I am looking for someone who is experienced in nursing and implementing a policy. PLEASE read the assignment before you ask for this job. Must be proficient in APA and English expert. 8-10 pages.
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Application Assignment 3: Policy Analysis Paper [Major Assessment 2]
In previous Discussions and Application Assignments, you have examined various aspects of the policy process: exploring the unintended consequences of policies, agenda setting, and analyzing policy recommendations. In this Application Assignment, you will have the opportunity to further develop your analysis skills by working through the policy analysis process. To be an effective agent for social change, you must be able to logically and critically analyze policy from multiple perspectives and contexts and then present your insights in a succinct and professional manner. This exercise will afford such an experience.
For this Application Assignment, you will examine a particular policy of interest to you (perhaps the one you selected for this week’s Discussion), and apply a policy analysis framework to understand the impact associated with the implementation of the policy. You will then develop a policy analysis paper, which is due the end of Week 11. This paper will also serve as your Major Assessment for this course.
To prepare:
Select a health care policy and a policy analysis framework to utilize for this Application. You may use the policy and framework you identified in this week’s Discussion or change your selection. I introduced a policy that would include breastfeeding and breast milk as a “point” in patient acuity in the neonatal intensive care. Nurses are assigned to patients according to their acuity score. Breastfeeding mothers or breast milk for feeding are not considered and yet it takes a lot of time, more than giving blood yet blood is accounted for in the acuity and not breast milk or breastfeeding. You get the picture.
To complete:
Write an 8- to 10-page analysis paper (including references) in which you succinctly address the following:
· Part 1:
· Define the policy issue.
· How is the issue affecting the policy arena?
· What are the current politics of the issue?
· At what level in the policy making process is the issue?
· Part 2: Apply a policy analysis framework to explore the issue using the following contexts:
· Social
Ethical
· Legal
· Historical
· Financial / economic
Theoretical underpinnings of the policy
Include in this section:
· Who are the stakeholders of interest?
· Is there a nursing policy/position statement on this health care issue? If so, who developed it?
Part 3: Policy options/solutions
· What are the policy options/solutions for addressing the issue? Include at least three levels of options/solutions: no change; partial change; radical change or maximum change.
· What are the theoretical underpinnings of the policy options/solutions?
· What are the health advocacy aspects and leadership requirements of each option?
· How does each option/solution provide an opportunity or need for inter-professional collaboration?
· What are the pros and cons of each suggested change? Include the cost benefits, effectiveness, and efficiency of each option along with the utility and feasibility of each option.
· Part 4: Building Consensus
· Outline a plan for building consensus around your recommended option/solution for solving the policy issue.
·
· Part 5: References
· Limit your references so this section is no more than 2 pages. Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from appropriate Learning Resources and additional scholarly sources as appropriate. Refer to the Publication Manual of the American Psychological Association to ensure that your in- text citations and reference list are correct.
Assignment 2: Health Insurance and Quality
Due Week 4 and worth 150 points
Imagine that you are the clinic manager of an urgent care center. Recently, your center has seen an increase in complaints regarding long wait times, inadequate or incomplete information from staff during visits, and the relatively small number of insurance types accepted at the facility.
Write a 2-3 page paper in which you:
Your assignment must follow these formatting requirements:
The specific course learning outcomes associated with this assignment are:
Reflect on the content from your readings and this week’s lesson. Then, think of a recent experience, and describe how you mentally moved data through the stages of information and knowledge to wisdom. What information system/s helped you move from data to wisdom?
Keep this short like assessing a patient for congestive heart failure. How did you evaluate and combine the various pieces of data? What was the outcome of this process?
Throughout your career, you will work with many people who display differing leadership styles. As a nurse leader, it is imperative that you communicate well and get along with those whose leadership style does not align with your preferences. It is also important to understand your own leadership style, as this can prompt insight into how others relate to you and what skills you may need to develop as your leadership responsibilities grow.
To prepare:
On the Week 9 Discussion Board, post on or before Day 3 a description of a leader, distinguishing his or her style as authoritative, democratic, or laissez-faire. Describe the characteristics that inform your perception, and explain which ones you would integrate into your own leadership style, as well as which ones you would prefer not to integrate. Explain at least one potential effect of this leadership style on health care quality and patient outcomes.
