2025 You have just been hired as a new Vice President of quality and safety

HSA 405- Health Policy and Law Basics 2025

You have just been hired as a new Vice President of quality and safety for a full-service 600-bed government healthcare organization. Within your first month on the job, the national security threat level has been raised to Imminent, which means there is a credible, specific, and impending terrorist threat against the United States, and your facility may be directly impacted. The Chief Executive Officer has requested an immediate six to eight-page report of your proposal for handling such a situation. Note : You may create and /or make all necessary assumptions needed for the completion of this assignment. Write a 6-8 page paper in which you: Examine the existing procedures related to at least four (4) of the ten (10) essential public health services. Focus on the principal effects that these procedures will have on your hospital during the emergency. Specify the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency. Detail three (3) measures that you would use in order to maintain the electronic medical record system during the emergency. Defend your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Provide support with at least three (3) examples that illustrate your position. Analyze the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization. Use at least three (3) quality references within 7 years. Note: Wikipedia and other Websites do not qualify as academic resources. Your assignment must follow these formatting requirements: Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. Kind Regards, Points: 200 Assignment 5: Public Health Preparedness Criteria Unacceptable Below 60% F Meets Minimum Expectations 60-69% D Fair 70-79% C Proficient 80-89% B Exemplary 90-100% A 1. Examine the existing procedures related to at least four (4) of the ten (10) essential public health services. Focus on the principal effects that these procedures will have on your hospital during the emergency. Weight: 20% Did not submit or incompletely examined the existing procedures related to at least four (4) of the ten (10) essential public health services. Did not submit or incompletely focused on the principal effects that these procedures will have on your hospital during the emergency. Insufficiently examined the existing procedures related to at least four (4) of the ten (10) essential public health services. Insufficiently focused on the principal effects that these procedures will have on your hospital during the emergency. Partially examined the existing procedures related to at least four (4) of the ten (10) essential public health services. Partially focused on the principal effects that these procedures will have on your hospital during the emergency. Satisfactorily examined the existing procedures related to at least four (4) of the ten (10) essential public health services. Satisfactorily focused on the principal effects that these procedures will have on your hospital during the emergency. Thoroughly examined the existing procedures related to at least four (4) of the ten (10) essential public health services. Thoroughly focused on the principal effects that these procedures will have on your hospital during the emergency. 2. Specify the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency. Weight: 16% Did not submit or incompletely specified the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency. Insufficiently specified the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency. Partially specified the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency. Satisfactorily specified the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency. Thoroughly specified the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency. 3. Detail three (3) measures that you would use in order to maintain the electronic medical record system during the emergency. Weight: 18% Did not submit or incompletely detailed three (3) measures that you would use in order to maintain the electronic medical record system during the emergency. Insufficiently detailed three (3) measures that you would use in order to maintain the electronic medical record system during the emergency. Partially detailed three (3) measures that you would use in order to maintain the electronic medical record system during the emergency. Satisfactorily detailed three (3) measures that you would use in order to maintain the electronic medical record system during the emergency. Thoroughly detailed three (3) measures that you would use in order to maintain the electronic medical record system during the emergency. 4. Defend your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Provide support with at least three (3) examples that illustrate your position. Weight: 18% Did not submit or incompletely defended your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Did not submit or incompletely provided support with at least three (3) examples that illustrate your position. Insufficiently defended your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Insufficiently provided support with at least three (3) examples that illustrate your position Partially defended your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Partially provided support with at least three (3) examples that illustrate your position Satisfactorily defended your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Satisfactorily provided support with at least three (3) examples that illustrate your position Thoroughly defended your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Thoroughly provided support with at least three (3) examples that illustrate your position 5. Analyze the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization. Weight: 13% Did not submit or incompletely analyzed the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization. Insufficiently analyzed the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization. Partially analyzed the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization. Satisfactorily analyzed the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization. Thoroughly analyzed the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization. 6. Three (3) References Weight: 5% No references provided Does not meet the required number of references; all references poor quality choices. Does not meet the required number of references; some references poor quality choices. Meets number of required references; all references high quality choices. Exceeds number of required references; all references high quality choices. 7. Clarity, writing mechanics, and formatting requirements Weight: 10% More than 8 errors present 7-8 errors present 5-6 errors present 3-4 errors present 0-2 errors present

