Agenda Comparison Grid and Fact Sheet or Talking Points Brief – 2025 It may seem to you that healthcare has been a national topic of debate among

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Agenda Comparison Grid and Fact Sheet or Talking Points Brief – 2025

 

It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.

Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.

As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.

In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.

To Prepare:

  • Review the agenda priorities of the current/sitting U.S. president and the two previous presidential administrations.
  • Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.
  • Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.
  • Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.

The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)

Part 1: Agenda Comparison Grid

Use the Agenda Comparison Grid Template found in the Learning Resources (attached)and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:

  • Identify and provide a brief description of the population health concern you selected and the factors that contribute to it.
  • Describe the administrative agenda focus related to the issue you selected.
  • Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.
  • Explain how each of the presidential administrations approached the issue.

Part 2: Agenda Comparison Grid Analysis

Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:

  • Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
  • How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?
  • Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?

Part 3: Fact Sheet or Talking Points Brief

Using the information recorded on the template in Parts 1 and 2, develop a 1-page narrative that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following:

  • Summarize why this healthcare issue is important and should be included in the agenda for legislation.
  • Justify the role of the nurse in agenda setting for healthcare issues.

wk 1 res 6052 – 2025 Tiffany Dennis RE Discussion Nurs 6052 Week 1 Main Post Evidence based practice EBP helps to take the guesswork

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wk 1 res 6052 – 2025

Tiffany Dennis RE: Discussion 

Nurs 6052 Week 1 Main Post

Evidence-based practice (EBP) helps to take the guesswork out of nursing science. EBP can be defined as the meticulous use of research evidence compiled to improve patient outcomes, provoke quality, cost-effective, and efficient care (Bernadette Melnyk & Ellen Fineout-Overholt, 2018).

Organization website

            The Joint Commission (TJC) accredits and certifies over 22,000 health care organizations and programs in the United States. Health care facilities that desire to be accredited by TJC must endure an in-depth on-site survey every three years except laboratories; they require surveys to be conducted every two years. TJC surveys are meant to guide and assess the organization’s performance in the areas of patient safety, treatment, and quality of care (The Joint Commission, n.d.).

            Where Evidenced-Based Practice (EBP) appears

             The mission of The Joint Commission is to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. Its vision is that all people always experience the safest, highest quality, best-value health care across all settings (TJC, n.d., para. 1). Every year TJC releases one of their most well none Evidenced-Based Practice (EBP) initiatives known as the National Patient Safety Goals. The goals are created by researching and gathering information about emerging patient safety issues from a plethora of experts and stakeholders. Once the information is gathered, then more EBP must occur to provide individualized goals for various healthcare settings such as ambulatory care, behavioral health, critical access hospitals, and many more(The Joint Commission, n.d.).

Is the organization’s work grounded in EBP?

The Joint Commissions work is grounded in EBP because it is responsible for providing evidenced-based standards that focus on patient safety and quality care. These standards are not published until the completion of the seven steps of EBP has been completed. Once TJC compiles its annual list of standards, they are submitted for public feedback before actual publication, which is step four of the EBP process “Integrate the evidence with clinical expertise and patient preferences and values.” Research studies prove that EBP leads to higher quality care, improved patient outcomes, a reduction in cost for both the patient and facility and greater nurse satisfaction when compared to traditional approaches (Melnyk et al., 2010).

Perception

Usually, during a Joint Commission survey, the entire hospital is frantic and in an uproar. To endure these surveys has proved to be very stressful for all involved. From a leadership perspective, I have found reading these articles and researching TJC to be very insightful and informational. As a nurse at the bedside, we are given directives without adequately knowing the reasoning behind the interventions and objectives. Providing proper education, training and allowing input from nurses and other healthcare workers have proven to enhance nurses’ appreciation, knowledge competencies, and practice of EBP (Kim et al., 2016).

EBP is essential to our everyday lives both inside and outside healthcare facilities. Grocery stores, outlets, car dealerships all use EBP to promote sales and improve customer satisfaction because a return customer, patient, or volunteer are all essential to the survival of any business industry.

References

Bernadette Melnyk & Ellen Fineout-Overholt. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Lww.

Kim, S., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. https://doi.org/10.1111/wvn.12171

Melnyk, B., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step: The seven steps of evidence-based practice. AJN, American Journal of Nursing, 110(1), 51–53. https://doi.org/10.1097/01.naj.0000366056.06605.d2

National patient safety goals. (n.d.). https://www.jointcommission.org/standards/national-patient-safety-goals/

The Joint Commission. (n.d.). About The Joint Commission. The Joint Commission. https://www.jointcommission.org/about-us/#:~:text=The%20mission%20of%20The%20Joint,the%20highest%20quality%20and%20value.

