200 words for each response

1) 

The mission of the schools in the local area system that was investigated is to promote the health and wellness for the students and their families, their staff, and the community.  The county schools believe that the nurses should be committed to providing comprehensive, quality health care to students using a systematic approach to identify and meet the dynamic health needs of all students including chronic health conditions, disabilities, and those with acute and emergency care situation (Maryland Department of Health, 2019).  The professional school nurse is an important member of the multidisciplinary school team and collaborates with other disciplines to enhance the academic success of students.  The school nurse promotes improvement of children’s health, removes barriers to learning, and improves overall potential for academic success.  Parents are encouraged to contact their child’s school nurse to discuss any health related needs.  Some of the schools in the county have Wellness Centers where the center provides care that minimizes the physical and emotional conditions that become barriers to optimal school performance.  The goal is to make students available for learning by promoting health, preventing disease, and reducing behavioral risks.

One existing condition that the schools deal with is sickle cell disease (SCD).  Children with SCD are more susceptible to infection.  Infection is the most common cause of death in children with SCD (Maryland Department of Health, 2019).  Most children with SCD are vaccinated against infectious organisms and generally use prophylactic measures to decrease risk of infections.  Fevers should be taken seriously for a child with SCD.  Other health complications include chronic pain, stroke, vision problems, progressive organ damage, acute chest syndrome, priapism, pulmonary hypertension, and anemia.  Although people of all races and ethnicity can have SCD, in the United States SCD is most common among persons of African descent.  The condition is also common among persons of Hispanic, Mediterranean, Caribbean, and Asian descent.  There are various types of SCD ranging from mild to severe.  Each individual with SCD may have a different clinical presentation; therefore students may have individualize care plans.  The school nurse is always the leader of the school health services team.  Some students with SCD may have a designated school case manager to coordinate his or her Individualized Educational Plan (IEP).  The school nurse also serves as the liaison and advocate for the student.  The school nurse may also refer the student and or family for counseling, support groups, and medical care.  Moreover, the county has school-wide awareness and education regarding SCD management for school staff.  Awareness and education may include, but is not limited to: definition and types of SCD; effective SCD management principles; symptoms of a SCD crises to report to the school nurse; student’s emergency care plan/protocol; student’s emergency plans and protocols for substitutes including teacher, school health staff, transportation, coaches, and food services; necessary and approved accommodations during school or school-sponsored activities; confidentiality protections; disability awareness needed in classroom; student’s IEP; and education for school visitors or volunteers with student contact, as necessary per local policy (Maryland Department of Health, 2019).  It is recommended that school staff awareness and education is completed annually and whenever a student’s condition and care changes.

Reference

Maryland Department of Health. (2019). Management of sickle cell in schools. Retrieved from https://www.sicklecelldisease.org/files/sites/181/2019/06/SickleCellDiseaseGuidelines-1.pdf

2) 

I looked into a major school district in my area and found that the schools in my area have a nurse assigned to each school. The school nurse helps students with chronic illnesses like type one diabetes manage their illness. The school nurse also watches out for children with communicable diseases and decides to send them home if they have diarrhea, vomiting, fever, or a deep cough. Parents are also instructed to not send their kids to school if they have a communicable disease or lice. The school district policy is that children must be 24 hours being symptom-free before they can return to school. The school nurse cannot give medications that are prescribed three times a day at school unless the doctor says that medication during school hours. The school nurse will not give narcotics or any form of cannabis even with a doctor’s order. The school nurse will also provide hearing screenings in preschool, kindergarten, grades 1, 2, 6, and 9. The school nurse also will screen vision screenings during the same year as the hearing test. Another screening that the school nurse does is scream for scoliosis when kids are in sixth and seventh grades. The school nurse also makes sure that students are up to date on their vaccines in order to be entered into the school.

The school nurse helps promote Health by helping students who have chronic diseases manage their health. The school nurse also promotes health by sending kids home that show signs of a communicable disease and prevents communicable disease spread by making sure students are up-to-date on their vaccinations. Doing a quick screening for hearing, vision, and scoliosis will also ensure that all parents are aware if their child needs to see a provider for these medical conditions.

The Center for Disease Control [CDC] (2019) explains that school health services can promote health for students by providing acute and emergency care, care coordination, chronic disease management, and family engagement. The school nurse can help with acute or emergency care if a student is in a medical crisis like a seizure. The nurse can also respond if a violent crime were to happen on campus. The school nurse will coordinate health care with families, health care providers, administration, and teachers (CDC, 2019). The school nurse will work with students with chronic conditions by helping to manage their condition for example like helping children with glucose checks and providing insulin. The school nurse can also help engage families of students by giving parents health status updates and giving students extra dietary and physical considerations (CDC, 2019).

Reference:

Centers for Disease Control. (2019, May 29). School health services. Retrieved from

https://www.cdc.gov/healthyschools/schoolhealthservices.htm.

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Similarities less Than 10%

Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings. What do you think are some effective tactics for APN strategic positioning regarding pay equality? Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/ 

APA format 1 and half pages 3 references

reating Online Quizzes

            The growth in online education has resulted in an increasing need for online quizzes.  However, creating and posting tests remains the responsibility of the instructor.  The purpose of this discussion is to describe how I created quiz questions, how I used a technology platform to post the quiz, and whether I would use this technology in the future. 

