College Nursing Papers

Describe the types of ACOs recognized by the Centers for Medicare and Medicaid Services.

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Urban and rural health care organizations throughout the industry are working together to coordinate care for Medicare patients. Accountable Care Organization (ACO) programs were established by the Centers for Medicare and Medicaid Services to help facilitate this cooperation.

Select a type of health care organization that would accept Medicare patients (e.g., family practice, hospital, urgent care, or nursing home).

Write a 700- to 1,050-word executive summary that discusses the purpose of joining an ACO and the funding available through one. Include the following:

Describe the organization you selected and the general services that would be offered to Medicare patients.
Describe the types of ACOs recognized by the Centers for Medicare and Medicaid Services.
Evaluate industry dynamics that would influence your organization’s decision to participate in an ACO.
Identify the steps needed to participate in an ACO.
Justify participation in an ACO for your organization.
 
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Write a 350-word essay explaining the selected researcher or event and the contribution to research and nursing development.

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Select one key theorist or one key event that you think most influenced the development of nursing research. Write a 350-word essay explaining the selected researcher or event and the contribution to research and nursing development. How does the researcher or event shape the multiple paradigm of nursing? Cite at least two references. Format your paper consistent with APA guidelines.
 
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describe one area of change in nursing that intrigues you during that time period.

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There was much progress in nursing during the early-to-middle part of the 20th century (1900 through the late 1930s). After reading the Progress in Nursing in the Early-to-Mid 20th Century, describe one area of change in nursing that intrigues you during that time period. Discuss how that area could be applied today.
 
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Identify the populations served and any issues of population vulnerability.

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Review emerging standards of culturally competent care. Here are possible resources to use:

DHHS Office of Minority Health

National Center for Cultural Competence

AHRQ

Annie E. Casey Foundation

question; Write a 2,800- to 3,500-word paper that explores the following topics in your workplace or a setting that you select for this discussion:

Define culturally competent care appropriate for your own workplace, based on your perusal of the assigned readings.

Identify the populations served and any issues of population vulnerability.

Comment on standards of cultural competence that appear to be met and any that are not met.

Identify how delivery of nursing care could be affected where standards are being met and where they are not being met.

 
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Describe one internal and one external method for the dissemination of your EBP project results.

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Describe one internal and one external method for the dissemination of your EBP project results. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your results to both of these groups. How will your communication strategies change for each group?
 
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Explain whether nutrition and/or hydration might be impacted by the patient’s functional abilities.

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Resources: Flaherty, E., & Resnick, B. (Eds.). (2014). Geriatric nursing review syllabus: A core curriculum in advanced practice geriatric nursing (4th ed.). New York, NY: American Geriatrics Society. Geriatric patients have many nutritional and hydration concerns that impact their health and ability to acquire sufficient nutrients. Advanced practice nurses evaluating these patients must be able to account for all barriers that prevent elders from obtaining adequate nutrition, including medical conditions, transportation, finances, physiologic changes, and functional abilities. When evaluating patients, it is important to consider how they eat, what their diet consists of, and whether they have any special dietary needs that are not being met. Assessment tools, such as the Lawton Instrumental Activities of Daily Living (IADL) Scale, are an integral part of this evaluation process as they help providers identify potential obstacles for patients. In this Discussion, you assess a patient at your current practicum site and consider strategies for improving any nutrition or hydration issues.To prepare:Review this week’s media presentation, as well as Chapters 28 and 29 of the Flaherty and Resnick text.Assess a patient using tools for inpatient and long-term patient care, such as the Lawton IADL Scale.Note: You should coordinate this opportunity with the Preceptor at your practicum site.Consider whether nutrition and/or hydration might be impacted by the patient’s functional abilities. Reflect on whether the patient is able to go out and get food to eat, cook meals, safely use the stove, etc.Consider the patient’s diet and whether they have any special dietary needs due to medical conditions, such as congestive heart failure, end-stage kidney disease, diabetes, oral health issues, etc. Reflect on whether or not the patient is attempting to compensate for a medical issue and thus creating a deficiency or excess in his or her diet.Based on your patient assessment, think about strategies for improving any nutrition issues that might have presented (e.g., nutritional supplements, community resources such as Meals on Wheels, referral to a nutritionist or dietician, etc.).By Day 3Post a description of the patient assessment you performed using a tool for inpatient and long-term patient care, such as the Lawton IADL Scale. Explain whether nutrition and/or hydration might be impacted by the patient’s functional abilities. Then, describe the patient’s diet and whether he or she has any special dietary needs due to medical conditions. Address whether or not the patient is attempting to compensate for a medical issue and thus creating a deficiency or excess in his or her diet. Finally, explain strategies for improving any nutrition issues that might present during the patient assessment. **Please use at least to references and site within the paper in apa format
 
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Which sections of the State Nurse Practice Act did the nurses violate?

