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Tag: Clinical Nursing & Patient Care

  • [Solved] nursing portfolio final

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    In-depth study guidance and analytical solution covering nursing portfolio final.

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  • [Solved] Reply discussion 1

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    Reply the following discussion, APA style, 200 or more word, No AI, Nurses play a vital role in shaping healthcare policy. They interact directly with patients every day. This close contact gives them firsthand knowledge of system challenges. They understand barriers to care and patient safety issue…

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    Reply the following discussion, APA style, 200 or more word, No AI,

    Nurses play a vital role in shaping healthcare policy. They interact directly with patients every day. This close contact gives them firsthand knowledge of system challenges. They understand barriers to care and patient safety issues. Their insights support evidence-based policy development. Nurses advocate for fair treatment and better resource use. Their input helps design more effective care delivery models. As policy contributors, nurses protect patient rights and care standards (Disch, 2020). Their engagement ensures health policies reflect practical realities.

    Access to care remains a key policy concern for nurses. Many patients lack affordable or timely healthcare services. Nurses can identify these gaps and propose policy solutions. Mobile clinics and telehealth are nurse-led innovations. These models help reach rural or underserved populations. Nurses also support expanded insurance coverage for vulnerable groups. Their input improves access and reduces health disparities. Nurse-driven policies help communities receive the care they need (Spetz, 2023). Increased access leads to better health outcomes for all.

    Scope of practice laws limit advanced nursing roles. In many states, nurses cannot fully use their training. These restrictions delay care and reduce system efficiency. Advanced practice nurses (APNs) can safely prescribe and treat. Research proves their care quality matches physicians in many areas. APNs can lobby to expand their legal authority. Full practice laws help meet growing care demands. Nurses must present data to support these reforms (Koehn, 2020). Expanding scope improves care access and reduces costs.

    Patient safety is another area where nurses influence policy. Understaffing, long hours, and outdated systems risk patient harm. Nurses advocate for safer staffing ratios and work conditions. They support policies that reduce medical errors and burnout. Evidence-based practices can improve safety outcomes quickly. Nurses bring attention to overlooked patient risks. Their advocacy improves hospital environments and team performance (Disch, 2020). Safer settings lead to better care and lower nurse turnover.

    Nurses can influence policy through multiple advocacy strategies. Joining professional organizations increases their legislative reach. These groups train members on how to engage policymakers. Nurses can write letters, testify, or attend hearings. Participating in boards and councils gives nurses a voice. Leadership roles help shape key policy decisions. Engaging media also spreads nursing perspectives broadly. Nurses must be persistent and informed advocates (Spetz, 2023). Each strategy strengthens their presence in the policy process.

    A successful nurse-led initiative is the Future of Nursing campaign. This policy effort began with the Institute of Medicine. It aimed to improve healthcare through nursing leadership. Nurses led workgroups and policy task forces nationally. They focused on education, practice authority, and workforce diversity. Their efforts influenced federal and state healthcare reforms. Nursing schools expanded enrollment and training opportunities. Scope-of-practice laws changed in several states (Spetz, 2023). This campaign shows how nurses shape long-term policy change.

    In conclusion, nurses play a vital policy role in healthcare. Their knowledge helps improve access, safety, and efficiency. APNs can reform laws to expand care delivery options. Nurses use advocacy strategies to influence legislation and leadership. Campaigns like the Future of Nursing prove their effectiveness. As healthcare evolves, nurse involvement in policy remains essential (Koehn, 2020). Empowering nurses to lead policy ensures a healthier future for all.

    – a year ago

  • [Solved] WK 11 RESPOND 2 EPID

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    – a year ago **files (1)** – ## WK11DIS.EPIDInfectiousDiseaseandNaturalDisaster.docx **## WK11DIS.EPIDInfectiousDiseaseandNaturalDisaster.docx** Infectious Disease and Natural Disaster ![A person holding a child AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-11-respo…

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    – a year ago

    **files (1)**

    – ## WK11DIS.EPIDInfectiousDiseaseandNaturalDisaster.docx

    **## WK11DIS.EPIDInfectiousDiseaseandNaturalDisaster.docx**

    Infectious Disease and Natural Disaster

    ![A person holding a child AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-11-respond-2-epid)

    The earthquake that struck Haiti in 2010 was one of the worst natural disasters in history. According to Peranteau et al. (2010):

    Immediately after the earthquake the need so vastly outstripped the resources that patients generally lacked basic identifiers and medical records […] Treatment plans were reduced to word of mouth. At first we used scraps of paper or cardboard taped to the patient … (p. 127)

    Nearly a quarter of a million people were killed with another quarter of a million injured, and millions of people were displaced from their homes (World Health Organization, 2010). In the ensuing months, a cholera epidemic ravaged the already traumatized country. The destruction of infrastructure, contamination of water supply, and increased human vulnerability from displacement create favorable conditions for the spread of infectious diseases following natural disasters. Respiratory infections and diarrheal diseases are also commonly found encountered after floods, tsunamis, and other types of meteorological and geophysical disasters.

    In the aftermath of such tragedies, priority is placed on implementing control measures to re-establish basic healthcare and prevent epidemics. Nurses often play important leadership roles in both domestic and international disaster response. For this Discussion, you consider disasters from an epidemiologic perspective and how nurses can address health outcomes following them.

