Category: Nursing

  • Older Adults and Driving comprehensive assessment

    Older Adults and Driving comprehensive assessment

    1. Nurses incorporate questions about car driving to identify the need for a more comprehensive assessment. What questions would you ask and why these questions?

    2. What are some common risk factors that can affect car driving?

    3. What are some common referrals related to car driving safety and why?

    4. How will this fit with the older adult community assessment paper?

    Justify your reasons while responding to these prompt questions and cite your sources using APA format

    The initial Older Adults and Driving comprehensive assessment post should be 300 words with reference(s) to support your comments.

     

    Older Adults and Driving comprehensive assessment

    Nurses incorporate questions about car driving to identify the need for a more comprehensive assessment. What questions would you ask and why these questions?

    Nurses may assess older adult patients about driving to ensure their safety and the safety of others, considering the potential for age-related declines in motor skills, cognition and vision that impair safe driving. First, questions would be asked about vision to assess the ability to distinguish objects against different backgrounds (contrast sensitivity), peripheral vision (visual fields), and the ability to see clearly (visual acuity). Second, questions about cognition, evaluating memory, attention, processing speed, and executive function in terms of planning and decision-making. Third, questions about motor and somatosensory function in terms of the functional range of motion, endurance, and proprioception (sense of body position). Fourth, question about medication, noting those that may potentially impair driving due to side effects. Fifth, questions about medical conditions that might affect safe driving. Sixth, questions about the patient’s perspective and asking about concerns related to driving and one’s own perception of driving abilities (Williams, 2023).

    What are some common risk factors that can affect car driving?

    Older adult patients face higher risk factors that affect their driving. First, they face physical changes that present as age-related declines in vision, hearing, reaction time, motor skills, and mobility. Second, they face age-related cognitive changes presenting as memory loss, declines in attention and multitasking, and impaired judgement and decision-making. Third, they may have medical conditions that affect driving, including chronic diseases, medications and dementia. Besides the mentioned factors, other risks that older adults face include fatigue, distractions, driving in unfamiliar areas, and driving behaviors in terms of driving too fast, following too closely or unsafe lane changes (Boscart et al., 2023).

    What are some common referrals related to car driving safety and why?

    If a nurse has concerns about a patient’s safe car driving, then there is a need to refer the patient to a specialist to help address the specific risk factor. This particularly targets the age-related declines in body systems, such as referral to physical therapists, occupational therapists, neuropsychologists, and ophthalmologists. The specialist further evaluates the patient before applying a management or treatment plan and recommends whether the patient can continue driving and under what conditions. In addition, the patient may be referred for counseling about safe driving practices and alternatives to driving. Even as the nurse refers the patient for further evaluation, there is a need to discuss and explore alternative transport options, such as family/friend support, ride-sharing services, and public transportation (Beavers-Kirby & Segal-Gidan, 2024) Older Adults and Driving comprehensive assessment.

    How will this fit with the older adult community assessment paper?

    Driving assessment for older adult patient is a crucial component of community assessment as it helps to identify and address potential mobility challenges, which are vital for maintaining the independence of the community members and ensuring their overall well-being within the community. The assessment helps to identify mobility needs and the challenges they face. It points out individuals who may have difficulty driving safely and allows for targeted interventions. Besides that, it supports interdependence by identifying older adults who may need assistance with transportation and discusses alternative mobility options, such as volunteer programs, ride-sharing services, and public transport. In addition, it improves safety and well-being as it identifies individuals at risk of being involved in car crashes due to age-related changes in physical abilities, cognition and vision. This information helps with developing safety interventions and ensuring the well-being of older adults in the community. Furthermore, it guides effective resource allocation, such as decisions on funding for public transportation services or promoting safe driving practices. Moreover, it facilitates early intervention by providing older adults with the counseling or training they need to improve their driving or referring them for specialist care and rehabilitation to address underlying impairments (Cooper & Gosnell, 2023).

    References

    Beavers-Kirby, J. R., & Segal-Gidan, F. I. (2024).
    Gerontology and Geriatrics for NPs and PAs: An Interprofessional Approach
    . Elsevier.

    Boscart, V., McCleary, L., Taucar, L. S., Touhy, T. A., & Jett, K. F. (2023). 
    Ebersole and Hess’ Gerontological Nursing and Healthy Aging in Canada
    (3rd ed.). Elsevier Health Sciences.

    Cooper, K., & Gosnell, K. (2023). 
    Foundations and Adult Health Nursing
    (9thed.). Mosby.

    Williams, P. A. (2023). 
    Basic Geriatric Nursing
    (8th ed.). Elsevier Health Sciences Older Adults and Driving comprehensive assessment

  • Literature Review:The Use of Clinical Systems to Improve Outcomes and Efficiencies

    Literature Review:The Use of Clinical Systems to Improve Outcomes and Efficiencies

    In a 5-pages not including title and reference page, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address:

    1. Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.

    2. Include an introduction explaining the purpose of the paper..

    3. Summarize each study, explaining the improvement to the outcomes, efficiencies and lesson learned fr the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

    4. In ur conclusion, synthesize the findings from the 4 peer-reviewed research articles.

    5. Use APA format and include a title page.

    6.use the turnitin drafts to check your match percentage before submitting work.

     

    Literature Review:The Use of Clinical Systems to Improve Outcomes and Efficiencies

    The Impact of EHRs on Patient Safety and Health Professional Collaboration

    Introduction

    Electronic Health Records (EHR) systems are one of the most advanced healthcare technology developments for contemporary healthcare. As healthcare facilities migrate from paper-based to digital record-keeping, the impact of EHRs on patient outcomes and clinical efficiencies becomes even more important to nursing practice. This assignment aims to review existing literature on EHR implementation in various healthcare environments, focusing on measurable improvements in patient safety, the quality of care, clinical efficiency, and healthcare professionals’ communication. In examining the advantages and disadvantages of using EHR, the review provides nursing professionals working within these systems in clinical environments with evidence-based recommendations. The review findings will identify how EHR can revolutionize healthcare provision when implemented effectively and used to the full, while noting where system optimization is still required.

    Upadhyay, S., & Hu, H. (2022). A qualitative analysis of the impact of electronic health records (EHR) on Healthcare Quality and safety: Clinicians’ lived experiences.
    Health Services Insights
    ,
    15
    . https://doi.org/10.1177/11786329211070722

    This qualitative study investigated the clinician experience of EHR systems using semi-structured interviews of 20 healthcare professionals from various roles (physicians, nurses, hospitalists, patient safety officers, and nurse practitioners). The study found variable assessments of EHR implementation. Significant improvements were increased patient safety through medication alerts and reminders, better access to overall patient histories, excellent healthcare providers’ communication, streamlined documentation processes, and data availability for research (Upadhyay & Hu, 2022). On the other hand, challenges remained, such as undertraining, time-consuming documentations diverting attention from patient care, system fragmentation, and cross-EHR system interoperability. The research found that the nurses perceived EHR as an efficiency booster, whereas the physicians found the system time-intensive. The organizational culture of safety had a significant impact that contributed to the successful implementation of EHR. The lesson learned was the need for proper training, the need for institution-wide integrated EHR, and the potential of the EHR to contribute toward the safety culture by data analyses and reports (Upadhyay & Hu, 2022). The research finds that although challenges attend the implementation of the EHR, the advantages to patient care quality and safety in the main do exceed the disadvantages when appropriately implemented and supported by the management.

    Vos, J. F., Boonstra, A., Kooistra, A., Seelen, M., & van Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties.
    BMC Health Services Research
    ,
    20
    (1). https://doi.org/10.1186/s12913-020-05542-6

    The study explored how Electronic Health Records (EHRs) enable or limit healthcare professionals’ collaboration in five Dutch hospital outpatient multidisciplinary clinics. Adopting affordance theory as a conceptual framework, the researchers identified six affordances of EHR supporting collaboration: portability, co-located access, shared overview, mutual awareness, messaging, and orchestrating. Although the EHR compiled information from different specialties into holistic patient overviews, various constraints were revealed. The impossibility of changing records in parallel slowed down joint consultations, and the high number of notes made the view poor. Variable entry practices among specialties reduced mutual awareness, as some clinicians avoided using EHR data they did not trust. The messaging system successfully anchored health records to messages but sometimes led to information overflow and less spoken communication. The orchestrating affordance facilitated request processing but took excessive time for the medical specialist and reduced face-to-face communication. Organizational regulations also hindered the process, such as strict role approval regulations that delegated administrative burdens to specialists. Uniform EHR use policies in departments led to improved outcomes in collaborating. The study proves that, in theory, EHR promotes interdisciplinary team work but, in reality, its effectiveness relies heavily on uniform use patterns, organizational regulations, and system design that caters to inherent workflow in different medical specialties and disciplines.

    Cahill, M., Cleary, B. J., & Cullinan, S. (2025). The influence of electronic health record design on usability and Medication Safety: Systematic Review.
    BMC Health Services Research
    ,
    25
    (1). https://doi.org/10.1186/s12913-024-12060-2

    This systematic review explored how EHR design affects usability and medication safety in clinical environments. The researchers found that seven design themes were most important: search, automation, customization, data entry, workflow, guidance, and interoperability. Strong search functionality, suitable automation, the ability to customize, and the ease of data entry in well-designed EHRs increased user satisfaction and attenuated medication errors. For example, tailored medication alerts reduced serious events from 0.18 to 0.08 per 10,000 patient days, and streamlined data entry options reduced prescription discrepancies by 195 monthly (Cahill et al., 2025). Systems that supported clinician workflow by minimizing the need for clicks, scrolling, and the need to access them remotely reduced inefficiency, with mobile EHRs saving 9.6 minutes for retrieving data and 6.5 minutes during ward rounds (Cahill et al., 2025). In contrast, suboptimal EHR design with uncorrelated data, excessive alerting, and log-in hassles led to provider burnout and compromised patient safety. The study emphasizes that clinical systems must prioritize usability-centered design that affirms clinical workflow, rather than disrupt it. The main takeaway is that while EHR implementation has positive impacts, a design aimed at usability principles is necessary to achieve better clinical outcomes, increased efficiency, and medication safety in clinical environments.

