Defining Social Problems
In this course, Design and Evaluation of Programs and Projects, you examine aspects of program planning and evaluation while also engaging in a Practicum Experience. As you do this, you may notice the differing terminologies and approaches that are applied in various circumstances. For instance, you are likely quite familiar with the phrase “health problem” from your previous coursework and professional practice. This Discussion looks at understanding “social problems” as part of a framework for program design. What is the distinction between these terms? Why is it important to notice this divergence?
Problem analysis is a cornerstone for effective program planning and should be conducted at the outset. With this first Discussion, begin to pay close attention to the language and perspectives that will inform your program planning work as you move forward in the course.
 

To prepare:

• Consider      the following scenario:
  • Data from       the Appalachian region show lower numbers of women receiving mammograms       compared to the national average, indicating a need to increase use of       this procedure in this area. However, the data also show that women from       this region are reluctant to participate because of their attitudes       toward mammograms (Royse & Dignan, 2009).
• Review      Chapter 1 of Designing and Managing Programs to be sure      you have a clear understanding of the sequencing of program design and      evaluation, as well as the importance of each element of this process.
• Then,      review Chapter 3. Analyze the scenario above in light of the concepts      presented:
  • Why is it       important to avoid stating the problem as a solution?
  • How does       this scenario illustrate a “social problem”?
  • What       responses to the problem analysis framework questions (pp. 45–49) could       you develop given the information provided?

By tomorrow Tuesday 11/27/18 at 2 pm, write a minimum of 550 words essays in APA format with at least 3 references from the list of REQUIRED READINGS below. Include the level one headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) Describe three key insights or strategies you would share with your team if you were engaged in planning for a program related to the scenario described above.

2) How do you expect that your intended approach to developing an understanding of social problems could affect program planning? Be sure to support your response.

 

Required Readings

Kettner, P. M., Moroney, R. M., & Martin, L. L. (2017). Designing and managing programs: An effectiveness-based approach (5th ed.). Thousand Oaks, CA: Sage.

· Chapter 1, “Contemporary Issues in Social Services Program Planning and Administration”

The first chapter of this text describes current issues related to designing and managing programs. By asking the reader to briefly analyze an existing program, the authors lay out the topics that will be addressed in the book-and throughout this course.

· Chapter 3, “Understanding Social Problems”

Chapter 3 emphasizes critical considerations for developing an understanding of a social problem that may differ from how this has been approached by service providers in the past-including the importance of beginning with problem analysis early in the planning process and focusing on understanding the problem rather than generating solutions.

Choma, K. & McKeever, A.E. (2016). Cervical cancer screening in adolescents: A evidence-based Internet education program for practice improvement among advanced practice nurses. Worldviews on Evidence-Based Nursing, 12(1), 51–60. doi: http://dx.doi.org/10.5888/pcd10.120107 (See attached file)

Dalum, P., Brandt, C.L., Skov-Ettrup, L., Tolstrup, J., & Kok, G. (2016). The systematic development of an Internet-based smoking cessation intervention for adults. Tobacco Cessation, 17(4), 490–500 doi: 10.1177/1524839916631536 (See attached file)

DeCaporale-Ryan, L. N., Cornell, A., McCann, R. M., McCormick, K., & Speice, J. (2014) Hospital to home: A geriatric educational program on effective discharge planning, Gerontology & Geriatrics Education, 35:4, 369–379, doi:10.1080/02701960.2013.858332 (See attached file)

Required Media

Laureate Education (Producer). (2011). Design and evaluation of programs and projects [Video file]. Baltimore, MD: Author.

“Introduction to Program Planning” (featuring Dr. Rebecca Lee, Franko Wantsala, and Alexis Kidd)

You may view this course video by clicking the link or on the course DVD, which contains the same content. Once you’ve opened the link, click on the appropriate media piece.

This week’s videos, featuring Dr. Rebecca Lee, Franko Wantsala, and Alexis Kidd, share a program example at Seven Hills Neighborhood Houses in Cincinnati.

 As a medical billing/coding how will you write the termination letter to your patient? This is an example of the patient that you will write the letter to:

Mabel Whitaker lives at 4200 Taos Drive, Parkview MA 12345. She owes Dr. Sally Hart $564 for professional services rendered. Mrs. Whitaker has not made any payments since September 2016. All attempts to reach Mrs. Whitaker have gone unanswered. Dr. Hart has asked you to send a termination letter to Mrs. Whitaker informing her that she can no longer treat her for her Hypertension and Gout.

In a Word document, compose the letter, name the file “TerminationLetter”

I need it completed in 4 hours

There has been much recent discussion among nurse practitioners and other health professionals over the limitations in providing mental health care (diagnosis, therapy and medication) if you are not credentialed as a PMHNP. Please go to the Texas Board of Nursing and review implications for primary care NP’s who see patients experiencing mental health problems (many patients to be sure). This is available – https://www.bon.texas.gov/practice_bon_position_statements.asp

A.      

What are the needs for mental health services on a national and local level? How do believe your new role as a PMHNP may influence this? Do you feel the Board is too restrictive or appropriate in their position statement. Please post an initial posting with at least two references. If you are not located in Texas, you may apply this discussion topic to your state. After you have posted your initial posting by the third day of the module, respond substantively to at least two peers by the end of the module.

B. 

Do some research about the different rules for PMHNP practice in different states. What are the pros and cons of having Full, Limited, and Restricted practice? What is the situation in your state? Please post an initial posting with at least two current references. After you have posted your initial posting by the third day of the module, respond substantively to at least two peers by the end of the module.

