Tag: Nursing

  • [Solved] Health

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    In-depth study guidance and analytical solution covering Health.

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  • [Solved] practical nursing

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  • [Solved] Discussion MSN5300

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    **You can choose one of the following topics:** 1. Describe 4 types of quantitative research 2. Differentiate between basic and applied research 3. Describe 5 approaches to quantitative research **Please include 400 words in your post.** Please take a look at the discussion rubric. APA Style 7th Ed….

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    Assignment Prompt & Instructions

    **You can choose one of the following topics:**

    1. Describe 4 types of quantitative research
    2. Differentiate between basic and applied research
    3. Describe 5 approaches to quantitative research

    **Please include 400 words in your post.**

    Please take a look at the discussion rubric.

    APA Style 7th Ed. At least 2 (two) EBP references not older than 5 years old.

    – [\
    \
    MSN-FNPDiscussionRubric11.pdf](https://www.sweetstudy.com/files/msn-fnpdiscussionrubric11-pdf-10284895 "MSN-FNPDiscussionRubric11.pdf")

    – a year ago

  • [Solved] CPA3

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    – a year ago **files (1)** – ## CPA3.docx **## CPA3.docx** **Preparation:** In this assessment, you'll determine how health care technology, coordination of care, and community resources can be applied to address the health problem you've defined. Plan to spend at least 2 direct practicum hours work…

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    Assignment Prompt & Instructions

    – a year ago

    **files (1)**

    – ## CPA3.docx

    **## CPA3.docx**

    **Preparation:**

    In this assessment, you'll determine how health care technology, coordination of care, and community resources can be applied to address the health problem you've defined. Plan to spend at least 2 direct practicum hours working with the same patient, family, or group. During this time, you may also choose to consult with subject matter and industry experts.

    To prepare for the assessment:

    · Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.

    · Conduct sufficient research of the scholarly and professional literature to inform your assessment and meet scholarly expectations for supporting evidence.

    · Review the
    Practicum Focus Sheet: Assessment 3 [PDF] which provides guidance for conducting this portion of your practicum.

    ![A white and black text on a white background AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/cpa3)

    **Instructions:**

    Complete this assessment in two parts.

    **Part 1**

    Determine how health care technology, the coordination of care, and the use of community resources can be applied to address the patient, family, or population problem you've defined. Plan to spend at least 2 practicum hours exploring these aspects of the problem with the patient, family, or group. During this time, you may also consult with subject matter and industry experts of your choice. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form. Use the
    Practicum Focus Sheet: Assessment 3 [PDF] provided for this assessment to guide your work and interpersonal interactions.

    **Part 2**

    Report on your experiences during the second 2 hours of your practicum.

    · Whom did you meet with?

    · What did you learn from them?

    · Comment on the evidence-based practice (EBP) documents or websites you reviewed.

    · What did you learn from that review?

    · Share the process and experience of exploring the effect of the problem on the quality of care, patient safety, and costs to the system and individual.

    · Did your plan to address the problem change, based upon your experiences?

    · What surprised you, or was of particular interest to you, and why?

    **Requirements:**

    The assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.

    · Analyze the impact of health care technology on the patient, family, or population problem.

    · Cite evidence from the literature that addresses the advantages and disadvantages of specific technologies, including research studies that present opposing views.

    · Determine whether the evidence is consistent with technology use you see in your nursing practice.

    · Identify potential barriers and costs associated with the use of specific technologies and how those technologies are applied within the context of this problem.

    · Explain how care coordination and the utilization of community resources can be used to address the patient, family, or population problem.

    · Cite evidence from the literature that addresses the benefits of care coordination and the utilization of community resources, including research studies that present opposing views.

    · Determine whether the evidence is consistent with how you see care coordination and community resources used in your nursing practice.

    · Identify barriers to the use of care coordination and community resources in the context of this problem.

    · Analyze state board nursing practice standards and/or organizational or governmental policies associated with health care technology, care coordination, and community resources and document the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.

    · Explain how these standards or policies will guide your actions in applying technology, care coordination, and community resources to address care quality, patient safety, and costs to the system and individual.

    · Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of technology, care coordination, and community resources.

    · Explain how nursing ethics will inform your approach to addressing the problem through the use of applied technology, care coordination, and community resources.

    · Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.

    · Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

    · Apply APA style and formatting to scholarly writing.

    **Additional Requirements:**

    ·
    **Format**: Format your paper using APA style.  Be sure to include:

    · A title page and reference page. An abstract is not required.

    · Appropriate section headings.

    ·
    **Length**: Your paper should be approximately 5–7 pages in length, not including the reference page.

    ·
    **Supporting evidence**: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.

    ·
    **Proofreading**: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.

    ## image1.png

    **## CPA3.docx**

    **Preparation:**

    In this assessment, you'll determine how health care technology, coordination of care, and community resources can be applied to address the health problem you've defined. Plan to spend at least 2 direct practicum hours working with the same patient, family, or group. During this time, you may also choose to consult with subject matter and industry experts.

    To prepare for the assessment:

    · Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.

    · Conduct sufficient research of the scholarly and professional literature to inform your assessment and meet scholarly expectations for supporting evidence.

    · Review the
    Practicum Focus Sheet: Assessment 3 [PDF] which provides guidance for conducting this portion of your practicum.

    ![A white and black text on a white background AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/cpa3)

    **Instructions:**

    Complete this assessment in two parts.

    **Part 1**

    Determine how health care technology, the coordination of care, and the use of community resources can be applied to address the patient, family, or population problem you've defined. Plan to spend at least 2 practicum hours exploring these aspects of the problem with the patient, family, or group. During this time, you may also consult with subject matter and industry experts of your choice. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form. Use the
    Practicum Focus Sheet: Assessment 3 [PDF] provided for this assessment to guide your work and interpersonal interactions.

    **Part 2**

    Report on your experiences during the second 2 hours of your practicum.

    · Whom did you meet with?

    · What did you learn from them?

    · Comment on the evidence-based practice (EBP) documents or websites you reviewed.

    · What did you learn from that review?

    · Share the process and experience of exploring the effect of the problem on the quality of care, patient safety, and costs to the system and individual.

    · Did your plan to address the problem change, based upon your experiences?

    · What surprised you, or was of particular interest to you, and why?

    **Requirements:**

    The assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.

    · Analyze the impact of health care technology on the patient, family, or population problem.

    · Cite evidence from the literature that addresses the advantages and disadvantages of specific technologies, including research studies that present opposing views.

    · Determine whether the evidence is consistent with technology use you see in your nursing practice.

    · Identify potential barriers and costs associated with the use of specific technologies and how those technologies are applied within the context of this problem.

