107nurw2 – 2025 Minimum of 750 words with at least 3 peer review reference in 7th edition apa style Please answer each

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107nurw2 – 2025

Minimum of 750 words with at least 3 peer review reference in 7th edition apa style.  Please answer each question in a separate paragraph.

  The burden of Diabetes should be seen as a major health crisis affecting Americans. 

1.  From a local perspective, how does the practice problem of Diabetes  impact nurses, nursing care, healthcare organizations, and the quality of care being provided?

2.  Identify the local key stakeholders related to the selected practice problem.

3.  Describe one approach used at your unique setting to address this problem. From your perspective, is this intervention effective in addressing the problem? Why or why not? If this practice problem is not addressed at your workplace, propose an intervention that could be implemented on a local scale to address the problem.

2 Coments Each One 150 Words (CITATION AND REFERENCE) – 2025 REPLY1 Mackey and Bassendowski 2017 argue that the quality of patient outcome depends on well trained nursing personnel Further adding that

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2 Coments Each One 150 Words (CITATION AND REFERENCE) – 2025

REPLY1 

Mackey and Bassendowski (2017) argue that the quality of patient outcome depends on well-trained nursing personnel. Further adding that reduced mortality rates, few medical errors and positive outcomes are associated with baccalaureate and degree nursing programs. In addition, training and learning process that instills skills in healthcare providers play a very important role in optimizing quality and guarantees patient safety. There are very many reasons why nurses decide to pursue baccalaureate degrees including to obtain leadership roles in organization as well as promoting quality of patient care. According to study carried out by National Center for Biotechnology information findings concluded that hospitals with high numbers with BSN nurses have generally lower mortality and few medical errors as compared to those hospitals with few BSN nurses.

The labor statistics bureau released a report showing a shortage of 3 million BSN nurses in United States (Cho, Sloane, Kim, Kim, Choi, Yoo & Aiken, 2015). Despite the fact that hospitals still believe that they will still get 80% BSN registered nurses by the end of 2020 as recommended by institute of medicine there is still a large group of registered nurses without baccalaureate education. I work in palliative care unit in our facility where we have only one BSN trained nurse with many ADN nurses thus making it difficult to minimize medical errors. In conclusion, patient outcome is tied to nurse education level.

Reference

Mackey, A., & Bassendowski, S. (2017). The history of evidence-based practice in nursing education and practice. Journal of Professional Nursing, 33(1), 51-55.

Cho, E., Sloane, D. M., Kim, E. Y., Kim, S., Choi, M., Yoo, I. Y. … & Aiken, L. H. (2015).

Effects of nurse staffing, work environments, and education on patient mortality: an

observational study. International journal of nursing studies, 52(2), 535-542.

REPLY2

Nursing practice, nursing as profession, nurses’ role and responsibilities have changed and evolved since the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM) report and Affordable Care Act (ACA). Nurses has become the essential workforce to change and improve the American health care system. Their direct and continuous interaction with patients and families, make them crucial resources of information regarding patient health condition and health care needs. Likewise, they are the advocates for patient rights, and quality, equal, and safe care. However, nurses must get better education to provide the community with safer, higher and adequate care, and play the important role to influence laws and legislations that affect patient health care delivery services. To meet the country’s health care demands, at least 80% of the existing nursing workforce should be prepared at the baccalaureate degree level by 2020. Concomitantly, baccalaureate-level nursing degrees should become the entry point of general nursing practice.

Higher level of nursing education has showed better quality of care, less patient care errors, less mortality and better patient outcomes. This is evident in the research findings pertaining to nursing education and the rates of patient morbidity and patient mortality, which are significantly less among baccalaureate-prepared nurses (Kutney-Lee, Sloane, & Aiken, 2013).

I work as clinical supervisor in a local hospital in Los Angeles. I have the opportunity to work with new grads who received orientation and training in the Versant program. This program provides new grads with BSN the opportunity to get experience and apply their nursing skills in acute care settings. Even thought, those nurses do not have experience in patient care, they are very knowledgeable about patient safety, assessments, nursing care, etc. They are excellent critical thinkers about patient health conditions changes, they know how to communicate with other health care professionals, they are flexible regarding patient assignments, influence health care decisions, and advocate for patient and family rights. 