    Li, E., Clarke, J., Ashrafian, H., Darzi, A., & Neves, A. L. (2022). The impact of electronic health record interoperability on safety and quality of care in high-income countries: Systematic Review.
    Journal of Medical Internet Research
    ,
    24
    (9). https://doi.org/10.2196/38144

    This systematic review examined the impact of Electronic Health Record (EHR) interoperability on healthcare quality across 12 studies published between 2013-2020 in high-income countries. The researchers analyzed outcomes using the Institute of Medicine’s quality framework, focusing on safety, effectiveness, and efficiency. Key improvements from EHR interoperability included reduced medication errors through automated data entry (22% decrease in infusion pump alerts), increased data accuracy (patient ID entry correctness improved from 35.5% to 81%), and enhanced cross-disciplinary communication (Li et al., 2022). However, interoperability issues still contributed to 7.9-18.1% of patient safety events, with medication-related incidents being most common. The research revealed mixed results regarding efficiency gains – while nurses reported significant time savings using interoperable systems, physicians experienced minimal workflow differences. Only one study quantified cost benefits, reducing revenue loss from $980,000 to $610,000 following implementation (Li et al., 2022). Key lessons include addressing data completeness and syntax issues, accounting for 57% and 43% of data quality alerts. The findings highlight that while interoperability can significantly improve patient safety and data accuracy, challenges remain in achieving seamless integration between systems and maximizing workflow benefits across all healthcare roles Literature Review:The Use of Clinical Systems to Improve Outcomes and Efficiencies

    Conclusion

    In conclusion, several recurring themes from the studies are evident from reviewing the literature on Electronic Health Records (EHRs). Although widely implemented and heavily financed, proof of the positive effect of EHRs in clinical outcomes and patient safety is still variable and limited. EHRs positively impact medication safety through improved features such as customized alerts (decreasing serious incidents from 0.18 to 0.08 per 10,000 patient days) and automated entry (enhancing accuracy from 35.5% to 81%). This has positive impacts on patient outcomes, safety, and satisfaction. However, the studies also reveal that fundamental design factors such as search capability, adequate automation, personalization, and workflow integration significantly affect EHR’s effectiveness. The studies consistently conclude that to achieve optimal EHRtele outcomes, success demands user-centric design, substantial clinical workflow integration, and system interoperability. Future development of EHR needs to focus on standardized measures of security, greater openness in system analysis, and diminution in clinician workload, as ill-designed systems lead to burnout among providers while effectively designed ones improve communication, decrease medication errors, and improve efficiency in the provision of care.

    References

    Cahill, M., Cleary, B. J., & Cullinan, S. (2025). The influence of electronic health record design on usability and Medication Safety: Systematic Review.
    BMC Health Services Research
    ,
    25
    (1). https://doi.org/10.1186/s12913-024-12060-2

    Li, E., Clarke, J., Ashrafian, H., Darzi, A., & Neves, A. L. (2022). The impact of electronic health record interoperability on safety and quality of care in high-income countries: Systematic Review.
    Journal of Medical Internet Research
    ,
    24
    (9). https://doi.org/10.2196/38144

    Upadhyay, S., & Hu, H. (2022). A qualitative analysis of the impact of electronic health records (EHR) on Healthcare Quality and safety: Clinicians’ lived experiences.
    Health Services Insights
    ,
    15
    . https://doi.org/10.1177/11786329211070722

    Vos, J. F., Boonstra, A., Kooistra, A., Seelen, M., & van Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties.
    BMC Health Services Research
    ,
    20
    (1). https://doi.org/10.1186/s12913-020-05542-6 Literature Review:The Use of Clinical Systems to Improve Outcomes and Efficiencies

  • Week 7 TV Art Breaking bad The Artistic Brilliance of Breaking Bad Redefining Television

    Week 7 TV Art Breaking bad The Artistic Brilliance of Breaking Bad Redefining Television

    Many people would say that the 1999 premier of The Sopranos was a turning point in the development of television as an art form. Choose a television or streaming show that you feel perpetuates the idea that television is indeed a form of art. For the initial post, address the following:

    Include the name of the show and the director.

    Explain why you think this program is art.

    What impact does the example have on viewers’ lives?

    What were some influences of this work?

    Include a statement from an actor, director, or critic of the program that supports your points.

     

    Week 7 TV Art Breaking bad The Artistic Brilliance of Breaking Bad Redefining Television

    Vince Gilligan’s ‘Breaking Bad best represents TV as an art form. The show’s storytelling is meticulous, complex in character development, and visual with symbolism. Gilligan uses the motif of the color green to symbolize greed and transformation in a conscious artistic vision, which is the cinematic use of Gilligan. The narrative structure of Walter White’s tale unrolls Walter White’s descent into moral ambiguity and causes the viewer to think about the themes of power, identity, and consequence.

    Breaking Bad undoubtedly affects the viewers. It can inspire conversations about morality and what it means to be human (Lyons, 2021). In many cases, it can get people thinking about what limits you assign yourself to what behavior is moral. The artistic depth of the show is revealed in how it can cause one to feel sympathetic to the characters.

    ‘Breaking Bad’ has also been inspired by classic literature like Shakespearean tragedies and movies based upon similar themes like ‘Scarface’ and ‘The Godfather.’ With Gilligan’s invention, other serialized dramas such as ‘Better Call Saul’ and ‘Ozark’ emerged.

    According to Bryan Cranston, who acted as Walter White, he said it is more than just a TV show; it is a study of human behavior and the choices we make. This word presents the show’s artistic side and exceeds the average television word to something significant for the anthropology of the human being. It also means that the show is a work of art on television and that the foundations are laid for television to grow.

    References

    Lyons, S. (2021). The (Anti-) Hero with a Thousand Faces: Reconstructing Villainy in The Sopranos, Breaking Bad, and Better Call Saul. 
    Canadian Review of American Studies
    , 
    51
    (3), 225-246.
    https://www.utpjournals.press/doi/abs/10.3138/cras-2020-017
      Week 7 TV Art Breaking bad The Artistic Brilliance of Breaking Bad Redefining Television

  • Patient is a 44 year old male presenting with swollen, painful, red left knee for 2 days. Reports he is unable to bear weight on that leg

    Week 8 Case Study

    Patient is a 44 year old male presenting with swollen, painful, red left knee for 2 days. Reports he is unable to bear weight on that leg. He is now also having toe pain. Symptoms started after the weekend when he attended a BBQ where he had 4 beers with his meal. He denies fever, rash or injury. BMI is 32. History of HTN, takes Hydrochlorothiazide, and works as a floor installer.

    Aspiration of synovial fluid:

