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For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage

For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature. Expert Answer and Explanation Health Management through Physiotherapy The contemporary clinical solutions to the health issues such as type-2 diabetes and coronary heart disease (CHD) rely on the physical exercise to advance the disease management and prevention objectives. According to the statistical estimates conducted in 2015, the United States (U.S.) had 30.3 million cases of diabetes mellitus (Bullard et al., 2018). Because factors such as age and economic status predisposes one to the risk of contracting this disease, these cases are highly spread in older adults as well as in economically-disadvantaged populations. This is the same case with the CHD which predominantly affects older Americans (Sanchis-Gomar et al., 2016). Based on the 2016 statistical approximation, the disease affected 15.5 million Americans, aged 20 and above. Another characteristics that is noticeable with the two diseases is their distribution with respect to the race and ethnicities. Minority populations’ risk of contracting either of these disease is higher than the risk in the white populations. Considering the benefits associated with the physiotherapy, it is imperative that caregivers guide patients through the process of incorporating exercise into their. To realize this goal as a nurse, it is important to focus on educating the patient on certain aspects of the physical activities which can help them manage diabetes as well as CHD. The first step in the educational process is to assess whether the patient practices any form of physical exercise, and follow this with explaining to the patient the benefit of this form of activity (Tuso, 2015). Encouraging the patient to actively participate in activities such as walking or doing light jogging every day of the week, for 30 minutes, is important to the health promotion. If possible, involving the family members of the patient can be important in the sense that it helps provide the patient the support they need to adhere to the physiotherapy regimen. The involvement of the family can also help gain cooperation from the client. References Bullard, K. M., Cowie, C. C., Lessem, S. E., Saydah, S. H., Menke, A., Geiss, L. S., … Imperatore, G. (2018). Prevalence of Diagnosed Diabetes in Adults by Diabetes Type – United States, 2016. MMWR. Morbidity and mortality weekly report, 67(12), 359–361. doi:10.15585/mmwr.mm6712a2. Sanchis-Gomar, F., Perez-Quilis, C., Leischik, R., & Lucia, A. (2016). Epidemiology of coronary heart disease and acute coronary syndrome. Annals of translational medicine, 4(13), 256. doi:10.21037/atm.2016.06.33. Tuso P. (2015). Strategies to Increase Physical Activity. The Permanente journal, 19(4), 84–88. doi:10.7812/TPP/14-242. Alternative Expert Answer and Explanation Prevalence and Prevention of Diabetes and Hypertension Individuals at risk of diabetes and hypertension or even those with these two conditions can receive immense benefits from physical activity. These two health conditions are prevalent in the United States (U.S.), and the cases differ across populations from different demographic backgrounds. The Center for Disease Control (CDC) updates information concerning the prevalence of the two medical conditions, and based one of the agency’s reports, the number of individuals in the country with diabetes is more than 30.3 million people (CDC, 2017). A population of 84.1 million of Americans are pre-diabetic, and this group is at risk of developing diabetes if they fail to get early treatment (Bullard et al., 2018). Conversely, the number of the incidences of hypertension are higher compared to the cases of diabetes. Approximately, 77.9 million adult Americans have this condition. However, for both diseases, cases differ across various social dimensions including family income status, race and education. Among the educated Americans, incidences were 12% in 2017. In the same year still, rates among the Appalachia communities were higher compared to the general population. Various measures can help the recovery of the patients or the prevention of the two medical conditions. Involving the patient or at risk person is a light physical activity that takes 30 minutes every day can yield better clinical outcomes. Physiotherapy plan should include instructions on the type of the activity or exercise the patient will have to perform. The exercise ranges from the brisk walk, to jogging and running. Besides, it is important to recommend to the patient the food they would need to eat so that they can stay healthy (Brown et al., 2017). To facilitate the cooperation from the client, it is important to involve them in identifying the type of activity which can be appealing to them, and involving them in scheduling for the physical activity. References Brown, A., Houser, R. F., Mattei, J., Mozaffarian, D., Lichtenstein, A. H., & Folta, S. C. (2017). Hypertension among US-born and foreign-born non-Hispanic Blacks: National Health and Nutrition Examination Survey 2003-2014 data. Journal of hypertension, 35(12), 2380–2387. doi:10.1097/HJH.0000000000001489. Bullard, K. M., Cowie, C. C., Lessem, S. E., Saydah, S. H., Menke, A., Geiss, L. S., … Imperatore, G. (2018). Prevalence of Diagnosed Diabetes in Adults by Diabetes Type – United States, 2016. MMWR. Morbidity and mortality weekly report, 67(12), 359–361. doi:10.15585/mmwr.mm6712a2. CDC. (2017). New CDC Report: More than 100 Million Americans have Diabetes or Prediabetes. Retrieved from https://www.cdc.gov/media/releases/2017/p0718-diabetes-report.html. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level  assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order How Exercise Can Reduce Health Problems in Middle-Aged Adults: Complete Prevention Guide For middle-aged adults, regular exercise can reduce the risk of various health problems by up to 30%, with cardiovascular disease

Address the following topics: Locards principle Basic steps in evidence collection The importance of chain of custody The importance of all nurses being familiar with evidence collection The clinical and forensic knowledge differences between physicians and nurses

