Examine changes introduced to reform or restructure the U.S. health care delivery system

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment. Include the following: Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care. You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. URL: https://c.ymcdn.com/sites/www.wocn.org/resource/resmgr/AdvocacyPolicy/PPACA_and_Nursing_-_Nursing_.pdf Read “Health Reform Act: New Models of Care and Delivery Systems,” by Haas, from AAACN Viewpoint (2011). URL: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104846661&site=eds-live&scope=site Read Chapter 2 in Trends in Health Care: A Nursing Perspective. URL: https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/trends-in-health-care_a-nursing-perspective_1e.php Refer to “The Future of Nursing: Leading Change, Advancing Health,” located on the National Academies of Sciences Engineering Medicine website, as needed to complete your assignment. URL: http://www.nationalacademies.org/hmd/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx

LGBT Elders and healthcare see enclosed

Resources: APA Manual, Peer-reviewed journal articles found in the university library and/or online library databases.

Methods (Links to an external site.) : A description of how the study was carried out. Accuracy is important. The method section must be written with enough detail to permit replication. Be sure to provide enough detail to enable the reader can make an informed assessment of the methods being used to obtain results associated with the research problem.

The methods section should be presented in the past tense. It is usually subdivided into the following sections: Participants: Describes who the research participants were, how they were selected (sampling), and how many were used. Materials or Apparatus:

Describe the tools and methods used to collect information and identify the variables being measured; describe the methods used to obtain the data; and, note if the data was pre-existing [i.e., government data] or you gathered it yourself. If you gathered it yourself, describe what type of instrument you used and why. Note that no data set is perfect–describe any limitations in methods of gathering data. If you choose to use existing materials, then you must document the source or explain how they acquired the materials.

When surveys or tests are used as outcome measures, each must be described briefly with an appropriate citation. Indicate the number of items, response categories and how it is scored. If researchers develop their own surveys, they must describe how the measure was constructed and provide the entire measure in the Appendix. It is also important to document the reliability and validity of all of your measures. For reliability, specify what estimation procedure(s) you used. For validity, you must explain how you assessed construct validity.

Data Analysis: Based on how you have chosen to collect your data, describe the procedures for processing and analyzing the data. Based on the level of data you anticipate collecting, describe the specific instruments of analysis used to study each research objective, including mathematical techniques and the type of computer software used to manipulate the data. Write a 2-4 page methods draft covering the elements noted above. Reference Page Cite any pre-existing methods or materials or instruments utilized in your study. Format your paper consistent with APA guidelines. Upload the Word document file to submit your Assignment.

The Alcohol Use Disorders Identification Test AUDIT Critique

Description The student will review the psychological testing instrument, Alcohol use disorders identification test (AUDIT) paper should be a 4pg paper. The paper should consist of the following criteria 1. purpose: how can it be used? 2. Standardization: Norm group population/ age, multicultural norms; additional norms established 3. Administration: how long does it take to administer? is it self-administered? can it be computer/ online administered 4. scale and scoring: how many items? how many factors/subscales? How is it scored? 5. Reliability: list all types of reliability testing. reliability estimates 6. Validity: List types of validity that were tested 7. Must have an Abstract and 8. Must have a table of Content

Healthcare Law PRESCRIPTION OPIOIDS

Description OVERVIEW:

The dramatic increase in use of prescription opioids among patients and combined use of opioids with other licit and illicit, drugs and alcohol is staggering. Nearly 2 million Americans ages 12 and older have a substance use disorder involving prescription opioids, according to federal data.

The epidemic we are experiencing needs to be fought from many directions. Federal, state and local government have responded by putting laws and regulations in place to face the opiate addiction problem in the U.S. Some argue that the measures put in place to combat over prescribing and diversion of opiates will not help or will even worsen the problem by turning prescription users to heroin. Prescribing guidelines and new legislation and laws are being created to help both at the state level and the federal level.

YOU CAN USE CURRENT OUTSIDE SCHOLARLY RESOURCES TO HELP ANSWER THE QUESTIONS: Be sure to restate the question itself before each response so it is clear which you are answering. 1) What more needs to be done in the United States to enhance law enforcement efforts to combat diversion, educate our young people about the dangers of drug abuse, and increase access to treatment for addicts? 2) One response to the opioid epidemic has been to promote widespread distribution of naloxone. What is your position on this and other harm reduction measures? 3) Do you think the new laws, rules, and regulation proposed or in place is effective? What else should or could be done?

Monitoring public health in developing countries

An analysis of the ethical implications of not investigating diseases/conditions in developing countries. Formulate a position on who should be held responsible for establishing, maintaining, and monitoring public health surveillance systems in developing countries. Support your suggestions with additional scholarly resources. Use APA formatting for your Discussion and to cite your resources.

Community Teaching Experience

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses.

These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities. Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations.

