Category: Nursing

*** CREATE A RESPONSE TO THE FOLLOWING DISCUSSION POST**
The repeal and replacement of the Affordable Care Act (ACA) has been a highly debated topic in American politics, closely linked to the reelection strategies of lawmakers. As elected representatives, legislators are acutely conscious of the need to strike a balance between their policy choices and the preferences of their voters, especially when it comes to healthcare, which directly impacts people’s physical and financial well (The White House, 2023). The cost-benefit analysis for legislators about the initiatives to repeal/replace the ACA is complex and has multiple aspects. On the other hand, there were electoral pledges to repeal the ACA, frequently justified by the aim of diminishing government involvement in healthcare and decreasing insurance premiums. By fulfilling these pledges, a lawmaker has the potential to enhance their support within their base, hence increasing their likelihood of being reelected. Nevertheless, the popularity of the ACA grew over time, especially as the public became more aware of its advantages (The White House, 2023). The legislators faced a potential danger in their bid for reelection due to the widespread support for the ACA. Backing the repeal or replacement of the ACA may isolate constituents who depend on the ACA for healthcare services, financial aid, and safeguards like coverage for pre-existing diseases.
Lawmakers encountered a predicament, revoking the ACA could have satisfied some of their supporters and conformed to certain ideological stances, it posed the possibility of receiving unfavorable reactions from others who were advantaged by the law’s provisions. Furthermore, the intricacies of healthcare policy posed difficulties in accurately forecasting the complete ramifications of repeal/replace initiatives, such as possible disruptions in coverage and heightened expenses for specific demographics (Willison & Singer, 2019). The political calculation, therefore, entailed assessing the possible immediate benefits of implementing campaign pledges compared to the long-term electoral hazards and the concrete effects on constituents’ lives. When making recommendations or establishing national laws that affect programs such as Medicare or Medicaid, examining voters’ perspectives regarding healthcare policy is essential for legislative leaders (Willison & Singer, 2019). Public opinion acts as a gauge of the goals and concerns of people, determining the policy agenda and impacting the decisions made by legislative leaders. When it comes to healthcare, which is highly personal and has a direct impact on people’s lives, it is crucial to comprehend voter emotion.
Legislative leaders must consider multiple aspects when evaluating public opinion on healthcare issues. Demographic shifts, such as the growing dependence of the aging population on Medicare, underscore the significance of upholding and enhancing healthcare services for seniors (Willison & Singer, 2019). Furthermore, the Medicaid program’s responsibility to offer coverage to low-income individuals and families highlights the importance of policies that guarantee affordable healthcare for vulnerable people. The general population’s perception regarding healthcare is not fixed; it changes throughout time in reaction to socio-economic influences, personal encounters with healthcare, and political discussions. Survey results, public forums, input from constituents, and healthcare advocacy organizations offer valuable perspectives on voters’ opinions regarding specific policy measures (Impacts of the ACA and Implications for Its Repeal, 2017). Legislative leaders must actively interact with these sources of information in order to effectively assess public sentiment and adjust their policy suggestions accordingly. Legislative leaders must skillfully manage conflicting interests and ideological differences among their constituents (Impacts of the ACA and Implications for Its Repeal, 2017). Healthcare policy arguments frequently mirror more extensive ideological debates concerning the government’s role, individual accountability, and social welfare. Therefore, comprehending the intricacies of voter opinions necessitates being attuned to many viewpoints and being open to identifying shared interests wherever feasible.
The evaluation of lawmakers’ costs and benefits in relation to the repeal or replacement of the ACA highlighted the challenges of reconciling policy goals with electoral factors. Voters’ opinions about healthcare policy are crucial in influencing legislative choices, requiring thorough consideration of public mood and constituents’ varied requirements. Legislative leaders can accomplish their primary duty of serving the interests of the voters and advancing significant healthcare reforms by aligning policy suggestions with voter preferences and addressing their healthcare problems.
Reference
Impacts of the ACA and Implications for Its Repeal. (2017, January 5). Urban Institute. https://www.urban.org/policy-centers/health-policy-center/projects/impacts-aca-and-implications-its-repeal Links to an external site.
The White House. (2023, February 28). FACT SHEET: The Congressional Republican Agenda: Repealing the Affordable Care Act and Slashing Medicaid. The White House. https://www.whitehouse.gov/briefing-room/statements-releases/2023/02/28/fact-sheet-the-congressional-republican-agenda-repealing-the-affordable-care-act-and-slashing-medicaid/ Links to an external site.