Address the following topics: Locards principle Basic steps in evidence collection The importance of chain of custody Address the following topics Locards principle Basic steps in evidence collection Evidence Collection Essay Write a 1500-2000 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count toward the minimum word amount. Review the rubric criteria for this assignment. Address the following topics: Locards principle Basic steps in evidence collection The importance of chain of custody The importance of all nurses being familiar with evidence collection The clinical and forensic knowledge differences between physicians and nurses Expert Answer and Explanation Evidence Collection Evidence collection is gathering evidence by one or more people, usually to support a legal claim. Evidence collection may involve interviewing witnesses and others who know facts relevant to a case, photographing and videotaping physical evidence, examining documents and records, or questioning suspects (Bell, 2019). The types of evidence collection involved are physical evidence, such as fingerprints and blood stains, testimonial evidence, and oral testimony from witnesses. Evidence collection involves conducting contextual analysis to collect as much factual information as possible, including searching, collecting, and organizing all data within this scope. Locard’s Principle Locard’s principle is a sampling theory that states that all physical evidence moves back and forth between two places with equal probability (Byard, 2022). This means nothing is blocking or filtering between the source of the evidence, its point of origin, and its analysis by experts. Law enforcers apply this theory hoping to catch a criminal who has committed a crime by collecting samples from several locations and then analyzing them for further clues about the suspect’s identity. The principle was developed by Dr. Edmond Locard and published in France in 1925 (Byard, 2022). The theory explains that every person has within their body either the profile fragment of a fully formed microorganism or at least one specific structure for a particularly known organism. When collecting evidence in an investigative setting, it is the smallest trace evidence from the scene contaminating that area, for instance, by taking fingerprints, bloodstains, or other bodily fluids from the location where they are collected. Locard’s principle says that some form of contact forever links all materials that come into contact with each other and will retain a trace. This principle is important when searching for clues at crime scenes because much of the evidence can be found on surfaces such as clothing or floors (Byard, 2022). When someone comes in contact with something, they leave traces of their DNA. The traces can be found in their fingerprint, hair, or blood. For example, in a rape case, the victim can be examined to collect evidence in semen. The victims are advised not to clean themselves immediately after they are attacked because cleaning can wipe out important evidence. Dr. Locard’s the principle provides a sketch of identifying and collecting evidence from a crime scene. Basic Steps in Evidence Collection The investigators analyze the nature of each piece of evidence, including when it was created. They later organize the collected data into statements that can be used as support or opposition to the hypothesis. Collecting evidence begins with establishing the most important items and pieces from a crime scene (Bell, 2019). The investigators then take photos and documents of key elements and scenes to be properly analyzed. The evidence is then properly placed in something secure like a zip bag, envelopes, or a clean tin and closed well to avoid tampering. The bag or envelope carrying the evidence is labeled with the victim’s name, date, and crime scene. The labeling is to avoid mix up or misplacement in the lab. The examiners also write their names and signature on the envelope. The evidence collected is then handed over for transportation to a forensic lab. The person transporting the evidence should protect it from outside exposure to avoid contamination. Importance of Chain of Custody Chain of Custody is the principle used to ensure that sample evidence collected from the crime scene remains accurate, consistent, and reliable and maintains integrity (Badiye et al., 2022). Chain of Custody is the documentation and procedures to ensure that an item of evidence is recorded securely at each stage of its collection, transport, treatment, and analysis. Chain of custody is a vital principle of evidence collection, storage, and preservation that must be understood by anyone concerned with the handling of property or data. The chain of custody is fundamental because it helps maintain the evidence’s integrity (Badiye et al., 2022). The person assigned to handle the sample is expected to protect it from exposure and ensure nobody else can access it. The chain of custody is a lifeline for any investigation or litigation and should be treated cautiously. Those assigned to handle the evidence should ensure everything is kept. For example, at a murder crime scene, the investigators should put on hand gloves when touching things like the murder weapon to avoid adding their fingerprints to it. The chain can be as short as a parking lot attendant who receives a bag from an accident scene and places it in a patrol car before turning it over to the police detective on duty, or it may include thousands of people from start to finish, including the person who reported discovering something suspicious while on the job (Kleypas et al., 2021). The ability to trace the record of transfer and analysis shows the transparency required in the chain of custody concept. Transparency in the chain of custody helps in accountability, and in case of misplacement, the person who lost

Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.)

Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.) Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade. Prepare a 1000-1250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following: Describe the health care organization or network. Describe the organization’s overall readiness based on your findings. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Expert Answer and Explanation Health Organization Evaluation One of the primary goals of healthcare organizations is providing different patient care and clinical services that are geared to eradicating some of the most common healthcare problems. In the recent few years, numerous technological developments have provided a window of improvement of healthcare organizations in their processes of delivering care to the citizens. Banner health is one of these organizations that serve as core contributors to the health and wellness of Americans (Kash, 2016). This essay explains some of the elements that show the readiness of Banner health in meeting the demands of citizens in the forthcoming decade. Whereas the organization is faced with different issues that negatively affect the organizational culture and operations, the application of PEST theory in managing the issues can help to align the organization to the right framework for delivering the objectives of care through the next decade. Description of the Organization Banner Health is a non-profit healthcare organization in the US that operates in different states offering health services ranging from rehabilitation, primary care, labs, long-term care, hospice, and hospital care. The history of the organization starts in 1999 when Samaritan Health System and Lutheran Health Systems merged to form one entity that operated in 14 states (Kash, 2016). Besides offering healthcare to populations, the organization offers teaching services, with the main institution being the Banner-University Medical Center, Phoenix. Also, it operates Medicare Advantage, and insurance plan called University Care Advantage and also a family based care called the Banner University Family care. The organization is impactful in some states more than others, such as in Arizona where it has more than 50,000 employees at present. The senior management of the organization, led by the President and CEO (currently Peter S. Fine), is the initiator of the major decisions throughout the organization (Sharma, Fleischut, & Barchi, 2017). Readiness of the Organization based on Evaluation The organization is ready to meet the rising healthcare demands of citizens in the next decade as it has been incorporating programs that allow efficient care in the light of the emerging technology. In 2006, the organization launched a telemonitoring program in which it extended patient care operations beyond the healthcare facilities (Sharma, Fleischut, & Barchi, 2017). One of the primary effects of this program was saving over 34,000 ICU days and reducing the mortality rates by a significant percentage (Sharma, Fleischut, & Barchi, 2017). Also, telemedicine operations reduced the overall length of stay in facilities and helped to boost the cost control operations. Specifically, organizations under Banner health would now spend less in the patient care operations and hence would optimize the costs of care to patients. Since the implementation of telemedicine, it is clear that there are many other technological developments that have helped banner health to achieve its current status (Pandian, 2016). Also, it is likely that it will be a pioneer in implementation of even higher forms of technology in primary care such as virtual reality and artificial intelligence, and hence it is generally ready to meet the healthcare demands in the coming decade. Another element that shows the readiness of the organization in meeting the upcoming healthcare demands is the culture of acquisition. In 2014, the organization acquired Casa Grande Medical Center, and in July 2020, it acquired Wyoming Medical Center. These acquisitions are valuable to the organization as they add to the overall productivity through direct injection of skills and resources to the present organization (Kash, 2016). In 2016, for instance, acquiring 32 of the urgent care facilities in Arizona left the organization almost as a monopoly of healthcare provision in the state, hence limiting the overall competition it faced. A continuous culture of acquisition is likely to make the organization reduce the hindrances of growth such as unhealthy competition and scarcity of skills through the next decade. The last element that shows the organization’s readiness to meet the healthcare demands in the next decade is the health education affiliation. While most of the healthcare organizations recognize the need for constant research and improvement of operations, very few of them get to the ground to produce results (Cairns, Bollinger, & Garcia, 2017). Most organizations tend to use knowledge that has been generated by other operators. For banner health, the present partnerships with different learning institutions serve as a core element of growth in the operations through the next decade. Strategic Plan to address issues within the Organizational Culture One of the issues that have negatively affected the organizational culture is the presence of data breaches and cyber-attacks. In 2016, banner health was caught in a security breach that exposed information of over three million patients

What do the four parts of the Christian biblical narrative (i.e., creation, fall, redemption, and restoration) say about the nature of God and of reality in relation to the reality of sickness and disease?

