2. When the side effects and long-term effects of a potential preventive measure are largely unknown, is it ethical to expose participants to these risks? Why or why not?

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PUBLIC HEALTH

Ethics in Epidemiological Research

An Experimental Study in the Primary Prevention of Type 2 Diabetes

Imagine that researchers are conducting a randomized controlled trial of a high-fiber supplement as a preventive measure in persons at increased risk of type 2 diabetes. People enrolled in the study are disease-free at the time they agree to participate in the trial, but they all have a family history of type 2 diabetes and are considered at high-risk (80%) to develop the disease during their lifetime. The 10,000 participants who start the trial are healthy individuals who are randomly allocated to receive either high-fiber supplements or placebo for several years. As you can imagine, this study will be quite expensive and will require a large infrastructure of personnel and materials to carry it out successfully.

Because type 2 diabetes has reached epidemic proportions in the United States, the potential benefits of this research are important at a population level. Unfortunately, high-fiber supplements have also been shown in a few studies to be associated with gastrointestinal blockage (which can be life-threatening) and reduced nutrient absorption, which may lead to anemia, osteoporosis, and other debilitating chronic diseases. The supplements may also reduce absorption of certain medications and cause gastrointestinal distress. The potential side effects of continuous high-fiber supplementation are only partially understood, and long-term effects are unknown.

Post your initial response to at least two of the following questions:

1. What are the potential risks and benefits to be considered when designing this study?

2. When the side effects and long-term effects of a potential preventive measure are largely unknown, is it ethical to expose participants to these risks? Why or why not?

3. Is it ethical to deny the possible prevention benefits of high-fiber supplements to persons in the placebo group? Why or why not?

4. Do the potential benefits outweigh the potential risks to the partici

2. What are your thoughts on multistate licensure? How does it strengthen and weaken professional nursing?

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2. Which is more important, working for an effective leader or an effective manager? Explain your answer.

3. Observe the nurse manager in a unit to which students have been assigned. What management style is displayed? How does the staff respond to this style

4. What qualities do you think are most important to be a good nurse manager?

1. Interview the nurse manager on your assignment unit. What interpersonal, decisional, and informational activities does he or she complete on a daily basis?

2. You are the nurse manager on your unit. One of the most experienced staffers has been out on sick leave, and another just had a baby. The rest of the staff are working very hard to pick up the slack to avoid using agency personnel. What tangible and intangible rewards might you use to thank the staff?

3.

PART 1: Begin by writing a 50-word description of the ideal nurse manger, someone you would like to work for. Describe a real-life nurse manager whom you have encountered in one of your clinical rotations. What qualities of this person meet your ideal? In what ways does this individual not meet your ideal? (Reminder: nobody is perfect.)

PART 2: Think about becoming an ideal manager yourself. What qualities of an ideal manager do you already possess? What qualities do you still need to develop? How will you accomplish this?

1. Find your own states requirements for informed consent. Do elective procedures and emergency situations use the same standard?

2. Obtain a copy of your states Nurse Practice Act. Does the act give adequate guidance for nurses to know if an action is within the scope of nursing practice?

1. Explain how the Nurse Practice Act in your state provides for consumer protection and for professional nursing progress.

2. What are your thoughts on multistate licensure? How does it strengthen and weaken professional nursing?

3. As a new nurse, how can you ensure confidentiality in clinical settings?

4. How can nurses safeguard the confidentiality of medical information when sending it by fax or e-mail?

5. Explain the role of the nurse in obtaining informed consent. Do you believe that this is within the scope of nursing practice? Explain your answer.

6. Should nurses carry malpractice insurance? Explain your answer.

7. Should all patients have advance directives? Explain your answer.

8. Should employers be permitted to require nurses to work overtime if there is a shortage of registered nursing staff on a unit? Support your answer with evidence from the literature

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Ch03.ppt
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Ch02.ppt

Who is your audience, and why is it important to convince them that your view on your topic is the better (or more correct) view?