Develop a 4–5 page patient-centered needs assessment to demonstrate how to leverage health care technology to improve patient engagement and outcomes for a specific patient population. This could focus on a disease or a disorder (KIDNEY DISEASE) based on the best available evidence that has been individualized to treat your patient’s health, economic, and cultural needs.
The bullet points below correspond to the grading criteria in the rubric. Be sure that your paper addresses all of the bullets below, at minimum. If you are having a difficult time choosing a topic, review the Healthy People 2030 topics and try to find a topic that is interesting and relevant to you.
Identify the importance of addressing patient engagement in the management of a patient’s specific health, economic, and cultural needs based on the best available evidence.
Why is patient engagement necessary to ensure that patients are better able to manage their specific health conditions?
What evidence in the current literature (published within the last fiveyears) supports the benefit of patient engagement?
Explain the potential use and impact of information and communication technology tools needed to improve consumer health literacy for a specific patient population.
Consider what type of health care technology modalities are useful to improve consumer health literacy
Are there mobile applications, telehealth features, or other technology that can facilitate improving patient care?
Evaluate the value and relevance of the technology modalities that may be used to address the needs identified in the patient population assessment.
How does each proposed technology modality encourage patient engagement in an ethical, culturally sensitive, and inclusive way?
Ensure that your strategies:
Promote honest communications.
Facilitate sharing only the information you are required and permitted to share.
Enable you to make complex medical terms and concepts understandable to your patient and their family regardless of language, abilities, or educational level.
Consider how health information exchange and interoperability of technology modalities contribute to their value.
Identify innovative strategies for leveraging technology to support quality, ethical, and efficient patient care that is culturally and linguistically appropriate for the identified patient population.
Consider how the selected technology impacts the patient in the most efficient way.
Is the selected technology culturally and linguistically appropriate?
Explain how the proposed strategies will mitigate the risk of adverse outcomes due to inequity in access to patient personal health data and technology modalities.
What are potential risks that could lead to adverse outcomes for certain members of the population?
How will those risks be mitigated?
How have your proposed strategies been used previously to address iniquities and risks?
Convey purpose of the assessment narrative in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.
Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.
Submission Requirements
Length of narrative: 4–5 double-spaced, typed pages. Your narrative should be succinct yet substantive.
Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source materials defined as no older than five years unless it is a seminal work. Be sure you are citing evidence to support that your information is evidence based.
APA formatting: Resources and citations are formatted according to current APA style.

Assignment Overview
Assess the population health for a selected
community. Statistics from valid, reliable sources such as legitimate
population health-focused organizations, governmental agencies, local and state
health departments, the Centers for Disease Control and Prevention, and the
U.S. Census Bureau are appropriate sources to validate assessment
findings. 
Do not include websites where the accuracy and
reliability of data are questionable (e.g., do not rely upon .com websites).
·        
Create a 3-5 page paper to
address the elements listed below. 
·        
Include a minimum of four
scholarly sources, current within 5 years, to support your work. 
See attached rubric for specific, required criteria within each section of the paper.
1.       Provide an introduction to the paper.
2.       Synthesize information gathered in order to summarize the findings of
your population health assessment, including the following.
a.       Demographic “snapshot” of the population (distribution of age, sex,
ethnicity, marital status, household type)
b.      
Leading morbidity and mortality
findings
c.      
Concise findings regarding assessment
of key social determinants impacting population health in the community (health
and healthcare, social and community context, education, economic stability,
neighborhood and built environment)
3.       Provide an analysis of your assessment findings and describe key
supports and barriers to health that were identified within the region. 
4.       Identify one priority population health risk or disparity that was identified
through the assessment. Include evidence from the population assessment to
validate the noted concern. Recommend one population-focused solution to
address this concern.
5.       Provide a conclusion to the paper.

Ethical code in nursing link: https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/

* I need to turn this in to Turnin so please don’t use AI* 
Read eight (8) theoretical articles that have been published in peer-reviewed journals during the last three years.  Please note that the articles should be about theory or theoretical issues, NOT research articles that have incorporated a theory. The annotated bibliography will consist of a full APA citation for each article and a brief critique/summary. No more than three articles can come from one source (journal). Include all 8 articles read in the Reference list. 
Please note that Grounded Theory IS NOT A THEORY but a research methodology for generating theory.  An article on grounded theory is not appropriate for this assignment, but a discussion of a theory generated by grounded theory research could be appropriate. 
Annotations are about 4 to 6 sentences long (roughly 150 words), and address:
Main focus or purpose of the work
Usefulness or relevance to your topic 
Special features of the work that were unique or helpful
Background and credibility of the author
Conclusions or observations reached by the author
Conclusions or observations reached by you