    Monosodium urate (MSU) crystals positive

    Lab results

    Lab Result Reference Range

    Uric Acid 8 3.5 and 7.2 mg/dL

    ESR 65 0-15 mm/hr

    CRP 10.5 <0.3 mg/dL Questions: Identify key symptoms presented that will help to determine the diagnosis. Explain the musculoskeletal pathophysiologic processes of why the patient presents these symptoms. Explain how obesity plays a role in the progression of osteoarthritis/gout in the knee joints. Case Study Analysis The musculoskeletal system maintains a central function by managing mobility together with stability and physical functioning ability. When this system is compromised, patients often experience limitations that affect their quality of life. The case of a 44-year-old male presenting with acute pain, redness, and swelling in his left knee highlights the complex interplay between musculoskeletal pathologies, lifestyle factors, and comorbid conditions. This case study analysis seeks to examine the clinical presentation, underlying pathophysiological mechanisms, and contributing factors such as obesity and medication use in the context of gout, a common inflammatory arthropathy. Key Symptoms and Diagnostic Indicators The patient presents with a complaint of acute swelling, erythema, and pain in his left knee, with an inability to bear weight. He also complains of pain in his toes—a very important clue that would indicate first metatarsophalangeal joint involvement, which is characteristically involved in gout. His consumption of alcohol over the weekend and his intake of purine-containing food are also relevant. Laboratory results reveal elevated serum uric acid (8 mg/dL), ESR 65 mm/hr, and CRP 10.5 mg/dL—all indicating acute inflammation. Most significantly, synovial fluid aspiration was positive for the presence of monosodium urate (MSU) crystals, confirming gout. The American College of Rheumatology emphasizes that crystal analysis of synovial fluid is the gold standard for gout diagnosis (Punzi et al., 2024). Pathophysiological Processes of Gout Gout is an inflammatory arthritis caused by crystal deposition of MSU in joints secondary to hyperuricemia. Uric acid is a product of purine metabolism and must be excreted by the kidneys. When production exceeds excretion, urate crystallizes within the joint space with elevated levels, causing an immune reaction. The macrophages and neutrophils attempt to phagocytose the crystals and release proinflammatory cytokines such as IL-1β, which produce local inflammation, vasodilation, and pain (Ashiq et al., 2021). In this case, pain, swelling, and immobility of the knee and toe express the marked inflammatory response and joint involvement that is typical in acute gout attacks. Obesity’s Role in Gout and Osteoarthritis Obesity substantially increases the risk and severity of osteoarthritis and gout both mechanically and metabolically. Viscosity due to excess adiposity increases circulating concentrations of uric acid, partly by inducing insulin resistance, reducing renal excretion of uric acid (Yang et al., 2022). Higher body weight also leads to greater mechanical load on load-bearing joints such as the knees, accelerating cartilage loss and osteoarthritic change. Visceral adipokines secreted by visceral fat also make their contribution towards systemic inflammation worsening joint damage. In the case of patient BMI 32, obesity would in all probability double its function, increasing urate levels and providing setting for joint damage and susceptibility for repeat gout attack. Risk Factors Contributing to Disease Development There are several modifiable and non-modifiable risk factors in this scenario. Hydrochlorothiazide is a thiazide diuretic that is prescribed for hypertension and has been found to interfere with renal excretion of uric acid, thereby causing hyperuricemia (Jiao et al., 2023). Beer drinking elevates serum urate by activating purine metabolism and increasing lactic acid production, further inhibiting urate excretion. In addition, the patient’s occupation as an installer of floors can be a cause of repetitive joint stress, particularly to the knees, and therefore increase the risk of gout and osteoarthritis. Genetic susceptibility is also elevated by genetic predisposition, older age, and male sex. Conclusion This case points out the importance of grasping musculoskeletal pathophysiology in the diagnosis and management of joint disorders. Acute monoarticular arthritis with documented MSU crystals, elevated inflammatory markers, and hyperuricemia is characteristic of gout. Obesity, medication use, diet, and work-related factors all have roles in the etiology and exacerbation of this disease. Advanced practice registered nurses play an essential role not just in recognizing such patterns but also in educating patients on lifestyle modifications and adherence to treatment to avert recurrence and joint damage. References Ashiq, K., Bajwa, M. A., Tanveer, S., Qayyum, M., Ashiq, S., Khokhar, R., & Abid, F. (2021). A comprehensive review on gout: The epidemiological trends, pathophysiology, clinical presentation, diagnosis and treatment. JPMA. The Journal of the Pakistan Medical Association, 71(4), 1234-1238. https://doi.org/10.47391/jpma.313 Jiao, X., Song, K., Jiao, X., Li, H., Zeng, L., Zou, K., Zhang, W., Wang, H., & Zhang, L. (2023). Hyperuricaemia, gout and related adverse events associated with antihypertensive drugs: A real-world analysis using the FDA adverse event reporting system. Frontiers in Pharmacology, 13. https://doi.org/10.3389/fphar.2022.1045561 Punzi, L., Galozzi, P., Luisetto, R., Scanu, A., Ramonda, R., & Oliviero, F. (2024). Gout: One year in review 2023. Clinical and Experimental Rheumatology. https://doi.org/10.55563/clinexprheumatol/uhyzcr Yang, Y., Xian, W., Wu, D., Huo, Z., Hong, S., Li, Y., & Xiao, H. (2022). The role of obesity, type 2 diabetes, and metabolic factors in gout: A mendelian randomization study. Frontiers in Endocrinology, 13. https://doi.org/10.3389/fendo.2022.917056 Patient is a 44 year old male presenting with swollen, painful, red left knee for 2 days. Reports he is unable to bear weight on that leg

  • Fading Echoes Poem and clair de lune song Art Creation

    Fading Echoes Poem and clair de lune song Art Creation

    Part 1: Art Creation

    Select a poem, musical piece to use as a point of inspiration. Create a work of poetry, lyrics, inspired by your selected art piece.

    Note: If your art creation requires a separate file submission, please submit in the Art Creation Submission (Recordings) area following this assignment.

    Part 2: Reflection

    Write a reflection about the relationship between your art production and the inspiration piece. Include the following in the reflection paper:

    Introduction

    Inspiration Piece

    Include the inspiration poem, lyrics, within the document. Use a link in the case of a recording.

    Record the title, artist/author/composer, year, and place of origin.

    Briefly explain the background of the inspiration piece.

    Your Art Piece

    Include your original poem or lyrics within the document.

    Provide a title.

    Explain the background of your piece.

    Connection

    Explain the thematic connection between the two pieces.

    How are they similar and different?

    Are they the same medium? How does the medium impact what the viewer experiences?

    Length: 1.5-2 pages (not including title page, text of inspiration piece, or references page)

    1-inch margins

    Double spaced

    12-point Times New Roman font

    Title page

    References page (minimum of 1 scholarly source)

    Fading Echoes Poem and clair de lune song Art Creation

     

    Art creation

    Part 1: Art Creation

    Original Poem: “Fading Echoes”

    Whispers of the past drift through the trees,

    Like shadows that linger, caught in the breeze.

    Memories flutter as petals fall,

    A symphony of silence, an untold call.

    Through the quiet night, the stars unfold,

    Stories of sorrow, stories untold.

    In the hush of dawn, I hear the sound,

    Of fleeting moments that can’t be found.

    Like the river’s flow, relentless and exhaustive,

    Time slips away, with nothing to hide.

    Yet still, I search for a trace, a sign,

    Of something eternal, a moment divine.

     

    Part 2: Reflection

    Inspiration Piece
    : “Clair de Lune”

    Composer
    : Claude Debussy

    Year
    : 1905

    Place of Origin: France

    Claude Debussy created his delicate classical piano piece, “Clair de Lune,” in 1905 while in France. The piece comes from “Light of the Moon,” while the music creates an atmospheric environment that depicts moonlight through its calm harmonies and slow rhythm (Lidén, 2021). Debussy completed the piece for his Suite, and it became one of his signature masterpieces.

    My Art Piece: “Fading Echoes”

    The meditation passage of my poetic work “Fading Echoes” traces time’s flow across memory and loss from beginning to end, similar to Debussy’s “Clair de Lune.” The poetry explores momentary vanishing experiences, temporal shifts, and eternal searches for eternity, which match Debussy’s composition with its soft, subtle musical qualities.

    The two artistic works establish a connection through their peaceful nature and exploration of time progression. The two artworks trigger emotional responses amongst listeners and readers. The piano music of “Clair de Lune” develops an ambiance through its tones to establish comparable mood atmospheres (Lidén, 2021). Auditory time experiences in “Clair de Lune” permeate directly through musical instruments, yet my poem employs metaphors to let readers experience emotional loss of memory and existential seeking.

    References

    Lidén, S. (2021). Multi-methodological piano studies. Fading Echoes Poem and clair de lune song Art Creation

  • NRNP 6541 Week 9 Knowledge Check Quiz Answer Key

    NRNP 6541 Week 9 Knowledge Check Quiz Answer Key

    Module 3: GI, Renal and GU, Hematological, and Metabolic and Endocrine Conditions

    As you complete Module 3, you will measure your understanding of the key topics in Weeks 7–9 with another 20-question Knowledge Check. Keep in mind this formative assessment is designed to help you prepare for the Final Exam in Week 11, and for gaining practice in question content and formats for the Family Nurse Practitioner certification test.

     

    To prepare:

    Review Learning Resources from Weeks 7, 8, and 9, using the topic list, below, as a guide.

    Module 3 Knowledge Check topics will include the following:

    Signs of gastrointestinal conditions

    Diagnosis, treatment, management, and prevention of gastrointestinal disorders

    Signs of renal and genitourinary conditions

    Diagnosis, treatment, and management of renal and genitourinary conditions

    Gynecologic disorders in girls and teens

    Signs of hematologic conditions

    Signs of metabolic and endocrine conditions

    Hyperbilirubinemia in infants

    Diagnosis, treatment, and management of hematologic conditions

    Diagnosis, treatment, and management of metabolic and endocrine conditions

    Socio-cultural considerations in treating/working with patients and families

    Evidence-based strategies for patient/family health promotion and education

    Knowledge Check

    You are required to answer 20 questions, randomly selected. You will have 1 attempt for each question. Each question is worth 1 point.

    By Day 7 of Week 9

    Complete
     and 
    submit
     your Knowledge Check.

     

    NRNP 6541 Week 9 Knowledge Check Quiz Answer Key

    Attempt History

    Attempt

    Time

    Score

    LATEST

    Attempt 1

    Time:2
    7 minutes

    Score:
    20 out of 20

     Correct answers will be available on Apr 29 at 10:59pm.

    Score for this quiz: 
    20
     out of 20

    Submitted Apr 24 at 7:24pm

    This attempt took 27 minutes.

    Question 1

    1 
    / 1
     pts

    An adolescent female has heavy periods that are also irregular. The physical exam is normal. A complete blood count reveals a hemoglobin of 7.9 g/dL. What test will the primary care nurse practitioner order next?

     

    Ultrasound of pelvis

     

    C-reactive protein

     

    Coagulation studies

     

    Thyroid function

     

     

    CORRECT: C

    Coagulation studies

    Chp 43–If the patient’s hemoglobin is low, coagulation studies should be ordered to rule out bleeding disorder as cause of heavy menstrual bleeding. CRP is ordered if infection is suspected. Thyroid function is indicated if systemic disease is suspected. A pelvic ultrasound is ordered if a mass is palpated, anomaly is suspected, bimanual exam cannot be completed, or if the condition is unresponsive to treatment.

