Adjust Medicare payments to hospitals to cover additional costs incurred in providing services to Medicare beneficiaries that are attributable to compliance with such ratios.

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Adjust Medicare payments to hospitals to cover additional costs incurred in providing services to Medicare beneficiaries that are attributable to compliance with such ratios.
Paper, Order, or Assignment Requirements

Amends title XVIII (Medicare) of the Social Security Act to require each Medicare participating hospital to implement a hospital-wide staffing plan for nursing services furnished in the hospital.

Requires the plan to require that an appropriate number of registered nurses provide direct patient care in each unit and on each shift of the hospital to ensure staffing levels that: (1) address the unique characteristics of the patients and hospital units; and (2) result in the delivery of safe, quality patient care consistent with specified requirements.

Requires each participating hospital to establish a hospital nurse staffing committee which shall implement such plan.

Specifies civil monetary and other penalties for violation of the requirements of this Act.

Sets forth whistleblower protections against discrimination and retaliation involving patients or employees of the hospital for their grievances, complaints, or involvement in investigations relating to such plan.

Summary: S.864 — 114th Congress (2015-2016)All Bill Information (Except Text)

Listen to this page
There is one summary for S.864. Bill summaries are authored by CRS.
Shown Here:
Introduced in Senate (03/25/2015)

National Nursing Shortage Reform and Patient Advocacy Act

Amends the Public Health Service Act to require hospitals to implement and submit to the Department of Health and Human Services (HHS) a staffing plan that complies with specified minimum nurse-to-patient ratios by unit. Requires HHS to develop a transparent method for establishing nurse staffing requirements above minimum ratios.

Directs HHS to adjust Medicare payments to hospitals to cover additional costs incurred in providing services to Medicare beneficiaries that are attributable to compliance with such ratios.

 

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Post an analysis of what you think is the most pertinent health care policy issue with the potential to transform the way health care is delivered. Futurescan: Issues Affecting the Health Care System

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Post an analysis of what you think is the most pertinent health care policy issue with the potential to transform the way health care is delivered.
Futurescan: Issues Affecting the Health Care System

Note: Before completing this Discussion, please familiarize yourself with the Week 8 Discussion 2 Rubric located in the Course Information area of the course navigation menu.

This week’s readings touched on numerous issues affecting the health care industry now and in the future. Which of these issues has the potential to impact you either professionally or personally? Which of these issues are of particular concern and interest in your career as a health care administrator?

To prepare for this Discussion, reflect on the knowledge you have gained throughout this course and consider what you think to be the most important or pertinent health care policy issue affecting the health care industry today. How might this issue improve health care costs? How might it transform the way health care is delivered? How might it change the way people access health care in the future? Think of an issue that has both current and future implications.

For example, in your Learning Resources this week, you may have read an article in Modern Healthcare, which outlines plans the CMS Innovation Center has for testing a next generation Accountable Care Organizations (ACO) model in 2016. In this model, “patients will be able to voluntarily enroll in accountable care and in exchange, have their co-pays reduced or eliminated for some services, such as primary-care visits” (Evans, 2015). This articles offers a good example of current trends affecting relevant health care issues such as cost and access to care.

Post by Day 4 an analysis of what you think is the most pertinent health care policy issue with the potential to transform the way health care is delivered. Include in your analysis a rationale for implementation of a policy brief from a legal, ethical, and operational perspective. Be specific and provide examples.

General Guidance on Discussion Posts: Your original post, due by Day 4, will typically be 3–4 paragraphs in length as a general expectation/estimate. Refer to the Week 8 Discussion 2 Rubric for grading elements and criteria. Your Instructor will use the rubric to assess your work.

 

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Discuss how the bill would impact a nurses ability to provide safe and quality care or to practice to the highest scope of the nursing license.Select an active bill at the state or federal level that impacts the professional practice of nursing.

