Research Paper #1:  APA STYLE        REFER TO THE RUBRIC ATTACHED PLEASE

Please, review the following case study. The following questions with guide your research paper. 

Maria is 15 years old and 74 pounds overweight. Her father is an uber driver who was recently diagnosed with type 2 diabetes and cardiovascular disease. Her mother works for a cleaning company. She is overweight with lipid disorder (high blood levels of low-density lipoprotein (LDL) cholesterol and triglycerides). She is taking two antihypertensive medications at present time. At a recent health science fair at Maria’s school, a student-led screening clinic documented Maria’s blood pressure at 141/92 mm Hg. The family immigrated from Nicaragua 3 years ago and they do not have health insurance. 

During health science fair, the following data was recorded: 56% of the students with BMI 25.0 to <30 and 18% of the students with BMI 30.0 or higher.

Consider yourself a community health nurse. 

1. Is obesity a major health issue in the United States? 

2. According to the National Health and Nutrition Examination Survey (NCHS, CDC; BRFSS, 2012), how is obesity defined?

3. What is your role as a community nurse? 

4. What risk factors should be explored for Maria’s family for cardiovascular disease? Mention social determinants of health in this case. Incorporate the concepts of health promotion and risk reduction. 

5. Would you apply any of the behavioral change models to address health promotion and risk reduction in this case (theoretical frameworks of behavioral change / models discussed on Chapter 5 of textbook). Describe your selection. 

6. Public health nurses use statistics to demonstrate the need for obesity program development and community interventions. According to the most recent CDC data: What data were identified about obesity in children and adults? 

7. Is there a necessity of planning a community nursing intervention? How will you do that? Will you work alone or in collaboration / teamwork? Will you look for funding? How? 

8. If you decide to do a community intervention. How would you evaluate the community-level intervention(s)? 

9. Will you use social marketing to change health behaviors or beliefs, social or cultural norms, or community standards to improve health or benefit society. Which resources will you use?

10. Mention research studies that support any of the above (1 through 9) (mention at least 3 research studies in the paper).

 

As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.

In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

To Prepare:

• Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
• Select a healthcare program within your practice and consider the design and implementation of this program.
• Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.

The Assignment: (2–4 pages)

In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:

• Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
• Who is your target population?
• What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
• What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
• What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
• Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

Post a brief description of the results of your Work Environment  Assessment. Based on the results, how civil is your workplace? Explain  why your workplace is or is not civil. Then, describe a situation where  you have experienced incivility in the workplace. How was this  addressed? Be specific and provide examples.

Instructor and Class,

Addressing the Purnell Model for Cultural Competence and its relevance for advanced practice nurse, it is necessary to note that this theory helps nursing professionals identify twelve cultural domains where they need to practice cultural competence in order to provide high quality patient care.  These domains are as follows: heritage, communication, family roles and organization, workforce issues, bicultural ecology, high-risk behaviors, nutrition, pregnancy and childbearing, death rituals, spirituality, healthcare practices, and healthcare practitioner (Estevan, 2017).  Below, all these twelve domains will be observed in detail.

The domain of heritage refers to concepts related to country of origin, current residence, the effects of the topography of the country of origin and current residence, economics, politics, reasons for emigration, educational status, and occupations (Purnell, 2020).  The domain of communication implicates concepts related to the dominant language and dialects; contextual use of the language; nonverbal communications such as the use of eye contact, facial expressions, touch, body language, spatial distancing practices, and acceptable greetings; and the use of names (Purnell, 2020).  The domain of family roles and organization includes concepts related to the head of the household and gender roles; family roles, priorities, and developmental tasks of children and adolescents; child-rearing practices; and roles of the ages and extended family members; single parenting, sexual orientation, child-less marriages, and divorce (Purnell, 2020).

