How has the evolution of medical technology, graduate medical education, and the professionalization of medical and nursing staff affected the delivery of care?

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How has the evolution of medical technology, graduate medical education, and the professionalization of medical and nursing staff affected the delivery of care?

How has the evolution of medical technology, graduate medical education, and the professionalization of medical and nursing staff affected the delivery of care? Write a…

How has the evolution of medical technology, graduate medical education, and the professionalization of medical and nursing staff affected the delivery of care?
Write a paper that discusses the following 3 elements:
Provide an overview of how health care in the United States has evolved since the postindustrial period.
How has the evolution of medical technology, graduate medical education, and the professionalization of medical and nursing staff affected the delivery of care?
Why has the United States been unsuccessful in evolving the current health care system into a national health care system?
Note: Use APA style and 3 scholarly references. 6 pages

 

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Influence of Schools of Thought

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Influence of Schools of Thought

Choose one of the schools of thought that was introduced in the readings and in the Current Psychological Schools of Thought  presentation—the  mental testing movement, functionalism, behaviorism, neobehaviorism, or  psychoanalysis—that you have not yet written about in another  discussion assignment. Remember that psychoanalysis refers to a comprehensive theory about human nature and not to the psychotherapeutic approach.

  • What new principles and values did the school of thought bring to psychology?
  • What new ideas, practices, and methods were introduced?
  • Discuss some of the key developments within the school of thought  over the course of time, in terms of research methods or other applied  methods.
 
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What are some misconceptions when communicating with diverse populations? What are some steps a heal

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What are some misconceptions when communicating with diverse populations? What are some steps a heal

CriteriaLevel 5 – ExcellentLevel 4 – ProficientLevel 3 – DevelopingLevel 2 – ImprovingLevel 1 – EmergingTimeliness4 pointsExhibit outstanding timeliness in posting comments per discussion instructions. Initial post occurs in a timely manner (1â3 days into the module) allowing ample time for classmates to respond and engage, and subsequent posts meet the discussion requirements.
3 pointsInitial post occurs later (4â5 days into the module) allowing limited time for classmates to respond and engage; subsequent posts meet the discussion requirements.
2 pointsInitial post occurs substantially later (6â7 days into the module) allowing minimal time for classmates to respond and engage; subsequent posts meet the discussion requirements.
0 pointsInitial post occurs after the first week of the module.
0 pointsInitial post occurs after the first week of the module.
Professionalism6 pointsFollow instructions carefully.
Exhibit outstanding quality and length of post, per instructions.
Address all aspects of the discussion assignment.
Extend meaningful discussions by adding new information that builds upon classmatesâ posts and offers alternative perspectives.
Display respect for diverse perspectives in a manner that is appropriate for a health professional in a multidisciplinary context.
Demonstrate self-responsibility for learning by reading course materials and doing additional research.
5 points4 points3 points2 pointsCritical Thinking6 pointsDemonstrate excellence in understanding and interpreting the issue.
Use factual and relevant information to support statements as you develop concepts in a manner that shows full understanding of the issue.
Analyze, synthesize, and evaluate viewpoints and assumptions of others.
State conclusions and related outcomes (consequences and implications) that are logical and presented with appropriate rationale.
5 points4 points3 points2 pointsWriting and Information Literacy4 pointsUse credible scholarly and professional information sources.
Use proper in-text citation(s) and a reference list as required.
Provide comments that are well-written without errors.
3 points2 points1 point0 pointsOverall ScoreLevel 518 or moreLevel 416 or moreLevel 314 or moreLevel 212 or moreLevel 10 or more
 
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Elements that go into designing and launching a community service

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Final Project

In the first two written assignments, you selected one vulnerable population in need of a new program or service in your community.  In this project, you will finalize the research that allows you to understand elements that go into designing and launching a community service.  The Final Project will be written using a persuasive tone, such that you would be able to present it in order to gain community and organizational support for your program.  The Final Project must demonstrate an understanding of the reading assignments, class discussions, as well as your research and application of new knowledge.  Your project must contain the following elements:

  • A description of the vulnerable population and why they need assistance in your community.
  • A description of the health service needs of the vulnerable population you have chosen to serve with your program.
  • In order to support the need for the service you propose, cite statistical data obtained from your county health department, state health department, and organizations or agencies who serve the vulnerable population.
  • A description of your proposed community service or program; include the specific service(s) provided and one continuum of care level (prevention, treatment, or long-term care). Explain how the selected service(s) and the continuum of care will impact the chosen population.
  • Discuss the social and cultural norms of your vulnerable population and how these play a role in the need for the services offered by your program. Describe how the vulnerable population experiences the health care system.  Analyze methods your program can use to overcome social and cultural differences.
  • Identify two or more community organizations or agencies with which you can partner in order to implement your program. Explain how these organizations can help you implement the services you offer and the continuum of care offered by the potential partnering agencies. Explain which services these organizations will provide to your clientele that are not covered by your program.
  • Analyze at least four potential funding sources for your program, one of which must be from a state funded agency, one of which must be from a federally funded agency and the remaining two can be not-for-profit or for-profit business sources. Explain what factors must be met in order to receive funding from your sources.

