To prepare:

• Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
• By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.
• Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
• Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
• Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?

By Day 3 of Week 2

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

 

Transformational leaders influence those around them and therefore have the potential to alter the culture of a unit or organization. Please address the following topics:

• Summarize your general beliefs of what makes a good leader.
• Regarding the transformational leadership skills discussed in our required article reading, how do you think your leadership style is perceived by others?
• What aspect of the TEACH values discussed in the lesson do you think would most benefit your work environment if adopted?

Name your Leadership Style

Discussions play an integral role in monitoring your course participation throughout the term. Be sure to appropriately cite any sources you use to support your responses with standard APA citations. Answer the prompt question(s) thoroughly using a minimum of 150-200 words.

Discussion Prompt: 

1. Please discuss/include the following in a minimum of 150-200 words for your initial post:

• Now that we have reached the end of our course, you will have the opportunity to create and name your version of leadership style, theory, or philosophy. As you create your leadership concept, take each of the following into consideration:
  • Review and reflect on the difference between all of the research based versions we have studied in our course. 
  • Reflect back on your working definition of leadership from Week 1 and Week 4 consider how the other concepts you have learned compliment your definition or have given you new insights you want to incorporate.
  • Share with the group what your final definition of leadership

 

Instructions:

Try your own experiment by choosing a challenging online article to read, and listen to 4 different types of music while trying to read and comprehend the article. List the challenging passage in APA format, and answer the following questions for every piece of music:

• Make a note of the genre of music, (Vivaldi, death metal, jazz, gospel, hip hop, blues, rap, country).
• Was it easy or difficult to understand the challenging paragraphs?
• Why do you think it was easier to understand what you were reading while listening to some music and not to others?
• What impact do you think having certain music in schools or on the job would have on the people in those environments?

Please be sure to validate your opinions and ideas with citations and references in APA format

Musical Challenge

Instructions:

Please post 1 peer response

In the response post, include the following:

• How do your results from the experiment differ from the original post of this student?
• In what ways do you agree, and disagree, with your peer’s responses?

Please be sure to validate your opinions and ideas with citations and references in APA format.

 

Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria:

1. Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, if it may be too costly, or if there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your problem statement before continuing.
2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.
3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the problem statement.
4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations that may need to be addressed.
5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, or professional expertise.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the 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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.

Base the above assignment based off of this information I posted below.  The Rubric is attached

  

For this paper, the selected survey tool for assessing organizational culture and readiness for implementation of evidence-based practice (EBP) is the Organization Culture and Readiness for System-Wide Integration of Evidence-Based Practice (OCRSYWI). The role of this tool is to aid in the investigation, evaluation, and to determine if the organization is ready for the implementation of evidence-based practice.

Organization’s Readiness Level

The process of investigation revealed several issues about the readiness of the organization for the implementation of evidence-based practice. One is that nurses are demonstrated and promised to fully participate in the process of implementation of this practice. Also, the physicians and other allied healthcare providers promised to support the nursing staff in the process of implementing evidence-based practice. The availability of the research department is another evidence of the readiness of the organization to implement the evidence-based practice. In this department are nurses working in partnership with regional and national research institutes. The research personnel, therefore, aid the nursing staff in the translation of research findings to practice. Finally, the organization has an EBP mentoring program that is tasked to train and motivate nurses to take the responsibility of implementing the evidence-based practice.

Barriers.

Several barriers have been identified to hinder the process of implementing evidence-based practice. They are both human and institutional factors. One of the barriers is the lack of adequate time to go through the available literature from research. This is attributed to nursing shortages which leads to too much workload on available nursing staff. Another barrier is the inadequate experience by nurses on the evidence-based practice due to limited training on the same (Duncombe, 2018). Lastly, the lack of adequate resources for some procedures to be done is a significant barrier to the implementation of EBP.

Facilitators.

Among the facilitators of implementation of evidence-based practice includes the readiness of the nursing staff and other healthcare providers to receive training on the process of implementing EBP. Also, the willingness of the healthcare organization to support the whole process of implementing evidence-based practice in the management of diabetes type 2 among people with lower socioeconomic status is a facilitating factor. This is important as it ensures that the implementers have all the necessary resources to achieve the desired outcomes (Duncombe, 2018).

Problem Statement.

