Discuss the role of nursing in addressing health disparities in vulnerable populations. 

The posting requires one reference from a peer-reviewed NURSING journal less than 5 y/o from database not Internet. It also requires a reference from the course textbook.  

de Chesnay, M., & Anderson, B.A. (2015). Caring for the vulnerable: Perspectives in nursing theory, practice, and research (4th.ed.). Burlington, MA: Jones & Bartlett.   ISBN: 9781284066272 

Professional, governmental, or educational organizations (.org, .gov, or .edu) may be used as supplemental references.

APA format required. 

Comment 1

As a mental health community, outside support and resources are vital to this population. External stakeholders are important for the success of my project for many reasons. External stakeholders provide resources and information that will be essential in providing the best available treatment necessary for postpartum depressed women. A stakeholder can be defined as “a person, group or organization that has interest or concern in an organization. Stakeholders can affect or be affected by the organizations actions, objectives and policies” (Stakeholders, n.d.).  Without our patients and support, their business satisfaction and overall reputation goes down. The idea is also vice versa, without their support and business, we have no references and resources to give to our patients. Some of our stakeholders include National Alliance on Mental Health (NAMI), housing options and shelters. A lot of our resources are outpatient and long-term inpatient care. This support is important because women with postpartum depression will need continuous care after their inpatient stay. They need other community resources to draw from. These resources will help them in a crisis situation.

How we can go about securing this support is through the patient themselves. We keep referring our patients to their resources, which drives business for both companies. Also, when these patients receive exceptional care they will support the businesses and tell other patients with the same mental health problems. Another secure point would be donations. Donations always help the cause, and show our support for their business and impact. Also, promotion is another security. Promotion on how well their business is with individuals with postpartum depression. Securing these stakeholders will be key to my capstone because of all the information that I can obtain and use as research.

Comment 2

As a nurse it is my job to protect my patients and give them the best care that I can. I and other nurses and health care workers cannot achieve this without the assistance of internal and external stakeholders. According to Landau (2017), a stakeholder is either an individual, group or organization who is impacted by the outcome of a project. They have an interest in the success of the project, and can be within or outside the organization that is sponsoring the project” (para 1). Stakeholder support is vital for health care because they are the ones that provide the resources or finances for the necessary resources. They are necessary for my project because I am able to use them for information and help implement my project. For example, the DON has given me permission to use the facility and its resources to gather information. Without the approval of the DON, I would not have access to the facility and the residents. My mentor is also a stakeholder and gives me direct information about the patients and assists with my research about my project. I am able to gain more information from him and the wound care doctor that will assist the care of my patients, treat their wounds, increase their safety, and increase their overall outcome.

In order for me to be successful, I will need to gain and secure their support. I have already gained it, but I can secure it by keeping them interested in my project. The main objective of my project is increasing quality improvement regarding patient care and decreasing incidences of pressure ulcers in nursing homes. I will work with my mentor and meet with him at least once a week, so I can see and learn how he treats the patients wounds. I will try to go on the days when the wound doctor is there, so I can learn how she assesses the wounds and decides what treatment would best suit the patient. Shadowing my mentor would show him and the DON how invested I am in my project and secure their support.

Comment 3

One technological implementation process that I found to be useful for my capstone project is the PPD ACT app for your cellphone. This app is designed to help “doctors better understand the underlying biology and genetic risks of postpartum depression in order to better serve affected women” (Health Power for Minorities, 2015). The app has 2 integral parts:

            Part 1: The app asks the user questions about their experiences with childbirth, mood, and anxiety symptoms after the birth. The responses to these questions will allow the app to point the users in the right direction to doctors in the area, and who would be most effective for treatment.

            Part 2: The second part is the app will have a DNA kit mailed to the individual. The individual will then get a collection of their saliva and have it mailed back to the company. This saliva will then be analyzed and show researchers is there is any difference in women with postpartum versus non-postpartum, and develop treatments and more effective care. (Pact for the Cure, 2017).

This technology could be useful to my capstone project because If I could see the results of the DNA samples, it could provide me with more effective ways to care for postpartum women. It could show me if breastfeeding or medications help the best with postpartum depression decrease. I will be able to provide my patients with the most effective treatment and possibly stop the symptoms in future cases. This research could help stop postpartum depression entirely and give the health care professionals a heads up advantage.

Comment 4

In this modern and fast evolving era where technological advances are appearing and changing at a glance, it is not possible to progress without the implementation of the right technologies. For prevention of occurrence of urinary tract infection and to fight for its cure, the use of technology is crucial. Here, one should incorporate technologically advanced solutions to achieve project objectives. The technology implemented should be easy to use and understandable for all level of users including the nurses and the doctors. It should be available for access easily without any reliability (Parry, 2013). For measurement of this, symptoms can be mentioned on an app which can deduce to the patient if they have urinary tract infection or not. In this way, lots of the caregivers can predict and preliminary resolve problems and can accomplish EBP goal.

