The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest in your region. Perform a physical assessment of the community.

1. Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”
2. Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines

Interviews can take place in-person, by phone, or by Skype.

Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Complete the “Provider Interview Acknowledgement Form” prior to conducting the interview. Submit this document separately in its respective drop box.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation.

PowerPoint Presentation

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.

Include the following in your presentation:

1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.
2. Summary of community assessment: (a) funding sources and (b) partnerships.
3. Summary of interview with community health/public health provider.
4. Identification of an issue that is lacking or an opportunity for health promotion.
5. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA format ting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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. Refer to the LopesWrite Technical Support articles for assistance.

AttachmentsNRS-428VN-RS4-FunctionalHealthPatternsCommAssessment.doc
NRS-428VN-RS4-ProviderInterviewAcknowledgementForm.doc

Assignment 1: Health Care Human Resources Management

Due Week 3

Imagine that you have applied for the position of Manager of Human Resources at an acute care hospital in your community. The hospital is planning to expand its services to meet the needs of a growing community. As part of the application screening process, you have been asked to write a document that outlines the steps you would take, as the manager of HR, to improve the effectiveness of HRM in this organization.

Write a three to four (3-4) page paper in which you:

1. 1.     Analyze two (2) current trends in health care that are affecting human resources management that may likely impact your hiring decision as HR manager. Provide support for your analysis.

2. 2.    Suggest a significant opportunity for HR to become more of a strategic partner within an organization. Justify your response.

3. 3.    Recommend a model of human resources management that would be the most appropriate for this organization in question. Provide support for your recommendation.

4. 4.    Recommend a strategy that HR could implement in order to develop more effective relationships between Human Resources and the organization’s managers and senior executives, indicating how each strategy will achieve the desired goal.

5. 5.    Determine a specific employment law that may affect the hiring and selection process at the acute hospital in your community. Provide support for your rationale.

6. 6.    Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources. 

Your assignment must follow these formatting requirements:

• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.

• Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

• Analyze the unique aspects of managing human resources (HR) in health care organizations.

• Evaluate the effects of major employment laws on HR functions in health care organizations.

• Evaluate the competencies necessary for effective health care human resources management.

• Use technology and information resources to research issues in health services human resource management.

• Write clearly and concisely about health services human resource management using proper writing mechanics.

Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills, using the following rubric.

OVERVIEW:

Nursing, client, wellness, and environment are defined according the personal attitudes, behaviors, beliefs and values of the professional nurse. State your personal philosophy about the profession of nursing.

PROCESS

1.  APA format 1-2 pages (minimum 1 page)

2.  Develop your personal philosophy based upon one of the Standards of Practice outlines by the American Nurses Assoc.(ANA). 

Standards of Nursing Practice.

i.e., Standards of Care for Critical Care Nursing/Standards of Care for Pediatric Nursing etc.

3. Identify at least three Standards and describe how your personal philosophy is 

congruent with the standards identified

4. Use PEER Reviewed articles from Nursing Journals.

Marquis & Huston (2017).Leadership Roles and Management Functions in Nursing Theory to Application (9th ed.) Wolters Kluwer/Lippincott

Please complete the 13 questions in APA style. references and less than 20 % of similarity.

Week 11

Chapter 22.

Neurologic System

Lobes and principal fissures of the cerebral cortex, cerebellum, and brainstem (left hemisphere, lateral view).

1-Make a chart differentiating between descending and ascending spinal tracts.

2-What occurs if the spinal cord is incompletely severed?

3-Describe the nervous system.

4-Name the three major units of the brain.

5- Differentiate between the descending spinal tracts and the ascending spinal tracts of the spinal cord.

6- What is the function of the pituitary gland?

7-Name the fourth cranial nerve and state its function.

8-List the risk factors for cerebrovascular accidents.

9-Why is the 5.07 monofilament test used?

10-Explain the 0 to 4+ scale for scoring deep tendon reflexes. Scoring deep tendon reflexes

11-You are observing the neurologic examination of a 75-year-old man. You notice that before beginning the physical examination, the examiner asks the patient whether he is currently taking any medication. Why is it important to assess medications used by older adults? 

12-What is the potential long-range effect on a child if meningitis occurs during the first year of life?

13-EI, a 44-year-old patient, comes in for a follow-up visit regarding his diabetes. Today he is complaining of numbness, tingling, and burning in his feet. His recent laboratory studies demonstrate an elevated hemoglobin A1c and hyperlipidemia. You diagnose him with peripheral neuropathy.

a)- What are the possible etiologies of the peripheral neuropathy? What is the most likely cause?

b)- Describe the patient’s objective findings with peripheral neuropathy.

C- What is the best physical assessment technique to determine peripheral neuropathy.  

SELF/PRO

PART 1

The Affordable Care Act and the American Health Care Act Compared

The provisions of the Affordable Care Act (ACA) directs all employers to provide minimum value and affordable medical cover to all full-time employees or else be penalized whereas the American Health Care Act (AHCA) removed the penalty on defaulting employers (Conley, Dygert & Sellstrom, 2016). Under the ACA, it is the people’s mandate to buy healthcare coverage whereas the AHCA abolished the penalty requiring individuals to purchase health cover. However, the AHCA issues penalties to individuals who fail to pay their healthcare coverage for more than 63 days in the last 12 months, and youth who are past the age limit under parental cover and did not enroll for health cover of that year (Conley, Dygert & Sellstrom, 2016).

The penalty is a 30% surcharge in premiums, which can last for a period of 12 months (Conley, Dygert & Sellstrom, 2016). On the aspect of coverage affordability, ACA provides for cost-sharing subsidies in low-income families or individuals to allow for exchange plans for up to an average of 70%. The premiums to be paid by such individuals and families have tax reductions to enable low-income earners afford healthcare insurance (Mach, 2017). On the other hand, the AHCA offers credits on the basis of age with fixed amounts such as below 30 years-$2000, 30-40 years-$2500, $3,500-50-60 years, and it faced out credits for people earning incomes that exceed $75,000 (Conley, Dygert & Sellstrom, 2016). The ACA removed additional charges for health status whereas AHCA charges 30% standard rate for people with preexisting health complication for the past 12 months (Mach, 2017).

Opinion on Why AHCA Failed in the first Passage Attempt

           The most likely reasons for the failure of AHCA during its first passage attempt were due to its provisions that would impact negatively in low income families and the less-privileged individuals with regard to their preexisting health status. For instance, the AHCA lifted penalties that employers were to be charged if they defaulted paying the compulsory health cover for all their permanent employees. This implies that employees could pay their employees’ cover only when they wished, which could push the burden back to employees. The other reasons are that people with preexisting medical conditions would be required to pay more premiums, and abolished sharing of insurance cover, and charging premiums based on age instead of economic capabilities. This means that you can be charged little premiums even if you earn high, and you can be charged high premiums even if you poor depending on your age.

PART2

 Your comparisons of the ACA and AHCA were informative.  How did the mandate for employers to pay for employee’s healthcare insurance affect the employers?