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2025 Week 2 AACN Essentials Self Assessment and Patient Centered Care 1 1 unread reply 1 1 reply Download the Week 2 Self Assessment

AACN Essential Self Assessment 2025

Week 2: AACN Essentials Self-Assessment and Patient-Centered Care 1 1 unread reply. 1 1 reply. Download the Week 2 Self-Assessment of the AACN Essentials (Links to an external site.) Links to an external site. . Follow the directions on the form. Note your total score. Next, review this article: Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., … Meeks-Sjostrom, D. (2009). Walk the talk: Promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29 (3), 77–93. http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswsc&AN=000266533800011&site=eds-live&scope=site (Links to an external site.) Links to an external site. After you have completed your self-assessment, answer the following questions: If you are willing, please share your total score on the AACN Essentials Self-Assessment. If you do not wish to share your score, give a general description of your current KSA levels. Candidly identify and share with your classmates areas where knowledge, skills or abilities (KSAs) are lacking? Describe the relationship between the AACN Essentials and your new-found knowledge about Patient Centered Care. Are there opportunities for you to improve? Subscribe

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2025 You have just been hired as a new Vice President of quality and

HSA 405- Health Policy and Law Basics 2025

You have just been hired as a new Vice President of quality and safety for a full-service 600-bed government healthcare organization. Within your first month on the job, the national security threat level has been raised to Imminent, which means there is a credible, specific, and impending terrorist threat against the United States, and your facility may be directly impacted. The Chief Executive Officer has requested an immediate six to eight-page report of your proposal for handling such a situation. Note : You may create and /or make all necessary assumptions needed for the completion of this assignment. Write a 6-8 page paper in which you: Examine the existing procedures related to at least four (4) of the ten (10) essential public health services. Focus on the principal effects that these procedures will have on your hospital during the emergency. Specify the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency. Detail three (3) measures that you would use in order to maintain the electronic medical record system during the emergency. Defend your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Provide support with at least three (3) examples that illustrate your position. Analyze the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization. Use at least three (3) quality references within 7 years. Note: Wikipedia and other Websites do not qualify as academic resources. Your assignment must follow these formatting requirements: Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. Kind Regards, Points: 200 Assignment 5: Public Health Preparedness Criteria Unacceptable Below 60% F Meets Minimum Expectations 60-69% D Fair 70-79% C Proficient 80-89% B Exemplary 90-100% A 1. Examine the existing procedures related to at least four (4) of the ten (10) essential public health services. Focus on the principal effects that these procedures will have on your hospital during the emergency. Weight: 20% Did not submit or incompletely examined the existing procedures related to at least four (4) of the ten (10) essential public health services. Did not submit or incompletely focused on the principal effects that these procedures will have on your hospital during the emergency. Insufficiently examined the existing procedures related to at least four (4) of the ten (10) essential public health services. Insufficiently focused on the principal effects that these procedures will have on your hospital during the emergency. Partially examined the existing procedures related to at least four (4) of the ten (10) essential public health services. Partially focused on the principal effects that these procedures will have on your hospital during the emergency. Satisfactorily examined the existing procedures related to at least four (4) of the ten (10) essential public health services. Satisfactorily focused on the principal effects that these procedures will have on your hospital during the emergency. Thoroughly examined the existing procedures related to at least four (4) of the ten (10) essential public health services. Thoroughly focused on the principal effects that these procedures will have on your hospital during the emergency. 2. Specify the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency. Weight: 16% Did not submit or incompletely specified the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency. Insufficiently specified the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency. Partially specified the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency. Satisfactorily specified the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency. Thoroughly specified the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency. 3. Detail three (3) measures that you would use in order to maintain the electronic medical record system during the emergency. Weight: 18% Did not submit or incompletely detailed three (3) measures that you would use in order to maintain the electronic medical record system during the emergency. Insufficiently detailed three (3) measures that you would use in order to maintain the electronic medical record system during the emergency. Partially detailed three (3) measures that you would use in order to maintain the electronic medical record system during the emergency. Satisfactorily detailed three (3) measures that you would use in order to maintain the electronic medical record system during the emergency. Thoroughly detailed three (3) measures that you would use in order to maintain the electronic medical record system during the emergency. 4. Defend your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Provide support with at least three (3) examples that illustrate your position. Weight: 18% Did not submit or incompletely defended your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Did not submit or incompletely provided support with at least three (3) examples that illustrate your position. Insufficiently defended your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Insufficiently provided support with at least three (3) examples that illustrate your position Partially defended your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Partially provided support with at least three (3) examples that illustrate your position Satisfactorily defended your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Satisfactorily provided support with at least three (3) examples that illustrate your position Thoroughly defended your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Thoroughly provided support with at least three (3) examples that illustrate your position 5. Analyze the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization. Weight: 13% Did not submit or incompletely analyzed the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization. Insufficiently analyzed the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization. Partially analyzed the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization. Satisfactorily analyzed the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization. Thoroughly analyzed the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization. 6. Three (3) References Weight: 5% No references provided Does not meet the required number of references; all references poor quality choices. Does not meet the required number of references; some references poor quality choices. Meets number of required references; all references high quality choices. Exceeds number of required references; all references high quality choices. 7. Clarity, writing mechanics, and formatting requirements Weight: 10% More than 8 errors present 7-8 errors present 5-6 errors present 3-4 errors present 0-2 errors present