Further, the domain of workforce issues refers to concepts related to autonomy, acculturation, assimilation, gender roles, ethnic communication styles, individualism, and health care practices from the country of origin (Purnell, 2020).  The domain of bicultural ecology includes variations in ethnic and racial origins such as skin coloration and physical differences in body stature; genetic, heredity, endemic, and topographical diseases; and differences in how the body metabolizes drugs (Purnell, 2020).  The domain of high-risk behaviors includes the use of tobacco, alcohol and recreational drugs; lack of physical activity; nonuse of safety measures; and high-risk sexual practices (Purnell, 2020).

Next, the domain of nutrition includes having adequate food; food choices, rituals, and taboos; and how food and food substances are used during illness and for health promotion and wellness (Purnell, 2020).  The domain of pregnancy and childbearing refers to fertility practices; methods for birth control; views towards pregnancy; and prescriptive, restrictive, and taboo practices related to pregnancy, birthing, and postpartum treatment (Purnell, 2020).  The domain of death rituals includes how the individual and the culture view death, rituals and behaviors to prepare for death, burial practices, and bereavement behaviors (Purnell, 2020).

Finally, spirituality refers to religious practices and individual sources of strength (Purnell, 2020).  Health care practices includes the focus of health care such as acute or preventive; traditional, magicoreligious, and biomedical beliefs; individual responsibility for health; pain tolerance; self-medication practices; and views towards mental illness, and organ donation and transplantation (Purnell, 2020).  Health care practitioner refers to the status, use, and perceptions of traditional, and allopathic biomedical health care providers (Purnell, 2020).

In essence, advanced practice nurses (APNs) are expected to be well-educated and competent in all those twelve domains to be able to act professionally when facing differences and diversity related issues (Purnell, 2019).  Using the Purnell’s model, APNs can become more understanding and adaptive to various circumstances, and better able to apply culturally focused interventions.  The model helps APNs guide their thinking and decision-making process when they plan for holistic patient care (Purnell, 2019).

References

Estevan, G. (2017). Application of the cultural competence model in the experience of care in nursing professionals Primary Care. Atencion Primaria, 49(9), 549-556. doi: 10.1016/j.aprim.2016.10.013

Purnell, L. (2019). Update: The Purnell theory and model for culturally competent health care. Journal of Transcultural Nursing, 30(2), 98-105. doi: 10.1177/1043659618817587

Purnell, L. D. (2020). The Purnell Model and Theory for Cultural Competence. In Textbook for Transcultural Health Care: A Population Approach (pp. 19-59). Springer, Cham.

 2 references (within 4years)

APA style

minimum 300 words (4-5 sentences per question)

You are caring for an 82-year-old woman who has been hospitalized for several weeks for burns that she sustained on her lower legs during a cooking accident. Before the time of her admission, she lived alone in a small apartment. The patient reported on admission that she has no surviving family. Her support system appears to be other elders who live in her neighborhood. Because of transportation difficulties, most of them are unable to visit frequently. One of her neighbors has reported that she is caring for the patient’s dog, a Yorkshire terrier. As you care for this woman, she begs you to let her friend bring her dog to the hospital. She says that none of the other nurses have listened to her about such a visit. As she asks you about this, she begins to cry and tells you that they have never been separated. You recall that the staff discussed their concern about this woman’s well-being during report that morning. They said that she has been eating very little and seems to be depressed.

1. Based on Nightingale’s work, identify specific interventions that you would provide in caring for this patient.

2. Describe what action, if any, you would take regarding the patient’s request to see her dog. Discuss the theoretical basis of your decision and action based on your understanding of Nightingale’s work.

3. Describe and discuss what nursing diagnoses you would make and what interventions you would initiate to address the patient’s nutritional status and emotional well-being.

4. As the patient’s primary nurse, identify and discuss the planning you would undertake regarding her discharge from the hospital. Identify members of the discharge team and their roles in this process. Describe how you would advocate for the patient based on Nightingale’s observations and descriptions of the role of the nurse.