Discuss three reasons for conducting a comparative study of health problems

Refer to chapters 10 and 16 in Kovner & Knickman (answer each question with a minimum of 100 words) Citation is needed for each question.

The current U.S. medical care field has an acute care focus. Could current structures of the field sustain a focus on chronic and preventive care? If so, how? If not, what aspects of the field would need to change in order to accommodate this changed focus?

What determines the supply of doctors and nurses? How do we know when we have too many or too few? With the global shortage of doctors, especially in less developed countries, is relying on international medical graduates an ethical solution to U.S. primary care shortages?

Refer to chapter 11in Milstead (answer each question with a minimum of 100 words)

Discuss strategies and indicators for comparing countries with different healthcare systems. Address differences in economics, political systems, and healthcare professions.

Discuss three reasons for conducting a comparative study of health problems. What indicators are useful in comparing two different healthcare systems?

Textbooks used:

Kovner, A. R., & Knickman, J. R. (Eds.). (2015). Health Care Delivery in the United States (11th ed.). New York: Springer Publishing Company.

Milstead, J. A. (2016). Health Policy and Politics. A Nurse’s Guide (5th ed.). Burlington, MA: Jones and Bartlett Learning.

Select one initiative from the Agency for Healthcare Research and Quality that improves education and practice for patients with multiple chronic conditions.

Write a 2 pages Word document answering the following questions as 2 separate discussions:

Select one initiative from the Agency for Healthcare Research and Quality that improves education and practice for patients with multiple chronic conditions. Explain how this might be done
Describe the role of the Centers for Disease Control and Prevention in promoting herd immunity and vaccine schedules for US citizens.

Reflect on your experiences as a member of a clinical team.

Reflect on your experiences as a member of a clinical team. What makes a team effective in terms of achieving expected outcomes for patients and agencies? What situations or conditions make it difficult for teams to work together?

Textbook Readings
Advanced Practice Nursing: An Integrative Approach

Chapter 12: “Collaboration”
Chapter 13: “Ethical Decision Making”
THINGS TO REMEMBER:

Discussion post is at least 200 words.
Answers all questions with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.
3 References, try to find resources that are 5 years or less
No errors with APA format 6th Edition

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Max Points: 20.0

Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.

Case Scenario

Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.

Subjective Data

Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is “running away.”
Reports that she is so exhausted she cannot eat or drink by herself.
Objective Data

Height 175 cm; Weight 95.5 kg
Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin
Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

Explain how you are a leader in your current position and how you apply the philosophy you described in this capacity.

Write a 1,050- to 1,400-word analysis that addresses the following:

Create a personal philosophy of leadership. Address what role you believe a health care leader should play, what leadership theory they should follow, and why leaders should follow that theory.
Describe your current sphere of influence. Explain how you are a leader in your current position and how you apply the philosophy you described in this capacity.
Address how you envision the use of informal, formal, positive, and negative power as it applies to your personal philosophy of leadership.
Complete the “Leadership Style Survey” at the end of Ch. 10 of Organizational Behavior in Health Care (2nd ed.). Discuss your results and how they support your personal philosophy of leadership.
Format your assignment according to APA guidelines.

Did it arrive as a burst of light like the big bang as some believe created our universe?

:

Explain how theoretical frameworks influence advance.

Purpose

The purpose of this Assignment is to explore how a theorist explicates his or her philosophy and thoughts behind a theoretical field. As in other fields of study, nursing has a plethora of theorists and theories. These theorists have developed their paradigm over time enriching it with research and dialogue with other theorists.

Directions

You are going to explore how a theorist of your choice created his or her theory. Did it develop as an acorn becoming a mighty oak over the decades? Did it arrive as a burst of light like the big bang as some believe created our universe? Was it developed from a blueprint like a spaceship where thousands of scholars worked together to create a rocket to the moon? In point of fact, how is a theory developed? This is what we are exploring.

You will pick a theorist who interests you, it does not have to be a nurse theorist. You may also choose from other disciplines such as: behavioral, leadership, business, education, technology.

You will become the theorist immersing yourself in the writings from the earliest mentioned to the most current.

As you read, look at how you (taking on the persona of the theorist) developed the theory.

In the first stage, theorizing occurs. This is where you, as the theorist, identify the concepts of what nursing is and is not. Perhaps you questioned what concepts were guiding those in nursing practice and then started to question your role. You started asking yourself, “Where am I in nursing, and where the profession is going? Is there some overarching concept that guides the professional in his or her practice?” This is where you recognize that a theory is needed.

In the second stage, syntax is developed. This is where you will define the terms. Look for changing definitions of terms. Consider, for example, Jean Watson. She starts by defining the word “caring.” Within the last ten years she has refined her terminology changing the term caring to caritas. This demonstrates a growth and maturation from decades of research she and other scholars did to produce the theory of caring.

The third stage is theory testing. Defined as the phenomena behind the theory that are exposed through research. The definitions of terms are refined. The theorists and other researchers consider whether this theory helps answer questions that arise in practice. This is where your theory is used in by a widening group of researchers. For example, graduate nursing students request the tool you developed while testing your theory.