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In this journal assignment, select two potential problems that a) have two logical sides to the issue (your viewpoint and an opposing viewpoint); b) are researchable; and c) are related to your career or degree.

For your submission, write a fully developed paragraph for each problem (5-8 sentences each) explaining two sides to the issue (how is it argumentative?), how you plan to approach it in your project (what side are you going to take?), and why you’re personally interested in it (of all the potential problems in your field or degree, why did you choose this?).

When writing the paragraphs, feel free to express any other thoughts or concerns you may have about the topic choices.

After exploring the argumentativeness of your problems, take a moment to consider the bigger picture. Then, in one to two paragraphs, briefly reflect on the importance of persuasion with the potential topic you are most likely to write about. Why is it important that people consider your side with your selected topic? Who is your audience, and why is it important to convince them that your view on your topic is the better (or more correct) view? Remember to try to be specific in your entry, as this information will help guide you as you work on your project in the coming weeks.

2) Explain how adverse events are handled in your organization from the public’s perspective and well as internally.

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Quality Improvement Initiative

When attempting to garner support for a quality improvement initiative, it is important to demonstrate how the initiative supports the organization’s mission, vision, and values, as well as external factors that influence an organization’s priorities. Delivering a proposal for a quality improvement initiative requires clear, concise communication of the plan.

By tomorrow Tuesday 01/09/18 by 10 pm, write a minimum of 550 words essay with at least 2 references in APA format. Include the level one headings as numbered below:

1) Choose a QI initiative which has been the subject of focus in any healthcare setting. Explain the rationale that your senior leaders used in selecting this initiative for attention and focus.

2) Explain how adverse events are handled in your organization from the public’s perspective and well as internally.

3) Find a scholarly article or one from the public press, published within the last 5 years which recounts a serious error. Relate this error to any organization with which you have some familiarity.

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

Chapter 11: “Patient Safety and Medical Errors”

Clarke, C. M., & Persaud, D. D. (2011). Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. Journal of Patient Safety, 7(1), 11–18. doi:10.1097/PTS.0b013e31820c98a8

Designed for leaders who want to improve quality care, this article focuses on clinical handovers that occur within acute care facilities. It provides a model for improvement and is intended to be a supplemental resource that can be used with the existing research and literature on this topic.

Sennett, C. (2010). Healthcare reform: Quality outcomes measurement and reporting. American Health & Drug Benefits. Retrieved from http://www.ahdbonline.com/article/healthcare-reform-quality-outcomes-measurement-and-reporting

The article on this website discusses features of the Patient Protection and Affordable Care Act (PPACA), focusing on the outcomes and implications for quality outcomes measuring and reporting.

Lazarus, I.R. (2011). What will It take? Exploiting trends in strategic planning to prepare for reform. Journal of Healthcare Management, 56(2), 89–93.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: Organizational priorities for quality improvement. Baltimore: Author.

Note: The approximate length of this media piece is 9 minutes.

This video provides an overview of organizational factors that influence quality. Lillee Gelinas discusses the importance of teamwork and enlisting leadership to help move quality initiatives forward. Other topics addressed include the role of stakeholders in improving patient safety and the responsibility of hospital board members in setting the quality and safety agenda.

Review the Learning Resources on grammar and punctuation.

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Reflecting on Your Writing: Proofreading

Proofreading and ensuring correct grammar and punctuation is an important final step before completing any scholarly writing assignment. Be sure to allot the necessary time for this step when planning the timeline for this and future assignments.

This week’s Learning Resources will help you better understand the proofreading tools available to you so that you can submit a strong final draft. For this Discussion, you will reflect on your own writing in relation to final proofreading. Based on what you have learned from the week’s Resources, you will share your thoughts and experiences on proofreading. You may also choose to reflect on any grammar- or punctuation-related strategies you have used in the past or are currently using.

To prepare:

Review the Learning Resources on proofreading.

Review the Learning Resources on grammar and punctuation.

Reflect on your writing process in relation to proofreading. You may even choose to consider how you approached this specific assignment in relation to proofreading, grammar, and/or punctuation.