What do the four parts of the Christian biblical narrative (i.e., creation, fall, redemption, and restoration) The four principles, especially in the context of bioethics in the United States, has often been critiqued for raising the principle of autonomy to the highest place, such that it trumps all other principles or values. How would you rank the importance of each of the four principles? How do you believe they would be ordered in the context of the Christian biblical narrative? Refer to the topic Resources in your response. Expert Answer and Explanation Principles of Bioethics and Christianity The Christian worldview provides moral codes and guidelines that can be used in making decisions in terms of an ethical dilemma. These codes are the basic foundation on which the Christian biblical narrative is based. Human beings were created in the image and likeness of God and they ought to live with decorum, humility, and respect for life (Vang & Carter, 2021). The principle of bioethics would be ranked differently based on the Christian worldview with the principle of justice and fairness being the first on the list (IEP, 2012). Justice and fairness are important for every Christian since all human beings are the same in the eyes of God. In the healthcare sector, justice and fairness will ensure that each person is provided with the same type of care based on their different illness regardless of social class, gender, or age. The second principle would be beneficence since it embraces the need for doctors to act in the best interest of all patients. Beneficence ensures that proper medication is administered to help the patient recover from the illnesses. The third principle would be the autonomy of the patient. The biblical narrative denotes those human beings were given the will to be able to decide between right from wrong. In this regard, a patient has the right to determine whether they need medical attention or alternative care based on their understanding of the self. The final principle in line with the Christian worldview is the principle of nonmaleficence which addresses the issues associated with the need to prevent any harm to the patient (Aksoy & Tenik, 2002). After all, the necessary care has been administered in the correct manner, the principle of nonmaleficence can be applied to ensure that it informs on the best practice measures to take to help the patient through recovery or prevent further deterioration of the disease. References Aksoy, S., & Tenik, A. (2002). The’four principles of bioethics’ as found in 13th century Muslim scholar Mawlana’s teachings. BMC Medical Ethics, 3(1), 1-7. IEP. (2012). Bioethics.  Internet Encyclopedia of Philosophy. Utm.edu. https://iep.utm.edu/bioethic/ Vang, P., & Carter, T. G. (2021). Telling God’s Story: The Biblical Narrative from Beginning to End. B&H Publishing Group. Alternative Answer and Explanation The four principles according to Hoehner (2022) help assist healthcare workers make decisions in ethics. This can be in combination with other tools that we have learned so far. However, it is important to note that Hoehner (2022) also suggests that like other tools, for each person, these four principles may be valued differently, as such, it is important for nurses to have a good understanding of what they mean and how they can be used both personally and professionally. I would rank the principles in order of importance according to my worldview or belief system as autonomy, nonmaleficence, beneficence, and justice. I do think that respecting a person’s choice is of utmost importance. The principle of autonomy ensures that patients are informed of all care options, it can promote honesty between patients and their health team, and provides support to informed consent procedures (Varkey, 2021). Consequently, I find myself at odds with my own list, as I feel that it is important to do no harm after supporting autonomy, which would be a contradiction if I were to practice a strictly Christian viewpoint. In the Christian view, the principles are listed as beneficence, nonmaleficence, autonomy, and justice. I live very close to Oregon where assisted death is legal. This can be seen as murder to some, and a blessing to others. If I help assist a patient with their choice to die in this state because they practice their autonomy, am I not doing harm because I am respecting their wishes, or am I wrong? Or as a Christian, do not assist them, as it would be to cause harm and killing another person? As Hoehner (2022) suggests, using these principles can sometimes blur the lines of your own personal views and respecting patient wishes, and should be used on a case-by-case basis. References Hoehner, P. (2022). Biomedical ethics in the Christian narrative. Practicing Dignity: An Introduction to Christian values and decision making in health care (Second Edition). Grand Canyon University.BibliU – Reader – Practicing Dignity: An Introduction to Christian Values and Decision Making in Health Care Varkey B. (2021). Principles of Clinical Ethics and Their Application to Practice. Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 30(1), 17–28. https://doi.org/10.1159/000509119 What do the four parts of the Christian biblical narrative (i.e., creation, fall, redemption, and restoration) say about the nature of God and of reality in relation to the reality of sickness and disease? From where would one find comfort and hope in the light of illness according to this narrative? Explain in detail each part of the narrative above and analyze the implications. Expert Answer and Explanation Christian Biblical Narrative The Christian biblical narrative contains four distinct concepts that can be used to elaborate on the nature of God and the reality of life as it relates to sickness, disease, hope, and motivation. The four Christian Biblical narratives include creation, fall, redemption, and restoration (Hoehner, n.d). The creation narrative iterates the abundance of the world from the perspective of how God created the world and everything in it and gave human beings power overall. In this regard, human beings were created in the image and likeness of God and expected to ensure the continuity of life on earth. However,