    **References:**
    Peranteau, W. H., Havens, J. M., Harrington, S., & Gates, J. D. (2010). Re-establishing surgical care at Port-au-Prince General Hospital, Haiti.
    _Journal of the American College of Surgeons_,
    _211_(1), 126–130. https://doi.org/10.1016/j.jamcollsurg.2010.04.015

    World Health Organization. (2010, September). Letter from the editor.
    _Focus: Emergency and Humanitarian Action_,
    _5._ https://apps.who.int/iris/bitstream/handle/10665/205106/B4566.pdf;jsessionid=3C735D0DC06BD1C7497635EDF5928C93?sequence=1

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/155998/modules/items/6260024)

    [Required Readings](https://waldenu.instructure.com/courses/155998/pages/week-11-learning-resources?module_item_id=6260024)

    · Curley, A. L. C. (Ed.). (2024).
    _Population-based nursing: Concepts and competencies for advanced practice_ (4th ed.). Springer.

    · Chapter 12, “Implications of Global Health in Population-Based Nursing” (pp. 303-335)

    · Maness, L. R. (2019). The effect of hurricanes on pathogenic diseases.
    _Journal of Environmental Health_,
    _81_(6), 16–20.

    · Mavrouli, M., Mavroulis, S., Lekkas, E., & Tsakris, A. (2021).
    [Respiratory infections following earthquake-induced tsunamis: Transmission risk factors and lessons learned for disaster risk management.Links to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=34066563&site=ehost-live&scope=site&custid=s6527200) _International Journal of Environmental Research and Public Health_,
    _18_(9), Article 4952. https://doi.org/10.3390/ijerph18094952

    · Nuzzo, J. B., Meyer, D., Snyder, M., Ravi, S. J., Lapascu, A., Souleles, J., Andrada, C. I., & Bishai, D. (2019).
    [What makes health systems resilient against infectious disease outbreaks and natural hazards? Results from a scoping reviewLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=a9h&AN=139185860&site=ehost-live&scope=site&custid=s6527200).
    _BMC Public Health_,
    _19_(1), Article 1310. https://doi.org/10.1186/s12889-019-7707-z

    · World Health Organization. (2018, February 22).
    [_Health inequities and their causes_ [Multimedia]Links to an external site.](https://www.who.int/news-room/facts-in-pictures/detail/health-inequities-and-their-causes). https://www.who.int/news-room/facts-in-pictures/detail/health-inequities-and-their-causes

    [Required Media](https://waldenu.instructure.com/courses/155998/pages/week-11-learning-resources?module_item_id=6260024)

    · Global Epidemiology and Population Health

    ·
    **Time Estimate:** 2 minutes

    · Walden University, LLC. (2021).
    [Monitoring and controlling pandemicsLinks to an external site.](https://cdn-media.waldenu.edu/2dett4d/Walden/PHLT/8072/MCP/index.html)[Interactive media]. Walden University Blackboard. https://waldenu.instructure.com

    · Walden University. (2021, October 26).
    [_Talks for good: Racial inequalities in healthcare_ [Video]Links to an external site.](https://www.youtube.com/watch?v=vS1ziY0loMw). YouTube. https://www.youtube.com/watch?v=vS1ziY0loMw

    **Note:** The approximate length of this media piece 60 minutes.

    [Previous](https://waldenu.instructure.com/courses/155998/modules/items/6260018)

    To prepare:

    · Consider the role of epidemiologic methods in preparing for or responding to natural disasters.

    · Focus on global health initiatives, effects of natural disasters on health outcomes, and global health inequities and how they are magnified by natural disasters.

    · Select a recent (within past 10 years) natural disaster. You may choose an event that occurred in the U.S. or internationally.

    · Explore the current literature and identify the specific leadership roles that nurses have in mitigating negative health outcomes following disasters.

    By Day 3 of Week 11

    · Briefly describe your selected recent natural disaster.

    · Discuss the health consequences of the disaster at the population level.

    · Explain how the concepts of population health and epidemiology discussed in this course were or could have been used to assess the preparation and health outcomes after this disaster.

    · Explain how the concepts of population health and epidemiology discussed in this course were or could have been used to mitigate negative health effects following this disaster.

    · Describe the specific leadership roles that nurses have in mitigating negative health outcomes following disasters.

    By Day 6 of Week 11

    **Respond** to
    **at least two** colleagues
    **on two different days** in one or more of the following ways:

    · Ask a probing question, substantiated with additional background information, evidence, or research.

    · Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    · Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

    · Validate an idea with your own experience and additional research.

    · Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    · Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    · RESPOND TO THIS DISCUSION POST

    Kristie

    In September of 2022 I sat in my living room with my daughter and our dog not knowing what the night would bring, we had hurricane shutters up and everything was as secure as we could get it, Hurricane Ian was heading right for us, and neither of us had ever experienced a hurricane before, yet alone one of this magnitude. At the time my boyfriend, a paramedic was on shift, and we did not know when he would be able to come home. Working in healthcare I was scared for us, but petrified for those in my community that had no shelter, or resources to secure their own homes and protect themselves from the devastation that was coming. The purpose of this post is to discuss a recent natural disaster, the consequences and concepts of health and epidemiology that have been used to assess future preparation of hurricanes and mitigating health outcomes.

    Hurricane Ian was a powerful and very destructive Category 5 Hurricane coming in from the Atlantic, striking the southeastern United States in late September 2022. It made landfall in southeastern Florida on September 28th with catastrophic winds, heavy rainfall, and a massive storm surge, particularly devastating in Fort Myers, Cape Coral, and Naples. The storm caused widespread flooding, infrastructure damage and power outages, resulting in over 150 fatalities and billions of dollars in damages. Hurricane Ian is one of the costliest hurricanes in U.S. history and highlighted the increasing risks posed by intense tropical storms (Bucci et al., 2022).

