Discuss the main ethical controversies related to implementing Evidence-Based Quality Improvement (EBQI) Initiatives.

 

Use the attached file 

https://drive.google.com/file/d/1YEAW6OGygLgIw8GypPYurUkzbsnbu2On/view?usp=drivesdk

Project Title/Subject

Review the sectioned headed, Two Ethical Exemplars

Describe Your task
Review the sectioned headed, Two Ethical Exemplars in Chapter 22 

Type of Service

Essay

Urgency 2 hours

No. of Pages/Wordcount 1 page(s)/275 Words

Citation Style

APA Style

Detailed Description/Explanation

Review the sectioned headed, Two Ethical Exemplars in Chapter 22 of the textbook (Melnyk and Fineout-Overholt, 2015, pages 518-519). Discuss three main ethical controversies related to implementing Evidence-Based Quality Improvement (EBQI) Initiatives. Describe how these controversies relate to the four core ethical principles.

Files app.captainform.com/upload_dld.php?fileid=4d9f87a87d6501007d41c72ba0fbe45a

What are some challenges of promoting breastfeeding in another cultural or ethnic group?

A. Read the three articles below before answering the discussion questions.

 “It’s Only Natural — Mother’s Love. Mother’s Milk.” BF barriers in the African American communityhttp://www.womenshealth.gov/blog/its-only-natural-mothers-love-mothers-milk.html (链接到外部网站。)链接到外部网站。
Using a Wellness Program to Promote a Culture of Breastfeeding in the Workplace: Oregon Health & Science University’s Experience, Antoinette Magner; Carrie Anne Phillipi , Journal of Human Lactation (链接到外部网站。)链接到外部网站。, Vol. 31, Iss. 1, February 2015, pp. 40-4
Factors influencing breastfeeding exclusivity during the first 6 months of life in developing countries: a quantitative and qualitative systematic review,
Olukunmi Omobolanle Balogun, 2015 John Wiley & Sons Ltd Maternal and Child Nutrition (2015), , pp. 433–451 11

B.  Complete the discussion questions:
1. List the barriers to breastfeeding mentioned and others you recognize based on the review study, “Factors influencing breastfeeding exclusivity during  the first six months” (Olukunmi), and the video link, “It’s only Natural.”
Which of these barriers are surmountable?
2. Explain how you would you set up a community program to encourage breastfeeding. Choose a platform for this program.
Refer to the article above, Üsing a Wellness Program to Promote a Culture of Breastfeeding in the Workplace: Oregon Health & Science University’s Experience”for additional ideas.  
Oregon Program analysis
Do you have suggestions to improve their breastfeeding implementation program?
How well did they address the cultural/ethnic challenges?
Your program objectives
What group will you target (ethnic, socioeconomic, health status) ?
 How will you incorporate nutrition intervention?
 What will your goals be considering some of the barriers mentioned in the articles?
What are some challenges of promoting breastfeeding in another cultural or ethnic group?
3. Submit your comments, then respond to two other student submissions. 

Individuals with chronic obstructive pulmonary disease have more difficulty exhaling than inhaling. Why is this so?

Evaluate the presence and effects of alteration in the homeostatic state secondary to gender, genetic, ethnic and temporal variables
Select one of the case studies below, and include in your discussion an evaluation of the presence and effects of alteration in the homeostatic state secondary to gender, genetic, ethnic, and temporal variables.

Requirements:

Make sure all of the topics in the case study have been addressed.
Cite at least three sources; journal articles, textbooks or evidenced-based websites to support the content.
All sources must be within 5 years.
Do not use .com, Wikipedia, or up-to-date, etc., for your sources.
4 pages APA not including Title page and reference page

Case Study 1
Structure and Function of the Respiratory System
Brad is 45 years old and has been working as a coal cutter in a mine for the last 25 years. He likes the job because it pays well and the same mine had employed his father. Like many of his colleagues, Brad has had problems with a chronic cough. He has avoided his annual checkups for fear that he will be told he has “black lung,” or coal worker’s pneumoconiosis. The disease causes fibrosis, decreased diffusing capacity, and permanent small airway dilation. In later stages, pulmonary capillaries, alveoli, and airways are destroyed.

How can the disease described above create a mismatch between ventilation and perfusion? Use your understanding of alveolar dead space and physiologic shunt to explain your answer.
Individuals with chronic obstructive pulmonary disease have more difficulty exhaling than inhaling. Why is this so?
In general terms, what mechanisms in lung disease can affect diffusing capacity across alveolar membranes? Use the Fick law to explain your answer.

 
Case Study 2
Respiratory Tract Infections, Neoplasms, and Childhood Disorders
Patricia was called at work by a woman at the local daycare center. She told Patricia to come and pick up her son because he was not feeling well. Her son, three-and-a-half-year-old Marshall, had been feeling tired and achy when he woke up. While at daycare, his cheeks had become red and he was warm to touch. He did not want to play with his friends, and by the time Patricia arrived, he was crying. Later that afternoon, Marshall’s condition worsened. He had fever, chills, a sore throat, runny nose, and a dry hacking cough. Suspecting Marshall had influenza, Patricia wrapped him up and took him to the community health care clinic.

Why did Marshall’s presentation lead Patricia to think he had influenza and not a cold? Why is it important to medically evaluate and diagnose a potential influenza infection?
Describe the pathophysiology of the influenza virus. Outline the properties of influenza A antigens that allow them to exert their effects in the host.
Marshall may be at risk at contracting secondary bacterial pneumonia. Why is this so? Explain why cyanosis may be a feature associated with pneumonia.

What are peer-reviewed resources? Why are peer-reviewed resources considered to be credible and valid?

