Discuss the role of a legislator on the state or federal level who is also a nurse, on their role as advocate for improving health care delivery.

  
Choose one legislator on the state or federal level who is also a nurse, and discuss the importance of their role as advocate for improving health care delivery. What specific bill(s) have they sponsored or supported that has/have influenced health care?

What is the role of screening and health promotion?

 
Prompt: What is the theoretical basis for community nursing? Broadly, what is the relationship of systems to health? How do these systems impact a plan of care? What are your thoughts on the nurse’s role? What is the role of screening and health promotion? What is the impact of economics and ethics on healthcare screening? What is the relationship to collaborative community and national partnerships and policies and the development of screening programs? Do you agree with the goals of health education? What do you think it the greatest barrier? What are your thoughts on MyPlate? How do you think it compares to other versions of daily requirements? Do you MyPlate this would work in your population? Why? Or why not?
Directions: 

What is the theoretical basis for community nursing?

 Prompt: What is the theoretical basis for community nursing? Broadly, what is the relationship of systems to health? How do these systems impact a plan of care? What are your thoughts on the nurse’s role? What is the role of screening and health promotion? What is the impact of economics and ethics on healthcare screening? What is the relationship to collaborative community and national partnerships and policies and the development of screening programs? Do you agree with the goals of health education? What do you think it the greatest barrier? What are your thoughts on MyPlate? How do you think it compares to other versions of daily requirements? Do you MyPlate this would work in your population? Why? Or why not? 

Use the PDSA cycle to address the issue of pressure ulcers.

Case

Frustrated with ongoing complaints from family members, Reba Sanders, the administrator of 100-bed Lakeview Skilled Care and Rehabilitation Facility, replaced the director of nursing (DON) after she had been on the job for less than 2 years. At the exit conference with Reba, the DON had remarked, “I don’t think pressure ulcers have been a problem in this facility the way it is made out to be by some families. Some patients develop the ulcers at the hospital before they come here; we try our best to take care of them, and I have explained to the families what we are doing. I think firing me is unfair, but it is your decision.” Before the new DON, James Osterwal, was hired for the job, Reba had mentioned to him that looking into the pressure ulcer problem would be his first priority. Reba arranged for James to attend meetings of the local chapter of a national quality improvement organization for nursing homes. Based on some of the information presented at the meetings, James quickly settled on making pressure ulcer elimination as his primary goal. James was quite familiar with the PDSA quality improvement cycle. He discussed it with the charge nurses, decided how data would be collected, and started a campaign asking all nursing staff to adopt the motto: “We will eliminate pressure ulcers at Lakeview.” The associates liked the motto because it gave them a specific goal to work toward. At James’ request, Reba approved hiring an RN nurse coordinator to float between the three shifts. The charge nurses asked their nursing assistants to report to them right away all cases of skin breakdown. James trained the nurses in best practice protocols to treat pressure ulcers. After 4 months, data showed little to no improvement in the prevalence (total number of cases) of pressure ulcers at Lakeview. Both Reba and James could not understand why.

Questions
1.  Based on what you have learned to this point in the course, evaluate the quality improvement program as it pertains to pressure ulcers at Lakeview. Provide a specific outline of weaknesses in the overall approach.

2.  Use the PDSA cycle to address the issue of pressure ulcers. Be specific. For example, how should data be collected? How would you go about identifying root causes of the problem? What interventions would you implement? What roles should the various personnel and the administrator have?

Research children’s health issues, focusing on environmental factors and links to poverty.

Research children’s health issues, focusing on environmental factors and links to poverty.  The assessment of environmental processes includes agents and factors that predispose communities and populations to injury, illness, and death. What correlations did your research show between environmental and health issues in the school-aged child? Make sure to include references to the article(s) you consulted.

Discuss cultural variations of health practices that can be misidentified as child abuse.

Child abuse and maltreatment is not limited to a particular age and can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups (infant, toddler, preschool, or school age) and discuss the types of abuse that are most often seen in this age. Discuss 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.

Provide a rationale as to why a country would greatly benefit from a disease surveillance system.

Due 7/29 9 p.m EST
3 PAGES APA NOT INCLUDING MIN 4 REF
PUBLIC HEALTH (SELECT A COUNTRY)

 The dearth of disease surveillance in developing nations is an immediate opportunity for public health professionals to improve the health of underserved populations. As presented in the Chapter of your course text, implementing disease surveillance in developing nations requires that public health professionals acclimate to the variety of unique obstacles in each country. From insufficient lab diagnostics to a lack of personnel with necessary professional skills, there are many potential challenges to establishing surveillance systems in developing nations 

 
To complete this portion of your Scholar-Practitioner project, write a 3-page paper that provides an overview of your selected country and disease (H.I.V/AIDS)
 Be sure to address the following: include SUBHEADINGS)

1)Describe the condition/disease and the developing country.
2)Describe the current monitoring procedures used in the developing country.
3)Provide a rationale as to why the country would greatly benefit from a disease surveillance system.
4)Describe two additional special features that should be a part of surveillance systems in your chosen country.
5)Describe challenges public health officials face in establishing disease surveillance systems in this country.
6) Describe how you would address these challenges.

Summarize how informatics has assisted in improving health care safety in organization and areas where growth is still needed.

 
The 1999 landmark study titled “To Err Is Human: Building a Safer Health System” highlighted the unacceptably high incidence of U.S. medical errors and put forth recommendations to improve patient safety. Since its publication, the recommendations in “To Err Is Human’ have guided significant changes in nursing practice in the United States.
In this Discussion, you will review these recommendations and consider the role of health information technology in helping address concerns presented in the report.
To prepare:

Review the summary of “To Err Is Human” presented in the Plawecki and Amrhein article found in this week’s Learning Resources.
Consider the following statement:

“The most significant barrier to improving patient safety identified in “To Err Is Human” is a “lack of awareness of the extent to which errors occur daily in all health care settings and organizations (Wakefield, 2008).”

Review “The Quality Chasm Series: Implications for Nursing” focusing on Table 3: “Simple Rules for the 21st Century Health Care System.” Consider your current organization or one with which you are familiar. Reflect on one of the rules where the “current rule” is still in operation in the organization and consider another instance in which the organization has effectively transitioned to the new rule.Post your thoughts on how the development of information technology has helped address the concerns about patient safety raised in the “To Err Is Human” report. Summarize how informatics has assisted in improving health care safety in your organization and areas where growth is still needed.