    · Explain how care coordination and the utilization of community resources can be used to address the patient, family, or population problem.

    · Cite evidence from the literature that addresses the benefits of care coordination and the utilization of community resources, including research studies that present opposing views.

    · Determine whether the evidence is consistent with how you see care coordination and community resources used in your nursing practice.

    · Identify barriers to the use of care coordination and community resources in the context of this problem.

    · Analyze state board nursing practice standards and/or organizational or governmental policies associated with health care technology, care coordination, and community resources and document the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.

    · Explain how these standards or policies will guide your actions in applying technology, care coordination, and community resources to address care quality, patient safety, and costs to the system and individual.

    · Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of technology, care coordination, and community resources.

    · Explain how nursing ethics will inform your approach to addressing the problem through the use of applied technology, care coordination, and community resources.

    · Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.

    · Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

    · Apply APA style and formatting to scholarly writing.

    **Additional Requirements:**

    ·
    **Format**: Format your paper using APA style.  Be sure to include:

    · A title page and reference page. An abstract is not required.

    · Appropriate section headings.

    ·
    **Length**: Your paper should be approximately 5–7 pages in length, not including the reference page.

    ·
    **Supporting evidence**: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.

    ·
    **Proofreading**: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.

    ## image1.png

  • [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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    Assignment Prompt & Instructions

    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

    ## image1.jpeg

  • [Solved] WK 11 RESP 2 DATA

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    – a year ago **files (1)** – ## WK11DISDATA.docx **## WK11DISDATA.docx** Ethical Considerations Throughout this course, you will have explored the importance of research, the impact of research, and the different types of research. During our final week, you will explore the importance of ethical co…

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    Assignment Prompt & Instructions

    – a year ago

    **files (1)**

    – ## WK11DISDATA.docx

    **## WK11DISDATA.docx**

    Ethical Considerations

    Throughout this course, you will have explored the importance of research, the impact of research, and the different types of research. During our final week, you will explore the importance of ethical considerations in research.

    In this Discussion, you will focus on a specific study to explore ethics in research and consider the importance of the ethics pledge.

    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/157739/modules/items/6374043)

    [Required Resources](https://waldenu.instructure.com/courses/157739/pages/week-11-learning-resources?module_item_id=6374043)

    · Alsan, M., & Wanamaker, M. (2018).
    [Tuskegee and the health of black menLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=bth&AN=127318646&site=eds-live&scope=site&custid=s6527200).
    _The Quarterly Journal of Economics, 133_(1), 407–455.

    · Bates, B. R., & Harris, T. M. (2004).
    [The Tuskegee study of untreated syphilis and public perceptions of biomedical research: A focus group studyLinks to an external site.](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2568492/pdf/jnma00177-0047.pdf).
    _Journal of the National Medical Association, 96_(8), 1051–1064. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2568492/pdf/jnma00177-0047.pdf

    · Centers for Disease Control and Prevention. (2022, December 5).
    [_The USPHS untreated syphilis study at Tuskegee_ Links to an external site.](https://www.cdc.gov/tuskegee/index.html). https://www.cdc.gov/tuskegee/index.html

    · Hunt, D. F., Dunn, M., Harrison, G., & Bailey, J. (2021).
    [Ethical considerations in quality improvement: key questions and a practical guideLinks to an external site.](https://doi.org/10.1136/bmjoq-2021-001497).
    _BMJ Open Quality, 10_(3), e001497. https://doi.org/10.1136/bmjoq-2021-001497

    · Office for Human Research Protections. (n.d.).
    [_Quality improvement activities FAQsLinks to an external site._](https://www.hhs.gov/ohrp/regulations-and-policy/guidance/faq/quality-improvement-activities/index.html). United States Department of Health and Human Services. https://www.hhs.gov/ohrp/regulations-and-policy/guidance/faq/quality-improvement-activities/index.html

    ·
    **Document:** [Doctoral Project Ethics Pledge (Word document)](https://waldenu.instructure.com/courses/157739/files/12465980?wrap=1) [Download Doctoral Project Ethics Pledge (Word document)](https://waldenu.instructure.com/courses/157739/files/12465980/download?download_frd=1)

    **To prepare:**

    · Read and view the Learning Resources, focusing specifically on the Tuskegee study resources.

    · Read the ethics pledge.

    By Day 3 of Week 11

    **Post** a response including the following:

    · What are the characteristics of the research study (Tzeng & Yin, 2017), the quality improvement study (Khoja & Moosa, 2023), and the DNP project (Bangura, 2024) in terms of generalizability, sampling, and the nature of ethical protections?

    · Compare and contrast ethical considerations in research to ethics requirements for QI and/or for a DNP project.

    By Day 5 of Week 11

    **Read** a selection of your colleagues’ posts and
    **respond** to
    **at least two** of your colleagues on
    **two different days** by expanding upon their reflections, making connections to your perceptions, and offering additional insights.

    **Reply**

    **CLASS,**

    In this discussion, you will focus on a specific study to explore ethics in research and consider the importance of the ethics pledge.

    Our interactive discussion addresses the following learning objectives:

    · Analyze ethical considerations in relation to DNP problem statements

    · Compare and contrast ethical considerations for research vs. quality improvement or any type of DNP project

    · Compare and contrast a research study, a QI study, and a DNP project with regard to generalizability and protection of human subjects (IRB review)

    **Post** a response to the following prompts:

    · What are the characteristics of the research study (Tzeng & Yin, 2017), the quality improvement study (Khoja & Moosa, 2023), and the DNP project (Bangura, 2024) in terms of generalizability, sampling, and the nature of ethical protections?

    · Compare and contrast ethical considerations in research to ethics requirements for QI and/or for a DNP project.

    We encourage you to read the question carefully to answer all aspects presented.

    RESPOND TO THIS DISCUSSION POST

    Charlisa

    WK 11 Main Discussion Post – NURS 8211C

    Characteristics Comparison

    In our exploration of the research study by Tzeng and Yin (2017), we discovered a significant exploratory cross-sectional survey design. Their use of secondary data analysis to investigate the relationship between nurses’ perceptions of preventive fall interventions and their frequency of use in acute care settings was a significant step. They identified over twenty effective interventions that could prevent falls and reduce further patient injuries, a finding of great significance in our field.

    Khoja and Moosa's quality improvement project (2023) aimed to see if tailored interventions for patient safety (TIPS) in a medical-surgical orthopedic unit (MSOU) were as effective in reducing fall rates as the current practice. This study, focusing on improving current workflow processes and enhancing efficiency, provides practical insights that can be applied within a specific organization. The results are intended to identify gaps in practice and enhance the current implementation process, improving healthcare quality.

