What role or roles should community members have in a community needs assessment? Justify your answer.

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Community Health Assessments and Continuous Quality Improvement

Part 1

In its report “The Future of Public Health,” the Institute of Medicine of the National Academies (1988) recognizes assessments of community health status and community health needs as a core public health function. The course textbook states that some of the goals of community health assessment are to evaluate health status, identify community health needs, identify strengths and weaknesses of a community’s health systems, recommend strategies to address community health needs, and locate existing or needed resources to meet identified needs.

Read the report and based on it, respond to the following questions in relation to the role of community members:

  • What role or roles should community members have in a community needs assessment? Justify your answer.
  • What are some strategies for engaging community members?

Public health agencies use data to identify health problems, establish and track health objectives, and assess the effectiveness of policies, programs, and services.

Respond to the following questions in relation to community needs assessment:

  • Which key factors are important to consider when gathering and presenting data for a community needs assessment?
  • When presenting data, which strategies would you recommend for creating a strong and compelling statement of need?

Part 2

Continuous quality improvement (CQI) refers to the process of continually assessing and adjusting a program or service components to address problems or enhance results. The CQI process is dynamic and ongoing, guided by input or feedback from individuals receiving the services. Additionally, buy-in and support from the staff, particularly staff responsible for implementing program changes, are critical to an agency’s CQI efforts. Selecting the right individual to lead an agency’s CQI efforts is important if these criteria are to be achieved.

Using the South University Online Library or the Internet, research about CQI in public health systems.

Based on your research, respond to the following discussion points in relation to CQI activities:

  • Describe the ideal traits or characteristics of the person or team who would spearhead the CQI process.
  • Examine how CQI leaders can garner support and buy-in from staff responsible for CQI activities.

CQI leaders are critical to the success of an agency’s CQI efforts. Effective CQI leaders help establish a shared vision and purpose provide direction, and ensure the availability of resources and the right environment required for success.

Respond to the following discussion points in relation to managing CQI efforts:

  • Examine the advantages and disadvantages of assigning an existing staff person to manage CQI efforts versus engaging an external contractor.
  • Explain which of the two you would recommend for managing CQI efforts.

Reference:

Institute of Medicine of the National Academies. (1988). The future of public health.
Retrieved from http://www.iom.edu/Reports/1988/The-Future-of-Public-
Health.aspx

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What is your opinion concerning physician-assisted suicide? Would you ask a physician to assist in your suicide if you had a terminal illness?

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250 to 350 words use citations in work……………………………………………………………………………..

 

While the Hippocratic Oath clearly states a position on physician-assisted suicide, some physicians choose to aid patients in taking life-ending measures.

To prepare for this Discussion, research the laws associated with physician-assisted suicide.

By Day 4

Post a comprehensive response to the following:

  • What is your state’s or province’s position on physician-assisted suicide?
  • Does your state or province differ from others? If so, why?
  • What is your opinion concerning physician-assisted suicide? Would you ask a physician to assist in your suicide if you had a terminal illness?
  • Does a patient have the right to determine how they want to die? Support your response using ethical principles.
  • If the patient doesn’t have a living will and is incapacitated, who would be legally responsible to make the decision to end the patient’s life? If you were the patient, how would you feel about that person making the decision for you?

Read a selection of your colleagues’ postings.

Note: Initial postings must be 250-350 words (not including references).

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ASSIGNMENT PLEASE USE ALL CITATIONS WITH ALL RESEARCH AND ALL REFERENCES SHOULD BE CITED IN WORK…………………………………………………………………………………………………………

 

Assignment: Preparing for the End

“It’s all about how you LIVE.”

This is how Caring Connections, a national advanced directive awareness program run by the National Hospice and Palliative Care Organization (NHPCO), eloquently sums up the steps for preparing for the end.

  • Learn about options
  • Implement a plan
  • Voice the plan to others
  • Engage others to LIVE

While the decisions can be difficult, preparing for the end is an activity that has to happen before it is needed.

To prepare for this Assignment, research your state’s or province’s laws regarding end-of-life advanced directives such as do-not-resuscitate orders, durable power of attorney for health care, and living wills.

Complete at least one of the end-of-life advanced directives listed above. (You do not need to turn this in.)

