Category: Nursing

CLC – Correlational Study Details Essay Assignment

Each CLC team will design a correlational study, groups will need two variables with at least five sets of data. between these two variables: time spent playing video games and aggression.

Then in 500-750 words, do the following:

Create a hypothesis for the group’s study. Consider the hypothesis and how the group will define operationally and measure the variables.

Describe how the group will obtain a random sample of participants.

Assume the study produces a correlation of .56 between the variables. Analyze three possible causal reasons for the relationship.

Submit an SPSS output for the correlational study.

Use two to four scholarly resources to support your explanations.

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

 

CLC – Correlational Study Details Essay Assignment

Correlation study

The study seeks to show that there is a correlation between the time spent playing video games and aggressive behavior among children between 12 and 16 years of age. The study recruited 30 participants, all from the same school. In this case, the study hypothesis is presented as: spending more time playing video games is linked to more incidences of aggression with the reverse relationship being equally true. The study variables are presented as time spent playing video games (independent variable) and incidences of aggression (dependent variable). The study participants will be students within the study demographics, all recruited from the same school. The time spent play video games and incidences of aggressive behavior will be recorded for average monthly figures based on responses from the participants. The participants (students) are sampled using a stratified random sampling approach. In this case, the students are divided into strata based on classes with each class represented in the study (see table 1) CLC – Correlational Study Details Essay Assignment.

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Table 1. Average monthly figures for time spent playing video games and incidences of aggression for 30 students

Participant

Time spent playing video games (hours)

Incidences of aggression

1

64

5

2

46

6

3

31

6

4

62

5

5

63

3

6

59

2

7

51

5

8

59

7

9

31

4

10

40

6

11

56

5

12

53

7

13

48

4

14

32

6

15

49

6

16

70

5

17

52

3

18

30

2

19

56

5

20

80

7

21

46

6

22

77

5

23

33

6

24

42

6

25

64

5

26

46

3

27

57

2

28

68

5

29

30

7

30

70

4

 

The values presented in table 1 were subjected to statistical analysis to determine the correlation between the time spent playing video games and aggressive behavior among children between 12 and 16 years of age. The descriptive statistics for the collected data reveals that the mean monthly time spent playing video games is 52.17 hours (
SD
=14.343,
N
=30) and mean monthly incidences of aggression is 4.93 (
SD
=1.507,
N
=30). A Pearson Correlation test was conducted on the collected data to determine the exact nature of the relationship between time spent playing video games and incidences of aggression (as variables) for the 30 students, and if the relationship is statistically significant. The test results presented a correlation coefficient of -0.066 at
p
= 0.727. The correlation results show the strength of the relationship between variables. The results indicate that there is a weak negative relationship between the two variables. This implies that an increase in the amount of time spent playing video games (as the independent variable) will be marked by a decrease in the incidences of aggression (as the dependent variable). The negative correlation can be explained that spending more time playing video games allows the students to expend their energy and aggression so that they are less aggressive when engaging in other social activities. The relationship between the two variables is NOT being statistically significant since
p
>0.05. Given these results, the study hypothesis is REJECTED and alternative hypothesis accepted that: spending more time playing video games is NOT linked to more incidences of aggression. These results have been ascertained by the scatter plot as presented in Figure 1. Based on these results, it is clear that playing video games may not have a relationship with incidences of aggression among students between 12 and 16 years of age (Anderson et al., 2014; Johnson & Kuby, 2012).

On the other hand, should the correlation coefficient have been 0.56, then it can be determined that there is a strong positive relationship between the study variables. This would imply that as the independent variable increases, the dependent variable would similarly increase with the reverse relationship being equally true. In essence, both variables would either increase or decrease concurrently CLC – Correlational Study Details Essay Assignment

Figure 1. Two-way scatter plot of time spent playing video games and incidences of aggression

References

Anderson, D., Sweeney, D., Williams, T., Camm, J. & Cochran, J. (2014).
Statistics for business & economics
(12
th
ed.). Stamford, CT: Cengage Learning.

Johnson, R. & Kuby, P. (2012).
Elementary statistics
(11
th
ed.). Boston, MA: Brooks/Cole.

 

 

SPSS output

 

Descriptive Statistics

 

Mean

Std. Deviation

N

Time spent playing video games (hours)

52.17

14.343

30

Incidences of aggression

4.93

1.507

30

 

Correlations

 

Time spent playing video games (hours)

Incidences of aggression

Time spent playing video games (hours)

Pearson Correlation

1

-.066

Sig. (2-tailed)

 

.727

N

30

30

Incidences of aggression

Pearson Correlation

-.066

1

Sig. (2-tailed)

.727

 

N

30

30

CLC – Correlational Study Details Essay Assignment

Social Justice and Implicit Bias Assignment

You are working as an APRN in an organization that is developing 2 outreach clinics. The aim of first clinic is to provide inter-professional and patient-centered care for the LGBTQ+ community.  The aim of the second clinic is to provide inter-professional and patient-centered care for those with various physical and mental disabilities.  You are required to take an active role in the planning committee for one clinic.  To help you determine which clinic planning committee you will join, you must complete 2 implicit bias quizzes: The “Disability IAT” and “Sexuality IAT” found at:
https://implicit.harvard.edu/implicit/takeatest.html
. After completing the quizzes, you must complete the following questionnaire.

Implicit bias test:

What were the results of your implicit bias tests and describe your feelings regarding the results of the tests?

Which planning committee would you want to join and why? Include if you feel the results of the tests impacted your choice of preferred committees?

Social Justice and Implicit Bias Assignment

 

Ensuring Equality

If your results showed you had a bias towards a specific group, how will you ensure you are treating each patient with equality? If no biases were found, what strategies would you suggest to ensure equal treatment of all patients (provide support for your strategies) from other members of the team?

 

Social Justice

How do you think social justice applies to your role as the APRN member of the inter-professional team developing the LGBTQ+ Clinic?

How do you think social justice applies to your role as the APRN member of the inter-professional team developing the Disability Clinic?

 

Inter-professional Collaboration

Thinking about inter-professional collaboration, who else needs to be involved in the planning and implementation of the clinic (pick one clinic to discuss)?

How might inter-professional collaboration impact the success of the clinic you selected?

Directions:

Address each of the questions above in a 3-4 page, APA formatted paper (a title page and abstract are
not
needed). Be sure to use APA headings to organize your paper and use the literature to support your answers. Social Justice and Implicit Bias Assignment

Population Health Using a Community Lens – NURS 4212: Population Health Nursing

Population health brings significant health problems into focus by evaluating health data and assessing for SDoH. In this way, resources can be properly allocated and interventions and policies put into place to address the underlying issues. Understanding the importance of population-focused nursing practice and developing the knowledge and skills to practice is critical to attaining a leadership role in healthcare regardless of the practice setting (Stanhope & Lancaster, 2020).

In this Assignment, you will share additional information about your
own community and chosen population
from Module 1. From the literature, you will identify and describe three primary-level interventions that apply to your population’s unique health needs. Additionally, you will consider how interventions are based in both theory and grounded in cultural sensitivity, compassion, or social justice.

 

Population Health Using a Community Lens – NURS 4212: Population Health Nursing

Population Health Using a Community Lens

 
Student Name

Institution Affiliation

Professor Name

Course

Due Date

Introduction

The concentration on population health functions to handle health disparities by creating data evaluation programs and applying specific intervention methods. This paper examines research-backed approaches to enhance health outcomes for specific community members in my area. The three essential steps for optimizing health equity include primary-level intervention implementation and service gap resolution while effectively employing local community resources. Such efforts establish enduring positive transformations that help all community members, including those with limited access to services.

Evidence-Based Community Interventions

The population’s essential health problems are managed through three established intervention methods. Through CDC support, community-based nutrition education programs provide healthy eating and physical activity education by delivering workshops and accompanying cooking classes for obesity prevention (Hunt, 2021) Population Health Using a Community Lens – NURS 4212: Population Health Nursing. The DPP delivers lifestyle coaching with group support to people with diabetes, focusing on risk reduction through weight loss and behavioral transformation. The community becomes able to spot mental health emergencies through mental health first aid training, which reduces stigma and promotes swift, responsive actions. Wealthy organizations implement these interventions through proven methods that adapt to different population requirements.

Explanation of Interventions

The implemented programs focus on resolving key health requirements. The educational programs about nutrition provide people with tools to select nutritious foods more effectively in environments where fresh produce remains scarce. The programs teach essential food-related abilities which serve as a fighting force against obesity. Diabetes prevention programs minimize the risk for diabetes development through behavioral changes, which simultaneously decrease healthcare expenses and enhance life quality. The structured support systems help participants develop better health habits by quickly adopting new behaviors. The training teaches participants how to support those who need mental health assistance, enabling more people to find available resources. It increases understanding, combats stigma, and establishes stronger communities for mental health support. The training establishes a mechanism to promptly deliver sympathetic assistance to people in emergencies.

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Empathy, Social Fairness, or Cultural Understanding

Access to mental health resources remains available to everyone through mental health first aid training, which promotes social justice among all socioeconomic groups. The program trains people to respond sensitively to mental health emergencies, thus creating supportive mental health environments. The program features cultural sensitivity since its content can be adjusted to handle unique requirements within various population groups. The intervention’s flexible approach guarantees it speaks to the needs of all people, thus creating an inclusive environment that respects equity.

Grounded in Health Promotion Theory

The diabetes prevention program derives its foundations from the HBM, which focuses on how people understand the risks they face and the potential benefits of their actions. The program teaches participants about diabetes risks and supplies prevention tools that drive behaviour modification. The HBM conceptual framework supports individual beliefs since the prevention program aims to enable people to manage their health independently. The theoretical framework guarantees that the intervention combines practicality with psychological appeal, which enhances participation duration and increases the chances of success.

Gaps in Service

The primary service shortage in my community stems from limited mental health services available to disadvantaged members of the community. A combination of extended waiting periods and steep health care prices prevents numerous people from obtaining prompt medical services, which results in worsening untreated mental health issues (Klein, 2024). The availability of preventive care services remains restricted for patients who have diabetes or obesity. Improving community health and eliminating health differences requires immediate resolution of these service deficiencies.

Community Resources

Two available resources can fill these gaps. Implementing a mobile screening clinic providing affordable tests for diabetes and obesity and mental health assessment would create additional preventive care opportunities for underserved communities. A mobile clinic would bring healthcare services to multiple neighborhoods through travel operations. A community center established to offer free fitness instruction, mental health workshops, and nutrition counselling functions as an essential health promotion center (Alegria et al., 2022). The proposed community center establishes a platform for community engagement, enabling people to obtain helpful resources to develop better lifestyles Population Health Using a Community Lens – NURS 4212: Population Health Nursing.

Conclusion

Deploying these research-backed interventions will substantially improve health results among my selected population (Sinha et al., 2024). Implementing community-centered strategies aimed at obesity control, diabetes management, and mental wellness improvement will establish an equitable, healthier community. Routine assessments and periodic intervention changes will support their sustained value and performance. The implemented initiatives provide both short-term healthcare solutions and develop lasting frameworks for community wellness and strength.

References

Alegría, M., Zhen-Duan, J., O’Malley, I. S., & DiMarzio, K. (2022). A new agenda for optimizing investments in community mental health and reducing disparities. 
American Journal of Psychiatry
, 
179
(6), 402-416.
https://psychiatryonline.org/doi/abs/10.1176/appi.ajp.21100970?af=R

Hunt, S. H. (2021). Multi-Project Report: Physical Activity and Nutrition Promotion in Riley County, Kansas.
https://krex.k-state.edu/bitstream/2097/41524/2/Hunt%20Report.pdf

Klein, M. (2024). 
Addressing Healthcare-Related Bankruptcy: A Comparative Analysis of Healthcare Systems in the United States, United Kingdom, Germany, the Netherlands, Japan, Australia, and Canada
 (Doctoral dissertation).
https://baylor-ir.tdl.org/items/b8391bc5-990a-47f7-ac19-ee0b05562201

Sinha, T. P., Bhoi, S., Sharma, D., Chauhan, S., Magan, R., Sahu, A. K., … & Jubair, N. (2024). Strengthening facility-based integrated emergency care services for time sensitive emergencies at all levels of healthcare in India: An implementation research study protocol. 
Health Research Policy and Systems
, 
22
(1), 125.
https://link.springer.com/article/10.1186/s12961-024-01183-x

 

 

Population Health Using a Community Lens – NURS 4212: Population Health Nursing

NURS 4212:
Population Health Nursing

Module 4 Assignment: Population Health Using a Community Lens

 
Student Name Here

Program Name or Degree Name, Walden University

Course Number, Section, and
Title

(Example: NURS 0000 Section 01, Title of Course)

Instructor Name

Month, Day, Year

(Enter the date submitted to Instructor.)

 

Population Health Using a Community Lens

Complete the following prompts. Cite and reference in APA format.

Identify
one evidence-based community intervention at the primary level
(from the literature that promotes health and prevents problems before they occur)
for each of 3 health problems
identified in your chosen population in Part I of this Assignment. (3 resources)

Explain how those three evidence-based interventions could be
helpful for your community and your target population
. (3 paragraphs, 1 paragraph for each intervention)

Describe how
one
of those three interventions
reflects social justice, compassion, or cultural sensitivity
. (1 paragraph)

Detail how
one
of those three interventions is grounded in a
health promotion or disease prevention theory or model
. (1 paragraph and 1 resource)

Consider your own community for a moment. What
gaps in service
do you see that affect your population’s health problems? (1 paragraph)

Provide
two examples of

community resources
that could be put into place to assist your population to meet their health needs. (1 paragraph)

 

References

Population Health Using a Community Lens – NURS 4212: Population Health Nursing

NURS 4212 Week 1 Assignment: Population Health Using a Community Lens

Population health brings significant health problems into focus by evaluating health data and assessing for social determinants of health (SDoH). In this way, resources can be properly allocated, and interventions and policies can be put into place to address the underlying issues. Understanding the importance of population-focused nursing practice and developing the knowledge and skills to practice is critical in attaining a leadership role in health care, regardless of the practice setting (Stanhope & Lancaster, 2020).