    The Bangura (2024) DNP project aimed to see if intentional rounding would decrease fall rates in a Veterans’ long-term care facility. The project investigated current nursing practice and translated the findings into practice to improve patient outcomes related to fall prevention. The goal is to focus on translating evidence into practice.

    Ethical Considerations

    Traditional research studies like Tzeng and Yin's require extensive ethical oversight. They must follow formal protocols to ensure participant protection, including informed consent processes, privacy measures, confidentiality guarantees, and the right to withdraw from the study. This study was approved by each of the different health systems' institutional review boards (IRBs), ensuring the highest ethical standards were met.

    QI projects such as Khoja & Moosa (2023) pose minimal physical, psychological, social, or financial risk to participants; however, the threat to privacy and confidentiality of protected health information remains an important consideration. These projects require different ethical considerations than formal research, but care should be taken to minimize the possibility of patient harm or other moral wrongs and staff burden (Hunt et al., 2021). This study was initiated with the help of the hospital’s Fall Advisory Council.

    DNP projects, which commonly incorporate quality improvement methodologies, must consider ethical dimensions even when they may not require formal IRB review. Since many DNP projects are conducted within healthcare organizations and involve patient care processes, they must still adhere to ethical principles of patient protection, confidentiality, and professional conduct.

    Conclusion

    The three types of studies reviewed differ in their objectives, methods, and ethical requirements. Understanding the specific ethical considerations for each type of study is essential to protect participants and achieve the goals of enhancing healthcare delivery and advancing nursing knowledge.

    **References**

    Bangura, F. (2024).
    _Development and evaluation of a nurse practitioner–directed intentional rounding strategy, and its impact on decreasing falls in a veterans long-term care facility_ (Publication No. 30991997) [Doctoral dissertation, Wilmington University]. ProQuest Dissertations and Theses Global.
    [https://www.proquest.com/dissertations-theses/development-evaluation-nurse-practitioner/docview/2932310765/se-2Links to an external site.](https://www.proquest.com/dissertations-theses/development-evaluation-nurse-practitioner/docview/2932310765/se-2)

    Hunt, D., Dunn, M., Harrison, G., & Bailey, J. (2021). Ethical considerations in quality improvement: Key questions and a practical guide.
    _BMJ Open Quality_,
    _10_(3), e001497.
    [https://doi.org/10.1136/bmjoq-2021-001497Links to an external site.](https://doi.org/10.1136/bmjoq-2021-001497)

    Khoja, A., & Moosa, L. (2023). Impact of tailored interventions for patient safety (tips) to reduce fall rates.
    _MEDSURG Nursing_,
    _32_(2), 89.
    [https://doi.org/10.62116/msj.2023.32.2.89Links to an external site.](https://doi.org/10.62116/msj.2023.32.2.89)

    Tzeng, H.-M., & Yin, C.-Y. (2017). A multihospital survey on effective interventions to prevent hospital falls in adults.
    _Nursing Economics_,
    _35_(6), 304–313.
    [https://eds.p.ebscohost.com/eds/pdfviewer/pdfviewer?vid=2&sid=e39128f1-f0e6-471e-b509-b4651a2e535e%40redisLinks to an external site.](https://eds.p.ebscohost.com/eds/pdfviewer/pdfviewer?vid=2&sid=e39128f1-f0e6-471e-b509-b4651a2e535e%40redis)

    **## WK11DISDATA.docx**

    Ethical Considerations

    Throughout this course, you will have explored the importance of research, the impact of research, and the different types of research. During our final week, you will explore the importance of ethical considerations in research.

    In this Discussion, you will focus on a specific study to explore ethics in research and consider the importance of the ethics pledge.

    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/157739/modules/items/6374043)

    [Required Resources](https://waldenu.instructure.com/courses/157739/pages/week-11-learning-resources?module_item_id=6374043)

    · Alsan, M., & Wanamaker, M. (2018).
    [Tuskegee and the health of black menLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=bth&AN=127318646&site=eds-live&scope=site&custid=s6527200).
    _The Quarterly Journal of Economics, 133_(1), 407–455.

    · Bates, B. R., & Harris, T. M. (2004).
    [The Tuskegee study of untreated syphilis and public perceptions of biomedical research: A focus group studyLinks to an external site.](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2568492/pdf/jnma00177-0047.pdf).
    _Journal of the National Medical Association, 96_(8), 1051–1064. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2568492/pdf/jnma00177-0047.pdf

    · Centers for Disease Control and Prevention. (2022, December 5).
    [_The USPHS untreated syphilis study at Tuskegee_ Links to an external site.](https://www.cdc.gov/tuskegee/index.html). https://www.cdc.gov/tuskegee/index.html

    · Hunt, D. F., Dunn, M., Harrison, G., & Bailey, J. (2021).
    [Ethical considerations in quality improvement: key questions and a practical guideLinks to an external site.](https://doi.org/10.1136/bmjoq-2021-001497).
    _BMJ Open Quality, 10_(3), e001497. https://doi.org/10.1136/bmjoq-2021-001497

    · Office for Human Research Protections. (n.d.).
    [_Quality improvement activities FAQsLinks to an external site._](https://www.hhs.gov/ohrp/regulations-and-policy/guidance/faq/quality-improvement-activities/index.html). United States Department of Health and Human Services. https://www.hhs.gov/ohrp/regulations-and-policy/guidance/faq/quality-improvement-activities/index.html

    ·
    **Document:** [Doctoral Project Ethics Pledge (Word document)](https://waldenu.instructure.com/courses/157739/files/12465980?wrap=1) [Download Doctoral Project Ethics Pledge (Word document)](https://waldenu.instructure.com/courses/157739/files/12465980/download?download_frd=1)

    **To prepare:**

    · Read and view the Learning Resources, focusing specifically on the Tuskegee study resources.

    · Read the ethics pledge.

    By Day 3 of Week 11

    **Post** a response including the following:

    · What are the characteristics of the research study (Tzeng & Yin, 2017), the quality improvement study (Khoja & Moosa, 2023), and the DNP project (Bangura, 2024) in terms of generalizability, sampling, and the nature of ethical protections?

    · Compare and contrast ethical considerations in research to ethics requirements for QI and/or for a DNP project.

    By Day 5 of Week 11

    **Read** a selection of your colleagues’ posts and
    **respond** to
    **at least two** of your colleagues on
    **two different days** by expanding upon their reflections, making connections to your perceptions, and offering additional insights.

    **Reply**

    **CLASS,**

    In this discussion, you will focus on a specific study to explore ethics in research and consider the importance of the ethics pledge.