     

    Question 2

    1 
    / 1
     pts

    A 13-year-old Native American female has a body mass index (BMI) at the 90th percentile for age. The primary care nurse practitioner notes the presence of a hyperpigmented velvet-like rash in skin folds. The child denies polydipsia, polyphagia, and polyuria. The nurse practitioner will take what action?

     

    Refer the child to a pediatric endocrinologist.

     

    Counsel the child to lose weight to prevent type 2 diabetes.

     

    Order a fasting blood sample for a metabolic screen for type 2 diabetes.

     

    Diagnose type 2 diabetes if the child has a random glucose of 180 mg/dL.

     

    CORRECT: C

    Order a fasting blood sample for a metabolic screen for type 2 diabetes.

    Chp 39–This child has three risk factors for type 2 diabetes: Native American ethnicity, overweight, and acanthosis nigricans. The PCP should perform metabolic screening on a fasting blood sample to diagnose this. Lifestyle changes may be necessary to control the disease if diagnosed, but this child may already have the disease, and management options aren’t clear until the diagnosis is made. Diagnosis is based on a random glucose >200 mg/dL. It is not necessary to refer this child until a diagnosis is made.

     

    GET EXAM HELP HERE

    Question 3

    1 
    / 1
     pts

    A complete blood count on a 12-month-old infant reveals microcytic, hypochromic anemia with a hemoglobin of 9.5 g/dL. The infant has mild pallor with no hepatosplenomegaly. The primary care nurse practitioner suspects what disorder?

     

    Hereditary spherocytosis

     

    Lead intoxication

     

    Iron-deficiency anemia

     

    Sickle-cell anemia

     

    CORRECT: C

    Iron-deficiency anemia

    Chp 38–Iron-deficiency anemia is the most common type of anemia in infants and children, accounting for approximately 90% of cases. It is characterized by decreased hemoglobin, with microcytic, hypochromic RBCs. Hereditary spherocytosis is characterized by pallor and jaundice with splenomegaly. Lead intoxication is accompanied by neurobehavioral problems. Sickle-cell anemia involves the presence of HgbS.

     

    Question 4

    1 
    / 1
     pts

    The parent of a 3-month-old reports that the infant arches and gags while feeding and spits up undigested formula frequently. The infant’s weight gain has dropped to the 5th percentile from the 12th percentile. What is the best course of treatment for this infant?

     

    Reassure the parent that these symptoms will likely resolve by 12 to 24 months.

     

    Begin a trial of extensively hydrolyzed protein formula for 2 to 4 weeks.

     

    Prescribe motility agent such as erythromycin

     

    Perform upper GI series to determine the degree of reflux.

     

    CORRECT: B

    Begin a trial of extensively hydrolyzed protein formula for 2 to 4 weeks.

    Chp 34–Formula-fed infants may be given a trial of a hydrolyzed protein formula to see if improvement occurs. A motility agent is not first line recommendation. Upper GI should be ordered only if anatomic abnormality or obstruction is suspected. The infant has warning signs of GERD that require further investigation and not just reassurance.

     

    Question 5

    1 
    / 1
     pts

    A 30-month-old girl who has been toilet trained for 6 months has daytime enuresis and dysuria and a low-grade fever. A dipstick urinalysis is negative for leukocyte esterase and nitrites. What is the next step?

     

    Reassure the child’s parents that the child does not have a urinary tract infection.

     

    Begin empiric treatment with trimethoprim-sulfamethoxazole.

     

    Send the urine to the lab for culture.

     

    Discuss behavioral interventions for toilet training.

     

    CORRECT: C

    Send the urine to the lab for culture.

    Chp 42–Females over age 24 months have a higher risk than males for UTI. This child is symptomatic, so her urine should be cultured even though the leukocyte esterase and nitrites are negative; urine in the bladder less than 4 hours may be tested as negative for leukocyte esterase. Empiric treatment may be initiated if the child had signs of sepsis. Behavioral interventions are not indicated – the child has dysuria and fever along with enuresis. Until the culture is found to be negative, it is not certain that the child does not have an UTI, and thus reassurance is not the correct action.

     

    Question 6 – NRNP 6541 Week 9 Knowledge Check Quiz Answer Key

    1 
    / 1
     pts

    A child is in the clinic after swallowing a metal bead. A radiograph of the GI tract shows a 3 mm cylindrical object in the child’s stomach. The child is able to swallow without difficulty and is not experiencing pain. What is the correct course of treatment?

     

    Refer the child for endoscopic removal of the object.

     

    Have the parents watch for the object in the child’s stool.

     

    Administer ipecac to induce vomiting.

     

    Insert a nasogastric tube to flush out the object.

     

    CORRECT: B

    Have the parents watch for the object in the child’s stool.

    Chp 34–A small foreign body that is not corrosive or sharp and that has reached the stomach is most likely to continue to pass through the GI tract and no intervention is necessary. Inducing vomiting increases the risk of aspiration of the FB. NG tube removal and endoscopy are not indicated unless the object has the potential to damage the GI tract; most objects that are not sharp or corrosive that have reached the abdomen will pass through without causing damage.

     

    Question 7

    1 
    / 1
     pts

    The parent of an infant experiencing colic asks about using a probiotic medication. What will the primary care pediatric nurse practitioner tell this parent?

     

    Probiotics are not safe to use to treat infants who have colic.

     

    Some research suggests probiotics may be helpful to decrease fussiness but differences are noted among breastfed versus formula fed infants

     

    Probiotic medications have demonstrated efficacy in treating colic.

     

    There are no studies showing usefulness of probiotics to manage colic.

     

    CORRECT: B

    Some research suggests probiotics may be helpful to decrease fussiness but differences are noted among breastfed versus formula fed infants

    Chp 34–Some suggest specific strains of 
    Lactobacillus
     
    reuteri 
    may help relieve infantile colic. Probiotics may be used to decrease crying times and fussiness, with differences noted between infants who are exclusively breastfed and those who are not.

     

    Question 8

    1 
    / 1
     pts

    A child has gross hematuria, abdominal pain, and arthralgia as well as a rash. What diagnosis is most likely?

     

    Systemic lupus erythematosus

     

    Sickle cell disease

     

    Rhabdomyosarcoma

     

    Immunoglobulin A vasculitis (formerly Henoch-Schönlein purpura)

     

    CORRECT: D

    Immunoglobulin A vasculitis (formerly Henoch-Schönlein purpura)

    Chp 42–IgAV (HSP) may presents with gross hematuria in the presence of abdominal pain with or without bloody stools, arthralgias, and a purpuric rash. Rhabdomyosarcoma is characterized by gross hematuria and voiding dysfunction. Sickle cell disease can cause gross hematuria but not always

     

    Question 9

    1 
    / 1
     pts

    A child diagnosed with Group A beta-hemolytic streptococci (
    GABHS
    ) 2 weeks prior is in the clinic with periorbital edema, dyspnea, and elevated blood pressure. A urinalysis reveals tea-colored urine with hematuria and mild proteinuria. What will the primary care nurse practitioner do to manage this condition?

     

    Reassure the parents that this condition will resolve spontaneously.

     

    Refer the child to a pediatric nephrologist for hospitalization.

     

    Prescribe high-dose steroids in consultation with a nephrologist.

     

    Prescribe a 10- to 14-day course of high-dose amoxicillin.

     

    CORRECT: B

    Refer the child to a pediatric nephrologist for hospitalization.

    Chp 42–This child has symptoms of post-streptococcal glomerulonephritis and signs indicating a need for hospitalization: elevated BP, edema, and dyspnea. The PNP should refer the child to a nephrologist for hospital admission and care. Amoxicillin is not indicated; this condition is an immunologic response to GABHS and not an infection. Steroids are not effective in treating this disease. Although the condition usually does self-resolve, the child needs hospitalization for close monitoring and follow-up.

     

    Question 10

    1 
    / 1
     pts

    A sexually active adolescent female tests positive for N. gonorrhoeae and C. trachomatis. She tells the primary care nurse practitioner that she wants to be treated today since she is moving out of town the next day. What will the nurse practitioner order?

     

    Ceftriaxone 250 mg IM and doxycycline 100 mg po bid for 7 days

     

    Erythromycin base 500 mg PO qid for 7 days

     

    Azithromycin 1 g PO in a single dose

     

    Metronidazole 500 mg bid for 7 days

     

    CORRECT: A

    Ceftriaxone 250 mg IM and doxycycline 100 mg po bid for 7 days

    Chp 43–Providers should refer to current CDC guidelines for STI treatment. For co-infection with chlamydia and gonorrhea, doxycycline AND ceftriaxone are used. Previously, azithromycin was used to treat chlamydia but this is no longer recommended for concerns of anorectal infections not treated adequately with azithromycin. Metronidazole is used to treat trichomoniasis. Erythromycin is not recommended.

     

    NRNP 6541 Week 9 Knowledge Check Quiz Answer Key Question 11

    1 
    / 1
     pts

    A family is traveling with their children outside of the United States and asks for recommendations on how to avoid parasite infections. What is the most appropriate response?

     

    Wash sheets in cold bottled water

     

    Only drink unpasteurized milk

     

    Wear shoes on potentially contaminated soil

     

    Wash all produce with tap water

     

    CORRECT: C

    Wear shoes on potentially contaminated soil

    Chp 34–Only pasteurized milk should be consulted. Tap water may be contaminated so bottle water is more often recommended. Wearing shoes on contaminated soil is recommended. Sheets should be washed in hot water with detergent.

