Answer this discussion with two separated paragraphs with two references no more than 5 years. 

The provision of holistic care is an important aspect of Swanson’s middle-range theory. Swanson was inspired by Jean Watson’s theory of human caring and had considered the use of caring-based therapeutics and answers that will mold the practice of nursing ( Andershed, et al.,2009). Swanson (1991) defined caring “ As a nurturing way of relating to a valued other person, towards whom one feels a personal sense of commitment and responsibility “ (p 2). Swanson’s theory of caring comprises knowing, being with, doing for, enabling, and maintaining belief (Swanson, 1991).

According to Swanson  (1991), knowing is focused on listening, observing, and understanding another individual without making any assumptions. Being with is about being present, and allowing expression and sharing of feelings.  Doing for pertains to the nurse’s ability to anticipate the client’s needs and perform necessary skills that will provide comfort and protection for the individual ( Swanson, 1991). Swanson(1991) emphasized that enabling will help the individual’s growth concerning healing and self-care and the nurse should take the lead in providing information and assisting the individual to understand new information received. Nurses are encouraged to continue to promote a reciprocal discussion with the client and demonstrate support and validation of feelings. Maintaining belief is the ability of the nurse to foster a positive attitude and influence the client to feel the same. The nurse should assist the client and family to feel confident and be optimistic even in difficult situations (Swanson, 1991).

The five components of Swanson’s theory of caring encompass all the facets of the nursing metaparadigm- person, health, environment, and nursing. In providing care, nurses must take into consideration that the person is the main focus of nursing. (Mintz-Binder,2019). Swanson’s theory of caring focuses on addressing the person’s needs and providing holistic care after gathering objective information and knowing the person by utilizing effective communication.  The nurse, client, and family members need to practice a clear and structured way of communicating to appropriately address the client’s holistic needs.  The environment focuses on determining both internal and external factors that may influence the client’s health status (Mintz-Biner, 2019). The nurse needs to objectively assess the client’s living situation, availability of a support system, and how to understand these factors in achieving the best client outcomes. The nursing practice involves having an invaluable nurse-client relationship and this is realized with the utilization of the five components of Swanson’s theory of caring.

I realized that I have applied all the components of Swanson’s theory of caring in my nursing practice. I worked as a bedside clinician in Labor and Delivery unit for many years and in every client admission, I always view my client as an individual. I recognized that clients who are admitted to a hospital may have different levels of anxiety and I ensure that clients are provided with undivided attention, caring attitude and making them feel that they are heard and most importantly,  letting them know that nurses are always available to attend to their needs.

Health care organizations continuously strive to increase patient satisfaction scores. In this regard, evidence-based practices are utilized to improve patient satisfaction scores. According to Ellina, et al. (2019), caring is considered as an evaluation of service, and clients could feel satisfaction when care is rendered. Nurses consistently demonstrate a caring behavior that will mainly influence how clients evaluate care and services received during the hospital stay. Ellina, et al. (2019) emphasized that research had proven that there is a relationship between caring and hospital services and patient satisfaction. Swanson’s theory of caring provides direction for nursing practice. As nurses incorporate the five components of this theory into their practice, this will be beneficial in improving patient satisfaction scores and will significantly enhance nurses’ ability to be creative, innovative, and patient-specific in managing clients (Ellina, et al., 2019)

References:

References:

Ellina, A. D., Kusnanto, Adiutama, N. M., Sismulyanto, & Rusmawati. (2019). Evaluation of Patient Satisfaction and Nurse Caring Behaviour: Based on Swanson’s Theory. Indian Journal of Public Health Research & Development, 10(8), 2698–2702. https://doi-org.chamberlainuniversity.idm.oclc.org/10.5958/0976-5506.2019.02277.0

Mintz-Binder, Ronda & DNP, RN. (2019). The connection between nursing theory and practice. Nursing Made Incredibly Easy!, 17, 6-9. https://doi.org/10.1097/01.NME.0000549615.05397.55

Swanson, K. M. (1991). Empirical development of a middle-range theory of caring. Nursing Research, 40(3), 161-166. https://doi.org/10.1111/j.1547-5069.1993.tb00271.x

A. Select an economic, historical,demographic or policy issue that has an impact on the provision of population health care 

B. Clearly state the single area out of this list that you plan to describe. 

C. Discuss the  background of the issue(s), the  impact that it exerts on public health, and the  resulting issues related to population health. 

D. Provide recommendations for dealing with the issue in the future.

E. How can nurse leaders have a positive influence on expected trends in the future?

Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

1. Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.
2. Create a problem statement.
3. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.
4. Discuss the impact on the health care delivery system.

Include three peer-reviewed sources and two other sources to support the policy brief.

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. 

Systematic Sampling is often used in external audits of health care organizations, especially when there is a suspicion of fraud. These investigations are conducted by several US government agencies, including but not limited to: Office of the Inspector General, Department of Justice, and State Attorneys General offices.

Go to: https://oig.hhs.gov/reports-and-publications/oas/cms.asp (Links to an external site.)

Choose one of the Reports on a health care-related investigation.

Share, in your own words, what research methodology was used to perform that medical audit. Be specific.

Cite your source using APA formatting.

Write a 3–4 page response to an employment questionnaire requiring a self-evaluation of your leadership and ethical experiences.

An understanding of one’s own approaches to leadership, motivation, collaboration and ethical situations is important to the evolution of an effective leader. An introspective lens can help emerging leaders better understand and hone these important skills.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 1: Apply qualities, skills and practices used by effective healthcare leaders. 
  • Analyze one’s own leadership qualities and actions relative to a specific experience.
• Competency 2: Apply practices that facilitate effective interprofessional collaboration. 
  • Analyzes one’s own leadership and motivational techniques used to foster collaboration among stakeholders.
• Competency 3: Apply ethical codes and diversity best practices in health care organizations.  
  • Analyze actions taken in response to an ethical dilemma, using an ethical code. 
• Competency 4: Produce clear, coherent, and professional written work, in accordance with Capella’s writing standards. 
  • Conveys clear meaning in active voice, with minimal issues in grammar, usage, word choice, spelling, or mechanical errors. 

The following resource is required to complete the assessment.

• Western Medical Application Questionnaire [DOCX]. (see attached)

Preparation

Download and review the Western Medical Enterprises Questionnaire found in the Resources. Use it to complete this assessment.

Optional

Read Ethical decision-making in a caring environment: The four principles and LEADS if you chose this reference to complete your assignment. See the Western Medical Enterprises Questionnaire for details.

Scenario

Imagine that over the past few months you have participated in several organizational projects and met many new people.  The opportunities to collaborate and demonstrate your emerging skills as a leader prompted you to think about applying for a new position.  After exploring online job postings, you prepared a resume and submitted the application to Western Medical Enterprises. A few days later you received the following email:

Dear Applicant,
Thank you for your interest in employment at Western Medical Enterprises. We have received your application packet. The next step for all potential employees is to provide a narrative response to the questions in the attached document. Please return your completed document to me by replying to this e-mail. 
Once we receive your responses, we will review them and notify you of the next steps.
Good luck! 
Sincerely,
Thomas Hardy
Human Resources Recruiter
Western Medical Enterprises

Instructions

Respond to the scenario by completing the Western Medical Enterprises Questionnaire found in the Resources.