Category: Healthcare

https://archpublichealth.biomedcentral.com/articles/10.1186/s13690-015-0099-3
Your final submission will be a report (up to 2000 words) based on your critical appraisal of the
above article.
i) The report must include the following components, based on aspects of your critical
appraisal:
Background; Methods; Results; Discussions; Policy implications.
ii) When developing the report, please give attention to:
• The context in which the original study was designed.
• Your approach to your review, in particular:
o Consider whether to use a formal checklist
(e.g. CASP). If you have used any critical
appraisal tool be clear which and why
o How you have applied the tool to inform
your critique
iii) Consider the components of the study being reviewed:
o Type of economic evaluation
o Study objectives
o PICO (Population, Intervention, Comparators and Outcomes)
o Study methods (consider the key methodological attributes and limitations)
o Study results (consider main results and their uncertainty)
o Study conclusion (consider implications of any study limitation)
iv) What could be concluded based on your own critique, the implications of your conclusions
for future policy, practice, and research
Word Limit:
The word limit set for the assessment is a MAXIMUM. Content is evaluated on the basis of the
extent to which the learning outcomes and other requirements of the assessment have been met,
within the maximum stated word limit, therefore penalties do not apply on the basis of work
being less than the word limit. However, markers will only mark up to the word limit and not
beyond this, to ensure parity for all students

In this paper, you will review and discuss various aspects of medication safety. You will need to use at least 3 peer reviewed/scholarly resources for this assignment. In this paper you will need to discuss…
– the incidence (statistics) of medications errors, contributing factors to medication errors, and the role the nurses play (with support from literature)
-Identify and discuss at least 1 national initiative that is helping to reduce the incidence of medication errors (with support from literature)
-Identify and discuss at least 1 technological advancement that is helping to reduce the incidence of medication errors (with support from literature). Just FYI — The EMAR is not a tech advancement, that has been around for quite some time now, so I don′t want to see that in anyones paper!
-Utilize APA formatting throughout the entire paper, citing, and reference page. Paper should be a minimum of 2 pages but no more than 5 (double spaced), that is NOT including your title and reference pages.

7:1 Research and review any
articles related to the environment and its impact on health; and, discuss one
area of interest to you about the issues raised in the article. Please, include
the reference, and URL to your article, in case any of our peers wish to read
it.  Please
illustrate your discussion with examples taken from the literature.
7:2 Discuss the relationships between people’s
lifestyles and their health practices, health status and the utilization of
health care services. Please
illustrate your discussion with examples taken from the literature.
8:1 Compare and contrast the problem of aging in the
United States with aging in another country of your choice.  This
assignment will require that you do a search of the literature to compare aging
in the United States, with aging another country.  Be certain to use
relevant examples. 
8:2 Identify one age-related physical change in the
body, and, based on your reading as well as additional research, tell us how
the impact of the change can be minimized or mitigated through health
education/health promotion practices

The purpose of this assignment is to evaluate the disparity of treatment that women experience in the U.S. health care system
You have been asked to design a deliverable that could be used to help nursing and health care professionals identify and evaluate bias, both implicit and explicit, in the treatment of women.
Choose one of the following deliverables to complete this assignment:
An 8-10-slide digital presentation, including presenter’s notes with documentation of resources and a title slide.
A 750-word Frequently Asked Questions (FAQ) document or resource handout, including documentation of resources.
A 5-minute video or podcast, accompanied by a document providing the video/podcast script, documentation of resources, and digital link to the video/podcast.
Using the deliverable of your choice, be sure to address the following:
Prevalence of bias: Cite relevant studies, research, and statistics.
Consequences of bias: Outline the negative impact of bias on women’s health outcomes.
Legal and ethical obligations: Cite policy and legislation that discusses gender disparities in the health care system.
Ongoing evaluation and improvement: Current health initiatives that seek to eliminate bias and discrimination in the treatment of women.
Support your deliverable with a minimum of three scholarly resources (not including the textbook). 
Prepare this assignment according to the guidelines 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.

Type a 2 page paper on an STD of your choice
12 font
Times New Roman Font
cite references on a separate page

Assignment Content
see part 1 for context as well
* Group Project Part 2: 
Given the collaborative nature of this assignment, a very high quality of writing and research is expected. Group members can delegate tasks, but it is highly encouraged that collaborative editing and revision be utilized so that the pieces come across as a single, cohesive project. 