In this Assignment, you will share about your own community, and discuss a population within that community regarding vulnerabilities and health problems/patterns.

NURS 4212 Week 1 Assignment: Population Health Using a Community Lens

NURS 4212:
Population Health Nursing

Module 1 Week 1 Template Assignment:

Population Health Using a Community Lens

Student Name Here

Program Name or Degree Name, Walden University

Course Number, Section, and
Title

(Example: NURS 0000 Section 01,
Title of Course
)

Instructor Name

Month, Day, Year

(Enter the date submitted to Instructor.)

 

Population Health Using a Community Lens

Complete the following prompts. Cite and reference in APA format.

Identify a
community of interest
, such as your city, neighborhood, or school district. Provide details about its people, its issues, and its history. (1 paragraph)

Identify and describe a population at risk or population of interest within your community that interests you
.
(1 paragraph)

What are
three health problems that your chosen population
is experiencing or is at risk to experience?(2 paragraphs with 2 scholarly resources)

Are those
health problems/patterns similar to populations in other states or nationally
? Provide statistical examples. (2 paragraphs with 2 scholarly resources)

How are your population’s health problems
being addressed or prioritized globally
by the World Health Organization or other international public health agencies? (1 paragraph with 1 scholarly resource) NURS 4212 Week 1 Assignment: Population Health Using a Community Lens

Do you consider your population to be a
vulnerable
population? Why or why not? Provide a concrete example of how addressing social determinants of health (SDoH) can support the health needs of your population. (1 paragraph)

References

 

NURS 4212 Week 1 Assignment: Population Health Using a Community Lens

Addressing Health Disparities in Florida: A Community-Based Approach

Community of Interest

This discussion concerns the community of interest in Florida. This is a community with a diverse population with different socioeconomic backgrounds. In the past decade, the area has gone through many changes such as increased urbanization and more new residents. While the economy is growing, there are spaces available in the health and access to healthcare that many residents lack. Health disparities follow people to various places, often asserting themselves by adding more concerns surrounding food insecurity, limited access to healthcare, and environmentally and socially undesirable issues such as pollution.

Population at Risk

Low-income families are one of the most vulnerable populations in this community. This group of many people have struggled with unemployment, unstable housing and inadequate access to health care (Younes et al., 2021). Because these families have limited preventive care and poor living conditions, children and elderly individuals in these families are at risk in particular. As a result of these challenges, rate of illnesses that are chronic are on the increase.

Health Problems Affecting the Population

Diabetes, hypertension and respiratory diseases are three main health problems that afflict this population. The problem of diabetes, which is a big issue, is caused by poor diet and lack of nutritious food. Obesity and more type 2 diabetes cases result as many low-income families rely on processed and fast food. The CDC reports that low-income populations are disproportionately affected with diabetes and socioeconomic status is a major factor in the management of the disease NURS 4212 Week 1 Assignment: Population Health Using a Community Lens.

Also, there is hypertension and stress, poor diets, and poor healthcare. Unsurprisingly, many people do not have routine checkups, which means they are not diagnosed and therefore cannot be treated for hypertension, increasing risk for heart disease and stroke (Lu et al., 2024).

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Environmental factors including air pollution and substandard housing are major cause for prevalence of respiratory diseases such as asthma and COPD. Indoor air quality is poor and exposure to pollutants lead to respiratory problems in healthy individuals, and such problems to a larger extent in children and elderly persons (Kumar et al., 2023).

Comparison with National Trends

This community’s health issues are consistent with national trends of such communities in the U.S., with diabetes prevalence being much higher in low income and minority populations than in wealthier areas. The number of Americans with diabetes is approximately 34.2 million, and resides in marginalized communities in disproportionate numbers, states the NIDDK.

Hypertension is a public health issue that affects nearly half of American adults, and is especially high in the Black and Hispanic communities (Muntner et al., 2022). The lack of healthcare access and preventive measures exacerbates this condition.

Increased exposure to pollutants makes urban low-income locations more prone for respiratory diseases, such as asthma (Altman et al., 2023). According to the CDC, children living in low-income households are more likely to end up in the hospital due to asthma because they have not received adequate treatment or environmental triggers for their asthma.

Global Prioritization of Health Issues

That is why the WHO and other international health agencies prioritize these health issues through initiatives aimed at bettering access to healthcare and nutrition, and environmental conditions. The WHO’s Global Diabetes Compact is to lessen the diabetic’s burden by directing prevention and treatment strategies. In the same way, the WHO’s Global Initiative for Hypertension Control seeks to improve the management of high blood pressure globally. The WHO’s Clean Air Initiative and efforts to draft policies that decrease air pollution and improve lung health are some of the efforts to fight respiratory diseases.

Vulnerability of the Population

Being a vulnerable group, this population has limited healthcare access, economic instability and environmental risks. Improving their wellbeing includes addressing SDoH. Increasing access to affordable healthy food and carrying out community-based nutrition programs can dramatically decrease diabetes incidence. Furthermore, increasing the number of people with access to free or cheap healthcare services can improve management of hypertension and also prevent complications of chronic diseases NURS 4212 Week 1 Assignment: Population Health Using a Community Lens.

 

References

Altman, M. C., Kattan, M., T O’Connor, G., Murphy, R. C., Whalen, E., LeBeau, P., … & Jackson, D. J. (2023). Associations between outdoor air pollutants and non-viral asthma exacerbations and airway inflammatory responses in children and adolescents living in urban areas in the USA: a retrospective secondary analysis. 
The Lancet Planetary Health
, 
7
(1), e33-e44.
https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(22)00302-3/fulltext

Kumar, P., Singh, A. B., Arora, T., Singh, S., & Singh, R. (2023). Critical review on emerging health effects associated with the indoor air quality and its sustainable management. 
Science of The Total Environment
, 
872
, 162163.
https://www.sciencedirect.com/science/article/pii/S0048969723007799

Lu, Y., Keeley, E. C., Barrette, E., Cooper-DeHoff, R. M., Dhruva, S. S., Gaffney, J., … & Ross, J. S. (2024). Use of electronic health records to characterize patients with uncontrolled hypertension in two large health system networks. 
BMC Cardiovascular Disorders
, 
24
(1), 497.
https://link.springer.com/article/10.1186/s12872-024-04161-x

Muntner, P., Miles, M. A., Jaeger, B. C., Hannon III, L., Hardy, S. T., Ostchega, Y., … & Schwartz, J. E. (2022). Blood pressure control among US adults, 2009 to 2012 through 2017 to 2020. 
Hypertension
, 
79
(9), 1971-1980.
https://www.ahajournals.org/doi/abs/10.1161/HYPERTENSIONAHA.122.19222

Younes, H., Darzi, A., & Zhang, L. (2021). How effective are evacuation orders? An analysis of decision making among vulnerable populations in Florida during hurricane Irma. 
Travel behaviour and society
, 
25
, 144-152.
https://www.sciencedirect.com/science/article/pii/S2214367X21000685
 NURS 4212 Week 1 Assignment: Population Health Using a Community Lens

NURS 302 Project One Presentation Speaker Notes Example

Speaker Notes: NURS 302 Project One Presentation: Addressing Social Justice & Health Equity Issues

NURS 302 Project One Presentation: Addressing Social Justice & Health Equity Issues

Slide One: [Title]

Hello, I am XXXX, welcome to this presentation on social justice and health equity issues in an identified vulnerable population.

Slide Two: Introduction and Purpose

Identifying areas of social injustice and health inequity is imperative to advocacy. Nurses and other healthcare providers should identify social determinants of health and find ways to advocate for interventions or policies that would address health disparities and improve health outcomes. This presentation aims to identify and evaluate a specific vulnerable population’s social determinants of health. Next, we propose an initiative/solution and identify an advocacy method.

Slide Three: Social Determinants of Health

The clinic selected for the analysis is a community health center in Nashua, Manchester, NH. It is in one of the most populous areas in Manchester, with an estimated population of 90,345 as of 2025. The majority of the population are Whites at 71.4 per cent; others are Hispanic (14%) and Asian (7.6%) (CUBIT, 2025). The health center serves the community of 229 Main Street and beyond. The social determinant of health that affects vulnerable populations and minorities in the community is access to healthcare services. One vulnerable population of interest is elderly individuals 65 years and above, particularly those with chronic health conditions, including diabetes, heart disease, and arthritis. The Office of Disease Prevention and Health Promotion (ODPHP) reported that 1 in 5 individuals aged 65 years and above have at least a chronic condition. Their vulnerability to these diseases makes healthcare access essential (ODPHP, 2025). In the rest of the presentation, we will focus on the selected SDOH and how it affects older adults NURS 302 Project One Presentation Speaker notes example.

Slide Four: Health Inequity Factors -I

There are health inequity factors associated with healthcare access. Here, we examine the socio-cultural issues. Older adults 65 years and above, particularly those from racial minorities, might not access health services due to social factors like language barriers. Lack of social support is another issue that prevents older people from accessing care. Elderly persons with dementia or other chronic conditions who live alone or without family support may not honor appointments or reach healthcare facilities when necessary. Cultural factors include beliefs about health and illness, which one’s belief system influences. The perception of the severity of symptoms and the effects determine if a person goes for healthcare. Some older people may want to apply traditional medicine to treat various symptoms. Lack of trust in the healthcare providers is another cultural factor affecting healthcare access among racial minorities and migrant senior  U.S. citizens (ODPHP, 2025). These social and cultural factors may cause health disparities driven by a lack of access to healthcare services among older adults.

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Slide Five: Health Inequity Factors (Environment and Economic)

Environmental and economic factors also cause health inequity among older adults. The environmental issues include transportation barriers, proximity to healthcare facilities, and housing or neighborhood conditions. Elderly persons in rural areas or neighborhoods of Nashua that are less accessible may face challenges getting to the nearest healthcare facility. Likewise, the healthcare facilities could be far from where they live. Aging comes with decreased mobility. Individuals may find long distances physically strenuous (ODPHP, 2025; Perez et al., 2022). Environmental factors can be a barrier to accessing care, leading to poor health outcomes.

The economic factors influencing healthcare access among elderly persons are income inequality, health insurance status, and high healthcare costs. Older adults 65 years and above from low-income households may not access quality healthcare (New Hampshire Fiscal Policy Institute, 2024). With most of these individuals retired, their families may not manage their health bills. Also, some are underinsured, making it difficult to access care services. While others may have Medicare, rising healthcare costs may cover some, making them incur substantial out-of-pocket expenditures (ODPHP, 2025). These economic issues contribute to health disparities among older adults in Nashua.

Slide Six:  Positive Impacts of Social Determinants on Individual Health

           
Healthcare access has positive effects on individual health. Among older adults 65 years and above, accessing screening, health checkups, prescription medication, and various chronic disease management interventions improves health outcomes. In addition, timely diagnosis, regular monitoring of vitals, such as blood glucose and blood pressure, and effective self-care reduces emergency visits and hospitalizations. Accessing healthcare to manage chronic diseases also enhances the quality of life for elderly persons. Increasing healthcare access should be prioritized for this vulnerable population to improve health outcomes and quality of life.

Slide Seven: Positive Impacts of Cultural Sensitivity/Culturally Competent Care

Demonstrating cultural sensitivity and providing culturally competent care also positively influences individual health. It enhances communication between patients and healthcare providers, which helps build effective therapeutic relationships. It also improves healthcare trust, boosting treatment adherence. Besides, offering culturally competent care decreases health disparities among individuals from different racial or ethnic groups (Perez et al., 2022). Enhancing cultural competence can increase healthcare access and outcomes among elderly patients NURS 302 Project One Presentation Speaker notes example.

Slide Eight: Negative Impacts:  Healthcare Access

Lack of or limited healthcare access has negative effects on individual health. They include delays in seeking necessary care, increased prevalence of preventive illnesses, high risk of complications, and declined quality of life. Older adults may delay seeking care due to the inability to access the services, which could lead to exacerbation of existing conditions or late-stage diagnosis of undiagnosed health issues. Not accessing preventive services, such as disease screening, can cause a rise in the number of preventive diseases among older adults. Also, failure to access timely care can enhance an individual’s risk of complications and lead to declined quality of life (Perez et al., 2022).   These negative effects are linked to healthcare access (SDOH) and negatively affect individual health.

Slide Nine: Negative Impacts: Culture

An individual’s culture and lack of culturally competent care causes misunderstandings and suboptimal care, Influences health-seeking behaviors, and leads to treatment non-adherence (Perez et al., 2022). Language barriers may lead to infective communication between the patients and healthcare providers, misunderstandings and poor care. The patient’s cultural beliefs about health and illness may prevent them from seeking care in time. Lastly, older patients who do not trust modern medicine or feel their cultural needs are not met may decline to adhere to treatment.

Slide Ten: Global Impact

Healthy People 2030 Objectives that relate to the clinic’s SDOH include the following:

“Increase the proportion of people with health insurance — AHS‑01” (Health People 2030, 2025). As noted, health insurance status is a key determinant of access to healthcare. This goal calls for an increase in the number of adults with health insurance, including older adults (ODPHP, 2025).

“Reduce the proportion of people under 65 years who are underinsured — AHS‑R03” (Healthy People 2030, 2025).

The goal emphasizes the need to decrease the number of underinsured older adults as it enhances access to essential healthcare services and limits out-of-pocket spending (ODPHP, 2025).

“Increase the proportion of adults who get recommended evidence-based preventive health care — AHS‑08” (Healthy People 2030, 2025). By increasing the number of elderly persons who access preventive care, their overall health and quality of life can improve. It can also reduce emergency visits and unnecessary hospitalizations (Perez et al., 2022).

