The ACA or the AHCA: Imperfect Solutions to Increasing Access to Health Care?

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The ACA or the AHCA: Imperfect Solutions to Increasing Access to Health Care?

This week’s discussion focuses on the federal government’s role in protecting the public’s health using the ACA and current efforts to “repeal and replace” the ACA. Please note that the government’s role in protecting the public’s health did not begin with the ACA. In the late 1800s, Lilian Wald brought health care to the community. And in 1965, Congress passed bills authorizing Medicare and Medicaid. Since 1965, Congress has expanded government-sponsored health care to pregnant women and children.

Topic 1

  • Compare the current provisions in the ACA with those in the failed first version of the AHCA.
  • Share your opinions about why the AHCA failed in the first attempt at passage.

Describe how health care is organized and financed, including the implications of business principles, such as patient and system cost factors.

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Purpose

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the NUR4636 course.

Course Outcomes

This assignment provides documentation of student ability to meet the following course outcomes:

– The students will be able to recognize the different level of prevention and apply them in the community (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration, quality improvement, informatics, and patient-centered care).

– This course will enable the student to place in practice methods of health prevention, promotion and restoration in the communities (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, and teamwork and collaboration, quality improvement, informatics, and patient.

– The students will be able to educate the communities about the different ways to prevent illness and promote health (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork, and collaboration, quality improvement, informatics, and patient-centered care).

– The student will understand the different tools available to put in place and in the hands of the communities in order to keep them healthy (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration, quality improvement, informatics, and patient-centered care).

Points

This assignment is worth a total of 100 points (10%).

Due Date

Submit your completed assignment under the Assignment tab by Sunday 11:59 p.m. EST of Week 15 as directed.

Requirements

1. The Course Reflection is worth 100 points (10%) and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

2. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum under the Discussions tab.

3. The length of the reflection is to be within three to six pages excluding title page and reference pages.

4. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):

Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).

a. Course Reflection

b. Conclusion

Preparing Your Reflection

The BSN Essentials (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the NUR4636 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

1. “Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments, including local, state, national, and global healthcare trends.

2. Describe how health care is organized and financed, including the implications of business principles, such as patient and system cost factors.

3. Compare the benefits and limitations of the major forms of reimbursement on the delivery of healthcare services.

4. Examine legislative and regulatory processes relevant to the provision of health care.

5. Describe state and national statutes, rules, and regulations that authorize and define professional nursing practice.

6. Explore the impact of socio­cultural, economic, legal, and political factors influencing healthcare delivery and practice.

7. Examine the roles and responsibilities of the regulatory agencies and their effect on patient care quality, workplace safety, and the scope of nursing and other health professionals’ practice.

8. Discuss the implications of healthcare policy on issues of access, equity, affordability, and social justice in healthcare delivery.

9. Use an ethical framework to evaluate the impact of social policies on health care, especially for vulnerable populations.

10. Articulate, through a nursing perspective, issues concerning healthcare delivery to decision makers within healthcare organizations and other policy arenas.

11. Participate as a nursing professional in political processes and grassroots legislative efforts to influence healthcare policy.

12. Advocate for consumers and the nursing profession.

13. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations.

14. Conduct a health history, including environmental exposure and a family history that recognizes genetic risks, to identify current and future health problems.

15. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations.

16. Use behavioral change techniques to promote health and manage illness.

17. Use evidence­ based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan.

18. Use information and communication technologies in preventive care.

19. Collaborate with other healthcare professionals and patients to provide spiritually and culturally appropriate health promotion and disease and injury prevention interventions.

20. Assess the health, healthcare, and emergency preparedness needs of a defined population.

21. Use clinical judgment and decision-making skills in appropriate, timely nursing care during disaster, mass casualty, and other emergency situations.

22. Collaborate with others to develop an intervention plan that takes into account determinants of health, available resources, and the range of activities that contribute to health and the prevention of illness, injury, disability, and premature death.