Another application would be to use more sensitive methods of detecting bacteria causing UTI (E. coli or Klebsiella) and crucial for UTI indicators, methods like an Accucheck machine. The writer has already seen the type of machine for PTT, and PT/INR used even 10 years ago. The complication with the UTI detection is that it uses microbiological approach for bacteria detection and requires time to grow them. Methods of molecular biology, which are also used in forensics, are useful for the application. The methods can potentially detect a single molecule of DNA in the solution, thus speeding up detection of UTI and fast streaming the process of the treatment. In case a UTI is suspected, a provider starts antibiotics immediately. Therefore, UTI is already strongly suspected even after urinalysis and C&S results are used primarily to confirm the diagnosis and which antibiotic to use.

The doctors, however, should guide the patients not to misuse the app and to not go for self-medication under the influence of the app. If they feel that anything is dangerous, they should reach out to the hospital authorities at earliest instead of relying on the app to give some lifesaving instructions. It should be made clear that the app is for daily prevention implementation purpose rather than self-medication.

Select a nursing research article from the list below that includes a theoretical or conceptual framework and the exploration of a clinical problem. Identify the nursing research article components using the Week 5 research template.

The template will be evaluated on the effectiveness of the discussion of the following components. If a component is not present in the article, its absence should be discussed.

• Identify the research problem.
• Identify the research purpose.
• Summarize the review of literature.
• Identify the nursing framework or theoretical perspective.
• Identify the research questions and hypotheses.
• Identify the variables.
• Identify and discuss the appropriateness of the design.
• Discusses the validity and reliability of the instruments, tools, or surveys.
• Discuss the significance of the study. Did it resolve the question?
• Discuss the legal and ethical issues of the study. Include the use of human subjects and their protection.
• Describe any cultural aspects of the study.
• Describe the final sample.
• Describe the procedures for data collection.
• Summarize the results including statistical analysis used or other method of analysis.
• Describe how the results of the research may impact future nursing practice.
• Apply the research to the student’s nursing practice.
• NOTE: If a component is absent, student receives a zero for that component.

Submission Details:

• Cite any resources in APA style and include a copy of the article with the submission.
• By the due date assigned, submit your template to the Submissions Area.

Philosophy Paper RequirementsThe paper should be 2 pages, typed in Times New Roman using 12-point font, and double-spaced with 1″ margins.Use a first person narrative and present tense.Write sincerely, uniquely, and memorably. Avoid clichés, jargon, and technical terms.Include specific (not abstract) ideas, using 1–2 concrete examples, whether actual or anticipated experiences.Show humility and mention students enthusiastically.Include your conception of how learning occurs.Communicate your goals as an instructor.Include actual or anticipated teaching strategies and methods.Include justification for why you teach (or anticipate teaching) the way you do.Include a brief discussion of how your teaching (or anticipated teaching) facilitates student learning.Include a conclusion.

In this assignment, groups will develop an outline for an “in-service”-style educational session on risk management, which will form the basis for a CLC slide presentation in Topic 5. Before starting the assignment, you are required to submit your proposed presentation topic to the instructor for approval. You will select one risk management topic relevant to and chosen from the points analyzed in the Risk Management Program Analysis Part One assignment in Topic 1.

The approval step is required so that each group will profile a different risk management topic in order to enhance the depth of learning and contribute to the body of knowledge of each student. Submit your group’s proposed topic as early as possible after your group members have been selected, but no later than Day 7 of Topic 1 for full assignment credit. Once you receive instructor approval, only then should you initiate work on this assignment. (Note: Work submitted on an unapproved topic will receive zero credit.)

Once your topic has been approved by the faculty, you will develop a 500-750 word comprehensive outline that communicates the approved risk management topic. The outline is required to include a minimum of three objectives to discuss what your group considers to be key or core risk management elements that pertain to the point, or element, you selected to profile.

Required sections to include in your outline are listed below. If your topic requires additional sections, include them as well:

1. Introduction.
2. Objectives: Three objectives you intend to address in the proposed risk management educational session.
3. Rationale: Rationale for each objective (i.e., Why are these three objectives key or core to the risk management issue?).
4. Supportive Data: Data to support the need for the proposed educational session.
5. Implementation Strategies: How will you implement the proposed educational session?
6. Evaluation Strategies: What tools will you use to evaluate the proposed educational session?
7. Challenges and Opportunities: Ideas or suggestions about areas of focus regarding risk management the organization could or should address moving forward into the future?

It may be helpful to preview the requirements for the Topic 3 assignment (Risk Management Program Analysis Part Two) and the Topic 4 assignment (Organizational Risk Management Interview), as the information may contribute to and enhance your final group presentation in Topic 5. It is highly encouraged that you also preview the Topic 5 assignment (Educational Program on Risk Management Part Two: Slide Presentation) to ensure your outline addresses all required elements for that final CLC submission. 

For assistance on developing a solid outline, “Four Main Components for Effective Outlines” and related material regarding outlines can be found on the Purdue Online Writing Lab (OWL) website at https://owl.english.purdue.edu/owl/resource/544/01/.

(Note: You are required to incorporate all instructor feedback from this assignment into the Topic 5 assignment, CLC – Educational Program on Risk Management Part Two – Slide Presentation. To save time later in the course, consider addressing any feedback soon after this assignment has been graded and returned to you.)

A minimum of six citations from the literature or appropriate websites is required to support your statements.

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

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 Turnitin. Please refer to the directions in the Student Success Center.