[ANSWERED 2023] After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles
After reading each of the four peer-reviewed articles you selected, use the Matrix Evidence-Based Project, Part 1: Identifying Research Methodologies Is there a difference between “common practice” and “best practice” When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role. Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry. Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice? In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed. To Prepare: Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course. Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles. Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research. Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected. Part 1: Identifying Research Methodologies After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following: The full citation of each peer-reviewed article in APA format. A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest. A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article. A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected. RUBRIC Part 1: Identifying Research Methodologies After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each article. Your analysis should include the following: *The full citation of each peer-reviewed article in APA format *A brief statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest. *A brief description of the aims of the research of each article *A brief description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed methods approach. 81 (81%) – 90 (90%) The response accurately and clearly provides a full citation of each article in APA format. The responses accurately and thoroughly explain the selection of these articles and/or how they relate to a clinical issue of interest, including a detailed explanation of the ethics of research.The responses accurately and clearly describe the aims of the research. The responses accurately and clearly describe the research methodology used, and clearly identify the type of methodology used with specific and relevant examples. The responses accurately and clearly describe the strengths of each of the research methodologies used, including a detailed explanation of the reliability and validity of how the methodology was applied in each of the articles selected. 72 (72%) – 80 (80%) The response accurately provides a full citation of each article in APA format. The responses accurately explain the selection of these articles and/or how they relate to a clinical issue of interest, including a detailed explanation of the ethics of research.The responses accurately describe the aims of the research. The responses accurately describe the research methodology used, and clearly identify the type of methodology used with specific and relevant examples. The responses accurately describe the strengths of each of the research methodologies used, including a detailed explanation of the reliability and validity of how the methodology was applied in each of the articles selected. 63 (63%) – 71 (71%) The response provides incomplete or inaccurate citations of each peer-reviewed article in APA format. The responses inaccurately or vaguely explain the selection of these articles and/or how they relate to a clinical issue of interest, including the explanation of the ethics.The responses inaccurately or vaguely describe the aims of the research of each article. The responses inaccurately or vaguely describe the research methodology used and the type of methodology used, with only some examples. The responses inaccurately or vaguely describe the strengths of each of the research methodologies used, including the explanation of the reliability and validity of how the methodology was applied in each of the articles selected. 0 (0%) – 62 (62%) The response inaccurately and vaguely provides a citation of each peer-reviewed article in APA format or is missing. The responses inaccurately & vaguely explain the selection of these articles and/or how they relate to a clinical issue, including the explanation of ethics of research, or they are missing.The responses inaccurately and vaguely describe the aims of the research, or they are missing. The responses inaccurately and vaguely describe the research methodology used, the type of methodology used with no examples present, or they are missing. The responses inaccurately and vaguely describe the strengths of each of the methodologies used, including the explanation of the reliability and validity of the methodology, or they are missing. Resource Synthesis 5 (5%) – 5 (5%) The responses provide a complete, detailed, and specific synthesis of two outside resources related to the selection of articles and two or three course-specific resources in addition to the four articles reviewed in the matrix. 4 (4%) – 4 (4%) The responses provide an accurate synthesis of at least one
[ANSWERED] Complete the Digital Experience. The estimated average time to complete this assignment is 1 hour and 30 minutes. Please note, this is an average time. Some students may need longer
Complete the Digital Experience. The estimated average time to complete this assignment 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 FAQs Understanding Hyperactive Bowel Sounds: What You Need to Know When it comes to our bodies, certain signs and sounds can indicate underlying health issues. One such phenomenon is hyperactive bowel sounds. These sounds might be concerning if you’re not familiar with them, but they’re actually a natural part of our digestive system. In this article, we will dive into the world of hyperactive bowel sounds, discussing what they are, what causes them, when to be concerned, and how they relate to our overall well-being. What Are Bowel Sounds? Bowel sounds, often referred to as stomach rumbling or gurgling, are the noises produced by the movement of food, liquids, and gas through the digestive tract. These sounds are a natural part of digestion and can be observed in everyone. They’re produced as muscles contract and relax to propel the contents of the intestines forward. Normal vs. Hyperactive Bowel Sounds Normal bowel sounds are relatively quiet and occur sporadically throughout the day. Hyperactive bowel sounds, on the other hand, are noticeably louder, more frequent, and might even be accompanied by abdominal discomfort or pain. It’s important to note that the perception of bowel sounds can vary from person to person, and what might be considered normal for one individual could be hyperactive for another. Causes of Hyperactive Bowel Sounds Several factors can contribute to the development of hyperactive bowel sounds. One common cause is an increase in the movement of the intestines, which can be triggered by various factors such as certain foods, stress, infections, and gastrointestinal disorders. The Gut-Brain Connection Believe it or not, there’s a strong connection between our gut and our brain. The gut-brain axis plays a significant role in regulating bowel movements and sounds. Stress and emotions can impact this connection, leading to increased bowel activity and potentially resulting in hyperactive bowel sounds. When to Consult a Doctor While hyperactive bowel sounds are often harmless, there are situations where medical attention is warranted. If you experience severe abdominal pain, bloating, changes in bowel habits, or blood in your stool along with hyperactive sounds, it’s important to consult a doctor to rule out any underlying conditions. Diagnosing Hyperactive Bowel Sounds Diagnosing the exact cause of hyperactive bowel sounds can be a bit challenging. Medical professionals will often take a comprehensive medical history, perform physical examinations, and may recommend tests such as imaging studies or blood tests to rule out any underlying issues. Treatment Options: Treating hyperactive bowel sounds involves addressing the underlying cause. Here are a few approaches that can be considered: Lifestyle Modifications Making positive changes in your lifestyle can have a significant impact on reducing hyperactive bowel sounds. Regular exercise, adequate sleep, and stress management techniques can help regulate bowel activity. 