“Increase the number of community organizations that provide prevention services — ECBP‑D07” (Healthy People 2030, 2025). Community-based services can bridge older adults’ transportation barriers when accessing healthcare care in the Nashua area (ODPHP, 2025).

Slide Eleven: Initiative

Based on the evaluation of the social determinants influencing the older adults served by the Community Health Center at Nashua, NH, the solution would be to develop a mobile clinic program to deliver care directly to older adults in the community. Community-based clinics help bring health services to the people, particularly in underserved areas and ensure care continuity (Boucher et al., 2024). The initiative would improve access to preventive health services and routine care. It would reduce the transportation burden on patients and enhance health outcomes among elderly patients. Overall, the solution proposed addresses the transportation and geographical barriers to healthcare access.

Slide Twelve: Advocacy Method

The appropriate advocacy method is a public awareness campaign targeting local communities and policymakers. The rationale for focusing on the local communities and policymakers is that they are core stakeholders in community health. Any related program, such as the mobile clinics, would require the support of these interest groups. Various approaches will facilitate advocacy, including community meetings to gain support, social media outreach, and partnerships with local non-governmental organizations (NGOs) or community-based organizations. The advocacy goal would be to communicate the proposed initiative for addressing healthcare access barriers for older adults to the stakeholders.

Slide Thirteen: Influential Factors in Advocacy

           
Three factors can influence advocacy through public awareness campaigns, including bias, values, and beliefs. These are the biases, values, and belief systems of the target audience, the healthcare providers in charge of advocacy, and policymakers. The advocate’s personal bias can influence message framing. For instance, they may have particular perceptions of older adults, which may be untrue and could influence the messages they frame. Likewise, their values may influence advocacy content and delivery. The locals’ beliefs may lead to mistrust in the mobile clinic program NURS 302 Project One Presentation Speaker notes example. Lastly, the political organizations or policymakers ’perception of mobile clinics may affect support for the program (Shoucri et al., 2021).

Slide Fourteen: Conclusion

Healthcare access is a major social determinant of health among older adults in the community served by the Community Health Center, Nashua, NH. Transportation barriers, being underinsured, and cultural factors are some factors that influence access to care in this vulnerable population. The priority is to increase healthcare access. The proposed mobile clinic program can enable older adults to get preventive, routine care and other health services they may require to improve health outcomes and quality of life.

Slide Fifteen: References

Boucher, V., Jouhair, E.-M., Sirois, M.-J., Tailleur, L., Voyer, P., Mercier, É., Giguère, A., Dionne, C. E., Légaré, F., Dallaire, C., Bergeron, S., Carmichael, P.-H., & Emond, M. (2024). The mobile seniors’ clinic – an innovative transition of care for frail older adults.
BMC Geriatrics
,
24
(1).
https://doi.org/10.1186/s12877-024-05490-4

CUBIT. (2024).
Nashua demographics | Current New Hampshire Census data
. Newhampshire-Demographics.com.
https://www.newhampshire-demographics.com/nashua-demographics

Healthy People 2030. (2025).
Health Care Access and Quality – Healthy People 2030 | health.gov
. Health.gov. https://odphp.health.gov/healthypeople/objectives-and-data/browse-objectives/health-care-access-and-quality

New Hampshire Fiscal Policy Institute (2024, November 19).
The social determinants of health – and their impacts on New Hampshire’s economy – New Hampshire Bulletin.
New Hampshire Fiscal Policy Institute.

The social determinants of health – and their impacts on New Hampshire’s economy – New Hampshire Bulletin

Office of Disease Prevention and Health Promotion.(ODPHP). (2020).
Social determinants of health and older adults
. Health.gov.
https://odphp.health.gov/our-work/national-health-initiatives/healthy-aging/social-determinants-health-and-older-adults

Perez, F. P., Perez, C. A., & Chumbiauca, M. N. (2022). Insights into the social determinants of health in older adults.
Journal of Biomedical Science and Engineering
,
15
(11), 261–268.
https://doi.org/10.4236/jbise.2022.1511023

Shoucri, R., Dorman, K., Green, S., Bloch, G., & Swartz, A. (2021). Integrating social justice advocacy into a family health team.
Canadian Family Physician
,
67
(12), 923–929. https://doi.org/10.46747/cfp.6712923 NURS 302 Project One Presentation Speaker notes example

NUR 302: Clinical Judgment and Holistic Assessment in Nursing – Project One: A Case of Oneonta Community Health Center

NUR 302 Project One: A Case of Oneonta Community Health Center

 
[Your Name]

NUR 302: Clinical Judgment and Holistic Assessment in Nursing

Southern New Hampshire University

[Your Instructor’s Name]

[Date]

NUR 302 Project One: A Case of Oneonta Community Health Center

Social Determinant of Health (SDOH)

The local healthcare clinic providing affordable or free care to community members is Oneonta Community Health Center located along 31 Main St, Oneonta, NY. Research shows that individual’s and households’ health outcomes significantly depend on SDOH (Rodriguez et al., 2023). The SDOH selected in this scenario is access to healthcare. Limited access to medical care adversely affects vulnerable populations particularly low-income earners from rural areas of Oneonta, NY. Multiple factors, including financial constraints and limited access to transportation, hinder individuals and households in the rural areas of Oneonta from accessing appropriate healthcare services, compromising their health outcomes and quality of life.

Health Inequity Factors

First, social factors contribute to health inequality among individuals and families living in rural Oneonta. Access to community health resources and social services in this rural area is limited. Additionally, social isolation limits individuals from this rural region from building strong networks that would enhance their access to healthcare services (George et al., 2023). Furthermore, this underserved population has limited social connections, which hinders advocacy efforts that would improve access to preventive care and healthcare services; thereby worsening health inequities. Secondly, cultural factors influence health inequality. For instance, residents of Oneonta rural areas are less likely to seek professional medical care if their cultural beliefs advocate for traditional healing techniques. Thus, these cultural factors jeopardize access to health care services or adherence to professional medical advice, leading to poor health outcomes. Thirdly, environmental factors contribute to health inequality. In rural areas, geographical isolation limits residents’ access to healthcare services due to an inadequate number of providers and healthcare facilities (Garnelo et al., 2020). Individuals living in Oneonta must travel long distances to access qualified medical professionals and specialists, compromising their access to healthcare services. Lastly, economic factors determine access to professional medical care. Particularly, economic hardship hinders low-income communities from rural Oneonta from accessing healthcare services due to underinsurance or lack of medical insurance coverage.

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Positive Impacts

Limited access to healthcare services among residents of rural Oneonta affects individuals’ overall health positively. First, Oneonta residents have strong family ties. Thus, family members support each other especially while facing challenges, reducing the likelihood of developing mental health issues, such as depression. Moreover, people living in this rural area have established social structures, that support individuals and households during health crises; thereby improving the population’s health outcomes. According to Andersen et al. (2021), social and community ties provide emotional support, improving an individual’s mental health. Thus, strong ties among residents of rural Oneonta boost their mental health outcomes and overall well-being. Lastly, rural Oneonta residents have strong cultural ties and well-established traditional healing techniques. For instance, the community’s cultural values advocate for healthier lifestyle practices, including participating in scheduled events and consuming homegrown food; thereby reducing potential health risks NUR 302: Clinical Judgment and Holistic Assessment in Nursing – Project One: A Case of Oneonta Community Health Center

Negative Impacts

Limited access to healthcare has a negative effect on individuals residing in rural Oneonta. First, limited access to preventive care increases the risk of chronic illnesses among rural Oneonta community members. For instance, the lack of regular breast cancer screening services and mammograms increases breast cancer risk among women from rural areas and underserved regions experiencing health inequalities (Pesapane et al., 2023). Thus, women residing in rural Oneonta are more likely to be diagnosed with breast cancer. Moreover, limited access to healthcare services delays diagnoses and management of chronic conditions. For this reason, the prevalence of chronic illnesses, including hypertension, diabetes, heart disease, and related deaths is significantly high among individuals living in rural Oneonta. Furthermore, delayed access to emergency care, exposes residents of rural Oneonta to preventable health complications. Lastly, limited access to professional mental care access among residents of rural Oneonta leads to poorer mental health outcomes.

Global Impact

The SDOH affecting individuals and households living in rural Oneonta has an impact at the global level. In particular, limited access to care services connects to the “Healthy People 2030.” This initiative focuses on improving the population’s health outcomes by minimizing health disparities and expanding access to healthcare, particularly among underserved populations. Research shows that economic barriers limit access to care services among low-income individuals (Frazier et al., 2023). Thus, addressing this factor would enhance access to care services among the residents of rural Oneonta. In particular, this goal would be achieved through Objective AHC-01 whose goal is to increase the percentage of community members accessing usual primary care providers. Therefore, among low-income rural Oneonta, improving access to healthcare services would improve the population’s health outcomes; thereby supporting Healthy People 2030 goal.

Initiative

 

Limited access to healthcare must be addressed to improve health outcomes for individuals and families living in rural Oneonta. The most appropriate solution for addressing this SDOH involves introducing a mobile health clinic. Research shows that mobile clinics enhance access to preventive and primary care services in rural areas (Gizaw et al., 2022). Therefore, introducing a mobile health clinic within rural Oneonta would enhance community member’s access to healthcare services, including preventive screenings, primary care, and mental health services. The new mobile health clinic would eliminate barriers to access to healthcare services in Oneonta by bringing medical care close to people. As a result, transportation challenges would be resolved, promoting early screening and timely access to treatment services. Thus, the mobile health clinic would eliminate health disparities affecting residents of this rural area, improving physical and mental health outcomes at individual and community levels.

Advocacy Method

Advocacy has gained popularity within the healthcare sector. Research shows that advocacy efforts play a significant role in resolving SDOH affecting a specific socio-demographic group (Hudson, 2024). However, the target audience in advocacy efforts differs significantly depending on the SDOH or clinical practice issue being addressed. In this case, public awareness campaigns should be designed to inform residents of Oneonta rural areas about challenges associated with limited healthcare access and the benefits of a mobile health clinic. Consequently, community members would advocate for the introduction of mobile health clinics that would eliminate the transport challenge; thereby enhancing access to quality and timely care among Oneonta community members. The campaign would be successful by partnering with various entities, including local community groups, schools, and churches to advocate for issues associated with limited access to healthcare services facing individuals and community members NUR 302: Clinical Judgment and Holistic Assessment in Nursing – Project One: A Case of Oneonta Community Health Center.

Influential Factors in Advocacy

First, public awareness campaigns would impact my belief in health equity as an advocate. Studies show that equal access to healthcare services reduces high disease burden in socio-demographic groups facing health disparity (Ram & Thakur, 2022). Thus, I would advocate for the introduction of a mobile health clinic to promote access to timely care services among residents of Oneonta rural areas. However, my biases concerning the impact of modern medical services on health outcomes would impact my advocacy efforts. Secondly, public awareness campaigns would significantly influence the values and perceptions of local people toward healthcare. Individuals’ strong beliefs about self-reliance would make them more reluctant to seek external support, including professional medical care despite the introduction of the mobile health clinic. Lastly, public awareness campaigns would impact political organizations. For instance, the willingness of local pollical areas to fund the implementation of new mobile health clinics would enhance access to primary and preventive care services among persons living in the Oneonta rural area.

 
References

Andersen, L. M. B., Rasmussen, A. N., Reavley, N. J., Bøggild, H., & Overgaard, C. (2021). The social route to mental health: a systematic review and synthesis of theories linking social relationships to mental health to inform interventions. 
SSM-Mental Health
, 
1
, 100042.
https://doi.org/10.1016/j.ssmmh.2021.100042

Frazier, T. L., Lopez, P. M., Islam, N., Wilson, A., Earle, K., Duliepre, N., … & Thorpe, L. E. (2023). Addressing financial barriers to health care among people who are low-income and insured in New York City, 2014–2017. 
Journal of Community Health
, 
48
(2), 353-366.
https://link.springer.com/article/10.1007/s10900-022-01173-6

Garnelo, L., Parente, R. C. P., Puchiarelli, M. L. R., Correia, P. C., Torres, M. V., & Herkrath, F. J. (2020). Barriers to access and organization of primary health care services for rural riverside populations in the Amazon. 
International Journal for Equity in Health
, 
19
, 1-14.
https://link.springer.com/article/10.1186/s12939-020-01171-x

George, M. S., Gaitonde, R., Davey, R., Sukumaran, V., Mohanty, I., & Upton, P. (2023). Social networks and their impact on access to health care: insights from older widows living alone in Kottayam, South India. 
Ageing & Society
, 
43
(5), 1141-1163. DOI:
https://doi.org/10.1017/S0144686X21001100

Gizaw, Z., Astale, T., & Kassie, G. M. (2022). What improves access to primary healthcare services in rural communities? A systematic review. 
BMC Primary Care
, 
23
(1), 313.
https://link.springer.com/article/10.1186/s12875-022-01919-0

Hudson, S. (2024). The Role of Social Determinants in Shaping Public Health Policies. 
Global Perspectives in Health, Medicine, and Nursing
, 
3
(1), 23-33.
https://forthworthjournals.org/journals/index.php/GPHMN/article/view/99

Pesapane, F., Tantrige, P., Rotili, A., Nicosia, L., Penco, S., Bozzini, A. C., … & Cassano, E. (2023). Disparities in breast cancer diagnostics: how radiologists can level the inequalities. 
Cancers
, 
16
(1), 130.
https://doi.org/10.3390/cancers16010130

Ram, B., & Thakur, R. (2022). Epidemiology and economic burden of continuing challenge of infectious diseases in India: analysis of socio-demographic differentials. 
Frontiers in Public Health
, 
10
, 901276.
https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.901276/full

Rodriguez, J. M., Koo, C., Di Pasquale, G., & Assari, S. (2023). Black-White differences in perceived lifetime discrimination by education and income in the MIDUS Study in the US. 
Journal of Biosocial Science
, 
55
(5), 795-811. DOI:
https://doi.org/10.1017/S0021932022000360

NUR 302: Clinical Judgment and Holistic Assessment in Nursing – Project One: A Case of Oneonta Community Health Cente

NUR 302 Project One Guidelines and Rubric

Competencies

In this project, you will demonstrate your mastery of the following competencies:

Integrate social determinants of health and cultural background to guide nursing care

Articulate interprofessional and holistic needs to promote person-centered care

Overview

As nurses, we are responsible for advocating for others to improve health outcomes. Through this assignment you will implement the steps involved in identifying areas where social justice and health equity are in need of advocacy methods. In understanding these steps and processes, you will be able to incorporate these actions into your practice to begin addressing the improvement of health outcomes within your community. You have completed formative assignments to help prepare you for this, so you will have a clinic and vulnerable population in mind to get started.

