Running head: NURSING PROBLEM 1

NURSING PROBLEM 2

Nursing Problem

Student’s Name

Institutional Affiliation

Date

Specialization: Nursing Practitioner.

As a nursing practitioner, the major roles include the assessment of the needs of the patients. A nursing practitioner also orders and interprets test from laboratories, they do illness and disease diagnosis, medication prescription and formulate plans for treatment. There are a number of challenges that face the nurse in their field of practices. This paper will focus to discuss the hazards in the workspace of these practitioners. It will also seek to find a way of solving these challenge using innovative means.

The Problem of Interest

Hazard in The Nursing Field.

The nursing field of practice is one of the most dangerous places of working as one does work in a delicate environment where one is in the risks of being infected or even injuring oneself. Nurses are faced with a number of risks in daily job activities. Some of these hazards include injuries, flu germs, hand washing –related dermatitis and pathogens that are based in the blood among others.

According to the report produced by OSHA, about 5.6 million of 12.2 million workers are under the risk of being exposed to blood borne pathogens. This is a big number of health workers under the risk meaning that soon there will be a shortage of health nursing or health workers in general. Moreover, the rates of risks are higher in the health care industry than any other industries. This industry has registered around 35000 injuries covering different parts of the body. These range from the shoulders, hands, feet, and back. These statistics are according to the Bureau Labor Statistics (Gooch, 2015).

Apart from the acute injuries discussed, they also suffer harm exposed on their hands. From a recent study carried out in the University of Manchester, the health workers that follow protocols are 4.5 times exposed to skin damage risks. The report also reported up to 25 percent of cases of irritant contact dermatitis.

These individuals also get exposed to infectious diseases in their areas of practice. One of the most commonly contacted infection is Hepatitis B (HBV). This is infection can be contacted via blood contact, feces, saliva, and semen. This instrument of spreading the infection is in contact with the patient and also the needles (Gooch, 2015). Nursing practitioners also risk exposure to toxic substances in the clinical environment. Radiation is another risk that comes majorly from the ionizing radiation. Complications associated with radiation include skin cancer, leukemia, and cancer among others. One comes to contact with this radiation in the instances of performing x-ray scans. Another challenge that faces nursing practitioners is stress. This is experienced mostly among the nurses who work with the patients that are terminally or chronically ill (NCBI, 2016).

Research Strategy.

The focus of the research is on the articles that are based on nursing practices. These articles also further narrow down to the specific problems facing the nursing practitioners. The aim is to find a solution to the above-identified problem.

Innovative Solution.

It was crucial to put up ways to protect nursing practitioners. It is important to take extra measures when working in various situations. Capacity building of the nurses on the safety measures while working is very important. They should also be educated on using the protective gear which will reduce exposure to risks. For instance, the use of antiviral face mask inactivates the 99.99 percent of the flu viruses tested in the laboratory.

References

Gooch, K. (2015, August 13). 5 of the biggest issues nurses face today. Becker’s Hospital Review. Retrieved from https://www.beckershospitalreview.com/human-capital-and-risk/5-of-the-biggest-issues-nurses-face-today.html

Gooch, K. (2015, July 15) 4 common nursing hazards demanding hospitals’ attention. Clinical Leadership & Infection Control. Retrieved from https://www.beckershospitalreview.com/quality/4-common-nursing-hazards-demanding-hospitals-attention.html

NCBI (2016). Nursing Health & Environment: Strengthening the Relationship to Improve the Public Health. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK232400/

 

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Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
4. What health promotion activities are often practiced by this group?  
5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 

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Report Issue

Read the scenario that you will use for the Individual Projects in each week of the course. The Centers for Medicare and Medicaid Services (CMS) has taken on a more visible role in health care delivery. Many changes have transpired to improve patient safety along with the implementation of additional quality metrics, and these changes impact reimbursement rates.

Likewise, the Patient Protection and Affordable Care Act has changed the reimbursement fee structure of Medicare and Medicaid reimbursement for health care services. Other legislation including the HITECH Act and the Medicare Authorization and CHIP Reactivation Act of 2015 (MACRA) all impact how healthcare organizations receive reimbursement and demonstrate use of data to improve quality and delivery of patient care.