2. Dietary Adjustments Certain foods can trigger increased bowel activity. Experimenting with your diet and identifying trigger foods can help you manage hyperactive sounds. Fiber-rich foods, probiotics, and staying hydrated are generally good practices. 3. Managing Stress Since stress can exacerbate bowel symptoms, finding effective ways to manage stress is crucial. Techniques such as deep breathing, meditation, and yoga can be beneficial. Impact on Daily Life Hyperactive bowel sounds can be bothersome, especially in social or work settings. It’s important to remember that these sounds are a natural bodily function and that everyone experiences them to some extent. Practicing self-acceptance and educating others can help reduce any embarrassment or anxiety. Conclusion Hyperactive bowel sounds might sound alarming, but they’re usually a sign of a functioning digestive system. By understanding the causes, effects, and management strategies, you can confidently navigate through any concerns related to hyperactive bowel sounds. FAQs About Hyperactive Bowel Sounds What exactly are hyperactive bowel sounds? Hyperactive bowel sounds are louder and more frequent stomach noises caused by increased bowel activity. Are hyperactive bowel sounds painful? They can be accompanied by abdominal discomfort or pain in some cases. Can stress really affect bowel sounds? Yes, stress can impact the gut-brain axis and lead to hyperactive bowel sounds. Is it okay to self-diagnose based on bowel sounds? It’s always best to consult a medical professional for proper diagnosis and advice. How can I differentiate between normal and hyperactive bowel sounds? Hyperactive bowel sounds are notably louder and more persistent than normal sounds, often accompanied by discomfort. Tips for Managing Bowel Sound Discomfort Are you often faced with the uncomfortable sensation of bowel sound discomfort? The gurgling, rumbling, and sometimes embarrassing noises that emanate from your stomach and intestines can be quite distressing. But fear not! In this article, we’ll dive into effective tips and strategies for managing bowel sound discomfort, providing you with relief from digestive discomfort and bloating. So let’s explore some practical solutions to help you enjoy a more peaceful and comfortable digestive experience. Introduction Bowel sound discomfort, often accompanied by audible noises, can be bothersome and even embarrassing. However, it’s essential to recognize that these sounds are a natural part of the digestive process. In this article, we’ll provide you with valuable insights and practical tips for managing these sounds and
[ANSWERED 2023] Develop in detail a situation in which a health care worker might be confronted with
Develop in detail a situation in which a health care worker might be confronted with Develop in detail a situation in which a health care worker might be confronted with ethical problems related to patients and prescription drug use OR patients in a state of poverty. Each scenario must be original to you and this assignment. It cannot be from the discussion boards in this class or any other previous forum. Articulate (and then assess) the ethical solutions that can found using “care” (care-based ethics) and “rights” ethics to those problems. Assessment must ask if the solutions are flawed, practicable, persuasive, etc. What health care technology is involved in the situation? What moral guidelines for using that kind of healthcare technology should be used there? Explore such guidelines also using utilitarianism, Kantian deontology, ethical egoism, or social contract ethics. Say how social technologies such as blogs, crowdfunding, online encyclopedias can be used in either case. What moral guidelines for using that kind of healthcare technology should be used there? Develop such guidelines also using utilitarianism, Kantian deontology, ethical egoism, or social contract ethics. You should not be using any text you used in a discussion board or assignment for this class or any previous class. Cite the textbook and incorporate outside sources, including citations. Writing Requirements (APA format) Length: 3-4 pages (not including title page or references page) 1-inch margins Double spaced 12-point Times New Roman font Title page References page (minimum of 2 scholarly sources) Expert Answer and Explanation Ethical Problems in Healthcare Issues of ethics are common in healthcare settings, mostly confronted by healthcare providers in care delivery. These challenges make healthcare delivery a challenge, especially when a nurse is caught between meeting the needs of the patient and the needs of the healthcare organization (Peter, 2018). In this paper, I will develop a situation in which a healthcare worker is confronted with a problem that is ethical in the course of healthcare delivery, articulate and assess the ethical solutions that can be established, identify the healthcare technology that is involved in the situation and the moral guidelines for using such technology, and establish how social technologies like blogs, online encyclopedias, and crowdfunding can get used in either case and the healthcare technology that can get used in such case. Scenario The situation in which a healthcare worker got confronted with an ethical problem that I identified is an emergency whereby the healthcare provider discovers that the patent needs an urgent organ transplant, but he does not have medical insurance. In this situation, the patient in critical care is a low-income earner and cannot pay for the necessary medical procedures. The hospital rules in this situation are that such procedures for treatment cannot be carried out on patients that do not have medical insurance or a way to guarantee that they can afford the payment required for such procedure. In this case, the healthcare worker is caught in a dilemma between saving the life of the patient or following the guidelines provided by the hospital concerning the provision of certain care procedures to patients with medical insurance only. The healthcare worker is caught between fulfilling their duty to their patients, which is to provide care to the best of their ability and the organization’s rules. Articulation and Assessment of Ethical solutions Ethics of care in healthcare entail actions that show the patient that you care about their well-being. In the situation discussed above, an ethical solution based on care-based ethics would be to be emotionally supportive of the patient and help them find a solution to their problem (Moriggi et al., 2020). For instance, the caregiver can share the information about his condition with their family and support them in working towards finding a solution to the problem by providing suggestions to the family on the options they can use like well-wishers or organizations that offer healthcare services to individuals that do not have medical insurance. Another way to show care would be to give hope to the patient to be optimistic about their situation, which would aid their healing process. Rights-based ethics provide that a particular action would be considered to be ethically correct if it respects the rights of individuals (Lasalvia et al., 2019). In the situation above, the care provider