Analyze and integrate the impact of cultural competence and ethical decision making models on clinical reasoning, health policy and practice in regard to this more comprehensive understanding in the role of the NP.

Analyze and integrate the impact of cultural competence and ethical decision making models on clinical reasoning, health policy and practice in regard to this more comprehensive understanding in the role of the NP.

Evaluating the necessity of a more comprehensive understanding of pathophysiology, pharmacology, and physical assessment skills for the role NP in contrast to the role of the RN. Analyze and integrate the impact of cultural competence and ethical decision making models on clinical reasoning, health policy and practice in regard to this more comprehensive understanding in the role of the NP.

2-3 pages

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In a 4 page paper: ¥ Restate your PICOT question and its significance to nursing practice.

Part 1
Write a 3page paper that includes the following:
¥ A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice
¥ The 5 questions you have generated and a description of how you analyzed them for feasibility
¥ Your preliminary PICOT question and a description of each PICOT variable relevant to your question. Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question.
At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections.
¥ Reminder: submitted include a title page, introduction, summary, and references. Integrates 2 or more credible outside sources, in addition to 3-4 course resources to support point of view.

Part 2
Write a 3 page literature review that includes the following:
¥ A synthesis of what the studies reveal about the current state of knowledge on the question (In hospitalized critically ill patients how does turning and repositioning every 2-4 hours compare to the use of pressure redistributing support surfaces in preventing the occurrence of pressure ulcers)?
? Point out inconsistencies and contradictions in the literature and offer possible explanations for inconsistencies.
¥ Preliminary conclusions on whether the evidence provides strong support for a change in practice or whether further research is needed to adequately address your inquiry
¥ Your literature reviews summary table with all (5) references formatted in correct APA style included in the body of your paper. Integrates 2 or more credible outside sources, in addition to 3-4 course resources to support point of view.
Note: Certain aspects of conducting a standard review of literature have not yet been covered in this course. Therefore, while you are invited to critically examine any aspect of the studies (e.g., a study’s design, appropriateness of the theoretic framework, data sampling methods), your conclusion should be considered preliminary. Bear in mind that five studies are typically not enough to reflect the full range of knowledge on a particular question and you are not expected to be familiar enough with research methodology to conduct a comprehensive evaluation of all aspects of the studies. Reminder: submitted include a title page, introduction, summary, and references.
Part 3
In a 4 page paper:
¥ Restate your PICOT question and its significance to nursing practice.
¥ Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles.
¥ Explain how the evidence-based practice that you identified contributes to better outcomes. In addition, identify potential negative outcomes that could result from failing to use the evidence-based practice.
Outline the strategy for disseminating the evidence-based practice that you identified throughout your practice setting. Explain how you would communicate the importance of the practice to your colleagues. Describe how you would move from disseminating the information to implementing the evidence-based practice within your organization. How would you address concerns and opposition to the change in practice?
¥ Reminder: submitted include a title page, introduction, summary, and references. Integrates 2 or more credible outside sources, in addition to 3-4 course resources to support point of view.

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How do the counselors help clients become aware of their own expression of cultural identity? Provide some examples.

How do the counselors help clients become aware of their own expression of cultural identity? Provide some examples.

Please be sure that you have access to the necessary video needed to complete this assignment. If you do not have access, please do not respond asking to do the assignment.

I am willing to pay $25.00 for this assignment and do not request any additional.

Watch the “Multicultural Counseling and Psychotherapy” video found in this week’s Electronic Reserve Readings. I have paste a copy of each links needed for the assignment.

BSHS465 Professional Development and Identity
Week 5

Cultural Issues Affecting the Delivery of Service
Readings:

(Video) (2004). Multicultural Competence: Awareness, Knowledge & Skills. Microtraining Associates. [Academic Video Online].
(Video) (2001). Multicultural Counseling and Psychotherapy. Multitheoretical Counseling and Psychotherapy. [Academic Video Online].
Arthur, T. E., Reeves, I., Morgan, O., Cornelius, L. J., et al. (2005). Developing a cultural competence assessment tool for people in recovery from racial, ethnic and cultural backgrounds: The journey, challenges and lessons learned. Psychiatric Rehabilitation Journal, 28(3), 243-250.
Stanhope, V., Solomon, P., Pernell-Arnold, A., Sands, R. G., & Bourjolly, J. N. (2005). Evaluating cultural competence among behavioral health professionals. Psychiatric Rehabilitation Journal, 28(3), 225-233.
Write a 1,050- to 1,400-word paper that addresses the following:

How do the counselors help clients become aware of their own expression of cultural identity? Provide some examples.
What are some multicultural issues affecting the clients and their situations?
What strategies are the counselors using to identify areas where multicultural issues are playing a role in the clients’ concerns or problems? How do the counselors help clients realize the positive attributes of their cultural identity?
Using reflections from the video, how do you view culture in your own life and in the shaping of your own identity? How does it affect your values and belief systems? What do you appreciate about your own identity, cultural or otherwise?

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What are your personal values and beliefs about nursing, health, environment, and patient care delivery?

What are your personal values and beliefs about nursing, health, environment, and patient care delivery?

Theory Integration

Select a theory or model that might be valuable in your advanced nursing role or that interests you. Explain your response to the following questions:
1. What are your personal values and beliefs about nursing, health, environment, and patient care delivery?
2. What are the underlying assumptions, values, and beliefs of the particular theory or model that you have chosen?
3. Is this theory or model congruent with your own values and beliefs about nursing, nursing care, nursing environment, and health.
Topic 2: Global View
Select a global view [paternalistic, feminist, modernism, postmodernism] and explain how this identifies to your overall outlook of life.
Topic 3
One of the greatest scientific developments of the past 150 years is the discovery of antibiotics. For some basic background on antibiotics, listen to this very brief Centers for Disease Control (CDC) podcast about antibiotics:
http://www2c.cdc.gov/podcasts/player.asp?f=10055
There is, however, a dirty little secret about Alexander Fleming and his discovery: it was an accident! As Fleming worked in his lab in the late 1920s growing disease-causing bacteria in tiny petri dishes, he got a little sloppy by leaving the petri dishes uncovered too long. One story even suggests that he may have sneezed into one of his petri dishes. Regardless of the exact cause, what resulted was a mold infestation on some of his bacterial dishes. However messy Fleming was, he was also smart enough to see that the mold infestation was killing off the bacteria he was studying. Completely by accident, he had found something that killed disease-causing organisms.

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Explain how changing demographics are impacting patients and providers in the delivery of health care in the U.S. 4D2: Change and Diversity Brake down

Explain how changing demographics are impacting patients and providers in the delivery of health care in the U.S.
4D2: Change and Diversity Brake down

Explain how changing demographics are impacting patients and providers in the delivery of health care in the U.S. Describe the impact of increased diversity in and around the health care industry.
Please write paper using APA format.
Assignment Reading Brake Down:
Health Professionals
The health care industry provided approximately 14.6 million jobs in 2004 alone, making it one of largest employers in the United States. Registered nurses, the largest employed group in health care, estimated 2.9 million jobs and physician numbers reached about 885,000, with a majority working in metropolitan areas.
Physician assistants and nurse practitioners are steadily climbing the employment ladder within the industry as well. And though there are a number of other specialized professionals and nonprofessionals employed in the industry, there are also more jobs that do not require a four-year college degree.
For our discussion on credentialing and licensure this week, we will focus on those professionals that diagnose and treat patients.
Source:
Barton, P.L. (2010). Understanding the U.S. health services system (4th ed.). Chicago, IL: Health Administration Press.
Licensure, Certification, and Credentialing
After academic and clinical training is completed, clinical professionals are required by law to attain their licensure and/or certification to practice. Most physicians are eligible to obtain a license to practice medicine after one year of post-graduate training. Licensure is granted by the state. It is required for physicians, nurses, and others to practice, and demonstrate competency to perform a scope of practice. State Boards of Physician Quality Assurance (BPQA) establish requirements for medical licenses. In the field of nursing, the National Council Licensure Examination must be passed by nursing students to obtain their licenses. In some states a criminal background check is also required for both RN and MD licensure. This information is available to those who screen, hire, and/or evaluate personnel through the National Practitioner Data Bank. Not only does this data bank provide the list of practitioners, it provides the scope of practice for the specific license. This is an important tool for leaders and human resources managers to avoid any major lawsuits.
Now that we have looked at the licensure, let’s move on the certification requirements.
The level of certification in health services depend on the practitioner being examined. A physician, who has submitted the documentation of education, training, and practice to the American Board of Medical Specialties (ABMS) for review, does so voluntarily. Upon approval of the medical specialty board and successful completion of examinations, the physician is designated as board certified in that specialty. Certificates are time-limited. Physicians must demonstrate continued competency and retake the exam every six to ten years, depending on the specialty. Board certification is a form of credentialing a physician’s competency in a specific area.