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2025 Rate yourself using the results from the Nurse Manager Skills Inventory http www aone org resources nurse manager skills inventory pdf Write a reflection of

Combining Nurse Leader With Advocacy 2025

Rate yourself using the results from the “Nurse Manager Skills Inventory”: http://www.aone.org/resources/nurse-manager-skills-inventory.pdf Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below: Personal and professional accountability Career planning Personal journey disciplines Reflective practice reference behaviors/tenets Discuss how you will use your current leadership skill set to advocate for change in your workplace. Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal. While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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2025 Write a formal paper of 750 1 000 words that addresses the following Discuss the differences in competencies

NRS 430V Week 2 Assignment Educational Preparation 2025

Write a formal paper of 750-1,000 words that addresses the following: Discuss the differences in competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level. Identify a patient care situation in which you describe how nursing care or approaches to decision-making may differ based upon the educational preparation of the nurse (BSN versus a diploma or ADN degree). For additional help finding research on this topic, refer to the GCU Library tutorial located at in the Student Success Center. Refer to the American Association of Colleges of Nursing (AACN) Fact Sheet: Creating a More Highly Qualified Nursing Workforce as a resource. Refer to the assigned readings for concepts that help support your main points. Refer to “Grand Canyon University College of Nursing Philosophy.” This is an informational resource to assist in completing the assignment. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion. You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center

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2025 In this this assignment you will be comparing outpatient services to those offered by hospitals As medical professionals we need

Assignment Outpatient vs. Hospital Presentation ppt 2025

In this this assignment you will be comparing outpatient services to those offered by hospitals. As medical professionals we need to understand the roles of each and how they differ. Create a PowerPoint presentation that addresses the following: Compare the roles of outpatient services and hospitals related to their place within the health care delivery system. How are they similar? How are they different? How have the roles of outpatient services and hospitals evolved from historical times to the present? Identify three functions shared by both outpatient services and hospitals. How do outpatient services and hospitals differ in their approach to these functions? How are they similar? Which type of health provider (outpatient services or hospitals) has been most effective in caring for underserved populations? Explain your reasoning. Are the financial challenges faced by hospitals different from those of outpatient services? How are they similar? Your presentation must have 10-12 slides and cite a minimum of two references other than your textbook. While GCU style format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using GCU documentation guidelines, which can be found in the GCU Style Guide, located in the Student Success Center. 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 Turnitin. Please refer to the directions in the Student Success Center.

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2025 Question 1 Question 1 Many patients self medicate with antacids Which patients should be counseled