Scenario

Note
: Students should not physically visit a physical clinic site or contact it in any way to complete this project.

You plan to volunteer at a local healthcare clinic that offers free or affordable care to its community. The clinic management has asked for your guidance on decreasing health vulnerability associated with one of the populations it serves. You have been asked to prepare a presentation with your proposed solution. They have asked you to include a proposed solution to address social justice or health equity, a political or organizational advocacy method, and an explanation of how the proposed solution connects to global health initiatives.

Directions

Prepare a PowerPoint presentation that addresses the following criteria for the selected clinic. Be sure to keep text to a minimum on the slides and provide depth and detail in your speaker notes. Refer to the Supporting Materials section below for additional information. You must cite at least five current scholarly sources. To be considered current, scholarly sources must have been published within the last five years.

Social Determinant of Health: 
Describe a social determinant of health (SDOH) related to a vulnerable population within your geographical area. Be sure to include the following:

Clinic name and location

A social determinant of health on which to focus

A vulnerable population that experiences the social determinant of health

Health Inequity Factors: 
Describe how social, cultural, environmental, and economic factors contribute to health inequities within the identified area.

Positive Impacts: 
Explain any positive impacts on individual health of the selected vulnerable population’s social determinant and culture.

Negative Impacts:
 Explain any negative impacts on individual health of the selected vulnerable population’s social determinant and culture.

Global Impact: 
Explain the connection between a Healthy People 2030 Social Determinants of Health Workgroup goal and objective and specific needs identified at the chosen health clinic.

Initiative: 
Propose a solution to improve social justice or health equity for the vulnerable population. Be sure to include the impact the solution can have on the area of need.

Advocacy Method: 
Describe an advocacy method (e.g., lobbying, strategic alliance, public awareness campaign) to raise awareness of the clinical strategy recommendation. Be sure to include the target audience.

Influential Factors in Advocacy:
 Discuss how the recommended advocacy method is impacted by bias, values, or beliefs. Be sure to address one impact for each of the following:

Local population

Individual (you)

Political organizations

What to Submit

To complete this project, you must submit the following:

Submit your 
Project One Presentation Template
 or a completed PowerPoint presentation of your own design with speaker notes submitted as an additional Word document. Submission should include 10 to 15 slides that follows APA Style standards. Audio can be recorded optionally. The title and reference pages are not included in the slide count. Sources should be cited according to APA style. Use the “PowerPoint Speaker Notes Template” in the Supporting Materials section to submit your speaker notes.

Alternatively, you can submit a completed 
Project One Presentation Template Text-Only Version
. Your submission should be a 5- to 7-page Word document that follows APA Style standards. The title and reference pages are not included in the page count. Sources should be cited according to APA style.

Supporting Materials

The following resources support your work on the project:

Shapiro Library FAQ:
 
How Can I Make an Effective PowerPoint Presentation?

Use this resource for support on creating your PowerPoint.

Reading:
 
Record a Presentation

Use this resource for support on creating your presentation in PowerPoint.

Reading:
 
How to – Add Audio to a PowerPoint Presentation in Office 365

Use this SNHU Knowledge Base article for support on adding audio to a presentation in PowerPoint.

Reading: 
Record a Slide Show With Narration and Slide Timings

Use this resource for a step-by-step tutorial on how to add audio recording to a PowerPoint presentation.

Reading: 
PowerPoint Speaker Notes Tutorial

Use this resource to help with adding speaker notes to your presentation.

Project One Rubric

Criteria

Exemplary (100%)

Proficient (85%)

Needs Improvement (55%)

Not Evident (0%)

Value

Social Determinant of Health

Exceeds proficiency in an exceptionally clear, insightful, sophisticated, or creative manner

Describes a social determinant of health (SDOH) related to a vulnerable population within the geographical area

Shows progress toward proficiency, but with errors or omissions

Does not attempt criterion

10

Health Inequity Factors

Exceeds proficiency in an exceptionally clear, insightful, sophisticated, or creative manner

Describes how social, cultural, environmental, and economic factors contribute to health inequities within the identified area

Shows progress toward proficiency, but with errors or omissions

Does not attempt criterion

9

Positive Impacts

Exceeds proficiency in an exceptionally clear, insightful, sophisticated, or creative manner

Explains any positive impacts on individual health of the selected vulnerable population’s social determinant and culture

Shows progress toward proficiency, but with errors or omissions

Does not attempt criterion

9

Negative Impacts

Exceeds proficiency in an exceptionally clear, insightful, sophisticated, or creative manner

Explains any negative impacts on individual health of the selected vulnerable population’s social determinant and culture

Shows progress toward proficiency, but with errors or omissions

Does not attempt criterion

9

Global Impact

Exceeds proficiency in an exceptionally clear, insightful, sophisticated, or creative manner

Explains the connection between a Healthy People 2030 Social Determinants of Health Workgroup goal and objective and the specific needs identified at the chosen health clinic

Shows progress toward proficiency, but with errors or omissions

Does not attempt criterion

9

Initiative

Exceeds proficiency in an exceptionally clear, insightful, sophisticated, or creative manner

Proposes a solution to improve social justice or health equity for the vulnerable population

Shows progress toward proficiency, but with errors or omissions

Does not attempt criterion

9

Advocacy Method

Exceeds proficiency in an exceptionally clear, insightful, sophisticated, or creative manner

Describes an advocacy method to raise awareness of the clinical strategy recommendation

Shows progress toward proficiency, but with errors or omissions

Does not attempt criterion

9

Influential Factors in Advocacy

Exceeds proficiency in an exceptionally clear, insightful, sophisticated, or creative manner

Discusses how the recommended advocacy method is impacted by bias, values, or beliefs

Shows progress toward proficiency, but with errors or omissions

Does not attempt criterion

9

Clear Communication

Exceeds proficiency with an intentional use of language that promotes a thorough understanding

Consistently and effectively communicates in an organized way to a specific audience

Shows progress towards proficiency, but communication is inconsistent or ineffective in a way that negatively impacts understanding

Shows no evidence of consistent, effective, or organized communication

9

Scholarly Sources

Incorporates more than five scholarly, current (within the last five years) sources, or use of sources is exceptionally insightful

Incorporates five scholarly, current (within the last five years) sources that support claims

Incorporates fewer than five scholarly, current (within the last five years) sources, or not all sources support claims

Does not incorporate sources

9

APA Style

Formats according to APA style with no errors

Formats according to APA style with fewer than five errors

Formats according to APA style with five or more errors

Does not format according to APA style

9

Total:

100%

NUR 302: Clinical Judgment and Holistic Assessment in Nursing – Project One: A Case of Oneonta Community Health Center

Activism argumentative Essay Example – Universal Healthcare in the United States

The Case for Universal Healthcare in the United States

The healthcare system is one of America’s most contentious and consequential concerns in the country. As one of the richest nations in the world, America runs an inefficient and costly healthcare system, and in consequence, an enormous section of its population is uninsured or underinsured. According to a report prepared by the Centers for Disease Control and Prevention in 2022, almost 27 million Americans did not have any kind of health cover, thus widening inequality in access to medical care and general well-being (Blumberg et al., 2). Unlike most developed countries, whose governments have embraced a model of care underpinned by universal access, America continues to run a private care model that values profit over patient care. This model disproportionately touches poor persons, minorities, and persons with long-term ailments, and in consequence, creates an unjust environment in terms of care delivery (MARCIA & ANGELL, 130). To promote fair access to care and promote public welfare, as well as reduce the overall medical costs for both citizens and the state, America should implement a system of universal care.

The Ethical and Moral Obligation to Provide Healthcare

A fundamental justification for supporting universal healthcare stems from an ethical necessity to ensure everyone has access to basic medical care. The current system of care prioritizes profit over patient care, with significant gaps in access to care in relation to socioeconomic position. Private payers for medical care regularly exclude important interventions and drugs, thereby putting patients at financial deficit (World Health Organization, 72). On the other hand, countries with operational universal healthcare structures, including Canada and the United Kingdom, provide full medical care with no out-of-pocket payments, effectively allowing for no one to have to sacrifice medical care for payment of rent.

From a human rights view, medical care cannot be considered a privilege for persons with enough financial assets but an absolute right. Historically, the World Health Organization (WHO) supported a model of universal healthcare in an effort to promote health equity (Eckelman, Matthew et al., 228). Empirical observations have proven that access to preventive medical care reduces admission and overall wellness improvements. Universal healthcare in the United States would allow a larger proportion of citizens to access routine medical evaluation, early disease detection, and access to affordable care, effectively freeing up an overburdened system for acute care and in-patient care Activism argumentative Essay Example – Universal Healthcare in the United States.

Economic Benefits of Universal Healthcare

Critics contend that a single-payer model for universal care for all Americans will burden taxpayers with an unsustainable financial burden. Nevertheless, according to empirical studies, such a model can actually reduce overall healthcare expenses over a period of years. According to a report in The Lancet, America could save over $450 billion a year through a publicly funded model (Eckelman, Matthew et al., 233). All these savings will occur through reduced administrative costs for private insurance, simplification of medical billing, and negotiated discounts for drugs.

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Moreover, universal care will not only ease individual medical expenses, but also ease financial hardships for families. Today, an average American family pays about one thousand dollars a year in copays, deductibles, and medical insurance payments. Under a publicly funded model, such expenses will fall, and increased disposable income can stimulate America’s economy (Berwick & Gilfillan, 83). Publicly funded nations have characteristically lower per capita medical spending and, at the same time, enjoy better medical care compared to America, therefore, it can be seen that efficiency and price can go together (Assefa, Yibeltal, et al., 92).

Improved Public Health Outcomes

A universal healthcare model would significantly boost public health outcomes through a guarantee that everyone can access preventive care, early diagnoses, and timely intervention. In the current system, many forego medical care for prohibitively high expenses, allowing disease to develop and worsen, and in many cases, go undiagnosed in its early stages (World Health Organization, 69). Common long-term ailments such as diabetes, high blood pressure, and cancer often go undetected in early stages and go through to mature stages, and in many cases, go undiagnosed in its early stages, culminating in high mortalities and increased healthcare expenses (Blumberg et al., 4). Universal care enables routine check-ups, vaccination, and early tests, and therefore reduces both the prevalence and severity of infectious disease, a move promotes a healthy overall population. With an increased number of persons accessing medical care, a reduced level of infectious disease transmissions, and a healthy overall population, nations with a model of universal care, such as Canada and Germany, have continued to record better overall medical care statistics, including infant deaths and increased life expectancy compared to America (Gluck et al., 139). By prioritizing preventive care, universal care not only helps save lives, but also helps remove long-term strains from hospitals and ERs, and when persons receive medical care in its early stages, then the medical care system runs effectively and economically, and is therefore an investment in a healthy society, with both social and financial payoffs for future generations.

Counterarguments and Rebuttals

Critics of a universally accessible healthcare system claim that its establishment will cause lengthy waits for medical procedures, potentially in turn eroding both effectiveness and value of care delivered (Blumenthal, David et al., 76). They cite examples in countries such as Canada and the UK, where, for instance, patients sometimes face waits for non-emergency operations. It must, however, be appreciated that such waits involve predominantly non-emergency interventions, with immediate medical cases tending to receive timely care. In addition, long waits for medical care have become a widespread problem in America, specifically impacting uninsured citizens who rely on overcrowded emergency departments for basic care (World Health Organization, 63). Well-planned universal care can address such an issue through expansion of medical infrastructure, hence raising availability of medical professionals, and leveraging electronic medical technology for efficient patient flow and minimizing systemic barriers (Eckelman, Matthew et al., 253). Universal care countries have implemented alternatives such as a single-payer referral system and telehealth to promote efficiency, and have proven that efficient management of waits can be attained.

A common criticism of universal care programs holds that a single-payer, government-run model will discourage medical innovation, and most specifically, in the pharmaceutical and biotechnology industries (Gluck et al., 144). Detractors claim competition in the private marketplace spurs medical and pharmaceutical innovation, arguing that a single-payer model will remove incentives for investing in research programs. However, it must be considered that a lot of cutting-edge medical research in America comes at least in part with public funding, including through such entities as the National Institutes of Health (NIH) (Blumenthal, David et al., 64). Medical breakthroughs most often arise through publicly-funded studies, with private companies then commercializing them afterward. Implementing universal care will not only discourage medical innovation but also can potentially re-allocate funding towards studies with a focus on patient concerns, allowing medical advancement for everyone (Gluck et al., 151) Activism argumentative Essay Example – Universal Healthcare in the United States. In moving towards a system of universal care, America can maintain its leadership in medical innovation and assure everyone access to quality, life-saving therapies and medical technology.

Conclusion

In a recap, universal healthcare is not only an ethical imperative but also a pragmatic solution to overcoming the long-standing healthcare issue in the United States. The current model, prioritizing profit over patient care, has seen millions go uninsured, suffer through curable ailments, suffer financial hardships, and face unnecessary deaths. Implementing a model for universal care would ensure that everyone can access basic medical care, and in doing so, alleviate inequity and the overall public health improvements. Detractors claim widespread coverage will mean long waits and will slow medical innovation, but many examples in several countries have proven such complications can be avoided through careful planning, additional investments in medical care, and integration of technology in medical practice. Universal care doesn’t require an end to competition and private sector innovation but can make medical technological breakthroughs accessible to everyone, not just a monetarily advantaged group. By putting in place a model acknowledging medical care as a fundamental human right, America can have a healthier and productive citizen base and, at the same time, save overall medical expenses in the long run. There is a necessity for reform, and it is imperative for lawmakers to make citizens’ health and wellbeing a priority over big corporation interests.