To complete this Application, write a 2- to 3-page paper, which addresses the following:

  • What types of end-of-life advance directives does your jurisdiction allow? How did you find the documents allowed by your state or province?
  • After completing the document, assess your feelings about the process. What factors contributed to you selecting the specific document you completed?
  • What legal issues did you consider when you were completing the document?
  • What ethical factors and principles did you consider when completing the documents?

Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct.

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RESOURCES…………………………….

Judson, K., & Harrison, C. (2016). Law and ethics for the health professions. (7th ed.). New York: McGraw-Hill.

    • Chapter 12, “Death and Dying”

Making medical decisions can often be a difficult process- balancing various therapeutic approaches, technical options, financial factors, and personal wishes. This chapter explores how medical decision making can be even more complicated when it involves end-of-life issues.

Medical Law, Ethics, and Bioethics for the Health Professions

    • Chapter 16, “End of Life Issues”

This chapter takes another look at the ethical challenges that end-of-life issues can pose.

 

    • Appendix II, “Sample Documents for Choices about Health Care, Life, and Death”

This appendix offers some examples of useful documents that can facilitate medical planning and decision making.

 

Laureate Education (Producer). (2010). Ethical and legal issues in healthcare: End of life issues [Video file]. Retrieved from https://class.waldenu.edu

 

What is the difference between statistically significant evidence and clinically significant evidence? How would each of these findings be used to advance an evidenced-based practice project?

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What is the difference between statistically significant evidence and clinically significant evidence? How would each of these findings be used to advance an evidenced-based practice project?

At least 250 words with one citation no older than 5 years and intext citation.

What role will medical informatics professionals play in CHI? What are some of the barriers to the growing role of CHI?

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Consumer Health Informatics (CHI) is the field that helps to connect the gap between patients and health resources. Its focus is to provide patients with the most complete health information possible.

Using  the Internet, research on CHI. Based on your readings and understanding, create a 3- page Microsoft Word report that provides the answers to the following questions:

 

  • What role will medical informatics professionals play in CHI? What are some of the barriers to the growing role of CHI?
  • What do you believe is the most important thing that needs to happen next in order for CHI to continue evolving? How can it best be addressed?
  • What are the key factors in training users of health information systems technologies?
  • How can personal health record systems and electronic health systems contribute to advancing the role of CHI?
  • What are the three options for CHI that could improve healthcare quality and lower costs in the future?

Support your responses with examples.

 

Cite any sources in APA format.

Consider the examples of leadership demonstrated in this week’s media presentation and the other Learning Resources.

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Assignment: Application: Taking a Stand

Effective leaders have a high degree of self-awareness and know how to leverage their strengths in the workplace. Assessments are a valuable tool that professionals can use to learn more about themselves and consider how their temperament and preferences influence their interactions with others.

As you engage in this learning process, it is important to remember that everyone—regardless of temperament type or related preferences—experiences some challenges with regard to leadership. The key to success is being able to recognize and leverage your own strengths while honoring differences among your colleagues.

At some point in your leadership career, you will encounter an ethical or moral dilemma that requires you to take a stand and defend your position.

For this Assignment, you evaluate an issue and consider how you could act as a moral agent or advocate, facilitating the resolution of the issue for a positive outcome.

To prepare:

  • Consider the examples of leadership demonstrated in this week’s media presentation and the other Learning Resources.
  • To further your self-knowledge, you are required to complete the Kiersey Temperament as indicated in this week’s Learning Resources. Consider your leadership style, including your strengths for leading others and include your results from Kiersey Temperament Sorter to describe potential challenges related to your leadership style.
  • Mentally survey your work environment, or one with which you are familiar, and identify a timely issue/dilemma that requires you to perform the leadership role of moral agent or advocate to improve a situation (e.g., speaking or acting on behalf of a vulnerable patient, the need for appropriate staffing, a colleague being treated unfairly).
  • What ethical, moral, or legal skills, dispositions, and/or strategies would help you resolve this dilemma? Define the differences between ethical, moral, and legal leadership.
  • Finally, consider the values and principles that guide the nursing profession; the organization’s mission, vision, and values; the leadership and management competencies addressed in this course; and your own values and reasons for entering the profession. What motivation do you see for taking a stand on an important issue even when it is difficult to do so?

To complete:

By Day 7

Write a 4 to 5 page paper (page count does not include title and reference page) that addresses the following:

  • Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper.
  • Consider  an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.
  • Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.
  • Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitation during this dilemma.