Diabetes mellitus type 2 is one of the common chronic diseases in the current society. The majority of the people affected by this disease are those from the lower socioeconomic status. Diabetes mellitus type 2 is considered a lifestyle condition. As a result, its prevalence is high among people of lower socioeconomic status due to barriers that hinder them from accessing quality health care services (Xu et al., 2018). These barriers are both social and physical determinants of health. These are the factors that affect where how people live, grow, interact, and even die. They include housing, availability of food, access to healthcare, level of education, and nutritional practices (Walker, Williams & Egede, 2016). These factors are experienced differently by people. As a result, there are disparities in health and its outcomes among the people. These disparities are high among the people of low socioeconomic status and suffering from diabetes mellitus type 2. Therefore, providing quality and equal healthcare service to the people is essential in reducing the disparities observed among these people as far as diabetes mellitus type 2 is concerned. This is essential in the achievement of the goals of healthy people 2020.

Research Summary and Literature Review.

According to research, there are significant health disparities related to diabetes in America. The disparities are associated with different social and physical disparities of health. These are the factors that affect the health and the outcomes of health among the people. The factors that determine health are systemic, societal, and individual in nature. Systemic factors are those that are related to the healthcare system. These include a lack of adequate resources, or policies and a shortage of healthcare providers. The healthcare system is not adequately funded to provide adequate preventive care to the people of America (Ong et al., 2018). As a result, individuals are being diagnosed with diabetes which could have been prevented. Availability of adequate resources ensures that community healthcare workers are able to provide preventive and health promotional services to the people regarding diabetes. This is likely to impact people with low socioeconomic status at risk of developing diabetes. For those who already have the disease, the provision of health promotional services help to prevent complications from arising.

Lack of adequate healthcare providers such as nurses and physician is another important factor that contributes to poor health outcomes among people of low socioeconomic status with diabetes (Ong et al., 2018). This is because the majority of the case is diagnosed late when the disease has already advanced to critical stages. Without adequate nurses and doctors, such patients are likely to receive low-quality care. Poor healthcare policies are associated with disorganized healthcare delivery. As a result individuals of the low socioeconomic class are likely to be discriminated against by the healthcare system hence resulting in poor delivery and access to healthcare.

Societal factors include those that affect the structure and nature of healthcare delivery. They include the geographical location of individuals and the healthcare facilities. The majority of the people of low socioeconomic class live in remote or slum areas. Healthcare facilities are not usually present in these areas. As a result, people have to move a long distance in search of healthcare services (Hill-Briggs et al., 2020). For conditions such as diabetes mellitus, any delay in intervention could result in devastating health outcomes for the people.

Individual factors that influence the incidence and prevalence of diabetes among the individual with low socioeconomic status are dietary practices and sedentary lifestyle. Due to lack of adequate finance, these individuals usually feed on unhealthy food that increases the likelihood of developing or complicating diabetes (Butler, 2017). A sedentary lifestyle such as lack of physical activity is another factor that contributes to the high prevalence of diabetes among the identified group. Therefore, evidence-based practice plays an essential role in the prevention and appropriate management of diabetes among such people in America today.

References

Butler, A. M. (2017). Social determinants of health and racial/ethnic disparities in type 2 diabetes in youth. Current diabetes reports, 17(8), 60.

Duncombe, D. C. (2018). A multi‐institutional study of the perceived barriers and facilitators to implementing evidence‐based practice. Journal of Clinical Nursing, 27(5-6), 1216-1226.

Hill-Briggs, F., Adler, N. E., Berkowitz, S. A., Chin, M. H., Gary-Webb, T. L., Navas-Acien, A., … & Haire-Joshu, D. (2020). Social Determinants of Health and Diabetes: A Scientific Review. Diabetes Care.

Ong, S. E., Koh, J. J. K., Toh, S. A. E. S., Chia, K. S., Balabanova, D., McKee, M., … & Legido-Quigley, H. (2018). Assessing the influence of health systems on type 2 diabetes mellitus awareness, treatment, adherence, and control: a systematic review. PloS one, 13(3), e0195086.

Walker, R. J., Williams, J. S., & Egede, L. E. (2016). Influence of race, ethnicity and social determinants of health on diabetes outcomes. The American journal of the medical sciences, 351(4), 366-373.

Xu, G., Liu, B., Sun, Y., Du, Y., Snetselaar, L. G., Hu, F. B., & Bao, W. (2018). Prevalence of diagnosed type 1 and type 2 diabetes among US adults in 2016 and 2017: population based study. Bmj, 362, k1497.