 

Works Cited

Assefa, Yibeltal, et al. “Community health extension program of Ethiopia, 2003–2018: successes and challenges toward universal coverage for primary healthcare services.” Globalization and health 15 (2019): 1-11.

Blumberg, Stephen J., and Julian V. Luke. “Wireless Substitution: Early Release of Estimates from the National Health Interview Survey, January-June 2022.” (2022). https://dx.doi.org/10.15620/cdc:121999

Blumenthal, David, et al. “A Portrait of the Failing US Health System: Comparing Performance in 10 Nations.” (2024). http://commonwealthfund.org/ Activism argumentative Essay Example – Universal Healthcare in the United States

Eckelman, Matthew J., et al. “Health Care Pollution And Public Health Damage In The United States: An Update: Study examines health care pollution and public health damage in the United States.” Health Affairs 39.12 (2020): 2071-2079.
https://doi.org/10.1377/hlthaff.2020.01247

Gluck, Abbe R., Mark Regan, and Erica Turret. “The Affordable Care Act’s Litigation Decade.” Geo. LJ 108 (2019): 1471.

MARCIA. ANGELL. THE TRUTH ABOUT THE DRUG COMPANIES: HOW THEY DECEIVE US AND WHAT TO DO ABOUT IT. Random House, 2021.

World Health Organization. Global oral health status report: towards universal health coverage for oral health by 2030. World Health Organization, 2022.

 

Activism Argumentative Essay Example – Universal Healthcare in the United States

Introduction

The activism project consists of three parts: one is to write an argumentative essay targeting an academic audience in support of the campaign; the second is to design the print, electronic, and/or visual materials that support an activist campaign for a mass audience; and the third is to prepare a presentation on your topic for a live audience. Much persuasive writing (in fact, one of the the most challenging persuasive writing) can be considered as an activist project–writing designed to achieve social change. This assignment is intended to allow you the opportunity to imagine and participate in social change, to offer your own “small stone” to our world.

Topic

Your assignment is to invent an activist campaign and argue in support of your cause in a 5-7 page essay. My hope is that your choice of activism will spring from your own interests, but social justice topics seem to work best and are best supported by our readings and examples. In any case, avoid the obvious (smoking, abortion, three strikes law, legalizing marijuana, steroids, stem cell research, and so on). You may be inspired by the texts we read, or you may already have some ideas about how you can contribute to a more just and equitable world. Thus, the following examples are intended only to demonstrate the range of what might be available, not to limit your choices in any way. You might think of organizing a letter-writing campaign to protest a social injustice either locally, nationally, or globally; you might become involved in an event to honor Women’s History Month in March; you might advocate support for a community-based organization which works on problems of literacy, homelessness, immigration issues, domestic violence, local or overseas working conditions; you might organize a public presentation to introduce others to some of the authors we are reading or the issues they raise; you might encourage participation in a public protest (war, government spending, animal rights)—and so on. You may choose to work individually, or you may form a group with some of your classmates. Note that this is a three-part project, involving designing campaign materials, making a presentation and writing an argumentative essay; all parts are equally important.

Part 1: Argumentative Essay (5-7 pages) (200 points)

Your argumentative essay should be done individually, written for and academic audience, well-researched with at least 6 outside sources (see “Key Features” below), and in MLA format, providing the specific documentation and supporting evidence that your campaign materials may have discussed only superficially. Your goal is to convince your readers that they need to take action and that apathy, ignorance, and other points of view are wrong.

Key Features for Argumentative Essay:

An introduction that gives needed background information about the topic and appeals to your audience.

A thesis statement that takes a clear position on the issue that you’ve chosen: tell readers what you want them to do and why.

Clear reasons and sufficient evidence to support the claim in your thesis. This evidence can come from personal experience, fieldwork, articles from the textbook, or library/Internet research. It is best to have a mix of different types of evidence.

Quotes or paraphrases from at least four articles from a library source, such as Proquest or EBSCO. At least two should be from academic journal articles.

Quotes or paraphrases from at least two reliable Internet sources.

Appropriate organization and paragraphing, including use of clear topic sentences. The paragraphs should be in a logical order and use transitions to show links between ideas.

At least one example of counterargument – one or more objections to your own argument that are fairly represented and then refuted.

A conclusion that provides closure to the essay and considers the implications of the argument.

Consistent, correct use of MLA style.

Observance of the conventions of standard written English.

Suggested steps to get started

Alone or in a group, select a topic that has some significance to you—the issue that you argue for and campaign for should interest you and have some personal relevance for best results. You’ll want to frame your argument as a solution to a problem with a specific action as a remedy.

Begin your research. Once you have a good sense of the issues involved with your topic, make a chart that lists the pros and cons of your topic (make sure to have at least four entries under each column). These are your key reasons—and the opposing arguments that require refutation.

After completing the chart, look over your two lists and decide which side makes a stronger argument – that will become your position. Write a tentative thesis based on your ideas so far.

Develop reasons to support your argument. Think of your reasons as responses to someone questioning you about why you believe in your thesis statement and why that person should get involved (your reasons may come from your chart in #2 above but you may also want to include more). Make sure to list at least four reasons.

List at least three pieces of supporting evidence for each of your reasons. Your support should be specific evidence that proves your reasons are valid. Your support may come from fieldwork, from Academic Search Complete (EBSCO) or Proquest, from the Internet, or from your own experiences. It is best to have a mixture of several different types of support. Remember: academic journal articles provide depth and strong credibility for background information or cause-effect relationships; newspaper articles and websites, generally, provide brief but up-up-date descriptions of current events; opinion pieces from experts provide expert testimony or solutions; blogs, social media posts, podcasts, interviews with people affected by an issue, and other primary sources provide eyewitness accounts, testimonials, urgency, and a personal angle;

List at least three possible objections to your argument (you may find it helpful to look at the chart you created for #3 above) and then your responses to these objections. You will probably not use all three in your essay, but this will give you some ideas to choose from.

Create an outline of your essay, listing the topic sentence and evidence/examples for each paragraph that will appear in the essay. See the essay outline below.

Look for opportunities to intentionally include logos, ethos, pathos, and kairos. Combining these elements helps prove that your argument is true, credible & ethical, and concerning enough to matter Activism argumentative Essay Example – Universal Healthcare in the United States.

Remember to present your reasons and evidence using a logic model, such as inductive or deductive. Use the Toulmin logic model to present evidence and quotes.

As you begin to create your campaign materials, identify who your intended audience is, what the main points of your campaign are, what types of appeals might secure your audience’s support, how best to reach that audience through print, visual, and electronic media. List these ideas. What would get the right people’s attention? Where would you find those people?

When designing the graphic materials for the campaign, determine what graphics or visual appeals will convey your message with the highest impact. Consider using shock value in both content (the wording) and visual support (the pictures) to get your audience’s attention as well as providing brief supporting information or reasons in bullet point form.

You might search through Google “Images” or visit the Los Angeles Public Library’s collection of photos (http://www.lapl.org/) to find useful photos or graphics for use in your promotional materials and presentation.

Sample Outline for Essay #4

Problem Solving (Proposal) Model

I. Introduction:

Begin with a creative hook to generate reader interest and concern; briefly provide any relevant background information (for instance: history, special concerns, specific problems that need to be addressed or which have plagued our community for a long time and which your proposal addresses); describe the current situation; provide overview of your argument; state thesis (What exactly do you want readers to do and why?).

II. Define the Problem

What is the problem? Use cause-effect reasoning to show the true causes and effects of the problem. (i.e. What are the issues associated with mass deportation, mass incarceration, the school-to-prison pipeline, or access to higher education, etc.?).

III. Establish the need for a solution:

Describe the community, focusing on the urgency of the ongoing problems that the community has, especially those that your proposal will seek to solve; identify your primary goals and outcomes for the community.

IV. Address the perspectives of people concerned:

Describe the needs that those concerned (such as citizens, government officials, police, homeless people, workers, bosses, users of a website, students, patients, prisoners) might have. Who is affected by the issue, how are they affected, and what might their concerns be?

V. Describe your plan (whether it is an action, “solution,” or strategy of resistance):

State in as much detail as necessary what you are proposing to address concerns.

VI. Explain the benefits of your solution:

Show how your solution will meet the needs and concerns identified in section IV (above) and address or solve the problem described in sections I and II. Argue convincingly in favor of your proposal. Use cause-effect reasoning to show that your proposed solution will address the causes of the problem.

VII. Acknowledge drawbacks, costs, or other objections to your solution and refute them:

Explain to those who might disagree with your proposal why your proposal will be effective and respond to potential objections.

VIII. Counterargue alternative solutions

Summarize any alternative solutions that you think could have been applied to this issue but which you have rejected in favor of your better proposal. Explain why your solution or action is the best choice of the alternative ways to move forward or progress toward change.

IX.. Conclusion:

Avoid summary. Consider, instead, one or more of these options: Describe an implementation plan, or issue a call to action urging your readers to support your solution. Re-emphasize the importance of the solution that you are proposing. Issue a heightened appeal for support. Look towards the future if action is taken. Consider including a conventional device (like your creative hook at the beginning) to frame your essay’s ending (i.e. if you began with an anecdote, end with another anecdote) Activism argumentative Essay Example – Universal Healthcare in the United States

NURS-FPX 4060 Assessment 03 – Disaster Recovery Plan Presentation Example

Introduction 

Calamities result in emotional, physical, and psychological impacts.

Stakeholders must collaborate to identify the best interventions.

The presentation focuses on the Smallville fire incident in California in 2021.

The main areas to evaluate include;

Associated determinants of health during disaster and health recovery efforts.

Proposed plan on reducing health disparities and enhancing community service access.

Governmental and health policies impacting disaster recovery.

Evidence-based strategies to enhance disaster recovery efforts.

Once a population experiences various calamities, they become affected emotionally, physically, and psychologically. Hence, it is always advisable for the relevant stakeholders to formulate a definitive disaster plan to recover from such situations. Some of these stakeholders include the nurses who help formulate evidence-based interventions, and thus, they need to be involved in education and training preparedness. Also, these nurses and other healthcare providers help identify and plan risks and ways to respond efficiently and effectively, including collaborating with the disaster management team to formulate the recovery process. For instance, the presentation focuses on a case study concerning wildfires that affected the residents of Smallville in, California, in 2021. The fire impact is estimated to have claimed about 31 lives and 19000 structures. Hence, considering that most stakeholders were unprepared for the wildfire strategy, it will be necessary to develop an effective strategy for the Smallville healthcare facility and other stakeholders to formulate the disaster recovery plan. The presentation will, therefore, describe the health determinants impacting disaster recovery efforts in a community. Other areas to be evaluated include the advantages of the proposed plan in reducing health disparities and enhancing community service access, the impact that governmental and health policies have on disaster recovery efforts, the evidence-based strategies to prevent communication barriers, and ways to enhance interdisciplinary collaboration to enhance disaster recovery efforts.

Associated Determinants of Health During Disaster and Health Recovery Efforts 

Determinants of health are crucial considerations in healthcare during recovery efforts.

They include economic, social, and environmental factors.

It is necessary to assess how the fire incident affected the residents in Smallville.

Modifications may include those related to public recreation, education, and social service programs.

Determinants of health are crucial considerations in healthcare during recovery efforts. According to Kurlander et al. (2023), these factors include economic, social, and environmental factors. Hence, when assessing how well the relevant teams can solve a disaster, assessing the functioning, quality-of-life outcomes, and hazards associated with the factors is always recommended. For instance, in the case of addressing the issue in the Smallville community on wildfire, there will be a need to assess how the fire incident affected the residents in terms of affording nutritious food, housing, jobs, working and living conditions, and quality of healthcare they have been receiving (Kurlander et al., 2023). Such an assessment will help formulate an effective disaster recovery plan while enhancing the residents’ overall health. In that case, the recovery process for the fire tragedy may involve modifications related to public recreation,  education, and social service programs to minimize the impact of future incidents.

GET HUMAN-WRITTEN ASSIGNMENT HERE

Associated Determinants of Health During Disaster and Health Recovery Efforts Cont’d

Race and income should also be considered during disaster recovery efforts.

Black families and high-income families are associated with better disaster action plans.

Such factors were identified during the 2001 9/11 attack.

Smallville should integrate demographic composition to formulate an action plan.

Kurlander et al. (2023) research shows that race and income should also be considered during disaster recovery efforts. That is because it shows how a given community has prepared once a disaster strikes. Considering that California has different races, race is a factor to consider. That is because all races and Black families are associated with developing better action plans on how to cope with different disasters compared to other races due to their prior history. Also, Kurlander et al. (2023) suggest that individuals hailing from high-income families can prepare and recover from disasters compared to low-income families, particularly those that feed from hand to mouth. Such factors were identified during the 2001 9/11 attack that led the country to identify the importance of disaster preparedness. Hence, the Smallville community should be helped to recover from the wildfire disaster, but the demographic compositions will help meet the action plan goals.

Proposed Plan on Reducing Health Disparities and Enhancing Community Service Access

The proposed plan integrates the Mobilize, Assess, Plan, Implement, and Track (MAP-1T).

MAP-IT approach helps appraise and organize community public health services.

A community’s transformation relies on mapping out procedures.

Collaboration is also a crucial factor to consider when involving the MAP-IT approach.

