As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.

To Prepare:

  • Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.

The Assignment: (1- to 2-page Comparison Grid; 1-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Comparison Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:

  • Determine the legislative intent of the bill you have reviewed.
  • Identify the proponents/opponents of the bill.
  • Identify the target populations addressed by the bill.
  • Where in the process is the bill currently? Is it in hearings or committees?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

  • Advocate a position for the bill you selected and write testimony in support of your position.
  • Describe how you would address the opponent to your position. Be specific and provide examples.
 
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 What caring behaviors prompted the nurse manager to assign the clinical nurse leader to engage in direct caring for Mrs. Smith? Describe the clinical nurse leader role established by the American Association of Colleges of Nursing in 2004.
2. What issues (ethical, spiritual, legal, social-cultural, economic, and physical) from the structure of the theory of bureaucratic caring influenced this situation? Discuss end-of-life issues in relation to the theory.
3. How did the nurse manager balance these issues? What considerations went into her decision making? Discuss the role and the value of the clinical nurse leader on nursing units. What is the difference between the nurse manager and the clinical nurse leader in terms of caring practice in complex hospital care settings? How does a clinical nurse leader fit into the theory of bureaucratic caring for implementation of a caring practice?
4. What interrelationships are evident between persons in this environment—that is, how were the vice president for nursing, nurse manager, clinical nurse leader, staff, and patient connected in this situation? Compare and contrast the traditional nursing process with Turkel, Ray, and Kornblatt’s (2012) language of caring practice within the theory of bureaucratic caring

 
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Topic 1: Community-Based Nursing

Nursing services play an important role in caring for patients and families in the community and providing them the support they need. For patients with problems ranging from chronic health conditions to need of elder care, nursing has proved itself an important part of the healthcare team. In fact, many people now prefer sending their elderly parents to a daycare for nursing, rather than to a long-term care facility.

For this topic, interview a community-based nurse or nurse practitioner who sees individuals in the home setting. Describe the nurse’s responses to the following questions:

  • What are your job responsibilities?
  • Does a correlation exist between your job description and your practice?
  • Are you involved in policy formulation that affects client services?
  • Do you belong to a professional organization related to your current job position?
 
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Case Study 1 – Prenatal and Infant Population

In this case study G.K is a nurse practitioner working in the health department of a large city caring for children and infants referred there after discharge from the local hospital. These children are considered high risk because they may be going home to a high-risk environment. G.K follows up with these children to ensure that they are in a safe environment, and that they are growing and developing adequately. Additionally, she provides support and education to their parents so they may be able to respond adequately to the challenges of raising children.

Children’s health is often determined by a myriad of complex factors that impacts their growth and development. Biological factors include prenatal influences, genetic expressions, prior states of health, biological constraints, and possibilities created by their prenatal and post-natal influences (“Children’s health,” 2004). Behavioral factors include behaviors, attitudes, child’s emotional state, and cognitive abilities that influence the child’s health (“Children’s health,” 2004). Environmental factors include toxins such as air pollution and lead, socioeconomic resources within the family and their community, loving interactions with family members and their caregivers, culture, racism, segregation, the availability of quality services, and policies that directly or indirectly affect these and other interactive factors (“Children’s health,” 2004).

The role of biological, environmental, and behavioral factors tends to change as the child grows and learns to adapt. An example of this is the attachment a child has to an adult during infancy, this changes as they grow into a toddler or adolescent when peer influence becomes more critical (“Children’s health,” 2004). Health influences can affect different children in various ways dependent upon their families and their cultural views (“Children’s health,” 2004). Therefore, developmental milestones should be applied to children based on their specific cultural background. As healthcare providers it is important that we understand a child’s health development is not based on a single influence or even a specific set of influences. Additional research is important to increasing our understanding of relative contribution of influences across a variety of social and cultural groups (“Children’s health,” 2004).

A study done by WHO in 2016 revealed that over 644,855 children under the age of 15 were killed by an injury and between10 million and 30 million children suffered non-fatal injuries (Sleet, 2018). Childhood injuries can be categorized into two different subgroups of intentional and unintentional injury. Injuries such as traffic accidents, sports injuries, burns, poisonings, drowning, and suffocation are all examples of unintentional injuries (Sleet, 2018). Injuries resulting from assault, suicide, and self-inflicted injuries are classified as intentional injuries (Sleet, 2018).

Since most injuries can be predicted, prevented, and even controlled as healthcare providers we must educate parents on various methods to prevent injury to their children. Parents must be taught that risk taking is an important part of children’s lives, therefore they should closely monitor their children to avoid both unintentional and intentional risks. Parents must also be taught how to child proof their homes. The use of safety gates and locks that prevent children from potentially interacting with hazardous chemicals is one way to prevent unintentional injury. Another example is the utilization of outlet covers to help prevent children from electric shock. The goal is not to eliminate all risk but to better control and manage them (Sleet, 2018).

