Which school has the highest number of students with wheezing?

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In Week 4, you will continue to assume the role of the public health informatician and use your pre-intervention asthma surveillance data set from the CDC to calculate risk/odds ratios and prevalence/incidence rates. Review the data set from a population perspective and calculate various population ratios and rates for the asthma data in your Excel spreadsheet. You will then answer the following questions in a short application paper of 3–4-pages, explaining your results. You may refer to the suggested readings for this week.

Ratios and Rate Questions

[Note: School populations: Asthma elementary student count in this study is 800 for this school year. School’s population (A + B + C + D) = 7,200 students for this school year.]

  • Does one school have a higher number of students with asthma?
  • Which school has the highest number of students with wheezing?
  • How many students had both asthma and wheezing?
  • If you have asthma, what are the odds that you also have wheezing?
  • Is the odds ratio for bronchitis and RAD lower or higher than asthma and wheezing?
  • How many children with wheezing were prescribed medication? From those results, what is the risk ratio?
  • Is the risk ratio for being prescribed medication for asthma higher or lower than being prescribed medication for wheezing?
  • Are the risk ratios for asthma and wheezing higher for children under the age of 10 than they are for the survey population as a whole?
  • What is the student asthma prevalence for the school district, i.e., A, B, C, D based on total student population as shown above?
  • What is the student asthma incident rate for the school district, i.e., A, B, C, D based on total student population as shown above?

In a summary, provide your interpretation of what your statistical ratio and rate calculations results demonstrate about this grade school population of students’ asthma risk and odds ratios, prevalence, and incidence rates. Explain how you may use this data in supporting the need and development of a public health asthma prevention program. You may use the prevalence resources in the links provided for your summary response.

Submission Details:

  • Give reasons and examples in support of your responses. Cite all sources using APA format.
  • Submit a 3–4-page paper in a Microsoft Word document to the Submissions Area by the due date assigned.

How do you envision the NHII will evolve and function in the coming years?

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From the National Health Information Infrastructure (NHII) legislation of the 1990s to current day Health Information Technology for Economic and Clinical Health (HITECH) legislation and the health information technology, the NHII continues to evolve, but at a more rapid pace. Part of that evolution has included not only the public and private health infrastructure development between the health providers, CDC, and the states but also many nongovernment partners, such as the commercial MEDLINE Plus, the Agency for Healthcare Quality and Research (AHQR), and many more.

  • Consider the NHII’s evolution and its achievements over the last two decades and share your understanding of its many components and how they work together to provide greater access to health information.
  • How is that information used to build healthier communities
  • What are the key drivers in the evolution of the NHII?
  • How do you envision the NHII will evolve and function in the coming years?

You may review the following resources:

  • Cusack, C. M., Hripcsak, G., Bloomrosen, M., Rosenbloom, S. T., Weaver, C. A., Wright, A., . . . Mamykina, L. (2013). The future state of clinical data capture and documentation: A report from AMIA’s 2011 policy meeting. Journal of the American Medical Informatics Association, 20, 134–140. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3555335/pdf/amiajnl-2012-001093.pdf
  • Agency for Healthcare Research and Quality. (n.d.). National guideline clearinghouse. Retrieved from http://www.guideline.gov/
  • CDC. (2013). National notifiable diseases surveillance system (NNDSS): Data collection and reporting. Retrieved from http://wwwn.cdc.gov/nndss/script/DataCollection.aspx
  • U.S. Department of Health and Human Services. (n.d.). The national health information infrastructure (NHII): Site index. Retrieved from http://aspe.hhs.gov/sp/nhii/siteindex.html
  • U.S. Department of Health and Human Services. (n.d.). Health information privacy: HITECH act enforcement interim final rule. Retrieved from  http://www.hhs.gov/ocr/privacy/hipaa/administrative/enforcementrule/hitechenforcementifr.html
  • HealthIT.gov (n.d.). Retrieved from http://www.healthit.gov/

Submission Details:

  • Write your response in a minimum of 300–400 words, providing relevant references. Apply APA standards to citation of sources. Respond to at least two students’ postings.
  • By the due date assigned, respond to the assigned discussion question and submit your responses to the appropriate topic in the Discussion Area.
  • By the end of the week , review and respond to at least two of your classmates’ postings. Participate in the discussion by analyzing each response for completeness and accuracy and by suggesting specific additions or clarifications for improving the discussion question response. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources.