    Our interactive discussion addresses the following learning objectives:

    · Analyze ethical considerations in relation to DNP problem statements

    · Compare and contrast ethical considerations for research vs. quality improvement or any type of DNP project

    · Compare and contrast a research study, a QI study, and a DNP project with regard to generalizability and protection of human subjects (IRB review)

    **Post** a response to the following prompts:

    · What are the characteristics of the research study (Tzeng & Yin, 2017), the quality improvement study (Khoja & Moosa, 2023), and the DNP project (Bangura, 2024) in terms of generalizability, sampling, and the nature of ethical protections?

    · Compare and contrast ethical considerations in research to ethics requirements for QI and/or for a DNP project.

    We encourage you to read the question carefully to answer all aspects presented.

    RESPOND TO THIS DISCUSSION POST

    Charlisa

    WK 11 Main Discussion Post – NURS 8211C

    Characteristics Comparison

    In our exploration of the research study by Tzeng and Yin (2017), we discovered a significant exploratory cross-sectional survey design. Their use of secondary data analysis to investigate the relationship between nurses’ perceptions of preventive fall interventions and their frequency of use in acute care settings was a significant step. They identified over twenty effective interventions that could prevent falls and reduce further patient injuries, a finding of great significance in our field.

    Khoja and Moosa's quality improvement project (2023) aimed to see if tailored interventions for patient safety (TIPS) in a medical-surgical orthopedic unit (MSOU) were as effective in reducing fall rates as the current practice. This study, focusing on improving current workflow processes and enhancing efficiency, provides practical insights that can be applied within a specific organization. The results are intended to identify gaps in practice and enhance the current implementation process, improving healthcare quality.

    The Bangura (2024) DNP project aimed to see if intentional rounding would decrease fall rates in a Veterans’ long-term care facility. The project investigated current nursing practice and translated the findings into practice to improve patient outcomes related to fall prevention. The goal is to focus on translating evidence into practice.

    Ethical Considerations

    Traditional research studies like Tzeng and Yin's require extensive ethical oversight. They must follow formal protocols to ensure participant protection, including informed consent processes, privacy measures, confidentiality guarantees, and the right to withdraw from the study. This study was approved by each of the different health systems' institutional review boards (IRBs), ensuring the highest ethical standards were met.

    QI projects such as Khoja & Moosa (2023) pose minimal physical, psychological, social, or financial risk to participants; however, the threat to privacy and confidentiality of protected health information remains an important consideration. These projects require different ethical considerations than formal research, but care should be taken to minimize the possibility of patient harm or other moral wrongs and staff burden (Hunt et al., 2021). This study was initiated with the help of the hospital’s Fall Advisory Council.

    DNP projects, which commonly incorporate quality improvement methodologies, must consider ethical dimensions even when they may not require formal IRB review. Since many DNP projects are conducted within healthcare organizations and involve patient care processes, they must still adhere to ethical principles of patient protection, confidentiality, and professional conduct.

    Conclusion

    The three types of studies reviewed differ in their objectives, methods, and ethical requirements. Understanding the specific ethical considerations for each type of study is essential to protect participants and achieve the goals of enhancing healthcare delivery and advancing nursing knowledge.

    **References**

    Bangura, F. (2024).
    _Development and evaluation of a nurse practitioner–directed intentional rounding strategy, and its impact on decreasing falls in a veterans long-term care facility_ (Publication No. 30991997) [Doctoral dissertation, Wilmington University]. ProQuest Dissertations and Theses Global.
    [https://www.proquest.com/dissertations-theses/development-evaluation-nurse-practitioner/docview/2932310765/se-2Links to an external site.](https://www.proquest.com/dissertations-theses/development-evaluation-nurse-practitioner/docview/2932310765/se-2)

    Hunt, D., Dunn, M., Harrison, G., & Bailey, J. (2021). Ethical considerations in quality improvement: Key questions and a practical guide.
    _BMJ Open Quality_,
    _10_(3), e001497.
    [https://doi.org/10.1136/bmjoq-2021-001497Links to an external site.](https://doi.org/10.1136/bmjoq-2021-001497)

    Khoja, A., & Moosa, L. (2023). Impact of tailored interventions for patient safety (tips) to reduce fall rates.
    _MEDSURG Nursing_,
    _32_(2), 89.
    [https://doi.org/10.62116/msj.2023.32.2.89Links to an external site.](https://doi.org/10.62116/msj.2023.32.2.89)

    Tzeng, H.-M., & Yin, C.-Y. (2017). A multihospital survey on effective interventions to prevent hospital falls in adults.
    _Nursing Economics_,
    _35_(6), 304–313.
    [https://eds.p.ebscohost.com/eds/pdfviewer/pdfviewer?vid=2&sid=e39128f1-f0e6-471e-b509-b4651a2e535e%40redisLinks to an external site.](https://eds.p.ebscohost.com/eds/pdfviewer/pdfviewer?vid=2&sid=e39128f1-f0e6-471e-b509-b4651a2e535e%40redis)

  • [Solved] Videos Reflections

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    Executive Solution Overview

    Please see attached for instructions – a year ago **files (2)** – ## VideosReflectionInstructionsPart1.docx – ## Templates.docx **## VideosReflectionInstructionsPart1.docx** **Videos Reflection Instructions** Must use the templates attached doing 1-2 page per video **Video #1 -** [https://westcoastu…

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    Assignment Prompt & Instructions

    Please see attached for instructions

    – a year ago

    **files (2)**

    – ## VideosReflectionInstructionsPart1.docx

    – ## Templates.docx

    **## VideosReflectionInstructionsPart1.docx**

    **Videos Reflection Instructions**

    Must use the templates attached doing 1-2 page per video

    **Video #1 -** [https://westcoastuniversity.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=b6c56cbe-1b44-4e11-8005-afb60169ff5d&start=3.609129](https://westcoastuniversity.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=b6c56cbe-1b44-4e11-8005-afb60169ff5d&start=3.609129)

    **Details:**

    Write a 1 page paper discussing the following:

    1. In line with her professional responsibilities, Althea must first rule out pregnancy before she considers prescribing medication for Jasmine's nausea. Discuss the delicate balance between respecting patient autonomy and Althea's responsibility to ensure Jasmine's well-being. Is it ethical for Althea to be insistent about ruling out pregnancy, even if the patient is resistant?

    2. Althea is new in her role of nurse practioner. Discuss the competencies registered nurses will develop as they becomes a nurse practitioners. Which of these competencies does Althea demonstrate in this scenario?

