2023 Write a 550 word paper summarizing the path a bill takes to become a law

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Nursing 2023 Bill Proposal

Write a 550 word paper summarizing the path a bill takes to become a law 2023 Assignment

 

Write a 550-word paper summarizing the path a bill takes to become a law. Utilize your selected health policy issue as the hypothetical bill when delineating the legislative process.

 Health policy issue: Prescription drug abuse

Include the following in your paper:

Possible political strategies that may be employed to push the proposed bill through the varying stages of the legislative process and keep it from being stalled or killed. 

Why are these strategies the most appropriate?

How will these strategies influence your particular bill?

Using a conceptual model for policy making from p. 64 in Ch. 7 of Policy & Politics, explain why the bill should be placed on the formal agenda for the legislature.

What potential barriers currently exist that could block the bill from being passed? 

How will you keep these barriers from derailing your bills process?

Cite and reference using APA guidelines.

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2023 Please attach a typed 1 2 page to 1 page Word document double spaced that contains the following information What fitness

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Nursing 2023 Healthy 1—-What Did You Learn About Your Fitness? （as a woman)

Please attach a typed 1 2 page to 1 page Word document double spaced that contains the following information What fitness 2023 Assignment

Please attach a typed 1/2 page to 1 page Word document (double spaced) that contains the following information:

  1. What fitness activities are you currently participating in?
  2. After reading chapter 2, what did you discover that you were NOT doing correctly (keep the FITT principles in mind).
  3. What fitness Myths did you believe?  (if none – explain how you learned about proper fitness principles)

Don’t have time to exercise? Well here is an article with some good ideas for finding little ways to exercise during a busy day (eh hem, or life). http://www.medicinenet.com/script/main/art.asp?articlekey=43497

Why do you need to work out?

There are many reasons why it is important to work out but I will focus on the main reasons.

To Delay Death – This may sound morbid but all of us will die. There is no escaping it. . . the death statistics are 100%. The goal is to have the highest quality of life for the longest period of time. By living a healthy and safe lifestyle in a healthy environment we can increase are chances of extending our lifespans and our abilities to be mobile and active through the entirety of our lives. A healthy lifestyle should include exercise to experience the highest level of physical health.

To Avoid Disease & Lower the Risks of Health Problems – To have a high quality of life we ,obviously, would like to avoid diseases. Engaging in many forms of physical activity can have a direct correlation to deterring certain diseases and health problems such as coronary heart disease, hypertension (high blood pressure), diabetes, strokes, heart attacks, osteoporosis, lower back problems, cholesterol level problems and even stress.

To Feel Good About Yourself – Exercise can have a positive effect on your mental outlook and your emotional well-being. When engaging in cardiovascular exercise, chemicals called endorphins are released in the body that create a “feel good” mood and can help to make a person feel less stressed and more relaxed. Exercise can help you sleep better and can even be helpful in treating mild to moderate depression and other mental disorders.

To Control Weight – Exercise can help to “burn” unneeded/excess calories. Excess calories are stored in our bodies as fat cells. In order to take off a pound of fat, your body has to burn 3,500 calories more than the number of calories you are consuming. Aerobic exercise can be used to increase metabolism and burn calories to help reduce weight over time. Even after an aerobic workout session your metabolism stays elevated for several hours, burning more calories. Aerobic exercise also suppresses appetite, so you aren’t as tempted to eat.

Exercise Basics.

Benefits of Exercising, Regularly…

Medical Questionaire

This is for YOUR INFORMATION ONLY – you do not have to turn this in, it is NOT graded… but it is to help you understand if you are MEDICALLY ready to participate in exercise activities.

Please Read and Answer the following questions:

The Physical Activity Readiness Questionnaire (PAR-Q) Being physically active is very safe for most people. Some people, however, should check with their doctors before they increase their current level of activity. The PAR-Q has been designed to identify the small number of adults for whom physical activity may be inappropriate or those who should have medical advice concerning the type of activity most suitable for them.