LEARNING EXERCISE 10.6
How Does Policy Influence Your Decision?
You are the evening house supervisor of a small, private, rural hospital. In your role as house supervisor, you are responsible for staffing the upcoming shift and for troubleshooting all problems that cannot be handled at the unit level.
Tonight, you receive a call to come to the emergency department (ED) to handle a “patient complaint.” When you arrive, you find a woman arguing vehemently with the ED charge nurse and physician. When you intercede, the woman introduces herself as Teresa Garcia and states, “There is something wrong with my father, and they won’t help him because we only have Medicaid insurance. If we had private insurance, you would be willing to do something.” The charge nurse intercedes by saying, “Teresa’s father began vomiting about 2 hours ago and blacked out approximately 45 minutes ago, following a 14-hour drinking binge.” The ED physician adds, “Mr. Garcia’s blood alcohol level is 0.25 [2.5 times the level required to be declared legally intoxicated], and my baseline physical examination would indicate nothing other than he is drunk and needs to sleep it off. Besides, I have seen Mr. Garcia in the ED before, and it’s always for the same thing. He does not need further treatment.”
Teresa persists in her pleas to you that “there is something different this time” and that she believes this hospital should evaluate her father further. She intuitively feels that something terrible will happen to her father if he is not cared for immediately. The ED physician becomes even angrier after this comment and states to you, “I am not going to waste my time and energy on someone who is just drunk, and I refuse to order any more expensive lab tests or x-rays on this patient. I’ve met the legal requirements for care. If you want something else done, you will have to find someone else to order it.” With that, he walks off and returns to the examination room, where other patients are waiting to be seen. The ED nurse turns to look at you and is waiting for further directions.
ASSIGNMENT:
How will you handle this situation? Would your decision be any easier if there were no limitations in resource allocation? Are your values to act as an agent for the patient or for the agency more strongly developed?
Must be in APA format, 2 references from a credible sources such as a .gov or edu website. 250 words

Library Assignment
Title: “Exploring the Benefits and Challenges of Breastfeeding: Supporting Informed Choices for Mothers and Healthy Outcomes for Infants”
Guidelines:
1. Format: APA Format
2. Data Sources: Utilize reputable data sources such as
CINAHL, MEDLINE, Embase, ClinicalKey, and The Cochrane Library, accessible through the FNU.edu Library page. FNU Librarians are available for assistance in accessing scholarly content.
3. Length: Research paper should be between 850-1000
words.
4. Sources:
• Utilize 3 or more scholarly sources.
• Sources must be within the last 5 years.
• Include a minimum of 3 sources.
1. References: All cited article sources must be included in a separate reference sheet.

see attached files, the following link is the hospital I was assigned https://www.baptistonline.org/about

**BOOK: Community and Public Health Nursing: Evidence for Practice 4th Edition by Demarco.**
Read the Community Assessment Instructions and Grading Rubric provided below. Pay close attention to the Epidemiologic Model (pp. 233-238) and Community Assessment Assets-Based Approach (pp. 241-242) of your textbook. 
Prompts:
*Please follow the guidelines and rubric attached*
Write a formal report and submit it on this site. This should be written as a paper, not as a Q&A based on questions or rubric sections. Create a visual image in your reader’s mind of the community you are describing. Please use the sections of the rubric AS HEADINGS for your paper – attached is a sample formatted paper for your use.
Please use the sample format for the paper. 

Data from assessments can be used to determine if learners are meeting course outcomes or learning objectives. Assessments can be utilized in many ways, such as learner practice, learner self-assessment, determining readiness, determining grades, etc. The purpose of this assignment is to analyze sample test statistics to determine if learning has taken place.
To address the questions below in this essay assignment, you will need to use the information from your textbook chapter readings and the data provided in Table 11.1 (“Sample Test Statistics”) in Chapter 11 of The Nurse Educator’s Guide to Assessing Learning Outcomes.
In a 1,000-1,250-word essay, respond to the following questions:
Explain what reliability is and whether this test is reliable based on the information in Table 11.1 (“Sample Test Statistics”). What evidence supports your answer?
What is the range for this sample? What information does the range provide and why is it important?
What is the difference between standard deviation and standard error of measurement? How would the instructor use this information?
Explain the process of analyzing individual items once an instructor has analyzed basic concepts of measurement. Consider the three Ds (difficulty, discrimination, and distractors) in your response.
If one of the questions on the exam had a p value of 0.100, would it be a best practice to eliminate the item? Justify your answer.
If one of the questions on the exam has a negative PBI for the correct option and one or more of the distractors have a positive PBI, what information does this give the instructor? How would you recommend that the instructor adjust this item?
You are required to cite two or three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Succe