Archive for category: My Nursing Writer

To help identify a region with known environmental events for this assignment, consult your textbook, the WHO Public Health and Environment Program’s Web site, and the UNEP’s Web site. Please be sure to support your public health analysis of these environmental issues with evidence-based research.

In this assignment, you will select one region of the world with known environmental issues and create a timeline of the events in this area, going back no more than 200 years. For example, you could choose to focus on the Gulf Coast in the United States and its history of hurricanes, floods, and the recent oil spill; the Love Canal disaster in New York; the Chernobyl nuclear meltdown in Ukraine; or Canada’s tar-sands in Alberta. Each of these areas has a history of environmental problems that have impacted populations, and their health, drastically.

To help identify a region with known environmental events for this assignment, consult your textbook, the WHO Public Health and Environment Program’s Web site, and the UNEP’s Web site. Please be sure to support your public health analysis of these environmental issues with evidence-based research.

Using this timeline of events, create a presentation analyzing the environmental issues in this region, including the following topics/issues:

History—A brief timeline: Describe the environmental history for the area(s)/region(s) impacted, including the environmental disasters that have taken place and their immediate- and long-term impacts on the population’s health in this region. Wherever appropriate, include a description of the population(s) in the region, along with demographics and population sizes. This should take approximately 4–5 slides.
The factors that caused these disasters and public health outcomes in this area. Be sure to list all known causative factors at play and whether they are caused by humans and/or are natural. This should take approximately 2–3 slides.
An analysis of how these events have impacted or will impact the health and/or disease risk of this region of the world. Be sure to address other determinants of health—social, economic, cultural, and other environmental factors—in your analysis that influence or will influence the magnitude of environmental events on health outcomes in this region. Examine whether you are focusing on a region with primarily developed or developing countries and explain how this influences current and future health outcomes. This should take approximately 4–5 slides.
A summary of past, current, and proposed efforts that aim to help combat the effects of these environmental issues/threats on health (local and/or global), including emergency response planning and prevention efforts. This should take approximately 3–4 slides.
Three recommendations for strategies to protect populations in this region from poor health outcomes due to these environmental issues. Be sure that your three recommendations are supported with evidence-based research. These could include long-term policies, emergency response plans, or public health programs that would protect public health in the region. This should take approximately 3–4 slides.
References used for the project in APA format. This should take approximately 2–3 slides.
Be sure to include detailed speaker notes for each slide to elaborate on what you would say while presenting your material.

Develop a 20–slide presentation in Microsof PowerPoint format. Apply APA standards to citation of sources.

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What legal invasions of privacy would you be willing to justify in the name of public policy?

What legal invasions of privacy would you be willing to justify in the name of public policy? Would you be able to defend surveillance for the purpose of:
Making sure that people stay within the law?
Making sure that people are behaving themselves morally?
Making sure that people are healthy?
Making sure that people are happy?

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What outcomes were measured and how was change implemented to improve the quality of care and patient outcomes?