    Hurricane Ian’s impact on public health in Florida was profound, leading to widespread illness, healthcare system strain, and long-term mental health challenges. The storm’s extensive flooding created ideal conditions for Vibrio vulnificus, a flesh-eating bacteria resulting in thirty-eight confirmed cases and eleven deaths across the states. Most of these infections occurred within six days of the hurricane’s land fall, primarily affecting individuals with open wounds that were exposed to contaminated waters (Centers for Disease Control and Prevention, 2023). The healthcare infrastructure was severely disrupted, with numerous hospitals in southwest Florida losing access to portable water and power, my organization included. This led to the evacuation of over 1,200 patients, including those in intensive care units, and the closure of several facilities (Southwick, 2022). Hospitals that remained operational faced overwhelming demands, treating a surge of storm-related injuries, and managing the complexities of a disaster response (Advisory Board, 2022). The mental health repercussions have also been significant, with many residents experiencing acute stress, anxiety, and grief due to displacement and loss. I myself experienced survival guilt for many weeks, although I had no power or water for weeks, I still had a house and my family, others did not. Vulnerable patients, such as the elderly and those with chronic health conditions faced heightened risks due to limited access to care and support services. My organization opened “oxygen lounges” where the public could come in and receive oxygen if they had lost it at home. The cumulative effects of all these factors underscores the critical need for robust disaster preparedness and resilient healthcare systems to mitigate the public health impacts in the future.

    Together, population health and epidemiology provide essential frameworks for assessing preparation for and health outcomes after disasters such as Hurricane Ian. From a population health perspective, the focus would be on understanding how social determinants of health, like income, housing quality, assess to healthcare and transportation affect the different community’s ability to prepare for and recover from hurricane Ian. Health equity metrics could help identify which of the populations were most at risk and the least supported, therefore guiding future policies and resource allocations. Epidemiology provides tools needed to study health outcomes post hurricane, such as tracking incidence rates if injuries, infectious diseases, and mental health conditions. Surveillance systems could have monitored real-time emergency department and shelters to detect emerging health threats.

    Concepts from population health and epidemiology could have significantly mitigated the negative health effects of Hurricane Ian by enhancing preparedness, targeted interventions, and risk communication. From a population health perspective, pre-disaster planning addresses social determinants of health, such as housing, access to care, and transportation could have better protected vulnerable groups (elderly, low-income individuals, homeless and those with chronic conditions) who suffered disproportionality during and after the hurricane. This includes the development of community-based resilience plans, improved evacuation strategies, and continuity of care systems to ensure access to medications and medical care (Raker et al., 2020). In terms of epidemiology, real time surveillance systems could have been more robustly applied to detect and respond to Vibrio Vulnificus infections from floodwaters. Risk assessments and geographic mapping of vulnerable areas (flood-prone neighborhoods) would have informed targeted public health messaging and resource allocation, such as pre-distributing clean water, wound care supplies, or emergency power sources for medical devices (Centers for Disease Control and Prevention, 2023).

    Nursing leaders play a vital role in mitigating negative health outcomes following disasters by acting as frontline responders, educators, coordinators, and advocates. They provide public health education to affected communities, offering guidance on hygiene, infection prevention, and managing health needs in disrupted environments. Nurse leaders also coordinate care for displaced individuals by ensuring continuity of medications and follow-up care. In addition, they advocate for disaster preparedness funding, equitable healthcare access, and policy reforms that address the needs of vulnerable populations. Mental health support is another critical area, as nurses trained in trauma-informed care deliver immediate psychological aid and long-term support for those impacted by trauma and loss. Through these multifaceted roles, nurses are central to both the immediate and long-term health recovery of disaster-stricken communities (Sciences, N. A. of, Engineering, & and Medicine; National Academy of Medicine; Committee on the Future of Nursing 2020–2030, 2021).

    In conclusion, Hurricane Ian underscored the critical importance of applying population health and epidemiological principles in disaster preparedness and response. Assessing risk factors, identifying vulnerable populations, and implementing targeted interventions are essential to reducing preventable illness and death during and after such events. Nurses, as frontline health professionals and leaders, play a pivotal role in delivering care, educating communities, and advocating for health equity in times of crisis. By strengthening surveillance systems, improving access to care, and supporting nurse-led initiatives, public health systems can become more resilient and responsive to future disasters. Integrating these approaches ensures a more coordinated, equitable, and effective response that protects the health and well-being of populations.

    **References**

    Advisory Board (2022).
    _Incredible Strain: How Hurricane Ian Wreaked Havoc at Florida Hospitals_. https://www.advisory.com/daily-briefing/2022/10/04/ian-aftermath?utm_source=

    Bucci, L., Alaka, L., Hagen, A., Delgado, S. & Bevan, J. (2022). Hurricane Ian.
    _National Hurricane Center_. https://www.nhc.noaa.gov/data/tcr/AL092022_Ian.pdf

    Centers for Disease Control and Prevention. (2023).
    _Notes from the field: Vibriosis cases associated with flood waters during and after Hurricane Ian – Florida, September–October 2022_. Centers for Disease Control and Prevention. https://www.cdc.gov/mmwr/volumes/72/wr/mm7218a5.htm?utm

    Raker, E. J., Arcaya, M. C., Lowe, S. R., Zacher, M., Rhodes, J., & Waters, M. C. (2020). Mitigating health disparities after natural disasters: Lessons from the RISK Project.
    _Health Affairs_,
    _39_(12), 2128–2135. https://doi.org/10.1377/hlthaff.2020.01161

