Client Questions

one-two paragraphs, apa , please include reference (1)Based on your understanding of nursing today, discuss how the Healthy People 2020 initiative could be used by you, as a nurse, to make a difference in the health and wellness of people in your area. http://www.healthypeople.gov/ (2)Using one of the theories, explain the importance of health and wellness models to professional nursing practice and the impact it has on individual nurses. I’ve attached the different model theories below. models.pdf

I need a 2 or 3 sentence comment for each paragraph Paragraph 1 The definition of the traditional family is “is the parents and offspring living together as a societal or social unit with the same ancestry” (Green, 2018). However, the definition of family that encompasses the different family structures today would be “societal units of single-parent families; lesbian, bisexual, gay, transgender, queer, and questioning (LBGTQ+) families; children raised by grandparents or other relatives; multigenerational units; and people who are together out of friendship and love, not bloodlines. Pets, often part of a household, may acquire the status of “family” members. Thus, family tends to connote a complex, diverse, and dynamic unit, often consisting of parents and children related by legal, genetic, or emotional ties” (Green, 2018). For example, I know some people who are unable to have children of their own and consider their pets as their children. I am sure many people have even heard the term ‘dog-mom’ being used throughout society as well. The family systems theory states that “Family members influence each other and the family as a whole” (Green, 2018), furthermore, each “…individual does not exist in isolation, but is part of a group or family system. Each family member experiences the togetherness, attachment, and intimacy of the family system, but the family member remains an independent thinker with individual purpose-driven actions” (Green, 2018). Whether or not a patient’s family is considered traditional or nontraditional, it is important for nurses to understand the family systems theory when providing and planning care because a patient’s family truly impacts their environment. Paragraph 2   I think the definition of family is one that is likely to change per the patient and their individual take on the definition. What a family to me could be and is probably very different than what a family is to one of my patients. Family is either by choice, so the person or people have chosen this as their family and it could range from a best friend to a significant other or a family could be blood, the “biological” part of what makes people “family” and lastly, it could be a mixture of both choice and “biologic” that makes a family. It is important to acknowledge a non-traditional family because like I said before the people in the “family” does not matter but how they interact and the dynamic in which they live is what is more important than the who of the family. “A family systems approach to individuals and their families provides a means to better understand the interactions of a societal family unit ”  and family systems theories help us to understand what we, as nurses, need to look for when assessing and evaulating a family and their health.

For the middle-aged adult, exercise can reduce the risk of various health problems. Choose three health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature.

Journal Assignment instructions: The final project for this course is a case study that you will select, analyze, and report on using the IRAC (issue, rule, application, conclusion) format. Review the description of the final project in the Final Project Guidelines and Rubric document. Visit the selected resources or other sources for locating reported case law. Think about the kind of case you would like to analyze. Create a journal entry outlining your preliminary thoughts for the project. What type of provider (hospital, nursing home, doctor, dentist, etc.) will be involved in your case? What kind of fact pattern are you looking for? Do you want to explore a local case or a nationally publicized story? Where will you find your case? What research have you done so far? What kinds of questions do you want to answer? Your journal entry should be at least 300 words. Outside sources are not required.    For the essay outline: Create an outline for your final project. The outline should use the following structure:  Part I: Introduction Parties Facts Claims Part II: Analysis Issue Rule Analysis Evidence Defenses Ethical Issues Conclusion Part III: Variation Analysis of Hypothetical Please see attachment for detailed instructions of this assignment

Select a research article, other than the articles from your assignments, from the GCU library. Provide an overview of the study and describe the strategy that was used to select the sample from the population. Evaluate the effectiveness of the sampling method selected. Provide support for your answer. Include the article title and permalink in your post.  Identify three key questions you will ask and answer when reading the research study and why these questions are important.

1.  Discuss the cultural beliefs related to delivery of health care from the Haitian and Iranian population.   2.  Discuss any differences and/or similarities in the delivery of health care in both culture.   3.  How religious beliefs influence the delivery of health care in both.  Give at least one example. – APA format. – A minimum of 500 words. – A minimum of 2 evidence based references.