     

    Question 12

    1 
    / 1
     pts

    An adolescent has a TB skin test prior to working as a volunteer in a hospital. The adolescent is healthy and has not traveled to or from a TB-endemic area or had close contact with anyone who has TB. The Mantoux skin test shows 10 mm of induration after 48 hours. What will the primary care nurse practitioner do?

     

    Order a chest radiograph to rule out active TB.

     

    Refer the adolescent to an infectious disease specialist.

     

    Reassure the adolescent that this is a negative screen.

     

    Ask the adolescent about exposure to homeless persons.

     

    CORRECT: C

    Reassure the adolescent that this is a negative screen.

    Chp 35–In children 4 years and older without risk factors, induration must be at least 15 mm or greater to be considered to be a positive screen. It is not necessary to question the adolescent about possible exposures. Chest radiographs are ordered to evaluate for active TB in persons with a positive screen. Referral to an infectious disease specialist is done if active TB is present.

     

    Question 13

    1 
    / 1
     pts

    A 6-year-old female has had a recent growth spurt and an exam reveals breast and pubic hair development. Her bone age is determined to be 8 years. What will the primary care nurse practitioner do next?

     

    Refer the child to a pediatric endocrinologist for management.

     

    Order LH and FSH levels and a long-acting GnRH agonist.

     

    Order thyroid function tests to exclude primary hypothyroidism.

     

    Reassure the parent that this is most likely idiopathic.

     

    CORRECT: A

    Refer the child to a pediatric endocrinologist for management.

    Chp 39–Children with early puberty should always be referred to a pediatric endocrinologist for evaluation and management. The PNP may order lab work in consultation with an endocrinologist but should refer when this condition is suspected. Thyroid function tests are performed for isolated menarche. Reassuring the parent without completely diagnosing the condition is not indicated NRNP 6541 Week 9 Knowledge Check Quiz Answer Key.

     

    Question 14

    1 
    / 1
     pts

    An adolescent has right-sided flank pain without fever. A dipstick urinalysis reveals gross hematuria without signs of infection or bacteriuria, and the primary care nurse practitioner diagnoses possible nephrolithiasis. What is the initial treatment for this condition?

     

    Extracorporeal shockwave lithotripsy (ESWL)

     

    Percutaneous removal of renal calculi

     

    Referral to a pediatric nephrologist

     

    Increasing fluid intake up to 2 L daily

     

    CORRECT: D

    Increasing fluid intake up to 2 L daily

    Chp 42–The first line of therapy for all stone types is increasing fluids. ESWL may be indicated if symptoms worsen and stones are not passed. Percutaneous removal of renal calculi and referral to nephrology may be indicated with worsening symptoms.

     

    Question 15

    1 
    / 1
     pts

    An adolescent is diagnosed with functional abdominal pain (FAP). The child’s symptoms worsen during stressful events, especially with school anxiety. What will be an important part of treatment for this child?

     

    Teaching about the brain-gut interaction causing symptoms

     

    Informing the parents that the pain is most likely not real

     

    Using histamine2-blockers to help alleviate symptoms

     

    Instituting a lactose-free diet along with lactobacillus supplements

     

    CORRECT: A

    Teaching about the brain-gut interaction causing symptoms

    Chp 34–This child has symptoms associated with stress, and treatment should be aimed at biobehavioral methods, beginning with teaching about the brain-gut interaction. Even though the pain is functional, it is real. Lactose-free diets and lactobacillus supplements may be used with documented lactose intolerance, although there is a lack of high-quality evidence of their effectiveness. H2-blockers should not be used unless dyspepsia is present.

     

    Question 16

    1 
    / 1
     pts

    A preschool-age child is brought to clinic for evaluation of a rash. The primary care nurse practitioner notes an intense red eruption on the child’s cheeks and circumoral pallor. What will the nurse practitioner tell the parents about this rash?

     

    The child will need to stay home from school for at least one week

     

    This rash may be a prodromal sign of rubella or roseola.

     

    Expect a lacy, maculopapular rash to develop on the trunk and extremities.

     

    The child will need immunization boosters to prevent serious disease.

     

    CORRECT: C

    Expect a lacy, maculopapular rash to develop on the trunk and extremities.

    Chp 35–This “slapped cheek” rash is consistent with fifth disease, or erythema infectiosum, and will be followed by a lacy, maculopapular all-over rash. It is not a prodrome of rubella or roseola, and immunizations are not indicated. By the time the rash appears, the child is no longer contagious and can attend school/daycare.

     

    Question 17

    1 
    / 1
     pts

    A 2-year-old child who has sickle cell anemia (SCA) comes to the clinic with a cough and a fever of 101.5°C. The child currently takes penicillin V prophylaxis 125 mg orally twice daily. What will the primary care nurse practitioner do?

     

    Order a chest radiograph to rule out pneumonia.

     

    Give intravenous fluids and antibiotics in clinic.

     

    Admit the child to the hospital to evaluate for sepsis.

     

    Increase the penicillin V dose to 250 mg.

     

    CORRECT: C

    Admit the child to the hospital to evaluate for sepsis.

    Chp 38–Fever and pulmonary symptoms are two conditions warranting referral or emergency admission to the hospital to rule out sepsis and acute chest syndrome. Increasing the dose of penicillin V or giving IV antibiotics is not indicated.

     

    Question 18

    1 
    / 1
     pts

    The primary care nurse practitioner is performing a well-child examination on a 12-year-old child who was diagnosed with type 1 diabetes at age 9. The child had a lipid screen at age 10 with an LDL cholesterol <100 mg/dL. What will the nurse practitioner recommend as part of ongoing management for this child?     Comprehensive ophthalmologic exam   Annual lipid profile evaluation   Hypothyroidism screening every 5 years   Total IgA   CORRECT: A Comprehensive ophthalmologic exam Chp 39–Children who have been diagnosed for 3 to 5 years and who are over age 10 should be referred for annual comprehensive ophthalmologic exams. This child had a previous normal lipid profile and needs to be evaluated every 5 years and not annually. IgA should be ordered soon after diagnosis. Hypothyroidism screening should be done annually.   NRNP 6541 Week 9 Knowledge Check Quiz Answer Key Question 19 1  / 1  pts A school-age child has a 3-month history of dull, aching epigastric pain that worsens with eating and awakens the child from sleep. A complete blood count shows a hemoglobin of 8 mg/dL. What is the next step in management?   Ordering an upper GI series   Referral for esophagogastroduodenoscopy (EGD)   Empiric therapy for  pylori (HP)   Ordering serum IgG titers   CORRECT: B Referral for esophagogastroduodenoscopy (EGD) Chp 34–EGD is the procedure of choice in children for detecting PUD because it allows direct visualization of mucosa, localization of the source of bleeding, and collection of tissue specimens. Serum IgG titers may be useful but should not be the sole test used to start treatment or determine eradication. Empiric therapy for HP is not recommended due to increased antibiotic resistance. An upper GI series may have false negative findings.   Question 20 1  / 1  pts A child is diagnosed with Crohn disease. What are likely complications for this child?   Liver disease and sepsis   Cancer of the colon and possible colectomy   Intestinal perforation and hemorrhage   Intestinal obstruction with scarring and strictures   CORRECT: D Intestinal obstruction with scarring and strictures Chp 34–Intestinal obstruction with scarring and strictures are the major complications of CD. The other answers describe complications of ulcerative colitis. NRNP 6541 Week 9 Knowledge Check Quiz Answer Key   Quiz Score:  20 out of 20

  • Humanities 303 – Art Creation Reflection: Photography & Cinema

    Humanities 303 – Art Creation Reflection: Photography & Cinema

    Part 1: Art Creation

    Select a photograph or film art piece to use as a point of inspiration. Create an art piece of photography or cinematography inspired by your selected art piece. (See Attached Word Doc)

    Part 2: Reflection

    Write a reflection about the relationship between your art production and the inspiration piece. Include the following in the reflection paper:

    Introduction

    Inspiration Piece

    Include the inspiration photograph or cinematography within the document. Use a link in the case of cinematography.

    Record the title, artist/director, year, and place of origin.

    Briefly explain the background of the inspiration piece.

    Your Art Piece

    Include your original photograph within the document. If you selected cinematography, submit as a separate file in the Art Creation Submission (Recordings) area following this assignment.

    Provide a title.

    Explain the background of your piece.

    Connection

    Explain the thematic connection between the two pieces.

    How are they similar and different?

    Are they the same medium? How does the medium impact what the viewer experiences?

    For photography, how do the formal elements of design compare to one another?

    Length: 1.5-2 pages (not including title page, images, or references page)

    1-inch margins

    Double spaced

    12-point Times New Roman font

    Title page

    References page (minimum of 1 scholarly source)

     

    Humanities 303 – Art Creation Reflection: Photography & Cinema

    Inspiration Piece

    DETAILS

    Credit:

    Ron and Patty Thomas

    License type:

    Royalty-free

    Collection:

    Upload date:

    May 25, 2011

    American Flag glows in the sunset.

    Original Piece

    OBX Sunrise

    Background of the Pieces

    Piece 1
    : The first photograph captures the American flag flying proudly against a dramatic sunset. The sky is painted with vibrant hues of orange and pink, with wispy cirrus clouds adding texture and depth. The flag, illuminated by the fading sunlight, symbolizes patriotism and resilience, while the sunset evokes a sense of closure and hope. The image feels timeless, blending natural beauty with national pride.