Reference:

Grand Canyon University, 2018.Chapter 3 in Trends in Health Care: A Nursing Perspective.

https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/trends-in-health-care_a-nursing-perspective_1e.php

Kutney-Lee, A., Sloane, D. M., & Aiken, L. H. (2013). An increase in the number of nurses with baccalaureate degrees is linked to lower rates of postsurgery mortality. Health Affairs (Project Hope), 32(3), 579–586. doi: 10.1377/hlthaff.2012.0504

Essay – 2025 I need minimum 1 page essay answering the following question APA stile plus two references 1 What are the causes

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Essay – 2025

 I need minimum 1 page  essay answering the following question, APA stile plus  two references

 1-What are the causes of epilepsy?

 2-What are the signs and symptoms specific to epilepsy? Relate the signs and symptoms to specific types  of  epilepsy.

 3-Explain the importance of patient drug compliance in the pharmacotherapy of epilepsy

4-Describe the nurse’s role in the pharmacological management of epilepsy.

Please Answer – 2025 26yo woman has several first degree relatives who have died of breast cancer in their 40s

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Please Answer – 2025

  

26yo woman has several first degree relatives who have died of breast cancer in their 40s. She has heard of the BRCA1 gene and is considering the possibility of a genetic link in her family. She chooses to have BRCA1 testing and her results are positive. This is an autosomal dominant trait but unlike other genetic diseases, like Huntington’s, for example, it is not 100% penetrant. Rather, this is associated with a 45-85% lifetime risk of breast cancer compared to the 12% risk for any woman. There may be as many as 700 variants of BRCA1. At this time, it is unknown where each of those variants fall in the risk range.

1. Does this woman have a moral obligation to notify her future spouse of her test results? Why or why not?

2. If you were seeing this woman as an APRN, how would you counsel her on what she should or should not share with her future spouse? Why?

3. If this woman instead had a genetic disorder that was 100% penetrant, would it change your position on 1 and/or 2? Why?

Colleagues Response Week 2 – 2025 The Assignments Respond to at least two of your colleagues by offering additional insights

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Colleagues Response Week 2 – 2025

  

The Assignments

Respond to at least two of your colleagues by offering additional insights or alternative perspectives on their diagnosis or provide alternate next questions and why you selected those. Support your responses with evidence-based literature with at least two references in each colleague’s response with proper citation.

Colleagues Response # 1

Working With Children and Adolescents Versus Adults

           A practitioner must be versed in conducting an assessment of a child versus and adult. There is a difference when a child is not always able to deliver the information the practitioner seeks. More people need to be involved when gathering information regarding a child in comparison of an adult (Sadock, Sadock, and Ruiz, 2014).

Developmental Assessment

A developmental assessment seeks to uncover the history of development and meeting of milestones from pre-birth to current state. The developmental history helps paint the picture for the practitioner of the growth of the child, potential risks, and flags that warrant further investigation. A developmental assessment includes intellectual, academic, physical development, history of medical and mental health, family bonds, socioeconomic status, and other information the parent, teachers, and/or child may find important to share.

Assessment Instruments for Children and Adolescents

           One assessment tool is the SDQ, which is a screen that both a parent and other adult, such as a teacher, complete to identify areas of concern in emotional symptoms, conduct, hyperactivity-inattention, peer problems, prosocial behaviors, and caregiver stress in children ages 3-16 years of age (McSherry, Malet, & Weatherall, 2019). Another assessment instrument is the CATS screen, which a caregiver completes to identify trauma that has occurred in a child’s life. The screen is used in ages 3-6 years as well as 7-17 years; there are two separate screens depending on the age of the child. The CATS screen has been evaluated and recommended internationally as a valid screen for PTSD or other trauma in childhood (Sachser et al., 2017). A third instrument is the Wechsler Intelligence Scale for Children (WISC-III-R) use din children 6-17 years which highlights the “verbal IQ, a performance IQ, and a combined full-scale IQ” (Sadock, Sadock, & Ruiz, 2014). Neither of the first two assessment instruments mentioned would be valid for adults as both instruments require the caregiver to complete the screen. An adult is able to complete his or her own screen, so other instruments would be more efficient when seeking out information related to adults. Sadock, Sadock, and Ruiz (2014) highlight that there are different assessment tools used for children and adults due to the need for caregivers to give their feedback about symptoms. Although, it is important to note that the information shared by the caregiver may be distorted due to the caregiver stress, frustration, or mental health concerns that may be present (Sadock, Sadock, and Ruiz, 2014). The third instrument is based on the average scale of the age of the child and not intended for adults.