The fourth and last stage is evaluation. This is where philosophical debate occurs as the concepts are applied through evidenced based practice in the act of providing nursing care.

Assignment Details

For this Assignment, you are going to write an article for a nursing journal explaining how you developed your theory through the four stages (theorizing, syntax, theory testing, and evaluation). Your paper must be 3 to 5 pages, not including the title and reference pages.

To view the Grading Rubric for this Assignment, please SEE ATTACHMENT

Assignment Requirements

Before finalizing your work, you should:

Minimum requirement of at least 5 sources of support
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:

follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th Edition
NO PLAGIARISM
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Describe the criteria you used in choosing your articles Synthesize the Literature: Part A: Discuss the main components of each article (subjects, methods, key findings) and provide rationale for how this supports your PICOT; Part B:

In Part A, you described the population and quality initiative related to your PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) statement. In this assignment, you will formalize your PICOT and research process.

Use the GCU Library to perform a search for peer-reviewed research articles. Find five peer-reviewed primary source translational research articles.

In a paper of 1,250-1,500 words, synthesize the research into a literature review. The literature review should provide an overview for the reader that illustrates the research related to your particular PICOT. Include the following:

Introduction: Describe the clinical issue or problem you are addressing.
Methods: Describe the criteria you used in choosing your articles
Synthesize the Literature: Part A: Discuss the main components of each article (subjects, methods, key findings) and provide rationale for how this supports your PICOT; Part B: Compare and contrast the articles: Discuss limitations, controversies, and similarities/differences of the studies.
Areas of Further Study: Analyze the evidence presented in your articles to identify what is known, unknown, and requires further study.
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

How should he reason about trusting God and treating James?

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Assignment Case Study on Biomedical Ethics in the Christian Narrative
View Rubric
Due Date: Jun 16 Max Points: 200

Details:
Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:

Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?
Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?
According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?
According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?
Prepare this assignment according to the 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. Please refer to the directions in the Student Success Center.

PHI-413V-RS-T3CaseStudy.docx

Apply Rubrics
Case Study on Biomedical Ethics in the Christian Narrative

1
Unsatisfactory
0.00%
2
Less Than Satisfactory
65.00%
3
Satisfactory
75.00%
4
Good
85.00%
5
Excellent
100.00%
70.0 %Content

25.0 % Identification of Ethical Issues and Christian Principles and Values
The ethical issues and Christian principles and values stated have little to no relevance to the case study.
Either the ethical issues or the Christian principles and values pertaining to the case study are identified, but not both.
Ethical issues along with Christian principles and values pertaining to the case study are identified.
Ethical issues along with Christian principles and values pertaining to the case study are identified. At least one apparent tension between religious autonomy and physician recommendation are acknowledged.
Ethical issues along with Christian principles and values pertaining to the case study are identified. Any apparent tensions between religious autonomy and physician recommendation are acknowledged.
45.0 % Analysis of Ethical Issues and Christian Principles and Values
The analysis of the application of the Christian Worldview principles regarding the ethical issues has little to no relevance to the case study. Any conclusion is not supported.
The analysis of the application of the Christian Worldview principles regarding the ethical issues is lacking, but a viable conclusion can still be reached. The analysis shows that there is not an accurate understanding of the issues.
The analysis of the application of the Christian Worldview principles regarding the ethical issues is adequate in reaching a viable conclusion.
The analysis of the application of the Christian Worldview principles regarding the ethical issues is detailed in reaching a viable conclusion. A general, but not specific biblical perspective regarding medicine is discussed, along with how it relates to the issue of healing.
The analysis of the application of the Christian Worldview principles regarding the ethical issues is excellent in reaching a viable conclusion. An accurate biblical perspective with detailed interaction with the biblical text regarding medicine is clearly discussed, along with how it relates to the issue of healing.
20.0 %Organization and Effectiveness

7.0 % Thesis Development and Purpose
Paper lacks any discernible overall purpose or organizing claim.
Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.
Thesis and/or main claim are apparent and appropriate to purpose.
Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.
Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.
8.0 % Argument Logic and Construction
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 % Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) and/or word choice are present. Sentence structure is correct but not varied.
Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.
Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.
Writer is clearly in command of standard, written, academic English.
10.0 %Format

5.0 % Paper Format (use of appropriate style for the major and assignment)
Template is not used appropriately or documentation format is rarely followed correctly.
Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.
Appropriate template is used. Formatting is correct, although some minor errors may be present.
Appropriate template is fully used. There are virtually no errors in formatting style.
All format elements are correct.
5.0 % Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
Sources are not documented.
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
100 % Total Weightage

Describe a current event within your health care organization that requires leadership attention

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Write a 700- to 1,050-word paper that addresses the following:

Describe a current event within your health care organization that requires leadership attention.
From your readings this week, apply a leadership theory that most closely represents your approach to addressing the situation.
Explain why your selection would accommodate a desirable outcome.
Format your paper according to APA guidelines.

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