 

Required Readings

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

    • Chapter 4, “Ethical Issues” 

      This chapter examines ethical frameworks for decision making and principles of ethical reasoning. You are also introduced to the ANA Code of Ethics and Professional Standards, MORAL decision-making model, and ethics committees.

 

    • Chapter 5, “Legal and Legislative Issues” 

      Chapter 5 provides an overview of the many legal and legislative issues of which leaders and managers need to be aware. As you read this chapter, keep these issues in mind.

 

  • Chapter 6, “Patient, Subordinate, and Professional Advocacy” 

    Nurses are the best advocates for patients and the profession. This chapter examines more closely the role of becoming an advocate, patient rights, subordinate advocacy, whistle-blowing, professional advocacy, advocacy in legislation and public policy, and media.

Cianci, A. M., Hannah, S. T., Roberts, R. P., & Tsakumis, G. T. (2014). The effects of authentic leadership on followers’ ethical decision-making in the face of temptation: An experimental study. The Leadership Quarterly, 25(3), 581–594. doi:10.1016/j.leaqua.2013.12.001

Retrieved from the Walden Library databases.

Disch, J. (2014). Using Evidence-Based Advocacy to Improve the Nation’s Health. Nurse Leader, 12(4), 28–31. doi:10.1016/j.mnl.2014.05.003

Retrieved from the Walden Library databases.

   a) Identify expected outcomes for an adult client living with this childhood condition (Sickle Cell Anemia).

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1)        Develop a care plan that addresses the following:

a) Identify expected outcomes for an adult client living with this childhood condition (Sickle Cell Anemia).

 

b) Develop health screening, health promotion, health interventions, and education for adults with this condition (Sickle Cell Anemia).

 

c) Identify a comprehensive set of relevant resources, both community and national, for adults with this condition (Sickle Cell Anemia). Provide description of resources.

 

 

Text book; 1. Physical Examination and Health Assessment

Read Chapters 6, 7, and 30, and the age-specific information in Chapters 12-28 in Physical Examination and Health Assessment.

Identify something new you learned about your environment and how it could be affecting health by completing this statement: "I didn't know _____."

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http://www.epa.gov/myenvironment (Links to an external site.)Links to an external site. and enter your city and state, ZIP code, or location into the location box. Explore the site to learn more about your environment and things that might be impacting the health of its citizens.  

  Optional: For more environmental health information, you can also visit the following websites. ]]>

Identify something new you learned about your environment and how it could be affecting health by completing this statement: “I didn’t know _____.”

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Visit the U.S. Environmental Protection Agency’s MyEnvironment site at http://www.epa.gov/myenvironment (Links to an external site.)Links to an external site. and enter your city and state, ZIP code, or location into the location box. Explore the site to learn more about your environment and things that might be impacting the health of its citizens.

 

 

Optional: For more environmental health information, you can also visit the following websites.

Evaluate the delivery of care for individuals, families, aggregates, and communities based on theories and principles of nursing and related disciplines. (PO 1) Due Date

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Caring for Populations Milestone 3: Intervention and Evaluation PowerPoint Guidelines

Updated 4/27/2017

Purpose

The purpose of this PowerPoint presentation is to provide an opportunity to develop a community health nursing intervention and evaluation plan for a community health problem that you identified in your community (described in Milestone 2: Vulnerable Population Assessment). You will apply the components of the nursing process to assist this vulnerable population and develop a proposal that could be presented to community leaders.

Course Outcomes

This assignment enables the student to meet the following course outcomes.

CO1: Apply principles of nursing theory to the public health system by analyzing determinants of health and the public health intervention wheel. (PO 1)

CO3: Plan prevention and population-focused interventions for vulnerable populations using professional clinical judgment and evidence-based practice. (PO 4, 8)

CO4: Evaluate the delivery of care for individuals, families, aggregates, and communities based on theories and principles of nursing and related disciplines. (PO 1)

Due Date

Submit your PowerPoint presentation by 11:59 p.m. MT Sunday by the end of Week 6.

Points

This assignment is worth a total of 225 points.