By Tuesday 01/09/18 by 10 pm, post a 1- to 2-paragraph reflection with at least 1 reference on your use of proofreading. (Note: You may choose to reflect specifically on how you will apply concepts of proofreading in this week’s Assignment.) In addition, identify any grammar-related issues in your writing and ways you have addressed them in this course.

Finally, post your Final Plan and Course of Action timeline for your colleagues to review. Your Final Plan and Course of Action consists of 1–2 sentences where you outline your plan for finishing your essay, including the exact sentence, “I will submit the final draft of my evaluative essay for WCSS 6060/6061: Graduate Writing II by XX/XX/20XX.” You may also add the phrase, “I will complete final proofreading, editing, and revision of my evaluative essay by XX/XX/20XX.” Be sure to fill in the date that you will complete your revision and submit your final draft!

Required Readings

Walden University Writing Center. (2015i). Walden templates: General templates: APA course paper template (6th ed.). Retrieved from http://academicguides.waldenu.edu/writingcenter/templates/general

Laureate Education. (2015). [Infographic]. Tips for Proofreading, Baltimore, MD: Author.

Walden University Writing Center. (2015j). Writing a paper: Reflecting & improving. Retrieved from http://academicguides.waldenu.edu/writingcenter/writingprocess/reflecting

Walden University Writing Center. (2015d). Grammar: Overview. Retrieved from http://academicguides.waldenu.edu/writingcenter/grammar

Walden University Writing Center. (2015g). Punctuation: Overview. Retrieved from http://academicguides.waldenu.edu/writingcenter/punctuation

Nadeau, N. (2014, October 14). Top 5 paragraph-level mistakes in student writing [Blog post]. Retrieved from http://waldenwritingcenter.blogspot.com/2014/10/top-5-paragraph-level-mistakes-in.html

Required Media

Walden University Writing Center (Producer). (2014, June 15). WriteCast: Faculty writing advice: Residency interview with Dr. JaMuir Robinson (Episode 10). [Audio podcast]. Retrieved from https://soundcloud.com/writecast/010-residency-interview-with-dr-jamuir-robinson

Note: The approximate length of this media piece is 6 minutes.

Transcript: http://academicguides.waldenu.edu/writingcenter/transcripts/podcasts/ep010

Walden University Writing Center (Producer). (2015, May 4). WriteCast: Writing expectations at U.S. colleges and universities (Episode 21) [Audio podcast].

Retrieved from https://soundcloud.com/writecast/episode-21-writing-expectations-at-us-colleges-and-universities

Note: The approximate length of this media piece is 16 minutes.

Transcript: http://academicguides.waldenu.edu/writingcenter/transcripts/podcasts/ep021

Optional Resources

Smith, M. (2012, August 14). Incorporating Grammarly into your writing process [Blog post]. Retrieved from http://waldenwritingcenter.blogspot.com/2012/08/incorporating-grammarly-into-your.html

Walden University Writing Center. (2015e). Grammarly: Incorporating feedback. Retrieved from http://academicguides.waldenu.edu/writingcenter/grammarly/incorporating

5. Explain the role of the nurse in obtaining informed consent. Do you believe that this is within the scope of nursing practice?

/0 Comments/in /by

.Discuss the differences between a leader and a manager.

2. Which is more important, working for an effective leader or an effective manager? Explain your answer.

3. Observe the nurse manager in a unit to which students have been assigned. What management style is displayed? How does the staff respond to this style

4. What qualities do you think are most important to be a good nurse manager?

1. Interview the nurse manager on your assignment unit. What interpersonal, decisional, and informational activities does he or she complete on a daily basis?

2. You are the nurse manager on your unit. One of the most experienced staffers has been out on sick leave, and another just had a baby. The rest of the staff are working very hard to pick up the slack to avoid using agency personnel. What tangible and intangible rewards might you use to thank the staff?