Explain the American Nursing Association’s position on violence in the workplace.

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Its very important I cover all the competencies…!

Overview 

A new initiative has been introduced to educate nurses, health care workers, and social services workers on how to prevent workplace violence where you work. Write a 750–1,000-word article on workplace violence and prevention measures for the hospital employee newsletter.

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

  • Competence 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and      patient outcomes.        
    • Identify the political, legal, and/or legislative factors that may contribute to violence in health care settings.
  • Competency 2: Explain the effect of regulatory environments and controls on health care delivery and patient      outcomes.        
    • Identify the main components of OSHA’s workplace violence prevention guidelines.
    • Explain the American Nursing Association’s position on violence in the workplace.
    • Explain safety policies and protocols for preventing and responding to violence against health care workers.
  • Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.             
    • Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
    • Correctly format citations and references using APA style.

Assessment Instructions : 

     Your workplace has experienced some serious problems with workplace violence that occurred between patients and caregivers. A new initiative has been introduced to educate nurses, health care workers, and social services workers on how to prevent workplace violence. You have been asked to write an article on workplace violence and prevention measures for the hospital employee newsletter.

 Preparation:
Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on workplace violence. You will need at least five articles to use as support for your work on this assessment.

 Directions
     Write a 750–1,000-word article (3–4 pages) on workplace violence and      prevention measures for the hospital employee newsletter. Address the      following in your article:
 

  • Identify the political, legal, and/or legislative factors that may contribute to violence in health care settings. Consider the types of patients that may be treated within a clinical or hospital setting.
  • Compare OSHA regulations and the ANA position statement on workplace violence to organizational policies.
  • Explain safety policies and protocols for preventing and responding to violence against health care workers.
  • Additional Requirements
          Your presentation should meet the following requirements:
     
  • Written communication: Written communication should be free of errors that detract from the overall message.
  • References: Cite a minimum of five resources, with the majority being peer-reviewed sources. Your reference list should be appropriate to the body of literature available on this topic that has been published in the past 5       years.
  • APA format: Resources and citations should be formatted according to current APA style and formatting.
  • Length: 50– 1,000 words or 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
  • Font and font size: Times New Roman, 12-point.

I submitted a first paper and was non-compliance; this is the professor’s feedback:

1-Non-Performance

Does not identify the political, legal, and/or legislative factors that may contribute to violence in health care settings.

Faculty Comments:“

I did not see where you identified any political, legal, or legislative factors that may contribute to violence in health care settings.  What are the actual laws that may lead to workplace violence. Additionally, you could include real-world examples. This is required for a higher performance. Please incorporate the scoring guide criteria in the 2nd attempt revision. In addition, please remember to highlight any added information. Thanks! 

2-Non-Performance

Does not identify the main components of OSHA’s workplace violence prevention guidelines.

Faculty Comments:“

I did not see this area of the scoring guide addressed in the paper. Can you identify the main components of OSHA’s workplace violence prevention guidelines? Also, you could suggest benchmarks to determine if the guidelines are being followed. In addition, please remember to highlight any added information. Thanks! 

3-Non-Performance

Does not explain the American Nursing Association’s position on violence in the workplace.

Faculty Comments:“

I did not see this section of the scoring guide address in the paper.  Can you explain the American Nursing Association’s position on workplace violence? In addition, could you compare it to your organization’s policies.  This is needed for a higher performance score. In addition, please remember to highlight any added information. Thanks! 

4-Non-Performance

Does not explain safety policies and protocols for preventing and responding to violence against health care workers.

Faculty Comments:“

I did not see this section of the scoring guide address in the paper.  Can you explain the safety policies and protocols for preventing and responding to violence against health care workers? Additionally, can you examine the effectiveness of such policies on preventing violent cases.  This is needed for a higher performance score. In addition, please remember to highlight any added information. Thanks! 

5-Non-Performance

Does not format citations and references using APA style.

