4-The shift is needed to stop diseases before they start and allow all people to be healthy. According to an article published by NCBI the US spends more on health care than any other country, yet our nation ranks lower than several other nations in life expectancy, infant mortality, and other health life indicators. Government is striving to change our current health care system and recognize prevention is essential.

Some preventative services that would be beneficial are smoking cessation screening, alcohol abuse screening, and aspirin use to the recommended levels. These preventative services along with improving lives heels save 3.7 billion in annually cost (Benjamin, 2011).

Nursing role is to inform people of preventative measures, such as immunizations, cancer screenings, tobacco free living, healthy eating, being active, injury and violence free, reproductive and sexual health, mental and emotional wellbeing, so they can make healthy choices (Benjamin, 2011).  As nurses provide patients with the tools and information of these healthy choices they are able to access if patient’s need assistance with cost, transportation and other barriers that can prevent a patient from accessing these preventative services a great way is community programs such a clinic on wheels. Nurses can also volunteer in their community to provide teaching and preventative measures.

Reference

Benjamin, (2011). The National Prevention Strategy: Shifting the Nation’s Health-Care System. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3185312/

5-Oh, how I love this question. When I first started college as a teenager, I found my calling toward my journey as becoming a nurse. I was so scared to do this because I knew that I would be responsible for others’ lives. When I began this journey, I always knew that my end-goal was to do something in primary care. This is because I feel that the United States, in general, can be more about fixing problems that have happened rather than preventing them from starting in the first place. This applies to the entire medical field as well. I have worked for two completely separate health care facilities, a private/non-profit hospital, and a government-run VA hospital. These are two completely different worlds of health care, but they have been going in the same direction: primary care. Both health care networks have branched out, from having only hospitals, to also building several Community Based Outpatient Clinics (CBOCs). Health care networks are finally realizing that prevention is the key to good health, not fixing health problems that have already occurred. I love to educate patients and cannot wait to someday finally get to my goal position in community health so that I can educate and give appropriate resources to better the health of our patients. In hospital facilities, we have nurse educators, but, as I have seen, they are not readily available when patients need them the most or are not being utilized enough. Nurses working on the floor are simply overworked and do not have the time to sit and educate patients appropriately, especially since education is supposed to start the moment the patient comes through the hospital doors until discharge. Also, some nurses may have time but others do not and so the education is not consistent. I am huge on diabetic education as I believe that this is one of our biggest health problems and will become worse as people continue eating the way they do (and not exercising). In fact, according to the Centers for Disease Control and Prevention (CDC), more than 30 million people in the United States have diabetes, which is one out of ten people (2017). Also, more than 84 million people have prediabetes (CDC, 2017)! I could go on and on with this topic though as there are so many crazy facts about diabetes. The point is that eating right, staying active, and losing weight can be detrimental to a person’s health and the facts are being proven over and over again. It is our job, as nurses, to be able to help so many people make their lives better through educating them and giving them these blunt facts so that they can make informed decisions about their health.

6-The role in healthcare care reform in shifting the focus from a disease -oriented health care system toward one of wellness involves the implementation of policies and procedures that focus on preventative health. This things include screenings, wellness education classes, healthy eating. vaccination programs etc. These are the types of things that prevent diseases before they occurr. With the focus of health being toward preventing disease changes the entire focus of the healthcare system. This was one of the plans for Obama care because the govenrment has figured that if they changed the focus of healthcare it would decrease the rate of disease and lower healthcare costs over time. Of course this entire health care reform will take years to actually notice a difference. Nurses are the forefront of healthcare. We are the number one influencers for health and promoting health.Pt education and health promotion is a major part of the role of a nurse.Ensuring that patients are focused on preventative health reduces hospital readmissions.

McDonald, M. (2018) Healthcare reform: Whats up and what can we do. Virginia Nurses Today .Volume 26, Issue 3: 1-12

Please, post a short response to the following discussion.