The proposed plan integrates the Mobilize, Assess, Plan, Implement, and Track (MAP-1T) approach. As Kurlander et al. (2023) accentuate, the MAP-IT approach helps appraise and organize community public health services. Hence, the steps indicated in MAP-IT are crucial since they help build a strong community rapport for experienced and new healthcare professionals. Also, it is necessary to acknowledge that a community’s transformation relies on mapping out procedures that involve several phases, commitment, and time. Another important fact to consider when addressing health disparities and enhancing community service access is that no perfect design has been implemented for the strategy. That is because, in some cases, the procedures may repeat themselves. Hence, it is necessary to integrate a collaborative approach through the MAP-IT methodology that can help address the specific community needs (Kurlander et al., 2023). For instance, in the case of the Smallville community, the collaboration may involve the Smallville community, local government, the hospital, and the federal government, particularly in handling the at-risk and affected patients as a disaster response.

Proposed Plan on Reducing Health Disparities and Enhancing Community Service Access Cont’d

MAP-IT framework success depends on collaboration among groups and individuals.

These personnel must unite to identify the immediate needs and required resources.

In Smallville, nurses must ensure that local government is part of the plan.

That way, meeting Healthy People 2020 and 2030 goals will be easier.

For the MAP-IT framework to be successful, collaboration among groups and individuals ready to help the affected community is necessary. In such a case, these personnel must unite to identify the immediate needs and resources needed to meet these needs (Kurlander et al., 2023). That way, it becomes easy to integrate ways to involve varying strategies that link to the community vision and other actions and ideas that will help meet the projected goals. For instance, in the Smallville community, local organizations, volunteers, and government agencies have contributed resources to help individuals affected by the fire incident. Hence, as a Smallville nurse, it will also be necessary to formulate means to mobilize the local government to be part of the process for a smooth transition of events, particularly on hospital bills. That is because one may find that most individuals in the hospital are uninsured and do not have stable income sources (Kurlander et al., 2023). Also, the MAP-IT approach can help assess the housing issue since the report indicates that about 19000 structures were destroyed during the fire tragedy. All these factors are necessary since they reflect the Healthy People 2020 and 2030 vision of ensuring that the overall well-being of individuals promotes health.

Governmental and Health Policies Impacting Disaster Recovery

Integrating a disaster recovery plan when addressing any calamity is necessary.

It helps the organization assess how crises also affect the information system.

Healthcare organizations should always engage in disaster management plans proactively.

Healthcare policymakers should promote evidence-based research and practices.

Integrating a disaster recovery plan when addressing any calamity is necessary since it helps the organization assess how the crisis affects the information system while reducing daily operation impact. In such a case, healthcare organizations should proactively engage in disaster management plans through reconstruction councils and committees once a disaster hits the country or community (Finucane et al., 2020). They can help evaluate the losses, damage, and interventions needed to promote recovery. Also, during such a period, the team must strengthen the services operations and physical infrastructure to act as the foundation for describing the community’s needs. In that case, for the Smallville case, healthcare policymakers can enhance the disaster recovery process by ensuring evidence-based research and practices have been integrated to inform the decision-making process.

Governmental and Health Policies Impacting Disaster Recovery Cont’d

The federal disaster policy uses the all-hazard approach.

The presumption is that all significant national disasters necessitate comparable recovery and response methods.

The policy prompts the need to formulate cross-sector cooperation, protocols, and tools.

Community resilience planning presents an overarching and thoughtful approach.

The federal disaster policy uses the all-hazard approach to address disaster recovery. The approach uses four phases: preparation, mitigation, recovery, and reaction. The presumption that the federal approach has is that all significant national disasters necessitate comparable recovery and response methods (Safapour et al., 2021). That is regardless of whether human or natural factors cause them. In such a case, the policy prompts the need to formulate cross-sector cooperation, protocols, and tools to address all disasters in the community instead of focusing solely on particular threats such as hurricanes. Hence, community resilience planning presents an overarching and thoughtful approach since it supports government officials’ collaboration in recovery. An example is the Smallville case, in which healthcare providers and the local government must collaborate to assess the fire tragedy victims and the community’s needs. That is the only way to determine the best approach toward fire disaster recovery.

Evidence-Based Strategies to Enhance Disaster Recovery Efforts

The evidence-based strategies are necessary to address the fire disaster in Smallville.

The team must have Smallville in mind when formulating any readiness techniques.

The Federal Emergency Management Agency (FEMA) oversees disaster relief resources.

Involving the federal government in the process prevents communication barriers.

The evidence-based strategies necessary to address the fire disaster in Smallville start with integrating the MAP-IT strategy. Hence, defining and monitoring the project timeline will ensure the overall plan’s success (Finucane et al., 2020). Also, the project team must consider Smallville when formulating any readiness techniques, making the community and government policy the center of attention. The reason for that is based on the fact that government policies help the project team understand the extent to which they can go as per these policies. Also, the Federal Emergency Management Agency (FEMA) is a body in the United States that oversees disaster relief resources (Finucane et al., 2020). Therefore, according to the Stafford Act, the President must declare that the Smallville disaster is a state emergency before FEMA enters the United States. Hence, it is necessary to involve the federal government in assessing the recovery plan for Smallville to avoid communication barriers between the project team and higher officials.

Evidence-Based Strategies to Enhance Disaster Recovery Efforts cont’d

Leaders must express their leadership competencies and skills when addressing emergencies.

These skills and competencies reduce the disaster impact since the leaders act decisively.

In disaster management, transformational leadership is crucial.

Through the MAP-IT model, the project team working on Smallville recovery will be free of being innovative.

Leaders must express their leadership competencies and skills when addressing emergencies. That is because these skills and competencies reduce the impact that a disaster causes since the leaders act decisively (Kurlander et al., 2023). In disaster management, transformational leadership is crucial since it helps motivate and inspire the project team to work toward a substantive change. Hence, through introducing the MAP-IT model, the project team working on Smallville recovery will be free of being innovative and can contribute their thoughts to ensure the project’s success. That way, the team will develop a sense of belonging, thus prompting them to own the project and leading it to Smallville’s successful recovery.

Conclusion

The main areas evaluated include;

vThe associated determinants of health during disaster and health recovery efforts.

vThe proposed plan to reduce health disparities and enhance community service access.

vGovernmental and health policies impacting disaster recovery.

vEvidence-based strategies to enhance disaster recovery efforts.

The presentation has focused on a case study concerning a wildfire that affected the residents of Smallville, California, in 2021. The presentation has, therefore, described the health determinants impacting disaster recovery efforts in a community. Other areas to be evaluated include the advantages of the proposed plan in reducing health disparities and enhancing community service access, the impact that governmental and health policies have on disaster recovery efforts, the evidence-based strategies to prevent communication barriers, and ways to enhance interdisciplinary collaboration to enhance disaster recovery efforts.

References

Finucane, M. L., Acosta, J., Wicker, A., & Whipkey, K. (2020). Short-Term Solutions to a Long-Term Challenge: Rethinking Disaster Recovery Planning to Reduce Vulnerabilities and Inequities. International Journal of Environmental Research and Public Health, 17(2), 482. https://doi.org/10.3390/ijerph17020482

Kurlander, D., Lam, A. G., Dawson-Hahn, E., & Diego de Acosta. (2023). Advocating for language equity: a community-public health partnership. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1245849

Safapour, E., Kermanshachi, S., & Pamidimukkala, A. (2021). Post-disaster recovery in urban and rural communities: Challenges and strategies. International Journal of Disaster Risk Reduction, 64, 102535. https://doi.org/10.1016/j.ijdrr.2021.102535

 

NURS-FPX 4060 Assessment 03 – Disaster Recovery Plan Presentation Example

Develop a disaster recovery plan to reduce health disparities and improve access to community services after a disaster. Then develop and record a 10 – 12 slide presentation (please refer to the PowerPoint tutorial) of the plan with audio and speaker notes for the local system, city officials, and the disaster relief team.

First, review the full scenario and associated data in the Assessment 03 Supplement: Disaster Recover Plan [PDF] Download Assessment 03 Supplement: Disaster Recover Plan [PDF]resource.

Then complete the following:

Develop a disaster recovery plan for the community that will reduce health disparities and improve access to services after a disaster.

Assess community needs.

Consider resources, personnel, budget, and community makeup.

Identify the people accountable for implementation of the plan and describe their roles.

Focus on specific Healthy People 2020 goals and 2030 objectives.

Include a timeline for the recovery effort.

Apply the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework to guide the development of your plan:

Mobilize collaborative partners.

Assess community needs.

Use the demographic data and specifics related to the disaster to identify the needs of the community and develop a recovery plan. Consider physical, emotional, cultural, and financial needs of the entire community.

Include in your plan the equitable allocation of services for the diverse community.

Apply the triage classification to provide a rationale for those who may have been injured during the train derailment. Provide support for your position.

Include in your plan contact tracing of the homeless, disabled, displaced community members, migrant workers, and those who have hearing impairment or English as a second language in the event of severe tornadoes.

Plan to reduce health disparities and improve access to services.

Implement a plan to reach Healthy People 2020 goals and 2030 objectives.

Track and trace-map community progress.

Use the CDC’s Contract Tracing Resources for Health Departments as a template to create your contact tracing.

Describe the plan for contact tracing during the disaster and recovery phase.

Develop a slide presentation of your disaster recovery plan with an audio recording of you presenting your assessment of the scenario and associated data in the Assessment 03 Supplement: Disaster Recover Plan [PDF] Download Assessment 03 Supplement: Disaster Recover Plan [PDF]resource for city officials and the disaster relief team. Be sure to also include speaker notes.

Presentation Format and Length

You may use Microsoft PowerPoint (preferred) or other suitable presentation software to create your slides and add your voice-over along with speaker notes. If you elect to use an application other than PowerPoint, check with your instructor to avoid potential file compatibility issues.

Be sure that your slide deck includes the following slides:

Title slide.

Recovery plan title.

Your name.

Date.

Course number and title.

References (at the end of your presentation).

Your slide deck should consist of 10–12 content slides plus title and references slides. Use the speaker’s notes section of each slide to develop your talking points and cite your sources as appropriate. Be sure to also include a transcript that matches your recorded voice-over. The transcript can be submitted on a separate Word document. Make sure to review the Microsoft PowerPoint tutorial for directions.

The following resources will help you create and deliver an effective presentation:

Record a Slide Show With Narration and Slide Timings.

This Microsoft article provides steps for recording slide shows in different versions of PowerPoint, including steps for Windows, Mac, and online.

Microsoft Office Software.

This Campus page includes tip sheets and tutorials for Microsoft PowerPoint.

PowerPoint Presentations Library Guide.

This library guide provides links to PowerPoint and other presentation software resources.

SoNHS Professional Presentation Guidelines [PPTX].

This presentation, designed especially for the School of Nursing and Health Sciences, offers valuable tips and links, and is itself a PowerPoint template that can be used to create a presentation.

Supporting Evidence

Cite at least three credible sources from peer-reviewed journals or professional industry publications within the past 5 years to support your plan.

Graded Requirements

The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point:

Describe the determinants of health and the cultural, social, and economic barriers that impact safety, health, and recovery efforts in the community.

Consider the interrelationships among these factors.

Explain how your proposed disaster recovery plan will lessen health disparities and improve access to community services.

Consider principles of social justice and cultural sensitivity with respect to ensuring health equity for individuals, families, and aggregates within the community.

Explain how health and governmental policy impact disaster recovery efforts.

Consider the implications for individuals, families, and aggregates within the community of legislation that includes, but is not limited to, the Americans with Disabilities Act (ADA), the Robert T. Stafford Disaster Relief and Emergency Assistance Act, and the Disaster Recovery Reform Act (DRRA).

Present specific, evidence-based strategies to overcome communication barriers and enhance interprofessional collaboration to improve the disaster recovery effort.

Consider how your proposed strategies will affect members of the disaster relief team, individuals, families, and aggregates within the community.

Include evidence to support your strategies.

Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years).

Slides are easy to read and error free. Detailed audio and speaker notes are provided. Audio is clear, organized, and professionally presented.

Develop your presentation with a specific purpose and audience in mind.

Adhere to scholarly and disciplinary writing standards and APA formatting requirements.

Additional Requirements

Before submitting your assessment, proofread all elements to minimize errors that could distract readers and make it difficult for them to focus on the substance of your presentation.

 

NURS-FPX 4060 Assessment 03 – Disaster Recovery Plan Presentation Example

Assessment 03 – Disaster Recovery Plan

In this assessment, you will assume the role of the senior nurse at a regional hospital who has been assigned to develop a disaster recovery plan for the community using MAP-IT and trace-mapping, which you will present to city officials and the disaster relief team. Before you complete the detailed instructions in the courseroom, first review the full scenario and associated data below. Please refer back to this resource as necessary while you complete your assessment.

Introduction

For a health care facility to be able to fill its role in the community, it must actively plan not only for normal operation, but also for worst-case scenarios which could occur. In such disasters, the

hospital’s services will be particularly crucial, even if the specifics of the disaster make it more difficult for the facility to stay open. As the senior nurse at the Smallville Regional Hospital, you play a vital role in ensuring the hospital’s readiness for disasters and its ability to recover from them. The hospital administrator wants to discuss disaster preparedness and recovery with you. Before the conversation, it would be helpful to familiarize yourself with the background information on events that have occurred in Smallville in recent years, including the involvement of the hospital.

Background

Investigate further for relevant background information.

Newspaper Headline: “Smallville Devastated by Wildfire: Rebuilding and Recovery Underway”

November 8, 2022

Smallville, CA – In a tragic turn of events, the northern California town of Smallville was ravaged by a devastating wildfire on July 6, 2021. The fire, which quickly spread through the town, destroyed nearly 19,000 structures and claimed the lives of 31 residents. The community is now faced with the daunting task of rebuilding and recovering from this catastrophic event.

The fire, known as the Blaze, raced into Smallville with unprecedented speed and intensity, leaving residents with little time to evacuate. Many were forced to flee on foot, seeking refuge in

parking lots and commercial buildings that were never intended to serve as temporary shelters in a firestorm.

