Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment.

Communicable Disease Selection

Choose one communicable disease from the options below.

1. Chickenpox

2. Tuberculosis

3. Influenza

4. Mononucleosis

5. Hepatitis B

6. HIV

7. Ebola

8. Measles

9. Polio

10. Influenza

Epidemiology Paper Requirements

Address the following:

1. Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.

2. Describe the social determinants of health and explain how those factors contribute to the development of this disease.

3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?

4. Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.

5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.

6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.

A minimum of three peer-reviewed or professional references is required.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

    Attachments             NRS-427VN-RS2-CommunicableDiseaseChain.doc

  

Epidemiology Paper – Rubric 

No of Criteria: 11  Achievement Levels: 5 

Criteria

Achievement   Levels

Description

 Percentage   

Unsatisfactory

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Less than   Satisfactory

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 75.00 %  

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Satisfactory

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 83.00 %  

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Good

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 94.00 %  

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Excellent

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 100.00 %  

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Content 

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80.0

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Comprehensive Description of a Communicable   Disease and the Demographic of Interest 

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10.0 

Demographic   of interest and clinical description are omitted or presented with many   inaccuracies.

 Demographic   of interest and clinical description are omitted or presented with many   inaccuracies.  

Limited   and/or vague summary of demographic of interest and communicable disease is   provided. Overview does not offer a clear representation of information   necessary for epidemiological study.

 Limited   and/or vague summary of demographic of interest and communicable disease is   provided. Overview does not offer a clear representation of information   necessary for epidemiological study.  

Overview of   the demographic of interest and clinical description of the communicable   disease is presented with some inaccuracies of the clinical descriptors.

 Overview   of the demographic of interest and clinical description of the communicable   disease is presented with some inaccuracies of the clinical descriptors.  

Clinical   description of the communicable disease and demographic of interest is   provided. Summary is brief but accurate.

 Clinical   description of the communicable disease and demographic of interest is   provided. Summary is brief but accurate.   

Overview   describing the demographic of interest and clinical description of the   communicable disease is presented with a thorough, accurate, and clear   overview of all of the clinical descriptors.

 Overview   describing the demographic of interest and clinical description of the   communicable disease is presented with a thorough, accurate, and clear   overview of all of the clinical descriptors.  

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Determinants of Health and Explanation of   How Determinants Contribute to Disease Development 

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10.0 

Description   of the determinants of health and their role in disease development is   omitted or presented with many inaccuracies.

 Description   of the determinants of health and their role in disease development is   omitted or presented with many inaccuracies.   

Paper   partially describes the determinants of health in relation to disease   development.

 Paper   partially describes the determinants of health in relation to disease   development.  

Paper   identifies the determinants of health in relation to the communicable disease   selected but does not include an explanation of their role in the development   of disease.

 Paper   identifies the determinants of health in relation to the communicable disease   selected but does not include an explanation of their role in the development   of disease.   

Paper   describes each determinant of health with a comprehensive discussion of their   contribution to disease development and progression.

 Paper   describes each determinant of health with a comprehensive discussion of their   contribution to disease development and progression.   

Paper   comprehensively discusses the determinants of health in relation to the communicable   disease, explains their contribution to disease development, and provides   evidence to support main points.

 Paper   comprehensively discusses the determinants of health in relation to the   communicable disease, explains their contribution to disease development, and   provides evidence to support main points.  

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Epidemiologic Triangle (Host Factors, Agent   Factors, and Environmental Factors)  

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20.0 

Description   of the epidemiologic triangle is omitted or presented with many inaccuracies

 Description   of the epidemiologic triangle is omitted or presented with many inaccuracies  

The   communicable disease is described with some inaccuracies within the   epidemiologic triangle. A visual description of the factors and interaction   is not present.

 The   communicable disease is described with some inaccuracies within the   epidemiologic triangle. A visual description of the factors and interaction   is not present.  

The   communicable disease is described accurately and clearly within the context   of the epidemiologic triangle.

 The   communicable disease is described accurately and clearly within the context   of the epidemiologic triangle.   

The   communicable disease is described accurately within the context of the   epidemiologic triangle. A brief description of factors and interaction is   presented.

 The   communicable disease is described accurately within the context of the   epidemiologic triangle. A brief description of factors and interaction is   presented.  

