hi dear,

can help me to finish this assignment with good quality and be on time please?

Please follow the instructor carefully. There is sample paper and topics attached.

Public Health Legislation Paper- Signature Assignment

For the final paper, students are required to write a minimum five-page paper (not including title, references) that reflect knowledge and understanding gained in your coursework. It is in essence, a type of policy analysis. Although this is an APA paper an abstract is NOT required.

Identify a legislation (passed in the United States) that has had a significant impact on the burden and distribution of disease, injury, and affects health disparities.

·  Legislation Paper assignment description.docx-  Word Document (24.4 KB)

·  Legislation Paper Rubric

·  Legislation APA assistance

·  Legislation Topics to help you get started – I reviewed these at the BBC session this week.

Print should be 12-point font (Times New Roman or Arial), with margins of one (1) inch on all four sides. All papers submitted must have APA formatting. The written assignments must reflect college-level writing and thinking. Please view this link for an example APA formatted paper:

· http://www.apastyle.org/manual/related/sample-experiment-paper-1.pdf

SAMPLE PAPER

CLICK TO VIEW.  THIS PAPER IS A PAPER USING A DIFFERENT RUBRIC. IT WILL GIVE YOU A GENERAL IDEA OF THE CONCEPTS ESPECIALLY THE LEGISLATION/POLICY.

Public Health Legislation Paper- Signature Assignment Description

For the final paper, students are required to write a minimum five-page paper (not including title, references, or abstract) that reflect knowledge and understanding gained in your coursework. 

Identify a legislation (passed in the United States) that has had a significant impact on the burden and distribution of disease, injury, and affects health disparities.

Students are advised to only look at policies that have been in effect for more than three years so that data may be collected and reported, enabling you to compare the policy impact, even preliminarily. The selected legislation could impact behavior, social determinants of health, or the environment in the context of where people live, play, or work. Your text is a wealth of information that includes many different policies and associated references.

When choosing the policy to write your paper on, consider the significance of a piece of legislation in terms of impact.  In general, the broader or deeper the impact on a population, a health issue, an important health disparity, or social or economic aspects, the more significant it is.  For example, legislation that has resulted in setting legal blood alcohol concentration levels has positively impacted health outcomes and decreased economic costs. It is not recommended to select legislation that is disjointed, or does not have a large amount of readily available information for you to review (this should tell you that the impact of the legislation is not necessarily significant). It is suggested that different topic should be chosen.

Components that need to be addressed and included:

· Describe the health problem that the legislation was intended to impact and provide descriptive statistics (incidence, prevalence) related to the health issue in the jurisdiction (State, county, nation, zip code, etc..) of the law before legislation was enacted.  The statistics you provide should be appropriate to the level of government that the policy was intended to address. For example, if it is a statewide policy, include statistics that are relative to that state. 

· Describe public health legislation (law, policy, ordinance) in the United States. Through description of the specific legislation (policy) and the level of government (federal, state, local jurisdiction) that enacted the legislation.

• Describe the group(s)       (adults, children, elderly, gender, etc.), communities (ethnic,       socio-economic status, urban, rural, etc.) and municipalities, state or       governments it is intended to impact. 
• Describe how has it made       an impact on the burden and distribution (across age groups, ethnicities,       SES, gender) of disease or injury and its impact on populations, whether       it is a specific community, a municipality, an entire state or the       nation. 

· Compare the burden and distribution of the disease, injury, or health problem using statistics that this legislation was intended to address before and after the legislation was enacted. How did/has it changed?

· Identify and describe health disparities among populations (differences across groups) that exist prior to the policy being enacted and after policy implementation. Did the implementation have a positive or negative impact?

· Explain the financial impact of the disease and the impact the legislation has had.  Include research that shows the burden of cost before the legislation was enacted (health care costs, productivity, etc.) and show the difference or make a comparison on the cost savings after the law was adopted. Economic impact can be inferred from other economic data related to the problem, population or policy.

· Correctly identify and use primary and secondary data to support the impact assessment of the burden of disease and financial costs.

· Integrate course concepts into your analysis. Students are expected to use concepts learned in this course, such as, policy description/understanding; advocacy, etc…

· Conclusion: Your critical analysis (backed by facts) is key to this paper. (For example, when you are comparing impacts, think about  what did it impact, to what degree, what factors might have played a complementary role, why did this occur.) You might also pose what might have improved this legislation or what some of the problems and recommendations you might make.

· You should have at least 4 scholarly sources cited and referenced in your paper. You are required to use at least 2 scholarly sources for the impact on the burden and the distribution of disease or injury, and at least 2 scholarly sources for its impact and Public Health Advocacy and Communication. Information from the textbook, assigned readings or prior courses is encouraged and may count towards one of your 4 sources.