The impact of this disaster was felt particularly hard by residents of low socioeconomic status (SES). People in poverty, with low incomes, and of low SES often face greater challenges in

recovering from disasters. The loss of homes, possessions, and livelihoods has left many in a state of uncertainty and vulnerability.

However, amidst the devastation, there is hope. The community has come together to support one another and begin the process of rebuilding. Local organizations, government agencies,

and volunteers have joined forces to provide assistance and resources to those affected by the fire.

Experts studying the response to disasters like the Blaze emphasize the need for a radical overhaul in how we prepare for and respond to such events in the era of climate change.

This includes rethinking disaster recovery strategies and implementing measures to mitigate the impact of future disasters.

The town of Smallville is determined to rise from the ashes and rebuild stronger than ever. City

leaders are working on developing comprehensive emergency plans and evacuation standards

to ensure the safety of residents in the face of future wildfires.

The community is resilient and united in their efforts to restore their beloved town. As the

rebuilding and recovery process continues, it is crucial for the nation to learn from this tragedy

and implement measures to better prepare for and respond to disasters.

The lessons learned from the Blaze will serve as a wake-up call for communities across the

country, emphasizing the importance of proactive planning and effective disaster response

strategies.

Fact Sheet: Smallville, CA

Population:
5,200

Median Household Income:
$60,000

Percentage of Population Below Poverty Line:
22%

Racial/Ethnic Composition:

White: 69%

African American: 6%

Native American: 2%

Asian/Pacific Islander: 10%

Other Races: 8%

Two or More Races: 5%3

Additionally, there are an unknown number of undocumented migrant workers with limited

English proficiency.

Education

High school graduate or higher, percent of persons age 25 years+: 84.0%

Bachelor’s degree or higher, percent of persons age 25 years+: 18.5%

Health

With a disability, under age 65 years: 10.8%

Persons without health insurance, under age 65 years: 12.5%

Income & Poverty

Median household income: $37,476

Per capita income in past 12 months: $20,274

Persons in poverty: 23.0%

Staff Interviews

Dr. Peter Jenski, Internal Medicine.
“The impact of the fire on the residents of Smallville has

been devastating. Many of them have lost their homes, possessions, and livelihoods. The fire

has also had a significant impact on their physical and mental health.”

Bill Reiner, Social Worker
: “Yes, I agree. People in low socioeconomic status groups are

particularly vulnerable to the effects of disasters like this one. They often face greater

challenges in recovering from disasters.”

Nurse Kaley Grant, ICU
: “That’s right. The fire has increased the risk of respiratory and lung

diseases, which can be particularly harmful to people with pre-existing conditions.”

Dr. Linh Boswell, Psychiatrist
: “And let’s not forget about the mental health impact. The

trauma of losing everything in a fire can be overwhelming. Many residents are experiencing

symptoms of post-traumatic stress disorder (PTSD) and depression.”

Dr. Tom Sowka, Pharmacist:
“It’s important that we provide comprehensive care to these

patients, addressing both their physical and mental health needs. We need to work together to

ensure that they receive the care and resources they need to recover from this disaster.”

Dr. Luisa Gonzalez, Hospital Administrator
: ” I couldn’t agree more. We need to work

together as a medical community to support the affected residents and implement

comprehensive emergency plans and evacuation standards to mitigate the impact of future

disasters. We can learn from previous disasters and use those lessons to better prepare for

future events.”4

Request from Administrator

Dr. Luisa Gonzalez, Smallville Hospital Administrator, has asked you to present a compelling case to community stakeholders for the proposed disaster recovery plan. She requests you use

the MAP-IT model, which is a step-by-step, structured plan that can be developed by a coalition that is tailored to a specific community’s needs.

The MAP-IT model involves all stakeholders, making for a widely-supported and community-owned effort. It assesses assets as well as needs and looks for ways to use them.

The five steps of the MAP-IT model are:

Mobilize individuals and organizations that care about the health of your community into a coalition.

Assess the areas of greatest need in your community, as well as the resources and other strengths that you can tap into to address those areas.

Plan your approach: start with a vision of where you want to be as a community; then add strategies and action steps to help you achieve that vision.

Implement your plan using concrete action steps that can be monitored and will make a difference.

Track your progress over time.

In addition to using the MAP-IT model, work up an approach supported by Healthy People 2020 and put it all into a PowerPoint. You can save the PowerPoint deck and the audio of its accompanying presentation at the public library so that the public can access it and see that you’re serious. By doing this, you can create a prototype for other local communities near this one, and possibly other facilities in the organization. To ensure that the disaster recovery plan is effective, you can also involve diverse stakeholders, replace guesswork and hunches with data-driven decisions, and create comprehensive, detailed plans that define the roles and responsibilities of disaster recovery team members and outline the criteria to launch the plan into action NURS-FPX 4060 Assessment 03 – Disaster Recovery Plan Presentation Example

Introspective Paper NURS 414: Health Policy, Finance and Regulatory Environments – Essentials of Baccalaureate Education for Professional Nursing Practice

Introduction

The purpose of this assignment is to explore the baccalaureate nursing essentials that I found important in this course, and to provide a description of how the course objectives met these essentials. Specifically, this paper includes a detailed explanation of the course objectives, how I achieved them by comparing the achievements with the requirements of the nursing essentials. To achieve this, I will provide a description of how the discussions in class and the learning relates to the nursing objectives.

The Essentials

           
A baccalaureate nursing essential that was important in this course would be Essential VIII, which is about professionalism and professional values (AACN, 2008). This nursing essential highlights the importance of maintaining professionalism in the nursing profession, where the nurse demonstrates consistent core values in achieving the optimal health and wellness of patients. Under this essential, nurses are expected to observe ethics, apply the principles of respect, communication, and altruism. This nursing essential was therefore critical for this course because it helped meet the course objective where learners are expected to relate the ethical issues that affect access and delivery of healthcare services in the country.

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Another important nursing essential is Essential VI, which entails inter-professional communication and collaboration for improving patient health outcomes. For this nursing essential, the baccalaureate program prepares the nurse to develop effective communication techniques that include negotiation and conflict resolution, as well as develop collaborative and team building strategies (AACN, 2008). The nurse also should demonstrate how to develop unique nursing perspectives when working with inter-professional teams with the goal of optimizing patient outcomes. This nursing essential was important for this course because it helped me as the student meet the course objective of exploring the various nursing roles and communication techniques within a healthcare setting.

Lastly, Essential V, which is about healthcare policy, finance, and regulatory environments, was important in this course. This essential provides the nurse an opportunity to learn about the broader contexts of healthcare such as how policies are made, how they influence healthcare, financing healthcare, and patient reimbursement (AACN, 2008). I found this nursing essential crucial for this course because it exposed me to information that helped me meet course objectives such as exploring the concepts of healthcare policy, finance, and regulatory requirements, and the current payment reforms in healthcare, among other related concepts in nursing administration and finance.

Introspection

           
In this introspective section, I will describe what I learned from this course based on these course outcomes and how they relate to The Essentials. An important concept I learned in this course is maintaining professionalism as a nurse working in a healthcare facility and interacting with patients. Under this essential in nursing, I am expected to apply ethical principles while executing my duties as a nurse, which is important to patient health outcomes. I learned about ethical principles such as altruism, patient autonomy, respect, beneficence, and non-maleficence, and how to apply them as a nurse. In hindsight, I believe that this nursing essential was instrumental in helping me achieve the course objective of examining the ethical and legal practices in nursing. For instance, I learned that as a nurse, I should ensure that I uphold patient privacy and act as a patient advocate when handling issues related to patient privacy, and respecting patient autonomy. As a nurse, I learned that being altruistic is the ultimate form of showing patient care and providing them with comfort because altruism entails showing concern and promoting the welfare of others. The cornerstone of the nursing profession is providing care and comfort to patients. Therefore, observing the nursing ethical principles, as taught through the essential discussed, enabled me to purposely provide the patient with care and comfort, since it would be my professional duty.

Essential VI, which entails inter-professional communication and collaboration for improving patient health outcomes, helped me achieve the course objective of develop effective communication techniques that include negotiation and conflict resolution. The goal of this nursing essential is to provide the nurse with the skill in collaboration, through enhancing their communication styles and techniques. For instance, I learned about handling nurse incivility through a technique referred to as cognitive rehearsal. This technique refers to the mental rehearsal of coping mechanisms in conflict or uncivil situations (Chapman, 2017). By learning this technique, I learned how to effectively communicate should I find myself in tense situations with other nurses Introspective Paper NURS 414: Health Policy, Finance and Regulatory Environments – Essentials of Baccalaureate Education for Professional Nursing Practice.

Additionally, this essential exposed me to knowledge on inter-professional collaboration, and how to achieve it. I learned how to interact with other nurses in a professional manner that would create a safe and positive workplace culture with minimal conflicts. Conflict management was therefore a significant point of learning in this course, under this nursing essential. Some of the significant conflict resolution strategies I learned from taking this course include accommodating, compromising, and collaborating (Stanley, 2016). For example, I learned that if I find myself in a conflict with a nurse, and I can compromise and reach an agreement with them, I should consider a compromise, to maintain the peace and reduce chances of incivility which adversely affects patient health outcomes.

Essential V is about healthcare policy, finance, and regulatory environments, and it helped achieve the course objective of how policies are made, how they influence healthcare, financing healthcare, and patient reimbursement. For example, through this nursing essential, I learned about the advocacy process and how to introduce bill into Congress, and how to identify and approach a sponsor, to ensure the bill passes into law. One of the learning points was that as a nurse advocate, I should select a bill sponsor who is in the majority party, because the sponsor affects the fate of the bill (Mason et al., 2019). I also learned more about role boundaries and how to respect them, to avoid the development of conflict. I learned that role boundaries is among the leading causes of nurse incivility and conflicts at the workplace. For instance, a nurse could perform the role of another, leading to worse patient health outcomes, which would lead to action against the nurse. I believe that taking this course was crucial for my career as a nurse because of the various concepts I learned, as guided by the baccalaureate nursing essentials.

Conclusion

In conclusion, the main nursing essentials important to me as a nursing today include essentials V, VI, and VII.  These essentials include issues such as healthcare policy formation, nurse professionalism and professional values such as nursing ethics, and inter-professional collaboration and conflict resolution. These essentials relate to the course objectives of developing effective communication and conflict resolution strategies, learn about policy formation and financing requirements in healthcare, and relating the ethical issues that affect access and delivery of healthcare services. Some of the course outcomes involved include learning conflict resolution skills, proper communication, how to select a sponsor when performing the role of advocacy and lobbying for policies, and applying ethical values such as patient privacy and autonomy, among other learning points.

References

American Association of Colleges of Nursing (2008).
The essentials of baccalaureate education for professional nursing practice.
  Washington, DC. 
http://www.aacn.nche.edu/education-resources/BaccEssentials08.pdf
.

Chapman, R. (2017). Integrating clinical hypnosis and CBT. Springer Publishing Company.

Mason, D., Dickson, E., McLemore, M., & Perez, G. (2019). Policy & politics in nursing and health care. Elsevier Health Sciences.

Stanley, D. (2016). Clinical Leadership in Nursing and Healthcare. Wiley.

 

Introspective Paper NURS 414: Health Policy, Finance and Regulatory Environments – Essentials of Baccalaureate Education for Professional Nursing Practice

NURS 414: Health Policy, Finance and Regulatory Environments

Introspective Paper Guidelines for the Written Assignment

Purpose

The purpose of this written assignment is to provide the student an opportunity to review The Essentials of Baccalaureate Education for Professional Nursing Practice that are applicable to the course outcomes for the course on health policy, finance and regulatory environments.

Course Outcomes

This written assignment provides evidence of the student’s ability to meet the following course outcomes:

Explore the historical aspects of healthcare policy, finance and regulatory environments. (PO4)

Describe current payment reform efforts as related to essential nursing knowledge. (PO4)

Relate healthcare issues regarding the development and reevaluation process pertaining to healthcare policy. (PO1, PO4)

Examine ethical, legal and regulatory perspectives in the analysis of the professional practice environment and organizational culture. (PO4)

Apply healthcare economics to the strategic planning process with consideration of current economic, legal and political influences. (PO4)

Define essential skills for acquisition of positions of influence on boards or in public policy. (PO4)

Relate sociocultural, ethical, economic and political issues affecting the access, delivery and utilization of health care services. (PO1, PO4)

Explore professional nursing roles, communication techniques, and ethical decision-making models applicable to health care and clinical nursing leadership within complex health care systems. (PO2, PO4, PO5)

Baccalaureate Essentials

The nine Baccalaureate Essentials are:

Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice

o A solid base in liberal education provides the cornerstone for the practice and education of

nurses.

Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety

o Knowledge and skills in leadership, quality improvement, and patient safety are necessary to

provide high quality healthcare.

Essential III: Scholarship for Evidence Based Practice

o Professional nursing practice is grounded in the translation of current evidence into practice.

Essential IV: Information Management and Application of Patient Care Technology

o Knowledge and skills in information management and patient care technology are critical in the

delivery of quality patient care.

Essential V: Healthcare Policy, Finance, and Regulatory Environments

o Healthcare policies, including financial and regulatory, directly and indirectly influence the nature

and functioning of the healthcare system and thereby are important considerations in

professional nursing practice.

Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes

o Communication and collaboration among healthcare professionals are critical to delivering high

quality and safe patient care.

Essential VII: Clinical Prevention and Population Health

o Health promotion and disease prevention at the individual and population level are necessary to

improve population health and are important components of baccalaureate generalist nursing

practice.

Essential VIII: Professionalism and Professional Values

o Professionalism and the inherent values of altruism, autonomy, human dignity, integrity, and

social justice are fundamental to nursing.

Essential IX: Baccalaureate Generalist Nursing Practice

o The baccalaureate-graduate nurse is prepared to practice with patients, including individuals,

families, groups, communities, and populations across the lifespan and across the continuum of

healthcare environments.

o The baccalaureate graduate understands and respects the variations of care, the increased

complexity, and the increased use of healthcare resources inherent in caring for patients.