SOU NSG6005 Week 4 Assignment 2 Quiz 2017 2025

Question 1 Question 1. Many patients self-medicate with antacids . Which patients should be counseled to not take calcium carbonate antacids without discussing with their providers or a pharmacist first? Patients with kidney stones Pregnant patients Patients with heartburn Postmenopausal women Question 2 . A patient with a COPD exacerbation may require: Doubling of inhaled corticosteroid dose Systemic corticosteroid burst Continuous inhaled beta 2 agonists Leukotriene therapy Question 3 . When prescribing montelukast (Singulair) for asthma, patients or parents of patients should be instructed as follows: Montelukast twice a day is started when there is an asthma exacerbation . Patients may experience weight gain on montelukast . Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking montelukast . Lethargy and hypersomnia may occur when taking montelukast . Question 4 . Lifestyle changes are the first step in the treatment of GERD . A food that may aggravate GERD is: Eggs Honey Dew Chocolate Chicken Question 5 . Kelly has diarrhea and is wondering if she can take loperamide (Imodium) for the diarrhea . Loperamide: Can be given to patients of all ages, including infants and children, for viral gastroenteritis Slows gastric motility and reduces fluid and electrolyte loss from diarrhea Is the treatment of choice for the diarrhea associated with E . coli 0157 May be used in pregnancy and by lactating women Question 6 . Patients with allergic rhinitis may benefit from a prescription of: Fluticasone (Flonase) Cetirizine (Zyrtec) OTC cromolyn nasal spray (Nasalcrom) Any of the above Question 7 . When treating a patient using the “step-down” approach, the patient with GERD is started on ____ first . antacids histamine 2 receptor antagonists prokinetics PPIs Question 8 . Cough and cold medications that contain a sympathomimetic decongestant such as phenylephrine should be used cautiously in what population? Older adults Hypertensive patients Infants All of the above Question 9 . Josie is a five-year-old who presents to the clinic with a forty-eight-hour history of nausea, vomiting, and some diarrhea . She is unable to keep fluids down, and her weight is 4 pounds less than her last recorded weight . Besides intravenous (IV) fluids, her exam warrants the use of an antinausea medication . Which of the following would be the appropriate drug to order for Josie? Prochlorperazine (Compazine) Meclizine (Antivert) Promethazine (Phenergan) Ondansetron (Zofran) Question 10 . Patients with pheochromocytoma should avoid which of the following classes of drugs due to the possibility of developing hypertensive crisis? Expectorants Beta 2 agonists Antitussives Antihistamines Question 11 . Montelukast (Singulair) may be prescribed for: A six-year-old with exercise-induced asthma . A two-year-old with moderate persistent asthma . An eighteen-month-old with seasonal allergic rhinitis . None of the above; montelukast is not approved for use in children . Question 12 . Christy has exercise and mild persistent asthma and is prescribed two puffs of albuterol fifteen minutes before exercise and as needed for wheezing . One puff per day of beclomethasone (Qvar) is also prescribed . Teaching regarding her inhalers includes which one of the following? She should use one to two puffs of albuterol per day to prevent an attack, with no more than eight puffs per day . Beclomethasone needs to be used every day to treat her asthma . She should report any systemic side effects she is experiencing, such as weight gain . She should use the albuterol MDI immediately after her corticosteroid MDI to facilitate bronchodilation . Question 13 . Prior to developing a plan for the treatment of asthma, the patient’s asthma should be classified according to the National Heart, Lung, and Blood Institute (NHLBI) Expert Panel 3 guidelines . In adults, mild-persistent asthma is classified as asthma symptoms that occur: Daily Daily and limit physical activity Less than twice a week More than twice a week and less than once a day Question 14 . Metoclopramide improves GERD symptoms by: Reducing acid secretion Increasing gastric pH Increasing lower esophageal tone Decreasing lower esophageal tone Question 15 . Harold, a forty-two-year-old African American, has moderate persistent asthma . Which of the following asthma medications should he use cautiously, if at all? Betamethasone, an inhaled corticosteroid Salmeterol, an inhaled long-acting beta-agonist Albuterol, a short-acting beta-agonist Montelukast, a leukotriene modifier Question 16 . Patients who are on chronic long-term PPI therapy require monitoring for: Iron deficiency anemia, vitamin B12, and calcium deficiency Folate and magnesium deficiency Elevated uric acid levels leading to gout Hypokalemia and hypocalcemia Question 17 . Decongestants such as pseudoephedrine (Sudafed): Are Schedule III drugs in all states Should not be prescribed or recommended for children under four years of age Are effective in treating the congestion children experience with the common cold May cause drowsiness in patients of all ages Question 18 . Antacids treat GERD by: Decreasing lower esophageal tone Increasing gastric pH Inhibiting gastric acid secretion Increasing the serum calcium level Question 19 . Education of patients with COPD who use inhaled corticosteroids includes the following: They should double the dose at the first sign of a upper respiratory infection . They should use the inhaled corticosteroid first and then the bronchodilator . They should rinse their mouths after use . They should not smoke for at least thirty minutes after use . Question 20 . Asthma exacerbations at home are managed by the patient by: Increasing the frequency of beta 2 agonists and contacting his or her provider Doubling inhaled corticosteroid dose Increasing the frequency of beta 2 agonists Starting montelukast (Singulair)

