Ethical change in Health Care

Topic 1: Nursing Leaders as Ethical-Legal Change Agents in Health Care

In the course, you will research ethical decision-making and legal issues that influence your role as a nursing leader. Please take this opportunity to introduce yourself and explain how you see your role as a nursing leader making ethical-legal and moral decisions. Include what actions you plan to take to solve moral distress caused by ethical dilemmas and the values that support your actions.

Topic 2: Comparing Ethical Principles

Compare two ethical principles that apply to ethical decision-making and how each one fits your own personal belief system and the role of the advanced practice nurse.

Initial posts for each DB must also include a minimum of three peer-reviewed citations.Citations must include outside sources. Additionally, comments should also include a citation to support assertions. While the discussion board tool limits the ability to use APA formatting (e.g., hanging indents), posts must include the required elements of an APA in-text citation and list of references.

MN504 Unit 9 Poster Project Presentation of a Case Study

Team Assignment – Poster Project Presentation of a Case Study

Purpose:

  • Contribute to team goals and objectives through active participation and collaboration.
  • This team Assignment gives you the opportunity to be able to come to consensus with team members on the best evidence-based practice decision in an assigned case. This gives you real life experience that will translate into consensus building in your area of practice and employment.

Description:

Teams will reference the case study, Women’s Care Seeking experiences after postpartum depression, in Appendix D, on page 554. Working with your assigned team; you will use the Team area, below Unit 10, to work with your group to develop a summary consensus and one slide poster project. The team work will start in Unit 7 and conclude in Unit 9.

You will be assigned to a team this week. Please go to the assigned team area and meet your team members.

Directions:

Working as a team, you will:

  1. Create a summary consensus, of the case study.
  2. Develop a Poster Project highlighting the application of the key points as decided by the group (one slide).

Make sure to review the grading rubric for this Team Assignment.

New Strategy

Please review the Team Project Background, then the Organizational Strategy and Introduction, and lastly Goals and Recommendations prior to answering this question and statement:

Discuss the new strategy – social media platforms- and section it off by : Description of how strategy will be 1) EXECUTED (discuss the implementation (specifics around the social media platform and execution plan) and MEASURED, including 2) financing (can discuss many options of financing), 3) revenue and expense (revenue and expenses goes hand in hand- discuss measurement of revenue and expense). How will you pay for the changes you recommend? This is a critical part of the exercise. Please be as detailed oriented as possible especially around #3! #3 should have the longest, most detailed part of the paper. Be SPECIFIC Please have references. DO NOT answered it as if the customer who is paying for the services when the question is asking description of how strategy will be 1) EXECUTED and MEASURED, including 2) financing 3) revenue and expense (revenue and expenses goes hand in hand- discuss measurement of revenue and expense). How will you pay for the changes you recommend?

Please re-read the project plan again and the introduction/background

neurotransmitter

A friend’s grandfather was just diagnosed with a disease that is associated with a certain excitatory neurotransmitter. Your friend isn’t sure if it’s acetylcholine or dopamine.

Write an essay that explains to your friend about excitatory neurotransmitters. Provide a detailed description of the functions associated with acetylcholine versus dopamine that could help differentiate which neurotransmitter is involved.

To help ensure the auto-feedback system will function properly, your response must contain a minimum of 100 words and a maximum of 1000 words, though individual prompts or your instructor may provide a more precise target range for word count. Your response will be automatically reviewed by the system, and you will receive your grade after your instructor reviews and returns the scores. Your response should not contain in-text parenthetical citations or other special headers or formatting.

BIO201 CSUGlobal M1 Community Involvement In Solving Health Issues

In Chapter 2 of your text, Global Public Health, the authors have a goal of helping public health professionals understand how an array of disciplines in biological and social sciences contributes to public health policies, programs and approaches to building health and well-being in communities and the population as a whole.

Along with this, the success of a community action plan (which is the subject of your final Portfolio Project for this course) hinges not only on strong leadership but also on an interdisciplinary approach to community involvement.

  • Watch either the video below or peruse the website, http://www.smartgrowthamerica.org
  • Identify at least four strategies that you might use to increase and maintain community involvement in solving a public health issue in your own community. (Think back to the issue you mentioned in the Getting Started Introduction assignment.)
  • State the public health issue and the four strategies you would use.