    **Video #2 -** [https://westcoastuniversity.h5p.com/content/1291875034502648468](https://westcoastuniversity.h5p.com/content/1291875034502648468)

    **Details:**

    Write a 1- 2 page paper discussing the following:

    1. Review your state's Advanced Practice Nursing laws and other relevant state laws.

    2. Submit a 1 -page paper in which you reflect on:

    · The legal action in Jasmine’s case: If you were Jasmine’s healthcare provider (as a practitioner, nurse leader, or nurse educator), how would your values and ethics influence your practice?

    · The transition from registered nurse (RN) to nurse practitioner (NP): What new competencies do RNs need to develop as they transition to NPs?

    · Which of these competencies does the nurse practitioner student demonstrate in the scenario?

    **Video #3 -** [https://westcoastuniversity.h5p.com/content/1291875034789030478](https://westcoastuniversity.h5p.com/content/1291875034789030478)

    **Details:**

    Write a 1page paper discussing the following:

    In Episode 3, the conflict between health ethics (what feels morally right in caring for Joan) and health laws and policy put Megan, the nurse leader, at odds with Kenny, Mario, and Flora. While all four are concerned for Joan’s safety and ability to navigate life outside the hospital, Megan and, ultimately, Kenny offer additional perspectives and reasons why the hospital is not the best place to continue her care. How did Flora’s perspective compare to theirs? As nurse leaders, what factors, other than patient advocacy, must Megan and Kenny consider when discerning the best clinical pathway for Joan?

    **Video # 4 -** [https://westcoastuniversity.h5p.com/content/1291875034921534118](https://westcoastuniversity.h5p.com/content/1291875034921534118)

    **Details:**

    Write a 1 page paper discussing the following:

    Visit the Department of Justice website (
    [https://www.justice.gov/elderjustice/prosecutors/statutesLinks to an external site.](https://www.justice.gov/elderjustice/prosecutors/statutes)) and look for laws in your Florida designed to protect older adults from elder abuse and guide the practice of adult protective services agencies.

    Utilize one of the laws and, in a 1- to 2-page paper, discuss how to legally handle this situation.

    **## Templates.docx**

    **Practice and Principle: Episode 1 – More Than Meets the Eyes – Part 1**

    This is your introduction where you will explain briefly what your one to two page paper will include. For the reflective assignments for this course, the introduction would be at most one paragraph.

    **Althea and Responsibilities**

    In this section, write about the professional responsibilities of Althea. Make sure to support why you have identified these as professional responsibilities.

    **Patient Autonomy Versus Professional Responsibilities**

    In this section, explain using ethical principles how Althea can ensure a balance between patient autonomy and respect and the professional responsibilities of the APN.

    **Development of Competencies and the APN**

    In this section, write about the competencies a new APN will need to develop as they grow into their role.

    **Competencies Demonstrated by Althea**

    What competencies did Althea demonstrate in this video? Please be specific and cite your information.

    **Conclusion**

    When writing in APA Style, a conclusion is required. Write a concise review of the main points in your paper. Include the important points you want your reader to remember.

    **References**

    **Practice and Principle: Episode 2 – More Than Meets the Eyes – Part 2**

    This is your introduction where you will explain briefly what your one to two page paper will include. For the reflective assignments for this course, the introduction would be at most one paragraph. Make sure to review your state NPA and other pertinent state laws related to the practice of APN in your state.

    **Influence of Values and Ethics on Practice**

    In this section, write about the legal action in Jasmine’s case. If you were Jasmine’s provider, how would your values and ethics influence your practice?

    **Transition from RN to APRN**

    In this section, write about the new competencies you will need to develop to adapt to the new role of APRN transitioning from the role of the RN.

    **Competencies Demonstrated by the Student APRN**

    What competencies did the student APRN demonstrate in this video? Please be specific and cite your information.

    **Conclusion**

    When writing in APA Style, a conclusion is required. Write a concise review of the main points in your paper. Include the important points you want your reader to remember.

    **References**

    **Practice and Principle: Episode 3 – More Than Meets the Eyes – Part 3**

    This is your introduction where you will explain briefly what your one to two page paper will include. For the reflective assignments for this course, the introduction would be at most one paragraph.

    **Ethical Conflicts**

    In this section, write about the conflict between health ethics and health laws and policy. Megan is at odds with Kenny, Mario, and Flora. Speak to the safety issues along with issues related to hospital discharge.

    **The Best Place for Joan**

    In this section, write about the various perspectives of those involved and where they think the best place is for Joan. Make sure to compare the various perspectives of those involved.

    **Perspectives of Nurse Leaders**

    When writing this section, what factors do nurse leaders need to considered when deciding on a clinical pathway? Make sure to support your writing.

    **Conclusion**

    When writing in APA Style, a conclusion is required. Write a concise review of the main points in your paper. Include the important points you want your reader to remember.

    **References**

    **Practice and Principle: Episode 4 – More Than Meets the Eyes – Part 4**

    This is your introduction where you will explain briefly what your one to two page paper will include. For the reflective assignments for this course, the introduction would be at most one paragraph. Make sure to review the laws in your state related to protection of older adults, elder abuse, and adult protective services

    **State Laws**

    In this section, you will write about the laws for the state in which you live related to how to handle this situation. Make sure to cite your laws to support your writing. Explain in detail how you will handle the situation presented in the video following applicable state laws.

    **Conclusion**

    When writing in APA Style, a conclusion is required. Write a concise review of the main points in your paper. Include the important points you want your reader to remember.

    **References**

    **## Templates.docx**

    **Practice and Principle: Episode 1 – More Than Meets the Eyes – Part 1**

    This is your introduction where you will explain briefly what your one to two page paper will include. For the reflective assignments for this course, the introduction would be at most one paragraph.

    **Althea and Responsibilities**

    In this section, write about the professional responsibilities of Althea. Make sure to support why you have identified these as professional responsibilities.

    **Patient Autonomy Versus Professional Responsibilities**

    In this section, explain using ethical principles how Althea can ensure a balance between patient autonomy and respect and the professional responsibilities of the APN.

    **Development of Competencies and the APN**

    In this section, write about the competencies a new APN will need to develop as they grow into their role.

    **Competencies Demonstrated by Althea**

    What competencies did Althea demonstrate in this video? Please be specific and cite your information.

    **Conclusion**

    When writing in APA Style, a conclusion is required. Write a concise review of the main points in your paper. Include the important points you want your reader to remember.

    **References**

    **Practice and Principle: Episode 2 – More Than Meets the Eyes – Part 2**

    This is your introduction where you will explain briefly what your one to two page paper will include. For the reflective assignments for this course, the introduction would be at most one paragraph. Make sure to review your state NPA and other pertinent state laws related to the practice of APN in your state.