The Joint Commission. (n.d.). About The Joint Commission. The Joint Commission. https://www.jointcommission.org/about-us/#:~:text=The%20mission%20of%20The%20Joint,the%20highest%20quality%20and%20value.

TJC. (n.d.). Mission and Vision. https://www.jointcommission.org/about-us/#:~:text=The%20mission%20of%20The%20Joint,the%20highest%20quality%20and%20value.

Jennifer Drumm 

            As nursing continues to grow and evolve, it is vital to improving integrity with the assistance of evidence-based practice. EBP allows nursing to provide essential care to patients while reducing errors and utilize best practices.  Nurses can develop relationships with patients, capture professionalism daily, and decrease harm with new knowledge and research provided by EBP. Anytime EBP is used, it creates a stable foundation for nursing practice to grow as healthcare advances in precision and complexity. Nurse and health organizations benefit from the implementation of EVP research. Nurses who have the expertise of EBP are better guided in their decision-making when caring for the patient; therefore, quality of care is improved (Melnyk and Fineout-Overholt, 2018, p. 9). EBP validates they are providing care that is relevant and is best practice, thus increasing integrity.

           The U.S. Department of Veterans Affairs Healthcare exemplifies an organization that creates “evidence-based recommendations for care throughout the VA intending to ensure Veterans and Servicemembers receive high-quality health care. According to their mission, they “Honor America’s Veterans by providing exceptional health care that improves their health and well-being.” This mission blends well with their vision to continue benchmark of excellence in value in healthcare and benefits by providing exemplary services that are both patient-centered and evidence-based (Administration, 2020).  Their mission is similar to other private healthcare organizations and is commendable. They encompass EBP for all Veterans that can be challenging for a large governmental organization.

           My original thought was the Veterans Health Care system is a large government organization that has an outdated practice as a means to maintain low cost, with consistent care throughout all its facilities that doesn’t deviate. It isn’t easy to update effective practice, improve, and spread the evidence base for healthcare practices. The gap between research evidence on effective practices and practice itself is well known per Augustsson  et al., (2019) in a study on how to bridge this gap (Augustsson et al., 2019). A barrier to implementing change in large organizations is the sheer volume of people that need to change, priorities of stakeholders, and reimbursement for training.  I was also surprised that they had adopted EBP because my perception of organizations with this vision includes research and education-based institutions, such as John Hopkins or Mayo Clinic. My understanding of EBP has changed because it can be applied to reduce healthcare costs and improve care in all types of health care organizations regardless of size or type of institution.

Administration, V. H. (2020). About VHA – Veterans Health Administration [General Information]. Retrieved June 5, 2020, from https://www.va.gov/health/aboutVHA.asp

Augustsson, H., Churruca, K., & Braithwaite, J. (2019). Re-energising the way we manage change    in healthcare: The case for soft systems methodology and its application to evidence-based practice. BMC Health Services Research, 19(1), 666. https://doi.org/10.1186/s12913-019-4508-0

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

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Post 1 – 2025 Child abuse and maltreatment is not limited to a particular age it can occur in the infant toddler preschool and school age

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Post 1 – 2025

Child abuse and maltreatment is not limited to a particular age—it can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups and outline the types of abuse most commonly seen among children of that age. Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse.

Due Date Tuesday 18

Political Advocacy Program – 2025 Professional associations like the American Medical Association American Nurses Association and others

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Political Advocacy Program – 2025

Professional associations like the American Medical Association, American Nurses Association, and others actively facilitate member engagement in political advocacy. For this assignment, you will research political advocacy models of professional associations, and develop a program outline to be proposed to a professional association or group of your choosing.

Objective: Political advocacy program proposal

Audience:

Primary – Members of a professional association or group (local/state/institutional).

Secondary – Leadership team of the association or group. Those who will approve your proposal.

Elements to include (but not limited to):

  • Proposal abstract
  • Need assessment (why this is needed in your profession/location)
  • Supporting research
  • Goals and Objectives
  • Governance structure (leadership roles)
  • Membership (member base, recruitment)
  • Proposal summary

Length: A minimum of three pages of content.

