[ANSWERED 2023] Describe the national healthcare issue/stressor you selected and its impact on your organization

Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system. Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time. you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected. To Prepare: Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for the study. Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected. Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor. The Assignment (3-4 Pages): Analysis of a Pertinent Healthcare Issue Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following: Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization). Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations. Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples. APA citation 3 to 4 references within 5 years Grading Rubric Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing the selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following: ·   Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).— Excellent 23 (23%) – 25 (25%) The response accurately and thoroughly describes in detail the national healthcare issue/stressor selected and its impact on an organization. The response includes accurate, clear, and detailed data to quantify the impact of the national healthcare issue/stressor selected. Provide a brief summary of the two articles you reviewed from outside resources, on the national healthcare issue/stressor and explain how the healthcare issue/stressor is being addressed in other organizations.— Excellent 27 (27%) – 30 (30%) A complete, detailed, and specific synthesis of two outside resources reviewed on the national healthcare issue/stressor selected is provided. The response fully integrates at least 2 outside resources and 2 or 3 course-specific resources that fully support the summary provided.  Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected and explain how they may impact your organization both positively and negatively. Be specific and provide examples.— Excellent 27 (27%) – 30 (30%) A complete, detailed, and accurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided. The response accurately and thoroughly explains in detail how the strategies may impact an organization both positively and negatively, with specific and accurate examples. Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.— Excellent 5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria. Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation— Excellent 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.— Excellent 5 (5%) – 5 (5%) Uses correct APA format with no errors. EXPERT ANSWER Analysis of a Pertinent Healthcare Issue With the increasing number of people who are covered by the government-sponsored health insurance programs, a challenge has emerged on how to cater to the healthcare needs of the nation. The number of monetary investments has been on the increase but the manpower has failed to catch up to the increasing number of patients needing healthcare services. This especially has been the case with the increasing aged population who qualify for the Medicare and Medicaid programs (Blouin & Podjasek, 2019).  This is an issue that has trickled down to the healthcare facilities including the organization I work for. Nurse staffing is considered an issue that has major significance in patient outcomes, including the quality of care delivered to patients. several studies have indicated the effects of nurse staffing on patient outcomes,

[ANSWERED 2023] Identify two GCU Library scholarly databases that will help you find the best research articles to support your capstone project change proposal.

Identify two GCU Library scholarly databases that will help you find the best research articles to support your capstone project change proposal Topic 1 DQ 1 Identify two GCU Library scholarly databases that will help you find the best research articles to support your capstone project change proposal. Discuss why these two databases are better than Google Scholar or a general Internet search. Topic 1 DQ 2 The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020.  According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed. Expert Answer and Explanation Topic 1 DQ 1 GCU Library Scholarly Databases The Grand Canyon University (GCU) is committed to advancing research development. This commitment reflects in the institution’s resolve to own databases from which learners can retrieve articles. The Education Resource Center (ERIC) is an example of the database which the institution owns. As an internet-based source, ERIC has indexed journal sources, and it offers easy accessibility of the literature content. This database has full text sources, and it provides a platform where researchers specializing in various areas in research can access the details they need. The GCU, still, owns the database, PsycINFO. With this database, the person conducting the research can retrieve international literature on psychology studies and psychology-linked studies (libguides.bates.edu., 2020). The database has a history of fostering the sharing of the peer-reviewed literature, and it is therefore popular among researchers dealing with the psychological studies. The sources which one can access using this platform are extensive, and it integrates features which ease the search process. The GCU’s databases exhibit certain desirable attributes which differentiate these databases from the Google Scholar. Taking into consideration the features of the PsycINFO and those of the Google Scholar, for example, the former seems to be reliable when one searches for the literature on psychology. This is because it provides vast sources from which an individual can access psychology articles and journals. The PsycINFO incorporates an indexing feature, and this makes it possible to narrow down the scope of the search. The ERIC is also advantageous when it comes to enhancing the process of retrieval of information (Grewal, Kataria, & Dhawan, 2016). A person using the database can access resources on the print indexes which publishers publish every month. When can also access the sources using the computer. References Grewal, A., Kataria, H., & Dhawan, I. (2016). Literature search for research planning and identification of research problem. Indian journal of anaesthesia, 60(9), 635–639. Doi: https://doi.org/10.4103/0019-5049.190618. libguides.bates.edu. (2020). Psychology: Psychology resources. Retrieved from https://libguides.bates.edu/psychology. Topic 1 DQ 2 Managing Barriers to EBP Implementation The Institute of Medicine (IOM) emphasizes on increasing the use of evidence in clinical care. The institute seeks to expand the use of the evidence to 90% by 2020, and while this objective is important in terms of advancing the quality of care, the U.S. lags behind this target. Currently, the evidence-based practice (EBP) in the country stands at 15%, and one can attribute this to a number of key challenges which hamper the efforts of EBP implementation. A significant number of the medical practitioners have limited time to review the current studies, and this is particularly the case in the emergency settings. The inadequate availability of the health workers is among the factors that seem to exacerbate this problem (Bahadori et al., 2016). Another impediment to the IOM’s agenda is the resistance to change. Providers may find it difficult to adopt new methods of delivering medical care, and introducing a new initiative such as the use of EBP can cause resistance among caregivers. A number of measures can help in limiting the chances of occurrence of the barriers. Allocating more time to providers so that they can get enough time to review the evidence, for instance, provides an effective solution for managing the time constraints which hamper the implementation of the evidence. By allocating more time to the research, healthcare practitioners can get ample time to gather literature and conduct the search with focus on applying the search findings in clinical situations. Because health workers may resist a new model of care delivery, it is imperative to focus on involving them in all aspects of the EBP implementation (Mathieson, Grande, & Luker, 2019). It is equally important to communicate to them the benefits of the EBP to patients and the healthcare staff. References Bahadori, M., Raadabadi, M., Ravangard, R., & Mahaki, B. (2016). The barriers to the application of the research findings from the nurses’ perspective: A case study in a teaching hospital. Journal of education and health promotion, 5, 14. Doi: https://doi.org/10.4103/2277-9531.184553. Mathieson, A., Grande, G., & Luker, K. (2019). Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: a systematic mixed-studies review and qualitative synthesis. Primary health care research & development, 20, e6. Doi:https://doi.org/10.1017/S1463423618000488. 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[ANSWERED 2023] Research the range of contemporary issues

Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission: Describe the contemporary issue and explain what external stressors are associated with this issue. Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian. Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented. You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. 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 required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Rubric Criteria Total90 points Criterion 1. Unsatisfactory 2. Insufficient 3. Approaching 4. Acceptable 5. Target Mechanics of Writing Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc. 0 points Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout. 4.05 points Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent. 4.27 points Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted. 4.81 points Few mechanical errors are present. Suitable language choice and sentence structure are used. 5.4 points No mechanical errors are present. Appropriate language choice and sentence structure are used throughout. Thesis, Position, or Purpose Communicates reason for writing and demonstrates awareness of audience. 0 points The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident. 4.73 points The thesis, position, or purpose is unfocused or confused. There is very little awareness of the intended audience. 4.98 points The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience. 5.61 points The thesis, position, or purpose is adequately presented. An awareness of the appropriate audience is demonstrated. 6.3 points The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience. Development, Structure, and Conclusion Advances position or purpose throughout writing; conclusion aligns to and evolves from development. 0 points No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered. 4.73 points Writing lacks logical progression of the thesis, position, or purpose. Some organization is attempted, but ideas are disconnected. Conclusion is unclear and not supported by the overall development of the purpose. 4.98 points Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose. 5.61 points The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose. 6.3 points The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and logical conclusion aligns to the development of the purpose. Contemporary Issue and Associated External Stressors A description of the contemporary issue and explanation of what external stressors are associated with the issue are provided. 0 points A description of the contemporary issue and explanation of what external stressors are associated with the issue are omitted or inaccurate. 16.88 points A description of the contemporary issue and explanation of what external stressors are associated with the issue lack detail or are incomplete. 17.78 points A description of the contemporary issue and explanation of what external stressors are associated with the issue are present. 20.03 points A detailed description of the contemporary issue and explanation of what external stressors are associated with the issue are present. 22.5 points A thorough and accurate description of the contemporary issue and explanation of what external stressors are associated with the issue are present. Support Options for Adolescents Encountering External Stressors A discussion of support options for adolescents encountering external stressor and specific support options for the contemporary issue presented is provided. 0 points A discussion of support options for adolescents encountering external stressor and specific support options for the contemporary issue presented is omitted or inaccurate. 13.5 points A discussion of support options for adolescents encountering external stressor and specific support options for the contemporary issue presented lacks detail and is incomplete. 14.22 points A discussion of support options for adolescents encountering external stressor and specific support options for the contemporary issue is present. 16.02 points A detailed of includes support options for adolescents encountering external stressor and specific support options for the contemporary issue presented is present. 18 points A thorough and accurate discussion of support options for adolescents encountering external stressor and specific support options for the contemporary issue presented is present. Assessment Strategies to Screen for the Issue and External Stressors An outline includes assessment strategies to screen for the issue including external stressors during an assessment for an adolescent patient and a description of what additional assessment questions one would need to ask. A definition of the ethical parameters regarding what you can and cannot share with the parent or guardian is provided. 0 points An outline that includes assessment strategies to screen for the issue, including external stressors during an assessment for an adolescent patient and a description of what additional assessment questions one would need to ask, is omitted or inaccurate. A definition of the ethical parameters regarding what you can and cannot share with the parent or

