would be able to manage hypertension and save money on costs such as insurance premiums, and copays. “and higher adherence to DASH diet score was related with lower odds of metabolically unhealthy normal weight phenotype in comparison to metabolically healthy normal weight younger adults ( Hossein, 2019) “ Here, the population can avoid metabolic syndrome by following the DASH diet, which is proven to be a modifying factor. The avoidance of liquor is also a large modifying risk factor in the role of hypertension.
Other modifying factors include exercise. It has been proven that 30 mins of exercise at least 3 times a week reduces blood pressure levels. Diet and exercise have great impact in the prevention of hypertension and diabetes ( type 2) “ brings attention to the importance of healthy aging. Adoption of healthy lifestyle activities such as participating in physical activity on a daily basis is key to maintaining physical and mental health. (Norma, 2020).” Here, we can even use education to involve the elderly population to prevent any extra complications of aging. “he results indicated that the exercise intervention contributed to significant improvements in the older adults’ health-related variables for the EG when contrasted with the control group ( Norma, 2020 )” So, you see the Dash diet, and even exercise is useful at any age so this would be a modifiable factor. This method has also proved to be effective in reducing diastolic, systolic blood pressures, cholesterol, blood lipids, and even depressive symptoms. Money that is given to insurance companies should be spread out to other healthcare branches in order to spread knowledge. Health companies would be putting money towards prevention. Money should also be going towards mandatory screening of preventable diseases. Offices need to be constantly reminded of annual blood work up, lung cancer screening, and even regular blood pressure work up. As far as end of life care goes, money would be spent naturally less on chronic treatments and even procedures because of better health maintenance and wellness which was added earlier in life. In regard to policy utilizing this information we can install schools to have only healthy food option in order to prevent diabetes. The cost of diabetes is a lifelong commitment to insulin, blood checks, and doctor visits if not controlled early on. There should be no sodas, fresh squeezed juices, and more gym time. I hope to see a future that focus more on wellness to eliminate the prognosis of diseases and money spent on these diseases. A lot of diseases can be prevented by exercise, proper eating, and being active with screening. We should educate regrading things like the DASH diet to promote wellness. There should be strict polices in regards to foods in children’s school’s, and free screenings.
online class
Read Chapter 10
1. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system?
2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome?
3. How does technology improve patient outcomes and the health-care system?
4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside?
2. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: •
What does the organization/agency do that supports the hallmarks of quality? •
What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? •
How has the organization/agency affected facilities where you are practicing and your own professional practice?
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