Respond to this post with a positive response : Ask a probing question, substantiated with additional background information, evidence or research. Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library. Validate an idea with your own experience and additional research. Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings. Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence. Use at least 3 references                                        Health care Challenges in Africa         Africa faces a burden of communicable and non-communicable diseases. On March 23, 2014, the World Health Organization (WHO) reported cases of Ebola Virus Disease in the forested rural area of Southeastern Guinea. A research done by Olu, Petu, Ovberedio & Muhongerwa, 2017 states that the 2014/2015 Ebola Virus Disease (EVD) outbreak in West Africa infected more than 28,000 persons out of which 11,000 died. At the height of this outbreak, a considerable load of cases and their contacts overwhelmed the response capacity of the principally affected countries namely Guinea, Liberia, and Sierra Leone. When this outbreak happened, the affected states didn’t have experience or tools to identify cases and limit the spread of the disease rapidly. Cost-effective interventions and medical access would have reduced the number of people infected during the epidemic/outbreak, but coverage is too low due to the health care system. These challenges relate to the leadership in Africa countries, health workforce, and medical products. Challenges and the way forward       All countries suffer from problems of coordination among hospitals and community-based services (Knickman & Knover, 2015, Chapter 4). One challenge is accessing, which is still the greatest challenge to health delivery in Africa. Fewer than 50% of Africans have access to modern health care facilities. Many African countries spend less than 10% of their GDP on healthcare. Secondly, shortages of trained health care professionals from Africa because many of them prefer to live in places like the United States and Europe. There is also the increase in communicable and non-communicable disease such as AIDS, malaria, hypertension, which are increasing in the middle-class and the poor increases.  I think the government is responsible for ensuring that everyone has access to healthcare. However, I don’t believe that healthcare is a public good that is the sole responsibility of the government in Africa. There should be an opportunity for entrepreneurs to enter the health delivery space in Africa to provide healthcare to the middle class and the working poor.  African Counties need to embrace technology to close health care gap and private-public partnership in the health care system. In 2007, Becton, Dickinson, and Company (BD) and the US President’s Emergency Plan for AIDS Relief (PEPFAR) entered into a public-private sector partnership focused on laboratory-system strengthening in sub-Saharan Africa (Cohen, 2016). This partnership is now known as “Labs for Life” was formed to help the people in low resource countries in Africa living with AIDS access to antiretroviral therapy. According to Hader (2016), Public-private partnerships (PPPs) align public and private needs around mutual goals to move vital projects forward. When PPPs work to strengthen the critical link in the healthcare system, such as laboratory networks, as demonstrated in this supplement by authors from the International Laboratory Branch at the Centers for Disease Control and Prevention (CDC), in-country officials from the respective CDC and Ministries of Health, implementing partners, and Becton, Dickinson, and Company (BD), they significantly change the landscape of healthcare and patient outcomes.        Cognizant of the challenges mentioned above, the 46 Ministers of Health from the African Region adopted and signed the Ouagadougou Declaration that proposes ways of addressing health system challenges. The Ouagadougou Declaration urges Member States to update their national health policies and plans according to the primary health care (PHC) approach; promote inter-sectorial collaboration and public-private partnership to address broad determinants of health; improve health workforce production and retention; set up mechanisms for increasing availability and accessibility of essential medicines, health technologies and infrastructure; strengthen health information systems; develop and implement strategic health financing policies and plans; promote health awareness and build behavioral change capacities among communities. Summary         Efficient health interventions are available to help with the health care problems in Africa. Unfortunately, health systems are too weak to adequately and equitably deliver those interventions to people who need them. As nurses, we need to reach out to the health care teams and organizations in Africa to speak up for the population. Join International health organizations and write letters to the policymakers in countries in Africa. Let our voice be heard through international media to help curtail this problem. We need to make it a global problem and advocate for this population so they can have good health care and access to medical care by involving policymakers and legislators in their respective countries.                                                           References Cohen, G. (2016). Role of Public-Private Partnerships in Meeting Healthcare Challenges in Africa: A Perspective From the Private Sector. The Journal Of Infectious Diseases, 213 Suppl 2, S33. https://doi-org.ezp.waldenulibrary.org/10.1093/infdis/jiv578 Ebola: 2014 Outbreak in West Africa. (2014). Congressional Research Service: Report, Retrieved from https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=98496602&site=eds-live&scope=site Hader, S. L. (2016). Role of Public-Private Partnerships in Meeting Healthcare Challenges in Africa: A Perspective From the Public Sector. The Journal Of Infectious Diseases, 213 Suppl 2, S34. https://doi-org.ezp.waldenulibrary.org/10.1093/infdis/jiv575 Knickman, J. R., & Knover, A. R. (2015). Health Care Delivery in the United States (11th ed.). New York, NY: Springer Publishing Company Olu, O., Petu, A., Ovberedjo, M., & Muhongerwa, D. (2017). South-South cooperation in Africa: experiences, challenges and a call for concerted action. Pan African Medical Journal , 28 , 1-7. https://doi-org.ezp.waldenulibrary.org/10.11604/pamj.2017.28.40.12201 The Ouagadougou Declaration. (2002). Africa News Service. Retrieved from https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsgov&AN=edsgcl.89001532&site=eds-live&scope=site World Health Organization: Strengthening health systems to improve health outcomes: World Health Organization’s framework for action Geneva. Retrieved from http://www.wpro.who.int/health_services/strategic_plan_strengthening_health_system

Minimum of 300 words with 2 peer review reference in 6th edition apa style  Your supervisor met with you and let you know you are over the budgeted dollars for agency nurses for your unit. What are some tactics you could implement to decrease agency usage? What departments in your health care facility could you partner with?

Why is understanding the health care system at the local level important to consider when planning an EBP implementation? Conduct research and solicit anecdotal evidence from your course mentor that you will take into consideration for your own change project.  USE 2 REFERENCES

Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.  Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action. In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts. To Prepare: Review the Resources and consider the importance of critically appraising research evidence. Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.  Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources. The Assignment (Evidence-Based Project) Part 4A: Critical Appraisal of Research Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Part 4B: Critical Appraisal of Research Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.