    Piece 2
    : The second photograph features a fishing pier extending into the vast ocean, framed by the warm glow of a sunset. The horizon blends the ocean and sky seamlessly, creating a tranquil and reflective mood. The pier, a man-made structure, contrasts with the natural elements, symbolizing humanity’s connection to nature. The sunset adds a universal theme of endings and new beginnings, inviting contemplation Humanities 303 – Art Creation Reflection: Photography & Cinema.

    Thematic Connection

    Both photographs are united by the theme of transitions and the interplay between human presence and nature. The sunsets in both pieces symbolize endings and the promise of renewal, creating a reflective mood. The American flag in Piece 1 represents human ideals and identity, while the pier in Piece 2 reflects humanity’s interaction with the natural world. Together, they explore the balance between human constructs and the timeless beauty of nature, evoking a sense of hope and continuity amidst change.

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    Similarities and Differences

    The two photographs are similar in their use of sunset lighting to create a warm, evocative atmosphere. Both images capture a moment of transition—symbolized by the sunset—that invites reflection on themes of time, continuity, and human connection to the world. Additionally, each piece features a central subject (the flag and the pier) that contrasts with the natural backdrop, emphasizing the relationship between human constructs and nature Humanities 303 – Art Creation Reflection: Photography & Cinema. However, they differ in their focus: Piece 1 highlights national identity and pride through the American flag, while Piece 2 emphasizes a quieter, more introspective connection to nature through the fishing pier. The flag evokes a sense of collective belonging, whereas the pier suggests solitude and contemplation.

    Medium and Its Impact

    Both pieces are created using digital film photography, a medium that allows for precise control over light, color, and composition. This medium enhances the viewer’s experience by capturing the vivid, almost surreal beauty of the sunsets with striking clarity. The rich orange hues and intricate cloud textures in Piece 1, as well as the serene gradient of the ocean and sky in Piece 2, are rendered with a level of detail that immerses the viewer in the scene. Digital photography also enables the artist to emphasize contrasts—such as the sharpness of the flag against the soft clouds or the linear pier against the fluid ocean—creating a dynamic visual experience. The medium’s ability to freeze a fleeting moment in time amplifies the emotional impact, allowing the viewer to linger on the themes of transition and connection Humanities 303 – Art Creation Reflection: Photography & Cinema.

  • N532 A1 Theories and Strategies to Meet Diverse Learner Needs

    N532 A1 Theories and Strategies to Meet Diverse Learner Needs

    Nursing Education Theories and Strategies for Diverse Learners

    Growing student diversity and the need to equip students for multicultural clinical healthcare environments are transforming nursing education. Nursing education today must be diverse to produce culturally aware nurses who can work in many healthcare settings. Nursing education must be modified to meet the demands of foreign and adult learners from various socioeconomic classes. To train culturally competent nurses, nursing faculty must follow the National League for Nursing (NLN) Core Competencies for Nurse Educators (Fitzgerald et al., 2019). Self-assessment, creative learning environments, cross-cultural critical thinking, and inclusive assessment methods can help nursing educators better serve student diversity and prepare nurses for modern healthcare multicultural demands.

    Value of Self-Assessment and Cultural Preferences in Nursing Education

    Nursing education relies on self-assessment to help professors and students grow personally and professionally. Educational self-reflection improves teaching and helps instructors fulfill students’ needs. Continuous educator self-reflection helps detect personal biases so they can adapt teaching methods to student culture, improving learning results (Kaihlanen, Hietapakka, & Heponiemi, 2019). Self-assessment lets students actively evaluate their progress and find areas for improvement. The evaluation procedure enables nursing students to analyze their knowledge and improve their cultural competency in multicultural healthcare (Kinyon et al., 2021).

    Understanding cultural preferences impacts teaching practices. Teachers may construct engaging classes by considering student learning styles and cultural backgrounds. Leibold et al. (2022) found that cultural competency training improves nurses’ ability to care for different patients, improving patient satisfaction and outcomes. The approach stresses culturally sensitive education to reflect nursing students’ cultural beliefs.

    Reflective techniques benefit students and teachers by creating inclusive and esteem-building settings. Self-reflection helps educators improve their teaching techniques, according to NLN Core Competency 1. Reflection helps nursing students understand how culture affects their relationships with patients and classmates. Kaihlanen et al. (2019) found that students who self-assess cultural competency improve their interpersonal skills and cultural sensitivity in clinical settings N532 A1 Theories and Strategies to Meet Diverse Learner Needs.

    Managing Teaching Challenges – Creative, Student-Centered Learning Environment for Diverse Learners

    Simulation-based learning is a crucial teaching tool for nursing students because it helps them improve clinical thinking, judgment skills, and cultural competence for working with varied populations (Kaihlanen et al., 2019). Standardized patient cases in traditional simulations provide homogenous scenarios that do not sufficiently mimic the many cultural aspects and sociocultural healthcare determinants that nurses encounter in real clinical work. To expose students to linguistic and religious cultural factors during clinical decision-making, educators should create credible simulation labs that provide realistic patient care scenarios.

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    Standardized patients, trained actors from several cultures, improve simulation efforts in emergency, primary, and community care. Medical students need to work together with interpreters to support an emergency department patient with low English proficiency and healthcare access while acknowledging their personal values about healthcare treatment during a vital period of care (Kinyon et al., 2021). Medical case scenarios also incorporate students caring for pregnant patients who restrict medical procedures based on faith and elderly immigrants who need adaptable healthcare techniques that respect their cultural background (Leibold et al., 2022).

    Using AR and VR technologies greatly helps students participate in genuine multicultural healthcare environments. The use of virtual reality-based simulations enables students to experience a virtual hospital of a different country thereby allowing them to observe healthcare practices unique to that culture and interact with patients from underrepresented groups for expanded global health knowledge (Billings & Halstead, 2020). These technology-based strategies promote student active learning through their preparedness for complicated cultural healthcare difficulties at both confident and competent levels.

    Students must do planned debriefing exercises after the simulation to optimize learning. Students must join guided peer and teacher conversations to evaluate their biases, communication, and decision-making in each immersive simulation (Leibold et al., 2022). The talks help students self-assess and develop cultural humility via professional growth, allowing them to deliver culturally responsive, equitable treatment in multicultural healthcare settings.

    Critical Thinking across Cultures

    The structured debate method encourages active learning, allowing students to critically evaluate healthcare issues from various cultural perspectives. Medical discussion sessions help students to hold varied ethical views while recognizing global healthcare system inequalities (Leibold et al., 2022). Students can debate when it is okay to ignore cultural beliefs about blood transfusions, organ donation, and end-of-life care. The analysis would compare universal and privatized healthcare systems’ resource distribution (Billings and Halstead, 2020). This method allows students to hone their reasoning, logic, and ethical judgment skills through thorough cultural examination of patient care. N532 A1 Theories and Strategies to Meet Diverse Learner Needs Faculty members help students develop critical thinking and reflective skills by using Socratic questioning and requiring them to back up their arguments with evidence (Kinyon et al., 2021).

    Students now benefit from improved telehealth and digital learning technologies that make global nursing student collaborations more convenient because they can easily connect with healthcare professionals and peers who share different cultural backgrounds. The virtual exchange format allows students to deeply immerse themselves in cross-cultural learning through remote clinical evaluations, international case reviews, and global healthcare system analysis (Kaihlanen et al., 2019). US nursing students can study maternal healthcare disparities with peers from other developing nations by examining the effects of sociocultural attitudes, economic access limits, and healthcare delivery systems on patient results (Pool et al., 2019). Students can watch live telehealth sessions to learn how language differences and patient expectations with cultural beliefs affect medical communication (Leibold et al., 2022). More contact helps future medical professionals develop better adaptability, problem-solving, and communication skills to deal with complex cultural interactions in patient care.

    Students use ethnographic research to break theoretical barriers and interact with different patient groups. Students do little ethnographic research, interviewing members of different cultures about their healthcare views, sickness understanding, and traditional healing techniques (Kaihlanen et al., 2019). Students gather qualitative data and form teams to create culturally relevant nursing interventions that peers and professors assess. The study of indigenous healthcare practices enables a student to construct a patient education plan that utilizes evidence-based medical tools alongside traditional healing techniques for honoring cultural backgrounds and sustaining effective treatment results (Billings & Halstead, 2020). A research-based, student-directed teaching strategy fosters critical thinking, cultural humility, and inclusive, compassionate healthcare in many clinical settings (Fitzgerald et al., 2019).

    Nursing Education Standards for Diverse Learners

    NLN’s nursing education standards include many assessment methods to meet students’ learning needs. Student academic progression assessment and competence development for professional nursing practice requires practical assessment and evaluation methodologies per NLN Core Competence 3. Formative evaluation, peer judgment, and culture-specific evaluation tools help administrators evaluate student learning fairly and accurately (Kaihlanen et al., 2019). These methods allow merit-based evaluation of pupils from various backgrounds.

    Since sociocultural factors, language disparities, and education affect student performance, the evaluation procedure must be fair in diverse classrooms. Multiple evaluation techniques allow instructors to identify student strengths and weaknesses because they meet unique learning needs. Constructive, culturally sensitive criticism makes nursing students successful regardless of background (Leibold et al., 2022).

    Academic vigor and fairness demand direct attention to student challenges. International students find language learning challenging. Students may overcome language hurdles using supplemental linguistic resources, visual aids, and material adaptations to ensure equal learning. These teaching methods meet NLN core competence 2 by creating learning places that allow all students to socialize with nurses.

