In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations:

1. Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020.
2. Recommendation 5: Double the number of nurses with a doctorate by 2020.
3. Recommendation 6: Ensure that nurses engage in lifelong learning.

Identify your options in the job market based on your educational level.

1. How will increasing your level of education affect how you compete in the current job market?
2. How will increasing your level of education affect your role in the future of nursing?

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

hi dear,

can help me to finish this assignment with good quality and be on time please?

Please follow the instructor carefully. There are 4 Discussions ,your response to classmates should be at least one paragraph for each Discussion, address the discussion topic or question, be respectful, and add to the discussion. You may draw upon personal experience, course or scholarly references, citing appropriately. Restating the primary response, or agreeing or disagreeing without supporting statements will result in a lower grade. 

In reference to including a paragraph for both primary and peer responses, 4-5 sentences constitute a paragraph.

Discussion one, 

  Clinical-community linkages to help connect health care providers, community organizations, and public health agencies so they can improve patients’ access to preventive and chronic care services (Agency for Healthcare Research and Quality, 2013). Local communities having access to hospitals and clinics have a better chance of getting better quality health care. Hospitals having linkage to local communities allow the communities to have better communication with the hospital and they are able to provide health resources. Strategies that improve access to clinical preventive services (such as screening and counseling), community-level activities, and appropriate medical treatment have been shown to reduce and prevent disease in communities (Agency for Healthcare Research and Quality, 2013). There are numerous benefits of having linkage between hospitals and local communities. Communities have opportunities to participate in organizations that can help improve their health.

      There are some effective clinical-community linkages that help improve the health of people residing in the community. Patients get more help in changing unhealthy behaviors, clinicians get help in offering services to patients that they cannot provide themselves, and community programs get help in connecting with clients for whom their services were designed (Agency for Healthcare Research and Quality, 2013). Hospitals are able to provide important resources associated to specific health diseases. In order to provide these health benefits, hospitals are able to communicate with their local communities to help lessen the burden of unwanted health diseases. Furthermore, it is important that hospitals have the linkage with local communities to assess in medical and health concerns each individual may have.

Discussion two,

  Linkage between the community and the hospital, specifically during emergency situations is vital for many reasons including improved access to care services and improved communications during highly stressful situations. The linkage is not only important during these critical situations, but also on a day-to-day basis as hospitals can provide various programs to better influence the overall health and well-being of the community. Without a linkage the hospital will potentially suffer greatly, not only loosing funds, but also credibility when an emergency situation does occur. Additionally, hospitals have resources that are able to benefit the community in normal and crisis conditions.

Discussion three,

  When 9/11 happened I believe it showed how vulnerable our emergency management system was.  The first responders and management team didn’t have an effective communication system in place in order to make key decisions quickly (Khan, 2011). First responders also didn’t have proper equipment or training for such a large scale emergency. I believe the United States had nowhere to go but up after 9/11.

     Response times have improved since Hurricane Katrina, during the time that Hurricane Katrina happened, emergencies that giant weren’t considered a national issue but more of a local issue. Local officials had to ask for help instead of national agencies/government being proactive and lending help first. FEMA used to wait for the problem to become too big of an issue for local agencies to handle before getting involved, FEMA is now quickly engaged early on in the process (Mayer, 2008).
     Hurricane Katrina was unlike anything that the United States has ever seen, 120 mph winds & some areas flooded as high as 27 feet above ground (Mayer, 2008). About 1,300 people died because of Hurricane Katrina and an estimated $96 billion in damages (Mayer, 2008). Communication was poor on all sides, which made things even worse. 

Discussion Four,

  The federal government has improved its response posture since 911. This was an event that changed the manner in which the government approaches the entire concept of response. It has become more effective in response planning. In addition to this there is an emphasis on more of a preemptive approach as opposed to just focusing exclusively on response (Hamner, 2015). This is very important as in enables the government to actively prevent all preventable emergencies and in the instance that these emergencies do materialize respond to them as quickly and as strategically as possible.

The response posture of the federal government has improved since Katrina. It has not improved to a standard that can be deemed as ideal but it has all the same improved. There are contingency plans in place to help people affected by natural disasters. Katrina was so different because it highlighted the ineffectiveness of government agencies at the time to deal with natural emergencies of that caliber. 

