The Department of Veterans Affairs (VA) aims to expand the scope of practice of advanced practice registered nurses (APRNs) who work for the agency in order to provide veterans with greater and timely access to care.

The Department of Veterans Affairs (VA) aims to expand the scope of practice of advanced practice registered nurses (APRNs) who work for the agency in order to provide veterans with greater and timely access to care.

Under a proposed rule published on May 25, 2016 in the Federal Register, the VA said it intended to expand the pool of qualified healthcare professionals who are authorized to provide primary healthcare and other services to the full extent of their education and abilities without the clinical supervision of physicians.

In December 2016, the Office of Management and Budget (OMB) approved a final version of the VA’s proposed rule to grant full practice authority to APRNs thatexcludes CRNAs.

1. Please read
http://www.aana.com/advocacy/federalgovernmentaffairs/Pages/VA-Final-Rule-Published1.aspx (Links to an external site.)Links to an external site.

2. Please review the following articles:
http://www.aana.com/newsandjournal/News/Pages/052516-VA-Proposed-Rule-News.aspx (Links to an external site.)Links to an external site.
).

3. Lastly, please review a selection of the “negative” articles that I posted below: Do you agree or disagree with the authors? How would you support or refute these claims?

VA takes heat over plan to let nurses treat vets without doc supervisionFoxNews, June 1, 2016
www.foxnews.com/politics/2016/06/01/… (Links to an external site.)Links to an external site.

Docs Steamed Over VA Nurse ProposalMedPage Today, June 1, 2016
www.medpagetoday.com/publichealthpolicy/militarymedicine/… (Links to an external site.)Links to an external site.

Proposal: Cut VA Wait Times by Giving New Authority to Nurses?Independent Women’s Forum, May 30, 2016
www.iwf.org/blog/2800351/… (Links to an external site.)Links to an external site.

VA Wait Times: Criticism Lines Up Behind Veteran Affairs Plan To Let Nurses Take Over Physician TasksInternational Business Times, May 28, 2016
www.ibtimes.com/… (Links to an external site.)Links to an external site.

VA proposes to give nurses expanded rolePittsburgh Tribune, May 27, 2016
triblive.com/usworld/nation/10542577-74/… (Links to an external site.)Links to an external site.

VA proposes expanding nurses’ medical authority Stat News: Morning Rounds enewsletter, May 26, 2016
us11.campaign-archive1.com/… (Links to an external site.)Links to an external site.

Press Briefing Denouncing Dangerous VA Policy Change to Replace Physician Anesthesiologists with Nurses in Surgery Mil-Tech, May 26, 2016
www.military-technologies.net/2016/05/26/… (Links to an external site.)Links to an external site.

AMA disappointed with VA’s proposal to allow advanced practice nurses within VA practice independentlyDotMed Health Care Business Daily News, May 26, 2016
www.dotmed.com/news/story/31130 (Links to an external site.)Links to an external site.

Physician anesthesiologists oppose VA rule replacing physicians with nurses in anesthesiaMedical XPress, May 25, 2016
medicalxpress.com/news/… (Links to an external site.)Links to an external site.

Doctors oppose replacing VA physician anesthesiologists with nursesUPI, May 25, 2016
www.upi.com/Health_News/2016/05/25/… (Links to an external site.)Links to an external site.

Physician Anesthesiologists, Veterans and VA Anesthesia Chiefs Oppose VA Policy Replacing Physicians with Nurses for Anesthesia Care in SurgeryPR Newswire, May 24 2016
www.prnewswire.com/news-releases/… (Links to an external site.)Links to an external site.


 

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Create the disaster recovery plan for a small neighborhood veterinary clinic.You have been asked to create the disaster recovery plan for a small neighborhood veterinary clinic.