    Sciences, N. A. of, Engineering, & and Medicine; National Academy of Medicine; Committee on the Future of Nursing 2020–2030. (2021).
    _Nurses in disaster preparedness and Public Health Emergency response_. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. https://www.ncbi.nlm.nih.gov/books/NBK573904/

    Southwick, R. (2022).
    _Hurricane Ian Forces Florida Hospitals to Evacuate Patients._   https://www.chiefhealthcareexecutive.com/view/ahead-of-hurricane-ian-florida-hospitals-brace-for-worst?utm

    ## image1.jpeg

    **## WK11DIS.EPIDInfectiousDiseaseandNaturalDisaster.docx**

    Infectious Disease and Natural Disaster

    ![A person holding a child AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-11-respond-2-epid)

    The earthquake that struck Haiti in 2010 was one of the worst natural disasters in history. According to Peranteau et al. (2010):

    Immediately after the earthquake the need so vastly outstripped the resources that patients generally lacked basic identifiers and medical records […] Treatment plans were reduced to word of mouth. At first we used scraps of paper or cardboard taped to the patient … (p. 127)

    Nearly a quarter of a million people were killed with another quarter of a million injured, and millions of people were displaced from their homes (World Health Organization, 2010). In the ensuing months, a cholera epidemic ravaged the already traumatized country. The destruction of infrastructure, contamination of water supply, and increased human vulnerability from displacement create favorable conditions for the spread of infectious diseases following natural disasters. Respiratory infections and diarrheal diseases are also commonly found encountered after floods, tsunamis, and other types of meteorological and geophysical disasters.

    In the aftermath of such tragedies, priority is placed on implementing control measures to re-establish basic healthcare and prevent epidemics. Nurses often play important leadership roles in both domestic and international disaster response. For this Discussion, you consider disasters from an epidemiologic perspective and how nurses can address health outcomes following them.

    **References:**
    Peranteau, W. H., Havens, J. M., Harrington, S., & Gates, J. D. (2010). Re-establishing surgical care at Port-au-Prince General Hospital, Haiti.
    _Journal of the American College of Surgeons_,
    _211_(1), 126–130. https://doi.org/10.1016/j.jamcollsurg.2010.04.015

    World Health Organization. (2010, September). Letter from the editor.
    _Focus: Emergency and Humanitarian Action_,
    _5._ https://apps.who.int/iris/bitstream/handle/10665/205106/B4566.pdf;jsessionid=3C735D0DC06BD1C7497635EDF5928C93?sequence=1

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/155998/modules/items/6260024)

    [Required Readings](https://waldenu.instructure.com/courses/155998/pages/week-11-learning-resources?module_item_id=6260024)

    · Curley, A. L. C. (Ed.). (2024).
    _Population-based nursing: Concepts and competencies for advanced practice_ (4th ed.). Springer.

    · Chapter 12, “Implications of Global Health in Population-Based Nursing” (pp. 303-335)

    · Maness, L. R. (2019). The effect of hurricanes on pathogenic diseases.
    _Journal of Environmental Health_,
    _81_(6), 16–20.

    · Mavrouli, M., Mavroulis, S., Lekkas, E., & Tsakris, A. (2021).
    [Respiratory infections following earthquake-induced tsunamis: Transmission risk factors and lessons learned for disaster risk management.Links to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=34066563&site=ehost-live&scope=site&custid=s6527200) _International Journal of Environmental Research and Public Health_,
    _18_(9), Article 4952. https://doi.org/10.3390/ijerph18094952

    · Nuzzo, J. B., Meyer, D., Snyder, M., Ravi, S. J., Lapascu, A., Souleles, J., Andrada, C. I., & Bishai, D. (2019).
    [What makes health systems resilient against infectious disease outbreaks and natural hazards? Results from a scoping reviewLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=a9h&AN=139185860&site=ehost-live&scope=site&custid=s6527200).
    _BMC Public Health_,
    _19_(1), Article 1310. https://doi.org/10.1186/s12889-019-7707-z

    · World Health Organization. (2018, February 22).
    [_Health inequities and their causes_ [Multimedia]Links to an external site.](https://www.who.int/news-room/facts-in-pictures/detail/health-inequities-and-their-causes). https://www.who.int/news-room/facts-in-pictures/detail/health-inequities-and-their-causes

    [Required Media](https://waldenu.instructure.com/courses/155998/pages/week-11-learning-resources?module_item_id=6260024)

    · Global Epidemiology and Population Health

    ·
    **Time Estimate:** 2 minutes

    · Walden University, LLC. (2021).
    [Monitoring and controlling pandemicsLinks to an external site.](https://cdn-media.waldenu.edu/2dett4d/Walden/PHLT/8072/MCP/index.html)[Interactive media]. Walden University Blackboard. https://waldenu.instructure.com

    · Walden University. (2021, October 26).
    [_Talks for good: Racial inequalities in healthcare_ [Video]Links to an external site.](https://www.youtube.com/watch?v=vS1ziY0loMw). YouTube. https://www.youtube.com/watch?v=vS1ziY0loMw

    **Note:** The approximate length of this media piece 60 minutes.

    [Previous](https://waldenu.instructure.com/courses/155998/modules/items/6260018)

    To prepare:

    · Consider the role of epidemiologic methods in preparing for or responding to natural disasters.

    · Focus on global health initiatives, effects of natural disasters on health outcomes, and global health inequities and how they are magnified by natural disasters.

    · Select a recent (within past 10 years) natural disaster. You may choose an event that occurred in the U.S. or internationally.

    · Explore the current literature and identify the specific leadership roles that nurses have in mitigating negative health outcomes following disasters.