Policy/Regulation Fact Sheet

Policy/Regulation Fact Sheet As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise. With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders. In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate. Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA). Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study. The Assignment: (1 page not including the title and reference page) Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following: Briefly and generally explain the policy or regulation you selected. Address the impact of the policy or regulation you selected on system implementation. Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow. Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific. Use APA format and include a title page, in-text citations, and reference page. Expert Answer Place your order now on a similar assignment and get fast, cheap and best quality work written by our expert level  assignment writers. Complete Guide to Policy/Regulation Fact Sheets: Templates, Examples, and Best Practices What is a Policy Regulation Fact Sheet? A policy regulation fact sheet is a concise, structured document that summarizes key information about specific policies or regulations. These documents serve as essential communication tools in healthcare, education, business, and government sectors, providing stakeholders with easily digestible information about complex regulatory frameworks. Key Characteristics of Effective Policy Fact Sheets: Concise format (typically 1-2 pages) Clear structure with defined sections Accessible language for target audience Evidence-based content with credible sources Actionable information for implementation Essential Components Every comprehensive policy fact sheet should include the following core elements: Component Description Purpose Policy Title Official name and identification number Clear identification Executive Summary Brief overview in 2-3 sentences Quick understanding Background Context and rationale for the policy Historical perspective Key Provisions Main requirements and regulations Implementation guidance Stakeholder Impact Who is affected and how Audience relevance Implementation Timeline Key dates and deadlines Planning assistance Compliance Requirements Mandatory actions and standards Legal obligations Resources Additional information sources Further reference Step-by-Step Creation Guide Phase 1: Research and Planning (25% of time) Identify the target policy or regulation Analyze your audience (students, healthcare professionals, administrators) Gather authoritative sources from government websites, academic institutions Review existing examples for formatting and structure Phase 2: Content Development (50% of time) Create an outline following the essential components Write clear, concise sections using active voice Include relevant statistics and data points Add visual elements like tables and charts where appropriate Phase 3: Review and Refinement (25% of time) Fact-check all information against primary sources Ensure compliance with academic or professional standards Format for readability with proper headings and spacing Proofread for clarity and grammatical accuracy Policy Fact Sheet Examples Example 1: HIPAA Security Rule Fact Sheet Policy Title: Health Insurance Portability and Accountability Act (HIPAA) Security Rule Background: Enacted in 1996, HIPAA established national standards for protecting electronic health information. The Security Rule, effective since 2005, specifically addresses safeguards for electronic protected health information (ePHI). Key Provisions: Administrative safeguards requiring security officers and access management Physical safeguards for facilities and workstations Technical safeguards including access controls and encryption Impact Statistics: Covers over 600,000 covered entities nationwide Average penalty for violations: $1.5 million (2023 data) 95% of healthcare organizations report HIPAA compliance Example 2: Nursing Informatics Policy Framework Policy Focus: Integration of technology in nursing practice Key Requirements: Competency standards for nursing informatics Data privacy and security protocols Electronic health record (EHR) optimization guidelines Common Policies and Regulations Healthcare Sector Policy Area Common Regulations Frequency of Updates Patient Privacy HIPAA, HITECH Act Annual reviews Quality Standards Joint Commission Standards Continuous Telehealth State-specific regulations Quarterly Drug Administration FDA Guidelines As needed Educational Technology FERPA (Family Educational Rights and Privacy Act) COPPA (Children’s Online Privacy Protection Act) Section 508 Accessibility Standards State-specific educational technology policies Templates and Formats Standard Academic Template Structure: 1. Header Section – Course information – Student name and date – Policy identification 2. Content Sections – Policy overview (150-200 words) – Background and rationale (200-250 words) – Key stakeholders (100-150 words) – Implementation details (200-300 words) – Challenges and considerations (150-200 words) 3. Conclusion and References – Summary statement (50-100 words) – Minimum 5 credible sources Professional Format Guidelines: Font: 12-point Times New Roman or Arial Spacing: Double-spaced for academic, single-spaced for professional Margins: 1-inch on all sides Length: 2-3 pages maximum Citations: APA, MLA, or organizational style Best Practices Content Quality Standards: Use primary sources whenever possible (government websites, official publications) Include current statistics from reputable organizations Maintain objectivity while presenting factual information Provide actionable insights for your target audience Writing Excellence: Active voice for clarity and engagement Bullet points for easy scanning Subheadings to organize information Consistent terminology throughout the document Visual Enhancement: Tables for comparative information Charts for statistical data Infographics for complex processes White space for improved readability Statistics and Data Points Industry Usage Statistics: 78% of healthcare organizations use policy fact sheets for staff training Average reading time: 3-5 minutes for standard fact sheets Retention rate: 65% higher when information is presented in fact sheet format Update frequency: 67% of organizations update fact sheets annually Academic Performance Data: Students using structured fact sheet templates score 23% higher on policy analysis assignments 89% of nursing informatics students report improved understanding when using fact sheets Average completion time