    **Influence of Values and Ethics on Practice**

    In this section, write about the legal action in Jasmine’s case. If you were Jasmine’s provider, how would your values and ethics influence your practice?

    **Transition from RN to APRN**

    In this section, write about the new competencies you will need to develop to adapt to the new role of APRN transitioning from the role of the RN.

    **Competencies Demonstrated by the Student APRN**

    What competencies did the student APRN demonstrate in this video? Please be specific and cite your information.

    **Conclusion**

    When writing in APA Style, a conclusion is required. Write a concise review of the main points in your paper. Include the important points you want your reader to remember.

    **References**

    **Practice and Principle: Episode 3 – More Than Meets the Eyes – Part 3**

    This is your introduction where you will explain briefly what your one to two page paper will include. For the reflective assignments for this course, the introduction would be at most one paragraph.

    **Ethical Conflicts**

    In this section, write about the conflict between health ethics and health laws and policy. Megan is at odds with Kenny, Mario, and Flora. Speak to the safety issues along with issues related to hospital discharge.

    **The Best Place for Joan**

    In this section, write about the various perspectives of those involved and where they think the best place is for Joan. Make sure to compare the various perspectives of those involved.

    **Perspectives of Nurse Leaders**

    When writing this section, what factors do nurse leaders need to considered when deciding on a clinical pathway? Make sure to support your writing.

    **Conclusion**

    When writing in APA Style, a conclusion is required. Write a concise review of the main points in your paper. Include the important points you want your reader to remember.

    **References**

    **Practice and Principle: Episode 4 – More Than Meets the Eyes – Part 4**

    This is your introduction where you will explain briefly what your one to two page paper will include. For the reflective assignments for this course, the introduction would be at most one paragraph. Make sure to review the laws in your state related to protection of older adults, elder abuse, and adult protective services

    **State Laws**

    In this section, you will write about the laws for the state in which you live related to how to handle this situation. Make sure to cite your laws to support your writing. Explain in detail how you will handle the situation presented in the video following applicable state laws.

    **Conclusion**

    When writing in APA Style, a conclusion is required. Write a concise review of the main points in your paper. Include the important points you want your reader to remember.

    **References**

    **## VideosReflectionInstructionsPart1.docx**

    **Videos Reflection Instructions**

    Must use the templates attached doing 1-2 page per video

    **Video #1 -** [https://westcoastuniversity.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=b6c56cbe-1b44-4e11-8005-afb60169ff5d&start=3.609129](https://westcoastuniversity.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=b6c56cbe-1b44-4e11-8005-afb60169ff5d&start=3.609129)

    **Details:**

    Write a 1 page paper discussing the following:

    1. In line with her professional responsibilities, Althea must first rule out pregnancy before she considers prescribing medication for Jasmine's nausea. Discuss the delicate balance between respecting patient autonomy and Althea's responsibility to ensure Jasmine's well-being. Is it ethical for Althea to be insistent about ruling out pregnancy, even if the patient is resistant?

    2. Althea is new in her role of nurse practioner. Discuss the competencies registered nurses will develop as they becomes a nurse practitioners. Which of these competencies does Althea demonstrate in this scenario?

    **Video #2 -** [https://westcoastuniversity.h5p.com/content/1291875034502648468](https://westcoastuniversity.h5p.com/content/1291875034502648468)

    **Details:**

    Write a 1- 2 page paper discussing the following:

    1. Review your state's Advanced Practice Nursing laws and other relevant state laws.

    2. Submit a 1 -page paper in which you reflect on:

    · The legal action in Jasmine’s case: If you were Jasmine’s healthcare provider (as a practitioner, nurse leader, or nurse educator), how would your values and ethics influence your practice?

    · The transition from registered nurse (RN) to nurse practitioner (NP): What new competencies do RNs need to develop as they transition to NPs?

    · Which of these competencies does the nurse practitioner student demonstrate in the scenario?

    **Video #3 -** [https://westcoastuniversity.h5p.com/content/1291875034789030478](https://westcoastuniversity.h5p.com/content/1291875034789030478)

    **Details:**

    Write a 1page paper discussing the following:

    In Episode 3, the conflict between health ethics (what feels morally right in caring for Joan) and health laws and policy put Megan, the nurse leader, at odds with Kenny, Mario, and Flora. While all four are concerned for Joan’s safety and ability to navigate life outside the hospital, Megan and, ultimately, Kenny offer additional perspectives and reasons why the hospital is not the best place to continue her care. How did Flora’s perspective compare to theirs? As nurse leaders, what factors, other than patient advocacy, must Megan and Kenny consider when discerning the best clinical pathway for Joan?

    **Video # 4 -** [https://westcoastuniversity.h5p.com/content/1291875034921534118](https://westcoastuniversity.h5p.com/content/1291875034921534118)

    **Details:**

    Write a 1 page paper discussing the following:

    Visit the Department of Justice website (
    [https://www.justice.gov/elderjustice/prosecutors/statutesLinks to an external site.](https://www.justice.gov/elderjustice/prosecutors/statutes)) and look for laws in your Florida designed to protect older adults from elder abuse and guide the practice of adult protective services agencies.

    Utilize one of the laws and, in a 1- to 2-page paper, discuss how to legally handle this situation.

    **## Templates.docx**

    **Practice and Principle: Episode 1 – More Than Meets the Eyes – Part 1**

    This is your introduction where you will explain briefly what your one to two page paper will include. For the reflective assignments for this course, the introduction would be at most one paragraph.

    **Althea and Responsibilities**

    In this section, write about the professional responsibilities of Althea. Make sure to support why you have identified these as professional responsibilities.

    **Patient Autonomy Versus Professional Responsibilities**

    In this section, explain using ethical principles how Althea can ensure a balance between patient autonomy and respect and the professional responsibilities of the APN.

    **Development of Competencies and the APN**

    In this section, write about the competencies a new APN will need to develop as they grow into their role.

    **Competencies Demonstrated by Althea**

    What competencies did Althea demonstrate in this video? Please be specific and cite your information.

    **Conclusion**

    When writing in APA Style, a conclusion is required. Write a concise review of the main points in your paper. Include the important points you want your reader to remember.

    **References**

    **Practice and Principle: Episode 2 – More Than Meets the Eyes – Part 2**

    This is your introduction where you will explain briefly what your one to two page paper will include. For the reflective assignments for this course, the introduction would be at most one paragraph. Make sure to review your state NPA and other pertinent state laws related to the practice of APN in your state.

    **Influence of Values and Ethics on Practice**

    In this section, write about the legal action in Jasmine’s case. If you were Jasmine’s provider, how would your values and ethics influence your practice?