References

Children’s health, the nation’s wealth: Assessing and improving child health. (2004). National Academies Press.

Sleet D. A. (2018). The Global Challenge of Child Injury Prevention. International journal of environmental research and public health15(9), 1921. https://doi.org/10.3390/ijerph15091921 (Links to an external site.)

 
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Module 5 Case Study 3

Breastfeeding is a process in which the mother feeds the baby milk directly from the breast. Some factors need to be considered when breastfeeding and this includes the nutritional value of breast milk to the infant, the HIV status of the mother, history of certain medications among other things. When explaining this to the young mothers, the health promoter should educate them on the importance of breastmilk to the baby which includes the nutrients and the immune factors. When educating them, the nurse should also inform them of the importance of exclusive breastfeeding especially for those mothers who are HIV positive and are breastfeeding (Rouw, von Gartzen & Weissenborn, 2018). They also need to be informed of the effects of some drugs when breastfeeding and whether or not it should be stopped. To increase the duration and active participation of these clients the health promoter should consider a better teaching strategy since the clients may not be comfortable with the current learning style. A better learning style for this group could be a multimodal strategy (Yang et al., 2020). By having a combination of all these styles the students will have more information with an enjoyable session especially with the inclusion of videos showing how to breastfeed and to take care of the baby.

There is a relationship between culture and growth and development. Culture is simply the peoples’ way of life which may include what the consume and what they don’t. Therefore in a culture where there’s prohibited consumption of certain nutrients will cause a delayed milestone. It is important to assess children’s milestones irrespective of their culture (Clerk, 2020). This is because there is no difference in growth, all milestones are the same and this will help in the identification of any alterations in case there are any.

The teaching objective is to educate parents on how to prevent injury during infancy. These parents will learn through an interactive session of asking and answering questions and also by a demonstration of how this prevention will be done. The sessions will be three in a day each lasting for 2hours and a break of 1hour in between each session (Fujii, 2019). After each session, learners are supposed to answer some questions to gauge their understanding. After the program, the parents will be provided with guidelines on further care of infants.

References

Clark, R. (2020). Assessing Relative Importance of Clinical Milestones on Adherence to Recovery Pathway and Discharge Readiness in Patients Undergoing Pulmonary Lobectomy. In A70. ADVANCES IN LUNG CANCER THERAPEUTICS (pp. A2468-A2468). American Thoracic Society. Retrieved fromhttps://www.atsjournals.org/doi/pdf/10.1164/ajrccm-conference.2020.201.1_MeetingAbstracts.A2468 (Links to an external site.)

Fujii, T. (2019). Designing and adapting tasks in lesson planning: A critical process of lesson study. In Theory and Practice of Lesson Study in Mathematics (pp. 681-704). Springer, Cham. Retrieved fromhttps://link.springer.com/chapter/10.1007/978-3-030-04031-4_33 (Links to an external site.)

Rouw, E., von Gartzen, A., & Weissenborn, A. (2018). The importance of breastfeeding for the infant. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz61(8), 945-951. Retrieved fromhttps://europepmc.org/article/med/29943259 (Links to an external site.)

Yang, X., Zhao, X., Tian, X., & Xing, B. (2020). Effects of environment and posture on the concentration and achievement of students in mobile learning. Interactive Learning Environments, 1-14. Retrieved fromhttps://www.tandfonline.com/doi/abs/10.1080/10494820.2019.1707692