Treatment Options for Children and Adolescents

Treatment for children and adolescents include psychological education for the caregivers and educational treatment plans. Sadock, Sadock, and Ruiz (2014) highlight the importance of a combined effort from the caregiver, teachers, clinician, and the child to obtain positive results when treating mental health concerns. Psychological education for caregivers and educational treatment plans are not used in adulthood as the developmental stage is advanced past caregivers and teachers.

Parents Role in Assessment and Treatment

           According to Saddock, Saddock, and Ruiz (2014), the parental interview is an essential aspect pf the assessment and cooperation from the parents helps support the most successful testament plan. Parents are able to relay important information of developmental history, familial history, symptoms exhibited, strengths, and weaknesses. The treatment plan needs to be “consented” to by the parent including psychotherapy and psychopharmaceutic options. The child is not able to consent to treatment without the consent of the guardian in most cases.

Colleagues Response # 2

Working with Children and Adolescents Versus Adults

          Adolescent’s and children’s  assessment should be conducted routinely as they are very important. It should be conducted on a routine basis. The purpose of performing a routine assessment on children and adolescent is to evaluate various aspects of their functioning level, cognitive development, communication, behavior, social interaction, motor, and sensory functioning. The assessment is also important because it can help identify deficiencies in the early stage of growth. Studies have indicated that about 1 in 6 children between the ages of 3 to 17-year-old is born with abnormalities which include autism, ADHA, learning, and language disorder (Eileen Haebig, April 2019).

                                                                                  Assessment instruments used for evaluating children and adolescents

          Assessment instruments are tools use in gathering developmental information about the child and adolescent functional levels. However, I will be discussing different assessment instruments that can be used for children and adolescent’s evaluation. My first assessment tool will be the Denver Developmental Screening Test. It helps to assess various risk for developmental delay or functions which includes motor function, cognitive, adaptive skills, communication skill and social interaction (Sadock, 2014). The test is suitable for children in early school-age 6-year old. As stated above, it is imperative to begin the assessment in early child development to know how well the child or adolescent progressing without any abnormalities or delay. The screening tool is structured for the evaluation of a child’s development. It is also administered only by the evaluator directly with the child and does not require direct input from any other person. Furthermore, the Denver Developmental Screening Test is aimed for early identification of risk for developmental delays.

          My second assessment tool will be the ADHD Rating Scale. This evaluation tool can be completed by the child’s parent or teacher to help guide the clinician to diagnose the child or adolescent with attention deficit hyperactivity disorder. The ADHD Rating Scale consists of 18 test question that permits the teacher or parent to evaluate how many times the child behaviors change either at home or in school. According to (Overgaard, et al., 2019), states that screening purposes, the parent and teacher ECI-4 ADHD rating scale showed acceptable accuracy in identifying preschoolers at risk for ADHD.  There are many treatments available for children with ADHD and is supportive to the child which may include changes in the classroom and at home, academic and social skills training (Sadock, 2014).

                                                                                             Treatment options used for children and adolescents

          There are many treatments options available for children and adolescents. The applied behavior analysis (ABA) treatment is used to treat kids with social disorders like autism. This treatment has been proven to increase behaviors, learning/communication skills, and social skills in children with functional delays (Matson, 2012). Additional treatments are occupational therapy and therapeutic Horseback Riding.

                                                                                                         Roles parents play in assessment and treatment

          Every parent have a vital role to play in the treatment of his/her child. As a PMHNP, it is advisable to always involve the parent of the child or adolescent in the plan of care or medication management. This will permit the parents to have a vast understanding of the child or adolescent change in development. The parent participation is predominantly important for child growth and development.

Answer To Peer, Similarities Less 5%, References 2, APA 6 – 2025 Describe how your future practice as an advanced practice nurse can promote access to health care in your area

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Answer To Peer, Similarities Less 5%, References 2, APA 6 – 2025

Describe how your future practice as an advanced practice nurse can promote access to health care in your area. Be specific about the interventions that you will do?

Nursing is one of the most engaging and vital duties in the healthcare department. There is a need to come up with advanced and better ways of providing this service. As a practice nurse, I have developed better ways to improve my service provision.

How to promote access to health care in my area. 

