I need about 120-150 words for each question.

A. Behavior change is very important in chronic care management. Most population health issues are chronic issues. Think about the transtheoretical model of behavior change in Chapter 8 of Population Health: Creating a Culture of Wellness.

a. Do you think this model could easily be applied to your project? If not, is your project a process or systems change? What model could you utilize to drive change?

B. Quality improvement not only includes the acute care and primary care settings, but also disease prevention and population initiatives under the domain of public health as the local, national, and international levels. Despite being so widely accepted, we still have strides to make. Understanding the factors that enable or influence adoption of quality improvement, as well as the barriers, is very important.

a. Remember that as a leader without formal managerial authority, you can influence change as an opinion leader, champion, or boundary spanner. Consider how you may apply each to your role in your setting.

The national patient safety goals are aimed at improving the safety of patients by ensuring that very minimal medical errors occur within hospitals.  When patients get admitted to hospitals, there are a lot of things that may go during the treatment, such as mix-up in medicines, administration of wrong treatment plans, among others. Some of these errors occur because of the communication breakdowns among caregivers, while some errors occur due to negligence. When such errors occur, they put patients at risk because medical errors can have severe consequences on the health of the patient and, in some cases, loss of life.  Therefore the National Patient Safety Goals are designed to improve the practice of medical workers and ensuring that patient safety is upheld.  The 2019 National Patient Safety Goals focused on some key areas that deal with such issues as patient identity, safe use of medicine, prevention of infection, and prevention of risks (“National Patient Safety Goals,” 2019), among others. One of the areas that have interested me is the issue to do with the safe use of medicine. 

The use of medicine in hospitals can put the safety of patients at risk, especially when wrong drugs are administered (Kavanagh, 2017).  The consequence of such actions are always dire to the patient and taints the integrity and professionalism of the caregiver involved. Errors that arise from wrong prescription drugs are a concern to me because I have witnessed some occasions where caregivers thought that they were giving patients the right medication only to realize that they used the wrong container. This confusion often arises because the containers that hold medicine are similar, which makes it easy for a nurse or doctor to confuse the drugs (Billstein-Leber et al., 2018).   The lack of proper labeling of medical containers has placed the safety of patients at risk, and therefore, I think that more needs to be done to ensure that no confusion arises. If possible, pharmaceutical companies should use different colors and container shapes to help in removing the mix-up that caregivers may find when attending to patients. 

The NPSG of safe use of medicine allows nurses and other healthcare workers to improve the way they handle medications at the hospital.  Healthcare workers are asked to label all medicines before embarking on a procedure at the hospitals. No drug should be left unlabeled because it can lead to mix-ups.  The challenge that comes from the labeling of medicine is that medicine container looks alike and therefore, healthcare workers may mistake the drugs leading the violations of safety standards. 

Another area that has proven to be challenging is taking records of patients’ medicines and ensuring that patients adhere to the right prescription, especially after being discharged.  When patients leave hospitals, they need to know the type of medicine that they should use and how they should take them. However, nurses and other healthcare workers often forget to educate patients on how to use their prescribed medication, thereby leading to cases of overdose as well as the ingestion of wrong drugs.  

Additionally of patients in the correct manner can also be a challenge that the NPSG seeks to address in its 2019 safety goals.  Patient identification can prove to be an uphill task, especially when records are not taken properly. The NPSG suggest that healthcare workers should identify patient on the name and date of birth basis to prevent cases of wrong identification (“National Patients Safety Goals,” 2019).  However, these goals can be improved through technology where patient’s records can be stored using the digital electronic systems of health. Electronic health records help healthcare workers to identify patients with eases and ensure that they get the right treatment plans. The electronic health systems also aid in ensuring patients privacy protection

All replies must be constructive and use literature where possible.

Your assignment will be graded according to the grading rubric.

 

Please answer the following questions regarding the implementation and operations of policies:

Question 1: What is the essence of policy implementation? Discuss the effect of implementing organizations on policy implementation.

