The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.

Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.

Provide a 1,500-2,000-word ethical analysis while answering the following questions:

1. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
2. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
3. As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
4. What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
5. Based on the values and considerations above, what options would be morally justified in the Christian worldview for George and why?
6. Based on your worldview, what decision would you make if you were in George’s situation?

Remember to support your responses with the topic study materials.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

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.

 

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:

1. Key Features of the Affordable Care Act
2. Health Care Transformation: the Affordable Care Act and More

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

Comment 1

The role of health care reform in shifting the focus from a disease-orientated health care system toward one of wellness and prevention is to avert disease in the public. One of the ideal choices is to promote and encourage good health within groups of people across ages, gender, ethnicity, race, and social economic status. Health care reform, in this context, can strive to help people change the social behavior. Help care reform can enhance people’s ability to care for their health. They can lessen health disparities within the population. In the meantime, help care reform targets non-help care policy that impact people good health. That is, decisions related to social, economic, housing, nutrition, and environment might have a direct effect on wellness and prevention.

 In terms of prevention, health care reform can converge health care practitioners’ attentions and the public’s focus on screenings, immunizations, counseling, and disease management to avert complications. This will encourage health care professional to always encourage patients and their loved ones to take preventive measures and steps to avert unhealthy circumstances in their lives.

                       The profession of nursing has the obligation to educate nursing students and current nursing practitioners to understand the benefits of wellness and prevention in the practice of nursing. Nurse spend most of their working times with patients than any other health care professional. They are the first who witness patients’ calamities. This makes them more apt to embrace this shift because integrating prevention in their practices can avert acute and chronic diseases, and other non-desirable health conditions. Nurse can participate in consumer education or awareness campaigns for the good of society.

Comment 2

n 2010, the Affordable Care Act became law, and the law aims to improve the health care system of the U.S. by widening the health coverage to more Americans and by protecting existing health insurance policyholders (Nordqvist, 2016). Cherry & Jacob (2016) state that the ACA is expected to provide insurance coverage for 32 million previously uninsured Americans. America faces the increased medical expenditures which can be the burden of the American economy.  Moreover, the shortage of health care providers and facilities, as well as the rise in health awareness also alter the care from the treatment of disease to health promotion and disease prevention. As a result, health care reform plays an important role to lead the way in determining the type of providers needed to care for patients (Cherry & Jacob, 2016).

The shift from disease-oriented healthcare towards wellness and prevention provides a health resource to assist in creating a balance to promote health and cure disease. “Health care is a human right and that all persons are entitled to ready access affordable, high-quality health care service” (ANA, 2008). Restructuring the health care system will reinforce and ensure universal access to health care. The primary focus points are affordability, availability, acceptability, and quality of care. Access to care alone is not enough if the quality of care and safety is not satisfactory. A restructured health care system must provide dependable, high-quality care across the country.

There are six specific aims described to raise the quality of care that includes: Safe health care, Effective health care, Patient-Centered Health Care, Timely Health Care, Efficient Health Care, and Equitable Health Care. These aims of health care are essential to the nursing staff because many outcomes are associated with the care provided by the nursing staff. It is our job as nurses to positively embrace the change in health care reform and implement the changes with the highest standards. The agenda for the shift in health care reform can be considered a new step in health care and requires all associated with health care to participate.

Comment 3

Two-thirds of American adults are overweight or obese. Americans get less exercise, spending work and leisure time in from of screens. Diabetes and other chronic diseases are on the rise, a leading driver of escalating medical care costs. More and better medical care will not fix this countries declining health status or slow the rising costs of health care. History and science show that a multifaceted public health effort, including delivery of clinical preventative services, to protect the nations health. America must invest in the policies, programs, community environments and preventative care that are known to protect and restore health. By doing so, this can lower the disease and disability resulting in a decrease in the cost of expensive medical treatment in the future.

Three major reforms re required to make prevention and wellness the cornerstone of national policy.

1. Provide consistent policy leadership that advocates for and funds mutifaceted approaches to prevention and wellness.

2. Strengthen the ability of the public health system to facilitate and provide community-based prevention, health promotion, and early detection of disease.