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Discuss how the bill would impact a nurses ability to provide safe and quality care or to practice to the highest scope of the nursing license.Select an active bill at the state or federal level that impacts the professional practice of nursing.
Paper , Order, or Assignment Requirements

Select an active bill at the state or federal level that impacts the professional practice of nursing. In a 56 page paper (excluding the title and reference pages), summarize the provisions of the bill and clearly explain what the bill will accomplish. The paper should be at least 56 pages, typed in Times New Roman using 12-point font, and double-spaced with 1″ margins.

Your review of a bill paper should:

Discuss the major provisions of the bill.
Demonstrate an in-depth understanding of the legislation by explaining the background and all relevant facts.
Discuss any relevant history related to the legislation, pertinent votes, and issues that are stalling the legislation, etc.
Use primary sources for this information.
Identify key supporters and those who do not support the bill. Explain why some of these individuals support the bill and why some do not.
Explore the positions of the key stakeholders in the bill, both pros and cons. Do not make assumptions about potential key stakeholders. Examine this area carefully so you are correctly reflecting the stakeholders positions.
Discuss how the bill would impact a nurses ability to provide safe and quality care or to practice to the highest scope of the nursing license.
Explain specific actions that nurses can take to assist with the passage or defeat of the legislation
Use APA format, correct grammar, and references as appropriate.

 

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Innovation in nursing involves an active engagement of the nurses within the medical facilities to enhance a change which will boost the health consumers experience in the facilities.

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Innovation in nursing involves an active engagement of the nurses within the medical facilities to enhance a change which will boost the health consumers experience in the facilities.

Innovation in nursing involves an active engagement of the nurses within the medical facilities to enhance a change which will boost the health consumers experience in the facilities. The scope of the task starts with the nurses who are involved in the admission of the patients and the discharge of patients. The change facilitates satisfaction to the health consumers. Precisely the change should be incorporated in the checklist where improvements will be noted. The findings will provide a ground to determine whether the nursing environment has been improved by the change. Firstly the nurses mechanism of communication with the patients should be changed[1]. Traditionally nurses speak to the patients while providing health care. It is a suggestion that most of the nurses do not take the time to share ideas and family issues with the patients. According to NMN guidelines the aspect of communication among the nurses with the patients contributes to their healing since they enhance the patients morale. It is advisable to change the model where the nurses should legally be entitled to have an approximate of two hours to communicate and share ideas with the patients. Statistics reveal that some of the successful medical facilities in the United Kingdom employ the tool where their patients realize recovery in a relevant period.
Evidently most of them entail the private entities where they have captured a large number of the health consumers Therefore the checklist should precisely record the manner with which the nurses interact with the patients to share ideas.
Secondly it is integral for the nurses to change their system of service provision. The task involves engaging effective approaches of relocating patient[2]. For instance they should consider employing the RFID devices which help to locate them from different places. Notably the mental and neurology patients tend to relocate themselves to other rooms in which they are not intended to be. Therefore the devices will help in tracking them within the shortest time possible. According to NMN guidelines the adoption of the change will spur service delivery among the patients hence attribute satisfaction and quick service delivery. Precisely the task will enhance promptness in service delivery.
The nurses should indicate the manner in which they employ the devices in the checklist to depict their usability. For instance in the detection of patients wheelchairs and machines. Conversely it is advisable for the nursing facilities to adopt the concept of patient inclusion in service delivery[3]. It is an aspect where most of the facilities do not consider the patients opinion as they provide health care[4]. Research reveals that the concept is healthy for the patients healing because it motivates and give them hope that healing will be realized. Precisely the nurses should consider the patients inclusion in the treatment platform by allowing them to decide the primary approach which should be used to treat them[5]. Significantly the nurses ignorance to involve them offends some of their value and beliefs.
Based on the NICE guidelines such an aspect attributes sophistication to the disease hence prolonging the health consumers healing[6]. Precisely the checklist should depict the manner in which the nurses include the patients in the treatment.
Conversely it is essential for the nurses to enhance their service of health checkups. The task involves visiting the patients in the respective wards to inspect their wellbeing. Research reveal that the concept helps in achieving a quick recovery among the patients because it cultivates ground in which new health complication can easily be discoveredbly the change will confront the behavior of patients where they tend to overdose or under dose.
The CQC policies assert that most of the patients make the mistake due to illiteracy. The concept will help in enhancing the rate of recovery and reduce mortality rate in the facilities. Importantly most of the first class medical facilities have engaged the practices Significantly the facilities should consider eliminating subjects who undertake whistleblowing because they threaten the health of the patients. For instance the practice is very sensitive to the patients persevering meningitis. Further the practice attracts attention in the process of health care making it difficult for the nurses and physicians to optimize health care.
Additionally it is important to record staff training in the facilities to determine how their competence in health care is upheld[10]. It is a concept where the facilities should increase the number of training sessions undertaken in a year from one to three. Evidently every nurse should indicate whether she has attended all the sessions or some of them at the checklist. The change is aimed at ensuring that the nurses competence in healthcare is updated so that they can optimize their service delivery to the health consumers[11].
Significantly the facilities should embrace a system where infections to the health consumers are properly controlled. The task involves establishing a policy where all waste products should be dumped in a certain bin. The task intends to keep the facility clean. According to NMN guidelines the practice minimizes the chances in which the patients can be infected by different bacteria which may sophisticate their health conditions. Differently the facilities should establish a policy which should be used to approach the vulnerable patients in the facilities[12]. Precisely the vulnerable patients entail those patients who are in a bad condition where the policy should give a provision for their prioritization.

