What is your evaluation of the effectiveness of the U.S. health care system in the context of delivery, finance, management, and/or sustainability? What are the issues that prompted a need for health care reform? Support your answer with a credible data reference. Do not use a reference already used by another student. 

Module 5 DQ 1 and DQ 2

Tutor MUST have a good command of the English language

These are two discussion questions

Your DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please

Tutor MUST have a good command of the English language

Sources need to be less than five years old and journal/scholarly articles. 

Use only articles that are published between 2013-2018 (except for your theory articles which will be older as you must cite primary sources).

No textbook or direct quotes 

Topic 5 DQ 1

What effect does a meta-synthesis or meta-analysis have on research translation? Describe a clinical practice in place that is supported by this level of evidence.

Topic 5 DQ 2

Comparative effective research is important in translating research. Describe one study that used comparative effective research. What were the findings and were they translated into practice?

This week’s graded discussion topic relates to the following Course Outcome (CO).

• CO 5: Apply improvement methods, based on data from the outcomes of care processes, to design and test changes to continuously improve the quality and safety of healthcare. (PO 8)

Discussion

In Huston’s (2010) brief, but impressive article (required reading this week), the author outlines several leadership competencies that EVERY nurse leader will need for 2020. That year is not too far in the future, is it?

1. Select one of the eight leadership competencies Huston described and relate it to your own leadership of nurses and nursing. This should promote a robust discussion as we come from different clinical and nonclinical perspectives.
2. Discuss how the BSN-prepared nurse can assist a nurse leader in the budgeting process by contributing data readily available to the staff nurse.

Huston, C. (2010). What skills will the nurse leaders of 2020 need? (2010). Kai Tiaki Nursing New Zealand, 16(6), 14–15. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105060080&site=ehost-live&scope=site

hi 

i have a research paper i am looking for some one to do it for me on 29/6/2018 Friday .

this paper explain every part of my research.

1- use basic english (not professional- for international student)

2- avoid plagiarism  no more than 5%  also do not check for plagiarism in any website

3- each section must have 6 references  .

Comment 1You correctly stated that Mr. C is a candidate for bariatric surgery based on his poor health history including high cholesterol, an elevated BMI level of 45, OSA, high fasting blood glucose (FBG) of 146 mg/dl, has a high respiratory rate of 26 which can point to pulmonary disease.  Good candidates for weight-loss surgery are obese adults who also have an obesity-related health condition, who are aware of the risks and benefits of surgery, and are willing to make lifestyle changes after surgery, especially in regard to eating habits. Following bariatric surgery many patients show improvement in obesity-related conditions, such as diabetes, high blood pressure, obstructive sleep apnea and arthritis.

Comment 2

Nice post! You bring up very good points when speaking about the functional health patterns and problems the patient has. I particularly liked how you brought up assessing for sleep apnea. People don’t really understand the implications of having sleep apnea and energy levels throughout the day. People can also suffer from headaches/migraines if they have obstructive sleep apnea. It’s so important for our body to recharge while sleeping and part of that recharging has to do with proper oxygenation. Many people who are obese are unaware that they may have this problem and need to have a sleep study. Many of my patients don’t know they have it until I or another nurse notices they are snoring and desaturated while sleeping. This can be a scary finding. 

Comment 3

Hi Diona, one specific thing that caught my attention from reading Mr. C’s case study was that this patient takes multiple medications at different times throughout the day because of multiple diseases that are present. This requires the patient to place a lot of attention and plan accordingly. The patient also has to make sure to manage their medications in order to decrease their chances of overdosing, missing a medication, or drug contraindications. Some strategies that can be used are: fill the prescriptions at one pharmacy, use a pill dispenser, and make a list.