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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:

1)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.

2)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.

3)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. 4)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.

Paper direction Purpose The process for affecting positive change to improve practice outcomes can start with either the identification of an area of interest or the identification of a potential or existing practice problem. Selecting an area of interest helps to define a direction for further inquiry. The purpose of this assessment is for students to identify and discuss an area of interest specific to advanced practice nursing. Students will identify a common practice problem related to the selected area of interest and provide a recommendation to affect positive change. Students will build on this project in later courses. Note: The purpose of the MSN project is to translate evidence currently found in the literature into practice within the chosen specialty track. Due to the research complexity, time involvement, and implications regarding human subjects, drug studies are not acceptable areas of interest for an MSN project. Area of Interest Powerpoint Presentation. The week 6 assignment will not go through Turnitin. Total Points Possible: 175 Requirements: Criteria for Content For this presentation, select an area of nurse practitioner (NP) practice that is of interest to you and in which you would like to see a practice change occur. Conduct a review of literature to see what is currently known about the topic and to find research support for the practice change you are recommending.  You may use a topic from the list at the link below or may investigate a topic of your choice as long as it pertains to NP practice. If you are unsure of your topic, please reach out to your instructor. Be sure to provide speaker’s notes for all slides except the title and reference slides.  List of Possible Topics (Links to an external site.) Creating a Professional Presentation (Links to an external site.) Create an 8-12 slide PowerPoint Presentation that includes the following: 1. Introduction: slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered. 2. Evidence-based projects: slide should explain the general importance of master’s-prepared nurses engaging in evidence-based projects related to nursing practice and profession. Provide speaker’s notes with additional detail and support from at least one outside scholarly source (not the textbook or course lesson). 3. Conceptual Model: slide should provide an illustration of a conceptual model that could be used to develop an evidence-based project. Possible models include The John’s Hopkins or Advancing Research and Clinical Practice through Close Collaboration (ARCC) Models or you may select another model you find in the literature. In the speaker’s notes, explain how the model would be applied to the development of an evidence-based project. Provide support from at least one outside scholarly source (not the textbook or course lesson). 4. Area of Interest: identify an area of interest related to NP practice in which a practice change may be needed. Slide should identify the area of interest and what is currently known on the topic. Speaker’s notes more fully explain what is currently known and should provide rationale for why the area of interest is important to NP practice. Provide support from at least one outside scholarly source (not the textbook or course lesson). 5. Issue/concern and recommendation for change: slide should identify a specific concern related to your general area of interest and your recommendation for a practice change. Speaker’s notes should more fully explain the recommended change and rationale for the change. Recommendation should be supported by at least one outside scholarly source (not the textbook or course lesson). 6. Factors Influencing Change: slide should identify at least 2 internal and external factors that could impact your ability to implement your recommended change. Speaker’s notes should more fully explain how the factors you’ve identified would support or impede the implementation of your recommendations. Factors may be based on personal experience or on information you found in your research. If the identified factors come from the literature, provide reference citations to support your ideas. 7. NONPF Competencies: slide identifies at least two NONPF Competencies that are relevant to an evidence-based project related to your area of interest. Speaker’s notes should explain how the competencies relate to your area of interest. Provide support from at least one outside scholarly source (not the textbook or course lesson). 8. Conclusion: slide provides summary points of presentation. Speaker’s notes provide final comments on the topic.  Preparing the presentation Submission Requirements 1. Application: Use Microsoft Power Point™ to create the PowerPoint presentation.  2. Length: The PowerPoint presentation must be 8-12 total slides (excluding title and reference slides).   3. Speaker notes are used and include in-text citations when applicable. 4. A minimum of four (4) scholarly literature references must be used. 5. Submission: Submit your file: Last name_First initial_Wk5Assessment_Area of Interest.  Best Practices in Preparing the Project The following are best practices in preparing this project: 1. Review directions thoroughly. 2. Follow submission requirements. 3. Make sure all elements on the grading rubric are included. 4. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing. 5. Review the Creating a Professional Presentation located resource.  6. Ideas and information that come from scholarly literature must be cited and referenced correctly. 7. Abide by CCN academic integrity policy. ASSIGNMENT CONTENT Category Points % Description Introduction 9 5% Slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered. Evidence-based projects 12 7% Slide should explain the general importance of master’s-prepared nurses engaging in evidence-based projects related to nursing practice and profession. Provide speaker’s notes with additional detail and support from at least one outside scholarly source (not the textbook or course lesson). Conceptual Model 18 10% Slide should provide an illustration of a conceptual model that could be used to develop an evidence-based project. Possible models include The John’s Hopkins or Advancing Research and Clinical Practice through Close Collaboration (ARCC) Models or you may select another model you find in the literature. In the speaker’s notes, explain how the model would be applied to the development of an evidence-based project. Provide support from at least one outside scholarly source (not the textbook or course lesson). Area of Interest 35 20% Identify an area of interest related to NP practice in which a practice change may be needed. Slide should identify the area of interest and what is currently known on the topic. Speaker’s notes more fully explain what is currently known and should provide rationale for why the area of interest is important to NP practice. Provide support from at least one outside scholarly source (not the textbook or course lesson). Issue/concern and recommendation for change 35 20% Slide should identify a specific concern related to your general area of interest and your recommendation for a practice change. Speaker’s notes should more fully explain the recommended change and rationale for the change. Recommendation should be supported by at least one outside scholarly source (not the textbook or course lesson). Factors Influencing Change 17 10% Slide should identify at least 2 internal and external factors that could impact your ability to implement your recommended change. Speaker’s notes should more fully explain how the factors you’ve identified would support or impede the implementation of your recommendations. Factors may be based on personal experience or on information you found in your research. If the identified factors come from the literature, provide reference citations to support your ideas. NONPF Competencies 14 8% Slide identifies at least two NONPF Competencies that are relevant to an evidence-based project related to your area of interest. Speaker’s notes should explain how the competencies relate to your area of interest. Provide support from at least one outside scholarly source (not the textbook or course lesson). Conclusion 9 5% Slide provides summary points of presentation. Speaker’s notes provide final comments on the topic. 149 85% Total CONTENT Points= 149 points ASSIGNMENT FORMAT Category Points % Description APA Formatting 8 5% 1. References on reference slide must be in APA format. May use bullets instead of hanging indents. 1. In-text citations on slides and in speaker’s notes must be in APA format. Writing Mechanics 9 5% Writing mechanics follow the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. Presentation length meets assignment guidelines. Slide Formatting 9 5% 1) Presentation has title slide 2) Presentation has reference slide(s) 3) Slides are professional in appearance and tone; 4) Slides are balanced spatially, including words and graphics. 26 15% Total FORMAT Points= 26 points 175 100% ASSIGNMENT TOTAL=175 points