 

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WHICH OF THE FOLLOWING, IF TRUE, WOULD WEAKEN THE OWNERS’ CLAIM?Complete the Final Examination. You are allowed one attempt to complete the examination, which is timed and must be completed in 3 hours.

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WHICH OF THE FOLLOWING, IF TRUE, WOULD WEAKEN THE OWNERS’ CLAIM?Complete the Final Examination. You are allowed one attempt to complete the examination, which is timed and must be completed in 3 hours.

Complete the Final Examination. You are allowed one attempt to complete the examination, which is timed and must be completed in 3 hours. Results are automatically graded and sent to your instructor.

Note: The automated final exam was designed in Google Chrome and is best viewed in the latest version of the browser. If you do not use the latest version of Google Chrome to view and complete the automated final exam, you may not be able to view the entire exam content. If you do not have the most current version of Google Chrome, download the browser before you enter the exam.

Final Exam Study Guide

If you’re taking the Final Exam, you probably have some questions, such as:

What is the structure of the Final Exam?
What kinds of questions will I see? Can I see some examples?
Why is the Final Exam designed this way?
How should I study for the Final Exam?
This document will answer these questions and help get you ready for the exam. Best wishes!

What’s the structure of the Final Exam?

The exam questions are based on course objectives and concepts from throughout the course.

There are 30 multiple-choice questions for each exam. The exam is timed and must be completed in 3 hours. Students are given one attempt to complete each exam. Results are auto-graded and sent to the instructor.

Note: The final exam is best viewed via the Google Chrome web browser. Please download the latest version of Google Chrome if you do not have access.

What kinds of questions will I see? Can I see some examples?

The Final Exam will have a mix of the following types of questions:

Applications: Knowing definitions is important, but you also need to be able to apply those definitions in practice. On your exam, you’ll need to apply definitions from individual courses, and you’ll also see questions combining concepts from different courses. These different kinds of application questions can ask you to:
Connect a concept to an example of that concept. These questions might ask you to recognize an externality in a transaction, identify a marketing strategy given a description of activities, or spot an example of a management technique in action.
Evaluate a situation and draw conclusions. These questions ask you to analyze a situation and make an appropriate recommendation. For example, you might be asked what would make communications more effective, what is required for a contract to be enforced, or to identify what would likely happen according to a particular theory.
Perform calculations and apply techniques: You could be asked to perform operations related to finance or accounting, determine what would happen to an equilibrium point if something in the world changes, or predict changes in exchange rates.
Critical Thinking Questions: On your Final Exam, you’ll see questions testing your critical thinking skills, which means that you’ll have to draw sound, logical conclusions while applying the techniques you’ve learned. You might be asked to identify an assumption, analyze an argument to determine what would make it stronger or weaker, or spot a flaw in an argument. These questions are often quite difficult, so get started by checking out the examples below.
Sample Questions:

Note: These are general examples that may not necessarily reflect the content of your specific course, but rather will give you an idea of how the questions on your exam will be structured.