    By Day 3 of Week 11

    · Briefly describe your selected recent natural disaster.

    · Discuss the health consequences of the disaster at the population level.

    · Explain how the concepts of population health and epidemiology discussed in this course were or could have been used to assess the preparation and health outcomes after this disaster.

    · Explain how the concepts of population health and epidemiology discussed in this course were or could have been used to mitigate negative health effects following this disaster.

    · Describe the specific leadership roles that nurses have in mitigating negative health outcomes following disasters.

    By Day 6 of Week 11

    **Respond** to
    **at least two** colleagues
    **on two different days** in one or more of the following ways:

    · Ask a probing question, substantiated with additional background information, evidence, or research.

    · Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    · Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

    · Validate an idea with your own experience and additional research.

    · Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    · Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    · RESPOND TO THIS DISCUSION POST

    Kristie

    In September of 2022 I sat in my living room with my daughter and our dog not knowing what the night would bring, we had hurricane shutters up and everything was as secure as we could get it, Hurricane Ian was heading right for us, and neither of us had ever experienced a hurricane before, yet alone one of this magnitude. At the time my boyfriend, a paramedic was on shift, and we did not know when he would be able to come home. Working in healthcare I was scared for us, but petrified for those in my community that had no shelter, or resources to secure their own homes and protect themselves from the devastation that was coming. The purpose of this post is to discuss a recent natural disaster, the consequences and concepts of health and epidemiology that have been used to assess future preparation of hurricanes and mitigating health outcomes.

    Hurricane Ian was a powerful and very destructive Category 5 Hurricane coming in from the Atlantic, striking the southeastern United States in late September 2022. It made landfall in southeastern Florida on September 28th with catastrophic winds, heavy rainfall, and a massive storm surge, particularly devastating in Fort Myers, Cape Coral, and Naples. The storm caused widespread flooding, infrastructure damage and power outages, resulting in over 150 fatalities and billions of dollars in damages. Hurricane Ian is one of the costliest hurricanes in U.S. history and highlighted the increasing risks posed by intense tropical storms (Bucci et al., 2022).

    Hurricane Ian’s impact on public health in Florida was profound, leading to widespread illness, healthcare system strain, and long-term mental health challenges. The storm’s extensive flooding created ideal conditions for Vibrio vulnificus, a flesh-eating bacteria resulting in thirty-eight confirmed cases and eleven deaths across the states. Most of these infections occurred within six days of the hurricane’s land fall, primarily affecting individuals with open wounds that were exposed to contaminated waters (Centers for Disease Control and Prevention, 2023). The healthcare infrastructure was severely disrupted, with numerous hospitals in southwest Florida losing access to portable water and power, my organization included. This led to the evacuation of over 1,200 patients, including those in intensive care units, and the closure of several facilities (Southwick, 2022). Hospitals that remained operational faced overwhelming demands, treating a surge of storm-related injuries, and managing the complexities of a disaster response (Advisory Board, 2022). The mental health repercussions have also been significant, with many residents experiencing acute stress, anxiety, and grief due to displacement and loss. I myself experienced survival guilt for many weeks, although I had no power or water for weeks, I still had a house and my family, others did not. Vulnerable patients, such as the elderly and those with chronic health conditions faced heightened risks due to limited access to care and support services. My organization opened “oxygen lounges” where the public could come in and receive oxygen if they had lost it at home. The cumulative effects of all these factors underscores the critical need for robust disaster preparedness and resilient healthcare systems to mitigate the public health impacts in the future.

    Together, population health and epidemiology provide essential frameworks for assessing preparation for and health outcomes after disasters such as Hurricane Ian. From a population health perspective, the focus would be on understanding how social determinants of health, like income, housing quality, assess to healthcare and transportation affect the different community’s ability to prepare for and recover from hurricane Ian. Health equity metrics could help identify which of the populations were most at risk and the least supported, therefore guiding future policies and resource allocations. Epidemiology provides tools needed to study health outcomes post hurricane, such as tracking incidence rates if injuries, infectious diseases, and mental health conditions. Surveillance systems could have monitored real-time emergency department and shelters to detect emerging health threats.

    Concepts from population health and epidemiology could have significantly mitigated the negative health effects of Hurricane Ian by enhancing preparedness, targeted interventions, and risk communication. From a population health perspective, pre-disaster planning addresses social determinants of health, such as housing, access to care, and transportation could have better protected vulnerable groups (elderly, low-income individuals, homeless and those with chronic conditions) who suffered disproportionality during and after the hurricane. This includes the development of community-based resilience plans, improved evacuation strategies, and continuity of care systems to ensure access to medications and medical care (Raker et al., 2020). In terms of epidemiology, real time surveillance systems could have been more robustly applied to detect and respond to Vibrio Vulnificus infections from floodwaters. Risk assessments and geographic mapping of vulnerable areas (flood-prone neighborhoods) would have informed targeted public health messaging and resource allocation, such as pre-distributing clean water, wound care supplies, or emergency power sources for medical devices (Centers for Disease Control and Prevention, 2023).

    Nursing leaders play a vital role in mitigating negative health outcomes following disasters by acting as frontline responders, educators, coordinators, and advocates. They provide public health education to affected communities, offering guidance on hygiene, infection prevention, and managing health needs in disrupted environments. Nurse leaders also coordinate care for displaced individuals by ensuring continuity of medications and follow-up care. In addition, they advocate for disaster preparedness funding, equitable healthcare access, and policy reforms that address the needs of vulnerable populations. Mental health support is another critical area, as nurses trained in trauma-informed care deliver immediate psychological aid and long-term support for those impacted by trauma and loss. Through these multifaceted roles, nurses are central to both the immediate and long-term health recovery of disaster-stricken communities (Sciences, N. A. of, Engineering, & and Medicine; National Academy of Medicine; Committee on the Future of Nursing 2020–2030, 2021).

