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

Discussion: Professional Development and Certification

Consider the following scenario:

Isabel recently earned certifications offered by the American Association of Critical Care Nurses and the American Organization of Nurse Executives for nurse managers and leaders. She was especially proud of this accomplishment and was confident it would serve her well as she continued her career. At a conference last week, she had found herself talking with a colleague about certification. To her surprise, her colleague suggested that she look into certification through the Project Management Institute. It had not occurred to Isabel that she might need or want that type of certification, but upon further reflection she could see how important it was to be able to manage projects effectively. She wondered how pursuing this type of certification might further her professional development and lead to new opportunities down the road. At the very least, she decided it was worth exploring further.

As you are aware, numerous nursing organizations offer opportunities for professional development, community service, and information gathering. There are also many certifications you can obtain through professional societies or organizations. Certifications recognize an individual’s specialty area knowledge and skills and can lead to professional empowerment. By obtaining certifications, you can help improve your quality of practice and increase your earning potential.

In this Discussion, you consider development opportunities afforded through professional associations and examine how earning certifications can advance your career.

To prepare:

Reflect on your professional goals. These goals may relate to the practicum professional development objectives you established in Week 1 (Document Attached), but you are encouraged to take a broader view of what you would like to accomplish in the immediate future, as well as five or 15 years from now. Identify at least one goal that is especially important to you.

Think about the benefits of becoming involved in professional organizations and obtaining certifications.

If you already have a specialty or clinical certification, reflect on how this has impacted the achievement of your professional goals thus far.

Review information about two or more of the professional organizations listed in the Learning Resources. Consider the following questions:

As you explore each organization’s website, review the mission, vision, and value statements. Also examine the strategic plan, if possible. How do these align with your interests and your professional goals?

Investigate whether the organization offers networking opportunities with fellow professionals. Is there a local or regional chapter you could join?

What are the potential benefits of obtaining a certification through each organization? Examine the criteria for certification.

Evaluate your readiness and desire to become certified through each organization. What hesitations, if any, do you have?

How and why might this certification be useful to you and/or enhance your professional development?

Post a description of one or more of your professional goals. Explain a certification provided by a professional organization that would be of interest to you. Explain how and why this additional certification would be useful to you and/or enhance your professional development. Evaluate your readiness to obtain this certification, noting any reservations you may have.

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days, using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional research.

Required Readings (Please use all references mentioned below)

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Reminder: Review resources from previous courses as necessary.

Matthews, J. H. (2012). Role of professional organizations in advocating for the nursing profession. Online Journal of Issues in Nursing, 17(1), 1.

Note: Retrieved from the Walden Library databases.

 

The author addresses the importance of involvement in professional organizations for nursing professionals.

Shekleton, M. E., Preston, J. C., & Good, L. E. (2010). Growing leaders in a professional membership organization. Journal of Nursing Management, 18(6), 662–668.

Note: Retrieved from the Walden Library databases.

 

 “In order to grow leaders an organization must make a commitment to develop and maintain an infrastructure that supports leadership development activities” (Shekleton, Preston, & Good, 2010, p. 667). The authors discuss findings from a leadership development program.

 American Association of Critical Care Nurses. (n.d.). Certification for nurse managers and leaders. Retrieved May 20, 2013, from http://www.aacn.org/wd/certifications/content/cnmlhome.pcms?menu=certification

 

The American Association of Critical Care Nurses Certification Corporation, in collaboration with the AONE credentialing center, offers certification for the nurse leader-manager.

 American Medical Informatics Association. (2011). Clinical informatics becomes a board-certified medical subspecialty following ABMS vote. Retrieved from http://www.amia.org/news-and-publications/press-release/ci-is-subspecialty

 

This article addresses the movement to recognize clinical informatics as a subspecialty.

 American Nurses Association. (2013). Leadership. Retrieved from http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Leadership

 

The ANA offers a leadership institute for professional development.

 American Nurses Credentialing Center. (2013). ANCC certification center. Retrieved from http://www.nursecredentialing.org/certification.aspx

 

The ANCC is the largest and most prestigious credentialing organization. View the certifications available by specialty area.

 American Organization of Nurse Executives. (2012). AONE credentialing center. Retrieved from http://www.aone.org/resources/certification/about_certifications.shtml

 

The AONE credentialing center, in collaboration with American Association of Critical Care Nurses Certification Corporation, offers certification for the nurse leader-manager.

 Healthcare Information and Management Systems. (2013). Health IT certifications. Retrieved from http://www.himss.org/health-it-certification?navItemNumber=13588

 

The Office of the National Coordinator for Health Information Technology has specified certification criteria for electronic health records.

 NMA. (2012). Welcome to NMA! Retrieved from http://www.nma1.org/

 

This organization promotes the development of leadership competencies and interpersonal skills.

 Project Management Institute. (2013). What are PMI certifications? Retrieved from http://www.pmi.org/Certification/What-are-PMI-Certifications.aspx

 

PMI recognizes that many professionals of varying skill and education levels are or will be involved with projects. The organization offers certification for professionals involved in project management.

Answer to this question in one page.

You had stated “I think that the various forms of consent must be followed in the healthcare sector nowadays. This rages from informed consent where one must have all the full information before making the decision”. What suggestions do you have for “various forms”? For example, what types of forms do you feel would be appropriate in order to reach all of the various types of learning that people have? Thank you for your post!

 

Child abuse and maltreatment is not limited to a particular age and can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups (infant, toddler, preschool, or school age) and discuss the types of abuse that are most often seen in this age. Discuss warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse. Please use california as my state.