1. Rahul is a manager in the Marketing Department of Acadia Bear Hospitality, a mid-size chain of hotels primarily appealing to vacationers who are interested in nature. Rahul’s goals for next year include the following: increasing revenue from guided tours by 20%, increasing the number of customers who visit Acadia Bear’s Web site by 25%, and turning Acadia Bear customers into ambassadors for the Acadia Bear brand.

Which of the following changes would most improve the list of yearly goals specified above?

doubling the proposed percentage increases in revenue from guided tours and Web site visitors
clarifying what is meant by an “ambassador for the Acadia Bear brand”
including proposals for changing Acadia Bear’s core mission
specifying the decisions that Rahul should make each week in order to meet these goals
Answer: (B)

Explanation: For goals to motivate employees, they must be clear. While many organizations want to turn their customers into “brand ambassadors,” this goal should be more specific in order for Rahul to understand what success with respect to that goal would look like. (B) Is therefore correct, as it would provide Rahul with the clear understanding he would require. (A) Could be a good idea, but might not be realistic. Goals are not always improved by making them more demanding, so it is not clear that (A) would be an improvement. Asking Rahul to change the organization’s core mission would be outside the scope of his responsibilities and so would not be a clear improvement to this list of goals. The list of weekly actions in (D) would probably make things worse by micromanaging Rahul. Yearly goals should not be that specific.

2. What real-world decisions would people be more likely to make if they are risk averse when considering potential losses?

paying more for an extended warranty than the expected value of the cost of the repairs covered by the warranty
considering the entertainment value of the gambling experience itself when deciding whether to wager in a casino
performing home repairs oneself instead of hiring a professional
preferring to participate in a lottery with a small chance of winning a large prize instead of receiving a small gift certificate
Answer: (A)

Explanation: If people fear losses in a way that strict calculations would not predict, then they would be willing to pay more to insure against those risks than the expected value of taking that risk would suggest. In (A), people pay high amounts to insure themselves against a risk that, on average, would be less costly than the warranty. So (A) is correct. (B) Makes people sound more inclined to risk losses, which doesn’t fit here. (C) Is also at least arguably on the side of taking risks, given that regular individuals tend to know less about home repair than professionals do. (D) Suggests that people prefer risks when it comes to gains, but this question is about losses.

 

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Selective service: Enacting compulsory military service obligation for all US citizens. Universal health care: Governmental provision of free health care for all citizens.

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Selective service: Enacting compulsory military service obligation for all US citizens. Universal health care: Governmental provision of free health care for all citizens.

Factors In Favor Of And Against
Finding “factors for” and “factors against” a position is a versatile tool for critical thinkers. In this assignment, you will practice this technique more formally by examining one of several contemporary issues.

Using your readings, the Argosy University online library resources, and the Internet, research methods for creating arguments using factors for and factors against an issue.

Select a topic for use in this assignment. It is recommended that you choose a topic that is personally meaningful or interesting to you. Examples of topics can include, but are not limited to, the following:

Underage drinking: Lowering the legal drinking age in the United States.
Gun control: Increasing restrictions on the civilian possession of non-hunting guns.
Selective service: Enacting compulsory military service obligation for all US citizens.
Universal health care: Governmental provision of free health care for all citizens.
For the selected topic, complete the following:

Construct at least six reasons for and six reasons against the topic. Rank the reasons in terms of strength and effectiveness.
Explain why you identified each argument as either strong or weak in each category.
Include the following two parts in your completed assignment:

Part 1: Compile a matrix (using the template below) that lists and ranks six arguments for and six arguments against the issue you have selected. Rank the reasons for each side of the issue from strongest to weakest.

Part 2: After you have compiled your matrix, write a 500–700-word paper in Word format. This essay should explain and synthesize the information in your matrix. Defend why you have ranked each argument as either strong or weak. Apply APA standards to citation of sources.

 

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Provide resources and educate staff about infection control measures and procedures.