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2025 According to the assigned article Health Disparity and Structural Violence How Fear Undermines

Discussion Question week 2 429VN 2025

According to the assigned article, “Health Disparity and Structural Violence: How Fear Undermines Health Among Immigrants at Risk for Diabetes,” narratives tell the story of the interconnectedness between fear and health. Explain the relationship between fear and health identified by the researchers in the article. Do you agree that structural violence perpetuates health disparity? The answer must be plagism free. You must explain the relationship and agree or disagree the the question. I do not care which one you chose but you must state one.

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2025 Part 1 Identify additional concerns related to cost in the mission presentation Think about how the leaders can better manage

2 part assignment 2025

Part 1 Identify additional concerns related to cost in the mission presentation. Think about how the leaders can better manage resources next time. What impact does good financial management have on an organization and all its stakeholders? Suggest solutions to the cost concerns. Discuss how to sell stakeholders on your solutions. Justify these with what you learned from course readings and your own experience. Summarize how to align individual and organizational priorities with the needs and values of the community relative to cost-effective actions and behaviors. Recognize and discuss financial factors and cost-effective needs in the community-based scenario. Part 2 From the perspective of a health care worker, what expectations might you have for the professionals involved in the debriefing session? Identify what stuck out to you the most, particularly related to accountability, standards of performance, and ethics. In your opinion, were the original requirements and expectations for these situations well-communicated and evaluated? What concerns you most about the debriefing session? What did you think went well with the debriefing session? How might all of this affect the organizations involved?

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2025 PURPOSE It is important to understand how borrowed theory can help you in your everyday environment

PURPOSE: It is important to understand how borrowed theory can help you in your everyday environment as a nurse. In the previous assignment, you identified a practical problem that emerged from the evidence in the extant literature or professional practi 2025