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Research best practice nursing related to a trend/issue in medical-surgical nursing. Apply research of best practice to a nursing care plan to promote health for a medical-surgical client.

Research best practice nursing related to a trend/issue in medical-surgical nursing.
Apply research of best practice to a nursing care plan to promote health for a medical-surgical client.

Demonstrate critical thinking applicable to care of medical/surgical client.
Through this assignment you will write a scholarly paper on a procedure or trend/issue that impacts the health of a medical-surgical client. You will apply your
research by describing how the evidence best supports the change of nursing procedure or changing trend/issue and the impact of the change on the health outcomes of
the medical-surgical. This evidence will be applied in a nursing care plan for a medical-surgical client. Include health teaching that is promotes the health of the
medical-surgical client.
1.This assignment must be typewritten (word-processed) and follow APA 6th edition format.
2.Part A: Research. The research portion of this assignment should identify the impact of the procedure or trend/issue on the medical-surgical client and how the
evidence supports best practice of nursing care. Reference at least three (3) sources published within the last threeyears current journal articles reputable
medical websites or textbooks. This section of theassignment should not be more than three (3) pages long.
3.Part B: Care Plan. Develop a care plan that incorporates your research and best practice nursing. The care plan may be completed using the forms provided or in a
scholarly paper format (maximum 3 pages). If you choose to submit your plan in a scholarly paper use APA 6th edition format.
4.Submit the marking guide with your assignment.
Instructions
PART A: RESEARCH
Select one of the topics below or select a topic that interests you. Ensure your topic addresses a procedure or a trend/ issue that impacts the medical-surgical
client. If you choose a topic that is not listed below you are strongly encouraged to discuss the topic with your instructor/tutor prior
to starting this assignment.
Research the topic of your choice. Compare previous and current practice and include evidence based practice (best practice) that promotes the health of the
medical-surgical client in hospital or following discharge home. Finally consider teaching information that is important for the medical-surgical client to learn.
Potential Topics
Care and use of different types of chest tubes (e.g. wet/dry/Heimlich valves)
Different types of wound dressings (Adaptic VAC wound care All Dress etc.) and their impact on wound healing
Increasing incidents of super-infections ( ESBL VRE MRSA etc.) in the acute-care setting and how these can be avoided
Types and trends of post-op infections in the acute-care setting in Alberta
Clean vs. sterile techniques for tracheostomy care bladder irrigation or intermittent catheterization
Preventing complications such as DVTs respiratory complications and skin breakdown in the immobilized client (skeletal traction external fixators strict bed rest
etc.)

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Write a paper discussing the influence of the social and political environment on advocacy efforts in relation to the delivery of Human Service. Research a local community or state issue of your choice in which advocacy efforts were executed.

Write a paper discussing the influence of the social and political environment on advocacy efforts in relation to the delivery of Human Service.
Research a local community or state issue of your choice in which advocacy efforts were executed.

Write a 1,500- to 2,000-word paper discussing the influence of the social and political environment on advocacy efforts in relation to the delivery of Human Service. Address the following:

Research an issue in your local community or state where advocacy efforts impacted the social and political climate. Examples could include:
childhood obesity,
gun violence (as it relates to human services),
opiate abuse and other prescription drug addictions,
immigration,
women’s health,
youth diversion programs,
unemployment.
Analyze the social and political climate in which your issue has existed and how advocacy has influenced Human Service programming or delivery changes in the last 10 years.
Identify the advocates and stakeholders and assess how their roles influence the advocacy process.
Elaborate on how advocacy efforts have influenced current attitudes and policies towards issues that affect human services.
Profile how advocacy efforts have evolved and changed over time to influence the interaction of human systems.
Evaluate the outcomes of the advocacy work and the impact on the access to services and community resources.