Answer yes or no to the following questions:

  1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
  2. Do you feel pain in your chest when you do physical activity?
  3. In the past month, have you had chest pain when you were not doing physical activity?
  4. Do you lose your balance because of dizziness or do you ever lose consciousness?
  5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?
  6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?
  7. Do you know of any other reason why you should not do physical activity?

If you answered yes: If you answered yes to one or more questions, are older than age 40 and have been inactive or are concerned about your health, consult a physician before taking a fitness test or substantially increasing your physical activity. You should ask for a medical clearance along with information about specific exercise limitations you may have.

In most cases, you will still be able to do any type of activity you want as long as you adhere to some guidelines.

If you answered no: If you answered no to all the PAR-Q questions, you can be reasonably sure that you can exercise safely and have low risk of having any medical complications from exercise. It is still important to start slowing and increase gradually. It may also be helpful to have a fitness assessment with a personal trainer or coach in order to determine where to begin.

When to delay the start of an exercise program:

  • If you are not feeling well because of a temporary illness, such as a cold or a fever, wait until you feel better to begin exercising.
  • If you are or may be pregnant, talk with your doctor before you start becoming more active.

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2023 Present your assignment in an APA format word document Arial 12 font A

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Nursing 2023 COMMUNITY W7 J

Present your assignment in an APA format word document Arial 12 font A 2023 Assignment

Present your assignment in an APA format, word document, Arial 12 font .   A minimum of 2 evidence-based references  is required.    A minimum of 600 words is required.

1.  Identify and discuss the types of disasters.

2.  Mention and discuss two natural or man-made disasters that recently occurred and discuss how they affect the community health.

3.  Discuss the stages of disaster management.

4.  Describe and discuss the role and responsibilities of nurses in relation to disasters.

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2023 use the following link to access the online assessment Jung Typology Test use this

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Nursing 2023 nurisng leader ship wk project

use the following link to access the online assessment Jung Typology Test use this 2023 Assignment

use the following link to access the online assessment: Jung Typology Test ( use this for assessment)

Based on your research and understanding, write a 3- to 4-page Microsoft Word document that:

  • Integrates how your specific personality type can enhance or hinder effective leadership in the health care environment.
  • Explains all four aspects of your personality gleaned from the assessment.
  • Includes 2- to 3-journal article references.
  • Use this APA Citation Helper as a convenient reference for properly citing resources

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2023 Upon researching these influences and importances in the field of community health

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Nursing 2023 2 coments each one 150 words (CITATION AND REFERENCE). by2/28

Upon researching these influences and importances in the field of community health 2023 Assignment

Upon researching these influences and importances in the field of community health, I found this quote and I thought it was a good representation of geopolitical ““The political implications of the campaigns voiced by IPPNW and other professional bodies…are inescapable. If the medical profession flinches from all conceivably political tone…then its influence will be weakened.” (Horton, 2015). Everything involves politics and medical care is a very large part of that because people will always need healthcare and when eing debated it is important for things to be prioritized in the world organiziations to keep populations from epidemics and even on a larger scale. Air travel was revolutionary but it did make the root of epidemiology a lot more complicated.

The nursing process is used in pretty much every field of nursing that there is available. The nursing process is more times than not done without acknowledgement. In community health it is just as important because it is a constant cycle of adapting teaching plans to see what works for THIS community right here. Assessment is one of the most basic forms of nursing, impossible to have interventions without first figuring out which interventions are necessary for this population or community.

The book discusses an assesment tool that is specific to community health. This is called SWOT analysis, this describes the strengt, weaknesses, opporotunities and threats. Diagnosis would be the problem that is in the community whether it be poor food choices, childrens health, or drugs. The plan section of the cycle would be laying out what were going to do to reduce this issue. Interventions would obviously be the actual education, implementation of the plan. Finally we have evaluation, this is where the end result comes through to show the effectiveness. Screenings and referalls will be done according to policy of the institution and hopefully be caught at the soonest the problem is identified.