23. Participate in clinical prevention and population ­focused interventions with attention to effectiveness, efficiency, cost-effectiveness, and equity.

24. Advocate for social justice, including a commitment to the health of vulnerable populations and the elimination of health disparities.

25. Use evaluation results to influence the delivery of care, deployment of resources, and to provide input into the development of policies to promote health and prevent disease.” (pp. 20-21, 24-25).

Reference:

American Association of Colleges of Nursing [AACN]. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author.

Qualities of a Nurse Leader

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Assignment Description

Qualities of a Nurse Leader

It is important for nurse leaders to engage with other nurse leaders to understand professional roles; a practice experience is assigned to achieve this end. It is expected that you will spend 8-10 hours with the nurse leader, shadowing them in their position, observing them go about their day, and interviewing them. The interview can take place before, during, or after the shadow period or can be on a different day.

You will engage with and interview a nurse leader in person. You should begin thinking about this activity as soon as possible and identify how you will identify and gain access to the interview. You may include photos, graphs, or charts.

1.    Choose a nurse leader who holds a leadership nursing position in their organization who have direct reports (they supervise other employees). Examples of this include Director of Nursing, Director, Unit Manager. *You may not be employed in the same facility as your interviewee or shadow during personal work hours* (If special accommodations need to be made, approval by your instructor is required first).

2.    Develop an interview guide before conducting the interview. Identify information that you want to know before the interview and plan clarifying questions. You must include at least one question about technology/informatics.

3.    Conduct an interview regarding their professional role in the organization, and a current health care issue that is of interest to you (ethics, conflict management, budget, staffing, culture of safety, “just culture”, career advancement, quality improvement, etc.). Identify the name of the organization and use names of all involved (no anonymity).

4.    Prepare a written report of the interview.

Sample questions below. Feel free to vary the content of the questions to fit your interview:

  • Please describe the nursing and inter-professional teams that operate in this facility/on this unit.
  • Can you provide an example of a nursing practice that has been changed in the last year based on current best evidence?
  • What do you consider your biggest challenge?
  • What do you love most about your job?
  • Why did you choose this job?
  • What other kinds of nursing/other job did you ever do?
  • How would you describe your company’s culture?
  • How would you describe your role in admission and staffing decisions?
  • What is your leadership style?

* If you are employed in a large healthcare facility that has more than one location, you may interview the nurse leader in that organization with prior permission from your instructor. The purpose of this is to get you out of your organization and explore other nursing leadership roles than you might be familiar with.

Assignment Expectations:

Length: 1500 to 1750 words in length; Upload log Separately

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. Your essay should have at least two scholarly references in addition to the textbook. Please be sure to cite the interview in APA format.

N496 IMPORTANT week 6 changes/options during COVID-19

We have made the following modifications to week 6 during this COVID-19 time. If you are Not able to meet in-person and shadow a leader for 8-10 hours as a result of COVID-19 then this is an alternative option to the original assignment. You will determine what will work for you.

The paper is still required in addition to the  power point which covers shadowing hours if you are not able to meet in person! The Project Log hours form is also required.

N496 Leadership Mod 6 Shadow and Interview

Please try to interview two different leaders (But I will accept One) over the phone if necessary, asking the questions noted in the course and what the leader(s) accomplish in a day (this would cover both the interview and shadowing piece). Choose one interview to write the essay paper. (For the paper: 3 scholarly sources are required and do not forget the interviewee citations in-text done correctly!)

Direct Care Project Overview

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Purpose

The purpose of this direct care project is for learners to apply the nursing process to a community health problem determined by their observations and data collected of vulnerable populations in their community. This is Part 2 of 4 in the Direct Care Project.

Direct Care Project Overview

  1. There arefourparts to the Direct Care Project.
  2. There will be graded Project Check-ins that correlate to each part.
  3. The topic selected in Part 1 will be the same one used in Parts 2 through 4.
  4. Review the table below for overview and due dates with each topic.
  5. Carefully review the instructions, templates, tutorials, and rubrics for each part.
  6. Contact your instructor with questions.