    In conclusion, Hurricane Ian underscored the critical importance of applying population health and epidemiological principles in disaster preparedness and response. Assessing risk factors, identifying vulnerable populations, and implementing targeted interventions are essential to reducing preventable illness and death during and after such events. Nurses, as frontline health professionals and leaders, play a pivotal role in delivering care, educating communities, and advocating for health equity in times of crisis. By strengthening surveillance systems, improving access to care, and supporting nurse-led initiatives, public health systems can become more resilient and responsive to future disasters. Integrating these approaches ensures a more coordinated, equitable, and effective response that protects the health and well-being of populations.

    **References**

    Advisory Board (2022).
    _Incredible Strain: How Hurricane Ian Wreaked Havoc at Florida Hospitals_. https://www.advisory.com/daily-briefing/2022/10/04/ian-aftermath?utm_source=

    Bucci, L., Alaka, L., Hagen, A., Delgado, S. & Bevan, J. (2022). Hurricane Ian.
    _National Hurricane Center_. https://www.nhc.noaa.gov/data/tcr/AL092022_Ian.pdf

    Centers for Disease Control and Prevention. (2023).
    _Notes from the field: Vibriosis cases associated with flood waters during and after Hurricane Ian – Florida, September–October 2022_. Centers for Disease Control and Prevention. https://www.cdc.gov/mmwr/volumes/72/wr/mm7218a5.htm?utm

    Raker, E. J., Arcaya, M. C., Lowe, S. R., Zacher, M., Rhodes, J., & Waters, M. C. (2020). Mitigating health disparities after natural disasters: Lessons from the RISK Project.
    _Health Affairs_,
    _39_(12), 2128–2135. https://doi.org/10.1377/hlthaff.2020.01161

    Sciences, N. A. of, Engineering, & and Medicine; National Academy of Medicine; Committee on the Future of Nursing 2020–2030. (2021).
    _Nurses in disaster preparedness and Public Health Emergency response_. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. https://www.ncbi.nlm.nih.gov/books/NBK573904/

    Southwick, R. (2022).
    _Hurricane Ian Forces Florida Hospitals to Evacuate Patients._   https://www.chiefhealthcareexecutive.com/view/ahead-of-hurricane-ian-florida-hospitals-brace-for-worst?utm

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    #1 An action item that resonated with my role as a clinical nurse coordinator is the ability to enhance quantitative reasoning. It is important to show that "the most successful population health initiatives have demonstrated their effectiveness through distinctive quality improvement methods that c…

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    #1

    An action item that resonated with my role as a clinical nurse coordinator is the ability to enhance quantitative reasoning. It is important to show that "the most successful population health initiatives have demonstrated their effectiveness through distinctive quality improvement methods that combine thinking about assessment, outcomes, and costs in a real-world context." (Gorski et al, 2020) Audits that are completed every week help find services that need better quality in consideration of the safety of the patients and community. Tactics that help improve outcomes are 1) using the data to make improvements and 2) connecting the data to the environment to serve that community better. My role helps me understand the services we need to improve to make sure that the community is being effectively cared for.

    #2

    Action item 1 from the document, “Start with Assessment”, focuses on identifying the health needs and risks of entire populations, looking into patterns and disparities (Gorski, et. al., 2020). As a Labor and Delivery nurse, assessment is central to my daily work, as I monitor maternal and fetal health, labor progress, and education. However, my focus is on the individual, not the population. To align more with population health, I can widen my outlook by noticing trends in my unit, like gestational diabetes and hypertension, and participating in quality improvement projects and support screening for social determinants of health.

    Participating in quality improvement projects can help my unit in tracking maternal and fetal outcomes. By contributing to data collection and helping implement evidence-based practices, I can help address health disparities and improve care across the population we serve. Supporting screening for social determinants of health can help identify issues like domestic violence and housing instability. By contributing to this data collection, I can help address health disparities and improve care.

    – a year ago

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  • [Solved] Nursing Dnp Essentials

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    ### Formative Assessment Choose one of the updated Essentials domains and discuss the associated competencies and sub-competencies. How do the sub-competencies reflect DNP-specific requirements? Why are the domain and competencies important to the role of the DNP-prepared nurse? ### Document Type/Te…

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    ### Formative Assessment

    Choose one of the updated Essentials domains and discuss the associated competencies and sub-competencies. How do the sub-competencies reflect DNP-specific requirements? Why are the domain and competencies important to the role of the DNP-prepared nurse?

    ### Document Type/Template

    – Word Document

    – [\
    \
    Rubric.pdf](https://www.sweetstudy.com/files/rubric-pdf-10285845 "Rubric.pdf")

    – a year ago

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    Reply the following discussion, APA style, 2 references, 200 words or more, No AI, lest than 15 plag Nursing personnel are distinctively situated to promote reforms, which make patient care outcomes more desirable. This is largely attributed to their position as care providers and familiarity of the…

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    Reply the following discussion, APA style, 2 references, 200 words or more, No AI, lest than 15 plag

    Nursing personnel are distinctively situated to promote reforms, which make patient care outcomes more desirable.  This is largely attributed to their position as care providers and familiarity of the complicatedness of the US healthcare system (Stewart, 2024). Their perspectives are vital in influencing policies, which provide solutions to the day-to-day problems patients are encountering while searching care services and problems medical personnel endure in their roles. Acknowledging the importance of nursing leadership in policy arena is vital for pushing for desired outcomes in patient care (Stewart, 2024).