will have to identify a solution that respects the rights of the patient. In this case, the patient has a right to access to care and a universal right to life. As such, the care provider has to protect his right to care to the best of their ability by ensuring that they get the best attainable standard of health. In this situation, the ethical solution would be to treat the patient and ensure that they get basic treatment while trying to find a solution to their financial challenges, as the principles of nursing practice require that the patient’s rights are protected at all costs, as it is also the duty of the care provider to the patient. It may be challenging to conduct the organ transplant without the approval of the other healthcare providers in charge of the organization because the healthcare provider will have to obtain consent from the organization to perform such procedures. However, when it is a matter of life and death, the healthcare provider is under an obligation to protect the life of the patient. Technology The healthcare technology that will be involved in the situation discussed above, which entails a patient that needs a liver transplant for survival, will be the electronic health records which will be used in keeping a record of all the procedures of treatment that the patient gets provided by the healthcare provider (Curtis et al., 2018). It also keeps the health history and the records of the medications that have been administered to the patient while receiving care. The moral guidelines that should be applied in the use of this technology include nonmaleficence in which the healthcare worker is required to remain competitive in using this technology and provide the best possible care. Another guideline is fidelity in which the healthcare worker is required to keep their commitment to the health of
[ANSWERED 2023] In this Assignment you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program
In this Assignment you will practice this type of leadership by advocating for a healthcare Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives. In this Assignment you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs. To Prepare: Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs. Select a healthcare program within your practice and consider the design and implementation of this program. Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation. The Assignment: (2–3 pages) In a 2- to 3-page paper create an interview transcript of your responses to the following interview questions: Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program? Who is your target population? What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples? What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design? What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples? Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why? Expert Answer and Explanation Advocating for the Nursing Role in Program Design and Implementation About the Healthcare Program The program entails the reduction of waiting times in an emergency nursing unit through the implementation of different processes and technologies. For nearly a decade, there has been regular complaints by patients who visit the ED about too much waiting times (Milstead & Short, 2019). Some of them always regret the choice of the facility, and swear that they will never go back there after they felt better. Target Population The main population affected by the program are the nurses in the ED departments. In the program, different software will be used by the triage nurse to assess the need for immediate treatment of the patient and this will help in the creation of more order in the department. Also, nurses will be using the program to reduce the time taken on one patient and hence reduce the situations that always occur of insufficient staffing. Role of the Nurse in Providing Input for the Design of the Program One of the primary roles of the nurse in providing input for the program design will be the guidance on some of the information that should be fed into the system. While computer systems and programs are always efficient tools in implementing support, the form in which they appear is determined by the input of the software during the formation (Centers for Disease Control and Prevention, CDC, 2020). Nurses will help in deducing the most crucial information, such as the vitals, that is necessary in evaluating the state of a patient immediately they present to the facility. My Role as an Advocate to my Target Population As an advocate, I will be sure to champion the interest of the nurses in the program. According to the American Nurses Association, ANA (2020), advocacy is one of the basic pillars of nursing, and it helps in efficiently determining the position of nurses in different care operations. For example, in the program, the nurse would perform advocacy role by preventing situations that would otherwise bring about nurse burnout. For this reason, as an advocate, I would have a lot of input in the design decisions of the program. The Role of the Nurse in Healthcare Program Implementation During implementation, the nurse would be one of the quality personnel in the program, as they would have the information about how best the program should be like. Just like in design, nurses use their expertise in determining the suitability of various process changes in the programs. For example, the nurse would be useful in the correction of a problem that arose when implementing the program in a setting that changed after the launch happened. Members of a Healthcare Team who are most needed in Program Implementation The project managers, who are mostly the organizational or departmental managers, are the members of the healthcare team who are most needed in program implementation. The role of these members is mainly monitoring the progress of the project, and ensuring that the project resources are managed efficiently (Ritchie et al., 2016; Smith et al., 2018). Specifically, they check whether or not every stakeholder is playing their role in project implementation, and act appropriately in doing the necessary corrections. References American Nurses Association, ANA, (2020). Advocacy. https://www.nursingworld.org/practice-policy/advocacy/ Centers for Disease Control and Prevention, CDC, (2020). Step by Step – Evaluating Violence and Injury Prevention Policies. Brief 4: Evaluating Policy Implementation https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th Ed.). Burlington, MA: Jones & Bartlett Learning. Ritchie, C., Andersen, R., Eng, J., Garrigues, S. K., Intinarelli, G., Kao, H., & Tunick, E. (2016). Implementation of an interdisciplinary, team-based complex care support health care model at an academic medical center: impact on health care utilization and quality of life. PloS one, 11(2), e0148096. Smith, C. D., Balatbat, C.,
[ANSWERED 2023] Search the GCU Library and find three different health care articles that use quantitative research. Do not use articles that appear in the Topic Materials or textbook Do not use articles that appear in the Topic Materials or textbook