Your final project will demonstrate quantitative literacy, which shows your ability to identify and solve problems.  Additionally, you must demonstrate integrative learning, which means you combine your earlier learning from this and other courses, analyze data from multiple perspectives, explore issues to their full extent as is required in the assignment, as well as incorporate your own personal and professional experiences.

Be detailed and convincing in describing the above elements.  For your presentation, you may choose between the following formats:

  • An APA formatted Final Paper
  • A PowerPoint Presentation

The Final Paper:

  • Must be eight to ten double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center.
  • Must include a separate title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  • Must begin with an introductory paragraph that has a succinct thesis statement.
  • Must address the topic of the paper with critical thought.
  • Must end with a conclusion that reaffirms your thesis.
  • Must use at least six scholarly sources, not including the textbook.
  • Must document all sources in APA style, as outlined in the Ashford Writing Center.
  • Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)Links to an external site..
 
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National Patient Safety Goals Paper

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National Patient Safety Goals Paper

Question description

National Patient Safety Goals Paper

The Joint Commission (JC) is an independent, not-for-profit organization. They accredit and certify more than 19,000 health care organizations, including Long Term Care facilities (LTC) in the United States. The Joint Commission had established, and updates yearly, the National Patient Safety Goals (NPSG).

Your assignment is to choose one of the Long Term Care NPSG’s. Then, research your chosen topic and write a 750 word APA paper. Your paper will include the following information:

  • Describe the NPSG you chose and why (Be sure to write in the voice of the third person.)
  • Describe the concerns related to this goal.
  • What are the consequences to patient safety if the goal is not achieved?
  • What are the evidence-based practice solutions you have found in your research?
  • Use APA format. Follow the APA example loaded in ANGEL under “course material.”
  • Use only peer-reviewed articles published within the past 5 years.
    • No Wikipedia
    • No .com’s.Only .org, .edu, .gov
  • Have a minimum of 3 references.(You may use the NPSG website as one reference).
  • Two (2) references must be peer-reviewed and from a reputable NURSING JOURNAL. CINAHL is a good place to start.
  • When writing a paper, use only third person. Do not use terms like ‘me,” or “I”.
  • You may use as many references as necessary to complete your paper.

Follow the link and choose the Long Term Care goals for 2016.

Link to NPSG for Long Term Care

https://www.jointcommission.org/assets/1/6/2017_NP…

The link above is an updated link to the Joint Commission National Patient Safety Goals for Nursing Care Centers. (They have changed the terminology from Long Term Care Centers to Nursing Care Centers.)

Please use the updated information for your NPSG paper.

 
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Social Work Research: Chi Square

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RESPONSE 1:
Respond to at least two colleagues by explaining how that colleague might rule out one of the confounding variables that they identified.
Colleague 1: Debby
Being able to look at the different designs and choosing the right design for the information necessary to give an accurate accounting is imperative.  Looking at the variables and outcomes wanting to be measured is also an important part of choosing a statistical design.  The outcome of the design should be able to tell whether the goals of the client have been met (Dudley, 2014).  In the study Social Work Research: Chi Square (Plummer, Makris, & Brocksen, 2014b), the outcome of the client was the outcome data measured.
The intervention provided by the organization was to rehabilitate recently paroled prison inmates and get these clients ready for full-time employment (Plummer, et. al., 2014b).  The design was to use a quasi-experimental research design and the program started with thirty recently paroled clients, the intervention group (Plummer, et. al., 2014b).  There was also another thirty recently paroled individuals that were waiting to enter the rehabilitation program, the comparison group (Plummer, et. al., 2014b).  The parole officers of each individual within both the intervention group as well as the comparison group were provided surveys regarding the employment and demographics of the individual (Plummer, et. al., 2014b).  The independent variable (rehabilitation program group) and the dependent variable (employment outcome), were measured using the Pearson chi-square and compared to the comparison group.
This study found the difference in the two groups were highly significant with a p value of .003 which is beyond the usual alpha-level of .05 which is used by researchers to determine the significance of the design used (Plummer, et. al., 2014b).  This type of findings would give the organization reason to believe that the rehabilitation program could be effective when working with these clients in being able to obtain full-time employment (Plummer, et. al, 2014b).
Internal Validity
The validity of the rehabilitation program may be compromised by the two groups selected for the study.  For example, there was no random selection when choosing the groups.  Also, gaining employment may or may not prove that these individuals can maintain employment and for how long.  This type of study would need a random selection of the groups as well as follow-up for a specific amount of time in order to follow how these groups were able to maintain the full-time employment.  The individuals that did not find employment and the individuals that found part-time employment would also need to be followed to measure whether full-time employment was achieved after a period of time.  This type of study gives a basic measurement but in order to truly get a valid conclusion regarding the rehabilitation program and the ability to gain and maintain full-time employment, there would need to be further evaluation.

