COMMUNITY HEALTH NURSING

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FAMILY PROJECT

FLORIDA NATIONAL UNIVERSITY

NURSING DEPARTMENT

RN TO BSN PROGRAM

COMMUNITY HEALTH NURSING

FAMILY HEALTH ASSESSMENT

After you have read chapter 29 and 30 choose a family in your community and conduct a family health assessment using the following questions below.

1. Family composition.

Type of family, age, gender and racial/ethnic composition of the family.

2. Roles of each family member. Who is the leader in the family? Who is the primary provider? Is there any other provider?

3. Do family members have any existing physical or psychological conditions that are affecting family function?

4. Home (physical condition) and external environment; living situation (this must include financial information). How the family support itself.

For example; working parents, children or any other member

5. How adequately have individual family members accomplished age-appropriate developmental tasks?

6. Do individual family member’s developmental states create stress in the family?

7. What developmental stage is the family in? How well has the family achieve the task of this and previous developmental stages?

8. Any family history of genetic predisposition to disease?

9. Immunization status of the family?

10. Any child or adolescent experiencing problems

11. Hospital admission of any family member and how it is handle by the other members?

12. What are the typical modes of family communication? It is affective? Why?

13. How are decision make in the family?

14. Is there evidence of violence within the family? What forms of discipline are use?

15. How well the family deals with crisis?

16. What cultural and religious factors influence the family health and social status?

17. What are the family goals?

18. Identify any external or internal sources of support that are available?

19. Is there evidence of role conflict? Role overload?

20. Does the family have an emergency plan to deal with family crisis, disasters?

Identify 3 nursing diagnosis and develop a short plan of care using the nursing process.

Please present a summary of your assessment in an APA format on a 12 Arial font, word document attached to the forum in the discussion tab of the blackboard title “family assessment” Please use at least 3 scholarly evidence-based practice references besides the class textbook to sustain your assessment. A minimum of 1000 words are required, excluding the first and reference page (Websites can be used but will not count toward grading). 2 replies to any of your peer’s assessment are required sustained by the proper references.

Due date: Saturday July 7, 2018 @ 11:59 PM

If you have any question please contact me via FNU e-mail as soon as possible.

 
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HITECH Legislation

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Week 9 discussion

HITECH Legislation

In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:

Improve quality, safety, and efficiency, and reduce health disparities

Engage patients and families

Improve care coordination

Improve population and public health

Ensure adequate privacy and security protections for personal health information

For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers.

To prepare:

Review the Learning Resources on the HITECH legislation and its primary goals.

Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.

Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.

Reflect on how the incentives and meaningful use impact the quality of patient care.

Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.

By Day 3

Post a description of how HITECH legislation has positively or negatively impacted your organization. Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

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. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

 
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Describe how organizations use statistical thinking to be more competitive.Ben Davis had just completed an intensive course in Statistical Thinking for Business Improvement, which was offered to all employees of a large health maintenance organization.

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Describe how organizations use statistical thinking to be more competitive.Ben Davis had just completed an intensive course in Statistical Thinking for Business Improvement, which was offered to all employees of a large health maintenance organization.
Read the following case study.

Ben Davis had just completed an intensive course in Statistical Thinking for Business Improvement, which was offered to all employees of a large health maintenance organization. There was no time to celebrate, however, because he was already under a lot of pressure. Ben works as a pharmacist’s assistant in the HMO’s pharmacy, and his manager, Juan de Pacotilla, was about to be fired. Juan’s dismissal appeared to be imminent due to numerous complaints and even a few lawsuits over inaccurate prescriptions. Juan now was asking Ben for his assistance in trying to resolve the problem, preferably yesterday!

“Ben, I really need your help! If I can’t show some major improvement or at least a solid plan by next month, I’m history.”

“I’ll be glad to help, Juan, but what can I do? I’m just a pharmacist’s assistant.”

“I don’t care what your job title is; I think you’re just the person who can get this done. I realize I’ve been too far removed from day-to-day operations in the pharmacy, but you work there every day. You’re in a much better position to find out how to fix the problem. Just tell me what to do, and I’ll do it.”

“But what about the statistical consultant you hired to analyze the data on inaccurate prescriptions?”