In groups of 3-4, students you will use Franklin county Ohio. Using County Health Rankings and the ODH community health improvement data, you will:


* Part 2: Develop a policy proposal to address the issue, with evidence as to why this proposal will improve outcomes
* 3-4 pages
* Tables and figures should be used when appropriate. All tables and figures should be integrated into the paper and referenced in text, and should not add up to more than one page of each section.
* Clearly lay out the framework of your policy. Explain the mechanism/intervention and the population it is intended to benefit
* Provide evidence from academic literature as to why this approach is thought to be appropriate to address this problem 

Example policy reports are in these LINKS!
* Sample policy proposal report: https://www.hamiltonproject.org/assets/files/Paid_Leave_PP_final.pdf
* Sample implementation plan with budget (look to the tables at the very bottom of the document): https://www.ahrq.gov/research/findings/final-reports/ptflow/appendix-c.html?cmdf=sample+policy+implementation+plan+with+a+budget
Readings: 
* Textbook Chapter: Meacham, M.R. (2021). Longest’s health policymaking in the United States (7th Ed.). Chicago, IL: Health Administration Press
-Chapter 10, Building Policy Competence for Health Professionals
USE THE LINKS!
* Craig, D. M. (2015). Obamacare and American values. John C. Danforth Center on Religion and Politics. Retrieved from http://rap.wustl.edu/video/obamacare-and-american-values/
* Solomon, L. (1998) Rules of the Game health Affairs Blog https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.17.4.140
* AHRQ Engaging Stakeholders to Improve the Quality of Children’s Health Care https://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/index.html
Recommended: 
* Reinhardt, U.E. Wanted: A Clearly Articulated Social Ethic for American Health Care

You are working on a project to develop a new or enhanced system to help people at your college, university, or organization to find jobs. The system must be tailored to your student or work population and be very easy to use. Write a short paper describing how you would collect requirements for this system, and include at least five requirements in a requirements traceability matrix.

Rewrite this essay
Working in this institution requires a certain level of professionalism. One is to have cultural awareness
especially in a very diverse driven institution. An inclusive environment for our patients adds to the
quality of care they receive, thus creating positive feedback from patients. When faced with challenges, I
have learned to seek help and advocate for team work. Contributing to the different teams we have in
the department definitely has a major impact on our workflow. There are many personalities that can be
seen in a big department, such as Interventional Radiology. I have been open-minded on the possibility
of several viewpoints and ideas but prepared to embrace differences.
IR nurses should demonstrate professionalism when communicating and inspire trust when interacting. I
have remained committed to practices that show accountability and adherence to set standards of
conduct. MD Anderson’s standards of conducts and policies have considered emotional intelligence as a
key element for IR Nurses. I have utilized the teamwork that offers emotional support whenever faced
with such emotional challenges. In my free time, self-reflection during my free time and at home to
assess my goals and achievements during the day. I am also open minded when it comes to reflections
and feedback. This is a necessary tool for growth and development.
This year has opened opportunities for me to continue coaching new nurses and travel nurses, and show
what our unit has to offer. I have also trained new nurses for MRI: breast cryoablation: which is a first
for this institution, as well as MRI breast biopsies. Aside from teaching, I have also trained to become a
command center resource, and have participated in being a charge nurse in Mays clinic
IR Nurses have the responsibility of promoting professional practice. I have used evidence-based
approaches, including research, IR Nursing Acts, national nursing practice standards, and established
standard operating procedures (SOPs)- as we hear it from the MDs we work with. They inspire us to
learn and educate ourselves so we can be a resource for them in return. As an IR Nurse, I am responsible
for ensuring standard services are provided to all patients and staff demanding my attention.
On structural empowerment, the motivation is problem-solving. As an IR Nurse, I have provided
feedback to the Nurse Management and staff. I have ensured timely communication to reduce errors
that may occur in case of delayed treatment. Having worked as a command center nurse and charge
nurse, I have collaborated with team members to promoted dialogue and ensure reduced conflict when
developed solutions. A stronger team embraces partnership and diversity to improve patient, family and
management desired outcomes.
Working in interventional radiology, I have learned to be a transformational leader who adheres to the
set professional values and supports others staff and patients to foster patient-patient care competency.
In my professionalism, I have demonstrated loyalty and commitment to the units to ensure teamwork
for the wellbeing of the patients and staff. I have applied both new and existing knowledge and patient
care standards to ensure accountability and adherence to exemplary nursing practices. Being an on-call
nurse teaches you to take responsibilities and direct fellow team members for a better and efficient
workplace environment.

