Studies have shown that rural Americans have higher rates of chronic disease and poor overall health compared to those living in urban areas. They suffer higher incidence of disease and disabilities, increased mortality, cand lower life expectancies. In rural America, we find fewer job opportunities, a poorer population, and social isolation which all increase the risk for poor health. Also fewer health care practitioners, especially doctors, increases the healthcare risks for this typically older and poorer population.

We also see a disparity in healthcare insurance coverage within this vulnerable population. Very few have employer provided insurance nor do they qualify for Medicaid. These and many other issues we face as APN’s in providng quality care to our rural population. 

The Agency of Healthcare and Research and Quality (AHRQ) is developing initiatives to address healthare disparitiesThe Agency of Healthcare Research and promotes the use of four steps:

1. Developing a collaborative process of research involving researchers and community representatives
2. Recognizing the community as a unit of identity
3. Building on the strengths of resources within the community
4. Facilitating collaborative, equitable partnerships in all phases of research and utilizing an empowering process
5. Promoting co-learning and capacity building among all partners
6. Integrating knowledge generation and intervention for the mutual benefit of all partners.
7. Emphasizing the local relevance of public health problems and multiple determinates of health and disease including biomedical, social, economic and physical environmental factors.
8. Findings can be disseminated to all partners

This method benefits the rural community through the knowledge gained and the resources provided as well as developing a partnership with diverse experts to address the complex health issues. Utilizing the research findings specific interventions can be developed for the under served and may help eliminate rural health disparities.

1. As advanced practice nurses, how can we begin to eliminate disparities in rural underserved areas?   

Instructions:

Use an APA 7 style and a minimum of 350 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.

This is a re do assignment. If there is any questions about the assignment let me know. I have attached the incorrect one that I turned in.

Instructions

Week 2 Project

This week we will focus on Transformational Leadership.

For this assignment, you will research your advanced nursing practice role and summarize your findings in a 2-4 page paper (excluding the title page and references):

Define Transformational Leadership and as it relates to your identified leadership attributes that you possess or need to develop. The master’s prepared nurse demonstrates leadership in the four domains: the profession of nursing, clinical practice arena, health policy arena, and systems level. The impact could be found in health promotion, disease prevention/management, quality improvement and/or within management of a health system. In order to complete this assignment, you will first complete an assessment about your leadership style. Choose one of the topics below and respond to the question asked. Assure your leadership style is evident in your response.

These are:

Cherry, K. (2016). What’s Your Leadership Style? Learn more about your strengths and weaknesses as a leader.

How to Become a Better Leader

Topics:

Domains: health promotion, disease prevention, quality improvement and health systems

Health Promotion: Healthy People 2020 have identified Metabolic Syndrome as a major health concern. Sara, lives and works as an A/GNP in rural America. Several local faith organizations have asked if she can organize a Health Fair that will address health promotion, specifically DM. What AP roles, core competencies and support are needed to make this happen?

Disease Prevention: Obesity in school age children is a significant problem. Melissa, a former elementary school teacher, is a new CNL who has recently joined her state nursing association and is passionate about the 30% or more of the students being over-weight. The local nursing association is looking for a community project to address disease prevention. Melissa has approached the officers with her concern. What AP roles, core competencies and support are needed to make this happen?

Quality Improvement:Nancy, FNP, is the clinical director of a nurse managed health center that is connected to a School of Nursing. The center’s staff members includes of all advance practice nurse providers, a nurse educator, a nursing informaticists, 2 RNs, and paraprofessional staff. The team wants to determine patient satisfaction and capture data on patient experiences both for QI and as a learning experience for students studying nursing. What AP roles, core competencies and support are needed to make this happen?

Health Systems: Daniel, a DNP prepared ED NP identified that patients seen in the ED for various reasons had undiagnosed HTN. He observed that the patient’s chief compliant was well addressed but the HTN was not. He has approached the hospital system about the problem and suggested an outpatient clinic adjacent to the ED to address the HTN and other coincidentally found problems. What AP roles, core competencies and support are needed to make this happen?

Submission Details:

• Support your responses with examples.
• Cite any sources in APA format.