Tips: In choosing your strategies, youll want to consider factors including the composition of your community, the amount of time that would need to be invested in order to implement strategies, and the resources and skills that might already be present in your community. Think about how you would go about recruiting people to support your action plan or how you would obtain needed resources to solve your issue.

Water Quality and contamination

Rough Draft of the Final Report

You are required to develop a rough draft for your Final Lab Report, which covers the drinking water quality experiment from the Week Two Lab assignment “Lab 2: Water Quality and ContaminationView in a new window.” Please use the Week Three Assignment Template for preparing your rough draft to insure that you include all required components in a well-organized manner. Before completing this Template, view the Tutorial on the Rough Draft of the Final Lab Report Template so that you have a clear picture on how to use the template most effectively. This rough draft must also be reviewed using the Grammarly (Links to an external site.)Links to an external site. tool from the Writing Center to help you identify and correct any mistakes to your rough draft. Be sure to submit a screen shot of the Grammarly report and the corrected rough draft to the Week Three Assignment box. This resource will show you how to take a screen shot on your computer and upload it to Waypoint successfully.

For a written transcript, click hereView in a new window.

Complete the following steps to submit both reports:

  1. Carefully read the instructions for your Final Lab Report assignment located within Week Five of the course..
  2. Download the Rough Draft of the Final Lab Report TemplateView in a new window and utilize this form to ensure correct formatting and inclusion of all required material.
  3. View the Tutorial on the Rough Draft of the Final Lab Report Template so that you can apply the template with success.
  4. Use at least two scholarly sources, two credible sources, and your lab manual to support your points.
  5. The rough draft must be three to five pages in length (excluding title and reference pages) and formatted according to APA style. For information regarding APA samples and tutorials, visit the Ashford Writing Center (Links to an external site.)Links to an external site..
  6. Use the Grammarly tool to proofread your paper before submitting it for grading. Grammarly is a free proofreading program available to all Ashford students.
    1. To learn how to set up and use Grammarly, watch the Grammarly tutorial (Links to an external site.)Links to an external site..
    2. Upload your paper to Grammarly and take a screen shot of your reviewed paper. Need help taking a screen shot? See this handoutView in a new window.
    3. Save the Grammarly screenshot to your computer and submit it along with your assignment. This means that you will submit two documents to Waypoint: the Grammarly screen shot and your corrected rough draft.

Note: Need help using Grammarly? Email the Writing Center at writing@ashford.edu.

Note: Please do not use www.grammarly.com to sign up as you will get limited feedback. Ashford University pays for additional fabulous Grammarly services so you don’t have to. If you encounter any problems or technical issues, please contact: support@grammarly.com

The Rough Draft of the Final Lab Report must contain the following seven sections in this order:

  1. Title Page – This page must include the title of your report, your name, course name, instructor, and date submitted.
  2. Introduction – This section should discuss why the experiment was conducted. At a minimum, it should contain three paragraphs. One paragraph must cover background information of similar studies that have already been done in the area. This is accomplished by citing existing literature from similar experiments and explaining their results. A second paragraph should discuss an objective or a reason why the experiment is being done. Why do we want to know the answer to the question we are asking? A third paragraph should provide a hypothesis for the experiment conducted, along with your rationale behind that hypothesis.
  3. Materials and Methods – This section should provide a detailed description of the materials used in your experiment and how they were used. A step-by-step rundown of your experiment is necessary; however, it should be done in paragraph form, not in a list format. The description should be exact enough to allow for someone reading the report to replicate the experiment, but it should be in your own words and not simply copied and pasted from the lab manual.
  4. Results – This section should include the data and observations from the experiment. All tables and graphs should be present in this section. Additionally, there should be at least one paragraph explaining the data in paragraph form. There should be no personal opinions or discussion beyond the results of your experiments located within this section.
  5. Discussion – This section should interpret or explain the meaning of your data and provide conclusions. At least three paragraphs should be outlined here. First, a paragraph should be present that addresses whether your hypothesis was confirmed or denied and how you know this. Second, you are to discuss the meaning of your findings in this area utilizing scholarly sources to put the paper into context. For example, how do your results compare with the findings of similar studies? Also, you should discuss if there are any outside factors (i.e., temperature, contaminants, time of day) that affected your results. If so, how could you control for these in the future? Finally, you should discuss any future questions arising from your results and how you might test them with new experiments.
  6. Conclusions – This section should provide a brief summary of your work. What are the key take-away points from your study?
  7. References – Provide a list of at least two scholarly sources, two credible sources, and your lab manual that will be used in the Final Lab Report. Format your references according to APA style as outlined in the Ashford Writing Center.