    **Key Areas Where Nurses Impact Healthcare Policy**

    1.  **Access to Care:** Nursing professionals can call for changes in healthcare policies to make sure people are able to access needed care services (Phillips, 2022). They can lobby for reforms in policies which would allow marginalized communities or rural dwellers to access care with ease.

    2.  **Scope of Practice:** The level of care services nurses can offer without the surveillance of a physician is largely determined by state practice laws (Madura et al., 2022).  Nursing professionals can champion changes in these laws by supporting legislations which allow advanced care nurses to deliver services without being requiring supervision (Madura et al., 2022).

    3.  **Patient Well-being and Care Quality:** Nursing professionals play a vital role in the development of policies targeted at improving the well-being of patients. A good example is policies setting standards for infection management, drug dispensation guidelines, and nurse workload levels. Such normally have a direct effect on the quality and safety of care given to patients (Madura et al., 2022).

    **Approaches for Policy Advocacy**

    1.  **Professional Organizations for Nurses:** Subscribing to nursing organizations such as ANA or becoming a members of a specialty-specific groups, for instance, AANP allows nursing professionals to work harmoniously on policy endeavors, obtain updates on policy development, and take part in petitioning (Scott & Scott, 2020).

    2.  **Legislative Committees:** By taking positions health committees from local to federal level give nursing professionals opportunity voice their clinical perspectives to policy deliberations and impact decisions legislatures in all levels of government make (Scott & Scott, 2020).

    3.  **Taking Leadership Positions:** Nursing professionals in policymaking, management, or educational leadership roles can influence policies made at institutional level and guide other junior nurses in healthcare policy restructuring endeavors (Scott & Scott, 2020).

    4.  **Community-driven Endeavors and Public Statements**: Nursing professionals can take part in ground-level advocacy initiatives, make contact with law-makers, and make advocacy testimonies on recommended laws, which affect provision of healthcare services and nursing practice.

    **Example of a Successful Nurse-Led Policy Initiative**

    The VA Full Practice Authority Policy of 2016 is an ideal example of policy advocacy effort led purely by nursing professionals.  In 2016, VA gave nurse practitioners the permission to perform caregiving duties independently, in spite of professional practice laws of different states limiting their independence (Ivey et al., 2023). This historic policy reform was pushed by unrelenting push from nursing organizations like ANA and AANP. The reform targeted at reducing the time patients spend on the waiting lines and improving accessibility of healthcare for ex-service members (Ivey et al., 2023).

    In summary, nursing professionals possess the clinical acumen, dedication to patient wants, and commitment to ethical practice required to successfully shape healthcare policy. Through tactical policy inspiration, particularly by nurses with advanced training, the sector can push reforms, which improve patient results, increase health care accessibility, and elevating the position of nurses in molding the future of our nation’s healthcare system.

    – a year ago

  • [Solved] 6020 part 1

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    – a year ago **files (1)** – ## 6020assess1.docx **## 6020assess1.docx** In a 5-6 page paper, identify risks of potential health problems related to infection control during a disaster or catastrophic event. Collapse All **Introduction** Think about a recent or past disaster or catastrophic event th…

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    – a year ago

    **files (1)**

    – ## 6020assess1.docx

    **## 6020assess1.docx**

    In a 5-6 page paper, identify risks of potential health problems related to infection control during a disaster or catastrophic event.

    Collapse All

    **Introduction**

    Think about a recent or past disaster or catastrophic event that occurred in your local community. Imagine you've been invited to participate in your local community taskforce to address future occurrence of this type of disaster. Your first step will be putting together a paper that identifies risks of potential health problems related to infection control during the disaster.

    Your team realizes that a couple of key factors come into play when we think about disease and stopping the chain of infection:

    · Physical elements, such as contaminated water, air, or soil in a disaster.

    · Impacted populations, especially the different characteristics and needs of people in affected communities that raise or lower risks resulting from the physical impacts.

    Part of those person-centered needs will include different communication needs based on different groups of people.

    Physical and biopsychosocial elements very much overlap in any kind of infection control crisis. You'll consider both as you assess risks of infection resulting from the potential disaster you're looking at.

    **Preparation**

    Your choice of what kind of natural or man-made disaster or catastrophic event you want to prepare for and the affected location and communities will carry through all three assessments in the course. So if you haven't already, spend time gathering information to help you make that choice based on a recent or past disaster that affected your local community. Also spend time researching the decision-making approach you want to use to assess the potential risks and needs.

    **Instructions**

    In your 5–6 page paper:

    · Apply a decision-making approach to assess potential health problems and needs related to infection control risks in a disaster situation.

    · The heart of your paper will be assessing the potential risks of infection, given the particular kind of potential disaster and location you've chosen to focus on—and the populations that would be affected.

    · You'll need to articulate not only the risks and potential needs, but the decision-making process you used to arrive at these. So articulate how you've applied a decision-making process.

    · Apply personalized information, such as the needs of different demographic groups and environmental exposure information, in the identification of healthcare risks.

    · You'll assess specific needs of the different affected populations of the location you've selected.

    · Integrate epidemiological and system-level aggregate data to determine healthcare outcomes and trends.

    · Research the most current data about the risks and infection control related to the situation you've selected, and incorporate the local data to support why you've prioritized those risks the way you have.

    · Explain needs for communicating effectively with community individuals to help them make informed choices about mitigating risk of infection.