See page 16 and 17 of attached document. Assignment labeled Genomics part 1

 Patient Genetic and Genomics Interview and Education Part 1

 To assess a patient’s genetic risk, you must understand the relationship of genetics and genomics to health, prevention, screening, treatment, and monitoring. E This is a two-part assignment whose purpose is to help you develop your abilities to apply genetics and genomic information while providing patient care. Purpose: Use a constructed genetic pedigree from collected family history information to identify a risk profile and develop a plan of care, including patient education and referral. Before you start this project go and register for the G3C (Global Genetics and Genomics Community) learning portal https://www.genomicscases.net/en/. The site is free and has interactive cases that demonstrate how genetic and genomics link to health and illness. Throughout each patient scenario, there are links to resources and supplemental educational activities to expand upon genetic/genomic learning concepts. At the end of each patient encounter, learners are prompted to make a recommendation to their “patient” and are assessed across multiple domains such as risk assessment, family history, and patient medical history. There are 17 cases, and you can get CEs for the activities. Part 1: a. Choose one case in the https://www.genomicscases.net/en/ and complete the activity, please submit the report given at the end of the activity. b. Select a patient that you can interview virtually. Set up a time and quiet time, go over with the patient about confidentiality, and explain that no identifiable information will be used in this assignment. c. Go to the Center for Disease Control “My Family Health Portrait: A tool from the Surgeon General at https://phgkb.cdc.gov/FHH/html/index.html d. Collect a client’s personal and three-generation family health history to assess for genomic factors that impact the client’s health ( Save the created Family Health History, please, use fictitious names, but keep the rest of the information accurate). e. Identify genetic and genomic factors within collected history and that contribute to illness and/or health risk. f. Identify issues in this patient-related to each of the following: Financial/Socioeconomics, Cultural, Religious, and Lifestyle. g. Identify ethical/legal concepts related to this patient. Include concepts Genetics/Genomics Nursing Practice. 17 h. Identify the major challenge with this patient and identified possible strategies to overcome this challenge i. Report your findings in a three-page report including the three-generation Map using APA guidelines 

Grading Rubric Rating Criteria Needs Improvement 10 points Proficient 15 points Exceptional 20 points Pedigree Construction Student included most data from family members but is missing data from some individuals. Trait of interest is clearly diagramed in the pedigree. Student included 3 or more generations using standardized symbols and terminology OR the U.S. Surgeon General’s My Family Health Portrait Tool. Student included 3 or more generations using standardized symbols and terminology OR the U.S. Surgeon General’s My Family Health Portrait Tool. Pedigree Analysis Analysis of the pedigree is incomplete, inaccurate, and/or does not address relevant genomic factors that impact the client’s health. Analysis of the pedigree is complete, accurate, AND addresses relevant genomic factors that impact the client’s health. Analysis of the pedigree is comprehensive, accurate, AND addresses relevant genomic factors that impact the client’s health. Pedigree identification of health risk Identifies some risk factors but fails to make connections. Identifies partially potential health risk factors for this patient. Identifies potentially significant health risk for this patient. Pedigree identification of environmental and cultural factor as risk fa tors. Completes a risk analysis of the environmental and cultural factors but misses two or more components. Completes a risk analysis of the environmental and cultural factors but misses one component. Completes a thorough risk analysis for the identified patient based on their pedigree, culture, environmental exposure and life style.

1. Portfolio part II 

a) APRN protocol also known as collaborative agreement with supervising physician(s).

b.) business proposal (refer to portfolio explanation/examples found on your BB lecture section. 

There is an example of a business proposal. Use the example to create a brief business proposal with no more than two pages word or power point as your choice;

c.) Create a LinkedIn page and send me a proof of you creating the link.

Construct a detailed outline of one of the readings from Module 1 (your choice. A good outline will include a thesis of the article, as well as the important arguments and points offered in support of that thesis. 

The outline is worth 20 points and should be no less than 250 words in length. 

Outside research is not necessary, but if you use external sources you must provide complete citations. Your outline will automatically be checked for text that matches websites and other submitted outlines. Failure to cite your sources is academic misconduct and will result in a failure of the assignment.

I have provided a copy of how the outline should look!