Horton R. (2015). Geopolitical issues and responsibilities of medical and scientific journals. Rambam Maimonides medical journal, Retrieved from (1),https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4327318/

Green, Sue Z. Grand Canyon University (Ed). (2018). Community & public health: The future of health care. Retrieved from https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/

Geopolitical place consists of community boundaries, transportation infrastructure, geographic features, climatic vegetation and animals. Constructed geopolitical boundaries include zip codes and other political boundaries.(Grand Canyon university,2018). This knowledge helps the nurse in tracking disparities of health, health behaviors and deficits in an environment. It also help to track and analyze data, define problem areas and asses populations in order for interventions to be determined and implemented.

Phenomenological place centers on psychological location. It is made up of history, culture economics, education, spiritual beliefs, values and common characteristics members of a certain community experience. Social interactions, common interests, goals and various other characteristic assessment and analysis help determine health status and needs.

Nursing process involves assessment, diagnoses, planning, implementation and evaluation. The assessment of a population involves researching, the safety and quality aspects of a community to understand her interactions among the population, environment and resources available.

The nurse undertakes steps to discover subjective and objective information and then analyze findings. Based on these, she prioritizes outcomes, plans, intervenes and puts in place the means to evaluate each intervention. In using nursing process she can also use the SWOT analysis tool by categorizing findings for the population in question, the strengths, assets, resources, notes weaknesses, challenges and limitations. Also using the PRECEDE-PROCEED model with nursing process ensures organizing assessment of a population, including epidemiological data, environmental diagnosis and organizational and policy data as a basis for program planning.(Van Gelderan, Krumwiede, Krumwiede, & Fesnke, 2018)

Reference:

Chapter 1, Community and Public Health: The Future of Health care, Retrieved from https://www.gcumedia,com/digital-resources/grand-canyon-university/2018/community-and-public-health_the-future-of-health-care_1e.php

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2023 TIF Share an experience where you cared for a patient in the healthcare setting

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Nursing 2023 nursing health promotion/discussion/wk1

TIF Share an experience where you cared for a patient in the healthcare setting 2023 Assignment

 TIF

Share an experience where you cared for a patient in the healthcare setting who was from a culture different from your own. How did you accommodate this patient’s needs? How would you apply the Purnell Model to future cultural encounters?
Which one of the twelve domains of culture from the Purnell Model do you feel is most important? Why?

Cultural accommodation is a priority in healthcare and daily life. Nursing professionals must willingly adapt to different cultures to provide excellent service. Cultural competence is a requirement that increases awareness of not only patients but also of the socioeconomic status. Paying special attention to the patient’s needs will also build rapport, reassure patient and provide a safe and comfortable environment.
A couple of Asian and Hispanic decent was accompanied to the inpatient rehab unit. The male patient of 86 years was the patient admitted with a left hemorrhagic stroke and right sided weakness. The husband was Spanish and could not follow simple commands in English. The wife was 83 years old and was of Asian descent but spoke fluent Spanish, but could not relate in English. This was proven to be a tough task during the admission process. However, I realized that by smiling and speaking slowly the husband/patient became more cooperative. The uncertainty of asking questions and receiving incomplete or no response was a major concern. Instead of panicking, the idea of utilizing the hospital policy for communication arose. The “blue” phone was the answer to the problem, so it was retrieved from storage and communication was in full effect. This communication device was used to call a medical interpreter instead of relying on a family member.
In addition, the nonverbal communication was a dominant component to displaying cultural competency. Smiling with the patient and wife was sufficient in gaining their trust. The Purnell model helped to certify how important competence, patience and cultural accommodation is. By initiating this model, the nurse will understand that patient population continues to change and become more diverse than once before. The most important domain in the Purnell model is communication because this transcends across all cultures. With proper communication, patients, family and clinical professionals may become more competent and culturally aware.

