Based on “Case Study: Fetal Abnormality” and other required topic study materials, write a 750-1,000-word reflection that answers the following questions:

1. What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
2. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
3. How does the theory determine or influence each of their recommendations for action?
4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Remember to support your responses with the topic study materials.

While APA style 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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance

Case Study: Fetal Abnormality

Jessica is a 30-year-old immigrant from Mexico City. She and her husband Marco have been in the United States for the last three years and have finally earned enough money to move out of their Aunt Maria’s home and into an apartment of their own. They are both hard workers. Jessica works 50 hours a week at a local restaurant and Marco has been contracting side jobs in construction. Six months before their move to an apartment, Jessica finds out she is pregnant.

Four months later, Jessica and Marco arrive at the county hospital, a large, public, nonteaching hospital. A preliminary ultrasound indicates a possible abnormality with the fetus. Further scans are conducted, and it is determined that the fetus has a rare condition in which it has not developed any arms and will not likely develop them. There is also a 25% chance that the fetus may have Down syndrome.

Dr. Wilson, the primary attending physician, is seeing Jessica for the first time, since she and Marco did not receive earlier prenatal care over concerns about finances. Marco insists that Dr. Wilson refrain from telling Jessica the scan results, assuring him that he will tell his wife himself when she is emotionally ready for the news. While Marco and Dr. Wilson are talking in another room, Aunt Maria walks into the room with a distressed look on her face. She can tell that something is wrong and inquires of Dr. Wilson. After hearing of the diagnosis, she walks out of the room wailing loudly and praying aloud.

Marco and Dr. Wilson continue their discussion, and Dr. Wilson insists that he has an obligation to Jessica as his patient and that she has a right to know the diagnosis of the fetus. He furthermore is intent on discussing all relevant factors and options regarding the next step, including abortion. Marco insists on taking some time to think of how to break the news to Jessica, but Dr. Wilson, frustrated with the direction of the conversation, informs the husband that such a choice is not his to make. Dr. Wilson proceeds back across the hall, where he walks in on Aunt Maria awkwardly praying with Jessica and phoning the priest. At that point, Dr. Wilson gently but briefly informs Jessica of the diagnosis and lays out the option for abortion as a responsible medical alternative, given the quality of life such a child would have. Jessica looks at him and struggles to hold back her tears.

Jessica is torn between her hopes of a better socioeconomic position and increased independence, along with her conviction that all life is sacred. Marco will support Jessica in whatever decision she makes but is finding it difficult not to view the pregnancy and the prospects of a disabled child as a burden and a barrier to their economic security and plans. Dr. Wilson lays out all of the options but clearly makes his view known that abortion is “scientifically” and medically a wise choice in this situation. Aunt Maria pleads with Jessica to follow through with the pregnancy and allow what “God intends” to take place and urges Jessica to think of her responsibility as a mother.

© 2019. Grand Canyon University. All Rights Reserved.

Assignment 2: Practicum – Week 2 Journal Entry

Learning Objectives

Students will:

Apply documentation skills to examine family therapy sessions *

Develop diagnoses for clients receiving family psychotherapy *

Analyze legal and ethical implications of counseling clients with psychiatric disorders *

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 3.

Select two clients you observed or counseled this week during a family therapy session. Note: The two

clients you select must have attended the same family session.

Then, address in your Practicum Journal the following:

Using the Group Therapy Progress Note in this week’s Learning Resources, document the family

session.

Describe (without violating HIPAA regulations) each client, and identify any pertinent history or medical

information, including prescribed medications.

Using the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition (DSM-5), explain

and justify your diagnosis for each client.

Explain any legal and/or ethical implications related to counseling each client.

Support your approach with evidence-based literature

Running Head: WEEK TWO JOURNAL ENTRY

Assignment 2: Practicum Week 2 Journal Entry

NURS 6650 Psychotherapy with Groups and Families

Walden University

Group Therapy Progress Note

Client: ___John M_______________________________________________ Date:9/18/2018 ___________

Group name:_____________N/A___________________________________ Minutes:_______45_ Group session # __N/A____ Meeting attended is #:_1_____ for this client.

Number present in group ___2__ of _____ 2scheduled Start time:_1130_______ End time: ___1215_____

Assessment of client

· Participation level: ❑ Active/eager ❑ Variable ❑ Only responsive ❑ Minimal ❑ Withdrawn

· Participation quality: ❑ Expected ❑ Supportive ❑ Sharing ❑ Attentive ❑ Intrusive

❑ Monopolizing ❑ Resistant ❑ Other: _____________________________________

· Mood: ❑ Normal ❑ Anxious ❑ Depressed ❑ Angry ❑ Euphoric ❑ Other: _______________

· Affect: ❑ Normal ❑ Intense ❑ Blunted ❑ Inappropriate ❑ Labile ❑ Other:_______________

· Mental status: ❑ Normal ❑ Lack awareness ❑ Memory problems ❑ Disoriented ❑ Confused

❑ Disorganized ❑ Vigilant ❑ Delusions ❑ Hallucinations ❑ Other:__________________

· Suicide/violence risk: ❑ Almost none ❑ Ideation ❑ Threat ❑ Rehearsal ❑ Gesture ❑ Attempt

· Change in stressors: ❑ Less severe/fewer ❑ Different stressors ❑ More/more severe ❑ Chronic

· Change in coping ability/skills: ❑ No change ❑ Improved ❑ Less able ❑ Much less able

· Change in symptoms: ❑ Same ❑ Less severe ❑ Resolved ❑ More severe ❑ Much worse

· Other observations/evaluations:________________________________________________________ In-session procedures:

· __________Introduction_________________________________________________________________

· ___

· History of Present Problem____________________________________________________________________________

· _Assessment______________________________________________________________________________

· Formulated Plan _______________________________________________________________________________

· __________ _____________________________________________________________________ Homework: Daily Recording of Sobriety

1. 2. Focus on present and future, not the past Commit to 12 steps Meetings

3.

Other Comments:

Brochure provided for AA meetings in the area of city of Phoenix

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Leandre

Signatures Date

American Psychological Association | Division 12 http://www.div12.org/ 1

History of Presenting Case

The family consisted of 40 -year-old John M, and his wife Mary M., who is 32 years old, and they have no children. The clients were seen in a mental crisis center. Initially, Mr. John had been voluntarily admitted to the unit due passive suicidal thoughts, depression, and alcohol dependence. Mr. John had been recently fired from his job due to showing at work drunk. Couple therapy was recommended to speed up his recovery and maintain sobriety.

In the session, Mr. John self-reported mood as depressed, and he acknowledged his drinking problem disrupting his life, and he was prepared to fully participate in the recovery for the sake of his well-being and his marriage. On the hand, his wife Mary, appeared anxious, and frustrated. She blamed the husband for all the misery of the family. She was much worried about their future as the husband had lost his job. However, she was willing to support him in recovery.