Search the GCU Library and find three different health care articles that use quantitative Search the GCU Library and find three different health care articles that use quantitative research. Do not use articles that appear in the Topic Materials or textbook. Complete an article analysis for each using the “Article Analysis 1” template. Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 1,” for an example of an article analysis. Expert Answer and Explanation Article Analysis-Quantitative Research in Healthcare Article Citation and Permalink (APA format) Solvik, E., & Struksnes, S. (2018). Training Nursing Skills: A Quantitative Study of Nursing Students’ Experiences before and after Clinical Practice. Nursing Research and Practice, 2018, 1–9. https://doi.org/10.1155/2018/8984028 Wong, H., Karaca, Z., & Gibson, T. B. (2018). A Quantitative Observational Study of Physician Influence on Hospital Costs. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 55, 004695801880090. https://doi.org/10.1177/0046958018800906 Point Description Description Broad Topic Area/Title Training Nursing Skills: A Quantitative Study of Nursing Students’ Experiences before and after Clinical Practice A Quantitative Observational Study of Physician Influence on Hospital Costs Identify Independent and Dependent Variables and Type of Data for the Variables Independent variable: Training nursing skills Dependent variable: Nursing students experience before and after clinical practice Independent variable: Hospital costs Dependent variable: Physician influence on hospital costs The population of Interest for the Study The population of the study involved nursing students in their first year of bachelor’s program. The population entailed both female and male students. The Health Cost and Utilization Project (HCUP) 2008 State Inpatient Databases(SID) for Arizona and Florida. The target population in these states was physicians. Sample For the sampling, 160 students participated. They were divided into two classes whereby class 1 (N=79) was identified as the control group, and class 2 (N=81)was the project group. Samples were collected from various hospitals in 2 states with over 15,237 physicians. These were Arizona and Florida, where the research and 2.5 million hospital visits. Sampling Method The implemented sampling method was the use of questionnaires to be filled out by each student before submission. These questionnaires were answered in six-month intervals, one after the training session and the second after the clinical practice. The questionnaires were also coded with numbers such that the numbers represented a specific student and the class affiliation. The hierarchy model or framework was applied to collect and analyze the samples on the number of variations attributed to physicians’ characteristics on the hospitalization cost. The sampling method was designed to control physician characteristics, patient demographics, clinical risks, hospital attributes, and socioeconomic traits. Descriptive Statistics (Mean, Median, Mode; Standard Deviation) Identify examples of descriptive statistics in the article. A total of 160 nursing students were invited to participate in the study on their experiences before and after clinical practice. 158 students carried through to populating the questionnaires, with 96 (61%) of them responding. 45% were from the control group, while 55% came from the project group. The results identified that the average cost of inpatient hospital visits was $9171 and $8679 for non-teaching hospitals. Out of the 15237, 7993 physicians worked at teaching hospitals, and 2995 were involved in both settings. The average age for all physicians was years. Females covered 26.5% of the participant population. A third of the population graduated from medical school. 16.4% of the sample population were satisfied board surgeons, while 31.7% had internal medicine certification. Inferential Statistics Identify examples of inferential statistics in the article. The study determined that the clinical lab exercises were an effective way to facilitate the practice. 47% of the students responded that they should have prepared better. 85% agree that they were capable of mastering a bed bath with an actual patient in practice after the session. The average cost for female physicians was $2264 lower when compared to the costs of patients visiting male physicians. Also noticed was that the average cost for foreign-trained physicians was $1191 less than physicians who graduated from medical colleges. Kumar, S., Syed, N., Jaykumar, S., Prem, V., Karvannan, H., Karthikbabu, S., & Sisodia, V. (2012). Study of nurses′ knowledge about palliative care: A quantitative cross-sectional survey. Indian Journal of Palliative Care, 18(2), 122. https://doi.org/10.4103/0973-1075.100832 Description Study of Nurses’ Knowledge about Palliative Care: A Quantitative Cross-sectional Survey Independent variable: Palliative Care Dependent variable: Nurses Knowledge Participants for this study were from the various multispecialty hospitals, including those taking professional development programs exclusive for a nurse. All participants needed to provide an approved consent letter before participation. Those who did not provide consent did not proceed with the study. The survey was done for 363 nurses from multispecialty hospitals. This was taken on healthcare professionals currently taking programs for professional development. The used sample method was the implementation of a self-report questionnaire which was filled individually by the participants. The questionnaire was developed by Nakazawa et al., and it entailed 20 items to be fully answered. All questions were related to palliative care. Participants were to respond by mentioning either correct, incorrect, or unsure. The questionnaires were also sectioned into subsections of philosophy, pain, dyspnea, psychiatric problems, and gastrointestinal problems. Out of the 392 distributed and collected questionnaires, 363 were valid. This reflected a response rate of 92.6%. The bigger population was female with a number of 323 (89%) while the male was 40 in number (11%). The participants were also represented differently from different parts of the health facility. From the ward were 154 participants (42.4%), Intensive care unit, 142 people (39.1%), Outpatient unit had 2 people (0.6%), and Other who were 65 in total (17.9%) The overall score of the study was 35.8%, with philosophy covering 36.5%, pain 34.83 dyspnea 28.25%, psychiatric problems 45.75%, and gastrointestinal problems 34%. Generally, females scored more than males with a slight difference. It was also identified that the knowledge about pain was minimal as only 35% of nurses had a good understanding of correct
[ANSWERED 2023] Explain the role of the community health nurse in partnership with
Explain the role of the community health nurse in partnership with Source: USAHS TOPIC 1 DQ 1: Explain the role of the community health nurse in partnership with community stakeholders for population health promotion. Explain why it is important to appraise community resources (nonprofit, spiritual/religious, etc.) as part of a community assessment and why these resources are important in population health promotion. TOPIC 1 DQ 2: Discuss how geopolitical and phenomenological place influence the context of a population or community assessment and intervention. Describe how the nursing process is utilized to assist in identifying health issues (local or global in nature) and in creating an appropriate intervention, including screenings and referrals, for the community or population. Expert Answer and Explanation: TOPIC 1 DQ 1 Population Health Promotion Population health promotion is the process of developing promotional messages and actions that can be used in educating people against certain health issues or prevention. Community health nurses and other community stakeholders, such as church leaders, local political leaders, and NGOs’ have vital roles in ensuring that population health promotion programs successes. Community health nurses are responsible for conducting studies and finding heath issues that ail the community population (Salmond & Echevarria, 2017). Also, they are responsible for developing promotion models that can be used to conducting health promotions. The community