Faculty Comments:“

The paper was not in correct APA format. Next step, as you make your revisions, is to reach out to your tutor for assistance.

Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why.

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Using the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following:

  • Treatment modality used and efficacy of approach
  • Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals)
  • Modification(s) of the treatment plan that were made based on progress/lack of progress
  • Clinical impressions regarding diagnosis and or symptoms
  • Relevant psychosocial information or changes from original assessment (e.g., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job)
  • Safety issues
  • Clinical emergencies/actions taken
  • Medications used by the patient, even if the nurse psychotherapist was not the one prescribing them
  • Treatment compliance/lack of compliance
  • Clinical consultations
  • Collaboration with other professionals (e.g., phone consultations with physicians, psychiatrists, marriage/family therapists)
  • The therapist’s recommendations, including whether the client agreed to the recommendations
  • Referrals made/reasons for making referrals
  • Termination/issues that are relevant to the termination process (e.g., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
  • Issues related to consent and/or informed consent for treatment
  • Information concerning child abuse and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
  • Information reflecting the therapist’s exercise of clinical judgment

Note:Be sure to exclude any information that should not be found in a discoverable progress note.

Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment.

In your progress note, address the following:

  • Include items that you would not typically include in a note as part of the clinical record.
  • Explain why the items you included in the privileged note would not be included in the client family’s progress note.
  • Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why.

Explain how the demographics for the population have changed over the past 5–10 years.

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 Conduct a windshield survey to identify a population and its primary health concern. Develop a 3–5-page report that explains demographic changes for a population and describes the health disparities and social determinants of health that can affect the population. 

**Central Florida United States community**

Requirements

  • Conduct the windshield survey, using the template attached.
  • Use the template as a guide to write a report for your team. If possible, look at other written documents used within your organization. How are they formatted? Follow that format as closely as possible, making sure you still use APA guidelines for your in-text references, citations, and reference page.

Based on your observations and notes from your survey experience, write a report that includes the following:

  • Describe, briefly, the neighborhood or community you observed (overall condition, types of spaces and businesses, evidence of services, and so forth).
  • Describe a vulnerable or diverse population you observed living within the neighborhood or community.

Now you will need to do some research on the population you described:

  • Explain how the demographics for the population have changed over the past 5–10 years. Note: This information should be readily available through the United States Census Bureau, similar state Web sites, the Bureau of Labor Statistics, or other professional sites. Be sure your information is current.
  • Describe the most prevalent health risks for the population. For example, if your population is senior citizens, then the health risks might be diabetes and loss of mobility. Include statistics on the health risks, such as frequency of occurrence in the population and number of deaths per year in the population.
  • Identify the health disparities and social determinants of health that can affect the population. In other words, what will you need to overcome to develop a successful health promotion and disease prevention program for the population?

Your completed assessment should be 3–5 pages in length, not including the title page and reference page. Support your information with references to at least three professional, scholarly, or government resources, and follow current APA guidelines for your in-text citations and references.

Additional Requirements

  • Include a title page and reference page. The completed assessment should be 3–5 pages in length, not including the title page and reference page.
  • Reference at least three current scholarly, professional, or government resources.
  • Use current APA format for citations and references.
  • Use Times New Roman font, 12 point.
  • Double spaced

Attached is an example of a well graded paper as well as an example of a windshield survey to use as a reference.

Explain evidence-based strategies to bridge the gaps in health care service provided to the population

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 Develop a 3–5-page report that explains how an organization serves the health care concerns and needs of a population. The report should identify gaps in the health care service, explain strategies to bridge the gaps, and describe potential barriers to those strategies. 

This assignment is the 2nd part of the windshield survey previously posted.  

Preparation

Now that your team has a better understanding of the population served by the organization, you need to evaluate how able the organization is to serve the specific health care needs of the population identified in the Windshield Survey assessment.

  • Use the Internet  to locate at least three academic or professional resources to use in this assessment.
  • Follow the same formatting instructions that you used in the Windshield Survey assessment. Your assessment should be done as a report for your team, using APA formatting for in-text citations and references.