Psychiatric History: Mr. John has battling depression for six years, and his PCP prescribed antidepressant (Zoloft) last year but he abruptly stopped taking them as he felt that the medication was affecting his sexuality. He did not follow up with his PCP. He self-medicates with alcohol. His wife reported history of anxiety and occasional panic attacks, she was taking fluoxetine 40mg daily. The medication was prescribed by PCP.

Psychiatric Hospitalization: It was the first time for Mr. John to hospitalized in mental facility.

His wife reported no history of psychiatric hospitalization.

Medical History: They both denied any medical history

Psychosocial History: They both said they smoked marijuana occasionally. The wife works as cashier in a local gas station. They live in a one- bedroom apartment.

Differential Diagnosis:

Major Depression Disorder F 32

Mr. John presented with depressed mood and reported history of loss of interest in pleasurable activities, sleep disturbance and suicidal thoughts lasting more than 2 weeks. In addition, to meet the diagnostic criteria the symptoms had caused clinically significant distress or impairment in social, occupational, or other important areas of functioning( American Psychiatric Association, 2013)

Alcohol Use disorder AUD

To be diagnosed with an AUD, individuals must meet certain diagnostic criteria. Some of these criteria include problems controlling intake of alcohol, continued use of alcohol despite problems resulting from drinking, development of a tolerance ( Grant& Saha, 2015).

Generalized Anxiety Disorder: Ms. Mary exhibited some of the signs of generalized anxiety. Diagnostic criteria symptoms include excessive anxiety and worry as well as restlessness, fatigue, irritability, tension, and sleep problems (Watson& Greenberg, 2017)

Ethical and Ethical Implications of Counselling the Couple

  Family members often experience resentment about past substance abuse and fear and distrust about the possible return of substance abuse in the future (O’ Farrell& Fals-Stewart, 2013)In the case of John and Mary, there is a higher probability that there will be uncertainty and distrust during the recovery. It may be unethical to tell directly his wife that her anxiety and blame towards her husband may demoralize him and impede the recovery. However, it may be beneficial as feelings experienced by the substance abuser and the family often lead to an atmosphere of tension and unhappiness in couple and family relationships( O’Farrell & Fals-Stewart, 2013).

References

American Psychiatric Association. (2013). Major Depressive Disorder. Retrieved from https://images.pearsonclinical.com/images/assets/basc-3/basc3resources/DSM5_DiagnosticCriteria_MajorDepressiveDisorder.pdf

Frisch, N. C., & Frisch, L. E. (2011). Psychiatric mental health nursing (4th ed.). Clifton Park, NY: Delmar Pub.

Grant, B., & Saha, T. (2015). Epidemiology of DSM-5 Alcohol Use Disorder Results From the National Epidemiologic Survey on Alcohol and Related Conditions III. Jama Psychiatry, 72(8). Retrieved from https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2300494

Nichols, M. (2013). The Essentials of Family Therapy (6th ed.). United States: Pearson Education.

O’Farrell, T. J., & Fals-Stewart, W. (2013). Behavioral Couples Therapy for Alcoholism and Other Drug Abuse. Alcoholism Treatment Quarterly, 26(1-2), 195-219. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215582/

Watson, J. C., & Greenberg, L. S. (2017). Emotion-focused therapy formulation of generalized anxiety disorder. American Psychology Association, 54(4), 17-40. Retrieved from https://eds-b-ebscohost-com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=9&sid=0ff11f46-f73e-4f63-8578-ad65a99c45c2%40pdc-v-sessmgr05

Community Statistics Assignment

Overview: Statistical Health Data for a Community

In this assignment, you will review and assess statistical data for the community you selected for your community Windshield Survey.  By reviewing demographic, health, crime, income, and educational data, and by comparing local data with city, county, state, and national data, you will be able to determine how well the selected community functions.

Your statistical analysis will address the community in general using the categories noted above. In addition, based on your observations from Module 1 subjective assignment, (windshield survey and key informants) provide Morbidity, Mortality (M&M) and risk data for the health problems you identified in your community, and gather comparative data from the local, city, county, state and national levels specific to those health issues.  For Example 1: if you observed obesity in your community then present obesity rates and health conditions associated with obesity [i.e. CVD, HD, Depression, etc.). These variables may include the following: gender (who does this problem affect the most, men or women); age distribution; ethnicity or racial group(s) mostly-affected; morbidity and mortality rates; any data related to life-expectancy in light of the health issues; is there a geographic area where the health problems mainly exist; is there a relationship between the health issue(s) and environmental health hazards; are these life-threatening health issues?

This type of inquiry in Module 2 Part II will provide the basis for the next paper in this course, the Nursing Intervention paper.  In that assignment, you will develop a community health nursing intervention(s) to address the community health problems you have defined.  There is a progression in problem definition from the Windshield Survey to the Statistical Analysis, to the recommendations for community health nursing interventions.  You will be able to follow the unfolding of this process from problem-identification to recommendations for intervention.  This process requires skills in data-gathering, data analysis, critical thinking, evidence-based nursing, and planning.

Please refer to the Assignment Directions

for further instructions on your assignment. Refer to the Rubric in the Assignment Submission area to view grading criteria.

In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

1. Summary of teaching plan
2. Epidemiological rationale for topic
3. Evaluation of teaching experience
4. Community response to teaching
5. Areas of strengths and areas of improvement

Prepare this assignment according to the APA 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.

Please use the attached community teaching plan for this assignment. Use the teaching plan proposal to guide you in creating a presentation that you did on the topic at the location listed. Be as creative as you can that sounds realistic.

Community Teaching Work Plan Proposal

Planning and Topic

Directions: Develop an educational series proposal for your community using one of the following four topics:

1. Bioterrorism/Disaster

2. Environmental Issues

3. Primary Prevention/Health Promotion

4. Secondary Prevention/Screenings for a Vulnerable Population

Planning Before Teaching:

Name and Credentials of Teacher: Patience Nehikhare, ADN
Estimated Time Teaching Will Last: 30 min	Location of Teaching: 5th Ward GO Neighborhood Health & Wellness Fair 3303 Lyons Ave
Supplies, Material, Equipment Needed: Paper to create and make copies of pamphlets, food props to show a healthy plate	Estimated Cost: $150
Community and Target Aggregate: 5th Ward families and minorities
Topic: Primary Prevention/Health Promotion

Identification of Focus for Community Teaching (Topic Selection): Healthy nutrition for children and families

Epidemiological Rationale for Topic (Statistics Related to Topic): Two-thirds of adults in the US are obese. One-third of US children are overweight and 17% are obese. Excluding illnesses and other genetic factors, poor nutrition is a common factor leading to obesity.

