SCHOOL POLICY 

NO PLAGIARISM 

AT LEAST 120-150 WORDS FOR EACH QUESTION PLEASE AND THANK YOU 

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*** DUE TODAY IF POSSIBLE .. 8 PM EASTERN TIME***

1- Who would ultimately determine and approve the mission and vision of an organization?  Why? 

2-   Consider a large organization with maybe 500 employees – how would you be able to get all staff involved in creating the mission and vision?  Doesn’t final approval need to reside with one person or a small group of key leaders?

3- Describe the difference between mission and vision of an organization. 

 Week 5 3007

This is a very interesting topic. In my prospect, everybody regardless of their immigration status and/or socioeconomic status should be honored to have access to healthcare; I state the word “honored” because to have health insurance in the US is a real prestige. It has always been a difficult topic since even though I was born in this country, I consider myself Hispanic because of my origins and I have witnessed so many cases that people do not get the appropriate treatment at the time needed and when they resolve the insurance issue it is too late. I remember a 12 year old boy in New Jersey, he went in to the ER because of chest pain and palpitations, he had already had one cardiac catheterization when he was only 9 years old and when the doctor did all the exams he determined that this young boy needed an open heart surgery the hospital noticed that he was an immigrant with no insurance, they told his family that they had to go to a community hospital because the surgery would be around half a million dollars and of course his family could not afford that. He went to a community hospital and got the surgery done. Now let me state my opinion, his family did not have to cover the expenses of this extensive surgery, just for the medications, isn’t the hospital or people like us that pay taxes loosing money because of cases this like one?. This is only one case of a million that happen every year throughout the US. In my point of view, every single person that lives in the US, citizen or non citizen should have access to a basic insurance and pay monthly, I think that to enroll on an insurance you should not need to have a social security so that the immigrants can also pay for their healthcare and when something medical occurs they have some sort of coverage and then, if they need to have any type of procedure, they can get into a payment plan exactly parallel as a US citizen.

With this, I’m trying to avoid all those never-paid bills that non US citizens might have and that probably will never get paid, and us, the ones that pay taxes will end up paying for them. Also, having basic healthcare access will enable our community to be healthier, we as nurses know that if a chronic condition is not treated at the end would be fatal, for example, high blood pressure; and even though some places have health fairs throughout the year this will help mostly on the POSSIBLE diagnosis of a disease like high cholesterol or obesity and/or prophylaxis of these, but this is certainly not sufficient for a human being wellness. 

500 WORDS

APA STYLE

1.Define epidemiology and discuss how the epidemiology triad can be applied to   health issues we see in the hospital?

2. Epidemiology is not just useful for community health nurses; it is useful for all healthcare professionals. Brainstorm some ways in which epidemiology could be used in an acute care setting. What types of problems arise in acute care that might need to be measured? How could nurses use epidemiology to assess those problems and attempt to intervene? How can this data be further used in a community setting in terms of follow-up or continuation of intervention?

3.What are some of the causes of increases in healthcare costs in recent years, as outlined in the chapter?  Brainstorm some examples that you have witnessed in the clinical setting. Can any of these factors be modified? What could nurses do to help cut down on costs related to the different factors?

4.Why is it important for nurses to know about global health issues or concerns if they are not planning to work in other countries? How can this information be used in the workplace here in the US?

As stated in the course syllabus present your assignment in an APA format, word document, Arial 12 font attached to the forum in the discussion tab of the blackboard title “week 2 discussion questions”. A minimum of 2 evidence-based references (besides the class textbook) are required.    A minimum of 500 words (excluding the first and references page) is required.

Comment 1

As a nurse preceptor for new grads coming on to the our unit I see the pressure there is to have all of this documentation and the amount of time away from the patient the nurse has to spend sitting down making sure the documention is intact. Now don’t get me wrong I know documentation is crucial but should it trump patient care.  There is a disconnect the amount of charting done and the time spent face to face with the patient, especially considering the aging population that have not grown up in front of an electronic devise. I feel the pressure myself when im taking care of my 5-6 patients and the amount of charting needing to be completed and then God forbid I have to stay over to complete my charting. As the journal International Journal of Nursing Practice states; The Complexities in nursing documentation include three aspects: disruption, incompleteness and inappropriate charting. Related factors that influenced documentation comprised: limited nurses’ competence, motivation and confidence; ineffective nursing procedures; and inadequate nursing audit, supervision and staff development. These findings suggest that complexities in nursing documentation require extensive resolution and implicitly dictate strategies for nurse managers and nurses to take part in solving these complicated obstacles.

there needs to be a middle ground and it should be lead by nurses that are currently performing bedside nursing, not the nurses that have been away from the floor and have lost touch with the work that is being done. 

Comment 2

Nursing is a constantly changing field. For as long as an individual is a nurse, they have an opportunity to learn. Patients’ needs change, and care delivery changes, resulting in a need for the nurse to understand, and adhere to these changes. Nursing research and evidence-based studies allows for nurses to thoroughly take a look at issues (or potential issues) in nursing, and find ways to fix them. One issue that has been ongoing in nursing from the beginning of time (probably since Florence nightingale years), until now is nursing staffing issues. Studies have shown that shortages in nursing staffing levels have contributed to poor patient care, and clinical errors. “The quality of care that nurses provide is influenced by individual nurse characteristics such as knowledge and experience, as well as human factors such as fatigue” (Clarke & Donaldson, 2008). In recent years, more studies have been done on understaffing nurses, and its effect on quality patient care. These studies have concluded that adequate nurse to patient ratios generally ensure that the patients receive better care. This finding is of no surprise considering, a nurse that is caring for an adequate amount of patients as more time to complete things that although may not be essential to their care, nonetheless will affect the quality of the care the patient receives. An example of this would be, a nurse that notices that her ICU patient still has residue on them from a motor vehicle accident, however that nurse may not be able to remove some of that dirt, and debris if he/she has two other very ill patients. On the other hand, that same nurse, that has only one patient would be able to give that same patient a bed bath, if he/she is her only patient. This small yet grand act of giving the patient a bed bath makes a lot of difference to the patient, and patient’s family.

1. Go to http://www.healthypeople.gov/2020/default.aspx and review the Healthy People 2020 initiative. Pay close attention to the objectives, goals and the indicators.

2. Using your city or county public health department identify an epidemiological and surveillance data related to population based communicable illnesses described in box 4-1 page 122 of our class text book. Besides the illnesses describe you can also choose influenza or any other illnesses that are currently affecting your community.

3. Once you have chosen your topics you must send me an e-mail telling me what illnesses you choose. 

4. Choose 3 population based communicable illness and prepare an analysis discussing how this 3-communicable illness affect your community and how they were identified and a plan of action to contained them base on healthy people 2020.

5. Presentation must be in APA format word document, Arial 12 font attach to the forum/thread in the assignment tab and turnitin with a minimum of 1000 words (excluding first and references page) with a minimum of 3 evidence based references (excluding the class textbook) no older than 5 years are required. The assignment must include the zip code of the city or county chosen. Follow the APA example paper that was sent to you at the beginning of the course for guidance. Make sure references are use according to APA guidelines and electronic references must be from reliable sources such as CDC. Once again, the assignment will be posted in turnitin under the tab epidemiology assignment to verify originality and on the discussion tab of the blackboard under forum/thread epidemiology assignment. You are posting the assignment twice but only you will receive one grade