    Conclusion

    Assessing oneself, constructing inviting learning environments, building analytical abilities, and establishing unbiased evaluation procedures are essential to educating diverse nursing students. Nurse educators who use these methods will teach students clinical competence in varied healthcare settings and meet NLN Core Competencies. N532 A1 Theories and Strategies to Meet Diverse Learner Needs Educators must renew their commitment to personal growth to meet the changing needs of students in nursing education.

    References

    Billings, D. M., & Halstead, J. A. (2020).
    Teaching in nursing: A guide for faculty
    (6th ed.). Elsevier Saunders.

    Fitzgerald, A., McNelis, A. M., & Billings, D. M. (2019). NLN Core competencies for nurse Educators: Are they present in the course descriptions of academic nurse educator programs? Nursing Education Perspectives, 41(1), 4–9. https://doi.org/10.1097/01.nep.0000000000000530

    Kaihlanen, A., Hietapakka, L., & Heponiemi, T. (2019). Increasing cultural awareness: qualitative study of nurses’ perceptions about cultural competence training.
    BMC Nursing, 18
    (1), 1-7.
    https://doi.org/10.1186/s12912-019-0363-x

    Kinyon, K., D’Alton, S., Poston, K., & Navarrete, S. (2021). Improving physical assessment and clinical judgment skills without increasing content in a prelicensure nursing health assessment course.
    Nursing Reports, 11
    (3), 600–607.
    https://doi.org/10.3390/nursrep11030057

    Leibold, N., Schwarz, L. M., & Gordon, D. (2022). Culturally responsive teaching in nursing education: A faculty development project.
    Creative Nursing, 28
    (3), 154–160.
    https://doi.org/10.1891/cn-2021-0044

    National League for Nursing (2012).
    The scope of practice for academic nurse educators, 2012 revision.

    Pool, L., Day, L., & Ridley, S. (2019). Mountain climbing: The journey for students with English as an additional language in a concept-based nursing curriculum.
    Whitireia Nursing and Health Journal, 26
    , 28–36.

     

     

    N532 A1 Theories and Strategies to Meet Diverse Learner Needs

    N532 Activity 1

    Theories and Strategies to Meet Diverse Learner Needs

    In this activity you will build your understanding of theories and strategies for meeting the learning needs of diverse learners. You will learn about cognitive and affective development of students and create a development plan to stay current in meeting the NLN Core Competencies, meeting needs of diverse learners.

    Instructions

    Examine the value of educator and learner self-assessment of learning and cultural preferences as it relates to nursing education.

    Describe three examples of how you will design a creative learning environment to promote student centered learning with a highly diverse student population.

    Create three methods to develop critical thinking across cultures among your learners.

    Analyze your approach to ensure the standards in nursing education are met among diverse learners.

    Readings & Resources

    Chapter 2 Strategies to Support Diverse Learning Needs of Students (pp. 24-33), Chapter 12 Service Learning: Developing Values, Cultural Competence, and Social Responsibility, and Chapter 14 Theoretical Foundations of Teaching and Learning in Billings, D. M., & Halstead, J. A. (2020). 
    Teaching in nursing: A guide for facult
    y (6th ed.). Elsevier Saunders.

    Read the following articles in the Virtual Library: 

    The Core Competencies for Nurse Educators with Task Statements in your Billings and Halstead textbook beginning on page 10: Box 1-1 National League for Nursing Nurse Educator Competencies (2012)

    Pool, L., Day, L., & Ridley, S. (2019). Mountain climbing: The journey for students with English as an additional language in a concept-based nursing curriculum. 
    Nursing & Health Journal
    , (26), 28-36.

    Kinyon, K., D’Alton, S., Poston, K., & Navarrete, S. (2021). Improving physical assessment and clinical judgment skills without increasing content in a prelicensure nursing health assessment course. 
    Nursing Reports, 11
    (3), 600-607.

     

     

     

     

    Textbook: Theoretical Foundations of Teaching and Learning in Billings, D. M., & Halstead, J. A. (2020). 
    Teaching in nursing: A guide for facult
    y (6th ed.). Elsevier Saunders. —please reference this and the box below.

    As listed for sources.

    Box 1.1

    National League for Nursing Core Competencies of Nurse Educators

    Competency 1: Facilitate learning

    To facilitate learning effectively, the nurse educator:

    ■ Implements a variety of teaching strategies appropriate to learner needs, desired learner outcomes, content, and context

    ■ Grounds teaching strategies in educational theory and evidence-based teaching practices

    ■ Recognizes multicultural, gender, and experiential influences on teaching and learning

    ■ Engages in self-reflection and continued learning to improve teaching practices that facilitate learning

    ■ Uses information technologies skillfully to support the teaching–learning process

    ■ Practices skilled oral, written, and electronic communication that reflects an awareness of self and others, along with an ability to convey ideas in a variety of contexts

    ■ Models critical and reflective thinking

    ■ Creates opportunities for learners to develop their critical thinking and critical reasoning skills

    ■ Shows enthusiasm for teaching, learning, and nursing that inspires and motivates students

    ■ Demonstrates interest in and respect for learners

    ■ Uses personal attributes (e.g., caring, confidence, patience, integrity, and flexibility) that facilitate learning

    ■ Develops collegial working relationships with students, faculty colleagues, and clinical agency personnel to promote positive learning environments

    ■ Maintains the professional practice knowledge base needed to help prepare learners for contemporary nursing practice

    N532 A1 Theories and Strategies to Meet Diverse Learner Needs

    ■ Serves as a role model of professional nursing

     

    Competency 2: Facilitate learner development and socialization

    To facilitate learner development and socialization effectively, the nurse educator:

    ■ Identifies individual learning styles and unique learning needs of international, adult, multicultural, educationally disadvantaged, physically challenged, at-risk, and second-degree learners

    ■ Provides resources to diverse learners that help meet their individual learning needs

    ■ Engages in effective advisement and counseling strategies that help learners meet their professional goals

    ■ Creates learning environments that are focused on socialization to the role of the nurse and facilitate learners’ self-reflection and personal goal setting

    ■ Fosters the cognitive, psychomotor, and affective development of learners

    ■ Recognizes the influence of teaching styles and interpersonal interactions on learner outcomes

    ■ Assists learners to develop the ability to engage in thoughtful and constructive self and peer evaluation

    ■ Models professional behaviors for learners, including, but not limited to, involvement in professional organizations, engagement in lifelong learning activities, dissemination of information through publications and presentations, and advocacy

     

    Competency 3: Use assessment and evaluation strategies

    To use assessment and evaluation strategies effectively, the nurse educator:

    ■ Uses extant literature to develop evidence-based assessment and evaluation practices

    ■ Uses a variety of strategies to assess and evaluate learning in the cognitive, psychomotor, and affective domains

    ■ Implements evidence-based assessment and evaluation strategies that are appropriate to the learner and to learning goals

    ■ Uses assessment and evaluation data to enhance the teaching–learning process

    ■ Provides timely, constructive, and thoughtful feedback to learners

    ■ Demonstrates skill in the design and use of tools for assessing clinical practice

     

    Competency 4: Participate in curriculum design and evaluation of program outcomes

    To participate effectively in curriculum design and evaluation of program outcomes, the nurse educator:

    ■ Ensures the curriculum reflects the institutional philosophy and mission, current nursing and health care trends, and community and societal needs, so as to prepare graduates for practice in a complex, dynamic, multicultural health care environment

    ■ Demonstrates knowledge of curriculum development, including identifying program outcomes, developing competency statements, writing learning objectives, and selecting appropriate learning activities and evaluation strategies

    ■ Bases curriculum design and implementation decisions on sound educational principles, theory, and research

    ■ Revises the curriculum based on assessment of program outcomes, learner needs, and societal and health care trends

    ■ Implements curricular revisions using appropriate change theories and strategies

    ■ Creates and maintains community and clinical partnerships that support educational goals

    ■ Collaborates with external constituencies throughout the process of curriculum revision

    ■ Designs and implements program assessment models that promote continuous quality improvement of all aspects of the program

     

    Competency 5: Function as a change agent and leader

    To function effectively as a change agent and leader, the nurse educator:

    ■ Models cultural sensitivity when advocating for change

    ■ Integrates a long-term, innovative, and creative perspective into the nurse educator role

    ■ Participates in interdisciplinary efforts to address health care and educational needs regionally, nationally, or internationally

    ■ Evaluates organizational effectiveness in nursing education

    ■ Implements strategies for organizational change

    ■ Provides leadership in the parent institution and in the nursing program to enhance the visibility of nursing and its contributions to the academic community

    ■ Promotes innovative practices in educational environments

    ■ Develops leadership skills to shape and implement change

     

    Competency 6: Pursue continuous quality improvement in the nurse educator role

    To develop the educator role effectively, the nurse educator:

    ■ Demonstrates commitment to lifelong learning

    ■ Recognizes that career enhancement needs and activities change as experience is gained in the role

    ■ Participates in professional development opportunities that increase one’s effectiveness in the role

    ■ Balances the teaching, scholarship, and service demands inherent in the role of educator and member of an academic institution

    ■ Uses feedback gained from self, peer, student, and administrative evaluation to improve role effectiveness

    ■ Engages in activities that promote one’s socialization to the role N532 A1 Theories and Strategies to Meet Diverse Learner Needs

    ■ Uses knowledge of the legal and ethical issues relevant to higher education and nursing education as a basis for influencing, designing, and implementing policies and procedures related to students, faculty, and the educational environment

    ■ Mentors and supports faculty colleagues

     

    Competency 7: Engage in scholarship

    To engage effectively in scholarship, the nurse educator:

    ■ Draws on extant literature to design evidence-based teaching and evaluation practices

    ■ Exhibits a spirit of inquiry about teaching and learning, student development, evaluation methods, and other aspects of the role

    ■ Designs and implements scholarly activities in an established area of expertise

    ■ Disseminates nursing and teaching knowledge to a variety of audiences through various means

    ■ Demonstrates skill in proposal writing for initiatives that include, but are not limited to, research, resource acquisition, program development, and policy development

    ■ Demonstrates the qualities of a scholar: integrity, courage, perseverance, vitality, and creativity

     

    Competency 8: Function within the educational environment

    To function as a good “citizen of the academy,” the nurse educator:

    ■ Uses knowledge of history and current trends and issues in higher education as a basis for making recommendations and decisions on educational issues

    ■ Identifies how social, economic, political, and institutional forces influence higher education in general and nursing education in particular

    ■ Develops networks, collaborations, and partnerships to enhance nursing’s influence within the academic community

    ■ Determines one’s own professional goals within the context of academic nursing and the mission of the parent institution and nursing program

    ■ Integrates the values of respect, collegiality, professionalism, and caring to build an organizational climate that fosters the development of students and teachers

    ■ Incorporates the goals of the nursing program and the mission of the parent institution when proposing a change or managing issues

    ■ Assumes a leadership role in various levels of institutional governance

    ■ Advocates for nursing and nursing education in the political arena

    From National League for Nursing. (2012). The scope of practice for academic nurse educators, 2012 revision. New York, NY: National League for Nursing. Included with the permission of the National League for Nursing, Washington, DC. N532 A1 Theories and Strategies to Meet Diverse Learner Needs

  • PVD Case Peripheral vascular disease (PVD) Essay

    New Learning: What is something new you learned about peripheral vascular disease that you did not know before researching this case?

    PVD Case Peripheral vascular disease (PVD) Essay

    PVD Case

    Peripheral vascular disease (PVD) emerges as a significant illness that affects the blood vessels that supply nutrients and oxygen and also eliminate wastes from across the body. The major issue that is brought about by the disease is the development of plaque, which is made of cholesterol and fat and blocks and slows down the blood flow inside the veins and arteries. Smokers and persons with diabetes are at an increased rate of suffering from this condition since these risk factors bring about impaired blood flow (Grant et al., 2023).

    The new learning about peripheral vascular disease is that it tends to affect the arteries that are away from the heart. This is a unique thing I have learned about the disease since I used to think that the condition affects the arteries close to the heart, which is the case with most other related conditions. This is because; the issue of atherosclerosis mostly affects blood circulation from other parts of the body apart from the heart and the brain. The most affected parts are the legs.  It is also worth noting that the disease affects males more than females. This was a new learning and this is because most of the smokers are men hence the issue with this condition (Yamane et al., 2022). The prevalence of this condition among men also causes erectile dysfunction.

    Importantly, it is crucial to highlight the unique thing about this condition since it can be controlled via multiple ways including lifestyle changes, surgical processes, or medications (Yamane et al., 2022). It is also, worth noting that this condition is a lifelong problem and can be best controlled through changes to lifestyle including healthy eating and exercise PVD Case Peripheral vascular disease (PVD) Essay.

    References

    Grant, C., Cuddeback, J. K., Alabi, O., Hicks, C. W., Sadik, K., & Ciemins, E. L. (2023). Perspectives on Lower Extremity Peripheral Artery Disease: A Qualitative Study of Early Diagnosis and Treatment and the Impact of Health Disparities. 
    Population health management
    , 
    26
    (6), 387–396. https://doi.org/10.1089/pop.2023.0095

    Yamane, H., Ueda, Y., Ikeoka, K., & Kosugi, S. (2022). Case report of a peripheral artery disease patient with its etiology clarified by retrograde angioscopy. 
    European Heart Journal. Case reports
    , 
    6
    (10), ytac393.
    https://doi.org/10.1093/ehjcr/ytac393

  • Global Healthcare Comparison Matrix and Narrative Statement

    Global Health Comparison

    Grid Template

    Global Health Comparison Grid Template

     

    Use this document to complete the Module 6 Assessment
    Global Healthcare Comparison Matrix and Narrative Statement

     

    Diabetes is a major global health issue that affects millions worldwide which contributes to significant morbidity and mortality. The World Health Organization identifies diabetes as a priority because of its impact on healthcare systems and economies. Both the
    United States and Canada
    have implemented specific policies to manage diabetes yet their healthcare systems differ based on cost, access and quality. The aim of this paper is to compare diabetes policies between these two countries, analyze strengths and weaknesses as well as discuss their implications for nursing practice and local healthcare policies.

     

    Global Healthcare Issue

     

    Diabetes

    Description

     

     

     

    Country

    United States

     

    Canada

    Describe the policy in each country related to the identified healthcare issue

    The U.S. follows The National Diabetes Prevention Program as well as Medicare’s Diabetes Prevention Program (Ritchie, Baucom & Sauder, 2020). The CDC provide guidelines, while the ADA offers clinical recommendations. The Affordable Care Act has also expanded coverage for preventive diabetes services.

     

     

    Canada has the Diabetes 360° strategy proposed by Diabetes Canada that advocates for a national diabetes framework ( Redquest et al., 2020). The Canada Health Act ensures universal healthcare, covering diabetes treatment, medication and also preventive services.

    What are the strengths of this policy?

     The policies provides for large-scale diabetes prevention programs, advanced research as well as technology integration with private insurance coverage for newer treatments.

     

     

    1.     Universal healthcare helps in covering most diabetes-related costs.

    2.     There are strong public health initiatives.

    3.     There is coordinated national approach.

    What are the weaknesses of this policy?

    1.     High out-of-pocket costs

    2.     Unequal access due to private insurance dependency

    3.     lack of universal coverage.

     

     

     

     

     

     

     

     

    1.     Longer wait times for specialist care

    2.      Fewer diabetes-related clinical trials than the U.S.

    Explain how the social determinants of health may impact the specified global health issue. (Be specific and provide examples)

     

    Lower-income and uninsured individuals struggle with diabetes management due to high costs of insulin and care. Racial and ethnic minorities face disparities in healthcare access ( Le et al., 2023) Food deserts and lack of healthy food options contribute to diabetes prevalence.

    Indigenous populations experience higher diabetes rates due to historical marginalization and healthcare barriers. Also, rural communities face access issues and lifestyle factors such as diet and physical inactivity.

    How has each country’ government addressed cost, quality, and access to the selected global health issue?

     The U.S has advanced technology and research drive innovation in diabetes treatment which has helped in the management of the condition. Also, the U.S has insurance-dependent access which creates disparities for uninsured populations.

     

     

     

    In Canada, there is universal access to diabetes management but rural areas face provider shortages.

    How has the identified health policy impacted the health of the global population? (Be specific and provide examples)

    The U.S. research and pharmaceutical innovation influence global diabetes treatment. However, high costs limit accessibility for lower-income patients.

     

     

     

     

     

    Canada’s universal approach serves as a model for equitable diabetes care. Diabetes 360° aligns with WHO strategies which influences policies in other nations seeking universal healthcare solutions.

    Describe the potential impact of the identified health policy on the role of nurse in each country.

    The nurses in U.S. focus on patient education, advocating for affordable treatment and assisting patients with insurance navigation.

     

     

     

     

     

    Canadian nurses provide comprehensive diabetes management under universal healthcare.

    Explain how global health issues impact local healthcare organizations and policies in both countries. (Be specific and provide examples)

     

    U.S. hospitals and clinics implement diabetes management programs, but affordability remains a challenge.

     

     

     

     

     

     

     

     

     

     

    Canadian healthcare facilities prioritize diabetes education and prevention programs.

    General Notes/Comments

     

    While diabetes management has been effectively addressed in the united states’, many patients still struggle with the condition due to issues such as affordability and access.

     

     

     

     

     

     

     

     

     

     

    Similar to the united states, Canadian patients face with issues such as access and affordability to diabetes treatment.

     

     

    References

     

    Le, P., Bui, T. C., Abramowitz, J., Herman, W. H., Misra-Hebert, A. D., & Rothberg, M. B. (2023). Trends in Use of High-Cost Antihyperglycemic Drugs Among US Adults with Type 2 Diabetes. Journal of General Internal Medicine, 38(1), 49-56.

     

    Redquest, B., Ahmed, S., Balogh, R., & Lunsky, Y. (2020). Preventing and treating diabetes in Canadian adults with intellectual and developmental disabilities. Canadian Journal of Diabetes, 44(2), 205-210.

     

    Ritchie, N. D., Baucom, K. J., & Sauder, K. A. (2020). Current perspectives on the impact of the National Diabetes Prevention Program: building on successes and overcoming challenges. Diabetes, metabolic syndrome and obesity, 2949-2957.

     

    To Prepare:

    Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.

    Select at least one additional country to compare to the U.S. for this Assignment.

    Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.

    Review and download the Global Health Comparison Matrix provided in the Resources.

    The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

    Part 1: Global Health Comparison Matrix

    Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

    Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.

    Explain the strengths and weaknesses of each policy.

    Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.

    Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.

    Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.

    Explain how the health policy you selected might impact the role of the nurse in each country.

    Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

    Part 2: A Plan for Social Change

    Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

    In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

    Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.

    Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.

    Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.

    Assignment document should include:

    Title page

    Introductory paragraph

    Global health comparison matrix

    Plan for social change

    Conclusion

    References