(AACN, 2008)

Submission Due Date

This written assignment is due in Week 7 by Sunday (Day 7) at 11:59 PM (EST). (The week begins on Monday (Day 1) and ends on Sunday (Day 7).

Requirements

The Introspective Paperis worth 100 points and will be graded on the incorporation of The Essentials of Baccalaureate Education related to the course objectives as outlined in the grading rubric.

The assignment must be written using Microsoft Word (a part of Microsoft Office) and saved as a MS Word document ending in .docx.

Review the Grading Rubric for each section to be developed.

The length of the paper is to be no less than 3 full pages and no greater than 6 full pages, excluding the title page and reference pages.

APA format is required with both a title page and reference page.

Use the following headings in your paper.

Introduction

Identification ofThe Essentials

Introspective

Conclusion

These headings must be Level 1 headers (upper and lower case, centered and bolded). (See the APA Manual for format of Level 1 headers.)

Please be sure to include the reference for The Essentials on your reference page.

The reference for the Essentials must be listed on the reference page.

American Association of Colleges of Nursing (2008). The essentials of

baccalaureate education for professional nursing practice. Washington, DC.

http://www.aacn.nche.edu/education-resources/BaccEssentials08.pdf (Links to an external site.) (Links to an external site.)

Directions

Introduction (1 paragraph)

In the Introduction, clearly identify the purpose of the paper and write a general paragraph about the topic to be discussed.

Identification of The Essentials (1 paragraph)

Write a well-developed paragraph identifying how The Essentials that were important in this course and provide a brief description of how The Essentials were met in your own words.)

Introspective (5 to 10 paragraphs)

Identify the course objectives and describe what you learned from this course based on these course objectives and how they relate to The Essentials. Please review the course objectives, discussions, readings and The Essentials to help complete the assignment.

Conclusion (1 paragraph)

Briefly and succinctly summarize your main points including the purpose of the paper. (Please do not introduce new information into your conclusion.)

Template for Assignment

Please use the template for this assignment. (Please remove any wording highlighted in yellow before submitting your assignment.)

Introspective Paper NURS 414: Health Policy, Finance and Regulatory Environments – Essentials of Baccalaureate Education for Professional Nursing Practice

Adverse Event or Near Miss Analysis Nursing Medication Error Essay Example

Near-Miss Analysis

When working in a health facility, people have known or heard of someone who has experienced a near-miss event. A near-miss is an occurrence that could have possessed severe outcomes but did not. In a near-miss, a mistake happened, but the patient did not encounter harm. Any healthcare provider involved in such an episode must adopt suitable changes to decrease the probability of such events reoccurring. When an organization supports its employees, reports regarding adverse or near-miss events will likely reduce. Thus, in these institutions, a sense of partnership, constructive criticism, and trust must exist between staff and administration. This will assist in learning, assessing, and tackling errors so enhancement metrics can happen for patient safety. The near-miss occurrence in this paper involved a patient admitted with chronic obstructive pulmonary (COPD).

Evaluation of Missed Steps and Protocol

A comparatively new staff nurse was assigned to someone with severe alcohol withdrawal. Notably, this withdrawal was not the admitting diagnosis for this male in his sixties. The man was aggressive and challenging to handle. He caused much anxiety and stress to the new staff nurse, who needed additional co-workers to control the patient. Notably, the man was admitted for COPD, and within forty-eight hours, he went into alcohol withdrawal. After deliberations with the wife, a decision to give the patient whiskey nightly was reached. The doctor was apprised and instructions to instigate Clinical Institute Withdrawal Assessment. Also, to control the patient’s conduct, Ativan was prescribed. The staff nurse gave him 2 mg IV two times during the shift. The upset spouse, who had never seen the husband in such a situation, aggravated the circumstances.

Further, the medication was kept safe in a drug room freezer, and for the second dose, the staff nurse removed the medication from its storage and administered the dose that she contemplated she had earlier. In the facility, it was not unexpected for many nurses to extract the medicines from the freezer and sign the dosage later by recording it in the client’s file. The staff nurse administered 1 mg IV, not 2 mg, for this second dosage. This could have led to prolonged usage of Ativan by the male patient because the withdrawal symptoms would have continued. However, the physician corrected this during the next dosage and stabilized the patient before polypharmacy occurred.

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Moreover, the protocol divergence linked to this occurrence comprised the nurse presuming the client’s dose based on the past dosage and removing the medicine from the freezer. Further, it was associated with the administration of drugs without scanning the amount. Examining the client’s armband and scanning the barcode on the medication would have alerted the staff nurse on the accurate dosage to administer adverse event or near miss analysis nursing medication error essay example.

Even though the patient-nurse ratio was optimal during the night shift when the event happened, the disruptions caused by the patient and trying to calm the spouse and patient affected the staff nurse’s attention and memory. During drug administration, nurses are required to be alert to avoid mistakes that would hurt the patient Adverse Event or Near Miss Analysis Nursing Medication Error Essay Example.

Evaluation of Implications of the Negative Occurrence on all Stakeholders

Many stakeholders, like the patient, spouse, nurse, physicians, and pharmacists, are impacted if such an occurrence happens (Latimer et al., 2017). In this situation, the patient was the first stakeholder to be affected. Instead of stabilizing after the second dosage, the aggravation continued, and after the nurse realized the mistake, the physician corrected the error. The patient had to stay on the medication longer because of the missed dose. The anxiety and aggravation continued into the morning. However, there was no elevated harm to the patient. The nurse was also affected, and even though she was not dismissed, she had to undergo mandatory training and education on medication errors (Rodziewicz & Hipskind, 2020). She realized the mistake after scanning the medication and realized the dose differed from the first. After the incident, the nurse was under immense psychological pressure, so she had to see a counselor. The physician also suffered from shame because they believed that was a preventable mistake even though it did not adversely affect the patient. Another stakeholder is the spouse, who suffered mental anguish because she did not see any changes in the husband even after the second dose. Notably, the patient and spouse would have to incur additional costs for the extra dose. Lastly, the matter was settled amicably because the wife did not want to press any charges against the hospital. This means the hospital was not affected much.

Assessment of Qualitative Enhancement Technologies

After the event, there was a need to adopt and implement a medication management and control strategy. It is a QI technique that utilizes performance assessment information to help the healthcare facility identify future grounds and defects for task turnarounds throughout care provision. This lets healthcare professionals know the proper medication regimen and syringe for dispensing. For instance, if the patient’s bedside display were linked to an automated dispensing cabinet (ADC), the staff nurse would have easily remembered the previous dosage because of the markers on the dashboard (Zheng et al., 2021). The drug name, infusion time, and dosage information would have been found on the dashboard. Thus, this drug management strategy can be viewed as the appropriate technology-based QI enhancement strategy that would have averted this near-miss occurrence.

Pertinent Measures of Quality Enhancement for the Institution

Using pertinent metrics and key performance indicators (KPIs) while executing quality improvement (QI) plans is supported by the importance of client satisfaction and safety in achieving the mission, vision, and corporate operation objectives. Information on age-linked doses, alternative drugs, and acute challenges are key performance indicators that endorse tech-based investments at the facility. For pharmacists and nurses to adhere to the accurate dispensation of drugs to the right person, the KPIs are vital. Remarkably, the Institute of Health Improvement has designed metrics for averting medication mistakes in the clinical framework. Such an institution asserts that these metrics help prevent unfortunate occurrences that lead to morbidity or mortality while under therapy.

QI Initiative to Prevent a Future Adverse Event or Near-miss

Medication mistakes can be a severe challenge that subjects patients to preventable threats. These errors are viewed as a nursing issue, but every healthcare professional plays a vital function in prevention. To avert future near-miss, a continuous quality improvement principle-like system approach can be utilized to boost medical professionals’ motivation and excellent conduct. The system approach exposes the origin of systemic challenges that trigger workarounds of safety standards and adversely impact patient safety and then utilizes the data to recognize excellent solutions to concerns. On the contrary, this method will be suitable for transforming environmental and institutional attitudes that champion workarounds and user uncertainty toward tech innovations because decision-making bestows drug dispatch mistakes in each healthcare institution. This systems approach will assist nurses in adhering to set processes for dispensing medication and other practice norms for giving enhanced care. Therefore, using a systems approach in the future can help execute programs that will help achieve the magnet hospital level adverse event or near miss analysis nursing medication error essay example. Magnet hospitals possess high degrees of patient and staff satisfaction, portraying they value nurses and acknowledge the significance of offering exceptional client experience.

Conclusion

All healthcare professionals strive to offer high-quality services, which is challenging for many institutions. Medication errors can lead to acute physical harm and mortality. These preventable errors can also cause serious psychological, financial, and emotional stress to the organization and healthcare professionals. Underdosing can lead to polypharmacy since extra medications are required to accomplish preferred outcomes. In this case, the patient received an underdose; even though it did not have adverse effects, it was an error that should be avoided in the future. Further, protocol deviations and missed steps by the nurse were examined. Also, stakeholders and how they were influenced by this underdosing were examined. Even though near-miss occurrences are not harmful to patients and are highly unlikely to cause mortality, nurses and other healthcare professionals must strive to avoid them. Adopting mechanisms that can help nurses to avoid these errors can help healthcare facilities achieve patient and staff satisfaction.

References

Latimer, S., Hewitt, J., Stanbrough, R., & McAndrew, R. (2017). Reducing medication errors: Teaching strategies that increase nursing students’ awareness of medication errors and their prevention. 
Nurse Education Today
, 
52
, 7-9.

Rodziewicz, T. L., & Hipskind, J. E. (2020). Medical error prevention. 
StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing
.

Zheng, W. Y., Lichtner, V., Van Dort, B. A., & Baysari, M. T. (2021). The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: A systematic review. 
Research in Social and Administrative Pharmacy
, 
17
(5), 832-841.

 

Adverse Event or Near Miss Analysis Nursing Medication Error Essay Example

Prepare an analysis (5-7 pages) of an adverse event or a near miss from your professional nursing experience and outline a QI initiative that would address it.

Near miss–( medication error: Adminstered less medication than prescribed in error)

Introduction

Health care organizations strive to create a culture of safety. Despite technological advances, quality care initiatives, oversight, ongoing education and training, legislation, and regulations, medical errors continue to be made. Some are small and easily remedied with the patient unaware of the infraction. Others can be catastrophic and irreversible, altering the lives of patients and their caregivers and unleashing massive reforms and costly litigation. Many errors are attributable to ineffective interprofessional communication.

Overview

The goal of this assessment is to allow you to focus on a specific event in a health care setting that impacts patient safety and related organizational vulnerabilities and to propose a QI initiative to prevent future incidents. It will give you the chance to develop your analytical skills in the problem-solving contexts you likely find yourself in as a health care professional.

Health care organizations strive for a culture of safety. Yet, despite technological advances, quality care initiatives, oversight, ongoing education and training, laws, legislation, and regulations, medical errors continue to occur. Some are small and easily remedied with the patient unaware of the infraction. Others can be catastrophic and irreversible, altering the lives of patients and their caregivers and unleashing massive reforms and costly litigation.

Historically, medical errors were reported and analyzed in hindsight. Today, QI initiatives attempt to be proactive, which contributes to the amount of attention paid to adverse events and near misses. Backed up by new technologies and reporting metrics, adverse events and near misses can provide insight into potential ways to improve care delivery and ensure patient safety.

For clarification, the National Quality Forum (n.d.) defines the following:

Adverse event: An event that results in unintended harm to the patient by an act of commission or omission rather than by the underlying disease or condition of the patient.

Near miss: An event or a situation that did not produce patient harm, but only because of intervening factors, such as patient health or timely intervention.

Instructions

Prepare a comprehensive analysis of an adverse event or a near miss from your professional nursing experience that you or a peer experienced. Provide an analysis of the impact of the same type of adverse event or near miss in other facilities. How was it managed, who was involved, and how was it resolved? Be sure to:

Analyze the implications of the adverse event or near miss for all stakeholders.

Analyze the sequence of events, missed steps, or protocol deviations related to the adverse event or near miss using a root cause analysis.

Evaluate QI actions or technologies related to the event that are required to reduce risk and increase patient safety.

Evaluate how other institutions integrated solutions to prevent these types of events.

Incorporate relevant metrics of the adverse event or near miss to support need for improvement.

Outline a QI initiative to prevent a future adverse event or near miss.

Ensure your analysis conveys purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.

Be sure your analysis addresses all of the above points. You may also want to read the Adverse Event or Near Miss Analysis Scoring Guide to better understand the performance levels that relate to each grading criterion. Additionally, be sure to review the Guiding Questions: Adverse Event or Near Miss Analysis [DOCX] document for additional clarification about things to consider when creating your assessment.

Additional Requirements

Your assessment should also meet the following requirements:

Length of submission: A minimum of five but no more than seven double-spaced, typed pages, not including the title page or References section.

Number of references: Cite a minimum of three sources of scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source material is defined as no older than five years unless it is a seminal work. Review the Nursing Master’s Program (MSN) Library Guide for guidance adverse event or near miss analysis nursing medication error essay example

APA formatting: Resources and citations are formatted according to current APA style. Review the Evidence and APA section of the Writing Center for guidance.

Competencies Measured

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

Competency 1: Plan quality improvement initiatives in response to adverse events and near-miss analyses.

Analyze the implications of an adverse event or a near miss for all stakeholders.

Analyze the sequence of events, missed steps, or protocol deviations related to an adverse event or a near miss using a root cause analysis.

Outline a quality improvement initiative to prevent a future adverse event or near miss based on research and evidence-based practices.

Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.

Evaluate and identify quality improvement actions or technologies related to an event that are required to reduce risk and increase patient safety.

Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.

Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.

Reference

National Quality Forum. (n.d.). NQF patient safety terms and definitions. http://www.qualityforum.org/Topics/Safety_Definitions.aspx