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Provide resources and educate staff about infection control measures and procedures.

HOSPITAL-ACQUIRED INFECTIONS IN THE ELDERLY POPULATION

Goals and Objectives: What is the overall goal of your project? Objectives should state what you are going to do to accomplish the goal(s).

Goal: “To decrease the risk and rate of hospital acquired infections by 10 percent in 90 days by correcting issues related to current infection control practices.”
Objectives:
1. Provide resources and educate staff about infection control measures and procedures.
2. Monitor staff adherence to infection control and provide feedback to staff.
3. Assess compliance for the use of safe infection control practices and compliance to standard measures.

What change theory will you use to serve as a framework for developing your project?

We will be incorporating lippits Change Theory (project zen) as our framework for developing this project.

Discuss the rationale for this project.
The need for the study of this topic is important because it addresses the morbidity and mortality of the elderly population with infections acquired at the hospital setting. This study will explore the infection control in a hospital setting, safe infection control practices, and compliance to standard measures.

Instructions for research paper LD
This project is about identifying a goal in the field of nursing that can be change for the better.
(these goals and objectives will be given to you)
The page for the overview will be mainly the introduction of the goal and objectives and explain how this goals and objectives can be achieved by using a change theory and management concepts
follow instructions below.
Typed, double –spaced
APA 6th edition format.
No quotations (unless it is truly necessary)
This paper should be written in a standard 5

 

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Analyze the transition of health care from the 18th Century leading up to the 21st Century.Development of U.S. Health Care in Hospitals Based on the Foundation of U.S. Law” Please respond to the following: Discussion 1

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Analyze the transition of health care from the 18th Century leading up to the 21st Century.Development of U.S. Health Care in Hospitals Based on the Foundation of U.S. Law” Please respond to the following:
Discussion 1

Development of U.S. Health Care in Hospitals Based on the Foundation of U.S. Law” Please respond to the following:

Part 1

From the scenario, relate the basic steps in the development of U.S. health law, leading up to the present, to you or an employer’s need for health insurance coverage in light of the provisions that the Affordable Health Care Act sets forth. Rationalize the fundamental way in which these laws play a pivotal part in understanding the roles that today’s health care administrators play.

Part 2

Analyze the transition of health care from the 18th Century leading up to the 21st Century. Evaluate the degree and quality of care established within 18th Century U.S. hospitals, as compared to the level of care seen in today’s hospitals. Examine the primary roles of progressive health care law in shaping the current modern environments.

Discussion 2

Part 1

Application of Tort Law in Health Care Project Management Protocols” Please respond to the following:

From the scenario, analyze the development of health care project management predicated on tort law. Ascertain the major ways in which tort law provides solutions to health care concerns, in light of the complexities of 21st Century health care administration roles.

Part 2

Analyze the development of tort law from the concept and degree of negligence to the application of the law to strict / product liability. Evaluate the success of tort law in providing solutions to 21st Century health care disputes. Rationalize your answer by using any applicable legal precedents.

Discussion 3

Part 1

“Contracts and Antitrust Protocols Based on the Criminal Aspects of Health Care” Please respond to the following:

From the scenario, differentiate between the concepts of criminal law, antitrust, and health care as they apply to U.S. health law in the 21st Century. Conceptualize the primary ways in which these laws apply to U.S. health care administrators.

Part 2

Analyze the general transition of U.S. health laws based on criminal misconduct in health care to the creation of contract laws, as predicated within the Sherman Antitrust Act. Evaluate the efficacy of the measures that the new contracts in question afford, and rationalize whether or not these improvements have provided optimal solutions to today’s complex concerns of integrity in health care performance.

This is a required resource, however supplemental resources can be added.

Pozgar, G. D. & Santucci, N. (2016). Legal aspects of health care administration. (12th ed.). Sudbury, MA: Jones & Bartlett Learning.

Write clearly and concisely using proper writing mechanics.

½- 1 page each discussion, double-spaced; 12 point, Times New Roman font; following APA requirements

References should be on a separate reference page, appropriately double-spaced, and organized alphabetically.