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Infertility and IVF treatment in women after 35 years.” A Global Special Topic Presentation= 40% of total grade

The student will choose one-health topic-affecting women around the world and create a poster presentation; the topic chosen for this presentation must be different from a topic that was covered in the “This Life I Live” Paper.

The presentation should include background on the topic, facts and statistics on the topic, impact of this issue, and plan for improvement.

Examples of global special topics would be human trafficking, extreme poverty, environmental disasters, child marriages/early child bearing, sexual assault, domestic violence, living in a war area, HIV/AIDS, death during childbirth, etc. You can select any topic that you would like, use the topic discussion board to post your topic for approval.

Grading Rubric Background- Provide a clear background of this global health issue.

What is the history of this problem (how long has it been an issue, how did it start, where is it most prevalent) 20 Significance

– Demonstrate how significant this problem is using statistics, data, facts. 20 Impact

– How many places does this issue impact. What is the impact to the women living in these areas/conditions? How does this issue impact other regions 15 Plan for Improvement- How can the world help solve this problem or help people living in these conditions. What currently is being done to improve the conditions/issue, what else needs to happen to solve this problem? 20 Visual

– Poster is visually appealing (color, font size, mix of images/words), easy to read, easy to understand without oral presentation. Writing style, APA, grammar, spelling all appropriate for a 400 level courses. *Tips to making a good poster https://nau.edu/undergraduate-research/poster-presentation-tips/ How to set up a PowerPoint Poster: https://www.youtube.com/watch?v=A4qXONix2aQ 25 Attachments` PlattSavageFinnell Poster_ FINAL.pptx Final Presentation Sample Template.pptx Attached are further instructions for the paper. Infertility and IVF treatment in women after 35 years.This topic is good but please be sure you are discussing it based on how infertility impacts different parts of the world and not just the clinical aspect of infertility. Use a template to complete this assignment.Thank you

At the age of 20, Myles was brought to a hospital emergency room by campus security of the college from which he had been suspended several months ago.

At the age of 20 Myles was brought to a hospital emergency

Patient Story: Schizophrenia

At the age of 20, Myles was brought to a hospital emergency room by campus security of the college from which he had been suspended several months ago. A professor had called and reported that Myles had walked into his classroom, accused him of taking his tuition money, and refused to leave.

Although Myles had much academic success as a teenager, his behaviour had become increasingly odd during the past year. He quit seeing his friends and no longer seemed to care about his appearance or social pursuits. Myles began wearing the same clothes each day and seldom bathed. He lived with several family members but rarely spoke to any of them. When he did talk to them, he said he had found clues that his college was just a front for an organised crime operation. He had been suspended from college because of missing many classes. His sister said that she had often seen him mumbling quietly to himself and at times he seemed to be talking to people who were not there. He would emerge from his room and ask his family to be quiet even when they were not making any noise.

One year after the incident at College campus, Myles began talking about organised crime so often, and became so agitated on one occasion that his father and sister brought him to the emergency room.

On exam there, Myles was found to be a poorly groomed young man who seemed inattentive and preoccupied. His family said that they had never known him to use drugs or alcohol, and his drug screening results were negative. He did not want to eat the meal offered by the hospital staff. He also voiced concern that they might be trying to hide drugs in his food.

His father and sister told the staff that Myles’ great-grandmother had a serious illness and had lived for 30 years in a state hospital, which they believed was a mental hospital. Myles’ mother left the family when Myles was very young. She has been out of touch with them, and they thought she might have been treated for mental health problems.

Myles agreed to sign himself into the psychiatric unit for treatment.

His story reflects a common case, in which a high-functioning young adult goes through a major decline in day-to-day skills. Family and friends can often feel this is a loss of the person they knew. As such, family therapy and psychoeducational approaches can be useful to support treatment and good outcomes are possible!
Reflective questions to answer on next page:

Firstly, explain why schizophrenia is defined as a spectrum disorder:

Secondly, from the case study information on the above:
a.    Identify the symptoms and their categories (e.g., delusion: belief that professor had taken tuition money)

b.    Indicate where on the schizophrenia spectrum Myles fits, and why (e.g., Brief Psychotic Disorder, Delusional Disorder… in saying why, also, identify the defining characteristics/symptoms)

Thirdly, why might some people with schizophrenia have difficulties with treatment adherence?

Finally, what could be some approaches to support treatment adherence?