The   communicable disease is described thoroughly, accurately, and clearly within   an epidemiological triangle. A visual description of the triangle and how the   components of the model interact is included.

 The   communicable disease is described thoroughly, accurately, and clearly within   an epidemiological triangle. A visual description of the triangle and how the   components of the model interact is included.    

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Role of the Community Health Nurse and   Importance of Demographic Data  

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20.0 

Discussion   of the role of the community health nurse is omitted or unclear. An explanation   of why demographic data are necessary to community health is omitted or   unclear.

 Discussion   of the role of the community health nurse is omitted or unclear. An   explanation of why demographic data are necessary to community health is   omitted or unclear.  

Discussion   of the role of the community health nurse is vague, with no integration of   case finding, reporting, data collecting, data analysis, or follow-up skills.   An incomplete explanation of why demographic data are necessary to community   health is provided.

 Discussion   of the role of the community health nurse is vague, with no integration of   case finding, reporting, data collecting, data analysis, or follow-up skills.   An incomplete explanation of why demographic data are necessary to community   health is provided.  

Discussion   of the role of the community health nurses is limited, with a brief overview   of skills associated with community assessment and planning. An explanation   of why demographic data are necessary to community health is summarized.

 Discussion   of the role of the community health nurses is limited, with a brief overview   of skills associated with community assessment and planning. An explanation   of why demographic data are necessary to community health is summarized.  

Discussion   of the role of community health nurse is clear, with a comprehensive   description of skills associated with community assessment and planning. An   explanation of why demographic data are necessary to community health is   presented.

 Discussion   of the role of community health nurse is clear, with a comprehensive   description of skills associated with community assessment and planning. An   explanation of why demographic data are necessary to community health is   presented.  

Discussion   of the role of the community health nurse is clear, comprehensive, and   inclusive of the community nurse’s responsibilities to primary, secondary,   and tertiary prevention through tasks such as case finding, reporting, data   collection and analysis, and follow-up. A clear explanation of the importance   of demographic data to community health is presented.

 Discussion   of the role of the community health nurse is clear, comprehensive, and   inclusive of the community nurse’s responsibilities to primary, secondary,   and tertiary prevention through tasks such as case finding, reporting, data   collection and analysis, and follow-up. A clear explanation of the importance   of demographic data to community health is presented.  

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National Agency or Organization That Works   to Addresses Communicable Disease  

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10.0 

Agency and   description of contribution are omitted.

 Agency   and description of contribution are omitted.    

An agency or   organization is identified, but discussion is vague or inaccurate in relation   to the communicable disease chosen.

 An   agency or organization is identified, but discussion is vague or inaccurate   in relation to the communicable disease chosen.   

An agency or   organization is identified, but discussion regarding efforts to address communicable   disease is lacking.

 An   agency or organization is identified, but discussion regarding efforts to   address communicable disease is lacking.   

An agency or   organization is identified, but discussion regarding efforts to address   communicable disease is brief.

 An   agency or organization is identified, but discussion regarding efforts to   address communicable disease is brief.   

An agency or   organization is identified. A clear and accurate description of efforts to   address communicable disease is offered.

 An   agency or organization is identified. A clear and accurate description of   efforts to address communicable disease is offered.    

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Global Implication  

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10.0 

Global   implication of the disease is omitted or unclear.

 Global   implication of the disease is omitted or unclear.  

A discussion   of the global implication of the disease is vague, with no integration of how   this is addressed in other countries or cultures and if the disease is   endemic to a particular area. An example is not provided.

 A   discussion of the global implication of the disease is vague, with no   integration of how this is addressed in other countries or cultures and if   the disease is endemic to a particular area. An example is not provided.   

A discussion   of the global implication of the disease is limited, with some integration of   how this is addressed in other countries or cultures and if the disease is   endemic to a particular area. An example is provided.

 A   discussion of the global implication of the disease is limited, with some   integration of how this is addressed in other countries or cultures and if   the disease is endemic to a particular area. An example is provided.   

A discussion   of the global implication of the disease is clear, with a comprehensive   description of how this is addressed in other countries or cultures and if   the disease is endemic to a particular area. An example is provided.

 A   discussion of the global implication of the disease is clear, with a   comprehensive description of how this is addressed in other countries or   cultures and if the disease is endemic to a particular area. An example is   provided.   