APA requirements: Title, reference page, a minimum of three references. In-text citations should be used to support your proposal.

NR632 week6 IP – 2025 respond Week 6 Collaboration Cafe Closing the Project graded The term closing

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NR632 week6 IP – 2025

respond 

 

Week 6: Collaboration Cafe: Closing the Project (graded)

The term closing for projects is a misnomer. Many times, the PM and/or the team were the champions of the change and you drove the passion and motivation. Far too many amazing projects revert back to the prior status quo not long after the PM team has moved onto their next project. Just because you and your team have done a great job in planning and executing the project and it was running well when you left, doesn’t mean that you can just assume it will continue successfully. How do we sustain the practice change that we sought to make? When you’re gone and onto your next project, what will happen to the one you just closed? What strategies have you put in place to ensure the long-term success and sustainability of your project? When you check back in after a year, what will it look like?

Assignment 1: Practicum – Client Termination Summary (Due in Week 11) – 2025 Assignment With the client you selected in mind address in a client termination summary without violating HIPAA

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Assignment 1: Practicum – Client Termination Summary (Due in Week 11) – 2025

 

Assignment

With the client you selected in mind, address in a client termination summary (without violating HIPAA regulations) the following:

  • Identifying information of client (e.g., hypothetical name and age)
  • Date the client initially contacted therapist, date therapy began, duration of therapy, and date therapy will end
  • Total number of sessions, including number of missed sessions
  • Whether termination was planned or unplanned
  • Presenting problem
  • Major psychosocial issues
  • Types of services rendered (e.g., individual, couple/family therapy, group therapy)
  • Overview of treatment process
  • Goal status (goals met, partially met, unmet)
  • Treatment limitations (if any)
  • Remaining difficulties and/or concerns
  • Recommendations
  • Follow-up plan (if indicated)
  • Instructions for future contact
  • Signatures

Acid-Base and Electrolyte Case Study – 2025 Acid Base and Electrolyte Case Study A nurse is taking care of an

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Acid-Base and Electrolyte Case Study – 2025

 

Acid-Base and Electrolyte Case Study

A nurse is taking care of an 85-year-old woman in a hospital-based skilled nursing facility. In the report, the nurse is told the patient has not been breathing well for the past 2 days. She has been lethargic, her skin is warm and dry, and she has a decreased urine output. The following laboratory findings were returned from the laboratory immediately after morning report:

Blood Chemistries

  • Na: 147
  • Cl: 110
  • K: 4.0

Arterial Blood Gases

  • pH: 7.33
  • PCO2: 48
  • HCO3: 27
  • PO2: 96

Urinalysis

  • Urine Specific Gravity: 1.040

Address the following:

  1. Identify each of the abnormal laboratory findings in the above results. Specify how they differ from a normal range and identify what condition each abnormality indicates.
  2. What specific electrolyte disturbance does the patient have?
  3. What clinical manifestations would the nurse expect to see with this electrolyte abnormality presented above?
  4. If the patient had an increase in her potassium level, what clinical manifestations would the nurse monitor for?
  5. What blood gas abnormality is seen in this patient? Discuss the rationale for your answer.
  6. What are the three major mechanisms of pH regulation?

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Health History and physical Assessment – 2025 Requirements to Follow grading rubric To recognize the interrelationships of subjective data physiological psychosocial cultural spiritual values and

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Health History and physical Assessment – 2025

Requirements to Follow/grading rubric

To recognize the interrelationships of subjective data (physiological, psychosocial, cultural/spiritual values, and developmental) and objective data (physical examination findings) in planning and implementing nursing care.

To reflect on the interactive process that takes place between the nurse and an individual while conducting a health assessment and a physical examination.

Rubric

NR304 RUA: Health History and Physical Assessment Guidelines (Sept20)

NR304 RUA: Health History and Physical Assessment Guidelines (Sept20)

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeHealth History: Subjective Data

Required criteria

1. Demographic data

2. Reason for care (why they are in the facility)

3. Present illness (PQRST of current illness)

4. Perception of health

5. Past medical history (including medications, allergies, and vaccinations and immunizations)

6. Family medical history

7. Review of systems

8. Developmental considerations

9. Cultural considerations

10. Psychosocial considerations

11. Presence or absence of collaborative resources (community, family, groups, and healthcare system)

30.0 pts

Highest Level of Performance

Includes 11 requirements for section.

28.0 pts

High Level of Performance

Includes 9-10 requirements for section.