Create the disaster recovery plan for a small neighborhood veterinary clinic.You have been asked to create the disaster recovery plan for a small neighborhood veterinary clinic.
Mitigating Risks

You have been asked to create the disaster recovery plan for a small neighborhood veterinary clinic. This clinic provides services for dogs and cats only. These services include office visits, surgery, hospitalization, and boarding. The clinic is located in a geographical region that is regularly threatened by hurricanes. The one-story building is constructed of cement block, with no windows, and meets all hurricane-related building codes. The clinic does accept animals for boarding when a hurricane threatens, as public shelters for local residents do not allow animals. Create the scenario and recommended during, after, and before actions for a major hurricane, including preventative controls and strategies.
As part of this paper, research and write about two of the major hot site vendors, and describe what they offer. Contact one the vendors, explain your project, and ask for information about the timing and steps involved in activating the use of the alternate site.
Prepare a 350- to 1,050-word paper that answers fully discusses the topic questions
Format your paper consistent with APA guidelines.


 

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The ethical issues considered important in today’s health care organization

Order Details/Description

please follow instructions on the paper

Presentation Organizational structure

Consider the following scenario:

You are a manager of a large rehabilitation center that provides short-term care rehabilitation services on an inpatient and outpatient basis. Your center is proposing a new addition of long-term care services, and with this expansion, you must hire and train several new employees.

Develop a 12- to 15-slide Microsoft® PowerPoint® presentation on the organizational structure of the rehabilitation center described in the scenario above. Create the presentation for the audience you selected in Week 2.

Address the following in your presentation:

Slide 1 Introduction

Slide 2

The effects of organizational structure on communication
S2-What are appropriate communication methods for managers within this organization?
S2-What is the importance of these communication methods within this organizational structure?
S2-What internal relationships must be considered?
S2-What external relationships must be considered?
Slide 3
S3-The steps involved in organizational planning and functions of management
S3-What steps are used to plan and implement change within the organization?
Slide 4
S4-How might these steps be applied to the scenario?
Slide 5
Slide 5-Strategies and methods needed to influence organizational change and to minimize conflict

S5-What are strategies that might be used to bring about change in the organization?
S5-How might strategies be used to prevent or to minimize conflict?
S5-What strategies might be applied if conflict does arise?
S5-What is the manager’s role in conflict management?
Slide 6

Slide 6-The ethical issues considered important in today’s health care organization
Slide 6-How might ethical issues alter your way of conducting change in the organization?
Slide 7

S7-The effects of financial and human resource management controls
S7-How might financial and human-resource control issues affect your decision-making process?
Slide 8

S8-The analysis of the administrative process needed to track outcomes and improve quality
Slide 9
S9-What environmental influences related to health care may affect outcomes and quality within the organization?
Slide 10
S10–How will the implemented change be tracked or evaluated?
Slide 12 Conclusion

Slide 11 an graph, pictures or diagram on organizational structure pertaining to this PowerPoint

List major points in the slides. Include detailed explanations in the speaker notes section that correlate to each point.

Include photos, diagrams, or graphs please slide 12.

Include at least five to seven references to support your presentation. APA style and in-text citation


 

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Explain whether the mid-range theory uses deductive, inductive or retroductive reasoning.

Explain whether the mid-range theory uses deductive, inductive or retroductive reasoning.

nursing

Overview/Description:
The purpose of this assignment is to describe, evaluate and discuss application of a nursing grand or

mid-range theory. This assignment also provides the learner an opportunity to connect theory and

research to nursing phenomena. Learners will develop an 8-10 page paper (excluding the title page and

references) using APA style to address the elements listed below.
Theory/Author Name and Background
1. Select a Grand or Mid-Range Theory that is appropriate to nursing practice . (Ex. Betty Neuman,

Florence Nightingale, Jean Watson, etc)
2. Describe the theorist’s background in detail and discuss how their experiences have impacted the

theory development.
3. Examine crucial references for the original and/or current work of the theorist and other authors

writing about the selected theory.
4. Identify the phenomenon of concern or problems addressed by the theory

Theory Description
1. Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to

support your conclusion.
2. Describe the major concepts of the theory. How are they defined? (theoretically and/or

operationally) Is the author consistent in the use of the concepts and other terms in the theory?
3. Interpret how the concepts are defined. Implicitly or explicitly?
4. Examine the relationships (propositions) among the major concepts.
Evaluation
1. Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what


 

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How effective are hip protectors in preventing in the elderly?