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2023 Mrs Jones a widow is no longer able to live independently and is requiring more and

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Nursing 2023 DQ

Mrs Jones a widow is no longer able to live independently and is requiring more and 2023 Assignment

    Mrs. Jones, a widow, is no longer able to live independently and is  requiring more and more help with her self-care. Her daughter, Susie,  who is married with three school-aged children, agrees to let her  mother move in with her. Susie is concerned with balancing the demands  of her career and the needs of her family, especially now that her  elderly and chronically ill mother will need assistance. She is also  unsure about how she feels with the reversal of roles, having to now  be the primary caregiver of her mother. How can the nurse, caring for  this family, assist with the changes they are about to undergo? How  can both the family structural theory and the family developmental  theory be applied to this scenario? How can health education enhance  health promotion for this family?

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2023 Respond to your colleagues posts by sharing your thoughts on their specialty supporting their choice or offering suggestions

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Nursing 2023 Respond to DQ#1

Respond to your colleagues posts by sharing your thoughts on their specialty supporting their choice or offering suggestions 2023 Assignment

Respond to your colleagues’ posts by sharing your thoughts on their specialty, supporting their choice or offering suggestions if they have yet to choose. 

 At least 2 references in each peer responses! 

The scenario is about the ‘Opioid Abuse/crisis in the U.S. healthcare system. The crisis is aggravated by the misuse of and the addiction to opioids that includes prescription to pain relievers, synthetic opioids, such as fentanyl, and heroin (National Institute on Drug Abuse., 2020). It is a serious national crisis that has gone out of proportion affecting the public health, in addition to social and economic welfare.  

The data that could be used in such a scenario are enormously, for example, data on deaths as a result to opioids overdosing; data on the misuse of and the addiction to opioids; data on the burden to public health; data on the prescription rates; data on the patients prescribed opioids for chronic pain that misuse them; and data on the opioid overdoses across cities in the U.S. The above mentioned data can be collected and accessed through the different hospital databases across the country on the opioids prescription and recorded deaths due to opioids overdoses; data on the sales of illicit opioid; and check data on opioid overdose publications. The types of additional secondary data sources include National surveys; the HER and claims data sources; national, state or local data sources; prescription drug monitoring data sources; and mortality record data sources (Stein et al., 2018).

A broad range of knowledge can be derived from the above data. For example, data on the prescribed opioids for chronic pain and the possible cases of misuse; patients that have developed opioid use disorder; number of people that use illegal opioids and die as a result of this; percentage of people that use opioids and misuse them leading to addiction; increases in opioid increases; and opioid overdoses by city and related trends, among others. 

Nurse leaders can use clinical reasoning and judgment in the formation of knowledge from the presented experience. In the case of clinical reasoning, a nurse leader can rely on the technological-based and scientific knowledge to discern the relevance/significance of the provided data and how it applies to particular patients suffering from the experience. In doing so, clinical leaders can easily consider the clinical trajectory of affected patients, sensitivities to care interventions when forming clinical decisions, and patients concerns and preferences. On the other hand, clinical judgment can be very significant since it will enable nurse leaders to arrive at appropriate nursing diagnosis, clinical decision-making, and health promotion (Seidi et al., 2015). It could be beneficial especially when dealing with the prescription and overdose-related issues. _

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2023 APA format 3 peer review article references Due 10 12 18 at 5pm Patient Information Mr H Age

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Nursing 2023 Need Response to this discussion post

APA format 3 peer review article references Due 10 12 18 at 5pm Patient Information Mr H Age 2023 Assignment

APA format 3 peer review article references Due 10/12/18 at 5pm

 

Patient Information:

Mr. H, Age 58, Male, White

S.

CC:  Chest Pain “Shortness of breath with severe pain on deep inhalation” (according to Dains, Baumann, & Scheibel, (2016) before a complete HPI is taken this patient must be a quickly assessed as this complaint can have rapid, life-threatening consequences).