nurses in collaboration with other community leaders can search for funds to support population health promotion programs. The other community stakeholders, such as local politicians are responsible for developing and enacting policies that can ensure the success of health promotions (Watterson, 2017). Stakeholders such as church leaders can provide financial support for running of the health promotion. Appraising community resources, such as religious and nonprofit resources is so vital. Appraising community resources can help the community population understand the value of their resources, and this can motivate them to take care of them. Also, resource appraisal can help community leaders understand how they can distribute funds to run various health promotion programs within the community. Corley et al. (2016) argue that appraisal or evaluation can also help in curbing corruption and misuse of community funds and resources. Community resources should be regularly apprised because they are so vital in health promotion programs. For instance, the resources, such as community halls can be used in holding meetings and seminars during health education programs. References Corley, A. G., Thornton, C. P., & Glass, N. E. (2016). The role of nurses and community health workers in confronting neglected tropical diseases in Sub-Saharan Africa: a systematic review. PLoS neglected tropical diseases, 10(9), e0004914. Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopedic nursing, 36(1), 12. Watterson, A. (Ed.). (2017). Public health in practice. Macmillan International Higher Education. Alternative Answer and Explanation Role of Community Health Nurse The community is one of the main focuses for community health nurses. The healthcare sector conducts various community interventions which have to factor in a number of issues, the role of a community health nurse is crucial for any event involving the community as they have the necessary medical skills (Bigi & Bocci, 2017). The partnership between the community and the nurse can help create the necessary various roles to be performed by the nurse. For instance, the nurse is skilled and can easily identify issues affecting society and come up with means to offer remedies to these issues. The role focuses on the identification of needs, problems, and priorities for families, individuals, and other members of the community in general (Bigi & Bocci, 2017). Based on the information, the nurse can then formulate intervention plans for a municipal health and implement the plan within the community. The role of the nurse is also associated with appraising various community resources to evaluate whether they meet the requirements for operation. Every community action and resource need to be appraised for various reasons (Egbujie et al., 2018). For instance, appraisal for a nonprofit organization can assess whether the institution has the capacity to deliver on the purpose and whether they are aware of the issues that are being addressed. Appraisal of religious or spiritual groups focuses on the need for the provision of accurate information to the masses and correlates the data with the goals of the community action (NSU, 2017). These resources are important as they provide additional support, personnel, and other key services that are required for a holistic care delivery process. The healthcare sector comprises a number of key players and combining the resources for the betterment of the community. References Bigi, C., & Bocci, G. (2017). The key role of clinical and community health nurses in pharmacovigilance. European journal of clinical pharmacology, 73(11), 1379-1387. Egbujie, B. A., Delobelle, P. A., Levitt, N., Puoane, T., Sanders, D., & van Wyk, B. (2018). Role of community health workers in type 2 diabetes mellitus self-management: A scoping review. PloS one, 13(6), e0198424. NSU. (2017). The Nurse’s Role in Community Health. Northeastern State University Online. https://nursingonline.nsuok.edu/articles/rnbsn/nurses-role-in-community-health.aspx TOPIC 1 DQ 2: Expert Answer and Explanation Nursing Process Community or population assessment and intervention can be influenced by many factors including phenomenological and geographical factors. Geographical and phenomenological factors can influence the financial or budgetary aspect of an intervention or assessment. For instance, a disease that has affected a large geographical area, a lot of funds will be used in implementing or assessing the impacts of the illness (Tan, 207). Different phenomena are solved in different ways. Thus, phenomenological factors can affect an intervention or assessment by determining the methods that will be used in the assessment or implementation of the intervention. Rabelo‐Silva et al. (2017) mention that the two factors can also affect the time of intervention implementation and assessment. For instance, the time that will be spent in implementing an intervention to prevent a disease in a whole country differs from the implementation of the same intervention in a single state. The nursing process involves many actions. The actions include researching, planning, diagnosis, assessment, and evaluation of health-related issues. The nursing process has largely been used in identifying health issues. For instance, nurse researchers have been used to research and identify certain health issues in society. Also, nurses have been used in assessing, evaluating, and reporting health issues to the public and government. Diagnosis is
[ANSWERED 2023] V G is a 47 year old African American male with type 2 diabetes diagnosed two years ago
V G is a 47 year old African American male with type 2 diabetes diagnosed two years ago Examining Endocrine, Metabolic, and Hematologic Disorders V G is a 47 year old African American male with type 2 diabetes diagnosed two years ago. He is for a follow up and complaining of increased tingling to the lower extremities. PMH: obesity, dyslipidemia, HTN. He quit smoking smoking two years ago. Denies any alcohol use. SH: lives with alone in a subsidized housing. He is a veteran and relies on food stamps and welfare. Works occasionally. MEDS: he lost his medications and hasn’t taken any in about a week. His chart indicates his is on Lisinopril 20mg, Januvia 50mg QD, Lipitor 40mg QD, PE: 5’9, BP: 160/100 RBG: 415. To prepare: Review Part 17 and 21 of the Buttaro et al. text in this week’s Resources. Review the patient case study and reflect on the information provided about the patient. Think about the personal, medical, and family history you need to obtain from the patient in the case study. Reflect on what questions you might ask during an evaluation. Consider types of physical exams and diagnostics that might be appropriate for evaluation of the patient in the study. Reflect on a possible diagnosis for the patient. Think about potential treatment options for the patient. Post a an explanation of the primary diagnosis, as well as 3 differential diagnoses, for the patient in the case study that you selected or were assigned. Describe the role the patient history and physical exam played in the diagnosis. Then, suggest potential treatment options based on your patient diagnosis Expert Answer and Explanation Examining Endocrine, Metabolic, and Hematologic Disorders Primary Diagnosis Type 2 Diabetes The primary diagnosis for this condition is poorly controlled type 2 diabetes. Type 2 diabetes is a medical condition that happens when a patient’s body produces less insulin as needed or resists produced insulin (American Diabetes Association, 2018). According to the association, some of the clinical symptoms of type two diabetes include blurred vision, unintended weight loss, increased thirst, tingling of the lower