“Ben, to be honest, I’m really disappointed with that guy. He has spent two weeks trying to come up with a new modeling approach to predict weekly inaccurate prescriptions. I tried to explain to him that I don’t want to predict the mistakes, I want to eliminate them! I don’t think I got through, however, because he said we need a month of additional data to verify the model, and then he can apply a new method he just read about in a journal to identify ‘change points in the time series,’ whatever that means. But get this, he will only identify the change points and send me a list; he says it’s my job to figure out what they mean and how to respond. I don’t know much about statistics — the only thing I remember from my course in college is that it was the worst course I ever took– but I’m becoming convinced that it actually doesn’t have much to offer in solving real problems. You’ve just gone through this statistical thinking course, though, so maybe you can see something I can’t. To me, statistical thinking sounds like an oxymoron. I realize it’s a long shot, but I was hoping you could use this as the project you need to officially complete the course.”

“I see your point, Juan. I felt the same way, too. This course was interesting, though, because it didn’t focus on crunching numbers. I have some ideas about how we can approach making improvements in prescription accuracy, and I think this would be a great project. We may not be able to solve it ourselves, however. As you know, there is a lot of finger-pointing going on; the pharmacists blame sloppy handwriting and incomplete instructions from doctors for the problem; doctors blame pharmacy assistants like me who actually do most of the computer entry of the prescriptions, claiming that we are incompetent; and the assistants tend to blame the pharmacists for assuming too much about our knowledge of medical terminology, brand names, known drug interactions, and so on.”

“It sounds like there’s no hope, Ben!”

“I wouldn’t say that at all, Juan. It’s just that there may be no quick fix we can do by ourselves in the pharmacy. Let me explain how I’m thinking about this and how I would propose attacking the problem using what I just learned in the statistical thinking course.”

Source: G. C. Britz, D. W. Emerling, L. B. Hare, R. W. Hoerl, & J. E. Shade. “How to Teach Others to Apply Statistical Thinking.” Quality Progress (June 1997): 67–80.

Assuming the role of Ben Davis, write a four (4) page paper in which you apply the approach discussed in the textbook to this problem. You’ll have to make some assumptions about the processes used by the HMO pharmacy. Also, please use the Internet to research articles on common problems or errors that pharmacies face. Your paper should address the following points:

 

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In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations:

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REFLECTION PAPER

DUE: SEPT 1, 2017 AT 10AM

MUST STAY WITHIN WORD COUNT AND BE ABLE TO FOLLOW INSTRUCTIONS AS STATED IN POST.  IF YOU ARE NOT CAPABLE OF FOLLOWING ALL INSTRUCTION DON’T ASK CAN YOU DO MY ASSIGNMENT AS I WILL CHOOSE YOU!!!

I DONT KNOW HOW MANY TIMES I HAVE TO SAY IT READ THE INSTRUCTIONS, AND FOLLOW THEM!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

FOLLOW APA FORMAT INCLUDING ALL CITATIONS

Details:

In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations:

  1. Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020.
  2. Recommendation 5: Double the number of nurses with a doctorate by 2020.
  3. Recommendation 6: Ensure that nurses engage in lifelong learning.

Identify your options in the job market based on your educational level.

  1. How will increasing your level of education affect how you compete in the current job market?
  2. How will increasing your level of education affect your role in the future of nursing?

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines,

You are required to submit this assignment to Turnitin.

 
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Post an explanation of how you view the similarities and differences between the nursing process and the strategic planning process.

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Post an explanation of how you view the similarities and differences between the nursing process and the strategic planning process.

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Chapter 7, “Strategic and Operational Planning” (pp. 138–161)

(Note: You may have read this in a previous course.)

This chapter describes the planning hierarchy and provides foundational information on strategic planning. As you read, think about distinctions between strategic and operational planning, as well as why a nurse leader-manager needs to be aware of and engaged in both.

Sare, M. V., & Ogilvie, L. (2010). Strategic planning for nurses: Change management in health care. Sudbury, MA: Jones and Bartlett.

“Introduction” (pp. xiii–xiv)

Chapter 1, “Why Nursing Needs Strategic Planning: Professional Empowerment in the New Millennium” (pp. 3–16)

Chapter 2, “The Healthcare Habitat: The Evolving Professional Home of Nursing” (pp. 17–40)

Chapter 3, “The Business That We Find Ourselves In” (pp. 41–53)

Chapter 4, “Just What Is Strategic Planning?” (pp. 57–82)

Chapter 1 sets the context for why strategic planning is important for nurses and introduces key terms, while Chapter 2 addresses the evolving landscape of healthcare. Chapter 3 explores the merging of nursing care and business, as well as developments leading up to the current business model of care. Chapter 4 examines the nursing process and strategic planning.