Requirements

In your organizational evaluation, complete the following:

  • Describe the primary health concern for a vulnerable or diverse population.
  • Explain how the organization currently serves this health care concern. Be sure you include information on how the organization communicates to the population.
  • Identify gaps in the health care service provided to the population.
  • Explain evidence-based strategies to bridge the gaps in health care service provided to the population.
  • Identify any possible barriers to implementing your strategies.

Additional Requirements

  • Include a title page and reference page. The completed assessment should be 3–5 pages in length, not including the title page and reference page.
  • Reference at least three current scholarly or professional resources.
  • Use current APA format for citations and references.
  • Use Times New Roman font, 12 point.
  • Double space.
  • *Attached is an example of a well graded paper to use as a reference. 

Discuss the external and internal validity issues associated with each methodology and design.

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The DNP must have a basic knowledge of methodology and design. With this knowledge the DNP can identify how methodology and design can be used to evaluate the validity of research studies. This assignment will allow you to describe your understanding of methodology and design while examining external and internal validity of three studies.

General Requirements:

Use the following information to ensure successful completion of the assignment:

  • Use at least three additional scholarly research sources published within the last 5 years. Provide citations and references for all sources used.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • 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 LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

Using the Grand Canyon University Library, locate three articles, one quantitative, one qualitative, and one mixed-method related to your DPI topic.

Create a comparison table, using correct APA formatting, to describe the methodology and design used within each article. The table will be provided as an Appendix to the paper.

Write a 1,000 to 1,250 word paper discussing the different methodologies and designs used in each study.

Discuss the external and internal validity issues associated with each methodology and design.

  1. Discuss the external and internal validity issues associated with each methodology and design.
  2. Describe how using a different methodology or design might have been beneficial for each study and describe why.
  3. Summarize the paper.

Submit your 15–20-slide presentation in MS PowerPoint format and your 8–10-page report in a MS Word format to the Submissions Area by the due date assigned.

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nstructions

Good public health program planners are able to clearly describe, descriptively and/or analytically, the priority population and use that information to guide them when developing an intervention (activity) to address the specific problem.

In your final deliverable consisting of both an 8–10-page report and a 15–20-slide PowerPoint presentation, you will use the information from the pre-intervention elementary school asthma study to create an education plan for asthma prevention among school children in four schools, based on the social ecological model. See the model illustration below.

The graphic represents the socio-ecological model.

The findings and recommendations in your paper and PowerPoint presentation must be supported by your primary data results and peer-reviewed literature. Give reasons and examples in support of your positions. Cite all sources using APA format.

Click here to install Minitab Software.

You may review the following resources:

  • CDC. (2013). Colorectal cancer control program (CRCCP): Social ecological model. Retrieved from http://www.cdc.gov/cancer/crccp/sem.htm
  • CDC. (2012). Program Performance and Evaluation Office (PPEO)—Program evaluation: A framework for program evaluation. Retrieved from http://www.cdc.gov/eval/framework/index.htm

Report

Your plan should be delivered in an 8–10-page report and include:

  • Clear explanations of each level of the ecological model and how it addresses the problem.
  • Positions supported by the asthma data and statistics from this course, which support the need for the education program.
  • Calculations indicating if there is a significant difference in asthma prevalence between four schools (A, B, C, and D) using Statistical Inference and t-Tests. Refer to the help files in the Minitab application specifically for Statistical Inference and t-Tests.
  • A well-supported answer to the question: Is there one school that has a greater need than others for priority in asthma education and why?

PowerPoint Presentation

Your 15–20-slide PowerPoint presentation should summarize your informatics research completed in Weeks 1–4, and your final needs assessment findings and recommendations. The PowerPoint presentation must include:

  • Relevant information from your asthma study, and be visually stimulating with graphics and pictures as appropriate
  • References both within the PowerPoint slides and a full citation on the last slide
  • Speaker notes on each slide plus an audio file of your narration of the presentation using the “record narration” feature

Submission Details:

  • Submit your 15–20-slide presentation in MS PowerPoint format and your 8–10-page report in a MS Word format to the Submissions Area by the due date assigned.
  • Name your document SU_PHE6203_W5_A2_A_LastName_FirstInitial.doc and your PowerPoint presentation SU_PHE6203_W5_A2_B_LastName_FirstInitial.ppt.