· Print should be 12-point font (Times New Roman or Arial), with margins of one (1) inch on all four sides.  All papers submitted must have APA formatting. The written assignments must reflect college-level writing and thinking. Please view this link for an example APA formatted paper: http://www.apastyle.org/manual/related/sample-experiment-paper-1.pdf. No abstract is required. Papers not following proper APA format will be deducted appropriately.

Research Resources:

· Your course text, Prevention, Policy and Public Health (Eyler, Eds.) has a wealth of resources on specific policies you may use to identify Scholarly sources are from peer-reviewed journal articles, or data analysis from public health departments, at the state, national, or local levels. Scholarly sources can be searched using the National Library database and the COH 435 Library Guide.

Writing resources:

· The National University writing center can support you with consultations to improve your writing.  Successful students will make an appointment for a consultation if they want to improve their writing skills. A link to the NU writing center can be found in the course resources.   

· The library guide prepared for this course has good resources for your research, APA style, and essay writing: http://nu.libguides.com/c.php?g=388343&p=2634686   

In a perfect world, research studies would be flawless however, that is not typically the case.  Inherently, flaws exist related to study design, how the study is conducted, and also the manner in which research is reported.  “Given that research is not perfect, users of research must learn to carefully evaluate research reports to determine their worth to practice through critical appraisal” (Melnyk & Fineout-Overholt, 2015, p. 92-93).  Factors that need to be assessed when critically appraising quantitative studies include validity, reliability and applicability (Melnyk & Fineout-Overholt, 2015).  

      The validity of a study relates to obtaining results from utilizing sound methods which are scientific.  Bias and confounding variables can compromise validity of a study.  Bias can occur at any stage of the process but while assessing the reliability of the results one must look at if the study was systematic, grounded in theory, and criteria was followed for all of the processes.  If so, then the study, more than likely, is valid and reliable.  Clinicians need the ability to interpret the results so they can implement EBP into their practice (LoBiondo-Wood & Haber, 2014).  “Whether we are interpreting the research studies of others, or designing our own, we need a good understanding of research design and an ability to recognize weaknesses in intervention studies which may reduce the reliability of study findings” (Ebbels, 2017, p. 229).      Although each factor is important to quality research, I feel the most important factor is the applicability to practice.  Having the ability to appraise research, which is evidence-based, and implement EBP interventions with our patients is essential in promoting optimal patient outcomes.   
 

References

Ebbels, S. H. (2017). Intervention research:  Appraising study designs, interpreting findings and creating research in clinical practice. International Journal of Speech-Language Pathology, 19(3), 218-231. https://doi.org/https://doi-org.arbor.idm.oclc.org/10.1080/17549507.2016.1276215

LoBiondo-Wood, G., & Haber, J. (2014). Nursing research:  Methods and critical appraisal for evidence-based practice (8th ed.). St. Louis, MO: Mosby Elsevier.

Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare:  A guide to best practice (3rd ed.). Retrieved from Amazon Kindle App

When nurses advocate for patients, stand up for patients’ rights, or work to meet their need for care, that nurse is actively assuming the role of patient advocate. The nurse is using knowledge to care for the patient and to coordinate care for the patient (Dynamics in Nursing 2018). This is important because the nurse communicates what he/she believes to be the best methods of care for the patient based off the data in all forms.  This is then communicated by the nurse across all levels of care of the patient to ensure the best possible outcomes for the patient.

A situation I recall in my time of patient care in the Emergency Room to where I advocated for a patient was realizing that based off the data I collected when caring for a patient I suggested to the doctor to perform a CT scan that wasn’t previously done and hadn’t been ordered yet.  The patient was feeling a bit short of breath and was on oxygen and on the cardiac monitor with a slightly elevated heart rate.  We had already performed a chest x-ray and labs right away and cardiac monitoring.  Because I was the nurse caring for the patient and monitoring the results in all forms, my concern was that the patient had a Pulmonary Embolism and because the doctor hadn’t actually made it bedside to see the patient yet, my advance knowledge and awareness prompted me to relay to the doctor what I believed we needed to do.  Sure enough the patient did in fact have a Pulmonary Embolism and we were able to proceed faster with care and get the patient admitted and to the floor faster as well.  Had I not advocated for the patient the outcomes could have went in many directions but mostly would have delayed prompt patient care and potential adverse outcomes.

 # 1:

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

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 grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

#2:

Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:

Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following:

1. A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.
2. A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice that is supported by sound research.

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.

You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin.

 Review the Graduate QSEN Competencies. Focusing on the areas of Quality Improvement (QI), Safety, and Informatics, summarize the essential knowledge, skills and attitudes that an advanced registered nurse should possess to competently promote the use of health care data and information to improve care in the clinical setting. Discuss two specific ways information and technology can improve clinical practice, administration, education, or research in your response.  250 words