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Nurses’ Cultural Background and impact on Care

This week, you will consider your own diverse cultural and generational background and how it
impacts the care you provide to your patients.
For this written assessment we will focus on generational diversity in the nursing population.
Click here to download table 12.2. on p. 379 of your textbook. Review and address the following:
Define and describe the four generations – name, timeframe, and a description of that group’s
characteristics.
Choose the group to which you belong (i was born in 1983). Explain how you think that you fit
with this assessment of that generation (Millennials and Generation X).

Select any other group to which you do not belong (Baby Boomer and the veterans). Explain how
those from your group can learn from that group, and explain how that group could learn from
yours.
References
Minimum of four (4) total references: two (2) references from required course materials and two
(2) peer-reviewed references. All references must be no older than five years (unless making a
specific point using a seminal piece of information)
Peer-reviewed references include references from professional data bases such as PubMed or
CINHAL applicable to population and practice area, along with evidence based clinical practice
guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates,
Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical
databases

Outdoor physical activity improved mental health status of adults with clinical depression

First page essay instruction:
During this semester, you have spent a significant amount of time developing, refining, and narrowing a research
question. According to Comer (pp. 91-94), effective research questions:
• Originate from a disciplinary context (take into account prior disciplinary knowledge)
• Maintain significance (to a subset of people)
• Keep a pointed scope (they are manageable and part of a larger question)
• Spur further research (they have multiple branches of inquiry leading to and from them)
Describe how your most current research question (as stated in the literature review) fulfills each of the
characteristics described above. How does your research question fit within a specific discourse community? How
is it significant for a specific audience, but also manageable enough to be addressed within the constraints of the
proposal? How might your question spur additional questions? What other avenues of research were left
unexplored but might be viable research questions for your area of inquiry? Provide specific examples of how your
research question meets/does not meet the characteristics above.
As you write the advocacy letter, how is that new audience engaged (the caregiver of Care Old People Home) with
your research question? How does that audience contribute, make a decision, or influence what happens next to
the research question and to the arguments you made in the literature review?
Second page : Aim for 350 words.
In this forum, you will focus on your literature review and advocacy letter as you answer the questions
below. Please include specific examples from your own work.
1. In a sentence or two, describe the key argument(s) and audience(s) of your literature review and
of your advocacy letter.
2. Describe how your research question changed over time (you may refer to the online activities
that directly addressed narrowing the research question). Specifically, if you were re-doing the
“Articulating the research question” activity, how would it be different? Why did it change? How
did it change? What decisions did you make as you developed a narrow focus? Be specific and
use concrete examples.
3. Briefly describe 2-3 tasks you completed as you used some of the research you found while
writing the literature review to write the advocacy letter. What steps did you take to shift the
emphasis towards a new audience and while using a different genre? What has worked well?
What has been a challenge? How have you addressed this challenge?
4. What skills learned as you gathered sources, narrowed the focus of the project, and synthesized
sources might be useful in other contexts (other academic courses, non-academic settings)? How
do you think the content you gathered during the semester might be useful in the future? What
tactics and strategies or what content knowledge might you be able to use in a different setting?
5. Provide feedback to at least two other classmates. Focus on common problems and different
approaches to problem solving. Be specific.

Health Care Policy

Analyzing Policies From Diverse Perspectives:
Whether a health care policy was formulated at the federal (country); state (providence or
regional); or local level, policies inevitably have considerable impact on local health care
organizations, communities, and relevant stakeholders. In other words, a health care policy that
has far-reaching relevance to the nation, state, or region ultimately impacts the grassroots
interests and concerns of the community.
To complete the Assignment, select a recent (within the last 5 years) health care policy that has
had substantial impact on consumers. In particular, look at a high-impact health care policy to
analyze the diverse and divergent perspectives that informed its development and then assess
its impact at the local organizational level.

Detailed and current information on health care policy may be found on many websites, including
the following:
American Hospital Association (AHA)
Centers for Medicare and Medicaid Services (CMS)
The Kaiser Family Foundation
Robert Wood Johnson Foundation (RWJF)
American Public Health Association (APHA)
American Association of Retired Persons (AARP)
After choosing a health care policy, select a local health care organization that is impacted by
that policy. This might be a public agency, a health care facility, or any organization substantially
influenced by the policy. It also might be the health care organization in which you work. As an
administrator in this organization, you have been tasked with preparing an assessment of the
impact of the policy on the organization’s operations and outcomes. This task requires you to
take a large and complex topic (the policy) and synthesize it into digestible information that
organizational stakeholders can strategically use to address issues raised by the policy.
For Part 1 of this assessment, explain key points related to the health care policy you selected.
This is designed to inform and precede the dissemination of an in-depth policy assessment
regarding the impact of the policy on the organization.

For Part 2, you will write an in-depth policy assessment that synthesizes the impact of the health
care policy on the organization.

Delivering a Community Health Program on Ashfield Community

3. Deliver a community health program – 30%
Plan a community health program using Healthy People 2020 goals and evidence based
guidelines. The program must be tailored to the selected group’s social determinants of health
with focus on health promotion at the community, and/or population level. Complete the
assignment by describing an evaluation of the program and recommend one
revision/improvement. See Chapters 13 – 19 in Public Health textbook.