  
Overview:
Create a 4-6 page annotated bibliography and summary based on your research related to best practices addressing a current health care problem or issue of interest to you.
For this assessment, you will select and research a current health care problem or issue faced by a health care organization. Read each portion of the assessment carefully and use the Suggested Resources to help you complete the assessment. This assessment provides an opportunity to apply research skills to a current health care problem or issue.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
· Identify academic peer-reviewed journal articles relevant to a health care problem or issue and describe the criteria used for the literature search.
· Summarize what was learned from developing an annotated bibliography.

Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.
· Assess the credibility and relevance of information sources.
· Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.

Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others, and that is consistent with expectations for health care professionals.

· Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
· Write following APA style for in-text citations, quotes, and references.
As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, a family member, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
· How do you approach a problem or issue within your organization, when you observe it?
· How often have you needed to find credible information to solve a personal or professional problem? How did you find the information you needed?
· What are peer-reviewed resources? Why are peer-reviewed resources considered to be credible and valid?
· How would you explore evidence-based best practices in your field of study?

Apply the Socratic approach
Applying the Socratic approach to problem solving helps you identify gaps and improve your thinking when writing papers or completing projects. The questions may be used to spark new insights when responding to discussion topics and posts.
· Identify the elements of the problem, issue, or question 
· Analyze, define, and frame the problem, issue, or question 
· Consider solutions, responses, or answers 
· Choose a solution, response, or answer 
· Implement your choice 
· Evaluate the results

Topics to choose from (Choose 1 of these 4)
Topic 1-Limited Access to Healthcare.
(Consumers face barriers to healthcare access for assorted reasons. For example: due to geographic location, provider availability, transportation issues and mobility.)
Topic 2-Health Care Disparities.
In 2010, the Federal Department of Human and Health Service (DHHS) launched the Healthy People 2020 goals to include a goal to eliminate health inequality/disparity. Healthy People 2020 defines a health disparity as “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion” (Office of Disease Prevention and Health Promotion, 2017, p.1).
Topic 3- Medications errors.
A medication error is a preventable adverse effect of a patient taking the wrong medication or dosage, whether or not it is evident or harmful to the patient. Medication errors can be a source of serious patient harm, including death
Topic 4- Health Care System Errors.
The health care system in the United States has been the subject of much debate as experts try to determine the best way to deliver high-quality care. In Crossing the Quality Chasm, the Institute of Medicine (2001) called for the redesign of health care delivery systems and their external environments to promote care that is safe, effective, patient-centered, timely, efficient, and equitable.

Additional Requirements
1. Length: At least 4–6 typed, double-spaced pages, not including the title page and reference page.
2. Font and font size: Times New Roman, 12 point.
3. APA Template: Use the APA Style Paper Template as the paper format and the APA Style Paper Tutorial for guidance. See the Resources for these documents.

How do health care providers overcome differing points of view regarding health promotion and disease prevention?

 Diversity among individuals, as well as cultures, provides a challenge for nurses when it comes to delivering meaningful health promotion and illness prevention-based education. How do teaching principles, varied learning styles (for both nurses and patients), and teaching methodologies impact the approach to education? How do health care providers overcome differing points of view regarding health promotion and disease prevention? Provide an example. 

Describe the ethical and legal implications of substance abuse.

1.  Discuss the historical trends and current conceptions of the cause and treatment of substance abuse.
2.  Describe the ethical and legal implications of substance abuse.
3.  Identify factors that influence violence.
4.  Identify at-risk populations for violence and the role of public health in dealing with the epidemic of violence.
As stated in the syllabus present your assignment in an APA format, word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 6 discussion questions”.  A minimum of 2 evidence-based references is required. A minimum of 600 words is required.

Identify factors that influence violence.

1.  Discuss the historical trends and current conceptions of the cause and treatment of substance abuse.
2.  Describe the ethical and legal implications of substance abuse.
3.  Identify factors that influence violence.
4.  Identify at-risk populations for violence and the role of public health in dealing with the epidemic of violence.
As stated in the syllabus present your assignment in an APA format, word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 6 discussion questions”.  A minimum of 2 evidence-based references is required.  A minimum of 600 words is required!

What factors facilitate professional role development in Nursing?

For the following two questions please write at least 3 paragraphs each ARIAL 12 FONT.  Be sure to explore and read more than one reference and it include it in your paper.  
Questions:
1. What do you think about the current image of nursing?
2. What factors facilitate professional role development in Nursing?

What is the difference between ethnicity and race?

 
Prompt: Lincoln, Finish up; Dyer-Berenson, Ch. 1 & 2
1.In reference to Dyer-Barenson, describe the process to obtain cultural competency. Has this course helped you begin this process? What else do you need to do?
2. What is the difference between ethnicity and race,? What are primary and secondary characteristics of a culture?

Why is it critical for medical professionals to understand and use prefixes and suffixes carefully?

Using the directional terms in the table from your textbook, describe how you, or someone close by you, is sitting or standing. Include at least 5 of the terms describing body positioning and movement. Then describe the opposite (for example, if you said your foot was plantar flexed, use dorsiflexed) for all of the terms you used, and make a guess whether you would be comfortable in that position.
Your response should be posted to the Discussion Area below. By the end of the week, begin commenting on at least 2 of your peers’ responses. Ask questions, further the discussion of the topic, reinforce a response, or add another dimension to the discussion. Always use constructive language.
Part Two
Think of a few examples or do some research into examples where the prefix or suffix of a root word changes the meaning from one term to another. Why is it critical for medical professionals to understand and use prefixes and suffixes carefully?

1 2 3 63