Teaching Plan Criteria

Your teaching plan will be graded based on its effectiveness and relevance to the population selected. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Nursing Diagnosis: Imbalanced nutrition: more than body requirements related to deficient knowledge about nutritional needs, food intake, or food preparation.

Readiness for Learning: Identify the factors that would indicate the readiness to learn for the target aggregate. Include emotional and experiential readiness to learn.

· Voiced interest in improving nutritional habits

· Voiced concern over increasing weight in self or family members

· Psychological capacity to learn healthy nutrition habits

· Open and engaging body language

Learning Theory to Be Utilized: Explain how the theory will be applied.

The Behavior Learning Theory is the best approach to improve nutrition and healthy habits among children and families. With the behavioral approach, I will teach families how to incorporate healthy habits into their daily lifestyle. To accomplish this, I will create a pamphlet for families to take home with them that will include the information covered in my presentation. The pamphlet will also include a list of local resources that the family can use to continue their journey. During my presentation, I will teach families about the important food groups and how much of each should be including in each meal. My presentation will focus on healthier alternatives and ways to modify their current eating habits rather than restricting them from foods they love. I will have healthy plate samples and I will allow each family to create a healthy plate that includes all food groups as well as the proper proportions. We will also discuss grocery shopping habits and how to avoid certain isles when shopping with children.

Goal: Healthy People 2020 (HP2020) objective(s) utilized as the goal for the teaching. Include the appropriate objective number and rationale for using the selected HP2020 objective (use at least one objective from one of the 24 focus areas). If an HP2020 objective does not support your teaching, explain how your teaching applies to one of the two overarching HP2020 goals.

· NWS -8 Increase the proportion of adults who are at a healthy weight by promoting healthy nutrition and exercise habits

· NWS-10 Reduce the proportion of children and adolescents who are considered obese by teaching them healthy nutrition habits and ways to increase their physical activity

· NWS -11 Prevent inappropriate weight gain in youth and adults by encouraging the proper consumption of foods and monitoring intake

· NWS – 14 Increase the contribution of fruits to the diets of the population aged 2 and older by teaching proper nutrition

How Does This HP2020 Objective Relate to Alma Ata’s Health for All Global Initiatives

All the listed objectives include healthy habits that will promote healthier lifestyles. These children and families will reduce their risks for many significant diseases such as diabetes and heart disease. Furthermore, the more attention people pay towards their health, the more likely they are to seek medical care if there are signs of any issues. To seek care, they would first need to have health coverage or know ways of obtaining it.

Develop Behavioral Objectives (Including Domains), Content, and Strategies/Methods:

Behavioral Objective and Domain Example – Third-grade students will name one healthy food choice in each of the five food groups by the end of the presentation. (Cognitive Domain)	Content (be specific) Example – The Food Pyramid has five food groups which are…. Healthy foods from each group are…. Unhealthy foods containing a lot of sugar or fat are….	Strategies/Methods (label and describe) Example – Interactive poster presentation of the Food Pyramid. After an explanation of the poster and each food category, allow students to place pictures of foods on the correct spot on the pyramid. Also, have the class analyze what a child had for lunch by putting names of foods on the poster and discussing what food group still needs to be eaten throughout day.
1. Parents will name on healthy food option in each of the five food groups by the end of the presentation.	1. There are many different healthy food options for families to choose from. The five food groups are carbs, proteins, milk and dairy, fruits and veggies, and fats and sugars.	1. After the pamphlet presentation and visual presentation, parents can use the materials to choose options from each food group.
2. Children will be able to create one healthy plate using the props provided by the end of the presentation.	2. Choosemyplate.gov provides interactive visuals for children to determine what foods should be included on their plate.	2. Children will be given activities that explain a healthy plate and children will then show proof of understanding by putting together a healthy plate using props.
3. Families will recite at least two exercises they can engage in each week by the end of the presentation.	3. Any hobby or activity can be exercise so families should choose what fun things they enjoy as a family.	3. After learning about healthy and fun exercise during the presentation, families will write down two exercises and hand them in to be added to their file.
5. Parents will provide their contact information by the end of the participation to receive follow-up communications and create a more detailed plan.	4. Regular follow-up will increase compliance to healthier habits and allow more engaging conversations regarding any misunderstandings.	4. Before leaving the health fair, parents will write down their contact information on a sheet provided to be added to their file.

Creativity: How was creativity applied in the teaching methods/strategies?

Props and handouts will be used to provide visuals and interactions. Families are encouraged to involve their children and families will do role playing activities during the presentation.

Planned Evaluation of Objectives (Outcome Evaluation): Describe what you will measure for each objective and how.

1. I will measure for understanding by asking open ended questions.

2. I will measure knowledge retention by examining whether each parent and child can choose healthy options from each food group and create a healthy plate.

3. I will measure commitment by whether or not families provide contact information.

4. I will measure for willingness to change during follow-up communications by measuring what steps families have taken to improve their health status.

Planned Evaluation of Goal: Describe how and when you could evaluate the overall effectiveness of your teaching plan.

I will measure my overall goal six months from my presentation by engaging in monthly follow-up calls with each family and setting goals to be met before the next meeting. I will initially check the weights of each family members immediately following the presentation and will require the families to send in their weights weekly. I will also speak with the children on the monthly calls to ask them how their eating and exercise habits have changed since the presentation.

Planned Evaluation of Lesson and Teacher (Process Evaluation):

I can present my results to my instructor in a power point presentation. This would need to be after the six-month mark for complete results. However, I can also create preliminary data following the presentation and the first follow-up that will occur within the next 7 days following.

Barriers: What are potential barriers that may arise during teaching and how will those be handled?

Resistance is the major barrier I plan to have to deal with. I will engage in regular communication with each family and identify any resistance barriers early on. I will also personally visit any families that are missing regularly scheduled follow-ups. I also think financial constraints might be an issue so I will help families find healthy options within their budget.

Therapeutic Communication

4.2 Communicate therapeutically with patients.

How will you begin your presentation and capture the interest of your audience? Describe the type of activity will you use with your audience to exhibit active listening? Describe how you applied active listening in tailoring your presentation to your audience? How will you conclude your presentation? What nonverbal communication techniques will you employ?

I plan to begin my communication with jokes and fun banter to capture their attendance. I will then ask serious questions about their current nutrition habits and how it’s contributing to their future goals. I will engage in open conversations with my audience by interacting with them. They will not be allowed to just watch, but they will become part of the presentation. They will be part of demonstrations and role-playing activities. Furthermore, I will ask them for personal accounts of where they learned their nutrition habits and how they can improve them. I will maintain eye contact for all participants, and I will monitor body language for signs of confusion or understanding. I will conclude by presentation by obtaining contact information from all participants for future follow-up.