Question 2: Describe in general terms the policy evaluation process.

Response for each question should be at least 100 words long and no more than 200 words long.

 Please ensure you cite your references in APA format with a minimum of 3 references 

 

1) Minimum 11  full pages ( excluding title page and reference pages)

                Part 1: minimum 5 pages

                Part 2: minimum 2 pages

                Part 3: minimum 2 pages

                Part 4: minimum 2 pages  

Submit 1 document per part

2)¨******APA norms, please use headers

            All paragraphs must be narrative and cited in the text- each paragraphs

            Bulleted responses are not accepted

            Can write in first person in part 2, 3 and 4

            Dont copy and pase the questions.

            Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

           Submit 1 document per part

3) It will be verified by Turnitin and SafeAssign

4) Minimum 4 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

___________________________________________________________________________

Part 1:   Policy Analysis Paper Guidelines about LGBTQ health 

 

Purpose: To investigate & integrate knowledge of advanced nursing practice, scholarly inquiry, & leadership by examining a policy at the level of clinical practice, health care systems, or public/social health policy.

You must strictly follow the following scheme. You must use titles and subtitles.

Introduction (Maximum 1 pages):  

1. Generally define & describe the policy issue to be addressed. 

2. Identify the purpose of analysis, the targeted level of policy (i.e., clinical practice, health care systems, or public/social health) & significance of topic.

3. Identify questions the policy analysis is intended to address.  

 

Background:

1. Provide details of the issue or problem, including its nature/scope,

relevant literature & history, & the context within which the issue

exists.

2. Describe existing policy addressing the issue, if any.

3. Discuss strengths & shortcomings in existing policy.

4. Identify & describe key stakeholders (individuals & groups) that

are or will be affected by the policy & why

Analysis 

1. Identify alternative policies to achieve objectives. 

2. Establish/identify criteria that will be used for selection of “best” policy. 

3. Evaluate each alternative & its potential impact relative to the healthcare & patient outcomes. 

4. Assess the trade-offs between alternatives. 

 Recommendations  

 1. Based on the analysis, identify the “best” alternative to address the current issue & policy situation. 

2. Provide rationale for selection. 

3. Describe possible strategies to implement selected alternative. 

4. Identify barriers to implementation of selected alternative. 

5. Describe methods to evaluate policy implementation.  

 Discussion (1/2 page) 

1.  Discuss analysis & recommendations relative to the original questions identified, & the level of policy it is intended to address (i.e., clinical practice, health care systems, or public). 

2. Identify limitations of analysis. 

3. Discuss implications for practice, education, research, & policymaking.  

Conclusion ( minimum 1/2 page) 

1. Summarize findings & recommendations of analysis 

2. Identify questions to be addressed in future studies or policy analyses 

Part 2: Nursing theory about childhood

Purpose:  to incorporate their knowledge from this course and reflect on a theory or concept that you could develop as a nursing professional. 

1. If you could develop your own personal nursing theory as RN-BSN, what would it be? 

   a. Mention the basic components of your theory

2. How would you use it?

3. Reflect about benefits of your theory for your population

4. How it applies to your nursing practice.

Part 3: Nursing theory about Elderly

Purpose:  to incorporate their knowledge from this course and reflect on a theory or concept that you could develop as a nursing professional. 

1. If you could develop your own personal nursing theory as RN-BSN, what would it be? 

   a. Mention the basic components of your theory

2. How would you use it?

3. Reflect about benefits of your theory for your population

4. How it applies to your nursing practice.

Part 4: Nursing theory about Rehabilitation

Purpose:  to incorporate their knowledge from this course and reflect on a theory or concept that you could develop as a nursing professional. 

1. If you could develop your own personal nursing theory as RN-BSN, what would it be? 

   a. Mention the basic components of your theory

2. How would you use it?

3. Reflect about benefits of your theory for your population

4. How it applies to your nursing practice.