A discussion   of the global implication of the disease is clear, comprehensive, and   inclusive with a comprehensive description of how this is addressed in other   countries or cultures and if the disease is endemic to a particular area. An   example is provided.

 A   discussion of the global implication of the disease is clear, comprehensive,   and inclusive with a comprehensive description of how this is addressed in   other countries or cultures and if the disease is endemic to a particular   area. An example is provided.  

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Organization and Effectiveness

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15.0

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Thesis Development and Purpose  

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5.0 

Paper lacks   any discernible overall purpose or organizing claim.

 Paper   lacks any discernible overall purpose or organizing claim.  

Thesis is   insufficiently developed and/or vague, purpose is not clear.

 Thesis   is insufficiently developed and/or vague, purpose is not clear.   

Thesis is   apparent and appropriate to purpose.

 Thesis   is apparent and appropriate to purpose.   

Thesis is   clear and forecasts the development of the paper. It is descriptive and   reflective of the arguments and appropriate to the purpose.

 Thesis   is clear and forecasts the development of the paper. It is descriptive and   reflective of the arguments and appropriate to the purpose.   

Thesis is   comprehensive, contained within the thesis is the essence of the paper.   Thesis statement makes the purpose of the paper clear.

 Thesis   is comprehensive, contained within the thesis is the essence of the paper.   Thesis statement makes the purpose of the paper clear.   

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Argument Logic and Construction  

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5.0 

Statement of   purpose is not justified by the conclusion. The conclusion does not support   the claim made. Argument is incoherent and uses noncredible sources.

 Statement   of purpose is not justified by the conclusion. The conclusion does not support   the claim made. Argument is incoherent and uses noncredible sources.  

Sufficient   justification of claims is lacking. Argument lacks consistent unity. There   are obvious flaws in the logic. Some sources have questionable credibility.

  Sufficient   justification of claims is lacking. Argument lacks consistent unity. There   are obvious flaws in the logic. Some sources have questionable credibility.  

Argument is   orderly, but may have a few inconsistencies. The argument presents minimal   justification of claims. Argument logically, but not thoroughly, supports the   purpose. Sources used are credible. Introduction and conclusion bracket the   thesis.

 Argument   is orderly, but may have a few inconsistencies. The argument presents minimal   justification of claims. Argument logically, but not thoroughly, supports the   purpose. Sources used are credible. Introduction and conclusion bracket the   thesis.   

Argument   shows logical progressions. Techniques of argumentation are evident. There is   a smooth progression of claims from introduction to conclusion. Most sources   are authoritative.

 Argument   shows logical progressions. Techniques of argumentation are evident. There is   a smooth progression of claims from introduction to conclusion. Most sources   are authoritative.  

Clear and   convincing argument that presents a persuasive claim in a distinctive and   compelling manner. All sources are authoritative.

 Clear   and convincing argument that presents a persuasive claim in a distinctive and   compelling manner. All sources are authoritative.   

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Mechanics of Writing (includes spelling,   punctuation, grammar, language use)  

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5.0 

Surface   errors are pervasive enough that they impede communication of meaning.   Inappropriate word choice and/or sentence construction are used.

 Surface   errors are pervasive enough that they impede communication of meaning.   Inappropriate word choice and/or sentence construction are used.  

Frequent and   repetitive mechanical errors distract the reader. Inconsistencies in language   choice, sentence structure, and or word choice are present.

 Frequent   and repetitive mechanical errors distract the reader. Inconsistencies in   language choice, sentence structure, and or word choice are present.  

Some   mechanical errors or typos are present, but are not overly distracting to the   reader. Correct sentence structure and audience-appropriate language are   used.

 Some   mechanical errors or typos are present, but are not overly distracting to the   reader. Correct sentence structure and audience-appropriate language are   used.   

Prose is   largely free of mechanical errors, although a few may be present. A variety   of sentence structures and effective figures of speech are used.

 Prose   is largely free of mechanical errors, although a few may be present. A   variety of sentence structures and effective figures of speech are used.   

Writer is   clearly in command of standard, written, academic English.

 Writer   is clearly in command of standard, written, academic English.  

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Format

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5.0

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Paper Format

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2.0 

Template is   not used appropriately or documentation format is rarely followed correctly.

