The discussion should have two references within the past 5 years in APA 6th. edition format. Students may use the textbook as a reference source with a minimum of 250 word.

There is a minimum of two references required for each post. 

Reflect on the role that the electoral process and government plays in one’s daily work and family life. As nurses, health policy can influence both arenas of our lives. What policy issues might drive nurses to lobby Congress and/or get involved in campaign politics? What strategies might nurses use to have their voices heard? 

The American Nurse: http://www.theamericannurse.org/2014/10/22/time-for-nurses-to-get-out-the-vote/ 

This week’s assigned reading includes chapters 44, 45, 46, 49. 

The objectives for this week are as follows:

1. Cite the relationship and functioning among the federal, state, and local levels of government and how nursing can have an influence.

2. Describe the electoral process and the importance of voting.

The initial post MUST include the main concepts in the rubric. 

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All work submitted by students must contain no more than 10% similarity index; any percentage greater than 10% is unacceptable and considered as plagiarism. Papers submitted with greater than 10% similarity index may receive a grade of zero.

Please complete the following steps for your discussion post and response.

• Discuss the primary, secondary, tertiary and quaternary structures of protein.
• Choose a food protein item.
• How does the primary, secondary, tertiary and quaternary levels of the protein change when the food is cooked?
• How does the primary, secondary, tertiary and quaternary levels of the protein change when the food enters our body?
• List two enzymes in our body that help breakdown protein. Explain how they work.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Estimated time to complete: 2 hours

Please make revision in the prospectus checklist assignment based on my professor feedback. For now, she wants to only focus on (1) the problem statement, (2) the practice focus question, (3) the social change. 

I’m also attaching a copy of the previous prospectus draft  which the professor returned to me with her feedback. Also, I included an outline of the project in the file section (see attached file).

Include as many scholarly references (at least 10) as needed and cite often.

APA format required. 

Due on Sunday 10/06/19 by 12pm America/New York time.

Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management

Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.

Practice

1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families.

2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others.

3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death.

4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.

Education

1. Those who practice in secondary or tertiary palliative care will have specialist education and certification.

2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula.

3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available.

4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.

Research

1. Increase the integration of evidence-based care across the dimensions of end-of-life care.

2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal.

3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life.

4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments.

5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.

Administration

1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families.

2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care.

3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury.

4. Support the development and integration of palliative care services for all in- and outpatients and their families.

Marcia Stapleton    2 posts   Re: Topic 10 DQ 2  Evidence based practice (EBP) is a large key to improving patient outcomes and therefore is an essential component of the BSN prepared nurse.As nurses, if we strive for improving the capacity for evidence based care in our facilities, we will make significant strides in achieving the best possible outcomes for our patients.We must, continue to look outside our current practice to seek better practices for our patients (Halm, 2010).  In continuing to integrate EBP into my personal work environment, two ways would be through my role as a clinical nurse leader and through exemplifying a culture of learning and valuing applied research to the everyday routines of practice.Working as a nurse supervisor, I have a role as a clinical nurse leader.This role includes working with policies, workflows and new ways of doing things.Clinical nurse leaders support EBP in all of these roles by always asking the question “What is best practice?” Clinical nurse leaders also can assist in directing other nurses to data bases available to look into EBP research.In our facility, we have Up to Date embedded into our electronic medical record, which gives us quick access to EBP. Asking the “What is best practice?” question leads nursing into looking for EBP research to support the practices they are working with and exemplifies EBP as a culture.  Two obstacles that challenge the ability to integrate EBP into a work environment include time to read and implement new research and support from other staff (Halm, 2010). Reading and implementing EBP research takes time. Some ideas for overcoming this barrier are allowing BSN staff to have a certain number of hours allotted each month to EBP. The concept of EBP teams is awesome and seems like a great idea to overcome both of these barriers (Halm, 2010). If a facility could give these EBP teams allotted time each month to pursue a EBP project relevant to their practice this would overcome the barrier of time. Maybe we could have EBP committees a requirement for all nursing. EBP teams also can help overcome the barrier of support, as there will be support from the team for EBP which will build a culture the upholds the value of EBP.  Reference  Halm, MA., (2010). “Inside looking in” or “inside looking out?” How leaders shape cultures equipped for  evidence-based practice. American Journal of Critical Care. 19(4), 375-378. Doi:10.4037/ajcc2010627