© 2019. Grand Canyon University. All Rights Reserved.

4

Barbara was recently hired as a regional manager for the Urgent Care Clinic Organization (UCCO). One of her first tasks is to compile a strategic plan for the executive committee to review. The overall goal of the strategic plan is to identify specific actionable items that can better position the clinic organization.

For this assignment on UCCO, complete a minimum 2-page summary to explain why the organization should devote time to planning and why a strategic plan is needed.

Visit the Rasmussen online Library and search for a minimum of 2 articles (attached)covering the topics What can a healthcare organization accomplish with the strategic planning process?

· What would you recommend as areas of focus for Barbara’s strategic plan?

· Discuss how Barbara can achieve a balance between historical and current topics in healthcare?

o How should she apply them for her strategic plan?

· What type(s) of primary and secondary research would you recommend Barbara conduct? What are the benefits? Explain.

· APA formatted reference page and in-text citations.

Due by Sunday August 25, 2019 @ 5:00 PM

Answer the following questions in regards to Jean Watson

1) Discuss Watson’s view of the body and soul. 

2) In the reading, Nature of Human Life and Subject Matter of Nursing and in particular the quotation of Jung ( 1068, p.99), comment on whether you agree or disagree with the statement; …people…” have not the slightest faith that anything useful could ever come out of their own soul”

3) After reading and reflecting on the 10 Caritas Processes that can cultivate caring moments or caring occasions, select “one” of the Caritas Processes that you feel is most important or resonates with you in cultivating caring.

*EACH QUESTION MUST BE AT LEAST 155 WORDS TO RECEIVE FULL CREDIT SO ALTOGETHER 465 WORDS 155 WORDS EACH QUESTION

Watson’s 10 Caritas Processes

The word “Caritas” is Latin. It means cherish, appreciate, and give special or loving attention with charity, compassion, and generosity of spirit. Caritas is very fine and precious, and must be actively cultivated to be sustained (Watson, 2008).

Over the years, Watson has developed and refined 10 Caritas Processes to guide nurses and others in applying her theoretical constructs, and cultivating caring moments and caring occasions in their own professional practices. They may also be used to form philosophical and professional practice foundations at broader levels in clinical and academic settings. The list of 10 Caritas Processes presented here will form the basis of study for the remainder of this book. They will be addressed in more detail in subsequent chapters:

1. Sustaining humanistic-altruistic values by practice of loving kindness, compassion, and equanimity with self/others.

2. Being authentically present, enabling faith/hope/belief system; honoring subjective inner, life-world of self/others.

3. Being sensitive to self and others by cultivating own spiritual practices; beyond ego-self to transpersonal presence.

4. Developing and sustaining loving, trusting–caring relationships.

5. Allowing for expression of positive and negative feelings – authentically listening to another person’s story.

6. Creatively problem-solving-“solution-seeking” through caring process; full use of self and artistry of caring-healing practices via use of all ways of knowing/being/doing/ becoming.

7. Engaging in transpersonal teaching and learning within context of caring relationship; staying within other’s frame of reference – shift toward coaching model for expanded health/wellness.

8. Creating a healing environment at all levels; subtle environment for energetic authentic caring presence.

9. Reverentially assisting with basic needs as sacred acts, touching mindbodyspirit of

other; sustaining human dignity.

10. Opening to spiritual, mystery, unknowns – allowing for miracles (WatsonCaringScience.org)

Source: Sitzmann, K. & Watson, J. (2014). Caring science, mindful practice: Implementing Watson’s human caring theory. New York: Springer Publishing

Discuss how geopolitical and phenomenological place influence the context of a population or community assessment and intervention. Describe how the nursing process is utilized to assist in identifying health issues (local or global in nature) and in creating an appropriate intervention, including screenings and referrals, for the community or population.

Organizational Culture and Values

Prepare a 10-15 slide PowerPoint presentation, with speaker notes, that examines the significance of an organization’s culture and values. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the Topic Materials for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning, and an additional slide for References at the end.

1. Outline the purpose of an organization’s mission, vision, and values.
2. Explain why an organization’s mission, vision, and values are significant to nurse engagement and patient outcomes.
3. Explain what factors lead to conflict in a professional practice. Describe how organizational values and culture can influence the way conflict is addressed.
4. Discuss effective strategies for resolving workplace conflict and encouraging interprofessional collaboration.
5. Discuss how organizational needs and the culture of health care influence organizational outcomes. Describe how these relate to health promotion and disease prevention from a community health perspective.

While APA style 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.

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.