Patient Preferences in Healthcare: Impact & Implementation

Incorporating patient preferences and social determinants of health significantly improves treatment outcomes, with studies showing that 64.8% of patients prefer collaborative decision-making. Social determinants account for 80-90% of health outcomes, while clinical care contributes only 10-20%. Healthcare professionals who integrate patient values, cultural factors, and socioeconomic considerations see better adherence rates, reduced readmissions, and enhanced patient satisfaction. Introduction Patient preferences and social determinants of health play a crucial role in healthcare decision-making and treatment outcomes. This comprehensive guide explores real-world situations where incorporating or not incorporating these factors significantly impacts patient care, providing healthcare professionals with practical insights and evidence-based strategies. Understanding Patient Preferences in Healthcare What Are Patient Preferences? Patient preferences encompass individual values, beliefs, cultural background, lifestyle choices, and personal priorities that influence healthcare decisions. These preferences directly affect treatment compliance, satisfaction, and overall health outcomes. The Statistics Behind Patient Preferences Research shows that 64.8% of patients prefer a collaborative role in shared decision making, highlighting the importance of involving patients in their care decisions. Additionally, 88% of healthcare appointments are scheduled by phone because healthcare is personal and private, with people wanting to speak to a real human being. Social Determinants of Health: The 80-90% Factor Defining Social Determinants Social determinants of health are the conditions in which people are born, grow, work, live, worship, and age, including economic policies, development agendas, social norms, social policies, and political systems. The Impact on Health Outcomes Clinical care only has about a 10% to 20% impact on a patient’s health outcomes, while the remaining 80% to 90% can be attributed to social determinants of health. This statistic underscores the critical importance of considering these factors in treatment planning. Real-World Situations: Incorporating vs. Not Incorporating Patient Preferences Situation 1: Diabetes Management in a Low-Income Community Background: A 45-year-old patient with Type 2 diabetes from a low-income neighborhood was prescribed a comprehensive treatment plan including insulin, dietary changes, and regular monitoring. Incorporating Patient Preferences: Considered the patient’s work schedule (night shift worker) Addressed food accessibility and cultural dietary preferences Adjusted medication timing to fit lifestyle Provided culturally appropriate educational materials Outcome: 85% improvement in HbA1c levels over 6 months High medication adherence (90%+) Increased patient satisfaction scores Not Incorporating Patient Preferences: Standard treatment protocol without lifestyle considerations Ignored cultural food preferences and economic constraints Inflexible appointment scheduling Outcome: Poor medication adherence (40%) Minimal improvement in blood sugar control Patient discontinued treatment after 3 months Situation 2: Mental Health Treatment for Elderly Patient Background: A 70-year-old patient with depression and anxiety living alone with limited social support. Incorporating Patient Preferences: Respected cultural stigma around mental health treatment Offered home-based therapy options Included family members in treatment planning Considered transportation barriers Outcome: 70% reduction in depression scores Improved social connections Better quality of life measures Not Incorporating Patient Preferences: Standard office-based therapy only Dismissed cultural concerns No family involvement Outcome: High dropout rate (60% within first month) Limited therapeutic progress Increased social isolation Key Factors in Patient Preference Integration 1. Cultural Competency Cultural Factor Impact on Treatment Implementation Strategy Language barriers Reduced comprehension and adherence Provide interpreters and translated materials Religious beliefs Medication timing and dietary restrictions Accommodate religious practices in treatment plans Family dynamics Decision-making involvement Include appropriate family members in discussions Health literacy Understanding of treatment benefits Use appropriate communication methods 2. Socioeconomic Considerations Socioeconomic Factor Healthcare Impact Mitigation Approach Income level Medication affordability Generic alternatives, patient assistance programs Transportation Appointment attendance Telemedicine, community health workers Housing stability Medication storage and adherence Simplified dosing regimens Employment Appointment scheduling Flexible hours, workplace health programs 3. Personal Values and Beliefs Treatment goal preferences (quality vs. quantity of life) Risk tolerance levels Autonomy in decision-making Previous healthcare experiences Evidence-Based Benefits of Patient-Centered Care Improved Health Outcomes Outcome Measure With Patient Preference Integration Without Integration Medication Adherence 75-90% 40-60% Patient Satisfaction 85-95% 50-70% Treatment Completion 80-85% 45-65% Hospital Readmissions 15% reduction Baseline rates Enhanced Provider-Patient Relationship Nearly 9 in 10 (88%) hospitals screen patients to gauge their health-related social needs, though only 62% report screening target populations systematically, indicating room for improvement in comprehensive patient assessment. Impact of Patient Preferences on Treatment Plans and Outcomes Patient preferences significantly impact treatment outcomes across multiple dimensions. Patients who chose their treatment, received their preferred treatment, or were involved in shared decision-making showed marginally improved clinical outcomes (effect size = 0.15), higher treatment satisfaction (effect size = 0.34), and increased completion rates (odds ratio = 1.37) compared to patients whose preferences were not considered. Key Impact Areas: Treatment Adherence: Eight studies found a positive association between patient preference and adherence to therapy, with improved adherence linked to factors like reduced dosing frequency. Medication adherence is estimated at about 50% for chronic medications, and adherence can have a more direct impact on patient outcomes than the specific treatment itself. Clinical Outcomes: Patients who receive preferred treatments are more likely to have stronger therapeutic alliances with providers, potentially entering treatment with more positive outlooks about their care approach. Treatment Satisfaction: Patients’ treatment preferences have been shown to affect treatment satisfaction, which is associated with improved treatment adherence—considered necessary for achieving optimal treatment outcomes. Healthcare Costs: Poor medication adherence results in 125,000 American deaths annually and costs the healthcare system up to $300 billion yearly in additional medical appointments, emergency department visits, and hospitalizations. Psychological Factors: Health literacy, numeracy, and locus of control significantly impact health-related preferences and decisions, with health locus of control being a strong predictor of patient decisions. Patient preferences integration leads to measurable improvements in clinical outcomes, treatment completion rates, and patient satisfaction while reducing healthcare costs through better adherence and fewer complications. Practical Implementation Strategies 1. Assessment Tools and Screening Social Determinants Screening: Housing stability questionnaire Food security assessment Transportation access evaluation Financial strain indicators Patient Preference Assessment: Decision-making style preferences Cultural and religious considerations Communication preferences Treatment goal priorities 2. Care Plan Adaptation Flexible Treatment Options: Multiple medication formulations Variable dosing schedules Alternative therapy modalities Technology-assisted monitoring Support System Integration: Family involvement protocols Community

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team. To Prepare: Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented. Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology Portfolio The Assignment: (2-3 pages) In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps: Planning and requirements definition Analysis Design of the new system Implementation Post-implementation support Expert Answer and Explanation Role of the Nurse Informatics in System Development and Implementation The development of the informatics systems encompasses the different stages that collectively form the Systems Development Life Cycle (SDLC). For a manager and a leader in a healthcare organization, the knowledge of the SDLC is crucial in the sense that it facilitates their preparation, making it possible for them to be aware of the requirements at different levels of system development. When involving a graduate-level nurse (GN) in SDLC, a unit nurse manager should present a role description, describing the nurse’s role at various stages of the SDLC (Risling & Risling, 2020). Focusing on the SDLC stages, it is important to describe the GN’s role in SDLC, highlighting the various ways in which they would participate in the implementation of an informatics system. Planning and Requirements As the initial stage of the SDLC, planning involves various tasks such as defining an issue that necessitates the development of the system, and outlining the system requirements. During this phase of the SDLC, the GN contributes to defining the system’s objectives and scope. Given their experience and expertise, they understand the different professionals who are likely to use the system. Accordingly, they would identify the stakeholders that are likely to contribute to the adoption of the system. Their role during the planning also involves participating in performing needs assessment, identifying the areas of concern (McGonigle  & Mastrian, 2022). For instance, they may identify the challenges associated with the paper-based documentation systems, and work with nurse leaders to come up with meaningful solutions. System Analysis Analysis stage emphasizes defining the requirements by collecting, analyzing and validating data, and at this point, the GN collaborates with the other parties involved in the project implementation, evaluating the workflow including the efficiency of the clinical operations. In their capacity as nurse leaders, their input into the SDLC involves determining the barriers that may slow down the development of the system, and contributing to the assessment of the risks (Agency for Healthcare Research and Quality, n.d.a). This identification of the risk is important because it helps inform the formulation of the meaningful solutions that can help avert the risks. Because capturing the clinical requirements in the design of the system can be a challenge, involving the GN is important because they can act as a link between those working in clinical setting and the team tasked with implementing the system. System Design The GN’s role is critical during the system design stage which involves transforming the requirements including what is captured into the plan, to a plan that defines the technical measures to be undertaken to complete the system. At this point, the GN adopts a collaborative approach, working together with the stakeholders involved in system development, to come up with a technical plan that comprises the workflow including the user interface. Additionally, they share pertinent information that can assist with designing of the system (Singletary & Baker, 2019). For instance, they may recommend the details about the features that that can improve the usability of the system or make it user-friendly. Considering their experience, they can share information about the challenges they faced while using a system. The designers can design the system with this information in mind, designing a more potent system with desirable features. System Implementation When it comes to the system implementation, the GN’s role becomes more noticeable as they perform various tasks including training members of the clinical staff on how to use the system. While this training is meant to equip the staff with adequate technical skills that they can apply in using the system, the training helps them understand the expectations and the benefits associated with the system. Given the challenges associated with adopting a new system, they may work closely with the change managers, ensuring that the process of shifting to a new system succeeds (Hauschild et al., 2022). At this phase, still, they test the system to determine whether it is functioning effectively according to the requirements. In case they notice any issue with the system, they involve the technical team to rectify the issue or recommend replacing the dysfunctional system parts. Post-Implementation Support During the post-implementation phase, giving of the feedback becomes necessary because this feedback helps with gauging the effectiveness of the system. This feedback particularly comes from the nurses or other health workers who use the system, and it may range from the problems experienced by users while using it, to any suggestions that may help improve user experience. Leveraging this feedback, the implementation team can decide how to improve the performance or optimize usability (Agency for Healthcare Research and Quality, n.d.b). Following the implementation, they may be responsible of monitoring how the clinical staff uses it, ensuring that they use it a way that conforms to the required safety and data security standards. Conclusion In overview, the engagement of the GN in SDLC is crucial because