body and hands, and increased sores that hardly heal. A person suffering from poorly controlled diabetes is a patient who does not follow clinical instructions to control diabetes. It is highly likely that the patient suffers poorly controlled diabetes because he experiences increased tingling to the lower extremities and is obese. Differential Diagnosis Multiple Sclerosis Multiple sclerosis is a medical condition that can damage a patient’s central nervous system. People with multiple sclerosis can experience the following symptoms. They include fatigue, blurred vision, tingling of one or multiple body parts, sexual problems, lack of coordination, Lhermitte sign, and prolonged double vision (Briggs et al., 2018). This disease has been included in the differential diagnosis because the patient complains of tingling of the lower parts of the body. Latent Autoimmune Diabetes Latent autoimmune diabetes is an illness that happens when a patient’s body does not produce enough insulin as required. Low insulin level, increased thirst, tingling of hands and feet, fatigue, and vision problems are signs of the disease. The patient complains of tingling of the body parts, and that is why the disease has been included in the diagnosis. Brachial Plexus Injury Brachial plexus injury is a medical condition that affects one’s nerves. It occurs when a patient’s nerves are overstretched, ripped, and compressed. Glenn et al. (2016) note that the tingling of the body parts is among the symptoms of the disease, and that is why it has been included in the diagnosis. Role of Patient History and Physical Examination Patient history and physical examination were so significant during diagnosis. For instance, through the patient’s medical history, the nurse found that the patient was under Januvia 50mg QD, Lipitor 40mg QD, and Lisinopril 20mg prescriptions. This information would be vital when prescribing drugs for the patient to prevent drug interaction. The current patient’s medical history provided a symptom that was used to provide the primary diagnosis. The patient’s history provided risk factors that were used to decide the actual diagnosis for the patient. It was found that the patient was obese through medical history, type 2 diabetes, HTN, and dyslipidemia. Physical examination also provided great insight into the patient’s condition. Through physical examination, the nurse found that the patient was obese and had HBP. The information would help the nurse provide better medications that can improve the patient’s health. Potential Treatment Options Both medical and non-medical approaches should treat this patient. The current medications should be adjusted accordingly because the patient does not show signs of improvement. Khan et al. (2017) note that Lipitor 40mg per day should be increased to 60mg per day, and the patient monitored for two weeks. Januvia can also be increased to 100 mg once per day. Lisinopril 20mg can be increased to 30 mg per day. The patient should be checked after two weeks to monitor his progress. The patient should also be advised to observe a balanced diet and exercise often to improve the effects of the medication. References American Diabetes Association. (2018). 2. Classification and diagnosis of diabetes: standards of medical care in diabetes—2018. Diabetes care, 41(Supplement 1), S13-S27. https://doi.org/10.2337/dc18-S002 Briggs, M. S., Rethman, K. K., & Lopez, M. T. (2018). Clinical decision making and differential diagnosis in a cyclist with upper quarter pain, numbness, and weakness: a case report. International journal of sports physical therapy, 13(2), 255. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6063071/ Glenn, B., Drum, M., Reader, A., Fowler, S., Nusstein, J., & Beck, M. (2016). Does liposomal bupivacaine (exparel) significantly reduce postoperative pain/numbness in symptomatic teeth with a diagnosis of necrosis? A prospective, randomized, double-blind trial. Journal of endodontics, 42(9), 1301-1306. https://doi.org/10.1016/j.joen.2016.05.018 Khan, S. I., Saha, S. K., Poddar, S. K., Bachar, R., & Shoyaib, A. A. (2017). Bioequivalence studies and pharmacokinetic properties of atorvastatin 40mg tablet in healthy bengali subjects. MOJ Bioequiv Availab, 4(2), 00064. https://d1wqtxts1xzle7.cloudfront.net Place your order now for a similar assignment and get fast, cheap and best quality work written by
[ANSWERED 2023] There is often the requirement to evaluate descriptive statistics for data within the organization
There is often the requirement to evaluate descriptive statistics for data within the There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data based on patient demographics. Understanding differences between the groups based upon the collected data often informs health care professionals towards research, treatment options, or patient education. Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance in with creating Excel formulas. Provide the following descriptive statistics: Measures of Central Tendency: Mean, Median, and Mode Measures of Variation: Variance, Standard Deviation, and Range (a formula is not needed for Range). Once the data is calculated, provide a 150-250 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups. APA style is not required, but solid academic writing is expected. This assignment uses a rubric. Please review the rubric 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 and Explanation Alternative Expert Answer and Explanation Measures of Central Tendency: Mean, Median, and Mode This paper will elaborate on the descriptive statistical analysis for lung and bronchus cancer for the different racial groups as contained in the National Cancer Institute (2018). The data compiled was from the years 2000 to 2015. Mean Mean, also known as average, is the total summation of the values given divided by the number of items in a data set (Grove & Gray, 2018). The following is a mean for the different racial groups: Mean = Σ/n. where Σ is the total sum of the rate per 100,000, and n is the number of years (16 years). American Indian / Alaska Native (includes Hispanic) Mean = 692.4/16 = 43.275 Asian / Pacific Islander (includes Hispanic) Mean = 616.2/16 = 38.5125 Black (includes Hispanic) Mean = 1121.1/16 = 70.06875 Hispanic (any race) Mean = 503.9/16= 31.49375 White (includes Hispanic) Mean = 1003.6/16=62.725 Median Median is defined as the middle number in a data set (Grove & Gray, 2018). Given that the data set used by this paper contains an even number of items, one can get the median by calculating the average of the two middle numbers. The median for the following racial groups is calculated as follows American Indian / Alaska Native (includes Hispanic) Median = (43.1+44.6)/2 = 43.85 Asian / Pacific Islander (includes Hispanic) Median = (38.8+39)/2 = 38.9 Black (includes Hispanic) Median = (71.2+71.6)/2 =71.4 Hispanic (any race) Median = (32+32.2)/2 =32.1 White (includes Hispanic) Median = (63.9+65.2)/2 = 64.55 Mode Mode is defined as the most repeated number in a data set. In case a modal value can’t be established, one is supposed to group the data values, and using the following formula; the modal value for the group can be identified. Mode = L + (fm − fm-1) / ((fm − fm-1) + (fm − fm+1)) × W where: L is the lower-class boundary of the modal group fmis the frequency of the modal group fm-1is the frequency of the group before the modal group fm+1is the frequency of the group after the modal group w is the group width American Indian / Alaska Native (includes Hispanic) Data Groups 31-40 frequency = 6, 41-50 frequency = 9, 51-60 frequency = 1 The modal estimation for this population group is Mode = 41+ (9 − 6) / ((9 − 6) + (9 − 1)) × 10 = 41 +3/11 x 10 = 43.73 Ans = 43.73 