[ANSWERED 2023] Within the Shadow Health platform

Within the Shadow Health platform, complete the Focused Exam: Cough Results Within the Shadow Health platform, complete the Focused Exam: Cough Results. The estimated average time to complete this assignment each time is 1 hour and 15 minutes. Please note, this is an average time. Some students may need longer. This clinical experience is a focused exam. Students must score at the level of “Proficient” in the Shadow Health Digital Clinical Experience. Students have three opportunities to complete this assignment and score at the Proficient level. Upon completion, submit the lab pass through the assignment dropbox. Students successfully scoring within the Proficient level in the Digital Clinical Experience on the first attempt will earn a grade of 100 points; students successfully scoring at the Proficient level on the second attempt will earn a grade of 90 points; and students successfully scoring at the Proficient level on the third attempt will earn a grade of 80 points. Students who do not pass the performance-based assessment by scoring within the Proficient level in three attempts will receive a failing grade (68 points). If the Proficient level is not achieved on the first attempt, it is recommended that you review your answers with the correct answers on the Experience Overview page. Review the report by clicking on each tab to the left titled Transcript, Subjective Data Collection, Objective Data Collection, Documentation, and SBAR to compare your work. Reviewing this overview and the course resources may help you improve your score. 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 Topic 2 DQ 1 Child abuse and maltreatment is not limited to a particular age—it can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups and outline the types of abuse most commonly seen among children of that age. Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse. Identify two factors that increase the vulnerability of a child for abuse in the age group you have selected. Expert Answer and Explanation The Health Assessment of Infants All children including infants, toddlers, pre-school, and school-age children can experience child abuse in many forms. School-age children are among the most exposed to many forms of abuse, as they have encounters with parents, teachers, as well as other individuals outside the family. Warning Signs that Indicate Child Abuse There are several warning signs in school-age children that could indicate possible child abuse. Among the most common include underperformance, disruptive behavior, and lateness in school. The child can also appear dirty and unkempt, indicating a form of neglect from the family or guardians (Hodges & McDonald, 2019). In cases of sexual abuse, the child could also have suicidal thoughts and experience shame among his or her peers. Cultural Practices that can be misidentified as Child Abuse There are different cultural practices that can be mistaken to be child abuse. For example, in some communities, it is mandatory that school-age children above 14 years to have part time jobs. This can be easily misunderstood to be child labor (Lee & Kim, 2018). Another practice is the act of disciplining a child which could happen in many forms including physical discipline. However, this kind of discipline must not result in the child shedding blood. Reporting Mechanism in Delaware and the Responsibility of the Nurse in Reporting Suspected Child Abuse Delaware is one of the counties that take child abuse cases seriously in that there is a rigid reporting system. A person who witnesses child abuse should call the community hotline, and in cases of emergency, they should call 911 and also help the child. Nurses should report suspected cases of child abuse in the facilities as they provide treatment as this would help to avoid further psychological and physical harm of the child. References Hodges, L. I., & McDonald, K. (2019). An Organized Approach: Reporting Child          Abuse. Journal of Professional Counseling: Practice, Theory & Research, 46(1-2),          14-26. Lee, H. M., & Kim, J. S. (2018). Predictors of intention of reporting child abuse among   emergency nurses. Journal of pediatric nursing, 38, e47-e52. Topic 2 DQ 2 Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement. Expert Answer and Explanation Physical Assessment When carrying out a physical assessment of both a child and an adult, the foremost thing is to collect as much information from the patient as possible through observation of the physical attributes. For both, checking for the vital signs, blood pressure, and temperature is done during physical assessment. The normal parameters for both however vary, with the distinction taken into consideration during assessment. Cardiac assessment is however, different for both, due to the level of heart development and prevalent issues which might be there for adults and not in children. Analysis of the airway and breathing patterns also vary for the two groups. When offering instruction, the nurse is required to first consider the age of the patient, social, education, and cultural background of the patient. After learning of these attributes, a proper communication strategy can be formulated to provide instruction in a manner that can be understood. The instructions offered should also be done in a respectful manner. When carrying out the assessment, the nurse should first introduce themselves to create a good rapport with the patient. Two-way communication, which includes patient’s feedback is an essential aspect in collecting as much relevant data from the patient as possible (O’Hagan et al., 2014). When communicating, choosing a language that is simple and can be

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