Systems Thinking in Advanced Nursing Practice
The benefits, concerns, and challenges of a systems approach offers the practice scholar several ways to view a health problem. Select a practice problem within your unique setting and consider the following.
1-Describe the selected problem from two of the three systems levels (micro-, meso-, and macro).
2-Explain how the outcomes of one system level effect the other level?
3-How is a systems approach beneficial in improving healthcare quality and safety?
Please answer these questions separated and use at least 3 sources no later than 5 years.
English composition
Font: Times New Roman Size 12
-APA style
-Cover sheet must be included
-4 pages in total
-Bibliography section must be at the end
-Please no plagiarism
TOPIC: After reading Daughters of Invention by Julia Alvarez answer the following topic in a 4 page paper: In this story, the father’s experience of politics in his country of origin clearly influences his behavior in the United States. Can you identify other contemporary or past immigrants who have vivid memories of politics in their native lands?
http://millbrookenglish.weebly.com/uploads/1/3/1/2/13127851/julia_alvarez-_daughter_of_invention.pdf
Urinary obstruction. inflammatory bowel disease
Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.
Case Study 3 & 4 S Inflammatory Bowel Disease and Urinary Obstruction
The answers must be in your own words with reference to journal or book where you found the evidence to your answer. Do not copy paste or use a past students work as all files submitted in this course are registered and saved in turn it in program.
Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted.
Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.
All answers to case studies must have reference cited in text for each answer and minimum of 2 Scholarly References (Journals, books) (No websites) per case Study
Role of School Nurse
In an essay of 1500 to 2000 words, using at least 2 APA style cited references, write an essay in APA style on:
Table 16.3 lists various government, nongovernment and NASN specific resources for health promotion at school. Pick one of each of the types discussing the resource, the description, with a thorough discussion of what the resource offers to health professionals and students.
Discuss the CDC guidelines for animals in the classroom.
Describe three vaccines (other than influenza), the disease that it prevents, and a description of the disease.
Consider this: There are numerous cases of influenza in the school. Your principal asks what can be done. Extra cleaning? Close the school? Who would you consult with to make these decisions? After consulting, what would you suggest to your principal?
Personal Leadership Philosophies
Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:
A description of your core values
A personal mission/vision statement
An analysis of your CliftonStrengths Assessment summarizing the results of your profile
A description of two key behaviors that you wish to strengthen
A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples.
These are the results from my Cliftons assessment. The report showed that my five core strengths are harmony, analytical, competition, relator,and intellection.
Use APA format and cite 3 references
Informatics in healthcare
Implementation of New Systems
Recorded presentation between 7 and 12 minutes in length. The presentation should include a PowerPoint and oral presentation of the slides. There is no slide number requirement. Answer all questions thoroughly with the allotted time. PowerPoint allows you to record directly to each slide. Be sure to include a title slide, objective slide, content slides, reference slide in APA format. Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources using APA citations to support your claims. This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level. Use a recording platform of your choice and either upload as an mp4 or share the link directly to the video in the dropbox.
You are a project manager assigned to implementing a new computer system in an organization
Why is it important to understand usability, configurability, and interoperability? Should these concepts out way the underlining cost of the new system? Which system do you recommend and why?
During phase one, you are selecting a team. What characteristics are important to consider when selecting a team?
During phase two the following principle was discussed, “lead with culture, determining where the resistance is,” and then, engage all levels of employees (Sipes, 2019, p. 161). What does this principle mean to you and how can you implement this principle?
How will you handle physician and other key professional’s resistance to change and using the new system?
Discuss possible pitfalls during the implementation phase and how you can avoid them?
Describe your personal experience with automation and new information systems.
Assignment Expectations:
Length: Recorded presentation between 7 and 12 minutes in length. The presentation should include a PowerPoint and oral presentation of the slides. There is no slide number requirement. Answer all questions thoroughly with the allotted time. Use a recording platform of your choice and either upload as an mp4 or share the link directly to the video in the dropbox.
Structure: Include a title slide, objective slide, content slides, reference slide in APA format.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.
Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.
Format: Save your assignment as an MP4 document (.mp4) or link
Case scenario
APA Format.
-Introduction or abstract page
-Summary or Conclusion page
-Four Pages Minimum, not included Introduction or abstract, Conclusion or Summary , and Bibliographic pages.
-Completely unacceptable Copy and Paste from Internet, or other resources.
- Bibliographic have to be in APA Format, minimum 3 references citations with 3 years old or less.
Isaac has worked as a staff nurse on the telemetry floor for over 15 years. He holds seniority in the unit. His patient care is satisfactory; however, his interpersonal behaviors are becoming an increasing issue for his coworkers. He throws papers around the unit, gives short answers to questions, and seems generally miserable. He tells the staff that they are lazy and stupid. He is constantly questioning their decisions. You have come from another local hospital in the role of the assistant nurse manager. Based on your observations, you have met with Isaac informally and discussed his behaviors, but they have not changed. Now three new nurses have already come to you saying that this unit is a great match for them, except for one problem. Although they have not identified Isaac by name, they have told you that one of the nurses is extremely abusive verbally, and they have been calling in sick on the days they are scheduled to work with this person.
1. What are your responsibilities as an assistant nurse manager in regard to Isaac’s behavior problem?
2. What is the next step in dealing with Isaac’s behaviors?
3. How will you, as the manager, have Isaac develop more effective people skills?
This is your first position as a nurse manager. The holidays are rapidly approaching, and the hospital policy states that each unit will negotiate holiday coverage individually. You are already getting requests via e-mail and on Post-it notes for holiday time. Several staff members have come to you stating that they “never” seem to get their requests for holidays. Discussion among the staff members is creating dissension and conflict.