Attachments

Submissions

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  • Activity Details

Task: Submit to complete this assignment Due January 9 at 11:59 PM

Assessment

Rubrics

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

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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.

Use at least 3 references

                                   The Stigma of Mental Illness

As a society, how do we view mental illness? Often with disdain, discomfort, or fear. Often we ridicule people with mental health disorders.  Our culture fosters negative views of mental illness by using terms such as “crazy”, “nuts”, “psycho”, and the media perpetuates these concepts by depicting people with mental illness as scary, silly, stupid, or defective.

The policy issue that most affects my professional, as well as, personal life is Disability.  I am a psychiatric nurse who also happens to have a mental health issues. Mental illness discrimination and access to healthcare are protections meant to be provided under the law. According to the Americans with Disabilities Act (ADA), it is illegal to revoke licensure or otherwise prevent a healthcare provider from working due to mental disorders. The conditions included are illnesses such as depression, bipolar disorder, and schizophrenia. Another form of discrimination the ADA protects is “employment tests or other selection criteria that screen out or tend to screen out an individual with a disability or a class of individuals with disabilities” (Samuel, L, 2017). However, professional licensing boards still actively engage in discriminatory actions every single day. “Boards’ hands are often tied in terms of what state legislatures will let them do” (Dyrbye, 2017). According, to Dyrbye, at the state level, the quandary is between protecting the public from impaired healthcare workers and the provider’s right to make a living. New studies have shown that nearly 40% of physicians and an even higher percentage of nurses reported that they would be reluctant to seek formal medical care for treatment of a mental health condition because of concerns about repercussions to their licensure.

In the Kingdon’s Model the problem is having special protections under the American Disabilities Act (ADA) to prevent increased discrimination for licensed professional healthcare workers suffering from mental illness who are far more susceptible to bias related to the nature of their professions as providers of patient care.

A policy stream can easily be defined as a think tank.  The primary objective is to collaborate to refine the problem to best address the proposed policy.  In the case of disabilities related to mental illness in healthcare professionals this may be difficult because it is a narrowly defined subset of both the mentally ill and the disabled populations.  However, because the subset can pull from two communities for support it may be easier gain support.  Ultimately, the goal is to put policy into law that forces all healthcare licensure boards and healthcare employers from gathering mental health information and that employers will face serious penalties for discrimination and/or wrongful termination.  The burden of proof is then on the employer rather than the employee to prove rational for separation.

Engaging members from all facets of the healthcare community, as well as, the American Psychiatric Association (ADA) to serve as experts is paramount in generating political support.  Having political connections foster influence from organizations such as NAMI, MHA, Congressman LaHood from IL, Representative Tim Murphy from PA, Linda Rosenberg, CEO of the National Council for Behavioral Health, Executive Director of Mental Illness Policy Org DJ Jaffe, ANA, AMA, and EEOC.  Finally, identifying successful lobbyists to push policy forward is fundamentally crucial if any bill is to become law. Eliciting the support of a successful lobbyist can help to identify windows of opportunity and to approach legislators at the right time and under the best circumstance to have a bill well received.

Reference

Dyrbye, L., West C., Synsky, C., goders, L., Satele, D., Shanafelt, T. (2017). Medical Licensure    Questions and Physician Reluctance to Seek Care for Mental Health Conditions. Mayo Clinic Proceedings. 92, 10, p1463-1604, e133-e153. DOI: https://doi.org/10.1016/j.mayocp.2017.06.020

Farmer, J., (2011, May 16). Disclosing a Mental Health Problem to an Employer. The Guardian. Retrieved by https://www.theguardian.com/careers/careers-blog/mental-health-at-work

John Kingdon, Agendas, Alternatives, and Public Politics, 2nd ed. (New York: Harper Collins, 1995). p. 19.

Samuel, L; (2017, October 16). Stat. Doctors Fear Mental Health Disclosure Could Jeopardize Their Licenses. Retrieved from https://www.statnews.com/2017/10/16/doctors-mental-health-licenses/