 

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IN WHAT WAYS IS THE STATE OF ALABAMA ATTEMPTING TO IMPROVE THE TELEMEDICINE STRATEGY?Interesting issues that Alabama is going through at this point in time. I have just a few questions about some of the points you mentioned.

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IN WHAT WAYS IS THE STATE OF ALABAMA ATTEMPTING TO IMPROVE THE TELEMEDICINE STRATEGY?Interesting issues that Alabama is going through at this point in time. I have just a few questions about some of the points you mentioned.

In what ways is the State of Alabama attempting to improve the telemedicine strategy?
Healthcare Advocate:
Interesting issues that Alabama is going through at this point in time. I have just a few questions about some of the points you mentioned. The first question is, in what ways is the State of Alabama attempting to improve the telemedicine strategy? What company are they going with? What system are they trying to roll out? I know that some of these issues have a lot of impact on the community and as such the state can’t effectively role out a new system without first having a good in place for the public which is cost-effective and protected. From that 40% of the population that is unable to seek healthcare services, what percentage of that 40% is a minority? With one of my previous assignments, we had to go over different stake holder groups and while researching for the topic, I noticed that most of the uninsured come from a minority population that depends on the geographical area of the country. It is always good to notice the relationships between the two especially when it comes to trying to effectively tackle these issues. And finally, on top of the Medicaid program, is there any system you personally as a healthcare advocate would try to lean towards for the patient population in Alabama?

1. In what ways is the State of Alabama attempting to improve the telemedicine strategy?

2. What company are they going with? What system are they trying to roll out?

3. what percentage of that 40% is a minority?

4. Is there any system you personally as a healthcare advocate would try to lean towards for the patient population in Alabama?

 

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In a composition of no more than 750 words, describe the nature of your proposed project topic. Assignment

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In a composition of no more than 750 words, describe the nature of your proposed project topic.
Assignment

In collaboration with your approved course mentor, you will choose a specific evidence-based practice proposal topic for the Capstone Project. Consider the clinical environment in which you are currently working or have recently worked. The Capstone Project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate “supervised to your area of interest as well as your practice immersion (practicum) setting. A combination of 100 clinical hours” in community health and leadership areas will be obtained through the application of the objectives listed in the “Guidelines for Undergraduate Field Experiences” manual and as captured in the ISP.

Practicum immersion experiences are required in a community health setting. Community health and leadership practice immersion can occur in the same site and in conjunction with the evidence-based project in the NRS-490V course. Definitions of community-based settings should encourage community integration and involvement; expand accessibility of services and supports; promote personal preference, strengths, dignity; and empower people to participate in the economic mainstream. Examples of the integration of community health, leadership, and an EBP can be found at Healthy People 2020.

The goals of the practice immersion experience is to apply the learning from your research, community health, and leadership courses:

After studying this course, you should be able to:

Demonstrate and apply knowledge of factors to consider when planning to work with a chosen community.
Demonstrate and apply knowledge of approaches that will facilitate engagement of the community.
Demonstrate and apply knowledge and skills required to work constructively with communities.
Demonstrate and apply knowledge related to engagement of organizational leadership and change agents.
Demonstrate and apply knowledge related to disseminating project findings/data with organizational leadership and change agents.
Demonstrate and apply knowledge related to completing an evidence-based project to impact population health outcomes.
Demonstrate and apply Healthy People 2010/2020 principles related to completing an evidence-based project to impact population health outcomes.
According to Healthy People.gov, educational and community-based programs and strategies are designed to reach people outside of traditional health care settings. These settings may include:

Schools

Worksites

Health care facilities

Communities

Each setting provides opportunities to reach people using existing social structures. This maximizes impact and reduces the time and resources necessary for program development.

In a composition of no more than 750 words, describe the nature of your proposed project topic. Include the following in your discussion:

The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
Preview and utilize the “Project Topic Checklist” resource located in the topic materials to assist in developing your proposed Capstone Project topic. This resource will assist you in organizing your work and will provide additional information regarding the assignment. Note: You are required to retrieve and assess a minimum of 15 peer-reviewed articles. Plan your time to complete this assignment accordingly.

 

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