 
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dentify ineffective teaching–learning strategies presented in the video, and discuss effective strategies the instructor could have implemented instead to avoid learning difficulties and promote critical thinking and active learning

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Next, identify ineffective teaching–learning strategies presented in the video, and discuss effective strategies the instructor could have implemented instead to avoid learning difficulties and promote critical thinking and active learning.Incivility and bullying occur in the classroom as well as the clinical environment in a number of ways:
1) Student to student
2) Student to faculty
3) Faculty to faculty
4) Faculty to student
Incivility and bullying not only affect the well-being of the people involved, but it also puts patient safety at risk. Post your thoughts on some of the causes of incivility and bullying in the classroom and clinical environments, and suggest approaches that can be used to avoid this type of behavior.
Using the hierarchical order of Bloom’s taxonomy for the cognitive domain, develop a learning objective related to a selected nursing course for each of the six categories of cognitive skills: knowledge, comprehension, application, analysis, synthesis, and evaluation

Revisit your personal philosophy of teaching. What learning strategies (discussed in chapter 7) that are influenced by your personal philosophy of teaching might you integrate into the curricula? Discuss how the learning strategies you described align with your personal philosophy of teaching.

Revisit your personal philosophy of teaching. What learning strategies (discussed in chapter 7) that are influenced by your personal philosophy of teaching might you integrate into the curricula? Discuss how the learning strategies you described align with your personal philosophy of teaching.
 
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Identify three (3) performance measurements you could use to evaluate the success of the clinic’s services.

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Identify three (3) performance measurements you could use to evaluate the success of the clinic’s services.

You are the manager of a new primary care clinic located about twenty five (25) miles outside of a small city (population of 50,000). With five (5) family physicians, two (2) nurse practitioners, two (2) physicians’ assistants (PAs), and twenty (20) clinical support staff consisting of RNs, LPNs, and CMAs, the clinic provides primary care services to a diverse community of people living and working outside the city limits. Originally a rural area, the community has been growing and now includes promising opportunities in employment, education, and comfortable living spaces for young families. However, there are still many residents who struggle to make ends meet with older farms that have belonged to families for generations.

The central city includes two (2) large acute care facilities, and one (1) tertiary care facility that is known for its excellent pulmonary care. Both acute care hospitals provide the usual services such as labor and delivery, outpatient surgery, chronic diseases care, etc. and have fully equipped ancillary departments, such as lab and radiology. Up until this point, the residents have used the facilities’ emergency departments for routine illnesses and conditions when their private physicians were not readily available.

Write a five to seven (5-7) page paper in which you:

Analyze some of the key social, political, and economic factors that have led to the proliferation of urgent care facilities and primary care practices over the last 20-30 years.
Create a comprehensive mission statement for the clinic, and discuss how it will facilitate the provision of quality services.
Analyze and discuss one (1) or more directions the clinic might take to grow its business. Determine what factors you would consider when deciding what services to provide in-house and which ones to affiliate with other institutions.
Decide how you will determine if the clinic is meeting its goals. Identify three (3) performance measurements you could use to evaluate the success of the clinic’s services. Begin by naming a goal, and then identify a quantifiable measurement you could use for each to determine if you are coming close or falling short of the goal.
Determine how you would then address whatever opportunities for improvement seem to exist and what processes you would put in place.
Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.
Format your assignment according to the following formatting requirements:
Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page is not included in the required page length.
Include a reference page. Citations and references must follow APA format. The reference page is not included in the required page length.
The specific course learning outcomes associated with this assignment are:

Analyze the critical management issues, purpose, functions, and performance measures of different departments within healthcare organizations.
Examine the political, economic, and social forces that have influenced the organizational foundations of the United States healthcare system.
Explain how public policy has shaped the development of the U.S. healthcare system.
Use technology and information resources to research issues in health services organization management.
Write clearly and concisely about health services organization management using proper writing mechanics

 

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How the community nurse, using an empowerment approach, could promote health literacy

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How the community nurse, using an empowerment approach, could promote health literacy