How effective are hip protectors in preventing in the elderly?

Nursing

How effective are hip protectors in preventing in the elderly?
Assignment requirements:
This assignment requires you to reflect on your clinical experiences to identify a question to be searched which is of interest to you. You will need to explain how and why you developed your question. You will be required to identify 5 relevant studies and state how you found these through a detailed description of your search strategy. Finally you will be asked to reflect on this activity.


 

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Offer at least one strategy for a community-based approach to improve the current pharmacological treatment regimens for this population.

Offer at least one strategy for a community-based approach to improve the current pharmacological treatment regimens for this population.

Health Disparities

As you think about the patients you currently serve or hope to work with in the future, it is important to be aware of the health disparities some populations experience.

In this assignment, you will examine health disparities for a population of your choice and then offer a community-based approach to improve patient outcomes.

When selecting your population, consider aspects of culture, geographical area, generational factors, and any other factors that might be considered outside the perspective of the majority population.

Describe the types of health disparities for this group, and then select one health care concern to focus on for the rest of the assignment. For example, the elderly might be your population and the health care concern could be heart disease.

Instructions

•Specify the selected population.

•Identify the types of health disparities for this group and select one health care concern to focus on for this assignment.

•Distinguish factors that create health disparities for this population. ◦Why does this group have health disparities?

•Describe the identified health concern for this population as well as the pharmacological treatment for the condition.

•Describe and discuss how the cultural values, socio-economic status, and traditional beliefs and practices impact the acceptance of pharmacological treatment for this identified health concern.

•Offer at least one strategy for a community-based approach to improve the current pharmacological treatment regimens for this population.

◦What types of community outreach programs could be consulted to effectively reach your target population?

◦Are there education, access, or other issues that community programs could help address?

•Discuss why you believe this strategy would be effective. Support your rationale with references from at least three resources, at least two of which must be from resources not required for this course.

Additional Requirements

•Length of paper: 3–4 pages, not including title page and reference page.

•References: At least three resources, two of which must be from resources not required for this course.

•Formatting: Follow proper APA style and formatting.


 

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DESCRIBE YOUR UNDERSTANDING OF HOW THE EHR IS USED IN THE MEDICAL SETTING. Describe your understanding of how the EHR is used in the medical setting. How does this streamline data and one’s ability to abstract information?

DESCRIBE YOUR UNDERSTANDING OF HOW THE EHR IS USED IN THE MEDICAL SETTING. Describe your understanding of how the EHR is used in the medical setting. How does this streamline data and one’s ability to abstract information?

Describe your understanding of how the EHR is used in the medical setting. How does this streamline data and one’s ability to abstract information? Which functions of the EHR do you find to be the most challenging or illogical within the software? Which functions do you find to be indispensible to either the patient’s privacy or safety? Your response should be at least three pages in length and utilize APA guidelines.


 

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Identify the Pharmacological properties and actual/potential effects on the patient.

Identify the Pharmacological properties and actual/potential effects on the patient.

Identify the Pharmacological properties and actual/potential effects on the patient. Write a paper on Pharmacological management of myocardial infarction using beta blockers/antithrombotic/anticoagulation and nursing…

Identify the Pharmacological properties and actual/potential effects on the patient.

Write a paper on Pharmacological management of myocardial infarction using beta blockers/antithrombotic/anticoagulation and nursing implications identify the Pharmacodynamic properties and actual/potential effects on the patient.


 

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Select 2 of the Cultural Domains from the Purnell Model for Cultural Competence and describe the ethno-cultural attributes as they relate to your cultural heritage both personally and professionally.