 Template   is not used appropriately or documentation format is rarely followed   correctly.  

Template is   used, but some elements are missing or mistaken, lack of control with   formatting is apparent.

 Template   is used, but some elements are missing or mistaken, lack of control with   formatting is apparent.  

Template is   used, and formatting is correct, although some minor errors may be present.

 Template   is used, and formatting is correct, although some minor errors may be   present.   

Template is   fully used. There are virtually no errors in formatting style.

 Template   is fully used. There are virtually no errors in formatting style.  

All format   elements are correct.

 All   format elements are correct.    

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Documentation of Sources (citations,   footnotes, references, bibliography, etc., as appropriate to assignment and   style)  

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3.0 

Sources are   not documented.

 Sources   are not documented.   

Documentation   of sources is inconsistent or incorrect, as appropriate to assignment and   style, with numerous formatting errors.

 Documentation   of sources is inconsistent or incorrect, as appropriate to assignment and   style, with numerous formatting errors.   

Sources are   documented, as appropriate to assignment and style, although some formatting   errors may be present.

 Sources   are documented, as appropriate to assignment and style, although some   formatting errors may be present.   

Sources are   documented, as appropriate to assignment and style, and format is mostly   correct.

 Sources   are documented, as appropriate to assignment and style, and format is mostly   correct.   

Sources are   completely and correctly documented, as appropriate to assignment and style,   and format is free of error.

 Sources   are completely and correctly documented, as appropriate to assignment and   style, and format is free of error.  

  Total Percentage      100  

    

Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750-1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:

1. Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice.
2. Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN-prepared nurses.
3. Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population.
4. Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health-illness continuum.
5. Discuss how nurses can assist in effectively managing patient care within an evolving health care system.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

 

Read Chapter 4

1-which of the following behaviors may be (1) ethical but illegal, (2) legal but unethical, (3) illegal and unethical, and (4) legal and ethical.

A. Working in a clinic that performs abortions

b. Respecting the wishes of a client suffering from ALS that he be permitted to die with dignity and not placed on “breathing machines”

c. Respecting the health surrogate’s wishes regarding termination of life support of her friend

d. Observing a coworker take out two tablets of oxycodone as ordered for pain management for his patient but keeping one for himself, administering only one tablet to the patient.

2-differentiate among the following: deontological theories, utilitarianism, and principlism.

3-what do you think about health-care professionals disclosing information to clients about a poor prognosis, even though the information may cause severe distress.

4-What do they think about health-care professionals disclosing information to clients against family wishes?

5. You see a colleague use another nurse’s password to access the medication administration system and take out a narcotic. What would you do?

6.Your colleague’s child fell and was brought to the emergency department. She comes back up to the unit and tells you that they cleaned and debrided the wound, and she needs to change the dressings twice a day using a wet to dry method. You see her go into the supply system and remove the dressings and saline using a patient’s identification number. What would you do?

7. You are caring for a patient who has a terminal disease. He asks you if he is dying. Would you tell him? If yes, how? If no, what might you say? .

8-You are administering hydromorphone to a patient. The patient asks you what you are administering. Would you tell the patient about the medication?

 

This week, you will write your evidence-based change project status report, which gives you an opportunity to share your progress. The report should provide evidence of your critical thinking and ability to apply research and project management principles in the clinical setting.

The requirements of this assignment include:

1. Identify obstacles and steps taken to manage and stabilize successful implementation of your change project thus far. *****Please talk about how nurses are not compliant with documentation and not too receptive with he change projects and the steps you would take to achieve this issue***
2. Discuss the project implementation to date, the resources used, and continued support needed.
3. Identify expected project outcomes and any timeline adjustments needed.***Make sure you add adjustment, do not make it look as it was easy to implement, because it was not****
4. Discuss a summary of the project, the main points, and the findings, the significance of the project to the nursing profession, and any recommendations for future research.
5.  Actual Outcomes/Evaluation: Discuss your measurable evaluation methods (indicators/metrics). Include any of the following that are applicable to your project: cost savings, improved efficiencies, access to care (visits/procedures/admissions), patient/family satisfaction, associate satisfaction, associate engagement, retention, clinical outcomes, injury prevention, and risk reduction. (***Please be detailed in the response, if any question let me know***)

You will submit a written paper using the format of the APA (6th ed.), including cover page, proper headings and references. 