23.0 pts

Satisfactory Performance

Includes 5-8 requirements for section.

15.5 pts

Unsatisfactory Performance

Includes 1-4 requirements for section.

0.0 pts

Not Present

No requirements for this section presented.

30.0 pts

This criterion is linked to a Learning OutcomePhysical Examination: Objective Data

Required criteria

1. From NR302:

o HEENT (head, eyes, ears, nose, and throat)

o Neck (including thyroid and lymph chains)

o Respiratory system

o Cardiovascular system

2. From NR304:

o Neurological system

o Gastrointestinal system

o Musculoskeletal system

o Peripheral vascular system

30.0 pts

Highest Level of Performance

Includes 8 requirements for section.

28.0 pts

High Level of Performance

Includes 7 requirements for section.

23.0 pts

Satisfactory Performance

Includes 4-6 requirements for section.

15.5 pts

Unsatisfactory Performance

Includes 1-3 requirements for section.

0.0 pts

Not Present

No requirements for this section presented.

30.0 pts

This criterion is linked to a Learning OutcomeNeeds Assessment

Required criteria

1. Based on the health history and physical examination findings, determine at least two health education needs for the individual. Remember, you may identify an educational topic that is focused on wellness.

2. Support the identified health teaching needs selected with evidence from two current, peer-reviewed journal articles.

3. Discuss how the interrelationships of physiological, developmental, cultural, and psychosocial considerations will influence, assist, or become barriers to the effectiveness of the proposed health education.

4. Describe how the individual’s strengths (personal, family, and friends) and collaborative resources (clinical, community, and health and wellness resources) effect proposed teaching.

20.0 pts

Highest Level of Performance

Includes 4 requirements for section.

18.0 pts

High Level of Performance

Includes 3 requirements for section.

15.0 pts

Satisfactory Performance

Includes 2 requirements for section.

7.5 pts

Unsatisfactory Performance

Includes 1 requirement for section.

0.0 pts

Not Present

No requirements for this section presented.

20.0 pts

This criterion is linked to a Learning OutcomeReflection

Required criteria

1. Describe the interaction in its entirety: include the environment, your approach to the individual, time of day, and other features relevant to therapeutic communication and to the interview process.

2. How did your interaction compare to what you have learned?

3. What went well?

4. What barriers to communication did you experience?

5. How did you overcome them?

6. What will you do to overcome them in the future?

7. Were there unanticipated challenges to the interview?

8. Was there information you wished you had obtained?

9. How will you alter your approach next time?

10.0 pts

Highest Level of Performance

Includes 9 requirements for section.

9.0 pts

High Level of Performance

Includes 7-8 requirements for section.

8.0 pts

Satisfactory Performance

Includes 5-6 requirements for section.

4.0 pts

Unsatisfactory Performance

Includes 1-4 requirements for section.

0.0 pts

Not Present

No requirements for this section presented.

10.0 pts

This criterion is linked to a Learning OutcomeStyle and Organization

Required criteria

1. Writing reflects synthesis of information from prior learning applied to completion of the assignment.

2. Grammar and mechanics are free of errors.

3. Able to verbalize thoughts and reasoning clearly.

4. Use appropriate resources and ideas to support topic.

5. Adheres to APA recommendations for title page, running head, headings, in-text citations, and reference page.

6. HIPAA protocols followed.

10.0 pts

Highest Level of Performance

Includes 6 requirements for section.

9.0 pts

High Level of Performance

Includes 5 requirements for section.

8.0 pts

Satisfactory Performance

Includes 4 requirements for section.

4.0 pts

Unsatisfactory Performance

Includes 1-3 requirements for section.

0.0 pts

Not Present

No requirements for this section presente

Research Critiques and PICOT Statement Final Draft – 2025 Prepare this assignment as a 1 500 1 750 word paper using the instructor feedback from the previous course assignments and the guidelines below

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Research Critiques and PICOT Statement Final Draft – 2025

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question  

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

General Requirements

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

WEEK 5 Discussion 1 Assessment – 2025 An 89 year old female complains of a stabbing chest pain and points to the area just below

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WEEK 5 Discussion 1 Assessment – 2025

 An 89-year-old female complains of a “stabbing chest pain” and points to the area just below her scapula at the right mid-clavicular line. She states that she had an upper respiratory infection last week that “just seems to hang on.” She has no other complaints. 

 

  • In order of importance, describe three (3) questions that you would like to ask this patient and give a brief explanation of why.