RUBRIC

Attempt Start Date: 19-Aug-2019 at 12:00:00 AM

Due Date: 25-Aug-2019 at 11:59:59 PM

Maximum Points: 130.0

Organizational Culture and Values

No of Criteria: 10 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less than Satisfactory75.00 %Satisfactory79.00 %Good89.00 %Excellent100.00 %Content40.0     Purpose of Organizational Mission, Vision, and Values8.0Purpose of organizational mission, vision, and values is omitted.Purpose of organizational mission, vision, and values is partially summarized. There are omissions and inaccuracies.Purpose of organizational mission, vision, and values is summarized. Some information is needed. There are minor inaccuracies.Purpose of organizational mission, vision, and values is outlined. Some detail is needed for clarity or accuracy.Purpose of organizational mission, vision, and values is accurate and clearly outlined.Significance of Mission, Vision, and Values on Nurse Engagement and Patient Outcomes8.0Explanation of why organizational mission, vision, and values are significant to nurse engagement and patient outcomes is omitted.An incomplete explanation of why organizational mission, vision, and values are significant to nurse engagement and patient outcomes is presented. There are omissions and inaccuracies. The significance is not established.A summary of why organizational mission, vision, and values are significant to nurse engagement and patient outcomes is presented. More information is needed. There are minor inaccuracies. The significance is partially established.An explanation of why organizational mission, vision, and values are significant to nurse engagement and patient outcomes is presented. Some rationale or information is needed for support. The significance is generally established.A detailed explanation of why organizational mission, vision, and values are significant to nurse engagement and patient outcomes is presented. Sound rationale is provided for support. The significance is clearly established.Factors Leading to Conflict in Professional Practice and Influence of Organizational Values and Culture in Addressing Conflict8.0Factors leading to conflict in a professional practice are omitted.Factors leading to conflict in a professional practice are partially presented. A vague summary of how organizational values and culture influence the way conflict is addressed is presented. There are significant omissions.A general explanation of factors leading to conflict in a professional practice is presented. A summary of how organizational values and culture influence the way conflict is addressed is presented. Some aspects are unclear. More information and rationale are needed.An explanation of factors leading to conflict in a professional practice is presented. How organizational values and culture influence the way conflict is addressed is described. Some information or rationale is needed for support.An explanation of factors leading to conflict in a professional practice is clearly presented. How organizational values and culture influence the way conflict is addressed is described in detail. Strong rationale and evidence are provided for support.Effective Strategies for Resolving Workplace Conflict and Encouraging Interprofessional Collaboration8.0Effective strategies for resolving workplace conflict and encouraging interprofessional collaboration are omitted.Strategies for resolving workplace conflict and encouraging interprofessional collaboration are partially discussed. It is unclear how the proposed strategies would be effective; the proposed strategies are not relevant.Strategies for resolving workplace conflict and encouraging interprofessional collaboration are generally discussed. The proposed strategies are relevant and would be generally effective for resolving workplace conflict and encouraging interprofessional collaboration. More evidence and rationale are needed.Effective strategies for resolving workplace conflict and encouraging interprofessional collaboration is discussed. Some detail or rationale is needed for clarity or support.Effective strategies for resolving workplace conflict and encouraging interprofessional collaboration is discussed. Strong support and rationale are provided to support each strategy.Influence of Organizational Needs and Culture of Health Care on Organizational Outcomes8.0How organizational needs and the culture of health care influence organizational outcomes is not discussed.How organizational needs and the culture of health care influence organizational outcomes is partially presented. There are major omissions and inaccuracies.How organizational needs and the culture of health care influence organizational outcomes is generally discussed. How these relate to health promotion and disease prevention from a community health perspective is summarized. The relationship among these is not clearly established. More information is needed. There are some inaccuracies.How organizational needs and the culture of health care influence organizational outcomes is discussed. How these relate to health promotion and disease prevention from a community health perspective is described. The relationship among these is generally established. Some information or rationale is needed.How organizational needs and the culture of health care influence organizational outcomes is clearly discussed. How these relate to health promotion and disease prevention from a community health perspective is described in detail. The relationship among these is established. Rationale and evidence is provided for support.Organization, Effectiveness, and Format60.0     Presentation of Content40.0The content lacks a clear point of view and logical sequence of information. Includes little persuasive information. Sequencing of ideas is unclear.The content is vague in conveying a point of view and does not create a strong sense of purpose. Includes some persuasive information.The presentation slides are generally competent, but ideas may show some inconsistency in organization or in their relationships to each other.The content is written with a logical progression of ideas and supporting information exhibiting a unity, coherence, and cohesiveness. Includes persuasive information from reliable sources.The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.Layout5.0The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident.The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text.The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability.The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text.The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.Language Use and Audience Awareness (includes sentence construction, word choice, etc.)5.0Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does not apply figures of speech or uses them inappropriately.Some distracting inconsistencies in language choice (register) or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately.Language is appropriate to the targeted audience for the most part.The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly.The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Slide errors are pervasive enough that they impede communication of meaning.Frequent and repetitive mechanical errors distract the reader.Some mechanical errors or typos are present, but they are not overly distracting to the reader.Slides are largely free of mechanical errors, although a few may be present.Writer is clearly in control of standard, written, academic English.Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)5.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  100

provide a meaningful response to at least two of your peers’ posts by the end of the week. In your responses to your peers, you might offer suggestions for other ways of handling these issues. REMEMBER to also include your discussion some citations to support your statements. It is good to have opinions, but always best to have some evidence-based information to back up your points.

Peer #1 – Good afternoon class , in analyzing the aspect of a high school student that has acquired immunodeficiency syndrome and wishes to attend class as public health nurse our outlook should be to advocate for this student as much as possible. With the right resources , understanding of protection, and preventing spreading of the disease to classmates. This student should have the right to to a proper education and social relationship is healthy from a psychological aspect this disease can not be easy to deal with so we have to view it from every angle. As nurses we have to advocate what is right for our patient at the same time thinking of the community by protecting the other students as well. Teaching about  hand washing should be implemented as wells as ,  avoid sharing ,avoid sharp objects and going to the school nurse if their is blood drawn should be emphasized for others protection.

When dealing with a student that has been sexually assaulted and the attackers being so close in the home we have to make action and call social services. The one thing about nursing is “ethical issues can occur in any situation where profound moral questions of  ‘rightness’ or ‘ wrongness’ underlie professional decision making and the beneficent care of the patients.” Even though the young girl wishes for this to be kept quit especially since it affects her whole lie including her mother. It can be extremely scary time for her but we have to be her advocate and place her in a safer environment going against the patients trust in us to not say anything which is where the moral issue of right and wrong come into play.

Peer # 2 – A high school student with acquired immunodefeciency syndrome ( AIDS) who wishes to attend school should be allowed to do so. However the child has to be educated properly as per how it can be transmitted so that his or her school mates do not contact the virus as well. Also, sensitization should be done at the level of the school in this regard without necessarily identifying the said student as a carrier of this virus.

Peer # 2 – A high school student with acquired immunodeficiency syndrome ( AIDS) who wishes to attend school should be allowed to do so. However the child has to be educated properly as per how it can be transmitted so that his or her school mates do not contact the virus as well. Also, sensitization should be done at the level of the school in this regard without necessarily identifying the said student as a carrier of this virus.s.

Transition into Adulthood

The transition into adulthood may differ depending on cultural traditions and rites of passage from adolescence to adulthood. The transition into adulthood is also a time for relationships and romance from a normative perspective.

• Describe at least two unique rites of passage to adulthood on the basis of ethnic or cultural variations.
• Explain the concepts of pluralism and assimilation and describe how they affect the rites of passage of individuals.
• Describe different attachment styles.
• Explain the attachment style you feel would be most effective in forming lasting relationships.
• Describe the different types of attraction.
• Explain the type of attraction you feel would be most effective in establishing lasting relationships.

Discussion: Review of Current Healthcare Issues

If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption?

These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.

In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.

To Prepare:

· Review the Resources and select one current national healthcare issue/stressor to focus on.

· Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.

ASSIGNMENT

Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart

This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

APA style is not required, but solid academic writing is expected.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Applying the Four Principles: Case Study

Part 1: Chart (60 points)

Based on the “Healing and Autonomy” case study, fill out all the relevant boxes below. Provide the information by means of bullet points or a well-structured paragraph in the box. Gather as much data as possible.

Medical Indications Beneficence and Nonmaleficence	Patient Preferences Autonomy
Quality of Life Beneficence, Nonmaleficence, Autonomy	Contextual Features Justice and Fairness

©2019. Grand Canyon University. All Rights Reserved.

