What are social determinants of health?  Explain how social determinants of health contribute to the development of disease.  Describe the fundamental idea that the communicable disease chain model is designed to represent. Give an example of the steps a nurse can take to break the link within the communicable disease chain. 300 words 

I need a 2 or 3 sentence comment on each paragraph

Paragraph 1

A health promotion model that can initiate behavioral changes is the family systems theory. This theory looks at the family rather than everyone within the unit. This theory looks at how each individual member affects the whole family as one. Behavioral changes come when a new member is added like a birth, when a loss has happened such as a death or when a member becomes sick and other members must pick up and carry forward with the daily duties. This model helps teach and promote health and behavioral changes by allowing the whole family to make the changes as one instead of individuals. From personal experience some barriers I have seen in the short time I have practiced being a nurse is cultural barriers, hearing or seeing impairments and the inability to read or understand what is being taught. Another big barrier is that as nurses we typically explain or give written instructions and do not use the patients learning preference when teaching important topics that these patients need to know to initiate behavioral changes. A patient’s or even a persons readiness and willingness I feel highly affect the learning outcomes because people will not learn if they do not feel the need or want to learn what is being taught and this will just make the nurse and patient both frustrated and eventually just give up all together.

Paragraph 2

In all cases, nurses should teach and advise patients by promoting behavioral changes in their current lifestyles and encouraging them to reduce behaviors that could put them at risk and could cause illness or worsen chronic conditions. Nursing and other healthcare Together professionals can influence rising healthcare costs by promoting positive behavioral changes in patients and reduce dependence on the healthcare system (Edelman, Kudzma and & Mandle, 2014)”. First, we have to assess the condition that the learning needs of the patient, and any barriers to learning that might exist. The barriers that affect a patient’s ability to learn is a variety of complex factors such as culture, environment, language, education level, age, mental attitude regarding health status, cultural beliefs, and knowledge of current health status. According to the learning needs and abilities of different patients who have tailored teaching plan can be formulated. For example, the people who have diabetes, we need to provide diabetes knowledge to patients to understand the dangers of complications and prevention. Explain the occurrence and development of diabetes, inform the complications of diabetes caused by an uncontrolled diet and exercise. Adjust the diet, exercise, and insulin or oral medicinal dosage according to the doctors’ concerns for the patient’s situation. Recognize the normal range of glucose, and regularly check the amount of glucose tolerance whether it is effectively controlled. Prevent hypoglycemia and carry sugar with patients when they go out. Pay attention to the harm and prevention of diabetes complications. At the same time, it is necessary to allow the patient to give feedback information, and it has been determined that the patient has indeed absorbed what has been learned so that the expected goal of learning can be achieved. As nurses, we should work with other health care providers. Develop a plan that lists measurable learning goals to identify expected behavioral changes that will be measured based on the learning process. Goals should be stated behaviorally, specifying the desired outcomes and incorporating them into the care plan. A behavioral goal is to describe the actions that a patient will learn to promote healthy behavioral changes.

Instructions

Overview/Description of Final Paper: The final written assignment will synthesize what you have discovered about the different advanced practice roles and scope of practice found in the master of nursing curriculum: APRNs, nurse educator, nurse informaticist, and nurse administrator/executive. You will review all roles and then examine the specialty for which you were admitted, focusing on the scope of practice, core competencies, certification requirements, and legal aspects of practice for that specific role. You will also identify the practice environment and population you will be working with, as well as peers and colleagues. In addition, you will discuss your future leadership role and participation in professional organizations.

Your paper is to be based on current literature, standards of practice, core competencies, and certification bodies for your chosen role. The paper should be 8-10 pages excluding the title and reference pages, and APA format is required.