Shadow Health Focused Abdominal Assessment With Esther

Shadow Health Focused Abdominal Assessment With Esther This clinical experience is a focused exam. Students have one opportunity to complete this assignment and score at the Proficiency level. Upon completion, submit the lab pass to the instructor in the classroom. Students successfully scoring within the Proficiency level in the Digital Clinical Experience will earn a grade of 100 points. Students who do not pass the performance-based assessment and scoring within the Proficiency level will receive a failing grade (68 points). Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion. You are not required to submit this assignment to LopesWrite. Expert Answer Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level  assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order Shadow Health Focused Abdominal Assessment With Esther The Shadow Health focused abdominal assessment is a critical virtual simulation that helps nursing students develop essential clinical skills through realistic patient interactions. Shadow Health Digital Clinical Experiences™ are a vital part of the education of more than 700,000 nursing students across the country, making it one of the most widely used virtual simulation platforms in nursing education. Key Learning Objectives The Shadow Health abdominal pain focused exam with Esther Park is designed to help students master: Comprehensive health history taking techniques Physical assessment skills specific to abdominal complaints Clinical reasoning and diagnostic thinking Therapeutic communication with elderly patients Professional documentation standards Why This Assessment Matters Research shows that Shadow Health Digital Clinical Experiences™ help 82% of learners increase efficiency in clinical skills development. The program specifically improves: Skill Area Improvement Rate Clinical Impact Data Collection 82% Enhanced patient history accuracy Therapeutic Communication 78% Better patient rapport Care Planning 75% More comprehensive care strategies Clinical Reasoning 73% Improved diagnostic thinking Source: Elsevier Education Research, 2023 Understanding Esther Park Case Study {#esther-park-case} Patient Background Esther Park is a 78-year-old Korean-American woman presenting with abdominal pain. Understanding her demographic and cultural background is crucial for providing culturally competent care. Key Patient Demographics: Age: 78 years old Gender: Female Ethnicity: Korean-American Chief Complaint: Abdominal pain (6/10 severity) Associated Symptoms: Bloating, decreased appetite Clinical Presentation Overview Students encounter Esther Park in a simulated clinical environment where she presents with: Primary Symptoms: Abdominal pain rated 6/10 Bloating sensation Decreased appetite Concerns about bowel changes Assessment Findings: Tender abdominal mass in lower left quadrant Vital signs within normal limits for age Patient appears uncomfortable but cooperative Cultural Considerations When conducting the Shadow Health Esther Park assessment, students must consider: Language barriers and communication preferences Cultural attitudes toward pain expression Family involvement in healthcare decisions Traditional health beliefs that may influence symptoms reporting Step-by-Step Assessment Guide {#assessment-guide} Pre-Assessment Preparation Before beginning your shadow health focused exam abdominal pain simulation: Review anatomy and physiology of the gastrointestinal system Practice communication techniques for elderly patients Understand cultural competency basics Prepare assessment tools and documentation materials Systematic Assessment Approach 1. Subjective Data Collection History of Present Illness (HPI) Focus on the OLDCARTS method: Onset: When did the pain begin? Location: Where exactly is the pain? Duration: How long does it last? Character: What does the pain feel like? Aggravating factors: What makes it worse? Relieving factors: What helps? Timing: Is there a pattern? Severity: Rate the pain 1-10 Key Questions for Esther Park: “Can you describe your abdominal pain?” “What makes the pain better or worse?” “Have you noticed any changes in your bowel movements?” “Are you taking any medications?” 2. Objective Data Collection Apply the 4 basic components of the abdominal exam—inspection, auscultation, percussion, and palpation. Assessment Order (Critical for Abdomen): Inspection – Visual examination first Auscultation – Listen before touching Percussion – Light tapping for organ boundaries Palpation – Physical examination last Detailed Assessment Techniques Inspection Patient positioning: Supine with knees slightly bent Abdominal contour: Note symmetry, distention Skin integrity: Check for scars, rashes, masses Umbilicus: Assess for hernias or discharge Auscultation Bowel sounds: All four quadrants (5 minutes minimum) Vascular sounds: Listen for bruits Frequency: Normal, hyperactive, or hypoactive Percussion Organ boundaries: Liver span, spleen size Fluid detection: Shifting dullness for ascites Air-filled areas: Tympanic sounds over intestines Palpation When palpating the abdomen, ask the patient to bend their knees when lying in a supine position to enhance relaxation of abdominal muscles. Light Palpation: Assess all quadrants systematically Note tenderness, masses, or organ enlargement Important: Palpate painful areas last Deep Palpation: Deeper assessment of organs Check for rebound tenderness Assess for guarding or rigidity Clinical Documentation and SOAP Notes SOAP Note Structure for Esther Park Subjective Chief Complaint: “I’ve been having stomach pain for the past few days.” History of Present Illness: 78-year-old Korean-American female Abdominal pain onset 3 days ago Pain located in lower left quadrant Described as “cramping” and constant Severity 6/10 Associated with bloating and decreased appetite No fever, nausea, or vomiting reported Objective Vital Signs: BP: 142/88 mmHg HR: 76 bpm RR: 18/min Temp: 98.6°F Pain: 6/10 Physical Assessment: General appearance: Alert, oriented, appears uncomfortable Abdomen: Soft, non-distended, bowel sounds present Tender mass palpated in LLQ No rebound tenderness or guarding No hepatosplenomegaly Assessment Primary Diagnosis Considerations: Possible diverticulitis Rule out bowel obstruction Consider inflammatory bowel disease Plan Diagnostic: Complete blood count Comprehensive metabolic panel CT scan of abdomen/pelvis Urinalysis Therapeutic: NPO status initially IV hydration Pain management Monitor vital signs Documentation Best Practices Element Best Practice Common Mistakes Subjective Use patient’s exact words Interpreting patient statements Objective Include measurable data Subjective observations in objective Assessment Evidence-based conclusions Jumping to conclusions Plan Specific, measurable goals Vague treatment plans Common Challenges and Solutions Challenge 1: Communication Barriers Problem: Language and cultural differences affecting assessment quality Solutions: Use simple, clear language Allow extra time for responses Respect cultural pain expressions Consider family member interpretation (with patient consent) Challenge 2: Incomplete Data Collection Problem: Missing critical assessment components Solutions: Follow systematic assessment order Use assessment checklists Practice active listening techniques Review missed