3. Assure that all Americans have access to recommended clinical preventitive serices.

Nurses are on the frontline for providing valuable education to patients, the public and communities relating to nutrition, exercise and disease prevention. Health promotion should be done everywhere, at every level of our health care system. Nurses are innovative and know how to expand car and improve quality at a lower cost. Emphasizing the use of master-prepared nurses to oversee care from the hospital to within the home reduces hospitalizations.

Answer Sheet:

Variables

1. List the major study variables, and categorize them as research variables or independent and dependent variables.
2. Discuss how well the variables reflect the concepts from the theory framework.
3. List the demographic variables measured in the study, and any extraneous variables identified by the authors. Evaluate whether or not there are missing demographic variables, in your opinion. 

Research Design

1. Identify the specific study design. Explain whether the design was appropriate to answer the study’s research questions/ hypotheses. 
2. Briefly describe the study procedures, including recruitment, screening for eligibility, consent, timing & method of measurement of demographic & key study variables, and intervention, if applicable.
3. Discuss the clarity of description of study procedures. In other words, could another researcher replicate the study using the procedures described in the article? 
4. If more than one group was included in the study, explain how participants were assigned to groups.
5. Describe any threats to design validity mentioned by the authors.  If they did not describe that, then say so.
6. Describe the limits of generalizability (external validity). 

Population, Sample, & Setting

1. What was the population for the study?
2. Identify the specific sampling method used for the study. Discuss the adequacy of the sampling method for producing a sample representative of the population. 
3. Discuss potential biases with the sampling method used.
4. Identify and evaluate the inclusion and exclusion criteria used in the study.
5. Discuss how the planned sample size was determined (including power analysis & consideration of potential attrition if included).
6. Discuss actual sample size attained for the study, including acceptance rate, refusal rate, and attrition rate.
7. Describe study setting and its appropriateness for the study.

Reference List

 

Note: You are required to complete this discussion before submitting the unit assignment.

For this discussion, complete the following:

1. Describe the background of your study.

2. Demonstrate how answering your research question will advance scientific knowledge base.

3. Discuss the implications and contributions of your study to your specialization.

4. Be sure to include in-text citations from the academic literature on your chosen topic.

Once you have received feedback from other learners, complete the unit assignment based on your revised discussion post. 

Readings

Use your Qualitative Inquiry and Research Design text to complete the following:

Review Chapter 3, “Designing a Qualitative Study.” Focus on the subsection, “The Design Structures of a Plan or Proposal.”

Read Chapter 6, “Introducing and Focusing the Study,” pages 127–146. 

      a.  Focus on the following subsections:  

              1. “Introducing and Focusing the Study.”

              2. “The Research Problem Statement.”

Review Percy, Kostere, and Kostere’s 2015 article, “Generic Qualitative Research in Psychology,” from The Qualitative Report, volume 20, issue 2, pages 76–85.

Library Search

Use the library to conduct a brief literature review related to your chosen topic, in preparation for describing the background and addressing how the research  question will advance the scientific knowledge base. You will use this literature review in the unit discussion.

Read the Transcript –  Qualitative Research Proposal 

This illustration help to guide you as you develop the various components of your course project. Boxcars are added to the train as you progress through the course. Each boxcar provides information regarding the development of

individual components of a research proposal.

INTRODUCTION – Advancing Scientific Knowledge, Implications, and Contributions

When choosing a topic for the development of a qualitative study, it is essential that the topic meet the criteria of advancing scientific knowledge within the academic discipline. The issues that need to be addressed are the following:

Will the study advance the scientific knowledge base?

Is the study grounded in the discipline?

Does the study address something that is not known, something that is new or different from prior research, something that extends prior research, or something that fills a gap in the existing literature?

What are the theoretical and practical implications of the study?

How does the study contribute to the discipline?

OBJECTIVES

To successfully complete this learning unit, you will be expected to:

1. Identify components of scientific merit (advances the knowledge base, contributes to theories, and meets the hallmarks of good research).

2. Critically evaluate the individual components of scientific merit of research studies.

3. Demonstrate how answering a specific research question will advance scientific knowledge base.