Challenge to Creating Quiz Questions

            I have instructed and performed the Rapid Strep Test for many years.  However, this is the first time I have been tasked with creating a lesson plan with follow-up quiz questions.  The Rapid Strep Test is a fixed skill with the process established by the manufacturer.  Additionally, the Rapid Strep Test requires memory and manual dexterity rather than an in-depth understanding of the scientific principles supporting the testing process.  Therefore, I felt I should design questions that focused on the how-to rather than the why.  I avoided negative options as those require reverse thinking rather than knowledge (DiSantis, Ayoob, & Williams, 2015).  I also made certain that each question had a single answer that was clearly correct so as to avoid ambiguity in the selection (Focuszone Media, Inc, 2019).  Finally, I made certain to keep all of the multiple-choice answers similar lengths to avoid distinguishing one from another (Focuszone Media, Inc, 2019). 

Challenge to Using the Technology Platform

            I chose SurveyMonkey as the technology platform for my quiz.  SurveyMonkey is an online platform that allows organizations to obtain feedback from employees, consumers, or students (SurveyMonkey, 2015).  I had never used a technology platform before, so the process of creating an online quiz was a new experience.  While at first, the process seemed daunting, SurveyMonkey has done an excellent job of streamlining their process.  The ease of using this application makes it likely that I will use SurveyMonkey in the future, whether through school or work. 

Quiz Hyperlink

https://www.surveymonkey.com/r/W9D3S3R  

Summary

            The increase in online education has made online quizzing a necessity. The method of creating quiz questions has changed little with the advent. However, the process of handing out paper quizzes and #2 pencils has forever been transformed into an online environment. 

References

DiSantis, D. J., Ayoob, A. R., & Williams, L. E. (2015). Journal club: Prevalence of flawed multiple-choice questions in continuing medical education activities of major radiology journals. American Journal of Roentgenology, 204(4), 698-702. doi:10.2214/ajr.13.11963

Focuszone Media, Inc. (2019, April 21). The thing about multiple-choice tests. Retrieved from https://learningsolutionsmag.com/articles/861/the-thing-about-multiple-choice-tests-

SurveyMonkey. (2015, March 19). It’s all about powering the curious. Retrieved from https://www.surveymonkey.com/mp/aboutus/?ut_source=footer

 
3 postsRe: Topic 1 DQ 2

Servant leadership is a type of leadership in which the main goal of the leader is to serve and place the needs and interests of their followers and organization over their own self-interest and needs (Greenleaf Center for Servant Leadership, 2016). “Servant leadership is a philosophy and set of practices that enriches the lives of individuals, builds better organizations, and ultimately creates a more just and caring world,” states the Greenleaf Institute for Servant Leadership. The phrase “servant leadership” was coined by Robert K. Greenleaf in The Servant as Leader and in his thesis he makes several strong statements including the philosophy that, “caring for persons, the more able and the less able serving each other, is the rock upon which a good society is built” (Greenleaf Center for Servant Leadership, 2016). This type of leadership style is set up to serve each member in the group. In a diverse workplace, this type of leadership would be beneficial in that it allows for personalized management and can help to establish cohesiveness in a team environment (Root, 2007). In other forms of management styles, the needs and visions of the company are often put ahead of the needs of the staff. In the servant leadership setting, all input and opinions are taken into consideration which helps to build loyalty from staff, can improve feelings of teamwork, and increase staff morale (Root, 2007). When employees are satisfied with their jobs and their company, workplace productivity tend to rise.

Transformational leaders work with their employees to implement change. This type of leadership involves creating a vision for followers and guiding changes through inspiration and motivation. This theory was developed by James Burins in the 1970s with the basic assumptions that, “Both leaders and followers have the ability to “raise each other to the highest levels of motivation and morality” (Marquis & Huston, 2017, p. 50).” (Grand Canyon University, 2018). “In Burns’ view, transformational leadership has the potential to motivate followers to satisfy higher-level needs, such as self-esteem and self-actualization. Those influenced by transformational leaders find meaning and value in their work, make significant contributions to the success of their employing organization, and become leaders’ themselves” (Rose O. Sherman, 2019). Transformational leaders use the following four elements when leading others; idealized influence, inspirational motivation, intellectual stimulation, and individual consideration. “Transformational leadership focuses on empowerment, viewing errors as learning opportunities, and valuing innovation which means staff members have a means of continually providing input about how to improve care. As a result, transformational leadership can revitalize healthcare from the point of patient care and more” (Rose O. Sherman, 2019). This can be a very powerful approach, but the visionary, big-picture aspect can distract the leader from the day-to-day tasks. It works best when the leader has a detail-oriented subordinate to keep him things grounded.

Grand Canyon University (Ed). (2018). Nursing leadership & management: Leading and serving. Retrieved from https://lc.gcumedia.com/nrs451vn/nursing-leadership-and-management-leading-and-serving/v1.1/

Greenleaf Center for Servant Leadership. (2016). The Servant as a Leader. Retrieved from What is Servant Leadership: https://www.greenleaf.org/what-is-servant-leadership/

Root, G. N. (2007). The Advantages of the Servant Leadership Style. Retrieved from Leadership: https://smallbusiness.chron.com/advantages-servant-leadership-style-11693.html

Discuss in detail the process that researchers go through once they are aware of a problem by finding a problem that you feel would be important to improve the health outcomes of the population of the Kingdom. Identify the important variables that you want to study for this research. 

Requirements:

1. Be sure to support your statements with logic and argument,
2. More citing all sources referenced through the text 
3. 2 pages
4. no plagiarism
5. 3 Minimum references 
6. APA Style
7. The references not older than 5 years ago