    · What will be the needs and challenges for communicating effectively with the different affected populations and communities you've identified, and why?

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

    · Is your paper clear and persuasive for the different people who make up your professional audience, and does it use APA style?

    **Additional Requirements**

    To achieve a successful assessment experience and outcome, you are expected to meet the following requirements.

    ·
    **Written communication**: Make sure your writing is succinct and clear, and is free of errors that detract from the overall message.

    ·
    **Resources**: Include a minimum of three current scholarly sources (peer-reviewed articles, books, websites, and dissertations) to support your case.

    ·
    **APA formatting**: Resources and citations are formatted according to current APA style and formatting guidelines. Refer to the
    [Evidence and APA](https://lat.strategiced.com/redirect?linkid=1540) section of the Writing Center for guidance.

    ·
    **Length:** 5–6 double-spaced pages, not including title and reference pages.

    ·
    **Font and font size**: Times New Roman, 12 point.

    **Competencies Measured**

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

    · Competency 1: Design person-centered care that integrates biological, psychological, and social factors and considers their complex interactions.

    · Apply a decision-making approach to assess potential health problems and needs related to infection control risks in a disaster situation.

    · Apply personalized information, such as the needs of different demographic groups and environmental exposure information, in the identification of healthcare risks.

    · Competency 2: Propose improvements to system-level interventions to protect populations.

    · Integrate epidemiological and system-level aggregate data to determine healthcare outcomes and trends.

    · Competency 4: Propose communication tools and techniques that can improve interprofessional team dynamics and strengthen partnerships to achieve effective outcomes.

    · Explain needs for communicating effectively with community individuals to help them make informed choices about mitigating risk of infection.

    · Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.

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

    **## 6020assess1.docx**

    In a 5-6 page paper, identify risks of potential health problems related to infection control during a disaster or catastrophic event.

    Collapse All

    **Introduction**

    Think about a recent or past disaster or catastrophic event that occurred in your local community. Imagine you've been invited to participate in your local community taskforce to address future occurrence of this type of disaster. Your first step will be putting together a paper that identifies risks of potential health problems related to infection control during the disaster.

    Your team realizes that a couple of key factors come into play when we think about disease and stopping the chain of infection:

    · Physical elements, such as contaminated water, air, or soil in a disaster.

    · Impacted populations, especially the different characteristics and needs of people in affected communities that raise or lower risks resulting from the physical impacts.

    Part of those person-centered needs will include different communication needs based on different groups of people.

    Physical and biopsychosocial elements very much overlap in any kind of infection control crisis. You'll consider both as you assess risks of infection resulting from the potential disaster you're looking at.

    **Preparation**

    Your choice of what kind of natural or man-made disaster or catastrophic event you want to prepare for and the affected location and communities will carry through all three assessments in the course. So if you haven't already, spend time gathering information to help you make that choice based on a recent or past disaster that affected your local community. Also spend time researching the decision-making approach you want to use to assess the potential risks and needs.

    **Instructions**

    In your 5–6 page paper:

    · Apply a decision-making approach to assess potential health problems and needs related to infection control risks in a disaster situation.

    · The heart of your paper will be assessing the potential risks of infection, given the particular kind of potential disaster and location you've chosen to focus on—and the populations that would be affected.

    · You'll need to articulate not only the risks and potential needs, but the decision-making process you used to arrive at these. So articulate how you've applied a decision-making process.

    · Apply personalized information, such as the needs of different demographic groups and environmental exposure information, in the identification of healthcare risks.

    · You'll assess specific needs of the different affected populations of the location you've selected.

    · Integrate epidemiological and system-level aggregate data to determine healthcare outcomes and trends.

    · Research the most current data about the risks and infection control related to the situation you've selected, and incorporate the local data to support why you've prioritized those risks the way you have.

    · Explain needs for communicating effectively with community individuals to help them make informed choices about mitigating risk of infection.

    · What will be the needs and challenges for communicating effectively with the different affected populations and communities you've identified, and why?

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

    · Is your paper clear and persuasive for the different people who make up your professional audience, and does it use APA style?

    **Additional Requirements**

    To achieve a successful assessment experience and outcome, you are expected to meet the following requirements.

    ·
    **Written communication**: Make sure your writing is succinct and clear, and is free of errors that detract from the overall message.

    ·
    **Resources**: Include a minimum of three current scholarly sources (peer-reviewed articles, books, websites, and dissertations) to support your case.

    ·
    **APA formatting**: Resources and citations are formatted according to current APA style and formatting guidelines. Refer to the
    [Evidence and APA](https://lat.strategiced.com/redirect?linkid=1540) section of the Writing Center for guidance.

    ·
    **Length:** 5–6 double-spaced pages, not including title and reference pages.

    ·
    **Font and font size**: Times New Roman, 12 point.

    **Competencies Measured**

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

    · Competency 1: Design person-centered care that integrates biological, psychological, and social factors and considers their complex interactions.

    · Apply a decision-making approach to assess potential health problems and needs related to infection control risks in a disaster situation.

    · Apply personalized information, such as the needs of different demographic groups and environmental exposure information, in the identification of healthcare risks.

    · Competency 2: Propose improvements to system-level interventions to protect populations.

    · Integrate epidemiological and system-level aggregate data to determine healthcare outcomes and trends.

    · Competency 4: Propose communication tools and techniques that can improve interprofessional team dynamics and strengthen partnerships to achieve effective outcomes.

    · Explain needs for communicating effectively with community individuals to help them make informed choices about mitigating risk of infection.

    · Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.

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