Scenario

Mr. Magone, CEO of Healing Hands Hospital, has asked you to join the “Future of Healing Hands” Task Force. Your first assignment is to work with the Hospital Chief Financial Officer, Mr. Johnson, and provide a summary of the current regulations regarding Medicare reimbursement including how MACRA will impact reimbursement if/when Healing Hands coordinates delivery of services by affiliating with physician practices.  
 

For this assignment, write a 2-page report, not including the title page and reference page, on how the new CMS initiatives and regulations will impact the organization’s revenue structure. The HCM Learning Center page for this class has excellent resources for more information within the Unit 1 tab. This is Section 1 of your report to the Task Force. This first section should be titled “Impact of CMS Regulations and Reimbursement Models”. In your report include:

• How does CMS impact the reimbursement model for Healing Hands Hospital and other health care organizations? If CMS reimbursement regulations for Medicare and Medicaid change, does it follow that other insurance providers change their policies on reimbursement? 
• The CMS website on Innovation Models provides examples of healthcare payment and service delivery models designed to increase quality of care while reducing costs. 
  • Choose one example of ongoing or planned models for Accountable Care Organizations or Episode-Based Payment Initiatives and explain how participation in the models would be beneficial to Healing Hands Hospital. 

Be sure to include at least two reference sources and cite them using APA formatting.

• Posted: 2 Months Ago
• Due: 22/05/2019
• Budget: $20

 

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Required Resources

Read/review the following resources for this activity:

· Textbook: Chapter 9

· Lesson

· Link (website): Pew Research Center (Links to an external site.)Links to an external site.

· Click on the Social Trends tab.

· Click on the Interactives tab.

· Locate the following link: How Census Race Categories Have Changed Over Time

· Click on “1790” to see two columns comparing the 1790 Census categories with the 2010 Census categories.

· Minimum of 4 outside scholarly sources

Instructions In this week’s lesson, you learned about the U.S. Census Bureau’s most recent racial and ethnic categories. For this assignment, consider the racial and ethnic categories used in the 2010 Census with the four racial, ethnic, and gender categories used in the 1790 Census: Free white males, free white females, all other free persons, slaves (Pew Research Center, 2015). Analyze the concepts of race, ethnicity, and gender as social constructs, just as sociologists do, by addressing the following:

1. Explain how you might have been categorized by the 1790 Census and how you would have been categorized by the 2010 Census.

2. Compare and contrast the two potential categorizations and explain how this exercise shows that the concepts of race, ethnicity, and even gender change over time. Most importantly, explain how this exercise shows that the concepts of race, ethnicity, and gender are social constructs.

3. Determine and describe what ethnic, racial, and/or gender categories, if any, would be best, in your view, for the 2020 Census or the 2030 Census, to most accurately show the diversity of the U.S. population. What categories would be best to reveal the segments of the U.S. population most vulnerable to racial, ethnic, and/or gender inequalities or discrimination? What categories could be listed in the 2020 Census or the 2030 Census that might best educate the U.S. population on differences between race and ethnicity? Explain your decisions.

Include headings for each of the three main sections of the paper:

· What the Census Might Have Called Me

· Social Constructs

· Better Future Census Categories

Each of the three main sections of your paper must contain scholarly support in the form of quotes or paraphrases with respective citations from assigned reading (the textbook/lesson) and the outside scholarly source that you identify on your own.

*This assignment is adapted from Glaser (2018).

Writing Requirements (APA format)

· Length: 3-4 pages (not including references page)

· 1-inch margins

· Double spaced

· 12-point Times New Roman font

· Running header in the upper left of all pages

· Page number in the upper right of all pages

· Minimum of 3 headings (centered, bold, & title case)

· Parenthetical in-text citations included and formatted in APA style

· References page (minimum of 4 outside scholarly sources plus the textbook/lesson)

· Title page not required

Grading This activity will be graded based on Essay (W5) Grading Rubric.