Note: An abstract must be included in the Final Lab Report. However, the abstract should not be included in the rough draft as it is to be written last after the entire paper is fully written. Do not forget this in your Final Lab Report.

In addition to the Grammarly (Links to an external site.)Links to an external site. tool, you have three tutoring services available: Paper Review, Live Chat, and Tutor E-mail. Click on the Writing Center (AWC) tab in the left-navigation menu, in your online course, to learn more about these tutoring options and how to get help with your writing.

________________________

Final Lab Report

You are required to write a complete laboratory report that covers the drinking water quality experiment from “Lab 2: Water Quality and ContaminationView in a new window,” using knowledge gained throughout the course. Use the instructor feedback on your Rough Draft from Week Three to guide your writing. Be sure to download the Final Lab Report TemplateView in a new window and utilize this form (not the Rough Draft template) to ensure proper formatting and inclusion of all required material. Additionally, view the Sample Final Lab ReportView in a new window before beginning this assignment, which will illustrate what a Final Lab Report should look like. You must use at least two scholarly sources, two other highly credible sources, and your lab manual to support your points. The report must be six to ten pages in length (excluding the title and reference pages) and formatted according to APA style. For information regarding APA samples and tutorials, visit the Ashford Writing Center, located within the Learning Resources tab on the left navigation toolbar, in your online course.

The Final Lab Report must contain the following eight sections in this order:

  1. Title Page – This page must include the title of your report, your name, course name, instructor, and date submitted.
  2. Abstract – This section should provide a brief summary of the methods, results, and conclusions. It should allow the reader to see what was done, how it was done, and the results. It should not exceed 200 words and should be the last part written (although it should still appear right after the title page).
  3. Introduction – This section should include background information on water quality and an overview of why the experiment was conducted. It should first contain background information of similar studies previously conducted. This is accomplished by citing existing literature from similar experiments. Secondly, it should provide an objective or a reason why the experiment is being done. Why do we want to know the answer to the question we are asking? Finally, it should end the hypothesis from your Week Two experiment, and the reasoning behind your hypothesis. This hypothesis should not be adjusted to reflect the “right” answer. Simply place your previous hypothesis in the report here. You do not lose points for an inaccurate hypothesis; scientists often revise their hypotheses based on scientific evidence following the experiments.
  4. Materials and Methods – This section should provide a detailed description of the materials used in your experiment and how they were used. A step-by-step rundown of your experiment is necessary; however, it should be done in paragraph form, not in a list format. The description should be exact enough to allow for someone reading the report to replicate the experiment, however, it should be in your own words and not simply copied and pasted from the lab manual.
  5. Results – This section should include the data and observations from the experiment. All tables and graphs should be present in this section. In addition to the tables, you must describe the data in text; however, there should be no personal opinions or discussion outside of the results located within this area.
  6. Discussion – This section should interpret your data and provide conclusions. Discuss the meanings of your findings in this area. Was your hypothesis accepted or rejected, and how were you able to determine this? Did the results generate any future questions that might benefit from a new experiment? Were there any outside factors (i.e., temperature, contaminants, time of day) that affected your results? If so, how could you control for these in the future?
  7. Conclusions – This section should provide a brief summary of your work.
  8. References – List references used in APA format as outlined in the Ashford Writing Center.