During the last 5 weeks, you have explored various body systems: neurological, cardiovascular, respiratory, and hematological. These four systems work together along with other body systems to complete a myriad of functions. For this reason, when disorders occur within one body system, it can create potentially devastating effects throughout the entire body. For instance, Parkinson’s disease is a disorder of the central nervous system, yet its alterations actually affect multiple body systems from the cardiovascular system to the gastrointestinal system. In this Assignment, you examine alterations associated with disorders, as well as the impact of the alterations on multiple body systems.
To prepare:
To complete:
Develop a 5- to 10-slide PowerPoint presentation that addresses the following:
write a description of a leader, distinguishing his or her style as authoritative, democratic, or laissez-faire. Describe the characteristics that inform your perception, and explain which ones you would integrate into your own leadership style, as well as which ones you would prefer not to integrate. Explain at least one potential effect of this leadership style on health care quality and patient outcomes.
Adequate technology and an understanding of that technology are necessary, but they are not enough for a successful [informatics] implementation … Researchers and others involved in [informatics] implementations have found that people skills such as leadership, communication, and training are absolutely essential.
—Fenton, Giannangelo, & Stanfill, 2006
A nurse informaticist must always remember that he or she is not leading an information technology project; but rather a clinical project using information technology tools. What exactly does that mean? It means that the technology is a tool to enhance the quality, efficiency, and safety of the organization. The phrase “clinical project” also highlights the main focus of implementation efforts: the clinicians or nurses using the tool. By overlooking the “people” side of the implementation, an organization might be put at risk of experiencing one or more of the factors that challenge the success of informatics initiatives.
In this Discussion, you identify factors that can impact an informatics implementation. You also explore how you might use the ANCC Magnet model to overcome such challenges.
To prepare:
Review the media, The Nurse Informatics Leader, presented in this week’s Learning Resources. How can nurses apply leadership strategies to facilitate change during informatics initiatives?
Select one of the factors presented in this week’s Learning Resources: organizational culture, organizational change management, or nursing leadership skills. How might this factor contribute to challenges experienced during an informatics implementation?
Review Chapter 29, “The Magnet Model,” of the course text Essentials of Nursing Informatics. Consider how a nurse informaticist could use a component of the ANCC Magnet model to address your selected factor.
Post on or before Day 3 the factor you selected and explain how inattention to this factor might present challenges during an informatics implementation and why. Identify which component of the ANCC Magnet model might be the most appropriate in helping nurse informaticists address this factor. Justify your response.
Throughout this course, you were provided case studies that focused on cardiovascular, pulmonary, genitourinary, and musculoskeletal disorders. You will pick one of these cases to analyze and create a comprehensive care plan for acute/chronic care, disease prevention, and health promotion for that patient and disorder. Your care plan should be based on current best practices and supported with citations from current literature, such as systematic reviews, published practice guidelines, standards of care from specialty organizations, and other research based resources. In addition, you will provide a detailed scientific rationale that justifies the inclusion of this evidence in your plan. Your paper should adhere to APA format for title page, headings, citations, and references. The paper should be no more than 10 pages typed excluding title page and references.
Criteria:
HPI
A 52-year-oldIrish American male is discharged from the hospital.He was hospitalized for four days after astent placement, following admission fromthe emergency room with angina symptoms. This patient presentedto the emergency roomwith four hours of crushing chest pain. He wasshort of breath withexertion anddiaphoretic. The patient thought he washaving a heart attack and was afraid to come to the hospital. Thesymptoms lasted for four days before the patient sought help. The patient had been sufferingfrom similarsymptoms for thepast six months but thought that he just out of shape. It was worseupon admission to the hospital.Prior to this,
the symptoms disappeared with rest.
Hissymptoms were relieved in the emergency department with medication andhe was transferred tothe cardiac floor forcatheterization.
The patient’s symptoms were highly debilitating uponhis admissionto the emergency department.
Prior to his admission to the hospital for this event, the patient was not very active because of his angina symptoms. The pain that he hadwas substernal and crushing and radiated to his neck and jaw. Hissymptoms resolve with rest only. He has not sought any therapeutic maneuvers.
He iscurrently asymptomatic and is here for a follow-up visit from his hospitalization to discuss his risk factors. The patientis still concernedthat he may have other episodes of angina, even after the stentplacement.