Thanks,

4-The shift is needed to stop diseases before they start and allow all people to be healthy. According to an article published by NCBI the US spends more on health care than any other country, yet our nation ranks lower than several other nations in life expectancy, infant mortality, and other health life indicators. Government is striving to change our current health care system and recognize prevention is essential.

Some preventative services that would be beneficial are smoking cessation screening, alcohol abuse screening, and aspirin use to the recommended levels. These preventative services along with improving lives heels save 3.7 billion in annually cost (Benjamin, 2011).

Nursing role is to inform people of preventative measures, such as immunizations, cancer screenings, tobacco free living, healthy eating, being active, injury and violence free, reproductive and sexual health, mental and emotional wellbeing, so they can make healthy choices (Benjamin, 2011).  As nurses provide patients with the tools and information of these healthy choices they are able to access if patient’s need assistance with cost, transportation and other barriers that can prevent a patient from accessing these preventative services a great way is community programs such a clinic on wheels. Nurses can also volunteer in their community to provide teaching and preventative measures.

Reference

Benjamin, (2011). The National Prevention Strategy: Shifting the Nation’s Health-Care System. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3185312/

5-Oh, how I love this question. When I first started college as a teenager, I found my calling toward my journey as becoming a nurse. I was so scared to do this because I knew that I would be responsible for others’ lives. When I began this journey, I always knew that my end-goal was to do something in primary care. This is because I feel that the United States, in general, can be more about fixing problems that have happened rather than preventing them from starting in the first place. This applies to the entire medical field as well. I have worked for two completely separate health care facilities, a private/non-profit hospital, and a government-run VA hospital. These are two completely different worlds of health care, but they have been going in the same direction: primary care. Both health care networks have branched out, from having only hospitals, to also building several Community Based Outpatient Clinics (CBOCs). Health care networks are finally realizing that prevention is the key to good health, not fixing health problems that have already occurred. I love to educate patients and cannot wait to someday finally get to my goal position in community health so that I can educate and give appropriate resources to better the health of our patients. In hospital facilities, we have nurse educators, but, as I have seen, they are not readily available when patients need them the most or are not being utilized enough. Nurses working on the floor are simply overworked and do not have the time to sit and educate patients appropriately, especially since education is supposed to start the moment the patient comes through the hospital doors until discharge. Also, some nurses may have time but others do not and so the education is not consistent. I am huge on diabetic education as I believe that this is one of our biggest health problems and will become worse as people continue eating the way they do (and not exercising). In fact, according to the Centers for Disease Control and Prevention (CDC), more than 30 million people in the United States have diabetes, which is one out of ten people (2017). Also, more than 84 million people have prediabetes (CDC, 2017)! I could go on and on with this topic though as there are so many crazy facts about diabetes. The point is that eating right, staying active, and losing weight can be detrimental to a person’s health and the facts are being proven over and over again. It is our job, as nurses, to be able to help so many people make their lives better through educating them and giving them these blunt facts so that they can make informed decisions about their health.

6-The role in healthcare care reform in shifting the focus from a disease -oriented health care system toward one of wellness involves the implementation of policies and procedures that focus on preventative health. This things include screenings, wellness education classes, healthy eating. vaccination programs etc. These are the types of things that prevent diseases before they occurr. With the focus of health being toward preventing disease changes the entire focus of the healthcare system. This was one of the plans for Obama care because the govenrment has figured that if they changed the focus of healthcare it would decrease the rate of disease and lower healthcare costs over time. Of course this entire health care reform will take years to actually notice a difference. Nurses are the forefront of healthcare. We are the number one influencers for health and promoting health.Pt education and health promotion is a major part of the role of a nurse.Ensuring that patients are focused on preventative health reduces hospital readmissions.

McDonald, M. (2018) Healthcare reform: Whats up and what can we do. Virginia Nurses Today .Volume 26, Issue 3: 1-12

Discuss the importance of conducting a thorough literature review as it relates to the research process in two paragraphs.

Use a reference from scholarly literature : Peer-reviewed Nursing journal not older than 5 years or your textbook:

 Polit, D. E. & Beck, C. T. (2018). Essentials of nursing research: Appraising evidence for nursing practice(9th. ed.). Philadelphia, PA: Wolters Kluwer. 

 to support your primary response.