HPI: Reports a constant chest pain for two days ago, taking a full breath makes it worst (inhalation), pain is sharp and severe with a current PIS of 8. Subject feel like his heart is racing. Nothing makes the chest pain better. The patient also has exhibited signs and symptoms of a cough, “spit up blood,” right leg swollen and red. He recalls being stationary for an eight-hour period while on a plane, in the economy section middle row, recently from vacationing in Europe, without bathroom overall usually has a sedentary lifestyle mostly due to working 9 am -5 pm as a customer service representative at a call center. After work he sits in front of the television and watches various programs for about four hours while eating dinner, drinking a can of beer or two and smoking a cigarette before bed. It started two days ago when the patient was running to clock in at work, to avoid being late.

Location: right chest pain

Onset: 2 days ago

Character: Sharp and constant

Associated signs and symptoms: a cough, elevated heart rate, and most recently expectoration of blood.

Timing: running to avoid being late for work

Exacerbating/ relieving factors: activity makes it worst. Nothing relieves the pain.

Severity: 8/10 pain scale

Current Medications: Hydrochlorothiazide 25 mg daily for six months, and Norvasc 5 mg twice daily from one month ago for hypertension, Lipitor 80 mg daily for high cholesterol; However, has not been compliant. The patient also stated that he was taking thiamin 100 mg, folic acid 250 mcg and vitamin D 5000 daily as supplements. Currently, he only takes ginseng to boost sexual performance.    

Allergies: Patient is allergic to latex and mold both cause SOB chest tightening

PMHx: diagnose with hypertension and high cholesterol 10 years ago, left hip replacement 2 years ago. Immunization is up to date.  

Soc Hx: Patient works at a call center as a customer service representative for the past thirty years. Married has no children.  They live in their two-bedroom mortgage-free house.  He currently smokes and has just reduced to 3 cigarettes per day after over forty years of smoking two packs per day. On the weekends he usually goes to the casino with his two college friends to gamble and have a good time. He has no special diet and will eat “anything from anywhere.” Drinks 2 six packs beer per week, and a bottle of vodka on weekends.

Fam Hx: His father died of lung cancer 15 years ago.  

ROS:

GENERAL:  No weight loss, fever, chills, weakness or fatigue. 

Head: Symmetrical, no swollen lymph nodes, no signs of sinus infection

Eyes:  Does wear glasses due to myopia, no blurred vision, double vision or yellow sclerae.

Ear: No hearing loss.

Nose: Cough present, no congestion, runny nose.

Throat: No sore throat or difficulty swallowing.

SKIN:  No rash or itching. Some redness and swelling to right leg.

CARDIOVASCULAR:  Right side chest pain, chest pressure, and chest discomfort. Racing heart palpitations.

RESPIRATORY:  shortness of breath, chest tightening, increased pain when inhaling, labored breathing.

GASTROINTESTINAL:  No anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.

GENITOURINARY:  Some frequency in urination, wakes twice at night to urinate.

NEUROLOGICAL: headaches and numbness and tingling of fingers. MUSCULOSKELETAL:  No muscle, back pain, joint pain or stiffness.

HEMATOLOGIC:  No anemia, bleeding or bruising.

LYMPHATICS:  No enlarged nodes. No known history of splenectomy.

PSYCHIATRIC:  Endorse feeling anxious

ENDOCRINOLOGIC:  reports cold sweat

ALLERGIES:  latex and mold

O.

General: steady gait. Flushed face with a facial grimace. Appears anxious

Vital signs:

Temperature: 97.9 oral

Respiratory rate: 32, labored

Heart rate: 112, tachycardic

BP right arm: 148/88

Oxygen saturation: 90% on room air

Weight: 210 lbs., stable

Height: 5’8”

Skin: Cool, diaphoretic

Thorax and lungs: Thorax symmetrical; diminished breath sounds right middle and lower lobes; no rales, rhonchi, or wheezes; breath sounds vesicular with no adventitious sounds to the left lung

Cardiovascular: Heart rate is irregular with good S1, S2; no S3 or S4; no murmur or jugular vein distention.