First of all, as a practice nurse, I will improve on the healthcare delivery services for the poor and elderly in the community by employing the home-based service delivery for those that don’t have the means to get to the healthcare facility and to those that can’t afford admission into the wards, buy doing so I will have put to advantage that fraction of the population, (Butcher, et al, 2018).

Secondly, nurses being among healthcare workers with the shortest stay in hospitals, I will try my best to increase my working hours to provide extra services. This will ensure I complete my duties as well as improving my reliability at work.

More so, I will incorporate modern technology in my service delivery, such as increasing communication with the patients and workmates in passing information, instructions, and doing more research to better my performance (Stanhope & Lancaster, 2019).

Lastly, I will emphasize on the need for consultation services to my patients and the community at large in areas such as nutrition, parenting, and family planning at a low or no cost for those that can’t afford.

Conclusion

Practice nursing requires a lot of commitment, inventions, and innovations to improve service delivery; I believe, I will bring about better performance by incorporating the above-discussed practices

References

Butcher, H. K., Bulechek, G. M., Dochterman, J. M. M., & Wagner, C. M. (2018). Nursing Interventions classification (NIC)-E-Book. Elsevier Health Sciences.

Stanhope, M., & Lancaster, J. (2019). Public health nursing e-book: Population-centered health care in the community. Elsevier Health Sciences.

Trends & Issues In Executive Management For Health Care Administrators – 2025 Attention Wizard Kim Please pay attention to the instructions Please all the resources for citations before using

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Trends & Issues In Executive Management For Health Care Administrators – 2025

Attention Wizard Kim 

              Please pay attention to the instructions, Please all the resources for citations before using the outside source. These two classes is for the last Professor I failed her class and she reads every sentence in my paper. 

This week 3 has 2 discussions: Discussion 1(2 pages)

Discussion 2 (2 pages)

Nursing: Evidence-Based Practice – 2025 Is there a difference between common practice and best practice When you first went to work

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Nursing: Evidence-Based Practice – 2025

 

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
  • Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
  • Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

  • Identify and briefly describe your chosen clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question
  • Describe how you used keywords to search on your chosen clinical issue of interest.
  • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
  • Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

  • The full citation of each peer-reviewed article in APA format.
  • A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
  • A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
  • A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
  • A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Nursing: Transition To Graduate Study For Nursing – 2025 New construction projects begin with a design phase where architects blueprint the vision

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Nursing: Transition To Graduate Study For Nursing – 2025

 

New construction projects begin with a design phase, where architects blueprint the vision complete with design details. They work in collaboration with builders who use the designs to prepare the appropriate strategies, tools, and materials to bring the vision to reality. You are both architect and builder of your success. You have started to blueprint your vision in your Academic Success and Professional Development Plan. You have identified others with whom you will collaborate. Now you can begin to prepare the appropriate strategies, tools, and materials

How will you approach your studies? What types of resources are available to you, and how will you access and utilize them? Taking the opportunity to prepare these strategies, tools, and materials will help ensure you can “break ground” without incident and successfully move to the phase where you begin building your vision.

To Prepare:

  • Consider your goals for academic accomplishments while a student of the MSN program.
  • Reflect on the strategies presented in the Resources for this module.

The Assignment:

In this Assignment, you will continue developing your Academic Success and Professional Development Plan by appending the original document you began in the previous Assignment to develop the second component—academic resources and strategies. To accomplish this:

  • Identify and describe at least three academic resources or strategies that can be applied to the MSN program
  • Identify and describe at least three professional resources that can be applied to success in the nursing practice in general or your specialty in particular
  • Explain how you intend to use these resources, and how they might benefit you academically and professionally.

Weeks 1 And 2 Technology And Caring For The Client Essay CLINICAL CONCEPTS – 2025 Consider a client who you have cared for in a clinical setting

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Weeks 1 And 2 Technology And Caring For The Client Essay CLINICAL CONCEPTS – 2025

 

Consider a client who you have cared for in a clinical setting. Analyze the role of the technology used in the care of this client. Calculate the time-saving measures the technology provided. How was the technology able to improve the client’s outcome? You will need to research the specific technology in order to complete your full analysis.

As you consider this client, also develop a list of defining characteristics as if you were preparing to create a plan of care. Write a two- to three-page essay addressing these questions. Include your rough draft of your plan of care and describe which of the characteristics you consider data and which you consider information.

Compose your essay in APA format with a title page, an introduction, a conclusion, and a reference page. Cite at least one scholarly reference in APA format. An abstract is not necessary.