OverviewPointsDue DateProjectsAir QualitySubstance UsePart 1: Assessment:Completed in Week 2Part 2: Planning: Check-In10Wednesday of Week 4Required, graded check-in on progress of assessing your communityPart 2: Planning the Presentation150Sunday end of Week 4Create a PowerPoint presentation on the use of the Air Quality Flag Program.Create a presentation on the use of Screening, Brief Intervention, and Referral to Treatment (SBIRT)Part 3: Implementing the PresentationRequiredSchedule presentation Saturday of Week 5 through Saturday Week 6Present to a local organization that serves the identified vulnerable population and could implement the Air Quality Flag Program; Includes participant(s) completing a Pre- and Post-surveyPresent to a group of healthcare professionals that serves the identified vulnerable population and could implement SBIRT; Includes participants completing a Pre- and Post-surveyPart 3: Implementation: Check-In10Wednesday of Week 5Required, graded check-in on progress of implementing your presentationPart 4: Evaluation: Check-In10Wednesday of Week 6Required, graded check-in on progress of evaluation of your presentation and projectPart 4: Evaluating the Project140Sunday end of Week 6Evaluate learning and reflect on project.Evaluate learning and reflect on project.

Course Outcomes

This direct care project enables the student to meet the following course outcomes:

  • CO2 Assess the health of populations, aggregates, and communities (PO4)
  • CO3 Apply the nursing process to vulnerable populations with professional clinical judgment and evidence-based practice (PO4 & 8)
  • CO5 Utilize a collaborative approach to address factors that influence population health (PO2)
  • CO6 Examine collaborative trends in community health nursing (PO2)

Part 2 enables the student to meet the following course outcome:

  • CO3 Apply the nursing process to vulnerable populations with professional clinical judgment and evidence-based practice (PO4 & 8)

Due Date for Part 2

Sunday 11:59 PM MT at the end of Week 4

Points Possible for Part 2

150 Points

Late Assignment Policy

If the assignment is not submitted by due date, a late deduction will be applied. See rubric below.

Directions for Part 2

  1. For this part of the direct care project, you will be creating a PowerPoint presentation based on the topic and problem identified in Part 1. If you have chosen substance use, you will present to at least 3 practicing RN’s. You can present all at one time or individually. If you chose air quality, you will present to at least one organization leader.
  2. Each topic has separate directions. Download the Planning Your Presentation Directions for your corresponding topic. For example, if you have selected Air Quality as your topic, download the Air Quality Flag Program: Planning Your Presentation Instructions.
    • Air Quality Flag Program: Planning the Presentation Instructions (Links to an external site.)
    • SBIRT: Planning the Presentation Instructions(Links to an external site.)
  3. View theDirect Care Project Part 2 Tutorial(Links to an external site.)
  4. Download the template below and create a PowerPoint presentation for your selected group.
  5. Create speaker notes for the PowerPoint presentation. These will assist you as you present and will be part of your assignment submission.
  6. The presentation should be no fewer than 8 and no more than 15 slides.This does not include the introduction and reference slides.
  7. Submit presentation in PDF for instructor approval. SeeSubmitting PowerPoint Notes Pages in PDF format(Links to an external site.)
  8. Note: You may not present until your presentation has been approved by your instructor.
    • Review comments about your presentation from your instructor in Grades.
      • Even if you are approved, you may have to edit your presentation.
    • If your presentation is approved, it will be marked “Complete” under the Week 4: Direct Care Project Part 2: Presentation Approval under Grades.
    • If your presentation is not approved, it will be marked “Incomplete” under the Week 4: Direct Care Project Part 2: Presentation Approval under Grades.
      • Follow your instructor’s directions for next steps. You may be instructed to resubmit.
  9. After your presentation is approved, see Week 5: Direct Care Project Part 3: Implementing Your Presentation

Templates and Links

Click on the links below to download and view the resources for your project.