1. Discuss the potential impact of this problem on you and the unit staff.
2. Describe a minimum of one positive consequence and one negative consequence of this conflict.
3. Select a model of conflict resolution and explain how you, as a nurse manager, might resolve this conflict
Basic Computer
Answer the following four questions in paragraph format: 75- 150-word count this assignment is a discussion. So there is no upload function. Please type your response in the text box.
What did you learn about excel that you didn't know before?
Explain what it means to be on the cell compared to being in a cell?
Which tutorial did you have to watch more than once?
What would you still like to learn about Microsoft Office?
Pharmacolog
Discuss medications to treat seizures. What specifically should patients be taught about seizure medications to prevent adverse side effects?
Ethical and Legal Aspects of Nursing Practice
The current American model (ACA) is based on private healthcare. Americans lack universal access to health, so they depend on private insurance for health care. There are three ways to get coverage in the US: through a job - companies with more than 50 full-time workers must pay for part of the policy - buying it individually or, in the case of people without resources and older age 65, through two public programs.
In the present year, 2020, the Covid-19 pandemic has brought into sharp focus the need for health care reforms that promote universal access to affordable care.
About half of Americans receive health coverage through their employer, and with record numbers filing for unemployment insurance, millions find themselves without health insurance in the midst of the largest pandemic in a century. Even those who maintain insurance coverage may find care unaffordable. (King, 2020)
Before the pandemic, research showed that more than half of Americans with employer-sponsored health insurance had delayed or postponed recommended treatment for themselves or a family member in the previous year because of cost. The loss of jobs, income, and health insurance associated with the pandemic will greatly exacerbate existing health care cost challenges for all Americans. (King, 2020)
The pandemic has wreaked havoc on the country's health system but at the same time has exposed the serious shortcomings of the American health system. However, it should not be hidden that before this event a health reform was necessary in which universal access to quality care for all Americans was guaranteed.
An adequate reform could be based on the Canadian health model, much like the British health model. In both countries, the health system is financed by the government and is based on five principles: it is accessible to all regardless of income, it offers complete services, it is publicly managed, and it is universally accessible to citizens and permanent residents. However, in the Canadian model some services such as dental and vision services are not covered. (Thomson, 2012)
Clearly, no health model will be 100% perfect and mishaps may arise along the way that must be addressed and improved, but health is a right that all people must have and a country that is a world power such as the United States, with excellent management can achieve a quality health system that is truly affordable for each and every one of its habitants.
10 essential health benefits in the ACA
Ambulatorypatient services
Emergencyservices
Hospitalization
Maternityand newborn care
Mentalhealth and substance use disorder services, including behavioral healthtreatment
Prescriptiondrugs
Rehabilitativeand habilitative services and devices
Laboratoryservices
Preventiveand wellness services and chronic disease management
Pediatricservices, including oral and vision care (Bagley & Levy, 2014)
Successes of the ACA
More than 20 million previously uninsured people got coverage between 2010 and 2017. In part it was because the economy improved, but many were also able to buy their own coverage thanks to federal subsidies provided by law to pay for part of the cost of insurance. Other provisions of the ACA played an important role, including a ban on restricting access to care for people with pre-existing conditions, expanding the Medicaid program to more low-income adults, and allowing children to remain in the your parents' health plans up to age 26. (Williams, 2020)
Failures of the ACA
A growing number of insurers that signed up in 2014 - the reform's first year of implementation - have been leaving the state regulated markets, year after year. (Williams, 2020)
Therefore, competition between policy providers has decreased, there were fewer and fewer options to choose from, reaching the point that in many counties (which act as municipal associations to offer services continuously) there was only one company that offered ACA-type policies.
At the end of October 2016, the Obama Administration announced that the ACA-type policies that insurers were going to offer for the year 2017 incorporated a national average increase in premiums of 25%. This increase was not territorially uniform at all; in states like Arizona, Illinois, Montana, Oklahoma, Pennsylvania and Tennessee it was about 50%. (Williams, 2020)
Overall, the ACA has led to an increased number of individuals with insurance; however, in many ways, it has not improved the coverage. As a result, the quality of care has not been shown to have increased. Further, the majority of the increased insurance enrollment has been with Medicaid expansion. Consequently, ACA does not work well for the working and middle class who receive much less support, particularly those who earn more than 400% of the federal poverty level, who constitute 40% of the population and do not receive any help. Further, as so many individuals don’t do well under the ACA, only about 40% of those eligible for subsidies have signed up and, with multiple insurers declaring losses, the ACA is not financially sustainable because not enough healthy people are on the rolls to compensate for the sick. (Center, 2017)
REFERENCES:
Bagley, N., & Levy, H. (2014). Essential health benefits and the Affordable Care Act: Law and process. Journal of Health Politics, Policy and Law, 39(2), 441-465.
Center, H., Woods, C. A., Manchikanti, L., & Purdue Pharma, L. P. (2017). A critical analysis of Obamacare: Affordable care or insurance for many and coverage for few. Pain Physician, 20, 111-138.
King, Jaime S. ""Covid-19 and the need for health care reform."" New England Journal of Medicine (2020).
Thomson, S., Osborn, R., Squires, D., & Jun, M. (2012). International profiles of health care systems 2012: Australia, Canada, Denmark, England, France, Germany, Iceland, Italy, japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States.
Williams, R. A. (2020). Healthcare Reform Law (Obamacare): Update on “The Good, the Bad, and the Ugly” and the Persistence of Polarization on Repeal and Replace. In Blacks in Medicine (pp. 91-95). Springer, Cham.
