Analyze why legislative attempts to address only one of the trio of rising costs, lack of universal access, or variable quality of health care only worsens the remaining two.  

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  1. Public health efforts and those of private medicine complement each other and together serve the spectrum of health service needs of American society. Why, then, has their relationship been so contentious?
  2. The Institute of Medicine report of 1999 cites two major studies that establish medical errors as one of the leading causes of death and disability in the United States. Should the federal government take the necessary steps to monitor the status of this high-risk situation, as it does with other epidemics, or should the government continue to trust the providers of health care to deal forthrightly with the problem?
  3. Analyze why legislative attempts to address only one of the trio of rising costs, lack of universal access, or variable quality of health care only worsens the remaining two.

Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook. Sultz, H. A., & Young, K. A. (2017). Health care USA: Understanding its organization and delivery (9th ed.). Boston: Jones & Bartlett. (Chapter 11).

World Health Organization. (2014). “Health Systems for health and wealth in the context of Health 2020: Follow-up to the 2008 Tallinn Charter”

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.

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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.

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest in your region. Perform a physical assessment of the community.

  1. Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”
  2. Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines

Interviews can take place in-person, by phone, or by Skype.

Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Complete the “Provider Interview Acknowledgement Form” prior to conducting the interview. Submit this document separately in its respective drop box.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation.

PowerPoint Presentation

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.

Include the following in your presentation:

  1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.
  2. Summary of community assessment: (a) funding sources and (b) partnerships.
  3. Summary of interview with community health/public health provider.
  4. Identification of an issue that is lacking or an opportunity for health promotion.
  5. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA format ting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Review the discussion board prior to selecting a proposal or prior to posting your message to the discussion board in order to avoid duplicating resources.

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Locate current or proposed legislation, city rules, or ordinances that have the potential to affect the environment in your area. Summarize the legislation and draw conclusions about the impact legislation will have on environmental practices.
Visit the website of a legislative body that has the ability to create rules, codes, or ordinances that impact the environment. Examples of these types of agencies include: Green Dallas, Fort Worth Environmental Management Department, Texas House of Representatives Committee on Environmental Regulation, U.S. House of Representatives Committee on Natural Resources, U.S. Senate Committee on Environment and Public Works and U.S. Environmental Protection Agency (EPA). Select one piece of legislation (or rule, or ordinance), either proposed or actual, and summarize it for the class. Ideally, you should select legislation that will directly impact your community.

  • Review the discussion board prior to selecting a proposal or prior to posting your message to the discussion board in order to avoid duplicating resources.
  • List the title of the legislative bill, rule, or ordinance. Include the title of the legislative body that drafted, proposed, or authorized the legislation.
  • Summarize the environmental legislation in one or two paragraphs. Identify key concepts included in the legislation.
  • In your opinion, what is the potential or realized impact of this legislation on the community?
  • Do you agree or disagree with the legislation? Support your answer.
  • Your original post should consist of complete sentences and should be at least two complete paragraphs but no more than three paragraphs.

Develop      practicum objectives aligned to the American Association of Colleges of      Nursing Essentials, professional standards, and specialty guidelines

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In order to ensure that you are building nursing-related skills and competencies within your practicum setting, it is important to develop specific, appropriate objectives for your practicum hours each quarter. The Practicum Experience allows you to compile your learning objectives and planned timeline for completing your practicum hours and developing your specialty area knowledge and skills. At the end of this quarter, you will use the information in your Practicum Experience to evaluate your progress and achievements in your practicum setting.

If you have previously enrolled in NURS 8600, be sure to develop unique objectives for your Practicum Experience. These may be extensions of previous objectives, or they may be completely new and original objectives intended to expand your experiences in the practicum setting. If you are experiencing difficulty formulating new objectives for your Practicum Experience, consult with your Instructor in this course for additional guidance.

To prepare:

  • Think      about learning objectives that would guide your practicum hours, as well      as the activities you will undertake to achieve those objectives. Draft      three learning objectives that are related to the AACN Essentials      (see attached file), your practice area specialty competencies, and the      focus of this course.
  • Refer      to the Practicum Time Log and Journal document.
  • Develop      a timeline for your Practicum Experience.

To complete:

By tomorrow 8/28/19, write a 2-page paper in APA format with at least 3 scholarly references that includes the level one headers as numbered below:

1) Three learning objectives for your practicum hours that are aligned to the American Association of Colleges of Nursing (AACN) Essentials, your specialty area competencies, the focus of this course (i.e., implementation, evaluation, and dissemination of an evidence-based project), and other aspects of your professional growth and development (see attached file).

2) Activities you will undertake to fulfill your identified learning objectives

3) A proposed timeline for accomplishing your practicum hours (a total of 216 hours over 11 weeks)

P.S.  Use the template attached to complete this assignment. Also, refer to previous class learning objectives to help you write this assignment

Required Reading

Class Learning Objectives

Students will:

  • Participate      in a scholarly forum with colleagues and the course Instructor
  • Develop      practicum objectives aligned to the American Association of Colleges of      Nursing Essentials, professional standards, and specialty guidelines

The primary objective of your practicum is to “build and assimilate knowledge for advanced specialty practice at a high level of complexity,” (AACN, 2006, p. 19). Thus, focus on ways to expand your specialty practice knowledge at the aggregate level and consider roles you are interested in occupying after the completion of the DNP program.

American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/publications/position/DNPEssentials.pdf (see attached file).

Use the information in this report to guide the formulation of goals for your practicum experience.

Su, W. M., & Osisek, P. J. (2011). The revised Bloom’s Taxonomy: Implications for educating nurses. The Journal of Continuing Education in Nursing, 42(7), 321-327. (See attached file)

Bleich, M. R. (2011). IOM report, The Future of Nursing: Leading Change, Advancing Health: milestones and challenges in expanding nursing science. Research in Nursing & Health, 34(3), 169-170. doi:10.1002/nur.20433 (see attached file)

IOM report, The Future of Nursing: Leading Change, Advancing Health: milestones and challenges in expanding nursing science. Research in Nursing & Health by Bleich, M. R., in Research in Nursing & Health, Vol. 34/Issue 3. Copyright 2011 by John Wiley & Sons – Journals. Reprinted by permission of John Wiley & Sons – Journals via the Copyright Clearance Center.

Pritham, U. P. (2016). Assessing DNP impact using program evaluations to capture healthcare system change. The Nurse Practitioner, (4), 44.

Kotter, J. P. (2007). Leading change: Why transformation efforts fail. Harvard Business Review, 85(1), 96-103. Retrieved from https://cb.hbsp.harvard.edu/cbmp/pl/76758028/76758030/42e82c2469b7f33387aa79dc5736bb1f

In this foundational reading, Dr. John Kotter discusses errors commonly made as organizations undergo change, and he recommends steps leaders can take to help avoid them (see attached file).

Moriber, N. A., Wallace-Kazer, M., Shea, J., Grossman, S., Wheeler, K., & Conelius, J. (2014). Transforming Doctoral Education Through the Clinical Electronic Portfolio. Nurse Educator, 39(5), 221-226. doi:10.1097/NNE.0000000000000053

Murphy, M. P., Staffileno, B. A., & Carlson, E. (2015). Original Article: Collaboration Among DNP- and PhD-Prepared Nurses: Opportunity to Drive Positive Change. Journal of Professional Nursing,31388-394. doi: 10.1016/j.profnurs.2015.03.001

Sherrod, B., & Goda, T. (2016). DNP-Prepared leaders guide healthcare system change. Nursing Management, (9). 13.