    **Transition from RN to APRN**

    In this section, write about the new competencies you will need to develop to adapt to the new role of APRN transitioning from the role of the RN.

    **Competencies Demonstrated by the Student APRN**

    What competencies did the student APRN demonstrate in this video? Please be specific and cite your information.

    **Conclusion**

    When writing in APA Style, a conclusion is required. Write a concise review of the main points in your paper. Include the important points you want your reader to remember.

    **References**

    **Practice and Principle: Episode 3 – More Than Meets the Eyes – Part 3**

    This is your introduction where you will explain briefly what your one to two page paper will include. For the reflective assignments for this course, the introduction would be at most one paragraph.

    **Ethical Conflicts**

    In this section, write about the conflict between health ethics and health laws and policy. Megan is at odds with Kenny, Mario, and Flora. Speak to the safety issues along with issues related to hospital discharge.

    **The Best Place for Joan**

    In this section, write about the various perspectives of those involved and where they think the best place is for Joan. Make sure to compare the various perspectives of those involved.

    **Perspectives of Nurse Leaders**

    When writing this section, what factors do nurse leaders need to considered when deciding on a clinical pathway? Make sure to support your writing.

    **Conclusion**

    When writing in APA Style, a conclusion is required. Write a concise review of the main points in your paper. Include the important points you want your reader to remember.

    **References**

    **Practice and Principle: Episode 4 – More Than Meets the Eyes – Part 4**

    This is your introduction where you will explain briefly what your one to two page paper will include. For the reflective assignments for this course, the introduction would be at most one paragraph. Make sure to review the laws in your state related to protection of older adults, elder abuse, and adult protective services

    **State Laws**

    In this section, you will write about the laws for the state in which you live related to how to handle this situation. Make sure to cite your laws to support your writing. Explain in detail how you will handle the situation presented in the video following applicable state laws.

    **Conclusion**

    When writing in APA Style, a conclusion is required. Write a concise review of the main points in your paper. Include the important points you want your reader to remember.

    **References**

    **## VideosReflectionInstructionsPart1.docx**

    **Videos Reflection Instructions**

    Must use the templates attached doing 1-2 page per video

    **Video #1 -** [https://westcoastuniversity.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=b6c56cbe-1b44-4e11-8005-afb60169ff5d&start=3.609129](https://westcoastuniversity.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=b6c56cbe-1b44-4e11-8005-afb60169ff5d&start=3.609129)

    **Details:**

    Write a 1 page paper discussing the following:

    1. In line with her professional responsibilities, Althea must first rule out pregnancy before she considers prescribing medication for Jasmine's nausea. Discuss the delicate balance between respecting patient autonomy and Althea's responsibility to ensure Jasmine's well-being. Is it ethical for Althea to be insistent about ruling out pregnancy, even if the patient is resistant?

    2. Althea is new in her role of nurse practioner. Discuss the competencies registered nurses will develop as they becomes a nurse practitioners. Which of these competencies does Althea demonstrate in this scenario?

    **Video #2 -** [https://westcoastuniversity.h5p.com/content/1291875034502648468](https://westcoastuniversity.h5p.com/content/1291875034502648468)

    **Details:**

    Write a 1- 2 page paper discussing the following:

    1. Review your state's Advanced Practice Nursing laws and other relevant state laws.

    2. Submit a 1 -page paper in which you reflect on:

    · The legal action in Jasmine’s case: If you were Jasmine’s healthcare provider (as a practitioner, nurse leader, or nurse educator), how would your values and ethics influence your practice?

    · The transition from registered nurse (RN) to nurse practitioner (NP): What new competencies do RNs need to develop as they transition to NPs?

    · Which of these competencies does the nurse practitioner student demonstrate in the scenario?

    **Video #3 -** [https://westcoastuniversity.h5p.com/content/1291875034789030478](https://westcoastuniversity.h5p.com/content/1291875034789030478)

    **Details:**

    Write a 1page paper discussing the following:

    In Episode 3, the conflict between health ethics (what feels morally right in caring for Joan) and health laws and policy put Megan, the nurse leader, at odds with Kenny, Mario, and Flora. While all four are concerned for Joan’s safety and ability to navigate life outside the hospital, Megan and, ultimately, Kenny offer additional perspectives and reasons why the hospital is not the best place to continue her care. How did Flora’s perspective compare to theirs? As nurse leaders, what factors, other than patient advocacy, must Megan and Kenny consider when discerning the best clinical pathway for Joan?

    **Video # 4 -** [https://westcoastuniversity.h5p.com/content/1291875034921534118](https://westcoastuniversity.h5p.com/content/1291875034921534118)

    **Details:**

    Write a 1 page paper discussing the following:

    Visit the Department of Justice website (
    [https://www.justice.gov/elderjustice/prosecutors/statutesLinks to an external site.](https://www.justice.gov/elderjustice/prosecutors/statutes)) and look for laws in your Florida designed to protect older adults from elder abuse and guide the practice of adult protective services agencies.

    Utilize one of the laws and, in a 1- to 2-page paper, discuss how to legally handle this situation.

    **## Templates.docx**

    **Practice and Principle: Episode 1 – More Than Meets the Eyes – Part 1**

    This is your introduction where you will explain briefly what your one to two page paper will include. For the reflective assignments for this course, the introduction would be at most one paragraph.

    **Althea and Responsibilities**

    In this section, write about the professional responsibilities of Althea. Make sure to support why you have identified these as professional responsibilities.

    **Patient Autonomy Versus Professional Responsibilities**

    In this section, explain using ethical principles how Althea can ensure a balance between patient autonomy and respect and the professional responsibilities of the APN.

    **Development of Competencies and the APN**

    In this section, write about the competencies a new APN will need to develop as they grow into their role.

    **Competencies Demonstrated by Althea**

    What competencies did Althea demonstrate in this video? Please be specific and cite your information.

    **Conclusion**

    When writing in APA Style, a conclusion is required. Write a concise review of the main points in your paper. Include the important points you want your reader to remember.

    **References**

    **Practice and Principle: Episode 2 – More Than Meets the Eyes – Part 2**

    This is your introduction where you will explain briefly what your one to two page paper will include. For the reflective assignments for this course, the introduction would be at most one paragraph. Make sure to review your state NPA and other pertinent state laws related to the practice of APN in your state.

    **Influence of Values and Ethics on Practice**

    In this section, write about the legal action in Jasmine’s case. If you were Jasmine’s provider, how would your values and ethics influence your practice?

    **Transition from RN to APRN**

    In this section, write about the new competencies you will need to develop to adapt to the new role of APRN transitioning from the role of the RN.