3. PART 1: Begin by writing a 50-word description of the ideal nurse manger, someone you would like to work for. Describe a real-life nurse manager whom you have encountered in one of your clinical rotations. What qualities of this person meet your ideal? In what ways does this individual not meet your ideal? (Reminder: nobody’s perfect.)

PART 2: Think about becoming an ideal manager yourself. What qualities of an ideal manager do you already possess? What qualities do you still need to develop? How will you accomplish this?

1. Find your own state’s requirements for informed consent. Do elective procedures and emergency situations use the same standard?

2. Obtain a copy of your state’s Nurse Practice Act. Does the act give adequate guidance for nurses to know if an action is within the scope of nursing practice?

1. Explain how the Nurse Practice Act in your state provides for consumer protection and for professional nursing progress.

2. What are your thoughts on multi state licensure? How does it strengthen and weaken professional nursing?

3. As a new nurse, how can you ensure confidentiality in clinical settings?

4. How can nurses safeguard the confidentiality of medical information when sending it by fax or e-mail?

5. Explain the role of the nurse in obtaining informed consent. Do you believe that this is within the scope of nursing practice? Explain your answer.

6. Should nurses carry malpractice insurance? Explain your answer.

7. Should all patients have advance directives? Explain your answer.

8. Should employers be permitted to require nurses to work overtime if there is a shortage of registered nursing staff on a unit? Support your answer with evidence from the literature.

APA style

cover page

4. Why are the causes of morbidity and mortality in other countries different than in the United States?

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Epidemiology of Health and Illness.

Transforming the Public’s Health Care Systems.

Global Health

Please read chapter 4, 5 & 7 of the class textbook and review the attached Power Point presentations. Once done answer the following questions;

1. How does the epidemiologic triad apply to health issues we see in the hospital? What are some common diagnoses in the acute care setting? What about in the community setting? How does the epidemiologic triad differ when a nurse is providing care to someone in the community or in his home? Does the nurse have more or less control in either arena?

2. Discuss the data presented regarding obesity in America in the Ethical Connection feature on page 118. Please review the data and discuss your feelings about the role of community health nurses in community nutrition.

3. What are some of the causes for increases in healthcare costs in recent years, as outlined in the chapter? Brainstorm some examples that you have actually witnessed in the clinical setting. Can any of these factors be modified? What could nurses do to help cut down on costs related to the different factors?

4. Why are the causes of morbidity and mortality in other countries different than in the United States? In what ways are they the same? Why do those differences exist? What types of services & interventions are needed in less developed countries to help with their health issues?

As stated in the class syllabus please present your assignment in an APA format word document, Arial 12 font attach to the thread in the discussion board title “Week 2 discussion questions”. A minimum of 2 references no more than 5 years old are required with 2 replies to any of your peers sustained with the proper references. A minimum of 500 words without counting the first and reference page are required.

Text and materials:

Discuss the advantage and disadvantage of one drug to treat urinary tract infections

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Discuss the advantage and disadvantage of one drug to treat urinary tract infections

The initial post should be a minimum of 4 paragraphs. Each paragraph should be supported with evidenced based peer reviewed journals. Support answers with two cited peer reviewed journals no older than 5 years.

3. What is the role of the head of household and genders according to this model?

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File Chapter 2.ppt (1.065 MB)

The Purnell Model for Cultural Competence

Please read chapter 2 of the class textbook and review the attached Power Point Presentation. Once done answer the following questions;

1. In your own words discuss the empirical framework of the Purnell Model and what are the purposes of this model.

2. Please mention and discuss the macro aspects of the model.

3. What is the role of the head of household and genders according to this model?

4. In your own words define the domain biocultural ecology and discuss one variation of this domain.

As indicated in the syllabus the assignment must be presented in an APA format, word document, Arial 12 font attached to the forum title “Week 2 discussion questions” in the discussion board. A minimum of 2 evidence based references besides the class textbook no older than 5 years are required. 2 replies to any of your peers posting sustained with the proper references are required. Assignment must contained a minimum of 500 words without counting the first and reference page.