Part 2: Evaluation

Answer each of the following questions about how principlism would be applied:

1. In 200-250 words answer the following: According to the Christian worldview, which of the four principles is most pressing in this case? Explain why. (45 points)

2. In 200-250 words answer the following: According to the Christian worldview, how might a Christian rank the priority of the four principles? Explain why. (45 points)

References:

Assignment:

Conduct an assessment of the health care environment where you work (i.e. health department, long-term care facility, specialty clinic, inpatient hospital, etc). Specifically, examine potential barriers that may exist for a member of a minority group that has a significant presence in your community (i.e. Native American, Cubans, Hmong). Using the criteria below (and explained in greater detail on pages 39 and 40), assess the potential organizational barriers to care in your work environment. Explore ways to decrease barriers to health care for this minority group so that your organization can strive for cultural competency.

• Availability
• Accessibility
• Affordability
• Appropriateness
• Accountability
• Adaptability
• Acceptability
• Awareness
• Attitudes
• Approachability
• Alternative practices and practitioners
• Additional services
• The assignment should be between 1500 and 2000 words in length and contain at least two scholarly sources, in addition to the textbook and provided material. Please submit your assignment in one APA formatted document.

 

Purnell, L., (2013). Transcultural healthcare: A culturally competent approach (4th ed.). Philadelphia: F. A. Davis.

Using resources such as the CDC, state and county health department websites, and various local resources, identify an opportunity for improved health behavior in an individual client. Your paper should be 1 – 2 pages in length in addition to the cover page and reference page. You should use a minimum of three references to support your work.

Be sure to cover the following:

• Identify an opportunity to for improved health behavior in an individualized client.
• Identify short and long term goals for the achievement of the overall health goal.
• Using Healthy People 2020, identify which problem you are working on improving.
• Recognize local resources to aid in the resolution of the identified problem.
• Assist in the evaluation in the response to interventions.

 

Spelling, grammar, APA format, and minimum   of 3 references

1

 

Identify an opportunity for improved health   behavior in an individualized client.

1

 

Using Health People 2020, identify which   problem you are working on improving.

2

 

Identify short and long term goals for the   achievement of the overall health goal.

2

 

Recognize local resources to aid in the   resolution of the identified problem.

2

 

Discuss measurements that can be used to   determine the responses to interventions.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

1. Summary of teaching plan
2. Epidemiological rationale for topic
3. Evaluation of teaching experience
4. Community response to teaching
5. Areas of strengths and areas of improvement

Prepare this assignment according to the APA 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.

Write a brief description of a patient scenario involving the disorder and the factor you selected. Explain how the factor might impact your selected disorder, as well as potential associated alterations and symptoms. Finally, explain the pathophysiology of the associated alterations, including changes in cellular function.

Assignment Details

Course Outcome covered in this Assignment:

MN507-4: Synthesize the effect that healthcare reform has on stakeholders

Directions

For this Assignment, you will examine the stakeholders impacted by the implementation of the Affordable Care Act (ACA). Your paper must include the following topics:

• Differentiate between at least three groups of stakeholders impacted by the ACA.
• Examine the financial impact of the ACA on each group of stakeholders.
• Summarize benefits of the ACA on each group of stakeholders.
• Summarize drawbacks of the ACA on each group of stakeholders.

The word count for your paper, excluding the title page and references page, will be 800-1200 words. You must include a minimum of (5) different scholarly references.

Assignment Requirements

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA formatting and citation style.

Read/review the following resources for this activity:

· Textbook: All chapters

· Lesson

· Minimum of 1 scholarly source

Initial Post Instructions Achievement is not a matter of GPA or points earned – or lost – on an exam. Achievement is measured in terms of the distance from where you started to where you are now. Everyone does not win – but everyone can achieve a personal best. Achievement is measured in how well you rise to a challenge; you do not have to win the Marathon, you need only run it.

Perhaps you had personal challenges (kids, hurricanes) that you had to overcome. Perhaps your role as a caretaker caused you to be torn between two duties. Perhaps the subject matter, or the way in which it was presented seemed dense and impenetrable. In each case, you were faced with an issue – can I overcome this challenge? In each case, you concluded that you could because…

For the initial post, examine your own argument, explaining how you argued your way through to success.

Your stories will inspire others, but you are not required to share personal details that you may prefer to keep private. What we ask you to share are your thought processes – your arguments. How well did you do in this “marathon”? What did you learn here that will help you meet the challenge of the next marathon?

Assignment:

Prompt: Students pursue online degrees for a variety of reasons. What do you find beneficial about pursuing your doctoral degree online? How does working toward a doctoral degree online help you achieve your personal and/or professional goals?

Write a 1-page (approximately 350 words), double-spaced personal essay in response to the prompt above. To present your strongest writing skills, submit an essay that:

1. Provides a focused and clear central idea that responds to the assignment prompt with developed ideas; Organizes ideas with paragraphing and transitions;Uses grammar and mechanics to effectively communicate meaning to readers; Maintains academic integrity by demonstrating your original work.
2. Using outside sources is not required for this essay; if you use them, however, then you must cite any information you paraphrase or quote.

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

To Prepare:

• Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
• Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

3 to 4 references less than 5 years

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

• Review the concepts of technology application as presented in the Resources.
• Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

• Describe the project you propose.
• Identify the stakeholders impacted by this project.
• Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
• Identify the technologies required to implement this project and explain why.
• Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background
2. Problem statement
3. Purpose of the change proposal
4. PICOT
5. Literature search strategy employed
6. Evaluation of the literature
7. Applicable change or nursing theory utilized
8. Proposed implementation plan with outcome measures
9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

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

Fort Myers, Florida

Community Assessment 2019

Section 1: Community Identification & Features

Instructions	Use complete sentences; cite each box
1a. Geography	Location in State: complete Area in square miles: complete
1b. Topography	Elevation: complete Type of Terrain: complete Major bodies of water: complete
1c. Economic	Primary industries: complete Largest employers: complete
1d. Infrastructure	Public transportation: complete Major roads/highways: complete Airports: complete
1e. Education	Public school districts and public schools: complete Higher education institutions: complete

Section 2: Population Demographics

Instructions	Use data only, not complete sentences; all info from US Census Bureau; cite each box.
	Local	State	US
2a. Total Pop.	Pop. Estimate 2017: number	Pop. Estimate 2017: number	Pop. Estimate 2017: number
2b. Age	<5yrs: % <18yrs: % >/=65yrs: %	<5yrs: % <18yrs: % >/=65yrs: %	<5yrs: % <18yrs: % >/=65yrs: %
2c. Gender	Female: %	Female: %	Female: %
2d. Race	White: % Black: % American Indian/Alaska native: % Asian: % Native Hawaiian: % Hispanic or Latino: %	White: % Black: % American Indian/Alaska native: % Asian: % Native Hawaiian: % Hispanic or Latino: %	White: % Black: % American Indian/Alaska native: % Asian: % Native Hawaiian: % Hispanic or Latino: %
2e. Foreign born	Persons (2013-2017): %	Persons (2013-2017): %	Persons (2013-2017): %
2f. Population growth/decline	Population change 2010-2018: + or – %	Population change 2010-2018: + or – %	Population % change 2010-2018: + or -%

Section 3: Community Resources and Workforce

Healthcare Services

Instructions	Write your answers in complete sentences. You may use internet search engines to begin your search per assignment instructions.
3a. Hospitals (general not specialty)	Number in local area, general description with some details in a few short sentences.
3b. Urgent care centers (can include after hours walk in clinics or freestanding ERs)	Number in local area, general description with some details in a few short sentences.
3c. Community Health Centers (FQHCs)	Number in local area, general description with some details in a few short sentences.
3d. Mental Health Services (outpatient)	Number in local area, general description with some details in a few short sentences.
3e. Homecare Agencies	Number in local area, general description with some details in a few short sentences.
3f. Hospice Agencies	Number in local area, general description with some details in a few short sentences.