PMH
The patient has not sought care for his problems in the past. He had been treated for hypertension and high cholesterol in the past but stopped medication on his own.Besides that, he has had no othersignificant illnesses.
He was hospitalized for acholecysectomyten years ago.
This patient had a baselineEKG at his doctor’s officewhen he wasfirst prescribed his blood pressure medication. Otherwise he’s hadno other investigations forheart diseasebesides his cholesterol levels checks.
Results of LaboratoryInvestigationsFollowingHospitalization
Total cholesterol – 210
LDL- 200
HDL- 25
Triglycerides– 250
Fasting bloodsugar – 140
HgbA1c – 7.5
CXR – hyperinflation of the lungs – no infiltrate
EKG – no change from baseline.
Risk Factors:
• High blood pressure
• Hypercholesterolemia
• Type 2 diabetes
• Android obesity
• Cigarette smoker
• Positivefamilyhistory
Past surgicalhistory of Cholecysectomy, almost 10 years agewithout any complications.
ROS
Review of systems is otherwise negative
DISCHARGEMEDICATIONS
Tenormin XL50 mg daily Lipitor 10 mg daily Glucophage– 500mg BID BabyASAdaily
Patient is now compliantwith the prescribed regimen, but wasn’t in the past. The medicines were prescribed bythe physicianwho discharged him fromthe coronary care unit.
ALLERGIES/REACTIONS
Patient has no known drugallergies
SOCIALHISTORY
The patient is a high school graduate and a licensed carpenter andis anxious to get back to work because of finances. His income is around $50,000.00 per year. Hiswife is currently disabled
with uncontrolled type 2 diabetes. The patient hasdisruptedself-efficacy because he is not sure whether hecan care for his wife, who needs his help, now that he is sick. They live paycheck to paycheck and cannot afford a vacation.They have three grown-up childrenwhohave left home and do not live in the area.The patient has lived in thesamecity all his life. He does not participate insports or any other physical activity. Thestreets of hisneighborhoodare not safe for exercising; the crime rate is high. Thereis little community socialization and most people areat
the poverty level.
He is thesolebreadwinner in the family. Hisstress level is very high because of the impending bills that he needs to pay while he is not able towork. He believes that a man should be able to care for his family and be strong enoughnot to suffer from any illnesses himself.
The patient and hiswife live in a one-bedroom apartment in an inner city, quiteisolated fromtheir community. They do not have any relatives living in the area nor dothey socialize with neighbors. He has little emotional or socialsupport.He is stressed most of the time and is now suffering from depressive symptomssuchas sleeping excessively and over eating.
This patient has health insurance through the union to which he belongs, but it does not offer complete coverage of all his prescriptionmedications.Though he goes to a clinic that is associatedwith the hospital, he does not alwayssee the same primary care provider. HABITS
• Diet Habits
The patient usually eats one large meala day afterwork.Heskipsbreakfastmostofthetimes and eats fast food for lunch.He eats fewfruits and vegetables; mostly pasta andmeat at home.
He feels that he got all the exercise he needed whenhe was a young man, and the exercise he gets as a carpenter now issufficient to keep him healthy.
Smoking: Hesmokes 1 pack per day from the past 30years
Alcohol: Does not drink
SubstanceUse: Denies street drug use
• WORK HABITS
He’s alwaysbeen acarpenter; has no hobbies and reads at home.
• FAMILY HISTORY
He has two older brotherswho are being treated forhigh blood pressure and type 2 diabetes. Both brothers were diagnosedwith these disorders intheir early forties.
Both parentsare deceased; father from heart disease,and motherfrom breastcancer.
PHYSICALEXAMINTAION
Vital Signs: BP: 160/92 left are sitting; P:60 ; R: 16;T: 98;Wt: 220#;Ht:– 70” HEENT:WNL
Lymph Nodes:None
Lungs:Decreased breathsounds throughout, no adventitioussounds
Heart:RRRwithout murmur
Carotids:Rightbruit
Abdomen: Android obesity, WC = 44 inches
Rectum: Notexamined
Genital/Pelvic: NA
Extremities, Including Pulses:
Decreased pedal pulses BL with lower leg edema from ankle to mid calf. Neurologic: Not examined
EKG: No change from baseline
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