Asian / Pacific Islander (includes Hispanic) The mode for this population group is 36,6 Black (includes Hispanic) Data Groups 55-60 frequency = 2, 61-65 frequency =3, 66-70 frequency =2, 71-75 frequency =6, 76–80 frequency = 3 The modal estimation for this population group is Mode = 71+ (6 − 2) / ((6 − 2) + (6 − 3)) × 5 = 71 +4/7 x 10 = 76.71 Ans = 76.71 Hispanic (any race) The mode for this population group is 34.1 White (includes Hispanic) The mode for this population group is 65.8 Measures of Variation: Variance Variance is the measurement of how numbers are distributed in a given data set. The following is a formula used to calculate variance; Σ (Xi – μ) 2 / n. Where: Σ is summation of the items n is the total number of items in the data set. Xi is the individual figures in the data set, μ is the mean for that data set, The following is the variance for the given racial groups American Indian / Alaska Native (includes Hispanic) μ = 43.275 Xi (μ – Xi)2 32 127.125625 36.6 44.555625 38.7 20.930625 39.6 13.505625 39.9 11.390625 40.1 10.080625 42.4 0.765625 43.1 0.030625 44.6 1.755625 45 2.975625 45.7 5.880625 46.4 9.765625 47.9 21.390625 48.7 29.430625 50 45.225625 51.7 70.980625 Σ =415.79 Variance = 415.79/16 = 25.986875 Asian / Pacific Islander (includes Hispanic) μ = 38.5125 Xi (μ – Xi)2 34 20.36265625 34.4 16.91265625 36.6 3.65765625 36.6 3.65765625 36.7 3.28515625 37 2.28765625 38.5 0.00015625 38.8 0.08265625 39 0.23765625 39.8 1.65765625 40.2 2.84765625 40.4 3.56265625 40.5 3.95015625 40.9 5.70015625 41 6.18765625 41.8 10.80765625 Σ =85.1975 Variance = 85.1975/16 = 5.32484375 Black (includes Hispanic) μ = 38.5125 Xi (μ – Xi)2 57.4 160.4972266 60.5 91.56097656 61.3 76.89097656 64.1 35.62597656 64.3 33.27847656 67.8 5.147226562 70.8 0.534726563 71.2 1.279726563 71.6 2.344726563 73.4 11.09722656 73.7 13.18597656 75.1 25.31347656 75.8 32.84722656 77.3 52.29097656 77.8 59.77222656 79 79.76722656 Σ = 681.4344 Variance = 681.4344/16 = 42.58965 Hispanic (any race) μ = 31.49375 Xi (μ – Xi)2 26 30.18128906 26.8 22.03128906 28.2 10.84878906 28.8 7.256289062 29.4 4.383789063 30.3 1.425039062 31.8 0.093789063 32 0.256289063 32.2 0.498789063 32.7 1.455039063 33.8 5.318789062 34.1 6.792539063 34.1 6.792539063 34.2 7.323789063 34.5 9.037539063 35 12.29378906 Σ =125.989375 Variance = 125.989375/16 = 7.8743359375 White (includes Hispanic) μ = 38.5125 Xi (μ – Xi)2 53.2 90.725625 55.4
[ANSWERED] Read Case 3 1 You Cant Get There From Here: Uber Slow On Diversity on page 108 of your textbook
Read Case 3 1 You Cant Get There From Here: Uber Slow On Diversity on page 108 of your Unit II Case Study Read Case 3 1 You Cant Get There From Here: Uber Slow On Diversity on page 108 of your textbook. After you have read the case study, write an analysis of the case study. Write an introduction to give context to your paper by explaining what the paper will cover. Then, divide the body of your paper using the seven headers below. Address the points within that section, as indicated under the header. Employment Law Identify what employment law Susan Fowler’s sexual harassment claim would be characterized as. Be sure to develop your answer to include your rationale. Type of Harassment Identify the type(s) of harassment to which Ms. Fowler was exposed. Be sure to develop your answer to include your rationale. Uber’s Actions Identify actions Uber has taken to limit their liability relative to sexual harassment charges. Be sure to develop your answer to include your rationale. EEOC and Affirmative Action After reviewing Uber’s diversity report, does it appear Uber is in violation of any EEOC and affirmative action laws? Be sure to develop your answer to include your rationale. Diversity Matters Explain why diversity matters in general and more specifically to Uber. Be sure to develop your answer to include your rationale. Benefits/Challenges of a Diverse Workforce Identify and explain the benefits and challenges Uber derives from a more diverse workforce. Be sure to develop your answer to include your rationale. Legal Provisions of Uber Case Write a summary that identifies legal provisions or considerations covered within this case study as it relates to a human resource management (HRM) perspective. Conclude with an analysis with your thoughts on how ethics and HRM professional standards are framed by legal provisions within a specific organization or industry (e.g., business, health care). Your case study must be at least two pages in length, not counting the title or reference pages. Adhere to APA style when constructing this assignment, including in-text citations and references for all sources that are used. Please note that no abstract is needed. EXPERT ANSWER AND EXPLANATION Uber Diversity and Sexual Harassment Uber is one of the biggest technology beneficiaries as its business is primarily based on the connection between customers and transport providers using smartphones. Also, Uber has improved its standards largely because customers and service providers can rate each other based on the satisfaction they get from the services (Swiss, 2018). Like many other companies, however, Uber is also faced by diversity issues, where there have been complaints about oppression of women in the company (Lussier & Hendon, 2017). This essay discusses about the case study ‘Case 3-1, You Can’t Get There From Here: Uber Slow on Diversity,’ where one of the female employees, Susan Fowler, reports sexual harassment by the manager. Employment Law The employment law under which the complaint of Ms. Fowler would be categorized is the Federal Employment Law, Title VII in the 1964 Civil Rights Act. According to this law, unwelcome sexual advances in the workplace can limit the productivities of employees in firms (Weiss, 2019). Susan’s manager had tried to perform some sexual advances that prompted her to report the manager to the HR manager. Unfortunately, the HR would not report this manager as they claimed he was ‘high performing.’ This is what angered Ms. Fowler and she later learned that there were other female employees who shared the same fate. Type of Harassment The harassment that Ms. Fowler faced was sexual harassment. This is because this kind of harassment under the Federal Employment Law covers for any mistakes done to lead to uncomfortable situations and can be highlighted in the case. For example, the fact that Ms. Fowler’s manager was using the company platform to have sexual conversations is intimidating enough. This is because Ms. Fowler should be expecting the manager to use the company platform to do regular operations such as checking on employees, but instead, what she gets is intimidating sexual messages. Uber’s Actions One of the actions that Uber took to limit the associated liability was the release of the first diversity report one month following the allegations. In the report, Uber mentioned that it acknowledges the fact that women, as well as non-white employees, are underrepresented in the company. They also mentioned that they have invested numerous resources to ensure that they reduce this underrepresentation, as well as ensure that women and other minority groups are comfortable in the technology environments. EEOC and Affirmative Action The report is in violation of the Equal Employment Opportunity Commission (EEOC) as it gives too much emphasis on women during the recruiting process. It is clear from the report that the company tries to correct a wrong it had embraced earlier (sexual harassment of women) using another wrong (unfairness in the hiring process) (Swiss, 2018). The affirmative action I would propose for Uber is to take precaution when approaching gender issues, lest they would find themselves in even greater trouble. Also, they should show that the manager who was accused of sexual harassment of female employees is given the right punishment. Diversity Matters The main reason why diversity matters in Uber is that the company’s success is based on public satisfaction. If there are more diversity issues, it is likely that the company will be less popular, and that the customers will be quick to switch to other alternatives. Benefits/Challenges of a Diverse Workforce Diversity in the workforce is beneficial as it increases productivity of a company. Companies with a diverse workforce culture are likely to find more success opportunities than those who oppose it (Lussier & Hendon, 2017). Challenges of a diverse workforce include power struggle among the different groups, which can lead to less growth rates. Legal Provisions of Uber Case The legal provisions of diversity in the case emphasize on the fact that companies have the legal obligation to ensure diversity so as to embrace societal growth. Also, the company’s employees who harass other individuals in