Week 5 Essay Grading Rubric – 175 pts

Week 5 Essay Grading Rubric – 175 pts
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeLength	10.0 ptsMeets length requirement0.0 ptsDoes not meet length requirement	10.0 pts
This criterion is linked to a Learning OutcomeContent	10.0 ptsAddresses all aspects of the assignment.8.5 ptsAddresses most aspects of the assignment.7.5 ptsAddresses some aspects of the assignment.6.0 ptsAddresses few aspects of the assignment.0.0 ptsNo effort	10.0 pts
This criterion is linked to a Learning OutcomeExplanation of Concepts	35.0 ptsThoroughly explains race, ethnicity, and gender as social constructs.29.75 ptsExplains race, ethnicity, and gender as social constructs, but more details could be added.26.25 ptsAdequately explains race, ethnicity, and gender as social constructs. Additional explanation and details are needed to clarify the topics.21.0 ptsExplanation of race, ethnicity, and gender as social constructs is inadequate or unclear.0.0 ptsNo effort	35.0 pts
This criterion is linked to a Learning OutcomeAnalysis	50.0 ptsThe central idea is developed and expanded with depth of critical thought. Thorough analysis of census categories and the social constructs of race, ethnicity, and gender is included.42.5 ptsThe central idea is discernible and developed. A good analysis of census categories and the social constructs of race, ethnicity, and gender is included, though additional details could provide a stronger examination of the concepts.37.5 ptsThe central idea needs more development with points tying back to the thesis. Adequate analysis of census categories and the social constructs of race, ethnicity, and gender is included. Additional support and details are needed to clarify points.30.0 ptsThe central idea is not developed, and the analysis lacks critical thought.0.0 ptsNo effort	50.0 pts
This criterion is linked to a Learning OutcomeSource Integration	20.0 ptsParaphrases or quotations from all required resources are included to support the analysis: 4 outside scholarly sources and textbook/lesson.17.0 ptsParaphrases or quotations from most required resources are included to support the analysis.15.0 ptsParaphrases or quotations from some required resources are included to support the analysis.12.0 ptsParaphrases or quotations from few required resources are included to support the analysis.0.0 ptsNo effort	20.0 pts
This criterion is linked to a Learning OutcomeWriting: Mechanics & Usage	20.0 ptsThe writing is free of major errors in grammar, spelling, and punctuation that would detract from a clear reading of the paper.17.0 ptsThe writing contains a few major errors in grammar, spelling, and punctuation, but the errors do not detract from a clear reading of the text.15.0 ptsThe writing contains some major errors in grammar, spelling, and punctuation that need to be addressed for a clearer reading of the paper.12.0 ptsThe writing contains several major errors in grammar, spelling, and punctuation that impede a clear reading of the paper.0.0 ptsNo effort	20.0 pts
This criterion is linked to a Learning OutcomeAPA Paper Format	10.0 ptsPaper is formatted to include all 6 of the following: references page, Times New Roman, 12-point font, double spacing, running header, and page numbers.8.5 ptsPaper is formatted to include 5 of the following: references page, Times New Roman, 12-point font, double spacing, running header, and page numbers.7.5 ptsPaper is formatted to include 4 of the following: references page, Times New Roman, 12-point font, double spacing, running header, and page numbers.6.0 ptsPaper is formatted to include 3 of the following: references page, Times New Roman, 12-point font, double spacing, running header, and page numbers.0.0 ptsNo effort	10.0 pts
This criterion is linked to a Learning OutcomeAPA Resource Citation	20.0 ptsAll sources are properly cited in the text and references page demonstrating a mastery of APA format.17.0 ptsMost sources are cited in the text and references page. Some minor errors may exist in citation, but it does not interfere with understanding the source of the information.15.0 ptsMost sources are cited in the text and references page. Some errors may exist in citation that need to be addressed to clarify the source of information.12.0 ptsSources are not properly/cited in the text/references page. Formatting contains several errors that suggest a lack of understanding of APA format.0.0 ptsNo effort	20.0 pts
Total Points: 175.0

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Assignment Details

Unit 5 Assignment: Theoretical frameworks

Outcome Addressed:

NU310-3: Examine connections among theory and nursing research.  

Purpose: The purpose of this assignment is for you to understand how theoretical frameworks relate to and support nursing research and ultimately shape clinical practice and improve patient care.

After completion of this assignment you will be able to apply a theoretical framework to a clinical research problem.

Instructions:

You will create a brief (no more than 10 slides) presentation containing the following information:

1. Identify a clinical problem/topic that interests you or that you experience in your nursing practice.

2. Choose and present a theory (either grand theory or middle range theory) that would support and provide a framework to address the problem/topic.

3. Briefly discuss the theorist who created the theory and the history of how it was developed.

4. Present an example of how this theory has been used in nursing research.

The presentation should include:

• Introductory slide (title, your name,).
• Brief speaker notes for each slide.
• Bullet points and colorful graphs or schematics.
• Reference slide with 3-5 scholarly references.

 

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