Scenario

You are a community public health nurse (C/PHN) working with the vulnerable population you identified in Milestone 2. You will choose a specific community health role that would serve this population. You have analyzed the data collected from your windshield survey and vulnerable population assignments (the first two milestones) and identified one community health problem that a nurse can impact. Now, review the scholarly literature or scholarly websites listed below and identify one specific evidence-based nursing intervention that has the potential to improve the health of this group. Then develop a proposal to implement this intervention and a plan to evaluate the outcomes of this intervention. Create a PowerPoint that you could use to present to an organization in your community to request approval for funding and support for this intervention. (You are not required to implement the intervention or present your PowerPoint, though you may want to consider implementing your project in the future).

Directions

Watch the Milestone 3 tutorial at http://www.brainshark.com/devry/Milestone3_2016 (Links to an external site.)Links to an external site..

  1. Introduction: (average of 2-3 slides)
  • Describe the identified problem
    • Include at least two important findings that demonstrate that this is a problem in your community.
  • Describe your specific community health role: Some examples of roles are school nurse, parish nurse, home health nurse, occupational nurse, health department nurse etc.
  • Identify the purpose of the presentation which is related to proposing a community health intervention and evaluation plan.
  1. Identify an evidence based intervention: (average of 2-3 slides).
  1. Intervention Implementation: (average of 3-4 slides).

Describe how you would implement your community health nursing intervention in your community

  • Discuss the actions will you take as the community health nurse to accomplish this intervention.
    • Relate your actions to the Public Health Intervention Wheel (Nies & McEwen, 2015, p. 14, Figure 1-3)
  • Identify your target population.
  • Describe how you will reach out to your target population.
  • Include strategies to engage your target population.
  • Describe where the intervention will take place.
  • Identify when your intervention will take place
  • Will it take place once or multiple times?
  • Identify those in the community that you will collaborate with (e.g., physician’s office, church, local resources, etc.).
  • Explain what level(s) of prevention is your intervention addressing (primary, secondary, or tertiary prevention)?
  1. Proposed Evaluation Methods: (average of 2-3 slides)

Your presentation must include at least one proposed quantitative or qualitative evaluation method that you would use to determine whether your intervention is effective. Outcome measurement is a crucial piece when implementing interventions.

  • Describe the method you would use to evaluate whether your intervention was effective. (The Qualitative and Quantitative Education Methods (Links to an external site.)Links to an external site. handout can help with understanding qualitative and quantitative methods of evaluation).
  • Identify the outcomes you would track to show whether your intervention works (eg. BMI would be one outcome you could track for a weight loss intervention).
  • When would you measure these outcomes?
  • Describe the short-term and long-term impact on your community if the intervention is successful.
  1. Summary: (average 1 slide)

The summary should reiterate the main points of the presentation and conclude with what you are asking to be accomplished; for example, “Based on ABC, it is imperative our community has XYZ. Can we count on your support? Thank you for your consideration.”

  1. In addition to the slides described above, your presentation should include a title slide with your name and role and a reference slide. Cite all sources used with (Author, year) on the PowerPoint slide.
  2. The slides should include the most important points in short bullet pointed phrases. Do not include full sentences or paragraphs on the PowerPoint slides. You may add additional comments in the notes section to clarify information for your instructor.
  3. The slides should be visually appealing and not overcrowded. Use an interesting template and include some clipart or graphics for interest.

Guidelines

  • Application: Use Microsoft PowerPoint 2010 or later.
  • Length: The PowerPoint slide show is expected to be no more than 20 slides in length (not including the title slide and reference list slide).
  • Save the assignment with your last name in the file title: example: “Smith Intervention and Evaluation.”
  • Submission: Submit your PowerPoint file by 11:59 p.m. Sunday by the end of Week 6.
  • Late Submission: See Policies on late submissions.
  • Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx (Links to an external site.)Links to an external site.The SSP Chamberlain Student Success Strategies offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be found on your course list in the student portal.

Best Practices in Preparing PowerPoint

The following are best practices in preparing this presentation.

  • Be creative.
  • Incorporate graphics, clip art, or photographs to increase interest.
  • Make easy to read with short bullet points and large font.
  • Review directions thoroughly.
  • Cite all sources within the slides with (author, year) as well as on the Reference slide.
  • Proofread prior to final submission.
  • Spell check for spelling and grammar errors prior to final submission.

**Academic Integrity Reminder**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

Rubric

NR443_Milestone3
NR443_Milestone3
Criteria Ratings