In this class, you have three tutoring services available: Paper Review, Live Chat, and Tutor E-mail. Click on the Writing Center (AWC) tab in the left-navigation menu, in your online course, to learn more about these tutoring options and how to get help with your writing

Applying Theory to a Practice Problem: Part 1: Introduction and Problem of Practice

Applying Theory to a Practice Problem: Part 1: Introduction and Problem of Practice

Details:

PURPOSE:

It is important to understand how research can help you in your everyday environment as a nurse. In this assignment, you will identify a practical problem that emerges from the evidence in the extant literature or professional practice.

DIRECTIONS:

Chose a problem that you are encountering in your practice or about which you have read in the current literature.

Write a paper (250 to 500 words) that describes a practical problem that emerges from the evidence in the extant literature or professional practice. The paper should do the following:

  1. Clearly describe the problem.
  2. Provide a rationale for the significance of this problem. The rationale must be supported by the current or seminal literature.

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 not required to submit this assignment to Turnitin.

MN 513 Unit 6 Topic 1

Discussion Topic 1: How Short is Short-term and How Long Is Long-term?

Having financial resources is important for any healthcare organization and for a business plan. For your original post this week, present the financial resources you will use in your Unit 9 business plan. Identify these according to short- or long-term financial resources, explain why each falls into the specific category, and how each plays a role in ensuring a financially feasible business plan is created.

Please include 2 refences. subtitles to paragraphs and in APA formatting

DISCUSSION BOARD forum 3

Discussion Board Forum 3

Read “The Reversal of Fortunes” by Ezzati, et al., located in the Reading & Study folder for this module/week. Discuss the following points in your thread. Review the Discussion Board Instructions before posting your thread.

  • In general public health measures appear to be working. Not only has US life expectancy increased over the past half century, but mortality rates of major lifestyle-related diseases—particularly heart disease and stroke—have decreased in both men and women. In the 1980s, however, a disconcerting “reversal of fortunes” began to occur in some vulnerable populations in some regions of the US. Describe what happened and give the proximal (immediate) influences for this backward trend.
  • What do you think are the distal (ultimate) influences for the “reversal of fortunes” described in the article? Suggest a comprehensive intervention plan to reverse this reversal. Upon which theoretical framework or model would it be based? Why?

Replies needed as well:

Jeffrey Perkins

DB Forum 3: The Reversal of Fortunes Article Review

COLLAPSE

Based on the article review, the reversal of fortunes there appears to be an increase in mortality rates amongst counties. The U.S. Census and vital statistics data were used to consider poverty impacts amongst gender and race groups. U.S. Census data is self-reported and may not provide most accurate information. However, mortality data is more accurate since vital records provide death certification. Consider data is analyzed over four decades and mortality rates were well documented over a time span to provide statistical review. Once it was determined trends do not reflect similar patterns amoungs mostly ethic and gender groups issues of reverse fortune occur, “Between 1961 and 1999, average life expectancy in the United States increased from 66.9 to 74.1 y for men and from 73.5 to 79.6 y for women.” [1] Give credit to the researchers ability to withdraw inferences where data did not reflect actual reality. Income is a key indicator which helps determine poverty between groups. Once you compare the income “ Between 1961 and 1983, counties with life expectancy improvement above and below the national average had relatively similar income levels”[1] Since health, poverty, and income are closely related as social determinants of public health. A closer look at ethnicity and gender profile is a requirement to consider, “Black women formed a larger proportion of the population in counties with above-average life expectancy improvement than in those counties with below-average life expectancy change; the pattern was reversed for men. After 1983, gain in life expectancy was positively associated with county income.”[1] The increase to life expectancy related to county income is a key parameter to realize how greatly income affects a persons individual function and behavioral outcomes. The reverse of fortune was not beneficial to all because life expectancy gains were not applicable to all groups. The adverse mortality rates impact the population groups labeled disadvantaged due to existing inequalities. The increase to other disease factors did not help considering “Higher HIV/AIDS and homicide deaths also contributed substantially to life expectancy decline for men, but not for women. Alternative specifications of the effects of migration showed that the rise in cross-county life expectancy SD was unlikely to be caused by migration.The increase in communicable diseases women .”[1]