Introduction: Ethical and legal problems arise in healthcare organizations when the decision-making capacity of an elderly patient is uncertain, particularly when the patient’s decisions are at odds with the rest of the family’s preferences. The scenario provided here is about this type of situation.
This performance assessment will provide you with experience in sorting through the sometimes-competing issues related to a scenario such as the one described, as well as experience in formulating actions that can help guide a healthcare organization through ethical problems that arise in caring for elderly patients.
Note: Students may rely on conversations and notes gleaned from cohort lectures and Boot Camp.
SCENARIO
You are the healthcare administrator at a local hospital. A social worker has come to you to discuss the case of Jamilah Shah, a patient who has recently been admitted to the hospital. Jamilah is a 90-year-old woman who was brought to the hospital after collapsing at the side of her bed. EKG and lab tests revealed a heart attack.
More than 40 years ago, Jamilah emigrated with her wealthy husband (now deceased) and their three sons from Turkey to the United States. Jamilah was a homemaker and learned only basic English, but her children are fluent English speakers. The children are now all in their 50s. The family retains Turkish culture and norms, including the sons acting as patriarchs for the family. Even though Jamilah is highly educated (in Turkey she was trained as a lawyer), the sons make many of the family decisions. Two of the three children are in successful careers. The remaining child, the youngest son, Bashir, owns a small market and struggles financially.
Until yesterday, the day of her admission, Jamilah resided in an extended care facility (ECF), where she has lived since her husband’s death. She reportedly has severe chronic obstructive pulmonary disease and adult-onset diabetes mellitus.
Jamilah has no advance directives on file. Because of her communication difficulties, the emergency department physician started her on anticoagulants while trying to contact her next of kin. The ECF sent paperwork to the hospital, listing Bashir as the emergency contact. Bashir was contacted and is now at the hospital with his two brothers. He has informed the care team that he is the decision maker, and he wants his mother to have a Do Not Resuscitate (DNR) order with no intervention of any kind other than comfort care.
The social worker has come to you with concerns that this decision may not reflect Jamilah’s wishes. When the social worker was visiting with Jamilah alone, Jamilah reached for her hand and said, “Please help me. I want to live.” The social worker shares concerns about the interactions observed between Jamilah and her sons, stating that the relationships seem unsupportive. The hospital’s ethics committee has not yet been involved. The social worker also reports that the emergency physician requested a cardiology consultation, which was just completed. The consultant documented that “Because the family has requested only comfort care, and due to the patient’s multiple comorbidities, the patient will be managed medically, with no intervention, and will not receive cardiac catheterization or be considered for coronary bypass surgery.” If nothing is done, Jamilah will likely die within days.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The similarity report that is provided when you submit your task can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Note: Complete these prompts by using complete sentences.
Note: The web links “Advance Directives” and “Determining Competency for Medical Decisions” found below may be used to assist you in completing this assessment.
A.   Write an essay (suggested length of 5–7 pages, not including attachments) analyzing the scenario by doing the following:
1.   Describe three potential ethical dilemmas presented in the scenario: one related to autonomy, one related to beneficence, and one related to non-maleficence.
a.   Analyze legal implications associated with each of the potential ethical dilemmas described.
2.   In response to Bashir’s demands for only comfort care, discuss each of the following three courses of action in the scenario as it relates to each ethical dilemma.
•   Course of action 1: follow Bashir’s wishes
•   Course of action 2: refuse to follow Bashir’s wishes
•   Course of action 3: briefly delay the decision to gather additional information and other perspectives
a.   Choose and justify the correct course of action (in response to Bashir’s demands for only comfort care).
b.   Choose one of the courses of action from part A2 that you did not justify in part A2a and explain how possible consequences show that it is not the correct course of action.
3.   Putting yourself in the role of a healthcare administrator, describe in the essay what should happen next within the scenario by doing the following:
a.   Describe two resources that could have made or could still make Jamilah’s wishes clearer.
i.   Explain how each resource could have made Jamilah’s wishes clearer.
4.   Create three policy recommendations that you could make as an administrator to help your employees and the facility’s medical staff handle similar situations in the future.
a.   Justify each policy recommendation.
B.   Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
C.   Demonstrate professional communication in the content and presentation of your submission.
RUBRIC
A1:POTENTIAL ETHICAL DILEMMAS
NOT EVIDENT
Descriptions of 3 potential ethical dilemmas—1 related to autonomy, 1 related to beneficence, and 1 related to non-maleficence—are not provided.
APPROACHING COMPETENCE
