Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings. What do you think are some effective tactics for APN strategic positioning regarding pay equality? Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/

 all discussion posts must be minimum 250 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years.  

1. What types of challenges have you encountered in working with patients with mental health issues? How do you feel these challenges would be different in a community-based setting? Would it be easier or more difficult and why?
2. Discuss scenarios in which community health nurses might encounter ethical issues related to mental health. Examples could include hospice patients wanting to end their lives or asking nurses to give them too much medication; school nurses having students confide things to them that indicate serious mental health issues; nurses working in homeless shelters whose patients are abusing drugs and potentially exposing others to a communicable disease, etc.

As stated in the syllabus the assignment must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board.  A minimum of 3 evidenced-based references must be used (excluding the class textbook).    References must be no older than 5 years.  A minimum of 700 words is required.  

 Read the short article below. Does this study indicate a strong link between TV watching and the incidence of ADHD? Why or why not? What questions do you have about the study after reading the article? 

TV & ADHD

By Will Meek, PhD

A long term study on the impact of TV on ADHD developmen was recently published.

Researchers in New Zealand found that kids who watched more than 2 hours of TV per day between ages 5 to 11 were significantly more likely to develop symptoms of attention deficit disorder (ADHD) than those who watched less.

“Those who watched more than two hours, and particularly those who watched more than three hours, of television per day during childhood had above-average symptoms of attention problems in adolescence,” Carl Landhuis of the University of Otago in Dunedin wrote in his report, published in the journal Pediatrics.

Young children who watched a lot of television were more likely to continue the habit as they got older, but even if they did not the damage was done, the report said.

“Hence, children who watch a lot of television may become less tolerant of slower-paced and more mundane tasks, such as school work,” the researchers wrote.

The most interesting part of the article was the possible explanations for why this relationship exists. The researchers thought (a) rapid scene changes influence brain development; and (b) television replaced other activities like reading — activities that require attention development.

The Assignment

In a 5- to 10-slide PowerPoint presentation, address the following:

Provide an overview of the article you selected.

What population is under consideration?

What was the specific intervention that was used? Is this a new intervention or one that was already used?

What were the author’s claims?

Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?

Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Support your position with evidence-based literature.

Note: The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than ½ page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your approach with evidence-based literature with at least three to five references no more five years old.

 In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:

• Improve quality, safety, and efficiency, and reduce health disparities
• Engage patients and families
• Improve care coordination
• Improve population and public health
• Ensure adequate privacy and security protections for personal health information

For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.

To prepare:

• Review the Learning Resources on the HITECH legislation and its primary goals.
• Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.
• Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.
• Reflect on how the incentives and meaningful use impact the quality of patient care.
• Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.

Post a description of how HITECH legislation has positively or negatively impacted your organization. Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.