1. Discuss your state NP community in terms of scope of practice. Include the your state’s scope of practice for NPs including: . Be sure that you carefully address each part of the assigned discussion, in full, with cited scholarly sources to support your statements. at least two paragraph each     My state is Maryland
   • Level of independence of practice 
   • Prescribing authority 
   • Any limitations of practice 
   • Process for obtaining licensure in your state 
   • Certification and education requirements for licensure. 
2. If you live in a restricted or reduced practice state, how has patient care been impacted in your local community from these barriers?  For instance, is the ED used for primary care?  Are the EDs overcrowded with long wait times?  Are there urgent care clinics readily available? Is there adequate access to primary care?  If you live in a full practice, how has independent practice of the APN resulted in improved patient access to healthcare?   
3. How does access to NPs impacts any healthcare disparities?  

• Consider how patient care has been impacted in your local community by these practice barriers.
  • For instance, is the ED used for primary care?
  • Are the EDs overcrowded with long wait times?
  • Are there urgent care clinics readily available?
  • Is there adequate access to primary care?
  • Are your rural communities adequately served?
  • What healthcare limitations are present in your communities?
• Consider how unrestricted, independent practice of the APRN resulted in improved patient access to healthcare?
• Include in your discussion how access to NPs impacts any healthcare disparities. 
  • Be sure you clearly understand the concept of “health disparities” as you address this portion of the discussion.
• As a reminder, all writing submitted should reflect graduate student quality and APA writing rules. All writing informed by outside sources should include APA formatted citations and associated scholarly, current references. Buppert, C. (2017). Nurse practitioner’s business practice & legal guide (6th ed.). Burlington, MA: Jones & Bartlett. 
• include outside references other than the book
• Chapter 8 – Risk Management

Letz, K. (2017). The NP guide: Essential knowledge for nurse practitioner practice. (3rd ed.). American College of Nurse Practitioner Faculty. Las Vegas, NV.

• Chapter 11 – Justifying and promoting the profession

Teitelbaum, J. B., & Wilensky, S. E. (2017). Essentials of health policy and law (3rd ed.). Burlington, MA: Jones & Bartlett Publishers.

• Chapter 13 – Public Health Preparedness policy

 

Health disparities are any difference in health outcomes between populations of people. Consider the impact of poverty, race, gender, disability etc. on various health outcomes. The goal of Healthy People 2020 was to eliminate health disparities and achieve health equity, thus improving health outcomes among all populations (U.S. Department of Health and Human Services, 2020). 

Healthy People 2020 (HP2020) defines health disparity as:

       “a particular type of health difference that is closely linked with social, economic, and/or                  environmental disadvantage. Health disparities adversely affect groups of people who have          systematically experienced greater obstacles to health based on their racial or ethnic                        group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or                  physical disability; sexual orientation or gender identity; geographic location; or other                     characteristics historically linked to discrimination or exclusion” (U.S. Department of                         Health and Human Services, 2020).

The HP 2020 definition of health equity is as follows:

         “attainment of the highest level of health for all people. Achieving health equity requires                  valuing everyone equally with focused and ongoing societal efforts to address avoidable                 inequalities, historical and contemporary injustices, and the elimination of health and                       health care disparities” (U.S. Department of Health and Human Services, 2020).

As you consider this week’s discussion questions, be sure to review the information here, as you prepare your responses and interact with the discussion.

Here is an excellent podcast regarding the importance of the nurse in health equity efforts. 

Finally, please review this article  r/t the APRN’s work in reducing health disparities. 

 U.S. Department of Health and Human Services (2020). Disparities. Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities 

  

N492 Assignment Mod 4:

Assignment:

Write a scholarly paper in which you apply the concepts of epidemiology and nursing research to a communicable disease. Choose one communicable disease.

Epidemiology Paper Requirements

Include the following in your assignment:

1. A      thorough description of the disease including causes, mode of      transmission, symptoms, treatment and complications. Discuss the      demographic most affected-incidence, prevalence, morbidity and mortality.
2. What      are the determinants of health affecting this disease? https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health.
3. Identify      the epidemiologic triad including host, agent and environmental factors as      related to this disease.
4. Discuss      the role of the public health nurse in relation to this disease. How is      the public health nurse involved in finding, reporting, collection and      analysis of data and follow up?

A minimum of three references is required. The written essay should be at least 1250 words in length.

APA format is required.

 

Based on what you have learned so far in this course, create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements.

1. Title Slide (1 slide)
2. Traditional Authority, Legal-Rational Authority, and Charismatic Authority (3-4 slides).
3. Stable democracy (3-4 slides)
4. What are the issues surrounding implementation of a new policy? Discuss the opportunities and risks faced by school leaders. (1-2 slides)
5. Special-interest group, public-interest group, and political-action committee (3-5 slides)
6. Made in the USA (1-2 slides)
7. References (1 slide)

– Explain the difference between Traditional Authority, Legal-Rational Authority, and Charismatic Authority. Explain an event in the past or present that would be an example of each authority.

– This module explains three factors that promote a social climate favorable to a stable democracy. What are these three factors? If they are present today, explain how they function. If not, explain what can be done to make them more present.

– No matter what news channel you watch it seems there is some sort of group lobbying for or against a potential right. Name a special-interest group, public-interest group, and political-action committee in today’s news and explain how each is prevalent in today’s democracy.

– Very few products we buy today have “Made in the USA” on the label or tag. Explain, in your opinion, why this is true

 

Topic 1: Child and Adolescent Health Risks

As you discovered in this week’s lectures and readings, several populations face multiple health risks across their lifespan. Children and adolescents are a population that is at a higher health risk for obesity. A national movement is underway to reduce risk factors for developing obesity in children. Part of this movement is the “Let’s Move!” campaign, which is a comprehensive and coordinated initiative to prevent childhood obesity. The initiative emphasizes four primary components: healthy schools, access to affordable and healthy food, raising children’s physical activity levels, and empowering families to make healthy choices. Review Healthy People 2020:

• Identify risk factors for childhood obesity.
• Do the risk factors differ and how do they differ between children and adolescents? 
• Identify objectives that will combat childhood and adolescent obesity.
• Provide suggestions on how community health nurses can contribute to these national health objectives and accomplish the goal of decreasing obesity among this population.