Criteria:  

• Advanced Practice Roles in Nursing: 
  • Briefly define advance nursing practice and the roles in advanced practice nursing pertaining to clinical practice, primary care, education, administration, and health information. Distinguish between ANP and the APN.
  • Describe the advance nursing practice role you aspire and briefly share the experiences and/or qualities you have that have influenced your decision. Include your personal philosophy.
• Selected Advanced Practice Role: 
  • Identify the AP you interviewed and summarize the interview, which should/may include (if not in the interview, please address):
  • Examine regulatory and legal requirements for the state in which you plan to practice/work.
  • Describe the professional organizations available for membership based on your selected role.
  • Identify required competencies (domains), including certification requirements for your selected role.
  • Describe the organization and setting, population, and colleagues with whom you plan to work.
• Leadership Attributes of the Advanced Practice Role: 
  • Determine your leadership style (democratic leadership)
  • Define Transformational Leadership and as it relates to your identified leadership attributes that you possess or need to develop
  • Apply the leadership style you will embrace in AP to one of the domains
• Health Policy and the Advanced Practice Role

Based on your program of study, review the literature and address the following:

• FNP/AGNP:Medicare reimbursement for NPs is 85%for the same health care that MDs receive at 100% reimbursement? Please address questions below and state your position on this mandate.
• FNP/AGNP:What states have NP Full Practice Authority and which states have limitations or restrictions? How does this apply to your state? Please address questions below and state your position on this regulation.

For the above category chosen, address the following: Family Nurse Practitioner

• Describe the current policy or trends and determine if it needs to change; if opposed to change state why
• Provide the process required to make the change with key players and parties of interest; support opposition
• Explain how you could lead the effort to make or influence the change in policy or keep the policy the same and the impact in healthcare quality.
• Conclusion-Summarize your role paper by highlighting key points made in your paper.

Submission Details:

• Support your responses with examples.
• Cite any sources in APA format.
• Submit your document to the Submissions Area by the due date assigned.

DQ 2: Research a relatively recent (last 6 months) local or national news article pertaining to the Fourth Amendment – post a brief summary of the main points of the article (in your words), and then explain why you chose it and how it ties to the Fourth Amendment — the major points. What can the class learn from this story? You can use a local paper or broadcast news story or a major national paper or national network or cable news story. Remember to provide a citation. 
150 word count DQ 2: Research a relatively recent (last 6 months) local or national news article pertaining to the Fourth Amendment – post a brief summary of the main points of the article (in your words), and then explain why you chose it and how it ties to the Fourth Amendment — the major points. What can the class learn from this story? You can use a local paper or broadcast news story or a major national paper or national network or cable news story. Remember to provide a citation. 
150 word count DQ 2: Research a relatively recent (last 6 months) local or national news article pertaining to the Fourth Amendment – post a brief summary of the main points of the article (in your words), and then explain why you chose it and how it ties to the Fourth Amendment — the major points. What can the class learn from this story? You can use a local paper or broadcast news story or a major national paper or national network or cable news story. Remember to provide a citation. 
150 word count 

Modern healthcare systems have become more chaotic, requiring nursing leaders to obtain skill sets that will allow them to adapt to change successfully (Huber, 2018). Huston (2008) suggests that preparation must come from educational models and management development programs that contain leadership competencies. Superior performance comes from strong leadership skills and behaviors (Thusini & Mingay, 2019). Strong skills and abilities associated with effective nurse leaders include social intelligence, management skills, and being politically astSocial Intelligence

Social Intelligence is the ability to connect with other people and influence them. A nurse leader with highly developed social intelligence possesses the capability to work collaboratively and engage in team-building with other health care professionals. Huston (2008) highlights collaboration and team-building skills as a competency essential to creating a positive and productive healthcare environment. Poor social intelligence can lead to non-productive conflict. 

Economic Factors

Concerning the relationship between nursing leaders and economics, technology, and the high cost of healthcare must be considered. Electric Medical Records (EMR) require funding to implement. Additionally, the cost of expensive equipment and supplies impacts nurse managers’ decision making on how much is needed to operate safely (Huber, 2018). The nurse leader must be aware of the high cost of healthcare at all times.

Political Skills

Being politically astute is a nursing competency that is needed for organizational goal attainment. Politically skilled nurse leaders maintain balance and accountability (Thusini & Mingay, 2019). By utilizing power prudently and clear decision making. The nurse leader must be proactive to healthcare organizational demands.