Services for Vulnerable populations

Instructions	Write your answers in complete sentences. You may use internet search engines to begin your search per assignment instructions.
3g. Agency that provides Services to elderly	Name one agency here followed by a few sentences discussing the services they provide
3h. Agency that provides Services to homeless	Name one agency here followed by a few sentences discussing the services they provide.
3i. Agency that provides Services to children	Name one agency here followed by a few sentences discussing the services they provide.
3j. Agency that provides drug treatment services	Name one agency here followed by a few sentences discussing the services they provide.
3k. Agency that provides healthcare services to uninsured/indigent	Name one agency here followed by a few sentences discussing the services they provide.

HRSA Designations

Instructions	Yes or No with complete sentences for any explanation; use HRSA website as directed in instructions.
3l. Health Provider Shortage Area (HPSA)	Yes/No and type of provider that are of shortage if
3m. Medically Underserved Area (MUA)	Yes/No

Healthcare Providers

Instructions	Data only needed as prompted.
3n. Area Name: Write Your Metropolitan/nonmetropolitan area name here Data Period: Write month/date here
3o. Physicians	Number employed: number
3p. Physician’s Assistants	Number employed: number
3q. Nurse Practitioners	Number employed: number
3r. Population to primary care physician	Ratio
3s. Population to other primary care providers	Ratio
3t. Your interpretation of HRSA and Healthcare Provider data above	Write a few sentences.

Section 4: Indicators of Health Status and Quality of Life

Mortality, Morbidity & Health Risk Factors

Instructions	Data only, not complete sentences.
	Local	State	US
4a. Mortality: Leading Causes of Death (top 3)	List causes Data year	List causes Data year	List causes Data year
4b. Mortality: Infant mortality Rate	List rate Data year	List rate Data year	List rate Data year
4c. Mortality: Drug Induced Rate	List rate Data year	List rate Data year	List rate Data year
4d. Morbidity: List Indicator here (choice)	List statistic Data year	List statistic Data year	List statistic Data year
4e. Health Risk Factor: Adult Tobacco Use	List statistic Data year	List statistic Data year	List statistic Data year
4f. Health Risk Factor: Adult Obesity	List statistic Data year	List statistic Data year	List statistic Data year

Social Determinates of Health

Instructions	Data only with clear data identification; not complete sentences.
	Local	State	US
4g. Economic: % Living in Poverty	List % Data year	List % Data year	List % Data year
4h. Economic: % Unemployment Rate	List % Data date	List % Data date	List % Data date
4i. Education: % with High School graduate	List % Data year	List % Data year	List % Data year
4j. Education: % with bachelor’s degree	List % Data year	List % Data year	List % Date year
4k. Health: % without health insurance <65yrs	List % Data year	List % Data year	List % Data year
4l. Crime: Violent Crime rate	List rate Data year	List rate Data year	List rate Data year
4m. Food Insecurity: % who lack adequate access to food	List % Data year	List % Data year	List % Data year

Physical Determinates of Health

Instructions	Data only/complete sentences if needed for clarity.
4n. Mean MAX Annual Temperature	Degree Fahrenheit List years of data
4o. Mean MIN Annual Temperature	Degree Fahrenheit List years of data
4p. Mean ANNUAL Precipitation	Inches List years of data
4q. Air Quality	List Results (follow instruction) List dates of data
4r. Water Quality	List Results (follow instruction) List dates of data

Health People 2020 Goals and Progress complete sentences first column /data only for rest

Instructions	Complete sentences in the first column, data only for the rest. First column from HP2020 website.
	Local	State	US
4s. Target goal 1: Write it here-goal plus target measure	List statistic with identifier List year of data	List statistic with identifier List year of data	List statistic with identifier List year of data
4t. Target goal 2: write it here-goal plus target measure	List statistic with identifier List year of data	List statistic with identifier List year of data	List statistic with identifier List year of data
4u. Target goal 3: write it here-goal plus target measure	List statistic with identifier List year of data	List statistic with identifier List year of data	List statistic with identifier List year of data

Section 5: Health Priorities and Interventions

Instructions	Use complete sentences.
	Intervention 1	Intervention 2	Intervention 3
5a. Priority #1: State your priority here in 1 complete sentence	State intervention for priority in 1-2 sentences	State intervention for priority in 1-2 sentences	State intervention for priority in 1-2 sentences
5b. Priority #2: State your priority here in 1 complete sentence	State intervention for priority in 1-2 sentences	State intervention for priority in 1-2 sentences	State intervention for priority in 1-2 sentences
5c. Priority #3: State your priority here in 1 complete sentence	State intervention for priority in 1-2 sentences	State intervention for priority in 1-2 sentences	State intervention for priority in 1-2 sentences

Section 7: References

APA Reference list here (starts on separate page)

Health Organization Evaluation

Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.

Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:

1. Describe the health care organization or network.
2. Describe the organization’s overall readiness based on your findings.
3. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
4. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
5. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.

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.