How the BON Differs from Nursing and Healthcare Specialty Associations

Quick Answer The Board of Nursing (BON) differs from nursing and healthcare specialty associations since the BON serves as a regulatory body focused on public protection, while specialty associations primarily advocate for their members’ professional interests. This fundamental difference impacts licensing, practice standards, and regulatory oversight across the healthcare system. Introduction The nursing profession operates within a complex framework of regulatory bodies and professional organizations, each serving distinct roles in maintaining standards and advancing the field. Understanding how the BON differs from nursing and healthcare specialty associations is crucial for nurses, healthcare administrators, and students navigating professional requirements and career development. This comprehensive guide explores the fundamental differences between Boards of Nursing and nursing specialty associations, their unique functions, and their impact on nursing practice and public safety. What is a Board of Nursing (BON)? A Board of Nursing is a government-appointed regulatory body established by state law to protect public health, safety, and welfare through the regulation of nursing practice. The BON has the authority and power to regulate nursing practice utilizing the language stipulated in the NPA. It is also the responsibility of the BON to protect the US citizens’ health, safety, and welfare against substandard nursing care. Key Functions of BONs Licensing and Credentialing Issue initial nursing licenses Oversee license renewals and continuing education requirements Manage interstate licensing compacts Regulatory Oversight Investigate complaints against nurses Conduct disciplinary proceedings Impose sanctions when necessary Practice Standards Define scope of practice for different nursing roles Establish minimum competency requirements Update regulations based on evolving healthcare needs Understanding Nursing and Healthcare Specialty Associations Nursing specialty associations are private, professional organizations that represent specific nursing specialties or the broader nursing profession. While the ANA is an influential and respected voice and state boards of nursing will usually consider its suggestions, the ANA does not have the legal authority afforded by state boards of nursing. Primary Functions of Specialty Associations Professional Advocacy Lobby for favorable legislation Advocate for improved working conditions Promote professional recognition Education and Certification Provide continuing education opportunities Offer specialty certifications Conduct research and publish guidelines Member Services Networking opportunities Career development resources Professional support and mentorship Key Differences Between BONs and Specialty Associations Aspect Board of Nursing (BON) Specialty Associations Primary Purpose Public protection and safety Member advocacy and professional advancement Authority Legal/regulatory authority Professional influence only Funding Government-funded Membership dues and private funding Membership Appointed by government Voluntary membership Focus Regulatory compliance Professional development Disciplinary Power Can revoke licenses and impose sanctions No disciplinary authority Regulatory vs. Professional Focus While a BON’s duty is the safety of patients served by nurses within its jurisdiction, a nursing organization’s responsibility is also to advance its membership and the public’s interests. This fundamental difference shapes every aspect of how these organizations operate. BON Regulatory Focus: Patient safety first Enforcement of minimum standards Public accountability Legal compliance Association Professional Focus: Member benefits and advancement Industry leadership Innovation and best practices Professional networking The Regulatory Landscape: By the Numbers Understanding the scope of nursing regulation helps illustrate the importance of BONs in healthcare: National Statistics Metric Value Source Number of State BONs in the US 58 (RN and PN combined) NCSBN, 2024 States participating in NLC 42 states/territories LeaderStat, 2024 BONs sharing licensure data 57 out of 58 NCSBN Database Licensing and Regulation Impact Active RN Licenses: Over 4.2 million registered nurses hold active licenses across the United States Compact States: As of 2024, 42 states/territories have enacted the compact. The most recent state to enact the compact was Connecticut. Regulatory Oversight: Each BON processes thousands of applications, investigations, and disciplinary cases annually How BON Regulations Affect Nursing Practice Direct Regulatory Impact BONs have immediate, legally binding authority over nursing practice through: Licensing Requirements: Initial licensure examinations (NCLEX-RN/NCLEX-PN) Continuing education mandates Renewal procedures and deadlines Practice Standards: Scope of practice definitions Delegation guidelines Documentation requirements Disciplinary Actions: License suspension or revocation Probationary conditions Mandatory remediation programs Association Influence on Practice While lacking regulatory authority, specialty associations influence practice through: Professional Standards: Evidence-based practice guidelines Specialty competency frameworks Quality indicators and metrics Education and Certification: Voluntary specialty certifications Advanced practice credentials Continuing education programs Advocacy and Policy: Legislative lobbying efforts Position statements on practice issues Research and publication initiatives The Collaborative Relationship Despite their different roles, BONs and specialty associations often work collaboratively: Areas of Cooperation Standard Development Associations provide expertise for regulatory updates BONs consider association recommendations in rule-making Joint task forces on emerging practice issues Education and Outreach Shared educational initiatives Public awareness campaigns Professional development programs Research and Data Sharing Workforce studies and trend analysis Safety and quality research Policy impact assessments Practical Implications for Nurses When to Contact Your BON License-related questions or issues Suspected violations of nursing practice Scope of practice clarifications Formal complaints or disciplinary matters When to Engage with Specialty Associations Professional development opportunities Networking and mentorship Advocacy for workplace improvements Specialty certification and recognition Understanding Your Professional Obligations BON-Mandated Requirements: Maintain active licensure Complete required continuing education Report changes in contact information Comply with scope of practice regulations Professional Best Practices (Association-Recommended): Pursue specialty certifications Engage in evidence-based practice Participate in professional development Contribute to nursing research and innovation State-Specific Variations While BON functions are similar across states, there are important variations: Texas BON Example The mission of the BON is to protect and promote public welfare, specifically focusing on: Licensing over 300,000 nurses Enforcing the Texas Nursing Practice Act Investigating complaints and violations Providing public information about licensees Compact State Considerations Nurses in compact states benefit from: Multi-state practice privileges Streamlined licensing processes Enhanced mobility for practice Future Trends and Developments Evolving Regulatory Landscape Technology Integration: Electronic licensing systems Automated renewal processes Digital credential verification Practice Evolution: Telehealth regulations Advanced practice role expansion Interprofessional collaboration guidelines Association Adaptation Member Services Enhancement: Digital education platforms Virtual networking opportunities Data-driven advocacy efforts Professional Advancement: New specialty certifications Leadership development programs Research and innovation initiatives Frequently Asked Questions Can specialty associations override BON decisions? No, specialty associations