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Criminal Prosecution for Nursing PracticeRead the following case study and submit a 1- to 2-page essay in a Microsoft Word document using APA 6th edition in response to the questions.Case Study:Until recently, the risk of criminal prosecution for nursing practice was nonexistent unless nursing action rose to the level of criminal intent, such as the case of euthanasia leading to murder charges. However, in April 1997, three nurses at the Centura St. Anthony Hospital, outside of Denver, were indicted by a Colorado grand jury for criminally negligent homicide in the death of a newborn. Public records show that one nurse was assigned to care for the baby. A second nurse offered to assist her colleague in caring for the baby. A third nurse was a nurse practitioner in the hospital nursery. Because the baby was at risk for congenital syphilis, the physician ordered that the nurses give 150,000 units of intramuscular penicillin, which would have required five separate injections.In relation to other problems the same day, the baby was subjected to a lumbar puncture, which required six painful attempts. To avoid inflicting further pain, nurse two asked the nurse practitioner whether there was another route available for the administration of the penicillin. Nurse two and the nurse practitioner searched recognized pharmacology references and determined that intravenous administration would be acceptable. The nurse practitioner had the authority to change the route and directed nurse two to administer the medication intravenously rather than intramuscularly. Unrecognized by the nurses, the pharmacy erroneously delivered the medication, prepared and ready to administer, in a dose ten times greater than was ordered—1.5 million units. As nurse two was administering the medication intravenously, the baby died. The Colorado Board of Nursing initiated disciplinary proceedings against nurse two and the nurse practitioner, but not against nurse one. The grand jury indicted all three nurses on charges of criminally negligent homicide but did not indict the pharmacist (Calfee & Plum, 1997).Respond to the following:Identify what emotions are evoked as you consider the Colorado Board of Nursing case stated above?Should the courts take into consideration the fact that the nurses’ error occurred because they wanted to avoid causing the baby unnecessary pain? Discuss your thinking.Can you think of other occupations in which the consequences of unintentional errors have greater legal implications? Discuss your answer.How should the nursing profession respond to this frightening new legal threat?Which sections of the State Nurse Practice Act did the nurses violate?Reference:Calfee, B. E, & Plum, S. D. (1997). Nurses indicted: Three Denver nurses face prison           in a case that bodes ill for the profession. Retrieved from http://business.           highbeam.com/4397/article-1G1-19588498/nurses-indicted-three-denver-           nurses-face-prison-caseSupport your responses with examples.Cite any sources in APA format.
 
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Describe the various government and private resources available that assist in developing and maintaining quality improvement programs in your chosen facilities.

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Choose two long-term care facilities—one from nursing facilities, assisted living, or subacute care and another from adult day care, home health care, or hospice care, prepare a 8 page report in a Microsoft Word document including the following:Describe the roles and responsibilities of the administration in each department of your chosen facilities.Identify and list the sources of financing available to consumers for the various programs provided by your chosen facilities. Identify the key public and private sources of reimbursement available. Also discuss the role played by managed care and its impact on long-term care reimbursement.Describe the various government and private resources available that assist in developing and maintaining quality improvement programs in your chosen facilities. Describe the ways in which quality and cost are controlled in your chosen facilities. Also discuss the ethical aspect of access to care in the facilities, including rationing.Based on your observations and learning from the two facilities, discuss the changes brought in the long-term care system to make it reach full status as a competition-driven system. You may include the following points in your discussion:Discuss the changes made in the control mechanisms (external and internal) in order to control the management, financing, and quality in the long-term care systems.Discuss the changes taking place in long-term care reimbursement system in order to provide better reimbursement options both to consumers and providers.Discuss the changes made in the efforts of providers to accommodate changing magnitude of the day-to-day needs of long-term care consumers.Support your responses with examples.Cite any sources in APA format. Submission Details
 
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As a health care professional, explain the ways you will address these issues

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 Part I: Nursing LawsWhen nurses exceed their scope of practice, they violate their nursing license and may be performing tasks that are reserved by statute for another healthcare professional, such as a physician (Fremgen, 2012). Due to the shortage of nurses, their responsibilities are ever increasing, which may lead to actions that result in malpractice. However, nurses have not generally been involved in lawsuits for exceeding their scope of practice or violating their license, unless they also acted negligently (Fremgen, 2012).Accordingly, by using the Internet resources, research your state’s nursing laws and regulations. Based on the knowledge gained from your readings, respond to the following questions with examples:When should a nurse question the actions of a doctor?When can a nursing license be suspended or revoked?Justify your answers with appropriate research and reasoning by using examples and references from textbooks, the South University Online Library, and other acceptable references. Cite sources in the APA format. Further, comment on the postings of at least two peers.Part II: Ethical Issues in NursingBy using the Internet and the South University Online Library resources, review scholarly articles and respond to the following:Identify and describe at least three critical ethical issues affecting today’s nursing professionals.As a health care professional, explain the ways you will address these issues.Justify your answers with appropriate research and reasoning by using examples and references from textbooks, the South University Online Library, and other acceptable references. Cite sources in the APA format. Further, comment on the postings of at least two peers.Source: Fremgen, B. (2012). Medical law and ethics. (4th ed.). Boston, MA: Prentice  Hall.
 
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What criteria must be met in order to consider a practice, evidence-based?

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Explore the National Institute of Nursing Research (NINR) website: http://www.ninr.nih.gov/ Review their publication Bringing science to life: NINR strategic plan (2011, p. 7) to identify the current priorities for nursing research. Do you agree with the priorities or would you recommend addition or elimination of some of the priorities? What effect do the nursing research priorities have on nursing researchers?What criteria must be met in order to consider a practice, evidence-based? Provide examples. Explain the role quality plays in evidence-based practice? Based on the information you’ve learned to this point, write a research proposal that relates to the topics you chose for a previous assignment. Be sure to include the following information in your proposal:HypothesisTheoryDesign modelMethodAnticipated resultsPotential Dissemination Avenues The assignment should be between 1500 and 2000 words in length and contain at least two scholarly sources, in addition to the textbook and provided material. Please submit your assignment in one APA formatted document. Turnitin needs to be less than 25%
 
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