Category: Nursing

Select one healthcare policy issue as the subject for this assignment.
Investigate the issue to provide the following information:
Overview of the Issue
Existing Strategies to Address the Issue
Stakeholders Impacted
Ethical and Legal Considerations
Implications for Nursing
Document your findings on the Module 3 Assignment Template provided.
Remember to cite and reference sources using the most current APA edition, to support work within the assignment template.
Include a minimum of 4 scholarly sources, current within 5 years, to support your findings.

For this assignment, students will discuss current recommendations for screening exams for an at-risk patient population and propose evidence-based intervention(s) for the identified population. The paper should be a minimum of four to five paragraphs, 500- 800 words in length, and no more than four pages, not including the title and reference pages.
Assignment Details:
Perform the following tasks:
Conduct a literature review and identify current recommendations for screening exams for an at-risk patient population.
Write an engaging and informative paper that would be helpful for someone in the discipline wanting to learn about current recommendations for screening exams for the identified at-risk patient population.
Use the following as a checklist for the scholarly paper:
Include the following elements:
Title page (APA formatted title page).
Introduction
Background knowledge-brief summary of current knowledge on the at-risk population and the current recommendation for screening exams
Challenges imposed in practice
Intext citation present and appropriate
Literature Review
Expound on the current recommendations for screening exams for selected at-risk population.
Literature searches for the topic on the web and in databases are limited to peer-reviewed professional nursing and medical journals, texts, and writings (no older than 5 years).
Uses literature to support claims, facts, and statistics.
Intext Citation present and appropriate.
Proposed Intervention
Clearly state proposed intervention(s)
Define the ethical considerations or issues relevant to proposed intervention(s)
State why the intervention(s) were chosen
Describe the implications of the proposed intervention to nursing education and practice.
Discussion/Implications/Conclusion
All work should have appropriate citations and reference lists.
Use Times New Roman, 12 pt. font; 1-inch margins; double-spaced.
Consists of 500 to 800 words in length (four to five paragraphs)
Citation and references are to follow the APA manual format
References should be no more than 5 years old
Sources:
Wikipedia (or similar sites) is not to be used as a reference
Taber’s and/or other medical dictionaries or encyclopedias are not to be used as references.
Proofread and edit the paper carefully, following the assignment rubric.
Use the plagiarism tool to check the summary against unintended plagiarism.
Spell check the paper and submit via Canvas.

Module 7Reflection
Part 2
Based on your response to Reflection: Part 1, state one insight that you gained regarding the concepts in this module. Connect learning achieved to a minimum of one course outcome addressed during this module.
Course Outcomes
CO 4: Discern the leadership competencies and practices essential for building and sustaining a culture of professionalism and civility to facilitate the change process. (POs 3, 4, 5)
Module Objectives
Examine the concept of incivility in the workplace. (CO 4)
Discuss behaviors that create toxic and dysfunctional work environments. (CO 4)
Explore strategies that support a culture of civility in healthful work environments. (CO 4)
Evaluate leadership attributes and styles that contribute to a healthful work environment. (CO 4)

Please respond to each post with a thought-provoking question and a reference to each post. 
POST 1 VICTORIA 
As the caregiver of my patient with multiple sclerosis, I have developed the nursing diagnosis: Caregiver role strain as evidenced by the caregiver’s reports of feeling overwhelmed related to the client’s increased need for care.
My SMART outcome for the caregiver is:
The caregiver will identify one person or resource to assist with at least one aspect of the client’s care at the next visit in 1 week.
Multiple sclerosis also referred to as MS is chronic, progressive disease affecting the myelin sheath.  By damaging the myelin coating around nerves the impulses are interrupted causing impaired muscle and cognitive function.  (Althoff et al, 2023)  A client with MS can have difficulties with ADLs, walking, speech and memory loss causing the client to require extensive care.
Providing ongoing care for a loved one can cause stress on the caregiver.  This increased stress can negatively impact the caregiver’s mental and physical health.  The caregiver my experience a decrease in social activities and ignore their own health causing a decrease in quality of life.  As the health of the caregiver decreases so does the care that is provided. (Liu et al, 2020)
It is important to recognize caregiver role strain both for the health of the caregiver and the client.  Encouraging the caregiver to discuss feelings of being overwhelmed, social isolation and stress can help the caregiver feel as though they are not alone.  The nurse can not only help the caregiver identify role strain but assist in finding resources, developing a support network and developing a plan for self care. (Mayo, 2024)
POST 2 STEVE
PES – Acute alterations in mental status as evidenced by decrease in consciousness and inappropriate response to stimuli.
A caregiver for a patient suffering from Epilepsy must be concerned with several complications as a result of the disorder. Epilepsy is a condition in which a patient has an acute onset of an altered level of consciousness that may also be accompanied by muscle twitching or jerking (Mayo Clinic, 2023). This sudden change can be very dangerous to the patient and will require the caregiver to pay close attention to their behavior. These patients are prone to falls, can cause car accidents, and are even at greater risk for drowning (Mayo Clinic, 2023). The caregiver must take precautions for patients with known seizures to prevent them from falling and causing additional trauma (Mayo Clinic, 2023). This may include assisting them when ambulating around, placing a tray table across them when sitting in a chair, and keeping the bed at the lowest level with the side rails raised. The patient can help control the frequency of seizures by identifying their triggers and also maintaining a proper medication regiment (Mayo Clinic, 2023).
A SMART outcome for this patient could be – The patient will demonstrate proper medication adherence by keeping a daily log for one month to be reviewed with their provider on the next office visit.

write a discussion post on how covid-19 has impacted or change nursing.  You can mention the acuity of patients and nurse work load. 