[SOLVED 2023] Week 2 Discussion Question 1 Applying Leadership Skills in Exploring the Roles for APRN
Week 2 Discussion Question 1 Applying Leadership Skills Week 2 Discussion Question 1 Applying Leadership Skills in Exploring the Roles for APRN The ongoing changes in the health-care landscape are influenced most by globalization, economic and technological factors, and the aging of the population. The complexity of the healthcare environment requires us to examine the leadership needs for the APN roles that are applicable for today and the future (Joel, 2018). In chapter 21 (Leadership for APNs: If Not Now, Then When?) the author outlines serval leadership theories or styles including: Situational or Contingency Leadership; Servant Leadership; Transformational or Transactional Leardershp; Relational Leadership; Clinical Leadership and Congruent Leadership. Select one of the above leadership theories or style. Using your own words define the theory. Considering the various APN roles (Clinician, Educator, Researcher, Administrator, Entrepreneur, Consultant, and Leader) describe how you might use the leadership theory in your future APN role. From your experience as a professional nurse, give one example of the selected leadership theory or style as seen in action or provide an exemplary example. Week 2: Discussion Question 2 – The Impact of Healthcare Trends on the APN Roles Arnautova (2018) in the article ‘Top Healthcare Industry Trends to Watch in 2018 and Beyond’ outlined five (5) trends that will revolutionize how we provide and consume healthcare services over the next decade. These healthcare trends include: Telemedicine Artificial Intelligence Robotics IoT and wearables Blockchain Select 1 of the 5 trends and discuss the potent positive and negative impacts the trend will have on the APN role(s) (Clinician, Educator, Researcher, Administrator, Entrepreneur, Consultant, and Leader). Reference: Arnautova, Y. (2018). Top healthcare industry trends to watch in 2018 and beyond. Retrieved August 20, 2018 from https://www.globallogic.com/blogs/top-healthcare-industry-trends-to-watch-in-2018-and-beyond/ Week 2: Discussion Question 1 – Expert Answer and Explanation Leadership Skills in Nursing Transformational Leadership Style The healthcare sector is changing and the new measures require a transformed leadership that will help set the required pace and milestones. One of the most critical leadership styles that can be used with the changes in APRN roles is transformational leadership (Poghosyan & Bernhardt, 2018). The style is important as it focuses on inspiration, encouragement, and motivation of the staff and employees to create change, innovate and grow the unit for future success. New roles require that a nurse be prepared for new challenges and obstacles that have to be solved innovatively for the betterment of the patient. Leadership Style and APRN Roles As a leader, the healthcare sector is focused on improving the health of the patient, conducting research, and administration purposes, transformational leadership can help an APRN come up with means to improve the various roles. For instance, an APRN can come up with ways to ensure that there is better service delivery and innovative interactions between the nurse and the patient (Popejoy et al., 2017). These innovations should be transformative and in line with current trends such as the incorporation of evidence in care delivery. The APRN can also focus on understanding current technology in order to improve the administration of care through transformations. The transformations can focus on the reduced discharge time, proper handling of patient data among others. Leadership Style in Action One practical example of transformational leadership is conducting nurse education on how to make use of new technologies such as evidence-based care. The strategy is transformational in the sense that it will enable the nurses to meet their desired goals and improve on the growth of the organization (Poghosyan & Bernhardt, 2018). Nurses should also embrace the changes and accept to learn and improve on their skills. References Poghosyan, L., & Bernhardt, J. (2018). Transformational leadership to promote nurse practitioner practice in primary care. Journal of nursing management, 26(8), 1066-1073. Popejoy, L., Vogelsmeier, A., Galambos, C., Flesner, M., Alexander, G., Lueckenotte, A., … & Rantz, M. (2017). The APRN role in changing nursing home quality: the Missouri quality improvement initiative. Journal of nursing care quality, 32(3), 196-201. Week 2: Discussion Question 2 – The Impact of Healthcare Trends on the APN Roles – Expert Answer and Explanation The Impact of Healthcare Trends on the APN Roles Telemedicine Telemedicine is one of the most recent healthcare trends that is being embraced globally. The healthcare sector is transforming to be able to reach a wider audience and meet the increasing demands in the healthcare field (Vitacca et al., 2018). Telemedicine per se includes the use of technology and other accessories to facilitate remote care delivery and monitoring of patient progress. The incorporation of telemedicine in the healthcare sector has brought about both positive and negative issues affecting the delivery of care. The major positive impact that telemedicine has had is the increase in accessibility to medical care to people from a wider geographical region. A person from Florida can be able to bet services from a specialist in Texas without having to incur travel expenses (Vitacca et al., 2018). The technology has also reduced the cost of medication which would have been used in admission of the patients and paying for the stay at the facility. Telemedicine also incorporates ease of interdisciplinary collaboration as there is the ease of access to patient data and different professionals can collaborate to help improve the patient conditions. There are also negative aspects associated with telemedicine and might affect the outcome of the patient. One of these issues is that telemedicine does not give the doctor ability to physically assess the patient and get to have a professional perspective on the issues around the physical concerns. The diagnosis is purely dependent on the patient observation which might be biased or flawed (Armaignac et al., 2018). On the other hand, the use of technology to collect data cannot be guaranteed as they might fail or be triggered at different timings. The other issue can be the insecurity of patient data which is susceptible to hackers or unauthorized breaches. References Armaignac, D. L., Saxena, A., Rubens, M., Valle, C. A., Williams, L. M. S., Veledar, E., & Gidel, L. T. (2018). Impact of Telemedicine On Mortality, Length Of Stay,