 
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 Advocacy is one of the best tools that nurses can use to advancing the nursing field. Improve the nursing field means better patient outcomes. therefore, nurses must advocate in their workplaces and particularly in actively participating in government actions that change the health platform. Those actions include healthcare reforms that look for a better quality of care, access the healthcare, and healthcare cost-effective. The American Nurse Association provide tools to nurses that allow them to integrate advocacy committee to be able to work with the legislative branch of federal level as well as the state level (ANA, n.d.). in taking advantage of the advocacy committees, nurses can take many actions to improve healthcare trough legislation at both states and federal level.
Through the political action committee provided by the American Nurse Association, nurses can present themselves as candidates to represent the healthcare professional in capitol hill and other legislative activities at the state level. In doing so, nurse leaders will have the opportunity to raise their voices in policymaking, particularly within the legislative and regulatory arenas. They will bring their concerns about the nursing workforce and health disparities, which are examples of policies established in law. Their interventions are very important because health care policy is constantly changing; and nurses must always be part of the change analyst team to advocate not only their scope of practice but also the patient right to have access to health care and to receive excellent quality of care (Schaeffer & Haebler, 2019).
Nurses may use their researches and communicate with their concerns to their local government. As an example, a bill was taken in the state of Florida that authorizes qualified providers to collect medicine that was available in hospitals and other healthcare facilities. Still, those who had the prescription could not use it. Those medicines were ordered to serve homeless and other uninsured patients who cannot afford their medicine cost. Even though the senate’s health committee introduced the bill, nurses had to analyze the proposition and look if the patient’s right was considered and the consequences on patient outcomes.
In summary, there are many ways a nurse can intervene to advocate for better quality and access to healthcare. The patient center care should be the primary concern of the health care professional. Nurses may use the Association of American Nurses’ possibilities to get to federal and state legislators to bring their voices to health committees. Their concern must be affordable health care, improve healthcare access, improve quality of care, and improve the regulation of their scope of practice. When nurses are working closer to the governments, they can advocate for patient care and establish better means for improving the health care system. Nurse leaders should always think of how to make s difference in the quality of care that all patients deserve. That is why I plan to advocate not only in searching for issues that are raised in workplaces but also those that are in the laws to make a difference in patient care outcomes.

References
American Nurses Association. (n.d.). Advocacy, retrieved from https://www.nursingworld.org/practice-policy/advocacy/
Schaeffer, R., Haebler, J. (2019) Nurse Leaders: extending your policy influence. Retrieved from https://www.sciencedirect.com/science/article/abs/pii/S1541461219301491

 
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Structural Versus Strategic Family Therapies

Although structural therapy and strategic therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, as you compare structural and strategic family therapy, consider which therapeutic approach you might use with your own client families.

In a 3-page paper, address the following:

  • Summarize the key points of both structural family therapy and strategic family therapy.
  • Compare structural family therapy to strategic family therapy, noting the strengths and weaknesses of each.
  • Provide an example of a family in your practicum using a structural family map. Note: Be sure to maintain HIPAA regulations.
  • Recommend a specific therapy for the family, and justify your choice using the Learning Resources.

pls use this references

Vetere, A. (2001). Therapy matters: Structural family therapy. Child Psychology & Psychiatry Review, 6(3), 133–139. Retrieved from http://www.iupui.edu/~mswd/D642/multimedia/word_doc/StructuralFamilyTherapy_Vetare.pdf

https://www.therapistaid.com/therapy-guide/genograms ( to do this Provide an example of a family in your practicum using a structural family map.)

Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Boston, MA: Pearson.

  • Chapter 4, “Bowen Family Systems Therapy” (pp. 56-71)
  • Chapter 5, “Strategic Family Therapy” (pp. 72-88)
  • Chapter 6, “Structural Family Therapy” (pp. 89-104

and any other references selected

The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

 
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NR103 Transition to the Nursing Profession 3-Minute Reflection

“WHY COMMUNICATION IS IMPORTANT AS NURSE”

Required criteria

1. Writes about the assigned topic.

2. Demonstrates strong evidence of reasoned reflection.

3. Demonstrated depth of original thought.

 
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What is the Socratic Method?

In a 2-3 page essay, complete the following:

  1. Explain the Socratic Method by defining dialectic and discussing how Socratic dialogue differs from other conversations.
  2. Illustrate your understanding by discussing an example of the Socratic Method from the course texts.
  3. Identify and analyze your own contemporary example of a belief that might be examined via the Socratic method.
  4. Identify some questions you think Socrates might pose about the belief as well as some of the counter-positions.

Remember to use supporting citations from the textbook and online lectures (Here is a guide to help you with APA-style citations.)

 
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 Step 1: Using the following Case Study, create a meal plan.

Jackie is a healthy women.  She is 45 years old and 5’7″ tall.  Jackie’s current weight is 160 lbs.  She exercises 4-5 times per week but is struggling to meet her goal weight.  Jackie is seeking your clinical advice to lose 15 lbs in 3 months.  Her target weight goal is 145 lbs.

Write a basic meal plan for your client. (At least 4 days of food plan to help Jackie get started)

  • Include how many calories each day she will need to consume to lose 1-2 lbs each week. I expect actual numbers you can back up (what are the specific numbers for our client Jackie? I have attached some help)
  • Calculate her complete macro-nutrient breakdown including; total carb consumption, total fat consumption, total protein consumption
  • Explain the rationale for all of your choices (The chapter 10 slides will help especially 21-34) What is her energy requirement to stay the same (EER)?.  How many calories does she have to reduce to get to her goal? Please remember Jackie is your client not a dietitian or nutritionist. 
 
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