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Complete compare the model application to the nursing process. What are the similarities or differences?

Complete compare the model application to the nursing process. What are the similarities or differences?

SUBMIT A BRIEF PARAGRAPH ABOUT CONCEPTUAL MODELPRECEDE-PROCEED MODEL

Submit a brief paragraph about conceptual modelPrecede-Proceed Model
and why chosen
Complete compare the model application to the nursing process. What are the similarities or differences?
Use of at least one current reference
Complete reference two current community health problems where this model has been applied
Use of at least one current reference
Complete explain the importance of community partnership in community health projects

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Please address the following: Introduce yourself to your team members. Where do you work? Briefly describe the community where you live.

The Role of the Community and Public Health Nurse This week, your Instructor assigned you a chapter in the course textbook that discussed the role of the public health nurse in a specific setting. Based on your assigned chapter and bearing in mind the primary prevention focus of the community/public health nurse, respond to the following: What differentiates the role of the community and public health nurse from other health professionals? What skills and knowledge are necessary for the type of decision making inherent in population-focused nursing practice? How do these skills differ from those required in the institutional setting? Support your response with references from the professional nursing literature. Post your response to this Discussion byDay 3. Respond to at leasttwocolleagues’ postings byDay 7. See the Week 1 Discussion area for details. Application The History of Public Health and the Role of the Community/Public Health Nurse Using Chapter 2 in the course textbook, your assigned reading on the role of the nurse in a specific public health setting, and reviewing this week’s media presentation, address the following in a 2- to 3-page paper: Trace the history of the public health nurse including the contributions made by Lillian Wald and the Henry Street Settlement. Also, summarize the role of the nurse in the practice setting assigned. Include the following in your summary: Explain how the core functions of community/public health nursing and the standards of practice are met with that specific role. Describe the population served by the nurse in this role. Which interventions might the nurse in this role utilize? Explain the level of practice used in this practice setting (primary/secondary/tertiary). Describe an ethical dilemma that might be encountered in this nursing role. Use the Application Rubric in the Course Info area on the left navigation bar to develop this paper. Due byDay 7. Virtual Practicum Team Discussion Practicum Activities: Identify a Population Group Community health nursing needs to be not only on the individual, but also the family and the community. This activity is intended to teach you how the term community health is about identifying problems and managing interactions within the community. In meeting multiple needs, community health nurses are required to fulfill multiple roles. These roles include care provider, educator, advocate, manager, collaborator, leader and researcher. This week, your instructor has assigned you to choose a population group that you will write about for the next six weeks. Community health nursing settings include homes, ambulatory care settings, schools, occupational heath settings, residential institutions, and the community at large. Knowing about these settings may assist you in choosing your population group. Read more about populations in your textbook. Please address the following: Introduce yourself to your team members. Where do you work? Briefly describe the community where you live. For the purpose of the Population-Based Nursing Care Project, choose a population group that interests you. Describe what the members of your chosen group have in common? For example, do they share some important features in their lives? What are some health problems or issues that you can think of that may affect the population that you are interested in?. Post your response to this Discussion byDay 5. Respond to at leasttwocolleagues’ postings byDay 7. See the Week 6 Practicum Discussion area for details.

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Describe the relationship between health care cost and quality.In a paper of 500-1,000 words, describe the relationship between health care cost and quality. Address the following:

Describe the relationship between health care cost and quality.In a paper of 500-1,000 words, describe the relationship between health care cost and quality. Address the following:

Details: orginal work please. Read details before writing the assignment.

In a paper of 500-1,000 words, describe the relationship between health care cost and quality. Address the following:

Select one public agency and one private agency and differentiate their roles and major activities in addressing cost and quality in health care.
Analyze current and projected initiatives to improve quality while simultaneously controlling costs. Describe any unintended consequences.
Synthesize implications for staff nurses and advanced practice nurses, including evidence-based practice, relative to cost and quality.

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