Write a 4-5 page evidence-based proposal to support the need for a nurse informaticist in an organization who would focus on improving health care outcomes.

As you begin to prepare this assessment, you are encouraged to complete the Team Perspectives of the Nurse Informaticist activity. Completion of this will help you succeed with the assessment as you explore the nurse informaticist’s role from the different perspectives of the health care team. Completing activities is also a way to demonstrate engagement.

Nurses at the baccalaureate level in all practice areas are involved in nursing informatics through interaction with information management and patient care technologies. Nurses must not only demonstrate knowledge of and skills in health information and patient care technologies, but also how to use these tools at the bedside and organizational levels. Moreover, nurses need to recognize how information gathered from various health information sources can impact decision making at the national and state regulatory levels.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.     
  • Define nursing informatics and the role of the nurse informaticist.
  • Explain how the nurse collaborates with the interdisciplinary team, including technologists, to improve the quality of patient care.
  • Justify the need for a nurse informaticist in a health care organization.
• Competency 2: Implement evidence-based strategies to effectively manage protected health information.     
  • Explain evidence-based strategies that the nurse and interdisciplinary team can use to effectively manage patients’ protected health information (privacy, security, and confidentiality).
• Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.     
  • Follow APA style and formatting guidelines for citations and references.
  • Create a clear, well-organized, and professional proposal that is generally free from errors in grammar, punctuation, and spelling.

Scenario

For this assessment, assume you are a nurse attending a meeting of your state’s nurses’ association. A nurse informaticist conducted a presentation on her role and its impact on positive patient and organizational outcomes in her workplace. You realize that your organization is undergoing many technological changes. You believe this type of role could provide many benefits to your organization.

You decide to pursue proposing a nurse informaticist role in your organization. You speak to your chief nursing officer (CNO) and human resources (HR) manager. These individuals ask you to prepare a 4–5 page evidence-based proposal to support the new role. In this way, they can make an informed decision as to whether the addition of such a role could justify the return on investment (ROI). They need your proposal before an upcoming fiscal meeting.

Preparation

To successfully prepare for this assessment, you will need to complete these preparatory activities:

• Review assessment resources and activities.
• Conduct independent research on the nursing knowledge and skills necessary to interact with health information and patient care technology.     
  • Focus your research on current resources available through peer-reviewed articles, professional websites, government websites, professional blogs, wiki pages, job boards, et cetera.
  • Consult the BSN Program Library Research Guide for help in identifying scholarly and authoritative sources. 
• Interview peers in your network who are considered information technology experts.     
  • Ask them about how information technology advances are impacting patient care at the bedside, at the organizational level, and beyond.

Proposal Format

The Chief Nursing Officer (CNO) and Human Resources (HR) manager have asked you to include the following headings in your proposal and to be sure to address the bullets underneath each heading:

Nursing Informatics and the Nurse Informaticist

• What is nursing informatics?
• What is the role of the nurse informaticist?

Nurse Informaticists and Other Health Care Organizations

• What is the experience of other health care organizations with nurse informaticists?
• How do these nurse informaticists interact with the rest of the nursing staff and the interdisciplinary team?

Impact of Full Nurse Engagement in Health Care Technology

• How does fully engaging nurses in health care technology impact:     
  • Patient care?
  • Protected health information (security, privacy, and confidentiality)?
  • Workflow?
  • Costs and return on investment?

Opportunities and Challenges

• What are the opportunities and challenges for nurses and the interdisciplinary team with the addition of a nurse informaticist role?     
  • How can the interdisciplinary team collaborate to improve quality care outcomes through technology?

Summary of Recommendations

• What are 3–4 key takeaways from your proposal about the recommended nurse informaticist role that you want the CNO and the HR manager to remember?

Additional Requirements

• Written communication: Ensure written communication is free of errors that detract from the overall message.
• Submission length: 4–5 double-spaced pages, in addition to a title page and references page.
• Font: Times New Roman, 12 point.
• Citations and References: Cite a minimum of 3 current scholarly and/or authoritative sources to support your ideas. In addition, cite a minimum of 1 current professional blog or website to support your central ideas. Current means no more than five years old.
• APA formatting: Be sure to follow APA formatting and style guidelines for citations and references. For an APA refresher, consult the APA Style and Format page on Campus.