Carney, M. (2009). Enhancing the nurses’ role in healthcare delivery through strategic management: Recognizing its importance or not? Journal of Nursing Management, 17(6), 707–717.

Retrieved from the Walden Library databases.

The author examines the importance of strategic planning for nurse leader-managers and the extent to which nurses have adopted strategic planning into language and self-perception.

Fairholm, M. R., & Card, M. (2009). Perspectives of strategic thinking: From controlling chaos to embracing it. Journal of Management and Organization, 15(1), 17–30.

 

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Review the Healthy People 2020 objectives for the older adult

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Review the Healthy People 2020 objectives for the older adult. Of the objectives listed for the older adult, which do you feel is most important? Be sure to include examples and references to support your response.
Objective: Increase the proportion of older adults with one or more chronic health conditions who report confidence in managing their conditions (Healthy People 2020).
Chronic conditions may be difficult to manage based on the complexities of a disease. Additionally, managing one or more chronic conditions may be time consuming. Time consuming tasks may take the form of  monitoring (e.g. checking blood glucose), keeping a diary, scheduling appointments, sorting and taking medications, exercising, meal planning, etc.. The Agency for Healthcare Research and Quality (2015) suggests the burden of these tasks significantly impact how patients manage their chronic conditions, and that patients often find it difficult to complete all these tasks in order to manage their condition effectively. Personally, I see examples of this every day at the hospital: Patients are not confident in their self-management ability and are therefore unable to demonstrate skill or awareness in regards to their condition. Despite receiving adequate medical attention from outstanding multidisciplinary teams, patients continue to show little interest in self-management, ultimately resulting in an overwhelming number of older adults who lack the confidence to manage one or more chronic conditions (Bodenheimer, 2005). Healthcare providers are being forced to seek new and innovative ways to connect with patients and reinforce educational material in order to give patients the confidence and skill to manage their care. I believe this objective to be most important because self-management is clinically proven to result in better outcomes. It is proven that support for patients and caregivers improve confidence in managing conditions. Recently, my hospital has added to its emphasis on education and follow up… Simply providing information to patients is not enough to build confidence, skill, nor the knowledge to manage their health. Therefore, nursing must collaborate to reinforce behaviors and promote better health outcomes in patients.
There are several vulnerable populations that have a chronic illness (older; homeless; and lesbian, gay, bisexual, and transgender populations) that face challenges when it comes to care. Choose one vulnerable population and discuss what can be done to help alleviate these challenges.
Based on recent events that have transpired in the news, one might acknowledge that  refugees and immigrants are a vulnerable population… many of whom are struggling with chronic illness, and undeniably experiencing challenges related to our healthcare delivery system. Several barriers exist for this group, including language and technology barriers, expectations of medical care, cultural differences, as well as unique health risks or diseases specific to their population. Using a translation service can be helpful in alleviating language barriers. Offering translation services also builds trust and promotes communication with the patient. On another note, it is not uncommon for refugees and immigrants to  have false expectations of how our healthcare system operates. As the IRSA points out, “many refugees develop an idealized image of a system that will take care of all their needs, spiritual and physical,” (Burgess, 2004) but this is not necessarily the case, and these ideals should be clarified. We need to help develop realistic expectations while still engaging the patient in medical services… and helping them to understand the system, instead of completely turning them away. Specific diseases and conditions relative to a population can be addressed by promoting vaccination/immunization, promoting oral health, and helping patients to maintain healthy diets while continuing to incorporate their cultural preferences. Alternative medicines should be included in the plan of care when it is appropriate. Care should also be taken to include religious or cultural practices into the plan of care in order to address any spiritual components of care.

 
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Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence.

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Write a paper of 500-750 words (not including the title page and reference page) paper for your proposed evidence-based practice project solution. Address the following criteria:

  1. Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, too costly, or there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your PICOT before continuing.
  2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.
  3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the PICOT.
  4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations which may need to be addressed.
  5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and/or professional expertise.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin.
Upon receiving feedback from the instructor, refine “Section D: Solution Description” for your final submission. This will be a continuous process throughout the course for each section.

 
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Discuss among members in your group and decide on one way that your group's career field could impact health outcomes in a community, either directly or indirectly.

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Health education -Assignment: Career Choices

Question descriptionThe purpose of this assignment is to explore your future career goals and identify how health education and/or an understanding of health behaviors might impact your work. This two-part assignment includes an individual essay and participation in a group presentation.

