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

 

 

Discuss the importance of conducting a thorough literature review as it relates to the research process in two paragraphs.

Use a reference from scholarly literature : Peer-reviewed Nursing journal not older than 5 years or your textbook:

 Polit, D. E. & Beck, C. T. (2018). Essentials of nursing research: Appraising evidence for nursing practice(9th. ed.). Philadelphia, PA: Wolters Kluwer. 

 to support your primary response.

  It is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format ( 

A 43-y.o. female presents with the complaint of weight gain and fatigue over the past 4 mo. She states that she is always cold and just can’t get warm. She states that she is sleeping really well through the night but does not wake feeling refreshed. She denies shortness of breath, chest pain, or dyspnea on exertion.

1. What additional questions should you ask the patient and why?
2. What should be included in the physical examination at this visit?
3. What are the possible differential diagnoses at this time?
4. What tests should you order and why?
5. How should this patient be managed?

 

Write a paper (1800 words) that describes how borrowed theory can be applied to the identified problem(The identified problem is nursing shortage). The paper should include the following:

1. A brief summary of the problem including the potential middle-range theory that could be applied. (NOTE THE MIDDLE RANGE THEORY THAT WAS APPLIED TO THE PROBLEM OF NURSING SHORTAGE IN THE PREVIOUS PAPER WAS JEAN WATSON’S THEORY).
2. A description of a borrowed theory that could be applied to the problem. Is this borrowed theory appropriate to your identified problem?
3. A brief history of the borrowed theory’s origins.
4. A discussion of how the borrowed theory has been previously applied.
5. A discussion of the application of the borrowed theory to the identified problem. How would your practice change by incorporating this theory?
6. A discussion of how application of both the borrowed theory and the middle-range theory can be integrated to create the most appropriate solution to the identified problem.

APA FORMAT WITH IN TEXT CITATIONS AND REFERENCES, NO PLAGIARISM PLEASE.

  

Assignment Content

Top of Form

One section of your dissertation will be a literature review, which will be the foundation for your research. What is a literature review? A literature review summarizes and synthesizes arguments and ideas of others without adding new contributions.

The assignments in this class will provide you the opportunity to learn how to write a literature review as you analyze, evaluate, and synthesize existing literature on leadership constructs.

Historical leadership approaches provided the foundation for contemporary leadership theories as theorists gleaned and critically analyzed and evaluated historical leadership models. As a doctoral practitioner, your understanding of foundational historical leadership approaches and concepts will influence your understanding of contemporary leadership theories and how leadership has evolved.

Prepare a literature review of historical leadership approaches. The Historical Leadership section of the Example Paper must have a minimum of 600-words. Using the information from the matrix assignment from Week 1, compare and contrast the similarities and differences of each approach. Using the example paper as a template, include the following sections:

1. – Introduction

2. – The Great Man Theory

3. – Trait Theory

4. – Behavioral Theory

5. – Skills Approach