Do you agree with the priorities or would you recommend addition or elimination of some of the priorities?

Do you agree with the priorities or would you recommend addition or elimination of some of the priorities? Based on what you have learned so far this week, create a PowerPoint presentation with detailed notes for each slide that addresses each of the following points/questions. No audio recording is required. Be sure to completely answer all the questions. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations by going to the Writing and Resource center, Module 3: Assignments, Microsoft, and utilize the Microsoft Overview and the Creating a Quality PowerPoint video. Explore the National Institute of Nursing Research (NINR) website. Review their publication Bringing Science to Life: NINR Strategic Plan (2011, p. 7) to identify the current priorities for nursing research. • Do you agree with the priorities or would you recommend addition or elimination of some of the priorities? • What effect do the nursing research priorities have on nursing researchers? • What criteria must be met in order to consider a practice, evidence-based? Provide examples. • Explain the role quality plays in evidence-based practice? Based on the information you’ve learned to this point, write a research proposal that relates to a chosen research topic. Include the following information in your proposal: Hypothesis Theory Design model Method(s) Anticipated results Potential Dissemination Avenues M7 Assignment UMBO – 1, 4 M7 Assignment PLG – 1, 4 M7 Assignment CLO – 2, 3, 4, 6, 7 More information about this assignment: Length: 15-17 slides; answers must thoroughly address the questions in a clear, concise manner Structure: Title: 1 slide NINR Strategic Plan questions: at least 5 slides Proposal details: at least 6 slides Conclusion: at least 2 slides References: at least 1 slide References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims. Format: Save your assignment as a Microsoft PowerPoint document and a Word document (.pptx) and (.doc or .docx) or Open Office Impress. File Name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module1.pptx”) Expert Answer and Explanation NINR Strategic Plan and Proposed Study I agree with these priorities. The priorities aim to improve quality of life of communities and patient care. For instance, disease prevention can reduce cost of care by removing people’s risk of developing diseases. Apart from healing, patients in end-of-life stage need to die in peace and without pain. Healthcare needs future researchers to improve and this is one of the focuses of the NINR. In other words, the NUNR focuses on critical areas in care that will highly improve quality of care in future. The priorities provide nursing researchers with direction regarding nursing research. The priorities show nursing researchers where they need to focus on when conducting nursing research. For instance, by focusing on enhancing disease prevention and health promotion, nursing researchers can conduct studies on preventable illnesses such as obesity, heart problems, hepatitis B, diphtheria, anthrax, measles, and many more. In summary, the priorities are used by nursing researchers to create purpose of their research projects. There are three criteria that must be met for a practice to be considered evidence-based. The first criterion is that it must be from best evidence. In other words, the care practice must be supported by recent and available evidence (Horntvedt et al., 2018). The second criterion is that it must supported by clinical expertise. The intervention should be effective clinically for it to be evidence-based. Lastly, the practice must be focused on patient values and circumstances. A practice that is not patient-centered is not evidence-based (Horntvedt et al., 2018). A patient or population can be said to have received quality care if their desired health outcomes are met. Quality care is also a type of care that ensures patient safety. Patients receiving quality care do not experience medical errors or near miss events. Quality care is also cost effective (Schuelke et al., 2019).  Quality care also focuses on improving health and wellbeing of patients and populations. In other words, quality care is effective, safe, patient-centered, and better wellbeing and health. Quality plays a vital role in evidence-based practice. One of the roles of quality in evidence-based practice is to give direction on what an evidence-based practice should achieve. According to Schuelke et al. (2019), characteristics of quality care include patient-centered, effective, better wellbeing and health, and safe. Evidence-based practices should achieve the four characteristics for them to be of high quality (Horntvedt et al., 2018). Quality improvement improves evidence-based care by providing data that can be used by healthcare professionals to provide evidence-based care. Educators can use simulations with standardized patients to provide nursing students realistic experience and expertise of end-of-life care (Fischer et al., 2018). It is hypothesized that nursing students who participant in end-of-life care simulations with standardized patients would have self-confidence, skilled performance, and increased knowledge associated with end-of-life care than those who do not. This theory argues that healthcare professionals to identify patient problems and use them to develop care (Mehraee et al., 2020). Most patients need treatment plan to help them achieve recovery. However, others, especially who suffer from chronic conditions such and renal kidney failure need care to help them have quality life before their end. This project is based on the theory that requires nurses to provide care that is patient-centered. This design will help the researcher identify whether participating in end-of-life care simulations with standardized patients can improve nursing students’ knowledge and experience in providing end-of-life car. The design has been selected because it allows for direct comparison of treatments being studied to establish superiority. It has also been