Descriptions of 3 potential ethical dilemmas—1 related to autonomy, 1 related to beneficence, and 1 related to non-maleficence—are provided, but the descriptions do not have a significant and demonstrable relationship to the scenario.
COMPETENT
Descriptions of 3 potential ethical dilemmas—1 related to autonomy, 1 related to beneficence, and 1 related to non-maleficence—are provided. The descriptions are accurate and directly relate to the scenario.
A1A:LEGAL IMPLICATIONS
NOT EVIDENT
An analysis of the legal implications associated with each of the potential ethical dilemmas discussed in part A1 is not provided.
APPROACHING COMPETENCE
An analysis of the legal implications for each of the potential ethical dilemmas in part A1 is provided, but the analyses are partly or completely incorrect.
COMPETENT
An analysis of the legal implications for each of the potential dilemmas in part A1 is provided, and the analyses are correct and consistent throughout the response.
A2:COURSES OF ACTION
NOT EVIDENT
Discussions of each of the three given courses of action are not provided.
APPROACHING COMPETENCE
Discussions of each of the three given courses of action are provided, but the discussions are not accurate or do not directly relate to the scenario.
COMPETENT
Discussions of each of the three given courses of action are provided. The descriptions are accurate and directly relate to the scenario.
A2A:JUSTIFICATION OF COURSE OF ACTION
NOT EVIDENT
A justification of which of the courses of action is correct is not provided.
APPROACHING COMPETENCE
The correct course of action is chosen, but the justification for that course of action is not logical, not appropriate for the position of a healthcare administrator, or not relevant to the scenario.
COMPETENT
The justification for the correct course of action is logical, appropriate for the position of a healthcare administrator, and relevant to the scenario.
A2B:EXPLANATION OF WRONG COURSE OF ACTION
NOT EVIDENT
An explanation of how possible consequences show that the course of action chosen is not correct is not provided.
APPROACHING COMPETENCE
An explanation of how possible consequences show that the course of action chosen is not correct is provided, but the explanation is not logical, not appropriate for a healthcare administrator, or not relevant to the scenario.
COMPETENT
An explanation of how possible consequences show that the course of action chosen is not correct is provided, and the explanation is logical, appropriate for a healthcare administrator, and relevant to the scenario.
A3A:RESOURCE
NOT EVIDENT
Descriptions of 2 resources that could be used to make Jamilah’s wishes more clear are not provided.
APPROACHING COMPETENCE
Descriptions of 2 resources that could be used to make Jamilah’s wishes more clear are provided, but the descriptions of 1 or both of the resources is not accurate.
COMPETENT
Descriptions of 2 resources that could be used to make Jamilah’s wishes more clear are accurately provided.
A3AI:RESOURCE EXPLANATION
NOT EVIDENT
An explanation of why the resources in part A3a would be helpful is not provided.
APPROACHING COMPETENCE
An explanation of why the resources described in part A3a would make Jamilah’s wishes more clear is provided, but the explanation of 1 or more of the resources is not logical.
COMPETENT
The explanation of why each resource described in part A3a would make Jamilah’s wishes more clear is logical.
A4:POLICY RECOMMENDATIONS
NOT EVIDENT
The 3 policy recommendations are not created.
APPROACHING COMPETENCE
The 3 policy recommendations are created, but 1 or more of those recommendations would not be helpful to employees and staff in similar situations in the future.
COMPETENT
The 3 policy recommendations that could help employees and medical staff handle similar situations in the future are created.
A4A:POLICY RECOMMENDATION JUSTIFICATION
NOT EVIDENT
Justifications for 1 or more of the policy recommendations are not provided.
APPROACHING COMPETENCE
A justification is provided for each of the policy recommendations, but 1 or more of the justifications are inaccurate or not relevant.
COMPETENT
The justifications provided for each of the policy recommendations are accurate and relevant.
B:APA SOURCES
NOT EVIDENT
The submission does not include in-text citations and references according to APA style for content that is quoted, paraphrased, or summarized.
APPROACHING COMPETENCE
The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized but does not demonstrate a consistent application of APA style.
COMPETENT
The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized and demonstrates a consistent application of APA style.
C:PROFESSIONAL COMMUNICATION
NOT EVIDENT
Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic.
APPROACHING COMPETENCE
Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective.
COMPETENT
Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.

Elements of Arguments
Objectives
Develop a STRONG thesis statement(highlight in green)
Defend your thesis statement with at least two pieces of evidence (highlight in yellow)
Reflect on each piece of evidence (highlight in blue)
State why each piece of evidence is important to your thesis topic ( highlight in pink/purple)
Deliverables
A 500-word paper
Step 1
Write a paper.
In a 500-word paper, consider a controversial topic that people are usually on one side or the other of (e.g. whether or not marijuana should be legalized) and address the following:
Use the four main elements of an argument to try and change your reader’s opinion.
Use techniques that draw the reader in and make them want to read your paper, even if they may not agree with you.
List the critical thinking skills you employed to devise the argument in your paper.