    **Competencies Demonstrated by the Student APRN**

    What competencies did the student APRN demonstrate in this video? Please be specific and cite your information.

    **Conclusion**

    When writing in APA Style, a conclusion is required. Write a concise review of the main points in your paper. Include the important points you want your reader to remember.

    **References**

    **Practice and Principle: Episode 3 – More Than Meets the Eyes – Part 3**

    This is your introduction where you will explain briefly what your one to two page paper will include. For the reflective assignments for this course, the introduction would be at most one paragraph.

    **Ethical Conflicts**

    In this section, write about the conflict between health ethics and health laws and policy. Megan is at odds with Kenny, Mario, and Flora. Speak to the safety issues along with issues related to hospital discharge.

    **The Best Place for Joan**

    In this section, write about the various perspectives of those involved and where they think the best place is for Joan. Make sure to compare the various perspectives of those involved.

    **Perspectives of Nurse Leaders**

    When writing this section, what factors do nurse leaders need to considered when deciding on a clinical pathway? Make sure to support your writing.

    **Conclusion**

    When writing in APA Style, a conclusion is required. Write a concise review of the main points in your paper. Include the important points you want your reader to remember.

    **References**

    **Practice and Principle: Episode 4 – More Than Meets the Eyes – Part 4**

    This is your introduction where you will explain briefly what your one to two page paper will include. For the reflective assignments for this course, the introduction would be at most one paragraph. Make sure to review the laws in your state related to protection of older adults, elder abuse, and adult protective services

    **State Laws**

    In this section, you will write about the laws for the state in which you live related to how to handle this situation. Make sure to cite your laws to support your writing. Explain in detail how you will handle the situation presented in the video following applicable state laws.

    **Conclusion**

    When writing in APA Style, a conclusion is required. Write a concise review of the main points in your paper. Include the important points you want your reader to remember.

    **References**

  • [Solved] pediatric conditions

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – a year ago **files (1)** – ## PEDIATRICCONDITIONS.docx **## PEDIATRICCONDITIONS.docx** PEDIATRIC CONDITIONS: need diagnostic tests, treatment and possible presentation (symptoms) for each one of them. · [Asthma](https://www.nidirect.gov.uk/conditions/asthma) · [Bronchiolitis](https://www.nidirect….

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    Assignment Prompt & Instructions

    – a year ago

    **files (1)**

    – ## PEDIATRICCONDITIONS.docx

    **## PEDIATRICCONDITIONS.docx**

    PEDIATRIC CONDITIONS: need diagnostic tests, treatment and possible presentation (symptoms) for each one of them.

    ·
    [Asthma](https://www.nidirect.gov.uk/conditions/asthma)

    ·
    [Bronchiolitis](https://www.nidirect.gov.uk/conditions/bronchiolitis)

    ·
    [Chickenpox](https://www.nidirect.gov.uk/conditions/chickenpox)

    ·
    [Cold](https://www.nidirect.gov.uk/conditions/common-cold)

    ·
    [Cough](https://www.nidirect.gov.uk/conditions/cough)

    ·
    [Croup](https://www.nidirect.gov.uk/conditions/croup)

    ·
    [Diarrhea and vomiting](https://www.nidirect.gov.uk/conditions/diarrhoea-and-vomiting)

    ·
    [Fever in children](https://www.nidirect.gov.uk/conditions/fever-children)

    ·
    [Earache](https://www.nidirect.gov.uk/conditions/earache)

    ·
    [Measles](https://www.nidirect.gov.uk/conditions/measles)

    ·
    [Mumps](https://www.nidirect.gov.uk/conditions/mumps)

    ·
    [Roseola](https://www.nidirect.gov.uk/conditions/roseola)

    ·
    [Rubella](https://www.nidirect.gov.uk/conditions/rubella)

    ·
    [Skin rashes in babies](https://www.nidirect.gov.uk/conditions/skin-rashes-babies)

    ·
    [Skin rashes in children](https://www.nidirect.gov.uk/conditions/skin-rashes-children)

    ·
    [Scarlet fever](https://www.nidirect.gov.uk/conditions/scarlet-fever)

    ·
    [Sore throat](https://www.nidirect.gov.uk/conditions/sore-throat)

    ·
    [Whooping cough](https://www.nidirect.gov.uk/conditions/whooping-cough)

    ·
    [Urinary tract infections in children](https://www.nidirect.gov.uk/conditions/urinary-tract-infections-children)

    · Pink Eye

    · Stomach flu

    · Strep throat

    **## PEDIATRICCONDITIONS.docx**

    PEDIATRIC CONDITIONS: need diagnostic tests, treatment and possible presentation (symptoms) for each one of them.

    ·
    [Asthma](https://www.nidirect.gov.uk/conditions/asthma)

    ·
    [Bronchiolitis](https://www.nidirect.gov.uk/conditions/bronchiolitis)

    ·
    [Chickenpox](https://www.nidirect.gov.uk/conditions/chickenpox)

    ·
    [Cold](https://www.nidirect.gov.uk/conditions/common-cold)

    ·
    [Cough](https://www.nidirect.gov.uk/conditions/cough)

    ·
    [Croup](https://www.nidirect.gov.uk/conditions/croup)

    ·
    [Diarrhea and vomiting](https://www.nidirect.gov.uk/conditions/diarrhoea-and-vomiting)

    ·
    [Fever in children](https://www.nidirect.gov.uk/conditions/fever-children)

    ·
    [Earache](https://www.nidirect.gov.uk/conditions/earache)

    ·
    [Measles](https://www.nidirect.gov.uk/conditions/measles)

    ·
    [Mumps](https://www.nidirect.gov.uk/conditions/mumps)

    ·
    [Roseola](https://www.nidirect.gov.uk/conditions/roseola)

    ·
    [Rubella](https://www.nidirect.gov.uk/conditions/rubella)

    ·
    [Skin rashes in babies](https://www.nidirect.gov.uk/conditions/skin-rashes-babies)

    ·
    [Skin rashes in children](https://www.nidirect.gov.uk/conditions/skin-rashes-children)

    ·
    [Scarlet fever](https://www.nidirect.gov.uk/conditions/scarlet-fever)

    ·
    [Sore throat](https://www.nidirect.gov.uk/conditions/sore-throat)

    ·
    [Whooping cough](https://www.nidirect.gov.uk/conditions/whooping-cough)

    ·
    [Urinary tract infections in children](https://www.nidirect.gov.uk/conditions/urinary-tract-infections-children)

    · Pink Eye

    · Stomach flu

    · Strep throat

  • [Solved] nursing portfolio final

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

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