Use a reference from scholarly literature : Peer-reviewed Nursing journal not older than 5 years or your textbook:

 Polit, D. E. & Beck, C. T. (2018). Essentials of nursing research: Appraising evidence for nursing practice(9th. ed.). Philadelphia, PA: Wolters Kluwer. 

Nursing researches, evidence-based practice (EBP), and theories can be subject to reviews and readings. Nursing is an ever-changing science and profession, even though nurses based their knowledge on previous studies. Literature review is significant to the research process because it balances the strength of the knowledge obtained and review the previous information obtained. The nursing research process includes the review or creation of concepts and theories (Polit & Beck, 2018). Therefore, a deep reading and investigation of the research allows for either confirmation, or exclusion, of that research. As Bernhofer (2015) expresses, a thorough review of the literature can show that there is no need to change the practice or, in the other hand, it can show that there is a possibility to improve the outcomes desired by changing the practice protocols. A literature review may influence new researches process and practices as it proves the knowledge already obtained is based on strong and appropriate evidences that were not biased.

MSN APA format, 3 references 1 from Walden University Library Due Monday at 7pm EST 2 pages

Internal Factors That Impact the Development and Approval of Curriculum

Internal factors can impact every aspect of the curriculum development process. When developing and seeking approval for staff trainings, academic courses, or entire nursing programs, it is imperative that nurse educators are cognizant of the internal environment of the parent institution or agency. Recognizing internal politics, budgetary and resource allocations, faculty/staff characteristics, and the organizational structure of the setting can help nurse educators better prepare for the development process. In addition, aligning the program to the overarching mission, vision, and philosophy of the institution can help nurse educators undergo a smoother approval process.

In this Discussion, you explore the development and approval processes used in an academic or clinical setting with which you are familiar. You then determine how internal factors may have impacted these processes.

To prepare:

• Consider how curriculum is developed and approved. How might approval at a large institution differ from that at a small institution? How might approval for an academic institution differ from that of a clinical agency?
• Select a curriculum (seminar, training, course, or program) offered through a workplace or academic institution with which you are familiar.
• Review Chapter 3, “Needs Assessment: The External and Internal Frame Factors,” in the Keating text. Examine how internal factors might have impacted the development and approval of this curriculum.

 Pediatric: Undescended Testes Case Study. Please follow instruction and respond each part, be clear and specific. Apa format and low similarity. My condition that I choose is undescended testicle

Instruction: 

1. Your chosen disease/condition
2. Population most affected (ex: Older Adults, Middle Adults, Young Adults, Teenagers, Child, Infants)
3. Age related milestone for your chosen population
4. Socio-Demographic/Risk factors for getting the disease/condition
5. Impact on QOL
6. Current/new/recent research/EBP that will benefit/support this patient with the specific disease (If there are none please state so)
7. Recommendation for treatment or Gold standards for treatment if any (can be tied into the current research as above) (If there are no gold standards then please state so, but there should be some recommendations)
8. Please tell what/how you (speak in the first person) as the FNP caring for this patient with this specific disease can make a difference in his/her care and incorporate patient care/self-help teaching that can help him/her minimize disease symptoms.
9. Red flags for this condition (what specific S/S require urgent/ER care) or when should you refer patient to specialist.

Again, please follow the directions of what I am looking for and keep it to the point, as simple/concise as possible.

Points will be taken of for incorrect grammar and incorrect APA format/citations.

This is Quality & Safety Initiatives 

1. Can you describe a time when you encountered a patient safety issue or potential problem. 

2. How did you handle the situation?

3. What barriers did you encountered that influenced quality patient care? Safe patient care?

Suggested reading: Josie’s story: A mother’s  Crusade to make medical care safe by Sorrel King

This topic is Conflict Resolution and Fostering a Culture of Respect 

1. Kindly reflect on a time you had a conflict with a colleague of a different situation with a patient/family member. 

2. How did you resolve the conflict and what did you learn from the situation?