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

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

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

Reference

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

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

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

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

 Details:

Use the practice problem and a quantitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

In a 1000-1,250 word essay, summarize the study, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Refer to the resource “Research Critique Guidelines” for suggested headings and content for your paper.

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.

Apply Rubrics

1
Unsatisfactory
0.00%2
Less than Satisfactory
75.00%3
Satisfactory
83.00%4
Good
94.00%5
Excellent
100.00%75.0 %Content 15.0 %Background of StudyBackground of study including problem, significance to nursing, purpose, objective, and research questions is incomplete.Background of study including problem, significance to nursing, purpose, objective, and research questions is included but lacks relevant details and explanation.Background of study including problem, significance to nursing, purpose, objective, and research questions is partially complete and includes some relevant details and explanation.Background of study including problem, significance to nursing, purpose, objective, and research questions is complete and includes relevant details and explanation.Background of study including problem, significance to nursing, purpose, objective, and research questions is thorough with substantial relevant details and extensive explanation.15.0 %Method of StudyDiscussion of method of study including discussion of conceptual/theoretical framework is incomplete.Discussion of method of study including discussion of conceptual/theoretical framework is included but lacks relevant details and explanation.Discussion of method of study including discussion of conceptual/theoretical framework is partially complete and includes some relevant details and explanation.Discussion of method of study including discussion of conceptual/theoretical framework is complete and includes relevant details and explanation.Discussion of method of study including discussion of conceptual/theoretical framework is thorough with substantial relevant details and extensive explanation.15.0 %Results of StudyDiscussion of study results including findings and implications for nursing practice is incomplete.Discussion of study results including findings and implications for nursing practice is included but lacks relevant details and explanation.Discussion of study results including findings and implications for nursing practice is partially complete and includes some relevant details and explanation.Discussion of study results including findings and implications for nursing practice is complete and includes relevant details and explanation.Discussion of study results including findings and implications for nursing practice is thorough with substantial relevant details and extensive explanation.15.0 %Ethical ConsiderationsDiscussion of ethical considerations associated with the conduct of nursing research is incomplete.Discussion of ethical considerations associated with the conduct of nursing research is included but lacks relevant details and explanation.Discussion of ethical considerations associated with the conduct of nursing research is partially complete and includes some relevant details and explanation.Discussion of ethical considerations associated with the conduct of nursing research is complete and includes relevant details and explanation.Discussion of ethical considerations associated with the conduct of nursing research is thorough with substantial relevant details and extensive explanation.15.0 %ConclusionConclusion does not summarize a critical appraisal and applicability of findings.Conclusion is vague and does not discuss importance to nursing.Conclusion summarizes utility of the research and importance to nursing practice.Conclusion summarizes utility of the research from the critical appraisal and the findings importance to nursing practice.Conclusion summarizes utility of the research from the critical appraisal, knowledge learned, and the importance of the findings to nursing practice.15.0 %Organization and Effectiveness 5.0 %Thesis Development and PurposePaper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.5.0 %Argument Logic and ConstructionStatement 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.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 is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.Some mechanical errors or typos are present, but they 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.Writer is clearly in command of standard, written, academic English.10.0 %Format 5.0 %Paper Format (use of appropriate style for the major and assignment)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, and formatting is correct, although some minor errors may be present.Template is fully used; There are virtually no errors in formatting style.All format elements are correct.5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)Sources are not documented.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, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.100 %Total Weightage