Abdomen: Protuberant with normoactive bowel sounds auscultated x4 quadrants

Peripheral vascular: Right calf with 2+ edema, erythema; warmth and tenderness

on palpation noted; left lower extremity without edema or erythema; 2+ dorsalis pedis pulses bilaterally

Neurologic: Anxious; awake, alert, and oriented to person, place, and time

Diagnostic results: EKG shows Atrial fibrillation. He is waiting to do an angiography, chest x-ray and a ventilation/perfusion scan (V/Q) to examine blood flow in the lungs. Labs for collection are complete blood count, complete metabolic panel, lipid panel, troponin, creatinine kinase, creatine phosphokinase.  D-dimer test to check for DVT and pulmonary embolism are needed, and a cardiac MRI to fully view the heart. (Dains, et al., loc 3494. 2016)

A.

The provider states that the patient may have a pulmonary embolism. While this may be accurate, it is good to rule out other illnesses before giving a definitive diagnosis without proper analysis as misdiagnosis can cause a delay in treatment leading to great consequences. There are other possible differential diagnoses such as GERD, anxiety, and angina; however, listed below are three sudden, life-threatening differential diagnoses listed below.

Differential Diagnoses:

            Right side Congestive Heart Failure where according to Ball, Dains, Flynn, Solomon, & Stewart, (2015) the heart is unable to properly pump the blood to the body causing backflow to the lung and congestion in the heart. Hussein, A., & Staufenbiel, R. (2014) noted in their study of 59 cows with heart failures, that with right-sided heart failure the blood venous blood returning to heart is disrupted hence patient ends up with edema to the legs, shortness of breath, increased urination, rapid heartbeat which the patient is currently exhibiting and needs to be further investigated so proper treatment can be done.

            Myocardial Infarction occurs due to the heart thickening thus causing decrease blood flow (Ball, et al. p.323. 2016). In Bahall, Seemungal, & Legall, (2018) controlled case study which focused on first time myocardial infarction in the same hospital in Trinidad and their risk factors. The writers look at the risk factors which includes diabetes mellitus, hypertension, hypercholesterolemia, smoking, alcohol consumption, obesity, and sedentary lifestyle, most of which is applicable Mr. H. the writers also reported with myocardial infraction no seen all over the globe therefore region, ethnicity and culture has no bearings on who may fall, victim, especially when they identify with one or more of the listed risk factors.

             Pericarditis is when there is an inflamed pericardium due to infection. (Ball, et al. p.322. 2016). Per Dybowska, Kazanecka, Kuca, Burakowski, Czajka, Grzegorczyk, … Tomkowski, (2015) pericarditis is life-threatening and has a high death rate; urgent care is needed to prevent fatalities. While the patient does not have a fever the presentation of pericarditis symptom of chest pain, shortness of breath and chest pressure which the patient presents with should be completely ruled out as soon as possible.  

References

Bahall, M., Seemungal, T., & Legall, G. (2018). Risk factors for first-time acute myocardial infarction patients in Trinidad. BMC Public Health, 18(1), 161. https://doi-org.ezp.waldenulibrary.org/10.1186/s12889-018-5080-y

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.

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Hussein, A., & Staufenbiel, R. (2014). Clinical presentation and ultrasonographic findings in buffaloes with congestive heart failure. Turkish Journal of Veterinary & Animal Sciences, 38(5), 534–545. https://doi-org.ezp.waldenulibrary.org/10.3906/vet-1404-111

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2023 You have to create an E Poster on what you see as the future of nursing practice and the role

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Nursing 2023 e post

You have to create an E Poster on what you see as the future of nursing practice and the role 2023 Assignment

You have to create an E-Poster on what you see as the future of nursing practice and the role of nursing in the emerging health-care environment. You need to predict the future based on present evidence.

The E-Poster needs to include the following:

1. Introduction

2. Statement of the issue

3. Evidence supporting the issue

4. Prediction of the future role of the nurse

5. Conclusion

6. References: minimum of three references from peer-reviewed nursing journals (encourage the use of international journals). Articles need to be within the last 3 years unless historical.

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