Part 1 – Essay

  • Provide a brief description of your major and career field of interest, including the required educational path and duties and responsibilities of the job or profession or field? (10 pts) Be as specific as you are able based on where you are in your decision. For example, if you know that you want to become a labor and delivery nurse, indicate the responsibilities for that job. If you know you want to become a nurse, but unsure of the specialty, indicate the responsibilities of the profession. If you know that you want to pursue a career in healthcare, but unsure of the role, indicate the responsibilities of the field.
  • Of the job sectors listed below, in which could you see yourself working? Why? (10 pts) Be sure to review Chapter 16 in the text)
  • Government or public agency
  • Nonprofit and community-based organization (domestic and global) or school
  • Private sector consulting organization
  • Private industry
  • Healthcare provider
  • Academic setting
  • Reflecting back on your Class Introduction and the semester… (30 pts)
  • How could an ecological approach strengthen your work in your future career?
  • Did the course meet the expectations you shared at the beginning of the semester? Explain how it did or did not.

Part 2 – Individual/Group Presentation Attached are guidelines and the rubric for the assignment.

Scenario: The audience of stakeholders has $250,000 available and is deciding on where to place the funding.

  • With input from everyone in the group, prepare a presentation that introduces your general career field.
  • Discuss among members in your group and decide on one way that your group’s career field could impact health outcomes in a community, either directly or indirectly. Present this strategy to convince the stakeholders to fund your project/approach ahead of others.
 
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Explain how you can use interleaving  to learn or improve your mastery of a sport

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nterleaving for Learning” Please respond to the following:

  • Please read this Wired article, “Everything You Thought You Knew About Learning Is Wrong”, then respond to the following questions:
    • Explain how you can use interleaving  to learn or improve your mastery of a sport, instrument, course, or  skill (e.g. basketball, golf, guitar, math, painting, public speaking,  etc.) Specify the mini-skills you would interleave together.
      You are required to choose a group counseling topic ( ) you would like to research and for which you will develop a six-week group framework plan.    You will then design (in outline form) a 6-week, small group counseling plan based on this research.  You also need to include relevant research regarding effective small group intervention plans for this topic and population.  Your counseling plan needs to specify the population for whom the group is tailored
      • Please read this Wired article, “Everything You Thought You Knew About Learning I
      • s Wrong”, then respond to the following questions:

        • Explain how you can use interleaving  to learn or improve your mastery of a sport, instrument, course, or  skill (e.g. basketball, golf, guitar, math, painting, public speaking,  etc.) Specify the mini-skills you would interleave together.
 
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Submit a 5-6 page paper (excluding the title page and reference section) in which you discuss the origins and evolution of behaviorism and cognitive theory.

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Psychology Term Paper

Submit a 5-6 page paper (excluding the title page and reference section) in which you discuss the origins and evolution of behaviorism and cognitive theory.

For your final paper you will use two theoretical traditions and trace their origins to the present day. We will cover the other areas in the other aspects of the class (forums, exams, quizzes, etc.).

This is a comparative paper where you will discuss the origins of behaviorism and cognitive theory, including the theories of the primary contributors for each theory. In addition, students will analyze the current applications of behaviorism and cognitive theory and include two current examples for each theory where the theory is currently being applied in today’s world.  The paper should include a minimum of five peer-reviewed journal articles.

Your Final Paper should include the following:Title page in APA format (Times New Roman, 12 font only)

The below areas are the four required subheadings that must be included within your paper.

1. The origins of behaviorism theory

2. The origins of cognitive theory

3. The current applications of behaviorism theory*

4. The current applications cognitive theory*

*Note that the application sections of the paper should discuss how the theory is being applied to new situations.

This is a formal paper (not a list of responses or bullet-points) in APA format 6th ed.  (Times new Roman 12 font, 5-6 pages in length (not counting title page, abstract, or reference page), the use of five or more references is required (other than the textbook and website), and it must reflect the use of course content and critical thinking.You must include an APA formatted title page that includes:Student’s nameCourse name and numberTitle of paperInstructor’s nameDate submittedYou must include an introductory paragraph with a succinct thesis statement.You must address the topic of the paper with critical thought.You must conclude with a restatement of the thesis and a conclusion paragraph.You must use APA style as outlined in your approved APA style guide to document all sources.You must include, on the final page, a reference list that is completed according to APA style as outlined in your approved APA style guide.Include citations in your paragraphs.

Do NOT include quotes as they do not add to the critical analysis of the content.

Do NOT write in short (1-3 sentence) paragraphs.

Do NOT include bullet points or numbered items.

 
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