PURPOSE: It is important to understand how borrowed theory can help you in your everyday environment as a nurse. In the previous assignment, you identified a practical problem that emerged from the evidence in the extant literature or professional practice, and you explored how middle-range theory could be applied to solve the problem. In this assignment, you will explore and apply borrowed theory to solve the specific problem that you identified previously, and you will synthesize the applications of the middle-range theory and the borrowed theory into the most appropriate solution to the problem. DIRECTIONS: Consider the problem that you described in the previous assignments and the instructor feedback about those assignments. Write a paper (1,750 to 2,000 words) that describes how borrowed theory can be applied to the identified problem. The paper should include the following: A brief summary of the problem including the potential middle-range theory that could be applied. A description of a borrowed theory that could be applied to the problem. Is this borrowed theory appropriate to your identified problem? A brief history of the borrowed theory’s origins. A discussion of how the borrowed theory has been previously applied. A discussion of the application of the borrowed theory to the identified problem. How would your practice change by incorporating this theory? A discussion of how application of both the borrowed theory and the middle-range theory can be integrated to create the most appropriate solution to the identified problem. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. Please read the previous 2 essay and apply it to this assignment, apa format, at least 1700 to 2000 word, 3 reference 1 previous essay Neuman’s System Model and Use in Psychiatric Facilities Student’s Name: Institution Affiliation: The problem description summary Psychiatric and mental health nursing deals with the care of the patients with emotional and mental health problems that include and not limited to depression, anxiety, mood disorders, addictions, and stress and various developmental disorders (Phillips, 2016). In this case, the nursing professionals play a significant role in offering both nursing and medical care to the individuals, groups, communities, and even families to promote emotional and mental health. The primary problem experienced in a psychiatric nursing workplace setting is the patient violence that significantly affects the quality of care given and the nursing management outcome (Phillips, 2016). The patient violence particularly occurs in the acute setting of the psychiatric facilities and is believed to result from the nature of the patient condition. This problem remains a global concern and mainly affects the nurses because they remain the primary care givers in the psychiatric facilities and have long hours exposed to the mentally ill patients. A research conducted by Phillips (2016), indicates that over 20%of all psychiatric patients possess violent behavior in a variety of ways ranging from verbal to physical abuse. Various triggers are believed to precipitate the violent behavior and hence proper training, administration, policy making, and proper practice development remain pillars of early detection and prevention of patient violence (Phillips, 2016). Betty Neuman’s systems model Middle range theories are highly useful in addressing various nursing problems especially the vulnerable groups, families, or even individuals. In this case, the Betty Neuman’s system model gives a comprehensive system based and holistic approach to nursing with an element of flexibility. This theory primarily focuses on the patient’s response to the existing potential environmental stressors and the utilization of the primary, secondary and the tertiary nursing prevention interventions for maintenance of patient system wellness (Neuman & Fawcett, 2002). The Neuman’s system theory has various assumptions to put into consideration in its application. The model assumes that a patient system is a unique with composite factors, existence of many universal stressors influencing the patient system stability, each patient has range of responses to the environment, and the interrelations of the patient with care givers at any time can affect the degree to which the client is protected (Neuman & Fawcett, 2002). The model also assumes that the client remains a dynamic system of interrelationships of the existing variables in either state of wellness or illness. In addition, a secondary prevention relates to the symptoms following a behavior or even a reaction and appropriate measuring of the priorities of the intervention and the treatment offered reduces their bad or noxious effects. The primary concepts applied in this model include a person, health, environment, and nursing. This model is highly useful in my identified problem of patient violence in the psychiatric facilities. In this case, the systematic nature of this theory can help the nursing team to do thorough patient management and help reduce the cases of mentally ill patient’s violence against nurses (Neuman & Fawcett, 2002). Betty Neuman’s systems model origins Betty Neuman’s theorist was born in the year 1924 in Ohio. She completed her bachelor’s degree in nursing in 1957 and, master’s degree in mental health public health consultation in 1966 from UCLA and hold a doctorate degree in psychology (Neuman & Fawcett, 2002). Neuman started the development of her health system model while a community health nursing lecturer at the University of California in Los Angeles (Neuman & Fawcett, 2002). In this case, the model was published in 1972 involving the teaching of total patient problems approach in the nursing research where it was refined in 1974 and published in the first edition of conceptual models for the nursing practice. This theory was influenced by various philosophers and finally contributed to the body of knowledge validated through research (Neuman & Fawcett, 2002). Neuman’s systems model previous application The systems theory has previously been utilized by professionals in the management of various patient conditions. In this case, the professionals focus on the use of the primary, secondary, and the tertiary prevention interventions and have viewed the nursing practice based on the degree of reaction to stressors. The model utilizes the six steps involved in patient management that include the assessment, nursing diagnosis, setting goals, planning, and implementation using the three levels of intervention (Neuman & Fawcett, 2002). Finally, an evaluation is conducted and state of balance restored. Previously, the model has been utilized in the United States intensive care units. In this case, intensive care has very sick patients who need to be considered holistically by involving their families for quality system functioning. The nurses in such units do a comprehensive patient assessment to come up with the most accurate and correct diagnosis that will help improve the