Community nursing assignment Aim of task: This assignment has been designed to assist you to explore community health principles and approaches and understand how these can be applied in nursing practice within a community setting Essay topic Discuss how the community nurse, using an empowerment approach, could promote health literacy in relation to the health goal identified for the chosen client group. Task Choose one of the given scenarios (see below). Each scenario provides a context, nursing role, client group and health goal. Write a 2,000 word essay which discusses how the community nurse, using an empowerment approach, could promote health literacy in relation to the health goal for the chosen client group. Ensure that you base your analysis and discussion on community health principles and approaches; including primary health care model (rather than the medical model); a group, community or population focus (rather than an individual or disease focus) and health promotion strategies. Ensure that you use scholarly literature relevant to the essay task and the scenario you have chosen and support the points you make in your essay. Scenarios You are working as a registered nurse in an outreach service for homeless men in a large city. Goal: You want to promote health literacy and decision-making in relation to drug and/or alcohol use. You are working as a registered nurse in a community centre that serves a large migrant population. Goal:

 

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Evaluate the required articles for this week and describe the assumptions the instructors might have to set aside as they enter into a qualitative research study.

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ThursdayJul 5 at 7:43pmManage Discussion Entry
In your initial post, compare the characteristics of appropriate research designs and recommend a qualitative research design that would facilitate answering the instructors’ additional questions.
Various qualitative research designs exist. Common methods as stated in Frost (2011) used to conduct qualitative research include: grounded theory, discourse analysis, interpretive phenomenological analysis (IPA), and narrative analysis (p. 3). While various methods exist, they all serve a useful purpose and have different characteristics. The grounded theory asks what, how, and why questions that are related to psychological processing. The discourse analysis design asks what and why questions related to the use of linguistics. IPA asks various questions about how individuals understand their environment around them. Narrative analysis uses storytelling to ask questions and share experiences in order to gain an understanding of the internal and external environment amongst individuals. While these methods all ask questions, they are designed to gain information in a variety of ways depending on the topic and the purpose of the study.
In order to gain a better understanding of how students feel about the intervention and how they view the influence of the intervention related to their learning, the instructor should use a narrative analysis design. Using the narrative analysis method would allow students to share their experiences and feelings about the intervention. For example, they could share if the intervention motivated or unmotivated them and their feelings toward the incentive. This method would also allow students to discuss and share how the intervention impacted or did not impact their learning in the classroom environment and external environments.
Explain the philosophical paradigm underlying the recommended approach.
In order to conduct a strong qualitative study, being aware of philosophical perspectives is essential. Postpositivism, constructivism-interpretivism, and critical-ideological perspective are three paradigms’ that can be used as a foundation for qualitative research (Ponterotto, 2013, p. 581). The critical-ideological perspective is the underlying paradigm related to the narrative approach. The narrative approach uses communication to gain a better understanding of the world. It allows individuals to interpret their feelings and make sense of their world. The communication provides a better understanding of the needs and implementing necessary tools.
Evaluate the required articles for this week and describe the assumptions the instructors might have to set aside as they enter into a qualitative research study.
The instructors should set aside any tunnel vision and open their eyes to various perspectives. Setting aside stereotyping or bias judgements is also critical. Refraining from positivistic assumptions, but rather reflexivity is essential (Frost, 2011, p. 12). Researchers must be open to change and have an open mindset.
Be sure to identify any ethical issues that may apply to the research.
The researcher is responsible for remaining ethical as conducting qualitative research can be very challenging. According to Ponterotto (2013) a variety of ethical challenges exist including informed consent, recruitment of participants, confidentiality, relationships, and interpreting data (p. 587). Gathering and interpreting data can be difficult, especially when evaluating information from various cultures, ethnicities, socioeconomic backgrounds, and communities. Anticipating or not having a clear understanding of where the study will go may be an issue as the original consent of the study may change. Gaining competence is essential when conducting qualitative research in attempt to reduce ethical issues (Ponterotto, 2013, p. 587). The researcher should be proficient in conducting research in order to complete the study in an efficient manner and remain ethical.
Review the characteristics of the quantitative approach you described in the Week Two discussion. Explain the ways in which the quantitative approach and paradigm differs from the qualitative approach and paradigm you have recommended here.
Various characteristics of the critical-ideological perspective and pretest-posttest-only control group design differ. The critical-ideological perspective is a qualitative approach to research, but may have some quantitative approaches as well. Various factors assist the researcher in shaping the inquiry process including political, economic, and social factors (Ponterotto, 2013). The researcher’s values provide insight to this process. The pretest-posttest-only control group design is a quantitative approach to research. An experiment is done and the participants are assigned at random. The researcher’s values should not influence the process, which is another characteristic that differs this method from the critical-ideological perspective.

 
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