Quality Improvement

QUESTIONS:
1. Reflect on the Performance Improvement/Quality Improvement processes at your facility. (WRITER, I WORK IN THE URGENT CARE UNIT WITHIN THE LOS ANGELES COUNTY SHERIFF’S DEPARTMENT JAIL MEDICAL SERVICES BUREAU, so make the answer relatable to this area of nursing and patient care)
a. Recall an improvement method initiated at your facility.
b. What data was gathered?
c. How was this done?
d. What outcomes were measured and how was change implemented to improve the quality of care and patient outcomes?
Below is directly from the Leadership and Management for Nurses, 2nd Edition book, please find a way to somehow it be worked into your answer for the questions above, of course utilizing the appropriate APA Formatting and APA Reference list:
Anita Finkelman (2011, p. 476) cited the following in her book “Leadership and Management for Nurses” the following regarding OASIS:
“Outcome Assessment Information Set (Oasis) – Some health care organizations such as home health care agencies and some insurers are using national evaluation approaches that are not sponsored by the Joint Commission. Home care agencies use a specific outcome-based approach to quality improvement (QI) called Outcome Assessment Information Set (OASIS), which was developed in the 1990s by the U.S. Department of Health and Human Services. This is a standardized, computerized patient-level assessment with items related to the patient’s physical and emotional state. The focus is on whether or not the patient benefited from the care—outcomes and performance, which should be the focus of care in all types of settings. The process has two stages.
The first is outcome analysis, which includes data collection using the OASIS assessment form, and then processing, editing, and transmitting the data electronically to a central location that collects data from multiple home health agencies. Then each agency receives a risk-adjusted outcomes report, which compares each agency with other agencies providing a quality report card. Data collection occurs at specified intervals in the patient’s care process.
The second stage is outcome enhancement when each agency that participates in the process selects outcomes for further evaluation—such as identifying problems and strengths, developing best practices that are incorporated in action plans, implementing and monitoring the plans, and evaluating the effect of these actions in subsequent reports (Mosocco, 2001; Centers for Medicare and Medicaid Services, 2010).”
2. A “culture of safety” is a term about which we hear a great deal. Describe the culture of safety at your organization.
a. Who is leading the charge to promote safety? (WRITER, I WORK IN THE URGENT CARE UNIT WITHIN THE LOS ANGELES COUNTY SHERIFF’S DEPARTMENT JAIL MEDICAL SERVICES BUREAU, we have a Risk Management Unit and a Quality Improvement Unit within the Sheriff’s Medical Services Bureau that are both tasked with the promotion of safety within the Medical Bureau of the Jail)
b. What is your role as a BSN-prepared nurse in ongoing strategies to promote safety?
Below is directly from the Leadership and Management for Nurses, 2nd Edition book, please find a way to somehow it be worked into your answer for the questions above, of course utilizing the appropriate APA Formatting and APA Reference list:
Anita Finkelman (2011, p. 484) cited the following in her book “Leadership and Management for Nurses” the following regarding evidence-based practice:
“Evidence-based practice (EBP) helps to identify and assess high-quality, clinically relevant research that can be applied to clinical practice (Institute of Medicine, 2008). Evidence-based practice is viewed as method to improve the quality of care because basing decisions on evidence can better ensure that the care needs are met in an effective manner.”

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Consider strategies that could be used to strengthen the study’s internal validity and how this would impact the three other types of validity.

VALIDITY IN RESEARCH REFERS TO THE EXTENT RESEARCHERS CAN BE CONFIDENT THAT THE

Validity in research refers to the extent researchers can be confident that the cause and effect they identify in their research are in fact causal relationships.
If there is low validity in a study, it usually means that the research design is flawed and the results will be of little or no value. Four different aspects of validity should be considered when reviewing a research design: statistical conclusion validity, internal validity, construct validity, and external validity. In this Discussion, you consider the importance of each of these aspects in judging the validity of quantitative research.
To prepare:
• Review the information in Chapter 10 (See Attachments) of the course texton rigor and validity.
• Read the method section of one of the following quasi-experimental studies (See Attachments). Identify at least one potential concern that could be raised about the study’s internal validity.
o Metheny, N. A., Davis-Jackson, J., & Stewart, B. J. (2010). Effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59(1), 18–25.
o Padula, C. A., Hughes, C., & Baumhover, L. (2009). Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults. Journal of Nursing Care Quality, 24(4), 325–331.
o Yuan, S., Chou, M., Hwu, L., Chang, Y., Hsu, W., & Kuo, H. (2009). An intervention program to promote health-related physical fitness in nurses. Journal of Clinical Nursing, 18(10), 1,404–1,411.
Consider strategies that could be used to strengthen the study’s internal validity and how this would impact the three other types of validity.
Think about the consequences of an advanced practice nurse neglecting to consider the validity of a research study when reviewing the research for potential use in developing an evidence-based practice.
Post the title of the study that you selected (Feel free to select any of the three above mentioned) and your analysis of the potential concerns that could be raised about the study’s internal validity. Propose recommendations to strengthen the internal validity and assess the effect your changes could have with regard to the other three types of validity. Discuss the dangers of failing to consider the validity of a research study.

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Explain the requirements for health care information technology systems to comply with federal, state, and local laws governing patient information security.
Identify an effective health care organization that utilizes information technology.

Analyze the components and requirements of its information systems technology program.

Explain the requirements for health care information technology systems to comply with federal, state, and local laws governing patient information security.

Assess the risks and affected stakeholders in the event of a system breach or failure, and recommend approaches that can be used to safeguard confidential information.2

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