PowerPoint Presentation Template

Air Quality Flag Program(Links to an external site.)(website)

SBIRT(Links to an external site.)(website)

Best Practices

  • Please use your browser’s File setting to save or print this page.
  • Check for spelling and grammar errors prior to final submission.
  • Use bullet points instead of long sentences or paragraphs
  • Include graphics, photographs, colors, and themes.
  • Use the rubric as a final check prior to submission to ensure all content is clearly addressed.

Scholarly Sources and Citations

  • Minimum of 3 references. See Presentation Instructions for references needed.
  • Cite all resources in APA format on the slide where content occurs. Cite in lower corner/footer as prompted on template.
  • Reference slide is in template. Hanging indent is not required.

**Academic Integrity**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

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Files: DirectCareProjectPart2.docx, NR443_W4Part2AirQualityPlanningYourPresentationInstructions1_20_20.docx, PPT_Notes_Page_to_PDF_Job_Aid_5_31_20.docx, Websitelink.docx

Difference between Hypo and Hyperglycemia

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https://www.healthycommunities.org/resources/toolkit/files/step5-select-priority

Using the community Health Assessment Toolkit and step 5: Prioritize community health issues

1: which criteria listed have assisted you in determining what is priority due to your analysis of your community. APA Format 400-450 words

  • Severity of the problem – my priority based on the list.

My Community: 25-50 years Old Female

Site of project: homeless shelter

Topic: Difference between Hypo and Hyperglycemia

Note that all assignments and discussion posts in this course are permitted to use first person, such as “I, we, me, us”, etc., due to the nature of the assignments.

Discuss the contraceptive methods using the latest evidence-based guidelines that Karen would be medically eligible for.

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Karen, is a 33 year-old G2P2, with a medical history of migraines, for which she takes Imitrex when needed. She has a history of heavy and painful menses each month, lasting approximately 7-8 days. Karen smokes ½ pack of cigarettes per day. Her father has a history of DVT and cardiac disease. Her mother has a history of cervical cancer. Her blood pressure today is 138/76 and her pelvic exam is normal. She is divorced and is sexually active with her new boyfriend. She is currently using condoms for birth control and wants something more reliable. Karen does not desire pregnancy in the near future.

  • Discuss the contraceptive methods using the latest evidence-based guidelines that Karen would be medically eligible for.
  • Identify one method that you feel would be most beneficial to Karen and discuss why you selected it.
  • Are there any methods that you would not recommend for Karen? Why?
  • Do 2 pages
  • Provide references

Child and Adolescent Health Risks

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Health Risks, Disasters, and NursingTopic 1: Child and Adolescent Health Risks

As you discovered in this week’s lectures and readings, several populations face multiple health risks across their lifespan. Children and adolescents are a population that is at a higher health risk for obesity. A national movement is underway to reduce risk factors for developing obesity in children. Part of this movement is the “Let’s Move!” campaign, which is a comprehensive and coordinated initiative to prevent childhood obesity. The initiative emphasizes four primary components: healthy schools, access to affordable and healthy food, raising children’s physical activity levels, and empowering families to make healthy choices. ReviewHealthy People 2020:

  • 1.Identify risk factors for childhood obesity. 2, Do the risk factors differ and how do they differ between children and adolescents?
  • 3. Identify objectives that will combat childhood and adolescent obesity.
  • 4. Provide suggestions on how community health nurses can contribute to these national health objectives and accomplish the goal of decreasing obesity among this population.

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formulate a Personal Leadership Strategic Plan.

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In a formal paper, using assessments in Modules 1-3, evidence from the Review Matrix, and taking into consideration what you’ve learned in your readings and assignments throughout the course, formulate a Personal Leadership Strategic Plan.