RUBRIC

Attempt Start Date: 26-Aug-2019 at 12:00:00 AM

Due Date: 01-Sep-2019 at 11:59:59 PM

Maximum Points: 180.0

Health Organization Evaluation

No of Criteria: 10 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less Than Satisfactory65.00 %Satisfactory75.00 %Good85.00 %Excellent100.00 %Content80.0     Health Care Organization or Network15.0Health care organization or network is not described.Health care organization or network is partially presented. There are significant omissions and inaccuracies.Health care organization or network is summarized. Some information is needed. There are minor inaccuracies related to the representation of the organization or network.Health care organization or network is described. Some detail is needed for clarity.Health care organization or network is clearly and accurately described.Assessment of Overall Organizational Readiness15.0Assessment of overall organizational readiness is omitted.Assessment of overall organizational readiness is partially presented. There are significant omissions. Degree of organizational readiness is not established.Assessment of overall organizational readiness is summarized. Degree of organizational readiness is partially established. More information, rationale, and support are needed.Assessment of overall organizational readiness is described. Degree of organizational readiness is generally established. Some evidence or rationale is needed for support.Assessment of overall organizational readiness is described in detail. Degree of organizational readiness is established. Strong evidence and rationale support the assessment.Strategic Plan20.0Strategic plan is omitted.Strategic plan is partially presented. Plan contains major omissions. The plan fails to address issues outlined in the assignment criteria.The strategic plan generally addresses network growth, nurse staffing, resource management, and patient satisfaction. More information, rationale, and support are needed.The strategic plan addresses network growth, nurse staffing, resource management, and patient satisfaction. Some evidence or rationale is needed for support.The strategic plan is well developed. Network growth, nurse staffing, resource management, and patient satisfaction are addressed in detail. The plan is supported with strong evidence and rationale.Identification of Current or Potential Issues in Organizational Culture and Impact of These to Strategic Plan15.0Current or potential issues in the organizational culture and the impact of these to strategic plan are omitted.Current or potential issues in the organizational culture are partially summarized. The potential impact of these on the strategic plan is unclear. There are omissions and inaccuracies throughout.Current or potential issues in the organizational culture are generally discussed. The impact of these on the strategic plan is summarized. Evidence and rationale are needed to support claims.Current or potential issues in the organizational culture and the potential impact of these on the strategic plan are discussed. Some evidence or rationale is needed.Current or potential issues in the organizational culture are clearly identified. The potential impact of these on the strategic plan is thoroughly described and supported with evidence and rationale.Theory or Model to Support Implementation of Strategic Plan15.0Theory or model to support strategic plan implementation is omitted.Theory or model to support strategic plan implementation is partially described. It is unclear how the theory or model would support implementation of strategic plan for the organization.Theory or model to support strategic plan implementation is proposed. The theory or model demonstrates some support for implementation of the strategic plan for the organization. It is unclear why this theory or model is the best choice. More information is needed.Theory or model to support strategic plan implementation is proposed. The theory or model demonstrates support for implementation of the strategic plan for the organization. General rationale is provided for why the theory or model is the best choice.Theory or model to support strategic plan implementation is proposed. The theory or model demonstrates strong support for implementation of the strategic plan for the organization. Compelling rationale supports why the theory or model is the best choice.Organization, Effectiveness, and Format20.0     Thesis Development and Purpose5.0Paper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.Argument Logic and Construction5.0Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.Writer is clearly in command of standard, written, academic English.Paper Format (use of appropriate style for the major and assignment)2.0Template is not used appropriately, or documentation format is rarely followed correctly.Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.Appropriate template is used. Formatting is correct, although some minor errors may be present.Appropriate template is fully used. There are virtually no errors in formatting style.All format elements are correct.Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)3.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  100

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.
3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Week 8 Discussion: Political Compass Results

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Required Resources
Read/review the following resources for this activity:

• Lesson
• Political Compass Test Results
• Additional scholarly sources you identify through your own research

Initial Post Instructions
Go to the site: https://www.politicalcompass.org. (Links to an external site.)
Scroll to the end of the site where it says “take the test.”
Answer all of the questions.
After you answer the questions, there will be a chart with your Economic and Social numbers.

After taking the political compass test, tell the class what your scores are and what they mean. Then, analyze why you believe the results or do not believe the scores. Finally, discuss how this course has been beneficial to your daily life and career choice. Use evidence (cite sources) to support your response from assigned readings or online lessons, and at least one outside scholarly source.

Follow-Up Post Instructions
Respond to at least two peers or one peer and the instructor. Further the dialogue by providing more information and clarification. Minimum of 1 scholarly source, which can include your textbook or assigned readings or may be from your additional scholarly research.

Writing Requirements

• Minimum of 3 posts (1 initial & 2 follow-up)

Grading
This activity will be graded using the Discussion Grading Rubric. Please review the following link:

• Link (webpage): Discussion Guidelines

Course Outcomes (CO): 1, 2, 3

Due Date for Initial Post: By 11:59 p.m. MT on Wednesday
Due Date for Follow-Up Posts: By 11:59 p.m. MT on Saturday

Write 8-10 pages in which you identify a major patient-safety issue within your own organization and use evidence-based best practices and technology to develop a plan to improve the safety issue.

Quality improvement and patient safety are central to the nursing leadership role.

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

• Competency 2: Safety and Quality Practices – Incorporate concepts of patient safety, clinical management, and quality improvement to improve patient outcomes.
  • Describe a patient safety issue and compare currently used organizational processes for handling this issue with concepts, principles, and practices that contribute to quality improvement and patient safety.
• Competency 3: Nursing Research and Informatics – Incorporate evidence-based practice interventions (for example, information systems and patient care technologies) as appropriate for managing the acute and chronic care of patients, promoting health across the lifespan.
  • Recommend evidence-based interventions, including technology, to address specific patient-safety issues.
• Competency 4: Policy, Finance, and Regulations – Understand the scope and role of policy, finance, and regulatory environments in relationship to individual and population outcomes.
  • Analyze the legal and ethical consequences of not addressing patient-safety issues.
• Competency 5: Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.
  • Write coherently to support a central idea in appropriate APA format with correct grammar, usage, and mechanics as expected of a nursing professional.
• Competency 6: Organizational and Systems Management – Apply knowledge of organizational behavior, nursing theory, and systems (micro- and macro-) as appropriate for the scope and role of one’s own practice.
  • Describe strategies to overcome specific organizational barriers to change.

Assessment Instructions

 

Preparation

As you prepare for this assessment, complete the following:

1. Before you begin, examine your organization’s history of safety in a specific area and how your organization addresses patient safety issues. If possible, consult with a key stakeholder in the organization (such as an administrator) to better understand specific patient-safety concerns and how the organization is working to resolve the concerns. This person should also be able to discuss some of the organizational barriers impacting the patient safety issue.
2. Next, look at the basic concepts, principles, and practices that contribute to organizational quality improvement and patient safety. Review the literature for best practices and how technology might be used to improve the issue.
3. Finally, be sure to consider the legal and ethical implications associated with the safety issue, as well as possible organizational barriers to change.

Directions

As you construct this assessment, address each point as completely as possible:

• Describe a patient-safety issue within your organization, comparing the way your organization addresses the issue with the concepts, principles, and practices that contribute to quality improvement and patient safety.
• Analyze the legal and ethical consequences of not addressing the issue.
• Recommend evidence-based interventions, including technology, to address the patient-safety issue.
• Describe strategies to overcome specific organizational barriers to change, based on your knowledge of the organization.

Additional Requirements

• Format: Include a title page and reference page. Use APA style and formatting.
• Length: Ensure your completed assessment is 8–10 pages in length, not including the title page and reference page.
• References: Cite at least five current scholarly or professional resources.
• Font: Use double-spaced, 12-point, Times New Roman font.