RESOURCES

1. Freud’s psychosexual development | Individuals and Society | MCAT | Khan Academy
2. Erikson’s psychosocial development | Individuals and Society | MCAT | Khan Academy
3. Piaget’s stages of cognitive development | Processing the Environment | MCAT | Khan Academyrs

  

  

Policy and State Boards of Nursing

Within the far-reaching and multi-layered realm of policy and reform, government at the state level plays an essential role. Consider the federally enacted PPACA’s individual mandate which sought to increase the number of consumers who receive insurance coverage and, therefore, greater access to care. In a system that is already stretched beyond capacity and confronting a nursing shortage, how can the health care system meet this increased demand? Since state boards of nursing determine scope of practice, it is important to stay up to date and current with the policies and regulations that are created by the state board of nursing.

To prepare:

• Review      the Thomas, Benbow, and Ayars article and the Watson and Hillman article      focusing on how states regulate advanced nursing practice and how      legislative changes are impacting scope of practice.
• Visit      your state board of nursing website and/or contact the board to determine      how the state board controls advanced practice through regulations (google mbon.org for my state board      of nursing)
• Determine      if your state board has created any new policies or regulations that      address changes to scope of practice in response to legislative changes.

By tomorrow 04/25/2018 10am, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”

Post a cohesive response that addresses the following:

1) What are the most recent regulations promulgated through your state board of nursing for advanced practice?

2) How are the state regulations supported within your place of employment? (google mbon.org for my state board of nursing)

3) How do the states differ in terms of scope of practice? What impact does this have on professional nurses across the United States?

Required Readings

Chen, A. S., & Weir, M. (2009). The long shadow of the past: Risk pooling and the political development of health care reform in the States. Journal of Health Politics, Policy & Law, 34(5), 679–716. 

The authors provide an analysis of varying state health care policies, with a basic premise that health care risk is either “pooled”—shared, or “actuarial”—segmented by risk level. Most states have taken a segmented approach to health care, and therefore, have not solved health care issues such as rising costs and access to care. The authors maintain that federal action is needed to create a uniformed approach to health care.

Junghee, L. (2009). Cultural, social, and political influences on state-level indigent health care policy formation. Journal of Policy Practice, 8(2), 129–146.

This article provides details on a 50-state study of Medicaid spending. The authors concluded that political and economic factors can positively predict individual state Medicaid spending, and that actual need has a negative impact on spending. In conclusion, a uniform, federal structure may be the only method to ensure equal access to Medicaid.

Mills, A., Engelhard, C. L., & Tereskerz, P. M. (2010). Truth and consequences—Insurance-premium rate regulation and the ACA. New England Journal of Medicine 363(10), 899–901.

O’Connor, J. C., MacNeil, A., Chriqui, J. F., Tynan, M., Bates, H., & Eidson, S. K. (2008). Preemption of local smoke-free air ordinances: The implications of judicial opinions for meeting national health objectives. Journal of Law, Medicine & Ethics, 36(2), 403– 412.

Sommers, B. (2010). Enrolling eligible children in Medicaid and CHIP: A research update. Health Affairs, 29(7), 1350.

The enrollment and retention of eligible children in Medicaid and Children’s Health Insurance Program (CHIP) is a health care concern. The article concludes that some state processes have mitigated this issue but other requirements, such as providing citizenship documentation, may have a detrimental effect. Therefore, these concerns should be incorporated into the implementation on PPACA of 2010.

Thomas, M. B., Benbow, D. A., & Ayars, V. D. (2010). Continued competency and board regulation: One state expands options. Journal of Continuing Education in Nursing, 41(11), 524-528. 

The authors use the changes instituted by the state of Texas in regard to the licensing of nurses to illustrate the need to adapt state licensing requirements to the changing diversity and scopes of practice among nurses.

Watson, E., & Hillman, H. (2010). Advanced practice registered nursing: Licensure, education, scope of practice, and liability issues. Journal of Legal Nurse Consulting, 21(3), 25–29.

The expanded role of the advanced practice nurse has led to changes in licensure, education, certification, and scope of practice definitions. The author points out that this expanded role has led to increased liability and accountability concerns as well.

Yue, L., Harrington, C., Spector, W. D., & Mukamel, D. B. (2010). State regulatory enforcement and nursing home termination from the Medicare and Medicaid programs. Health Services Research, 45(6p1), 1796-1814. doi:10.1111/j.1475-6773.2010.01164.x

Those nursing homes receiving Medicare and Medicaid funding are subject to strict quality and safety regulations. This article examines the consequences of enforcing those federal quality standards.

  

Optional Resources

Wieck, K. L., Oehler, T., Green, A., & Jordan, C. (2004). Safe nurse staffing: A win-win collaboration model for influencing health policy. Nursing Education Perspectives, 31(3), 160-166.

People of French Canadian Heritage.

People of German Heritage.

Read chapter 14 and 29 of the class textbook and review the attached Power Point presentations.  Read content chapter 29 in Davis Plus Online Website.  Once done present a minimum of 600 words essay (excluding the first and reference page) explaining the evolution of health care beliefs of this these two heritage and explain if there is any similarity with the delivery of health care here in United States. Essay must have a minimum of three evidence based references excluding the class textbook and must be presented in an APA format, word document, Arial 12 font attached to the forum in the discussion tab of the blackboard title “Week 7 essay”.  

You must post at least two replies to any of your peers essay sustained with the proper references.  Essay will not be accepted via email.