  • This may present for you an opportunity to incorporate the “burning question” that you developed in your Research course.
  • After thoughtful reflection of previously submitted Personal SWOT Analysis (mentally reflect on your strengths, how you can use your strengths to develop as a leader throughout your career, areas that you need to develop, and strategies that you can use to overcome limitations and enhance your leadership potential)
  • Construct the APA formatted narrative paper according to the following criteria:
  • Introduce your personal strategic leadership plan. Provide a thesis statement. (1 paragraph)
  • Write your personal leadership vision. Where do you see yourself in the context of leadership in the nursing profession in 10-20 years? How influential would you like to be in your community, nationally, or internationally? (1 paragraph)
  • Write your mission or purpose as a leader in the nursing profession. What do you want to be known for and why? For example: researcher, advocator, policy maker, educator, quality improvement specialist, formal leader.
  • Incorporate strengths of self-mastery from the book, Jesus CEO. (1-3 paragraphs)
  • Write SMART (specific, measurable, achievable, realistic, time tested) goals. Then list the actions you will take to achieve each goal and plot a timeline for each action. Incorporate strengths of action and strengths of relationships from the book, Jesus CEO. (2-6 paragraphs)
  • Provide conclusion; succinctly summarize key “take home” elements for reader. (1 paragraph)
  • Use all course readings and assignments; and incorporate evidence from “Review Matrix” assignment which includes literature to support your chosen vision, mission, goals, and actions.
  • Utilize APA format, grammar, punctuation, and mechanics including level headings.

· Jones, L. B. (1996). Jesus C.E.O.: Using Ancient wisdom for visionary leadership. New York: Hatchette Books. ISBN: 0786881267

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Obesity So would include risk factors, BMI, treatment, differences for men and women, diet, life style, how sleep/stress and exercise would influence this, and any other related issues

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I am looking for help with a nursing paper for pathophysiology

A simple 4 page paper

I have attached the grading criteria with the required formatting

Topic is Obesity

So would include risk factors, BMI, treatment, differences for men and women, diet, life style, how sleep/stress and exercise would influence this, and any other related issues

Writing Style

All papers are to be type written, double spaced, with pages numbered. Please write course name and number, your name, and date clearly on materials submitted. Use American Psychological Association (APA) style 6th edition including paper format and references. Points may be deducted for multiple spelling, grammar, format and typing errors.

Protection by Copyright

1. Reports, and essays submitted for assessment must be your own work, no plagiarism

2. Use of quotations or data from the work of others is entirely acceptable, and is often very valuable provided that the source of the quotation or data is given. Failure to provide a source or put quotation marks around material that is taken from elsewhere gives the appearance that the comments are ostensibly your own. When quoting word-for-word from the work of another person quotation marks or indenting (setting the quotation in from the margin) must be used and the source of the quoted material must be acknowledged.

3. Sources of quotations used should be listed in full in a bibliography at the end of your piece of work.

Students are expected to submit their Written Report relevant to the topic and content area. Students will be graded on their report by the Course Faculty using Rubric for Assessing Written Assignments

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Files: RubricforWrittenAssignment.docx

Prepare a presentation based on the Teaching Work Plan and present the information to your community.

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Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation based on the Teaching Work Plan and present the information to your community.

Options for Delivery

Select one of the following options for delivery and prepare the applicable presentation:

  1. PowerPoint presentation – no more than 30 minutes
  2. Pamphlet presentation – 1 to 2 pages
  3. Poster presentation

Selection of Community Setting

These are considered appropriate community settings. Choose one of the following:

  1. Public health clinic
  2. Community health center
  3. Long-term care facility
  4. Transitional care facility
  5. Home health center
  6. University/School health center
  7. Church community
  8. Adult/Child care center

Community Teaching Experience Approval Form

Before presenting information to the community, seek approval from an agency administrator or representative using the “Community Teaching Experience Approval Form.” Submit this form as directed in the Community Teaching Experience Approval assignment drop box.

General Requirements

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.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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