*****NO AI , PROFESSOR WILL CHECK******
You are helping out at a community health facility’s immunization clinic.  You have a pediatric patient (11 years old) and mom arriving to the clinic, with mom stating her child needs their 11-year-old shots for school.  When asking mom on what vaccines the child needs, mom states she is not 100% sure but believes she needs tetanus, and meningitis.  Unfortunately, mom does not have the child’s vaccine record available during the visit but needs them administered so the child can go to school tomorrow.  How would you respond to mom and what would you do to help the patient receive the vaccines they need?
Review information from the NJ DOH and see what vaccines trends in your community    NJ Immunization Requirements for Schools     NJ DOH Immunization Stats (https://www-doh.state.nj.us/doh-shad/topic/Immunization.html).
View the video about childhood immunizations to guide you on this discussion.

1 page journal on what I did today .
Notes:
– worked on the pulmomnary floor, which is my ususal floor 
– went to morning huddle
– I was paired with a tech for todays assignment . Took me back to my roots when I was a tech in the ED
– Did not pass out medications becuase I was not with a RN today
– communicated with the RN on what the patient needed
– Took  vitals
– assisted patients with ambulatiuion 
-Passed out breakfast trays/ lunch trays
-helped changed patients 
-did  head to toe assessment on my assigned patient 
-watched a removal of a chest tube. explain process please
– took blood sugars in the morning and afternnon.
– explain how a tech is important for the floor and how they hellp the RN 

I’m going to attach the template that needs to be used, that was provided from my school and all the work I’ve done for the project thus far. And the instructions 

Week 3 Epidemiology of your Community Discussion
Discuss the epidemiology of your community. Are there specific highs or lows you found interesting? Pick two of the interesting data points about your community and compare it to the state data.
Paragraph One: Discuss your community as a whole, what epidemiological groups make up the community. Identify several data points including ethnicity, vulnerable populations and health issues or anomalies within your community. Compare the data to state and national levels
Paragraph Two: Identify a health issue that you noted during your windshield survey that you find interesting either one with higher than a state or national average or one with lower than state or national average. Discuss the issue and why you think there is a disparity between data points
Paragraph Three: How will you impact the previously identified health issue and what changes would you like to implement in your community. What community resources will you utilize to facilitate the change and which other healthcare professionals will you include in your plan.
Paragraph Four: How will you measure the outcomes of the change on your community? What tools will you use to measure the change and how long do you expect it to see the changes. How will get the data and track changes? Where will you mine your data
Your initial discussion should include 2 references, 1 from the required reading and 1 from an outside REPUTIBLE source
resource 1 is from ch 5 and 26:
Nies, M.A., & McEwen, M. (2019). Community/public health Nursing: promoting the health of populations (8th ed.). Elsevier Health Sciences.

First Paper:
Title: The Impact of Nurse-Led Education on Glycemic Control in Adult Diabetes Patients. Second Paper:
Title: Evaluating the Efficacy of Peer Support Programs for Diabetes Management in Community Settings.
The two articles should also be primary research They should both be investigating the same broad topic area but may have different aims/questions. They can employ the same research techniques/ methods/ procedures of use different ones. You are advised to use a structured search (e.g., PEO, PICO, PICOS, SPIDER etc.); however, you can still demonstrate your competence by using a range of search techniques such as Boolean Operators (to combine keywords); truncation, wild cards. clinical articles. Make sure you use high-quality, peer-reviewed sources.
To ensure currency of evidence, the two main articles you select should have been published in the past five years.
1 Introduction, EG. The essay will discuss the research methods used and ethical issues arising from two primary research papers that were conducted on my chosen topic of….. Two or three sentences max! We want you to direct the reader to it from this section of your essay (see appendix) 2 Literature search, EG.Tell us which database you searched and justify the choice with a piece of literature Then tell us about your search e.g. Tell us that you constructed a search using PEO, PICO or some other because they help structure the search (and give us a reference to support that) Tell us you combined synonyms with the Boolean operator “OR” because Bloggs et al (2020) says its a fab thing to do. Tell us you combined key words with Boolean operator “AND” because….. Tell us about the limits you put on your search (e.g. “last 5 yrs”) and why (using literature). Tell us how many results it left you to select from 3. Cite/ reference the 2 papers you have selected and give us a 2 or 3 sentence overview of each The second was…… 4 Specify which aspect(s) of their research methods you will be focusing on (max of 2 methods) and define those methods using relevant literature.EG. Make sure you know what a research method is: https://www.aesanetwork.org/research-onion-a-systematic-approach-to-designing-research-methodology/ Tell us whether you are going to write about sampling, data collection methods, data analysis techniques etc etc. Tell us exactly which methods were used in each study (surveys, interviews, focus groups etc) Briefly explain them using
research literature e.g. 5 Discuss the pros and cons of the method(s) as used in each paper (i.e. not just from a purely theoretical perspective
6 Discuss any ethical issues in the papers that you identify as worthy of discussion (ie stuff that sits within Beauchamp and Childress’ 4 ethical principles) .EG.All research in the UK requires ethical approval before it can proceed ..however the second ..
7 Brief conclusion. Simply state what you want readers to take away from your work 8 Reference list.EG.Include everything you have cited Yes, even your two main papers Follow APA 7 guidelines 7) Sense check the list, if its all references to clinical articles. Make sure you use high quality, peer reviewed sources. Don’t reference random webpages that have no real quality control.
9.Appendix. You should use screen capture (e.g., Ctrl + Prtscn) to evidence your search and include this image as an appendix to your assignment which you should signpost readers to from the account of your search (see example).