Select 2 of the Cultural Domains from the Purnell Model for Cultural Competence and describe the ethno-cultural attributes as they relate to your cultural heritage both personally and professionally.
assignment!

MODULE 2: The Purnell Model for Cultural Competence

Module 2 ACTIVITIES AND ASSIGNMENTS

Read Chapter 2 of your course text book.

Assignment Instructions:

Discussion Board assignment:

Select 2 of the Cultural Domains from the Purnell Model for Cultural Competence and describe the ethno-cultural attributes as they relate to your cultural heritage both personally and professionally. Give examples of each.

Be sure to elaborate and write in paragraphs

Post under Discussion Board 2 in your assigned group.

LIST OF DOMAINS TO CHOOSE FROM

Domain Brief Description
Overview/Heritage Comprises of concepts that are related to occupation, educational status, reasons for immigration, politics, current residence, nationality, and the impacts of topography(the natural shape of the earth) of nationality and current residence
Communication Comprises of concepts linked to the dominant dialects and language; variations in language use such as voice intonations, tone and volume; non verbal communication aspects such as eye contact, acceptable greetings, spatial distancing, touch, facial expressions and body language among others; social time versus clock time; and utilization of names
Family roles and organization Comprises of concepts associated with gender roles and household head; developmental tasks of adolescents and children; family priorities and roles; child rearing practices; and views regarding alternative lifestyles like sexual orientation, single parenting and marriages that are childless.
Workforce issues Comprises of concepts linked to individualism, ethnic styles of communication, gender roles, assimilation, acculturation, autonomy and healthcare practices in the country of origin
Bio-cultural ecology Comprises of racial and ethnic differences regarding skin color and physical differences such as topographical, endemic, hereditary and genetic diseases
High risk behaviors Comprises of concepts such as the use of recreational drugs, alcohol and tobacco; non utilization of safety measures; deficiency in physical activity; and high risk sexual behaviors
Nutrition Comprises of concepts such as sufficient food intake; food preferences, taboos and rituals; meanings associated with food; and how food is consumed during instances of illness
Pregnancy and child rearing practices Comprises of concepts associated with fertility practices; birth control methods and practices; views regarding pregnancy; taboo, restrictive and prescriptive practices relating to pregnancy, postpartum treatment and birthing
Spirituality Entails the use of prayer and religious practices; cultural behaviors that give meaning to life; and the sources of strength for the patient
Health care practice Entails the emphasis of care (preventive or acute); individual responsibility for his/her health; beliefs regarding traditional and biomedical; perceptions about mental illness and organ transplantation and donation


 

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Project Proposal on how to manage procurement for Southmead Integrated Community Hospital Project Introduction

Project Proposal on how to manage procurement for Southmead Integrated Community Hospital
Project Introduction

As an integral component of the North Bristol Program, the redevelopment project for Southmead Integrated Community Hospital has been endorsed in order to improve the service capacities of new facilities for up to about 30,000 patients. Table 1 shows the forecasted full capacity following the redevelopment project for Southmead Integrated Community Hospital (North Bristol NHS Trust 2008).

Category of activity Expected patients annually
Outpatients and triage 26,242
Minor injuries 24,000
Diagnostic tests (ultrasound and plain film) 33,661
Therapy appointments 30,000
Inpatient spells to mitigate acute hospital admission 657
Inpatient spells to facilitate community rehabilitation 500
Source: North Bristol NHS Trust 2008, ‘Southmead Hospital Redevelopment’, NHS Trust, Bristol.

In order to achieve the new forecasted capacities of the New Southmead Integrated community hospital, the redevelopment project has been flagged as a large project under the North Bristol NHS Trust. In detail, this redevelopment project entails a number of deliverables such as zoning six departments with respect to their use over time; acquisition of advanced technology medical equipments; development of 28 operating theater rooms; development of two multi-storey car parking lots; a number of far-reaching demolitions; and a suitable design for both the landscape orientation and the building design. The redevelopment project is anticipated to take five years after its commencement.


 

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