care given to the patient. Proper assessment helps in offering the best prevention intervention to the patient, families, and even the communities. This systematic model prevents the nurses from exhaustion, burn out and psychological trauma (Neuman & Fawcett, 2002). Use of Neuman’s model in psychiatric facilities In nearly all instances, violence erupts with some warning signs displayed by the psychiatric patients. In this case, the nursing professional working at the mental health facilities can utilize the Neuman’s systems model to reduce the cases of violence in such facilities (Richter & Whittington, 2006). The systems model provides guidelines to use that utilizes the three classes of prevention interventions. Thorough patient assessment holistically helps in early detection of any warning signs or identifying all the precipitators of patient violence. In this case, the nursing care givers identify the patient stressors and address the whole person and hence the holistic perspective (Richter & Whittington, 2006). According to Neuman and Fawcett (2002), the nurse perception must be assessed in addition to assessing the patient because it influences the kind of care plan that he or she makes for a patient. It views the function of the nurse based on reactions to the stressors and the use of all the prevention interventions outlined by this model. After comprehensive assessment to identify the stressors, warning signs, and symptoms of violence, the nurse is required to make a nursing diagnosis, set goals, planning of care, intervening, and finally doing an evaluation of the care given (Neuman & Fawcett, 2002). The primary intervention of this model is the prevention intervention. In this case, prevention of patient violence is essential and can be achieved through proper training, comprehensive attitude, and perception towards the care, proper policy making can aid in the prevention of the patient violence (Neuman & Fawcett, 2002). References Neuman, B. M., & Fawcett, J. (2002). The Neuman systems model . Pearson Education, Incorporated. Phillips, J. P. (2016). Workplace violence against health care workers in the United States. New England journal of medicine , 374 (17), 1661-1669. Richter, D., & Whittington, R. (2006). Violence in mental health settings: Causes, consequences, management . New York: Springer. 2 previous essay PSYCHIATRIC PATIENT VIOLENCE AND RESEARCH Diane Boll Grand Canyon University: NUR 502 08-30-2017 Problem description The nurses working in psychiatric units experience various problems. In this case, these problems impact significantly on the quality of care given by such professionals. One of the problems faced in the psychiatric workplace setting is patient violence that influences and affects the outcome of nursing management (Arnetz et al, 2015). These cases mostly happen in the acute psychiatric settings. The patient violence against the nursing professionals in their work areas remains a global problem and happens particularly in the mental health care facilities. In this case, the violence results from the nature of the patient condition that results in harm to the self and others. This problem is prevalent to nurses because, it is the nurses who take care of the patient and exposed for long hours (Arnetz et al, 2015). Nurse professional is the first and the primary health care provider in psychiatric facilities and hence a high risk of violence. The violence varies from physical to non-physical violence. A research indicates that about 20% of patients admitted to the psychiatric facilities possess violent behaviors in a variety of ways. The violence behaviors may be associated with various triggers that the only the nurses who has known the patient for a long time can understand (Arnetz et al, 2015). Literature supported rationale for significance of the problem According to Richter and Whittington (2006), patient violence significantly affects both the health professionals and the quality of health they receive. The results of these violent behaviors translate to longer hospital stay and readmission. It also results to work related stress, blame, fear, post traumatic events and the feeling of abuse and insult. The patient violence against the health professional has a great significance and can be used to help manage the problem and prevent its future occurrence (Richter & Whittington, 2006). A study conducted by Richter and Whittington (2006), offers a significant administration, nursing education, practice development, and policy making. More training and proper practice development are associated with helping in dealing with the violent patients. In this case, the training and proper practice offer the nurses and other health professionals to understand the triggers and the signs of violence that psychiatric patient may display for the anticipation of care. Policy making was found to be of great significance in psychiatric nursing. Overburdening of health facilities, overcrowding and climates of cynicism were found to be great causes of violence in such patients. The De-escalation techniques dealing with fewer skills of physical restraints and focus more on competent and skilled interactions respecting the patient perspectives (Richter & Whittington, 2006). Violence rarely erupts or happens without any warning, the staff need or require optimal training of pre-planned care criteria of when to set various limits because patients remain optimal in any intervention (Phillips, 2016). Detecting and monitoring early warnings and signs helps in allowing for early detection and intervention while the frustration level of the frustration is still low. This remains an empirical evidence because recidivist clients show warning signs prior to performing acts of violence in the psychiatric wards (Phillips, 2016). The violence prevention benefits largely from comprehensive accurate and proper monitoring of patients and violence precipitators (Phillips, 2016). In conclusion, the current research plays an essential role in various aspects of violence prevention in the psychiatric facilities. In this case, literature has indicated that preventing the violence against staff can be reduced through proper administration, comprehensive training for triggers and warning signs detection, practice development and proper policy making remain the pillars of reducing and managing the patient violence of all types in the psychiatric facilities. References Arnetz, J. E., Hamblin, L., Essenmacher, L., Upfal, M. J., Ager, J., & Luborsky, M. (2015). Understanding patient‐to‐worker violence in hospitals: a qualitative analysis of documented incident reports. Journal of advanced nursing , 71 (2), 338-348. Phillips, J. P. (2016). Workplace violence against health care workers in the United States. New England journal of medicine , 374 (17), 1661-1669. Richter, D., & Whittington, R. (2006). Violence in mental health settings: Causes, consequences, management . New York: Springer.

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