The written portion of this assignment should include: Summary of teaching plan Epidemiological rationale for topic Evaluation of teaching experience Community response to teaching Areas of strengths and areas of improvement Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Clinical documentation

Description The purpose of this assignment is to provide you the opportunity to expand the scope of your clinical documentation and your thought processes relative to complex patient care cases. Select a patient encounter from your current clinical experience. The patient encounter you select should be one of the more complex patient cases that you have experienced with your current clinical patient population. Given that you are to select complex cases, this assignment may not be completed for a ‘general health, well child, well woman, routine OB, routine physical exam (etc.)’ type of encounter.

Factors that influence the occurrence of disease

According to the epidemiologic triad, there are three factors that influence the occurrence of disease: Etiologic agent Host factors Environmental factors Describe each of these factors for a Salmonella foodborne outbreak. What are some of the host factors that can influence the occurrence of a disease? Be sure to support your essay with evidence from the literature. Length: 2–3 pages, excluding title page and references.

Sexual Coercion: Analyze the different types of sexual coercion including causes effects and treatments

The Written Portion of the Assignment: • Sources: You are expected to use three different sources in completing this assignment. 1. One sociological journal article from a reputable academic source published within the last 10 years should and a minimum of 3 pages should be selected as the basis of your critical analysis. This article should be submitted with your paper and referenced in APA format in your written work and reference page. 2. The text book (or another sociological source) should be applied and referenced to support the sociological concepts or theories you apply to your research question. 3. A current article from the popular media (newspaper, magazine, or internet) published within the last year that discusses current sociological trends should be applied and referenced in support of your research question. **The sociological journal article and current article from popular media must be accessible through a working link or URL** Guidelines: The expected page length for your paper is 4-5 pages. In those pages you must do the following: 1. Summary of Article (1-2 pages or 275-500 words) • Using your academic, peer reviewed journal article, which addresses your research question, begin your summary with a brief introduction. Then, address the following questions in your own words: What was the purpose of the article? How does the author situate their research in the context of others who have written about this topic? What is the author arguing? What are the main points of the author’s argument? This may involve going beyond the stated facts and seeing the whole picture or thesis. 2. Critical Analysis of Article (1-2 pages or 275-500 words) Address the following sections: • Evidence. Analyzing an article involves looking at the nature of the evidence. The evidence used may be scientific/scholarly (refer to your textbook or lecture notes for guidance here) or non-scientific/anecdotal (refer to your textbook or lecture notes). Make sure that you clearly state and describe the evidence being used to make the author’s argument. • Point of View/Perspective. All social scientists have a point of view or perspective. It may be stated explicitly or it may be implied by their argument. One way to identify their point of view or perspective is to consider the following: What is their level of analysis (e.g. macro/micro)? What theoretical approach has the author taken (e.g. socialconflict, structural-functionalist, symbolic-interactionist)? Keep in mind that a point of view/perspective is not the same as a hypothesis or a thesis. Nor is it the same as a bias, which implies looking at an event solely from one point of view. All perspectives have their shortcomings; they allow us to ‘see’ certain aspects of social life whilst being ‘blind’ to others. • Strengths and Weaknesses. Consider the research methodology used and its inherent strengths and weaknesses. Was any empirical evidence presented; was it collected by the author or other social scientists; did it adequately support the author’s conclusions? Consider the author’s assumptions, was it reasonable? Consider the author’s bias, point of view, or theoretical perspective; was it fair and reasonably objective; did it adequately explain the research question? Be sure to clearly describe both the strengths and weaknesses of your article. Did the article succeed in achieving its overall purpose or add to the body of knowledge for this particular issue? • Do you agree or disagree with the author? Why or why not? Here is your chance to give your point of view on this research question. Be sure to clearly describe your point of view and your reasons for that position. 3. Sociological Concepts/Theory and Social Issues/Trends (1-2 pages or 275-500 words) • You are expected to demonstrate your understanding of the broader issues represented by your research question and article. Broader issues include sociology of sexuality concepts and theories discussed in the text and throughout the course; social trends and current events within Canada or the global community that apply to your topic. You will begin this by: a. Applying a sociological theory – Select one of the major sociology of sexuality theories that apply to your research question. Clearly define, explain, and apply this theory to your article and the research question. b. Discuss social trends and current events within Canada or the global community that apply to your research question. Here you will integrate the current article from popular media (be sure to provide enough content here by summarizing the article and explaining how it ties into your journal article and broader social issue). Numbers 1, 2 and 3 should appear as subheadings in your paper. You may or may not include and introduction and conclusion.

Adrenal insufficiency

Description

1.Demonstrates in-depth knowledge of etiology, pathophysiology, clinical presentation, and collaborative (nursing and medical) management. 2.The map is nonlinear and treelike. Concepts and links are easy to follow and understand. The map demonstrates all appropriate connections between concepts and linking words accurately describe relationships. Map is clearly legible 3.The concept map is based on multiple (>10) references including material from professional journals and noncommercial (e.g., gov, edu, org) websites. Multiple current research articles are included in references. There are no errors in APA citations or references. 4.The concept map illustrates creativity in layout, use of shapes, use of color, and interconnectedness. Color is used to improve clarity