The idea of ruling of migration as a factor in life expectancy provides more reason to focus on the segment of population categorized as disadvantaged. The distal influence was income since wages impact quality of life. In any environment poverty can impact health outcomes. In the counties impacts may spread to even larger community scope, “ Poverty contributes to epidemic disease and epidemic disease contributes to poverty:causation is bi-directional and occurs through many different pathways. For example,loss of labour from a farming system may result in failure to maintain infrastructure such as terracing, leading to soil erosion, and decreasing agricultural productivity.”[2] There appears to be some change built on more recent research mentions improvement in children poverty rates in the U.S. compared to historical data, “Turning to an analysis of age-specific mortality rates, we show that among adults age 50 and over, mortality has declined more quickly in richer areas than in poorer ones, resulting in increased inequality in mortality. This finding is consistent with previous research on the subject.”[3]

Faith in progress continuously provides a best outcomes Ephesians 4:13-14 Till we all come in the unity of the faith, and of the knowledge of the Son of God, unto a perfect man, unto the measure of the stature of the fulness of Christ: That we henceforth be no more children, tossed to and fro, and carried about with every wind of doctrine, by the sleight of men, and cunning craftiness, whereby they lie in wait to deceive. To understand that change is constantly happening “We also show that there have been stunning declines in mortality rates for African Americans between 1990 and 2010, especially for black men. The fact that inequality in mortality has been moving in opposite directions for the young and the old, as well as for some segments of the African-American and non-African-American populations, argues against a single driver of trends in mortality inequality, such as rising income inequality.”[3] Implementing a community intervention program health belief model could help improve information and access to ways to supplement poverty related outcomes.

  1. Ezzati M, Friedman AB, Kulkarni SC, Murray CJL. Correction: The Reversal of Fortunes: Trends in County Mortality and Cross-County Mortality Disparities in the United States. PLoS Medicine. 2008: 5(4): e66. https://journals.plos.org/plosmedicine/article?id=…
  2. Barnett, T., & Whiteside, A.2002; poverty and HIV/AIDS: impact, coping and mitigation policy. In G. AIDS, Public

Policy and Child Well-Being.

https://www.unicef-irc.org/research/ESP/aids/chapter11.pdf

  1. Currie, Janet, and Hannes Schwandt. 2016; Mortality inequality: the good news from a county-level approach. Journal of Economic Perspectives .30(2): 29–52.

https://www.aeaweb.org/articles?id=10.1257/jep.30.2.29

  1. Holy Bible

Second reply:

Jordan Williams

DB

In the 1980’s a disconcerting “reversal of fortunes” began to occur in some vulnerable populations in some regions of the US. For example, the difference between life expectancies of the countries that make up the 2.5 % of the US populations with the lowest and highest mortality each year rose from 9.0 years in 1983 and to 11.0 years in 1999 for men, and from 6.7 years to 7.5 years for women.1 This was caused by stagnating improvements in life expectancy among the worst off, while the best off experienced consistent mortality decline.1 The stagnation of mortality among the worst off was primarily caused by a slowdown or halt of the earlier decline of cardiovascular mortality, coupled with a moderate rise in number of other chronic diseases for both sexes as well as HIV/AIDS and homicide for men.

After 1983 the decline in female life expectancy was caused by a rise in mortality from lung cancer, COPD, diabetes, and a range of other non-communicable diseases in the older ages. Mortality from diabetes, cancers and COPD in the older ages also worsened in men but these continued to be countered by relatively large reductions in male cardiovascular mortality. 1 In the article, there were several different factors that influence the “reversal of fortunes” which include income levels and sociodemographic factors, data that was unaccounted for, cause of death coding, and statistical uncertainty in death rates.

This week’s reading included discussion on two stage theories that predominate in health promotion research and practice: the Trans theoretical Model of Change (TMC) and the Precaution Adoption Process Model (PAPM).2 Both of these theories have been used to successfully change a diverse array of health behaviors, either facilitating the elimination of health risk behaviors or the adoption of health protective behaviors.

References

  1. Ezzati M, Friedman AB, Kulkarni SC, Murray CJL. The Reversal of Fortunes: Trends in County Mortality and Cross-County Mortality Disparities in the United States. PLoS Medicine. 2008;
  2. DiClemente RJ, Salazar LF, Crosby RA. Health Behavior Theory for Public Health. Burlington, MA: Jones & Bartlett Learning; 2013